C-Section Prefereance Reasons of Women: A Scale Development Study

Abstract

Introduction: 51.7% of all pregnant women in Turkey is undergoing caesarean section to give birth to their babies. Women who have had a cesarean section not only contribute significantly to maternal mortality and morbidity, but also suffer from sepsis and infections that adversely affect postpartum recovery and well-being. Purpose: The purpose of this study is to determine the C-section preference reasons of women and affecting factors. Method: Data of the research were obtained from a total of 430 women who had a cesarean section in the last six months between September and October 2019 by using quantitative methodology. Within the scope of the analysis, demographic and descriptive statistics, reliability analysis, Factor Analysis, t-test analysis, Variance analysis (ANOVA), Jonckheereterpstra, Kruskall Wallis, KolmogorovSmirnov and Man Whitney were applied. Cronbach’s Alpha coefficient was obtained as 0.895. Analyzes were performed with SPSS 18 and Eviews 9. Findings: In line with the data obtained, it has been determined that women prefer cesarean section due to psychological, physiological reasons, on their own will and due to their thoughts on postpartum late recovery. The study focused on women's priorities in cesarean recovery, on the ability to continue daily activities, including pain (or deficiency), mobility and care. Those who had cesarean section for the first time reported that they were not sure of their ability to determine the symptoms of infection and wanted to go to health professionals. It was found that some of the women could not remember whether they had received information about the prevention of infection and had not received enough advice while others had received general information about cesarean recovery. Conclusion: It was determined that women who had a cesarean section would like more information, especially written information for post-operative 'normal' recovery, and would welcome recommendations on infection prevention. Thus, recovery will be faster and potentially sepsis and infection rates will be reduced. Cesarean stigma negatively affects women's healing experiences and possibly information delivery. As participants use substances such as cigarettes and alcohol, they are more likely to experience psychological problems. The psychological problems of the participants are affected by their problems in business or social life. As participants are more likely to experience problems in business or social life, they are more likely to use substances such as cigarettes and alcohol. It has been determined that informing the patient about the positive or negative effects of C-section during pregnancy increases the probability of giving birth normally.