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Sezaryen İle Doğuma Güncel Bir Bakış: Modern Sezaryen Teorisi

Yıl 2021, Cilt: 30 Sayı: 4, 226 - 235, 30.12.2021

Öz

Doğum, tüm toplumlarda sağlık sisteminin en hassas ve en önemli indekslerinden biridir. Bu nedenle hem vajinal yolla hem de sezaryen ile doğum yapacak herkese sunulan bakım; kanıta dayalı, sağlığı iyileştirici ve düşük maliyetli olmalıdır. Sezaryen ameliyatı, maternal ve fetal sağlık için hayat kurtarıcı bir müdahale olmakla birlikte cerrahi bir girişimdir, sağlığı kısa veya uzun süreli etkileyebilir ve maliyeti vajinal doğuma göre daha yüksektir. Buna rağmen günümüzde sezaryen oranlarında önemli ölçüde artış görülmektedir. Modern sezaryen teorisine göre bu artışın yaşanmasında sağlık ve teknoloji alanında yaşanan gelişmelerin etkisi oldukça büyüktür. Aynı zamanda bu teori, kendi bedenine güvenmeyen, sezaryenin bebeğinin sağlığı için en uygun seçenek olduğuna inandırılan kadınların daha düşük olasılıkla vajinal doğum yaptığını belirtmekte ve bu konuda en büyük sorumluluğun ebelere düştüğünü savunmaktadır. Ebeler, prekonsepsiyonel dönemden itibaren kadın ve ailesinin gereksinim duyduğu tüm alanlarda bilgilendirilmesini sağlamalıdır. Ayrıca yasa ve politikalar ile ebelerin görev ve sorumlulukları net bir şekilde belirlenmeli ve vajinal doğumun sorumluluğu ebelere bırakılmalıdır.

Kaynakça

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A Current Overview of Cesarean Birth: The Modern Cesarean Theory

Yıl 2021, Cilt: 30 Sayı: 4, 226 - 235, 30.12.2021

Öz

Birth is one of the most sensitive and important indexes of the health system in all societies. For this reason, the care offered to everyone who will give birth both by vaginal delivery and by cesarean section; It should be evidence-based, health-promoting and cost-effective. Although cesarean section is a life-saving intervention for maternal and fetal health, it is a surgical intervention, it can affect health in the short or long term, and its cost is higher than vaginal birth. Despite this, there is a significant increase in cesarean section rates today. According to the modern cesarean section theory, the effects of developments in health and technology in this increase are quite large. At the same time, this theory states that women who do not trust their own bodies and who are convinced that cesarean section is the most appropriate option for their baby's health are less likely to give birth naturally, and argues that the biggest responsibility in this regard falls to midwives. Midwives should ensure that women and their families are informed in all areas they need from the preconceptional period. In addition, the duties and responsibilities of midwives should be clearly defined with laws and policies and the responsibility of vaginal birth should be left to midwives.

Kaynakça

  • 1. Khan A, Ghani T, Rahim A, Rahman MM. Changing trends in incidence and indications of caesarean section. Mymensingh Med J. 2014;23(1):52–5
  • 2. Vogel JP, Betran AP, Vindevoghel N, Paulo Souza J, Regina Torloni M, Zhang J, et al. Use of the Robson classification to assess caesarean section trends in 21 countries: a secondary analysis of two WHO multicountry surveys. Lancet Glob Health. 2015;3(5):e260–70.
  • 3. Sung S, Mahdy H. Cesarean Section. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK546707/
  • 4. World Health Organization (WHO). WHO statement on caesarean section rates. Available from: https://www.who.int/reproductivehealth/publications/maternal_perinatal_health/cs-statement/en/. Accessed: 20 June 2021
  • 5. Betran AP, Torloni MR, Zhang JJ, Gulmezoglu AM. WHO Working Group on Caesarean Section. WHO Statement on Caesarean Section Rates. BJOG. 2016;123:667–70.
  • 6. Alkaş, S. Sezaryen ile doğum yapan annelerde doğum sonu konfor (Yüksek lisans tezi). Ankara, Ankara Üniversitesi, 2019.
  • 7. Khasawneh W, Obeidat N, Yusef D, Alsulaiman JW. The impact of cesarean section on neonatal outcomes at a university-based tertiary hospital in Jordan. BMC Pregnancy and Childbirth, 2020;20(335)1-9.
  • 8. Aşıcı N. Kadın hastalıkları ve doğum uzmanlarının sezaryen doğum yöntemi ile ilgili görüş ve düşünceleri: Nitel bir çalışma, Sakarya ili örneği (Uzmanlık tezi). Sakarya, Sakarya Üniversitesi, 2021.
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  • 10. Karabulutlu Ö. Kadınların doğum şekli tercihlerini etkileyen faktörler. İ.Ü.F.N. Hem. Derg. 2012;20(3):210-8.
  • 11. Bal DM, Yılmaz DS, Beji KN. Kadınların sezaryen doğum tercihleri. FNJN Florence Nightingale Journal of Nursing. 2013;21(2):139-46.
  • 12. Naeem M, Khan MZUI, Abbas SH, Khan A, Adil M, Khan MU. Rate and indications of elective and emergency caesarean section; a study in a tertiary care hospital of Peshawar. J Ayub Med Coll Abbottabad. 2015;27(1):151–4
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  • 65. Güler ES, Yanıkkerem E. Kadınların doğum yöntemleri ve sezaryen sonrası vajinal doğum hakkında düşünceleri. STED. 2018;27(1):27-36.
  • 66. Liang H, Fan Y, Zhang N, Chongsuvivatwong V, Wang Q, Gong J, et al. Women’s cesarean section preferences and influencing factors in relation to China’s two-child policy: a cross-sectional study. Patient Preference and Adherence. 2018;12:2093-2101.
  • 67. Özkul Gürol S. Modern Sezaryen Teorisi: Risk Belirsizlikler ve Korku. İçerisinde Ebelik Uygulamaları İçin Teori, 1. Baskı (Editör Tuna Oran N, Öztürk Can H): 287-309. Ankara, Alter Yayıncılık, 2017.
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  • 91. Possamai-Inesedy A. Confining risk: Choice and responsibility in childbirth in a risk society, Health Sociology Review. 2006;15(4):406-14, DOI: 10.5172/ hesr.2006.15.4.406 92. Wagner M. Choosing caesarean section. The Lancet. 2000, 356(9242):1677-80.
  • 93. Liamputtong P, Watson LF. The meanings and experiences of cesarean birth among Cambodian, Lao and Vietnamese immigrant women in Australia. Women & Health. 2006;43(3):63-82.
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Toplam 95 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Derleme
Yazarlar

Hava Özkan 0000-0001-7314-0934

Betül Uzun Özer 0000-0001-8677-9198

Özlem Arı 0000-0002-3688-7040

Yayımlanma Tarihi 30 Aralık 2021
Kabul Tarihi 21 Temmuz 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 30 Sayı: 4

Kaynak Göster

AMA Özkan H, Uzun Özer B, Arı Ö. Sezaryen İle Doğuma Güncel Bir Bakış: Modern Sezaryen Teorisi. aktd. Aralık 2021;30(4):226-235.