Why have the numbers of cesareans increased globally? The factors that affect women’s decisions about cesarean delivery in Turkey

Toker, Eylem; Turan, Zekiye; Sönmez, Mehtap Omaç; Bucak, Feray Kabalcioğlu

doi:10.1080/14767058.2019.1644311

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…Group 02, representing nulliparous women who undergo cesarean section before labor or induction of labor, represent 14% of all cesarean births in the period studied. The fact that the group of nulliparous women has the second highest cesarean section rate, behind only women with a previous cesarean section, shows that it is very important to advocate for vaginal birth in these women, since reducing elective cesarean sections in nulliparous women reduces their recurrence in multiparous, as identified in the study by Alcântara, Almeida and Almeida 16 .…”

Section: Discussionmentioning

confidence: 99%

Factors Related to the Performance of Cesarean Sections in the State of Minas Gerais Between 2010 and 2020

Rigotti,

Reis,

Carvalho

2024

JHS

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Goal:To evaluate the sociodemographic profile of women undergoing cesarean section in Minas Gerais from 2010 to 2020. Methods: Ecological time series study of cesarean section rates, correlating them with sociodemographic variables and Robson's classification. Data were collected at SINASC, from DATASUS. Results: A total of 57.1% of births in Minas Gerais in the last decade were by cesarean section, with the highest rates among women with higher education and over 30 years of age, those between 28 and 36 weeks of gestation, and in parturients in group 5 of Robson, composed of women with a single fetus, at term and with a previous cesarean section. The impact of cesarean section rates is not just financial, it also brings risks to the health of the mother and baby. Conclusion: Cesarean sections are prevalent in women over 30 years of age, with a high level of education, previous cesarean section or nulliparous women who have never gone into labor. Vaginal birth rates are highest in full-term and extremely premature fetuses. The high rates contradict international recommendations and highlight the need to encourage vaginal birth in all pregnant women.

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Section: Discussionmentioning

confidence: 99%

Factors Related to the Performance of Cesarean Sections in the State of Minas Gerais Between 2010 and 2020

Rigotti,

Reis,

Carvalho

2024

JHS

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The effect of practicing yoga during pregnancy on labor stages length, anxiety and pain: a randomized controlled trial

Mohyadin

Ghorashi

Molamomanaei

2020

Journal of Complementary and Integrative Medicine

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BackgroundAnxiety and fear of labor pain has led to elevated cesarean section rate in some countries. This study was conducted to investigate the effect of yoga in pregnancy on anxiety, labor pain and length of labor stages.MethodsThis clinical trial study was performed on 84 nulliparous women who were at least 18 years old and were randomly divided into two groups of yoga and control groups. Pregnancy Yoga Program consisting of 6 60-min training sessions was started every 2 weeks from week 26 of pregnancy and continued until 37 weeks of gestation. Anxiety severity at maternal admission to labor was measured by the Spielbergers State-Trait Anxiety Inventory, and labor pain was measured by Visual Analogue Scale (VAS) at dilatation (4–5 cm) and 2 h after the first measurement. Data were analyzed using Chi-Square and t-test.ResultsIntervention group reported less pain at dilatation (4–5 cm) (p=0.001) and 2 h after the first measurement (p=0.001) than the control group. Stat anxiety was also lower in intervention group than the control group (p=0.003) at the entrance to labor room. Subjects in the control group required more induction compared to intervention group (p=0.003). Women in intervention group experienced shorter duration of the first phase of the labor than the control group (p=0.002). Also, the total duration of two stages of labor was shorter in intervention group than the control group (p=0.003).ConclusionsPracticing yoga during pregnancy may reduce women’s anxiety during labor; shorten labor stages, and lower labor pain.

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Primer Sezaryen Doğum Oranını Etkileyen Faktörler

Bülbül

2021

Uludağ Üniversitesi Tıp Fakültesi Dergisi

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Bu çalışmada artan sezaryen doğum (SD) oranlarının sebeplerinin araştırılması amaçlanmıştır. Hastanemizde 2014-2017 yılları arasında tek bir hekimin sorumluluğunda doğum yapan kadınlar retrospektif olarak değerlendirildi. SD oranları ve nedenleri araştırıldı. Bu süre içinde 3488 doğum gerçekleşti. Bunların 2108'i (%60,4) vajinal doğum, 1380'i (%39,6) SD idi. SD'ların yaklaşık yarısı (%49,6) primer SD (PSD) idi. Hiçbir hastaya isteğe bağlı SD yapılmadı. PSD oranı %19,6 olarak saptandı. PSD olan kadınların %61,5 nullipar, %38,5'i multipardı. Multipar gebelerde en sık PSD endikasyonları sırasıyla fetal distres (%23,9), uzamış eylem (%14,8) prezentasyon anomalisiydi (%14,5). Nullipar gebelerde ise uzamış eylem (%28,5), fetal distres (%21,4) ve baş pelvis uyuşmazlığı (%18,8) en sık nedenlerdi (p<0,05). Ayrıca zaman içinde SD oranlarında bir miktar artış saptandı. Sonuçlarımıza göre isteğe bağlı SD yapılmadığında, tüm sevkleri alan tersiyer bir merkezde bile PSD oranı %19,6 civarındadır. PSD'ların en sık sebebi uzamış eylem, fetal distres, baş pelvis uyuşmazlığı ve perzentasyon anomalisiydi. Sadece ihtiyacı olan kadına SD uygulamak hem PSD hem de mükerrer SD oranlarını azaltacaktır.

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Why have the numbers of cesareans increased globally? The factors that affect women’s decisions about cesarean delivery in Turkey

Cited by 3 publications

References 13 publications

Factors Related to the Performance of Cesarean Sections in the State of Minas Gerais Between 2010 and 2020

Factors Related to the Performance of Cesarean Sections in the State of Minas Gerais Between 2010 and 2020

The effect of practicing yoga during pregnancy on labor stages length, anxiety and pain: a randomized controlled trial

Primer Sezaryen Doğum Oranını Etkileyen Faktörler

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