Mother’s Perception on Childbirth: Cesarean Section vs Normal Birth

Inke Malahayati, Zuraidah
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Abstract

Background: Cesarean section has increased from year to year. The 2018 Indonesia Basic Health Research found that the percentage of cesarean deliveries was 17.6% of 78.736 deliveries. It has almost twice from the 2013 Indonesia Basic Health Research of 9.8%. Various reasons were given by mothers for choosing cesarean section. Aims: To explore differences in mothers' perceptions of cesarean section and normal birth.  Here clearly write the aims of this study. Study Design: This study used a comparative study. Place and Duration of Study: This study was conducted in Simalungun Regency (North Sumatera, Indonesia) between July and September 2022. Methodology: We conducted on 106 women after 24 hours of labor (normal labor and cesarean section). Sampling was done by consecutive sampling. Data were collected using the Perception of Birth Scale/PBS questionnaire (29 questions) with a Likert scale of 1-5 and the Labor Agentry Scale/LAS (10 questions) with a Likert scale of 1-7 that had been translated and validated. Statistical test using Mann-Whitney U. Results: The mean PBS scores in the normal labor vs cesarean section group were 105.68 ± 10.95 and 109.09 ± 8.79 (p=0.026). The mean LAS score in the normal labor vs cesarean section group was 34.57 ± 5.27 vs 31.51 ± 4.37 (P value 0.000). Conclusion: Mothers who gave birth by cesarean section had a positive perception. Mothers who gave birth normally had high birth control. Education and information about the risks of the cesarean section should be promoted and mothers are supported to give birth naturally.
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母亲对分娩的看法:剖腹产与顺产
背景:剖宫产率逐年上升。2018 年印尼基本健康研究发现,在 78 736 例分娩中,剖宫产的比例为 17.6%。与2013年印尼基本健康调查的9.8%相比,几乎翻了一番。母亲们给出了选择剖宫产的各种原因。目的:探讨母亲对剖腹产和顺产的认知差异。 在此明确写出本研究的目的。研究设计:本研究采用比较研究法。研究地点和时间:本研究于 2022 年 7 月至 9 月期间在西马伦贡地区(印度尼西亚北苏门答腊)进行。研究方法:我们对 106 名分娩(顺产和剖腹产)24 小时后的产妇进行了研究。抽样采用连续抽样法。数据收集采用了经过翻译和验证的分娩感知量表/PBS 问卷(29 个问题)和分娩代理量表/LAS(10 个问题),前者采用 1-5 级李克特量表,后者采用 1-7 级李克特量表。统计检验采用 Mann-Whitney U:顺产组与剖宫产组的 PBS 平均得分分别为(105.68 ± 10.95)和(109.09 ± 8.79)(P=0.026)。顺产组和剖宫产组的平均 LAS 评分分别为(34.57 ± 5.27)和(31.51 ± 4.37)(P 值为 0.000)。结论剖宫产的母亲对分娩有积极的看法。正常分娩的母亲有较高的生育控制能力。应推广有关剖腹产风险的教育和信息,支持母亲自然分娩。
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