العوامل المؤثرة على اتجاهات الخروسات حول اختيار طريقة الولادة

الموضوعات

طب

روابط وملفات

التعريف والنوع

رقم الوثيقة

0454b429-af64-4232-a5e5-cdeb39a8ad7e

رقم العقد

0

نوع الوسائط

Crawler

نوع المحتوى

الرسائل العلمية

صيغة المصدر

رسائل ماجيستير

نوع الملف

pdf text

أسماء الملفات

1962285_1.pdf

بيانات النشر

ترجمة العنوان

Factors affecting the Primiparous attitudes towards choice mode of delivery

ألقاب المؤلفين

[{"name_ar":"مروان علي عيسي","title_ar":"اشراف","title_en":"Supervision"},{"name_ar":"نسرين محي مصطفي","title_ar":"اشراف","title_en":"Supervision"},{"name_ar":"هدي علي الشيخ أحمد","title_ar":"اعداد","title_en":"Preparation"}]

اللغة

Arabic

المصدر والدورية

اسم المصدر

العوامل المؤثرة على اتجاهات الخروسات حول اختيار طريقة الولادة

المحتوى والصفحات

عدد الصفحات

113

ترجمة الملخص

Maternal mortality considered as one of the important events that cause permanent tragedy for the family and the community,Was seen at the old time to the natural birth as the perspective is indisputable on the type of birth when all the ladies while the caesarean section was design just for women with medical indications, With advances reproductive technology in recently become the caesarean section as option personal and personal desire when most of the ladies, And result of this phenomenon become the demand for caesarean section significantly in the recent period, Without any medical reasons for it, The fear and the anxiety of the pain and complications which probably to happen during natural childbirth are some of the main reasons of the rapid increase in caesarean section rates in many of the countries especially when primiparous and proportion 10-15% of births according the World Health Organization (WHO) in the world are caesarean sections.The health care for pregnant women considered as from the top priority given by the developed societies because of their great importance to the health of the pregnant and the safety of her pregnancy and her child to include the comprehensive care before pregnancy and care during pregnancy and care after birth,And from here comes the role of the nurse or midwife in the quality of special care for pregnant women , And provide advice and guidance for her about method of birth and chosen the appropriate method for birth for each woman and to provide full health education on the advantages and disadvantages of each method of types delivery either was natural birth or Caesarean section , and to know all the damages associated each of it and their impact on the women . 92The Aim of This Study:This study was conducted to assess the affecting factors on the primiparous directions about choosing the method of birthResearch Importance:As a result of the high level of fear and concern of women about natural birth and increase the demand for cesarean section and the high demand for this study was conducted to study and evaluate the factors affecting trends in the selection of the genus of birth Research Question:What are the factors influencing the trends of the female genital mutilation in the choice of birth method?Materials & Methods:Research design is descriptive, it was application of research in the care clinics of pregnant women at the health centers the subordinate to the Ministry of Health at the Latakia province: (eighth health project, health Aweyna, northern sand, Health II), in the period between 01/05/2016 until 01/10/2016 AD, On a sample of 300 women primigravida pregnant in the third part of pregnancy, Data were collected through a questionnaire consisted of four parts as follows:1)The necessary approvals for conducting the research were provided by the responsible authorities.2)The objective of the study was explained orally by the researcher during the interview.3)The tool was developed by the researcher according to the research references.4)The tool was judged by a number of experts in this field.5)Applied Guiding study (Pilot study) on a sample of 10 women to assess the possibility of conducting research and appropriate study tool, then adjustments made to the tools and are became ready to collect data were this sample were excluded from the study sample. 936)The sample was selected corresponding to the required specifications according to the specific characteristics of the sample mentioned and that of women who ranged in age between 18-45 years.7)It was used the first part of the search tool to collect demographic data for the primiparous women Who participated in the research 8)the second part of the research tool was used to assess trends primiparous about what them prefer of the two types of birth vaginal and Caesarean and which included two axes as follows:1-The first axis included the source of the information to the lady.2-The second axis: included factors affecting preference for the woman to the way natural childbirth or Caesarean section, which consisted of (especially maternal factors, especially the fetus factors, social factors)9)The third and the forth parts of the questionnaire was used based on the five systems from HBM base, which means the health belief model for the woman Divided into questions and distributed on the five axes of the Health Belief Model (HBM) base (Susceptibility –Benefits –Severity –Barriers -Cues to Action ) , and to determine the direction of primiparous about the type of birth according to the health belief model axes was used quadruple Likert scale And was given mainning to each phrase as follows ( agree = 1 , Strongly agree = 2 , disagree = 3 , strongly disagree = 4 ) , Where the field of meaning is divided into two areas as follows 4-1 = 3, 3/2 = 1.5) and was divided categories of Average as follows: 1 -2.5 be the trend as positive, and 2.6 -4 negative. and to determine the most influential factors in the axis of Health Belief Model direction to birth type when primiparous in the sample , It was adopted degree with number ( 2 ) for Strongly agree and degree with number ( 1 ) for agree And the degree of negligence of each of the disagree and strongly disagree , and was consideration the result with importance in the highest degree item degree. RESULTS:1.The study sample was divided based on the option favored type of the birth when primiparous to 165 primigravida preferred natural childbirth and 135 primigravida preferred caesarean section , most of the sample were from the age group [18-24] years and [25-34] years in rate of (47.7% and 47% ) respectively.2.It was almost half of the sample 49.1% of those preferred vaginal delivery was from minimum age group [18-24] years instead to almost half of the sample 53.3% of those preferred caesarean section was from middle age group [25-34] years. The variables : age, housing, economic level, information source of the primiparous was have statistically significant indication to choose the type of birth .3.The specific factors for the mother, fetus and social factors was have statistically significant indication to choose the type of birth (P = 0.000).4.All the items of the axes health belief model (Susceptibility –Benefits –Severity –Barriers )with statistically significant indication between the two study groups.Regarding knowledge of primiparous to the vaginal birth according the health belief model for women in the vaginal delivery .5.All the items of the axes health belief model (Susceptibility –Benefits –Severity –Cues to Action )with statistically significant indication between the two study groups.Regarding knowledge of primiparous to the caesarean section birth according the health belief model for women in the vaginal delivery .6. Primiparous trend was positive about vaginal delivery according to all the health belief model axes items for vaginal delivery.7. Primiparous trend was positive about caesarean section according to all the health belief model axes items for caesarean section.

كلمات الباحثين

Caesarean delivery, Health belief model, vaginal delivery, الولادة القيصرية, الولادة المهبلية, نموذج الإعتقاد الصحي

إشراف وإعداد

الإشراف

مروان علي عيسي, نسرين محي مصطفي

الإعداد

هدي علي الشيخ أحمد

الاقتباسات الببليوغرافية