Postpartum care services and birth features of the women who gave birth in Burdur in 2009

Abstract

AIM: In the study, it is aimed to evaluate postpartum care services and the delivery characteristics of the women who gave birth in Burdur in 2009. METHOD: In the study, the data is used about Birth and Postpartum Care of the research Birth, Postpartum Care Services, and Nutritional Status of Children of the women who are giving birth in Burdur in 2009. The population of the planned cross-sectional study are women who gave birth in Burdur in 2009. For the determination of the population, a list of women who gave birth in 2009 were used which was requested from family physicians. The reported number of women was 2318. The sample size representing the population to be reached was calculated as 1179. The data were collected using face-to-face interviews and were analyzed using SPSS package program. RESULTS: The mean age of the women was 27.1 (± 5.5) with an average size of households 4.3 (± 1.2). 22.1% of the women live with large families and 64.4% live in the village. 8.0% of the women were relatives with their husbands, 52.8% have arranged marriage and 1.3% have no official marriage. 1 in every 4 women is housewive, 1.8% have no formal education, 76.4% have no available social and 7.1% have no available health insurance. The average number of pregnancies of women is 2.1 (± 1.2) and number of children is 1.8 (± 0.8). Spontaneous abortion, induced abortion, stillbirth and death rate of children under 5 years of age are respectively 16.4%, 6.6%, 2.7%, 3.4%. 99.8% of the women have given birth in hospital, % 67.3 had medical supervision, 62.8% had cesarean birth. The average days of hospital stay after birth is 1.9 (± 3.1). 4.8% of the women after being discharged from the hospital have not received Postpartum Care (DSB). Of the women who have received DSB service, 2.2% had taken this service at home by family physician / family health stuff, 33.9% by obstetrician in practice. 92.2% of the women 1 time, 15.2% of the women 3 times had taken DSB. 76.5% of the women has taken DSB at the first week. As postpartum care, family physician / family health stuff has given mostly (88.2%) breast-feeding education, whereas, obstetricians have done mostly (85.1%) abdominal examination. 33.6% of women after the birth have no tetanus toxoid and 27.2% were not given iron supplements. CONCLUSION: Almost all the births in Burdur in 2009 were realized at the hospital and with the control of medical staff. Caesarean section rates are very high. DSB services are inadequate in terms of quantity, quality and timing.