The Importance of Perinatal Care Practices in Determining Pregnant Women's Satisfaction with Birth

Abstract

Aim: Perinatal care services constitute an inseparable structure of the “safe motherhood” approach introduced by the World Health Organization (WHO) in 1987. In the Antenatal Care Guide published by WHO in 2016, they revealed that the woman should perform eight antenatal follow-ups during the pregnancy period. The “Antenatal Care Monitoring Protocol”, which was revised by the Ministry of Health in Turkey in 2017, emphasized that at least four antenatal follow-ups should be made for each pregnant woman. The main purpose of perinatal services is; Regular monitoring of the pregnant and fetus by health personnel, having a healthy pregnancy and delivery process, preventing and determining risky situations, and meeting the psychosocial and medical needs of the pregnant. Our study was carried out as a descriptive and relationship seeker in order to determine the satisfaction of mothers with their birth in the perinatal care practices given in a university hospital.
 Material and Methods: The sample part of the study was accepted as 60 women who applied to the delivery room of İstanbul University Çapa Medical Faculty to give birth, and 60 women who gave birth by cesarean section. The data obtained are; It was obtained by using the “Descriptive Information Form”, “Optimality Index-Turkey (OI-TR) Case Report Form”, “Maternal Satisfaction Assessment at Delivery Scale (DAMDÖ) (Normal Birth)” and Maternal Satisfaction Assessment at Birth (Cesarean Section)”.
 Results: When the results obtained in the research are interpreted; Perinatal CV index (PPI) score of 87.61% and optimality index (OI) score of 79.11% of the women in the research group; PPI score of 90.16% and OI score of 76.11% of women who had vaginal delivery; It was revealed that the PPI score of women who gave birth by cesarean section was 85.07% and the OI score was 82.12%. 
 Conclusion: When the DAMDÖ scores according to the delivery type were examined, it was determined that the women who gave birth in both ways had a high level of satisfaction with the birth.