<\/p>\n <\/span><\/p>\n Kuzey K\u0131br\u0131s\u2019ta yap\u0131lan bilimsel bir ara\u015ft\u0131rmada, sezaryenle do\u011fum oran\u0131n\u0131n y\u00fczde 72.5 ile D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc\u2019n\u00fcn \u00f6ng\u00f6rd\u00fc\u011f\u00fc orandan yakla\u015f\u0131k 7 kat fazla oldu\u011fu ortaya \u00e7\u0131kt\u0131. 2 bin 836 kad\u0131nla y\u00fcz y\u00fcze g\u00f6r\u00fc\u015f\u00fclerek yap\u0131lan ara\u015ft\u0131rman\u0131n sonucuna g\u00f6re Kuzey K\u0131br\u0131s, sezaryen do\u011fumlarda Avrupa\u2019daki en y\u00fcksek orana sahip \u00fclke\u2026<\/span><\/p>\n Oxford \u00dcniversitesi, Do\u011fu Akdeniz \u00dcniversitesi ve K\u0131br\u0131s Kad\u0131n Sa\u011fl\u0131\u011f\u0131 Ara\u015ft\u0131rma \u0130nisiyatifi Derne\u011fi\u2019nden (KISAD) ara\u015ft\u0131rmac\u0131lar\u0131n katk\u0131lar\u0131yla Kuzey K\u0131br\u0131s\u2019taki sezaryen do\u011fum ve emzirme oranlar\u0131n\u0131 inceleyen ilk kapsaml\u0131 \u00e7al\u0131\u015fma, ge\u00e7en hafta Plos One dergisinde yay\u0131mland\u0131.<\/span><\/p>\n KISAD Ba\u015fkan\u0131 ve Kad\u0131n Sa\u011fl\u0131\u011f\u0131 Ara\u015ft\u0131rma (KISAA) \u0130nisiyatifi\u2019nin y\u00fcr\u00fctt\u00fc\u011f\u00fc \u00e7al\u0131\u015fman\u0131n ba\u015f ara\u015ft\u0131rmac\u0131s\u0131 Dr. Nil\u00fcfer Rahmio\u011flu Ramiz, KISAD Bilim Komitesi \u00dcyesi Yrd. Do\u00e7. Dr. Filiz Yar\u0131c\u0131 ara\u015ft\u0131rmayla ilgili TAK\u2019a yapt\u0131klar\u0131 a\u00e7\u0131klamada, bu \u00e7al\u0131\u015fmada derne\u011fin ara\u015ft\u0131rma projesi kapsam\u0131nda toplanan verilerin kullan\u0131ld\u0131\u011f\u0131n\u0131 s\u00f6yledi.<\/span><\/p>\n KISAA \u00e7al\u0131\u015fmas\u0131nda, Kuzey K\u0131br\u0131s\u2019ta ya\u015fayan kad\u0131nlar\u0131n sa\u011fl\u0131k istatistiklerini belirlemek, gelece\u011fe y\u00f6n verecek veriye dayal\u0131 sa\u011fl\u0131k stratejileri geli\u015ftirilmesine destek vermek ve topluma \u00f6zg\u00fc ara\u015ft\u0131rmalar yapmak amac\u0131yla, Kuzey K\u0131br\u0131s\u2019ta ya\u015fayan 18-55 ya\u015f aral\u0131\u011f\u0131nda toplumu temsil eden 7 bin 464 kad\u0131ndan olu\u015fan bir \u00f6rneklem olu\u015fturuldu. Ara\u015ft\u0131rmada kad\u0131n sa\u011fl\u0131\u011f\u0131yla ilgili farkl\u0131 verilere de ula\u015f\u0131lacak.<\/span><\/p>\n Kuzey K\u0131br\u0131s\u2019ta sezaryen do\u011fum ve emzirme oranlar\u0131n\u0131 inceleyen \u00e7al\u0131\u015fmada, \u00fclkede ya\u015fayan ve 1981-2017 y\u0131llar\u0131 aras\u0131nda do\u011fum yapm\u0131\u015f 2 bin 836 kad\u0131na yer verildi.<\/span><\/p>\n -1981\u2019de y\u00fczde 11.1, 2017\u2019de y\u00fczde 72.5<\/span><\/p>\n Sonu\u00e7lara g\u00f6re, sezaryenle do\u011fum oran\u0131 1981\u2019de y\u00fczde 11.1\u2019ken, 2017\u2019de bu oran y\u00fczde 72.5\u2019e y\u00fckseldi.<\/span><\/p>\n Sezaryen oran\u0131 24 ya\u015f \u00fcst\u00fc kad\u0131nlarda, e\u011fitim seviyesi y\u00fcksek kad\u0131nlarda, premat\u00fcre do\u011fumlarda ve hamilelik \u00f6ncesi do\u011fum tedavisi g\u00f6ren kad\u0131nlarda daha y\u00fcksek.\u00a0<\/span><\/p>\n D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc\u2019n\u00fcn sezaryen oran\u0131n\u0131n y\u00fczde 10 ile 15 aras\u0131nda olmas\u0131n\u0131 \u00f6nerdi\u011fini bildiren ara\u015ft\u0131rmac\u0131lar, City University London\u2019daki ara\u015ft\u0131rmac\u0131lar taraf\u0131ndan yay\u0131mlanan ba\u015fka bir ara\u015ft\u0131rman\u0131n, sezaryen oranlar\u0131n\u0131n Avrupa \u00fclkeleri genelinde artt\u0131\u011f\u0131n\u0131 ortaya koydu\u011funu kaydetti. Bu yay\u0131nda, Avrupa\u2019da en y\u00fcksek sezaryen oran\u0131n\u0131n y\u00fczde 52 ile G\u00fcney K\u0131br\u0131s\u2019ta ve hemen ard\u0131ndan onu y\u00fczde 25 ile takip eden \u0130talya\u2019da oldu\u011funun payla\u015f\u0131ld\u0131\u011f\u0131n\u0131 ifade eden ara\u015ft\u0131rmac\u0131lar, en d\u00fc\u015f\u00fck oranlar\u0131n ise y\u00fczde 6.6 ile Finlandiya\u2019da, y\u00fczde 7.7 ile Hollanda\u2019da ve y\u00fczde 6.6 ile Norve\u00e7\u2019te saptand\u0131\u011f\u0131n\u0131 belirtti.<\/span><\/p>\n -Avrupa\u2019da en y\u00fcksek sezaryen oran\u0131 Kuzey K\u0131br\u0131s\u2019ta<\/span><\/p>\n Ara\u015ft\u0131rmac\u0131lar, \u201cBu sonu\u00e7lar, bizim toplumumuzda g\u00f6r\u00fclen y\u00fczde 72.5 sezaryen oran\u0131n\u0131n \u00f6ng\u00f6r\u00fclen orandan yakla\u015f\u0131k olarak 7 kat fazla olmakla beraber, Avrupa\u2019daki en y\u00fcksek oran\u0131n da bizim toplumumuzda oldu\u011funu g\u00f6steriyor.\u201d dedi.<\/span><\/p>\n \u00c7al\u0131\u015fman\u0131n ba\u015f ara\u015ft\u0131rmac\u0131s\u0131 Dr. Nil\u00fcfer Rahmio\u011flu Ramiz, sezaryen do\u011fumlar\u0131n, ameliyathane ortam\u0131nda ve cerrahi prosed\u00fcrler alt\u0131nda ger\u00e7ekle\u015ftirilen bir do\u011fum y\u00f6ntemi oldu\u011funa i\u015faret ederek \u201cNormal do\u011fumun risk te\u015fkil etti\u011fi durumlarda, sezaryen do\u011fum hayat kurtaran cerrahi bir operasyondur. Fakat, sezaryen do\u011fumlar\u0131n da t\u0131bbi riskleri oldu\u011fu bilinmektedir.\u201d dedi.<\/span><\/p>\n Sezaryen do\u011fumlar\u0131n normal do\u011fumlarla kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda, hem anne hem de bebe\u011fi i\u00e7in k\u0131sa veya uzun vadeli komplikasyon riskini artt\u0131rd\u0131\u011f\u0131n\u0131 kaydeden Ramiz ve ara\u015ft\u0131rmac\u0131lar, sezaryen do\u011fum ile ilgili k\u0131sa vadeli komplikasyonlardan baz\u0131lar\u0131n\u0131n, do\u011fum sonras\u0131 diki\u015f at\u0131lan alanda ger\u00e7ekle\u015febilecek enfeksiyonlar ya da ikinci gebelik s\u0131ras\u0131nda \u201cplasenta pevia\u201d ve \u201cplasenta akrezia\u201d olarak adland\u0131r\u0131lan, plasentan\u0131n normalden farkl\u0131 \u015fekilde rahim duvar\u0131na ba\u011flanmas\u0131 veya yerle\u015fmesi olabilece\u011fini payla\u015ft\u0131.<\/span><\/p>\n -Sezaryen bebeklerinde ast\u0131m riski y\u00fczde 20 fazla<\/span><\/p>\n Ara\u015ft\u0131rmac\u0131lar bunlara ek olarak, daha \u00f6nce yap\u0131lan ara\u015ft\u0131rmalarda, sezaryen do\u011fumla do\u011fan \u00e7ocuklar\u0131n, normal do\u011fumla do\u011fan \u00e7ocuklara nazaran, ast\u0131m problemi ya\u015fama olas\u0131l\u0131klar\u0131n\u0131n y\u00fczde 20, obezite risklerinin de y\u00fczde 30 daha y\u00fcksek oldu\u011funun ortaya konuldu\u011funu kaydetti.<\/span><\/p>\n -Emzirme oranlar\u0131\u2026<\/span><\/p>\n KISAA verilerine dayal\u0131 ayn\u0131 \u00e7al\u0131\u015fmada 1981 ve 2017 y\u0131llar\u0131 aras\u0131ndaki emzirme oranlar\u0131 da incelendi. Bebe\u011fini emzirmi\u015f annelerin oran\u0131 t\u00fcm y\u0131llarda y\u00fczde 88.7 civar\u0131nda \u00e7\u0131kt\u0131 ve do\u011fum y\u0131llar\u0131 ve emzirme oranlar\u0131 aras\u0131nda istatistiksel olarak anlaml\u0131 bir farka rastlan\u0131lmad\u0131.<\/span><\/p>\n \u00d6te yandan 2005 sonras\u0131 do\u011fumlar\u0131n, \u00f6nceki y\u0131llarla k\u0131yasland\u0131\u011f\u0131nda emzirme s\u00fcrelerinde art\u0131\u015f oldu\u011fu tespit edildi. Ara\u015ft\u0131rmada sezaryen do\u011fumla emzirme ba\u015flang\u0131c\u0131 veya emzirme s\u00fcresinin aras\u0131nda herhangi bir ili\u015fkiye rastlan\u0131lmad\u0131.<\/span><\/p>\n KISAA \u0130nisiyatifi \u00e7al\u0131\u015fmas\u0131nda, sezaryen do\u011fumun daha \u00e7ok tercih edilmesinin alt\u0131nda yatan nedenlere ili\u015fkin herhangi bir veri toplanmamas\u0131na ra\u011fmen, sezaryen oran\u0131 y\u00fcksek olan di\u011fer \u00fclkelerde yap\u0131lan \u00e7al\u0131\u015fmalara g\u00f6re, sezaryen do\u011fum oranlar\u0131n\u0131n art\u0131\u015f\u0131n\u0131n sebeplerinden birka\u00e7\u0131n\u0131n \u201cbilgi eksikli\u011fi, faydalar\u0131n\u0131n ve risklerinin tart\u0131\u015f\u0131lmamas\u0131, normal do\u011fuma kar\u015f\u0131 olan korku, t\u00fcp bebek tedavisinin yayg\u0131nla\u015fm\u0131\u015f olmas\u0131 ve finansal kazan\u00e7 u\u011fruna baz\u0131 do\u011fum uzmanlar\u0131n\u0131n etik d\u0131\u015f\u0131 davran\u0131\u015flar\u0131\u201d olabilece\u011fi belirtildi.<\/span><\/p>\n Dr. Rahmio\u011flu Ramiz, bunlara ek olarak Kuzey K\u0131br\u0131s\u2019ta sezaryen oranlar\u0131ndaki art\u0131\u015f\u0131n alt\u0131nda baz\u0131 sa\u011fl\u0131k sistemi yetersizliklerinin de oldu\u011funu belirtti. Ramiz, \u201cSa\u011fl\u0131k sistemimizde yeterli say\u0131da ebenin olmad\u0131\u011f\u0131n\u0131 ve do\u011fumhane odas\u0131 yetersizli\u011fi gibi hastane alt yap\u0131 eksikleri bulundu\u011funun alt\u0131n\u0131 \u00e7izmek gerek\u201d diye konu\u015ftu.<\/span><\/p>\n Ramiz, \u00e7al\u0131\u015fmaya kat\u0131lan g\u00f6n\u00fcll\u00fclere ve katk\u0131da bulunan sponsorlara te\u015fekk\u00fcr etti.<\/span><\/p>\n -Dr. Yar\u0131c\u0131: Bakanl\u0131k sezaryen oranlar\u0131n\u0131 d\u00fc\u015f\u00fcrmek i\u00e7in eylem plan\u0131 haz\u0131rlamal\u0131\u201d<\/span><\/p>\n KISAD Bilim Komitesi \u00dcyesi Yrd. Do\u00e7. Dr. Filiz Yar\u0131c\u0131 ise \u00fclkede sezaryen s\u0131kl\u0131\u011f\u0131n\u0131n D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc\u2019n\u00fcn \u00f6nerdi\u011fi \u015fekilde y\u00fczde 15 oran\u0131na d\u00fc\u015f\u00fcr\u00fclmesi i\u00e7in, uluslararas\u0131 ebelik uygulamalar\u0131n\u0131n \u00fclkede de i\u015flerlik kazanmas\u0131 gerekti\u011fini ifade etti.<\/span><\/p>\n Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n ivedilikle y\u00fcksek sezaryen oranlar\u0131n\u0131 d\u00fc\u015f\u00fcrmek i\u00e7in bir eylem plan\u0131 haz\u0131rlamas\u0131 gerekti\u011fini s\u00f6yleyen Yar\u0131c\u0131, bu eylem plan\u0131n\u0131n, klinik obstetrik uygulamalar\u0131n d\u00fczenlenmesi, hastane alt yap\u0131lar\u0131n\u0131n iyile\u015ftirilmesi, idari ve hukuki alt yap\u0131n\u0131n geli\u015ftirilmesi, ebe istihdam\u0131n\u0131n art\u0131r\u0131lmas\u0131 ve ebelik bak\u0131m uygulamalar\u0131 d\u00fczenlemeleri \u015feklinde olabilece\u011fini vurgulad\u0131.<\/span><\/p>\n Yar\u0131c\u0131, kad\u0131n\u0131n gebeli\u011fi s\u00fcresince ayn\u0131 ebe taraf\u0131ndan takip edilmesi ve e\u011fitilmesi, do\u011fum ve do\u011fum sonras\u0131 d\u00f6neme haz\u0131rlanmas\u0131 ve do\u011fumda \u201canne dostu\u201d uygulama yakla\u015f\u0131mlar\u0131n\u0131n benimsenmesi, ebelerin kamu\/\u00f6zel hastane ile ba\u011flant\u0131l\u0131 \u00e7al\u0131\u015fma modelinin uygulanabilmesi ve konu ile ilgili yasal d\u00fczenlemelerin yap\u0131lmas\u0131 bu alanda geli\u015fmelerin elde edilmesi gerekti\u011finin alt\u0131n\u0131 \u00e7izerek ara\u015ft\u0131rman\u0131n \u00fclkede sezaryen oranlar\u0131n\u0131n azalt\u0131lmas\u0131 hususunda yol g\u00f6sterici olmas\u0131 gerekti\u011fini s\u00f6yledi.<\/span><\/p>\n KISAD\u2019\u0131n ara\u015ft\u0131rmas\u0131n\u0131n sonu\u00e7lar\u0131na https:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0287469 adresinden ula\u015f\u0131labiliyor.<\/span><\/p>\n![\"\"](\"https:\/\/brtk.net\/wp-content\/uploads\/2023\/07\/16\/kisad-logo-.jpeg?ver=daaa63a19cd8b1a48618fb126f5c4a84\"){kind=logo}
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