Effect of socio-cultural factors on spontaneous abortion in Burdur, Turkey: A population based case-control study.

OBJECTIVE: To determine the sociocultural factors that have effect on spontaneous abortion in Burdur, Turkey. METHODS: Study was designed as case-control study. The case group consist of 257 women whose pregnancies ended with spontaneous abortion. The control group consisted of 514 women whose pregnancy continued since 22 weeks and more during the study. Chi-square, and backward LR logistic regression were utilized in analyses. RESULTS: In multifactorial-analyses it was determined that four factors (educational status of women, employment status of women, exposure to physical violence and non-receipt of ANC) created independent risk on spontaneous abortions. CONCLUSIONS: Pregnant women with these risk factors should be followed up more frequently and in a more qualified way in primary and secondary and tertiary health institutions.

Effect of Social Factors on Cesarean Birth in Primiparous Women: A Cross Sectional Study (Social Factors and Cesarean Birth).

BACKGROUND: P Cesarean delivery rates have been increasing throughout the world. Parallel to the developments in the world the cesarean rate in Turkey has risen to 48.1% in 2013. Some of the social factors were related with cesarean births. The purpose of this study was to determine cesarean birth rates and to find out social factors affecting the cesarean birth in primiparous women. METHODS: This study was conducted in Burdur Province, Turkey between the dates of 1 Jan 2012-31 Dec 2012 on 223 primiparous women. The data was collected with data collection form prepared by the researchers by using face-to-face interview technique. In these analyses, chi-square and Backward Logistic regression analyses were used. RESULTS: In multivariate analyses, the place of delivery (OR: 11.2 [2.9-42.46] in private hospital and OR: 6.1 [2.6-14.1] in university hospital); time of the birth (OR: 7.1 [3.1-16.0]); doctor's effect (OR: 4.0 [1.8-8.95]) and husband's employment status (OR: 2.23 [1.0-4.7]) have been identified as factors affecting the caesarean delivery in primiparous women. CONCLUSION: Although the results do not show all of the factors affecting the caesarean delivery in primiparous women, they reveal that medical reasons are not the only reason in this increase trend. Health policy makers and health professionals are required to identify the causes of this increase and to take measures.