Özet:

Objective: Delivery type and parity are important factors affecting satisfaction with birth and postpartum comfort. In studies examining the birth satisfaction and postpartum comfort of women who have vaginal delivery and cesarean, or primipara and multiparous, it is seen that the birth satisfaction and postpartum comfort of women who have vaginal delivery and primipara women are high. The aim was to examine the relationship between birth satisfaction and postpartum comfort of women according to the mode of delivery and parity. Methods: The data of a descriptive and comparative study were collected in the obstetrics clinic of a university hospital between November 2017 and July 2019. Mother Introduction Form, Birth Satisfaction Assessment Form and Postpartum Comfort Scale were applied to 200 postpartum mothers included in the study. Results: It was observed that the mode of delivery (t = 1.110, p = 0.268) and parity (t = 0.812, p = 0.418) did not affect birth satisfaction. While there was no difference in satisfaction with the vaginal or cesarean delivery type of primipara women (t = 0.025, p = 0.980), the birth satisfaction of women who gave vaginal delivery was statistically significantly higher among multiparous women (t = 2.280, p = 0.025). In terms of postpartum comfort, there was no statistical difference between vaginal and cesarean delivery groups (t = 1.841, p = 0.067) and between primipara and multipara (t = 1.518, p = 0.131). However, it was observed that the psychospiritual comfort of primiparas was higher than multiparas (t = 2.044, p = 0.042). There was no significant correlation between birth satisfaction and postpartum comfort and sub-dimensions (r = 0.073, p = 0.526; r = 0.052, p = 0.650; r = 0.002, p = 0.988; r = 0.110, p = 0.338) of women who delivered vaginally. It was observed that with the increase of satisfaction in mothers who had cesarean delivery, psychospiritual comfort also increased (r = 0.222, p = 0.114). While it was found that as the birth satisfaction increased in primipara mothers, psychospiritual comfort increased (r = 0.353, p = 0.001), significant relationship was not found between birth satisfaction and postpartum comfort and sub-dimensions in multiparous mothers (r = 0.059, p = 0.531; r = 0.012, p = 0.897; r = 0.019, p = 0.844; r = 0.115, p = 0.224). Conclusions: The higher satisfaction of mothers who gave vaginal delivery in multiparous women may be due to their knowledge of the birth process. It is estimated that women who was primiparous and had vaginal deliveries felt strong because they had their first vaginal delivery, and women who was multiparous and had cesarean deliveries had social support, so they had high psychospiritual comfort. It is thought that the results are clinically important and that nurses and midwives can play an important role in preparing healthy pregnant women for the normal period of delivery in the prenatal period.

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