Expectation about childbirth type and the knowledge of the caesarean reason: comparison between puerpera adolescent and adult

Abstract

The birth is full of expectations, influenced by the woman's history and the assistance in this process. This study aimed at identify what is the puerpera teenagers' expectation about the childbirth and their choice about what kind of childbirth they prefer, why they had chosen this type and if they know why do Caesarean, comparing the answers with older women. This was transversal, comparative study, with 50 adolescent mothers (case group) and 150 adult mothers, from July 2007 to February 2008, in a teaching hospital in Sao Jose do Rio Preto/SP. The variable frequency was compared to Accurate Test of Fisher or Probability for independent samples, p=0,05 and Analysis of Concordance, with Kappa coefficient of Cohen. About the childbirth expectation and what really happened, there was a moderate agreement, Kappa=0,42 (IC95%: 0,17 the 0,66), in the adolescents; the agreement was from very light to light one, Kappa=0, 22 (IC95%: 0,05 the 0,38), in the adults; "Caesarean request" represented 41.9% of adolescents and 43.3% of the adults. It was concluded that the unnecessary Caesarean incidence is high, the woman still sees it as "consumer good" , what demonstrates a need in the prenatal education, emphasizing the advantages of the normal childbirth, the nurse as a educator has to give assistance in this subject.

Descriptors: Obstetrician nursing; Adolescents; Caesarean; Childbirth.