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Sezaryen Sonrası Vajinal Doğum (VBAC) İçin Sağlık Politikaları: Mevcut Durum ve Gelecek Perspektifleri

Health Policies for Vaginal Birth After Cesarean (VBAC): Current Status and Future Perspectives

Bilgen Şimşek(İstinye Üniversitesi Health Services Vocational School)0000-0001-6374-4136
Dilek Kolca(İSTANBUL GALATA ÜNİVERSİTESİ, MESLEK YÜKSEKOKULU)0000-0002-8631-5147
Mustafa Mete(İstanbul Aydın Üniversitesi)0000-0002-1332-7905
Sayfa
595–616
Yayın Tarihi
2025-12-29
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Sonuç olarak, SSVD’nin güvenli ve yaygın olarak kabul gören bir doğum seçeneği haline gelmesi için; klinik protokoller, sağlık profesyonellerine yönelik eğitimler, hasta bilgilendirme programları, finansal teşvikler ve SSVD dostu hastanelerin oluşturulmasını içeren kapsamlı reformlara ihtiyaç vardır.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Sezaryen Sonrası Vajinal Doğum (SSVD), daha önce sezaryenle doğum yapmış kadınların sonraki gebeliklerinde vajinal doğumu tercih etmelerine olanak tanıyan bir doğum yöntemidir.
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Temel Bulgular & Veri:Dünya Sağlık Örgütü (DSÖ) ve çeşitli sağlık otoriteleri, gereksiz sezaryen oranlarını azaltmak amacıyla SSVD’yi bir strateji olarak desteklemektedir.
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Sonuç & Katkı:Sonuç olarak, SSVD’nin güvenli ve yaygın olarak kabul gören bir doğum seçeneği haline gelmesi için; klinik protokoller, sağlık profesyonellerine yönelik eğitimler, hasta bilgilendirme programları, finansal teşvikler ve SSVD dostu hastanelerin oluşturulmasını içeren kapsamlı reformlara ihtiyaç vardır.
🔬Tür:Literatür & Derleme Çalışması
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Sezaryen sonrası vajinal doğum (SSVD) · Sağlık politikaları · Doğum yönetimi

Özet

Sezaryen Sonrası Vajinal Doğum (SSVD), daha önce sezaryenle doğum yapmış kadınların sonraki gebeliklerinde vajinal doğumu tercih etmelerine olanak tanıyan bir doğum yöntemidir. Dünya Sağlık Örgütü (DSÖ) ve çeşitli sağlık otoriteleri, gereksiz sezaryen oranlarını azaltmak amacıyla SSVD’yi bir strateji olarak desteklemektedir. SSVD, sezaryen doğum öyküsü olan kadınlar için güvenli bir doğum yöntemi olarak kabul edilmekte ve anne sağlığı üzerindeki olumlu etkileri nedeniyle birçok ülkede teşvik edilmektedir. Ancak, SSVD’nin uygulanabilirliği ve yaygın şekilde benimsenmesi; sağlık politikaları, klinik protokoller, sağlık çalışanlarının tutumları ve toplumsal farkındalık gibi çeşitli faktörlere bağlıdır. Bu çalışma, Sezaryen Sonrası Vajinal Doğum (SSVD) ile ilgili mevcut politikaları ve bakış açılarını inceleyen bir derleme çalışmasıdır. Çalışmanın amacı, SSVD’yi teşvik eden mevcut sağlık politikalarını incelemek, uluslararası uygulamaları değerlendirmek ve Türk sağlık sistemi için uygulanabilir stratejiler önermektir. Ayrıca, SSVD’nin anne ve yenidoğan sağlığı üzerindeki etkileri analiz edilerek, kanıta dayalı politikaların önemi vurgulanmaktadır. Sonuç olarak, SSVD’nin güvenli ve yaygın olarak kabul gören bir doğum seçeneği haline gelmesi için; klinik protokoller, sağlık profesyonellerine yönelik eğitimler, hasta bilgilendirme programları, finansal teşvikler ve SSVD dostu hastanelerin oluşturulmasını içeren kapsamlı reformlara ihtiyaç vardır. Bu reformların başarılı şekilde uygulanması, toplumsal düzeyde benimsenmesi ve sürekli olarak değerlendirilmesi; uzun vadede SSVD’nin yaygınlaşmasını sağlayacak, anne ve yenidoğan sağlığını iyileştirecek ve sağlık sistemlerinin sürdürülebilirliğine katkı sunacaktır.

Abstract

Vaginal Birth After Cesarean (VBAC) is a delivery method that enables women with a history of cesarean section to opt for vaginal delivery in subsequent pregnancies. The World Health Organization (WHO) and various health authorities support VBAC as a strategic approach to reduce unnecessary cesarean rates. Recognized as a safe delivery option for women with prior cesarean births, VBAC is promoted in many countries due to its positive impact on maternal health. However, the feasibility and widespread adoption of VBAC depend on various factors, including health policies, clinical protocols, healthcare professionals’ attitudes, and public awareness.This study is a narrative review that examines current policies and perspectives related to Vaginal Birth After Cesarean (VBAC). The aim of the study is to investigate existing health policies that promote VBAC, evaluate international practices, and propose applicable strategies for the Turkish healthcare system. Furthermore, the study analyzes the effects of VBAC on maternal and neonatal health, highlighting the importance of evidence-based policies. In conclusion, for VBAC to become a safe and widely accepted birth option, comprehensive reforms are needed, including the development of clinical protocols, training programs for healthcare professionals, patient education initiatives, financial incentives, and the establishment of VBAC-supportive hospitals. The effective implementation, societal adoption, and continuous evaluation of these reforms are essential for the long-term promotion of VBAC, improvement of maternal and neonatal health outcomes, and the sustainability of healthcare systems.

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Bu Makaleye Atıf Yap

Şimşek, B., Kolca, D., Mete, M. (2025). Sezaryen Sonrası Vajinal Doğum (VBAC) İçin Sağlık Politikaları: Mevcut Durum ve Gelecek Perspektifleri. KADEM Kadın Araştırmaları Dergisi, Cilt: 11 Sayı: 2, 595–616. https://doi.org/10.21798//kadem.2025.194

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