Maternity Hospital where the research is applied…………………….

1) Age: .........................................

2) Age of marriage: .....................

3) Occupation: .............................

4) Marital status: ..............................

5) Education: ( ) No education ( ) Primary school ( ) Middle School

( ) High school ( ) University ( ) Master’s

6) Number of pregnancies: ......................................

7) Number of living children: .................... Number of dead children: ..........................

8) How many miscarriages ..........................

9) Number of normal births: ..................... Number of cesarean births ..........................

10) Reasons for choosing caesarean section

( ) Medical reasons (connection of tubes, precious baby, cord entanglement, breech arrival)

( ) Voluntarily (for fear of normal birth)

11) If you have become a Cesarean, have you had any aesthetic fears?

( ) No ( ) Yes (Description) .............................................................................

12) How many women around you gave birth by caesarean section? (Numerically) ........................

13) Were you impressed by your environment when choosing the way you were born?

( ) Yes ( ) I do not know ( ) No

14) Your last menstrual date? (day/month/year) ........../........./..............

15) What is the date you gave birth to your baby (day/month/year) ........../........./.............

16) What is the birth weight of your baby? ....................................... gr

17) What is the sex of your baby? ( ) Girl ( ) Boy

18) How many times have you had an abortion? ...................................

19) What week of pregnancy did you have an abortion? ...........................

20) What are your reasons for having an abortion?

( ) Unwanted pregnancy ( ) Radiation exposure ( ) Due to miscarriage

( ) Due to received treatment ( ) Any congenital anomaly in the baby (down, disability)

( ) Due to rape ( ) Other .............................................................

21) Do you find abortion correct? ( ) Yes ( ) No ( ) I am undecided

22) Where do you get information about caesarean section and abortion?

( ) From Magazines ( ) From books ( ) From TV ( ) From around you

( ) From your family ( ) From health experts

23) Do you act with your emotions when making decisions such as caesarean section or abortion?

( ) No ( ) Yes (Description) .....................................................................

24) Do you read health magazines, etc., or do research?

( ) No ( ) Yes (Specify) .............................................

25) Do you think that the abortion is legal until the 10th week? ( ) Yes ( ) No

26) Do you think that abortion is psychological and physiological?

( ) Yes ( ) I do not know ( ) No

27) If you had to have an abortion for various reasons, would you do it?

( ) Yes I would ( ) I’m not sure ( ) No I wouldn’t