Primerjava pojavnosti medicinskih intervencij in porodnih izidov pri nizkorizičnih prvorodnicah v samostojni babiški enoti in porodni enoti

  • Anita Prelec Univerzitetni klinični center, Ginekološka klinika, Klinični oddelek za perinatologijo, Šlajmerjeva 4, 1000 Ljubljana
  • Ivan Verdenik Univerzitetni klinični center, Ginekološka klinika, Raziskovalna enota, Šlajmerjeva 4, 1000 Ljubljana
  • Angela Poat University of Hull, Faculty of Health and Social Care, Cottingham Road, Hull, HU6 7RX, England, United Kingdom
Ključne besede: nizko tveganje, porod, medicinske intervencije, perinatalni izidi

Povzetek

Uvod: Namen nacionalne raziskave je bila primerjava porodnih izidov ter izidov pri materah in novorojenčkih v samostojni babiški enoti in porodni enoti ter tako preveriti, ali so porodi v samostojni babiški enoti manj medikalizirani. Metode: Prospektivna opazovalna raziskava primerov s kontrolami je bila izvedena med majem in avgustom 2013. V raziskavi je sodelovalo 497 žensk, 154 žensk je rodilo v samostojni babiški enoti in 343 žensk v porodni enoti. Obe skupini žensk sta izpolnjevali enak vstopni kriterij: prvorodnice brez prisotnih dejavnikov tveganja, ob porodnem terminu, z enim plodom v glavični vstavi, normalno plodovo frekvenco srca in spontanim začetkom poroda. Primarni izid je bil delež carskih rezov. Za primerjavo medicinskih intervencij in porodnih izidov v obeh skupinah je bil uporabljen test hi-kvadrat. Rezultati: Ženske, ki so rodile v samostojni babiški enoti, so imele statistično pomembno več spontanih vaginalnih porodov (p < 0.001), manj pospeševanj z oksitocinom (p < 0.001), manjšo uporabo analgetikov (p < 0.001), manj operativnih vaginalnih porodov (p < 0.001) in carskih rezov (p < 0.001), manj epiziotomij (p < 0.001) in več polnega dojenja (p = 0.002). Diskusija in zaključek: V samostojni babiški enoti je bilo uporabljenih manj medicinskih intervencij. Za generalizacijo zaključkov te študije bi bile potrebne nadaljnje raziskave v Sloveniji.

Prenosi

Podatki o prenosih še niso na voljo.

Biografije avtorja

Anita Prelec, Univerzitetni klinični center, Ginekološka klinika, Klinični oddelek za perinatologijo, Šlajmerjeva 4, 1000 Ljubljana
RN, MSc in Midwifery (UK)
Ivan Verdenik, Univerzitetni klinični center, Ginekološka klinika, Raziskovalna enota, Šlajmerjeva 4, 1000 Ljubljana
PhD
Angela Poat, University of Hull, Faculty of Health and Social Care, Cottingham Road, Hull, HU6 7RX, England, United Kingdom
RM, MEd, PhD, Lecturer

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Objavljeno
2014-06-21
Kako citirati
Prelec, A., Verdenik, I. in Poat, A. (2014) Primerjava pojavnosti medicinskih intervencij in porodnih izidov pri nizkorizičnih prvorodnicah v samostojni babiški enoti in porodni enoti, Obzornik zdravstvene nege, 48(3). doi: 10.14528/snr.2014.48.3.16.
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