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

Avtorji

  • 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

DOI:

https://doi.org/10.14528/snr.2014.48.3.16

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

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Metrike

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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

Literatura

American College of Nurse–Midwives., 2013. Supporting healthy and normal physiological childbirth: a consenues statement by ACNM, MANA and NACPM. Journal of Perinatal Education, 22(1), pp. 14-17. PMid:24381472; PMCid:PMC3647729 DOI: https://doi.org/10.1891/1058-1243.22.1.14

Berg, M., Asta Ólafsdóttir, O. & Lundgren, I., 2012. A midwifery model of woman – centred childbirth care - in Swedish and Icelandic settings. Sexual and Reproductive Healthcare, 3(2), pp. 79-87. http://dx.doi.org/10.1016/j.srhc.2012.03.001; PMid:22578755 DOI: https://doi.org/10.1016/j.srhc.2012.03.001

Christiaens, V., 2011. Pregnant women’s fear of childbirth in midwife - and obstetrician-led care in Belgium and the Netherlands: test of the medicalization hypothesis. Womens health, 51(3), pp. 220-239. http://dx.doi.org/10.1080/03630242.2011.560999; PMid:21547859 DOI: https://doi.org/10.1080/03630242.2011.560999

Directive 2001/20/EC on the approximation of the laws, regulations and administrative provisions of the Member States relating to the implementation of good clinical practice in the conduct of clinical trials on medicinal products for human use., 2001. Luxembourg: European Parliament and of the Coucil, 2001. Available at: http://www.eortc.be/services/doc/clinical-eu-directive-04-april-01.pdf [15. 6. 2014]

Eide, B.I., Nilsen, A.B.V. & Rasmussen, S., 2009. Births in two different delivery units in the same clinic – a prospective study of healthy primiparous women. BioMed Central Pregnancy and Childbirth, 25(9), pp. 3-12. http://dx.doi.org/10.1186/1471-2393-9-25; PMid:19545412; PMCid:PMC2712449 DOI: https://doi.org/10.1186/1471-2393-9-25

Government of Western Australia., 2003. KEMH - King Edward Memorial Hospital and antenatal shared care guidelines for general practitioners. 5th ed. Subiaco: Government of Western Australia, pp. 3-23.

Guilliland, K., Tracy, S.K. & Thorogood, J., 2006. Australian and New Zealand health and maternity services. In: Pairman, S., Pincombe, J., Thorogood, C. & Tracy, S. eds. Midwifery: preparation for practice. Sydney: Churchill Livingstone Elsevier, pp. 3 – 33.

Hadjigeorgiou, E., Kouta, C., Papastavrou, E., Papadopoulos, I. & Mårtensson, L.B., 2012. Women's perceptions of their right to choose the place of childbirth: an integrative review. Midwifery, 28(3), pp. 380-390. http://dx.doi.org/10.1016/j.midw.2011.05.006; PMid:21683487 DOI: https://doi.org/10.1016/j.midw.2011.05.006

Hatem, M., Sandall, J., Devane, D., Soltani, H. & Gates, S., 2008. Midwife-led versus other models of care for childbearing women. Cochrane Database of Systematic Reviews 8(4), p. CD004667. http://dx.doi.org/10.1002/14651858.CD004667.pub2; PMid:18843666 DOI: https://doi.org/10.1002/14651858.CD004667.pub2

Inhorn, M.C., 2006. Defining women's health: a dozen messages from more than 150 ethnographies. Medical Anthropology Quarterly, 20(3), pp. 345-378. http://dx.doi.org/10.1525/maq.2006.20.3.345; PMid:16937621 DOI: https://doi.org/10.1525/maq.2006.20.3.345

International Confederation of Midwives, 2008a. The midwife is the first choice health professional for childbearing women. Available at: http://www.internationalmidwives.org/assets/uploads/documents/Position%20Statements%20-%20English/Reviewed%20PS%20in%202014/PS2008_019%20V2014%20The%20Midwife%20is%20the%20First%20Choice%20ENG.pdf [2.7.2014].

International Confederation of Midwives, 2008b. Keeping birth normal. Available at: http://www.internationalmidwives.org/assets/uploads/documents/Position%20Statements%20-%20English/Reviewed%20PS%20in%202014/PS2008_007%20V2014%20Keeping%20Birth%20Normal%20ENG.pdf [2.7.2014].

Janssen, P.A., Ryan, E., Etches, D.J., Klein, M.C. & Reime, B., 2007. Outcomes of planned birth attended by midwives compared with physicians in British Columbia. Birth, 34(2), pp. 140-147. http://dx.doi.org/10.1111/j.1523-536X.2007.00160.x; PMid:17542818 DOI: https://doi.org/10.1111/j.1523-536X.2007.00160.x

Johanson, R., Newburn, N. & MacFarlane, A., 2002. Has the medicalization of the childbirth gone too far? British Medical Journal, 324, pp. 892-895. http://dx.doi.org/10.1136/bmj.324.7342.892; PMid:11950741; PMCid:PMC1122835 DOI: https://doi.org/10.1136/bmj.324.7342.892

Johnson, M., Stewart, H., Langdon, R., Kelly, P. & Yong, KL., 2003. Women-centred care and caseload models of midwifery. Collegian, 10(1), pp. 30-34. http://dx.doi.org/10.1016/S1322-7696(08)60618-6 DOI: https://doi.org/10.1016/S1322-7696(08)60618-6

Jomeen, J. & Martin, C.R., 2008. The impact of choice of maternity care on psychological health outcomes for women during pregnancy and the postnatal period. Journal of Evaluation in Clinical Practice, 14(3), pp. 391-398. http://dx.doi.org/10.1111/j.1365-2753.2007.00878.x; PMid:18373580 DOI: https://doi.org/10.1111/j.1365-2753.2007.00878.x

Kitzinger, S., 2011. Birth your way: choosing birth at home or in a birth center. California: DK Publishing , pp. 4-8.

Mann, C.J., 2003. Observational research methods. Research design II: cohort, cross sectional and case-control studies. Emergency Medicine Journal, 20, pp. 54-60. http://dx.doi.org/10.1136/emj.20.1.54 DOI: https://doi.org/10.1136/emj.20.1.54

McCourt, C., 2006. Supporting choice and control? Communication and interaction between midwives and women at the antenatal booking visit. Social Science and Medicine, 62(6), pp. 1307-1318. http://dx.doi.org/10.1016/j.socscimed.2005.07.031; PMid:16126316 DOI: https://doi.org/10.1016/j.socscimed.2005.07.031

McLachlan, H.L., Forster, D.A. ,Davey, M.A., Farrell, T., Gold, L., Biro, M.A., et al., 2012. Effects of continuity of care by a primary midwife (caseload midwifery) on caesarean section rates in women of low obstetric risk: the COSMOS randomised controlled trial. British Journal of Obstetrics and Gynaecology, 119(12), pp. 1483-1492. http://dx.doi.org/10.1111/j.1471-0528.2012.03446.x; PMid:22830446 DOI: https://doi.org/10.1111/j.1471-0528.2012.03446.x

Metcalfe, A., Grabowska, K., Weller, C. & Tough, S.C., 2013. Impact of prenatal care provider on the use of ancillary health services during pregnancy. BMC Pregnancy Childbirth, 11(13), pp. 62-69. http://dx.doi.org/10.1186/1471-2393-13-62; PMid:23497179; PMCid:PMC3599935 DOI: https://doi.org/10.1186/1471-2393-13-62

National Institute for Health and Clinical Excellence., 2007. Intrapartum care - care of healthy women and their babies during childbirth.1st ed. London: NICE, pp. 14-33.

Odent, M.R., 2013. Synthetic oxytocin and breastfeeding: reasons for testing a hypothesis. Medicine Hypotheses, 81(5), pp. 889-891. http://dx.doi.org/10.1016/j.mehy.2013.07.044 DOI: https://doi.org/10.1016/j.mehy.2013.07.044

Overgaard, C., Møller, A.M., Fenger-Grøn, M., Knudsen, L.B. & Sandall, J., 2011. Freestanding midwifery unit versus obstetric unit: a matched cohort study of outcomes in low-risk women. BMJ Open, 1(2), p. e000262. http.//dx.doi.org/10.1136/bmjopen-2011-000262; PMid:22021892; PMCID:PMC3191606 DOI: https://doi.org/10.1136/bmjopen-2011-000262

Page, L., 2007. Is there enough evidence to judge midwife led units safe? Yes. British Medical Journal, 335(7621), p. 642. http://dx.doi.org/10.1136/bmj.39343.471227.AD; PMid:17901510; PMCid:PMC1995510 DOI: https://doi.org/10.1136/bmj.39343.471227.AD

Parry, D.C., 2008. We wanted a birth experience, not a medical experience: exploring Canadian women's use of midwifery. Health Care Women International, 29(8), pp. 784-806. http://dx.doi.org/10.1080/07399330802269451; PMid:18726792 DOI: https://doi.org/10.1080/07399330802269451

Pravilnik o sestavi, nalogah, pristojnostih in načinu dela komisije za medicinsko etiko, 1995. Uradni list Republike Slovenije št. 30.

Ryan, P., Revill, P., Devane, D. & Normand, C., 2013. An assessment of the cost-effectiveness of midwife-led care in the United Kingdom. Midwifery, 29(4), pp. 368-376. http://dx.doi.org/10.1016/j.midw.2012.02.005; PMid:22565064 DOI: https://doi.org/10.1016/j.midw.2012.02.005

Sutcliffe, K., Caird, J., Kavanagh, J., Rees, R., Oliver, K., Dickson, K., et al., 2012. Comparing midwife-led and doctor-led maternity care: a systematic review of reviews. Journal of Advanced Nursing, 68 (11), pp. 2376-2386. http://dx.doi.org/10.1111/j.1365-2648.2012.05998.x; PMid:22489571 DOI: https://doi.org/10.1111/j.1365-2648.2012.05998.x

Suzuki, S., Hiraizumi, Y., Satomi, M. & Miyaha, H., 2011. Midwife-led care unit for ‘low risk’ pregnant women in a Japanese hospital. The Journal of Maternal-Fetal and Neonatal Medicine, 24(8), pp. 1046-1050. http://dx.doi.org/10.3109/14767058.2010.545912; PMid:21231841 DOI: https://doi.org/10.3109/14767058.2010.545912

Symon, A.G., Dugard, P., Butchart, M., Carr, V. & Paul, J., 2011. Care and environment in midwife-led and obstetric-led units. A comparison of mothers’ and birth partners’ perceptions. Midwifery, 27(8), pp. 880-886. http://dx.doi.org/10.1016/j.midw.2010.10.002; PMid:21251736 DOI: https://doi.org/10.1016/j.midw.2010.10.002

Zakon o zdravniški službi (uradno prečiščeno besedilo) (ZZdrS-UPB3), 2006. Uradni list Republike Slovenije št. 72.

Wiegers, T.A., 2009. The quality of maternity care services as experienced by women in the Netherlands. BMC Pregnancy and Childbirth, 9, p.18. http://dx.doi.org/10.1186/1471-2393-9-18; PMid:19426525; PMCid:PMC2689853 DOI: https://doi.org/10.1186/1471-2393-9-18

Wiysonge, C.S., 2009. Midwife-led versus other models of care for childbearing women. The WHO Reproductive Health Library, Geneva: World Health Organization.

World Medical Association, 2000. Declaration of Helsinki - ethical principles for medical research involving human subjects. Available at: http://www.kme-nmec.si/Docu/HELSINKI2000.pdf [12. 12. 2013].

Yin, R.K., 2003. Applications of case study research. 2nd ed. Newbury Park, CA: Sage Publications, pp. 55-60.

Objavljeno

2014-06-21

Kako citirati

Prelec, A., Verdenik, I., & 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). https://doi.org/10.14528/snr.2014.48.3.16

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