Poškodbe presredka pri vaginalnem porodu v Sloveniji

analiza nacionalnih podatkov za obdobje od 2013 do 2015

  • Petra Petročnik Univerza v Ljubljani, Zdravstvena fakulteta, Oddelek za babištvo, Zdravstvena pot 5, 1000 Ljubljana, Slovenija https://orcid.org/0000-0001-6084-4756
  • Ana Polona Mivšek Univerza v Ljubljani, Zdravstvena fakulteta, Oddelek za babištvo, Zdravstvena pot 5, 1000 Ljubljana, , Slovenija
  • Teja Škodič Zakšek Univerza v Ljubljani, Zdravstvena fakulteta, Oddelek za babištvo, Zdravstvena pot 5, 1000 Ljubljana, , Slovenija
  • Ivan Verdenik Univerzitetni klinični center Ljubljana, Oddelek za ginekologijo in porodništvo, Zaloška cesta 7, 1000 Ljubljana, Slovenija https://orcid.org/0000-0001-6249-5799
  • Anita Jug Došler Andragošk center Republike Slovenije, Šmartinska cesta 134a, 1000 Ljubljana, Slovenija https://orcid.org/0000-0003-3486-2007
Ključne besede: presredek, poškodbe, raztrganine, pojavnost, porod

Povzetek

Uvod: Namen te retrospektivne raziskave je bil proučiti pojavnost poškodb presredka pri vaginalnem porodu v slovenskih porodnišnicah v obdobju od 2013 do 2015.
Metode: Uporabljena je bila kavzalno neeksperimentalna metoda kvantitativnega empiričnega pristopa. Vsi podatki so bili pridobljeni iz nacionalnega perinatalnega informacijskega sistema in analizirani za obdobje med letoma 2013 in 2015. Podatki so bili analizirani s pomočjo frekvenčne distribucije atributivnih spremenljivk ter osnovne deskriptivne statistike numeričnih spremenljivk.
Rezultati: Pogostost poškodb presredka pri vaginalnem porodu v vseh 14 slovenskih porodnišnicah se razteza od stanja brez kakršnekoli poškodbe presredka do četrte stopnje poškodbe presredka. Ženske so najpogosteje utrpele raztrganino presredka prve stopnje (26,1 %), medtem ko je 4,8 % žensk utrpelo raztrganino presredka druge stopnje. Hujše poškodbe presredka so bile prisotne v 0,8 % pri raztrganini presredka tretje stopnje in v 0,1 % pri raztrganini presredka četrte stopnje.
Diskusija in zaključek: Število poškodb presredka med porodom je glede na posamezne porodnišnice v Sloveniji še vedno precej različno. Ženske, ki utrpijo hujše poškodbe presredka, kamor uvrščamo raztrganine, ki segajo v črevesje, se lahko soočajo z resnimi zdravstvenimi težavami in potrebujejo ustrezno svetovanje glede stanja medeničnega dna po porodu. Obenem je za zdravstvene delavce posebej pomembno, da so vešči klasifikacije  porodnih poškodb ter hkrati dobro poznajo faktorje, ki lahko vplivajo na raztrganine presredka med porodom.

Prenosi

Podatki o prenosih še niso na voljo.

Biografije avtorja

Petra Petročnik, Univerza v Ljubljani, Zdravstvena fakulteta, Oddelek za babištvo, Zdravstvena pot 5, 1000 Ljubljana, Slovenija

asist., dipl. bab., MSc (UK)

Ana Polona Mivšek, Univerza v Ljubljani, Zdravstvena fakulteta, Oddelek za babištvo, Zdravstvena pot 5, 1000 Ljubljana, , Slovenija

doc. dr., dipl. bab.

Teja Škodič Zakšek, Univerza v Ljubljani, Zdravstvena fakulteta, Oddelek za babištvo, Zdravstvena pot 5, 1000 Ljubljana, , Slovenija

viš. pred., MSc (UK)

Ivan Verdenik, Univerzitetni klinični center Ljubljana, Oddelek za ginekologijo in porodništvo, Zaloška cesta 7, 1000 Ljubljana, Slovenija

dr., univ. dipl. ing. 

Anita Jug Došler, Andragošk center Republike Slovenije, Šmartinska cesta 134a, 1000 Ljubljana, Slovenija

doc. dr. 

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Objavljeno
2018-09-16
Kako citirati
Petročnik, P., Mivšek, A., Škodič Zakšek, T., Verdenik, I. in Jug Došler, A. (2018) Poškodbe presredka pri vaginalnem porodu v Sloveniji, Obzornik zdravstvene nege, 52(3), str. 153–159. doi: 10.14528/snr.2018.52.3.209.
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