Poškodbe presredka pri vaginalnem porodu v Sloveniji
analiza nacionalnih podatkov za obdobje od 2013 do 2015
DOI:
https://doi.org/10.14528/snr.2018.52.3.209Ključne besede:
presredek, poškodbe, raztrganine, pojavnost, porodPovzetek
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.
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