Vaginālu dzemdību norises īpatnības pēc ķeizargrieziena operācijas
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Date
2020
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Pētījuma mērķis: Noskaidrot vaginālu dzemdību norises klīniskās īpatnības sievietēm pēc ķeizargrieziena operācijas.
Teorētiskais skaidrojums: Pacientes, kurām bija veiksmīgas vaginālās dzemdības pēc ķeizargrieziena, gūst labumu - atveseļošanās pēcdzemdību periodā noris daudz vieglāk nekā gadījumos, ja bijusi ķeizargrieziena operācija. (Patricia J et.al., 2019) Zināšanas par dzemdību norises īpatnībām sievietēm, kurām bija veiksmīgas vaginālās dzemdības pēc ķeizargrieziena, var izmantot, lai uzlabotu dzemdību vadīšanu, lai rastu motivāciju un atbalstu sievietei piedzemdēt bērnu pa dabīgiem dzemdību ceļiem.
Pētījuma jautājums: Kādas ir dzemdību norises klīniskās īpatnības vaginālās dzemdībās pēc ķeizargrieziena operācijas?
Pētījums metode: Veikts neeksperimentāls, kvantitatīvs, retrospektīvs pētījums, izmantojot stacionāra arhīva datubāzi. Pētījuma dalībnieki ir dzemdētājas. Tika apskatītas un izanalizētas 171 dzemdību vēstures. Iekļaušanas kritēriji: ķeizargrieziena operācija anamnēzē, iznēsāta grūtniecība (no 37. gestācijas nedēļām), vecums no 18 gadiem. Pētījumam nepieciešamā informācija tika fiksēta autora izstrādātā pētījuma protokolā.
Pētījuma rezultāti: Placentas piestiprināšanas vietas visbiežāk ir dzemdes priekšējā sienā augstu un dzemdes mugurējā sienā augstu Gandrīz visām dzemdētājām dzemdību darbība sākusies spontāni (87,6%). Pārsvarā dzemdētājām pašām nogāja augļūdeņi (54,1%). Epidurālā anestēzija ir bijusi 71% gadījumos. Vidējais dzemdību ilgums ir 6,8 stundas. Asins zudums dzemdībās, 159 sievietēm ir normas robežās līdz 500 ml, kur vidējais asins zudums ir 300 ml. Tika atzīmēti 69 gadījumi ar sarežģījumiem dzemdību laikā.
Secinājumi: Iepriekšējās vaginālās dzemdības anamnēzē labvēlīgi ietekmē kopējo dzemdību procesa norisi. Vaginālas dzemdības ar rētu var noritēt bez sarežģījumiem, pat, ja nav zināmi dati par dzemdes rētas izmēriem un stāvokli. Dzemdību darbības sākums pārsvarā ir spontāns un grūtniecība tiek iznesāta līdz pilnām 40 gestācijas nedēļām. Biežāk sastopamie sarežģījumi dzemdību laikā ir dzemdes disfunkcija I, II.
Aim of the study: To find out the clinical features of vaginal childbirth in women after caesarean section. Theoretical explanation: Patients who have had a successful vaginal birth after a caesarean section benefit - recovery in the postpartum period is much easier than in cases of a caesarean section. (Patricia J et.al., 2019) Knowledge of the peculiarities of childbirth in women who have had a successful vaginal birth after a caesarean section can be used to improve childbirth management to find motivation and support for a woman to give birth naturally. Research question: What are the clinical features of childbirth in vaginal births after caesarean section? Research method: A non-experimental, quantitative, retrospective study was performed using a stationary archive database. The study participants are midwives. 171 birth histories were reviewed and analyzed. Inclusion criteria: history of caesarean section, premature pregnancy (from 37 weeks of gestation), age from 18 years. The information required for the research was recorded in the research protocol developed by the author. Results of the study: The most common sites of placental attachment are high in the anterior wall of the uterus and high in the posterior wall of the uterus. Most of the births went to the mothers themselves (54.1%). Epidural anesthesia has been performed in 71% of cases. The average duration of childbirth is 6.8 hours. Blood loss during childbirth, 159 women is within the normal range of up to 500 ml, where the average blood loss is 300 ml. There were 69 cases of complications during childbirth. Conclusions: The history of previous vaginal births has a positive effect on the overall course of the birth. Vaginal scarring can take place without complications, even if no data are available on the size and condition of the uterine scar. The onset of labor is mostly spontaneous and the pregnancy is carried out until the full 40 weeks of gestation. The most common complications during childbirth are uterine dysfunction I, II.
Aim of the study: To find out the clinical features of vaginal childbirth in women after caesarean section. Theoretical explanation: Patients who have had a successful vaginal birth after a caesarean section benefit - recovery in the postpartum period is much easier than in cases of a caesarean section. (Patricia J et.al., 2019) Knowledge of the peculiarities of childbirth in women who have had a successful vaginal birth after a caesarean section can be used to improve childbirth management to find motivation and support for a woman to give birth naturally. Research question: What are the clinical features of childbirth in vaginal births after caesarean section? Research method: A non-experimental, quantitative, retrospective study was performed using a stationary archive database. The study participants are midwives. 171 birth histories were reviewed and analyzed. Inclusion criteria: history of caesarean section, premature pregnancy (from 37 weeks of gestation), age from 18 years. The information required for the research was recorded in the research protocol developed by the author. Results of the study: The most common sites of placental attachment are high in the anterior wall of the uterus and high in the posterior wall of the uterus. Most of the births went to the mothers themselves (54.1%). Epidural anesthesia has been performed in 71% of cases. The average duration of childbirth is 6.8 hours. Blood loss during childbirth, 159 women is within the normal range of up to 500 ml, where the average blood loss is 300 ml. There were 69 cases of complications during childbirth. Conclusions: The history of previous vaginal births has a positive effect on the overall course of the birth. Vaginal scarring can take place without complications, even if no data are available on the size and condition of the uterine scar. The onset of labor is mostly spontaneous and the pregnancy is carried out until the full 40 weeks of gestation. The most common complications during childbirth are uterine dysfunction I, II.
Description
Vecmāte
Midwifery
Veselības aprūpe
Health Care
Midwifery
Veselības aprūpe
Health Care
Keywords
vaginālas dzemdības, dzemdes rēta, ķeizargrieziena operācija, dzemdības ar rētu, vaginal birth, uterine scar, caesarean section, scar birth