20.500.12556/RUL-173609 Potek nosečnosti in poroda pri plodih s srčno razvojno nepravilnostjo diplomsko delo The course of pregnancy and childbirth in fetuses with congenital heart disease diploma work Uvod: Prirojene srčne bolezni so skupina napak srca, ki se pojavijo že v samem razvoju ploda med nosečnostjo. So ene izmed najpogostejših prirojenih napak, saj se pojavljajo kar v 4–8/1000 živorojenih otrok. Namen: Namen diplomskega dela je predstaviti, kako se diagnoza prirojena srčna napaka postavi že v nosečnosti, kako poteka rojstvo otroka, kakšna je nadaljnja oskrba takšnega otroka po rojstvu in kakšna je vloga babice v vsakem obdobju. Metode dela: Izvedena je bila retrospektivna analiza podatkov. Viri so bili iskani v več podatkovnih bazah, kot so PubMed, ScienceDirect in MedLine, pri tem smo uporabili ključne besede: prirojena srčna nepravilnost, porod, nosečnost, diagnoza, zdravljenje, dejavniki tveganja. Iskalna strategija je prikazana v PRISMA diagramu. Članki so bili iskani v več podatkovnih bazah, kot sta PubMed in MedLine. Rezultati: V končni pregled smo vključili 11 virov. V času nosečnosti se lahko prirojene srčne bolezni diagnosticirajo na različne načine. Nekateri nam dajo točen podatek, da je anomalija srca prisotna, nekateri pa nam nakazujejo, da je pri plodu potreben še poseben pregled srca. Tako je osnova za opazovanje srca v nosečnosti uporaba ultrazvoka. Diagnoza je ključnega pomena za načrtovanje poroda, saj se lahko plodu tako omogoči varnejši prehod v zunajmaternično življenje. Razprava in zaključek: Za babice je pomembno, da se zavedajo svoje vloge v celotnem procesu – od postavitve diagnoze v nosečnosti do poporodne oskrbe novorojenčka. Ključno je, da imajo strokovno znanje, potrebno za spremljanje nosečnice in novorojenčka, ter da družini nudijo ustrezno psihološko podporo v teh občutljivih obdobjih. V času poroda je pomembno, da sta ženska in njen partner dobro seznanjena z možnostmi, ki jih imata na voljo ter z morebitnimi zapleti, ki se lahko pojavijo med porodom. Introduction: Congenital heart defects are a group of heart abnormalities that develop during fetal development in the womb. They are among the most common congenital anomalies, affecting approximately 4 to 8 out of every 1000 live births. Purpose: The purpose of this thesis is to present how the diagnosis of a congenital heart defect is made during pregnancy, how the birth of the child takes place, what kind of care the child receives after birth, and what the role of the midwife is in each stage of care. Methods: A retrospective data analysis was conducted. Sources were searched in several databases, including PubMed, ScienceDirect, and MedLine, using the following keywords: congenital heart defect, childbirth, pregnancy, diagnosis, treatment, risk factors. The search strategy is presented in a PRISMA diagram. Articles were searched in several databases, such as PubMed and MedLine. Results: A total of 11 sources were included in the final review. During pregnancy, congenital heart defects can be diagnosed in various ways. Some methods provide a precise indication that a heart anomaly is present, while others suggest that a more detailed fetal heart examination is needed. Therefore, the primary tool for monitoring the heart during pregnancy is the use of ultrasound. Diagnosis is crucial for planning the delivery, as it allows for a safer transition of the fetus to extrauterine life. Discussion and conclusion: It is important for midwives to be aware of their role throughout the entire process – from the prenatal diagnosis to the postnatal care of the newborn. It is essential that they possess the professional knowledge required to monitor both the pregnant woman and the newborn, and that they provide appropriate psychological support to the family during these sensitive periods. During labor, it is crucial that the woman and her partner are well informed about the available options, as well as the potential complications that may arise during childbirth. diplomska dela babištvo prirojena srčna nepravilnost porod nosečnost diagnoza zdravljenje dejavniki tveganja diploma theses midwifery congenital heart disease labour pregnancy diagnosis treatment risk factors true false false [A. Martini] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-09-19 07:46:14 2025-09-19 07:46:20 2025-11-11 03:46:08 0000-00-00 00:00:00 2025 0 Ljubljana 0 Ljubljana 33 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 618.2/.7 150815 249564675 53670.pdf 53670.pdf 1 51201B40EFB0CF6D4A5A1318E0E4BBBE 25d0cfb45005f6d86a15af94487bdd4c004909a213779302007ff7237729cdeb ca92a653-951b-11f0-9328-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=218215 Zdravstvena fakulteta 0 0 0