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Vakuumski porod : sistematični pregled literature
Krajnik, Štefka (Avtor), Mivšek, Ana Polona (Mentor) Več o mentorju... Povezava se odpre v novem oknu

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Izvleček
Uvod: Primarna funkcija operativnega vaginalnega poroda je čim hitrejša fetalna ekstrakcija ploda z namenom ohraniti življenje in hkrati povzročiti čim manj maternalnih in neonatalnih poškodb. Študije dokazujejo, da je vakuumski porod varnejša alternativa forcepsu, v kolikor jo izvaja izučen in izkušen ginekolog porodničar. Namen: Namen diplomskega dela je predstaviti vakuumski porod, opredeliti indikacije, kontraindikacije, opisati potek poroda, predstaviti komplikacije in dolgotrajne posledice vakuumskega poroda na mamo in otroka ter te informacije strniti v informativno brošuro za starše. Metode dela: Za metodo dela je bila uporabljena deskriptivna metoda. Pregledani so bili strokovni in akademski članki, najdeni v elektronskih bazah CINAHL, MEDLINE in ScienceDirect. S pomočjo različnih bibliografsko-kataložnih baz COBISS, DiKUL, dLib.si in Google Books pa so bili pridobljeni priročniki, brošure in knjige. Ključne besede in besedne zveze, ki so bile uporabljene pri iskanju v slovenščini, so bile: vakuum, vakuumski porod, izhodna porodniška operacija, med seboj povezane z operatorjem »IN«. Uporabljene ključne besede in besedne zveze v angleščini pa so bile: vacuum, vacuum assisted delivery, impact of mode of delivery, operative birth, women`s experience, midwife, neonatal consequences, maternal outcomes, vaginal instrumental birth, indications, ventouse delivery, skupaj povezane z operatorjem »AND«. Iskanje literature ni bilo jezikovno omejeno. Vključitveni kriteriji so bili: jasna povezava članka s tematiko vakuumskega poroda, pri čemer tip metodologije ni bil pomemben, omogočen je bil dostop do celotnega besedila, literatura je bila izdana med letoma 2001 in 2017 ter v kolikor je bil vir večkrat objavljen, je bila izbrana najnovejša objava. Ustreznih virov je bilo v angleškem jeziku 96 in v slovenskem 5. Razprava in sklep: Indikacije za vakuumski porod so prolongirana druga porodna doba, utrujenost mame, materin distres, predhodna kardiovaskularna obolenja, dokazan fetalni distres, malpozicija ploda in abnormalen kardiotokografski zapis kot spremljajoč dejavnik ob zastoju na medeničnem dnu. Pri ženskah so najpogostejše poškodbe mehkih tkiv (vagine, cerviksa in vulve). Pri otrocih so možne posledice kefalohematom, retinalne krvavitve, modrice in odrgnine. Možni so tudi hujši zapleti, kot so intrakranialne krvavitve in zlomi lobanjskih kosti. Večina žensk, ki skuša spontano roditi, lahko zaključek poroda z instrumentalnim operativnim posegom doživlja zelo travmatično. Biti del ekipe, sodelovanje pri soodločanju in fizični kontakt ženske z babico med porodom so glavni trije elementi za pozitivno doživljanje vakuumskega poroda. Informiranje staršev s pomočjo informativnih brošur, plakatov o vakuumskem porodu pripomore k boljšemu sodelovanju in soodločanju staršev v porodnem procesu, poveča občutek nadzora nad situacijo in pripomore k boljši porodni izkušnji.

Jezik:Slovenski jezik
Ključne besede:vakuumski porod, indikacije, kontraindikacije, izvedba, poškodbe, komplikacije, psihološki vpliv
Vrsta gradiva:Diplomsko delo/naloga (mb11)
Organizacija:ZF - Zdravstvena fakulteta
Leto izida:2018
COBISS.SI-ID:5420907 Povezava se odpre v novem oknu
Število ogledov:214
Število prenosov:25931
Metapodatki:XML RDF-CHPDL DC-XML DC-RDF
 
Skupna ocena:(0 glasov)
Vaša ocena:Ocenjevanje je dovoljeno samo prijavljenim uporabnikom.
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Sekundarni jezik

Jezik:Angleški jezik
Naslov:Vacuum delivery : systematic literature review
Izvleček:
Introduction: Primary function of operative vaginal birth is as fast as possible fetal extraction of the fetus with the purpose of preserving the life and simultaneously cause as less maternal and neotanal injuries as possible. Studies prove that vacuume birth is safer alternative to forceps as long as it is carried out by a skilled obstetrician. Purpose: Purpose of this systematic review is to present vacuume birth, define indications, contraindications, to describe the course of birth, to present complications and long-lasting influence of vacuume birth on the mother and child and to sum up those informations in an informative brochure for parents. Methods of work: For method of work it was used descriptive method. Professional and academic articles which were found in electronic databases CINAHL, MEDLINE and ScienceDirect were examined. With help of various bibliographic-catalogue databases COBISS, DiKUL, dLib.si and Google Books manuals, brochures and books were obtained. Key words and phrases that were used at searching in slovene language are: vakuum, vakuumski porod, izhodna porodniška operacija, which were connected by the word “IN”. Used key words and phrases in English were vacuum, vacuum assisted delivery, impact of mode of delivery, operative birth, women`s experience, midwife, neonatal consequences, maternal outcomes, vaginal instrumental birth, indications, ventouse delivery, which were connected together by the word “AND”. Searching for literature wasn’t linguisticly limited. The included criteria for choosing literature were: clear connection of the article and the theme of vacuum birth, with which the article's type of methodology wasn't important, the access to the whole article was complete, the literature was published between 2001 and 2017, and in the case that the article was published more than once, then the latest edition was chosen. Suitable literature choices in English were 96 and in Slovene there were 5. Discussion and conclusion: Indications for vacuume birth are prolonged second stage of labour, exhaustion of the mother, maternal distress, former ilnesses, proven fetal distress, malposition of the fetus and abnormal cardiotokographic record as accompanied factor at labour arrest at the bottom of the pelvis. The most common maternal injuries are injuries of soft tissues (of vagina, cervix and vulva). The most common fetal injuries are cephalohematoma, retinal bleeding, bruises and abrasions. There is also a possibilty of worse complications as such as intracranial bleeding and fractures of cranial bones. Majority of women who tried to give birth spontaneously, but ended giving birth by instrumental operative procedure, experienced the labour more traumatic. To be part of the team, cooperate at decision making and physical contact of a woman with the midwife, are three the most important elements for positive experience of vacuum birth. Informing parents with help of informative brochures and posters about vacuum birth, enables parents cooperation and decision making during birth process, increases feeling of control of the situation and improves birth experience.

Ključne besede:vacuume birth, indications, contraindications, performance, injuries, complications, psychological influence

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