Vloga medicinske sestre pri poporodni krvavitvi : diplomsko delo

Behrić, Ajla (author), Mlinar, Suzana (mentor), Mihelič Zajec, Andreja (reviewer)

Uvod: Poporodna krvavitev je resna nujna porodniška situacija in eden od najpogostejših vzrokov za umrljivost otročnic na svetu. Vzroke za poporodno krvavitev delimo v štiri skupine vzrokov: tonus, travma, tkivo in trombin. Hitro odkrivanje vzroka in začetek zdravljenja je ključnega pomena za ohranjanje zdravja in dobrega počutja otročnic. Namen: Namen diplomskega dela je predstaviti poporodno krvavitev in vlogo medicinske sestre pri njenem obvladovanju. Metode dela: V diplomskem delu je bila uporabljena deskriptivna metoda dela. Opravili smo pregled slovenske in angleške strokovne literature, objavljene od leta 2010 v tujih podatkovnih bazah Medline, Science Direct, Cinahl ter PubMed in v slovenskih bibliografskih sistemih Cobiss in DiKul. Rezultati: Poporodna krvavitev zahteva multidisciplinarno zdravstveno obravnavo. Zdravstveni delavci morajo vedeti, ali so pri otročnici prisotni dejavniki tveganja za poporodno krvavitev, ter poznati načine ugotavljanja in simptome poporodne krvavitve. Naloga medicinske sestre je, da prepozna prekomerno vaginalno krvavitev in o tem takoj obvesti zdravnika. Pri otročnicah se zaradi znatne izgube krvi lahko pojavijo čustvene težave, kot so anksioznost, postnatalna depresija, utrujenost, posttravmatska stresna motnja in slabše splošno zdravstveno stanje. Razprava in zaključek: V poporodnem obdobju je pomembno opazovanje otročnice, pri čemer imajo pomembno vlogo medicinske sestre, saj so prve, ki prepoznajo simptome in spremembe zdravstvenega stanja porodnice in o tem obvestijo zdravnika. Za uspešno ukrepanje pri poporodni krvavitvi je potrebno timsko delo, ozaveščenost zdravstvenih delavcev o problemu in vnaprejšnje klinično usposabljanje za preprečevanje in hiter odziv na poporodno krvavitev.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, poporodne krvavitve, dejavniki tveganja, medicinske sestre, otročnice
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [A. Behrić]
• Year: 2022
• Number of pages: 39 str.
• PID: 20.500.12556/RUL-137308
• UDC: 616-083
• COBISS.SI-ID: 111352323
• Publication date in RUL: 10.06.2022

BEHRIĆ, Ajla, 2022, Vloga medicinske sestre pri poporodni krvavitvi : diplomsko delo [online]. Bachelor’s thesis. Ljubljana : A. Behrić. [Accessed 18 May 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=137308

Secondary language

• Language: English
• Title: The role of the nurse in postpartum hemorrhage : diploma work

Abstract

Introduction: Postpartum hemorrhage is a serious and dangerous complication of childbirth and one of the largest contributors to maternal morbidity and mortality worldwide. The four most common causes of postpartum hemorrhage are the so-called four Ts: tonus, trauma, tissue and thrombin. An early identification of the underlying causes and the implementation of appropriate interventions based on the etiology are key to achieving and maintaining of maternal health and well-being. Purpose: The objective of the diploma work is to introduce postpartum hemorrhage and assess the role of the nurse at managing this childbirth complication. Methods: The descriptive method of research was used in our work. A review of scholarly articles in Slovene and English language, published from 2010 onwards in foreign scientific databases, namely Medline, Science Direct, Cinahl and PubMed, as well as in Slovene library information systems Cobiss and DiKul was carried out. Results: Multidisciplinary team approach is required to ensure successful management of postpartum hemorrhage. Healthcare workers must be aware of neonatal mothers' risk factors for postpartum hemorrhage and acquainted with diagnostic procedures and symptoms of the complication. The role of the nurse is to recognise and assess the excessive postpartum bleeding in real time and communicate the patient assessment to the rest of the perinatal team. Heavy blood loss may lead to emotional health problems such as anxiety, postnatal depression, fatigue, post traumatic stress disorder and worse health status in general. Discussion and conclusion: Continuous clinical observation of the neonatal mother is important in postpartum period and the nurse is the first one to recognise and identify the symptoms and changes in the patient's condition and to communicate this assessment to the physician. Multidisciplinary team work, raising the healthcare personnel's levels of awareness regarding the diagnosis and treatment of postpartum hemorrhage and preliminary clinical training of healthcare professionals are all essential for the prevention and successful management of postpartum hemorrhage.

• Keywords: diploma theses, nursing care, postpartum hemorrhages, risk factors, nurses, neonatal mothers