Vpliv carskega reza na psihično počutje matere in vloga medicinske sestre : diplomsko delo

Kolaković, Zala (author), Thaler, Darja (mentor), Pavel, Nastja (comentor), Mlinar, Suzana (reviewer)

Uvod: Vse več porodnic po svetu rodi s pomočjo carskega reza. Ta lahko reši življenje materi in otroku, vendar lahko na materi pusti hud pečat, saj je zanjo to lahko zelo travmatična izkušnja. Že dolgo je znano, da na materi pusti hude fizične posledice, vse več zdravstvenih delavcev pa se sprašuje, kako carski rez, predvsem urgentni carski rez, vpliva na njeno duševno počutje. Opazno višja je pojavnost poporodne depresije, anksioznosti ter posttravmatske stresne motnje. Te bolezni pa imajo negativen vpliv na materino celotno življenje, na partnerske odnose, povezanost z otrokom, vsakdanje opravke ter delo. Namen: Namen diplomskega dela je raziskati, kakšen vpliv ima porod s pomočjo carskega reza na materino duševno počutje ter kakšno vlogo igramo zdravstveni delavci pri preprečevanju in zdravljenju poporodnih psihiatričnih bolezni. Metode dela: Pregled domače in tuje literature na temo carskega reza in povezave s psihičnim počutjem. Literaturo smo pridobili s pomočjo PubMed in Cohrane Library spletnega portala DiKul, v podatkovnih bazah Medline, COBIB.si, CINAHL in Sci-Hub. Rezultati: Rezultati so pokazali, da ima carski rez lahko velik vpliv na materino počutje. Predvsem ko gre za urgentni carski rez, je znatno višja pojavnost poporodne depresije in anksioznosti ter posstravmatske stresne motnje, saj se mati ne more primerno duševno pripraviti na ta način poroda. Razprava in zaključek: Ugotovili smo, kako pomembno je, da nosečnice že pred porodom primerno pripravimo na potek poroda ter ji razložimo kakšne so različne vrste poroda, da se lahko bolj primerno pripravi. Že med nosečnostjo moramo odkriti, katere nosečnice so bolj podvržene psihičnim boleznim ali katere že imajo depresijo ali anksioznost, saj imajo večjo možnost, da se po porodu stanje še poslabša. Pomembno vlogo igrajo tudi medicinske sestre ter babice v porodnišnici ter patronažana medicinska sestra, ki morajo aktivno odkrivati znake poporodne depresije pri materah, saj le tako lahko materam hitreje nudimo pomoč, ki jo potrebujejo.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, carski rez, poporodna depresija, psihološki vidik carskega reza, posttravmatska stresna motnja, poporodna anksioznost, psihološka podpora pri carskem rezu
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [Z. Kolaković]
• Year: 2023
• Number of pages: 24 str.
• PID: 20.500.12556/RUL-148458
• UDC: 616-083
• COBISS.SI-ID: 162088195
• Publication date in RUL: 24.08.2023

KOLAKOVIĆ, Zala, 2023, Vpliv carskega reza na psihično počutje matere in vloga medicinske sestre : diplomsko delo [online]. Bachelor’s thesis. Ljubljana : Z. Kolaković. [Accessed 18 May 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=148458

Secondary language

• Language: English
• Title: The effect of a caesarean section on mother's mental health and the role of a nurse : diploma work

Abstract

Introduction: More and more women in labor around the world give birth by caesarean section. This can save the life of the mother and child, but it can leave a severe mark on the mother, as it can be a very traumatic experience for her. It has been known for a long time that it leaves severe physical consequences on the mother, and more and more medical professionals are wondering how a caesarean section, especially an emergency caesarean section, affects her psychological well-being. The incidence of postpartum depression, anxiety and post-traumatic stress disorder is noticeably higher. These diseases have a negative impact on the mother's entire life, partner relationships, connection with the child, daily chores and work. Purpose: The purpose of the thesis is to investigate the impact of a caesarean delivery on the mother's psychological well-being and the role played by health professionals in the prevention and treatment of postpartum psychiatric illnesses. Methods: Review of domestic and foreign literature on the topic of caesarean section and its connection with psychological well-being. Literature was obtained with the help of PubMed and Cohrane Library of the online portal DiKul, in the Medline, COBIB.si, CINAHL and Sci-Hub databases. Results: The results showed that caesarean section can have a big impact on the mother's well-being. Especially when it comes to emergency caesarean section, there is a significantly higher incidence of postpartum depression and anxiety and post-traumatic stress disorder, as the mother cannot adequately prepare herself mentally for this type of delivery. Discussion and conclusion: We found out how important it is to properly prepare pregnant women for the course of childbirth before giving birth and to explain to her what the different types of childbirth are so that she can prepare more appropriately. Already during pregnancy, we need to find out which pregnant women are more prone to mental illnesses or which already have depression or anxiety, as they have a greater chance that the condition will worsen after childbirth. An important role is also played by nurses and midwives in the maternity ward, as well as by the visiting nurse, who must actively detect signs of postpartum depression in mothers, as this is the only way we can offer mothers the help they need more quickly.

• Keywords: diploma theses, nursing care, cesarean section, postpartum depression, psychological aspect of cesarean section, post-traumatic stress disorder, postpartum anxiety, psychological support during cesarean section