Details

Razmiki med nosečnostmi in njihov pomen za zdravje žensk in otrok: pregled literature : diplomsko delo
ID Brumen, Sara (Author), ID Petročnik, Petra (Mentor) More about this mentor... This link opens in a new window, ID Mivšek, Ana Polona (Reviewer)

.pdfPDF - Presentation file, Download (1,11 MB)
MD5: 2A0223EB3B32B04345B938F2CE7F1062

Abstract
Uvod: Razmiki med nosečnostmi so časovni intervali, ki pretečejo med posameznimi nosečnostmi. Ker gredo ženske v tem obdobju čez različne telesne spremembe, je ključnega pomena razumevanje, zakaj so ti razmiki sploh pomembni. Namen: Na podlagi pregleda literature smo želeli raziskati, kakšen pomen imajo ustrezni razmiki med nosečnostmi, kakšni so razlogi za takšne razmike ter kakšne zaplete lahko prekratki oz. predolgi razmiki prinesejo pri novorojenčkih in ženskah. Metode dela: Pri pregledu smo uporabili deskriptivno metodo dela. Postopek izbora člankov za raziskavo je prikazan s pomočjo PRISMA diagrama, iz katerega smo v nadaljnje raziskovanje vključili 13 člankov, v slovenskem in angleškem jeziku, ki niso bili starejši od 5 let. Rezultati: Kratki razmiki med nosečnostmi so bolj pogosti pri ženskah, ki živijo na podeželju, so stare manj kot 18 ali več kot 35 let, so svoje otroke dojile manj kot 2 leti, niso uporabljale kontracepcije, so imele neredne menstrualne cikluse ali so zgodaj začele s spolnimi odnosi po porodu ter pri tistih, pri katerih je v prejšnji nosečnosti prišlo do izgube otroka, prezgodnjega poroda ali gestacijskega diabetesa. Medtem ko so daljši razmiki bolj verjetni pri ženskah z gestacijsko hipertenzijo ali preeklampsijo v prejšnji nosečnosti, neporočenih, z nižjim socialno-ekonomskim statusom, ter pri tistih, pri katerih je bil v katerikoli nosečnosti diagnosticiran strah pred porodom. Tako daljši kot krajši intervali so pri otrocih povezani z večjim tveganjem za nizko porodno težo, prezgodnji porod, majhnost za gestacijsko starost, prirojene anomalije, smrt ploda, zgodnjo neonatalno umrljivost, makrosomijo, razcepljeno ustnico. Pri ženskah pa neoptimalni razmaki med nosečnostmi prinašajo tveganje za anemijo, predporodno in poporodno depresijo, gestacijski diabetes, gestacijsko hipertenzijo, preeklampsijo, prezgodnji razpok plodovih ovojev, poporodne krvavitve, splav, zdrs medeničnih organov in raztrganje maternice. Razprava in zaključek: Ključno vlogo pri ozaveščanju žensk ima svetovanje o pomembnosti razmikov med nosečnostmi ter morebitnih zapletih, ki se lahko pojavijo tako pri otrocih kot pri ženskah. Pomembna je tudi ustrezna zdravstvena in individualna obravnava vsake ženske že v času nosečnosti in kasneje po porodu, saj lahko v tem času še pravočasno svetujemo o ustreznih razmikih glede na njihove prejšnje izide nosečnosti. Veliko vlogo imajo na tem mestu diplomirane babice, ki se z žensko srečajo v vseh obdobjih spočetja otroka, torej že v času nosečnosti in po porodu, ko lahko z ustreznim svetovanjem ženski pomagajo pri odločitvah, ki vplivajo na načrtovanje družine.

Language:Slovenian
Keywords:diplomska dela, babištvo, mednosečnostni interval, razmik med nosečnostmi, maternalni izidi, perinatalni izidi
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[S. Brumen]
Year:2026
Number of pages:X, 40 str.
PID:20.500.12556/RUL-189895 This link opens in a new window
UDC:618.2/.7
COBISS.SI-ID:301401347 This link opens in a new window
Publication date in RUL:18.10.2026
Views:66
Downloads:9
Metadata:XML DC-XML DC-RDF
:
Copy citation
Share:Bookmark and Share

Secondary language

Language:English
Title:Pregnancy spacing and their meaning for women and children health: a literature review : diploma work
Abstract:
Introduction: Interpregnancy intervals are the periods of time between consecutive pregnancies. As women undergo various physiological changes during this period, understanding the importance of appropriate interpregnancy intervals is essential. Purpose: Based on a literature review, we aimed to explore the importance of appropriate interpregnancy intervals, the factors associated with their duration, and the potential complications that to short or to long intervals can cause for newborns and women. Methods: A descriptive research method was used. The article-selection process is presented in a PRISMA flow diagram. Thirteen articles published in Slovenian or English within the previous five years were included in the final analysis. Results: Short interpregnancy intervals were more common among women who lived in rural areas, were younger than 18 or older than 35 years, breastfed their children for less than two years, did not use contraception, had irregular menstrual cycles, or resumed sexual intercourse soon after childbirth. They were also more common among women whose previous pregnancy resulted in pregnancy loss, preterm birth, or gestational diabetes. Longer interpregnancy intervals were more likely among women who had experienced gestational hypertension or pre-eclampsia during a previous pregnancy, were unmarried, had a lower socioeconomic status, or had been diagnosed with fear of childbirth during any pregnancy. Both short and long interpregnancy intervals were associated with an increased risk of low birth weight, preterm birth, being small for gestational age, congenital anomalies, stillbirth, early neonatal mortality, macrosomia, and cleft lip. In women, non-optimal interpregnancy intervals were associated with an increased risk of anaemia, antenatal and postpartum depression, gestational diabetes, gestational hypertension, pre-eclampsia, preterm rupture of membranes, postpartum haemorrhage, miscarriage, pelvic organ prolapse, and uterine rupture. Discussion and conclusion: Counselling women about the importance of appropriate interpregnancy intervals and the potential complications for both women and their children plays a crucial role in raising awareness. Appropriate healthcare and individualised management should be provided to every woman during pregnancy and after childbirth. This provides an opportunity to offer timely advice on suitable interpregnancy intervals based on her previous pregnancy outcomes. Graduate midwives play an important role in this process, as they support women throughout the different stages of pregnancy and the postpartum period. Through appropriate counselling, they can help women make informed decisions regarding family planning.

Keywords:diploma theses, midwifery, interpregnancy interval, birth spacing, maternal outcomes, perinatal outcomes

Similar documents

Similar works from RUL:
Similar works from other Slovenian collections:

Back