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Od fiziološkega do travmatičnega poroda: porodnica, partner in vloga babice : diplomsko delo
Kos, Sara (Author), Drglin, Zalka (Mentor) More about this mentor... This link opens in a new window, Stanek Zidarič, Tita (Co-mentor)

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Abstract
Uvod: Pretežni del porodov pri zdravih ženskah bi lahko potekal fiziološko, v nekaterih primerih pa različne zunanje okoliščine in notranji razlogi privedejo do drugačnega poteka in zaznave poroda, ki globoko prizadenejo telesno in/ali duševno integriteto posameznice ali posameznika. Tu ima velik pomen vloga zdravstvenega osebja oz. babice. Namen: Namen diplomske naloge je analizirati obstoječo znanstveno in strokovno literaturo na temo fiziološkega in travmatičnega poroda, da bi osvetlili vzroke ter posledice slednjega. Cilj je predstaviti fiziološki potek poroda, njegovo doživljanje s strani ženske kot tudi moškega, vzroke in dejavnike tveganja za nastanek travmatičnega poroda ter njegove posledice pri obeh starših. Posebna pozornost je namenjena predstavitvi vloge zdravstvenih strokovnjakov pri preprečevanju travmatičnega poroda in zgodnjemu prepoznavanju poporodnih duševnih motenj, povezanih z njim; še posebej se posvečamo vlogi babice. Metode dela: Uporabljena je bila deskriptivna metoda študija literature, ki obsega sistematični pregled literature ter analizo dobljenih virov. Uporabili smo različne knjižne in internetne vire, znanstvene in strokovne članke in raziskave. Rezultati: Travmatičen porod je porod, ki v posameznici ali posamezniku sproži občutek hude življenjske ogroženosti, ogroženosti lastne duševne ali telesne celovitosti ali celovitosti bližnje osebe. Dejavnike tveganja za travmatični poroddelimo na zdravstvene postopke in posege, način poroda (carski rez ali vaginalni), način ravnanja zdravstvenih delavcev oziroma kakovost odnosa, velik pomen pa ima tudi posameznikova osebnost. Če ženska ali moški porod doživi kot travmatičen, lahko to privede do posttravmatske stresne motnje in poporodne depresije. Pri preprečevanju travmatičnega poroda imajo veliko vlogo babica in drugo zdravstveno osebje, ki naj bi paru nudilo ustrezne informacije, podporo in pomoč in ustrezno porodno oskrbo. Razprava in zaključek: Travmatičen porod lahko privede do hudih posledic, zato je pomembno, da ga skušamo preprečiti, da zgodaj odkrivamo simptome poporodnih duševnih motenjin da par predhodno informiramo o možnem nastanku le teh. Predhodno medsebojno sodelovanje para in babice, poznavanje njune dinamike in potreb ter razumevanje in spoštovanje njune individualnosti, lahko zmanjša pojavnost travmatičnega poroda. Predvsem pa je pomemben spoštljiv odnos in zagotavljanje dostojanstva porodnice in bodočega očeta ter individualizirana porodna obravnava.

Language:Slovenian
Keywords:porod, travma, posttravmatska stresna motnja (PTSM), poporodna depresija (PPD)
Work type:Bachelor thesis/paper (mb11)
Organization:ZF - University College of Health Studies
Year:2017
COBISS.SI-ID:5380459 Link is opened in a new window
Views:640
Downloads:561
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Secondary language

Language:English
Title:From physiological to traumatic birth: the labouring woman, her partner and the role of midwife : thesis
Abstract:
Introduction: Most births given by healthy women could be physiological, but in some cases different external and internal circumstances lead to a different birth process and its perception; all that can deeply affect the integrity of an individual on a physical and also mental level. A big role in this situation have the medical team and midwives. Purpose: The purpose was to analize the existent scientific and technical literature about the physiological and traumatic birth, to highlight the causes and consequences of the latter for the subsequent live of the woman aswell as man. The aim is to present the physiological course of labour, its experience from the woman and man, the causes and risk factors for the beginning of the traumatic birth and its consequences by both parents. A big focus is also the role of the medical professionals, but mostly midwives, in the prevention of traumatic birth and the early detection of postpartum mental disturbances. Methods: In this study the descriptive method was used. That includes a systematic literature review, aswell as the analysis of the found sources. Different books and internet sources were used, scientific and technical articles and reseraches. Results: Traumatic birth is a birth, that arouses a feeling of life treath, mental and physical defeat, personal integrity in the individual or integrity of the closest person. It depends on different factors as different medical interventions, the way of birth (cesarean section or vaginal birth), unprofessional treatments from the medical team and also the individual’s subjectivity. Experiencing a traumatic birth can lead to posttraumatic stress disorder and postpartum depression. The midwife and other memebers of the medical team have a very big role in preventing the development of a traumatic birth. Every couple should be offered the required help and information about the whole process. Discussion and conclusion: The traumatic birth can lead to severe consequences. So it's important that we try to avoid it, early recognition of the postpartum mental health symptoms and in advance inform the couple about all the possible results. The mutual cooperation of the couple and midwife in advance, understand their dynamics and needs and also understand and respect their individuality can reduce the manifestation of traumatic birth. Most important is a respectful relation and to provide for the mother's and father’s dignity and an individualized birth treatment.

Keywords:birth, trauma, posttraumatic stress disorder (PTSD), postpartum depression (PPD)

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