Publication: Doğum Sürecinde Gebelere Verilen Fiziksel Desteğin Doğum Sonuçlarına Etkisinin Değerlendirilmesi
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Date
2020-12-01
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Abstract
Amaç: Bu araştırma, doğum sürecinde sunulan fiziksel desteğin doğum sürecine etkilerini incelemek amacı yapılmıştır.
Yöntem: Araştırma randomize kontrollü deneysel bir çalışmadır. Çalışma grubuna alınan her bir
gebeye tüm süreç boyunca yanından ayrılmadan, bireyselleştirilerek, non-farmakolojik yöntemleri kullanılarak doğrudan yardım edilmiştir. Kontrol grubuna seçilen gebelere rutin hastane prosedürleri uygulanarak eşzamanlı değerlendirmeler yapılmıştır. Araştırma kapsamına alınan tüm
gebelere doğum öncesinde Wijma Doğum Beklentisi/Deneyimi Ölçeği A (W-DEQ) ve doğumdan
sonra Wijma Doğum Beklentisi/Deneyimi Ölçeği (W-DEQ) B versiyonu ve Doğumda Anne
Memnuniyetini Değerlendirme Ölçeği uygulanmıştır.
Bulgular: Doğum sürecinde fiziksel destek sunulan gebelerin travay sürecinde indüksiyon gereksiniminin azaldığı (p=0.033) belirlendi. Çalışma grubunun travay süresi ortamalası 657.93±283.69
dk. iken, kontrol grubunun 1062.43±673.11 dk. olduğu ve aralarındaki farkın istatistiksel olarak
anlamlı olduğu (p=0.004) belirlendi. Doğum sonrasında ise epizyotomi (p=0.000) ve fundal bası
oranının (p=0.000) azaldığı, annelerin doğum korkusunu daha az yaşadıkları (p=0.001) ve doğum
memnuniyetlerinin daha yüksek olduğu (p=0.001) saptandı.
Sonuç: Doğumun aktif fazında uygulanan fiziksel desteğin doğum sürecini olumlu yönde etkilediği belirlendi.
Anahtar kelimeler: Doğum, intrapartum bakım, fiziksel destek, anne memnuniyeti
Objective: This study was aimed to examine the effects of physical support during the childbirth period on the birth process. Methods: Research is an experimental randomized controlled study. In the study group, each pregnant woman was directly assisted by using non-pharmacological methods without leaving the woman during her birth. Simultaneous evaluations were made to the control group with routine hospital procedures. Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ)-A was applied to all pregnant women before delivery. Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ)-B version and The Scale for Measuring Maternal Satisfaction at Normal and Cesarean Birth were completed to all pregnant women after delivery. Results: The need for induction at birth decreased for women who were offered physical support (p=0.033). The duration of labor for the study group was 657.93±283.69 min. while the control group had 1062,43±673.11 min. (p=0.004) and the difference between them is statistically significant were determined (p=0.004). It was determined that the rate of episiotomy (p=0.000), fundal press (p=0.000) and fear of birth (p=0.001) decreased after birth. Also, women were found to have higher birth satisfaction (p=0.001). Conclusion: It was determined that the physical support applied during the active phase of birth affects the birth process positively. Keywords: Birth, intrapartum care, physical support, mother satisfaction
Objective: This study was aimed to examine the effects of physical support during the childbirth period on the birth process. Methods: Research is an experimental randomized controlled study. In the study group, each pregnant woman was directly assisted by using non-pharmacological methods without leaving the woman during her birth. Simultaneous evaluations were made to the control group with routine hospital procedures. Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ)-A was applied to all pregnant women before delivery. Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ)-B version and The Scale for Measuring Maternal Satisfaction at Normal and Cesarean Birth were completed to all pregnant women after delivery. Results: The need for induction at birth decreased for women who were offered physical support (p=0.033). The duration of labor for the study group was 657.93±283.69 min. while the control group had 1062,43±673.11 min. (p=0.004) and the difference between them is statistically significant were determined (p=0.004). It was determined that the rate of episiotomy (p=0.000), fundal press (p=0.000) and fear of birth (p=0.001) decreased after birth. Also, women were found to have higher birth satisfaction (p=0.001). Conclusion: It was determined that the physical support applied during the active phase of birth affects the birth process positively. Keywords: Birth, intrapartum care, physical support, mother satisfaction
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Keywords
Doğum, intrapartum bakım, fiziksel destek, anne memnuniyeti, Birth, intrapartum care, physical support, mother satisfaction
Citation
BİNGÖL F., DEMİRGÖZ BAL M., YILMAZ T., KARAKOÇ A., Küçükoğlu S., ÇİFTÇİ R., MUTLU E., ARI Z., "Doğum Sürecinde Gebelere Verilen Fiziksel Desteğin Doğum Sonuçlarına Etkisinin Değerlendirilmesi", JOURNAL OF ACADEMIC RESEARCH IN NURSING, cilt.6, sa.3, ss.506-513, 2020