Gimdymo skausmas ir skausmo malšinimo būdai

Rugevičiūtė, Edita; Bekešiūtė, Rūta

Dspace pagrindinis
→
Studentų baigiamieji darbai - Studijų programos
→
akušerija
→
Peržiūrėti elementą

Gimdymo skausmas ir skausmo malšinimo būdai

Rugevičiūtė, Edita; Bekešiūtė, Rūta

URI: http://dspace.kaunokolegija.lt//handle/123456789/1346

Data: 2019

Santrauka:

Literatūriškai aprašomas gimdymo skausmas ir medikamentiniais bei nemedikamentiniais skausmo malšinimo būdai, jų efektyvumas. Tyrimo metu buvo įvertintas gimdyvių patirtas skausmas skirtingais laikotarpiais ir pritaikyti arba pasirinkti skausmo malšinimo būdai.

Description:

Relevance of the research. During the first childbirth, more than one-third of women do not have knowledge of possible methods of pain relief. Four out of ten women believe that the most effective way of childbirth pain relief is epidural anesthesia. Women are increasingly switching non-pharmacological pain relief treatments to pharmacological. Various factors that cause fear of childbirth forcing to choose medications for pain relief. Aim of the research: Analyze maternal pain and applied pain relieving methods in the department of delivery of hospital X and hospital Y. Tasks: To describe childbirth pain and methods of relieving pain and their effectiveness. To assess the childbirth pain in the department of delivery at hospital X and Y. To identify the methods used to treat childbirth pain in the department of delivery at hospital X and Y. Description of the research. A quantitative research was performed in the department of delivery at hospital X and hospital Y to asses childbirth pain and to analyze selected or used by women, childbirth pain relief methods. Methodology and contingent of the research. An analysis of scientific literature, a descriptive statistical analysis, also an anonymous survey in writing have been done. 208 women, who gave birth in the department of delivery at hospital X and hospital Y after two – three days, were surveyed. The results. Comparing first-time and repeat-childbirth women, it was found that the pain at all stages of delivery was more intense in first time birthing. After the beginning of the contractions, the pain of the first childbirth was estimated to be 0.18 more than the number of women who had given birth again. Respondents who gave birth for the first time in the cervical period were rated at 0.21 more than the number of women who had given birth again. The pushing period was rated by 0.5 points more than the number of women who had given birth again. The average score for all periods is 4.92 - 8.2 points. When assessing the pain of women who did not give birth for the first time, the highest pain was at the first birth - 7.37 points. During the childbirth, relatives were involved - 84.76 percent, more than half - 60 percent mentioned that the presence of relatives helped to endure the pain. About 54.76 percent of childbirth pain relief methods received information from web sites, in second place 38.10 percent. from pregnant schools. Pregnancy care specialist, who introduced pain relief treatments accounted for 35.71 percent doctor obstetric - gynecologist and more than a fifth - 24.76 percent midwife. The midwife provided the most information about the ways of relieving pain at the delivery department - 73.33 percent and 20.95 percent doctor obstetrician - gynecologist, but even 12.38 percent said they were not familiar. The most commonly used non-medical methods were: 86.67 percent in the first place consisted of adequate breathing during the contractions, second in 34.29 percent adaptation of postpartum posture. The pharmacological methods were as follows: 30.95 percent in the first place epidural pain relief, 12.86 percent in the second place inhalation pain relief. During the next childbirth, half of the respondents expressed the opinion that they would choose medication methods. Conclusions: 1. Childbirth pain begins with the first contraction and intensifies up to the moment of birth of the newborn. Data from the analyzed studies showed that more than half of women choose medication for the relief of childbirth pain. This is because the remedy for pain relief effectively and quickly relieves the major pains, while natural methods simply control pain perception but do not block it, so they are not very effective in eliminating pain. 2. Women survived the birth pain individually, but the pain on the first delivery at different periods was 0.18 - 0.5 points higher than that of women who had given birth again. The total score was just 4.92 points at the start of the contractions, 6.39 points at the cervical dilatation and at 8.2 points at the time of pushing. The pain from the first contractions to the birth of the fetus increases. The average of the pain was evaluated, and during the previous deliveries it was shown that the first birth was the most painful. 3. The majority of respondents had the opportunity to choose the desired pain relieving method. Of the non pharmacological pain relieving methods, the most common were: proper breathing during contractions, selection of postpartum posture, hydrotherapy. From the medication - epidural and inhalation techniques. More than half of the maternal were satisfied with the applied anesthesia, but half of the respondents indicated that they would choose a pharmacological pain treatment for the next childbirth. Key-words: childbirth, childbirth pain, pain relief methods.

Rodyti visą įrašą