Nėščiųjų žinios ir požiūris apie instrumentinę pagalbą gimdant natūraliais gimdymo takais

Žvirgždytė, Gabrielė

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Nėščiųjų žinios ir požiūris apie instrumentinę pagalbą gimdant natūraliais gimdymo takais

Žvirgždytė, Gabrielė

URI: http://dspace.kaunokolegija.lt//handle/123456789/1376

Data: 2019

Santrauka:

Literatūroje aprašoma apie instrumentines pagalbines priemones ir jų naudojimą. Tyrimo metu buvo tiriamos nėščiųjų žinios ir požiūris apie instrumentines pagalbines priemones gimdant natūraliais gimdymo takais, lyginant skirtingas ligonines.

Description:

Relevance of the work: The World Health Organization (WHO) and other international organizations of professional mother and child care, are announcing the dangerously increasing numbers of births done by performing the Caesarean section (C-section). In 2018, the Lancet Journal announced an epidemiological data from 169 countries, including 98, 4% of all birth in the world. The study states that there are regions where the C-section takes up to 50% of all births registered in the country. All the countries are searching for a solution to decrease the number of C-sections, especially in the cases of first time births when the foetus is in full term. In 2012 Lithuania started applying the Robson classification, and with the assistance of Lithuanian – Switzerland project (2012 – 2017) the personnel was trained and unanimously started using the newly developed methodological recommendations in their daily jobs. According to the regular data analysis of SAM, these methods resulted in the decrease of C-section usage by almost 6% (2012 – 26, 5%, in 2017 – 20, 6%). One of the newly integrated methods to decrease the C-sections ratio – is the usage of instrumental help tools during a natural birth. Vacuum extractor (VE) and obstetric forceps – are few of the instrumental tools assisting in extracting the foetus in the second stage of natural birth. The goal of instrumental help tools is to, if needed; assist in safely quickening the natural childbirth if there is a health risk for the child or mother and in so, avoid performing the C-section. In the recent years the tools of instrumental help during labour is increasing: the vacuum extractor was used from 1, 3% to 3, 7% however, obstetric forceps were used more seldom from 0, 1% to 0, 8%. The time framework to decide to use instrumental help tools during a natural childbirth is very limited, and they can be used only if the mother consented to it. The process itself and the time to decide what to use becomes almost instant when the mother has the knowledge of what specific tools would be used to increase the safety of the birth, before the actual labour begins. The up-front knowledge increases a quicker reaction in an extreme situation and prevents possible complications. When no such data or previous analysis was found, a prospective quantitative study was done in order to investigate how many pregnant women are aware or has the knowledge of instrumental help tools that can quicken the time and increase the safety of natural births. Aim of work: To analyse the pregnant women in X and Y hospitals and to capture their knowledge and viewpoint on tools of instrumental help during a natural birth. Objective tasks: 1. Introduce and talk about the tools of instrumental help during natural labour. 2. To investigate the knowledge of pregnant women in hospitals X and Y towards the instrumental help during natural birth. 3. To reveal the viewpoint of pregnant women in hospitals X and Y towards the instrumental help during natural birth. 4. To compare the knowledge and viewpoints of pregnant women in hospitals X and Y towards the instrumental help during natural birth. Methods and contingents: A prospective quantitative study was done in hospitals X and Y, in the Obstetrics section, of Obstetrics - Gynaecological clinic. The data was collected via anonymous survey between the periods of November 1st, 2018 and December 1st, 2018. There was a total of 198 pregnant women that participated in the survey, of those 102 filled in the survey in hospital X, and 96 women participated in hospital Y. Results, conclusions: According to the literature and the analysis, instrumental help tools are safe and effective for both the mother and child if used according to the safety measures. More than half of the participants had little to no previous knowledge on what tools of instrument help are. Women in hospital X showed a more positive viewpoint towards the usage of instrumental help, while participants in hospital Y showed a negative stance towards the tools. However, the results are not statistically significant. The viewpoint and knowledge of participants in both X and Y hospitals on the usage of instrumental help tools while giving birth naturally did not have a significant difference.

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