diplomsko delo
Tadeja Črnilec (Author), Ana Polona Mivšek (Reviewer), Teja Zakšek (Mentor), Mateja Kusterle (Co-mentor)

Abstract

Uvod: Poporodna krvavitev je pogost razlog za umrljivost in obolevnost mater po vsem svetu. Pojavi se zaradi enega izmed štirih vzrokov: atonije, poškodbe, zaostalega tkiva ali trombolitičnih motenj. Z aktivnim vodenjem tretje porodne dobe lahko vplivamo na eno izmed vzrokov in jo s tem preprečimo. Namen: Namen diplomskega dela je opisati vodenje tretje porodne dobe in predstaviti vpliv na pojavnost poporodne krvavitve. Metode dela: Uporabljena je bila deskriptivna metoda dela s pregledom literature v angleškem in slovenskem jeziku. Izbrana literatura temelji na pregledu preglednih in izvirnih znanstvenih člankov ter knjižne literature. Obseg časa je od 2003 do 2018. Literaturo smo iskali po podatkovnih bazah: CINAHL, PubMed, The Cochrane Collaboration in COBISS.SI ter s pomočjo spletnega brskalnika Google Učenjak. Rezultati: Na podlagi literature je bilo ugotovljeno, da aktivno vodenje tretje porodne dobe zmanjša možnost poporodne krvavitve. Masaža maternice po rezultatih raziskav pri aplikaciji oksitocina ni potrebna, saj ne zmanjša možnosti nastanka poporodne krvavitve. Prav tako pozno klemanje popkovnice ne vpliva na pojavnost poporodne krvavitve, prinaša pa velike prednosti za otroka. Kontroliran vlek za popkovnico je pri aktivnem vodenju priporočljiv, saj zmanjša potrebe po ročnem luščenju posteljice, vendar pa ne vpliva na zmanjšano pojavnost poporodne krvavitve. Razprava in sklep: Zaključimo lahko, da aktivno vodenje tretje porodne dobe prepreči poporodno krvavitev. Glavna intervencija aktivnega vodenja je aplikacija preventivnega uterotonika, ki je tudi najbolj učinkovita metoda. Pozno klemanje popkovnice ter vlek za popkovnico nimata vpliva na pojavnost poporodne krvavitve. Metoda, ki bi se lahko izkazala za učinkovito, je masaža maternice, vendar je na to temo narejenih premalo raziskav.

Keywords

diplomska dela;babištvo;tretja porodna doba;poporodna krvavitev;aktivno vodenje;fiziološko vodenje;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [T. Črnilec]
UDC: 618.2/.7
COBISS: 5452395 Link will open in a new window
Views: 937
Downloads: 523
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Other data

Secondary language: English
Secondary title: Management of the third stage of labour and impact on postpartum haemorrhage
Secondary abstract: Introduction: Postpartum haemorrhage is one of the most common reasons for maternal mortality and morbidity all around the world. It can occur because of one of 4 reasons: atony, trauma, tissue, or thrombotic dysfunction. With active management of the third stage of labour, we can affect one of four reasons and prevent postpartum haemorrhage. Purpose: The purpose of diploma work was to describe management of the third stage of labour and show the impact on postpartum haemorrhage. Working methods: Descriptive method was used to find and review the literature in English and Slovene language. The literature that was used in the diploma thesis is based on reviews, original articles, and literature between 2003 and 2018. Literature was searched in the following databases: CINAHL, PubMed, The Cochrane Collaboration and COBISS.SI and with online search Google Scholar. Results: Based on literature review it is proven that active management of the third stage of labour lowers the chances of postpartum haemorrhage. Uterine massage is not necessary, because it does not lower the chance for postpartum haemorrhage. Late cord clamping does not have any impact on postpartum haemorrhage but it has great positive effect on the new-born baby. Cord traction is recommended for active management, because it lowers the chances for manual removal of placenta, but it does not have any impact on postpartum haemorrhage. Discussion and conclusion: We can conclude that active management of the third stage of labour prevents postpartum haemorrhage. The main intervention and most effective intervention for preventing postpartum haemorrhage is giving the preventive uterotonic. Late cord clamping and cord traction do not have any impact on postpartum haemorrhage. The method that can be proven to be useful, but it is not researched enough, is uterine massage.
Secondary keywords: diploma theses;midwifery;third stage of labour;postpartum haemorrhage;active management;expectant management;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za babištvo
Pages: 48 str.
ID: 10942530