diplomsko delo
Nika Veingerl (Author), Ana Polona Mivšek (Reviewer), Petra Petročnik (Mentor)

Abstract

Uvod: Distocija ramen je redka porodniška urgentna situacija, ki lahko v nekaj minutah povzroči obolevnost ali umrljivost ploda. Incidenca pojava distocije ramen zelo variira. Distocija ramen je opredeljena kot porod, ki zahteva dodatne porodniške manevre, ki jih izvajamo po neuspešnem rahlem vleku otrokove glavice za porod ramen. Pri reševanju distocije ramen so nam v veliko pomoč mnemonike, izmed katerih je najpogostejša mnemonika HELPERR, ki določa zaporedje postopkov za uspešen porod. Namen: Namen diplomske naloge je pregledati literaturo na temo distocije ramen ter proučiti, kateri so dejavniki tveganja, ki povečajo možnost za nastanek distocije ramen. Metode dela: V diplomskem delu je bila uporabljena opisna metoda dela s pregledom strokovne in znanstvene literature. Literatura je bila iskana v domačih in tujih podatkovnih bazah, kot so Cochrane Library, PubMed, MEDLINE, CINAHL, ScienceDirect in spletni brskalnik Google Učenjak. Uporabljeni članki so bili izbrani glede na leto izdaje, vsebinsko ustreznost, jezik članka in dostopnost celotnega besedila. Rezultati: V pregled literature je bilo vključenih 9 študij. Opisani so številni dejavniki tveganja za pojav distocije ramen, vendar so si mnenja ponekod nasprotujoča. Med najpogostejšimi opisanimi dejavniki tveganja so povišan indeks telesne mase ženske, nosečniška sladkorna bolezen, poterminska nosečnost, makrosomija ploda, operativno dokončanje poroda, indukcija poroda ter nizka telesna višina ženske. Razprava in zaključek: Znanih je veliko dejavnikov tveganja, ki vodijo do distocije ramen. Nekateri od njih so očitni, druge prepoznamo težje. Pomembno je, da jih zdravstveni delavci poznajo in so nanje bolj pozorni med porodom. Orodje za ocenjevanje tveganja za pojav distocije ramen bi v prihodnje olajšalo delo diplomiranih babic in zmanjšalo negativne posledice tega zapleta za otroka, mater in celotno družino.

Keywords

diplomska dela;babištvo;distocija ramen;makrosomija;urgentne situacije v babištvu;McRoberts manever;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [N. Veingerl]
UDC: 618.2/.7
COBISS: 142631171 Link will open in a new window
Views: 23
Downloads: 11
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Other data

Secondary language: English
Secondary title: Risk factors for shoulder dystocia: literature review
Secondary abstract: Introduction: Shoulder dystocia is a rare obstetric emergency that can cause fetal morbidity or mortality within minutes. The incidence of shoulder dystocia is defined as labour requiring additional obstetric manoeuvres, which are performed after failure to gently pull the baby's head to deliver the shoulders. To deal with shoulder dystocia mnemonics are very helpful, the most common of which is the HELPERR mnemonic, which specifies the sequence of procedures for a successful delivery. Purpose: The purpose of this diploma is to review the literature on shoulder dystocia and to investigate which risk factors increase the risk of shoulder dystocia. Methods: A descriptive working method was used in the diploma, with an overview of the professional and scientific literature. For collecting data, both domestic and foreign databases where used: Cochrane Library, PubMed, MEDLINE, CINAHL, ScienceDirect and web browser Google Učenjak. The articles were chosen based on the age of the articleadequacy of the content, language of the text and access to the whole text. Results: 9 studies were included in the literature review. Many risk factors for shoulder dystocia have been described, but opinions are sometimes conflicting. The most common risk factors described include elevated body mass index, gestational diabetes, postterm pregnancy, fetal macrosomija, vacuum assisted delivery,induction of labour and short height of pregnant woman. Discussion and conclusion: There are many known risk factors that lead to shoulder dystocia. Some of them are obvious, others are more difficult to identify. It is important that health professionals are aware of them and pay more attention to them during the birth itself. A tool to assess the risk of shoulder dystocia would facilitate the work of midwives in the future and reduce the negative impact of this complication on the baby, mother and the whole family.
Secondary keywords: diploma theses;midwifery;shoulder dystocia;macrosomia;emergency situations in midwifery;McRoberts maneuver;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za babištvo
Pages: 35 str.
ID: 18068298