diplomsko delo
Vesna Arih (Author), Petra Petročnik (Reviewer), Ana Polona Mivšek (Mentor)

Abstract

Uvod: Delež carskih rezov v zadnjih nekaj desetletjih po svetu narašča. Smiselno je razmisliti, v katerih primerih bi bil za žensko smotrn poskus vaginalnega poroda po predhodnem carskem rezu – VBAC. Obstajajo napovedni dejavniki, ki lahko določijo verjetnost uspešnosti. Razumevanje dejavnikov in tveganj lahko olajša odločitev za vaginalni porod. Namen: Želimo poiskati in preučiti dejavnike, ki vplivajo na uspešnost vaginalnega poroda po carskem rezu, da bi diplomirane babice in babičarji porodnicam, ki se odločajo za VBAC, lahko omogočili kredibilne informacije o prednostih in tveganjih za sprejem informirane odločitve. Metode dela: V teoretičnem delu diplomskega dela je bil opravljen pregled literature, osredotočen na dejavnike, povezane z uspehom VBAC. Vir so bili znanstveni članki v slovenskem in angleškem jeziku, ki so izšli v časovnem okviru zadnjih desetih let. V nadaljevanju je bila uporabljena kavzalna neeksperimentalna metoda raziskovanja, s katero smo analizirali sekundarne podatke o vaginalnem porodu po carskem rezu iz Perinatalnega informacijskega sistema RS. Rezultati: Predhodni vaginalni porod je ključni dejavnik pri uspešnosti VBAC, saj porodnice, ki so že rodile vaginalno, dosegajo bistveno višjo stopnjo uspešnosti. Zdrave nosečnice in tiste z normalnim indeksom telesne mase pogosteje uspešno rodijo vaginalno, kar poudarja pomen celostne zdravstvene obravnave pri izbiri kandidatk za VBAC. Starost sama po sebi ni bila statistično značilen dejavnik, je pa bila mnogorodnost tista, ki je z višjo starostjo pogosto povezan dejavnik, ki je izboljšal izide VBAC. Indukcija poroda je v nasprotju s pričakovanji dosegla višjo stopnjo uspešnosti kot spontan začetek poroda. Razprava in zaključek: Zaradi omejene dostopnosti podatkov o nekaterih pomembnih dejavnikih (npr. časovnem intervalu med carskim rezom in VBAC, razlogih za predhodni carski rez, vrsti carskega reza in statusu materničnega ustja ob sprejemu) nismo mogli analizirati. Koristno bi bilo raziskati tudi kvalitativne vidike (npr. psihološko pripravljenost, motivacijo in pričakovanja porodnic), saj bi to lahko izboljšalo individualizirano obravnavo in svetovanje nosečnicam. Naši rezultati podpirajo številne ugotovitve iz literature, hkrati pa prinašajo nova spoznanja, ki zahtevajo nadaljnje raziskave. Ključnega pomena je, da se pri svetovanju nosečnicam o možnosti VBAC upoštevajo individualni dejavniki, prednosti in tveganja.

Keywords

diplomska dela;babištvo;VBAC;uspešnost;starost;rodnost;indukcija;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [V. Arih]
UDC: 618.2/.7
COBISS: 235458563 Link will open in a new window
Views: 47
Downloads: 6
Average score: 0 (0 votes)
Metadata: JSON JSON-RDF JSON-LD TURTLE N-TRIPLES XML RDFA MICRODATA DC-XML DC-RDF RDF

Other data

Secondary language: English
Secondary title: Success factors of vaginal birth after previous caesarean section – secondary data analysis
Secondary abstract: Introduction: The rate of caesarean sections has been increasing worldwide over the past few decades. It would be reasonable to consider in which cases attempting a vaginal birth after a caesarean section would be a viable option for women. Preexisting predictive factors can determine the likelihood of VBAC success. Understanding these factors and risks can facilitate the decision-making process regarding vaginal birth. Purpose: To identify and analyse the factors that influence the success of vaginal birth after a caesarean section. By doing so, midwives can provide pregnant women considering VBAC with credible information about its benefits and risks, enabling them to make an informed decision. Methods: The theoretical part of this thesis consists of a literature review focusing on factors associated with VBAC success. The sources include scientific articles in Slovenian and English published within the last ten years. Additionally, a causal non-experimental research method was used to analyse secondary data on vaginal birth after caesarean section obtained from the Perinatal Information System of Slovenia. Results: A previous vaginal birth is a key factor in VBAC success, as women who have already given birth vaginally achieve significantly higher success rates. Healthy pregnant women and those with a normal body mass index are more likely to have a successful vaginal birth, emphasizing the importance of comprehensive healthcare when selecting VBAC candidates. Age itself was not found to be a statistically significant factor; however, multiparity, which is often associated with higher maternal age, was linked to improved VBAC outcomes. Contrary to expectations, labour induction resulted in a higher success rate compared to spontaneous labour onset. Discussion and conclusion: Due to limited data availability on certain important factors (e.g., the time interval between the caesarean section and VBAC, the reason for the previous caesarean section, the type of caesarean section, and cervical status upon admission), we were unable to analyse them. It would also be beneficial to explore qualitative aspects (e.g., psychological preparedness, motivation, and expectations of pregnant women), as this could improve individualized care and counselling. Our findings support numerous conclusions from existing literature while also providing new insights that require further research. It is crucial to consider individual factors, as well as the benefits and risks, when counselling pregnant women about VBAC.
Secondary keywords: diploma theses;midwifery;VBAC;success;age;parity;induction;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za babištvo
Pages: 28, [5] str.
ID: 26371107