Prekinitev nosečnosti z metodo RU 486

(magistrsko delo)

Metka Damiš (Author), Igor But (Mentor), Majda Pajnkihar (Co-mentor), Gregor Štiglic (Co-mentor)

Abstract

V magistrskem delu smo se posvetili medikamentozni prekinitvi nosečnosti ali metodi RU 486. Predstavili smo njene prednosti, slabosti in stranske učinke. Predstavili smo tudi protokol poteka metode RU 486 na Oddelku za splošno ginekologijo in ginekološko urologijo UKC Maribor. Namen magistrskega dela je ugotoviti, zakaj se ženske odločajo za medikamentozno oziroma kirurško prekinitev nosečnosti in kakšno je njihovo zadovoljstvo z obema metodama. Predstaviti želimo seznanjenost žensk o medikamentozni prekinitvi nosečnosti. Raziskovalna metodologija. Magistrsko delo temelji na kvantitativni metodi. Uporabili smo metodo deskripcije, anketiranja in komparativno metodo. Raziskovalni vzorec zajema 100 pacientk, ki so imele medikamentozno prekinitev nosečnosti, in 50 pacientk, ki so imele kirurško prekinitev nosečnosti. Zanimalo nas je njihovo zadovoljstvo z obema metodama en mesec po odpustu iz bolnišnice. Raziskavo smo izvedli na Oddelku za splošno ginekologijo in ginekološko urologijo Univerzitetnega kliničnega centra Maribor, zaradi upada kirurške prekinitve nosečnosti pa smo v raziskavo vključili še Splošno bolnišnico Slovenj Gradec in Murska Sobota. O seznanjenosti z medikamentozno metodo smo povprašali 100 študentk zdravstvene nege na Fakulteti za zdravstvene vede Univerze v Mariboru. Uporabili smo Pearsonov Hi-kvadrat, Fisherjev, Kruskal-Wallisov statistični test in Mann-Whitneyjev U-test. Rezultati. Metodo RU 486 v 71 % priporoča osebni ginekolog. Pacientke se v 40 % odločijo za medikamentozno UPN zaradi enostavnosti metode. 85 % žensk, ki še nima otrok, bi za UPN uporabilo medikamentozno metodo. Največja pomanjkljivost medikamentozne UPN je bolečina (45 %). Krvavitev pri medikamentozni UPN je bila močnejša pri 41 %. 72 % pacientk po medikamentozni UPN je splavilo v UKC. 51 % pacientk, ki so imele kirurško prekinitev nosečnosti, medikamentozne UPN ne pozna. Trajanje postopka je pri obeh metodah (medikamentozni, kirurški) v skladu s pričakovanji. 80 % samskih in 82 % žensk, ki živijo v izvenzakonski skupnosti, bi želelo nosečnost prekiniti v bolnišnici/UKC. Razdalja od bolnišnice/UKC ni povezana z izbiro UPN. 81 % žensk poskrbi za kontracepcijo po UPN. Sklep. Ženske so z medikamentozno prekinitvijo nosečnosti zadovoljne. Za kirurško metodo se še vedno odločajo, ker medikamentozne prekinitve ne poznajo. Ženske, ki so se z medikamentozno prekinitvijo nosečnosti seznanile v zdravstveni ustanovi, sicer trdijo, da metodo poznajo, pa vendar jih zelo malo pozna vse njene prednosti. Število kirurških prekinitev nosečnosti se zmanjšuje. Število žensk, ki se odloči za medikamentozno prekinitev nosečnosti, je vedno več. Tako sta se v zadnjem času ob upoštevanju prednosti in znanja o tveganjih izboljšala pristop in postopek prekinitve nosečnosti z zdravili.

Keywords

umetna prekinitev nosečnosti;metoda RU 486;kirurška prekinitev nosečnosti;

Data

Language:	Slovenian
Year of publishing:	2013
Source:	Maribor
Typology:	2.09 - Master's Thesis
Organization:	UM - University of Maribor
Publisher:	[M. Damiš]
UDC:	618.39-085(043.2)
COBISS:	1921700
Views:	2579
Downloads:	761
Average score:	0 (0 votes)
Metadata:

Other data

Secondary language:	English
Secondary title:	TERMINATION OF PREGNANCY WITH THE METHOD RU 486
Secondary abstract:	In this science thesis we focused on medication abortion, or method of RU 486. We described the advantages, disadvantages and side effects. We presented the protocol of RU 486 at our department of Gynecology and gynecological urology UKC Maribor. The purpose of our master’s work is to determine why women opt for medical abortion or surgical abortion and what is their satisfaction with both methods. We want to present the awareness of women about medication abortion. Research methodology. The master’s work is based on a quantitative method. We used the methods of description, survey and the method of comparative. The research sample included 100 patients, who had medical abortion, and 50 patients who had surgical abortion. We wanted to know woman's satisfaction with both methods, one month after they were released from the hospital. The study was conducted in University Medical Centre Maribor, Department of Gynecology and gynecological urology, due to decline of surgical abortion we included general Hospital of Slovenj Gradec and Murska Sobota, to our research. About the familiarity of medical abortion we asked 100 students of nursing Faculty of Health Sciences University of Maribor. We used Pearson Hi-square, Fisher, Kruskal-Wallis statistics test and Mann-Whitney U-test. Results. The method RU 486 is in 71 % recommended by the personal gynecologist. Patients in 40 % decide for medical abortion because of the simplicity of the method. 85% of women who doesn't have children would decide for the medical method. The biggest deficiency of the medical abortion is pain (45 %). Bleeding in medical abortion is stronger in 41 %. 72 % patients who had medical abortion aborted in UKC. 51 % patients, who had surgical abortion, don't know medical abortion. The duration of both methods (medical, surgical) was in line with the expectations. 80 % single and 82 % unmarried woman, would like to abort in a hospital/UKC. The distance from a hospital/UKC was not associated with the decision of the type of abortion. 81 % of woman arrange for contraception after an abortion. Conclusions. Women are satisfied with medical abortion. They still decide for surgical abortion because they are not familiar with medical abortion. Women who learned about medical abortion in the hospital claim they know the method, yet only a few are familiar with all its advantages. The number of surgical abortion is decreasing. The number of women, who decide for medical abortion, is growing. Recently, by considering all the benefits and the knowledge about risks, the approach and the procedure of abortion with drugs have improved.
Secondary keywords:	abortion;method RU 486;surgical termination of pregnancy;
URN:	URN:SI:UM:
Type (COBISS):	Master's thesis/paper
Thesis comment:	Univ. v Mariboru, Fak. za zdravstvene vede
Pages:	VIII, 56 f., 36 f. pril.
Keywords (UDC):	applied sciences;medicine;technology;uporabne znanosti;medicina;tehnika;medical sciences;medicina;gynaecology;obstetrics;ginekologija;porodništvo;
ID:	81048