diplomsko delo
Tjaša Miklavčič (Avtor), Andreja Mihelič Zajec (Recenzent), Suzana Mlinar (Mentor), Karin Birk (Komentor)

Povzetek

Uvod: Poporodna kontracepcija je ključna za preprečevanje prepogostih nosečnosti, ki vodijo v prekratke porodne intervale, ki so lahko nevarni tako za nosečnico kot tudi plod. Doječa ženska se skupaj z ginekologom odloči za kontracepcijsko metodo, ki ustreza njenim željam in preferencam ter je varna za uporabo med dojenjem. Namen: Namen diplomskega dela je predstaviti različne metode kontracepcije, ki so na voljo ženskam v času dojenja, raziskati njihovo zanesljivost in primernost ter kakšna je vloga medicinske sestre pri svetovanju in izbiri primerne kontracepcijske metode. Metode dela: V diplomskem delu je uporabljena deskriptivna metoda dela s pregledom literature na temo metod kontracepcije med dojenjem. Iskanje ustrezne literature je potekalo v bibliografskih zbirkah CINAHL Ultimate in PubMed ter COBIB v obdobju od novembra 2024 do junija 2025. Rezultati: V končno analizo je bilo vključenih 10 člankov. V času dojenja se odsvetuje uporaba kombinirane hormonske kontracepcije zaradi možnega vpliva na dojenje ali na rast in razvoj dojenčka. Prav tako se lahko poveča tveganje za globoko vensko trombozo pri ženski. Poleg naravnih metod kontracepcije so za uporabo v času dojenja varne tudi progestogenska kontracepcija, maternični vložek, pregradna kontracepcija, metoda laktacijske amenoreje ter izjemoma nujna kontracepcija. Če ženska želi nosečnost preprečevati s pomočjo metode laktacijske amenoreje, morajo biti izpolnjeni določeni kriteriji, da je metoda učinkovita. Pomembno je, da se svetovanje o poporodni kontracepciji pri ženski opravi že v nosečnosti in da se ženska ne počuti prisiljena v uporabo kontracepcije. Razprava in zaključek: Ženskam so na voljo različne metode kontracepcije, ki nimajo vpliva na samo dojenje ali na rast in razvoj dojenčka. Med svetovanjem je potrebno ženski nuditi podporo in upoštevati njena načela. Pomembno je, da zagotavljamo avtonomijo, kar omogoča dobro reproduktivno zdravje ženske. Informiranje mora biti individualno prilagojeno ženski oziroma paru, saj le tako lahko zagotovimo, da bo ženska dosledno in pravilno uporabljala kontracepcijo in tako poskrbimo za višjo učinkovitost metode.

Ključne besede

diplomska dela;zdravstvena nega;laktacija;preprečevanje nosečnosti;avtonomija žensk;

Podatki

Jezik: Slovenski jezik
Leto izida:
Tipologija: 2.11 - Diplomsko delo
Organizacija: UL ZF - Zdravstvena fakulteta
Založnik: [T. Miklavčič]
UDK: 616-083
COBISS: 241395203 Povezava se bo odprla v novem oknu
Št. ogledov: 128
Št. prenosov: 35
Ocena: 0 (0 glasov)
Metapodatki: JSON JSON-RDF JSON-LD TURTLE N-TRIPLES XML RDFA MICRODATA DC-XML DC-RDF RDF

Ostali podatki

Sekundarni jezik: Angleški jezik
Sekundarni naslov: Methods of contraception during breastfeeding and role of the nurse
Sekundarni povzetek: Introduction: Postpartum contraception is crucial for preventing overly frequent pregnancies that lead to too short birth intervals, which can be dangerous for both the pregnant woman and the fetus. A breastfeeding woman decides together with her gynecologist on a contraceptive method that suits her wishes and preferences and is safe for use during breastfeeding. Purpose: The purpose of this diploma work is to present different methods of contraception that are available to women during breastfeeding, to explore their reliability and suitability, and what the role of the nurse is in counseling and choosing an appropriate contraceptive method. Methods: In the diploma work, a descriptive work method was used with a literature review on the topic of contraceptive methods during breastfeeding. The search for appropriate literature was carried out in the bibliographic databases CINAHL Ultimate, PubMed, and COBIB in the period from November 2024 to June 2025. Results: Ten articles were included in the final analysis. During breastfeeding, the use of combined hormonal contraception is not recommended due to a possible influence on breastfeeding or on the growth and development of the baby. There may also be an increased risk of deep vein thrombosis in the woman. In addition to natural methods of contraception, progestogen contraception, intrauterine device, barrier contraception, the lactational amenorrhea method, and in exceptional cases, emergency contraception, are also safe for use during breastfeeding. If a woman wishes to prevent pregnancy using the lactational amenorrhea method, certain criteria must be met for the method to be effective. It is important that counseling on postpartum contraception is carried out already during pregnancy and that the woman does not feel forced to use contraception. Discussion and conclusion: Various methods of contraception are available to women that do not affect breastfeeding itself or the growth and development of the baby. During counseling, it is necessary to provide the woman with support and take her principles into account. It is important to ensure autonomy, which enables good reproductive health for the woman. Information must be individually tailored to the woman or the couple, as only in this way can we ensure that the woman will use contraception consistently and correctly, thereby ensuring higher effectiveness of the method
Sekundarne ključne besede: diploma theses;nursing care;lactation;pregnancy prevention;women’s autonomy;
Vrsta dela (COBISS): Diplomsko delo/naloga
Študijski program: 0
Komentar na gradivo: Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Strani: 31 str.
ID: 26726588