Doğumu Kolaylaştırıcı Non-Farmakolojik Yöntemlerin Bir Nullipar Gebe Vakasında Uygulanması

Meryem Metinoğlu; Aylin Yalçın Irmak; Sinem Albayrak Kaya

EN TR

Implementation of Of Non-Pharmacological Birth Facilitator Methods On a Nulliparous Pregnance Case

Abstract

Giving birth is one of the most severe pain inducing experiences with both pharmacological PPCT and nonpharmacological pain control methods NPPCT used during the process of delivery. In this case report, NPPCT’s implementation was reported by the birth supporter after prenatal preparation and training for birth was given to a pregnant woman who wanted a normal delivery and had a history of premature spontaneous abortions.Case Report: The 28-year-old nullipar was directed to the first author of this article for prenatal training and birth support. On April 23, 2015 at 00:45, week 38.2 of gestation the birth began, and AE’s labor and birth process is attended by a birth attendant and her husband. NPPCT dim light, music, complementary liquids and foods, active birth positions, aromatherapy, acupressure, ice bags, massage, shower, wet hot applications, and breathing exercises were used during labor and birth process .Conclusions and Recommendations: Applications at birth had considerable effects on reducing the anxiety of the pregnant woman, relieving the level of pain felt, reducing perineal pressure, and inducing contractions. Intrapartum birth satisfaction of pregnant woman was found to be high. In the light of these results, it is recommended that the use of NPPCT assisted by birth supporters should be promoted as much as possible in the case of pregnancies with similar characteristics in preparations for birth

Keywords

non-pharmacological pain control methods,natural childbirth,labor pain,doulas,prenatal education,pregnant,psychosocial support systems

Doğumu Kolaylaştırıcı Non-Farmakolojik Yöntemlerin Bir Nullipar Gebe Vakasında Uygulanması

Öz

Doğum, bilinen en şiddetli ağrı kaynaklarından biri olarak tanımlanmakta ve bu süreçte yararlanılan farmakolojik FAKY ve non-farmakolojik NFAKY ağrı kontrol yöntemlerinden söz edilmektedir. FAKY’in, hissedilen fiziksel doğum ağrısını ortadan kaldırdığı, NFAKY ise ağrı yaşamayı önlediği vurgulanmaktadır. Bu vaka raporunda, habitual abortus hikayesi olan gebeye prenatal doğuma hazırlık eğitimi verildikten sonra doğum destekçisi tarafından NFAKY uygulanması bildirilmiştir.Vaka Raporu: Yirmi sekiz yaşındaki nullipar gebe doğuma hazırlık eğitimi ve doğum desteği için birinci yazara yönlendirilmiştir. 23 Nisan 2015 saat 00:45’te 38,2 gebelik haftasında doğum eylemi başlayan AE’nin travay ve doğum sürecine doğum destekçisi ve eşi dahil olmuştur. Doğum sürecinde bazı NFAKY loş ortam, müzik, tamamlayıcı sıvı ve gıdalar, aktif doğum pozisyonları, aromaterapi, akubası, buz kesesi, masaj, duş, ıslak sıcak uygulama, solunum egzersizleri kullanılmıştır.Sonuç ve Öneriler: Doğumda yapılan uygulamaların; gebenin anksiyetesinin giderilmesi, hissedilen ağrı düzeyinin hafifletilmesi, perinede hissettiği baskının azaltılması ve kontraksiyonların indüklenmesinde dikkate değer etkisi görülmüştür. Gebenin doğumdan memnuniyeti yüksek olarak belirlenmiştir. Bu vaka sonuçları ışığında benzer özellikleri taşıyan gebelerde mümkün olduğunca doğuma hazırlık eğitimlerinin ve doğum destekçisi eşliğinde NFAKY kullanımının yaygınlaştırılması önerilmektedir

Anahtar Kelimeler

non-farmakolojik ağrı kontrol yöntemleri,doğal doğum,doğum ağrısı,doğuma hazırlık,doğum destekçisi,gebe,psikososyal destek sistemleri

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Details

Primary Language

Turkish

Subjects

-

Journal Section

-

Authors

Meryem Metinoğlu

Aylin Yalçın Irmak

Sinem Albayrak Kaya

Publication Date

September 1, 2017

Submission Date

-

Acceptance Date

-

Published in Issue

Year 2017 Number: 3

IZ

https://izlik.org/JA46KJ67XW

Cite

RIS / Bibtex

EndNote

Metinoğlu M, Irmak AY, Kaya SA (September 1, 2017) Doğumu Kolaylaştırıcı Non-Farmakolojik Yöntemlerin Bir Nullipar Gebe Vakasında Uygulanması. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 3 173–184.