Özlem DEMİREL BOZKURT, Oya KAVLAK, Sevgi ÖZKAN, Ahsen ŞİRİN

Doğumun İkinci Evresinde Ertelenmiş Ikınmanın Postpartum Yorgunluk ve Doğum Sonuçlarına Etkisi

Amaç: Araştırma, doğumun ikinci evresinde ertelenmiş ıkınmanın postpartum yorgunluk ve doğum sonuçlarına etkisini incelemek amacıyla yapılmıştır.Yöntem: Randomize kontrollü deneysel olarak gerçekleştirilen araştırmanın örneklemini 48 primipar gebe (ertelenmiş ıkınma grubu n:23, kontrol grubu n:25) oluşturmuştur. Kontrol grubunda ıkınma, güçlü uterus kontraksiyonları oluştuğunda, fetal baş rotasyonunu tamamladığında başlamıştır. Ertelenmiş ıkınma grubunda kontrol grubundan farklı olarak, fetal baş pelvis içinde “+1” düzeyinde olduğunda ve kadında ıkınma isteğinin olması dikkate alınarak, güçlü ve istemsiz fiziksel itme refleksi hissedene kadar ıkınmanın ertelenmesi istenmiştir. Veri toplamada, “Gebe Tanılama Formu”, “İzlem Formu”, “Partograf” ve “Yorgunluk İçin Görsel Benzerlik Skalası” kullanılmıştır.Bulgular: İkinci evrenin süre ortalaması ertelenmiş ıkınma grubunda 38.34±17.84 dk, kontrol grubunda 13.52±5.29 dakikadır. Ertelenmiş ıkınma ve kontrol grubu kadınların; doğumun ikinci evresinin süre ortalamaları, ıkınma süre ortalamaları, doğum sonrası ilk bir saatteki yorgunluk ve enerji puan ortalamaları arasında istatistiksel olarak anlamlı fark saptanmıştır (p<0.05).Sonuç: Ertelenmiş ıkınmanın doğumun ikinci evresinin süresini uzattığı, ıkınma süresini azalttığı ve doğum sonrası ilk bir saatteki yorgunluğu anlamlı olarak azalttığı bulunmuştur.

Anahtar Kelimeler:

Hemşirelik, Ebelik, Ertelenmiş ıkınma, Doğumun ikinci evresi, Postpartum yorgunluk

The Effects of Delayed Pushing During the Second Stage of Labor on Postpartum Fatigue and Labor Results

Objective: The study was made to examine the effects of delayed pushing during the second stage of labor and pushing on postpartum fatigue and labor results.Method: This is a randomized controlled experimental study. The sampling of the research is comprised of 48 primiparous women (23 in the delayed pushing group and 25 in the control group). The pushing of control group was initiated when strong uterine contraction appeared when the fetal head rotation was completed. Different from the control group, when the fetal head was “+1” inside the pelvis, considering the desire to push, pregnant were asked to delay the pushing until the feeling of powerful and involuntary pushing reflex in the delayed pushing group. As a data collection tool, “Pregnant Identification Form”, “Follow-up Form”, “Partograph” and, “Visual Analogue Scale for Fatigue” was used.Results: The mean duration of the second stage of labor was 38.34 ± 17.84 minutes in the delayed pushing group and 13.52 ± 5.29 minutes in the control group. It was observed that a statistically significant difference was found between the delayed pushing and control group women in terms of the mean duration of the second stage of labor, the mean pushing time, the average fatigue, and energy scores in the first hour after labor (p <0.05).Conclusion: It was found out that delayed pushing prolonged the time of the second stage of labor but reduced the pushing time and significantly affected the fatigue at the first one hour of postpartum.

Keywords:

Nursing, Midwifery, Delayed pushing, The second stage of labor, Postpartum fatigue,

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