Betül PÜSKÜLLÜOĞLU, Aslı GÖKER, Funda KOSOVA

Ten tene temasın plasenta ayrılma süresi ve doğum hormonları üzerine etkisi

Giriş ve Amaç: Ten tene temas vajinal ve sezaryen doğumlarda tercih edilen ve pek çok olumlu etkisi bilinen bir uygulamadır. Bu çalışmada vajinal doğum sonrasında ten tene temasın plasenta ayrılma süresi ve doğum hormonları üzerine olan etkisini araştırnayı planladık. Yöntem ve gereçler: Çalışmaya XXXX kadın hastalıkları ve doğum kliniğine başvuran 40 gebe dahil edildiç çalışma grubunda doğum sonrası kesintisiz ten tene temas uygulandı, control grubunda anne ve bebek ayrıldı.Plasentanın ayrılma süresi not edildi ve doğum öncesi doğum sonrası kan örneklerinde oksitoain, β-endorfin ve katekolamin düzeyleri ölçüldü. Bulgular: Kadınların ortalam yaşı çalışma grubunda 28.55±5.97, control grubunda 26.75±6.58 idi. Plasentanın ayrılma süresi çalışma grubunda istatistiksel olarak anlamlı biçimde daha kısa bulundu. Oksitosin ve katekolamin seviyeleri hem çalışma hem control grubunda pre ve postpartum dönemde benzerdi. β-endorfin seviyeleri postpartum dönemde iki grup arasında benzerdi ancak prepartum dönemde çalışma grubunda istatistiksel olarak anlamlı biçimde daha yüksektir. Tartışma ve Sonuç: Doğum sonrası uygulanan ten tene temas doğum hormonları arasındaki dengeyi bozmadan plasenta ayrılma süresini kısaltmaktadır. Sağlık çalışanları ten tene temasın önemi hakkında bilgilendirilmeli ve uygulama erken postpartum dönemde yaygınlaştırılmalıdır. Doğum salonunda çalışanlar yani ebe, hemşire ve doktorlar ten tene temasın pek çok avantajının yanısıra plasenta yarılma süresini kısaltması ve doğum hormonlarına etki etmemesi konusunda da bilgilendirilmelidir.

Anahtar Kelimeler:

ten tene temas, oksitosin, β-endorfin, katekolmain, plasenta

THE EFFECT OF SKIN TO SKIN CONTACT ON THE EXPULSION TIME OF THE PLACENTA AND DELİVERY HORMONES

Introduction: Skin to skin contact is applied in vaginal and cesarean section and many of its positive effects are already known. In this study we aimed to investigate the effects of skin to skin contact on birth hormones and expulsion time of the placenta in spontaneous vaginal deliveries. Methods: The study comprised 40 women who applied to the Department of Obstetrics and Gynecology of XXX. The study group experienced continuous SSC and the control group received standart care with separation of the newborn. Expulsion time of the placenta was noted and blood samples pre- and postpartum were withdrawn for levels of oxytocin, β-endorphine and catecholamine. Results: The mean age of mothers in the case group was 28.55±5.97, the mean age of mothers in the control group was 26.75±6.58. The seperation time of the placenta was statistically significant shorter in the study group when compared to the control group. Levels of oxytocin and catecholamine were similar both pre-and postpartum between study and control groups. β-endorphine levels were similar postpartum but significantly higher in the prepartum period in the study group. Discussion and Conclusion: Skin to skin contact at birth is a factor affecting the separation time of the placenta without disturbing the balance between birth hormones. Health professionals should be informed and awareness about skin to skin contact should be increased in the early postpartum period. Health care providers working in the delivery room, namely midwives, nurses and doctors should be aware of the many advantages of skin to skin contact immediately after birth in low risk deliveries. Additional advantage of rapid detachment of the placenta without changing equilibrium of birth hormones should be kept in mind as well.

Keywords:

ten tene temas, oksitosin, β-endorfin, katekolmain, plasenta,

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