Perineal Travmaları Önlemede Yeni Bir Cihaz: Epi-No Vajinal Dilatör

Year 2022, Volume: 38 Issue: 3, 239 - 247, 29.12.2022

Zeynep Daşıkan , Ayşe Sarıkaya , Ahu Aksoy Can

https://doi.org/10.53490/egehemsire.937698

Cited By: 1

Abstract

Perineal travma en yaygın görülen obstetrik komplikasyonlardan biridir. Ayrıca maternal morbidite ve yaşam kalitesi ile ilişkilidir. Tüm vajinal doğumların çoğunda ve özellikle primiparlarda perineal travma sık görülmektedir. Epizyotomi, travmatik doğum riskini azaltmak amacıyla müdahaleli doğumların rutin bir bileşeni olmuştur. Rutin epizyotomi, ciddi perineal yaralanmaları korumada etkili olmayıp, bazı vakalarda perineal travmaları arttırmaktadır. Vajinal doğumda perineal travma olasılığını azaltmak için; perine masajı, sıcak-soğuk kompresler, ıkınma teknikleri, rutin epizyotomiden kaçınmak, pelvik taban egzersizleri ve Epi-No vajinal dilatör gibi yöntemler kullanılmaktadır. Epi-No vajinal dilatör perinede pelvik taban kas egzersizi yaptırmayı amaçlayan bir cihazdır. Cihazın kullanımı gebelerin pelvik taban kas egzersizi daha doğru öğrenebilmesi için hem de sağlık çalışanlarının doğumda pelvik taban kas egzersizlerini öğretebilmesi açısından yardımcı olabilir. Epi-No doğum eğitmeni anne ve bebek için güvenlidir, kullanımı kolaydır ve kullananlarda epizyotomi hızının belli oranda azaldığı ve sağlam perine oranının ise kullanmayanlara oranla anlamlı şekilde arttırdığı belirtilmiştir.
Bu derlemenin amacı, Epi-No vajinal dilatörün perineal travma üzerindeki etkilerini incelemek amacıyla yapılan bir literatür taraması incelemesidir.

Keywords

Epi-No vajinal dilatör, perineal travma, pelvik taban, vajinal doğum, koruma

Supporting Institution

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Project Number

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Thanks

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A New Device in Preventing Perineal Trauma: The Epi-No Vaginal Dilator

Abstract

Perineal trauma is one of the most commonly encountered obstetrical complications. In addition it is associated with maternal morbidity and quality of life. Perineal trauma is frequently encountered in most vaginal deliveries and especially in primipara. Episiotomy has become a routine component of interventional deliveries to reduce the traumatic delivery risk. Routine episiotomy is not effective on protecting severe perineal injuries and it increases perineal traumas in specific cases. In order to reduce the perineal trauma possibility in vaginal deliveries, methods like perineum massage, hot-cold compress, pushing technics, avoidance of routine episiotomy, pelvic floor exercises and the Epi-No vaginal dilator, are used. The Epi-No vaginal dilator is a device aiming to do pelvic floor muscle exercise in the perineum. The use of the device may be helpful for pregnant women to get to know pelvic floor muscle exercise more properly and for healthcare professionals to teach pelvic floor muscle exercises in delivery. The Epi-No delivery instructor is safe and practicable both for the mother and infant. It reduces the episiotomy speed at a certain rate and increases the stable perineum rate significantly in people who use it compared to those who don’t. This compilation aims to examine a literature review which was conducted to examine the impacts of the Epi-No vaginal dilator on perineal trauma.

Keywords

Epi-No vaginal dilator, perineal trauma, pelvic floor, vaginal birth, prevention

Project Number

yok

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