Research Article
Year 2020,
Volume: 29 Issue: 1, 1 - 8, 26.02.2020
Abstract
Öz
Amaç: Bu çalışmanın evde vajinal doğum oranlarını arttırdığı çalışmalarla kanıtlanan ve Dünya Sağlık Örgütü (DSÖ)'nün önerdiği ELSBM ile gebelerin Ebe Liderliğinde Evde Doğum (ELED) hakkında bilgi ve görüşlerini belirlemek amacıyla yapılmıştır.
Yöntem: Çalışma kesitsel tanımlayıcı tipte olup bir üniversite hastanesinin kadın doğum polikliniklerine 23 Mart- 20 Temmuz 2019 tarihleri arasında gebelik kontrolü için başvuran ve çalışmaya katılmayı kabul eden 260 gebe ile tamamlanmıştır. Elde edilen verilerin istatistiksel değerlendirmesi bilgisayar ortamında SPSS 22.0 paket programı ile yapılmıştır.
Bulgular: Gebelerin eğitim durumları ile, ELSBM ile vajinal doğum (p=0,000), epizyotomisiz doğum (p=0,000) ve evde doğum (p=0,000) yapabileceğini düşünmeleri arasında istatistiksel olarak anlamlı bir fark bulunmaktadır. Eğitim seviyesi arttıkça vajinal, epizyotomisiz ve evde doğum yapabileceğini düşünme oranı da artmaktadır.
Sonuç: ELSBM ile sürekli ebe liderliğinde bakım ile evde doğum yapabileceğini düşünen kadınların oranının istenilen düzeyde olmadığı görülmektedir ancak gebelerin neredeyse yarısının modelin maternal riskleri azaltacağını, yarısından daha fazlasının yenidoğan risklerini azaltacağını ve bebeğini daha etkili emzirmede etkili olacağını düşünmelerinin saptanması oldukça dikkat çekicidir.
Anahtar sözcükler:Ebe liderliğinde sürekli bakım modeli, Ev doğumları, Ebe liderliğinde evde doğumlar
References
- 1. Mac Lachlan H, Foster D, Davey M, Farrell T, Flood M. The effect of primary midwife-led care onwomen’s experience of childbirth: results fromthe COSMOS randomised controlled trial. International Journal of Obstetrics and Gynaecology 2015; 465-474.2. Elvander C, Cnattingius S, Kjerulff KH. Birth Experience in Women with Low, Intermediate or High Levels of fear. Findings from the First Baby Study. Birth 2013; 40(4): 10.1111/birt.12065.3. Vural G, Erenel AŞ. Doğumun Medikalizasyonu Neden Artmıştır, Azalta Bilir Miyiz? Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi 2017; 4(2), 76-83.4. Kocatürk A. Ebeler: Doğum Şeklini Değiştirecek İnsan Gücü. Sağlık Düşüncesi ve Tıp Kültürü Platformu 2019; http://www.sdplatform.com/Dergi/1161/Ebeler-Dogum-seklini-degistirecek-insan-gucu.aspx.5. ICM. Midwifery Led Care, the First Choice for All Women. Toronto : International Confederation of Midwives 2017.6. Queensland Health. Maternity and Neonatal Care. Brisbane: State of Queensland 2018.7. WHO. WHO Recommendation on Midwife-led Continuity of Care During Pregnancy. Geneva: World Health Organization 2016.8. Yurtsal ZB. The Importance of Midwifery Led Care in Turkey. R. Efe ed., Developments in Health Science (s. 261-268). Sofia: Kliment Ohridski University Press 2017.9. Raipuria HD, Lovett B, Lucas L, Hughes V. A Literature Review of Midwifery-Led Care in Reducing Labor and Birth Interventions. Nursing for Women's Health 2018; 22 (5): 387-400.10. Sandall J, Soltani H, Gates S, Shennan A, Devane D. Midwife‐Led Continuity Models Versus Other Models of Care for Childbearing Women. Cochrane Database of Systematic Reviews 2016; https://doi.org/10.1002/14651858.CD004667.pub5.11. Kearney L, Kynn M, Craswell A, Reed R. The Relationship Between Midwife-Led Group-Based Versus Conventional Antenatal Care and Mode of Birth: A Matched Cohort Study. BMC Pregnancy and Childbirth 2017; 17 (39 ): 2-7.12. Moghasemi S, Vedadhir A, Simbar M. Models for Providing Midwifery Care and Its Challenges in the Context of Iran. Journal of Holistic Nursing and Midwifery 2018; 28(1): 64-74.13. Shahid S, Jan R, Qureshi RN, Rattani S. A Review Related to Midwifery Led Model of Care. Journal of General Practice 2014; 2-5.14. Uçar T, Gölbaşı Z. Nedenleri ve Sonuçlarıyla Doğum Korkusu. İnönü Üniversitesi Sağlık Bilimleri Dergisi 2015; 4 (2): 54-58.15. Matinnia N, Faisal I, Hanafiah MJ, Herjar A, Moeini B, Osman Z. Fears Related to Pregnancy and Childbirth Among Primigravidae Who Requested Caesarean Versus Vaginal Delivery in Iran. Maternal and Child Health Journal 2015; 19 (5):1121-1130.16. Hildingsson I. Swedish Couples’ Attitudes Towards Birth, Childbirth Fear and Birth Preferences and Relation to Mode of birth – A Longitudinal Cohort Study. Sexual & Reproductive Healthcare 2014; 5(2), 5 (2): 75-80.17. Cumminsa A, Coddingtona R, Foxa D, Symon A. Exploring the Qualities of Midwifery-Led Continuity of Care in Australia (MiLCCA) Using the Quality Maternal and Newborn Care Framework. Women and Birth 2019; https://doi.org/10.1016/j.wombi.2019.03.013.18. Homer CS. Models of Maternity Care: Evidence for Midwifery Continuity of Care. The Medical Journal of Australia 2016; https://doi.org/10.5694/mja16.00844.19. Mortensen B, Lieng M, Diep LM, Lukasse M, Atieh K, Fosse E. Improving Maternal and Neonatal Health by a Midwife-led Continuity Model of Care – An Observational Study in One Governmental Hospital in Palestine. E Clinical Medicine 2019; 10: 84–91.20. Jiang XM, C Q., LZ, J., XX, H., XW, L., JX, H., HB, Q., RF, H. Effect of Midwife-led Care on Birth Outcomes of Primiparas. International Journal of Nurse Practice 2018; 24(6):e12686. doi: 10.1111/ijn.12686.21. Jadoon B, Mahaini R, Gholbzouri K. Determinants of ver and nderuse of Caesarean Births in the Eastern Mediterranean. Eastern Mediterranean Health Journal, 2018; http://www.emro.who.int/in-press/reviews/determinants-of-over-and-underuse-of-caesarean-births-in-the-eastern-mediterranean-region-an-updated-review.html.22. T.C. Sağlık Bakanlığı Sağlık istatistikleri Yıllığı 2013; (SB, Ankara, 2014).s.6023. Elflein J. Cesarean Sections in Selected Countries 2016; Statista.24. Worldh Health Organization (WHO). WHO Statement on Cesarean Birth Rates. Geneva: WHO 2015.25. Perdok H, Verhoeven CJ, Dillen Jv, Schuitmake TJ, Hoogendoorn K, Colli J. Continuity of Care is an Important and Distinct Aspect of Childbirth Experience: Findings of a Aurvey Evaluating Experienced Continuity of Care, Experienced Quality of Care and Women’s Perception of Labor. BMC Pregnancy and Childbirth 2018; 18:13 .26. S Kotoa, Faheyb J, Meierc D, Drewd M, Loring S. Relative Effectiveness and Cost-Effectiveness of the Midwifery-Led Care in Nova Scotia, Canada: A Retrospective, Cohort Study. Midwifery 2019; 77:144-154.27. Wiegerinck MM, Goes BY, Ravelli AC, Post JA, Buist FC, Tamminga P. Intrapartum and Neonatal Mortality Among Low-Risk Women in Midwife-Led Versus Obstetrician-Led Care in the Amsterdam Region of the Netherlands: A Propensity Score Matched Study . BMJ Open 2018; doi:10.1136/bmjopen-2017-018845 .28. Hua J, Zhu L, Du L, Li Y, Wu Z, Wo D, Du W. Effects of Midwife-Led Maternity Services on Postpartum Wellbeing and Clinical Outcomes in Primiparous Women Under China’s One-Child Policy. BMC Pregnancy and Childbirth 2018; 18:329.
Year 2020,
Volume: 29 Issue: 1, 1 - 8, 26.02.2020
Abstract
References
- 1. Mac Lachlan H, Foster D, Davey M, Farrell T, Flood M. The effect of primary midwife-led care onwomen’s experience of childbirth: results fromthe COSMOS randomised controlled trial. International Journal of Obstetrics and Gynaecology 2015; 465-474.2. Elvander C, Cnattingius S, Kjerulff KH. Birth Experience in Women with Low, Intermediate or High Levels of fear. Findings from the First Baby Study. Birth 2013; 40(4): 10.1111/birt.12065.3. Vural G, Erenel AŞ. Doğumun Medikalizasyonu Neden Artmıştır, Azalta Bilir Miyiz? Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi 2017; 4(2), 76-83.4. Kocatürk A. Ebeler: Doğum Şeklini Değiştirecek İnsan Gücü. Sağlık Düşüncesi ve Tıp Kültürü Platformu 2019; http://www.sdplatform.com/Dergi/1161/Ebeler-Dogum-seklini-degistirecek-insan-gucu.aspx.5. ICM. Midwifery Led Care, the First Choice for All Women. Toronto : International Confederation of Midwives 2017.6. Queensland Health. Maternity and Neonatal Care. Brisbane: State of Queensland 2018.7. WHO. WHO Recommendation on Midwife-led Continuity of Care During Pregnancy. Geneva: World Health Organization 2016.8. Yurtsal ZB. The Importance of Midwifery Led Care in Turkey. R. Efe ed., Developments in Health Science (s. 261-268). Sofia: Kliment Ohridski University Press 2017.9. Raipuria HD, Lovett B, Lucas L, Hughes V. A Literature Review of Midwifery-Led Care in Reducing Labor and Birth Interventions. Nursing for Women's Health 2018; 22 (5): 387-400.10. Sandall J, Soltani H, Gates S, Shennan A, Devane D. Midwife‐Led Continuity Models Versus Other Models of Care for Childbearing Women. Cochrane Database of Systematic Reviews 2016; https://doi.org/10.1002/14651858.CD004667.pub5.11. Kearney L, Kynn M, Craswell A, Reed R. The Relationship Between Midwife-Led Group-Based Versus Conventional Antenatal Care and Mode of Birth: A Matched Cohort Study. BMC Pregnancy and Childbirth 2017; 17 (39 ): 2-7.12. Moghasemi S, Vedadhir A, Simbar M. Models for Providing Midwifery Care and Its Challenges in the Context of Iran. Journal of Holistic Nursing and Midwifery 2018; 28(1): 64-74.13. Shahid S, Jan R, Qureshi RN, Rattani S. A Review Related to Midwifery Led Model of Care. Journal of General Practice 2014; 2-5.14. Uçar T, Gölbaşı Z. Nedenleri ve Sonuçlarıyla Doğum Korkusu. İnönü Üniversitesi Sağlık Bilimleri Dergisi 2015; 4 (2): 54-58.15. Matinnia N, Faisal I, Hanafiah MJ, Herjar A, Moeini B, Osman Z. Fears Related to Pregnancy and Childbirth Among Primigravidae Who Requested Caesarean Versus Vaginal Delivery in Iran. Maternal and Child Health Journal 2015; 19 (5):1121-1130.16. Hildingsson I. Swedish Couples’ Attitudes Towards Birth, Childbirth Fear and Birth Preferences and Relation to Mode of birth – A Longitudinal Cohort Study. Sexual & Reproductive Healthcare 2014; 5(2), 5 (2): 75-80.17. Cumminsa A, Coddingtona R, Foxa D, Symon A. Exploring the Qualities of Midwifery-Led Continuity of Care in Australia (MiLCCA) Using the Quality Maternal and Newborn Care Framework. Women and Birth 2019; https://doi.org/10.1016/j.wombi.2019.03.013.18. Homer CS. Models of Maternity Care: Evidence for Midwifery Continuity of Care. The Medical Journal of Australia 2016; https://doi.org/10.5694/mja16.00844.19. Mortensen B, Lieng M, Diep LM, Lukasse M, Atieh K, Fosse E. Improving Maternal and Neonatal Health by a Midwife-led Continuity Model of Care – An Observational Study in One Governmental Hospital in Palestine. E Clinical Medicine 2019; 10: 84–91.20. Jiang XM, C Q., LZ, J., XX, H., XW, L., JX, H., HB, Q., RF, H. Effect of Midwife-led Care on Birth Outcomes of Primiparas. International Journal of Nurse Practice 2018; 24(6):e12686. doi: 10.1111/ijn.12686.21. Jadoon B, Mahaini R, Gholbzouri K. Determinants of ver and nderuse of Caesarean Births in the Eastern Mediterranean. Eastern Mediterranean Health Journal, 2018; http://www.emro.who.int/in-press/reviews/determinants-of-over-and-underuse-of-caesarean-births-in-the-eastern-mediterranean-region-an-updated-review.html.22. T.C. Sağlık Bakanlığı Sağlık istatistikleri Yıllığı 2013; (SB, Ankara, 2014).s.6023. Elflein J. Cesarean Sections in Selected Countries 2016; Statista.24. Worldh Health Organization (WHO). WHO Statement on Cesarean Birth Rates. Geneva: WHO 2015.25. Perdok H, Verhoeven CJ, Dillen Jv, Schuitmake TJ, Hoogendoorn K, Colli J. Continuity of Care is an Important and Distinct Aspect of Childbirth Experience: Findings of a Aurvey Evaluating Experienced Continuity of Care, Experienced Quality of Care and Women’s Perception of Labor. BMC Pregnancy and Childbirth 2018; 18:13 .26. S Kotoa, Faheyb J, Meierc D, Drewd M, Loring S. Relative Effectiveness and Cost-Effectiveness of the Midwifery-Led Care in Nova Scotia, Canada: A Retrospective, Cohort Study. Midwifery 2019; 77:144-154.27. Wiegerinck MM, Goes BY, Ravelli AC, Post JA, Buist FC, Tamminga P. Intrapartum and Neonatal Mortality Among Low-Risk Women in Midwife-Led Versus Obstetrician-Led Care in the Amsterdam Region of the Netherlands: A Propensity Score Matched Study . BMJ Open 2018; doi:10.1136/bmjopen-2017-018845 .28. Hua J, Zhu L, Du L, Li Y, Wu Z, Wo D, Du W. Effects of Midwife-Led Maternity Services on Postpartum Wellbeing and Clinical Outcomes in Primiparous Women Under China’s One-Child Policy. BMC Pregnancy and Childbirth 2018; 18:329.
There are 1 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Orijinal Research |
| Authors | |
| Publication Date | February 26, 2020 |
| Published in Issue | Year 2020 Volume: 29 Issue: 1 |
