Doğum Eyleminde Kadınların Vajinal Muayene Deneyimleri

Yıl 2024, Cilt: 4 Sayı: 1, 24 - 37, 03.05.2024

Özden Tandoğan , Tuğçe Kaya , Nevin Hotun Şahin

https://doi.org/10.56061/fbujohs.1287400

Öz

Amaç: Doğumda rutin bir uygulama olan vajinal muayene, doğum eyleminin başlangıcını ve ilerlemesini değerlendirmek için kritik bir öneme sahiptir. Bu araştırma doğum eyleminde kadınların vajinal muayene deneyimlerinin belirlenmesi amacıyla kesitsel- tanımlayıcı desene sahip olarak planladı.
Gereç ve Yöntem: Araştırma İstanbul bir şehir hastanesinin doğumhane biriminde 01/02/2022- 01/05/2022 tarihleri arasında 324 lohusa kadın ile gerçekleştirildi. Olasılıksız örnekleme yöntemi kullanıldı. Veriler Tanıtıcı Bilgi Formu ve Kadınların Travayda Vajinal Muayene Ölçeği kullanılarak toplandı.
Bulgular: Travayda Vajinal Muayene Ölçeği alt boyut puanları; uygun bulma/onaylama 79.60±13.41, algılama 52.15±17.27, mahremiyet 60.25±14.11, bilgilendirme 66.43±17.39, ağrı 43.30±25.95 ve toplam puan 64.28±11.30 olarak saptandı. Kadınların Travayda Vajinal muayene deneyimlerini yaş (F: 3.184, p=0.043), eğitim (F:2.750, p=0.043), doğumun evresi (Z:-2.844, p=0.004), travayda sağlık personeli ile iletişim (F:4.612, p=0.011) ve mahremiyet (Z:-5.999, p=0.000) boyutlarında istatistiksel olarak anlamlı olduğu saptandı.
Sonuç: Kadınların travayda vajinal muayene deneyimlerini yaş, eğitim düzeyi, travayda sağlık personeli ile olan iletişim ve travayda mahremiyete dikkat edilmesinin vajinal muayene deneyimlerini olumlu etkilediği görüldü.

Anahtar Kelimeler

Vajinal Muayene, Deneyim, Doğum, Kadın

WOMEN'S VAGINAL EXAMINATION EXPERIENCES IN THE ACT OF BIRTH

Öz

Objective: Vaginal examination, which is a routine practice in labor, has a critical importance to evaluate the onset and progression of labor. This research was planned with a cross-sectional-descriptive design in order to determine the vaginal examination experiences of women in labor.
Method: The research was carried out with 324 puerperal women in the delivery room of a city hospital in Istanbul between 01/02/2022 and 01/05/2022. The non-probability sampling method was used. Data were collected using the Introductory Information Form and the Women's Vaginal Examination Scale in Labor.
Results: Vaginal Examination Scale in Labor sub-dimension scores; approval/approval was 79.60±13.41, perception 52.15±17.27, privacy 60.25±14.11, information 66.43±17.39, pain 43.30±25.95, and total score 64.28±11.30. Vaginal examination experiences of women in labor, age (F: 3.184, p=0.043), education (F:2.750, p=0.043), stage of labor (Z:-2.844, p=0.004), communication with health personnel in labor (F:4.612, p=0.004) p=0.011) and privacy (Z:-5.999, p=0.000) dimensions were found to be statistically significant.
Conclusion: It was observed that women's experience of vaginal examination during labor, age, education level, communication with health personnel during labor and attention to privacy during labor had a positive effect on vaginal examination experiences.

Anahtar Kelimeler

Vaginal Examination, experience, birth, women

Kaynakça

• Adu-Bonsaffoh, K., Mehrtash, H., Guure, C., Maya, E., Vogel, J. P., Irinyenikan, T. A., Aderoba, A. K., Balde, M. D., Adanu, R., Bohren, M. A., & Tuncalp, Ö. (2021). Vaginal examinations and mistreatment of women during facility-based childbirth in health facilities: secondary analysis of labour observations in Ghana, Guinea and Nigeria. BMJ Global Health, 5(2),1-9. https://doi.org/10.1136/bmjgh-2021-006640.
• Alhafez, L., & Berghella, V. (2020). Evidence-based labor management: first stage of labor (part 3). American Journal Of Obstetrics & Gynecology MFM, 2(4), 100185. https://doi.org/10.1016/j.ajogmf.2020.100185
• Aktaş, S., & Aydın, R. (2019). The analysis of negative birth experiences of mothers: a qualitative study. Journal Of Reproductive And İnfant Psychology, 37(2), 176-192. https://doi.org/10.1080/02646838.2018.1540863
• Aydın, R., Aktaş, S., & Binici, D. K. (2022). Vajinal doğum yapan annelerin doğuma ilişkin travma algısı ile maternal bağlanma düzeyi arasındaki ilişkinin incelenmesi: Bir kesitsel çalışma. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 11(1), 158-169. https://doi.org/10.37989/gumussagbil.1051454
• Bohren, M. A., Mehrtash, H., Fawole, B., Maung, T. M., Balde, M. D., Maya, E., Thwin, S. S., Aderoba, A. K., Vogel, J. P., Irinyenikan, T. A., Adeyanju, A. O., Mon, N. O., Adu-Bonsaffoh, K., Landoulsi, S., Guure, C., Adanu, R., Diallo, B. A., Gülmezoglu, A. M., Soumah, A. M., Sall, A. O., & Tunçalp, Ö. (2019). How women are treated during facility-based childbirth in four countries: a cross-sectional study with labour observations and community-based surveys. Lancet (London, England), 394(10210), 1750–1763. https://doi.org/10.1016/S0140-6736(19)31992-0
• Bonilla-Escobar, F. J., Ortega-Lenis, D., Rojas-Mirquez, J. C., & Ortega-Loubon, C. (2016). Panamanian women׳s experience of vaginal examination in labour: A questionnaire validation. Midwifery, 36, 8–13. https://doi.org/10.1016/j.midw.2016.02.022
• Dabagh-Fekri, S., Amiri-Farahani, L., Amini, L., & Pezaro, S. (2020). A survey of ıranian primiparous women's perceptions of vaginal examination during labor. Journal Of Primary Care & Community Health, 11,1-7. https://doi.org/10.1177/2150132720940517
• Dixon, L., & Foureur, M. (2010). The vaginal examination during labour: Is it of benefit or harm?. New Zealand College Of Midwives Journal, 42(1), 21–26
• El-Moniem, E. F. A., & Mohamady, S. H. (2016). Effect of vaginal examination frequency practice during normal childbirth on psychophysical condition of women. IOSR Journal of Nursing And Health Science, 5(6), 36-44
• Erbil, N., Şenkul, A., Sağlam, Y., & Ergül, N. (2008). Jinekolojik muayene öncesinde Türk kadınların anksiyete seviyeleri ve muayeneye ilişkin tutumlarının belirlenmesi. Uluslararası İnsan Bilimleri Dergisi, 5(1), 1-13 Erkek Yılar, Z., & Özer, S. (2020). Doğum sürecinde yapılan vajinal muayeneye ilişkin annelerin görüşleri. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 23(1), 9-16. https://doi.org/10.17049/ataunihem.457236
• Gorfinkel, I., Perlow, E., & Macdonald, S. (2021). L’examen génital et gynécologique qui tient compte des traumatismes subis. Canadian Medical Association Journal De L'association Medicale Canadienne, 193(36), E1442–E1443. https://doi.org/10.1503/cmaj.210331-f
• Grundström, H., Wallin, K., & Berterö, C. (2011). 'You expose yourself in so many ways': Young women's experiences of pelvic examination. Journal Of Psychosomatic Obstetrics And Gynaecology, 32(2), 59–64 https://doi.org/10.3109/0167482X.2011.560692.
• Güneş, G., & Karaçam, Z. (2018). Doğum sonu dönemdeki kadınların vajinal muayene deneyimleri: Nitel bir araştırma. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 11(2), 87-95
• Hassan, S.J, Sundby, J., Husseini, A., & Bjertness, E. (2012). The paradox of vaginal examination practice during normal childbirth: Palestinian women's feelings, opinions, knowledge and experiences. Reprod Health. Aug 28; 9(16) https://doi.org/10.1186/1742-4755-9-16
• Kaya, Z., & Şahin, N. H. (2021). Kadınların obstetrik şiddet deneyimleri: sistematik derleme. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 14(3), 509-519 https://doi.org/10.26559/mersinsbd.807530
• Klerk, H. W., Boere, E., van Lunsen, R. H., & Bakker, J. J. (2018). Women’s experiences with vaginal examinations during labor in the Netherlands. Journal Of Psychosomatic Obstetrics & Gynecology, 39(2), 90-95. https://doi.org/10.1080/0167482X.2017.1291623
• Küçük E., & Yeşilçiçek Çalık, K. (2022) Maternal and neonatal outcomes of vaginal examination frequency during labor, Health Care For Women International. https://doi.org/10.1080/07399332.2022.2025806
• Kucuk, E., & Calik, K. Y. (2021). Women’s experiences and frequency of vaginal examination during labour. Clinical and Experimental Health Sciences, 11(3), 426-432. https://doi.org/10.33808/clinexphealthsci.765157
• Lappeman M., & Swartz L. (2019). Rethinking obstetric violence and the “neglect of neglect”: the silence of a labour ward milieu in a South African district hospital. BMC Int Health Hum Rights. 19(1): 1-11. https://doi.org/10.1186/s12914-019-0218-2.
• Jenkins, H., Jessiman, W. C., Hubbard, G., & O'Malley, C. (2023). Exploring women's experiences, views and understanding of vaginal examinations during intrapartum care: A meta-ethnographic synthesis. Midwifery, 124 (1), 22-28. https://doi.org/10.1016/j.midw.2023.103746
• NICE. (2014). Intrapartum care for healthy women and babies. London: National Institute For Health And Care Excellence. https://www.bmj.com/CONTENT/349/BMJ.G6886.abstract Erişim Tarihi: 20.07.2022
• Teskereci, G., Yangın, H., & Akpınar, A. (2020). Experiences of women regarding vaginal examination during labor: A qualitative study. Health Care for Women International, 41(1), 75-88. https://doi.org/10.1080/07399332.2019.1590361
• World Health Organization. (2018). WHO recommendations on intrapartum care for a positive childbirth experience. World Health Organization. https://www.who.int/publications/who-guidelines . Erişim Tarihi: 03.08.2022.
• Yılmaz, B., Sel, İ., & Şahin, N. H. (2021). Kadınların kişilik özelliklerinin travmatik doğum algısına etkisi. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 14(4), 423-432. https://doi.org/10.46483/deuhfed.882663.