Journal of Jiroft University of Medical Sciences
مجله دانشگاه علوم پزشکی جیرفت
J Jiroft Univ Med Sci
Medical Sciences
http://journal.jmu.ac.ir
1
admin
2538-2810
2538-2810
fa
jalali
1400
12
1
gregorian
2022
3
1
8
4
online
1
fulltext
fa
بررسی نحوه اداره مرحله دوم زایمان بر میزان بروز عوارض زایمانی مادر و نوزاد در زنان نخستزا
Investigating the effect of management methods of the second stage of labor on the incidence of maternal and neonatal complications in nulliparous women
علوم پزشکی/ مامایی
Medical Sciences /Midwifery
پژوهشي
Research
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<td style="padding: 0in 12px; text-align: justify;" valign="top"><span style="font-size:10pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">مقدمه و هدف:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">مرحله دوم زایمان یک دوره حساس برای مادر و جنین میباشد</span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">. <span style="color:black">در مطالعات مختلف تکنیکهای زایمانی متفاوتی در اداره مرحله دوم زایمان به کار گرفته شده ­است.</span> این مطالعه <span style="color:black">با هدف بررسی نحوه اداره مرحله دوم زایمان بر میزان بروز عوارض زایمانی مادر و نوزاد انجام شد. </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">روش کار:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> این مطالعه نیمه تجربی یکسو کور روی 60</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">زن باردار در بیمارستان مبینی سبزوار</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> انجام شد<span style="color:black">. افراد بر اساس تمایل مادران در یکی از دو گروه قرار گرفتند</span>. در گروه زور زدن فعال، با شروع انقباضات، مادر نفس عمیق کشیده و با نگهداشتن نفس، ده ثانیه زور می ­زند. در گروه زور زدن خود به خود، مادر بهطور فعال هیچ زوری نمیزند (مگر زور و فشاری که به طور غیر ارادی <span style="color:black">ایجاد میشود)</span></span></span><span dir="LTR" style="color:black">.</span><span style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black"> سپس افراد به تخت زایمان منتقل و پس از خروج جنین، اطلاعات مربوط به لیبر، زایمان، وضعیت پرینه و اطلاعات نوزاد از پرونده ثبت شد.</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">چکلیست تجربه زایمانی یک ساعت بعد زایمان تکمیل شد. </span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">تجزیه و تحلیل آماری با نرمافزار </span></span>SPSS<span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> و آزمونهای تی مستقل و مجذور کای انجام گرفت.</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:110%"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" mitra="" style="font-family:">یافته­ ها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" mitra="" style="font-family:"><span style="color:black"> در گروه زور زدن خود به خود</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" mitra="" style="font-family:">، میزان زایمان ابزاری، </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" mitra="" style="font-family:">طول مرحله دوم زایمان</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" mitra="" style="font-family:">، پارگی پرینه، ضربان قلب غیرطبیعی جنین در مرحله دوم<span style="color:black"> به</span>طور معنیداری کمتر (0/05></span></span></span><span dir="LTR" style="line-height:110%">p</span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" mitra="" style="font-family:">) و میزان پرینه سالم (0/01></span></span></span><span dir="LTR" style="line-height:110%">p</span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" mitra="" style="font-family:">) و نمره تجربه زایمان (0/001></span></span></span><span dir="LTR" style="line-height:110%">p</span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" mitra="" style="font-family:">) بیشتر بو<span style="color:black">د.</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:110%"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" mitra="" style="font-family:">نتیجه ­گیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" mitra="" style="font-family:"><span style="color:black"> روش زور زدن خود به خود </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" mitra="" style="font-family:"><span style="color:black">شانس </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" mitra="" style="font-family:">ضربان قلب غیرطبیعی جنین، زایمان ابزاری، </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" mitra="" style="font-family:"><span style="color:black">آسیب پرینه و </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" mitra="" style="font-family:">طول مرحله دوم زایمان</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" mitra="" style="font-family:"><span style="color:black"> را کاهش </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" mitra="" style="font-family:">و رضایتمندی از زایمان را افزایش داد</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" mitra="" style="font-family:"><span style="color:black">، بنابراین توصیه میشود از این روش در مرحله دوم زایمان استفاده شود.</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span></span></td>
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<td style="padding: 0in 12px; text-align: justify;" valign="top"><span style="font-size:10pt"><span style="line-height:110%"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:110%">Introduction</span></b><b><span style="line-height:110%">:</span></b> The second stage of labor is a sensitive period for the mother and the fetus. In different studies, various delivery techniques have been used to manage the second stage of labor. This study aimed to investigate the effect of management methods of the second stage of labor on the incidence of maternal and neonatal complications in nulliparous women.</span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:110%">Materials </span></b><b><span style="line-height:110%">and Methods</span></b><b><span style="line-height:110%">:</span></b> This single-blind semi­-experimental study was performed on 60 women with the required qualification for this research in Mobini Hospital in Sabzevar. Individuals were divided into two groups based on the mother's desire. In the active pushing group, at the onset of contractions, the mother breathes deeply and then holds the breath and pushes for ten seconds. On the other hand, in the Spontaneous pushing group, the mother does not actively try to push in the onset of contraction (unless the pressure and force is involuntarily created). Then, the mothers were taken to the delivery bed, after delivery, information about labor, delivery, perineal status, and infant information was recorded. Data were analyzed with SPSS software, t-tests, and chi-square.</span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:110%">Results:</span></b> In the Spontaneous pushing group, the rate of instrumental delivery, duration of the second stage of labor, perineal rupture, abnormal fetal heart rate at the second stage (p<0/05) were significantly less and the amount of healthy perineum (p<0.01) and delivery experience score (p<0.001) were higher.</span></span></span><br>
<span style="font-size:10pt"><span style="line-height:normal"><span new="" roman="" style="font-family:" times=""><b>Conclusion:</b> The Spontaneous pushing method reduces the chances of fetal abnormal heart rate, instrumental delivery, perineal injury, and duration of the second stage of labor and increases labor satisfaction. Therefore, it is recommended that this method be used in the second stage of labor.</span></span></span></td>
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زور زدن, زایمان, اپیزیاتومی, آپگار
Pushing, Labor, Episiotomy, Apgar
832
841
http://journal.jmu.ac.ir/browse.php?a_code=A-10-646-1&slc_lang=fa&sid=1
Roya
Baghany
رویا
باغانی
10031947532846005844
10031947532846005844
No
Instructor, Department of Midwifery, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran
مربی گروه مامایی، دانشکده پرستاری و مامایی ، دانشگاه علوم پزشکی شاهرود، شاهرود، ایران
Maryam
Aradmehr
مریم
آرادمهر
maryam.aradmehr@yahoo.com
10031947532846005845
10031947532846005845
Yes
Department of Midwifery, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تربت حیدریه، تربت حیدریه، ایران