20.500.12556/DKUM-59851 ŠEST PODROČIJ V PORODNI SOBI ZA BOLJŠO PORODNO PRAKSO SIX AREAS IN THE BIRTH ROOM FOR BETTER BIRTH PRACTICE Ženska se mora zavedati prednosti babiške oskrbe v primerjavi z zdravniško, ko govorimo o zdravi nosečnici in normalnem poteku nosečnosti ter poroda. Ker v Sloveniji še vedno velja zdravniško voden model oskrbe za zdrave in patološke nosečnosti, je babicam ob vstopu ženske v porodno sobo težje vzpostaviti zaupljiv odnos. Pri delu nas vodijo nizi smernic in protokolov, ki morajo ustrezati času in kraju dogajanja in ki jih po potrebi opustimo oz. prenovimo. Komunikacija igra izredno pomembno vlogo v procesu rojevanja. Prvi stik je ključen za vzpostavitev zaupanja in sodelovanja med babico in porodnico. Zaradi trenutne ureditve zdravstvenega sistema v Sloveniji je babici onemogočeno, da žensko in njene želje spozna pred porodom. Zaradi tega mora ob prvem stiku pridobiti čim več informacij, da se lahko bolj približa porodnim željam in porodnico ustrezno zaščiti med procesom rojevanja. Pomembna je tudi prenatalna priprava. Med porodom bi morale imeti ženske z nizkim tveganjem prosto izbiro o prehranjevanju in pitju, zato ni upravičeno, da jim zdravstveni delavci to omejujemo. Po porodu je potrebno gledati tudi na udobje otroka, zato omogočimo prvo/posvečeno uro in stik koža na kožo med novorojencem in mamo. S tem pripomoremo k procesu navezovanja, stabiliziranju in prilagoditvi novorojenca na zunajmaternično okolje ter izboljšamo osnove za uspešno vzpostavitev dojenja. Nepotrebne intervencije preložimo za vsaj eno uro, intervencije, kot so nameščanje identifikacijskih zapestnic, prekinitev popkovnice, rojstvo placente, oskrba porodne poti, kontrola krvavitev, pa lahko izvedemo tudi, ko je otrok na maminih prsih. S prekinitvijo popkovnice počakajmo vsaj 90 sekund, verniksa novorojencu v porodni sobi ne odstranjujemo, s prvim umivanjem pa počakajmo 24 ur. Izpostavljena področja so pomembni dejavniki za porodno izkušnjo tudi pri patoloških nosečnostih in medicinsko vodenih porodih. Prepoznati moramo, kdaj fiziološko preide v patološko, ob tem strokovno odreagirati in se zavedati, da je lahko tudi medicinsko dokončanje poroda lepa in dobra porodna izkušnja, če smo profesionalni, multidisciplinarno delujemo in imamo ustrezen odnos do porodnice. : Women should be aware of the benefits of midwifery care compared to medical treatment when it comes to healthy pregnant women and a normal course of pregnancy and childbirth. A medically managed model of healthy and pathological pregnancy is still valid in Slovenia, so midwifes have a more difficult task to establish a trusting relationship when a woman enters the delivery room. Our work is guided by sets of guidelines and protocols that have to be taken care of to match the time and place of the events. Communication plays a very important role in the process of giving birth. In Slovenia, a midwife is prevented to meet the birthing mother before childbirth due to the current health care system. Therefore, the first contact is crucial to establish a trusting relationship so the midwife can guide the woman through the birthing process properly. During labor, women with low risk should have a free choice of eating and drinking, and therefore health workers are not entitled to limit that. After birth, it is necessary to consider also at the comfort of the child, so it is essential to enable the first hour after birth and thus skin to skin contact between the newborn and the mother. For the newborn it is important for metabolic habituation, bacteriological point of view, thermoregulation, stabilizing the heart rate, breathing, breastfeeding and ultimately family bonds. Cord clamping should be done at least 90 seconds after birth, vernix should not be removed in the delivery room and the first washing should be done at least 24 hours after birth. The exposed areas are important factors to influence the birth experience also in pathological pregnancies and in medically controlled childbirths. The only problem is that with time we can fall into the routine, we work in an unmotivated environment, with not enough staff who would allow safe and quality treatment. We are faced with a number of complications and can sometimes forget the basic areas affecting birth practices and women's experience. babištvo porodni položaji prehranjevanje in pitje med porodom preklemanje popkovnice prva ura po porodu midwifery birth positions eating and drinking during labour cord clamping first hour after birth true false false [N. Pavel] Slovenski jezik Angleški jezik Magistrsko delo/naloga 2016-05-30 14:48:48 2016-10-12 09:32:10 2022-06-21 03:07:37 2019-07-11 11:27:31 2016 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 618.4 2248356 URN:SI:UM:DK:NYF9DMFU MAG_Pavel_Nastja_2016.pdf MAG_Pavel_Nastja_2016.pdf 1 B94E84574B44877A11E1E46391FE4E60 cec39f409abeb018c47ffce151459916ac419b8848f4af39b55a37af6349cc05 95e7234e-7c0d-11eb-bb7a-00155d0001ca https://dk.um.si/Dokument.php?lang=slv&id=105749 Fakulteta za zdravstvene vede 0 0 0