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Doğum Eyleminde Kadınların Vajinal Muayene Deneyimleri

Year 2024, Volume: 4 Issue: 1, 24 - 37, 03.05.2024
https://doi.org/10.56061/fbujohs.1287400

Abstract

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.

References

  • 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.

WOMEN'S VAGINAL EXAMINATION EXPERIENCES IN THE ACT OF BIRTH

Year 2024, Volume: 4 Issue: 1, 24 - 37, 03.05.2024
https://doi.org/10.56061/fbujohs.1287400

Abstract

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.

References

  • 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.
There are 24 citations in total.

Details

Primary Language Turkish
Subjects Nursing
Journal Section Research Articles
Authors

Özden Tandoğan 0000-0001-7439-5816

Tuğçe Kaya 0000-0003-1439-4859

Nevin Hotun Şahin 0000-0002-6845-2690

Early Pub Date May 3, 2024
Publication Date May 3, 2024
Submission Date April 25, 2023
Published in Issue Year 2024 Volume: 4 Issue: 1

Cite

APA Tandoğan, Ö., Kaya, T., & Hotun Şahin, N. (2024). Doğum Eyleminde Kadınların Vajinal Muayene Deneyimleri. Fenerbahçe University Journal of Health Sciences, 4(1), 24-37. https://doi.org/10.56061/fbujohs.1287400