The Effect Of Uterine Massage During Early Postpartum Period On Uterus Involution And Amount Of Lochia Rubra

Yıl 2014, Cilt: 3 Sayı: 4, 1005 - 1018, 01.10.2014

Selda İldan Çalım Oya Kavlak

Öz

Postpartum hemorrhage is a major cause of maternal mortality and morbidity. The purpose of this study is determine the effectiveness of uterine massage on uterus involution and lochia rubra in the first postpartum 24 hours after vaginal birth.  This is an experimental clinic study and the study sample consisted of a total of 60 women – 30 in the study group and another 30 in the control group. Those in the study group received uterine massage for 45 seconds in the first hour postpartum with 15-minute intervals and it was then continued for 45 seconds hourly until the 12th hour postpartum. The findings were evaluated at the 24th hour. The total amount of lochia in 24 hours for the women in the study group (117.60 ±35.09 g) was less than the total amount of lochia obtained from the control group (147.76±46.75 g.) and this finding was found to statistically significant (t=-2.826,  p=0.007<0.05).  Fundus height at the 24th hour postpartum for the women in the study group (1.76±1.20 cm) was lower than the umbilicus when compared to the fundus height of the women in the control group (1.23±0.95 cm); however, no statistically significant difference was detected (F=1.997, SD=3, p=0.116>0.05). In conclusion, the total amount of lochia throughout the 24 hours postpartum after vaginal birth in the study group was lower than the total amount of lochia for the control group.

Anahtar Kelimeler

Uterine Masaj, Postpartum Care, Postpartum Hemorrhage, Loşia Rubra

Postpartum Erken Dönemde Düzenli Fundus Masajının Uterus İnvolüsyonuna Ve Loşia Rubra Miktarına Etkisi

Öz

Postpartum kanamalar en önemli maternal morbidite ve mortalite nedenidir. Bu çalışma, vajinal doğumdan sonrası, ilk 24 saat içinde yapılan fundus masajının uterus involüsyonuna ve loşia rubra miktarına etkisini  incelelemek amacıyla planlanmıştır. Deneysel bir araştırma olan bu çalışmanın örneklemini 30  çalışma ve 30 kontrol grubu olmak üzere toplam 60 lohusa oluşturmuştur. Çalışma grubuna, ilk bir saatte 15 dakika arayla 45 saniye; 12. saate kadar ise saat başı 45 saniye fundus masajı yapılmıştır. Çalışma gurubu kadınların postpartum 24 saatteki toplam  loşia miktarı (117,60 ±35,09 gr ) kontrol grubunun toplam loşia miktarından (147,76±46,75 gr)  daha az olduğu istatistiksel olarak anlamlı bulunmuştur ( t =-2,826,  p=0,0070,05). Sonuç olarak, vajinal doğum sonrası 24 saat içinde çalışma grubunun toplam loşia miktarı kontrol grubuna göre daha az bulunmuştur.

Anahtar Kelimeler

Uterus Masajı, Postpartum Bakım, Postpartum Kanama, Loşia Rubra

Kaynakça

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