Doğum Eyleminin Birinci Evresinde Kanıta Dayalı Uygulamalar

Abstract

Doğum eyleminin birinci evresi, doğumun başlaması ile serviksin tam (10 cm) olarak genişlemesi arasındaki aralık olarak tanımlanmaktadır. Doğum eyleminin birinci evresinde kanıta dayalı uygulamaların izlenmesi, gereksiz müdahalelerin önlenmesine, doğal doğum sürecinin desteklenmesine, maternal ve fetal sağlığın korunmasına, güvenliğin artırılmasına, doğru zamanlama ve uygun müdahalelerle komplikasyonların azaltılmasına, birey memnuniyetinin artırılmasına, maternal/fetal ölüm ve morbidite oranlarının düşürülmesine katkıda bulunur. Nitekim, sürekli güncellenen ve geliştirilen kanıta dayalı rehberlerin ve protokollerin sağlık profesyonelleri tarafından takip edilmesi, yüksek kaliteli bakımın sağlanması açısından oldukça önemlidir. Bu derlemede doğumun birinci evresinde sıkça uygulanan müdahalelerin güncel kanıta dayalı rehberler ve protokoller ışığında tartışılması amaçlanmıştır. Bu uygulamalar; vajinal dezenfeksiyon, sürekli doğum desteği, Grup B streptokok profilaksisi, doğum öncesi membran yırtılmasında antibiyotik profilaksisi, aromaterapi, suya daldırma, beslenme, maternal pozisyon ve ambulasyon, mesane kateterizasyonu, servikal muayene, partograf, yer fıstığı topu, antispazmodik ajanlar, amniyotomi, oksitosin, oksitosin ve amniyotomi, intrauterin basınç kateteri, doğum sırasında ultrason, distosi, transkütan elektriksel sinir stimulasyonu, yoga, hipnoterapi, müzik terapi, masaj, akupunktur, akupresür, hidroterapi, haptonomi ve mindfulnes olarak özetlenmiştir.

Keywords

• Doğum eylemi
• doğumun birinci evresi
• kanıta dayalı uygulama
• kanıt temelli yaklaşım

Evidence-Based Practices ın The First Stage of Labor

Abstract

The first stage of labor is defined as the interval between the onset of labor and the full dilation of the cervix (10 cm). Following evidence-based practices during the first stage of labor contributes to the prevention of unnecessary interventions, supports the natural birth process, protects maternal and fetal health, enhances safety, reduces complications through timely and appropriate interventions, increases individual satisfaction, and reduces maternal/fetal mortality and morbidity rates. Indeed, it is crucial for healthcare professionals to follow continuously updated and developed evidence-based guidelines and protocols to ensure high-quality care. This review aims to discuss the frequently performed interventions during the first stage of labor in light of current evidence-based guidelines and protocols. These interventions include vaginal disinfection, continuous maternity support, Group B streptococcus prophylaxis, antibiotic prophylaxis in prelabor rupture of membranes, aromatherapy, water immersion, nutrition, maternal positioning and ambulation, bladder catheterization, cervical examination, partograph, peanut ball, antispasmodic agents, amniotomy, oxytocin, oxytocin and amniotomy, intrauterine pressure catheter, ultrasound during labor, dystocia, transcutaneous electrical nerve stimulation, yoga, hypnotherapy, music therapy, massage, acupuncture, acupressure, hydrotherapy, haptonomy, and mindfulness.

Keywords

• Labor
• first stage of labor
• evidence-based practices
• evidence-based approaches

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