Opinions And Practices Regarding With Perineal Trauma Of Primipar Women: A Qualitative Study

Abstract

Aim: Perineal trauma is any damage to the genitalia during childbirth that occurs spontaneously or intentionally by surgical incision episiotomy . It is a serious condition affecting morbidity, mortality and quality of life in negatively beholder. The aim of this study is to determine the opinion and application for perineal trauma of primipar women in the postpartum period.Material and Methods: It is a qualitative study. 15 women who were admitted to the gynecology clinic of a public hospital in the postpartum period formed the study group. The data obtained by questionnaires and semi-structured interview form was evaluated by content analysis.Results: In the postpartum period, there have been seen pain, discharge, redness, edema swelling in the female fairy, as well as sexual problems and having concerns about fulfilling their responsibilities. At the end of the research; it was determined that they used several methods such as povidone ıodine,antibacterial ointment, paracetamol, hot application, cold application, olive oil for compete with perineal trauma. However, it was determined that there was no attempt on “Sexual and psychosocial problems”.Conclusion: It was determined that some of the practices were insufficient and incorrect for perineal complaints related to women. It is recommended giving a training to women for the care of the perineum by health care personal before discharge in the postpartum period.

Keywords

• Primiparity,perineal trauma,episiotomy,perineal care

Primipar Kadınların Perineal Travmaya İlişkin Görüşleri ve Uygulamaları: Nitel Bir Çalışma

Abstract

Amaç: Perineal travma, doğum esnasında genital bölgede kendiliğinden veya epizyotomi nedeniyle ortaya çıkan morbidite ve mortalite ile seyreden ve yaşam kalitesini olumsuz yönde etkileyen önemli bir durumdur. Çalışmanın amacı, primipar kadınların doğumsonu dönemde perineal travmaya ilişkin görüş ve uygulamalarını belirlemektir.Gereç ve Yöntemler: Nitel bir araştırmadır. Bir kamu hastanesinin kadın doğum polikliniğine doğum sonu dönemde başvuran15 kadın çalışma grubunu oluşturmuştur. Veriler anket formu ve yarı yapılandırılmış görüşme formu ile elde edilip, içerik analizi ile değerlendirilmiştir.Bulgular: Doğum sonu dönemde kadınların perineal travmaya bağlı sıklıkla ağrı, akıntı, kızarıklık, ödem gibi bazı fiziksel sorunların yanısıra özbakımında eksiklik, cinsel sorunlar ve sorumluluklarını yerine getirememe kaygısı yaşadıkları belirlenmiştir. Perineal şikayetlerin çözümüne yönelik kadınların “povidon iyod, antibakteriyel pomad, parasetamol, sıcak uygulama, soğuk uygulama, kolonya, zeytinyağı” gibi ürünleri kullandıkları ancak “cinsel ve psikososyal sorunlara” ilişkin herhangi bir girişimde bulunmadıkları belirlenmiştir.Sonuç: Kadınların perineal travmaya ilişkin uygulamalarının yetersiz ve bazılarının yanlış olduğu belirlenmiştir. Sağlık personeli tarafından doğum sonu dönemde perineal bakıma ilişkin eğitimlerin taburculuk öncesinde verilmesi ve sürecin izlenmesi önerilmektedir.

Keywords

• Primipar,perineal travma,epizyotomi,perineal ba

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