Vajinal Doğumda Epidural Analjezi Kullanımı ve Anne-Bebek Sağlığına Etkisi

Year 2017, Volume: 7 Issue: 3, 137 - 147, 01.12.2017

Zekiye Karaçam , Nurdan Gezer

Abstract

Epidural analjezi, doğum ağrısının kontrolü için kullanılan Uluslararası literatürde epidural analjezinin anne ve bebek sağlığı ve güvenliği üzerine etkileri konusunda önemli bilgiler yer almaktadır. Obstetrik bakım hizmetlerinin sunulduğu cerrahi kliniklerinde çalışan ebe ve hemşirelerin, yaygın kullanılan bu uygulamanın anne - bebek sağlığı ve güvenliğine olan olumsuz etkilerinin farkında olmaları, anne - bebeğin sağlığı ve güvenliğini sürdürmeleri gerekmektedir. Türkiye’de bir yandan doğum ağrısı endişesi ile ilişkili isteğe bağlı sezaryen oranlarının azaltılması çalışmaları yapılırken, diğer yandan da epidural analjezi gibi bir başka medikal/ agresif doğuma müdahale yöntemleri gündeme getirilmektedir. Epidural analjezi doğum yapan kadına çok iyi analjezi sağlayabilir. Ancak epidural analjezi, anne ve bebek sağlığını olumsuz etkileyen bazı obstetrik problemlere ve emzirme zorluklarına neden olabilir. Gelişen problemlere bağlı olarak, anne ve bebeğin hastanede kalma süresini uzayabilir ve sağlık bakım maliyeti artabilir. Literatüre dayalı olarak hazırlanan bu makalede, doğum eyleminde epidural analjezi kullanımı ve bu yöntemin anne ve bebek sağlığına etkileri ile ilgili güncel bilgilerin paylaşılması hedeflenmiştir

Keywords

Doğum, vajinal, analjezi, epidural, kadın, bebek, sağlık, ebelik, bakım

Using of epidural analgesia in the vaginal birth and its effects on the health of mother and baby

Abstract

Abstract Epidural analgesia is one the pharmacological methods used for the control of birth pain. International literature contains important information on the effect of epidural analgesia on mother and baby health. Nurses and midwives working in surgical clinics offered the obstetric care services are might aware the adverse effects of this practice widely used on maternal and infant health and safety and maintain to the patient safety. In Turkey, when it is labored to reduce the rate of optional caesarean related to the anxiety of birth pain, on the other hand, another aggressive / medical intervention method such as epidural analgesia is brought to the agenda. Epidural analgesia can provide very good analgesia to the delivering woman. However, epidural analgesia may cause some obstetric problems and breastfeeding difficulties negatively affected the health of maternal and infant. Depending on the problems developed, the length of hospital stay of the mother and baby may be prolonged and the cost of health care may increase. In this study prepared on the basis of literature, it has been intended to share current information about the use of epidural analgesia during labour and its effects on the health of maternal and infant.

Keywords

Birth, vaginal, analgesia, epidural, female, baby, health, midwifery, care

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