SEZARYEN SONRASI ABDOMİNAL KORSE KULLANIMI

Yıl 2021, Cilt: 4 Sayı: 3, 316 - 329, 31.12.2021

Pınar Kara Evşen Nazik

Öz

Sezaryen, abdominal ve uterin insizyon yapılarak, fetüsün canlı ya da ölü olarak doğumunun gerçekleştirildiği cerrahi bir operasyondur. 21. yüzyıl itibariyle sezaryen, dünyada en sık yapılan cerrahi operasyonlar arasında yer almaktadır. Abdominal bir cerrahi olması nedeniyle sezaryen sonrası postoperatif erken dönemde kadınlar, bulantı, kusma, ağrı, abdominal distansiyon, insizyon enfeksiyonu vb. gibi sorunlar yaşayabilmektedir. Buna ek olarak kadınlarda, majör obstetrik hemoraji, postpartum kanama (PPK-hemoraji), kanama komplikasyonları ve peripartum histerektomi gibi maternal obstetrik sonuçlar da gelişebilmektedir. Ayrıca anne postpartum temel bakım ihtiyaçlarının karşılanmasına ilişkin de çeşitli sorunlar yaşayabilmekte ve yenidoğan bakımını sağlamakta güçlük çekmektedir. Uluslararası doğum sonu bakım rehberlerinde, kadınlarda PPK’nın erken evrede tanılanmasının, etkili girişimlerin yapılmasının, optimal ağrı yönetiminin, erken mobilizasyonun sağlanmasının ve fonksiyonel iyileşmenin desteklenmesinin önemi vurgulanmaktadır. Literatürde ağrı yönetiminde kullanılan analjeziklerin yenidoğanlara olası geçişlerinin düşünülmesi gerektiği belirtilmektedir. Sezaryen sonrası dönemde kadınlar yüksek düzeyde ağrı yaşamakta ve fazla miktarda analjezik kullanabilmektedir. Ağrının kontrol altına alınamaması, derin nefes almayı ve öksürmeyi engellemekte, uykunun bölünmesine, ruh halinin olumsuz etkilenmesine, hastanede kalış süresinin uzamasına ve iyileşmenin gecikmesine yol açabilmektedir. Postpartum evrede kadınlarda PPK gelişebilmekte ve maternal mortaliteyi artırmaktadır. Maternal-neonatal optimal sağlığa ulaşılması için doğum sonu dönemde verilen bakım önemlidir. Literatürde sezaryen sonrası dönemde noninvaziv bir hemşirelik müdahalesi olan abdominal korse kullanıldığı ve bakımın desteklenmesine katkı sağlayabileceği gösterilmektedir. Bu derlemede sezaryen sonrası abdominal korse kullanımının ağrı düzeyine, analjezik kullanımına, postpartum kan kaybına, postpartum fonksiyonel iyileşmeye ve komplikasyonlara etkisi incelenmiştir.

Anahtar Kelimeler

Sezaryen, postpartum bakım, abdominal korse, ağrı, postpartum kanama

Destekleyen Kurum

Yok

Proje Numarası

-

Teşekkür

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USE OF ABDOMINAL BINDER AFTER CESAREAN SECTION

Öz

Cesarean section is a surgical operation in which the fetus is delivered alive or dead by making abdominal and uterine incisions. As of the 21st century, cesarean section is among the most frequently performed surgical operations in the world. Since it is an abdominal surgery, women may experience problems such as nausea, vomiting, pain, abdominal distension, incision infection, etc. in the early postoperative period after cesarean section. In addition, maternal obstetric outcomes such as major obstetric hemorrhage, postpartum hemorrhage (PPH-hemorrhage), bleeding complications and peripartum hysterectomy can develop in women. Further, the mother may experience various problems related to meeting the postpartum basic care needs and have difficulties in providing newborn care. International postpartum care guidelines emphasize the importance of diagnosing PPH in women at an early stage, performing effective interventions, optimal pain management, providing early mobilization, and supporting functional recovery. It is stated in the literature that possible transmission of analgesics used in pain management to newborns should be considered. In the post-cesarean period, women experience high levels of pain and may use large amounts of analgesics. Inability to control the pain prevents deep breathing and coughing, and may lead to interruption of sleep, negative mood swings, prolonged hospital stay and delayed recovery. PPH can develop in women in the postpartum stage and increases maternal mortality. The care given in the postpartum period is important for achieving optimal maternal-neonatal health. In the literature, it has been shown that the abdominal binder, which is a noninvasive nursing intervention, is used in the post-cesarean period and can contribute to supporting care. In this review were examined the effects of abdominal binder use after cesarean section on pain level, analgesic use, postpartum blood loss, postpartum functional recovery and complications.

Anahtar Kelimeler

Cesarean section, postpartum care, abdominal binder, pain, postpartum bleeding

Proje Numarası

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Kaynakça

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