Ebe Liderliğinde Postpartum Bakım

Yıl 2022, Cilt: 5 Sayı: 1, 37 - 45, 29.04.2022

Ayseren Çevik Burcu Avcıbay

https://doi.org/10.54614/JMHS.2022.848149

Öz

Postpartum dönem maternal ve neonatal morbidite ve mortalite için riskli bir dönemdir. Bu bakımdan postpartum dönemde bakım hayati önem taşımaktadır. Postpartum bakım sayesinde, anne ve yenidoğanda anormal bulgu saptandığında, gerekli müdahale uygulanarak anne ve bebek ölümünün önüne geçilebilmektedir. Postpartum bakım, antenatal dönemden başlamalı ve kişiselleştirilmiş olmalıdır. Postpartum bakım izlemleri için örgütlerin farklı önerileri bulunmakla birlikte ortalama doğum sonu 6-12 haftalık süreci kapsamaktadır. İzlemlerin sıklığı kadının gereksinimleri, örgüt önerileri, geleneksel bakım sunumuna göre değişmektedir. Postpartum bakımda en önemli rol, kadınla sürekli etkileşim halinde olan ebelere düşmektedir. Gebelikten doğum sonu döneme kadar, kadınların ihtiyaçlarına ve kültürel yapısına uygun bireyselleştirilmiş ebelik bakımı, anne-bebek sağlığını iyileştirmeyi hedeflemektedir. Bu hedefe ulaşmak ebe liderliğinde postpartum bakım ile mümkün olabilmektedir. Bu derleme, ebe liderliğinde postpartum bakımı incelemek amacıyla yapılmıştır.

Anahtar Kelimeler

Ebe, postpartum bakım, postpartum izlem

Midwife-Led Care in Postpartum

Öz

The postpartum period is a precarious period for maternal and neonatal morbidity and mortality. In this regard, it is vital that care in the postpartum period. Through postpartum care, when abnormal findings are detected in the mother and newborn, the necessary intervention can be applied to prevent maternal and infant death. Postpartum care should start from the antenatal period and should be personalized. Although organizations have different recommendations for postpartum care follow-up, it covers the average postpartum period of 6-12 weeks. The frequency of follow-ups changes according to women's needs, organizational recommendations, and traditional care delivery. The most important role in postpartum care falls to the midwives who are in constant interaction with the woman. Individualized midwifery care which from pregnancy to the postpartum period, in accordance with the needs and cultural structure of women is aimed that improving mother-infant health.

Anahtar Kelimeler

Midwife, postpartum care, postpartum visit

Kaynakça

• Berens, P. (2020). Overview of the postpartum period: normal physiology and routine maternal care. UpToDate. https://www.uptodate.com/contents/overview-of-the-postpartum-period-normal-physiology-and-routine-maternal-care?search=overview-of-the-postpartum-period-normal-physiology-and-routine-maternal-&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1 Erişim tarihi: 04.12.2020.
• Centers for Disease Control and Prevention (2020a). Breastfeeding. https://www.cdc.gov/breastfeeding/breastfeeding-special-circumstances/diet-and-micronutrients/vitamin-d.html
• Centers for Disease Control and Prevention (2020b). Proper Storage and Preparation of Breast Milk. https://www.cdc.gov/breastfeeding/recommendations/handling_breastmilk.htm
• Dengi, A. S. D., & Çakmak, S. (2019). Postpartum dönemdeki annelerin emzirme ve anne sütünün önemi hakkındaki bilgilerinin değerlendirilmesi. Türkiye Aile Hekimliği Dergisi, 23(1), 9-19.
• Erenel, A. Ş., & Sezer, N. Y. (2017). Doğum sonu dönemde kullanılabilecek aile planlaması yöntemleri ve hemşirelerin rolleri. Gazi Sağlık Bilimleri Dergisi, 2(2), 32-38.
• Güngördük, K., Olgaç, Y., Gülseren, V., & Kocaer, M. (2018). Active management of the third stage of labor: a brief overview of key issues. Turkish Journal of Obstetrics and Gynecology, 15(3), 188.
• National Health Services (2020a). Episiotomy and perineal tear. https://www.nhs.uk/conditions/pregnancy-and-baby/episiotomy/
• National Health Services (2020b). Expressing and storing breast milk. https://www.nhs.uk/conditions/pregnancy-and-baby/expressing-storing-breast-milk/ Erişim tarihi: 09.12.2020
• Ovalı, F. (2019). Yenidoğan taramaları. Klinik Tıp Pediatri Dergisi, 11(4), 193-199.
• Özdemir, S., & Yılmaz, B. (2019). Yenidoğanlarda hiperbilirubinemi ve başarılı emzirme. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 35(2), 69-75.
• Sandall, J., Soltani, H., Gates, S., Shennan, A., & Devane, D. (2016). Midwife-led continuity models of care compared with other models of care for women during pregnancy, birth and early parenting. Cochrane Database Systematic Review, 4, CD004667. [Crossref]
• T.C. Sağlık Bakanlığı. (2020). Halk Sağlığı Genel Müdürlüğü. https://hsgm.saglik.gov.tr/tr/
• T.C. Sağlık Bakanlığı. (2018). Doğum Sonu Bakım Yönetim Rehber. https://avys.omu.edu.tr/storage/app/public/nurdan.kaya/107788/28086,dogumsonubakimyonetimrehberipdf.pdf
• The American College of Obstetricians and Gynecologists. (2018a). Optimizing postpartum care. Obstetrics & Gynecology, 131(5).
• The American College of Obstetricians and Gynecologists. (2018b). ACOG committee opinion no. 757: Screening for perinatal depression. Obstetrics & Gynecology, 132(5), e208-212.
• The Global Library of Women’s Medicine. (2015). Postnatal care blended learning module for the health extension programme. https://www.glowm.com/pdf/TextbookOpenUniversityHEATPostnatal%20CareCC%20BY%20NC%20SA.pdf
• The National Institute for Health and Care Excellence. (2015). Postnatal care. https://www.nice.org.uk/guidance/qs37
• The National Institute for Health and Care Excellence. (2018). Postnatal care overview. https://pathways.nice.org.uk/pathways/postnatal-care
• The National Institute for Health and Care Excellence. (2020a). Postnatal care: breastfeeding and formula feding. https://pathways.nice.org.uk/pathways/postnatal-care/postnatal-care-breastfeeding-and-formula-feeding
• The National Institute for Health and Care Excellence. (2020b). Strategy, policy and commissioning for maternal and child nutrition. https://pathways.nice.org.uk/pathways/maternal-and-child-nutrition/strategy-policy-and-commissioning-for-maternal-and-child-nutrition#content=view-node%3Anodes-services-offering-advice-about-infant-formula
• The National Institute for Health and Care Excellence. (2020c). Interventions and advice about breastfeeding for women who may become pregnant, or who are pregnant or breastfeeding. https://pathways.nice.org.uk/pathways/maternal-and-child-nutrition/interventions-and-advice-about-breastfeeding-for-women-who-may-become-pregnant-or-who-are-pregnant-or-breastfeeding#content=view-node%3Anodes-advice-about-breastfeeding
• The National Institute for Health and Care Excellence. (2020d). Postnatal care: Maternal health and wellbeing. https://pathways.nice.org.uk/pathways/postnatal-care/postnatal-care-maternal-health-and-wellbeing
• The National Institute for Health and Care Excellence. (2020e). Postnatal care overview. https://pathways.nice.org.uk/pathways/postnatal-care
• The Royal College of Midwives. (2020). High Quality Midwifery Care. https://www.rcm.org.uk/media/2354/high-quality-midwifery-care.pdf
• Türkiye Nüfus ve Sağlık Araştırması. (2018). 2018 Türkiye Nüfus ve Sağlık Araştırması Temel Bulguları. http://www.hips.hacettepe.edu.tr/tnsa2018/rapor/TNSA2018_ana_Rapor.pdf
• Women and Infants Research Foundation. (2020). Models of Maternity Care: A Review of the Evidence. https://ww2.health.wa.gov.au/-/media/Files/Corporate/general-documents/Health-Networks/Womens-and-Newborns/Models-of-Maternity-Care-a-Review-of-the-Evidence.pdf
• World Health Organization. (2016). Iron supplementation. https://apps.who.int/iris/bitstream/handle/10665/249242/9789241549585eng.pdf;jsessionid=77259A69C6FB4EC08D7A43B771D0BFEB?sequence=1
• World Health Organization. (2015). Pregnancy, childbirth, postpartum and newborn care: A guide for essential practice. https://apps.who.int/iris/handle/10665/249580
• World Health Organization. (2018). WHO recommendations Intrapartum care for a positive childbirth experience. https://www.who.int/reproductivehealth/publications/intrapartum-care-guidelines/en/
• Zeren, F., & Gürsoy, E. (2019). Anne ve yenidoğan için Dünya Sağlık Örgütü postpartum bakım önerileri. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 7(4), 95-102.