Doğumun 3. Evresinin Yönetimi

Yıl 2023, Cilt: 12 Sayı: 1, 352 - 360, 25.03.2023

Ayla Kanbur Rumeysa Taşkın

https://doi.org/10.37989/gumussagbil.1047973

Öz

Doğum eylemi ve doğumun evrelerinde uygulanan çeşitli uygulamalar geçmişten günümüze kadar tartışılmaktadır ve bu konu halen popülaritesini korumaktadır. Anne ve bebeğin iyilik halinin sağlanması ve sürdürülebilmesi için doğumda yapılan her uygulamanın kanıt temelli olması gerekmektedir. Bu çerçevede doğum eyleminin üçüncü evresinde uygulanan umblikal kordun klemplenme zamanı, uterotonik ajan kullanımı, umblikal kordun traksiyonu, uterin masaj gibi uygulamalar literatür çalışmalarıyla incelenmektedir. Bu uygulamaların etkinliğini bilmek, doğumda birincil rol oynayan ebelerin gereksiz uygulamalardan kaçınmasını sağlayacak ve var olan bilgilerini yeni bilgilerle bütünleştirecektir. Bu derlemede, doğum eyleminin üçüncü evresinin yönetiminde kullanılan uygulamalar ve kanıta dayalı yaklaşımlar literatür bilgisiyle sunulmaktadır.

Anahtar Kelimeler

Kombine Yönetim, Aktif yönetim, Bekle-gör yaklaşımı, Doğum, Doğumun üçüncü evresi

The Management of Third Stage of Labor

Öz

Various applications during labor and labor stage have been discussed for a long time and this subject maintains its popularity. To ensure and maintain the well-being of the mother and the infant, every practice performed during labor should be evidence-based. Within this framework, practices such as umblical cord clamping time, the use of uterotonic agents, umbilical cord traction, and uterine massage applied in the third stage of labor are examined through literature studies. Knowing the effectiveness of these practices ensures that midwives, who play a primary role in childbirth, both will avoid unnecessary practices and will integrate new information to their existing knowledge. In this review, practices and evidence-based approaches used in the management of the third stage of labor are presented with literature information.

Anahtar Kelimeler

Active management, Combined management, Labor, Third stage of labor, Wait-see approach

Kaynakça

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