Comparison of Perception of Birth and Outputs in Pregnant with and without Dinoprostone: A Comparative Study

Yıl 2025, Cilt: 6 Sayı: 1, 38 - 47, 21.03.2025

Neslihan Atlı , Hava Özkan

Öz

Abstract
Introduction: The research was carried out to compare the perception of birth and outcomes of pregnant women who were both administered and not administered dinoprostone.
Methods: A descriptive-comparative study involving 160 pregnant women (80 with dinoprostone, 80 without) was conducted. Data were collected using a Personal Information Form, Visual Analog Scale, APGAR Score Evaluation Scale, and Maternal Birth Perception Scale. Descriptive statistics and a chi-square significance test were used to analyze the data. The statistical significance level has been accepted as p <0.05.
Results: Pregnant women within the scope of the study show homogeneity in terms of introductory and obstetric variables. When the mean mean scores of the pregnant women were compared; It was found that the pain perception levels of the pregnant women who were not administered dinoprostane were higher after uterine contractions and in the active phase compared to the other phases. The difference between the mean pain scores was statistically significant (p=0.007).
In comparing delivery times between groups that administered and did not administered dinoprostone, it was determined that the difference between the groups for the total time was statistically significant (p=0.001). It was determined that the difference in APGAR scores at the 1st and 5th minutes in the groups administered and not administered dinoprostone was not statistically significant (p=0.73). In the study, the mean POBS total score was found to be 84.38±11.96 in the group administered dinoprostane and 76.98 ± 14.98 in the group not applied dinoprostane, and a statistically significant difference was found between the groups (p = 0.001).
Conclusion: It has been observed that dinoprostane used in the study is effective in labor pain and the mother's perception of delivery. As a result of the study, it was observed that dinoprostone treatment did not affect the newborn APGAR scores.
Keywords: Dinoprostane, Birth Pain, Birth Perception, Birth Output, Pregnancy.

Anahtar Kelimeler

: Dinoprostane, Birth Pain, Birth Perception, Birth Output, Pregnancy.

Dinoproston uygulanan ve uygulanmayan gebelerde doğum algısı ve çıktılarının karşılaştırılması

Öz

Özet
Amaç: Araştırma, dinoproston uygulanan ve uygulanmayan gebelerde doğum algısı ve çıktılarının karşılaştırılması amacıyla yapılmıştır.
Yöntem: Araştırmaya alınma kriterlerini taşıyan 160 gebe (dinoprostan uygulanan 80 gebe ve dinoprostan uygulanmayan 80 gebe) katılımıyla tanımlayıcı-karşılaştırmalı bir çalışma yapıldı. Veriler “Kişisel Bilgi Formu”, "Görsel Kıyaslama Ölçeği (GKÖ)", " APGAR Skoru Değerlendirme Skalası " ve " Annenin Doğumu Algılaması Ölçeği (ADAÖ) " kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler ve ki-kare önemlilik testi kullanılmıştır. İstatistiksel anlamlılık düzeyi p <0.05 olarak kabul edilmiştir.
Bulgular: Araştırma kapsamındaki gebeler tanıtıcı ve obstetrik değişkenler bakımından homojenlik göstermektedir. Gebelerin GKÖ puan ortalamaları karşılaştırıldığında; dinoprostan uygulanmayan gebelerde ağrı algılama düzeyleri dinoprostan uygulanan gebelere göre uterus kontraksiyonları sonrası ve aktif fazda diğer fazlara göre yüksek olduğu ve ağrı puan ortalamaları arasındaki farkın istatistiksel açıdan anlamlı olduğu saptanmıştır (p=0.007).
Dinoproston uygulanan ve uygulanmayan grupları arasında doğum sürelerinin karşılaştırılmasında toplam süre için gruplar arasındaki farkın istatistiksel olarak önemli olduğu belirlenmiştir (p=0.001). Dinoproston uygulanan ve uygulanmayan gruplarda 1. ve 5. dakikadaki Apgar skorları arasındaki puan farkının istatistiksel açıdan anlamlı olmadığı belirlenmiştir (p=0.73). Araştırmada, ADAÖ toplam puan ortalaması dinoprostan uygulanan grupta 84.38±11.96 ve dinoprostan uygulanmayan grupta 76.98±14.98 olarak bulunmuş ve gruplar arasında istatistiksel olarak fark saptanmıştır (p=0.001).
Sonuç: Araştırmada kullanılan dinoprostanın doğum ağrısında ve annenin doğumu algılamasında etkili olduğu görülmüştür. Çalışma sonucunda dinoproston tedavisinin yenidoğan APGAR skorlarını etkilemediği görülmüştür.
Anahtar Kelimeler: Dinoprostan, Doğum Ağrısı, Doğum Algısı, Doğum Çıktısı, Gebelik.

Anahtar Kelimeler

Dinoprostan, Doğum Ağrısı, Doğum Algısı, Doğum Çıktısı, Gebelik.

Kaynakça

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