Doğum Eyleminin Birinci Evresinde Sık Yapılan Uygulamalar ve Kanıta Dayalı Yaklaşım
作者： Nezihe Kizilkaya Beji , Şükran Başgöl
DOI:
关键词: Gynecology 、 Medicine
摘要: Kanita dayali uygulamalar, var olan bilimsel literaturun sagladigi tum bilgileri en iyi sekilde ozumseyerek saglik hizmetlerinin standartlasmasini amaclar. Dogum eyleminde kanita uygulamalarin gerceklestirilmesi ile profesyonelleri tarafindan guvenli, standart ve nitelikli bakim verilmesi amaclanir. Bu surecte, anne fetus sagligini korumak desteklemek, sagligi tehdit eden riskleri kontrol altina almak/onlenmek icin rehber alinmasi klinik birlestirilmesi son derece onemlidir. derlemede, dogum eyleminin birinci evresinde sik yapilan uygulamalar yaklasimlari, randomize kontrollu calismalarin meta-analiz sistematik derleme sonuclari dogrultusunda tartisilacaktir. Uygulamalar; dogumun yapildigi yer, merkezlerinin ev ortami saglamasi, dogumlarin ebe/hekim yonetiminde gerceklestirilmesi, dogumhaneye kabul, fetal monitorizasyon, ultrason, partograf, perine tirasi, klorheksidin vajinal temizlik, tuse, amniyotomi, oral alim, intravenoz sivilar, oksitosin, pozisyonu, mobilizasyon, agri yonetimi evrede suda bulunma basliklarinda Kanitlarda, gec dogumda dik pozisyonlar dusuk riskli gebelerin tanesiz sivi gida almasi vb. desteklenirken, rutinde amniotomi uygulamasi, lavman tirasi onerilmemektedir.
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