Doğum Topunun Doğum Ağrısına, Doğum Konforuna, Doğum Süresine ve Doğum Memnuniyetine Etkisi
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Dosyalar
Tarih
2022
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Selçuk Üniversitesi Sağlık Bilimleri Enstitüsü
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu araştırma doğum topunun doğum ağrısına, doğum konforuna, doğum süresine ve doğum
memnuniyetine etkisinin incelemek amacıyla randomize kontrollü deneysel çalışma türünde
yapılmıştır. Çalışmanın örneklemi Kasım 2021- Nisan 2022 tarihleri arasında Konya Şehir Hastanesi
doğum salonuna doğum yapmak için başvuran 120 primipar gebeden oluşmuştur. Gebeler, müdahale
grubuna (MG, n=60) ve kontrol grubuna (KG, n=60) randomize olarak atanmıştır. MG’daki gebelere
servikal dilatasyon 4 cm’e ulaştıktan sonra araştırmacı tarafından oluşan doğum topu rehberine bağlı
kalınarak doğum topu ile hareketler uygulatılmıştır. Kontrol grubuna standart ebelik bakım
uygulamaları dışında herhangi bir müdahale yapılmamıştır.
Veriler; kişisel bilgi formu, Visual Analog Skala (VAS), Doğum Konfor Ölçeği (DKÖ),
doğum eylemi ve sonrası izlem formu, Mackey Doğum Memnuniyeti Değerlendirme Ölçeği
(MDMDÖ) kullanılarak toplanmıştır. Her iki gruptaki kadınlara servikal dilatasyon 4 cm ve 9 cm iken
VAS, dilatasyon 8 cm iken DKÖ uygulanmıştır. Doğum yaptıktan iki saat sonra MDMÖ
uygulanmıştır. Verilerin analizinde müdahale ve kontrol grubunun tanımlayıcı istatistiklere dair
verilerin karşılaştırılmasında bağımsız gruplar için t testi, normal dağılım göstermeyen nicel
değişkenlerin iki grup arası karşılaştırmalarında Mann-Whitney U test kullanıldı. Nicel verilerin
karşılaştırılmasında Pearson ki-kare test, Fisher’s exact test, Fisher-Freeman-Halton exact test
kullanıldı. Nicel değişkenler arası ilişkilerin değerlendirilmesinde Spearman korelasyon analizi
kullanıldı.
Çalışmada her iki gruptaki gebelerin toplam yaş ortalaması 22,90±3,00 (min=18, max=31) ve
gebelik haftası ortalaması 39±1 (min=37, max=42)’dir. Müdahale grubundaki gebelerin VAS 2
skorlarının kontol grubundaki gebelere kıyasla anlamlı derecede düşük çıkmıştır (p<0.05). Müdahale
grubundaki gebelerin kontrol grubundaki gebelere göre travayın aktif fazından dilatasyon tam olana
kadar geçen süre ve dilatasyon tam olduktan sonra bebek başı çıkana kadar geçen süre istatistiksel
olarak anlamlı seviyede kısa olduğu belirlenmiştir (p<0.05). Gruplar arası DKÖ ve MDMÖ puan
ortalamaları istatiksel olarak anlamsız bulunmuştur (p>0.05).
Çalışmanın sonucunda doğum topunun doğum ağrısını ve doğum süresini anlamlı düzeyde
azalttığı belirlenmiştir. Gebeye travay süresince verilen bakımın kalitesinin arttırılması aynı zamanda
bakımın sürekliliğine katkıda bulunması açısından doğum topu egzersizlerinin düşük riskli tüm
gebelere uygylanması önerilmektedir.
This randomized controlled experimental study was conducted to examine the effect of birth ball on labor pain, birth comfort, labor duration, and birth satisfaction. The sample of the study consisted of 120 primiparous pregnant women presented to the delivery room of Konya City Hospital between November 2021 and April 2022. Pregnant women were randomly assigned to the intervention group (MG, n=60) and the control group (KG, n=60). After cervical dilatation reached 4 cm, the pregnant women in the intervention group performed movements with the birth ball, adhering to the birth ball guide created by the researcher. No intervention was made to the control group other than standard midwifery care practices. Data were collected using a personal information form, Visual Analogue Scale (VAS), the Birth Comfort Scale (BCS), a labor and postpartum follow-up form, and the Mackey Birth Satisfaction Scale (MBSS). Women in both groups received VAS when cervical dilatation was 4 cm and 9 cm, and BCS was applied when dilation was 8 cm. MBSS was applied two hours after giving birth. In the analysis of the data, the t-test for independent groups was used to compare the descriptive statistics of the intervention and control groups, and the Mann-Whitney U test was used for the comparison of quantitative variables that did not show normal distribution between two groups. The Pearson Chi-square test, Fisher's exact test, and Fisher-Freeman-Halton exact test were used to compare quantitative data. Spearman correlation analysis was used to evaluate the relationships between quantitative variables. In the study, the mean age of the pregnant women in both groups was 22.90±3.00 years (min=18, max=31) and the mean week of gestation was 39±1 (min=37, max=42). The VAS 2 scores of the pregnant women in the intervention group were significantly lower than those in the control group (p<0.05). It was determined that the time between the active phase of labor until the dilatation is complete and the time until the baby's head comes out after the dilatation is complete was found to be statistically significantly shorter in the pregnant women in the intervention group compared to those in the control group (p<0.05). The relationship between the groups regarding BCS and MBSS mean scores were statistically insignificant (p>0.05). As a result of the study, it was determined that the birth ball significantly reduced labor pain and labor time. It is recommended that birth ball exercises be applied to all low-risk pregnant women in order to increase the quality of care given to the pregnant during labor and also contribute to the continuity of care.
This randomized controlled experimental study was conducted to examine the effect of birth ball on labor pain, birth comfort, labor duration, and birth satisfaction. The sample of the study consisted of 120 primiparous pregnant women presented to the delivery room of Konya City Hospital between November 2021 and April 2022. Pregnant women were randomly assigned to the intervention group (MG, n=60) and the control group (KG, n=60). After cervical dilatation reached 4 cm, the pregnant women in the intervention group performed movements with the birth ball, adhering to the birth ball guide created by the researcher. No intervention was made to the control group other than standard midwifery care practices. Data were collected using a personal information form, Visual Analogue Scale (VAS), the Birth Comfort Scale (BCS), a labor and postpartum follow-up form, and the Mackey Birth Satisfaction Scale (MBSS). Women in both groups received VAS when cervical dilatation was 4 cm and 9 cm, and BCS was applied when dilation was 8 cm. MBSS was applied two hours after giving birth. In the analysis of the data, the t-test for independent groups was used to compare the descriptive statistics of the intervention and control groups, and the Mann-Whitney U test was used for the comparison of quantitative variables that did not show normal distribution between two groups. The Pearson Chi-square test, Fisher's exact test, and Fisher-Freeman-Halton exact test were used to compare quantitative data. Spearman correlation analysis was used to evaluate the relationships between quantitative variables. In the study, the mean age of the pregnant women in both groups was 22.90±3.00 years (min=18, max=31) and the mean week of gestation was 39±1 (min=37, max=42). The VAS 2 scores of the pregnant women in the intervention group were significantly lower than those in the control group (p<0.05). It was determined that the time between the active phase of labor until the dilatation is complete and the time until the baby's head comes out after the dilatation is complete was found to be statistically significantly shorter in the pregnant women in the intervention group compared to those in the control group (p<0.05). The relationship between the groups regarding BCS and MBSS mean scores were statistically insignificant (p>0.05). As a result of the study, it was determined that the birth ball significantly reduced labor pain and labor time. It is recommended that birth ball exercises be applied to all low-risk pregnant women in order to increase the quality of care given to the pregnant during labor and also contribute to the continuity of care.
Açıklama
Anahtar Kelimeler
Doğum ağrısı, doğum süresi, doğum konforu, doğum memnuniyeti, doğum topu, Labor pain, birth time, birth comfort, birth satisfaction, birth ball
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Aslantaş, B. N., (2022). Doğum Topunun Doğum Ağrısına, Doğum Konforuna, Doğum Süresine ve Doğum Memnuniyetine Etkisi. (Yüksek Lisans Tezi). Selçuk Üniversitesi, Sağlık Bilimleri Enstitüsü, Konya.
