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Obstetrik Şiddet Perspektifinden İntrapartum Bakımda Kanıta Dayalı Uygulamalar

Yıl 2023, Cilt: 4 Sayı: 2, 122 - 138, 13.12.2023
https://doi.org/10.59244/ktokusbd.1252085

Öz

Amaç: Obstetrik şiddet kavramına dikkat çekmek, ebelerin doğum eylemindeki obstetrik şiddete yönelik farkındalığını arttırmak ve doğum eyleminde rutin olarak yapılan ve kanıta dayalı olmayan uygulamaları obstetrik şiddet perspektifinden ele almaktır.
Gereç ve Yöntem: Bu derleme makale Cochrane Library, Google Scholar, Pubmed/Medline arama motorları kullanılarak güncel literatür doğrultusunda hazırlanmıştır.
Bulgular: Obstetrik şiddetin yaygınlığı ülkeye, kullanılan araç ve yönteme, obstetrik şiddetin tanımına, tipine ve doğumun yapıldığı yere bağlı olarak %15-91 arasında değişmektedir. Maternal bakımın sürekliliğinde “Çok erken-çok fazla”, rutin olarak uygulandığında veya aşırı kullanıldığında zararlı olabilecek müdahalelerin kullanımının yanı sıra kanıta dayalı olmayan müdahalelerin gereksiz kullanımına yol açmaktadır. Obstetrik ortamlarda çalışan ebeler, daha fazla müdahaleye maruz kalmakta ve bu da düşük riskli olan kadınların, yüksek riskli olarak algılanmasına neden olmaktadır. Böylece maternal bakımın sağlayıcısı olan ebeler, hastane ortamında müdahaleleri giderek daha fazla normalleştirmektedirler.
Sonuç: Doğumların medikalleşmesiyle rutin olarak yapılan tıbbi müdahale ve uygulamaların birçoğunu WHO önermemektedir. Düşük riskli gebelik ve doğumlarda, doğum eyleminin fizyolojisini korumak amacıyla müdahaleler en aza indirgenmeli, sadece gerektiğinde kullanılmalıdır. Ayrıca ebeler, yapılan birçok müdahale öncesinde, kadınları bilgilendirmeli ve bilgilendirilmiş onamları alınmalıdır. Bir kadın hakları savunucusu olan ebeler, tüm kadınlara doğru ve yeterli bakımı doğru zamanda vermeli, kanıta dayalı, eşit ve saygılı bakım almasını sağlamalıdır. Ebelerin ebeliği teşvik ettiği ve ebelerin olduğu ebelik ortamlarının güçlendirilmesi, doğumların insancıllaştırılmasını sağlayabilir.

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Herhangi bir kurumdan destek alınmamıştır.

Proje Numarası

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Teşekkür

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Kaynakça

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Toplam 41 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Kadın Hastalıkları ve Doğum
Bölüm Derleme
Yazarlar

Hanife Nurseven Şimşek 0000-0002-8307-6865

Hülya Demirci 0000-0003-3712-6013

Proje Numarası -
Erken Görünüm Tarihi 13 Aralık 2023
Yayımlanma Tarihi 13 Aralık 2023
Gönderilme Tarihi 17 Şubat 2023
Kabul Tarihi 7 Ağustos 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 4 Sayı: 2

Kaynak Göster

APA Şimşek, H. N., & Demirci, H. (2023). Obstetrik Şiddet Perspektifinden İntrapartum Bakımda Kanıta Dayalı Uygulamalar. KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi, 4(2), 122-138. https://doi.org/10.59244/ktokusbd.1252085