Title ISHODI INDUKCIJE NISKORIZIČNIH TERMINSKIH TRUDOĆA U KBC-U RIJEKA
Title (english) OUTCOMES OF LABOR INDUCTION IN LOV RISK TERM PREGNANCY IN KBC RIJEKA
Author Viktorija Bugarin
Mentor Tea Štimac (mentor)
Committee member Aleks Finderle (predsjednik povjerenstva)
Committee member Natalija Vuletić (član povjerenstva)
Committee member Tea Štimac (član povjerenstva)
Granter University of Rijeka Faculty of Health Studies Rijeka
Defense date and country 2022-09-21, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Gynecology and Obstetrics
Abstract Indukcija porođaja je jedan od najčešćih postupaka u porodništvu koji se poduzima s ciljem
započinjanja porođaja. Indukcija porođaja je postupak u kojem dolazi do sazrijevanja vrata maternice i izazivanja kontrakcija maternice. Indukcija porođaja se provodi kada postoji rizik od nastavka trudnoće za rodilju i fetus, ali ponekad se porođaji induciraju bez medicinskih razloga. Razlikujemo dvije vrste induciranoga porođaja a to su: terapijski inducirani porođaj i programirani (elektivni) inducirani porođaj. Postupak indukcije podrazumijeva uporabu lijekova (mizoprostola, oksitocina, prostaglandina) ili mehaničkih postupaka (odvajanje plodovih ovojnica od sveze sa deciduom, prokinuće vodenjaka, primjena balon katetera) kojima je cilj preindukcijsko sazrijevanje vrata maternice koje povećava vjerojatnost za vaginalni porođaj. Indukcija porođaja je povezan s češćim, operacijski dovršenim porođajima.
Glavni cilj ovog istraživanja jest ispitati učestalost carskog reza u induciranim niskorizičnim terminskim porođajima u odnosu na niskorizične terminske, spontano započete porođaje. Dodatni cilj jest analizirati učestalost epiduralne analgezija u induciranim niskorizičnim terminskim porođajima u odnosu na spontano započete porođaje. Retrospektivno istraživanje provedeno je u skupini žena koje su rodile u razdoblju od 1. siječnja 2019. godine do 1. srpnja 2022. godine na Klinici za ginekologiju i porodništvo Kliničkog bolničkog centra Rijeka. Ispitivanu skupinu sačinjavaju niskorizične trudnice sa jednoplodnom trudnoćom u terminu čiji je porođaj programiran, odnosno elektivno induciran bez predležeće patologije tj. jasno definiranoga medicinskog razloga. Kontrolnu skupinu čine trudnice koje imaju iste karakteristike kao i istraživana skupina.
U istraživanju je dokazana statistički značajna razlika (p<0,05) u dovršetku porođaja carskim rezom u induciranoj skupini (28,64%) u odnosu na kontrolnu skupinu (11,65%). U skupini induciranih porođaja značajno je češća uporaba epiduralne (66,24%) u odnosu na kontrolnu skupinu (33,97%).
Veća je učestalost carskoga reza i češća uporaba epiduralne anaglezije u induciranoj skupini porođaja.
Abstract (english) Induction of labor is most common intervention in obstetric wich goal is starting
labor. Induction is procces of stimulating uterine contraction. It is a therapeutic procedure that is caried out when the risk of continuing the pregnancy for mother and fetus is greater than the risk of prolongede pregnancy. There are two types of inducion: therapeutic or medical indicate induction and elective induction. Induction of labor can be preformed with drugs like misoprostol, oxytocin and prostanglandins or with mechanical procedurse like membrane sweeping, balloon catether wich aim is cervical ripening. Induction of labor is associated with more frequent instrumental delivery. The main aim of this study is to examine the frequency of cesarean section in low- risk term induced labor compered to low- risk spontaneus labor. The specific aim is to analyze the frequency of epidural analgesion in induced low- risk term deliveris compered to low-risk term spontaneously initiated deliveries. The research was conducted of a group of women who gave birth between January 1,2019 and July 1,2022. The examined group constist of low- risk pregnant women with a singleton pregnancy at term whose delivery was programmed, i,e, electively induced without a underlying pathology, i.e. a clearly defined medical reason. The control group constistst of pregnant women who have the sam characteristics as the research group. The research confirmed a statistical difference in the completation of childbirth by caesarean section in the induced group (28,64%) and contol group (11,56%). A difference was demonstrated between epidural analgesion in induced group (66,24%) and control group (33,97%). A higher frequency of caesarean section and epidural analgesia in the induced group is possible because of diffrent dynamics of labor in induced labor and spontaneously initiated labor.
Keywords
carski rez
indukcija porođaja
niskorizična trudnoća
termin porođaja porođaja
Keywords (english)
caesarean section
induction of labor
labor term
low- sisk pregnancy
Language croatian
URN:NBN urn:nbn:hr:184:282294
Study programme Title: Professional study of Midwifery (Biomedicine and Healthcare; clinical medical sciences) - Part-time study program Study programme type: professional Study level: undergraduate Academic / professional title: stručni/a prvostupnik / prvostupnica (baccalaureus / baccalaurea) primaljstva (stručni/a prvostupnik / prvostupnica (baccalaureus / baccalaurea) primaljstva)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2022-09-14 11:12:30