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undergraduate thesis
USPOREDBA INCIDENCIJE EPIZIOTOMIJA I RUPTURA MEĐICA U OPĆOJ BOLNICI VARAŽDIN U TRI RAZLIČITA RAZDOBLJA TIJEKOM PROTEKLIH 25 GODINA
Rijeka: University of Rijeka, Faculty of Health Studies, 2018. urn:nbn:hr:184:642508
Horvatić, Ksenija
University of Rijeka
Faculty of Health Studies
Department of Nursing

Institutional repository: Repository of the University of Rijeka, Faculty of Health Studies

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Horvatić, K. (2018). USPOREDBA INCIDENCIJE EPIZIOTOMIJA I RUPTURA MEĐICA U OPĆOJ BOLNICI VARAŽDIN U TRI RAZLIČITA RAZDOBLJA TIJEKOM PROTEKLIH 25 GODINA (Undergraduate thesis). Rijeka: University of Rijeka, Faculty of Health Studies. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:642508

Horvatić, Ksenija. "USPOREDBA INCIDENCIJE EPIZIOTOMIJA I RUPTURA MEĐICA U OPĆOJ BOLNICI VARAŽDIN U TRI RAZLIČITA RAZDOBLJA TIJEKOM PROTEKLIH 25 GODINA." Undergraduate thesis, University of Rijeka, Faculty of Health Studies, 2018. https://urn.nsk.hr/urn:nbn:hr:184:642508

Horvatić, Ksenija. "USPOREDBA INCIDENCIJE EPIZIOTOMIJA I RUPTURA MEĐICA U OPĆOJ BOLNICI VARAŽDIN U TRI RAZLIČITA RAZDOBLJA TIJEKOM PROTEKLIH 25 GODINA." Undergraduate thesis, University of Rijeka, Faculty of Health Studies, 2018. https://urn.nsk.hr/urn:nbn:hr:184:642508

Horvatić, K. (2018). 'USPOREDBA INCIDENCIJE EPIZIOTOMIJA I RUPTURA MEĐICA U OPĆOJ BOLNICI VARAŽDIN U TRI RAZLIČITA RAZDOBLJA TIJEKOM PROTEKLIH 25 GODINA', Undergraduate thesis, University of Rijeka, Faculty of Health Studies, accessed 25 December 2024, https://urn.nsk.hr/urn:nbn:hr:184:642508

Horvatić K. USPOREDBA INCIDENCIJE EPIZIOTOMIJA I RUPTURA MEĐICA U OPĆOJ BOLNICI VARAŽDIN U TRI RAZLIČITA RAZDOBLJA TIJEKOM PROTEKLIH 25 GODINA [Undergraduate thesis]. Rijeka: University of Rijeka, Faculty of Health Studies; 2018 [cited 2024 December 25] Available at: https://urn.nsk.hr/urn:nbn:hr:184:642508

K. Horvatić, "USPOREDBA INCIDENCIJE EPIZIOTOMIJA I RUPTURA MEĐICA U OPĆOJ BOLNICI VARAŽDIN U TRI RAZLIČITA RAZDOBLJA TIJEKOM PROTEKLIH 25 GODINA", Undergraduate thesis, University of Rijeka, Faculty of Health Studies, Rijeka, 2018. Available at: https://urn.nsk.hr/urn:nbn:hr:184:642508

Metadata
TitleUSPOREDBA INCIDENCIJE EPIZIOTOMIJA I RUPTURA MEĐICA U OPĆOJ BOLNICI VARAŽDIN U TRI RAZLIČITA RAZDOBLJA TIJEKOM PROTEKLIH 25 GODINA
Title (english)COMPARISON OF EPISIOTOMY INCIDENCIES AND RUPTURE OF PERINEUM IN GENERAL HOSPITAL VARAŽDIN DURING THREE DIFFERENT PERIODS IN PAST 25 YEARS
AuthorKsenija Horvatić
MentorAleks Finderle (mentor)
Committee memberAlemka Brnčić-Fischer (predsjednik povjerenstva)
GranterUniversity of Rijeka
Faculty of Health Studies
(Department of Nursing)
Rijeka
Defense date and country2018-06-28, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Gynecology and Obstetrics
Abstract
Epiziotomija je kirurški zahvat koji se izvodi na međici s ciljem povećanja izlaznog dijela porodnog kanala i olakšanja prolaza djeteta. Epiziotomija je urez površnog mišićja zdjeličnog dna, kože međice i stražnje stijenke rodnice te spada u jednu od najčešćih porodničkih operacija. Zbog toga što je dugo vremena smatrana porodničkom operacijom, babice je nisu smjele izvoditi, ali se 70-tih godina prošlog stoljeća ta slika potpuno promijenila. Incidencija epiziotomije se odvijanjem poroda u rodilištu uz porodničara i primalju povisila na 70%. Rutinski se provodila do kraja devedesetih godina prošlog stoljeća, a temeljila se na indikacijama kao što su: fetalni distres sindrom, nepravilni stavovi ploda, veliko ili makrosomno dijete, sprječavanje razdora međice III. i IV. stupnja, sprječavanje fekalne i urinarne inkontinencije, omogućavanje lakše rekonstrukcije rane, sprječavanje oštećenja djeteta, sprječavanje zastoja ramena te prvorođenost. Dugo su se preispitivale njene prednosti i nedostaci, no danas već možemo sa sigurnošću reći da njena uporaba nije bila pravdana gore navedenim indikacijama. Prema posljednjim istraživanjima njene brojne prednosti preinačene su u njene nedostatke. Smatra se da rutinska epiziotomija povećava mogućnost nastanka razdora međice III. i IV. stupnja, a sprječavanje nastanka urinarne inkontinencije nije dokazano. Rutinska epiziotomija kod prvorodilja danas nije opravdana.
Abstract (english)
Episiotomy is a surgical procedure performed on the perineum, with the main goal to widen the birth canal and to ease the baby's delivery. It is a kind of cut on the surface of the bottom pelvis muscles, the perineum skin and the back wall of vagina and it is one of the most common procedures in child's delivery. They were considered to be one of the giving birth surgeries, so midwives weren't allowed to perform them, but it all changed during 70s of the last century. The incidence of episiotomy has risen to 70% during giving birth in hospitals and with the help of the obstetrician and the midwife. It was a routine till the end of 90s of the last century, and used in cases of: fetal distress sindrom, irregular baby stand, large or macrosome child, to protect from the perineum destruction of 3rd and 4th degree, to prevent fecal and urinary incontinence, to provide easier reconstruction of the wound, to prevent damaging the child, to prevent the shoulder stoppage and in first childbirth. A lot of time was spent considering its advantages and disadvantages, but today we can surely say that its use wasn' t justified by previously mentioned indications. The last researches showed that its numerous advantages are actually its disadvantages. It is considered that the routine episiotomy enlarges the possibility of the perineum destruction of 3rd and 4th degree and the urinary incontinence isn't proved. Routine episiotomy isn't justified for first childbirth.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:184:642508
Study programmeTitle: 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) sestrinstva (stručni/a prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva)
Type of resourceText
File originBorn digital
Access conditionsAccess restricted to students and staff of home institution
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Created on2019-04-09 09:30:05