Effects of Obstetric Interventions During Labor on Birth Process and Newborn Health

Deniz AKYILDIZ, (Kahramanmaraş Sütçü İmam Üniversitesi, Sağlık Bilimleri Fakültesi, Ebelik Bölümü, Kahramanmaraş, Türkiye)
Ayden ÇOBAN, (Aydın Adnan Menderes Üniversitesi, Sağlık Bilimleri Fakültesi, Ebelik Bölümü, Aydın, Türkiye)
Fazilet GÖR USLU, (Efeler Aydın Kadın Doğum ve Çocuk Sağlığı Hastanesi, Aydın, Türkiye)
Ayten TAŞPINAR (Aydın Adnan Menderes Üniversitesi, Sağlık Bilimleri Fakültesi, Ebelik Bölümü, Aydın, Türkiye)
Florence Nightingale journal of nursing (Online)
13 1
Yıl: 2021 Cilt: 29 Sayı: 1 Sayfa Aralığı: 9 - 21 Metin Dili: İngilizce DOI: 10.5152/FNJN.2021.19093 İndeks Tarihi: 13-06-2021

Effects of Obstetric Interventions During Labor on Birth Process and Newborn Health

Öz:
AIM: This study aimed to investigate the effects of the interventions in the delivery room on the delivery process and the newbornhealth.METHOD: The analytical-cross-sectional study was carried out with 354 puerperal women who gave birth in hospital betweenDecember 2016 and June 2017 in a public hospital. The data were collected by the data collection form developed by the researchers.Data analysis was done by using descriptive statistics and chi-square test in SPSS 21.00 program.RESULTS: The interventions were determined in continuous electro fetal monitoring (80.5%), oxytocin induction (79.9%), restrictionof free movement (56.8%), amniotomy (49.7%), enema (44.1%), and movement restriction (56.8%). The intervention period of thesecond phase of delivery was longer and the rate of cesarean section was higher, and the need for NICU, suction difficulty, 5th APGARscore less than 7, trauma development, difficulty in suction, and higher trauma rates were found in infants. It was determined thatthe rate of oxygen need in puerperals admitted to the delivery room with cervical dilatation below five cm, vacuum and episiotomyapplications in those who underwent amniotomy, and vacuum application rates in those undergoing oxytocin inductions were foundto be high. In addition, the rate of fundal compression and episiotomy was significantly higher in patients who used continuous electrofetal monitoring, fundal compression and vacuum rate in patients who were administered analgesic drugs, and episiotomy rates inpatients using analgesic drugs.CONCLUSION: It has been concluded that interventions in the first phase of labor negatively affect the delivery process and neonatalhealth and increase the need for intervention in the second phase.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Alfirevic, Z., Devane, D., Gyte, G. M., & Cuthbert, A. (2017). Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour. Cochrane Database of Systematic Reviews, 2(2).
  • American College of Obstetricians and Gynecologists (ACOG). (2009). Oral intake during labor. Committee opinion. Obstetrics & Gynecology, 114(3), 714. Retrived from: https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Oral-Intake-During-Labor?IsMobileSet=false.
  • Anant, M., Bindra, V., & Mukherji, J. (2016). The impact of cervical dilatation at admission on labour outcomes. International Research Journal of Pharmacy. 7(11), 43-46.
  • Ananth, C. V., Chauhan, S. P., Chen, H. Y., D’alton, M. E., & Vintzileos, A. M. (2013). Electronic fetal monitoring in the United States: Temporal trends and adverse perinatal outcomes. Obstetrics & Gynecology, 121(5), 927-933.
  • Arslan, H., & Coşkun, A. (2012). Kadın sağlığı ve hastalıları hemşireliği el kitabı [Women’s health and disease nursing handbook]. (1th ed.). İstanbul: Koç Üniversitesi Yayınları.
  • Azami-Aghdash, S., Ghojazadeh, M., Dehdilani, N., & Mohammadi, M. (2014). Prevalence and causes of cesarean section in Iran: Systematic review and meta-analysis. Iranian Journal of Public Health, 43(5), 545-555.
  • Balçık, M. (2014). Assessment of the effect of the delivery room admission process to delivery process. [Master’s Thesis]. Available from National Thesis Center.
  • Basevi, V., & Lavender, T. (2014). Routine perineal shaving on admission in labour. Cochrane Database of Systematic Reviews, (11).
  • Başgöl, Ş., & Beji, N. K. (2015). Doğum eyleminin birinci evresinde sık yapılan uygulamalar ve kanıta dayalı yaklaşımlar [Common practices and evidence-based approach in first stage of labor]. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 5(2), 32-39.
  • Baylas Şahin, A. & Yapar Eyi, E. G. (2017). Amniyotominin eylem süresi, sezaryen oranları, maternal ve fetal sonuçlar üzerine etkisi. [The effects of amniotomy on labor duration, cesarean section rates, and maternal and fetal outcomes]. Perinatoloji Dergisi, 25(1), 19-25. https://doi.org/10.2399/prn.17.0251004
  • Begley, C. M. (2014). Intervention or interference? The need for expectant care throughout normal labour. Sexual & Reproductive Healthcare, 5(4), 160-164.
  • Berghella, V., Baxter, J. K., & Chauhan, S. P. (2008). Evidence-based labor and delivery management. American Journal of Obstetrics and Gynecology, 199(5), 445-454.
  • Caughey, A. B., Cahill, A. G., Guise, J. M., Rouse, D. J., & American College of Obstetricians and Gynecologists. (2014). Safe prevention of the primary cesarean delivery. American Journal of Obstetrics and Gynecology, 210(3), 179-193.
  • Chalmers, B., Kaczorowski, J., Levitt, C., Dzakpasu, S., O’Brien, B., Lee, L., & Public Health Agency of Canada. (2009). Use of routine interventions in vaginal labor and birth: Findings from the Maternity Experiences Survey. Birth, 36(1), 13-25.
  • Chuma, C., Kihunrwa, A., Matovelo, D., & Mahendeka, M. (2014). Labour management and Obstetric outcomes among pregnant women admitted in latent phase compared to active phase of labour at Bugando Medical Centre in Tanzania. BMC Pregnancy and Childbirth, 14(1), 68.
  • Creedon, D., Akkerman, D., Atwood, L., Bates L, Harper C, Levin A., ... & Wingeier, R. (2013). Guideline.gov [Internet]. Institute for clinical systems improvement. Health care guideline management of labor. Retrived from: http://www.spog.org.pe/web/phocadownloadpap/GUIAMANEJODELPARTO. pdf.
  • Dahlen, H. G., Schmied, V., Dennis, C. L., & Thornton, C. (2013). Rates of obstetric intervention during birth and selected maternal and perinatal outcomes for low risk women born in Australia compared to those born overseas. BMC Pregnancy and Childbirth, 13(1), 100.
  • Dahlen, H. G., Tracy, S., Tracy, M., Bisits, A., Brown, C., & Thornton, C. (2012). Rates of obstetric intervention among low-risk women giving birth in private and public hospitals in NSW: A population-based descriptive study. BMJ Open, 2(5), e001723.
  • Darra, S. (2009). ‘Normal’, ‘natural’,‘good’or ‘good-enough’ birth: Examining the concepts. Nursing Inquiry, 16(4), 297-305.
  • Escuriet, R., Pueyo, M., Biescas, H., Colls, C., Espiga, I., White, J., Espada, X., Fusté, J., & Ortún, V. (2014). Obstetric interventions in two groups of hospitals in Catalonia: A cross-sectional study. BMC Pregnancy and Childbirth, 14(1), 143.
  • Gottvall, K., Waldenström, U., Tingstig, C., & Grunewald, C. (2011). In-hospital birth center with the same medical guidelines as standard care: A comparative study of obstetric interventions and outcomes. Birth, 38(2), 120-128.
  • Hasegawa, J., Farina, A., Turchi, G., Hasegawa, Y., Zanello, M., & Baroncini, S. (2013). Effects of epidural analgesia on labor length, instrumental delivery, and neonatal short-term outcome. Journal of Anesthesia, 27(1), 43-47.
  • Hotelling, B. A. (2009). From psychoprophylactic to orgasmic birth. The Journal of Perinatal education, 18(4), 45.
  • Humphrey, T., & Tucker, J. S. (2009). Rising rates of obstetric interventions: Exploring the determinants of induction of labour. Journal of Public Health, 31(1), 88-94.
  • International Confederation of Midwives (ICM). (2012). The philosophy and model of midwifery care. Retrived from: https://www.internationalmidwives.org/assets/files/definitions-files/2018/06/eng-philosophy-and-model-of-midwifery-care.pdf.
  • İşgüder, Ç. K., Bulut, Y. E., Yılmaz, G., Doğru, H. Y., Özsoy, A. Z., & Başol, N. (2017). Kliniğimizde 2014-2016 yılları arasında sezaryen oranı ve endikasyonları. [Cesarean section rate and indications in our clinic between 2014-2016]. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi,14(4) 168-171.
  • Karakuş, R., Anğın, D., Temizkan, O., Polat, M., Şanverdi, İ., Karakuş, S., & Ekinci, F. (2014). Vakum ile operatif vajinal doğumun perinatal etkileri. [Perinatal effects of vacuum operation at vaginal delivery]. Şişli Etfal Tıp Bülteni, 48(3), 192-197.
  • Kauffman, E., Souter, V. L., Katon, J. G., & Sitcov, K. (2016). Cervical dilation on admission in term spontaneous labor and maternal and newborn outcomes. Obstetrics & Gynecology, 127(3), 481-488.
  • Kenyon, S., Tokumasu, H., Dowswell, T., Pledge, D., & Mori, R. (2013). High-dose versus low-dose oxytocin for augmentation of delayed labour. Cochrane Database of Systematic Reviews, (7).
  • Kjærgaard, H., Olsen, J., Ottesen, B., Nyberg, P., & Dykes, A. K. (2008). Obstetric risk indicators for labour dystocia in nulliparous women: A multi-centre cohort study. BMC Pregnancy and Childbirth, 8(1), 45.
  • Lawrence, A., Lewis, L., Hofmeyr, G. J., & Styles, C. (2009). Maternal positions and mobility during first stage labour. Cochrane Database of Systematic Reviews, 15(2).
  • Leal, M. D. C., Pereira, A. P. E., Domingues, R. M. S. M., Filha, M. M. T., Dias, M. A. B., Nakamura-Pereira, M., Bastos, M. H., & Gama, S. G. N. D. (2014). Obstetric interventions during labor and childbirth in Brazilian low-risk women. Cadernos de Saude Publica, 30(Suppl 1), S1-16.
  • Miller, D. A., & Miller, L. A. (2012). Electronic fetal heart rate monitoring: Applying principles of patient safety. American Journal of Obstetrics and Gynecology, 206(4), 278-283.
  • Mozurkewich, E., Chilimigras, J., Koepke, E., Keeton, K., & King, V. J. (2009). Indications for induction of labour: A best-evidence review. BJOG: An International Journal of Obstetrics & Gynaecology, 116(5), 626-636.
  • Özkan, S., Aksakal, F., Avcı, E., Civil, E., & Tunca, M. (2013). Kadınların doğum yöntemi tercihi ve ilişkili faktörler. [Delivery methods: Choices for women and related factors). Türkiye Halk Sağlığı Dergisi, 11(2), 59-71.
  • Ray, A., & Ray, S. (2014). Antibiotics prior to amniotomy for reducing infectious morbidity in mother and infant. Cochrane Database of Systematic Reviews, (10).
  • Reveiz, L., Gaitán, H. G., & Cuervo, L. G. (2013). Enemas during labour. Cochrane Database of Systematic Reviews, (7).
  • Roberts, C. L., Tracy, S., & Peat, B. (2000). Rates for obstetric intervention among private and public patients in Australia: Population based descriptive study. BMJ, 321(7254), 137-141.
  • Rossen, J., Økland, I., Nilsen, O. B., & Eggebø, T. M. (2010). Is there an increase of postpartum hemorrhage, and is severe hemorrhage associated with more frequent use of obstetric interventions? Acta Obstetricia et Gynecologica Scandinavica, 89(10), 1248-1255.
  • Rossignol, M., Moutquin, J. M., Boughrassa, F., Bédard, M. J., Chaillet, N., Charest, C., Ciofani, L., Dumas-Pilon, M., Gagné, G. P., Gagnon, A., Gagnon, R., & Senikas, V. (2013). Preventable obstetrical interventions: How many caesarean sections can be prevented in Canada? Journal of Obstetrics and Gynaecology Canada, 35(5), 434-443.
  • Saccone, G., Ciardulli, A., Baxter, J. K., Quiñones, J. N., Diven, L. C., Pinar, B., Maruotti, G. M., Martinelli, P., & Berghella, V. (2017). Discontinuing oxytocin infusion in the active phase of labor: A systematic review and meta-analysis. Obstetrics & Gynecology, 130(5), 1090-1096.
  • Singata, M., Tranmer, J., & Gyte, G. M. (2013). Restricting oral fluid and food intake during labour. Cochrane Database of Systematic Reviews, (8).
  • Sng, B. L., Leong, W. L., Zeng, Y., Siddiqui, F. J., Assam, P. N., Lim, Y., & Sia, A. T. (2014). Early versus late initiation of epidural analgesia for labour. Cochrane Database of Systematic Reviews, (10).
  • Taşkın, L. (2014). Doğum ve kadın sağlığı hemşireliği [Obstetrics and women’s health nursing] (12th ed.). Ankara:Özyurt Matbaacılık.
  • Turkish Gynecology and Obstetrics Association (2011). Sağlık Bakanlığı- TJOD sezaryen oranlarını azaltma ortak eylem planı. [Ministry of Health- Turkish Gynecology and Obstetrics Association joint action plan to reduce cesarean rates]. Retrieved from: http://www.tjod.org/saglik-bakanligi-tjod-sezaryen-oranlarini-azaltma-ortak-eylem-plani/.
  • Van Der Hulst, L. A., Van Teijlingen, E. R., Bonsel, G. J., Eskes, M., & Bleker, O. P. (2004). Does a pregnant woman’s intended place of birth influence her attitudes toward and occurrence of obstetric interventions? Birth, 31(1), 28-33.
  • Wei, S., Wo, B. L., Qi, H. P., Xu, H., Luo, Z. C., Roy, C., & Fraser, W. D. (2012). Early amniotomy and early oxytocin for prevention of, or therapy for, delay in first stage spontaneous labour compared with routine care. Cochrane Database of Systematic Reviews, 9(9), CD006794.
  • World Health Organization (WHO). (2015). WHO statement on caesarean section rates. Retrived from: Https://www.who.int/reproductivehealth/publications/maternal_perinatal_health/cs-statement/en/.
  • World Health Organization (WHO). (2018). WHO recommendations on intrapartum care for a positive childbirth experience. Retrived from: Https://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng.pdf;jsessionid=7E800B590A164DC7FC879E73B480D6FC?sequence=1.
  • Yeygel Özcan, Ç., & Aluş Tokat, M. Vajinal doğumda verilen oksitosin indüksiyonun emzirmeye etkisi: Literatür incelemesi. [The effect of oxytocin induction given during vaginal birth on breastfeeding results: Literature review]. Koç Üniversitesi Hemşirelikte Eğitim ve Araştırma Dergisi (HEAD), 12(3), 170-174.
APA AKYILDIZ D, Çoban A, gör uslu f, Taşpınar A (2021). Effects of Obstetric Interventions During Labor on Birth Process and Newborn Health. , 9 - 21. 10.5152/FNJN.2021.19093
Chicago AKYILDIZ Deniz,Çoban Ayden,gör uslu fazilet,Taşpınar Ayten Effects of Obstetric Interventions During Labor on Birth Process and Newborn Health. (2021): 9 - 21. 10.5152/FNJN.2021.19093
MLA AKYILDIZ Deniz,Çoban Ayden,gör uslu fazilet,Taşpınar Ayten Effects of Obstetric Interventions During Labor on Birth Process and Newborn Health. , 2021, ss.9 - 21. 10.5152/FNJN.2021.19093
AMA AKYILDIZ D,Çoban A,gör uslu f,Taşpınar A Effects of Obstetric Interventions During Labor on Birth Process and Newborn Health. . 2021; 9 - 21. 10.5152/FNJN.2021.19093
Vancouver AKYILDIZ D,Çoban A,gör uslu f,Taşpınar A Effects of Obstetric Interventions During Labor on Birth Process and Newborn Health. . 2021; 9 - 21. 10.5152/FNJN.2021.19093
IEEE AKYILDIZ D,Çoban A,gör uslu f,Taşpınar A "Effects of Obstetric Interventions During Labor on Birth Process and Newborn Health." , ss.9 - 21, 2021. 10.5152/FNJN.2021.19093
ISNAD AKYILDIZ, Deniz vd. "Effects of Obstetric Interventions During Labor on Birth Process and Newborn Health". (2021), 9-21. https://doi.org/10.5152/FNJN.2021.19093
APA AKYILDIZ D, Çoban A, gör uslu f, Taşpınar A (2021). Effects of Obstetric Interventions During Labor on Birth Process and Newborn Health. Florence Nightingale journal of nursing (Online), 29(1), 9 - 21. 10.5152/FNJN.2021.19093
Chicago AKYILDIZ Deniz,Çoban Ayden,gör uslu fazilet,Taşpınar Ayten Effects of Obstetric Interventions During Labor on Birth Process and Newborn Health. Florence Nightingale journal of nursing (Online) 29, no.1 (2021): 9 - 21. 10.5152/FNJN.2021.19093
MLA AKYILDIZ Deniz,Çoban Ayden,gör uslu fazilet,Taşpınar Ayten Effects of Obstetric Interventions During Labor on Birth Process and Newborn Health. Florence Nightingale journal of nursing (Online), vol.29, no.1, 2021, ss.9 - 21. 10.5152/FNJN.2021.19093
AMA AKYILDIZ D,Çoban A,gör uslu f,Taşpınar A Effects of Obstetric Interventions During Labor on Birth Process and Newborn Health. Florence Nightingale journal of nursing (Online). 2021; 29(1): 9 - 21. 10.5152/FNJN.2021.19093
Vancouver AKYILDIZ D,Çoban A,gör uslu f,Taşpınar A Effects of Obstetric Interventions During Labor on Birth Process and Newborn Health. Florence Nightingale journal of nursing (Online). 2021; 29(1): 9 - 21. 10.5152/FNJN.2021.19093
IEEE AKYILDIZ D,Çoban A,gör uslu f,Taşpınar A "Effects of Obstetric Interventions During Labor on Birth Process and Newborn Health." Florence Nightingale journal of nursing (Online), 29, ss.9 - 21, 2021. 10.5152/FNJN.2021.19093
ISNAD AKYILDIZ, Deniz vd. "Effects of Obstetric Interventions During Labor on Birth Process and Newborn Health". Florence Nightingale journal of nursing (Online) 29/1 (2021), 9-21. https://doi.org/10.5152/FNJN.2021.19093
Sayfa Oluşturulma Tarihi
23-04-2024 18:18

İLETİŞİM

TÜBİTAK ULAKBİM TR Dizin

Yüzüncüyıl, İşçi Blokları Mahallesi

Muhsin Yazıcıoğlu Caddesi No:51/C

06530 Çankaya / ANKARA +90 (312) 298 92 00

trdizin@tubitak.gov.tr

TÜBİTAK ULAKBİM Ulusal Akademik Ağ ve Bilgi Merkezi Cahit Arf Bilgi Merkezi © Tüm Hakları Saklıdır. Gizlilik Politikası Kullanım Şartları