تصمیم‌گیری اشتراکی پیرامون نوع زایمان بعد از سزارین: مطالعه مروری

نوع مقاله : مروری

نویسندگان

1 کارشناس ارشد مشاوره در مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: اگرچه زایمان طبیعی بعد از سزارین برای افراد واجد شرایط، جایگزین مناسب‌تری نسبت به سزارین تکراری می­باشد؛ اما تصمیم‌گیری بین این دو گزینه، فرآیندی چالش‌برانگیز و مبتنی بر تصمیم مراقبین سلامت و مادران می­باشد. مطالعات مرتبط با تصمیم‌گیری اشتراکی پیرامون انتخاب نوع زایمان پس از سزارین، با نتایج متناقضی همراه بودند، لذا مطالعه حاضر با هدف مروری بر تصمیم‌گیری اشتراکیپیرامون آگاهی، تعارض تصمیم‌گیری و انتخاب نوع زایمان بعد از سزارین انجام شد.
روش‌کار: در این مطالعه به منظور دسترسی به مقالات مرتبط، جستجو در پایگاه­های داده انگلیسیgoogle scholar، up to date، Cochrane، web of science، Scopus، PubMed با استفاده از کلیدواژه­های مطابق با MESH شامل vaginal birth after cesarean، shared decision making، decision aid، counseling و همچنین پایگاه­های داده فارسی زبان magiran، IranMed،SID  با استفاده از کلیدواژه­های "زایمان واژینال پس از سزارین"، "تصمیم‌گیری اشتراکی"، "تصمیم‌یار" و "مشاوره" در بازه زمانی اکتبر 2018 تا جولای 2019 انجام شد.ارزیابی کیفیت مقالات با استفاده از چک لیست consort 2017 انجام شد.
یافته‌ها: از مجموع 120 مقاله یافت شده در پایگاه­های داده، 4 مقاله بر طبق معیارهای ورود، وارد مطالعه شدند. در مطالعات مختلف، روش‌های تصمیم‌گیری اشتراکی، تأثیر متناقضی بر انتخاب زایمان طبیعی بعد از سزارین داشتند؛ اما بر آگاهی و تعارض تصمیم‌گیری تأثیر معناداری داشتند.
نتیجه‌گیری: استفاده از روش­های تصمیم‌گیری اشتراکی، آگاهی زنان سزارین قبلی نسبت به انتخاب نوع زایمان را افزایش و تعارض تصمیم‌گیری را کاهش می­دهد. از آنجایی که در مورد انتخاب زایمان طبیعی بعد از سزارین، نتایج متناقض می­باشند، نیاز به مطالعات بیشتر در این خصوص وجود دارد.

کلیدواژه‌ها

عنوان مقاله [English]

Shared decision-making about birth after cesarean: review study

نویسندگان [English]

  • Seyede Zahra Hoseini Haji 1
  • Mahboobeh Firoozi 2
1 M.Sc. of Counseling in Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Instructor, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Although vaginal birth after cesarean is a more appropriate alternative comparing to repeat cesarean for eligible individuals, making decision between these two choices is a challenging process and depends on the decision of care providers and mothers. The studies about shared decision making showed different results about mode of birth after cesarean; therefore, this study was performed with aim to review shared decision making about knowledge, decisional conflict and choosing mode of delivery after cesarean.
Methods: In this study, for access to the related articles, search was done on PubMed, Scopus, up to date, google scholar, Cochrane and web of science using the MESH-related keywords including "Vaginal birth after cesarean", "Shared decision making", "decision Aid" and "Counseling", as well as Persian databases off SID, magiran and IranMed from October 2018 to July 2019. The quality of the articles was assessed using the Consort Checklist 2017.
Results: From the total of 120 articles found in the databases, 4 articles entered the study according to inclusion criteria. In various studies, Shared decision making methods had a contradictory effect on choosing vaginal birth after cesarean, but had a significant effect on knowledge and decisional conflict.
Conclusion: The use of Shared decision making methods increases the knowledge of women with previous cesarean about choosing the mode of delivery and decreases the decisional conflict. Since the results about choosing birth after cesarean are inconsistent, further studies are needed.

کلیدواژه‌ها [English]

  • Counseling
  • Decision aid
  • Shared decision making
  • Vaginal birth after cesarean

مراجع

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مجله زنان، مامایی و نازایی ایران
دوره 23، شماره 4
تیر 1399
صفحه 89-97

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