روش زایمان و پیامدهای مادری در زنان مراجعه‌کننده به بیمارستان‌های شهر سنندج 1392

نوع مقاله: اصیل پژوهشی

نویسندگان

1 استادیار گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی کردستان، سنندج، ایران.

2 دانشیار گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کردستان، سنندج، ایران.

3 استادیار گروه آمار و اپیدمیولوژی، دانشکده پزشکی، دانشگاه علوم پزشکی کردستان، سنندج، ایران.

4 دانشیار گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی کردستان، سنندج، ایران.

چکیده

مقدمه: اگرچه عوارض پس از زایمان طبیعی و سزارین شناخته شده است، اما تصمیم در مورد بهترین نوع زایمان (واژینال در برابر سزارین) هنوز از طرف متخصصین و از نظر تجارب زنان زایمان کرده اختلاف نظر دارد. مطالعه حاضر با هدف بررسی روش زایمان و پیامدهای مادری آن در بیمارستان‌های شهر سنندج انجام شد.
روش کار: این مطالعه مقطعی از اردیبهشت 1391 لغایت اردیبهشت سال 1392 بر روی 5984 نفر از زنان مراجعه‌کننده جهت انجام زایمان به بخش زایمان بیمارستان‌های شهر سنندج انجام شد. ابزار گردآوری داده ها، پرسشنامه محقق ساخته و شامل سه بخش بود: بخش اول شامل مشخصات فردی واحدهای پژوهش، بخش دوم در ارتباط با مشکلات همراه با حاملگی فعلی و بخش سوم شامل روش زایمان و پیامدهای مادری زایمان تا زمان ترخیص (خونریزی، پارگی پرینه، پارگی سرویکس، چسبندگی غیرطبیعی جفت، دریافت آنتی بیوتیک، ترانسفوزیون خون، هیسترکتومی، بستری در ICU و مرگ مادری) بود. تجزیه و تحلیل داده ها با استفاده از نرم افزار آماری SPSS(نسخه 20) و آزمون های کای دو و مدل رگرسیون لجستیگ چندگانه انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته ها: در مجموع در طول مطالعه 5984 زایمان در بیمارستان‌های شهر سنندج انجام شده بود که از این تعداد 3460 زایمان (82/57%) به صورت واژینال و 2524 زایمان (18/42%) به روش سزارین انجام شده بود. بین روش زایمان و پیامدهای زایمان مانند خونریزی شدید، پارگی سرویکس، استفاده از آنتی بیوتیک و بستری شدن در بخش ICU ارتباط آماری معنی‌داری مشاهده شد (001/0=p).
نتیجه‌گیری: در مطالعه حاضر عوارضی مانند خونریزی، پارگی پرینه، پارگی سرویکس، بستری شدن در ICU در زایمان واژینال + اپی‌زیاتومی بیشتر از سزارین بود.

کلیدواژه‌ها


عنوان مقاله [English]

Modes of delivery and maternal outcomes in women referred to Sanandaj Hospitals in 2013

نویسندگان [English]

  • Masoumeh Rezaei 1
  • Farnaz Zand Vakili 1
  • Ronak Shahavi 2
  • Daem Roshani 3
  • Fariba Farhadifar 4
1 Assistant Professor, Department of Obstetrics and Gynecology, School of Medicine, Kordestan University of Medical Sciences, Sanandaj, Iran.
2 Associate Professor, Department of Midwifery, School of Nursing and Midwifery, Kordestan University of Medical Sciences, Sanandaj, Iran
3 Assistant Professor, Department of Statistics and Epidemiology, School of Medicine, Kordestan University of Medical Sciences, Sanandaj, Iran.
4 Associate Professor, Department of Obstetrics and Gynecology, School of Medicine, Kordestan University of Medical Sciences, Sanandaj, Iran.
چکیده [English]

Introduction: Although the complications of vaginal delivery and cesarean section have been known, but decision about best mode of delivery (vaginal delivery versus cesarean section) is still controversial from specialists' point of view and the woman experiencing labor. This study was performed with aim to determine mode of delivery and maternal outcomes in Sanandaj hospitals.
Methods: This cross-sectional study was performed on 5984 women referred to delivery section of Sanandaj hospitals for delivery from April 2012 to April 2013. Data collection instrument was a researcher made questionnaire including three parts: the first part included demographic characteristics of the subjects, the second part about the problems associated with current pregnancy, and third part included mode of delivery and maternal outcomes of delivery until discharge (bleeding, perineal laceration, rupture of cervix, abnormal placental attachment, receiving antibiotics, blood transfusion, hysterectomy, ICU admission and maternal death). Data were analyzed using SPSS software (version 20), and chi-square test and Multiple logistic regression model. PResults: During the study, a total of 5984 deliveries were conducted in Sanandaj hospitals that among them, 3460 (57.82%) were vaginal and 2524 (42.18%) were cesarean section. There was a statistically significant association between mode of delivery and delivery outcomes such as severe hemorrhage, rupture of cervix, use of antibiotics and ICU admission (P=0.001).
Conclusion: In this study, complications such as bleeding, perineal laceration, rupture of the cervix, ICU admission and episiotomy were higher in vaginal delivery than cesarean section.

کلیدواژه‌ها [English]

  • Maternal outcomes
  • Vaginal delivery
  • Cesarean section
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