روش های ارزیابی پیشرفت زایمان: یک مطالعه مروری

نوع مقاله : مروری

نویسندگان

1 دانشجوی دکتری بهداشت باروی، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 استادیار گروه مامایی، مرکز تحقیقات مراقبت‌های پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

3 دانشیار گروه زنان و مامایی، مرکز تحقیقات سلامت زنان، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: ارزیابی پیشرفت زایمان، یکی از مراقبت‌های اولیه و کلیدی حین زایمان است. روشی که برای ارزیابی پیشرفت زایمان مورد استفاده قرار می‌گیرد، باید دارای کمترین آسیب وارده به مادر و جنین باشد. مطالعه مروری حاضر با هدف بررسی روش‌های ارزیابی پیشرفت زایمان انجام شد.
روش‌کار: در این مطالعه مروری، مقالات فارسی و انگلیسی نمایه شده در پایگاه‌های اطلاعاتی معتبر شامل: SID، Iranmedx، Irandoc، PubMed، Magiran و Google scholar با استفاده از کلید واژه‌های فارسی: پیشرفت زایمان، اتساع دهانه رحم، معاینه مهبلی، خط بنفش و کلید واژه‌های انگلیسی progress of labour، purple line، Cervical Dilatation و vaginal examinations در طی سال‌های 97-1378 مورد بررسی قرار گرفتند و مقالات دارای معیار ورود، وارد مطالعه شده و مورد آنالیز کیفی قرار گرفتند.
یافته‌ها: در مطالعه حاضر، 43 مقاله استخراج شده از 385 مطالعه در ارتباط با روش‌های ارزیابی پیشرفت زایمان مورد بررسی قرار گرفت. نتایج حاصل از مطالعات انجام شده در ارتباط با روش‌های ارزیابی پیشرفت زایمان در سه دسته کلی: تعیین اتساع دهانه رحم به‌وسیله معاینه مهبلی، روش‌های متشکل از چند شاخص شامل تغییرات فیزیولوژیکی و رفتاری مادر، و تغییر رنگ پوست ناحیه بین باسن‌ها (خط بنفش) تقسیم شده بود.
نتیجه‌گیری: معاینه مهبلی، تنها روش برای ارزیابی پیشرفت زایمان نیست. عاملین زایمان می‌توانند از مجموعه‌ای از علائم و نشانه‌ها شامل مشاهده خط بنفش و اندازه‌گیری آن، بررسی تغییرات تعداد تنفس، رفتارها، صداها، حرکات و وضعیت مادر در حین انقباضات به‌منظور کاهش تعداد معاینات مهبلی و در نتیجه بهبود وضعیت سلامت مادر و جنین در بالین بهره‌مند شوند.

کلیدواژه‌ها

عنوان مقاله [English]

Methods of Assessing the Labor Progress: A Review Study

نویسندگان [English]

  • Morvarid Irani 1
  • Masoumeh Kordi 2
  • Marzieh Lotfalizadeh 3
1 PhD student in Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Assistant Professor, Department of Midwifery, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Associate professor, Department of Obstetrics and Gynecology, Women's Health Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Assessing the labor progress is one of the primary and important cares during childbirth. The methods used to evaluate the progress of labor should have the least damage to the mother and the fetus. This review study was performed with aim to assess the methods of labor progress.
Methods: In this review study, the Persian and English articles which were published during 1997 to 2018 and were indexed in databases of PubMed, Magiran, Google Scholar, Iranmedex, Irandoc and SID with keywords of progress of labour, vaginal examinations, cervical dilatation, and purple line were searched. The articles which had inclusion criteria entered to the study and were qualitatively analyzed. 
Results: A total of 43 studies which were extracted from 385 articles related to the assessing the progresses of labor were studied. The results of articles performed in this field were divided in three general categories including: determination of cervical dilation by vaginal examination, methods which consisted of several indicators such as maternal behavioral and physiologic changes, and discoloration of the skin between the buttocks (purple line).
Conclusion: Vaginal examination is not the only method to evaluate the progress of labor and midwifes can use a set of signs and symptoms including observation of the purple line and measuring it, assessing the changes in the number of respiration, behaviors, voices, movements and positions of the mother during labor in order to reduce the number of vaginal examinations and therefore improve the mother and fetus healthy in clinical practice.

کلیدواژه‌ها [English]

  • Behavioral changes
  • Cervical Dilatation
  • Progress of labor
  • Purple line
  • Vaginal examinations

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مجله زنان، مامایی و نازایی ایران
دوره 21، شماره 11
بهمن 1397
صفحه 80-90

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