Objective: The aim of this study was to identify the anxiety pregnant women feel about childbirth and the postpartum period and to determine the affecting factors. Methods: A descriptive design was used in the study, which was conducted with pregnant women at two obstetric polyclinics of a university hospital in Turkey from January 2014 to July 2014. The population consisted of 143 pregnant women. The data were collected using an individual identification form and the Fear Childbirth and Postpartum Anxiety Scale. The percentage, Kruskall Wallis, Mann-Whitney U and Independent Sample t tests were used to evaluate the differences between the variables. Results: The results of the study reveal that pregnant women are quite fearful of childbirth and the postpartum period. Conclusions: It is necessary to decrease fear of childbirth, because of its negative effects. KEYWORDSPregnancy; labor; postpartum period; nursing care (Source: DeCS, BIREME). El miedo del parto y puerperio en mujeres embarazadas y los factores que lo afectan RESUMEN Objetivo: el objetivo de este estudio fue determinar la ansiedad de las mujeres embarazadas en relación con el parto y el puerperio y determinar los factores que las afectan. Métodos: se utilizó un diseño descriptivo y el estudio se llevó a cabo con un grupo de mujeres embarazadas en dos policlínicas obstétricas de un hospital universitario en Turquía desde enero de 2014 hasta julio de 2014. La población estuvo constituida por 143 mujeres embarazadas. Los datos fueron recolectados a través de un formulario de identificación individual y la Escala de Miedo al Parto y el Puerperio. Las pruebas de porcentaje, Kruskall Wallis, U de Mann-Whitney y la prueba t para muestras independientes se utilizaron para evaluar las diferencias entre las variables. Resultados: los resultados del estudio revelaron que las mujeres embarazadas tienen un alto nivel de miedo con respecto al parto y el puerperio. Conclusiones: es necesario disminuir ese miedo debido a sus efectos negativos. PALABRAS CLAVEEmbarazo; parto; puerperio; cuidados de enfermería (Fuente: DeCS, BIREME). PALAVRAS-CHAVEGestação; parto; puerpério; cuidados de enfermagem (Fonte: DeCS, BIREME).
ÖzetAmaç:Bu çalişma, adölesan doğumlarin anne ve yenidoğana yönelik sonuçlarini incelemek amaciyla yürütülmüştür. Gereç veYöntem: Tanimlayici tipte yapilan çalişmada, Türkiye'nin batisinda bir üniversite hastanesinde 01.01.2012-31.12.2014 tarihleri arasinda doğum yapmiş olan 19 yaş ve alti 282 adölesanin dosyalari retrospektif olarak incelenmiştir. Veriler, araştirmacilar tarafindan oluşturulan, 38 sorudan oluşan anket formu ile toplanmiştir. Verilerin değerlendirilmesinde sayi, yüzde, ortalama, standart sapma kullanilmiştir. Bulgular: Çalişmada adölesan gebelik orani %6.08, katilimcilarin yaş ortalamasi 18.29±0.99 olup %93.3'ü 17-19, %6.7'si 14-16 yaş grubundadir. Adölesan gebelerin %78'i daha önce hiç gebelik geçirmemiştir. Annelerin %39.4'ünün doğumu sezaryen ile gerçekleşmiş, %10.6'sinin preterm eylem öyküsü mevcuttur. Ortalama doğum haftasi 38.58±2.50'dir ve yenidoğanlarin doğum ağirliği ortalamasi 3.140±604.36 gram, %9.2'sinin doğum kilosu 2.500 gramdan azdir. Kadinlarin %44'ünün hemoglobin değeri 11 gr/dl'nin altinda ve hemoglobin değeri ortalamasi 10.10±1.48'dir. En sik sezaryen endikasyonlari, ilerlemeyen eylem (%18.9) ve fetal distres (%18) olarak saptanirken, adölesan gebelerin %18.8'inde obstetrik komplikasyon belirlenmiştir. Sonuç:Adölesan gebelikler anne ve çocuk sağliği üzerine olumsuz etkilerinden dolayi sağlikli toplumlarin oluşmasinda önemli bir sorundur. Bu nedenle adölesan gebeliklerin önlenmesinde adölesanlara, ailelerine, adölesan gruplara hizmet veren kurum ve kuruluşlara ve tüm topluma bilgilendirme eğitimleri yapilmalidir. Pam Tıp Derg 2017;(2):166-170Anahtar sözcükler:Adölesan, gebelik, anne, yenidoğan. Abstract Purpose:This study was conducted to analyze adolescent deliveries results on mother and newborn. Materials and methods: In this descriptive study, a retrospective analyzes was conducted in an university hospital in the western part of the Turkey. 282 files of adolescent (younger than 19) deliveries which were in between 01.01.2012-31.12.2014 analyzed retrospectively. Data were collected by the survey sheet of 38 questionnaires that was generated by the researchers. Average mean, percentage and standard deviation was used in the analyzes of data Results:The adolescent pregnancy ratio was 6.08% in the study and average of their age was 18.29±0.99. 93.3% of them were between 17-19 and 6.7% of them were between 14-16. 78% of adolescent pregnant had not had a pregnancy before. 39.4% of them had a caeserean section and 10.6% of them had a preterm labor history. The average of the pregnancy week was 38.58±2.50, average weight of the newborn was 3.140±604.36 gr and 9.2% of them were less than 2.500 gr. Women's hemoglobin value average was 10.10±1.48 and 44% of them was less then 11 gr/dl. The most common ceaserean section indications were abnormal labor progress (18.9%) and fetal distres (18%). Obstetric complication determined in 18.8% of the adolescent pregnants. Conclusion: Because of its negative effects on the health of mother and child, adolescent pregnancy is an important problem...
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