Title Zdravstvena skrb visokorizične trudnoće Title (english) High-risk pregnancy health care Author Jelena Zorić Mentor Ivana Živoder (mentor)Committee member Aleksandra Špoljarić (predsjednik povjerenstva)Committee member Ivana Živoder (član povjerenstva)Committee member Melita Sajko (član povjerenstva)Granter University North Defense date and country 2017-03-22, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Trudnoća ili graviditet je fiziološko stanje u reproduktivnom razdoblju žene i kao ishod se očekuje rađanje živog i zdravog djeteta. Premda je trudnoća fiziološko stanje uvijek postoji mogućnost komplikacija i zbog toga je potrebno redovito nadzirati tijek svake trudnoće. Antenatalna skrb ima za cilj provođenje zaštite trudnice i ploda od začeća do rođenja djeteta. Pri tome se koriste različiti postupci, među njima i redoviti pregledi trudnice čime se ostvaruje stalno praćenje razvoja trudnoće.
... More Pregledi trebaju biti redoviti i do 32.og tjedna trudnoće ih je nužno obavljati jedanput mjesečno, od 32.og do 36.og tjedna trudnoće dva puta mjesečno, a od 36.og tjedna trudnoće do poroda jedanput tjedno ili češće, ukoliko je potrebno. Na trudnoću i njen tijek utječu promjenjivi i nepromjenjivi faktori. U promjenjive svrstavamo stres, fizičku aktivnost i prehranu, a u nepromjenjive neke kronične bolesti majke kao što su bolesti štitnjače, hipo ili hipertireoza, hipertenzija, dijabetes mellitus i druge. Ujedno postoji i mogućnost pojave bolesti koje su izričito vezane za trudnoću i nestaju nakon porođaja. Neke od njih su gestacijski dijabetes mellitus, kronična hipertenzija, preeklampsija i eklampsija, preeklampsija superponirana na kroničnu hipertenziju, gestacijska hipertenzija, kolestaza, trombofilija i druge. U visokorizičnoj trudnoći majka, fetus ili novorođenče su u povećanoj opasnosti od pobolijevanja i smrti prije, za vrijeme ili nakon poroda. Istraživački dio rada je proveden u suradnji s Općom bolnicom Pula, Službom za ginekologiju i porodništvo i odjelom Rađaone uz čiju pomoć su prikupljeni podatci o ukupnom broju poroda u 2015. godini, broju visokorizičnih trudnoća u tom razdoblju te podjela prema klasifikaciji visokorizičnih trudnoća, paritetu pacijentica i načinu završetka trudnoća. Od ukupno 1281 trudnoće zabilježeno je 234 trudnoće koje su visokorizične, a najčešće se pojavljuje gestacijski dijabetes mellitus kao komplikacija u 98 trudnoća. Less Abstract (english) Pregnancy or gravidy is a physiological condition in the reproductive period of women. Birth of a live and healthy newborn is considered as a logical, normal outcome. Although pregnancy is considered as a physiological condition, there's a chance for eventual complications. In order to avoid and prevent any complications, it is necessary to regularly monitor the course of each pregnancy. The purpose of antenatal care is to protect the mother and the baby throughout the entire pregnancy, from
... More conception till birth. Antenatal care is performed by using several procedures among which regular medical controls enable continuos tracking of pregnancy development. Controls should be regular considering monthly checks till the 32nd week of pregnancy. From 32nd till 36th week, controls should be performed twice a month and after the 36th week, once a week or even more often if necessary. Pregnancy and its progress is influenced by variable and constant factors. Under variable factors we list stress, physical activity and diet. Constant factors purport cronic diseases of the mother such as thyroid disease, hyperthyroidism, or hypo, hypertension, diabetes mellitus and others.
Except for these factors and diseases, there´s a possibility of developing diseases or diagnoses that are exclusively related to pregnancy and disappear after childbirth. Some of them are gestational diabetes mellitus, chronic hypertension, pre-eclampsia and eclampsia, preeclampsia superimposed on chronic hypertension, gestational hypertension, cholestasis, thrombophilia and other. High-risk pregnancies are considered as pregnancies with a high risk of morbidity and death before, during and after the birth for the mother, fetus or a newborne.
The research part of the paper was done in cooperation with The General Hospital of Pula, Department of Obstetrics and Gynecology and The Delivery room. The collected data refers to the total number of births in 2015, the number of high-risk pregnancies in the given period and the division according to the classification of high-risk pregnancies, parity patient and the method of completion of pregnancy. From a total of 1281 pregnancies, there was 234 high risk pregnancies. Among the high risk pregnancies, gestational diabetes mellitus is the most often one. Less Keywords
trudnoća
visokorizična trudnoća
višeplodna trudnoća
hipertenzija u trudnoći
dijabetes
Keywords (english)
pregnancy
high-risk pregnancy
multiple pregnancy
pregnancy induced hypertension
diabetes
Language croatian URN:NBN urn:nbn:hr:122:369481 Study programme Title: Nursing Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2017-04-27 11:08:47
