Abstract | Carski rez je operativni zahvat kojim se porađa dijete kroz rez
trbušne stjenke i maternice. Kao i kod svih ostalih porođajnih operacija, a to
je posebno važno naglasiti kod carskog reza, trebaju postojati razlozi
(indikacije) za njegovo izvođenje, jer sam zahvat kao i razdoblje nakon
zahvata nosi veće rizike nego normalni, prirodni, vaginalni porod kod zdrave
trudnice i zdravog djeteta.
Promatrajući povijesno uočavaju se tri temeljna vremenska razdoblja pojave
carskog reza. U prvom razdoblju zahvati su primjenjivani kod umirućih ili
mrtvih trudnica s ciljem porađanja žive novorođenčadi. U drugom razdoblju
carskog reza po prvi put se operacije izvode na živoj trudnici, dok u trećem
razdoblju carski rez počinje usavršavanjem i uvođenjem novih kirurških
tehnika. [1]
Danas se mnoge žene odlučuju na carski rez, iako ponekad ne postoje
indikacije, jer smatraju da je takva operacija manje bolna od vaginalnog
poroda i „lakša” za podnijeti. No, carski rez je ozbiljna operacija koja nosi
svoje rizike (čak je 10 puta veća mogućnost smrti rodilje tijekom carskog
reza, nego kod poroda vaginalnim putem). [1]
U radu će biti opisane indikacije za operativno dovršenje poroda koje mogu
biti apsolutne i relativne. U apsolutne indikacije spadaju uska zdjelica IV.
stupnja, tumori maternice ili tumori u porođajnom kanalu koji ometaju
prolazak djeteta, dok u relativne indikacije spada sužena zdjelica 3.stupnja,
placenta previja, abrupcija posteljice, eklampsija, nepravilan položaj i držanje
djeteta, distocija, prethodni carski rez, teške bolesti majke, primarni elektivni
carski rez te postmortalni carski rez.
Medicinska sestra ima važnu ulogu u pripremi trudnice za carski te u skrbi
za rodilju nakon samog zahvata. Najvažnija uloga je prepoznati i spriječiti
nastanak komplikacija te pružiti pomoć kod oporavka. U radu će biti opisane
intervencije medicinske sestre od samog prepoznavanja stanja koja
zahtijevaju operativno dovršenje, do psihičke i fizičke pripreme pacijentice.
U radu će biti prikazani statistički podaci o operativnom dovršenju poroda u
Općoj bolnici „Josip Benčević'' u Slavonskom Brodu od 2008. i 2013.godine. |
Abstract (english) | Caesarean section is a surgical procedure by which a child is born
through an incision of the abdominal wall and uterus.
As with all other operations birth, and this is particularly important to
emphasize in Cesarean section, there should be reasons (indications) for its
performance as the surgery and the period after the procedure carries more
risks than normal, natural, vaginal birth in a healthy pregnant woman and a
healthy child.
Looking at history, it reveals three basic periods of Caesarean section. In the
first period, Cesarean section was performed on a dying or a dead pregnant
woman with the aim of giving birth to a live newborns.
In the second period of Cesarean section operations were for the first time
performed on a live pregnant woman, while in the third period Cesarean
section was performed by introducing new techniques.
Today, many women choose Cesarean section, although sometimes there
are no indications for it because they believe that such an operation is less
painful than a vaginal delivery. but C-section is maj or surgery that carries its
own risks (it is even a 10 times greater risk for a mother during Caesarean
section, than from a vaginal brth).
The work will describe indications for operative completion of delivery that
may be absolute or relative. Absolute indications include narrow pelvis level
IV, uterine tumors or tumors in the birth canal that interfere with the passage
of the child, while the relative indications include narrowed pelvis of the third
degree, placenta previa, placental abruption, eclampsia, abnormal position
and posture of the child, dystocia, previous cesarean cut, serious illness
mother, primary elective Cesarean section, and post-mortem Caesarean
section.
A nurse plays an important role in the preparation of a pregnant woman for
Caesarean section and in her care after the procedure. The most important
role is to identify and prevent the development of complications and to
provide help with recovery. The work will describe nurses interventions in the
recognition of conditions that require completion of the operation and the
physical and mental preparation of the patient.
Whe paper will present statistics on the operative child delivery in the
General Hospital '' Dr. Josip Benčević'' in Slavonski Brod from 2008. to 2013. |