عوامل موثر بر گرایش به زایمان طبیعی بعد از سزارین و کاندید مناسب آن: یک مطالعه مروری
الموضوعات :
طیبه جهانگیر
1
,
منصوره تجویدی
2
,
ناهید دهقان نیری
3
,
فاطمه محمدی شیر محله
4
1 - دانشجوی دکترای روانشناسی سلامت، گروه روانشناسی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران jahangirtayebeh@gmail.com
2 - (نویسنده مسئول)، گروه پرستاری، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران Tell: ۰۹۱۲۳۶۲۱۹۵۲, mansooreh_tajvidi@yahoo.com
3 - علوم پزشکی تهران
4 - گروه روانشناسی دانشکده روانشناسی دانشگاه آزاد کرج
الکلمات المفتاحية: آزمایش و تلاش برای زایمان بعد از سزارین, زایمان, زایمان طبیعی, زایمان سزارین, زایمان طبیعی بعد از سزارین, ,
ملخص المقالة :
چکیده مقدمه: انتخاب زایمان طبیعی بعد از سزارین در بسیاری از زنان اقدامی منطقی و عاقلانه است و در صورتی که این زنان به درستی انتخاب شوند، خطر موربیدیته‌هایی مانند خونریزی زایمانی، عفونت، آسیب‌های ناشی از جراحی، ترومبوآمبولی، هیسترکتومی و حتی مرگ کاهش می‌یابد. روش پژوهش: این موضوع برای کسانی که تصمیم دارند خانواده‌های بزرگ‌تری داشته باشند و بنابراین در معرض خطر پیامدهای احتمالی ناشی از سزارین‌های تکراری مانند هیسترکتومی، آسیب به مثانه و روده‌ها، ترانسفوزیون خون، عفونت و لانه گزینی غیر طبیعی جفت (پلاسنتا پرویا و پلاسنتا اکرتا) قرار دارند، باید مورد توجه قرار گیرد. همچنین در افرادی که کارآزمایی لیبر در آنها منجر به زایمان واژینال موفقیت آمیز می‌شود، دوره بهبودی سریع تر و میزان هزینه‌های تمام شده زایمان نسبت به افرادی که برای بار دوم سزارین را بر می‌گزینند، کمتر است. یافته‌ها: خطر پارگی رحم که در گذشته مهم‌ترین دلیل سزارین‌های تکراری بود برخلاف تصور عمومی معمولا بسیار ناچیز وکمتر از یک درصد است. امروزه استقبال از زایمان طبیعی بعد از سزارین با توجه به مزایای فراوان زایمان طبیعی و خطرات سزارین انتخابی برای مادر و جنین بیشتر شده است. نتیجه‌گیری: با توجه به مطالب بیان شده می‌توان نتیجه گرفت، زایمان طبیعی بعد از سزارین موجب ارتقای سلامت بعد از تولد فرزند در افراد کاندید مناسب TOLAC گردیده است.
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