عوامل موثر بر گرایش به زایمان طبیعی بعد از سزارین و کاندید مناسب آن: یک مطالعه مروری
محورهای موضوعی : سلامت زنانطیبه جهانگیر 1 , فاطمه محمدی شیر محله 2
1 - دانشجوی دکترای تخصصی، گروه روانشناسی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران
2 - گروه روانشناسی دانشکده روانشناسی دانشگاه آزاد کرج
کلید واژه: آزمایش و تلاش برای زایمان بعد از سزارین, زایمان, زایمان طبیعی, زایمان سزارین, زایمان طبیعی بعد از سزارین, ,
چکیده مقاله :
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.
Abstract Introduction: Choosing natural childbirth after cesarean section (VBAC) is a logical and wise action for many women, and if these women are chosen correctly, the risk of morbidities such as childbirth bleeding, infection, injuries caused by surgery, thromboembolism, hysterectomy and even death decreases. Research Method: This issue is for those who decide to have larger families and are therefore at risk of possible consequences from repeated cesarean sections such as hysterectomy, damage to the bladder and intestines, blood transfusion, infection and abnormal implantation of the placenta (placenta previa and placenta Akreta) are located, it should be taken into consideration. Also, people who have a successful trial of labor leading to a vaginal delivery (TOLAC) have a faster recovery period and lower costs of delivery than people who choose a second cesarean section. Findings: The risk of uterine rupture, which was the most important reason for repeated cesarean sections in the past, is usually very small and less than 1%, contrary to popular belief. Today, the acceptance of VBAC has increased due to the many benefits of natural childbirth and the risks of elective cesarean for the mother and the fetus. Conclusion: According to the stated content, it can be concluded that natural childbirth after cesarean section has improved the health of the child after birth in suitable candidates for TOLAC.
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