Dinoproston uygulanan ve uygulanmayan gebelerde doğum algısı ve çıktılarının karşılaştırılması

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Thesis Type: Postgraduate

Institution Of The Thesis: Ataturk University, Sağlık Bilimleri Enstitüsü, Ebelik Anabilim Dalı Başkanlığı, Turkey

Approval Date: 2021

Thesis Language: Turkish

Student: NESLİHAN ATLI

Supervisor: Hava Özkan

Open Archive Collection: AVESIS Open Access Collection

Abstract:

Aim: This study was carried out to compare the perception of birth and outcomes of pregnant women who were both administered and not administered dinoprostone. Materials and Methods: This research was conducted out as a descriptive - comparative study. The universe of the study consisted of pregnant women admitted to the delivery room of the Şanlıurfa Training and Research Hospital between June 2020 and December 2020. The sample group consisted of 160 pregnant women (80 pregnant women who were administered dinoprostane under physician control and 80 pregnant women who were not administered dinoprostane) who were determined by power analysis and met the criteria. The data were collected using the "Personal Information Form", "Visual Comparison Scale (VAS)", "APGAR Score Evaluation Scale" and "Maternal Birth Perception Scale (BPS)". The data were evaluated with percentage distribution, chi-square test, mean and t test. Results: Pregnant women within the scope of the study show homogeneity in terms of introductory and obstetric variables. When the mean mean scores of the pregnant women were compared; It was found that the pain perception levels of the pregnant women who were not administered dinoprostane were higher after uterine contractions and in the active phase compared to the other phases, and the difference between the mean pain scores was statistically significant (p=0.007). In the comparison of delivery times between groups that administered and did not administered dinoprostone, it was determined that the difference between the groups for the total time was statistically significant (p=0.001). It was determined that the difference in APGAR scores at the 1st and 5th minutes in the groups administered and not administered dinoprostone was not statistically significant (p=0.73). In the study, the mean POBS total score was found to be 84.38±11.96 in the group administered dinoprostane and 76.98 ± 14.98 in the group not applied dinoprostane, and a statistically significant difference was found between the groups (p = 0.001). Conclusion: It has been observed that dinoprostane used in the study is effective in labor pain and in the mother's perception of delivery. As a result of the study, it was observed that dinoprostone treatment did not affect the newborn apgar scores. Keywords: Dinoprostane, birth pain, birth perception, birth output, midwife, pregnancy