MIDWIFERY CARE IN ABORTION
| Autor: | Žilić, Marija |
|---|---|
| Přispěvatelé: | Čerimagić, Damir, Vuletić, Natalija, Eškinja, Eduard |
| Jazyk: | chorvatština |
| Rok vydání: | 2021 |
| Předmět: | |
| Popis: | Kroz povijest se pobačaj činio na svakojake načine koji vrlo često nisu bili pouzdani i sigurni po ženin život. U današnje vrijeme su pobačaji sigurni, te je stopa komplikacije vrlo mala, a smrtnosti nema ako je pobačaj, naravno, učinjen legalno u ovlaštenoj zdravstvenoj ustanovi. Na svjetskoj razini stopa pobačaja čak je triput veća (35/1000) u odnosu na Hrvatsku [4.]. Pobačaj se može učiniti kirurškim putem, dilatacijom cerviksa, kiretažom, te evakuacijom, odnosno aspiracijom marernice. Ili medikamentozno oralnom primjenom mizoprostola i mifepristona po protokolu Svijetske zdravstvene organizacije. Neke od komplikacija abortusa su abdominalna bol, krvarenje, neke od rijeđih su infekcija, laceracije cerviksa, perforacija mternice itd. Kontraindikacije su alergije na prostaglandine, vanmaternična trudnoća, IUD, poneke anomalije i abnormalnosti maternice. Da bi se što više spriječile neželjene komplikacije bitan je individualni, holistički pristup svakoj ženi. Primaljska skrb prilikom abortusa započinje edukacijom, odnosno savjetovanjem i informiranjem o svim dostupnim metodama pobačaja kao i njihovim prednostima i nedostatcima. Naravno, žene treba educirati o kontracepciji kako ne bi došlo do ponovne neželjene trudnoće. Slijedi prikupljanje anamnestičkih podataka i ostala fizička priprema za pobačaj. Nakon abortusa primaljska skrb se bazira na praćenje općeg zdravstvenog stanja žene, te na edukaciju o daljnjoj skrbi i spriječavanju mogućih komplikacija. Također, na ženino psihičko stanje i percepciju boli tijekom i nakon abortusa pozitivno utječe prisustvo pratnje. Pratnja može biti osoba od povjerenja ili zdravstveni djelatnik. Zbog ženinog psihičkog stanja radi pobačaja je vrlo bitno da nije osuđivana u svojoj obitelji i krugu prijatelja, da je odluku donijela sama bez ičijeg utjecaja. Svaka žena će nakon prekida trudnoće osjećati tugu ili olakšanje, što je prirodno. Premda, mali broj žena će imati trajnije psihičke posljedice kao na primjer psihološke poremećaje, poremećaje sna, žaljenje, a u ekstremnijim slučajevima čak psihoza i suicid. Throughout history, abortion has been done in all sorts of ways that very often have not been reliable and safe for a woman’s life. Nowadays, abortions are safe, and the complication rate is very low, and there is no mortality if the abortion is, of course, done legally in an authorized health facility. Globally, the abortion rate is even three times higher (35/1000) compared to Croatia [4.]. Abortion can be done surgically by way of cervical dilatation, curettage, and evacuation or aspiration of the uterus. Or medical abortion by oral application of misoprostol and mifepristone according to the protocol of the World Health Organization. Some of the complications of abortion are abdominal pain, bleeding. Some of the rarer are infections, cervical lacerations, uterine perforation, etc. Contraindications are allergies to prostaglandins, ectopic pregnancy, IUD, some abnormalities and uterine abnormalities. In order to prevent unwanted complications as much as possible, an individual, holistic approach to each woman is essential. Midwifery care during abortion begins with education, ie counseling and informing about all available methods of abortion as well as their advantages and disadvantages. Of course, women should be educated about contraception to avoid re-emerging unwanted pregnancies. This is followed by the collection of anamnestic data and other physical preparation for abortion. After an abortion, midwifery care is based on monitoring the general health of the woman, and on education about further care and prevention of possible complications. Also, a woman's mental state and perception of pain during and after an abortion is positively affected by the presence of an escort. An escort can be a trusted person or a healthcare professional. Due to the woman's mental state due to abortion, it is very important that she is not condemned in her family and circle of friends, that she made the decision alone without anyone's influence. Every woman will feel sadness or relief after abortion, which is natural. Although a small number of women will have more lasting psychological consequences such as psychological disorders, sleep disorders, regret, and in more extreme cases even psychosis and suicide. |
| Databáze: | OpenAIRE |
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