Journal of Nursing Theory and Practice

[Episiotomy practice in Hungary ]

SZÉNÁSI Rita1, LIPIENNÉ KRÉMER Ibolya2,3, MÉSZÁROS Judit4

APRIL 30, 2013

Journal of Nursing Theory and Practice - 2013;26(02)

[Aim of the study: The aim of the research was to assess the ways in which pregnant women prepared for giving birth, and the alternative opportunities for labour and delivery, and to examine the attitudes of professionals and mothers to episiotomy. Sample and method: Participating in the first part of the study, a questionnaire-based survey with 35 questions, were women who underwent spontaneous vaginal labour in hospital after week 36 (643 persons). The data was processed in a descriptive statistical model with percentage distribution indicators. In the second part of the study, 314 spontaneous vaginal births that took place in a Budapest hospital between 1 January and 31 March 2011 were examined on the basis of the birth log, with the focus on episiotomy. Results: The results show that today the proportion of women who give birth with an episiotomy is still very high, and the incidence of intervention and tests in the course of labour is also high. The survey also revealed that episiotomies were carried out in fewer cases where the obstetrician was accompanied by a midwife. Conclusions: In comparison to past years there is a greater focus now on alternative obstetrician training and midwifery methods, and on perineal protection, but the use of these methods in everyday practice is still not sufficiently prevalent. It is essential to bring about a change in the professional attitudes of specialists to natural birth, which could promote a more humane standard of obstetric care.]

AFFILIATIONS

  1. szülésznő
  2. Semmelweis Egyetem Egészségtudományi Kar
  3. Alkalmazott Egészségtudományi Intézet, Ápolástan Tanszék, Szülésznő csoport
  4. Semmelweis Egyetem, Egészségtudományi Kar

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[Purpose of the study: to investigate the correlation between the surgical procedure and the disorders of wound-healing, furthermore to examine the impact of the matter of suture on the incidence of wound healing problems. Methods and material: The survey was carried out at Surgical Clinic of the University of Pécs, among patients between 18 to 85 years who had been undergone an elective abdominal surgery between 2009-2010 (n=105). In the course of the document analysis the authors reviewed socio-demographic data and the preoperative and postoperative parameters. The authors applied descriptive statistics with SPSS 17 moreover two-sample t- test, khi square test and logistic regression (p<0,05). Results: The incidence of wound-healing disturbance is higher in the case of using draine, however it is lower if Triclosan suture is used (p<0,05). Conclusion: A number of Hungarian and international study reports that many factors can be responsible for surgical site infections. The results point out the significance of Evidence Based Nursing wound attendance in the context of team work. ]

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