بررسی فراوانی نسبی زایمان بی درد و تعیین علل پذیرش یا عدم پذیرش آن در مادران باردار مراجعه‌کننده به بیمارستان شهید بهشتی اصفهان

نوع مقاله : Original Article(s)

نویسندگان

1 گروه بیهوشی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان اصفهان، ایران

2 مرکز تحقیقات بیهوشی و مراقبت‌های ویژه، دانشگاه علوم پزشکی اصفهان اصفهان، ایران

3 استادیار، گروه زنان و زایمان، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

4 دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

10.48305/jims.v43.i825.0912

چکیده

مقاله پژوهشی




مقدمه: زایمان بدون درد، همواره به علت تفاوت در فرهنگ‌ها، مذهب و اعتقادات در شهرهای مختلف، با پذیرش یا عدم پذیرش توسط زن باردار یا خانواده وی روبرو می‌شود. مطالعه‌ی حاضر با هدف تعیین علل پذیرش یا عدم پذیرش آن در مادران باردار مراجعه‌کننده به بیمارستان شهید بهشتی شهر اصفهان در سال 1402 انجام شد.
روش‌ها: مطالعه‌ی حاضر از نوع توصیفی- مقطعی بود که در لیبر بیمارستان شهید بهشتی شهر اصفهان و در سال 1402 انجام شد. جامعه‌ی مورد بررسی شامل مادران بارداری بود که در طی 5 ماه کاندید زایمان طبیعی بودند و 384 نفر به صورت نمونه‌گیری آسان وارد مطالعه شدند. ابزار جمع‌آوری داده‌ها چک‌لیست بود که بصورت مصاحبه از زنان مورد پرسش قرار گرفت و در سطح معنی‌داری کمتر از 0/05 مورد تحلیل قرار گرفت.
یافته‌ها: از مهم‌ترین علل عدم تمایل به زایمان بی‌درد، ترس از عوارض (13/6 درصد)، توانایی تحمل درد (13/1 درصد) و عدم رضایت از تجربه‌ی قبلی خود / دیگران (4/9 درصد) بوده است. همچنین بر اساس نتایج بدست آمده تنها بین سن مادر (کمتر از 35 سال) در زمان زایمان با تمایل به زایمان بی‌درد ارتباط معنی‌دار مشاهده شد (0/05 > 0/010 = P).
نتیجه‌گیری: با توجه به آنکه حدود نیمی از مادران باردار اصلاً تمایلی به انجام زایمان بی‌درد نداشتند، بنابراین بایستی اقدامات و راهکارهای لازم را درخصوص ارائه‌ی آگاهی از این نوع زایمان، انجام داد.

تازه های تحقیق

عاطفه قصوری:  Google Scholar 

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Assessing Relative Abundance Acceptance of Pregnant Women About Painless Delivery and the Reasons of Reject or Acceptance in Patients Referred to Shahid Beheshti Hospital in Isfahan

نویسندگان [English]

  • Atefeh Ghosouri 1
  • Alireza Hoghooghi 1
  • Behzad Nazemroaya 2
  • Safoura Rouholamin 3
  • Narjes Raufimanesh 4
  • Mehrdad Noroozi 1
1 Department of Anesthesiology and Critical Care, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Anesthesiology and Clinical Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
3 Assistant Professor, Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
4 Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: Painless delivery is always met with acceptance or non-acceptance by the pregnant woman or her family due to differences in cultures, religions and beliefs across different cities. The present study was conducted to determine the reasons for its acceptance or non-acceptance in pregnant mothers referring to Shahid Beheshti Hospital in Isfahan in 2023-2024.
Methods: The present study was a descriptive cross-sectional study that was conducted in the labor ward of Shahid Beheshti Hospital in Isfahan in 2023-2024. The study population included pregnant mothers who were candidates for vaginal delivery within 5 months, and 384 participants were included in the study through convenience sampling. Data were collected using a checklist administered via interview and analyzed with a significance level of P < 0.05.
Findings: One of the most important reasons for refusing painless delivery was the fear of complications (13.6%), the ability to tolerate pain (13.1%), and dissatisfaction with personal or others’ previous experiences (4.9%). Also, based on the results obtained, a significant relationship was observed only between the maternal age (under 35 years) at the time of delivery and the desire for a painless delivery (P = 0.010 < 0.05).
Conclusion: Considering that about half of the pregnant women were not willing to have a painless delivery at all, it is necessary to take appropriate measures and strategies to increase awareness about this delivery method.

کلیدواژه‌ها [English]

  • Labor pain
  • Cesarean section
  • Pregnancy
  • Pregnant women
  • Attitude

مراجع

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مجله دانشکده پزشکی اصفهان
دوره 43، شماره 825
هفته 1، مهر
مهر و آبان 1404
صفحه 912-919

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سابقه مقاله

  • تاریخ دریافت: 10 خرداد 1403
  • تاریخ پذیرش: 20 مرداد 1404

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