Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
748 12 |
Ultima descărcare din IBN: 2023-11-12 16:15 |
Căutarea după subiecte similare conform CZU |
618.414.4 (3) |
Științe medicale. Medicină (11143) |
SM ISO690:2012 ILIADI-TULBURE, Corina, JUBÎRCA, Svetlana, COŞPORMAC, Viorica, MURŞIEV, Cristina, BATÎR, Ana. Controlul durerii în travaliu. In: Buletin de Perinatologie, 2018, nr. 3(79), pp. 86-90. ISSN 1810-5289. |
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Buletin de Perinatologie | ||||||
Numărul 3(79) / 2018 / ISSN 1810-5289 | ||||||
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CZU: 618.414.4 | ||||||
Pag. 86-90 | ||||||
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Rezumat | ||||||
Birth giving is a physiological process, probably being the most painful experience a woman has to pass through. The woman’s ability to face the labour pain depends on factors as: the parity, the previous birth experience, the onset of the labor, the associated maternal and fetal diseases, the emotional support and psycho-social aspects, the level of antenatal birth readiness and education. During birth, the pain has a diffuse localization, having a somatic origin during the first period and a well localized, visceral origin during the expulsion. The main factors that have influence upon the distribution and perception of the pain in labor are: the dilatation of the cervix, uterine contractions, the distension of the birth canal, the perineum and the inferior uterine segment etc. Pain during labor can be attenuated by nonpharmacological remedies, epidural or general analgesia. Epidural analgesia represents the golden standard of pain control in labor. The advantages of the epidural analgesia are the high effectiveness and the easiness of administration, the fact of keeping the patient in a clear conscience and implied in the process, diminishing the sensation of pain and no effect upon the contractions and the mother’s and the baby’s state. The literature suggest that a woman’s demand for analgesia is a sufficient indication for applying it in labor. Despite that, in each case the decision should be taken individually. A systematic review showed that epidural analgesia is associated with an increased length of the second stage of labor, an increased oxytocin usage and instrumentally assisted births, without influencing the rate of cesarean sections. Most of the patients (82%) understand that birth giving is a painful process and desire to diminish the ache, requesting and applying different methods for pain killing. When evaluating the analgesia in labor, factors like the woman’s content should be taken into consideration together with the level of obtained pain release. |
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Cuvinte-cheie pain in labour, epidural analgesia in labour, general analgesia in labour. |
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