THE STUDY OF SOME INTERVENTIONS DURING LABOR IN PREGNANT WOMEN WHO DELIVERED IN SOME WEST AZERBAYJAN HOSPITALS

Rabiepour, A and Mesgarzadeh, M (2015) THE STUDY OF SOME INTERVENTIONS DURING LABOR IN PREGNANT WOMEN WHO DELIVERED IN SOME WEST AZERBAYJAN HOSPITALS. The Journal of Urmia Nursing and Midwifery Faculty, 1 (1). pp. 90-99.

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Abstract

In the past two decades, medicine has brought healthy and safe midwifery for high risk fetus and mothers, but the question is whether it is necessary to have routine intervention in low-risk pregnancies. This is a retrospective cross-sectional study. The study population included all birth records in the medical records department of Motahari and Imam Reza hospitals in Urmia, and Imam Khomeini hospital in Piranshahr in the first quarter of 1390. Materials & Methods: A checklist was prepared by the researcher to collect the data that included information about maternal age, reproductive characteristics such as pregnancy and childbirth, motherhood, gestational age at delivery, birth weight, and some interventions in natural processes such as doing cesarean section, episiotomy and perineal lacerations caused during delivery, sondag, opening the way for giving intravenous fluids, stimulating or induction of labor, electronic fetal heart rate monitoring in labor. A total of 3303 records were reviewed, and the data were extracted by checklist. The data were analyzed by SPSS statistical software by using of descriptive statistical tests. Results: The results showed that a total of 1895 out of 3303 (57/4%) cases delivered vaginally, and the others 1408 (42/6%) were done cesarean delivery. Frequency of induction and stimulation through vaginal labor was 15/4%, while among women who had delivered vaginally only 31/5% of them was intact perineum after childbirth. Conclusion: Statistics in the context show that interventions during labor is much higher than World Health Organization standards. It seems that unnecessary use of medical technology in low-risk pregnancies increases the risk of unnecessary interventions during childbirth including caesarean section

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