Avtor/Urednik		Glodež, Sonja
Naslov		Vloga medicinske sestre pri preventivi uhajanja urina v nosečnosti in po porodu
Prevedeni naslov		The role of the medical nurse in preventing urine leakage during and after pregnancy
Tip		članek
Vir		In: Takač I, editor. 80 let hospitalne ginekologije in porodništva v Mariboru: mednarodni znanstveni simpozij, Univerzitetni klinični center Maribor, Maribor, 17. 10. 2008. Maribor: Univerzitetni klinični center,
Leto izdaje		2008
Obseg		str. 719-26
Jezik		slo
Abstrakt		Pregnancy is a period of great physical stress for the woman. During pregnancy the uterus becomes enlarged and much heavier, increasing the pressure on the pelvic floor. Also, the hormonal changes that occur in pregnancy cause laxity of pelvic floor muscles. Between pregnancy and delivery, the muscles of the pelvic floor are stretched considerably. This may result in at least minimal damage and consequently in involuntary discharge of urine after delivery. Although the condition improves a few months after delivery, the muscle tone is no longer as it used to be. This could lead to bigger problems of urine leakage during the next pregnancy and after delivery. More than 50 years ago, the distinguished gynecologist Arnold Howard Kegel discovered that by regular everyday exercises of strong, long and short contractions a woman can recondition the weakened muscles of her pelvic floor. Medical nurses play a major role in teaching and motivating pregnant women to do Kegel exercises regularly. For that purpose we carried out a survey of patients who came for after-delivery medical checkups. We were interested in learning whether the women had received satisfactory prophylactic advice and information for the prevention of urine leakage, whether they had done the Kegel exercises and if despite that they still had urine leakage problems.
Izvleček		Nosečnost je obdobje, v katerem je ženska telesno močno obremenjena. V nosečnosti se maternica poveča in postane težja. Poveča se tudi pritisk na medenično dno. Prav tako v nosečnosti nastopijo hormonske spremembe, ki povzročijo ohlapnost mišic medeničnega dna. Med nosečnostjo in samim porodom pride do močnega raztezanja mišic medeničnega dna, in to lahko privede do vsaj minimalnih okvar in posledično do uhajanja urina po porodu. Čeprav se stanje nekaj mesecev po porodu izboljša, mišice niso več takšne kot so bile, kar lahko privede do vedno večjih problemov uhajanja urina v naslednji nosečnosti in po porodu. Ginekolog Arnold Howard Kegel je že pred več kot 50 leti ugotovil, da je mogoče mišice medeničnega dna v nekaj tednih ali mesecih okrepiti z vsakodnevno vadbo močnih in dolgih ter kratkih stiskov. Medicinske sestre imamo bistveno vlogo pri učenju in motivaciji nosečnic, da redno izvajajo vaje p Keglu. V ta namen je bila med pacientkami, ki so prihajale na poporodni pregled, izvedena anketa. Zanimalo nas je, ali so pacientke dobile dovolj ustreznih nasvetov in informacij za preprečevanje uhajanja urina, ali so izvajale vaje po Keglu in ali imajo težave z uhajanjem urina.
Deskriptorji		PREGNANCY PELVIC FLOOR MUSCLES NURSING CARE URINARY INCONTINENCE EXERCISE THERAPY