Author/Editor     Čelhar, Jana
Title     Vloga in pogled babic na porod v epiduralni analgeziji
Type     članek
Source     In: Cesar-Komar M, Pirc J, Kožar E, editors. Akutna bolečina. Zbornik predavanj 11. seminar o bolečini z mednarodno udeležbo; 2007 jun 1-2; Maribor. Maribor: SZZB - Slovensko združenje za zdravljenje bolečine,
Publication year     2007
Volume     str. 120-3
Language     slo
Abstract     The care required by a woman who had an epidural analgesia is radically different from the care needed by a woman who had a normal labour. The woman who had a successful epidural analgesia will have greatly reduced or even absent pain. However, her mobility will be reduced or absent, her perception of contractions will be greatly reduced or even absent and thus also the ability to know when to push. She is likely to be unable to empty her bladder. She is vulnerable to hypotension and thus requires close monitoring of her blood pressure and pulse as well as close monitoring of the fetal heart rate. Women with epidural analgesia may need relatively little help and support in relieving the pain, but much more careful monitoring and the knowledge of the epidural labour specifics.
Summary     Zdravstvena nega porodnice z epiduralno analgezijo se bistveno razlikuje od zdravstvene nege pri običajnem porodu. Porodnica z epiduralno analgezijo ima drugačne potrebe zaradi vpliva le-te na potek poroda in njeno počutje. Porodne bolečine skoraj ne občuti, je pa slabše gibljiva, običajno ne more spontano urinirati, slabše zaznava popadke in zato težje iztisne plod. Ves čas poroda je potrebno spremljati porodničin krvni tlak in pulz ter plodove srčne utripe, zaradi nevarnosti padca krvnega tlaka. Porodnica z epiduralno analgezijo ne potrebuje toliko pomoči babice pri premagovanju porodne bolečine, pač pa skrbno vodenje in poznavanje posebnosti poteka takšnega poroda.