Opinions and Practices of Midwives about Amniotomy: A Qualitative Study

Pirozhan Ekin; Zekiye Karaçam

Makale detayları

Opinions and Practices of Midwives about Amniotomy: A Qualitative Study

Yazarlar:

Pirozhan Ekin | Zekiye Karaçam

Yayıncı:

Karyay Karadeniz Yayımcılık

Ana Başlıklar:

Klinik Ebelik

Dergi:

Black Sea Journal of Health Science Vol.7 Issue 4, pp.140-148

Belge Tipi:

Makale

Yayın Tarihi:

7/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001322830

pISSN:

2619-9041

Anahtar kelimeler:

Özet:

 The aim of this study was to examine the opinions and practices of midwives working in the delivery room and having experience in childbirth about amniotomy. This research was conducted between December 2020 and June 2021 in the maternity clinic of a city hospital affiliated to Istanbul Provincial Health Directorate. Eleven midwives were included in the study and the data were obtained using introductory information and semi-structured interview forms and semi-structured interview technique. The data were analysed using content analysis method. As a result of the content analysis of the data obtained from the interviews conducted to determine the opinions and practices of the midwives participating in the study, they were grouped under six themes and 16 sub-themes. These themes are what are the opinions of midwives about amniotomy, the reasons for midwives to perform amniotomy, what are the situations that midwives pay attention to when performing amniotomy, the situations that are paid attention after amniotomy, the consent and legal process related to the amniotomy application of midwives, and what are the midwives use of current information about amniotomy. As a result of this study, it was concluded that some midwives who participated in the research thought that amniotomy should be applied because it shortens the birth and is beneficial for mother-baby health, while some midwives thought that amniotomy should not be applied because it disrupts the natural process of birth. In addition, it was determined that the midwives performed amniotomy at the appropriate time by evaluating the examination findings according to the Bishop score, obtained verbal consent, performed it according to the information in the literature, and did not experience a legal process related to amniotomy. It was determined that most of the midwives participating in the study did not follow the current information about amniotomy application. Midwives can contribute to intervention-free labour management by avoiding amniotomy in intrapartum care.

 The aim of this study was to examine the opinions and practices of midwives working in the delivery room and having experience in childbirth about amniotomy. This research was conducted between December 2020 and June 2021 in the maternity clinic of a city hospital affiliated to Istanbul Provincial Health Directorate. Eleven midwives were included in the study and the data were obtained using introductory information and semi-structured interview forms and semi-structured interview technique. The data were analysed using content analysis method. As a result of the content analysis of the data obtained from the interviews conducted to determine the opinions and practices of the midwives participating in the study, they were grouped under six themes and 16 sub-themes. These themes are what are the opinions of midwives about amniotomy, the reasons for midwives to perform amniotomy, what are the situations that midwives pay attention to when performing amniotomy, the situations that are paid attention after amniotomy, the consent and legal process related to the amniotomy application of midwives, and what are the midwives use of current information about amniotomy. As a result of this study, it was concluded that some midwives who participated in the research thought that amniotomy should be applied because it shortens the birth and is beneficial for mother-baby health, while some midwives thought that amniotomy should not be applied because it disrupts the natural process of birth. In addition, it was determined that the midwives performed amniotomy at the appropriate time by evaluating the examination findings according to the Bishop score, obtained verbal consent, performed it according to the information in the literature, and did not experience a legal process related to amniotomy. It was determined that most of the midwives participating in the study did not follow the current information about amniotomy application. Midwives can contribute to intervention-free labour management by avoiding amniotomy in intrapartum care.

 The aim of this study was to examine the opinions and practices of midwives working in the delivery room and having experience in childbirth about amniotomy. This research was conducted between December 2020 and June 2021 in the maternity clinic of a city hospital affiliated to Istanbul Provincial Health Directorate. Eleven midwives were included in the study and the data were obtained using introductory information and semi-structured interview forms and semi-structured interview technique. The data were analysed using content analysis method. As a result of the content analysis of the data obtained from the interviews conducted to determine the opinions and practices of the midwives participating in the study, they were grouped under six themes and 16 sub-themes. These themes are what are the opinions of midwives about amniotomy, the reasons for midwives to perform amniotomy, what are the situations that midwives pay attention to when performing amniotomy, the situations that are paid attention after amniotomy, the consent and legal process related to the amniotomy application of midwives, and what are the midwives use of current information about amniotomy. As a result of this study, it was concluded that some midwives who participated in the research thought that amniotomy should be applied because it shortens the birth and is beneficial for mother-baby health, while some midwives thought that amniotomy should not be applied because it disrupts the natural process of birth. In addition, it was determined that the midwives performed amniotomy at the appropriate time by evaluating the examination findings according to the Bishop score, obtained verbal consent, performed it according to the information in the literature, and did not experience a legal process related to amniotomy. It was determined that most of the midwives participating in the study did not follow the current information about amniotomy application. Midwives can contribute to intervention-free labour management by avoiding amniotomy in intrapartum care.

 Bu araştırmanın amacı doğumhanede çalışan ve doğum deneyimi olan ebelerin amniyotomi ile ilgili görüş ve uygulamalarını incelemektir. Bu araştırma, Aralık 2020 ve Haziran 2021 tarihleri arasında İstanbul İl Sağlık Müdürlüğüne bağlı bir şehir hastanesinin doğum kliniğinde yapılmıştır. Çalışmaya 11 ebe dâhil edilmiş ve veriler, tanıtıcı bilgi ve yarı yapılandırılmış görüşme formları ile yarı yapılandırılmış görüşme tekniği kullanılarak elde edilmiştir. Veriler, içerik analizi yöntemi kullanılarak analiz edilmiştir. Araştırmaya katılan ebelerin, amniyotomi ile ilgili görüş ve uygulamalarını belirlemek amacıyla yapılan görüşmelerden elde edilen verilerin içerik analizi sonucunda altı tema ve 16 alt tema altında toplanmıştır. Bu temalar ebelerin amniyotomi ile ilgili görüşleri nelerdir, ebelerin amniyotomi uygulama nedenleri, ebelerin amniyotomi uygularken dikkat ettiği durumlar neler, amniyotomi sonrasında dikkat edilen durumlar, ebelerin amniyotomi uygulaması ile ilgili onam ve yasal süreç ve ebelerin amniyotomi ile ilgili güncel bilgileri kullanma durumunun neler olduğu tespit edilmiştir. Bu araştırmanın sonucunda, araştırmaya katılan bazı ebelerin amniyotominin doğumu kısalttığı ve anne-bebek sağlığına faydalı olduğunu için uygulanması gerektiğini görüşünde olduğu, bazı ebelerin ise amniyotominin doğumun doğal sürecini bozduğu için uygulanmaması gerektiği görüşünde oldukları sonuçları elde edilmiştir. Ayrıca çalışmada ebelerin amniyotomiyi muayene bulgularını Bishop skoru diğer muayene bulgularını göre değerlendirip literatürde yer alan bilgilere uygun zaman ve teknikle, sözel onam alarak uyguladıkları, amniyotomi ile ilgili yasal süreç yaşamadıkları saptanmıştır. Çalışmaya katılan çoğu ebenin amniyotomi uygulaması ile ilgili güncel bilgileri takip etmedikleri tespit edilmiştir. Ebeler intrapartum bakımda amniyotomiden kaçınarak, müdahalesiz doğum yönetimine katkıda bulunabilirler.

Makale detayları

Opinions and Practices of Midwives about Amniotomy: A Qualitative Study

Yazarlar:

Pirozhan Ekin | Zekiye Karaçam

Yayıncı:

Karyay Karadeniz Yayımcılık

Ana Başlıklar:

Klinik Ebelik

Dergi:

Black Sea Journal of Health Science Vol.7 Issue 4, pp.140-148

Belge Tipi:

Makale

Yayın Tarihi:

7/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001322830

pISSN:

2619-9041

Amniotomy

First stage

Labour

Midwifery

Intrapartum careAmniyotomi

Birinci evre

Doğum eylemi

Ebelik

İntrapartum bakım

Sayı

Makale detayları

Yazarlar: Pirozhan Ekin | Zekiye Karaçam

Yayıncı: Karyay Karadeniz Yayımcılık

Ana Başlıklar: Klinik Ebelik

Dergi: Black Sea Journal of Health Science Vol.7 Issue 4, pp.140-148

Belge Tipi: Makale

Yayın Tarihi: 7/2024

Belge Dili: Türkçe

Document ID (Org No.): 2001322830

pISSN: 2619-9041

Sayı

Yazarlar:

Pirozhan Ekin | Zekiye Karaçam

Yayıncı:

Karyay Karadeniz Yayımcılık

Ana Başlıklar:

Klinik Ebelik

Dergi:

Black Sea Journal of Health Science Vol.7 Issue 4, pp.140-148

Belge Tipi:

Makale

Yayın Tarihi:

7/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001322830

pISSN:

2619-9041