Investigation knowledge about postpartum care and examination symptoms women who were in early puerperium period

Erken loğusalık döneminde olan kadınların doğum sonrası muayene bulgularının ve doğum sonu bakıma ilişkin bilgi düzeylerinin incelenmesi

Abstract

Objectives: The postpartum period covers a critical transitional time for a woman, her newborn and her family, on a physiological, emotional and social level. This study puipose was (a) to examine the women's symptoms in early postpartum period, (b) to determine women's knowledge about postpartum care and (c) to give information and counseling women in the postpartum period due to the needs of women. Methods: This study was descriptive and based on observation, measure. The study was made in Manisa Maternity and Child Hospital and SSK Hospital maternity clinic between 01 February and 31 June 2004. 367 women were participated in the study. This study was made face-to-face interview. Data was evaluated with SPSS 10.0 for Windows, significant level was considered 0.05. Postpartum care education was given according to women needs. Findings: The average of women age was 25.5±4.8. 74.4% of women were primary school or less, 92.9% of women did not work anywhere and 41.7% of women were primiparious. 24.8% of women gave birth vaginal, 47.1% of women were sectio. Physical examination findings were showed that, 1.1% sub involution and 4.4% abdominal wall palpation was soft. 5.2% of women determined redness perineum. 92.9% of women's lochia was normal for color and quantity. Postpartum hemorrhage is a complication which occurs at the transition between labor and the postpartum period. 5.2% of women had postpartum hemorrhage. 55.0% of women took education about postpartum care. One women experienced episiotomy dehissens. 79.3% of women stated that ambulation is important in this period. However, 6.8% of women did not know how to made perineum hygiene, 13.6% of women made perineum hygiene wrong. 80.7% of women did not know when take a bath after delivery. Approximately one out of four women did not know nutrition in the period. Almost one out of three women said postpartum exercise is important in this period, but one out of two women did not know how to made this exercise. 6.8% of women believed that their life did not return normal previously and 5% of them did not become happy.

Özet

Amaç: Postpartum dönem kadın, bebeği ve ailesi için psikolojik, sosyal ve duygusal alanda kritik bir dönemdir. Bu araştırmanın amacı, (a) erken postpartum dönemde kadınların muayene bulgularını incelemek, (b) doğum sonu bakım hakkındaki bilgi düzeylerini belirlemek, (c) bu doğrultuda kadınların eğitim gereksinimlerini saptamak ve saptanan gereksinimleri doğrultusunda eğitim verebilmektir. Yöntem: Bu araştırma tanımlayıcı, gözlem ve ölçüme dayalı olarak planlanmıştır. Çalışmanın evrenini Manisa Doğum ve Çocuk Bakımevi Hastanesi ile Sosyal Sigortalar Hastanesi kadın doğum kliniğinde 01 Şubat 2004-31 Haziran 2004 tarihleri arasında doğum yapan kadınlar,örneklemini ise bu kadınlar arasından olasılıksız örneklem yöntemi ile belirlenen 367 lohusa oluşturmuştur. Veriler anket formu yardımıyla, yüz yüze görüşme tekniği kullanılarak elde edilmiştir. Veriler SPSS 10.0 paket programı kullanılarak, anlamlılık derecesi p