Araştırma Makalesi
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Kadınların Gözündeki İdeal Doğum Ünitesi Tasarımı: Türkiye'den Kesitsel Bir Çalışma

Yıl 2022, Cilt: 2 Sayı: 2, 123 - 131, 30.05.2022

Öz

Amaç: Doğumdaki fizyolojik sürecin anlayamadığımız bazı yönleri olsa da kadınlar üzerinde doğum ünitesi koşullarının oldukça önemli bir etkisi vardır. Bu araştırmanın amacı doğum deneyimlemiş kadınların doğum ünitesi koşulları ve doğum memnuniyetini etkileyen ideal doğum ünitesi tasarımı üzerine düşüncelerinin incelemesidir.
Gereç ve Yöntem: Bu çalışma, normal doğum deneyimi olan 232 kadın ile gerçekleştirilen kesitsel bir araştırmadır. Çalışmada araştırmacılar tarafından geliştirilen bir anket form kullanılmış, bulguların yorumlanmasında tanımlayıcı istatistik tekniklerden yararlanılmıştır.
Bulgular: Çalışmamızda kadınların çoğu tarafından doğum ünitesinin özel girişi olması (%62,9), tek kişilik doğum odası (%96,6), doğum ünitesinin ses düzeyi (%89,6), mahremiyetin korunması (%100,0), şahsi tuvalet (%92,2) ve ılık duş alma imkânı (%74,1) ideal doğum ünitesinden beklenen özellikler olarak bildirilmiştir.
Sonuç: Çalışmanın sonucunda doğum ünitesinin özel girişi olması, tek kişilik doğum odası, doğum ünitesinin ses düzeyi, mahremiyetin korunması, şahsi tuvalet ve ılık duş alma imkânının kadınların doğum memnuniyetlerini etkileyeceğini düşündükleri belirlenmiştir.

Kaynakça

  • 1.Larkin P, Begley CM, Devane D. Women's experiences of labour and birth: an evolutionary concept analysis. Midwifery. 2009;25(2):49-59.
  • 2.Namujju J, ve diğ. Childbirth experiences and their derived meaning: a qualitative study among postnatal mothers in Mbale regional referral hospital, Uganda. Reproductive health. 2018;15(1):183.
  • 3.Aune I ve diğ. Promoting a normal birth and a positive birth experience—Norwegian women׳ s perspectives. Midwifery. 2015;31(7):721-727.
  • 4.Hodnett ED ve diğ. Continuous support for women during childbirth. Cochrane database of systematic reviews. 2013(7).
  • 5.Nielsen JH, Overgaard C. Healing architecture and Snoezelen in delivery room design: a qualitative study of women’s birth experiences and patient-centeredness of care. BMC Pregnancy and Childbirth. 2020; 20:1-11.
  • 6.Lock LR, Gibb HJ. The power of place. Midwifery. 2003; 19(2): 132-139.
  • 7. Berg M, Goldkuhl L, Nilsson C, et al. Room4Birth-The Effect of an Adaptable Birthing Room on Labour and Birth Outcomes for Nulliparous Women at Term with Spontaneous Labour Start: Study Protocol for a Randomised Controlled Superiority Trial in Sweden. Trials. (2019); 20(1), 1-12.
  • 8. Jiang S, Verderber S. On the planning and design of hospital circulation zones: a review of the evidence-based literature, HERD. 2017;10(2):124-146. doi: https://doi.org/10.1177/1937586716672041.
  • 9. JamshidiManesh M, Kalati M, Hosseini F. Snoezelen room and childbirth outcome: a randomized clinical trial, Iran. Red Crescent Med. J. 2015;17(5):e18373.
  • 10.Jenkinson B, Josey N, Kruske S. Birth Space: An evidence-based guide to birth environment design. Queensland CentreforMothers & Babies, The university of Queensland. 2013. Erişim tarihi: 27.03.2021 https://espace.library.uq.edu.au/data/uQ_339451/uQ339451_fulltext.pdf
  • 11.Foureur MJ, Leap N, Davis DL, Forbes IF, Homer CE. Developing the Birth Unit Design Spatial Evaluation Tool (BUDSET) in Australia: a qualitative study. HERD. 2010;3(4):43-57. doi: 10.1177/193758671000300405. PMID: 21165851.
  • 12. Foureur MJ, Leap N, Davis DL, Forbes IF, Homer CS. Testing the birth unit design spatial evaluation tool (BUDSET) in Australia: a pilot study. HERD. 2011; 4(2): 36-60.
  • 13.Hodnett ED, Downe S, Walsh D. Alternative versus conventional institutional settings fo birth. Cochrane Database of Systematic Reviews. 2012 ;(8), CD000012. https://doi.org/10.1002/14651 858.CD000012.pub4
  • 14. Sheehy A, Foureur M, Catling-Paul C, Homer C. Examining the content validity of the Birthing Unit Design Spatial Evaluation Tool within a woman-centered framework. J Midwifery Womens Health. 2011;56:494–502.
  • 15. Dekel S, Ein-Dor T, Berman Z. Delivery mode is associated with maternal mental health following childbirth. ArchWomensMentHealth. 2019; 22:817–824. https://doi.org/10.1007/s00737-019-00968-2.
  • 16. Grigg CP, Trac SK., Schmied V, Daellenbach R, Kensington M. Women’s birth place decision-making, the role of confidence: part of evaluating maternity units study, New Zealand. Midwifery. 2015;31(6): 597–605.
  • 17. Newburn M, Singh D. Creating a better birth environment. British Journal of Midwifery. 2003; 11, 714.
  • 18.Jensen KR, Hvidman L, Kierkegaard O, Gliese H, Manser T, Uldbjerg N, Brogaard L. Noise as a risk factor in the delivery room: A clinical study. PloSone. 2019; 14(8):0221860.
  • 19. Bekmezci H, Özkan H. Ebelik uygulamalarında mahremiyetin önemi. Sağ Bil Mesl Dergisi. 2015;2(1): 113-124.
  • 20. Panth A, Kafle P. Maternal satisfaction on delivery service among postnatal mothers in a government hospital, Mid-Western Nepal. Obstetrics and gynecology international, 2018. https://doi.org/10.1155/2018/4530161

Ideal Maternity Unıt Desıgn From Women's Perspective: A Cross-sectional Study FromTurkey

Yıl 2022, Cilt: 2 Sayı: 2, 123 - 131, 30.05.2022

Öz

Purpose: Although the physiological process of childbirth has some aspects that we do not understand, maternity unit conditions have a significant impact on women. The aim of this research is to examine the thoughts of women who had childbirth experience on the ideal maternity unit design, which affect maternity unit conditions and birth satisfaction.
Materials and Methods: This is a cross-sectional study that was conducted with 232 women with normal childbirth experience. In the study, a questionnaire form developed by the researchers was used, and descriptive statistical techniques were employed in the interpretation of the findings.
Results: In our study, most of the women had a private entrance to the maternity unit (62.9%), the private room (96.6%), the sound level of the maternity unit (89.6%), the protection of privacy (100.0%), private toilet ( 92.2% and the possibility of taking a warm shower (74.1%) were reported as expected features from the ideal birth unit.
Conclusion: In conclusion, it was determined that the women in the current study thought their birth satisfaction would be affected by some factors, including a reserved entrance to the maternity unit, a private birthing room, the sound level of the maternity unit, protection of privacy, availability of a personal toilet and the possibility of taking a warm shower.

Kaynakça

  • 1.Larkin P, Begley CM, Devane D. Women's experiences of labour and birth: an evolutionary concept analysis. Midwifery. 2009;25(2):49-59.
  • 2.Namujju J, ve diğ. Childbirth experiences and their derived meaning: a qualitative study among postnatal mothers in Mbale regional referral hospital, Uganda. Reproductive health. 2018;15(1):183.
  • 3.Aune I ve diğ. Promoting a normal birth and a positive birth experience—Norwegian women׳ s perspectives. Midwifery. 2015;31(7):721-727.
  • 4.Hodnett ED ve diğ. Continuous support for women during childbirth. Cochrane database of systematic reviews. 2013(7).
  • 5.Nielsen JH, Overgaard C. Healing architecture and Snoezelen in delivery room design: a qualitative study of women’s birth experiences and patient-centeredness of care. BMC Pregnancy and Childbirth. 2020; 20:1-11.
  • 6.Lock LR, Gibb HJ. The power of place. Midwifery. 2003; 19(2): 132-139.
  • 7. Berg M, Goldkuhl L, Nilsson C, et al. Room4Birth-The Effect of an Adaptable Birthing Room on Labour and Birth Outcomes for Nulliparous Women at Term with Spontaneous Labour Start: Study Protocol for a Randomised Controlled Superiority Trial in Sweden. Trials. (2019); 20(1), 1-12.
  • 8. Jiang S, Verderber S. On the planning and design of hospital circulation zones: a review of the evidence-based literature, HERD. 2017;10(2):124-146. doi: https://doi.org/10.1177/1937586716672041.
  • 9. JamshidiManesh M, Kalati M, Hosseini F. Snoezelen room and childbirth outcome: a randomized clinical trial, Iran. Red Crescent Med. J. 2015;17(5):e18373.
  • 10.Jenkinson B, Josey N, Kruske S. Birth Space: An evidence-based guide to birth environment design. Queensland CentreforMothers & Babies, The university of Queensland. 2013. Erişim tarihi: 27.03.2021 https://espace.library.uq.edu.au/data/uQ_339451/uQ339451_fulltext.pdf
  • 11.Foureur MJ, Leap N, Davis DL, Forbes IF, Homer CE. Developing the Birth Unit Design Spatial Evaluation Tool (BUDSET) in Australia: a qualitative study. HERD. 2010;3(4):43-57. doi: 10.1177/193758671000300405. PMID: 21165851.
  • 12. Foureur MJ, Leap N, Davis DL, Forbes IF, Homer CS. Testing the birth unit design spatial evaluation tool (BUDSET) in Australia: a pilot study. HERD. 2011; 4(2): 36-60.
  • 13.Hodnett ED, Downe S, Walsh D. Alternative versus conventional institutional settings fo birth. Cochrane Database of Systematic Reviews. 2012 ;(8), CD000012. https://doi.org/10.1002/14651 858.CD000012.pub4
  • 14. Sheehy A, Foureur M, Catling-Paul C, Homer C. Examining the content validity of the Birthing Unit Design Spatial Evaluation Tool within a woman-centered framework. J Midwifery Womens Health. 2011;56:494–502.
  • 15. Dekel S, Ein-Dor T, Berman Z. Delivery mode is associated with maternal mental health following childbirth. ArchWomensMentHealth. 2019; 22:817–824. https://doi.org/10.1007/s00737-019-00968-2.
  • 16. Grigg CP, Trac SK., Schmied V, Daellenbach R, Kensington M. Women’s birth place decision-making, the role of confidence: part of evaluating maternity units study, New Zealand. Midwifery. 2015;31(6): 597–605.
  • 17. Newburn M, Singh D. Creating a better birth environment. British Journal of Midwifery. 2003; 11, 714.
  • 18.Jensen KR, Hvidman L, Kierkegaard O, Gliese H, Manser T, Uldbjerg N, Brogaard L. Noise as a risk factor in the delivery room: A clinical study. PloSone. 2019; 14(8):0221860.
  • 19. Bekmezci H, Özkan H. Ebelik uygulamalarında mahremiyetin önemi. Sağ Bil Mesl Dergisi. 2015;2(1): 113-124.
  • 20. Panth A, Kafle P. Maternal satisfaction on delivery service among postnatal mothers in a government hospital, Mid-Western Nepal. Obstetrics and gynecology international, 2018. https://doi.org/10.1155/2018/4530161
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Birinci Basamak Sağlık Hizmetleri
Bölüm Araştırma Makaleleri
Yazarlar

Feyza Aktaş Reyhan 0000-0002-7927-2361

Ayşe Çataloluk 0000-0002-9344-107X

Fatma Sayiner 0000-0001-9287-989X

Yayımlanma Tarihi 30 Mayıs 2022
Gönderilme Tarihi 4 Ocak 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 2 Sayı: 2

Kaynak Göster

Vancouver Aktaş Reyhan F, Çataloluk A, Sayiner F. Ideal Maternity Unıt Desıgn From Women’s Perspective: A Cross-sectional Study FromTurkey. TOGÜ Sağlık Bilimleri Dergisi. 2022;2(2):123-31.