fa تاثیر نحوه مدیریت مرحله دوم زایمان، بر میزان خستگی مادر و تجربه زایمان در زنان نخست زا مامايي Midwifery نيمه تجربي Quazi-Experimental <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-weight:bold"><span lang="FA" style="font-size:12.0pt"><span style="font-family:&quot;B Nazanin&quot;">سابقه و هدف</span></span><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:Nazanin"><span style="font-weight:normal">:</span></span></span></i> <i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="font-weight:normal">مرحله دوم زایمان نیاز به صرف انرژی نسبتاً بالایی دارد. خستگی ناشی از زایمان تجربه نامطلوب برای مادران به حساب می‌آید. لذا </span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="font-weight:normal">در </span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="font-weight:normal">این مطالعه تاثیر نحوه مدیریت مرحله دوم زایمان، بر میزان خستگی مادر و تجربه زایمان در زنان نخست زا بررسی شد</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="font-weight:normal">. &nbsp;</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-weight:normal"></span></span></i></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-weight:bold"><span lang="FA" style="font-size:12.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="letter-spacing:-.3pt">روش بررسی</span></span></span><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="letter-spacing:-.3pt"><span style="font-weight:normal">:</span></span></span></span></i> <i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="letter-spacing:-.3pt"><span style="font-weight:normal">این مطالعه نیمه تجربی یک سوکور بر روی 60 زن واجد مشخصات پژوهش در بیمارستان مبینی سبزوار انجام شد. واحدهای پژوهش بر اساس تمایل در یکی از دو گروه قرار گرفتند. در گروه زور زدن فعال، با شروع انقباضات مادر نفس عمیق کشیده و با نگه داشتن نفس ده ثانیه زور میزند. در گروه زور زدن خود به خود، مادر به طور فعال هیچ زوری نمی‌زند (مگر زور و فشاری که به طور غیر ارادی ایجاد می‌شود). تا هنگامی که سر جنین سه سانتیمتر در مدخل واژن رویت شود. سپس افراد به تخت زایمان منتقل می‌شدند. چک لیست خستگی زایمان و تجربه زایمانی یک ساعت پس از زایمان تکمیل شدند. تحلیل آماری با نرم افزار </span></span></span></span></i><i><span dir="LTR" style="font-size:12.0pt"><span style="letter-spacing:-.3pt"><span style="font-weight:normal">SPSS</span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="letter-spacing:-.3pt"><span style="font-weight:normal"> و آزمون‌های آماری </span></span></span></span></i><i><span dir="LTR" style="font-size:12.0pt"><span style="letter-spacing:-.3pt"><span style="font-weight:normal">t</span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="letter-spacing:-.3pt"><span style="font-weight:normal"> و مجذور کای انجام گرفت</span></span></span></span></i><span lang="FA" style="font-size:12.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="letter-spacing:-.3pt"><span style="font-weight:normal">.</span></span></span></span><i>&nbsp; </i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.3pt"><span style="font-weight:normal"></span></span></span></i></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-weight:bold"><span lang="FA" style="font-size:12.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="letter-spacing:-.2pt">یافته ه</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="letter-spacing:-.2pt">ا:</span></span></span> <i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">در گروه زور زدن خود به خود نسبت به روش فعال خستگی مادر بعد زایمان کمتر (01/0=</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">p</span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">) بود و مادران احساس خوشایند‌تری از زایمان خود گزارش کردند (001/0=</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">p</span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">). نمره آپگار در دو گروه تفاوتی نداشت</span></span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">.</span></span></span></span></i></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-weight:bold"><span lang="FA" style="font-size:12.0pt"><span style="font-family:&quot;B Nazanin&quot;">نتیجه&nbsp;</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:&quot;B Nazanin&quot;">گیری</span></span><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="font-weight:normal">:</span></span></span></i> <i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">با توجه به اینکه روش زور زدن خود به خود با احساس خستگی کمتر همراه است و تجربه خوشایندتری از زایمان را برای مادر فراهم می‌کند، توصیه به استفاده از این روش در مرحله دوم زایمان منطقی به نظر می‌رسد</span></span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">.</span></span></span></span></i><span lang="FA" style="font-size:12.0pt"><span style="font-family:&quot;B Koodak&quot;"><span style="font-weight:normal"></span></span></span></span></span></span></span></span></span> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:11.0pt"><span style="font-family:&quot;Times New Roman&quot;,serif"><b><span style="font-size:11.0pt">Background</span></b><span style="font-size:11.0pt">: The second stage of labor requires high energy. Childbirth fatigue is an unpleasant experience for mothers. Therefore, this study investigated the effect of second stage delivery management on maternity experience and maternal fatigue in primiparous women. </span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:11.0pt"><span style="font-family:&quot;Times New Roman&quot;,serif"><b><span style="font-size:11.0pt">Materials and methods</span></b><span style="font-size:11.0pt">: This single blind experimental study was accomplished on 60 qualified women in Mobini Hospital, Sabzevar. Individuals were divided into one of two groups based on the mother&#39;s desire. In the pushing active group, with the onset of contractions, mother breathes deeply and then holds the breath and push ten seconds. In the pushing spontaneous group, the mother does not actively push with the onset of contraction (Unless the pressure and force that is involuntary caused by the pressure of the fetus and pelvic floor dilatation) until the three centimeters of fetal head appear in the vaginal entrance. Then the mothers were taken to the delivery bed. The maternal fatigue and labor experience checklist were completed one hour after delivery. Data were analyzed with SPSS software version 16 by t test and chi-square. </span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="line-height:11.0pt"><span style="font-family:&quot;Times New Roman&quot;,serif"><b><span style="font-size:11.0pt">Results</span></b><span style="font-size:11.0pt">: In the pushing spontaneous group, postpartum fatigue was less (p=0.01) and mothers reported a more pleasant feeling of delivery than mothers pushing active group (p=0.001). Apgar score did not differ between two groups.</span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:11.0pt"><span style="font-family:&quot;Times New Roman&quot;,serif"><b><span style="font-size:11.0pt">Conclusion</span></b><span style="font-size:11.0pt">: Pushing spontaneous method was associated with fewer fatigue, and provides a more pleasant experience for delivery to the mother; therefore, it is advisable to use this method in the second stage of delivery.</span></span></span></span></span></span><br> &nbsp; خستگی, زور زدن, زایمان, تجربه Fatigue, Pushing, Labor, Experience 91 98 http://tmuj.iautmu.ac.ir/browse.php?a_code=A-10-1562-1&slc_lang=fa&sid=1 Roya Baghani رویا باغانی ry.baghany@gmail.com 100319475328460011054 100319475328460011054 No Instructor, Department of Midwifery, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran مربی، گروه مامایی، دانشکده پرستاری و مامایی ، دانشگاه علوم پزشکی شاهرود، شاهرود، ایران Maryam Aradmehr مریم آرادمهر maryam.aradmehr@yahoo.com 100319475328460011055 100319475328460011055 Yes Instructor, Department of Midwifery, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran مربی، گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تربت حیدریه، تربت حیدریه، ایران