Peripartal care and importance of "skin to skin" contact

Porod predstavlja završetak trudnoće, različito se odvija kod svake žene, stoga se u partalnoj skrbi individualno pristupa svakoj rodiji. Svaki porod ide svojim tijekom, pri čemu su uz rodilju liječnici, neonatolozi, medicinske sestre i primalje koji svojim stručnom znanjem, vještinama i iskustvom pomažu budućoj majci prilikom i nakon poroda. Svi imaju svoju ulogu u ostvarivanju što boljih uvjeta te pomoći u važnom činu za svaku rodilju. Pozitivna komunikacija, ozračje, partnerstvo i suradnja dovode do boljih rezultata. Medicinska sestra svojim pristupom, empatijom, profesijom, odgovornošću i stručnim znanjem olakšava rodilji bolove, ali i pruža utjehu u iščekivanju poroda. Potpora koju medicinska sestra daje u tim trenucima je od iznimne važnosti za stvaranje odnosa povjerenja i suradnje same rodilje. Edukacijom, poticanjem i provedbom kontakta "koža na kožu" majke i djeteta, medicinska sestra pomaže u ostvarivanju prvog kontakta majke i djeteta nakon poroda, koji ima utjecaja na laktaciju te daljnji rast i razvoj djeteta. Tijekom izrade rada provedeno je istraživanje koje je obuhvatilo uzorak od 1409 žena. Cilj istraživanja bio je dobiti informacije o tijeku i načinu završetka poroda, informiranosti trudnica i rodilja, zastupljenosti pratnje i podrške u porodu, učestalosti korištenja lijekova u porodu, doživljaja o porodu i kontaktu „koža na kožu“ te kvalitete provedbe samog kontakta. Rezultati su pokazali da je najčešći tijek poroda bio vaginalni, da sama informiranost pozitivno raste kao i pratnja i podrška u porodu. Također se pokazalo da se u sve većem broju za ublažavanjem boli prakticira tehnika opuštanja i disanja, te je dobiven uvid u ulogu i važnost podrške u porodu. Više od polovice ispitanih majki (68%) smatra da je prvi kontakt „koža na kožu“ s djetetom važan i da potiče daljnju laktaciju.The birth is the end of pregnancy, it is different in every woman, so she is individually approachable to each parent in parental care. Every childbirth goes in it's own course, where doctors, neonatologists, nurses and midwives who, with their expertise, skills and experience, assist the future mother during and after childbirth. Everyone has a role in achieving the best conditions and helping in an important act for every parent. Positive communication, atmosphere, partnership and co-operation bring better results. With her approach, empathy, profession, responsibility, and professional knowledge, her nurse facilitates childbearing pain, but also provides consolation in her expectation of childbirth. The support that a nurse gives at these moments is of utmost importance for creating a relationship of trust and co-operation with the woman in labor. By educating, encouraging and implementing the contact of "mother skin and skin" to the skin, the nurse helps to achieve the first contact between mother and child after childbirth, which has an impact on lactation and further growth and development of the child. During the work, a study was carried out that included a sample of 1409 women. The aim of the research was to get information on the course and method of termination of childbirth, pregnancy and maternity information, attendance and delivery support, frequency of use of medication in delivery, birth and skin contact and quality of the contact itself. The results showed that the most common course of labor was vaginal, that information itself increased positively, as well as escort and support at birth. It has also been shown that the pain relieving pain is increasingly practiced by realxing and breathing techniques, and has gained insights into the role and importance of birth support. More than half of the examined mothers (68%) believe that the first contact of skin with the child is important and stimulates further lactation