THE INFLUENCE OF SUPPORT PERSON DURING CHILDBIRTH ON BIRTH OUTCOMES

Uvod: Porođaj je poseban fiziološki proces koji će žena pamtiti cijelog života. Žene su oduvijek rađale uz kontinuiranu podršku poznatih osoba, uglavnom žena. Muškarcima u smislu pratnje nije bilo mjesto na porođaju, pogotovo kada se porođaj tek počeo odvijati u bolničkim uvjetima., što je pridonijelo dehumanizaciji porođaja. Činjenica da još uvijek nije dopušteno prisustvo pratnje u svim rodilištima Hrvatske govori o tome da još treba poraditi na humanizaciji porođaja. Pratnja na porođaju je dio tima kojem je cilj rodilji priuštiti čim bolje iskustvo porođaja. Pratnja pruža rodilji emocionalnu, psihičku, fizičku i komunikacijsku podršku. Cilj: Istražiti utjecaj prisutnosti pratnje na porođaju na ishode porođaja. Metode i ispitanici: Podaci za izradu istraživanja su prikupljeni iz knjige protokola i knjige statistike za pratnju na porođaju na Klinici za ginekologiju i porodništvo Kliničkog bolničkog centra Rijeka. Prikupljeno je 669 ispitanika koji odgovaraju zadanim kriterijima. Rezultati: Analiza podataka pokazala je kako prisustvo pratnje na porođaju smanjuje broj vaginalnih porođaja. Pratnja na porođaju povećava učestalost korištenja epiduralne analgezije, vjerojatnost urezivanja epiziotomije i nastanka traume međice u porođaju. Zaključak: Bez obzira na rezultate ovog istraživanja, pratnju na porođaju ne treba zabraniti. Pratnju koja želi prisustvovati na porođaju treba bolje educirati. S obzirom na dobivene rezultate potrebna su daljnja istraživanja.Introduction: Childbirth is a special physiological process that a woman will remember for as long as she lives. Women have always had continued support from familiar persons while giving birth, mostly by another women. Men as a support person had no place in childbirth, especially since childbirth began to take place in a hospital setting which contributed to the dehumanization of childbirth. The fact that the presence of the support person is still not allowed in all Croatian maternity hospitals shows that work still needs to be done on the humanization of childbirth. The support person at the birth is part of a team whose goal is to give the best possible experience of childbirth to the person who is giving birth. The support person provides emotional, psychological, physical and communication support. The aim: To investigate the influence of the presence of the support person during childbirth on birth outcomes. Methods and examinees: Data for its preparation were collected from the book of protocols and the book of statistics for presence of support person during childbirth, at the Clinic for Gynecology and Obstetrics of the Clinical Hospital Center Rijeka. 669 cases that meet the given criteria were collected.. Findings: Analysis of the data showed that the presence of the support person at delivery reduced the number of vaginal deliveries. The presence of support person at birth increases the frequency of use of epidural analgesia, the likelihood of incision of the episiotomy and the occurrence of peritoneal trauma in childbirth. Conclusion: Regardless of the results of this research, the presence of support person should not be prohibited. The support person that wants to be present at the childbirth needs to be better educated. Considering the results of this research further research is needed