Doğum ağrısı, insan vücudunun en akut ağrısıdır. Diğer birçok ağrı kaynağının aksine patolojik bir durum değil, normal fizyolojik sürecin bir parçasıdır. Doğum ağrısı, sadece fizyolojik ve anatomik faktörlerden değil, aynı zamanda psikolojik ve sosyokültürel faktörlerden de etkilenir. Doğum eylemi esnasında yönetilmeyen ağrı, gebelerin doğum memnuniyetini azaltmakta, olumsuz doğum deneyimi yaşamalarına sebep olmakta ve doğum tercihlerini etkilemektedir. Doğum ağrısından korkan gebeler, genellikle sezaryen doğumu tercih etmektedir. Etkili doğum ağrısı yönetimi bakımının önemli bir parçasıdır. Doğum ağrısının yönetiminde pek çok nonfarmakolojik yöntem kullanılmaktadır ve bunlardan birisi de masajdır. Bu uygulama, gebe kadınla iş birliği içerisinde genellikle hemşire ve ebeler tarafından uygulanmaktadır. Bu nedenle hemşirelere ve ebelere doğum ağrısının yönetiminde kullanılabilecek nonfarmakolojik yöntemler hakkında verilecek her tür güncel bilgi önemlidir. Bu derleme, doğum ağrısı algısını azaltmak amacıyla uygulanan masajın etkinliği hakkında güncel bilgiler sunmak ve doğum sürecindeki gebelere uygulanacak bakımda masajın kullanılmasına katkı sağlamak amacıyla kaleme alınmıştır.
Anahtar Kelimeler: Doğum; doğum ağrısı; masaj; etkinlik
Birth pain is the most acute pain of the human body. Unlike many other sources of pain, it is not a pathological condition, but a part of the normal physiological process. Birth pain is affected not only by physiological and anatomical factors, but also by psychological and socio-cultural factors. Unmanaged pain during labor reduces the birth satisfaction of pregnant women, causes them to have negative birth experience and affects their birth preferences. Pregnant women who are afraid of birth pain generally prefer cesarean delivery. It is an important part of effective birth pain management care. Many non-pharmacological methods are used in the management of birth pain and one of them is massage. This practice is generally implemented by nurses and midwives in cooperation with pregnant women. For this reason, all kinds of up-to-date information about non-pharmacological methods that can be used to manage nurses and midwives is important. This review was written to provide current information about the effectiveness of massage applied to reduce the perception of birth pain and to contribute to the use of massage in the care to be applied to pregnant women in the birth process.
Keywords: Labor; labor pain; massage; efficiency
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