20.500.12556/ReVIS-9479 Strah pred porodom diplomska naloga diploma thesis V nosečnosti veliko število žensk doživlja strah pred porodom, ki omejuje kvalitetno življenje in prijetno preživeto nosečnost ter porod. Strah pred porodom tudi pomembno vpliva na potek poroda. Prisotni so lahko vse od manjših skrbi do tesnobnih občutkov, stresa, večje anksioznosti ter depresije, v hujših primerih pa lahko prepoznamo tudi tokofobijo in izogibajoča se vedenja nosečnosti in željo po porodu s carskim rezom. V teoretično raziskovalnem delu želimo ugotoviti, ali obstajajo skupne osebnostne značilnosti pri ženskah, ki pripomorejo k strahu pred porodom, kateri dejavniki vplivajo na strah pred porodom, kako vplivajo različne informacije o porodu na žensko in ali je možno strah pred porodom preprečiti ali vsaj zmanjšati. Izbrana je bila metoda teoretskega pregleda strokovne literature v domači in tuji literaturi. Ženskam s strahom pred porodom je skupna nagnjenost k anksioznosti in/ali depresiji. Če so prisotni nezadovoljstvo s partnerstvom, šibkejši socialni krog, ranljivost, nizka samopodoba in nevroticizem, je možnost za strah pred porodom še toliko večja. Več kot je prisotnih možnih dejavnikov, bolj sta opazna anksioznost med nosečnostjo in strah pred vaginalnim porodom. Komorbidnost anksioznosti in depresije je prisotna pri kar 40 % žensk. Strah pred porodom lahko prepoznamo tudi pri povečani uporabi zdravstvene oskrbe, povečani slabosti in bruhanju, podaljševanjih bolniških odsotnosti, načrtovanih porodih s carskim rezom na zahtevo ženske in a priori uporabi epiduralne analgezije pri ženskah z antenatalno depresijo in/ali anksioznostjo. Negativne zgodbe, zaskrbljujoče informacije, možne bolezni in težave, povezane z otroki, so nekateri izmed dejavnikov, ki vplivajo na strah pred porodom. Slednjega je možno zmanjševati s kognitivnovedenjsko terapijo. Ključna sta priprava na porod in pravočasno ukrepanje ob ugotovljenem strahu pred porodom oziroma diagnozi depresije, anksioznosti ali tokofobije. Pozitiven odnos babice ali porodnega osebja, edukativne šole o porodu za starše, psihoedukacije za prvorodke, psihoterapije v nosečnosti s strani babic, relaksacijske terapije, joga, hipnoza in avtogeni trening so učinkovita orodja, s katerimi lahko zmanjšujemo strah pred porodom, s tem pa zmanjšujemo tudi porodno bolečino. During pregnancy, a large number of women experience fear of childbirth, which negatively impacts their quality of life, pleasant pregnancy and childbirth. Fear of childbirth also significantly affects the course of labour. The fear may manifest itself in a number of ways and range from minor concerns, anxiety, stress, increased anxiety and even depression. In severe cases, we can also recognize tocophobia, pregnancy-avoidant behaviors and the desire to have a caesarean section. In the literature review part of the thesis, we want to determine whether there are common personality traits that contribute to fear of childbirth, what factors affect the fear of childbirth, how different information about childbirth affects a woman and whether fear of childbirth can be prevented or at least reduced. The method of theoretical review of domestic and foreign professional literature was chosen. Women with fear of childbirth have a common predisposition to anxiety and/or depression. In cases where dissatisfaction with the partnership, a weaker social circle, vulnerability, low self-esteem and neuroticism is present, the possibility of fear of childbirth is even greater. The more possible factors are present, the more noticeable the anxiety during pregnancy and the fear of vaginal delivery. Comorbidity of anxiety and depression is present in as many as 40% of women. Fear of childbirth can also be identified with increased use of medical care, increased nausea and vomiting, prolonged sick leave, planned caesarean delivery at the woman's request, and a priori use of epidural analgesia in women with antenatal depression and/or anxiety. Being told negative stories, being exposed to worrying information, possible illnesses, and problems related to children are some of the factors that affect pregnant women’s fear of childbirth. Fear of childbirth can be reduced with cognitive-behavioural therapy. In the event of established fear of childbirth or diagnosis of depression, anxiety or tocophobia, timely reaction and preparation for labour are crucial. A positive attitude from midwives or other healthcare providers, birthing and parenting classes, psychoeducation for first-time mothers, psychotherapy in pregnancy carried out by midwives, relaxation therapy, yoga, hypnosis and autogenic training are effective tools in reducing fear of childbirth, which consequently also reduce pain experienced in labour. nosečnost porod strah tokofobija anksioznost depresija zmanjševanje porodne bolečine diplomske naloge true true false [A. U. Kogovšek Sfiligoj] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2022-12-23 13:45:53 2022-12-23 13:45:53 2024-06-12 17:08:14 0000-00-00 00:00:00 2021 0 Trbovlje 2021 Trbovlje Študijski program Psihosocialna pomoč; 47 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 159.9 126146563 RAZ_Kogovsek_Sfiligoj_Ajda_Ursa_i2021.pdf RAZ_Kogovsek_Sfiligoj_Ajda_Ursa_i2021.pdf 1 2DEFA9F8F162DAACA43839E1CD8341A9 f7a24e5c4080eaa067d3f1f9c2e5d679b793e67064ab2d0ba47875f5b538e27e 5df9b32a-2899-11ef-9c9e-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=10514 Fakulteta za uporabne družbene študije 0 0 0