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Kejsarsnitt: Komplikationer, riskfaktorer och kvinnors upplevelser - en litteraturstudie
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2017 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Kejsarsnitt, en kirurgisk metod då barnet blir förlöst via ett snitt i bukväggen, medför risker vare sig det är elektivt eller akut. Sjuksköterskans roll i omvårdnaden av patienten postoperativt blir central för att främja egenvård och stärka patientens delaktighet. 

Syfte: Att undersöka vilka komplikationer som uppstår, hur många som drabbas av dessa samt att kartlägga eventuella riskfaktorer för komplikationer hos kvinnorna som genomgått kejsarsnitt. Studien syftar också till att undersöka vilken upplevelse dessa kvinnor har angående proceduren pre-, intra - och postoperativt.

Metod: Litteraturstudie av vetenskapliga artiklar med både kvalitativ och kvantitativ design. Sökningen skedde på databaserna Statens Beredning för medicinsk och social Utvärdering (SBU), Cochrane, Cinahl, PsychINFO och Pubmed. Sammanlagt 15 artiklar inkluderades efter kvalitetsgranskning.

Resultat: Risken för att få en postoperativ komplikation, exempelvis sårinfektion, var liten. Förekomsten var cirka 10 %, men detta varierade kraftigt mellan artiklarna. Risken var dock större vid högt BMI, tobaksanvändning, högre ålder och hypertoni. Smärta var den mest frekvent förekommande komplikationen. För kvinnorna var det viktigt att vara välinformerade och att känna sig inkluderade under proceduren.

Slutsats: Kvinnornas upplevelse av kejsarsnitten var främst förknippad med tiden innan kejsarsnittet. Rädslan för smärtan preoperativt var problematisk för kvinnorna som genomgick kejsarsnitt. Majoriteten av de postoperativa komplikationerna var smärta och sårinfektioner. Att ge patienten trygghet och strategier för coping inför kejsarsnittet var det som efterfrågas för att stärka patientens delaktighet och autonomi. 

Abstract [en]

Background: Caesarean section, a surgical procedure whereas the child is delivered by an incision through the abdominal wall. The procedure entails some risks whether it is done electively or by emergency. The nurse’s part in the care of the patient becomes essential in the postoperative stage to support in the self-care and to make the patient participate in his/her own treatment.

Purpose: The purpose was to look into which complications may occur, and to identify possible risk factors causing complications in the women undergoing a caesarian section. The purpose of this study was also to find out what kind of perception these women have of the procedure before, during and after the caesarean surgery.

Method: A literature review of scientific studies and articles of both quantitative and qualitative design. The search was preformed on the databases: SBU, Cochrane, Cinahl, PsychINFO and Pubmed, after assessing the quailty, 15 articles were selected for inclusion.

Results: The risk of having a postoperative infection was small, circa 10 % occurence, although varying a lot between articles. The risk was increased with high BMI, age, tobacco use and hypertension. Physical pain was the most experienced postoperative complication. Women felt that it was very important to be well-informed and for them to feel included in the caesarean procedure.

Conclusion: Women’s experiences of a caesarean section were mostly influenced by the time before surgery. The fear of pain before surgery was problematic for women undergoing caesarean section. The majority of complications were postoperaitve pain and wound infections. Giving the patient strategies for coping and security was important to strengthen her participation and autonomy. 

Place, publisher, year, edition, pages
2017. , p. 45
Keyword [en]
Caesarean section, postoperative, complications, experience
Keyword [sv]
Kejsarsnitt, postoperativ, komplikationer, riskfaktorer, upplevelse
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-334760OAI: oai:DiVA.org:uu-334760DiVA, id: diva2:1162150
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2017-12-05 Created: 2017-12-03 Last updated: 2017-12-05Bibliographically approved

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