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Hinnsvepning som metod för att initiera förlossningsstart: En journalgranskningsstudie
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Sweeping of the membranes as method for initiating labor : A journalreviewstudy (English)
Abstract [sv]

Bakgrund: Hinnsvepning är en icke-farmakologisk induktionsmetod som används inom förlossningsvården med önskan om att initiera en förlossningsstart. Svenska föreningen för obstetrik och gynekologi [SFOG] rekommenderar hinnsvepning i fullgången graviditet. Rekommendationen bygger dock på oeniga forskningsresultat och det framgår inte vilka maternella faktorer som kan påverka utfallet. Syfte: Beskriva utfallet av hinnsvepning i graviditetsvecka 41+3. Metod: Retrospektiv journalgranskning med kvantitativ ansats användes. Urvalet gjordes via en specialistmottagning för gravida som är kopplad till den aktuella förlossningskliniken. Totalt inkluderades 100 kvinnors förlossningsjournaler. Resultat: Av de 100 kvinnorna som hinnsveptes inducerades 41 med annan induktionsmetod och 33 kvinnor blev överburna. Paritet hade inte några statistiskt signifikanta samband med varken induktion, tid till aktiv förlossningsfas eller överburenhet, till skillnad från Bishop Score som hade ett statistiskt signifikant samband med både induktion, tid till aktiv förlossningsfas och överburenhet. Ett statistiskt signifikant samband kunde även ses mellan BMI och överburenhet samt tid till aktiv förlossningsfas. Bishop Score var den variabeln med starkast samband till induktion, tid till aktiv förlossningsfas och överburenhet. Konklusion: Kvinnans Bishop Score och BMI bör inte negligeras i samband att hinnsvepning genomförs då det kan påverka utfallet. Ytterligare forskning krävs för att klargöra utfallet av hinnsvepning och på vilka grunder det bör utföras. 

Abstract [en]

Background: Sweeping of the membranes is a non- pharmacological inductionmethod used in obstetrics with the desire to initiate a labor. The Swedish Association for Obstetrics and Gynecology [SFOG] recommends membrane sweeping in full-time pregnancy. However, these recommendations are built on inconsistent research in the area and it doesn’t reveal which maternal factors that may affect the outcome. Purpose: Describe the outcome of membrane sweeping in pregnancy week 41 + 3. Methods: Retrospective journal review with quantitative approach were conducted. The selection was performed on a specialist clinic for pregnant women who are linked to the current obstetric clinic. Totally 100 women’s birth records were included in the study. Results: Of the 100 women who went through membrane sweeping, 41 was induced with another induction method and 33 women became overburdened. Parity did not appear statistically significant with neither induction, time to active delivery phase or post-term pregnancy unlike Bishop Score who had a statically significant relationship with both induction, time to active delivery phase and post-term pregnancy. A statistically significant association could also be seen between BMI and post-term pregnancy, as well as BMI and time to active delivery phase. Bishop Score showed to be the only variable with statistically significant association to induction, time to active delivery phase and post-term pregnancy. Conclusion: Bishop Score and BMI should not be neglected when membrane sweeping is performed as it may affect the outcome. Further research is required to clarify the outcome of membrane sweeping and on which grounds it should be performed. 

Place, publisher, year, edition, pages
2018. , p. 30
Keyword [en]
Sweeping of the membranes, parity, Bishop Score, BMI
Keyword [sv]
Hinnsvepning, paritet, Bishop Score, BMI
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-69821OAI: oai:DiVA.org:lnu-69821DiVA, id: diva2:1173704
Educational program
Midwifery Programme, 90 credits
Supervisors
Examiners
Available from: 2018-01-17 Created: 2018-01-13 Last updated: 2018-01-17Bibliographically approved

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