Sezeryan do\u011fumlar her ge\u00e7en g\u00fcn artmakta. Sezeryan do\u011fum, bat\u0131n (laparatomi) ve rahim duvar\u0131na yap\u0131lan insizyonlarla (histeretomi ) fetusun do\u011fumu olarak tan\u0131mlan\u0131r. \u00dclkemizde ve d\u00fcnyada artan sezeryan do\u011fum oranlar\u0131 doktorlar ve sa\u011fl\u0131k politikalar\u0131n\u0131 y\u00f6netenler i\u00e7in bir problemdir. Sebeplerine kafa yorulmal\u0131, sadece kural koyarak bu oranlar\u0131n d\u00fc\u015f\u00fcr\u00fclemeyece\u011fi, problemin \u00e7ok y\u00f6nl\u00fc oldu\u011fu ak\u0131ldan \u00e7\u0131kar\u0131lmamal\u0131d\u0131r.<\/p>\n

G\u00fcn\u00fcm\u00fczde sezeryan:<\/strong><\/p>\n

1970-2007 aras\u0131nda Birle\u015fik Devletlerde sezeryan oran\u0131 toplam do\u011fumlar i\u00e7indeki pay\u0131 % 4.5\u2019 tan %31,86\u2019 ya y\u00fckselmi\u015ftir. 2000\u2019 li y\u0131llara gelince, sezeryan art\u0131\u015f\u0131 i\u00e7in Amerikan Obstetrik ve Jinekoloji Derne\u011fi Sezeryan Do\u011fum Grubu, Birle\u015fik Devletler i\u00e7in 2 hedef \u00f6nerdi. 1 \u2013 tekil ba\u015f geli\u015f 37 hf \u00fcst\u00fc gebeliklerde sezeryan h\u0131z\u0131n\u0131 % 15\u2019lerde tutmak 2 \u2013 daha \u00f6nce sezeryan do\u011fum yapm\u0131\u015flarda da sezeryan sonras\u0131 normal do\u011fumu % 37\u2019lere y\u00fckseltmek.<\/p>\n

2000\u2019de ba\u015flayan bu program nispeten etkili olmu\u015f ancak, 2007\u2019den sonra yine planda sapma ile sezeryan do\u011fum h\u0131z\u0131 artm\u0131\u015ft\u0131r.<\/p>\n

Sezeryan do\u011fum h\u0131z\u0131ndaki art\u0131\u015f tam olarak anla\u015f\u0131lamam\u0131\u015ft\u0131r, baz\u0131 a\u00e7\u0131klamalar \u015fu \u015fekildedir:<\/strong><\/p>\n

Kad\u0131nlar art\u0131k daha az \u00e7ocu\u011fa sahip olmakta, anne ya\u015f\u0131 artmakta bu nedenle zaten daha \u00e7ok riskli gebelik oldu\u011fu i\u00e7in sezeryan do\u011fum artmaktad\u0131r.
\nElektronik fetal monitorizasyon yayg\u0131n olarak kullan\u0131lmaktad\u0131r. \u2018Fetal distress\u2019 sebepli yap\u0131lan sezeryan oran\u0131, genel toplamda az olsa da , ciddi kalp at\u0131m\u0131 bozukluklar\u0131 yan\u0131nda, \u2018\u2019 g\u00fcven vermeyen kalp at\u0131m\u0131 \u2018\u2019 traseleri de endi\u015feyi art\u0131r\u0131p sezeryana sebep olmaktad\u0131r.
\nEskiye g\u00f6re, vakum- forceps uygulamalar\u0131 ve sezeryan sonras\u0131 normal do\u011fum denemeleri azalm\u0131\u015ft\u0131r.
\nKendili\u011finden do\u011fum sanc\u0131lar\u0131n\u0131 beklemeden, do\u011fum ind\u00fcksiyonu denemeleri daha \u00e7ok uygulanmakta, bu da sezeryan oran\u0131n\u0131 art\u0131rmaktad\u0131r.
\nObesite artm\u0131\u015f bu da sezeryan oran\u0131n\u0131 artt\u0131rm\u0131\u015ft\u0131r.
\nRiskli gebelikler (preeklamsia, preterm do\u011fum,.. ) daha \u00e7ok sezeryan ile do\u011furtulmakta, do\u011fum ind\u00fcksiyonu art\u0131k \u00e7ok tercih edilmemektedir.<\/p>\n

Elektif sezeryan:<\/strong> daha \u00e7ok hasta iste\u011fi ile yap\u0131lan, normal do\u011fum kayg\u0131s\u0131 giderilememi\u015f, do\u011fuma ikna edilemeyen hasta grubunda artan oranlarda sezeryan yap\u0131lmaktad\u0131r.<\/p>\n

\u015eahsi g\u00f6r\u00fc\u015f\u00fcm, do\u011fum ve sezeryan\u0131n ne oldu\u011fu, art\u0131 ve eksileri do\u011fru anlat\u0131lm\u0131\u015f hasta grubunda do\u011fum \u015fekline hastan\u0131n karar vermesi kadar do\u011fal bir sonu\u00e7 yoktur. Bu tip kararlar\u0131n yasalarla k\u0131s\u0131tlanmamas\u0131 gerekir. Ancak \u00e7o\u011fu hasta grubu ( d\u00fczensiz gebelik takibi, do\u011fum bilincine erememe, gebeli\u011fin bir do\u011fum ile sonu\u00e7lanaca\u011f\u0131na haz\u0131rlanmama, bilgi eksikli\u011fi, e\u011fitim d\u00fczey d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc,\u2026 ) bir \u00e7ok sebeple do\u011fum kap\u0131lar\u0131n\u0131 \u00e7ald\u0131\u011f\u0131nda y\u00fcksek korku d\u00fczeyi ile normal do\u011fumu reddetmekte ve doktorlara sezeryan bask\u0131s\u0131 yapmaktad\u0131r. Halk aras\u0131nda korkulu do\u011fum sahneleri ile ter\u00f6rize edilmi\u015f, do\u011fum sanc\u0131lar\u0131 ba\u015flam\u0131\u015f bir bayan\u0131 bu noktada kabul eden bir doktorun da ikna etmesi \u00e7ok zor bir i\u015ftir.<\/p>\n

Bu sebeple, hastalar\u0131m\u0131z\u0131n m\u00fcmk\u00fcnse tek bir doktor ile kontak kurabilecekleri, tan\u0131\u015fabilecekleri ve do\u011fumda da inand\u0131klar\u0131, tan\u0131d\u0131klar\u0131, kendilerini teslim edebilecekleri bir ekiple do\u011fuma girebilecekleri ortamlar\u0131 yaratmak gerekir. Hastalar, do\u011fum fikrine gebelikleri s\u0131ras\u0131nda haz\u0131rlanmal\u0131d\u0131rlar. Do\u011fumu heyecenla ve istekle bekler halde olmal\u0131d\u0131rlar. A\u011fr\u0131lar ba\u015flad\u0131\u011f\u0131nda, hastam\u0131z\u0131n fikrinde \u2018\u2019 i\u015fte o an geldi, art\u0131k bebe\u011fime kavu\u015faca\u011f\u0131m \u2018\u2019 heyecan\u0131n\u0131 olu\u015fturabilirsek, gayretli , istekli ve ba\u015far\u0131l\u0131 do\u011fumlar ger\u00e7ekle\u015ftirebiliriz.<\/p>\n

\u00dclkemizde, \u015fehir merkezleri d\u0131\u015f\u0131nda \u00e7o\u011fu yerde doktor say\u0131s\u0131n\u0131n azl\u0131\u011f\u0131 ( icap n\u00f6bet gereklili\u011fi ) , mesai d\u0131\u015f\u0131nda \u00e7o\u011fu hastanede \u00e7ocuk doktoru, anestezi uzman\u0131n\u0131n olmay\u0131\u015f\u0131, do\u011fumlar\u0131n g\u00fcnd\u00fcz hallolabilmesi i\u00e7in sezeryana meyli artt\u0131ran fakt\u00f6rlerdir. Yine \u00e7o\u011fu hastanede, t\u00fcm do\u011fum sanc\u0131s\u0131 \u00e7eken han\u0131mlar\u0131n ortak do\u011fumhane salonunda tutulmak zorunda kal\u0131nmas\u0131, mahremiyet fakt\u00f6r\u00fcn\u00fcn g\u00f6z\u00f6n\u00fcne al\u0131namamas\u0131, do\u011fum analjezi ve anestezi f\u0131rsatlar\u0131n\u0131n olmay\u0131\u015f\u0131, do\u011fumu itici hale getirip, hastalar\u0131n sezeryana y\u00f6nelmesine sebep olmaktad\u0131r.<\/p>\n

Malpraktis davalar\u0131 ile artan kayg\u0131lar, sezeryan h\u0131z\u0131n\u0131n artmas\u0131na sebep olmaktad\u0131r.
\nSon y\u0131lllarda artan sezeryan oranlar\u0131ndan sonra, bebeklerin do\u011fum sonras\u0131 ya\u015fanan problemler a\u00e7\u0131s\u0131ndan ( neonetal sepsis, n\u00f6betler, serebral pals,\u2026. ) bak\u0131ld\u0131\u011f\u0131nda bir azalma olmamas\u0131na ra\u011fmen, art\u0131k g\u00fcn\u00fcm\u00fczde defansiv t\u0131p ve artan sezeryan oranlar\u0131 bir ger\u00e7ektir.<\/p>\n","protected":false},"excerpt":{"rendered":"

Sezeryan…<\/p>\n","protected":false},"author":4,"featured_media":7935,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1523],"tags":[225,5533,5536,5063,5535,5532,5544,5534,5545,5537,5531],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/7932"}],"collection":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/comments?post=7932"}],"version-history":[{"count":0,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/7932\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/7935"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=7932"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=7932"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=7932"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}