모성간호학 분만실 유도분만 실패 후 제왕절개술

목차

I. 서 론 ··········································································································· 1
1. 대상자선정 이유 ············································································································ 1
2. 해당 질환 통계 자료 ····································································································· 1

II. 본 론 ·········································································································· 2
1. 문헌고찰 ························································································································· 2
2. 간호력 ····························································································································· 4
3. 간호과정 ····················································································································· 14
4. 문헌고찰과 대상자 비교 ··························································································· 19
5. 간호기록 ······················································································································· 21

III. 결 론 ······································································································· 23

IV. 참고 문헌 ·································································································· 23

본문내용

I. 서 론
1. 대상자선정 이유
분당차병원 분만실 실습기간 동안 수많은 유도분만 산모들을 볼 수 있었다. 가장 먼저 실습 첫날 OT 교육 후 분만실 실습 중 분만하시는 산모분을 만날 수 있었다. 인생에서 처음으로 분만하는 모습을 볼 수 있어 뜻깊은 시간이였지만 분만 1기 과정을 볼 수 없었기에 두 번째 실습 날 진통을 하고 계신 유도분만 산모님을 케이스 대상자로 선정하게 되었다. 산모분께서는 유도분만을 준비하시던 중 선진부 하강과 경관 소실이 지연되자 일단 기다려보자는 의사선생님의 말씀에 불안해하는 모습을 보이셨다. 결국 지연되는 분만과정으로 인해 응급으로 제왕절개술을 하시게 되셨는데 이러한 상황 또한 분만실에서는 흔히 발생할 수 있는 상황이라 생각하여 대상자에게 제공할 수 있는 최선의 간호중재가 무엇일지 학습해보고 싶어 유도분만 실패 후 제왕절개술을 하시는 산모분을 대상자로 선정하게 되었다.
2. 해당 질환 통계 자료
국민건강보험공단에서 제공한 자료로 2021년 통계청에서 발표한 다빈도 수술 질환별 순위 20위를 살펴보면 다빈도 수술에 제왕절개수술이 포함되어 있었다. 그중 11위를 차지하는 유도분만의 실패가 1~10위에 이어 2,594명으로 많은 수치를 보였다.
II. 본 론
1. 문헌고찰
Ÿ Induction of labor (유도분만)
1) 정의
자발적인 분만 진통이 시작되기 전 자궁 수축을 일으키는 외부 물질을 투약하여 인위 적으로 분만 진통을 유발하는 방법이다. 산과영역에서 가장 흔히 시행하는 시술 중 하 나로, 유도분만을 진행하면 인위적으로 자궁구를 부드럽게 만들어 자궁이 수축되도록 하여 진통을 유발시키므로 자연분만과 같은 과정으로 출산이 진행된다.

참고자료

· 국민건강보험공단, 「건강보험주요수술통계」, 2018, 2023.10.12. 다빈도 수술 질환별 순위
· https://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=DT_350004N_A003&vw_cd=MT_ZTITLE
· &list_id=350_35004_6&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_
· path=MT_ZTITLE
· 서울아산병원 건강정보, 유도분만 [인터넷]. (2023.10.12.)
· https://www.amc.seoul.kr/asan/healthinfo/management/managementDetail.do?managementId
· =281&tabIndex=0
· 서울아산병원 건강정보, 제왕절개술 [인터넷]. (2023.10.12.)
· https://www.amc.seoul.kr/asan/healthinfo/management/managementDetail.do?managementId
· =455
· KIMS 약학정보원[internet]. 서울: 킴스; (2023.10.12.). http://www.kims
· 김영희, 박혜숙, 정금희, 김경원, 송영아, 강숙정 외 공저. 여성건강간호학Ⅰ. 제 1판. 서울특별시: 신광출판사 2022.
· 원종순, 박수현, 송민선, 김남초 외. 간호과정과 비판적 사고 제 3판. 서울특별시: 수문사. 2022.
· 전미양, 고진강, 김경미, 김동희, 김명수, 천의영 외 공저. 기본간호학Ⅰ 경기도: 수문사; 2020