fa بررسی برخی عوامل موثر بر طول مرحله سوم زایمان پرستاری Nursing پژوهشي اصیل Original Research <p class="MsoNormal" dir="rtl" style="text-justify: kashida margin: 0cm 0cm 0pt text-align: justify text-kashida: 0%"><strong><span lang="FA" style="font-size: 9pt font-family: "B Traffic" mso-bidi-language: FA">مقدمه و هدف:</span></strong><span lang="FA" style="font-size: 9pt font-family: "B Traffic" mso-bidi-language: FA"> </span><font size="2"><span lang="AR-SA" style="font-family: "B Traffic" mso-ansi-font-size: 9.0pt">مرحله سوم زایمان که بلافاصله پس از خروج جنین آغاز میشود مربوط به جدا شدن و خروج جفت می باشد. این پژوهش به منظور بررسی <span style="mso-spacerun: yes"> </span>برخی عوامل موثر بر طول مرحله سوم زایمان در بیمارستان فاطمیه شهر همدان انجام شده است.</span><span lang="FA" style="font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt"> <!--stripped--><!--stripped--></span></font></p> <p class="MsoNormal" dir="rtl" style="margin: 0cm 0cm 0pt text-align: justify"><strong><span lang="FA" style="font-size: 9pt font-family: "B Traffic" mso-bidi-language: FA">روش کار:</span></strong><font size="2"><span lang="FA" style="font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt"> </span><span lang="AR-SA" style="font-family: "B Traffic" mso-ansi-font-size: 9.0pt">این مطالعه از نوع توصیفی- مقطعی و اینده نگر و انتخاب افراد بر اساس نمونه گیری اسان بوده است. تعداد 456 نفر مورد مطالعه قرار گرفتند که پس از مشاهده و مصاحبه با مادر اقدام به تکمیل چک لیست میشد. داده ها با استفاده از ضریب همبستگی پیرسون و رگرسیون توسط نرم افزار </span></font><span dir="ltr" style="font-size: 9pt mso-bidi-font-family: 'B Traffic' mso-bidi-font-size: 10.0pt">EPI </span><span style="font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt"><font size="2"><span style="mso-spacerun: yes"> </span><span lang="FA">آنالیز گردید.<span style="mso-spacerun: yes">  </span><!--stripped--><!--stripped--></span></font></span></p> <p class="MsoNormal" dir="rtl" style="text-justify: kashida margin: 0cm 0cm 0pt text-align: justify text-kashida: 0%"><strong><span lang="FA" style="font-size: 9pt font-family: "B Traffic" mso-bidi-language: FA">نتایج:</span></strong><font size="2"><span lang="FA" style="font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt"> </span><span lang="AR-SA" style="font-family: "B Traffic" mso-ansi-font-size: 9.0pt">اکثریت واحدهای مورد پژوهش 6/49% طول مدت مرحله سوم زایمان 7-5 دقیقه بودند. بیشترین فراوانی سن در واحدهای مورد پژوهش بین 30-21 سال و اکثریت افراد 1 فرزند داشته اند. 3/58% از واحد های مورد پژوهش آنالژزیک دریافت نکرده اند و 5/67% <span style="mso-spacerun: yes"> </span>از افراد <span style="mso-spacerun: yes"> </span>اپی زیاتومی شده اند و 6/84% واحدهای مورد پژوهش خصوصیات انتروپومتریکی نرمال بودند.</span></font><span lang="AR-SA" dir="ltr" style="font-size: 9pt mso-bidi-font-family: 'B Traffic' mso-bidi-font-size: 10.0pt"> </span><font size="2"><span lang="FA" style="font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt">بین ضریب همبستگی طول مدت مرحله سوم زایمان </span><span lang="AR-SA" style="color: black font-family: "B Traffic" mso-ansi-font-size: 9.0pt">با تعداد زایمانهای مادر رابطه معنی دار آماری وجود نداشت </span><span lang="FA" style="font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt">(05/0</span></font><span dir="ltr" style="font-size: 9pt mso-bidi-language: FA mso-bidi-font-family: 'B Traffic' mso-bidi-font-size: 10.0pt">P></span><span lang="FA" style="font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt"><font size="2">).</font></span><font size="2"><span lang="FA" style="color: black font-family: "B Traffic" mso-ansi-font-size: 9.0pt"> </span><span lang="FA" style="font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt">بین ضریب همبستگی طول مدت مرحله سوم زایمان</span><span lang="AR-SA" style="color: black font-family: "B Traffic" mso-ansi-font-size: 9.0pt"> با اپی زیاتومی، استفاده از آنالژزیک و وزن نوزاد رابطه معنی دار آماری وجود داشت </span><span lang="FA" style="font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt">(00/0</span></font><span dir="ltr" style="font-size: 9pt mso-bidi-language: FA mso-bidi-font-family: 'B Traffic' mso-bidi-font-size: 10.0pt">P=</span><span lang="FA" style="font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt"><font size="2">)</font></span><font size="2"><span lang="AR-SA" style="color: black font-family: "B Traffic" mso-ansi-font-size: 9.0pt">.</span><span lang="FA" style="color: black font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">.</span><span lang="FA" style="font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt"><!--stripped--><!--stripped--></span></font></p> <p class="MsoNormal" dir="rtl" style="text-justify: kashida margin: 0cm 0cm 0pt text-align: justify text-kashida: 0%"><strong><span lang="AR-SA" style="font-size: 9pt font-family: "B Traffic"">نتیجه نهایی:</span></strong><font size="2"><span lang="AR-SA" style="font-family: "B Traffic" mso-ansi-font-size: 9.0pt"> دریافت آنالژزیک رتبه اول را از نظر ضریب همبستگی با طول مدت مرحله سوم زایمان، وزن نوزاد رتبه دوم و اپی زیاتومی مادر رتبه سوم را به خود اختصاص داده است و سن مادر، سن حاملگی و محل زندگی به ترتیب در مراحل بعدی قرار گرفتند</span><span lang="FA" style="font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt">.</span></font><strong><em><u><span lang="FA" style="color: black font-family: "B Traffic" mso-bidi-language: FA mso-ansi-font-size: 9.0pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial"><!--stripped--><!--stripped--> <p class="MsoNormal" style="margin: 0cm 0cm 0pt direction: ltr unicode-bidi: embed text-align: justify tab-stops: 372.0pt"><strong><span style="mso-bidi-font-family: 'Times New Roman'"><font size="2">Introduction & Objective:</font></span></strong><span style="font-size: 12pt mso-bidi-font-family: 'Times New Roman'"> The third stage of labor, which begins immediately after delivery of the fetus, involves the separation and expulsion of the placenta. The purpose of study was to determine some Factors on duration of third stage of labor.<!--stripped--><!--stripped--></span></p> <p class="MsoNormal" style="text-justify: kashida margin: 0cm 0cm 0pt direction: ltr unicode-bidi: embed text-align: justify text-kashida: 0% tab-stops: 444.6pt"><strong><span style="mso-bidi-font-family: 'Times New Roman'"><font size="2">Materials & Methods:</font></span></strong><span style="font-size: 12pt mso-bidi-font-family: 'Times New Roman'"> This was a descriptive and analytical study that was carried out in university-affiliated teachinghospital, <st1:city w:st="on">Hamadan</st1:city> city, <st1:country-region w:st="on"><st1:place w:st="on">Iran</st1:place></st1:country-region>.<span style="mso-spacerun: yes">  </span>A total of 456 parturient women were recruited and immediately after delivery of fetus, duration of third stage of labor (separation and expulsion) was recorded.</span><span class="articletext1"><span style="font-size: 12pt mso-bidi-language: FA mso-bidi-font-family: 'Times New Roman'"><font face="Verdana"> Data processing and statistical analysis were performed using EPI/ PC</font></span></span><span style="font-size: 12pt">.</span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0pt direction: ltr unicode-bidi: embed text-align: justify tab-stops: 372.0pt"><strong><span style="mso-bidi-font-family: 'Times New Roman'"><font size="2">Results:</font></span></strong><span style="font-size: 12pt mso-bidi-font-family: 'Times New Roman'"> The results revealed that duration of third stage of labor in majority of selected women (49.6%) was 5-7 minutes. A considerable percentage of selected women had 21-30 years old. Higher percentage of women (41.9%) had primary education. Nearly 58.3% of selected women did not use analgesic and episiotomy performed in majority of selected women (67.5%). Majority of women (84.6%) of selected women had <span style="color: black">normal anthropometrics profile. Regression analysis showed no significant relation between third stage of labor with mother's parity (P</span></span><span style="font-size: 12pt color: black mso-bidi-language: FA mso-bidi-font-family: 'Times New Roman'">> 0.05</span><span style="font-size: 12pt color: black mso-bidi-font-family: 'Times New Roman'">). But there are significant relation between episiotomy, usage analgesic and newborn weight with third stage of labor (P= 0.00</span><span style="font-size: 12pt mso-bidi-font-family: 'Times New Roman'">)</span><span style="font-size: 12pt">.</span><span style="font-size: 12pt mso-bidi-font-family: 'Times New Roman'"><!--stripped--><!--stripped--></span></p> <p class="MsoBodyText2" style="text-justify: kashida margin: 0cm 0cm 0pt text-align: justify text-kashida: 0%"><strong><span style="font-size: 10pt font-family: "Times New Roman"">Conclusion: </span></strong><span style="font-size: 12pt font-family: "Times New Roman" mso-bidi-font-size: 4.0pt">Regression analysis presented that usage analgesic, birth weight and episiotomy had first, second and third ranks on duration of third stage of labor. Maternal age, gestational age and life style were followed. These parameters can be applied in prediction of duration of third stage of labor</span><span style="font-size: 12pt font-family: "Times New Roman"">.<strong><!--stripped--><!--stripped--></strong> مرحله سوم زایمان ، مشخصات نوزاد ، وزن نوزاد Newborn Weight / Third Stage of Labor/ Woman 9 19 http://nmj.umsha.ac.ir/browse.php?a_code=A-10-1-1058&slc_lang=fa&sid=1 F. Shobeiri, Ph.D. دکتر فاطمه شبیری 10031947532846001178 10031947532846001178 No N. Mohammadi, M.Sc. ناهید محمدی 10031947532846001179 10031947532846001179 No M. Nazari, Ph.D. دکتر منصور نظری 10031947532846001180 10031947532846001180 No