Episiotomy is a surgical cut of the perineum performed in the second stage of labor in order to widen the vaginal opening and thus facilitate the birth of an infant. Despite current recommendations ...against the routine use of episiotomy, it is one of the most commonly performed surgical interventions during childbirth. This retrospective study explores the number of episiotomies performed in Slovenian maternity hospitals and the differences in episiotomy rates in relation to parity. Data were obtained from the Slovenian National Perinatal Information System and pooled for 2013. A causal and non‐experimental method of empirical research was used. The results of the study show that episiotomy rates vary widely across Slovenian maternity hospitals, ranging from 2.5% to 51.7%. Moreover, the majority of Slovenian maternity hospitals exceed the recommended rate, with an overall incidence of episiotomy as high as 31.3%. Further research is recommended to obtain relevant information from women as well as from midwives and to draw new, evidence‐based conclusions related to the maternal benefits and adverse effects of episiotomy.
The aim was to investigate first-care procedures for the newborn's umbilical cord at maternity hospitals in Slovenia and Croatia. The study was based on an empirical survey research approach and ...quantitative research paradigms and included all Slovenian (n=14) and all Croatian (n=35) maternity hospitals. Leaders of midwifery team of 14 Slovenian and 35 Croatian labor wards were invited to participate. The study was conducted in 2013, with 67% of Slovenian and 66% of Croatian maternity hospitals having responded. A causal and non-experimental method of empirical research was used. The research instrument was a questionnaire. Descriptive statistics was used on data analysis. The independence hypothesis was tested with the χ2-test or Kullback 2Î-test. A vast ma-jority of study wards employed delayed umbilical cord clamping, i.e. clamping the cord after pulsa-tion had ceased. Only 10% of Slovenian in comparison with 36.4% of Croatian maternity hospitals practiced dry cord care. Others applied disinfectant on the cord, in Slovenia most frequently 6% po-tassium permanganate, and in Croatia a combination of octenidine and phenoxyethanol. Most Croa-tian -maternity wards (95.7%) still covered the stump, while it was not regular practice in Slovenia. The authors estimate that the prevailing Slovenian and Croatian practices in regard to cord clamping are in accordance with the evidence, while improvements could be made regarding stump care, since dry cord care is the recommended method.
Introduction: The COVID-19 epidemic and its restrictions have affected all aspects of people’s lives, including health-related quality of life and, considering sexuality as an integral part of ...individual needs, also intimacy and sexuality. Therefore, the aim of this article was to investigate women’s sexual functioning and health-related quality of life assessment in Slovenian women in the reproductive period. Methods: An online survey with valid questionnaires (short form 36 SF-36 and Female sexual function index FSFI-19) was conducted in January 2022. All research ethical measures were taken to ensure the integrity of the participants. Results: The FSFI scale score was 25.37 ± 8.29, 1.18 points above the cutoff point, indicating a higher risk of sexual dysfunction (26.55). The estimated prevalence of sexual dysfunction was 36.8%, with sexual desire being the most problematic area. The mean score on the SF-36 scale in our sample reached 73.52 ± 13.84 on a 100-point scale, with 0 representing the worst and 100 the best quality of life; fatigue (x̅ = 48.50) was the most problematic category. The results partly reflect the results of foreign studies, but we must be aware of cultural differences in the understanding of sexuality and keep in mind that some countries faced difficult circumstances during the COVID-19 pandemic and that social constraints were different in 2020 than in 2022. Conclusion: The epidemic affected the sexual function of women of reproductive age and their perception of (health-related) quality of life.
The purpose of the study was to identify views of Slovenian midwifery students about menstruation. We were interested in whether opinions about menstruation change during the study of midwifery and ...whether perceptions are affected by a midwifery philosophy that promotes the physiology of female reproduction. We used a descriptive and causal non-experimental empirical method with a literature review of professional and scientific references as a first step. Findings were upgraded with quantitative findings. Descriptive statistics were performed; statistically significant differences were determined by χ2 -test and Kullback 2Î test. A high proportion of respondents reported negative feelings about menarche, however they were currently in general positive towards menstruation; third-year students were more positive than first-year students. Compared with past Slovenian studies, performed in the general population of students, midwifery students show more open attitudes regarding menstruation, which may partially be the result of promoting a physiological view on menstruation and reproduction throughout the study programme. Based on our results we conclude that the socialisation processes that occurs during professional midwifery education should promote and encourage a midwifery model of care which is based on respect for the intricacy of physiology; in this case the menstrual and reproductive cycle. Midwifery study programmes that enable practical training in settings that promote physiological birth promote better midwifery philosophy about the physiology of female reproductive cycles; therefore these students take a more physiological view of menstruation.
In Slovenia there is a unitary system of early education for all preschool-aged children. Since the vast majority of children attend full-day programmes, the daily routine represents a significant ...part of life for children in kindergarten. When systemic and curricular reform of preschools was introduced at the end of the twentieth century, lot of attention was paid to changing the previously rigid and non-individualised daily routine. This article presents some of the findings of a research project that introduced principles of Reggio Emilia preschools in Italy to preschool teachers in Slovenia and concerned indirectly the daily routine. The focus was on whether and in what manner the daily routine changed in the decade after the introduction of the new national curriculum, and whether the mentioned training influenced these changes. The results show increased flexibility of the daily routine in teachers' practices but the picture is not uniformly positive.
Mobbing, defined as sustained harassment among workers, in particular towards subordinates, merits investigation. This study aims to investigate Slovenian midwifery students' (2nd and 3rd year ...students of midwifery at the Faculty for Health Studies Ljubljana; the single educational institution for midwives in Slovenia) perception of mobbing, since management of acceptable behavioural interrelationships in midwifery profession forms already during the study, through professional socialization. Descriptive and causal-nonexperimental method with questionnaire was used. Basic descriptive statistics and measures for calculating statistical significance were carried out with SPSS 20.0 software version. All necessary ethical measures were taken into the consideration during the study to protect participants. The re- sults revealed that several participants experienced mobbing during the study (82.3%); 58.8% of them during their practical training and 23.5% from midwifery teachers. Students are often anxious and nervous in face of clinical settings (60.8%) or before faculty commitments (exams, presentations etc.) (41.2%). A lot of them (40.4%) estimate that mobbing affected their health. They did not show effective strategies to solve relationship problems. According to the findings, everyone involved in midwifery education, but above all students, should be provided with more knowledge and skills on successful management of conflict situations.
Mreža središč za samostojno učenje (SSU) je ena od starejših infrastrukturnih dejavnosti, razvitih na Andragoškem centru Slovenije (ACS). Z razvojem organiziranega samostojnega učenja se je ACS začel ...ukvarjati leta 1993 v želji po vzpostaviti in širjenju kulture organiziranega samostojnega učenja v Sloveniji. V letu 2017 je v mreži SSU delovalo 36 splošnoizobraževalnih središč in dve podružnici, kjer so udeleženci SSU lahko samostojno in brezplačno pridobivali in utrjevali znanje ob podpori strokovnih delavcev SSU. Podatki kažejo, da se število udeležencev SSU z leti povečuje. V času od 2014 do danes so nastale mnoge nove pobude ter bili sprejeti številni strateški dokumenti tako na nacionalni kot tudi evropski in svetovni ravni, ki prav tako podpirajo delovanje SSU. V prispevku prikazujemo rezultate raziskovalno-aplikativnega projekta, v okviru katerega smo izsledili, da se v Sloveniji pojavlja potreba po razvoju, dopolnjevanju in nadgradnji delovanja SSU, na področjih, ki jih v prispevku predstavljamo v obliki razvitih priporočil za nadaljnji razvoj SSU.
Introduction. The aim of the study was to explore two aspects of neonatal prophylaxis: the application of the vitamin K injection to the newborns and the prophylaxis against chlamydial and gonococcal ...eye infections, comparing Slovenian and Croatian practices.
Methods. A causal non-experimental method of quantitative empirical approach was used. The data was collected by means of predesigned questionnaires. The questionnaires were sent to 14 Slovenian and 32 Croatian birth hospitals. The data wasanalysed with descriptive statistics and the Kullback test.
Results. Vitamin K is applied to all newborns in 9 (out of 14) Slovene and 22 (out of 32) Croatian birth hospitals that returned the questionnaire. The prophylaxis against chlamydial gonococcal eye infections is applied to all newborns in 9 Slovene and 16 Croatian birth hospitals that offered answers to the questionnaire. The majority of Slovene and Croatian birth hospitals perform these procedures in the first hour after birth. The majority of Slovene birth hospitals still apply vitamin K in the gluteal muscle, whereas the majority of Croatian birth hospitals usually use the thigh as an injection site. In Slovenia, 1 % Targesin is used for the prophylaxis against chlamydial and gonococcal eye infections, whereas in Croatia the prevailing medicine is Erythromycin.
Conclusions. The possibility of oral vitamin K application should be offered to parents, and pain management in practice should be discussed. The form of written informed consent could be offered to parents. Health professionals should provide intimacy and exclude routine procedures in the first couple of hours after birth. However, more research is needed as delayed administration might be related to lower efficacy and, as a consequence of that, the safety of newborns is questionable.
Uvod. Namen opisane raziskave je bil proučiti določene vidike neonatalne profilakse: prakso aplikacije vitamina K novorojenčkom in profilakse proti klamidijski in gonokokni okužbi oči v slovenskih in hrvaških porodnišnicah.
Metode. V raziskavi je bila uporabljena kavzalna neeksperimentalna metoda kvantitativnega empiričnega načina raziskovanja. Podatki so bili pridobljeni z vnaprej pripravljenimi vprašalniki, ki so bili razdeljeni v 14 slovenskih in 32 hrvaških porodnišnicah. Analiza podatkov je potekala z uporabo deskriptivne statistike in Kullbackovega preizkusa.
Rezultati. Ugotovili smo, da se praksa v slovenskih in hrvaških porodnišnicah glede raziskovanih parametrov neonatalne profilakse razlikuje. Devet slovenskih porodnišnic (od vseh 14) in 22 hrvaških (od vseh 32), ki so sodelovale v raziskavi, aplicira vitamin K vsem novorojenčkom. Profilaktično zaščito proti klamidijskim ali gonokoknim očesnim okužbam pa izvajajo v 9 slovenskih in 16 hrvaških porodnišnicah (od vseh sodelujočih v raziskavi). Večina slovenskih in hrvaških porodnišnic opravi oba posega v prvi uri po rojstvu. Večina slovenskih porodnišnic aplicira vitamin K v glutealno mišico, medtem ko je na Hrvaškem pogostejša aplikacija v stegensko mišico. V slovenskih porodnišnicah pri apliciranju profilakse proti klamidijskim in gonokoknim okužbam oči prevladuje 1-odstotni Targezin, v hrvaških pa Eritromicin.
Zaključek. Staršem je treba ponuditi možnost oralne aplikacije vitamina K. Dobro bi bilo spregovoriti o lajšanju bolečine ob tovrstnem posegu ter hkrati starše spodbuditi, da pisno in informirano privolijo v poseg. Naloga zdravstvenih delavcev je, da družini v prvih urah po porodu zagotovijo intimnost ter v tem času poskusijo odložiti rutinske postopke. Za slednje pa so potrebne dodatne raziskave, saj lahko kasnejša administracija vodi v manjšo učinkovitost profilakse in hkrati zmanjšuje varnost novorojenčkov
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