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undergraduate thesis
POROĐAJ KOD BLIZANACA
2014. urn:nbn:hr:176:233763
Klarić, Jelena
University of Split
University Department of Health Studies

Cite this document

Klarić, J. (2014). POROĐAJ KOD BLIZANACA (Undergraduate thesis). Retrieved from https://urn.nsk.hr/urn:nbn:hr:176:233763

Klarić, Jelena. "POROĐAJ KOD BLIZANACA." Undergraduate thesis, University of Split, University Department of Health Studies, 2014. https://urn.nsk.hr/urn:nbn:hr:176:233763

Klarić, Jelena. "POROĐAJ KOD BLIZANACA." Undergraduate thesis, University of Split, University Department of Health Studies, 2014. https://urn.nsk.hr/urn:nbn:hr:176:233763

Klarić, J. (2014). 'POROĐAJ KOD BLIZANACA', Undergraduate thesis, University of Split, University Department of Health Studies, accessed 02 April 2023, https://urn.nsk.hr/urn:nbn:hr:176:233763

Klarić J. POROĐAJ KOD BLIZANACA [Undergraduate thesis]. Split: University of Split, University Department of Health Studies; 2014 [cited 2023 April 02] Available at: https://urn.nsk.hr/urn:nbn:hr:176:233763

J. Klarić, "POROĐAJ KOD BLIZANACA", Undergraduate thesis, University of Split, University Department of Health Studies, Split, 2014. Available at: https://urn.nsk.hr/urn:nbn:hr:176:233763

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Metadata
TitlePOROĐAJ KOD BLIZANACA
Title (english)BIRTH OF TWINS
AuthorJelena Klarić
MentorMarko Mimica (mentor)
Committee memberZdeslav Benzon (predsjednik povjerenstva)
Committee memberIndira Kosović (član povjerenstva)
Committee memberMarko Mimica (član povjerenstva)
GranterUniversity of Split
University Department of Health Studies
Split
Defense date and country2014-09-26, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Gynecology and Obstetrics
Abstract
Istovremeni razvoj više od jednog ploda u maternici ţene nazivamo višeplodnom trudnoćom. Uĉestalost blizanaca ovisi o rasi, nasljednom faktoru, dobi i paritetu rodilje. Ove trudnoće prati veći broj komplikacija tokom trudnoće i poroĊaja kako za plodove tako i za majku. Fetalni perinatalni mortalitet je nekoliko puta veći nego kod jednoplodne trudnoće. Dijagnoza višeplodne trudnoće temelji se na anamnezi, kliniĉkom i ultrazvuĉnom pregledu koji ujedno ima i najveću vrijednost. Na koji naĉin će se blizanci poroditi najviše ovisi o njihovom poloţaju. Najĉešća kombinacija gdje su oba blizanca poloţeni glavom je najpovoljnija za vaginalni poroĊaj. Sljedeća najĉešća kombinacija, gdje je prvi blizanac namješten glavom, a drugi zatkom takoĊer dozvoljava vaginalni poroĊaj. U sluĉaju kada je prvi blizanac poloţen zatkom većina autora smatra da je carski rez najbolji naĉin poroĊaja. Poloţaj blizanaca u bilo kojem trenutku trudnoće nije definitivan, jer ĉak i u blizanaĉkoj trudnoći do zadnjeg trenutka ima dovoljno mjesta da se djeca okrenu. Ovo se vrlo ĉesto dogaĊa sa drugim blizancem. TakoĊer, nakon poroĊaja prvog blizanca, drugi ima puno mjesta te u samom poroĊaju lako moţe promijeniti poloţaj. Upravo zbog toga, nakon poroĊaja prvoga blizanca poloţaj drugoga treba provjeriti ultrazvukom. Vaginalni poroĊaj, osim o namještaju blizanaca, ovisi i o zdravlju rodilje i djece pa se danas ipak preko 50% blizanaĉkih trudnoća dovršava carskim rezom. Kao indikacije za carski rez navode se abnormalne prezentacije blizanaca, prijevremeno prsnuće vodenjaka, prolaps pupkovine, abrupcija posteljice, krvarenje zbog atonije i nepravilnog ljuštenja posteljice.
Abstract (english)
Simultaneous development of more than one fetus in the uterus is called multiple pregnancy. The frequency of twins depends on the race, inheritance, age and parity. Compared to singleton pregnancy there are more complications during pregnancy and birth for both. Mortality of fetuses is several times higher than in the singleton pregnancies. Diagnosis of multiple pregnancy is based on the history, clinical and ultrasound examination. The way of birth depends on presentation of both fetuses. When both fetuses are vertex it is most suitable for vaginal delivery. Than, the next common combination is when the first twin is vertex, and the second twin is non-vertex. This presentation is also suitable for vaginal delivery. In the case when the first twin is non-vertex, most autors consider that caesarean section is the best way of delivery. Presentation of the twins during the pregnancy is not defined, because there are enough space for turn. This is common for second twin. When the first twin is delivered, second twin can switch position. Because of it, after delivery of the first twin the position of second twin should be examinated by the ultrasound. Vaginal delivery depends not just on the presentation of twins but also on the health of mother and fetuses, but still over 50% multiple pregnancies ends by the caesarean section. Indications for the caesarean section are malpresentations of twins, premature rupture of membranes, umbilical cord prolapse, placental abruption, haemorrhage caused by the atony, abnormal abruption of the placenta.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:176:233763
Study programmeTitle: Midwifery (university/undergraduate)
Study programme type: university
Study level: undergraduate
Academic / professional title: sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) primaljstva (sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) primaljstva)
Type of resourceText
File originBorn digital
Access conditionsOpen access
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Created on2017-03-08 11:51:37