Summary
Samenvatting Blok 2 - Ouders en kind in de hoofdrol
- Course
- Institution
een samenvatting waarin alle leeractiviteiten van blok 2 naar voren komen
[Show more]
Seller
Follow
liannegiovinazzo
Reviews received
Content preview
,Table of ContentsHet Benige Baringskanaal .............................................................................................................................................................................................................................. 9
Anatomie – Bekken .......................................................................................................................................................................................................................................................................... 9
Anatomie – Ligamenten van bekken.............................................................................................................................................................................................................................................. 10
Anatomie – Bekkensoorten............................................................................................................................................................................................................................................................ 10
Anatomie – Benige Baringskanaal .................................................................................................................................................................................................................................................. 11
Afmetingen – Benige Baringskanaal .............................................................................................................................................................................................................................................. 11
Vlakken van Hodge......................................................................................................................................................................................................................................................................... 12
Anatomie – Foetale Schedel .......................................................................................................................................................................................................................................................... 12
Afmetingen – Foetale schedel........................................................................................................................................................................................................................................................ 13
Het Weke Baringskanaal .............................................................................................................................................................................................................................. 13
Anatomie – Weke Baringskanaal ................................................................................................................................................................................................................................................... 14
Innervatie – Weke Baringskanaal ................................................................................................................................................................................................................................................... 14
Anatomie – Bekkenbodemspieren ................................................................................................................................................................................................................................................. 15
Anatomie – Buikspieren ................................................................................................................................................................................................................................................................. 15
Standen & Baringsmechanismen .................................................................................................................................................................................................................. 16
Baringsmechanismen – Definities ............................................................................................................................................................................................................. 16
Notatie (stand) – NL ....................................................................................................................................................................................................................................................................... 16
Notatie (stand) – ENG .................................................................................................................................................................................................................................................................... 16
Posities van kind............................................................................................................................................................................................................................................................................. 17
Spildraaifactoren ............................................................................................................................................................................................................................................................................ 18
Baringsmechanismen – Hoofdliggingen..................................................................................................................................................................................................... 18
Achterhoofdsligging (voor) ............................................................................................................................................................................................................................................................ 18
Achterhoofdsligging (achter) ......................................................................................................................................................................................................................................................... 20
Kruinligging .................................................................................................................................................................................................................................................................................... 22
Voorhoofdsligging .......................................................................................................................................................................................................................................................................... 23
, Aangezichtsligging .......................................................................................................................................................................................................................................................................... 25
Wandbeenligging ........................................................................................................................................................................................................................................................................... 27
Hoge rechtstand ............................................................................................................................................................................................................................................................................. 28
Diepe dwarsstand .......................................................................................................................................................................................................................................................................... 30
Incidentie ....................................................................................................................................................................................................................................................................................... 31
Spierweefsel ................................................................................................................................................................................................................................................. 31
Anatomie – Skeletspier .................................................................................................................................................................................................................................................................. 31
Fysiologie – De Contractie.............................................................................................................................................................................................................................................................. 33
Fysiologie – Contractiecyclus ......................................................................................................................................................................................................................................................... 35
Soorten Spierweefsel ..................................................................................................................................................................................................................................................................... 36
Glad Spierweefsel (unitair)............................................................................................................................................................................................................................................................. 37
Het Myometrium .......................................................................................................................................................................................................................................... 38
Uterus tijdens de zwangerschap .................................................................................................................................................................................................................................................... 38
Anatomie & Fysiologie – Myometrium .......................................................................................................................................................................................................................................... 39
Het begin van de baring ............................................................................................................................................................................................................................... 40
Hormonen – vóór de baring ........................................................................................................................................................................................................................................................... 40
Hormonen – tijdens de baring ....................................................................................................................................................................................................................................................... 40
Het op gang komen van de baring ................................................................................................................................................................................................................................................. 42
Het verloop van de (fysiologische) baring ..................................................................................................................................................................................................... 42
Belinstructies.................................................................................................................................................................................................................................................................................. 42
Het eerste tijdperk – de ontsluiting ........................................................................................................................................................................................................... 43
De latente fase ............................................................................................................................................................................................................................................................................... 43
De actieve fase ............................................................................................................................................................................................................................................................................... 44
De overgangsfase ........................................................................................................................................................................................................................................................................... 45
Baringshoudingen .......................................................................................................................................................................................................................................................................... 45
Het tweede tijdperk – de uitdrijving ......................................................................................................................................................................................................... 46
De persfase .................................................................................................................................................................................................................................................................................... 46
, Het derde tijdperk – de nageboorte .......................................................................................................................................................................................................... 47
Loslaten van de placenta ............................................................................................................................................................................................................................................................... 47
Fysiologie – Geboorte placenta ..................................................................................................................................................................................................................................................... 48
Medicatie (actief beleid) ................................................................................................................................................................................................................................................................ 49
Het vierde tijdperk – de postplacentaire fase ............................................................................................................................................................................................ 49
Controles postpartum .................................................................................................................................................................................................................................................................... 49
Voorlichting – “pasgeboren” ouders .............................................................................................................................................................................................................................................. 50
Verslaglegging .......................................................................................................................................................................................................................................... 51
Het Partogram................................................................................................................................................................................................................................................................................ 51
Het Partusverslag ........................................................................................................................................................................................................................................................................... 52
VIL – Verloskundige Indicatie Lijst .................................................................................................................................................................................................................................................. 53
De Kraamperiode ......................................................................................................................................................................................................................................... 53
Hormonale veranderingen ............................................................................................................................................................................................................................................................. 53
Lichamelijke veranderingen – Voortplantingsstelsel ..................................................................................................................................................................................................................... 55
Lichamelijke veranderingen – Overige Orgaanstelsels .................................................................................................................................................................................................................. 56
Normaalwaardes – 6 B’s ................................................................................................................................................................................................................................................................ 57
Kraambed – Verhoogde risico op infecties .................................................................................................................................................................................................................................... 58
Kraambed pathologie - Beleving .................................................................................................................................................................................................................................................... 58
Kraambed pathologie – Borsten .................................................................................................................................................................................................................................................... 60
Kraambed pathologie – Urinewegen & Maagdarmstelsel ............................................................................................................................................................................................................. 62
Kraambed pathologie – Uterus & Perineum .................................................................................................................................................................................................................................. 63
Kraambed pathologie – Vaatstelsel ............................................................................................................................................................................................................................................... 65
Kraamvisites & Nacontrole – Maternale controles ........................................................................................................................................................................................................................ 66
Psychologische & Sociale veranderingen....................................................................................................................................................................................................... 68
Bevallingstrauma............................................................................................................................................................................................................................................................................ 68
Het Ouderschapsmodel ................................................................................................................................................................................................................................................................. 69
Seksualiteit ................................................................................................................................................................................................................................................... 70
, Seksuele responscyclus .................................................................................................................................................................................................................................................................. 70
Seks – Zwangerschap ..................................................................................................................................................................................................................................................................... 70
Seks – Post Partum......................................................................................................................................................................................................................................................................... 71
Anticonceptie ............................................................................................................................................................................................................................................... 71
Overzicht Anticonceptie Methodes ............................................................................................................................................................................................................................................... 72
Hormonale Anticonceptie – Hormoonwerking .............................................................................................................................................................................................................................. 73
Anticonceptie Methoden ............................................................................................................................................................................................................................................................... 74
Borstvoeding – Anatomie & Fysiologie ......................................................................................................................................................................................................... 78
Anatomie – Mammae .................................................................................................................................................................................................................................................................... 78
Ontwikkeling van de Mammae ...................................................................................................................................................................................................................................................... 79
De Lactogenese .............................................................................................................................................................................................................................................................................. 80
Fysiologie – Lactatie ....................................................................................................................................................................................................................................................................... 81
Moedermelk - Samenstelling & Soorten ........................................................................................................................................................................................................................................ 82
Borstvoeding vs. Kunstvoeding ...................................................................................................................................................................................................................................................... 84
Borstvoeding geven ...................................................................................................................................................................................................................................... 86
Fysiologie – Drinken aan de borst .................................................................................................................................................................................................................................................. 86
Fysiologie – Aanhappen ................................................................................................................................................................................................................................................................. 87
Borstvoeding geven ....................................................................................................................................................................................................................................................................... 88
Leefstijl moeder ............................................................................................................................................................................................................................................................................. 88
Borstvoedingshoudingen ............................................................................................................................................................................................................................................................... 89
Kolven ............................................................................................................................................................................................................................................................................................ 91
Verloskundige begeleiding ............................................................................................................................................................................................................................................................. 92
De WHO ......................................................................................................................................................................................................................................................................................... 93
De Nederlandse bevolking ............................................................................................................................................................................................................................................................. 93
Borstvoeding & Werken ................................................................................................................................................................................................................................................................. 94
Pijn ............................................................................................................................................................................................................................................................... 95
Soorten pijn .................................................................................................................................................................................................................................................................................... 95
, Soorten zenuwvezels ..................................................................................................................................................................................................................................................................... 95
Soorten Nociceptoren & Neuronen ............................................................................................................................................................................................................................................... 96
Fysiologie – Pijn .............................................................................................................................................................................................................................................................................. 96
De Poorttheorie ............................................................................................................................................................................................................................................................................. 98
De Pijnbeleving .............................................................................................................................................................................................................................................................................. 99
Pijn tijdens de baring .................................................................................................................................................................................................................................... 99
Baringspijn ..................................................................................................................................................................................................................................................................................... 99
Ei van Loeser ................................................................................................................................................................................................................................................................................100
Pijnbestrijding ..............................................................................................................................................................................................................................................................................100
Verloskundige begeleiding ...........................................................................................................................................................................................................................................................103
Wondgenezing ........................................................................................................................................................................................................................................... 104
Fysiologie – Hemostase ................................................................................................................................................................................................................................................................104
Fysiologie – Coagulatiefase ..........................................................................................................................................................................................................................................................105
Fysiologie – Wondgenezing..........................................................................................................................................................................................................................................................106
Soorten Wondgenezing................................................................................................................................................................................................................................................................107
Complicaties – Bloedstolling & Wondgenezing............................................................................................................................................................................................................................107
Beïnvloeding – Bloedstolling & Wondgenezing ...........................................................................................................................................................................................................................108
Letsels – Weke baringskanaal ..................................................................................................................................................................................................................... 108
Rupturen – Weke baringskanaal ..................................................................................................................................................................................................................................................108
Het hechten .................................................................................................................................................................................................................................................................................109
Hechtmateriaal ............................................................................................................................................................................................................................................................................109
Perineumrupturen hechten .........................................................................................................................................................................................................................................................110
Wondbeoordeling en adviezen ....................................................................................................................................................................................................................................................111
Astma......................................................................................................................................................................................................................................................... 112
(Intrinsieke/Extrinsieke) Asthma Bronchiale................................................................................................................................................................................................................................112
Zwangerschap & Astma ...............................................................................................................................................................................................................................................................114
De Nederlandse Geboortezorg .................................................................................................................................................................................................................... 116
, Organisatie van de geboortezorg ............................................................................................................................................................................................................ 116
Landelijk .......................................................................................................................................................................................................................................................................................116
Regionaal......................................................................................................................................................................................................................................................................................117
Individueel....................................................................................................................................................................................................................................................................................118
Bekostiging geboortezorg ....................................................................................................................................................................................................................... 119
Soorten bekostiging .....................................................................................................................................................................................................................................................................119
Zorgverzekeraars..........................................................................................................................................................................................................................................................................120
De Integrale geboortezorg ...................................................................................................................................................................................................................... 120
Geboortezorgvernieuwing ...........................................................................................................................................................................................................................................................120
Integrale bekostiging – voor- en nadelen ....................................................................................................................................................................................................................................121
Evaluatie van de geboortezorg ................................................................................................................................................................................................................ 121
Perined .........................................................................................................................................................................................................................................................................................121
Gegevensverwerking....................................................................................................................................................................................................................................................................122
Tevredenheid - verloskundige zorg ..............................................................................................................................................................................................................................................123
Klachten - verloskundige zorg ......................................................................................................................................................................................................................................................123
VT – Capillaire bloedafname ....................................................................................................................................................................................................................... 125
Vingerprik .....................................................................................................................................................................................................................................................................................125
Hielprik .........................................................................................................................................................................................................................................................................................126
VT – Baring ................................................................................................................................................................................................................................................. 127
Het eerste tijdperk – de ontsluiting ......................................................................................................................................................................................................... 128
Algemene beoordelingen .............................................................................................................................................................................................................................................................128
Vulvair toilet .................................................................................................................................................................................................................................................................................128
Vaginaal toucher ..........................................................................................................................................................................................................................................................................128
Strippen ........................................................................................................................................................................................................................................................................................129
Amniotomie .................................................................................................................................................................................................................................................................................130
Het tweede tijdperk – de uitdrijving ....................................................................................................................................................................................................... 131
, Geboorte neonaat ........................................................................................................................................................................................................................................................................131
Geboorte neonaat – Badbevalling ...............................................................................................................................................................................................................................................132
Afnavelen neonaat .......................................................................................................................................................................................................................................................................133
Navelstreng “complicaties” ..........................................................................................................................................................................................................................................................133
Het derde tijdperk – de nageboorte ........................................................................................................................................................................................................ 134
Geboorte placenta .......................................................................................................................................................................................................................................................................134
Controles Postpartum ..................................................................................................................................................................................................................................................................135
EBM – Descriptieve statistiek ...................................................................................................................................................................................................................... 136
Introductie – Descriptieve Statistiek ............................................................................................................................................................................................................................................136
Evidence Based Midwifery ...........................................................................................................................................................................................................................................................137
Gebruik Richtlijnen .......................................................................................................................................................................................................................................................................137
WCC & SDM ................................................................................................................................................................................................................................................ 139
Woman Centred Care ..................................................................................................................................................................................................................................................................140
Shared Decision Making ...............................................................................................................................................................................................................................................................140
Vertrouwensrelatie ......................................................................................................................................................................................................................................................................142
Geboortewensen .........................................................................................................................................................................................................................................................................143
Communicatie Trainingen – Blok 2.............................................................................................................................................................................................................. 144
ISBARR-methode ..........................................................................................................................................................................................................................................................................144
Informeren & Adviseren ..............................................................................................................................................................................................................................................................145
,Het Benige Baringskanaal
Anatomie – Bekken
12
12
1
1
3
3
4 2 2
5 5
4
8
10
10
6 6
9
7
7 11
11
• Os sacrum - heiligbeen Os ileum 1 spina iliaca anterior superior = sias 7 foramen obturatorium
• Os coxae - heupbeen Os pubis 2 spina iliaca anterior inferior = siai 8 acetabulum
• Os coccygis - staartbeen Os ischium 3 spina iliaca posterior superior = sips 9 linea arcuata
• Symphysis pubica - symfyse 4 spina iliaca posterior inferior = sipi 10 spina ischiadica
• Promontorium 5 incisura ischiadica major 11 tuber ischiadicum
o Linea innominata/terminalis 6 incisura ischiadica minor 12 christa iliaca
• Articulatio sacroiliaca - sacro-iliacale (SI) gewricht
• Articulatio sacrococcygea - sacro-coccygeaal gewricht
Grote bekken – pelvis major Kleine bekken – pelvis minor
, Anatomie – Ligamenten van bekken
Anatomie – Bekkensoorten
Gynaecoïd bekken Vorm bekkeningang - dwars-ovaal
Arcus pubis - wijd, 90° of groter
Vorm kleine bekken - cilinder-vormig
Spinae ischiadicae - stomp
Sacrum - biconcaaf (rond)
Androïd bekken Vorm bekkeningang - driehoekig
Arcus pubis - nauw, 90° of kleiner
Vorm kleine bekken - trechter-vormig
Spinae ischiadicae - steken in
Sacrum - minder concaaf (recht)
Anthropoïd bekken Vorm bekkeningang - voor-achterwaarts ovaal
(verder gelijk aan androïd bekken)
Platypelloïd bekken Vorm bekkeningang - dwars-ovaal en voor-achterwaarts vernauwd
(verder gelijk aan gynaecoïd bekken)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller liannegiovinazzo. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $18.33. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now