Doğal bağlantılar: Biyofilik doğum yeri tasarımı
Özet
Bu metin, insanların doğayla olan bağının modern binalarda yaşama oranı arttıkça zayıfladığını ve bu durumun refahı olumsuz etkilediğini belirtmektedir. Doğa sevgisi anlamına gelen biyofili kavramından yola çıkan biyofilik tasarım, inşa edilen çevre ile doğal koşullar arasında bağ kurarak insan sağlığını ve esenliğini artırmayı amaçlar. Terrapin Bright Green’in 14 modeli temelinde şekillendirilmiş biyofilik binaların stresi ve kan basıncını azalttığı, iyileşme sürelerini kısalttığı ve üretkenliği artırdığı kanıtlanmıştır. Doğum normal fizyolojik bir süreç olsa da korku ve anksiyete stres hormonlarını tetikleyerek ağrıyı artırmakta ve sezaryen gibi tıbbi müdahaleleri sıklaştırmaktadır. Doğum ortamlarında biyofilik tasarım ilkelerinin kullanılması stresi azaltma potansiyeline sahiptir. İngiltere’deki Lancashire Eğitim Hastaneleri Vakfı’nda yürütülen vaka çalışmasında, doğum odalarında hareketli doğa görüntüleri ve sesleri içeren Dinamik Öz Doğa Sanat Terapisi (MENAT) uygulanmıştır. Sonuçlar, bu yöntemin doğum yapan kadınların, partnerlerinin ve ebelerin stres ile kaygısını azalttığını, gevşeme sağladığını ve doğum deneyimini kolaylaştırdığını göstermiştir. Sonuç olarak, sağlık ve doğum alanlarında salutojenik bir zihniyetle uygulanan bütünsel rejeneratif tasarım yaklaşımları, bireylerin zihin, beden ve ruh sağlığını bütüncül olarak desteklemede önemli fırsatlar sunmaktadır.
This text states that the connection between humans and nature has weakened as the rate of living in modern buildings increased, which negatively affects well-being. Based on the concept of biophilia, which means the love of nature, biophilic design aims to improve human health and well-being by establishing links between the built environment and natural conditions. Biophilic buildings shaped on the basis of Terrapin Bright Green's 14 models have been proven to reduce stress and blood pressure, shorten recovery times, and increase productivity. Although childbirth is a normal physiological process, fear and anxiety trigger stress hormones, increasing pain and leading to more frequent medical interventions such as cesarean sections. The use of biophilic design principles in birthing environments has the potential to reduce stress. In a case study conducted at the Lancashire Teaching Hospitals NHS Foundation Trust in England, Dynamic Moving Essence Nature Art Therapy (MENAT), which includes moving nature images and sounds, was applied in delivery rooms. The results showed that this method reduced stress and anxiety for laboring women, their partners, and midwives, provided relaxation, and made the birth experience easier. Consequently, holistic regenerative design approaches applied with a salutogenic mindset in healthcare and birthing spaces offer significant opportunities to holistically support the mind, body, and soul of individuals.
Referanslar
Markus, T.A. (1993) Buildings and Power. Freedom and Control in the Origin of Modern Building Types. New York: Routledge.
Miller S, Abalos E, Chamillard Met al. 2016 Beyond too little, too late and too much, too soon: a pathway towards evidence-based, respectful maternity care worldwide. Lancet 388(10056):2176-2192.
Newburn M., Culture, control and the birth environment. The Practising Midwife [2003, 6(8):20-25]
Newburn M. and Debbie Singh, 2003, “Creating a Better Birth Environment. Women’s views about the design and facilities in maternity units: a national survey”. The National Childbirth Trust. London, UK
Penn, A. (2008) Architectural research. In Knight, A. and Ruddock, L. (eds) Advanced Research Methods in the Built Environment. Oxford: Wiley-Blackwell, pp. 14–27.
Peponis, J., Zimring, C. and Scanlon, M.M. (1996) New design technologies: using computer technology to improve design quality. Part I: Designing friendly hospital layouts – the contribution of Space Syntax. Journal of Healthcare Design. VIII, pp. 109–115.
Plough A, Polzin-Rosenberg D, Galvin G, Shao A, Sullivan B, Henrich N, T Shah N.2018a An Exploratory Study of the Relationship between Facility Design and the Provision of Childbirth Care. J Midwifery Womens Health. 2018 Nov 8. doi: 10.1111/jmwh.12920. [Epub ahead of print]
Plough A, Polzin-Rosenberg D, Galvin G, Shao A, Sullivan B, Henrich N, Shah NT. 2018b Assessing the Feasibility of Measuring Variation in Facility Design Among American Childbirth Facilities. HERD. 2018 Oct 3:1937586718796641. doi: 10.1177/1937586718796641. [Epub ahead of print]
Preiser, W. F., White, E., & Rabinowitz, H. (2015). Post-Occupancy Evaluation (Routledge Revivals). Routledge. Priddis H., Hannah Dahlen, and Virginia Schmied. Juggling Instinct and Fear. INTERNATIONAL JOURNAL OF CHILDBIRTH Volume 1, Issue 4, 2011
Priddis Holly, Hannah Dahlen, Virginia Schmied, What are the facilitators, inhibitors, and implications of birth positioning? A review of the literature. Women and Birth (2012) 25, 100—106
Sadek AH, Shepley MM.2016. Space Syntax Analysis: Tools for Augmenting the Precision of Healthcare Facility Spatial Analysis. HERD. 2016 Oct;10(1):114-29.
Sailer, K. (2013). Organizational Learning and Physical Space: How Office Configurations Inform Organizational Behaviors. In A. Berthoin Antal, T. Meusburger, L. Suarsana (Eds.), Learning Organizations. Extending the Field (pp. 103-127). Dordrecht, The Netherlands: Springer Netherlands.
Sailer, K., Budgen, A., Lonsdale, N., Turner, A., & Penn, A. (2009). Comparative studies of offices pre and post – how changing spatial configurations affect organisational behaviours. Proceedings of the 7th International Space Syntax Symposium, 96. Stockholm, Sweden: Royal Institute of Technology (KTH).
Setola and Borgianni, 2016. Designing Public Spaces in Hospitals. Routledge, NY
Setola N., 2014, Quality of space and right to health. An interdisicplinary research in hospital facilities, Technen.7/2014. pp. 157-164.
Setola, N. (2013) Percorsi, flussi e persone nella progettazione ospedaliera. L’analisi configurazionale, teoria e applicazione. Firenze: Firenze University Press.
Setola N., Naldi E., Cocina G.G., Bodil Eide L., Iannuzzi L., Daly D. (2019) The Impact of the Physical Environment on Intrapartum Maternity Care. Identification of Eight Crucial Building Spaces. HERD - Health Environments Research & Design Journal
Stenglin M, Foureur M. 2013. Designing out the Fear Cascade to increase the likelihood of normal birth. Midwifery. 2013 Aug;29(8):819-25.
Symon, Andrew; Paul, Jeanette; Butchart, Maggie; Carr, Val; Dugard, Pat. 2008a. Maternity Unit Design study part 2: perceptions of space and layout. In: British Journal of Midwifery, Vol. 16, No. 2, 2008, p. 110-114.
Symon, Andrew; Paul, Jeanette; Butchart, Maggie; Carr, Val; Dugard, Pat. 2008b. Maternity Unit Design part 3 : environmental comfort and control. In: British Journal of Midwifery, Vol. 16, No. 3, 2008, p. 167-171.
Symon, Andrew; Paul, Jeanette; Butchart, Maggie; Carr, Val; Dugard, Pat. 2008c. Maternity Unit Design part 4 : midwives’ perceptions of staff facilities. In: British Journal of Midwifery, Vol. 16, No. 4, 2008, p. 228-231.
Townsend B., J. Fenwick , V. Thomson , M. Foureur. 2016. The birth bed: A qualitative study on the views of midwives regarding the use of the bed in the birth space. Women and Birth 29 (2016) 80–84
Ulrich, R.S. et al. (2008) A review of the research literature on evidence-based healthcare design. HERD. 1(3), pp. 61–125
Ulrich R., Barach P., 2006, Designing Safe Healthcare Facilities What are the Data and Where do we Go from Here?
Healthcare Environments Research Summit, Robert Wood Johnson Foundation, Atlanta, GA
Williams, H. (2003). Storied births: narrative and organisational culture in a midwifery-led birth Centre. London: Kings College
