Çoklu Duyusal (Snoezelen) Doğum Ortamı
Özet
Çoklu duyusal (snoezelen) ortam, çeşitli duyuların uyarılması yoluyla bireyin rahatlamasını sağlayan özel bir yaklaşımdır. Genellikle özel eğitim ve ruh sağlığı alanlarında kullanılan bu yöntem, ebelik alanına uyarlanarak doğum öncesi, doğum ve doğum sonrası bakımda faydalı olabilecektir. Ebelik hizmetlerinde non-farmakolojik yöntemler yaygın olarak kullanılmaktadır. Bu ortam, doğum hizmetleri için bir nevi birden fazla non-farmakolojik yöntemin bir arada kullanılması olarak değerlendirilebilir. Çoklu duyusal doğum ortamı, bireyselleştirilmiş bakım anlayışıyla bütünleştiğinde, kadınların doğuma dair olumlu anılar biriktirmesine ve doğum sonrası iyilik hallerinin artmasına destek olan bir uygulama olarak öne çıkmaktadır. Aynı zamanda, doğum ekibi için de daha sakin ve kontrollü bir ortam oluşturarak doğum sürecinin daha sağlıklı ilerlemesine katkı sağlayabilir. Günden güne ideal bakım anlayışına yaklaşılmakla birlikte, sürdürülebilirliğin ancak gerçek hayatla uyumlu uygulamalarla sağlanabileceği unutulmamalıdır.
A multi-sensory (snoezelen) environment is a special approach that allows an individual to relax through the stimulation of various senses. This method, which is usually used in the fields of special education and mental health, will be adapted to the field of midwifery and will be useful in prenatal, birth and postpartum care. Non-pharmacological methods are widely used in midwifery services. This environment can be considered as the use of more than one non-pharmacological method Decoupled for maternity services. When the multisensory birth environment is integrated with the individualized care approach, it stands out as an application that supports women to accumulate positive memories of childbirth and increase their postnatal well-being. At the same time, it can contribute to the healthier progress of the birth process by creating a calmer and more controlled environment for the birth team. Although the ideal care approach is being approached from day to day, it should be remembered that sustainability can only be achieved through practices that are compatible with real life.
Referanslar
Jafari E, Mohebbi P, Mazloomzadeh, S. Factors Related To Women's Childbirth Satisfaction İn Physiologic And Routine Childbirth Groups. Iranian Journal Of Nursing And Midwifery Research. 2017; 22(3), 219–224. Https://doi.org/10.4103/1735-9066.208161
Turan A, Yılmaz T. Doğumun İkinci Evresinin Süresi, Uzaması ve Yönetimi." Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi 1.2 102-119.
WHO recommendations: intrapartum care for a positive childbirth experience. Geneva: World Health Organization; 2018.
WHO Recommendations On Maternal Health: Guidelines Approved By The WHO Guidelines Review Committee. Geneva: World Health Organization; 2017. Erişim Adresi: https://www.who.int/publications/i/item/WHO-MCA-17.10.
Dereli Yılmaz S. Doğumun Birinci Evresi. İçinde: Demirgöz Bal M, Dereli Yılmaz S (editörler). Ebelere Yönelik Kapsamlı Doğum, 1. Baskı, Akademisyen Kitapevi, 2017: 44-67.
Sağlık Bakanlığı, 2022. Acil Obstetrik Bakım Yönetim Rehberi. Erişim Adresi: https://dosyaism.saglik.gov.tr/Eklenti/159916/0/acil-obstetrik-bakim-yonetim-rehberi-2022pdf.pdf
Nowak AL, Giurgescu C. The Built Environment And Birth Outcomes: A Systematic Review. MCN: The American Journal Of Maternal/Child Nursing, 2017;42(1), 14-20.
Lorentzen, I., Andersen, C. S., Jensen, H. S., Fogsgaard, A., Foureur, M., Lauszus, F. F., & Nohr, E. A. Study protocol for a randomised trial evaluating the effect of a “birth environment room” versus a standard labour room on birth outcomes and the birth experience. Contemporary Clinical Trials Communications, 2019; 14, 100336.
Goldkuhl L, Dellenborg L, Berg M, Wijk H, Nilsson C. The influence and meaning of the birth environment for nulliparous women at a hospital-based labour ward in Sweden: An ethnographic study. Women and Birth, 2022; 35(4), e337-e347.
Stenglin M, Foureur M. Designing out the Fear Cascade to increase the likelihood of normal birth. Midwifery, 2013; 29(8), 819-825.
Mačuhová, J., Tančın, V., Kraetzl, W. D., Meyer, H. H., & Bruckmaier, R. M. 2002. Inhibition of oxytocin release during repeated milking in unfamiliar surroundings: the importance of opioids and adrenal cortex sensitivity. Journal of Dairy Research, 69(1), 63-73.
Nilsson C., Wijk H, Höglund L, Sjöblom H, Hessman E, Berg M. Effects Of Birthing Room Design On Maternal And Neonate Outcomes: A Systematic Review. HERD: Health Environments Research & Design Journal, 2020; 13(3), 198-214.
George EK, Mitchell S, Stacey D. Choosing A Birth Setting: A Shared Decision‐Making Approach. Journal Of Midwifery & Women's Health, 2022; 67(4), 510-514.
Uvnäs-Moberg, K., Arn, I., & Magnusson, D. (2005). The psychobiology of emotion: the role of the oxytocinergic system. International Journal of Behavioral Medicine, 12, 59-65.
Reyhan FA, Çataloluk A, Sayıner F. Ideal Maternity Unit Design From Women's Perspective: A Cross-Sectional Study From Turkey. TOGÜ Sağlık Bilimleri Dergisi, 2022; 2(2), 123-131.
Goldkuhl L, Tistad M, Gyllensten H, Berg M. Implementing A New Birthing Room Design: A Qualitative Study With A Care Provider Perspective. BMC Health Services Research, 2023; 23(1), 1122.
Bellini E, Macchi A, Setola N, Lindahl G. Sensory Design in the Birth Environment: Learning from Existing Case Studies. Buildings, 2023; 13(3), 604.
McCaffrey T, Cheung PS, Barry M, Punch P, Dore L. The role and outcomes of music listening for women in childbirth: An integrative review. Midwifery, 2020; 83, 102627.
Bilgin Z, Ceylan G. Doğum Ağrısının Yönetiminde Non-Farmakolojik Yöntemler: Sistematik Derleme. Kadın Sağlığı Hemşireliği Dergisi, 2023; 9(1), 12-21
Santiváñez-Acosta R, Tapia-López ELN, Santero M. Music Therapy in Pain and Anxiety Management during Labor: A Systematic Review and Meta-Analysis. Medicina (Kaunas, Lithuania), 2020; 56(10), 526.
Aburas R, Pati D, Casanova R, Adams NG. The influence of nature stimulus in enhancing the birth experience. Health Environments Research & Design Journal, 2017; 10(2), 81–10
Zuarez-Easton, S., Erez, O., Zafran, N., Carmeli, J., Garmi, G., & Salim, R. Pharmacologic and nonpharmacologic options for pain relief during labor: an expert review. American journal of obstetrics and gynecology, 2023; 228(5S), S1246–S1259. https://doi.org/10.1016/j.ajog.2023.03.003
Yılmaz Esencan T, Daştan K. Doğum Eylemine Yönelik Girişimlerde Ebelerin Rolü. Kırşehir Ahi Evran Üniversitesi Sağlık Bilimleri Dergisi,2023; 7(2), 126-135.
Nicoletta S, Eletta N, Cardinali P, Migliorini L. A Broad Study To Develop Maternity Units Design Knowledge Combining Spatial Analysis And Mothers’ And Midwives’ Perception Of The Birth Environment. HERD: Health Environments Research & Design Journal, 2022; 15(4), 204-232.
Hope KW, Waterman HA. Using Multi-Sensory Environments (Mses) With People With Dementia: Factors İmpeding Their Use As Perceived By Clinical Staff. Dementia, 2004;3(1), 45-68.
Todder D, Levartovsky M, Dwolatzky T. Measuring The Effect Of Multi-Sensory Stimulation İn The Snoezelen Room On Sleep Quality Of Alzheimer Patients Using Actigraph. Harefuah, 2016;155(12), 727-730.
Novakovic N, Milovancevic MP, Dejanovic SD, Aleksic B. Effects Of Snoezelen—Multisensory Environment On CARS Scale İn Adolescents And Adults With Autism Spectrum Disorder. Research İn Developmental Disabilities, 2019;89, 51-58
Ball J, Haight BK. Creating a multisensory environment for dementia. Journal Of Gerontological Nursing, 2005; 31(10), 4-9.
Hauck Y, Rivers C, Doherty K. Women's Experiences Of Using A Snoezelen Room During Labour İn Western Australia. Midwifery, 2008; 24(4), 460–470. https://doi.org/10.1016/J.Midw.2007.03.007
Zhang XJ, Song Y, Jiang T, Ding N, Shi TY. Interventions to reduce burnout of physicians and nurses: An overview of systematic reviews and meta-analyses. Medicine, 2020; 99(26), e20992. https://doi.org/10.1097/MD.0000000000020992
Testerink G, Ten Brug A, Douma G, van der Putten A. Snoezelen in people with intellectual disability or dementia: A systematic review. International Journal of Nursing Studies Advances, 2023; 100152.
Jamshidi Manesh M, Kalati M, Hosseini F. Snoezelen Room And Childbirth Outcome: A Randomized Clinical Trial. Iranian Red Crescent Medical Journal, 2015; 17(5), E18373. https://doi.org/10.5812/İrcmj.17(5)2015.18373
Momeni M, Jamshidimanesh M, Ranjbar H. Effectiveness Of A Snoezelen Room On Fear, Anxiety, And Satisfaction Of Nulliparous Women: A Randomized Controlled Trial. Iranian Journal Of Psychiatry And Behavioral Sciences, 2015; 14(2).
Nielsen JH, Overgaard C. Healing Architecture And Snoezelen İn Delivery Room Design: A Qualitative Study Of Women’s Birth Experiences And Patient-Centeredness Of Care. BMC Pregnancy And Childbirth, 2020; 20, 1-11.
Seegers H, Serani I, Bogar M., Gei M, Baudet V, Witz L, Bouchard JP. L’approche Snoezelen dans la prise en charge de la douleur en psychiatrie [The Snoezelen approach in pain management in psychiatry]. Soins. Psychiatrie, 2019; 40(320), 35–40. https://doi.org/10.1016/j.spsy.2018.11.008
Selamat S, Amiruddin A, Dahlan A, Kadar M. The effectiveness of Snoezelen as multisensory intervention among individual who exhibit maladaptive behaviour. Health Scope, 2019; 2, 333-339.
Smith BC, D'Amico M. Sensory-Based Interventions for Adults with Dementia and Alzheimer's Disease: A Scoping Review. Occupational therapy in health care, 2020; 34(3), 171–201. https://doi.org/10.1080/07380577.2019.1608488
Akın B, Yücel U. İdeal Doğum Ortamı Nasıl Olmalı? Turkiye Klinikleri Journal of Health Sciences, 2020; 5(3).
Roy D, Varadharajan A, Joe N, Jain S, Sunny AS, Issac TG. “Relax, Refresh, and Refocus:” A Brief Account on the Potential Utility of Snoezelen in Dementia. Journal of Psychiatry Spectrum, 2023; 2(2), 109-112.
Mehta S, Naik SS, Kodical SR, Joshi A, Shetty A, Balasubramanian N. Enhancing special care dentistry with waiting room based multisensory adapted dental environment: A randomized controlled‐trial. Special Care in Dentistry. 2024.
Toro B. Memory and standing balance after multisensory stimulation in a Snoezelen room in people with moderate learning disabilities. British Journal of Learning Disabilities, 2019; 47(4), 270-278.
Sigal A, Sigal M. The Multisensory/Snoezelen Environment to Optimize the Dental Care Patient Experience. Dental Clinics, 2022; 66(2), 209-228
Carvalho SC, Martins FS, Martins AN, Barbosa RC, Vicente SG. Effectiveness of Snoezelen in older adults with neurocognitive and other pathologies: A systematic review of the literature. Journal of Neuropsychology. 2023.
Wronding T, Argyraki A, Petersen JF, Topsøe MF, Petersen PM, Løkkegaard ECL. The aesthetic nature of the birthing room environment may alter the need for obstetrical interventions- an observational retrospective cohort study. Scientific reports, 2019; 9(1), 303. https://doi.org/10.1038/s41598-018-36416-x
Duncan J. The effect of colour and design in labour and delivery: A scientific approach. Optics & Laser Technology, 2011; 43(2), 420-424.
Mikellides B. Color and physiological arousal. Journal of Architectural and Planning Research, 1990;13-20.
Major LE. Paintings in hospitals help patients: give us art for health's sake. 2008.
Berto, R. (2014). The role of nature in coping with psycho-physiological stress: a literature review on restorativeness. Behavioral sciences, 4(4), 394-409
Iyer V. What's not music, but feels like music to you?. The Behavioral and brain sciences, 2021; 44, e79. https://doi.org/10.1017/S0140525X20001740
González JG, Miranda MIV, Mullor MR, Carreño TP, Rodriguez RA. Effects of prenatal music stimulation on state/trait anxiety in full-term pregnancy and its influence on childbirth: A randomized controlled trial. The Journal of Maternal-Fetal & Neonatal Medicine, 2018; 31(8), 1058-1065. https://doi.org/10.1080/14767058.2017.1306511.
Scarratt RJ, Heggli OA, Vuust P, Sadakata M. Music that is used while studying and music that is used for sleep share similar musical features, genres and subgroups. Scientific reports, 2023;13(1), 4735. https://doi.org/10.1038/s41598-023-31692-8
Simavlı S, Kaygusuz I, Gumus I, Usluogulları B, Yildirim M, Kafalı, H. 2014. Effect of music therapy during vaginal delivery on postpartum pain relief and mental health. Journal of affective disorders, 156, 194-199.
Cepeda MS, Carr DB, Lau J, Alvarez H. Music for pain relief. Cochrane Database Syst Rev, 2006; 2.
Corbijn Van Willenswaard K, Lynn F, McNeill J, McQueen K, Dennis CL, Lobel M, Alderdice F. Music interventions to reduce stress and anxiety in pregnancy: a systematic review and meta-analysis. BMC psychiatry, 2017; 17, 1-9
Yang WJ, Bai YM, Qin L, Xu XL, Bao KF, Xiao JL, Ding GW. The effectiveness of music therapy for postpartum depression: A systematic review and meta-analysis. Complementary therapies in clinical practice, 2019; 37, 93-101.
McCaffrey T, Cheung PS, Barry M, Punch P, Dore L. The role and outcomes of music listening for women in childbirth: An integrative review. Midwifery, 2020; 83, 102627. https://doi.org/10.1016/j.midw.2020.102627
Santiváñez-Acosta R, Tapia-López EDLN, Santero M. Music therapy in pain and anxiety management during labor: a systematic review and meta-analysis. Medicina, 2020; 56(10), 526.
Hunter AR, Heiderscheit A, Galbally M, Gravina D, Mutwalli H, Himmerich H. The effects of music-based interventions for pain and anxiety management during vaginal labour and caesarean delivery: A systematic review and narrative synthesis of randomised controlled trials. International Journal of Environmental Research and Public Health, 2023; 20(23), 7120.
Phumdoung S, Good M. (2003). Music reduces sensation and distress of labor pain. Pain Manag Nurs. Jun;4(2):54-61. doi: 10.1016/s1524-9042(02)54202-8. PMID: 12836149.
Federico, G. F. (2010). Viaje musical por el embarazo: musicoterapia prenatal. Editorial Kier.
Liu YH, Chang MY, Chen CH. Effects of music therapy on labour pain and anxiety in Taiwanese first‐time mothers. Journal of clinical nursing, 2010; 19(7‐8), 1065-1072
Taghinejad H, Delpisheh A, Suhrabi Z. Comparison between massage and music therapies to relieve the severity of labor pain. Women’s Health, 2010; 6(3), 377-381.
Hosseini SE, Bagheri M, Honarparvaran N. Investigating the effect of music on labor pain and progress in the active stage of first labor. European Review for Medical & Pharmacological Sciences, 2013; 17(11).
Dehcheshmeh FS, Rafiei H. Complementary and alternative therapies to relieve labor pain: A comparative study between music therapy and Hoku point ice massage. Complementary therapies in clinical practice, 2015; 21(4), 229-232
Surucu SG, Ozturk M, Vurgec BA, Alan S, Akbas M. The effect of music on pain and anxiety of women during labour on first time pregnancy: A study from Turkey. Complementary therapies in clinical practice, 2018; 30, 96-102.
Amanak K. The effect of the sound of the ney (reed flute) on women in labour in Bursa, Turkey. Journal Of Pakistan Medical Association, 2020; 70(11).
Gönenç İM, Dikmen HA. Effects of dance and music on pain and fear during childbirth. Journal of Obstetric, Gynecologic & Neonatal Nursing, 2020; 49(2), 144-153.
Buglione A, Saccone G, Mas M, Raffone A, Di Meglio L, di Meglio L, Locci M. Effect of music on labor and delivery in nulliparous singleton pregnancies: a randomized clinical trial. Archives of gynecology and obstetrics, 2020; 301, 693-698.
Estrella‐Juarez F, Requena‐Mullor M, Garcia‐Gonzalez J, Lopez‐Villen A, Alarcon‐Rodriguez R. Effect of virtual reality and music therapy on the physiologic parameters of pregnant women and fetuses and on anxiety levels: A randomized controlled trial. Journal of Midwifery & Women's Health, 2023;68(1), 35-43.
Jallo N, Ruiz, RJ, Elswick RK, French E. (2014). Guided imagery for stress and symptom management in pregnant African American women. Evidence-based complementary and alternative medicine.
Patel MP. A study to assess the effectiveness of progressive muscle relaxation therapy on stress among staff nurses working in selected hospitals at Vadodara City. IOSR Journal of Nursing and Health Science, 2014; 3(3), 34-59.
Boryri T, Navidian A, Marghzari N. Comparison of the effect of muscle relaxation and guided imagery on happiness and fear of childbirth in primiparous women admitted to health care centers. International Journal of Women’s Health and Reproduction Sciences, 2019; 7(4), 490-495.
Rezaie-Keikhaie K, Hastings-Tolsma M, Bouya S, Shad FS, Sari M, Shoorvazi M, Balouchi A. Effect of aromatherapy on post-partum complications: A systematic review. Complementary therapies in clinical practice, 2019 35, 290-295.
Teskereci G, Boz İ. Gebelikte Aromaterapi: Bakıma Tamamlayıcı Bir Yaklaşım. Zeynep Kamil Tıp Bülteni, 2020; 51(1), 49-52.
Kheirkhah M, Setayesh Valipour N, Neisani L, Haghani H. A controlled trial of the effect of aromatherapy on birth outcomes using. Journal of Midwifery and Reproductive Health, 2014; 2(1), 77-82.
Tabatabaeichehr M, Mortazavi H. The effectiveness of aromatherapy in the management of labor pain and anxiety: A systematic review. Ethiopian journal of health sciences, 2020;30(3).
Conrad P. Women's Health Aromatherapy: A Clinically Evidence-Based Guide for Nurses, Midwives, Doulas and Therapists. Singing Dragon. 2019.
National Association for Holistic Aromaterapy (NAHA), 2014 Erişim Adresi: https://naha.org/explore-aromatherapy/about-aromatherapy/most-commonly-used-essential-oils/
Tanvisut R, Traisrisilp K, Tongsong T. Efficacy of aromatherapy for reducing pain during labor: a randomized controlled trial. Archives of gynecology and obstetrics, 2018; 297, 1145-1150.
Case-Smith J, Weaver LL, Fristad MA. A systematic review of sensory processing interventions for children with autism spectrum disorders. Autism : the international journal of research and practice, 2015; 19(2), 133–148. https://doi.org/10.1177/1362361313517762
Smith CA, Levett KM, Collins CT, Dahlen HG, Ee CC, Suganuma M. Massage, reflexology and other manual methods for pain management in labour. The Cochrane database of systematic reviews, 3(3), 2018, CD009290.
Akköz Çevik S, Karaduman S. The effect of sacral massage on labor pain and anxiety: A randomized controlled trial. Japan journal of nursing science : JJNS, 2020; 17(1), e12272. https://doi.org/10.1111/jjns.12272
Zuarez-Easton S, Erez O, Zafran N, Carmeli J, Garmi G, Salim, R. Pharmacologic and nonpharmacologic options for pain relief during labor: an expert review. American journal of obstetrics and gynecology, 2023; 228(5S), S1246–S1259. https://doi.org/10.1016/j.ajog.2023.03.003
Grymel-Kulesza E, Pawlowska KM, Pawlowski J, Grochulska A, Belkius M, Jerzak I. Comparison of the effects of TENS stimulation and water immersion on relieving labour pain suffered byprimiparas. Ginekologia polska, 2021; 92(7), 512–517.
Section On Complementary And Integrative Medicine, Council on Children with Disabilities, American Academy of Pediatrics, Zimmer M, Desch L. Sensory integration therapies for children with developmental and behavioral disorders. Pediatrics, 2012; 129(6), 1186–1189.
Türkmen H. Doğumda Odaklanma Yöntemleri ve Odak Noktaları. Ebelik ve Sağlık Bilimleri Dergisi, 2023, 6(1), 55-62.
Üğücü G, Çelebioğlu A, İşbir GG. Yenidoğan yoğun bakım ünitesindeki prematüre bebeğin nörogelişiminin desteklenmesi: İyileştirici çevrenin oluşturulması. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 2024; 8(2), 192-208.
Özyazıcı K, Boğa E, Alagöz N, Varlıklıöz K, Arslan Z, Akto S, Sağlam M. Duyuların gelişimi ve duyu bütünleme. Gelişim ve Psikoloji Dergisi, 2021; 2(4), 209-226.
Ergen E, Ülkar B, Eraslan A. Derleme: propriyosepsiyon ve koordinasyon. Spor hekimliği dergisi, 2007; 42(2), 057-083.
Roth C, Dent SA, Parfitt SE, Hering SL, Bay RC. Randomized controlled trial of use of the peanut ball during labor. MCN: The American Journal of Maternal/Child Nursing, 2016; 41(3), 140-146.
Grenvik JM, Rosenthal E, Saccone G, Della Corte L, Quist-Nelson J, Gerkin RD, Berghella V. Peanut ball for decreasing length of labor: A systematic review and meta-analysis of randomized controlled trials. European Journal of Obstetrics & Gynecology and Reproductive Biology, 2019; 242, 159-165.
Baran GK, Şahin S. Doğum Eyleminde Kullanılan Doğum Topu (Fıstık Topu) Pozisyonları. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 2022; 5(2), 252-257.
Çataloluk, A., Sayiner, F. Doğumda Doğum Topu Kullanımı. Kadın Sağlığı Hemşireliği Dergisi, 2022; 8(3), 179-185.
