{"id":13598,"date":"2019-04-08T17:10:33","date_gmt":"2019-04-08T15:10:33","guid":{"rendered":"http:\/\/serveiseducatius.xtec.cat\/tarragones\/?p=13598"},"modified":"2021-03-03T20:22:07","modified_gmt":"2021-03-03T19:22:07","slug":"trics13_mtorres","status":"publish","type":"post","link":"https:\/\/serveiseducatius.xtec.cat\/tarragones\/dinamitzacio\/trics\/trics13_mtorres\/","title":{"rendered":"Qu\u00e8 ha sigut del meu nad\u00f3?"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-5353\" title=\"Marta Torres Berbel\" src=\"https:\/\/serveiseducatius.xtec.cat\/tarragones\/wp-content\/uploads\/usu549\/2019\/03\/trics13_mtorres.jpg\" alt=\"Marta Torres Berbel\" width=\"150\" height=\"200\" \/><strong><span style=\"color: #808080;\"><em>T\u00edtol:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/em><\/span><\/strong><strong>Qu\u00e8 ha sigut del meu nad\u00f3?<\/strong><br \/>\n<strong><em><span style=\"color: #808080;\">Autor\/a:\u00a0\u00a0\u00a0\u00a0<\/span><\/em><\/strong><strong> Marta Torres Berbel<\/strong><br \/>\n<strong><em><span style=\"color: #808080;\">Tutor\/a:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/em><\/strong>Merc\u00e8 Segura Dom\u00e8nech<br \/>\n<strong><em><span style=\"color: #808080;\">Modalitat:\u00a0\u00a0<\/span><\/em><\/strong>Ci\u00e8ncies i tecnologia: Ci\u00e8ncies de la Salut<br \/>\n<strong><em><span style=\"color: #808080;\">\u00c0rea:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/em><\/strong>Medicina<br \/>\n<strong><em><span style=\"color: #808080;\">Centre:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/em><\/strong>Ins Ramon Barbat i Miracle<br \/>\n<strong><em><span style=\"color: #808080;\">Localitat:\u00a0\u00a0\u00a0<\/span><\/em><\/strong>Vila-seca<\/p>\n<h6><strong>Objectius:<\/strong><\/h6>\n<ol>\n<li>Esbrinar els problemes que hi pot haver en l\u2019\u00faltim trimestre d\u2019embar\u00e0s<\/li>\n<li>Buscar informaci\u00f3 la qual disposen les parelles, fam\u00edlies, persones que volen tenir fills, dels problemes i complicacions que pot haver a \u00faltima hora durant l\u2019embar\u00e0s.<\/li>\n<li>Conscienciar que disposen d\u2019un servei d\u2019ajuda com els grups de suport que serveixen com a ajuda psicol\u00f2gica per aquells que han perdut el nad\u00f3 a l\u2019intrapart o poc despr\u00e9s del part del seu nad\u00f3 per diferents causes que ha patit.<\/li>\n<li>Dona veu a aquells nadons que no han tingut la sort de sobreviure i no consten en cap registre familiar.<\/li>\n<li>Demostrar que el dol perinatal\/neonatal \u00e9s un dol incurable.<\/li>\n<\/ol>\n<h6><strong>Hip\u00f2tesi:<\/strong><\/h6>\n<p style=\"text-align: justify;\">\u2022 Els nadons que neixen morts o no sobreviuen a les 24 hores despr\u00e9s del part no consten en cap registre.<br \/>\n\u2022 El nombre de morts perinatals \u00e9s un nombre molt baix a la societat, per\u00f2 es molt preocupant quan passa i pel dol que han de passar els pares.<br \/>\n\u2022 A tots els nadons se\u2019ls practica una aut\u00f2psia per con\u00e8ixer la causa de la mort.<br \/>\n\u2022 Els nadons que moren dins l\u2019\u00fater s\u00f3n ocasionades per malalties de base de la mare o per accidents (cotxe, cops&#8230;)<\/p>\n<h6><strong>El proc\u00e9s:<\/strong><\/h6>\n<p style=\"text-align: justify;\">Per fer el meu treball he hagut de apuntar-me a una llevadora de Vila-seca per poder informar-me i per poder ficar al meu TDR informaci\u00f3 fiable. Em va facilitar documents que ella tenia i a banda dels documents que em facilitava vaig agafar llibres a la biblioteca per poder anar construint i completant les meves definicions. A la part pr\u00e0ctica vaig poder ficar-me en contacte amb un grup de suport de pares que havien patit la p\u00e8rdua del seu nad\u00f3 i van accedir a explicar-me en que consistia i de qu\u00e8 parlaven i amb aquesta informaci\u00f3 vaig poder montar unes enquestes sobre les seves experi\u00e8ncies.<br \/>\nDificultats:<br \/>\n1. Havien fam\u00edlies que no volien compartir la seva experi\u00e8ncia.<br \/>\n2. No podien facilitar informaci\u00f3 ja que era confidencial.<br \/>\n3. No vaig poder accedir a un part per ser menor d&#8217;edat.<br \/>\n4. M&#8217;he hagut de basar en experi\u00e8ncies personals de les persones que vaig entrevistar ja que per diferents fonts que vaig consultar no hi havia suficient informaci\u00f3 perqu\u00e8 tot aix\u00f2 avui dia ja est\u00e0 m\u00e9s controlat.<\/p>\n<h6><strong>Conclusions:<\/strong><\/h6>\n<p style=\"text-align: justify;\">1. Hi ha moltes causes (algunes desconegudes) de mort perinatal\/neonatal.<br \/>\n2. He pogut trobar diferents tipus de documents per als pares, familiars&#8230; on disposen de guies, documents, f\u00f2rums per poder orientar i ajudar de manera que puguin portar el dol d\u2019una manera m\u00e9s apropiada.<br \/>\n3. No he arribat a conscienciar a cap familiar de que disposen de grups de suport que serveix com a ajuda psicol\u00f2gica per qu\u00e8 ells ja sabien que podien disposar d\u2019aquest tipus d\u2019ajuda. Per\u00f2, si que he pogut conscienciar i demostrar a les fam\u00edlies entrevistades que als centres hospitalaris han de proposar (per protocol) a les fam\u00edlies afectades diferents tipus d\u2019ajuda.<br \/>\n4. Amb el concepte de \u201cdonar veu als nadons que no han tingut la sort de sobreviure\u201d volia parlar sobre un tema \u201ctab\u00fa\u201d del qual la majoria de gent no ha sentit o s\u2019ha parat a pensar sobre aquest tema. I la conclusi\u00f3 sobre aix\u00f2 \u00e9s que es demostrable que no molta gent sap el per qu\u00e8, el com i quan pot passar aix\u00f2.<br \/>\n5. La conclusi\u00f3 sobre l\u2019objectiu de demostrar que el dol perinatal\/neonatal \u00e9s un dol incurable \u00e9s que es cert. \u00c9s un dol que sempre el tindran les fam\u00edlies que perden al seu fill\/a, per molt que es tracti mai marxar\u00e0 aquell dol.<br \/>\nI tamb\u00e9 he apr\u00e8s i he pogut verificar que:<br \/>\n\u2022 \u00c9s veritat que no consten a cap registre ni es poden registrar com a fills de&#8230;<br \/>\n\u2022 \u00c9s veritat que el nombre de morts perinatals \u00e9s un nombre molt baix, encara m\u00e9s baix que les morts de nadons neonats. \u00c9s m\u00e9s conegut l\u2019avortament espontani durant les primeres setmanes fins a la setmana 15-16.<br \/>\n\u2022 NO a tots els nadons que neixen morts se\u2019ls practica l\u2019aut\u00f2psia si els pares no donen el consentiment.<br \/>\n\u2022 NO tenen perqu\u00e8 morir els nadons per malalties de base de la mare o per accidents ocasionats per cops o per altres motius, pot ser la mort sigui ocasionada pel mateix fetus que est\u00e0 en constant moviment o per causa desconeguda.<\/p>\n<h6><strong>Bibliografia:<\/strong><\/h6>\n<ul>\n<li>CAMPBELL, Stuart. <span style=\"color: #808080;\"><strong>\u00a1Mira c\u00f3mo crezco!<\/strong><\/span>. Planeta S.A<\/li>\n<li>COAD, J., DUNSTALL, M.. <span style=\"color: #808080;\"><strong>Anatomy amb physiology for midwives<\/strong><\/span>. Masby<\/li>\n<li>COOKE, K. <span style=\"color: #808080;\"><strong>Embarazada: La gu\u00eda indispensable para madres primerizas<\/strong><\/span>. Ediciones B.S.A<\/li>\n<li>GASKIN, I. <span style=\"color: #808080;\"><strong>Spiritual Midwifery<\/strong><\/span>. Book Publishing Company (BPC)<\/li>\n<li>HENDERSON, C., MACDONALD, S.. <span style=\"color: #808080;\"><strong>Mayes\u2019 Midwifery: A Textbook for Midwives<\/strong><\/span>. Bailli\u00e8re Tindall<\/li>\n<li>JOHNSON, R., TAYLOR, W. <span style=\"color: #808080;\"><strong>Skills for Midwifery Practise<\/strong><\/span>. Churchill Livingstone<\/li>\n<\/ul>\n<h6><strong>Llocs Web:<\/strong><\/h6>\n<ul>\n<li><a href=\"http:\/\/canalsalut.gencat.cat\/ca\/salut-a-z\/e\/embaras-part-i-postpart\/embaras-part-i-postpart\/el-part\/\" target=\"_blank\" rel=\"noopener noreferrer\">El part<\/a><\/li>\n<li><a href=\"http:\/\/nacersano.marchofdimes.org\/embarazo\/las-trombofilias-durante-el-embarazo.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">Las trombofilias durante el embarazo<\/a><\/li>\n<li><a href=\"https:\/\/salud-mujer.idoneos.com\/parto\/contracciones_uterinas\/\" target=\"_blank\" rel=\"noopener noreferrer\">CONTRACCIONES UTERINAS, IDONEOS. Contracciones Uterinas<\/a><\/li>\n<li><a href=\"https:\/\/www.diabetesbienestarysalud.com\/noticias\/causas-y-consecuencias-de-la-diabetes-gestacional\/2010\/02\/\" target=\"_blank\" rel=\"noopener noreferrer\">DIABETES, BIENESTAR SALUD. Causas y consecuencias de la Diabetes gestacional.<\/a><\/li>\n<li><a href=\"http:\/\/www.ine.es\/jaxiT3\/Datos.htm?t=1698\" target=\"_blank\" rel=\"noopener noreferrer\">INDICADORES DE MORTALIDAD INFANTIL, INSTITUTO NACIONAL DE ESTAD\u00cdSTICA. Tasa de mortalidad perinatal<\/a><\/li>\n<li><a href=\"http:\/\/www.aeped.es\/sites\/default\/files\/documentos\/libro_blanco_muerte_subita_3ed_1382443264.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">LIBRO BLANCO DE LA MUERTE S\u00daBITA INFANTIL. Muerte fetal tard\u00eda.<\/a><\/li>\n<li><a href=\"https:\/\/medlineplus.gov\/spanish\/diabetesandpregnancy.html\" target=\"_blank\" rel=\"noopener noreferrer\">MEDLINEPLUS, BIBLIOTECA NACIONAL DE MEDICINA DE LOS EE.UU. Diabetes y el embarazo.<\/a><\/li>\n<\/ul>\n<h6><strong>Presentaci\u00f3:<\/strong><\/h6>\n<p><iframe loading=\"lazy\" style=\"border: 1px solid #CCC; border-width: 1px; margin-bottom: 5px; max-width: 100%;\" src=\"\/\/www.slideshare.net\/slideshow\/embed_code\/key\/uc4bEnnbjVitLm\" width=\"595\" height=\"485\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\" allowfullscreen=\"allowfullscreen\"> <\/iframe><\/p>\n<h6><\/h6>\n","protected":false},"excerpt":{"rendered":"<p>Marta Torres Berbel<\/p>\n","protected":false},"author":1,"featured_media":13601,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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