{
    "id": 8426,
    "date": "2025-03-07T10:07:01",
    "date_gmt": "2025-03-07T09:07:01",
    "guid": {
        "rendered": "https:\/\/mamasherpas.care\/?page_id=8426"
    },
    "modified": "2025-03-18T13:38:28",
    "modified_gmt": "2025-03-18T12:38:28",
    "slug": "tudasbazis",
    "status": "publish",
    "type": "page",
    "link": "https:\/\/mamasherpas.care\/en\/tudasbazis\/",
    "title": {
        "rendered": "Tud\u00e1sb\u00e1zis"
    },
    "content": {
        "rendered": "<div data-elementor-type=\"wp-page\" data-elementor-id=\"8426\" class=\"elementor elementor-8426\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8542931 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8542931\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a248523\" data-id=\"a248523\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e274979 de_scroll_animation_no elementor-widget elementor-widget-heading\" data-id=\"e274979\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Interakt\u00edv szakmai aj\u00e1nl\u00e1sok a sz\u00fcl\u00e9szeti ell\u00e1t\u00e1sban\u200b<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-09c05ee elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"09c05ee\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d1a138a\" data-id=\"d1a138a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7b1434d elementor-widget__width-initial de_scroll_animation_no elementor-widget elementor-widget-text-editor\" data-id=\"7b1434d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\">\u00dcdv\u00f6zl\u00fcnk az interakt\u00edv aj\u00e1nl\u00e1si oldalunkon! Itt szakmai szerepk\u00f6r\u00f6k szerint keresheted meg azokat az aj\u00e1nl\u00e1sokat, amelyek a legrelev\u00e1nsabbak a munk\u00e1d sor\u00e1n, illetve megtal\u00e1lhatod, mely aj\u00e1nl\u00e1sok prioriz\u00e1l\u00e1s\u00e1val \u00e9rhetj\u00fck el k\u00f6z\u00f6sen a legnagyobb hat\u00e1st. C\u00e9lunk, hogy seg\u00edts\u00fcnk a csal\u00e1dk\u00f6zpont\u00fa, bizony\u00edt\u00e9kokon alapul\u00f3 \u00e9s korszer\u0171 sz\u00fcl\u00e9szeti ell\u00e1t\u00e1s megval\u00f3s\u00edt\u00e1s\u00e1ban a hazai jogszab\u00e1lyi k\u00f6rnyezet, ir\u00e1nyelvek, illetve nemzetk\u00f6zi j\u00f3gyakorlatok t\u00fckr\u00e9ben.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-18b9b61 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"18b9b61\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6f196ff\" data-id=\"6f196ff\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-896ee4c de_scroll_animation_no elementor-widget elementor-widget-counter\" data-id=\"896ee4c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"counter.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-counter\">\n\t\t\t<div class=\"elementor-counter-title\">\u00e9rv\u00e9nyben l\u00e9v\u0151 magyar aj\u00e1nl\u00e1s (2025)<\/div>\t\t\t<div class=\"elementor-counter-number-wrapper\">\n\t\t\t\t<span class=\"elementor-counter-number-prefix\"><\/span>\n\t\t\t\t<span class=\"elementor-counter-number\" data-duration=\"2000\" data-to-value=\"48\" data-from-value=\"0\" data-delimiter=\",\">0<\/span>\n\t\t\t\t<span class=\"elementor-counter-number-suffix\"><\/span>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-046fb1c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"046fb1c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6019b50\" data-id=\"6019b50\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-402fd06 de_scroll_animation_no elementor-widget elementor-widget-heading\" data-id=\"402fd06\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">A te int\u00e9zm\u00e9nyedben m\u00e1r megval\u00f3sulnak ezek az aj\u00e1nl\u00e1sok? Szeretn\u00e9nk felm\u00e9rni, hol tartunk orsz\u00e1gos szinten.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a2ad439 elementor-align-center de_scroll_animation_no elementor-widget elementor-widget-elementskit-button\" data-id=\"a2ad439\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/forms.gle\/zJGpr8g6mHr37Cza6\" class=\"elementskit-btn  whitespace--normal\" id=\"\" target=\"_blank\" rel=\"noopener\">\n\t\t\t\t\tSeg\u00edtek egy kit\u00f6lt\u00e9ssel\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8116a59 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8116a59\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-be9f0f7\" data-id=\"be9f0f7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9fa28a7 de_scroll_animation_no elementor-widget elementor-widget-spacer\" data-id=\"9fa28a7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3dc1ce5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3dc1ce5\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5b0efd5\" data-id=\"5b0efd5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-42992ce de_scroll_animation_no elementor-widget elementor-widget-text-editor\" data-id=\"42992ce\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h1 style=\"text-align: center;\">Hogyan m\u0171k\u00f6dik?<\/h1><p style=\"text-align: center;\">V\u00e1laszd ki a saj\u00e1t szerepedet, \u00e9s azonnal l\u00e1thatod, milyen aj\u00e1nl\u00e1sok vonatkoznak r\u00e1d, priorit\u00e1si sorrendben, azaz melyiket tudod a legk\u00f6nnyebben megval\u00f3s\u00edtani \u00e9s a legnagyobb pozit\u00edv hat\u00e1st el\u00e9rni.<\/p><p style=\"text-align: center;\">Amennyiben \u00e9rdekel, hogy mely aj\u00e1nl\u00e1sok gyakorlati alkalmaz\u00e1sa \u00e9rheti el a legnagyobb hat\u00e1st a legkisebb r\u00e1ford\u00edt\u00e1s mellett, g\u00f6rgess lejjebb a top 5 list\u00e1hoz, ahol a leg\u00fajabb kutat\u00e1sok \u00f6sszefoglal\u00f3i is el\u00e9rhet\u0151k.<\/p><p style=\"text-align: center;\">Az oldal folyamatosan friss\u00fcl a leg\u00fajabb kutat\u00e1sokkal \u00e9s kieg\u00e9sz\u00edt\u0151 inform\u00e1ci\u00f3kkal a hazai \u00e9s nemzetk\u00f6zi aj\u00e1nl\u00e1sok alapj\u00e1n.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-31c56ca\" data-id=\"31c56ca\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-26cd852 de_scroll_animation_no elementor-widget elementor-widget-image\" data-id=\"26cd852\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/tudastar-1-1024x576.png\" class=\"attachment-large size-large wp-image-8655\" alt=\"\" srcset=\"https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/tudastar-1-1024x576.png 1024w, https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/tudastar-1-300x169.png 300w, https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/tudastar-1-768x432.png 768w, https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/tudastar-1-18x10.png 18w, https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/tudastar-1-800x450.png 800w, https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/tudastar-1-600x338.png 600w, https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/tudastar-1-89x50.png 89w, https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/tudastar-1.png 1280w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8bc5327 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8bc5327\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d752f8b\" data-id=\"d752f8b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-662a3a5 de_scroll_animation_no elementor-widget elementor-widget-spacer\" data-id=\"662a3a5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8a7287f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8a7287f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-top-column elementor-element elementor-element-101575c\" data-id=\"101575c\" data-element_type=\"column\" data-e-type=\"column\" id=\"haziorvos\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1709abf elementor-align-center de_scroll_animation_no elementor-widget elementor-widget-elementskit-button\" data-id=\"1709abf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"#orvos\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\tH\u00e1ziorvos\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-top-column elementor-element elementor-element-2ea46fb\" data-id=\"2ea46fb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-af29e3c elementor-widget__width-initial elementor-align-center de_scroll_animation_no elementor-widget elementor-widget-elementskit-button\" data-id=\"af29e3c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"#vedono\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\tV\u00e9d\u0151n\u0151\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-top-column elementor-element elementor-element-524be6a\" data-id=\"524be6a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a6dcd0b elementor-align-center de_scroll_animation_no elementor-widget elementor-widget-elementskit-button\" data-id=\"a6dcd0b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"#szulesz\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\tSz\u00fcl\u00e9sz-n\u0151gy\u00f3gy\u00e1sz\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-top-column elementor-element elementor-element-e5faf9a\" data-id=\"e5faf9a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-12c8bc5 elementor-align-center de_scroll_animation_no elementor-widget elementor-widget-elementskit-button\" data-id=\"12c8bc5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"#szuleszno\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\tSz\u00fcl\u00e9szn\u0151 \/ B\u00e1ba\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-top-column elementor-element elementor-element-2e8a7c4\" data-id=\"2e8a7c4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e22811e elementor-align-center de_scroll_animation_no elementor-widget elementor-widget-elementskit-button\" data-id=\"e22811e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"#neonatologus\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\tNeonatol\u00f3gus\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2b8042a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2b8042a\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-top-column elementor-element elementor-element-c4ec48f\" data-id=\"c4ec48f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-53a7b57 elementor-align-center de_scroll_animation_no elementor-widget elementor-widget-elementskit-button\" data-id=\"53a7b57\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"#pszichologus\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\tPszichol\u00f3gus\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-top-column elementor-element elementor-element-5953359\" data-id=\"5953359\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-22078a5 elementor-widget__width-initial elementor-align-center de_scroll_animation_no elementor-widget elementor-widget-elementskit-button\" data-id=\"22078a5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"#gyogytornasz\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\tGy\u00f3gytorn\u00e1sz\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-top-column elementor-element elementor-element-307e649\" data-id=\"307e649\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-dbcf3f9 elementor-align-center de_scroll_animation_no elementor-widget elementor-widget-elementskit-button\" data-id=\"dbcf3f9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"#perinatalis\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\tPerinat\u00e1lis szaktan\u00e1csad\u00f3\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-top-column elementor-element elementor-element-42094d5\" data-id=\"42094d5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cb39a0a elementor-align-center de_scroll_animation_no elementor-widget elementor-widget-elementskit-button\" data-id=\"cb39a0a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"#szoptatas\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\tSzoptat\u00e1si seg\u00edt\u0151\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-top-column elementor-element elementor-element-38ebf76\" data-id=\"38ebf76\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ed38983 elementor-align-center de_scroll_animation_no elementor-widget elementor-widget-elementskit-button\" data-id=\"ed38983\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"#dula\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\tD\u00fala\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-651e108 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"651e108\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-52080ae\" data-id=\"52080ae\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c331279 de_scroll_animation_no elementor-widget elementor-widget-spacer\" data-id=\"c331279\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-68d9d0f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"68d9d0f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-be98537\" data-id=\"be98537\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8efc608 de_scroll_animation_no elementor-widget elementor-widget-heading\" data-id=\"8efc608\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Magyarorsz\u00e1gi ir\u00e1nyelv \u00e9s aj\u00e1nl\u00e1sok - 2025<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e92d4c3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e92d4c3\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8d7b454\" data-id=\"8d7b454\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-674a11c de_scroll_animation_no elementor-widget elementor-widget-text-editor\" data-id=\"674a11c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\">A 2019-es \u00e9s 2025-\u00f6s magyarorsz\u00e1gi ir\u00e1nyelvek c\u00e9ljai v\u00e1ltozatlanok maradtak, ugyanakkor a 2025-\u00f6s verzi\u00f3 hangs\u00falyai elt\u00e9rnek. A kor\u00e1bban 33 aj\u00e1nl\u00e1s 48-ra b\u0151v\u00fclt, 18 aj\u00e1nl\u00e1s v\u00e1ltozatlan form\u00e1ban ker\u00fclt \u00e1temel\u00e9sre, 30 esetben v\u00e1ltoz\u00e1s t\u00f6rt\u00e9nt (A nagyobb v\u00e1ltoz\u00e1sokat &#8220;v\u00e1ltozott&#8221; sz\u00f3val jel\u00f6lt\u00fck). A NICE, ACOG \u00e9s a WHO aj\u00e1nl\u00e1sai tov\u00e1bbra is p\u00e9ldak\u00e9nt szolg\u00e1lhatnak a magyar rendszer sz\u00e1m\u00e1ra, k\u00fcl\u00f6n\u00f6sen az anyai auton\u00f3mi\u00e1t \u00e9s a csal\u00e1dk\u00f6zpont\u00fa megk\u00f6zel\u00edt\u00e9st el\u0151t\u00e9rbe helyez\u0151 szeml\u00e9let\u00fck r\u00e9v\u00e9n. Rem\u00e9lj\u00fck, hogy a hazai ir\u00e1nyelvek a j\u00f6v\u0151ben egyre ink\u00e1bb k\u00f6zel\u00edtenek a nemzetk\u00f6zi j\u00f3gyakorlatokhoz.\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-74fdc76 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"74fdc76\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6a072bb\" data-id=\"6a072bb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e559ee1 de_scroll_animation_no elementor-widget elementor-widget-text-editor\" data-id=\"e559ee1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><strong data-start=\"0\" data-end=\"13\" data-is-only-node=\"\">Figyelem!<\/strong> A 2025-\u00f6s ir\u00e1nyelv t\u00f6bb ponton is v\u00e1ltozott, jelenleg a magyar eg\u00e9szs\u00e9g\u00fcgyi t\u00f6rv\u00e9nyre val\u00f3 hivatkoz\u00e1s nem egys\u00e9ges, ami jog\u00e9rtelmez\u00e9si neh\u00e9zs\u00e9geket okozhat, illetve hat\u00e1ssal lehet az ell\u00e1t\u00e1s mindennapi gyakorlat\u00e1ra.<\/p><p style=\"text-align: center;\"><strong data-start=\"170\" data-end=\"323\">Fontos az egys\u00e9ges meg\u00e9rt\u00e9s: m\u00edg az ir\u00e1nyelv aj\u00e1nl\u00e1sokat fogalmaz meg az int\u00e9zm\u00e9nyek sz\u00e1m\u00e1ra, addig a t\u00f6rv\u00e9ny k\u00f6telez\u0151 \u00e9rv\u00e9ny\u0171 el\u0151\u00edr\u00e1sokat tartalmaz!<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8f6ff5c elementor-align-center de_scroll_animation_no elementor-widget elementor-widget-elementskit-button\" data-id=\"8f6ff5c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/emmaegyesulet.hu\/emma-konyvtar\/szuleszeti-jogok\/\" class=\"elementskit-btn  whitespace--normal\" id=\"\" target=\"_blank\" rel=\"noopener\">\n\t\t\t\t\tSz\u00fcl\u00e9szeti jogok\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9a72042 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9a72042\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-317b101\" data-id=\"317b101\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6510254 de_scroll_animation_no elementor-widget elementor-widget-spacer\" data-id=\"6510254\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3ec19bc elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3ec19bc\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ce0ec70\" data-id=\"ce0ec70\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3718916 de_scroll_animation_no elementor-widget elementor-widget-text-editor\" data-id=\"3718916\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2 style=\"text-align: center;\">\u00daj t\u00e9m\u00e1k a 2019-es aj\u00e1nl\u00e1shoz k\u00e9pest &#8211; kattints az ikonokra a tov\u00e1bbi let\u00f6lthet\u0151 infom\u00e1ci\u00f3k\u00e9rt\u00a0<\/h2>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2831775 elementor-widget__width-initial elementor-view-default elementor-position-block-start elementor-mobile-position-block-start de_scroll_animation_no elementor-widget elementor-widget-icon-box\" data-id=\"2831775\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<a href=\"#forditas\" class=\"elementor-icon\" tabindex=\"-1\" aria-label=\"K\u00fcls\u0151 magzatford\u00edt\u00e1s lehet\u0151s\u00e9g\u00e9nek ismertet\u00e9se\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-opposite-way\"><\/i>\t\t\t\t<\/a>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<a href=\"#forditas\" >\n\t\t\t\t\t\t\tK\u00fcls\u0151 magzatford\u00edt\u00e1s lehet\u0151s\u00e9g\u00e9nek ismertet\u00e9se\t\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tA&nbsp;magzat medencev\u00e9g\u0171 hosszfekv\u00e9se eset\u00e9ben \u2013 ha egy\u00e9b ellenjavallata a&nbsp;h\u00fcvelyi sz\u00fcl\u00e9snek nincs \u2013 fel kell aj\u00e1nlani a&nbsp;v\u00e1rand\u00f3snak a&nbsp;k\u00fcls\u0151 magzatford\u00edt\u00e1s lehet\u0151s\u00e9g\u00e9t. Haz\u00e1nkban egyre t\u00f6bb helyen el\u00e9rhet\u0151 az&nbsp;\u00e1llami ell\u00e1t\u00e1sban is a&nbsp;k\u00fcls\u0151 ford\u00edt\u00e1s, mely szakavatott k\u00e9zben biztons\u00e1gos beavatkoz\u00e1s, \u00e9s hozz\u00e1j\u00e1rulhat a&nbsp;cs\u00e1sz\u00e1rmetsz\u00e9sek gyakoris\u00e1g\u00e1nak cs\u00f6kkent\u00e9s\u00e9hez. (A)\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bb41b4e elementor-widget__width-initial elementor-view-default elementor-position-block-start elementor-mobile-position-block-start de_scroll_animation_no elementor-widget elementor-widget-icon-box\" data-id=\"bb41b4e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<a href=\"#inditas\" class=\"elementor-icon\" tabindex=\"-1\" aria-label=\"A spont\u00e1n sz\u00fcl\u00e9sindul\u00e1s t\u00e1mogat\u00e1sa \">\n\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-calendar-alt\"><\/i>\t\t\t\t<\/a>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<a href=\"#inditas\" >\n\t\t\t\t\t\t\tA spont\u00e1n sz\u00fcl\u00e9sindul\u00e1s t\u00e1mogat\u00e1sa \t\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tA\u00a0sz\u00fcl\u00e9s spont\u00e1n megindul\u00e1s\u00e1nak t\u00e1mogat\u00e1sa a\u00a0bet\u00f6lt\u00f6tt 41. h\u00e9t el\u0151tt javasolt, de alacsony kock\u00e1zat\u00fa v\u00e1rand\u00f3ss\u00e1g eset\u00e9n, szoros prenat\u00e1lis ellen\u0151rz\u00e9s (NST, ultrahang-\u00e1raml\u00e1svizsg\u00e1latok) mellett a\u00a0terminus t\u00fall\u00e9p\u00e9se a\u00a041. h\u00e9t+6 napig megengedhet\u0151. (A)\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6ce2448 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6ce2448\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-09c6db2\" data-id=\"09c6db2\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0535ad8 de_scroll_animation_no elementor-widget elementor-widget-spacer\" data-id=\"0535ad8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-877e0b5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"877e0b5\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8cdcf14\" data-id=\"8cdcf14\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a517465 de_scroll_animation_no elementor-widget elementor-widget-heading\" data-id=\"a517465\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">TOP 5 aj\u00e1nl\u00e1s a kiterjedt hat\u00e1s\u00e9rt<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-77a3bd0 elementor-list-item-link-inline elementor-align-start de_scroll_animation_no elementor-widget elementor-widget-icon-list\" data-id=\"77a3bd0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-arrow-alt-circle-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">#1 SZTNB \u201eCsal\u00e1dk\u00f6zpont\u00fa \u00e9s Bababar\u00e1t Ell\u00e1t\u00e1s\u201d k\u00e9pz\u00e9si program <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"#terv\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"dticon dticon-document-attach-outline\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">#2 Sz\u00fcl\u00e9si terv tiszteletben tart\u00e1sa<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"#felkeszito\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"dticon dticon-document-attach-outline\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">#3 Sz\u00fcl\u00e9sfelk\u00e9sz\u00edt\u00e9s \u00e9s r\u00e9szletes t\u00e1j\u00e9koztat\u00e1s<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"#kisero\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"dticon dticon-document-attach-outline\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">#4 Sz\u00fcl\u00e9si k\u00eds\u00e9r\u0151 jelenl\u00e9te <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-arrow-alt-circle-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">#5 Rutin beavatkoz\u00e1sok ker\u00fcl\u00e9se <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b9f3c41 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b9f3c41\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3d94db6\" data-id=\"3d94db6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d717d35 de_scroll_animation_no elementor-widget elementor-widget-spacer\" data-id=\"d717d35\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-89a0b81 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"89a0b81\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-53235d8\" data-id=\"53235d8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-929483a de_scroll_animation_no elementor-widget elementor-widget-image\" data-id=\"929483a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"819\" height=\"1024\" src=\"https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/5.-Azonnali-dontessel-megvalosithato-\u2013-Nincs-szukseg-kulonosebb-elofeltetelekre-4.-Minimalis-elofeltetelekkel-jar-\u2013-Aprobb-valtoztatasok-vagy-egyertelmu-lepesek-kellenek-de-nem-igenyel-extra-erof-819x1024.png\" class=\"attachment-large size-large wp-image-8525\" alt=\"\" srcset=\"https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/5.-Azonnali-dontessel-megvalosithato-\u2013-Nincs-szukseg-kulonosebb-elofeltetelekre-4.-Minimalis-elofeltetelekkel-jar-\u2013-Aprobb-valtoztatasok-vagy-egyertelmu-lepesek-kellenek-de-nem-igenyel-extra-erof-819x1024.png 819w, https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/5.-Azonnali-dontessel-megvalosithato-\u2013-Nincs-szukseg-kulonosebb-elofeltetelekre-4.-Minimalis-elofeltetelekkel-jar-\u2013-Aprobb-valtoztatasok-vagy-egyertelmu-lepesek-kellenek-de-nem-igenyel-extra-erof-240x300.png 240w, https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/5.-Azonnali-dontessel-megvalosithato-\u2013-Nincs-szukseg-kulonosebb-elofeltetelekre-4.-Minimalis-elofeltetelekkel-jar-\u2013-Aprobb-valtoztatasok-vagy-egyertelmu-lepesek-kellenek-de-nem-igenyel-extra-erof-768x960.png 768w, https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/5.-Azonnali-dontessel-megvalosithato-\u2013-Nincs-szukseg-kulonosebb-elofeltetelekre-4.-Minimalis-elofeltetelekkel-jar-\u2013-Aprobb-valtoztatasok-vagy-egyertelmu-lepesek-kellenek-de-nem-igenyel-extra-erof-1229x1536.png 1229w, https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/5.-Azonnali-dontessel-megvalosithato-\u2013-Nincs-szukseg-kulonosebb-elofeltetelekre-4.-Minimalis-elofeltetelekkel-jar-\u2013-Aprobb-valtoztatasok-vagy-egyertelmu-lepesek-kellenek-de-nem-igenyel-extra-erof-10x12.png 10w, https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/5.-Azonnali-dontessel-megvalosithato-\u2013-Nincs-szukseg-kulonosebb-elofeltetelekre-4.-Minimalis-elofeltetelekkel-jar-\u2013-Aprobb-valtoztatasok-vagy-egyertelmu-lepesek-kellenek-de-nem-igenyel-extra-erof-1320x1650.png 1320w, https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/5.-Azonnali-dontessel-megvalosithato-\u2013-Nincs-szukseg-kulonosebb-elofeltetelekre-4.-Minimalis-elofeltetelekkel-jar-\u2013-Aprobb-valtoztatasok-vagy-egyertelmu-lepesek-kellenek-de-nem-igenyel-extra-erof-600x750.png 600w, https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/5.-Azonnali-dontessel-megvalosithato-\u2013-Nincs-szukseg-kulonosebb-elofeltetelekre-4.-Minimalis-elofeltetelekkel-jar-\u2013-Aprobb-valtoztatasok-vagy-egyertelmu-lepesek-kellenek-de-nem-igenyel-extra-erof-40x50.png 40w, https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/5.-Azonnali-dontessel-megvalosithato-\u2013-Nincs-szukseg-kulonosebb-elofeltetelekre-4.-Minimalis-elofeltetelekkel-jar-\u2013-Aprobb-valtoztatasok-vagy-egyertelmu-lepesek-kellenek-de-nem-igenyel-extra-erof.png 1620w\" sizes=\"(max-width: 819px) 100vw, 819px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f740113 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f740113\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-549ce39\" data-id=\"549ce39\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6626813 elementor-align-center de_scroll_animation_no elementor-widget elementor-widget-elementskit-button\" data-id=\"6626813\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/kozlonyok.hu\/kozlonyok\/Kozlonyok\/6\/PDF\/2025\/3.pdf\" class=\"elementskit-btn  whitespace--normal\" id=\"\" target=\"_blank\" rel=\"noopener\">\n\t\t\t\t\tLet\u00f6lt\u00f6m az aj\u00e1nl\u00e1st\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1190e3b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1190e3b\" data-element_type=\"section\" data-e-type=\"section\" id=\"orvos\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6cc0d47\" data-id=\"6cc0d47\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-18384c3 de_scroll_animation_no elementor-widget elementor-widget-spacer\" data-id=\"18384c3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-979c7c3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"979c7c3\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a4f88c7\" data-id=\"a4f88c7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-afd9c00 de_scroll_animation_no elementor-widget elementor-widget-heading\" data-id=\"afd9c00\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">H\u00e1ziorvos<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5de86f3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5de86f3\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-533c719\" data-id=\"533c719\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d01b24c de_scroll_animation_no elementor-widget elementor-widget-toggle\" data-id=\"d01b24c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2181\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2181\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Anya \u00e9s csal\u00e1d m\u00e9lt\u00f3s\u00e1g\u00e1nak tisztelete<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2181\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2181\"><p><strong>48. Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g \u00e9s a sz\u00fcl\u00e9s alatti, valamint a sz\u00fcl\u00e9s ut\u00e1ni eg\u00e9szs\u00e9g\u00fcgyi ell\u00e1t\u00e1st ny\u00fajt\u00f3k tarts\u00e1k szem el\u0151tt az anya \u00e9s csal\u00e1dja emberi m\u00e9lt\u00f3s\u00e1g\u00e1t. (B)\u00a0<\/em><\/p><p>1997. \u00e9vi CLIV. t\u00f6rv\u00e9ny az eg\u00e9szs\u00e9g\u00fcgyr\u0151l<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2182\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2182\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Rendszeres testmozg\u00e1s v\u00e1rand\u00f3ss\u00e1g alatt<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2182\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2182\"><p><strong>2. Aj\u00e1nl\u00e1s:<\/strong>\u00a0<em>A sz\u00fcl\u00e9shez sz\u00fcks\u00e9ges er\u0151nl\u00e9t fenntart\u00e1s\u00e1hoz rendszeres testmozg\u00e1s a v\u00e1rand\u00f3ss\u00e1g alatt is javasolt. Ennek elsaj\u00e1t\u00edt\u00e1sa \u00e9s gyakorl\u00e1sa \u00e9rdek\u00e9ben a v\u00e1rand\u00f3soknak aj\u00e1nlott gy\u00f3gytorn\u00e1sz seg\u00edts\u00e9g\u00e9t ig\u00e9nybe venni\u00fck. (B)\u00a0<\/em><\/p><p><a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2020\/04\/physical-activity-and-exercise-during-pregnancy-and-the-postpartum-period\" target=\"_blank\" rel=\"noopener\">https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2020\/04\/physical-activity-and-exercise-during-pregnancy-and-the-postpartum-period<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2183\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2183\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Stresszcs\u00f6kkent\u00e9s a v\u00e1rand\u00f3ss\u00e1g alatt<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2183\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2183\"><ol><li><strong>Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g alatt az ell\u00e1t\u00f3knak t\u00f6rekedni\u00fck kell az esetlegesen jelentkez\u0151 szorong\u00e1s, illetve stressz cs\u00f6kkent\u00e9s\u00e9re. Amennyiben az anya pszich\u00e9s \u00e1llapota megk\u00edv\u00e1nja, \u00fagy pszichol\u00f3gus seg\u00edts\u00e9g\u00e9t is \u00e9rdemes felaj\u00e1nlani sz\u00e1m\u00e1ra. (B)\u00a0<\/em><\/li><\/ol><p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ec011c9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ec011c9\" data-element_type=\"section\" data-e-type=\"section\" id=\"vedono\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e608639\" data-id=\"e608639\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0d8de97 de_scroll_animation_no elementor-widget elementor-widget-spacer\" data-id=\"0d8de97\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bd08aaf elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bd08aaf\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6e21f16\" data-id=\"6e21f16\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ef36540 de_scroll_animation_no elementor-widget elementor-widget-heading\" data-id=\"ef36540\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">V\u00e9d\u0151n\u0151<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b08423e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b08423e\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bfff744\" data-id=\"bfff744\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-60816ad de_scroll_animation_no elementor-widget elementor-widget-toggle\" data-id=\"60816ad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1011\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1011\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Sz\u00fcl\u00e9szeti dolgoz\u00f3k tov\u00e1bbk\u00e9pz\u00e9s\u00e9n val\u00f3 r\u00e9szv\u00e9tel (v\u00e1ltozott)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1011\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1011\"><p><strong>40. Aj\u00e1nl\u00e1s:<\/strong><em> Az\u00a0el\u0151z\u0151 aj\u00e1nl\u00e1sok teljes\u00fcl\u00e9s\u00e9nek \u00e9rdek\u00e9ben minden szolg\u00e1ltat\u00f3nak feladata, hogy biztos\u00edtsa a\u00a0sz\u00fcl\u00e9szeti dolgoz\u00f3k tov\u00e1bbk\u00e9pz\u00e9s\u00e9t. (B) [6] Az\u00a0SZTNB \u201eCsal\u00e1dk\u00f6zpont\u00fa \u00e9s Bababar\u00e1t Ell\u00e1t\u00e1s\u201d k\u00e9pz\u00e9si programja minden szempontb\u00f3l megfelel annak a\u00a0k\u00e9pz\u00e9si \u00e9s min\u0151s\u00e9gfejleszt\u00e9si c\u00e9lnak, amely a\u00a0szakdolgoz\u00f3k tud\u00e1s\u00e1t \u00e9s kompetenci\u00e1j\u00e1t n\u00f6veli, \u00e9s a\u00a0t\u00e1mogat\u00f3 kommunik\u00e1ci\u00f3t szolg\u00e1lja.<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1012\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1012\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Sz\u00fcl\u00e9sfelk\u00e9sz\u00edt\u00e9s biztos\u00edt\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1012\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1012\"><p><strong>6. Aj\u00e1nl\u00e1s:<\/strong> <em>Az anya sz\u00fcl\u00e9szeti ell\u00e1t\u00e1s\u00e1nak r\u00e9sze a v\u00e1rand\u00f3sgondoz\u00e1s sor\u00e1n t\u00f6rt\u00e9n\u0151 sz\u00fcl\u00e9sfelk\u00e9sz\u00edt\u00e9s \u00e9s r\u00e9szletes t\u00e1j\u00e9koztat\u00e1s. (B)\u00a0<\/em><\/p><p>NICE aj\u00e1nl\u00e1s:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#antenatal-education-about-labour\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#antenatal-education-about-labour<\/a><\/p><p>Tanner Stapleton L.R; Schetter C.D; Westling E. Et al.: Perceived partner support in pregnancy predicts lower maternal and infant distress. Journal of Family Psychology, Vol 26(3), Jun 2012, 453463.: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf<\/a><\/p><p>ACOG Committee Opinion No. 731: Group Prenatal Care. Obstet Gynecol. 2018;131(3):e104 :\u00a0<a href=\"https:\/\/journals.lww.com\/greenjournal\/fulltext\/2018\/03000\/acog_committee_opinion_no__731__group_prenatal.47.aspx\" target=\"_blank\" rel=\"noopener\">https:\/\/journals. lww.com\/greenjournal\/fulltext\/2018\/03000\/acog_committee_opinion_no__731__group_prenatal.47.aspx<\/a><\/p><p>Mother-Friendly Childbirth Initiative:\u00a0<a href=\"https:\/\/motherbabysupport.net\/pdf\/07-Mother-Friendly Initiative.pdf\" data-wplink-url-error=\"true\" target=\"_blank\" rel=\"noopener\">https:\/\/motherbabysupport.net\/pdf\/07-Mother-Friendly Initiative.pdf<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1013\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1013\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">T\u00e1j\u00e9koztat\u00e1s a sz\u00fcl\u00e9s helysz\u00edn\u00e9r\u0151l<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1013\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1013\"><p><strong>5. Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3sgondoz\u00e1s sor\u00e1n a gondoz\u00e1s\u00e9rt felel\u0151s szem\u00e9ly (az orvos \u00e9s\/vagy a sz\u00fcl\u00e9szn\u0151), illetve a v\u00e9d\u0151n\u0151 r\u00e9szletesen t\u00e1j\u00e9koztassa a v\u00e1rand\u00f3st arr\u00f3l, hogy a sz\u00fcl\u00e9s helysz\u00edn\u00e9t illet\u0151en milyen lehet\u0151s\u00e9gek k\u00f6z\u00fcl v\u00e1laszthat, \u00e9s t\u00e1mogassa a v\u00e1rand\u00f3st a v\u00e1laszt\u00e1s\u00e1ban. (A)\u00a0<\/em><\/p><p>WHO recommendations: intrapartum care for a positive childbirth experience: <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241550215\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/publications\/i\/item\/9789241550215<\/a><\/p><p>Implementation guidance: protecting, promoting, and supporting breastfeeding in facilities providing maternity and newborn services:\u00a0<a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241513807\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/publications\/i\/item\/9789241513807<\/a><\/p><p>Perinatal or neonatal mortality among women who intend at the onset of labour to give birth at home compared to women of low obstetrical risk who intend to give birth in hospital: A systematic review and meta-analyses:\u00a0<a href=\"https:\/\/www.thelancet.com\/journals\/eclinm\/article\/PIIS2589-5370(19)30119-1\/fulltext\" target=\"_blank\" rel=\"noopener\">https:\/\/www.thelancet.com\/journals\/eclinm\/article\/PIIS2589-5370(19)30119-1\/fulltext<\/a><\/p><p>Planned Out-of-Hospital Birth and Birth Outcomes:\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26716916\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/26716916\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1014\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1014\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Anya \u00e9s csal\u00e1d m\u00e9lt\u00f3s\u00e1g\u00e1nak tisztelete<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1014\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1014\"><p><strong>48. Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g \u00e9s a sz\u00fcl\u00e9s alatti, valamint a sz\u00fcl\u00e9s ut\u00e1ni eg\u00e9szs\u00e9g\u00fcgyi ell\u00e1t\u00e1st ny\u00fajt\u00f3k tarts\u00e1k szem el\u0151tt az anya \u00e9s csal\u00e1dja emberi m\u00e9lt\u00f3s\u00e1g\u00e1t. (B)\u00a0<\/em><\/p><p>1997. \u00e9vi CLIV. t\u00f6rv\u00e9ny az eg\u00e9szs\u00e9g\u00fcgyr\u0151l<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1015\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-1015\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Rendszeres testmozg\u00e1s v\u00e1rand\u00f3ss\u00e1g alatt<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1015\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-1015\"><p><strong>2. Aj\u00e1nl\u00e1s:<\/strong>\u00a0<em>A sz\u00fcl\u00e9shez sz\u00fcks\u00e9ges er\u0151nl\u00e9t fenntart\u00e1s\u00e1hoz rendszeres testmozg\u00e1s a v\u00e1rand\u00f3ss\u00e1g alatt is javasolt. Ennek elsaj\u00e1t\u00edt\u00e1sa \u00e9s gyakorl\u00e1sa \u00e9rdek\u00e9ben a v\u00e1rand\u00f3soknak aj\u00e1nlott gy\u00f3gytorn\u00e1sz seg\u00edts\u00e9g\u00e9t ig\u00e9nybe venni\u00fck. (B)\u00a0<\/em><\/p><p><a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2020\/04\/physical-activity-and-exercise-during-pregnancy-and-the-postpartum-period\" target=\"_blank\" rel=\"noopener\">https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2020\/04\/physical-activity-and-exercise-during-pregnancy-and-the-postpartum-period<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1016\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-1016\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Stresszcs\u00f6kkent\u00e9s a v\u00e1rand\u00f3ss\u00e1g alatt<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1016\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-1016\"><ol><li><strong>Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g alatt az ell\u00e1t\u00f3knak t\u00f6rekedni\u00fck kell az esetlegesen jelentkez\u0151 szorong\u00e1s, illetve stressz cs\u00f6kkent\u00e9s\u00e9re. Amennyiben az anya pszich\u00e9s \u00e1llapota megk\u00edv\u00e1nja, \u00fagy pszichol\u00f3gus seg\u00edts\u00e9g\u00e9t is \u00e9rdemes felaj\u00e1nlani sz\u00e1m\u00e1ra. (B)\u00a0<\/em><\/li><\/ol><p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1017\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-1017\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">\u00dajsz\u00fcl\u00f6tt azonnali szoptat\u00e1s\u00e1nak t\u00e1mogat\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1017\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-1017\"><p><strong>39. Aj\u00e1nl\u00e1s<\/strong>: <em>Minden stabil \u00e1llapot\u00fa \u00fajsz\u00fcl\u00f6tt sz\u00e1m\u00e1ra, aki k\u00e9pes a szop\u00e1sra (bele\u00e9rtve az alacsony s\u00fallyal sz\u00fcletetteket is), biztos\u00edtani aj\u00e1nlott az azonnali b\u0151r-b\u0151r kontaktust \u00e9s a szop\u00e1s lehet\u0151s\u00e9g\u00e9t. (A)\u00a0<\/em><\/p><p>NICE aj\u00e1nl\u00e1s:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#care-of-the-newborn-baby\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#care-of-the-newborn-baby<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1018\" class=\"elementor-tab-title\" data-tab=\"8\" role=\"button\" aria-controls=\"elementor-tab-content-1018\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">WHO szoptat\u00e1si krit\u00e9riumok teljes\u00edt\u00e9se<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1018\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"8\" role=\"region\" aria-labelledby=\"elementor-tab-title-1018\"><p><strong>43. Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g, sz\u00fcl\u00e9s \u00e9s sz\u00fcl\u00e9s ut\u00e1ni ell\u00e1t\u00e1snak t\u00f6rekednie kell arra, hogy min\u00e9l ink\u00e1bb megfeleljen a WHO Szoptat\u00e1shoz vezet\u0151 10 l\u00e9p\u00e9ses krit\u00e9riumrendszer\u00e9nek. (D)\u00a0<\/em><\/p><p>WHO ten steps to successful breastfeeding: <a href=\"https:\/\/www.who.int\/teams\/nutrition-and-food-safety\/food-and-nutrition-actions-in-health-systems\/ten-steps-to-successful-breastfeeding\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/teams\/nutrition-and-food-safety\/food-and-nutrition-actions-in-health-systems\/ten-steps-to-successful-breastfeeding<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b8968ca elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b8968ca\" data-element_type=\"section\" data-e-type=\"section\" id=\"szulesz\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-82488c7\" data-id=\"82488c7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-566887a de_scroll_animation_no elementor-widget elementor-widget-spacer\" data-id=\"566887a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5e7a647 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5e7a647\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a9bceb1\" data-id=\"a9bceb1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-de71338 de_scroll_animation_no elementor-widget elementor-widget-heading\" data-id=\"de71338\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Sz\u00fcl\u00e9sz-n\u0151gy\u00f3gy\u00e1sz<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c6e313e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c6e313e\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4b965dd\" data-id=\"4b965dd\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4378719 elementor-widget__width-initial de_scroll_animation_no elementor-widget elementor-widget-toggle\" data-id=\"4378719\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-7071\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-7071\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Sz\u00fcl\u00e9szeti dolgoz\u00f3k tov\u00e1bbk\u00e9pz\u00e9s\u00e9n val\u00f3 r\u00e9szv\u00e9tel (v\u00e1ltozott)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-7071\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-7071\"><p><strong>40. Aj\u00e1nl\u00e1s:<\/strong><em> Az\u00a0el\u0151z\u0151 aj\u00e1nl\u00e1sok teljes\u00fcl\u00e9s\u00e9nek \u00e9rdek\u00e9ben minden szolg\u00e1ltat\u00f3nak feladata, hogy biztos\u00edtsa a\u00a0sz\u00fcl\u00e9szeti dolgoz\u00f3k tov\u00e1bbk\u00e9pz\u00e9s\u00e9t. (B) [6] Az\u00a0SZTNB \u201eCsal\u00e1dk\u00f6zpont\u00fa \u00e9s Bababar\u00e1t Ell\u00e1t\u00e1s\u201d k\u00e9pz\u00e9si programja minden szempontb\u00f3l megfelel annak a\u00a0k\u00e9pz\u00e9si \u00e9s min\u0151s\u00e9gfejleszt\u00e9si c\u00e9lnak, amely a\u00a0szakdolgoz\u00f3k tud\u00e1s\u00e1t \u00e9s kompetenci\u00e1j\u00e1t n\u00f6veli, \u00e9s a\u00a0t\u00e1mogat\u00f3 kommunik\u00e1ci\u00f3t szolg\u00e1lja.<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-7072\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-7072\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Sz\u00fcl\u00e9si terv figyelembev\u00e9tele<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-7072\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-7072\"><p><strong>7. Aj\u00e1nl\u00e1s:<\/strong> <em>A sz\u00fcl\u0151n\u0151 \u00e1ltal k\u00e9sz\u00edtett sz\u00fcl\u00e9si tervet, illetve a v\u00e1rand\u00f3s sz\u00fcl\u00e9sre vonatkoz\u00f3 elk\u00e9pzel\u00e9seit, k\u00edv\u00e1ns\u00e1gait a sz\u00fcl\u00e9sn\u00e9l seg\u00edt\u0151 szakszem\u00e9lyzet fogadja meg\u00e9rt\u00e9ssel. (C)\u00a0<\/em><\/p><p>Benahmed, N, San Miguel, L, Devos, C, et al.: Vaginal delivery: how does early hospital discharge <br \/>affect mother and child outcomes? A systematic literature review. BMC Pregnancy Childbirth. 2017;\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28877667\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/28877667\/<\/a><\/p><p>The mother friendly childbirth initiative: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC1905822\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC1905822\/<\/a><\/p><p>Mirghafourvand M1, Mohammad Alizadeh Charandabi S1, Ghanbari-Homayi S et al: Effect of <br \/>birth plans on childbirth experience: A systematic review. Int J Nurs Pract. 2019: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30675962\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/30675962\/<\/a><\/p><p>Salvesen K. Counselling is difficult when outcomes are associated with mode of delivery and not <br \/>with the plan for mode of delivery. BJOG. 2015 Nov;122(12):\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26290362\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/26290362\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-7073\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-7073\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Sz\u00fcl\u00e9sfelk\u00e9sz\u00edt\u00e9s biztos\u00edt\u00e1sa (v\u00e1ltozott)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-7073\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-7073\"><p><strong>6. Aj\u00e1nl\u00e1s:<\/strong> <em>Az anya sz\u00fcl\u00e9szeti ell\u00e1t\u00e1s\u00e1nak r\u00e9sze a v\u00e1rand\u00f3sgondoz\u00e1s sor\u00e1n t\u00f6rt\u00e9n\u0151 sz\u00fcl\u00e9sfelk\u00e9sz\u00edt\u00e9s \u00e9s r\u00e9szletes t\u00e1j\u00e9koztat\u00e1s. (B)\u00a0<\/em><\/p><p>NICE aj\u00e1nl\u00e1s:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#antenatal-education-about-labour\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#antenatal-education-about-labour<\/a><\/p><p>Tanner Stapleton L.R; Schetter C.D; Westling E. Et al.: Perceived partner support in pregnancy predicts lower maternal and infant distress. Journal of Family Psychology, Vol 26(3), Jun 2012, 453463.: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf<\/a><\/p><p>ACOG Committee Opinion No. 731: Group Prenatal Care. Obstet Gynecol. 2018;131(3):e104 :\u00a0<a href=\"https:\/\/journals.lww.com\/greenjournal\/fulltext\/2018\/03000\/acog_committee_opinion_no__731__group_prenatal.47.aspx\" target=\"_blank\" rel=\"noopener\">https:\/\/journals. lww.com\/greenjournal\/fulltext\/2018\/03000\/acog_committee_opinion_no__731__group_prenatal.47.aspx<\/a><\/p><p>Mother-Friendly Childbirth Initiative:\u00a0<a href=\"https:\/\/motherbabysupport.net\/pdf\/07-Mother-Friendly Initiative.pdf\" data-wplink-url-error=\"true\" target=\"_blank\" rel=\"noopener\">https:\/\/motherbabysupport.net\/pdf\/07-Mother-Friendly Initiative.pdf<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-7074\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-7074\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">K\u00eds\u00e9r\u0151 jelenl\u00e9t\u00e9nek biztos\u00edt\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-7074\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-7074\"><p><strong>3. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0v\u00e1rand\u00f3ss\u00e1g, majd a\u00a0vaj\u00fad\u00e1s \u00e9s sz\u00fcl\u00e9s id\u0151szak\u00e1ban is biztos\u00edtani kell azt a\u00a0lehet\u0151s\u00e9get, hogy az\u00a0anya mellett egy, a\u00a0sz\u00e1m\u00e1ra fontos k\u00eds\u00e9r\u0151 folyamatosan jelen lehessen. (C)<\/em><\/p><p>1997. \u00e9vi CLIV t\u00f6rv\u00e9ny Az eg\u00e9szs\u00e9g\u00fcgyr\u0151l\u00a0<a href=\"https:\/\/net.jogtar.hu\/jogszabaly?docid=99700154.TV\" target=\"_blank\" rel=\"noopener\">https:\/\/net.jogtar.hu\/jogszabaly?<\/a><a href=\"https:\/\/net.jogtar.hu\/jogszabaly?docid=99700154.TV\" target=\"_blank\" rel=\"noopener\">docid=99700154.TV<\/a><\/p><p>WHO recommendations: intrapartum care for a positive childbirth experience: <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241550215\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/publications\/i\/item\/9789241550215<\/a><\/p><p>Intrapartum care for healthy women and and babies, NICE 2023: <a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-7075\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-7075\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Felesleges rutin beavatkoz\u00e1sok ker\u00fcl\u00e9se<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-7075\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-7075\"><p><strong>Aj\u00e1nl\u00e1s 12:<\/strong> <em>Az orvosi szempontb\u00f3l nem sz\u00fcks\u00e9gszer\u0171, azaz nem az adott eset alapj\u00e1n sz\u00fcks\u00e9gesnek \u00edt\u00e9lt beavatkoz\u00e1sok (p\u00e9ld\u00e1ul intrav\u00e9n\u00e1s inf\u00fazi\u00f3 ad\u00e1sa, ev\u00e9s \u00e9s iv\u00e1s tilt\u00e1sa, a magzati sz\u00edvm\u0171k\u00f6d\u00e9s folyamatos ellen\u0151rz\u00e9se, epidur\u00e1lis \u00e9rz\u00e9stelen\u00edt\u00e9s, gy\u00f3gyszeres f\u00e1j\u00e1ser\u0151s\u00edt\u00e9s, g\u00e1tmetsz\u00e9s) ker\u00fcl\u00e9se javasolt, ugyanis ezek olyan beavatkoz\u00e1si kaszk\u00e1dot ind\u00edthatnak el, ami emeli a cs\u00e1sz\u00e1rmetsz\u00e9s el\u0151fordul\u00e1s\u00e1nak val\u00f3sz\u00edn\u0171s\u00e9g\u00e9t). (A)\u00a0<\/em><\/p><p>Lothina J.A., Healthy Birth Practice #4: \u00c1v\u00f3id Interventions Unless They Are Medically <br \/>Necessary, The Journal of Perinatal Education, 23(4), 2014:\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4235054\/pdf\/JPE_Vol023-004_A8_198-206.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4235054\/pdf\/JPE_Vol023-004_A8_198-206.pdf<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-7076\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-7076\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">T\u00e1j\u00e9koztat\u00e1s a sz\u00fcl\u00e9s helysz\u00edn\u00e9r\u0151l<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-7076\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-7076\"><p><strong>5. Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3sgondoz\u00e1s sor\u00e1n a gondoz\u00e1s\u00e9rt felel\u0151s szem\u00e9ly (az orvos \u00e9s\/vagy a sz\u00fcl\u00e9szn\u0151), illetve a v\u00e9d\u0151n\u0151 r\u00e9szletesen t\u00e1j\u00e9koztassa a v\u00e1rand\u00f3st arr\u00f3l, hogy a sz\u00fcl\u00e9s helysz\u00edn\u00e9t illet\u0151en milyen lehet\u0151s\u00e9gek k\u00f6z\u00fcl v\u00e1laszthat, \u00e9s t\u00e1mogassa a v\u00e1rand\u00f3st a v\u00e1laszt\u00e1s\u00e1ban. (A)\u00a0<\/em><\/p><p>WHO recommendations: intrapartum care for a positive childbirth experience: <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241550215\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/publications\/i\/item\/9789241550215<\/a><\/p><p>Implementation guidance: protecting, promoting, and supporting breastfeeding in facilities providing maternity and newborn services:\u00a0<a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241513807\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/publications\/i\/item\/9789241513807<\/a><\/p><p>Perinatal or neonatal mortality among women who intend at the onset of labour to give birth at home compared to women of low obstetrical risk who intend to give birth in hospital: A systematic review and meta-analyses:\u00a0<a href=\"https:\/\/www.thelancet.com\/journals\/eclinm\/article\/PIIS2589-5370(19)30119-1\/fulltext\" target=\"_blank\" rel=\"noopener\">https:\/\/www.thelancet.com\/journals\/eclinm\/article\/PIIS2589-5370(19)30119-1\/fulltext<\/a><\/p><p>Planned Out-of-Hospital Birth and Birth Outcomes:\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26716916\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/26716916\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-7077\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-7077\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Term\u00e9szetes sz\u00fcl\u00e9s t\u00e1mogat\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-7077\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-7077\"><p><strong>8. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0csal\u00e1dk\u00f6zpont\u00fa sz\u00fcl\u00e9szeti ell\u00e1t\u00e1s egyik alapja a\u00a0sz\u00fcl\u00e9s term\u00e9szetes lefoly\u00e1s\u00e1nak t\u00e1mogat\u00e1sa. A\u00a0sz\u00fcl\u00e9szeti ell\u00e1t\u00e1s sor\u00e1n ez\u00e9rt a\u00a0lehet\u0151 legteljesebb m\u00e9rt\u00e9kben figyelembe kell venni az\u00a0al\u00e1bbi, evidenci\u00e1k alapj\u00e1n \u00f6ssze\u00e1ll\u00edtott krit\u00e9riumrendszert, hogy a\u00a0sz\u00fcl\u00e9s a\u00a0lehet\u0151 legkevesebb beavatkoz\u00e1s mellett menjen v\u00e9gbe. (A)<\/em><\/p><p>(L\u00e1sd 9.-13. aj\u00e1nl\u00e1sok)<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-7078\" class=\"elementor-tab-title\" data-tab=\"8\" role=\"button\" aria-controls=\"elementor-tab-content-7078\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Szabad mozg\u00e1s \u00e9s testhelyzetv\u00e1laszt\u00e1s vaj\u00fad\u00e1s alatt<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-7078\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"8\" role=\"region\" aria-labelledby=\"elementor-tab-title-7078\"><p>22. Aj\u00e1nl\u00e1s: <em>A\u00a0vaj\u00fad\u00e1si testhelyzetet az\u00a0anya hat\u00e1rozza meg, amelyet a\u00a0sz\u00fcl\u00e9st seg\u00edt\u0151 szakemberek javaslatai \u00e9s a\u00a0lehet\u0151s\u00e9gek alapj\u00e1n \u00e9rdemes v\u00e1ltoztatni. (B)\u00a0<\/em><\/p><p><strong>11. Aj\u00e1nl\u00e1s:<\/strong>\u00a0<em>\u00c9lettani sz\u00fcl\u00e9si folyamat sor\u00e1n a szabad mozg\u00e1s, testhelyzet v\u00e1laszt\u00e1s lehet\u0151s\u00e9g\u00e9nek biztos\u00edt\u00e1sa a vaj\u00fad\u00e1s alatt javasolt. (A)<\/em><\/p><p>WHO recommendations Intrapartum care for a positive childbirth experience, 2018:\u00a0<a href=\"https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/260178\/9789241550215-eng.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/260178\/9789241550215-eng.pdf<\/a><\/p><p>Gupta JK, Sood A, Hofmeyr GJ, et al: Position in the second stage of labour for women without <br \/>epidural anaesthesia, Cochrane 16 May 2012:\u00a0<a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD002006.pub4\/epdf\/abstract\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD002006.pub4\/epdf\/abstract<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-7079\" class=\"elementor-tab-title\" data-tab=\"9\" role=\"button\" aria-controls=\"elementor-tab-content-7079\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Kitol\u00e1si szakban spont\u00e1n tol\u00f3f\u00e1j\u00e1sok kiv\u00e1r\u00e1sa, testhelyzetv\u00e1laszt\u00e1s biztos\u00edt\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-7079\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"9\" role=\"region\" aria-labelledby=\"elementor-tab-title-7079\"><p><strong>26. Aj\u00e1nl\u00e1s:<\/strong> <em>Aj\u00e1nlott b\u00e1tor\u00edtani a\u00a0vaj\u00fad\u00f3t, hogy a\u00a0kitol\u00e1si szakban is keresse meg a\u00a0sz\u00e1m\u00e1ra legmegfelel\u0151bb testhelyzetet. (B)<\/em><\/p><p><strong>13. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0sz\u00fcl\u00e9s m\u00e1sodik f\u00e1zis\u00e1ban a\u00a0spont\u00e1n indul\u00f3 tol\u00f3f\u00e1j\u00e1sok megindul\u00e1s\u00e1nak kiv\u00e1r\u00e1sa, valamint ebben a\u00a0szakaszban is a\u00a0szabad testhelyzet megv\u00e1laszt\u00e1sa javasolt, amennyiben az\u00a0ell\u00e1t\u00f3nak megfelel\u0151 tud\u00e1sa \u00e9s gyakorlata van a\u00a0k\u00fcl\u00f6nb\u00f6z\u0151 testhelyzetekben zajl\u00f3 sz\u00fcl\u00e9s k\u00eds\u00e9r\u00e9s\u00e9re, vezet\u00e9s\u00e9re. (A)<\/em><\/p><p>WHO recommendations Intrapartum care for a positive childbirth experience, 2018:\u00a0<a href=\"https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/260178\/9789241550215-eng.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/260178\/9789241550215-eng.pdf<\/a><\/p><p>Gupta JK, Sood A, Hofmeyr GJ, et al: Position in the second stage of labour for women without <br \/>epidural anaesthesia, Cochrane 16 May 2012:\u00a0<a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD002006.pub4\/epdf\/abstract\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD002006.pub4\/epdf\/abstract<\/a><\/p><p>NICE aj\u00e1nl\u00e1s:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#second-stage-of-labour\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#second-stage-of-labour<\/a><\/p><p>DiFranco J.T., Curl M., Healthy Birth Practice #5: Avoid Giving Birth on Your Back and Follow Your Body\u2019s Urge to Push, The Journal of Perinatal Education, 23(4), 2014:\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4235063\/pdf\/JPE_Vol023-004_A9 7-210.pd\" data-wplink-url-error=\"true\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4235063\/pdf\/JPE_Vol023-004_A9 7-210.pd<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70710\" class=\"elementor-tab-title\" data-tab=\"10\" role=\"button\" aria-controls=\"elementor-tab-content-70710\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Rutinszer\u0171 haspr\u00e9s nem aj\u00e1nlott<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70710\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"10\" role=\"region\" aria-labelledby=\"elementor-tab-title-70710\"><p><strong>28. Aj\u00e1nd\u00e9k:<\/strong> A<em>mennyiben arra k\u00fcl\u00f6n orvosi ok nincs, rutinszer\u0171en nem aj\u00e1nlott ir\u00e1ny\u00edtani a\u00a0kitol\u00e1s menet\u00e9t, nem aj\u00e1nlott a\u00a0hosszan tart\u00f3 haspr\u00e9s sem. Ez\u00a0ut\u00f3bbi kock\u00e1zattal j\u00e1rhat, mert magzati hipoxi\u00e1t okozhat, a\u00a0medencefen\u00e9k izmai \u00e9s a\u00a0h\u00fagyh\u00f3lyag s\u00e9r\u00fcl\u00e9se nagyobb es\u00e9llyel k\u00f6vetkezik be, illetve a\u00a0nyom\u00e1s hat\u00e9konys\u00e1ga is romlik. Javasolt viszont megengedni, hogy az\u00a0anya saj\u00e1t \u00fctem\u00e9ben \u00e9s neki megfelel\u0151 m\u00f3don vaj\u00fadjon. A\u00a0kitol\u00e1s akt\u00edv szakasz\u00e1ban is sz\u00fcks\u00e9ges biztos\u00edtani, hogy az\u00a0anya v\u00e1lassza meg a\u00a0neki megfelel\u0151 testhelyzetet. (D)<\/em><\/p><p>DiFranco, J. T., Romano, A. M., Keen, R. Care Practice #5: Spontaneous Pushing in Upright or <br \/>Gravity-Neutral Positions. Journal of Perinatal Education 2007. 160(3) :\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1948091\/pdf\/JPE160035.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1948091\/pdf\/JPE160035.pdf<\/a><\/p><p>Steen, M. Care and Consequences of perineal trauma. British Journal of Midwifery 2010. 18(11):710-715.:\u00a0<a href=\"https:\/\/www.magonlinelibrary.com\/doi\/abs\/10.12968\/bjom.2010.18.11.79563\" target=\"_blank\" rel=\"noopener\">https:\/\/www.magonlinelibrary.com\/doi\/abs\/10.12968\/bjom.2010.18.11.79563<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70711\" class=\"elementor-tab-title\" data-tab=\"11\" role=\"button\" aria-controls=\"elementor-tab-content-70711\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Rendszeres testmozg\u00e1s v\u00e1rand\u00f3ss\u00e1g alatt<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70711\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"11\" role=\"region\" aria-labelledby=\"elementor-tab-title-70711\"><p><strong>2. Aj\u00e1nl\u00e1s:<\/strong>\u00a0<em>A sz\u00fcl\u00e9shez sz\u00fcks\u00e9ges er\u0151nl\u00e9t fenntart\u00e1s\u00e1hoz rendszeres testmozg\u00e1s a v\u00e1rand\u00f3ss\u00e1g alatt is javasolt. Ennek elsaj\u00e1t\u00edt\u00e1sa \u00e9s gyakorl\u00e1sa \u00e9rdek\u00e9ben a v\u00e1rand\u00f3soknak aj\u00e1nlott gy\u00f3gytorn\u00e1sz seg\u00edts\u00e9g\u00e9t ig\u00e9nybe venni\u00fck. (B)\u00a0<\/em><\/p><p><a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2020\/04\/physical-activity-and-exercise-during-pregnancy-and-the-postpartum-period\" target=\"_blank\" rel=\"noopener\">https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2020\/04\/physical-activity-and-exercise-during-pregnancy-and-the-postpartum-period<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70712\" class=\"elementor-tab-title\" data-tab=\"12\" role=\"button\" aria-controls=\"elementor-tab-content-70712\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">V\u00edzben vaj\u00fad\u00e1s \u00e9s sz\u00fcl\u00e9s t\u00e1mogat\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70712\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"12\" role=\"region\" aria-labelledby=\"elementor-tab-title-70712\"><p><strong>31. Aj\u00e1nl\u00e1s:<\/strong> <em>V\u00edzben vaj\u00fad\u00e1s \u00e9s v\u00edzben sz\u00fcl\u00e9s a sz\u00f6v\u0151dm\u00e9nymentes vaj\u00fad\u00f3k eset\u00e9ben aj\u00e1nlott. (D) Haz\u00e1nkban a v\u00edzben t\u00f6rt\u00e9n\u0151 vaj\u00fad\u00e1s \u00e9s sz\u00fcl\u00e9s felt\u00e9telei egyre t\u00f6bb sz\u00fcl\u00e9szeti int\u00e9zetben biztos\u00edtottak. Azoknak az int\u00e9zeteknek, amelyek a v\u00edzben t\u00f6rt\u00e9n\u0151 vaj\u00fad\u00e1s \u00e9s sz\u00fcl\u00e9s lehet\u0151s\u00e9g\u00e9t k\u00edn\u00e1lj\u00e1k, saj\u00e1t protokollal \u00e9s dokument\u00e1lt gyakorlattal kell rendelkezni\u00fck.<\/em><\/p><p>Cluett ER, Burns E, Cuthbert A. Immersion in water during labour and birth. Cochrane Database <br \/>Syst Rev. 2018;5:CD000111. Epub 2018 May 16.:\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Cluett+ER%2C+Burns+E%2C+ Cuthbert+A\" data-wplink-url-error=\"true\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Cluett+ER%2C+Burns+E%2C+ Cuthbert+A<\/a><\/p><p>Committee Opinion No. 679: Immersion in Water During Labor and Delivery. ACOG\u2019 Committee on Obstetric Practice. Obstet Gynecol. 2016; 128(5):e231.:\u00a0<a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2016\/11\/immersion-in-water-during-labor-and-delivery\" target=\"_blank\" rel=\"noopener\">https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2016\/11\/immersion-in-water-during-labor-and-delivery<\/a><\/p><p><strong>\u00daJ:<\/strong> Systematic review and meta-analysis to examine intrapartum interventions, and maternal and neonatal outcomes following immersion in water during labour and waterbirth:\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36167399\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/36167399\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70713\" class=\"elementor-tab-title\" data-tab=\"13\" role=\"button\" aria-controls=\"elementor-tab-content-70713\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Anya \u00e9s csal\u00e1d m\u00e9lt\u00f3s\u00e1g\u00e1nak tisztelete<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70713\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"13\" role=\"region\" aria-labelledby=\"elementor-tab-title-70713\"><p><strong>48. Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g \u00e9s a sz\u00fcl\u00e9s alatti, valamint a sz\u00fcl\u00e9s ut\u00e1ni eg\u00e9szs\u00e9g\u00fcgyi ell\u00e1t\u00e1st ny\u00fajt\u00f3k tarts\u00e1k szem el\u0151tt az anya \u00e9s csal\u00e1dja emberi m\u00e9lt\u00f3s\u00e1g\u00e1t. (B)\u00a0<\/em><\/p><p>1997. \u00e9vi CLIV. t\u00f6rv\u00e9ny az eg\u00e9szs\u00e9g\u00fcgyr\u0151l\u00a0<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70714\" class=\"elementor-tab-title\" data-tab=\"14\" role=\"button\" aria-controls=\"elementor-tab-content-70714\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Stresszcs\u00f6kkent\u00e9s a v\u00e1rand\u00f3ss\u00e1g alatt<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70714\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"14\" role=\"region\" aria-labelledby=\"elementor-tab-title-70714\"><ol><li><strong>Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g alatt az ell\u00e1t\u00f3knak t\u00f6rekedni\u00fck kell az esetlegesen jelentkez\u0151 szorong\u00e1s, illetve stressz cs\u00f6kkent\u00e9s\u00e9re. Amennyiben az anya pszich\u00e9s \u00e1llapota megk\u00edv\u00e1nja, \u00fagy pszichol\u00f3gus seg\u00edts\u00e9g\u00e9t is \u00e9rdemes felaj\u00e1nlani sz\u00e1m\u00e1ra. (B)\u00a0<\/em><\/li><\/ol><p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70715\" class=\"elementor-tab-title\" data-tab=\"15\" role=\"button\" aria-controls=\"elementor-tab-content-70715\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Kultur\u00e1lis \u00e9s vall\u00e1si k\u00edv\u00e1ns\u00e1gok tiszteletben tart\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70715\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"15\" role=\"region\" aria-labelledby=\"elementor-tab-title-70715\"><p><strong>4. Aj\u00e1nl\u00e1s:<\/strong> <em>A vaj\u00fad\u00f3 kultur\u00e1lis \u00e9s vall\u00e1si meggy\u0151z\u0151d\u00e9s\u00e9b\u0151l ad\u00f3d\u00f3 k\u00edv\u00e1ns\u00e1gait az ell\u00e1t\u00e1s sor\u00e1n lehet\u0151s\u00e9g szerint figyelembe kell venni \u00e9s tiszteletben kell tartani \u00e9s err\u0151l t\u00e1j\u00e9koztat\u00e1st kell adni a v\u00e1rand\u00f3snak. (D)<\/em><\/p><p>WHO recommendations Intrapartum care for a positive childbirth experience: <a href=\"https:\/\/www.who.int\/publications\/i\/item\/WHO-SRH-20.13\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/publications\/i\/item\/WHO-SRH-20.13<\/a><\/p><p><strong>\u00daJ:<\/strong> Respectful care during childbirth in health facilities globally: a qualitative evidence synthesis:\u00a0<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6033006\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6033006\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70716\" class=\"elementor-tab-title\" data-tab=\"16\" role=\"button\" aria-controls=\"elementor-tab-content-70716\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Sz\u00fcl\u0151szobai eszk\u00f6z\u00f6k biztos\u00edt\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70716\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"16\" role=\"region\" aria-labelledby=\"elementor-tab-title-70716\"><p><strong>15. Aj\u00e1nl\u00e1s:<\/strong> <em>Aj\u00e1nlott arra t\u00f6rekedni, hogy a\u00a0sz\u00fcl\u0151szob\u00e1ban rendelkez\u00e9sre \u00e1lljanak a\u00a0vaj\u00fad\u00e1st megk\u00f6nny\u00edt\u0151 eszk\u00f6z\u00f6k \u00e9s m\u00f3dszerek (p\u00e9ld\u00e1ul bord\u00e1sfal, labda, k\u00e1d, zuhanyoz\u00f3, megnyugtat\u00f3 zene lehet\u0151s\u00e9ge, kellemes csal\u00e1dias k\u00f6rnyezet, aroma diff\u00fazor). (D)<\/em><\/p><p>Chaillet N., Belaid L., Crocheti\u010dre C., et al.: Nonpharmacologic approaches for pain management during labor compared with usual care: a meta-analysis. Birth. 2014 Jun;41(2):122-37. doi: 10.1111\/birt.12103. Epub 2014 Apr 25. :<a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1111\/birt.12103\" target=\"_blank\" rel=\"noopener\">https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1111\/birt.12103<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70717\" class=\"elementor-tab-title\" data-tab=\"17\" role=\"button\" aria-controls=\"elementor-tab-content-70717\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">T\u00e1pl\u00e1l\u00e9k \u00e9s folyad\u00e9kbevitel biztos\u00edt\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70717\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"17\" role=\"region\" aria-labelledby=\"elementor-tab-title-70717\"><p><strong>20. Aj\u00e1nl\u00e1s:<\/strong> <em>A sz\u00fcl\u0151n\u0151nek a vaj\u00fad\u00e1s alatt megfelel\u0151 t\u00e1pl\u00e1l\u00e9kra \u00e9s folyad\u00e9kra van sz\u00fcks\u00e9ge, ez\u00e9rt a gyors energi\u00e1t biztos\u00edt\u00f3, de a gyomorb\u00f3l gyorsan ki\u00fcr\u00fcl\u0151 t\u00e1pl\u00e1l\u00e9kok \u00e9s folyad\u00e9kok fogyaszt\u00e1sa megengedhet\u0151. (D)<\/em><\/p><p>NICE, 1.8.17: <a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#care-throughout-labour-in-all-birth-settings\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#care-throughout-labour-in-all-birth-settings<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70718\" class=\"elementor-tab-title\" data-tab=\"18\" role=\"button\" aria-controls=\"elementor-tab-content-70718\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Magzati \u00e9s anyai \u00e1llapot nyomon k\u00f6vet\u00e9se<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70718\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"18\" role=\"region\" aria-labelledby=\"elementor-tab-title-70718\"><p><strong>23. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0vaj\u00fad\u00e1s el\u0151rehalad\u00e1sa sor\u00e1n a\u00a0magzatburok \u00e1llapot\u00e1nak, a\u00a0m\u00e9hkontrakci\u00f3k jellemz\u0151inek, a\u00a0m\u00e9hsz\u00e1j \u00e1llapot\u00e1nak, az\u00a0el\u00f6lfekv\u0151 magzati r\u00e9sz helyzet\u00e9nek, a\u00a0magzati sz\u00edvfrekvenci\u00e1nak, \u00e9s ezen t\u00fal az\u00a0anya \u00e9rzelmi \u00e9s pszich\u00e9s \u00e1llapot\u00e1nak v\u00e1ltoz\u00e1sait kell figyelemmel k\u00eds\u00e9rni. (A)<\/em><\/p><p><strong>24. Aj\u00e1nl\u00e1s:<\/strong> <em>Alacsony kock\u00e1zat\u00fa v\u00e1rand\u00f3s vaj\u00fad\u00e1sa eset\u00e9n a magzati \u00e1llapot nyomon k\u00f6vet\u00e9s\u00e9re folyamatos CTG-ellen\u0151rz\u00e9s nem felt\u00e9tlen\u00fcl sz\u00fcks\u00e9ges, de v\u00e1laszthat\u00f3. A t\u00e1gul\u00e1si \u00e9s a kitol\u00e1si szakban is azzal egyen\u00e9rt\u00e9k\u0171 az intermitt\u00e1l\u00f3 sz\u00edvhanghallgat\u00e1s, de csak abban az esetben, ha annak protokollj\u00e1t pontosan betartjuk \u00e9s a szem\u00e9lyi felt\u00e9telek is adottak. (A) [38] Ha az intermitt\u00e1l\u00f3 sz\u00edvhanghallgat\u00e1s sor\u00e1n rendelleness\u00e9get \u00e9szlel\u00fcnk, akkor aj\u00e1nlott \u00e1tt\u00e9rni a folyamatos CTG-\u00e9szlel\u00e9sre. Abban az esetben, ha a CTG-n 21 perces id\u0151szak alatt elt\u00e9r\u00e9st nem tapasztalunk, visszat\u00e9rhet\u00fcnk az intermitt\u00e1l\u00f3 magzati sz\u00edvhanghallgat\u00e1sra.<\/em><\/p><p>NICE 2023: <a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#first-stage-of-labour\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#first-stage-of-labour<\/a><\/p><p>Alfirevic Z. et al: Continuous cardiotocography (CTG) as a form of electronic fetal monitoring <br \/>(EFM) for fetal assessment during labour, Cochrane database, 3 February 2017:\u00a0<a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD006066.pub3\/epdf\/abstract\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD006066.pub3\/epdf\/abstract<\/a><\/p><p><strong>\u00daJ<\/strong> Canadai forr\u00e1s:\u00a0<a href=\"https:\/\/www.psbchealthhub.ca\/education\" target=\"_blank\" rel=\"noopener\">https:\/\/www.psbchealthhub.ca\/education<\/a><\/p><p><strong>\u00daJ:<\/strong> Bedside Clinical Guidelines Partnership in association with the Staffordshire, Shropshire &amp; Black Country,Newborn and Maternity Network and Southern West Midlands Maternity and Newborn Network:\u00a0<a href=\"https:\/\/kids.bwc.nhs.uk\/wp-content\/uploads\/2022\/05\/Neonatal-Guidelines-2019-21-PDF-rev1-jan20-with-links.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/kids.bwc.nhs.uk\/wp-content\/uploads\/2022\/05\/Neonatal-Guidelines-2019-21-PDF-rev1-jan20-with-links.pdf<\/a><\/p><p>ACOG Obstetric Care Consensus Safe Prevention of the Primary Cesarean Delivery:\u00a0<a href=\"https:\/\/www.acog.org\/news\/news-releases\/2014\/02\/nations-obgyns-take-aim-at-preventing-cesareans\" target=\"_blank\" rel=\"noopener\">https:\/\/www.acog.org\/news\/news-releases\/2014\/02\/nations-obgyns-take-aim-at-preventing-cesareans<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70719\" class=\"elementor-tab-title\" data-tab=\"19\" role=\"button\" aria-controls=\"elementor-tab-content-70719\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Kitol\u00e1si szak nyomon k\u00f6vet\u00e9se<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70719\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"19\" role=\"region\" aria-labelledby=\"elementor-tab-title-70719\"><p><strong>25. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0kitol\u00e1si szakban is aj\u00e1nlott nyomon k\u00f6vetni az\u00a0anya \u00e1ltal\u00e1nos \u00e1llapot\u00e1t, a\u00a0m\u00e9hkontrakci\u00f3k jellemz\u0151it, az\u00a0el\u00f6l fekv\u0151 r\u00e9sz helyzet\u00e9t \u00e9s a\u00a0magzat \u00e1llapot\u00e1t. (A)<\/em><\/p><p>Long, L. Redefining the second stage of labour could help to promote normal birth. British Journal of Midwifery 2006. 14(1).:\u00a0<a href=\"https:\/\/www.magonlinelibrary.com\/doi\/abs\/10.12968\/bjom.2006.14.2.20437\" target=\"_blank\" rel=\"noopener\">https:\/\/www.magonlinelibrary.com\/doi\/abs\/10.12968\/bjom.2006.14.2.20437<\/a><\/p><p>Alfirevic Z. et al: Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour, Cochrane database, 3 February 2017:\u00a0<a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD006066.pub3\/epdf\/abstract\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD006066.pub3\/epdf\/abstract<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70720\" class=\"elementor-tab-title\" data-tab=\"20\" role=\"button\" aria-controls=\"elementor-tab-content-70720\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">H\u00fcvelyt\u00e1g\u00edt\u00e1s ker\u00fcl\u00e9se (v\u00e1ltozott)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70720\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"20\" role=\"region\" aria-labelledby=\"elementor-tab-title-70720\"><p><strong>29. Aj\u00e1nl\u00e1s:<\/strong> <em>A kitol\u00e1si szakban nem aj\u00e1nlott h\u00fcvelyt\u00e1g\u00edt\u00e1st v\u00e9gezni a g\u00e1tra \u00e9s a h\u00fcvely h\u00e1ts\u00f3 fal\u00e1ra gyakorolt nyom\u00e1ssal. (A) A g\u00e1t ellaz\u00edt\u00e1s\u00e1t, a magzat megsz\u00fclet\u00e9s\u00e9t viszont seg\u00edthetj\u00fck megfelel\u0151 ill\u00f3olajok g\u00e1t sz\u00f6vet\u00e9be t\u00f6rt\u00e9n\u0151 massz\u00edroz\u00e1s\u00e1val, annak g\u00e1tlaz\u00edt\u00f3 hat\u00e1s\u00e1t kihaszn\u00e1lva.<\/em><\/p><p>NICE 2023:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#second-stage-of-labour\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#second-stage-of-labour<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70721\" class=\"elementor-tab-title\" data-tab=\"21\" role=\"button\" aria-controls=\"elementor-tab-content-70721\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Otthonsz\u00fcl\u00e9sb\u0151l k\u00f3rh\u00e1zi ell\u00e1t\u00e1sba val\u00f3 \u00e1tmenet biztos\u00edt\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70721\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"21\" role=\"region\" aria-labelledby=\"elementor-tab-title-70721\"><p><strong>47. Aj\u00e1nl\u00e1s:<\/strong> <em>Amennyiben otthonsz\u00fcl\u00e9sb\u0151l t\u00f6rt\u00e9nik int\u00e9zetbe sz\u00e1ll\u00edt\u00e1s, aj\u00e1nlott, hogy a\u00a0k\u00f3rh\u00e1zi szem\u00e9lyzet lehet\u0151s\u00e9g szerint biztos\u00edtsa a\u00a0sz\u00fcl\u00e9st addig k\u00eds\u00e9r\u0151 sz\u00fcl\u00e9szn\u0151nek, hogy tov\u00e1bbra is az\u00a0anya \u00e9s apa mellett maradhassanak, ha a\u00a0p\u00e1r ezt szeretn\u00e9. (B) [5, 61] Amennyiben az\u00a0int\u00e9zeten k\u00edv\u00fcli ell\u00e1t\u00e1st biztos\u00edt\u00f3 szakembernek az\u00a0adott int\u00e9zettel szerz\u0151d\u00e9se van, \u00fagy abban a\u00a0min\u0151s\u00e9g\u00e9ben a\u00a0sz\u00fcl\u00e9s tov\u00e1bbi menet\u00e9ben r\u00e9szt vehet; amennyiben nincs szerz\u0151d\u00e9se, \u00fagy laikus k\u00eds\u00e9r\u0151k\u00e9nt lehet jelen a\u00a0sz\u00fcl\u00e9sn\u00e9l.<\/em><\/p><p>McLachlan H.L., Forster D.A., Davey M., et al.: Comparing Standard Maternity care with One-toone midwifery Support: a randomised controlled trial. BMC Pregnancy and Childbirth 2008, 8:35 doi:10.1186\/1471-2393-8-35:\u00a0<a href=\"https:\/\/bmcpregnancychildbirth.biomedcentral.com\/track\/pdf\/10.1186\/1471-2393-8-35\" target=\"_blank\" rel=\"noopener\">https:\/\/bmcpregnancychildbirth.biomedcentral.com\/track\/pdf\/10.1186\/1471-2393-8-35<\/a><\/p><p>NICE 2023:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#transfer-of-care-and-changing-place-of-birth\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#transfer-of-care-and-changing-place-of-birth<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70722\" class=\"elementor-tab-title\" data-tab=\"22\" role=\"button\" aria-controls=\"elementor-tab-content-70722\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">K\u00fcls\u0151 magzatford\u00edt\u00e1s lehet\u0151s\u00e9g\u00e9nek ismertet\u00e9se (\u00daj)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70722\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"22\" role=\"region\" aria-labelledby=\"elementor-tab-title-70722\"><p><strong>9. Aj\u00e1nl\u00e1s:<\/strong> <em>A magzat medencev\u00e9g\u0171 hosszfekv\u00e9se eset\u00e9ben \u2013 ha egy\u00e9b ellenjavallata a h\u00fcvelyi sz\u00fcl\u00e9snek nincs \u2013 fel kell aj\u00e1nlani a v\u00e1rand\u00f3snak a k\u00fcls\u0151 magzatford\u00edt\u00e1s lehet\u0151s\u00e9g\u00e9t. Haz\u00e1nkban egyre t\u00f6bb helyen el\u00e9rhet\u0151 az \u00e1llami ell\u00e1t\u00e1sban is a k\u00fcls\u0151 ford\u00edt\u00e1s, mely szakavatott k\u00e9zben biztons\u00e1gos beavatkoz\u00e1s, \u00e9s hozz\u00e1j\u00e1rulhat a cs\u00e1sz\u00e1rmetsz\u00e9sek gyakoris\u00e1g\u00e1nak cs\u00f6kkent\u00e9s\u00e9hez. (A)\u00a0<\/em><\/p><p>Hofmeyr GJ, Kulier R, West HM. External cephalic version for breech presentation at term. Cochrane Database Syst Rev 2015; :CD000083.:\u00a0<a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD000083.pub3\/information\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD000083.pub3\/information<\/a><\/p><p>RCOG Green Top Guideline No.20a &#8211; External Cephalic Version and Reducing the Incidence of Term Breech <br \/>Presentation:\u00a0<a href=\"https:\/\/www.rcog.org.uk\/guidance\/browse-all-guidance\/green-top-guidelines\/external-cephalic-version-and-reducing-the-incidence-of-term-breech-presentation-green-top-guideline-no-20a\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.rcog.org.uk\/guidance\/browse-all-guidance\/green-top-guidelines\/external-cephalic-version-and-reducing-the-incidence-of-term-breech-presentation-green-top-guideline-no-20a\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70723\" class=\"elementor-tab-title\" data-tab=\"23\" role=\"button\" aria-controls=\"elementor-tab-content-70723\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Szem\u00e9lyre szabott ell\u00e1t\u00e1s<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70723\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"23\" role=\"region\" aria-labelledby=\"elementor-tab-title-70723\"><p><strong>19. Aj\u00e1nl\u00e1s:<\/strong><em> Javasolt a\u00a0szem\u00e9lyre szabott ell\u00e1t\u00e1s a\u00a0sz\u00fcl\u0151szob\u00e1n, melynek r\u00e9sze, hogy lehet\u0151leg ugyanaz a\u00a0sz\u00fcl\u00e9szn\u0151 gondoskodik az\u00a0any\u00e1r\u00f3l a\u00a0sz\u00fcl\u00e9s teljes ideje alatt. Ez\u00a0a\u00a0felt\u00e9tel azonban az\u00a0egyes ell\u00e1t\u00f3kn\u00e1l a\u00a0rendelkez\u00e9sre \u00e1ll\u00f3 munkaer\u0151 f\u00fcggv\u00e9ny\u00e9ben, illetve a\u00a0munkabeoszt\u00e1s figyelembev\u00e9tele mellett oldhat\u00f3 meg, esetleg teljes m\u00e9rt\u00e9kben jelenleg nem val\u00f3sulhat meg, ugyanakkor aj\u00e1nlott t\u00f6rekedni az\u00a0egy sz\u00fcl\u0151 n\u0151 \u2013 egy sz\u00fcl\u00e9szn\u0151 ell\u00e1t\u00e1si rendszer megval\u00f3s\u00edt\u00e1s\u00e1ra. (D)<\/em><\/p><p>Intrapartum care (NICE) 2023.:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70724\" class=\"elementor-tab-title\" data-tab=\"24\" role=\"button\" aria-controls=\"elementor-tab-content-70724\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">G\u00e1tmetsz\u00e9s csak indokolt esetben<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70724\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"24\" role=\"region\" aria-labelledby=\"elementor-tab-title-70724\"><p><strong>30. Aj\u00e1nl\u00e1s:<\/strong> <em>G\u00e1tmetsz\u00e9s v\u00e9gz\u00e9se rutinszer\u0171en nem aj\u00e1nlott, sz\u00fcks\u00e9ges lehet azonban abban az\u00a0esetben, ha m\u0171szeres sz\u00fcl\u00e9sbefejez\u00e9sre van sz\u00fcks\u00e9g, ha v\u00e1llelakad\u00e1s esete \u00e1ll fenn, akkor, ha az\u00a0anya g\u00e1tja szokatlanul magas \u00e9s poz\u00edci\u00f3v\u00e1lt\u00e1ssal sem t\u00e1gul, vagy magzati distressz miatt a\u00a0kitol\u00e1si szak ler\u00f6vid\u00edt\u00e9se sz\u00fcks\u00e9gess\u00e9 v\u00e1lik. (A)\u00a0<\/em><\/p><p>\u017divkovi\u0107 K, \u017divkovi\u0107 N, \u017dupi\u0107 T, et al.: Effect of Delivery and Episiotomy on the Emergence of Urinary Incontinence in Women: Review of Literature, Acta Clin Croat. 2016 Dec;55(4):615-624.:\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29117653\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/29117653\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70725\" class=\"elementor-tab-title\" data-tab=\"25\" role=\"button\" aria-controls=\"elementor-tab-content-70725\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">B\u0151r-b\u0151r kontaktus biztos\u00edt\u00e1sa cs\u00e1sz\u00e1rmetsz\u00e9s ut\u00e1n<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70725\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"25\" role=\"region\" aria-labelledby=\"elementor-tab-title-70725\"><p><strong>33. Aj\u00e1nl\u00e1s:<\/strong> <em>Cs\u00e1sz\u00e1rmetsz\u00e9s eset\u00e9n, m\u00e9g a\u00a0m\u0171t\u00e9t ideje alatt, az\u00a0\u201earany\u00f3ra\u201d id\u0151szak\u00e1ban, az\u00a0\u00fajsz\u00fcl\u00f6ttet az\u00a0anya mellkas\u00e1ra, k\u00f6zvetlen b\u0151r-b\u0151r kontaktussal aj\u00e1nlott elhelyezni. Ha ez\u00a0orvosi okb\u00f3l nem lehets\u00e9ges, \u00fagy az\u00a0\u00fajsz\u00fcl\u00f6ttet az\u00a0apa (k\u00eds\u00e9r\u0151) mellkas\u00e1ra, k\u00f6zvetlen b\u0151r-b\u0151r kontaktusban aj\u00e1nlott elhelyezni, majd az\u00a0any\u00e1nak \u00e1tadni, amint az\u00a0lehets\u00e9gess\u00e9 v\u00e1lik. (B)<\/em><\/p><p><strong>38. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0lep\u00e9ny megsz\u00fclet\u00e9se ut\u00e1n aj\u00e1nlott a\u00a0b\u0151r-b\u0151r kontaktus folyamatos, megszak\u00edt\u00e1s n\u00e9lk\u00fcli fenntart\u00e1sa, \u00edgy minden \u2013 az\u00a0\u00e9letjelens\u00e9gek figyel\u00e9s\u00e9n t\u00fali \u2013 vizsg\u00e1latot az\u00a0\u201earany\u00f3ra\u201d ut\u00e1ni id\u0151szakra aj\u00e1nlott halasztani. (A)\u00a0<\/em><\/p><p>Chi Luong K, Long Nguyen T, Huynh Thi DH, et al.: Newly born low birthweight infants stabilise better in skin-to-skin contact than when separated from their mothers: a randomised controlled trial. Acta Paediatr. 2016; 105:381\u201390 :\u00a0<a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.13164\" target=\"_blank\" rel=\"noopener\">https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.13164<\/a><\/p><p>Guala A, Boscardini L, Visentin R, et al, Skin-to-Skin Contact in Cesarean Birth and Duration of Breastfeeding: A Cohort Study, Scientific World Journal. 2017; 2017: 1940756. Published online 2017 Sep 7. doi: 10.1155\/2017\/1940756\/:\u00a0<a href=\"https:\/\/www.hindawi.com\/journals\/tswj\/2017\/1940756\" target=\"_blank\" rel=\"noopener\">https:\/\/www.hindawi.com\/journals\/tswj\/2017\/1940756<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70726\" class=\"elementor-tab-title\" data-tab=\"26\" role=\"button\" aria-controls=\"elementor-tab-content-70726\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Lep\u00e9nyi szak akt\u00edv vezet\u00e9se (V\u00e1ltozott)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70726\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"26\" role=\"region\" aria-labelledby=\"elementor-tab-title-70726\"><p><strong>35. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0lep\u00e9nyi szak akt\u00edv vezet\u00e9se cs\u00f6kkenti a\u00a0postpartum v\u00e9rz\u00e9s kock\u00e1zat\u00e1t \u00e9s r\u00f6videbb\u00e9 teszi a\u00a0lep\u00e9nyi szak id\u0151tartam\u00e1t, \u00edgy alkalmaz\u00e1sa a\u00a0nemzetk\u00f6zi aj\u00e1nl\u00e1sokat is figyelembe v\u00e9ve javasolt. (A) [4] A\u00a0lep\u00e9nyi szak akt\u00edv ell\u00e1t\u00e1sa \u00fagy t\u00f6rt\u00e9nik, hogy a\u00a0magzati v\u00e1ll, illetve a\u00a0magzat megsz\u00fclet\u00e9se ut\u00e1n k\u00f6zvetlen\u00fcl intrav\u00e9n\u00e1san vagy im. oxitocint adunk az\u00a0any\u00e1nak, korai k\u00f6ld\u00f6kzsin\u00f3r-leszor\u00edt\u00e1st \u00e9s -elv\u00e1g\u00e1st (1 perc ut\u00e1n, de 5 percen bel\u00fcl) v\u00e9gz\u00fcnk, \u00e9s a\u00a0placenta megsz\u00fclet\u00e9s\u00e9t pedig annak kontroll\u00e1lt h\u00faz\u00e1s\u00e1val seg\u00edtj\u00fck el\u0151.<\/em><\/p><p>NICE 2023:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#third-stage-of-labour\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#third-stage-of-labour<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70727\" class=\"elementor-tab-title\" data-tab=\"27\" role=\"button\" aria-controls=\"elementor-tab-content-70727\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">K\u00e9sleltetett k\u00f6ld\u00f6kzsin\u00f3r-ell\u00e1t\u00e1s<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70727\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"27\" role=\"region\" aria-labelledby=\"elementor-tab-title-70727\"><p><strong>37. Aj\u00e1nl\u00e1s:<\/strong> <em>\u00c9lettani sz\u00fcl\u00e9s eset\u00e9n k\u00e9sleltetett k\u00f6ld\u00f6kzsin\u00f3r-ell\u00e1t\u00e1s aj\u00e1nlott. Az\u00a0\u00fajsz\u00fcl\u00f6ttet a\u00a0lehet\u0151 leghamarabb tegy\u00fck az\u00a0anya has\u00e1ra\/mellkas\u00e1ra \u00e9s k\u00f6zvetlen b\u0151r-b\u0151r kontaktusban takarjuk be, mert m\u00e1r a\u00a0placent\u00e1ris szakban aj\u00e1nlott el\u0151seg\u00edteni a\u00a0k\u00f6t\u0151d\u00e9s kialakul\u00e1s\u00e1t \u00e9s a\u00a0szoptat\u00e1s megkezd\u00e9s\u00e9t. Ezen id\u0151 alatt is aj\u00e1nlott ellen\u0151rizni az\u00a0anya \u00e9s \u00fajsz\u00fcl\u00f6tt \u00e1ltal\u00e1nos \u00e1llapot\u00e1t. (A)<\/em><\/p><p>NICE 2023:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/recommendations#management-of-the-third-stage\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/recommendations#management-of-the-third-stage<\/a><\/p><p>Philips, R:The Sacred Hour Uninterrupted Skin-to-Skin Contact Immediately After Birth NAINR. 2013;13(2):67\u201372:\u00a0<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1527336913000299\" target=\"_blank\" rel=\"noopener\">https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1527336913000299<\/a><\/p><p>Cook, K., Loomis, C. The Impact of Choice and Control on Women\u2019s Childbirth Experiences. The Journal of Perinatal Education 2012. 21(3).:<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3392605\/pdf\/JPE21-3_PTR_A5_158-168.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3392605\/pdf\/JPE21-3_PTR_A5_158-168.pdf<\/a><\/p><p>WHO recommendation on newborn health. Guidelines approved by the WHO review committee, Updated May 2017: <a href=\"https:\/\/www.who.int\/publications\/i\/item\/WHO-MCA-17.07\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/publications\/i\/item\/WHO-MCA-17.07<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70728\" class=\"elementor-tab-title\" data-tab=\"28\" role=\"button\" aria-controls=\"elementor-tab-content-70728\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">A spont\u00e1n sz\u00fcl\u00e9sindul\u00e1s t\u00e1mogat\u00e1sa (\u00daJ)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70728\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"28\" role=\"region\" aria-labelledby=\"elementor-tab-title-70728\"><p><strong>10. Aj\u00e1nl\u00e1s:<\/strong><em> A\u00a0sz\u00fcl\u00e9s spont\u00e1n megindul\u00e1s\u00e1nak t\u00e1mogat\u00e1sa a\u00a0bet\u00f6lt\u00f6tt 41. h\u00e9t el\u0151tt javasolt, de alacsony kock\u00e1zat\u00fa v\u00e1rand\u00f3ss\u00e1g eset\u00e9n, szoros prenat\u00e1lis ellen\u0151rz\u00e9s (NST, ultrahang-\u00e1raml\u00e1svizsg\u00e1latok) mellett a\u00a0terminus t\u00fall\u00e9p\u00e9se a\u00a041. h\u00e9t+6 napig megengedhet\u0151. (A)<\/em><\/p><p>Amis D., Healthy Birth Practice #1: Let Labor Begin on Its Own, The Journal of Perinatal Education, 23(4), 2014: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4235056\/pdf\/JPE_Vol023-004_A5_178187.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4235056\/pdf\/JPE_Vol023-004_A5_178187.pdf<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70729\" class=\"elementor-tab-title\" data-tab=\"29\" role=\"button\" aria-controls=\"elementor-tab-content-70729\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">H\u00fcvelyi vizsg\u00e1latok minim\u00e1lisra cs\u00f6kkent\u00e9se<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70729\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"29\" role=\"region\" aria-labelledby=\"elementor-tab-title-70729\"><p><strong>17. Aj\u00e1nl\u00e1s:<\/strong> <em>H\u00fcvelyi vizsg\u00e1latot a\u00a0vaj\u00fad\u00e1s alatt csak a\u00a0sz\u00fcks\u00e9ges gyakoris\u00e1ggal aj\u00e1nlott v\u00e9gezni a\u00a0sz\u00fcl\u00e9s dinamik\u00e1j\u00e1nak megfelel\u0151en. (A)<\/em><\/p><p>Papp, Z.: Sz\u00fcl\u00e9szet-N\u0151gy\u00f3gy\u00e1szati Protokoll, (2nd ed.). Budapest: Golden Book Kiad\u00f3 (2002) ISBN 963-8232-76-5<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70730\" class=\"elementor-tab-title\" data-tab=\"30\" role=\"button\" aria-controls=\"elementor-tab-content-70730\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">\u00c9lettanit\u00f3l elt\u00e9r\u0151 vaj\u00fad\u00e1s eset\u00e9n sz\u00fcks\u00e9ges l\u00e9p\u00e9sek<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70730\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"30\" role=\"region\" aria-labelledby=\"elementor-tab-title-70730\"><p>16. Aj\u00e1nl\u00e1s: <em>Az\u00a0\u00e9lettanit\u00f3l elt\u00e9r\u0151 vaj\u00fad\u00e1s eset\u00e9n meg kell tenni a\u00a0sz\u00fcks\u00e9ges l\u00e9p\u00e9seket azok korrig\u00e1l\u00e1s\u00e1ra. \u00c9lettani vaj\u00fad\u00e1s eset\u00e9n azonban beavatkoz\u00e1sra nincs sz\u00fcks\u00e9g. (A)<\/em><\/p><p>NICE 2023:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70731\" class=\"elementor-tab-title\" data-tab=\"31\" role=\"button\" aria-controls=\"elementor-tab-content-70731\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">\u00dajsz\u00fcl\u00f6tt azonnali szoptat\u00e1s\u00e1nak t\u00e1mogat\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70731\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"31\" role=\"region\" aria-labelledby=\"elementor-tab-title-70731\"><p><strong>39. Aj\u00e1nl\u00e1s<\/strong>: <em>Minden stabil \u00e1llapot\u00fa \u00fajsz\u00fcl\u00f6tt sz\u00e1m\u00e1ra, aki k\u00e9pes a szop\u00e1sra (bele\u00e9rtve az alacsony s\u00fallyal sz\u00fcletetteket is), biztos\u00edtani aj\u00e1nlott az azonnali b\u0151r-b\u0151r kontaktust \u00e9s a szop\u00e1s lehet\u0151s\u00e9g\u00e9t. (A)\u00a0<\/em><\/p><p>NICE aj\u00e1nl\u00e1s:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#care-of-the-newborn-baby\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#care-of-the-newborn-baby<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70732\" class=\"elementor-tab-title\" data-tab=\"32\" role=\"button\" aria-controls=\"elementor-tab-content-70732\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Postpartum v\u00e9rz\u00e9s kock\u00e1zat\u00e1nak cs\u00f6kkent\u00e9se<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70732\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"32\" role=\"region\" aria-labelledby=\"elementor-tab-title-70732\"><p><strong>36. Aj\u00e1nl\u00e1s:<\/strong> <em>Azokban az\u00a0esetekben, amikor a\u00a0postpartum v\u00e9rz\u00e9s kialakul\u00e1s\u00e1nak es\u00e9lye fokozott, a\u00a0placent\u00e1ris szakot akt\u00edvan kell vezetni, \u00e9s profilaxisk\u00e9nt iv. 1g tranexamsavat javasolt intrav\u00e9n\u00e1san beadni. (A) [5,54] Ha a\u00a0lep\u00e9ny 1 \u00f3r\u00e1n bel\u00fcl nem sz\u00fcletett meg, magasabb a\u00a0s\u00falyos postpartum v\u00e9rz\u00e9s, az\u00a0endometritis \u00e9s a\u00a0m\u0171t\u00e9tes beavatkoz\u00e1st ig\u00e9nyl\u0151 k\u00f3r\u00e1llapot kock\u00e1zata, ez\u00e9rt indokolt azonnal felk\u00e9sz\u00fclni azok ell\u00e1t\u00e1s\u00e1ra.<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70733\" class=\"elementor-tab-title\" data-tab=\"33\" role=\"button\" aria-controls=\"elementor-tab-content-70733\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">K\u00f3rh\u00e1zi felv\u00e9tel csak megindult sz\u00fcl\u00e9s eset\u00e9n<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70733\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"33\" role=\"region\" aria-labelledby=\"elementor-tab-title-70733\"><p><strong>18. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0v\u00e1rand\u00f3s k\u00f3rh\u00e1zi felv\u00e9tel\u00e9re lehet\u0151leg csak megindult sz\u00fcl\u00e9s eset\u00e9n ker\u00fclj\u00f6n sor, amennyiben \u00e9lettanit\u00f3l val\u00f3 elt\u00e9r\u00e9st nem tapasztalunk. (B)<\/em><\/p><p>NICE 2023:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70734\" class=\"elementor-tab-title\" data-tab=\"34\" role=\"button\" aria-controls=\"elementor-tab-content-70734\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">H\u00fcvelyi sz\u00fcl\u00e9s lehet\u0151s\u00e9ge cs\u00e1sz\u00e1rmetsz\u00e9s ut\u00e1n<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70734\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"34\" role=\"region\" aria-labelledby=\"elementor-tab-title-70734\"><p><strong>34. Aj\u00e1nl\u00e1s:<\/strong> <em>Az\u00a0el\u0151zetes cs\u00e1sz\u00e1rmetsz\u00e9sen \u00e1tesett v\u00e1rand\u00f3sok jelent\u0151s r\u00e9sze h\u00fcvelyi sz\u00fcl\u00e9sbe bocs\u00e1that\u00f3 (TOLAC), \u00e9s a\u00a0nemzetk\u00f6zi adatok alapj\u00e1n t\u00f6bb, mint k\u00e9tharmaduk h\u00fcvelyi \u00faton meg is tud sz\u00fclni (VBAC). A\u00a0v\u00e1rand\u00f3sokat err\u0151l ennek megfelel\u0151en aj\u00e1nlott felvil\u00e1gos\u00edtani. (D)<\/em><\/p><p class=\"heading-title\">ACOG Practice Bulletin No. 205: Vaginal Birth After Cesarean Delivery:\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30681543\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/30681543\/<\/a><\/p><p>SOGC clinical practice guidelines. Guidelines for vaginal birth after previous caesarean birth. Number 155 (Replaces guideline Number 147), February 2005:\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16001462\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/16001462\/<\/a><\/p><p>RCOG Green-top Guideline 2015. No.45. Birth after previous cesarean birth:\u00a0<a href=\"https:\/\/www.rcog.org.uk\/media\/kpkjwd5h\/gtg_45.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.rcog.org.uk\/media\/kpkjwd5h\/gtg_45.pdf<\/a><\/p><p class=\"heading-title\">Labour and Childbirth After Previous Caesarean Section: Recommendations of the Austrian Society of Obstetrics and Gynaecology (OEGGG):\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28017971\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/28017971\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70735\" class=\"elementor-tab-title\" data-tab=\"35\" role=\"button\" aria-controls=\"elementor-tab-content-70735\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">WHO szoptat\u00e1si krit\u00e9riumok teljes\u00edt\u00e9se<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70735\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"35\" role=\"region\" aria-labelledby=\"elementor-tab-title-70735\"><p><strong>43. Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g, sz\u00fcl\u00e9s \u00e9s sz\u00fcl\u00e9s ut\u00e1ni ell\u00e1t\u00e1snak t\u00f6rekednie kell arra, hogy min\u00e9l ink\u00e1bb megfeleljen a WHO Szoptat\u00e1shoz vezet\u0151 10 l\u00e9p\u00e9ses krit\u00e9riumrendszer\u00e9nek. (D)\u00a0<\/em><\/p><p>WHO Ten steps to successful breastfeeding (revised 2018):\u00a0<a href=\"https:\/\/www.who.int\/nutrition\/bfhi\/ten-steps\/en\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/nutrition\/bfhi\/ten-steps\/en\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-70736\" class=\"elementor-tab-title\" data-tab=\"36\" role=\"button\" aria-controls=\"elementor-tab-content-70736\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Egy sz\u00fcl\u0151n\u0151 \u2013 egy sz\u00fcl\u00e9szn\u0151 elv biztos\u00edt\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-70736\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"36\" role=\"region\" aria-labelledby=\"elementor-tab-title-70736\"><p><strong>46. Aj\u00e1nl\u00e1s:<\/strong> <em>Aj\u00e1nlott, hogy az\u00a0int\u00e9zet \u2013 k\u00f6r\u00fclm\u00e9nyei \u00e9s szem\u00e9lyi \u00e1llom\u00e1ny\u00e1t\u00f3l f\u00fcgg\u0151en \u2013 t\u00f6rekedjen biztos\u00edtani az\u00a0egy sz\u00fcl\u0151n\u0151 \u2013 egy sz\u00fcl\u00e9szn\u0151 munkamenet (k\u00eds\u00e9r\u00e9s) megval\u00f3s\u00edt\u00e1s\u00e1t. (A) [5, 6, 61] Ez\u00a0az\u00a0aj\u00e1nl\u00e1s csak akkor teljes\u00edthet\u0151 marad\u00e9ktalanul, ha a\u00a0sz\u00fcl\u00e9szn\u0151k l\u00e9tsz\u00e1ma illeszkedik az\u00a0int\u00e9zet sz\u00fcl\u00e9ssz\u00e1m\u00e1hoz.<\/em><\/p><p>McLachlan H.L., Forster D.A., Davey M., et al.: Comparing Standard Maternity care with One-to one midwifery Support: a randomised controlled trial. BMC Pregnancy and Childbirth 2008, 8:35 doi:10.1186\/1471-2393-8-35:\u00a0<a href=\"https:\/\/bmcpregnancychildbirth.biomedcentral.com\/track\/pdf\/10.1186\/1471-2393-8-35\" target=\"_blank\" rel=\"noopener\">https:\/\/bmcpregnancychildbirth.biomedcentral.com\/track\/pdf\/10.1186\/1471-2393-8-35<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7a2b558 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7a2b558\" data-element_type=\"section\" data-e-type=\"section\" id=\"szuleszno\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2846a21\" data-id=\"2846a21\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-276fb0a de_scroll_animation_no elementor-widget elementor-widget-spacer\" data-id=\"276fb0a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b250128 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b250128\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bbbcbb3\" data-id=\"bbbcbb3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e63553d de_scroll_animation_no elementor-widget elementor-widget-heading\" data-id=\"e63553d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Sz\u00fcl\u00e9szn\u0151 \/ B\u00e1ba<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9298e6f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9298e6f\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7c3e4bc\" data-id=\"7c3e4bc\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9fc6e2e elementor-widget__width-initial de_scroll_animation_no elementor-widget elementor-widget-toggle\" data-id=\"9fc6e2e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1671\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1671\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Sz\u00fcl\u00e9szeti dolgoz\u00f3k tov\u00e1bbk\u00e9pz\u00e9s\u00e9n val\u00f3 r\u00e9szv\u00e9tel (v\u00e1ltozott)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1671\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1671\"><p><strong>40. Aj\u00e1nl\u00e1s:<\/strong><em> Az\u00a0el\u0151z\u0151 aj\u00e1nl\u00e1sok teljes\u00fcl\u00e9s\u00e9nek \u00e9rdek\u00e9ben minden szolg\u00e1ltat\u00f3nak feladata, hogy biztos\u00edtsa a\u00a0sz\u00fcl\u00e9szeti dolgoz\u00f3k tov\u00e1bbk\u00e9pz\u00e9s\u00e9t. (B) [6] Az\u00a0SZTNB \u201eCsal\u00e1dk\u00f6zpont\u00fa \u00e9s Bababar\u00e1t Ell\u00e1t\u00e1s\u201d k\u00e9pz\u00e9si programja minden szempontb\u00f3l megfelel annak a\u00a0k\u00e9pz\u00e9si \u00e9s min\u0151s\u00e9gfejleszt\u00e9si c\u00e9lnak, amely a\u00a0szakdolgoz\u00f3k tud\u00e1s\u00e1t \u00e9s kompetenci\u00e1j\u00e1t n\u00f6veli, \u00e9s a\u00a0t\u00e1mogat\u00f3 kommunik\u00e1ci\u00f3t szolg\u00e1lja.<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1672\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1672\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Sz\u00fcl\u00e9si terv figyelembev\u00e9tele<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1672\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1672\"><p><strong>7. Aj\u00e1nl\u00e1s:<\/strong> <em>A sz\u00fcl\u0151n\u0151 \u00e1ltal k\u00e9sz\u00edtett sz\u00fcl\u00e9si tervet, illetve a v\u00e1rand\u00f3s sz\u00fcl\u00e9sre vonatkoz\u00f3 elk\u00e9pzel\u00e9seit, k\u00edv\u00e1ns\u00e1gait a sz\u00fcl\u00e9sn\u00e9l seg\u00edt\u0151 szakszem\u00e9lyzet fogadja meg\u00e9rt\u00e9ssel. (C)\u00a0<\/em><\/p><p>Benahmed, N, San Miguel, L, Devos, C, et al.: Vaginal delivery: how does early hospital discharge <br \/>affect mother and child outcomes? A systematic literature review. BMC Pregnancy Childbirth. 2017;\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28877667\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/28877667\/<\/a><\/p><p>The mother friendly childbirth initiative: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC1905822\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC1905822\/<\/a><\/p><p>Mirghafourvand M1, Mohammad Alizadeh Charandabi S1, Ghanbari-Homayi S et al: Effect of <br \/>birth plans on childbirth experience: A systematic review. Int J Nurs Pract. 2019: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30675962\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/30675962\/<\/a><\/p><p>Salvesen K. Counselling is difficult when outcomes are associated with mode of delivery and not <br \/>with the plan for mode of delivery. BJOG. 2015 Nov;122(12):\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26290362\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/26290362\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1673\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1673\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Sz\u00fcl\u00e9sfelk\u00e9sz\u00edt\u00e9s biztos\u00edt\u00e1sa (v\u00e1ltozott)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1673\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1673\"><p><strong>6. Aj\u00e1nl\u00e1s:<\/strong> <em>Az anya sz\u00fcl\u00e9szeti ell\u00e1t\u00e1s\u00e1nak r\u00e9sze a v\u00e1rand\u00f3sgondoz\u00e1s sor\u00e1n t\u00f6rt\u00e9n\u0151 sz\u00fcl\u00e9sfelk\u00e9sz\u00edt\u00e9s \u00e9s r\u00e9szletes t\u00e1j\u00e9koztat\u00e1s. (B)\u00a0<\/em><\/p><p>NICE aj\u00e1nl\u00e1s:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#antenatal-education-about-labour\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#antenatal-education-about-labour<\/a><\/p><p>Tanner Stapleton L.R; Schetter C.D; Westling E. Et al.: Perceived partner support in pregnancy predicts lower maternal and infant distress. Journal of Family Psychology, Vol 26(3), Jun 2012, 453463.: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf<\/a><\/p><p>ACOG Committee Opinion No. 731: Group Prenatal Care. Obstet Gynecol. 2018;131(3):e104 :\u00a0<a href=\"https:\/\/journals.lww.com\/greenjournal\/fulltext\/2018\/03000\/acog_committee_opinion_no__731__group_prenatal.47.aspx\" target=\"_blank\" rel=\"noopener\">https:\/\/journals. lww.com\/greenjournal\/fulltext\/2018\/03000\/acog_committee_opinion_no__731__group_prenatal.47.aspx<\/a><\/p><p>Mother-Friendly Childbirth Initiative:\u00a0<a href=\"https:\/\/motherbabysupport.net\/pdf\/07-Mother-Friendly Initiative.pdf\" data-wplink-url-error=\"true\" target=\"_blank\" rel=\"noopener\">https:\/\/motherbabysupport.net\/pdf\/07-Mother-Friendly Initiative.pdf<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1674\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1674\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">K\u00eds\u00e9r\u0151 jelenl\u00e9t\u00e9nek biztos\u00edt\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1674\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1674\"><p><strong>3. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0v\u00e1rand\u00f3ss\u00e1g, majd a\u00a0vaj\u00fad\u00e1s \u00e9s sz\u00fcl\u00e9s id\u0151szak\u00e1ban is biztos\u00edtani kell azt a\u00a0lehet\u0151s\u00e9get, hogy az\u00a0anya mellett egy, a\u00a0sz\u00e1m\u00e1ra fontos k\u00eds\u00e9r\u0151 folyamatosan jelen lehessen. (C)<\/em><\/p><p>1997. \u00e9vi CLIV t\u00f6rv\u00e9ny Az eg\u00e9szs\u00e9g\u00fcgyr\u0151l\u00a0<a href=\"https:\/\/net.jogtar.hu\/jogszabaly?docid=99700154.TV\" target=\"_blank\" rel=\"noopener\">https:\/\/net.jogtar.hu\/jogszabaly?<\/a><a href=\"https:\/\/net.jogtar.hu\/jogszabaly?docid=99700154.TV\" target=\"_blank\" rel=\"noopener\">docid=99700154.TV<\/a><\/p><p>WHO recommendations: intrapartum care for a positive childbirth experience: <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241550215\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/publications\/i\/item\/9789241550215<\/a><\/p><p>Intrapartum care for healthy women and and babies, NICE 2023: <a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1675\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-1675\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Felesleges rutin beavatkoz\u00e1sok ker\u00fcl\u00e9se<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1675\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-1675\"><p><strong>Aj\u00e1nl\u00e1s 12:<\/strong> <em>Az orvosi szempontb\u00f3l nem sz\u00fcks\u00e9gszer\u0171, azaz nem az adott eset alapj\u00e1n sz\u00fcks\u00e9gesnek \u00edt\u00e9lt beavatkoz\u00e1sok (p\u00e9ld\u00e1ul intrav\u00e9n\u00e1s inf\u00fazi\u00f3 ad\u00e1sa, ev\u00e9s \u00e9s iv\u00e1s tilt\u00e1sa, a magzati sz\u00edvm\u0171k\u00f6d\u00e9s folyamatos ellen\u0151rz\u00e9se, epidur\u00e1lis \u00e9rz\u00e9stelen\u00edt\u00e9s, gy\u00f3gyszeres f\u00e1j\u00e1ser\u0151s\u00edt\u00e9s, g\u00e1tmetsz\u00e9s) ker\u00fcl\u00e9se javasolt, ugyanis ezek olyan beavatkoz\u00e1si kaszk\u00e1dot ind\u00edthatnak el, ami emeli a cs\u00e1sz\u00e1rmetsz\u00e9s el\u0151fordul\u00e1s\u00e1nak val\u00f3sz\u00edn\u0171s\u00e9g\u00e9t). (A)\u00a0<\/em><\/p><p>Lothina J.A., Healthy Birth Practice #4: \u00c1v\u00f3id Interventions Unless They Are Medically <br \/>Necessary, The Journal of Perinatal Education, 23(4), 2014:\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4235054\/pdf\/JPE_Vol023-004_A8_198-206.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4235054\/pdf\/JPE_Vol023-004_A8_198-206.pdf<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1676\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-1676\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">T\u00e1j\u00e9koztat\u00e1s a sz\u00fcl\u00e9s helysz\u00edn\u00e9r\u0151l<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1676\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-1676\"><p><strong>5. Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3sgondoz\u00e1s sor\u00e1n a gondoz\u00e1s\u00e9rt felel\u0151s szem\u00e9ly (az orvos \u00e9s\/vagy a sz\u00fcl\u00e9szn\u0151), illetve a v\u00e9d\u0151n\u0151 r\u00e9szletesen t\u00e1j\u00e9koztassa a v\u00e1rand\u00f3st arr\u00f3l, hogy a sz\u00fcl\u00e9s helysz\u00edn\u00e9t illet\u0151en milyen lehet\u0151s\u00e9gek k\u00f6z\u00fcl v\u00e1laszthat, \u00e9s t\u00e1mogassa a v\u00e1rand\u00f3st a v\u00e1laszt\u00e1s\u00e1ban. (A)\u00a0<\/em><\/p><p>WHO recommendations: intrapartum care for a positive childbirth experience: <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241550215\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/publications\/i\/item\/9789241550215<\/a><\/p><p>Implementation guidance: protecting, promoting, and supporting breastfeeding in facilities providing maternity and newborn services:\u00a0<a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241513807\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/publications\/i\/item\/9789241513807<\/a><\/p><p>Perinatal or neonatal mortality among women who intend at the onset of labour to give birth at home compared to women of low obstetrical risk who intend to give birth in hospital: A systematic review and meta-analyses:\u00a0<a href=\"https:\/\/www.thelancet.com\/journals\/eclinm\/article\/PIIS2589-5370(19)30119-1\/fulltext\" target=\"_blank\" rel=\"noopener\">https:\/\/www.thelancet.com\/journals\/eclinm\/article\/PIIS2589-5370(19)30119-1\/fulltext<\/a><\/p><p>Planned Out-of-Hospital Birth and Birth Outcomes:\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26716916\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/26716916\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1677\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-1677\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Term\u00e9szetes sz\u00fcl\u00e9s t\u00e1mogat\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1677\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-1677\"><p><strong>8. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0csal\u00e1dk\u00f6zpont\u00fa sz\u00fcl\u00e9szeti ell\u00e1t\u00e1s egyik alapja a\u00a0sz\u00fcl\u00e9s term\u00e9szetes lefoly\u00e1s\u00e1nak t\u00e1mogat\u00e1sa. A\u00a0sz\u00fcl\u00e9szeti ell\u00e1t\u00e1s sor\u00e1n ez\u00e9rt a\u00a0lehet\u0151 legteljesebb m\u00e9rt\u00e9kben figyelembe kell venni az\u00a0al\u00e1bbi, evidenci\u00e1k alapj\u00e1n \u00f6ssze\u00e1ll\u00edtott krit\u00e9riumrendszert, hogy a\u00a0sz\u00fcl\u00e9s a\u00a0lehet\u0151 legkevesebb beavatkoz\u00e1s mellett menjen v\u00e9gbe. (A)<\/em><\/p><p>(L\u00e1sd 9.-13. aj\u00e1nl\u00e1sok)<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1678\" class=\"elementor-tab-title\" data-tab=\"8\" role=\"button\" aria-controls=\"elementor-tab-content-1678\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Szabad mozg\u00e1s \u00e9s testhelyzetv\u00e1laszt\u00e1s vaj\u00fad\u00e1s alatt<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1678\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"8\" role=\"region\" aria-labelledby=\"elementor-tab-title-1678\"><p>22. Aj\u00e1nl\u00e1s: <em>A\u00a0vaj\u00fad\u00e1si testhelyzetet az\u00a0anya hat\u00e1rozza meg, amelyet a\u00a0sz\u00fcl\u00e9st seg\u00edt\u0151 szakemberek javaslatai \u00e9s a\u00a0lehet\u0151s\u00e9gek alapj\u00e1n \u00e9rdemes v\u00e1ltoztatni. (B)\u00a0<\/em><\/p><p><strong>11. Aj\u00e1nl\u00e1s:<\/strong>\u00a0<em>\u00c9lettani sz\u00fcl\u00e9si folyamat sor\u00e1n a szabad mozg\u00e1s, testhelyzet v\u00e1laszt\u00e1s lehet\u0151s\u00e9g\u00e9nek biztos\u00edt\u00e1sa a vaj\u00fad\u00e1s alatt javasolt. (A)<\/em><\/p><p>WHO recommendations Intrapartum care for a positive childbirth experience, 2018:\u00a0<a href=\"https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/260178\/9789241550215-eng.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/260178\/9789241550215-eng.pdf<\/a><\/p><p>Gupta JK, Sood A, Hofmeyr GJ, et al: Position in the second stage of labour for women without <br \/>epidural anaesthesia, Cochrane 16 May 2012:\u00a0<a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD002006.pub4\/epdf\/abstract\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD002006.pub4\/epdf\/abstract<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1679\" class=\"elementor-tab-title\" data-tab=\"9\" role=\"button\" aria-controls=\"elementor-tab-content-1679\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Kitol\u00e1si szakban spont\u00e1n tol\u00f3f\u00e1j\u00e1sok kiv\u00e1r\u00e1sa, testhelyzetv\u00e1laszt\u00e1s biztos\u00edt\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1679\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"9\" role=\"region\" aria-labelledby=\"elementor-tab-title-1679\"><p><strong>26. Aj\u00e1nl\u00e1s:<\/strong> <em>Aj\u00e1nlott b\u00e1tor\u00edtani a\u00a0vaj\u00fad\u00f3t, hogy a\u00a0kitol\u00e1si szakban is keresse meg a\u00a0sz\u00e1m\u00e1ra legmegfelel\u0151bb testhelyzetet. (B)<\/em><\/p><p><strong>13. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0sz\u00fcl\u00e9s m\u00e1sodik f\u00e1zis\u00e1ban a\u00a0spont\u00e1n indul\u00f3 tol\u00f3f\u00e1j\u00e1sok megindul\u00e1s\u00e1nak kiv\u00e1r\u00e1sa, valamint ebben a\u00a0szakaszban is a\u00a0szabad testhelyzet megv\u00e1laszt\u00e1sa javasolt, amennyiben az\u00a0ell\u00e1t\u00f3nak megfelel\u0151 tud\u00e1sa \u00e9s gyakorlata van a\u00a0k\u00fcl\u00f6nb\u00f6z\u0151 testhelyzetekben zajl\u00f3 sz\u00fcl\u00e9s k\u00eds\u00e9r\u00e9s\u00e9re, vezet\u00e9s\u00e9re. (A)<\/em><\/p><p>WHO recommendations Intrapartum care for a positive childbirth experience, 2018:\u00a0<a href=\"https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/260178\/9789241550215-eng.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/260178\/9789241550215-eng.pdf<\/a><\/p><p>Gupta JK, Sood A, Hofmeyr GJ, et al: Position in the second stage of labour for women without <br \/>epidural anaesthesia, Cochrane 16 May 2012:\u00a0<a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD002006.pub4\/epdf\/abstract\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD002006.pub4\/epdf\/abstract<\/a><\/p><p>NICE aj\u00e1nl\u00e1s:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#second-stage-of-labour\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#second-stage-of-labour<\/a><\/p><p>DiFranco J.T., Curl M., Healthy Birth Practice #5: Avoid Giving Birth on Your Back and Follow Your Body\u2019s Urge to Push, The Journal of Perinatal Education, 23(4), 2014:\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4235063\/pdf\/JPE_Vol023-004_A9 7-210.pd\" data-wplink-url-error=\"true\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4235063\/pdf\/JPE_Vol023-004_A9 7-210.pd<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16710\" class=\"elementor-tab-title\" data-tab=\"10\" role=\"button\" aria-controls=\"elementor-tab-content-16710\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Rutinszer\u0171 haspr\u00e9s nem aj\u00e1nlott<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16710\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"10\" role=\"region\" aria-labelledby=\"elementor-tab-title-16710\"><p><strong>28. Aj\u00e1nd\u00e9k:<\/strong> A<em>mennyiben arra k\u00fcl\u00f6n orvosi ok nincs, rutinszer\u0171en nem aj\u00e1nlott ir\u00e1ny\u00edtani a\u00a0kitol\u00e1s menet\u00e9t, nem aj\u00e1nlott a\u00a0hosszan tart\u00f3 haspr\u00e9s sem. Ez\u00a0ut\u00f3bbi kock\u00e1zattal j\u00e1rhat, mert magzati hipoxi\u00e1t okozhat, a\u00a0medencefen\u00e9k izmai \u00e9s a\u00a0h\u00fagyh\u00f3lyag s\u00e9r\u00fcl\u00e9se nagyobb es\u00e9llyel k\u00f6vetkezik be, illetve a\u00a0nyom\u00e1s hat\u00e9konys\u00e1ga is romlik. Javasolt viszont megengedni, hogy az\u00a0anya saj\u00e1t \u00fctem\u00e9ben \u00e9s neki megfelel\u0151 m\u00f3don vaj\u00fadjon. A\u00a0kitol\u00e1s akt\u00edv szakasz\u00e1ban is sz\u00fcks\u00e9ges biztos\u00edtani, hogy az\u00a0anya v\u00e1lassza meg a\u00a0neki megfelel\u0151 testhelyzetet. (D)<\/em><\/p><p>DiFranco, J. T., Romano, A. M., Keen, R. Care Practice #5: Spontaneous Pushing in Upright or <br \/>Gravity-Neutral Positions. Journal of Perinatal Education 2007. 160(3) :\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1948091\/pdf\/JPE160035.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1948091\/pdf\/JPE160035.pdf<\/a><\/p><p>Steen, M. Care and Consequences of perineal trauma. British Journal of Midwifery 2010. 18(11):710-715.:\u00a0<a href=\"https:\/\/www.magonlinelibrary.com\/doi\/abs\/10.12968\/bjom.2010.18.11.79563\" target=\"_blank\" rel=\"noopener\">https:\/\/www.magonlinelibrary.com\/doi\/abs\/10.12968\/bjom.2010.18.11.79563<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16711\" class=\"elementor-tab-title\" data-tab=\"11\" role=\"button\" aria-controls=\"elementor-tab-content-16711\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">V\u00edzben vaj\u00fad\u00e1s \u00e9s sz\u00fcl\u00e9s t\u00e1mogat\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16711\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"11\" role=\"region\" aria-labelledby=\"elementor-tab-title-16711\"><p><strong>31. Aj\u00e1nl\u00e1s:<\/strong> <em>V\u00edzben vaj\u00fad\u00e1s \u00e9s v\u00edzben sz\u00fcl\u00e9s a sz\u00f6v\u0151dm\u00e9nymentes vaj\u00fad\u00f3k eset\u00e9ben aj\u00e1nlott. (D) Haz\u00e1nkban a v\u00edzben t\u00f6rt\u00e9n\u0151 vaj\u00fad\u00e1s \u00e9s sz\u00fcl\u00e9s felt\u00e9telei egyre t\u00f6bb sz\u00fcl\u00e9szeti int\u00e9zetben biztos\u00edtottak. Azoknak az int\u00e9zeteknek, amelyek a v\u00edzben t\u00f6rt\u00e9n\u0151 vaj\u00fad\u00e1s \u00e9s sz\u00fcl\u00e9s lehet\u0151s\u00e9g\u00e9t k\u00edn\u00e1lj\u00e1k, saj\u00e1t protokollal \u00e9s dokument\u00e1lt gyakorlattal kell rendelkezni\u00fck.<\/em><\/p><p>Cluett ER, Burns E, Cuthbert A. Immersion in water during labour and birth. Cochrane Database <br \/>Syst Rev. 2018;5:CD000111. Epub 2018 May 16.:\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Cluett+ER%2C+Burns+E%2C+ Cuthbert+A\" data-wplink-url-error=\"true\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Cluett+ER%2C+Burns+E%2C+ Cuthbert+A<\/a><\/p><p>Committee Opinion No. 679: Immersion in Water During Labor and Delivery. ACOG\u2019 Committee on Obstetric Practice. Obstet Gynecol. 2016; 128(5):e231.:\u00a0<a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2016\/11\/immersion-in-water-during-labor-and-delivery\" target=\"_blank\" rel=\"noopener\">https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2016\/11\/immersion-in-water-during-labor-and-delivery<\/a><\/p><p><strong>\u00daJ:<\/strong> Systematic review and meta-analysis to examine intrapartum interventions, and maternal and neonatal outcomes following immersion in water during labour and waterbirth:\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36167399\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/36167399\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16712\" class=\"elementor-tab-title\" data-tab=\"12\" role=\"button\" aria-controls=\"elementor-tab-content-16712\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Sz\u00fcl\u00e9szn\u0151k \u00f6n\u00e1ll\u00f3 tev\u00e9kenys\u00e9g\u00e9nek t\u00e1mogat\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16712\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"12\" role=\"region\" aria-labelledby=\"elementor-tab-title-16712\"><p><strong>45. Aj\u00e1nl\u00e1s:<\/strong> <em>A megfelel\u0151 k\u00e9pes\u00edt\u00e9ssel rendelkez\u0151 sz\u00fcl\u00e9szn\u0151k \u00f6n\u00e1ll\u00f3 tev\u00e9kenys\u00e9g\u00e9t, az egy\u00e9b vonatkoz\u00f3 jogszab\u00e1lyok f igyelembev\u00e9tele mellett, int\u00e9zm\u00e9nyi protokollokban aj\u00e1nlott t\u00e1mogatni. (A) A sz\u00fcl\u00e9szn\u0151i \u00f6n\u00e1ll\u00f3s\u00e1g a szakma szab\u00e1lyai szerinti alacsony kock\u00e1zat\u00fa v\u00e1rand\u00f3sok \u00e9s sz\u00fcl\u00e9sek ell\u00e1t\u00e1s\u00e1ra vonatkozik. K\u00f3ros esem\u00e9nyt \u00e9szlelve jelent\u00e9si k\u00f6telezetts\u00e9ge van, \u00e1tadja a gondoz\u00e1st, illetve a sz\u00fcl\u00e9st a szakorvosnak. Ett\u0151l kezdve a v\u00e1rand\u00f3s gondoz\u00e1s\u00e1\u00e9rt, illetve a sz\u00fcl\u00e9s ell\u00e1t\u00e1s\u00e1\u00e9rt a szakorvos a felel\u0151s. Amennyiben ez a sz\u00fcl\u00e9s alatt k\u00f6vetkezik be, \u00fagy c\u00e9lszer\u0171, ha a sz\u00fcl\u00e9sn\u00e9l addig dolgoz\u00f3 sz\u00fcl\u00e9szn\u0151 a folyamatban l\u00e9v\u0151 ell\u00e1t\u00e1sban tov\u00e1bbra is r\u00e9szt vesz.<\/em><\/p><p>NICE 2023<\/p><p>WHO 2018<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16713\" class=\"elementor-tab-title\" data-tab=\"13\" role=\"button\" aria-controls=\"elementor-tab-content-16713\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Anya \u00e9s csal\u00e1d m\u00e9lt\u00f3s\u00e1g\u00e1nak tisztelete<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16713\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"13\" role=\"region\" aria-labelledby=\"elementor-tab-title-16713\"><p><strong>48. Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g \u00e9s a sz\u00fcl\u00e9s alatti, valamint a sz\u00fcl\u00e9s ut\u00e1ni eg\u00e9szs\u00e9g\u00fcgyi ell\u00e1t\u00e1st ny\u00fajt\u00f3k tarts\u00e1k szem el\u0151tt az anya \u00e9s csal\u00e1dja emberi m\u00e9lt\u00f3s\u00e1g\u00e1t. (B)\u00a0<\/em><\/p><p>1997. \u00e9vi CLIV. t\u00f6rv\u00e9ny az eg\u00e9szs\u00e9g\u00fcgyr\u0151l\u00a0<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16714\" class=\"elementor-tab-title\" data-tab=\"14\" role=\"button\" aria-controls=\"elementor-tab-content-16714\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Stresszcs\u00f6kkent\u00e9s a v\u00e1rand\u00f3ss\u00e1g alatt<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16714\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"14\" role=\"region\" aria-labelledby=\"elementor-tab-title-16714\"><ol><li><strong>Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g alatt az ell\u00e1t\u00f3knak t\u00f6rekedni\u00fck kell az esetlegesen jelentkez\u0151 szorong\u00e1s, illetve stressz cs\u00f6kkent\u00e9s\u00e9re. Amennyiben az anya pszich\u00e9s \u00e1llapota megk\u00edv\u00e1nja, \u00fagy pszichol\u00f3gus seg\u00edts\u00e9g\u00e9t is \u00e9rdemes felaj\u00e1nlani sz\u00e1m\u00e1ra. (B)\u00a0<\/em><\/li><\/ol><p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16715\" class=\"elementor-tab-title\" data-tab=\"15\" role=\"button\" aria-controls=\"elementor-tab-content-16715\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Kultur\u00e1lis \u00e9s vall\u00e1si k\u00edv\u00e1ns\u00e1gok tiszteletben tart\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16715\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"15\" role=\"region\" aria-labelledby=\"elementor-tab-title-16715\"><p><strong>4. Aj\u00e1nl\u00e1s:<\/strong> <em>A vaj\u00fad\u00f3 kultur\u00e1lis \u00e9s vall\u00e1si meggy\u0151z\u0151d\u00e9s\u00e9b\u0151l ad\u00f3d\u00f3 k\u00edv\u00e1ns\u00e1gait az ell\u00e1t\u00e1s sor\u00e1n lehet\u0151s\u00e9g szerint figyelembe kell venni \u00e9s tiszteletben kell tartani \u00e9s err\u0151l t\u00e1j\u00e9koztat\u00e1st kell adni a v\u00e1rand\u00f3snak. (D)<\/em><\/p><p>WHO recommendations Intrapartum care for a positive childbirth experience: <a href=\"https:\/\/www.who.int\/publications\/i\/item\/WHO-SRH-20.13\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/publications\/i\/item\/WHO-SRH-20.13<\/a><\/p><p><strong>\u00daJ:<\/strong> Respectful care during childbirth in health facilities globally: a qualitative evidence synthesis:\u00a0<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6033006\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6033006\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16716\" class=\"elementor-tab-title\" data-tab=\"16\" role=\"button\" aria-controls=\"elementor-tab-content-16716\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Sz\u00fcl\u0151szobai eszk\u00f6z\u00f6k biztos\u00edt\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16716\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"16\" role=\"region\" aria-labelledby=\"elementor-tab-title-16716\"><p><strong>15. Aj\u00e1nl\u00e1s:<\/strong> <em>Aj\u00e1nlott arra t\u00f6rekedni, hogy a\u00a0sz\u00fcl\u0151szob\u00e1ban rendelkez\u00e9sre \u00e1lljanak a\u00a0vaj\u00fad\u00e1st megk\u00f6nny\u00edt\u0151 eszk\u00f6z\u00f6k \u00e9s m\u00f3dszerek (p\u00e9ld\u00e1ul bord\u00e1sfal, labda, k\u00e1d, zuhanyoz\u00f3, megnyugtat\u00f3 zene lehet\u0151s\u00e9ge, kellemes csal\u00e1dias k\u00f6rnyezet, aroma diff\u00fazor). (D)<\/em><\/p><p>Chaillet N., Belaid L., Crocheti\u010dre C., et al.: Nonpharmacologic approaches for pain management during labor compared with usual care: a meta-analysis. Birth. 2014 Jun;41(2):122-37. doi: 10.1111\/birt.12103. Epub 2014 Apr 25. :<a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1111\/birt.12103\" target=\"_blank\" rel=\"noopener\">https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1111\/birt.12103<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16717\" class=\"elementor-tab-title\" data-tab=\"17\" role=\"button\" aria-controls=\"elementor-tab-content-16717\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">T\u00e1pl\u00e1l\u00e9k \u00e9s folyad\u00e9kbevitel biztos\u00edt\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16717\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"17\" role=\"region\" aria-labelledby=\"elementor-tab-title-16717\"><p><strong>20. Aj\u00e1nl\u00e1s:<\/strong> <em>A sz\u00fcl\u0151n\u0151nek a vaj\u00fad\u00e1s alatt megfelel\u0151 t\u00e1pl\u00e1l\u00e9kra \u00e9s folyad\u00e9kra van sz\u00fcks\u00e9ge, ez\u00e9rt a gyors energi\u00e1t biztos\u00edt\u00f3, de a gyomorb\u00f3l gyorsan ki\u00fcr\u00fcl\u0151 t\u00e1pl\u00e1l\u00e9kok \u00e9s folyad\u00e9kok fogyaszt\u00e1sa megengedhet\u0151. (D)<\/em><\/p><p>NICE, 1.8.17: <a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#care-throughout-labour-in-all-birth-settings\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#care-throughout-labour-in-all-birth-settings<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16718\" class=\"elementor-tab-title\" data-tab=\"18\" role=\"button\" aria-controls=\"elementor-tab-content-16718\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Magzati \u00e9s anyai \u00e1llapot nyomon k\u00f6vet\u00e9se<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16718\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"18\" role=\"region\" aria-labelledby=\"elementor-tab-title-16718\"><p><strong>23. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0vaj\u00fad\u00e1s el\u0151rehalad\u00e1sa sor\u00e1n a\u00a0magzatburok \u00e1llapot\u00e1nak, a\u00a0m\u00e9hkontrakci\u00f3k jellemz\u0151inek, a\u00a0m\u00e9hsz\u00e1j \u00e1llapot\u00e1nak, az\u00a0el\u00f6lfekv\u0151 magzati r\u00e9sz helyzet\u00e9nek, a\u00a0magzati sz\u00edvfrekvenci\u00e1nak, \u00e9s ezen t\u00fal az\u00a0anya \u00e9rzelmi \u00e9s pszich\u00e9s \u00e1llapot\u00e1nak v\u00e1ltoz\u00e1sait kell figyelemmel k\u00eds\u00e9rni. (A)<\/em><\/p><p><strong>24. Aj\u00e1nl\u00e1s:<\/strong> <em>Alacsony kock\u00e1zat\u00fa v\u00e1rand\u00f3s vaj\u00fad\u00e1sa eset\u00e9n a magzati \u00e1llapot nyomon k\u00f6vet\u00e9s\u00e9re folyamatos CTG-ellen\u0151rz\u00e9s nem felt\u00e9tlen\u00fcl sz\u00fcks\u00e9ges, de v\u00e1laszthat\u00f3. A t\u00e1gul\u00e1si \u00e9s a kitol\u00e1si szakban is azzal egyen\u00e9rt\u00e9k\u0171 az intermitt\u00e1l\u00f3 sz\u00edvhanghallgat\u00e1s, de csak abban az esetben, ha annak protokollj\u00e1t pontosan betartjuk \u00e9s a szem\u00e9lyi felt\u00e9telek is adottak. (A) [38] Ha az intermitt\u00e1l\u00f3 sz\u00edvhanghallgat\u00e1s sor\u00e1n rendelleness\u00e9get \u00e9szlel\u00fcnk, akkor aj\u00e1nlott \u00e1tt\u00e9rni a folyamatos CTG-\u00e9szlel\u00e9sre. Abban az esetben, ha a CTG-n 21 perces id\u0151szak alatt elt\u00e9r\u00e9st nem tapasztalunk, visszat\u00e9rhet\u00fcnk az intermitt\u00e1l\u00f3 magzati sz\u00edvhanghallgat\u00e1sra.<\/em><\/p><p>NICE 2023: <a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#first-stage-of-labour\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#first-stage-of-labour<\/a><\/p><p>Alfirevic Z. et al: Continuous cardiotocography (CTG) as a form of electronic fetal monitoring <br \/>(EFM) for fetal assessment during labour, Cochrane database, 3 February 2017:\u00a0<a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD006066.pub3\/epdf\/abstract\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD006066.pub3\/epdf\/abstract<\/a><\/p><p><strong>\u00daJ<\/strong> Canadai forr\u00e1s:\u00a0<a href=\"https:\/\/www.psbchealthhub.ca\/education\" target=\"_blank\" rel=\"noopener\">https:\/\/www.psbchealthhub.ca\/education<\/a><\/p><p><strong>\u00daJ:<\/strong> Bedside Clinical Guidelines Partnership in association with the Staffordshire, Shropshire &amp; Black Country,Newborn and Maternity Network and Southern West Midlands Maternity and Newborn Network:\u00a0<a href=\"https:\/\/kids.bwc.nhs.uk\/wp-content\/uploads\/2022\/05\/Neonatal-Guidelines-2019-21-PDF-rev1-jan20-with-links.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/kids.bwc.nhs.uk\/wp-content\/uploads\/2022\/05\/Neonatal-Guidelines-2019-21-PDF-rev1-jan20-with-links.pdf<\/a><\/p><p>ACOG Obstetric Care Consensus Safe Prevention of the Primary Cesarean Delivery:\u00a0<a href=\"https:\/\/www.acog.org\/news\/news-releases\/2014\/02\/nations-obgyns-take-aim-at-preventing-cesareans\" target=\"_blank\" rel=\"noopener\">https:\/\/www.acog.org\/news\/news-releases\/2014\/02\/nations-obgyns-take-aim-at-preventing-cesareans<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16719\" class=\"elementor-tab-title\" data-tab=\"19\" role=\"button\" aria-controls=\"elementor-tab-content-16719\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Kitol\u00e1si szak nyomon k\u00f6vet\u00e9se<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16719\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"19\" role=\"region\" aria-labelledby=\"elementor-tab-title-16719\"><p><strong>25. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0kitol\u00e1si szakban is aj\u00e1nlott nyomon k\u00f6vetni az\u00a0anya \u00e1ltal\u00e1nos \u00e1llapot\u00e1t, a\u00a0m\u00e9hkontrakci\u00f3k jellemz\u0151it, az\u00a0el\u00f6l fekv\u0151 r\u00e9sz helyzet\u00e9t \u00e9s a\u00a0magzat \u00e1llapot\u00e1t. (A)<\/em><\/p><p>Long, L. Redefining the second stage of labour could help to promote normal birth. British Journal of Midwifery 2006. 14(1).:\u00a0<a href=\"https:\/\/www.magonlinelibrary.com\/doi\/abs\/10.12968\/bjom.2006.14.2.20437\" target=\"_blank\" rel=\"noopener\">https:\/\/www.magonlinelibrary.com\/doi\/abs\/10.12968\/bjom.2006.14.2.20437<\/a><\/p><p>Alfirevic Z. et al: Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour, Cochrane database, 3 February 2017:\u00a0<a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD006066.pub3\/epdf\/abstract\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD006066.pub3\/epdf\/abstract<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16720\" class=\"elementor-tab-title\" data-tab=\"20\" role=\"button\" aria-controls=\"elementor-tab-content-16720\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">H\u00fcvelyt\u00e1g\u00edt\u00e1s ker\u00fcl\u00e9se (v\u00e1ltozott)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16720\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"20\" role=\"region\" aria-labelledby=\"elementor-tab-title-16720\"><p><strong>29. Aj\u00e1nl\u00e1s:<\/strong> <em>A kitol\u00e1si szakban nem aj\u00e1nlott h\u00fcvelyt\u00e1g\u00edt\u00e1st v\u00e9gezni a g\u00e1tra \u00e9s a h\u00fcvely h\u00e1ts\u00f3 fal\u00e1ra gyakorolt nyom\u00e1ssal. (A) A g\u00e1t ellaz\u00edt\u00e1s\u00e1t, a magzat megsz\u00fclet\u00e9s\u00e9t viszont seg\u00edthetj\u00fck megfelel\u0151 ill\u00f3olajok g\u00e1t sz\u00f6vet\u00e9be t\u00f6rt\u00e9n\u0151 massz\u00edroz\u00e1s\u00e1val, annak g\u00e1tlaz\u00edt\u00f3 hat\u00e1s\u00e1t kihaszn\u00e1lva.<\/em><\/p><p>NICE 2023:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#second-stage-of-labour\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#second-stage-of-labour<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16721\" class=\"elementor-tab-title\" data-tab=\"21\" role=\"button\" aria-controls=\"elementor-tab-content-16721\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Otthonsz\u00fcl\u00e9sb\u0151l k\u00f3rh\u00e1zi ell\u00e1t\u00e1sba val\u00f3 \u00e1tmenet biztos\u00edt\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16721\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"21\" role=\"region\" aria-labelledby=\"elementor-tab-title-16721\"><p><strong>47. Aj\u00e1nl\u00e1s:<\/strong> <em>Amennyiben otthonsz\u00fcl\u00e9sb\u0151l t\u00f6rt\u00e9nik int\u00e9zetbe sz\u00e1ll\u00edt\u00e1s, aj\u00e1nlott, hogy a\u00a0k\u00f3rh\u00e1zi szem\u00e9lyzet lehet\u0151s\u00e9g szerint biztos\u00edtsa a\u00a0sz\u00fcl\u00e9st addig k\u00eds\u00e9r\u0151 sz\u00fcl\u00e9szn\u0151nek, hogy tov\u00e1bbra is az\u00a0anya \u00e9s apa mellett maradhassanak, ha a\u00a0p\u00e1r ezt szeretn\u00e9. (B) [5, 61] Amennyiben az\u00a0int\u00e9zeten k\u00edv\u00fcli ell\u00e1t\u00e1st biztos\u00edt\u00f3 szakembernek az\u00a0adott int\u00e9zettel szerz\u0151d\u00e9se van, \u00fagy abban a\u00a0min\u0151s\u00e9g\u00e9ben a\u00a0sz\u00fcl\u00e9s tov\u00e1bbi menet\u00e9ben r\u00e9szt vehet; amennyiben nincs szerz\u0151d\u00e9se, \u00fagy laikus k\u00eds\u00e9r\u0151k\u00e9nt lehet jelen a\u00a0sz\u00fcl\u00e9sn\u00e9l.<\/em><\/p><p>McLachlan H.L., Forster D.A., Davey M., et al.: Comparing Standard Maternity care with One-toone midwifery Support: a randomised controlled trial. BMC Pregnancy and Childbirth 2008, 8:35 doi:10.1186\/1471-2393-8-35:\u00a0<a href=\"https:\/\/bmcpregnancychildbirth.biomedcentral.com\/track\/pdf\/10.1186\/1471-2393-8-35\" target=\"_blank\" rel=\"noopener\">https:\/\/bmcpregnancychildbirth.biomedcentral.com\/track\/pdf\/10.1186\/1471-2393-8-35<\/a><\/p><p>NICE 2023:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#transfer-of-care-and-changing-place-of-birth\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#transfer-of-care-and-changing-place-of-birth<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16722\" class=\"elementor-tab-title\" data-tab=\"22\" role=\"button\" aria-controls=\"elementor-tab-content-16722\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Szem\u00e9lyre szabott ell\u00e1t\u00e1s<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16722\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"22\" role=\"region\" aria-labelledby=\"elementor-tab-title-16722\"><p><strong>19. Aj\u00e1nl\u00e1s:<\/strong><em> Javasolt a\u00a0szem\u00e9lyre szabott ell\u00e1t\u00e1s a\u00a0sz\u00fcl\u0151szob\u00e1n, melynek r\u00e9sze, hogy lehet\u0151leg ugyanaz a\u00a0sz\u00fcl\u00e9szn\u0151 gondoskodik az\u00a0any\u00e1r\u00f3l a\u00a0sz\u00fcl\u00e9s teljes ideje alatt. Ez\u00a0a\u00a0felt\u00e9tel azonban az\u00a0egyes ell\u00e1t\u00f3kn\u00e1l a\u00a0rendelkez\u00e9sre \u00e1ll\u00f3 munkaer\u0151 f\u00fcggv\u00e9ny\u00e9ben, illetve a\u00a0munkabeoszt\u00e1s figyelembev\u00e9tele mellett oldhat\u00f3 meg, esetleg teljes m\u00e9rt\u00e9kben jelenleg nem val\u00f3sulhat meg, ugyanakkor aj\u00e1nlott t\u00f6rekedni az\u00a0egy sz\u00fcl\u0151 n\u0151 \u2013 egy sz\u00fcl\u00e9szn\u0151 ell\u00e1t\u00e1si rendszer megval\u00f3s\u00edt\u00e1s\u00e1ra. (D)<\/em><\/p><p>Intrapartum care (NICE) 2023.:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16723\" class=\"elementor-tab-title\" data-tab=\"23\" role=\"button\" aria-controls=\"elementor-tab-content-16723\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">G\u00e1tmetsz\u00e9s csak indokolt esetben<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16723\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"23\" role=\"region\" aria-labelledby=\"elementor-tab-title-16723\"><p><strong>30. Aj\u00e1nl\u00e1s:<\/strong> <em>G\u00e1tmetsz\u00e9s v\u00e9gz\u00e9se rutinszer\u0171en nem aj\u00e1nlott, sz\u00fcks\u00e9ges lehet azonban abban az\u00a0esetben, ha m\u0171szeres sz\u00fcl\u00e9sbefejez\u00e9sre van sz\u00fcks\u00e9g, ha v\u00e1llelakad\u00e1s esete \u00e1ll fenn, akkor, ha az\u00a0anya g\u00e1tja szokatlanul magas \u00e9s poz\u00edci\u00f3v\u00e1lt\u00e1ssal sem t\u00e1gul, vagy magzati distressz miatt a\u00a0kitol\u00e1si szak ler\u00f6vid\u00edt\u00e9se sz\u00fcks\u00e9gess\u00e9 v\u00e1lik. (A)\u00a0<\/em><\/p><p>\u017divkovi\u0107 K, \u017divkovi\u0107 N, \u017dupi\u0107 T, et al.: Effect of Delivery and Episiotomy on the Emergence of Urinary Incontinence in Women: Review of Literature, Acta Clin Croat. 2016 Dec;55(4):615-624.:\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29117653\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/29117653\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16724\" class=\"elementor-tab-title\" data-tab=\"24\" role=\"button\" aria-controls=\"elementor-tab-content-16724\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">B\u0151r-b\u0151r kontaktus biztos\u00edt\u00e1sa cs\u00e1sz\u00e1rmetsz\u00e9s ut\u00e1n<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16724\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"24\" role=\"region\" aria-labelledby=\"elementor-tab-title-16724\"><p><strong>33. Aj\u00e1nl\u00e1s:<\/strong> <em>Cs\u00e1sz\u00e1rmetsz\u00e9s eset\u00e9n, m\u00e9g a\u00a0m\u0171t\u00e9t ideje alatt, az\u00a0\u201earany\u00f3ra\u201d id\u0151szak\u00e1ban, az\u00a0\u00fajsz\u00fcl\u00f6ttet az\u00a0anya mellkas\u00e1ra, k\u00f6zvetlen b\u0151r-b\u0151r kontaktussal aj\u00e1nlott elhelyezni. Ha ez\u00a0orvosi okb\u00f3l nem lehets\u00e9ges, \u00fagy az\u00a0\u00fajsz\u00fcl\u00f6ttet az\u00a0apa (k\u00eds\u00e9r\u0151) mellkas\u00e1ra, k\u00f6zvetlen b\u0151r-b\u0151r kontaktusban aj\u00e1nlott elhelyezni, majd az\u00a0any\u00e1nak \u00e1tadni, amint az\u00a0lehets\u00e9gess\u00e9 v\u00e1lik. (B)<\/em><\/p><p><strong>38. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0lep\u00e9ny megsz\u00fclet\u00e9se ut\u00e1n aj\u00e1nlott a\u00a0b\u0151r-b\u0151r kontaktus folyamatos, megszak\u00edt\u00e1s n\u00e9lk\u00fcli fenntart\u00e1sa, \u00edgy minden \u2013 az\u00a0\u00e9letjelens\u00e9gek figyel\u00e9s\u00e9n t\u00fali \u2013 vizsg\u00e1latot az\u00a0\u201earany\u00f3ra\u201d ut\u00e1ni id\u0151szakra aj\u00e1nlott halasztani. (A)\u00a0<\/em><\/p><p>Chi Luong K, Long Nguyen T, Huynh Thi DH, et al.: Newly born low birthweight infants stabilise better in skin-to-skin contact than when separated from their mothers: a randomised controlled trial. Acta Paediatr. 2016; 105:381\u201390 :\u00a0<a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.13164\" target=\"_blank\" rel=\"noopener\">https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.13164<\/a><\/p><p>Guala A, Boscardini L, Visentin R, et al, Skin-to-Skin Contact in Cesarean Birth and Duration of Breastfeeding: A Cohort Study, Scientific World Journal. 2017; 2017: 1940756. Published online 2017 Sep 7. doi: 10.1155\/2017\/1940756\/:\u00a0<a href=\"https:\/\/www.hindawi.com\/journals\/tswj\/2017\/1940756\" target=\"_blank\" rel=\"noopener\">https:\/\/www.hindawi.com\/journals\/tswj\/2017\/1940756<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16725\" class=\"elementor-tab-title\" data-tab=\"25\" role=\"button\" aria-controls=\"elementor-tab-content-16725\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Lep\u00e9nyi szak akt\u00edv vezet\u00e9se (V\u00e1ltozott)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16725\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"25\" role=\"region\" aria-labelledby=\"elementor-tab-title-16725\"><p><strong>35. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0lep\u00e9nyi szak akt\u00edv vezet\u00e9se cs\u00f6kkenti a\u00a0postpartum v\u00e9rz\u00e9s kock\u00e1zat\u00e1t \u00e9s r\u00f6videbb\u00e9 teszi a\u00a0lep\u00e9nyi szak id\u0151tartam\u00e1t, \u00edgy alkalmaz\u00e1sa a\u00a0nemzetk\u00f6zi aj\u00e1nl\u00e1sokat is figyelembe v\u00e9ve javasolt. (A) [4] A\u00a0lep\u00e9nyi szak akt\u00edv ell\u00e1t\u00e1sa \u00fagy t\u00f6rt\u00e9nik, hogy a\u00a0magzati v\u00e1ll, illetve a\u00a0magzat megsz\u00fclet\u00e9se ut\u00e1n k\u00f6zvetlen\u00fcl intrav\u00e9n\u00e1san vagy im. oxitocint adunk az\u00a0any\u00e1nak, korai k\u00f6ld\u00f6kzsin\u00f3r-leszor\u00edt\u00e1st \u00e9s -elv\u00e1g\u00e1st (1 perc ut\u00e1n, de 5 percen bel\u00fcl) v\u00e9gz\u00fcnk, \u00e9s a\u00a0placenta megsz\u00fclet\u00e9s\u00e9t pedig annak kontroll\u00e1lt h\u00faz\u00e1s\u00e1val seg\u00edtj\u00fck el\u0151.<\/em><\/p><p>NICE 2023:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#third-stage-of-labour\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#third-stage-of-labour<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16726\" class=\"elementor-tab-title\" data-tab=\"26\" role=\"button\" aria-controls=\"elementor-tab-content-16726\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">K\u00e9sleltetett k\u00f6ld\u00f6kzsin\u00f3r-ell\u00e1t\u00e1s<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16726\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"26\" role=\"region\" aria-labelledby=\"elementor-tab-title-16726\"><p><strong>37. Aj\u00e1nl\u00e1s:<\/strong> <em>\u00c9lettani sz\u00fcl\u00e9s eset\u00e9n k\u00e9sleltetett k\u00f6ld\u00f6kzsin\u00f3r-ell\u00e1t\u00e1s aj\u00e1nlott. Az\u00a0\u00fajsz\u00fcl\u00f6ttet a\u00a0lehet\u0151 leghamarabb tegy\u00fck az\u00a0anya has\u00e1ra\/mellkas\u00e1ra \u00e9s k\u00f6zvetlen b\u0151r-b\u0151r kontaktusban takarjuk be, mert m\u00e1r a\u00a0placent\u00e1ris szakban aj\u00e1nlott el\u0151seg\u00edteni a\u00a0k\u00f6t\u0151d\u00e9s kialakul\u00e1s\u00e1t \u00e9s a\u00a0szoptat\u00e1s megkezd\u00e9s\u00e9t. Ezen id\u0151 alatt is aj\u00e1nlott ellen\u0151rizni az\u00a0anya \u00e9s \u00fajsz\u00fcl\u00f6tt \u00e1ltal\u00e1nos \u00e1llapot\u00e1t. (A)<\/em><\/p><p>NICE 2023:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/recommendations#management-of-the-third-stage\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/recommendations#management-of-the-third-stage<\/a><\/p><p>Philips, R:The Sacred Hour Uninterrupted Skin-to-Skin Contact Immediately After Birth NAINR. 2013;13(2):67\u201372:\u00a0<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1527336913000299\" target=\"_blank\" rel=\"noopener\">https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1527336913000299<\/a><\/p><p>Cook, K., Loomis, C. The Impact of Choice and Control on Women\u2019s Childbirth Experiences. The Journal of Perinatal Education 2012. 21(3).:<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3392605\/pdf\/JPE21-3_PTR_A5_158-168.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3392605\/pdf\/JPE21-3_PTR_A5_158-168.pdf<\/a><\/p><p>WHO recommendation on newborn health. Guidelines approved by the WHO review committee, Updated May 2017: <a href=\"https:\/\/www.who.int\/publications\/i\/item\/WHO-MCA-17.07\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/publications\/i\/item\/WHO-MCA-17.07<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16727\" class=\"elementor-tab-title\" data-tab=\"27\" role=\"button\" aria-controls=\"elementor-tab-content-16727\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">H\u00fcvelyi vizsg\u00e1latok minim\u00e1lisra cs\u00f6kkent\u00e9se<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16727\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"27\" role=\"region\" aria-labelledby=\"elementor-tab-title-16727\"><p><strong>17. Aj\u00e1nl\u00e1s:<\/strong> <em>H\u00fcvelyi vizsg\u00e1latot a\u00a0vaj\u00fad\u00e1s alatt csak a\u00a0sz\u00fcks\u00e9ges gyakoris\u00e1ggal aj\u00e1nlott v\u00e9gezni a\u00a0sz\u00fcl\u00e9s dinamik\u00e1j\u00e1nak megfelel\u0151en. (A)<\/em><\/p><p>Papp, Z.: Sz\u00fcl\u00e9szet-N\u0151gy\u00f3gy\u00e1szati Protokoll, (2nd ed.). Budapest: Golden Book Kiad\u00f3 (2002) ISBN 963-8232-76-5<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16728\" class=\"elementor-tab-title\" data-tab=\"28\" role=\"button\" aria-controls=\"elementor-tab-content-16728\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">\u00c9lettanit\u00f3l elt\u00e9r\u0151 vaj\u00fad\u00e1s eset\u00e9n sz\u00fcks\u00e9ges l\u00e9p\u00e9sek<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16728\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"28\" role=\"region\" aria-labelledby=\"elementor-tab-title-16728\"><p>16. Aj\u00e1nl\u00e1s: <em>Az\u00a0\u00e9lettanit\u00f3l elt\u00e9r\u0151 vaj\u00fad\u00e1s eset\u00e9n meg kell tenni a\u00a0sz\u00fcks\u00e9ges l\u00e9p\u00e9seket azok korrig\u00e1l\u00e1s\u00e1ra. \u00c9lettani vaj\u00fad\u00e1s eset\u00e9n azonban beavatkoz\u00e1sra nincs sz\u00fcks\u00e9g. (A)<\/em><\/p><p>NICE 2023:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16729\" class=\"elementor-tab-title\" data-tab=\"29\" role=\"button\" aria-controls=\"elementor-tab-content-16729\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">\u00dajsz\u00fcl\u00f6tt azonnali szoptat\u00e1s\u00e1nak t\u00e1mogat\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16729\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"29\" role=\"region\" aria-labelledby=\"elementor-tab-title-16729\"><p><strong>39. Aj\u00e1nl\u00e1s<\/strong>: <em>Minden stabil \u00e1llapot\u00fa \u00fajsz\u00fcl\u00f6tt sz\u00e1m\u00e1ra, aki k\u00e9pes a szop\u00e1sra (bele\u00e9rtve az alacsony s\u00fallyal sz\u00fcletetteket is), biztos\u00edtani aj\u00e1nlott az azonnali b\u0151r-b\u0151r kontaktust \u00e9s a szop\u00e1s lehet\u0151s\u00e9g\u00e9t. (A)\u00a0<\/em><\/p><p>NICE aj\u00e1nl\u00e1s:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#care-of-the-newborn-baby\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#care-of-the-newborn-baby<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16730\" class=\"elementor-tab-title\" data-tab=\"30\" role=\"button\" aria-controls=\"elementor-tab-content-16730\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Postpartum v\u00e9rz\u00e9s kock\u00e1zat\u00e1nak cs\u00f6kkent\u00e9se<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16730\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"30\" role=\"region\" aria-labelledby=\"elementor-tab-title-16730\"><p><strong>36. Aj\u00e1nl\u00e1s:<\/strong> <em>Azokban az\u00a0esetekben, amikor a\u00a0postpartum v\u00e9rz\u00e9s kialakul\u00e1s\u00e1nak es\u00e9lye fokozott, a\u00a0placent\u00e1ris szakot akt\u00edvan kell vezetni, \u00e9s profilaxisk\u00e9nt iv. 1g tranexamsavat javasolt intrav\u00e9n\u00e1san beadni. (A) [5,54] Ha a\u00a0lep\u00e9ny 1 \u00f3r\u00e1n bel\u00fcl nem sz\u00fcletett meg, magasabb a\u00a0s\u00falyos postpartum v\u00e9rz\u00e9s, az\u00a0endometritis \u00e9s a\u00a0m\u0171t\u00e9tes beavatkoz\u00e1st ig\u00e9nyl\u0151 k\u00f3r\u00e1llapot kock\u00e1zata, ez\u00e9rt indokolt azonnal felk\u00e9sz\u00fclni azok ell\u00e1t\u00e1s\u00e1ra.<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16731\" class=\"elementor-tab-title\" data-tab=\"31\" role=\"button\" aria-controls=\"elementor-tab-content-16731\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Biztons\u00e1gos \u00fajsz\u00fcl\u00f6tt-\u00e9szlel\u00e9s<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16731\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"31\" role=\"region\" aria-labelledby=\"elementor-tab-title-16731\"><p><strong>42. Aj\u00e1nl\u00e1s:<\/strong><em> Az arany\u00f3r\u00e1k id\u0151szaka alatt t\u00f6rt\u00e9n\u0151 biztons\u00e1gos \u00fajsz\u00fcl\u00f6tt \u00e9szlel\u00e9shez \u2013 az int\u00e9zet sz\u00fcl\u00e9ssz\u00e1m\u00e1t\u00f3l f\u00fcgg\u0151en \u2013 hum\u00e1n er\u0151forr\u00e1s (sz\u00fcl\u00e9szn\u0151, gyermek\u00e1pol\u00f3n\u0151) hozz\u00e1rendel\u00e9se indokolt a ritk\u00e1n el\u0151fordul\u00f3, hirtelen, v\u00e1ratlan posztnat\u00e1lis kollapszus (SUPC: sudden unexpected postnatal collapse) lehet\u0151s\u00e9ge miatt. (D) [57] Megsz\u00fclet\u00e9st k\u00f6vet\u0151en az anya \u00e9s gyermek b\u0151rkontaktusa sor\u00e1n csecsem\u0151\u00e1pol\u00f3i\/sz\u00fcl\u00e9szn\u0151i fel\u00fcgyelet k\u00f6telez\u0151. A csecsem\u0151\u00e1pol\u00f3i\/sz\u00fcl\u00e9szn\u0151i fel\u00fcgyelethez javasolt az \u00e9szlel\u0151lap (RAPP) \u00e9s pulzoxim\u00e9teres monitoriz\u00e1l\u00e1s.<\/em><\/p><p>International Childbirth Initiative 12 Steps to Safe and Respectful Mother Baby-Family Maternity Care provides:\u00a0<a href=\"https:\/\/icichildbirth.org\/wp-content\/uploads\/2021\/05\/ICI_12StepSummary2021.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/icichildbirth.org\/wp-content\/uploads\/2021\/05\/ICI_12StepSummary2021.pdf<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16732\" class=\"elementor-tab-title\" data-tab=\"32\" role=\"button\" aria-controls=\"elementor-tab-content-16732\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">K\u00f3rh\u00e1zi felv\u00e9tel csak megindult sz\u00fcl\u00e9s eset\u00e9n<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16732\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"32\" role=\"region\" aria-labelledby=\"elementor-tab-title-16732\"><p><strong>18. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0v\u00e1rand\u00f3s k\u00f3rh\u00e1zi felv\u00e9tel\u00e9re lehet\u0151leg csak megindult sz\u00fcl\u00e9s eset\u00e9n ker\u00fclj\u00f6n sor, amennyiben \u00e9lettanit\u00f3l val\u00f3 elt\u00e9r\u00e9st nem tapasztalunk. (B)<\/em><\/p><p>NICE 2023:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16733\" class=\"elementor-tab-title\" data-tab=\"33\" role=\"button\" aria-controls=\"elementor-tab-content-16733\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">H\u00fcvelyi sz\u00fcl\u00e9s lehet\u0151s\u00e9ge cs\u00e1sz\u00e1rmetsz\u00e9s ut\u00e1n<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16733\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"33\" role=\"region\" aria-labelledby=\"elementor-tab-title-16733\"><p><strong>34. Aj\u00e1nl\u00e1s:<\/strong> <em>Az\u00a0el\u0151zetes cs\u00e1sz\u00e1rmetsz\u00e9sen \u00e1tesett v\u00e1rand\u00f3sok jelent\u0151s r\u00e9sze h\u00fcvelyi sz\u00fcl\u00e9sbe bocs\u00e1that\u00f3 (TOLAC), \u00e9s a\u00a0nemzetk\u00f6zi adatok alapj\u00e1n t\u00f6bb, mint k\u00e9tharmaduk h\u00fcvelyi \u00faton meg is tud sz\u00fclni (VBAC). A\u00a0v\u00e1rand\u00f3sokat err\u0151l ennek megfelel\u0151en aj\u00e1nlott felvil\u00e1gos\u00edtani. (D)<\/em><\/p><p class=\"heading-title\">ACOG Practice Bulletin No. 205: Vaginal Birth After Cesarean Delivery:\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30681543\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/30681543\/<\/a><\/p><p>SOGC clinical practice guidelines. Guidelines for vaginal birth after previous caesarean birth. Number 155 (Replaces guideline Number 147), February 2005:\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16001462\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/16001462\/<\/a><\/p><p>RCOG Green-top Guideline 2015. No.45. Birth after previous cesarean birth:\u00a0<a href=\"https:\/\/www.rcog.org.uk\/media\/kpkjwd5h\/gtg_45.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.rcog.org.uk\/media\/kpkjwd5h\/gtg_45.pdf<\/a><\/p><p class=\"heading-title\">Labour and Childbirth After Previous Caesarean Section: Recommendations of the Austrian Society of Obstetrics and Gynaecology (OEGGG):\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28017971\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/28017971\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16734\" class=\"elementor-tab-title\" data-tab=\"34\" role=\"button\" aria-controls=\"elementor-tab-content-16734\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">WHO szoptat\u00e1si krit\u00e9riumok teljes\u00edt\u00e9se<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16734\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"34\" role=\"region\" aria-labelledby=\"elementor-tab-title-16734\"><p><strong>43. Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g, sz\u00fcl\u00e9s \u00e9s sz\u00fcl\u00e9s ut\u00e1ni ell\u00e1t\u00e1snak t\u00f6rekednie kell arra, hogy min\u00e9l ink\u00e1bb megfeleljen a WHO Szoptat\u00e1shoz vezet\u0151 10 l\u00e9p\u00e9ses krit\u00e9riumrendszer\u00e9nek. (D)\u00a0<\/em><\/p><p>WHO Ten steps to successful breastfeeding (revised 2018):\u00a0<a href=\"https:\/\/www.who.int\/nutrition\/bfhi\/ten-steps\/en\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/nutrition\/bfhi\/ten-steps\/en\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-16735\" class=\"elementor-tab-title\" data-tab=\"35\" role=\"button\" aria-controls=\"elementor-tab-content-16735\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Egy sz\u00fcl\u0151n\u0151 \u2013 egy sz\u00fcl\u00e9szn\u0151 elv biztos\u00edt\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-16735\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"35\" role=\"region\" aria-labelledby=\"elementor-tab-title-16735\"><p><strong>46. Aj\u00e1nl\u00e1s:<\/strong> <em>Aj\u00e1nlott, hogy az\u00a0int\u00e9zet \u2013 k\u00f6r\u00fclm\u00e9nyei \u00e9s szem\u00e9lyi \u00e1llom\u00e1ny\u00e1t\u00f3l f\u00fcgg\u0151en \u2013 t\u00f6rekedjen biztos\u00edtani az\u00a0egy sz\u00fcl\u0151n\u0151 \u2013 egy sz\u00fcl\u00e9szn\u0151 munkamenet (k\u00eds\u00e9r\u00e9s) megval\u00f3s\u00edt\u00e1s\u00e1t. (A) [5, 6, 61] Ez\u00a0az\u00a0aj\u00e1nl\u00e1s csak akkor teljes\u00edthet\u0151 marad\u00e9ktalanul, ha a\u00a0sz\u00fcl\u00e9szn\u0151k l\u00e9tsz\u00e1ma illeszkedik az\u00a0int\u00e9zet sz\u00fcl\u00e9ssz\u00e1m\u00e1hoz.<\/em><\/p><p>McLachlan H.L., Forster D.A., Davey M., et al.: Comparing Standard Maternity care with One-to one midwifery Support: a randomised controlled trial. BMC Pregnancy and Childbirth 2008, 8:35 doi:10.1186\/1471-2393-8-35:\u00a0<a href=\"https:\/\/bmcpregnancychildbirth.biomedcentral.com\/track\/pdf\/10.1186\/1471-2393-8-35\" target=\"_blank\" rel=\"noopener\">https:\/\/bmcpregnancychildbirth.biomedcentral.com\/track\/pdf\/10.1186\/1471-2393-8-35<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-00cc7c4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"00cc7c4\" data-element_type=\"section\" data-e-type=\"section\" id=\"neonatologus\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-00a4d30\" data-id=\"00a4d30\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-33394c3 de_scroll_animation_no elementor-widget elementor-widget-spacer\" data-id=\"33394c3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b324159 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b324159\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4a078c0\" data-id=\"4a078c0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a39576b de_scroll_animation_no elementor-widget elementor-widget-heading\" data-id=\"a39576b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Neonatol\u00f3gus<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-36a5a02 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"36a5a02\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6e55693\" data-id=\"6e55693\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-948f8f9 elementor-widget__width-initial de_scroll_animation_no elementor-widget elementor-widget-toggle\" data-id=\"948f8f9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1551\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1551\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Sz\u00fcl\u00e9szeti dolgoz\u00f3k tov\u00e1bbk\u00e9pz\u00e9s\u00e9n val\u00f3 r\u00e9szv\u00e9tel (v\u00e1ltozott)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1551\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1551\"><p><strong>40. Aj\u00e1nl\u00e1s:<\/strong><em> Az\u00a0el\u0151z\u0151 aj\u00e1nl\u00e1sok teljes\u00fcl\u00e9s\u00e9nek \u00e9rdek\u00e9ben minden szolg\u00e1ltat\u00f3nak feladata, hogy biztos\u00edtsa a\u00a0sz\u00fcl\u00e9szeti dolgoz\u00f3k tov\u00e1bbk\u00e9pz\u00e9s\u00e9t. (B) [6] Az\u00a0SZTNB \u201eCsal\u00e1dk\u00f6zpont\u00fa \u00e9s Bababar\u00e1t Ell\u00e1t\u00e1s\u201d k\u00e9pz\u00e9si programja minden szempontb\u00f3l megfelel annak a\u00a0k\u00e9pz\u00e9si \u00e9s min\u0151s\u00e9gfejleszt\u00e9si c\u00e9lnak, amely a\u00a0szakdolgoz\u00f3k tud\u00e1s\u00e1t \u00e9s kompetenci\u00e1j\u00e1t n\u00f6veli, \u00e9s a\u00a0t\u00e1mogat\u00f3 kommunik\u00e1ci\u00f3t szolg\u00e1lja.<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1552\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1552\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Anya \u00e9s csal\u00e1d m\u00e9lt\u00f3s\u00e1g\u00e1nak tisztelete<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1552\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1552\"><p><strong>48. Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g \u00e9s a sz\u00fcl\u00e9s alatti, valamint a sz\u00fcl\u00e9s ut\u00e1ni eg\u00e9szs\u00e9g\u00fcgyi ell\u00e1t\u00e1st ny\u00fajt\u00f3k tarts\u00e1k szem el\u0151tt az anya \u00e9s csal\u00e1dja emberi m\u00e9lt\u00f3s\u00e1g\u00e1t. (B)\u00a0<\/em><\/p><p>1997. \u00e9vi CLIV. t\u00f6rv\u00e9ny az eg\u00e9szs\u00e9g\u00fcgyr\u0151l\u00a0<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1553\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1553\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Kultur\u00e1lis \u00e9s vall\u00e1si k\u00edv\u00e1ns\u00e1gok tiszteletben tart\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1553\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1553\"><p><strong>4. Aj\u00e1nl\u00e1s:<\/strong> <em>A vaj\u00fad\u00f3 kultur\u00e1lis \u00e9s vall\u00e1si meggy\u0151z\u0151d\u00e9s\u00e9b\u0151l ad\u00f3d\u00f3 k\u00edv\u00e1ns\u00e1gait az ell\u00e1t\u00e1s sor\u00e1n lehet\u0151s\u00e9g szerint figyelembe kell venni \u00e9s tiszteletben kell tartani \u00e9s err\u0151l t\u00e1j\u00e9koztat\u00e1st kell adni a v\u00e1rand\u00f3snak. (D)<\/em><\/p><p>WHO recommendations Intrapartum care for a positive childbirth experience: <a href=\"https:\/\/www.who.int\/publications\/i\/item\/WHO-SRH-20.13\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/publications\/i\/item\/WHO-SRH-20.13<\/a><\/p><p><strong>\u00daJ:<\/strong> Respectful care during childbirth in health facilities globally: a qualitative evidence synthesis:\u00a0<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6033006\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6033006\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1554\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1554\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">B\u0151r-b\u0151r kontaktus biztos\u00edt\u00e1sa cs\u00e1sz\u00e1rmetsz\u00e9s ut\u00e1n<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1554\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1554\"><p><strong>33. Aj\u00e1nl\u00e1s:<\/strong> <em>Cs\u00e1sz\u00e1rmetsz\u00e9s eset\u00e9n, m\u00e9g a\u00a0m\u0171t\u00e9t ideje alatt, az\u00a0\u201earany\u00f3ra\u201d id\u0151szak\u00e1ban, az\u00a0\u00fajsz\u00fcl\u00f6ttet az\u00a0anya mellkas\u00e1ra, k\u00f6zvetlen b\u0151r-b\u0151r kontaktussal aj\u00e1nlott elhelyezni. Ha ez\u00a0orvosi okb\u00f3l nem lehets\u00e9ges, \u00fagy az\u00a0\u00fajsz\u00fcl\u00f6ttet az\u00a0apa (k\u00eds\u00e9r\u0151) mellkas\u00e1ra, k\u00f6zvetlen b\u0151r-b\u0151r kontaktusban aj\u00e1nlott elhelyezni, majd az\u00a0any\u00e1nak \u00e1tadni, amint az\u00a0lehets\u00e9gess\u00e9 v\u00e1lik. (B)<\/em><\/p><p><strong>38. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0lep\u00e9ny megsz\u00fclet\u00e9se ut\u00e1n aj\u00e1nlott a\u00a0b\u0151r-b\u0151r kontaktus folyamatos, megszak\u00edt\u00e1s n\u00e9lk\u00fcli fenntart\u00e1sa, \u00edgy minden \u2013 az\u00a0\u00e9letjelens\u00e9gek figyel\u00e9s\u00e9n t\u00fali \u2013 vizsg\u00e1latot az\u00a0\u201earany\u00f3ra\u201d ut\u00e1ni id\u0151szakra aj\u00e1nlott halasztani. (A)\u00a0<\/em><\/p><p>Chi Luong K, Long Nguyen T, Huynh Thi DH, et al.: Newly born low birthweight infants stabilise better in skin-to-skin contact than when separated from their mothers: a randomised controlled trial. Acta Paediatr. 2016; 105:381\u201390 :\u00a0<a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.13164\" target=\"_blank\" rel=\"noopener\">https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.13164<\/a><\/p><p>Guala A, Boscardini L, Visentin R, et al, Skin-to-Skin Contact in Cesarean Birth and Duration of Breastfeeding: A Cohort Study, Scientific World Journal. 2017; 2017: 1940756. Published online 2017 Sep 7. doi: 10.1155\/2017\/1940756\/:\u00a0<a href=\"https:\/\/www.hindawi.com\/journals\/tswj\/2017\/1940756\" target=\"_blank\" rel=\"noopener\">https:\/\/www.hindawi.com\/journals\/tswj\/2017\/1940756<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1555\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-1555\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">K\u00e9sleltetett k\u00f6ld\u00f6kzsin\u00f3r-ell\u00e1t\u00e1s<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1555\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-1555\"><p><strong>37. Aj\u00e1nl\u00e1s:<\/strong> <em>\u00c9lettani sz\u00fcl\u00e9s eset\u00e9n k\u00e9sleltetett k\u00f6ld\u00f6kzsin\u00f3r-ell\u00e1t\u00e1s aj\u00e1nlott. Az\u00a0\u00fajsz\u00fcl\u00f6ttet a\u00a0lehet\u0151 leghamarabb tegy\u00fck az\u00a0anya has\u00e1ra\/mellkas\u00e1ra \u00e9s k\u00f6zvetlen b\u0151r-b\u0151r kontaktusban takarjuk be, mert m\u00e1r a\u00a0placent\u00e1ris szakban aj\u00e1nlott el\u0151seg\u00edteni a\u00a0k\u00f6t\u0151d\u00e9s kialakul\u00e1s\u00e1t \u00e9s a\u00a0szoptat\u00e1s megkezd\u00e9s\u00e9t. Ezen id\u0151 alatt is aj\u00e1nlott ellen\u0151rizni az\u00a0anya \u00e9s \u00fajsz\u00fcl\u00f6tt \u00e1ltal\u00e1nos \u00e1llapot\u00e1t. (A)<\/em><\/p><p>NICE 2023:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/recommendations#management-of-the-third-stage\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/recommendations#management-of-the-third-stage<\/a><\/p><p>Philips, R:The Sacred Hour Uninterrupted Skin-to-Skin Contact Immediately After Birth NAINR. 2013;13(2):67\u201372:\u00a0<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1527336913000299\" target=\"_blank\" rel=\"noopener\">https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1527336913000299<\/a><\/p><p>Cook, K., Loomis, C. The Impact of Choice and Control on Women\u2019s Childbirth Experiences. The Journal of Perinatal Education 2012. 21(3).:<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3392605\/pdf\/JPE21-3_PTR_A5_158-168.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3392605\/pdf\/JPE21-3_PTR_A5_158-168.pdf<\/a><\/p><p>WHO recommendation on newborn health. Guidelines approved by the WHO review committee, Updated May 2017: <a href=\"https:\/\/www.who.int\/publications\/i\/item\/WHO-MCA-17.07\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/publications\/i\/item\/WHO-MCA-17.07<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1556\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-1556\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">\u00dajsz\u00fcl\u00f6tt azonnali szoptat\u00e1s\u00e1nak t\u00e1mogat\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1556\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-1556\"><p><strong>39. Aj\u00e1nl\u00e1s<\/strong>: <em>Minden stabil \u00e1llapot\u00fa \u00fajsz\u00fcl\u00f6tt sz\u00e1m\u00e1ra, aki k\u00e9pes a szop\u00e1sra (bele\u00e9rtve az alacsony s\u00fallyal sz\u00fcletetteket is), biztos\u00edtani aj\u00e1nlott az azonnali b\u0151r-b\u0151r kontaktust \u00e9s a szop\u00e1s lehet\u0151s\u00e9g\u00e9t. (A)\u00a0<\/em><\/p><p>NICE aj\u00e1nl\u00e1s:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#care-of-the-newborn-baby\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#care-of-the-newborn-baby<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1557\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-1557\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Biztons\u00e1gos \u00fajsz\u00fcl\u00f6tt-\u00e9szlel\u00e9s<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1557\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-1557\"><p><strong>42. Aj\u00e1nl\u00e1s:<\/strong><em> Az arany\u00f3r\u00e1k id\u0151szaka alatt t\u00f6rt\u00e9n\u0151 biztons\u00e1gos \u00fajsz\u00fcl\u00f6tt \u00e9szlel\u00e9shez \u2013 az int\u00e9zet sz\u00fcl\u00e9ssz\u00e1m\u00e1t\u00f3l f\u00fcgg\u0151en \u2013 hum\u00e1n er\u0151forr\u00e1s (sz\u00fcl\u00e9szn\u0151, gyermek\u00e1pol\u00f3n\u0151) hozz\u00e1rendel\u00e9se indokolt a ritk\u00e1n el\u0151fordul\u00f3, hirtelen, v\u00e1ratlan posztnat\u00e1lis kollapszus (SUPC: sudden unexpected postnatal collapse) lehet\u0151s\u00e9ge miatt. (D) [57] Megsz\u00fclet\u00e9st k\u00f6vet\u0151en az anya \u00e9s gyermek b\u0151rkontaktusa sor\u00e1n csecsem\u0151\u00e1pol\u00f3i\/sz\u00fcl\u00e9szn\u0151i fel\u00fcgyelet k\u00f6telez\u0151. A csecsem\u0151\u00e1pol\u00f3i\/sz\u00fcl\u00e9szn\u0151i fel\u00fcgyelethez javasolt az \u00e9szlel\u0151lap (RAPP) \u00e9s pulzoxim\u00e9teres monitoriz\u00e1l\u00e1s.<\/em><\/p><p>International Childbirth Initiative 12 Steps to Safe and Respectful Mother Baby-Family Maternity Care provides:\u00a0<a href=\"https:\/\/icichildbirth.org\/wp-content\/uploads\/2021\/05\/ICI_12StepSummary2021.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/icichildbirth.org\/wp-content\/uploads\/2021\/05\/ICI_12StepSummary2021.pdf<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1558\" class=\"elementor-tab-title\" data-tab=\"8\" role=\"button\" aria-controls=\"elementor-tab-content-1558\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Rutin \u00fajsz\u00fcl\u00f6tt-vizsg\u00e1latok halaszt\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1558\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"8\" role=\"region\" aria-labelledby=\"elementor-tab-title-1558\"><p><strong>41. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0sz\u00fclet\u00e9st k\u00f6vet\u0151 els\u0151 \u00f3r\u00e1ban nem aj\u00e1nlott rutinvizsg\u00e1latok \u00e9s -beavatkoz\u00e1sok v\u00e9gz\u00e9se. (D) [6] Az\u00a0\u00fajsz\u00fcl\u00f6tt m\u00e9r\u00e9se, vizsg\u00e1lata, esetleg f\u00fcrdet\u00e9se legkor\u00e1bban a\u00a0m\u00e1sodik \u00f3r\u00e1ban v\u00e9gzend\u0151k el. Ett\u0151l csup\u00e1n akkor t\u00e9r\u00fcnk el, ha az\u00a0anya m\u00e1sk\u00e9nt k\u00edv\u00e1nja, illetve, ha az\u00a0anya, vagy az\u00a0\u00fajsz\u00fcl\u00f6tt \u00e1llapota miatt sz\u00fcks\u00e9ges valamilyen beavatkoz\u00e1st, vagy kor\u00e1bbi st\u00e1tuszvizsg\u00e1latot v\u00e9gezni. Az\u00a0eg\u00e9szs\u00e9ges \u00fajsz\u00fcl\u00f6tt vizsg\u00e1lata ak\u00e1r 24 \u00f3r\u00e1ig is halaszthat\u00f3 [69], az\u00a0els\u0151 f\u00fcrdet\u00e9s pedig 24 \u00f3ra ut\u00e1nra is halaszthat\u00f3.\u00a0<\/em><\/p><p>WHO recommendation on newborn health. Guidelines approved by the WHO review <br \/>committee:\u00a0<a href=\"https:\/\/www.who.int\/publications\/i\/item\/WHO-MCA-17.07\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/publications\/i\/item\/WHO-MCA-17.07<\/a><\/p><p>Singh G, Archana G, Unraveling the mystery of Vernix Caseosa Indian J Dermatol. 2008; 53(2): <br \/>54\u201360.:\u00a0<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC2763724\/?fbclid=IwAR05z963bdCpnMX0Kgb9g9TBOZSKKKq5jJjYL6Le30cxOdGdPghj0AqY-q\" target=\"_blank\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC2763724\/?fbclid=IwAR05z963bdCpnMX0Kgb9g9TBOZSKKKq5jJjYL6Le30cxOdGdPghj0AqY-q<\/a><\/p><p>Righard L., Alade M.O.. Effect of delivery room routines on success of first breast-feed. Lancet, <br \/>1990. 336(8723):1105-1107:\u00a0<a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PII0140 6736(90)92579-7\/fulltext\" data-wplink-url-error=\"true\" target=\"_blank\" rel=\"noopener\">https:\/\/www.thelancet.com\/journals\/lancet\/article\/PII0140 6736(90)92579-7\/fulltext<\/a><\/p><p>Philips R, The Sacred Hour Uninterrupted Skin-to-Skin Contact Immediately After Birth, NAINR. <br \/>2013;13(2):67-72.:\u00a0<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1527336913000299?via%3Dihub\" target=\"_blank\" rel=\"noopener\">https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1527336913000299?via%3Dihub<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1559\" class=\"elementor-tab-title\" data-tab=\"9\" role=\"button\" aria-controls=\"elementor-tab-content-1559\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">WHO szoptat\u00e1si krit\u00e9riumok teljes\u00edt\u00e9se<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1559\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"9\" role=\"region\" aria-labelledby=\"elementor-tab-title-1559\"><p><strong>43. Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g, sz\u00fcl\u00e9s \u00e9s sz\u00fcl\u00e9s ut\u00e1ni ell\u00e1t\u00e1snak t\u00f6rekednie kell arra, hogy min\u00e9l ink\u00e1bb megfeleljen a WHO Szoptat\u00e1shoz vezet\u0151 10 l\u00e9p\u00e9ses krit\u00e9riumrendszer\u00e9nek. (D)\u00a0<\/em><\/p><p>WHO Ten steps to successful breastfeeding (revised 2018):\u00a0<a href=\"https:\/\/www.who.int\/nutrition\/bfhi\/ten-steps\/en\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/nutrition\/bfhi\/ten-steps\/en\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-15510\" class=\"elementor-tab-title\" data-tab=\"10\" role=\"button\" aria-controls=\"elementor-tab-content-15510\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Rooming-in biztos\u00edt\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-15510\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"10\" role=\"region\" aria-labelledby=\"elementor-tab-title-15510\"><p><strong>44. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0sz\u00fcl\u00e9s-sz\u00fclet\u00e9s ut\u00e1n az\u00a0int\u00e9zetben t\u00f6lt\u00f6tt els\u0151 napok sor\u00e1n aj\u00e1nlott, hogy az\u00a0anya \u00e9s gyermeke 24 \u00f3r\u00e1s rooming-in elhelyez\u00e9st kapjon \u00e9s az\u00a0orvosi vizsg\u00e1latok idej\u00e9ben is egy\u00fctt legyenek. (A)<\/em><\/p><p>Jaafar SH, Ho JJ, Lee KS. Rooming-in for new mother and infant versus separate care for increasing the duration of breastfeeding. Cochrane Database Syst Rev. 2016: <a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD006641.pub3\/epdf\/full\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD006641.pub3\/epdf\/full<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-16e1de5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"16e1de5\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-705cca9\" data-id=\"705cca9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4679922 de_scroll_animation_no elementor-widget elementor-widget-spacer\" data-id=\"4679922\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"pszichologus\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0d8aa46 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0d8aa46\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8198d78\" data-id=\"8198d78\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-16a2373 de_scroll_animation_no elementor-widget elementor-widget-heading\" data-id=\"16a2373\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Pszichol\u00f3gus<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1add6a4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1add6a4\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-fe98ae5\" data-id=\"fe98ae5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9161dae de_scroll_animation_no elementor-widget elementor-widget-toggle\" data-id=\"9161dae\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1521\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1521\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Anya \u00e9s csal\u00e1d m\u00e9lt\u00f3s\u00e1g\u00e1nak tisztelete<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1521\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1521\"><p><strong>48. Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g \u00e9s a sz\u00fcl\u00e9s alatti, valamint a sz\u00fcl\u00e9s ut\u00e1ni eg\u00e9szs\u00e9g\u00fcgyi ell\u00e1t\u00e1st ny\u00fajt\u00f3k tarts\u00e1k szem el\u0151tt az anya \u00e9s csal\u00e1dja emberi m\u00e9lt\u00f3s\u00e1g\u00e1t. (B)\u00a0<\/em><\/p><p>1997. \u00e9vi CLIV. t\u00f6rv\u00e9ny az eg\u00e9szs\u00e9g\u00fcgyr\u0151l<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1522\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1522\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Stresszcs\u00f6kkent\u00e9s a v\u00e1rand\u00f3ss\u00e1g alatt<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1522\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1522\"><ol><li><strong>Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g alatt az ell\u00e1t\u00f3knak t\u00f6rekedni\u00fck kell az esetlegesen jelentkez\u0151 szorong\u00e1s, illetve stressz cs\u00f6kkent\u00e9s\u00e9re. Amennyiben az anya pszich\u00e9s \u00e1llapota megk\u00edv\u00e1nja, \u00fagy pszichol\u00f3gus seg\u00edts\u00e9g\u00e9t is \u00e9rdemes felaj\u00e1nlani sz\u00e1m\u00e1ra. (B)\u00a0<\/em><\/li><\/ol><p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-51c43d7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"51c43d7\" data-element_type=\"section\" data-e-type=\"section\" id=\"gyogytornasz\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a64a0a1\" data-id=\"a64a0a1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9aad3a8 de_scroll_animation_no elementor-widget elementor-widget-spacer\" data-id=\"9aad3a8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6cac39c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6cac39c\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d98d983\" data-id=\"d98d983\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-565cb3c de_scroll_animation_no elementor-widget elementor-widget-heading\" data-id=\"565cb3c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Gy\u00f3gytorn\u00e1sz<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3528e82 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3528e82\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6189e6c\" data-id=\"6189e6c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a542afe de_scroll_animation_no elementor-widget elementor-widget-toggle\" data-id=\"a542afe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1731\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1731\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Rendszeres testmozg\u00e1s v\u00e1rand\u00f3san<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1731\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1731\"><p><strong>2. Aj\u00e1nl\u00e1s:<\/strong>\u00a0<em>A sz\u00fcl\u00e9shez sz\u00fcks\u00e9ges er\u0151nl\u00e9t fenntart\u00e1s\u00e1hoz rendszeres testmozg\u00e1s a v\u00e1rand\u00f3ss\u00e1g alatt is javasolt. Ennek elsaj\u00e1t\u00edt\u00e1sa \u00e9s gyakorl\u00e1sa \u00e9rdek\u00e9ben a v\u00e1rand\u00f3soknak aj\u00e1nlott gy\u00f3gytorn\u00e1sz seg\u00edts\u00e9g\u00e9t ig\u00e9nybe venni\u00fck. (B)\u00a0<\/em><\/p><p><a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2020\/04\/physical-activity-and-exercise-during-pregnancy-and-the-postpartum-period\" target=\"_blank\" rel=\"noopener\">https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2020\/04\/physical-activity-and-exercise-during-pregnancy-and-the-postpartum-period<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1732\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1732\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Anya \u00e9s csal\u00e1d m\u00e9lt\u00f3s\u00e1g\u00e1nak tisztelete<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1732\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1732\"><p><strong>48. Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g \u00e9s a sz\u00fcl\u00e9s alatti, valamint a sz\u00fcl\u00e9s ut\u00e1ni eg\u00e9szs\u00e9g\u00fcgyi ell\u00e1t\u00e1st ny\u00fajt\u00f3k tarts\u00e1k szem el\u0151tt az anya \u00e9s csal\u00e1dja emberi m\u00e9lt\u00f3s\u00e1g\u00e1t. (B)\u00a0<\/em><\/p><p>1997. \u00e9vi CLIV. t\u00f6rv\u00e9ny az eg\u00e9szs\u00e9g\u00fcgyr\u0151l<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4ac6d95 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4ac6d95\" data-element_type=\"section\" data-e-type=\"section\" id=\"perinatalis\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cd681af\" data-id=\"cd681af\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1828fc9 de_scroll_animation_no elementor-widget elementor-widget-spacer\" data-id=\"1828fc9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-599bdc7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"599bdc7\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ac8a175\" data-id=\"ac8a175\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1b07afd de_scroll_animation_no elementor-widget elementor-widget-heading\" data-id=\"1b07afd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Perinat\u00e1lis szaktan\u00e1csad\u00f3<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3e05ade elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3e05ade\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bf34289\" data-id=\"bf34289\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-682535d de_scroll_animation_no elementor-widget elementor-widget-toggle\" data-id=\"682535d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1091\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1091\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Sz\u00fcl\u00e9sfelk\u00e9sz\u00edt\u00e9s biztos\u00edt\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1091\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1091\"><p><strong>6. Aj\u00e1nl\u00e1s:<\/strong> <em>Az anya sz\u00fcl\u00e9szeti ell\u00e1t\u00e1s\u00e1nak r\u00e9sze a v\u00e1rand\u00f3sgondoz\u00e1s sor\u00e1n t\u00f6rt\u00e9n\u0151 sz\u00fcl\u00e9sfelk\u00e9sz\u00edt\u00e9s \u00e9s r\u00e9szletes t\u00e1j\u00e9koztat\u00e1s. (B)\u00a0<\/em><\/p><p>NICE aj\u00e1nl\u00e1s:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#antenatal-education-about-labour\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#antenatal-education-about-labour<\/a><\/p><p>Tanner Stapleton L.R; Schetter C.D; Westling E. Et al.: Perceived partner support in pregnancy predicts lower maternal and infant distress. Journal of Family Psychology, Vol 26(3), Jun 2012, 453463.: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf<\/a><\/p><p>ACOG Committee Opinion No. 731: Group Prenatal Care. Obstet Gynecol. 2018;131(3):e104 :\u00a0<a href=\"https:\/\/journals.lww.com\/greenjournal\/fulltext\/2018\/03000\/acog_committee_opinion_no__731__group_prenatal.47.aspx\" target=\"_blank\" rel=\"noopener\">https:\/\/journals. lww.com\/greenjournal\/fulltext\/2018\/03000\/acog_committee_opinion_no__731__group_prenatal.47.aspx<\/a><\/p><p>Mother-Friendly Childbirth Initiative:\u00a0<a href=\"https:\/\/motherbabysupport.net\/pdf\/07-Mother-Friendly Initiative.pdf\" data-wplink-url-error=\"true\" target=\"_blank\" rel=\"noopener\">https:\/\/motherbabysupport.net\/pdf\/07-Mother-Friendly Initiative.pdf<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1092\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1092\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">T\u00e1j\u00e9koztat\u00e1s a sz\u00fcl\u00e9s helysz\u00edn\u00e9r\u0151l<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1092\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1092\"><p><strong>5. Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3sgondoz\u00e1s sor\u00e1n a gondoz\u00e1s\u00e9rt felel\u0151s szem\u00e9ly (az orvos \u00e9s\/vagy a sz\u00fcl\u00e9szn\u0151), illetve a v\u00e9d\u0151n\u0151 r\u00e9szletesen t\u00e1j\u00e9koztassa a v\u00e1rand\u00f3st arr\u00f3l, hogy a sz\u00fcl\u00e9s helysz\u00edn\u00e9t illet\u0151en milyen lehet\u0151s\u00e9gek k\u00f6z\u00fcl v\u00e1laszthat, \u00e9s t\u00e1mogassa a v\u00e1rand\u00f3st a v\u00e1laszt\u00e1s\u00e1ban. (A)\u00a0<\/em><\/p><p>WHO recommendations: intrapartum care for a positive childbirth experience: <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241550215\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/publications\/i\/item\/9789241550215<\/a><\/p><p>Implementation guidance: protecting, promoting, and supporting breastfeeding in facilities providing maternity and newborn services:\u00a0<a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241513807\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/publications\/i\/item\/9789241513807<\/a><\/p><p>Perinatal or neonatal mortality among women who intend at the onset of labour to give birth at home compared to women of low obstetrical risk who intend to give birth in hospital: A systematic review and meta-analyses:\u00a0<a href=\"https:\/\/www.thelancet.com\/journals\/eclinm\/article\/PIIS2589-5370(19)30119-1\/fulltext\" target=\"_blank\" rel=\"noopener\">https:\/\/www.thelancet.com\/journals\/eclinm\/article\/PIIS2589-5370(19)30119-1\/fulltext<\/a><\/p><p>Planned Out-of-Hospital Birth and Birth Outcomes:\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26716916\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/26716916\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1093\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1093\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Anya \u00e9s csal\u00e1d m\u00e9lt\u00f3s\u00e1g\u00e1nak tisztelete<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1093\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1093\"><p><strong>48. Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g \u00e9s a sz\u00fcl\u00e9s alatti, valamint a sz\u00fcl\u00e9s ut\u00e1ni eg\u00e9szs\u00e9g\u00fcgyi ell\u00e1t\u00e1st ny\u00fajt\u00f3k tarts\u00e1k szem el\u0151tt az anya \u00e9s csal\u00e1dja emberi m\u00e9lt\u00f3s\u00e1g\u00e1t. (B)\u00a0<\/em><\/p><p>1997. \u00e9vi CLIV. t\u00f6rv\u00e9ny az eg\u00e9szs\u00e9g\u00fcgyr\u0151l<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1094\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1094\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Rendszeres testmozg\u00e1s v\u00e1rand\u00f3ss\u00e1g alatt<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1094\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1094\"><p><strong>2. Aj\u00e1nl\u00e1s:<\/strong>\u00a0<em>A sz\u00fcl\u00e9shez sz\u00fcks\u00e9ges er\u0151nl\u00e9t fenntart\u00e1s\u00e1hoz rendszeres testmozg\u00e1s a v\u00e1rand\u00f3ss\u00e1g alatt is javasolt. Ennek elsaj\u00e1t\u00edt\u00e1sa \u00e9s gyakorl\u00e1sa \u00e9rdek\u00e9ben a v\u00e1rand\u00f3soknak aj\u00e1nlott gy\u00f3gytorn\u00e1sz seg\u00edts\u00e9g\u00e9t ig\u00e9nybe venni\u00fck. (B)\u00a0<\/em><\/p><p><a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2020\/04\/physical-activity-and-exercise-during-pregnancy-and-the-postpartum-period\" target=\"_blank\" rel=\"noopener\">https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2020\/04\/physical-activity-and-exercise-during-pregnancy-and-the-postpartum-period<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1095\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-1095\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Stresszcs\u00f6kkent\u00e9s a v\u00e1rand\u00f3ss\u00e1g alatt<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1095\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-1095\"><ol><li><strong>Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g alatt az ell\u00e1t\u00f3knak t\u00f6rekedni\u00fck kell az esetlegesen jelentkez\u0151 szorong\u00e1s, illetve stressz cs\u00f6kkent\u00e9s\u00e9re. Amennyiben az anya pszich\u00e9s \u00e1llapota megk\u00edv\u00e1nja, \u00fagy pszichol\u00f3gus seg\u00edts\u00e9g\u00e9t is \u00e9rdemes felaj\u00e1nlani sz\u00e1m\u00e1ra. (B)\u00a0<\/em><\/li><\/ol><p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7e7f612 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7e7f612\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c09b983\" data-id=\"c09b983\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1f40d1d de_scroll_animation_no elementor-widget elementor-widget-spacer\" data-id=\"1f40d1d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6cffb75 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6cffb75\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8687dd4\" data-id=\"8687dd4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-01c7d9d de_scroll_animation_no elementor-widget elementor-widget-heading\" data-id=\"01c7d9d\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"szoptatas\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Szoptat\u00e1si seg\u00edt\u0151<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6a63eda elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6a63eda\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-acd8baf\" data-id=\"acd8baf\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d283e62 elementor-widget__width-initial de_scroll_animation_no elementor-widget elementor-widget-toggle\" data-id=\"d283e62\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2201\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2201\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Sz\u00fcl\u00e9szeti dolgoz\u00f3k tov\u00e1bbk\u00e9pz\u00e9s\u00e9n val\u00f3 r\u00e9szv\u00e9tel (v\u00e1ltozott)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2201\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2201\"><p><strong>40. Aj\u00e1nl\u00e1s:<\/strong><em> Az\u00a0el\u0151z\u0151 aj\u00e1nl\u00e1sok teljes\u00fcl\u00e9s\u00e9nek \u00e9rdek\u00e9ben minden szolg\u00e1ltat\u00f3nak feladata, hogy biztos\u00edtsa a\u00a0sz\u00fcl\u00e9szeti dolgoz\u00f3k tov\u00e1bbk\u00e9pz\u00e9s\u00e9t. (B) [6] Az\u00a0SZTNB \u201eCsal\u00e1dk\u00f6zpont\u00fa \u00e9s Bababar\u00e1t Ell\u00e1t\u00e1s\u201d k\u00e9pz\u00e9si programja minden szempontb\u00f3l megfelel annak a\u00a0k\u00e9pz\u00e9si \u00e9s min\u0151s\u00e9gfejleszt\u00e9si c\u00e9lnak, amely a\u00a0szakdolgoz\u00f3k tud\u00e1s\u00e1t \u00e9s kompetenci\u00e1j\u00e1t n\u00f6veli, \u00e9s a\u00a0t\u00e1mogat\u00f3 kommunik\u00e1ci\u00f3t szolg\u00e1lja.<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2202\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2202\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Anya \u00e9s csal\u00e1d m\u00e9lt\u00f3s\u00e1g\u00e1nak tisztelete<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2202\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2202\"><p><strong>48. Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g \u00e9s a sz\u00fcl\u00e9s alatti, valamint a sz\u00fcl\u00e9s ut\u00e1ni eg\u00e9szs\u00e9g\u00fcgyi ell\u00e1t\u00e1st ny\u00fajt\u00f3k tarts\u00e1k szem el\u0151tt az anya \u00e9s csal\u00e1dja emberi m\u00e9lt\u00f3s\u00e1g\u00e1t. (B)\u00a0<\/em><\/p><p>1997. \u00e9vi CLIV. t\u00f6rv\u00e9ny az eg\u00e9szs\u00e9g\u00fcgyr\u0151l\u00a0<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2203\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2203\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">B\u0151r-b\u0151r kontaktus biztos\u00edt\u00e1sa cs\u00e1sz\u00e1rmetsz\u00e9s ut\u00e1n<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2203\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2203\"><p><strong>33. Aj\u00e1nl\u00e1s:<\/strong> <em>Cs\u00e1sz\u00e1rmetsz\u00e9s eset\u00e9n, m\u00e9g a\u00a0m\u0171t\u00e9t ideje alatt, az\u00a0\u201earany\u00f3ra\u201d id\u0151szak\u00e1ban, az\u00a0\u00fajsz\u00fcl\u00f6ttet az\u00a0anya mellkas\u00e1ra, k\u00f6zvetlen b\u0151r-b\u0151r kontaktussal aj\u00e1nlott elhelyezni. Ha ez\u00a0orvosi okb\u00f3l nem lehets\u00e9ges, \u00fagy az\u00a0\u00fajsz\u00fcl\u00f6ttet az\u00a0apa (k\u00eds\u00e9r\u0151) mellkas\u00e1ra, k\u00f6zvetlen b\u0151r-b\u0151r kontaktusban aj\u00e1nlott elhelyezni, majd az\u00a0any\u00e1nak \u00e1tadni, amint az\u00a0lehets\u00e9gess\u00e9 v\u00e1lik. (B)<\/em><\/p><p><strong>38. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0lep\u00e9ny megsz\u00fclet\u00e9se ut\u00e1n aj\u00e1nlott a\u00a0b\u0151r-b\u0151r kontaktus folyamatos, megszak\u00edt\u00e1s n\u00e9lk\u00fcli fenntart\u00e1sa, \u00edgy minden \u2013 az\u00a0\u00e9letjelens\u00e9gek figyel\u00e9s\u00e9n t\u00fali \u2013 vizsg\u00e1latot az\u00a0\u201earany\u00f3ra\u201d ut\u00e1ni id\u0151szakra aj\u00e1nlott halasztani. (A)\u00a0<\/em><\/p><p>Chi Luong K, Long Nguyen T, Huynh Thi DH, et al.: Newly born low birthweight infants stabilise better in skin-to-skin contact than when separated from their mothers: a randomised controlled trial. Acta Paediatr. 2016; 105:381\u201390 :\u00a0<a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.13164\" target=\"_blank\" rel=\"noopener\">https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.13164<\/a><\/p><p>Guala A, Boscardini L, Visentin R, et al, Skin-to-Skin Contact in Cesarean Birth and Duration of Breastfeeding: A Cohort Study, Scientific World Journal. 2017; 2017: 1940756. Published online 2017 Sep 7. doi: 10.1155\/2017\/1940756\/:\u00a0<a href=\"https:\/\/www.hindawi.com\/journals\/tswj\/2017\/1940756\" target=\"_blank\" rel=\"noopener\">https:\/\/www.hindawi.com\/journals\/tswj\/2017\/1940756<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2204\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-2204\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">\u00dajsz\u00fcl\u00f6tt azonnali szoptat\u00e1s\u00e1nak t\u00e1mogat\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2204\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-2204\"><p><strong>39. Aj\u00e1nl\u00e1s<\/strong>: <em>Minden stabil \u00e1llapot\u00fa \u00fajsz\u00fcl\u00f6tt sz\u00e1m\u00e1ra, aki k\u00e9pes a szop\u00e1sra (bele\u00e9rtve az alacsony s\u00fallyal sz\u00fcletetteket is), biztos\u00edtani aj\u00e1nlott az azonnali b\u0151r-b\u0151r kontaktust \u00e9s a szop\u00e1s lehet\u0151s\u00e9g\u00e9t. (A)\u00a0<\/em><\/p><p>NICE aj\u00e1nl\u00e1s:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#care-of-the-newborn-baby\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#care-of-the-newborn-baby<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2205\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-2205\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">WHO szoptat\u00e1si krit\u00e9riumok teljes\u00edt\u00e9se<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2205\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-2205\"><p><strong>43. Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g, sz\u00fcl\u00e9s \u00e9s sz\u00fcl\u00e9s ut\u00e1ni ell\u00e1t\u00e1snak t\u00f6rekednie kell arra, hogy min\u00e9l ink\u00e1bb megfeleljen a WHO Szoptat\u00e1shoz vezet\u0151 10 l\u00e9p\u00e9ses krit\u00e9riumrendszer\u00e9nek. (D)\u00a0<\/em><\/p><p>WHO Ten steps to successful breastfeeding (revised 2018):\u00a0<a href=\"https:\/\/www.who.int\/nutrition\/bfhi\/ten-steps\/en\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/nutrition\/bfhi\/ten-steps\/en\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2206\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-2206\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Rooming-in biztos\u00edt\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2206\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-2206\"><p><strong>44. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0sz\u00fcl\u00e9s-sz\u00fclet\u00e9s ut\u00e1n az\u00a0int\u00e9zetben t\u00f6lt\u00f6tt els\u0151 napok sor\u00e1n aj\u00e1nlott, hogy az\u00a0anya \u00e9s gyermeke 24 \u00f3r\u00e1s rooming-in elhelyez\u00e9st kapjon \u00e9s az\u00a0orvosi vizsg\u00e1latok idej\u00e9ben is egy\u00fctt legyenek. (A)<\/em><\/p><p>Jaafar SH, Ho JJ, Lee KS. Rooming-in for new mother and infant versus separate care for increasing the duration of breastfeeding. Cochrane Database Syst Rev. 2016: <a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD006641.pub3\/epdf\/full\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD006641.pub3\/epdf\/full<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3bb14f3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3bb14f3\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-13f6e36\" data-id=\"13f6e36\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-08cd25e de_scroll_animation_no elementor-widget elementor-widget-spacer\" data-id=\"08cd25e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d3885fc elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d3885fc\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-53c8401\" data-id=\"53c8401\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cc201c9 de_scroll_animation_no elementor-widget elementor-widget-heading\" data-id=\"cc201c9\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"dula\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">D\u00fala<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0a56f05 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0a56f05\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-78934d0\" data-id=\"78934d0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c69b336 elementor-widget__width-initial de_scroll_animation_no elementor-widget elementor-widget-toggle\" data-id=\"c69b336\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2081\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2081\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Sz\u00fcl\u00e9si terv figyelembev\u00e9tele<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2081\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2081\"><p><strong>7. Aj\u00e1nl\u00e1s:<\/strong> <em>A sz\u00fcl\u0151n\u0151 \u00e1ltal k\u00e9sz\u00edtett sz\u00fcl\u00e9si tervet, illetve a v\u00e1rand\u00f3s sz\u00fcl\u00e9sre vonatkoz\u00f3 elk\u00e9pzel\u00e9seit, k\u00edv\u00e1ns\u00e1gait a sz\u00fcl\u00e9sn\u00e9l seg\u00edt\u0151 szakszem\u00e9lyzet fogadja meg\u00e9rt\u00e9ssel. (C)\u00a0<\/em><\/p><p>Benahmed, N, San Miguel, L, Devos, C, et al.: Vaginal delivery: how does early hospital discharge <br \/>affect mother and child outcomes? A systematic literature review. BMC Pregnancy Childbirth. 2017;\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28877667\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/28877667\/<\/a><\/p><p>The mother friendly childbirth initiative: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC1905822\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC1905822\/<\/a><\/p><p>Mirghafourvand M1, Mohammad Alizadeh Charandabi S1, Ghanbari-Homayi S et al: Effect of <br \/>birth plans on childbirth experience: A systematic review. Int J Nurs Pract. 2019: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30675962\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/30675962\/<\/a><\/p><p>Salvesen K. Counselling is difficult when outcomes are associated with mode of delivery and not <br \/>with the plan for mode of delivery. BJOG. 2015 Nov;122(12):\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26290362\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/26290362\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2082\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2082\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Sz\u00fcl\u00e9sfelk\u00e9sz\u00edt\u00e9s biztos\u00edt\u00e1sa (v\u00e1ltozott)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2082\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2082\"><p><strong>6. Aj\u00e1nl\u00e1s:<\/strong> <em>Az anya sz\u00fcl\u00e9szeti ell\u00e1t\u00e1s\u00e1nak r\u00e9sze a v\u00e1rand\u00f3sgondoz\u00e1s sor\u00e1n t\u00f6rt\u00e9n\u0151 sz\u00fcl\u00e9sfelk\u00e9sz\u00edt\u00e9s \u00e9s r\u00e9szletes t\u00e1j\u00e9koztat\u00e1s. (B)\u00a0<\/em><\/p><p>NICE aj\u00e1nl\u00e1s:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#antenatal-education-about-labour\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#antenatal-education-about-labour<\/a><\/p><p>Tanner Stapleton L.R; Schetter C.D; Westling E. Et al.: Perceived partner support in pregnancy predicts lower maternal and infant distress. Journal of Family Psychology, Vol 26(3), Jun 2012, 453463.: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf<\/a><\/p><p>ACOG Committee Opinion No. 731: Group Prenatal Care. Obstet Gynecol. 2018;131(3):e104 :\u00a0<a href=\"https:\/\/journals.lww.com\/greenjournal\/fulltext\/2018\/03000\/acog_committee_opinion_no__731__group_prenatal.47.aspx\" target=\"_blank\" rel=\"noopener\">https:\/\/journals. lww.com\/greenjournal\/fulltext\/2018\/03000\/acog_committee_opinion_no__731__group_prenatal.47.aspx<\/a><\/p><p>Mother-Friendly Childbirth Initiative:\u00a0<a href=\"https:\/\/motherbabysupport.net\/pdf\/07-Mother-Friendly Initiative.pdf\" data-wplink-url-error=\"true\" target=\"_blank\" rel=\"noopener\">https:\/\/motherbabysupport.net\/pdf\/07-Mother-Friendly Initiative.pdf<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2083\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2083\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">K\u00eds\u00e9r\u0151 jelenl\u00e9t\u00e9nek biztos\u00edt\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2083\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2083\"><p><strong>3. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0v\u00e1rand\u00f3ss\u00e1g, majd a\u00a0vaj\u00fad\u00e1s \u00e9s sz\u00fcl\u00e9s id\u0151szak\u00e1ban is biztos\u00edtani kell azt a\u00a0lehet\u0151s\u00e9get, hogy az\u00a0anya mellett egy, a\u00a0sz\u00e1m\u00e1ra fontos k\u00eds\u00e9r\u0151 folyamatosan jelen lehessen. (C)<\/em><\/p><p>1997. \u00e9vi CLIV t\u00f6rv\u00e9ny Az eg\u00e9szs\u00e9g\u00fcgyr\u0151l\u00a0<a href=\"https:\/\/net.jogtar.hu\/jogszabaly?docid=99700154.TV\" target=\"_blank\" rel=\"noopener\">https:\/\/net.jogtar.hu\/jogszabaly?<\/a><a href=\"https:\/\/net.jogtar.hu\/jogszabaly?docid=99700154.TV\" target=\"_blank\" rel=\"noopener\">docid=99700154.TV<\/a><\/p><p>WHO recommendations: intrapartum care for a positive childbirth experience: <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241550215\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/publications\/i\/item\/9789241550215<\/a><\/p><p>Intrapartum care for healthy women and and babies, NICE 2023: <a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2084\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-2084\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">T\u00e1j\u00e9koztat\u00e1s a sz\u00fcl\u00e9s helysz\u00edn\u00e9r\u0151l<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2084\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-2084\"><p><strong>5. Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3sgondoz\u00e1s sor\u00e1n a gondoz\u00e1s\u00e9rt felel\u0151s szem\u00e9ly (az orvos \u00e9s\/vagy a sz\u00fcl\u00e9szn\u0151), illetve a v\u00e9d\u0151n\u0151 r\u00e9szletesen t\u00e1j\u00e9koztassa a v\u00e1rand\u00f3st arr\u00f3l, hogy a sz\u00fcl\u00e9s helysz\u00edn\u00e9t illet\u0151en milyen lehet\u0151s\u00e9gek k\u00f6z\u00fcl v\u00e1laszthat, \u00e9s t\u00e1mogassa a v\u00e1rand\u00f3st a v\u00e1laszt\u00e1s\u00e1ban. (A)\u00a0<\/em><\/p><p>WHO recommendations: intrapartum care for a positive childbirth experience: <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241550215\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/publications\/i\/item\/9789241550215<\/a><\/p><p>Implementation guidance: protecting, promoting, and supporting breastfeeding in facilities providing maternity and newborn services:\u00a0<a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241513807\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/publications\/i\/item\/9789241513807<\/a><\/p><p>Perinatal or neonatal mortality among women who intend at the onset of labour to give birth at home compared to women of low obstetrical risk who intend to give birth in hospital: A systematic review and meta-analyses:\u00a0<a href=\"https:\/\/www.thelancet.com\/journals\/eclinm\/article\/PIIS2589-5370(19)30119-1\/fulltext\" target=\"_blank\" rel=\"noopener\">https:\/\/www.thelancet.com\/journals\/eclinm\/article\/PIIS2589-5370(19)30119-1\/fulltext<\/a><\/p><p>Planned Out-of-Hospital Birth and Birth Outcomes:\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26716916\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/26716916\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2085\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-2085\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Term\u00e9szetes sz\u00fcl\u00e9s t\u00e1mogat\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2085\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-2085\"><p><strong>8. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0csal\u00e1dk\u00f6zpont\u00fa sz\u00fcl\u00e9szeti ell\u00e1t\u00e1s egyik alapja a\u00a0sz\u00fcl\u00e9s term\u00e9szetes lefoly\u00e1s\u00e1nak t\u00e1mogat\u00e1sa. A\u00a0sz\u00fcl\u00e9szeti ell\u00e1t\u00e1s sor\u00e1n ez\u00e9rt a\u00a0lehet\u0151 legteljesebb m\u00e9rt\u00e9kben figyelembe kell venni az\u00a0al\u00e1bbi, evidenci\u00e1k alapj\u00e1n \u00f6ssze\u00e1ll\u00edtott krit\u00e9riumrendszert, hogy a\u00a0sz\u00fcl\u00e9s a\u00a0lehet\u0151 legkevesebb beavatkoz\u00e1s mellett menjen v\u00e9gbe. (A)<\/em><\/p><p>(L\u00e1sd 9.-13. aj\u00e1nl\u00e1sok)<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2086\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-2086\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Szabad mozg\u00e1s \u00e9s testhelyzetv\u00e1laszt\u00e1s vaj\u00fad\u00e1s alatt<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2086\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-2086\"><p>22. Aj\u00e1nl\u00e1s: <em>A\u00a0vaj\u00fad\u00e1si testhelyzetet az\u00a0anya hat\u00e1rozza meg, amelyet a\u00a0sz\u00fcl\u00e9st seg\u00edt\u0151 szakemberek javaslatai \u00e9s a\u00a0lehet\u0151s\u00e9gek alapj\u00e1n \u00e9rdemes v\u00e1ltoztatni. (B)\u00a0<\/em><\/p><p><strong>11. Aj\u00e1nl\u00e1s:<\/strong>\u00a0<em>\u00c9lettani sz\u00fcl\u00e9si folyamat sor\u00e1n a szabad mozg\u00e1s, testhelyzet v\u00e1laszt\u00e1s lehet\u0151s\u00e9g\u00e9nek biztos\u00edt\u00e1sa a vaj\u00fad\u00e1s alatt javasolt. (A)<\/em><\/p><p>WHO recommendations Intrapartum care for a positive childbirth experience, 2018:\u00a0<a href=\"https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/260178\/9789241550215-eng.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/260178\/9789241550215-eng.pdf<\/a><\/p><p>Gupta JK, Sood A, Hofmeyr GJ, et al: Position in the second stage of labour for women without <br \/>epidural anaesthesia, Cochrane 16 May 2012:\u00a0<a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD002006.pub4\/epdf\/abstract\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD002006.pub4\/epdf\/abstract<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2087\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-2087\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Kitol\u00e1si szakban spont\u00e1n tol\u00f3f\u00e1j\u00e1sok kiv\u00e1r\u00e1sa, testhelyzetv\u00e1laszt\u00e1s biztos\u00edt\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2087\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-2087\"><p><strong>26. Aj\u00e1nl\u00e1s:<\/strong> <em>Aj\u00e1nlott b\u00e1tor\u00edtani a\u00a0vaj\u00fad\u00f3t, hogy a\u00a0kitol\u00e1si szakban is keresse meg a\u00a0sz\u00e1m\u00e1ra legmegfelel\u0151bb testhelyzetet. (B)<\/em><\/p><p><strong>13. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0sz\u00fcl\u00e9s m\u00e1sodik f\u00e1zis\u00e1ban a\u00a0spont\u00e1n indul\u00f3 tol\u00f3f\u00e1j\u00e1sok megindul\u00e1s\u00e1nak kiv\u00e1r\u00e1sa, valamint ebben a\u00a0szakaszban is a\u00a0szabad testhelyzet megv\u00e1laszt\u00e1sa javasolt, amennyiben az\u00a0ell\u00e1t\u00f3nak megfelel\u0151 tud\u00e1sa \u00e9s gyakorlata van a\u00a0k\u00fcl\u00f6nb\u00f6z\u0151 testhelyzetekben zajl\u00f3 sz\u00fcl\u00e9s k\u00eds\u00e9r\u00e9s\u00e9re, vezet\u00e9s\u00e9re. (A)<\/em><\/p><p>WHO recommendations Intrapartum care for a positive childbirth experience, 2018:\u00a0<a href=\"https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/260178\/9789241550215-eng.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/260178\/9789241550215-eng.pdf<\/a><\/p><p>Gupta JK, Sood A, Hofmeyr GJ, et al: Position in the second stage of labour for women without <br \/>epidural anaesthesia, Cochrane 16 May 2012:\u00a0<a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD002006.pub4\/epdf\/abstract\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD002006.pub4\/epdf\/abstract<\/a><\/p><p>NICE aj\u00e1nl\u00e1s:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#second-stage-of-labour\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#second-stage-of-labour<\/a><\/p><p>DiFranco J.T., Curl M., Healthy Birth Practice #5: Avoid Giving Birth on Your Back and Follow Your Body\u2019s Urge to Push, The Journal of Perinatal Education, 23(4), 2014:\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4235063\/pdf\/JPE_Vol023-004_A9 7-210.pd\" data-wplink-url-error=\"true\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4235063\/pdf\/JPE_Vol023-004_A9 7-210.pd<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2088\" class=\"elementor-tab-title\" data-tab=\"8\" role=\"button\" aria-controls=\"elementor-tab-content-2088\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">V\u00edzben vaj\u00fad\u00e1s \u00e9s sz\u00fcl\u00e9s t\u00e1mogat\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2088\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"8\" role=\"region\" aria-labelledby=\"elementor-tab-title-2088\"><p><strong>31. Aj\u00e1nl\u00e1s:<\/strong> <em>V\u00edzben vaj\u00fad\u00e1s \u00e9s v\u00edzben sz\u00fcl\u00e9s a sz\u00f6v\u0151dm\u00e9nymentes vaj\u00fad\u00f3k eset\u00e9ben aj\u00e1nlott. (D) Haz\u00e1nkban a v\u00edzben t\u00f6rt\u00e9n\u0151 vaj\u00fad\u00e1s \u00e9s sz\u00fcl\u00e9s felt\u00e9telei egyre t\u00f6bb sz\u00fcl\u00e9szeti int\u00e9zetben biztos\u00edtottak. Azoknak az int\u00e9zeteknek, amelyek a v\u00edzben t\u00f6rt\u00e9n\u0151 vaj\u00fad\u00e1s \u00e9s sz\u00fcl\u00e9s lehet\u0151s\u00e9g\u00e9t k\u00edn\u00e1lj\u00e1k, saj\u00e1t protokollal \u00e9s dokument\u00e1lt gyakorlattal kell rendelkezni\u00fck.<\/em><\/p><p>Cluett ER, Burns E, Cuthbert A. Immersion in water during labour and birth. Cochrane Database <br \/>Syst Rev. 2018;5:CD000111. Epub 2018 May 16.:\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Cluett+ER%2C+Burns+E%2C+ Cuthbert+A\" data-wplink-url-error=\"true\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Cluett+ER%2C+Burns+E%2C+ Cuthbert+A<\/a><\/p><p>Committee Opinion No. 679: Immersion in Water During Labor and Delivery. ACOG\u2019 Committee on Obstetric Practice. Obstet Gynecol. 2016; 128(5):e231.:\u00a0<a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2016\/11\/immersion-in-water-during-labor-and-delivery\" target=\"_blank\" rel=\"noopener\">https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2016\/11\/immersion-in-water-during-labor-and-delivery<\/a><\/p><p><strong>\u00daJ:<\/strong> Systematic review and meta-analysis to examine intrapartum interventions, and maternal and neonatal outcomes following immersion in water during labour and waterbirth:\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36167399\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/36167399\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2089\" class=\"elementor-tab-title\" data-tab=\"9\" role=\"button\" aria-controls=\"elementor-tab-content-2089\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Anya \u00e9s csal\u00e1d m\u00e9lt\u00f3s\u00e1g\u00e1nak tisztelete<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2089\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"9\" role=\"region\" aria-labelledby=\"elementor-tab-title-2089\"><p><strong>48. Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g \u00e9s a sz\u00fcl\u00e9s alatti, valamint a sz\u00fcl\u00e9s ut\u00e1ni eg\u00e9szs\u00e9g\u00fcgyi ell\u00e1t\u00e1st ny\u00fajt\u00f3k tarts\u00e1k szem el\u0151tt az anya \u00e9s csal\u00e1dja emberi m\u00e9lt\u00f3s\u00e1g\u00e1t. (B)\u00a0<\/em><\/p><p>1997. \u00e9vi CLIV. t\u00f6rv\u00e9ny az eg\u00e9szs\u00e9g\u00fcgyr\u0151l\u00a0<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-20810\" class=\"elementor-tab-title\" data-tab=\"10\" role=\"button\" aria-controls=\"elementor-tab-content-20810\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Stresszcs\u00f6kkent\u00e9s a v\u00e1rand\u00f3ss\u00e1g alatt<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-20810\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"10\" role=\"region\" aria-labelledby=\"elementor-tab-title-20810\"><ol><li><strong>Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g alatt az ell\u00e1t\u00f3knak t\u00f6rekedni\u00fck kell az esetlegesen jelentkez\u0151 szorong\u00e1s, illetve stressz cs\u00f6kkent\u00e9s\u00e9re. Amennyiben az anya pszich\u00e9s \u00e1llapota megk\u00edv\u00e1nja, \u00fagy pszichol\u00f3gus seg\u00edts\u00e9g\u00e9t is \u00e9rdemes felaj\u00e1nlani sz\u00e1m\u00e1ra. (B)\u00a0<\/em><\/li><\/ol><p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3992993\/pdf\/nihms566240.pdf<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-20811\" class=\"elementor-tab-title\" data-tab=\"11\" role=\"button\" aria-controls=\"elementor-tab-content-20811\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Kultur\u00e1lis \u00e9s vall\u00e1si k\u00edv\u00e1ns\u00e1gok tiszteletben tart\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-20811\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"11\" role=\"region\" aria-labelledby=\"elementor-tab-title-20811\"><p><strong>4. Aj\u00e1nl\u00e1s:<\/strong> <em>A vaj\u00fad\u00f3 kultur\u00e1lis \u00e9s vall\u00e1si meggy\u0151z\u0151d\u00e9s\u00e9b\u0151l ad\u00f3d\u00f3 k\u00edv\u00e1ns\u00e1gait az ell\u00e1t\u00e1s sor\u00e1n lehet\u0151s\u00e9g szerint figyelembe kell venni \u00e9s tiszteletben kell tartani \u00e9s err\u0151l t\u00e1j\u00e9koztat\u00e1st kell adni a v\u00e1rand\u00f3snak. (D)<\/em><\/p><p>WHO recommendations Intrapartum care for a positive childbirth experience: <a href=\"https:\/\/www.who.int\/publications\/i\/item\/WHO-SRH-20.13\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/publications\/i\/item\/WHO-SRH-20.13<\/a><\/p><p><strong>\u00daJ:<\/strong> Respectful care during childbirth in health facilities globally: a qualitative evidence synthesis:\u00a0<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6033006\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6033006\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-20812\" class=\"elementor-tab-title\" data-tab=\"12\" role=\"button\" aria-controls=\"elementor-tab-content-20812\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Sz\u00fcl\u0151szobai eszk\u00f6z\u00f6k biztos\u00edt\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-20812\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"12\" role=\"region\" aria-labelledby=\"elementor-tab-title-20812\"><p><strong>15. Aj\u00e1nl\u00e1s:<\/strong> <em>Aj\u00e1nlott arra t\u00f6rekedni, hogy a\u00a0sz\u00fcl\u0151szob\u00e1ban rendelkez\u00e9sre \u00e1lljanak a\u00a0vaj\u00fad\u00e1st megk\u00f6nny\u00edt\u0151 eszk\u00f6z\u00f6k \u00e9s m\u00f3dszerek (p\u00e9ld\u00e1ul bord\u00e1sfal, labda, k\u00e1d, zuhanyoz\u00f3, megnyugtat\u00f3 zene lehet\u0151s\u00e9ge, kellemes csal\u00e1dias k\u00f6rnyezet, aroma diff\u00fazor). (D)<\/em><\/p><p>Chaillet N., Belaid L., Crocheti\u010dre C., et al.: Nonpharmacologic approaches for pain management during labor compared with usual care: a meta-analysis. Birth. 2014 Jun;41(2):122-37. doi: 10.1111\/birt.12103. Epub 2014 Apr 25. :<a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1111\/birt.12103\" target=\"_blank\" rel=\"noopener\">https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1111\/birt.12103<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-20813\" class=\"elementor-tab-title\" data-tab=\"13\" role=\"button\" aria-controls=\"elementor-tab-content-20813\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">T\u00e1pl\u00e1l\u00e9k \u00e9s folyad\u00e9kbevitel biztos\u00edt\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-20813\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"13\" role=\"region\" aria-labelledby=\"elementor-tab-title-20813\"><p><strong>20. Aj\u00e1nl\u00e1s:<\/strong> <em>A sz\u00fcl\u0151n\u0151nek a vaj\u00fad\u00e1s alatt megfelel\u0151 t\u00e1pl\u00e1l\u00e9kra \u00e9s folyad\u00e9kra van sz\u00fcks\u00e9ge, ez\u00e9rt a gyors energi\u00e1t biztos\u00edt\u00f3, de a gyomorb\u00f3l gyorsan ki\u00fcr\u00fcl\u0151 t\u00e1pl\u00e1l\u00e9kok \u00e9s folyad\u00e9kok fogyaszt\u00e1sa megengedhet\u0151. (D)<\/em><\/p><p>NICE, 1.8.17: <a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#care-throughout-labour-in-all-birth-settings\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#care-throughout-labour-in-all-birth-settings<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-20814\" class=\"elementor-tab-title\" data-tab=\"14\" role=\"button\" aria-controls=\"elementor-tab-content-20814\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Kitol\u00e1si szak nyomon k\u00f6vet\u00e9se<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-20814\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"14\" role=\"region\" aria-labelledby=\"elementor-tab-title-20814\"><p><strong>25. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0kitol\u00e1si szakban is aj\u00e1nlott nyomon k\u00f6vetni az\u00a0anya \u00e1ltal\u00e1nos \u00e1llapot\u00e1t, a\u00a0m\u00e9hkontrakci\u00f3k jellemz\u0151it, az\u00a0el\u00f6l fekv\u0151 r\u00e9sz helyzet\u00e9t \u00e9s a\u00a0magzat \u00e1llapot\u00e1t. (A)<\/em><\/p><p>Long, L. Redefining the second stage of labour could help to promote normal birth. British Journal of Midwifery 2006. 14(1).:\u00a0<a href=\"https:\/\/www.magonlinelibrary.com\/doi\/abs\/10.12968\/bjom.2006.14.2.20437\" target=\"_blank\" rel=\"noopener\">https:\/\/www.magonlinelibrary.com\/doi\/abs\/10.12968\/bjom.2006.14.2.20437<\/a><\/p><p>Alfirevic Z. et al: Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour, Cochrane database, 3 February 2017:\u00a0<a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD006066.pub3\/epdf\/abstract\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD006066.pub3\/epdf\/abstract<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-20815\" class=\"elementor-tab-title\" data-tab=\"15\" role=\"button\" aria-controls=\"elementor-tab-content-20815\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Otthonsz\u00fcl\u00e9sb\u0151l k\u00f3rh\u00e1zi ell\u00e1t\u00e1sba val\u00f3 \u00e1tmenet biztos\u00edt\u00e1sa<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-20815\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"15\" role=\"region\" aria-labelledby=\"elementor-tab-title-20815\"><p><strong>47. Aj\u00e1nl\u00e1s:<\/strong> <em>Amennyiben otthonsz\u00fcl\u00e9sb\u0151l t\u00f6rt\u00e9nik int\u00e9zetbe sz\u00e1ll\u00edt\u00e1s, aj\u00e1nlott, hogy a\u00a0k\u00f3rh\u00e1zi szem\u00e9lyzet lehet\u0151s\u00e9g szerint biztos\u00edtsa a\u00a0sz\u00fcl\u00e9st addig k\u00eds\u00e9r\u0151 sz\u00fcl\u00e9szn\u0151nek, hogy tov\u00e1bbra is az\u00a0anya \u00e9s apa mellett maradhassanak, ha a\u00a0p\u00e1r ezt szeretn\u00e9. (B) [5, 61] Amennyiben az\u00a0int\u00e9zeten k\u00edv\u00fcli ell\u00e1t\u00e1st biztos\u00edt\u00f3 szakembernek az\u00a0adott int\u00e9zettel szerz\u0151d\u00e9se van, \u00fagy abban a\u00a0min\u0151s\u00e9g\u00e9ben a\u00a0sz\u00fcl\u00e9s tov\u00e1bbi menet\u00e9ben r\u00e9szt vehet; amennyiben nincs szerz\u0151d\u00e9se, \u00fagy laikus k\u00eds\u00e9r\u0151k\u00e9nt lehet jelen a\u00a0sz\u00fcl\u00e9sn\u00e9l.<\/em><\/p><p>McLachlan H.L., Forster D.A., Davey M., et al.: Comparing Standard Maternity care with One-toone midwifery Support: a randomised controlled trial. BMC Pregnancy and Childbirth 2008, 8:35 doi:10.1186\/1471-2393-8-35:\u00a0<a href=\"https:\/\/bmcpregnancychildbirth.biomedcentral.com\/track\/pdf\/10.1186\/1471-2393-8-35\" target=\"_blank\" rel=\"noopener\">https:\/\/bmcpregnancychildbirth.biomedcentral.com\/track\/pdf\/10.1186\/1471-2393-8-35<\/a><\/p><p>NICE 2023:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#transfer-of-care-and-changing-place-of-birth\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations#transfer-of-care-and-changing-place-of-birth<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-20816\" class=\"elementor-tab-title\" data-tab=\"16\" role=\"button\" aria-controls=\"elementor-tab-content-20816\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Szem\u00e9lyre szabott ell\u00e1t\u00e1s<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-20816\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"16\" role=\"region\" aria-labelledby=\"elementor-tab-title-20816\"><p><strong>19. Aj\u00e1nl\u00e1s:<\/strong><em> Javasolt a\u00a0szem\u00e9lyre szabott ell\u00e1t\u00e1s a\u00a0sz\u00fcl\u0151szob\u00e1n, melynek r\u00e9sze, hogy lehet\u0151leg ugyanaz a\u00a0sz\u00fcl\u00e9szn\u0151 gondoskodik az\u00a0any\u00e1r\u00f3l a\u00a0sz\u00fcl\u00e9s teljes ideje alatt. Ez\u00a0a\u00a0felt\u00e9tel azonban az\u00a0egyes ell\u00e1t\u00f3kn\u00e1l a\u00a0rendelkez\u00e9sre \u00e1ll\u00f3 munkaer\u0151 f\u00fcggv\u00e9ny\u00e9ben, illetve a\u00a0munkabeoszt\u00e1s figyelembev\u00e9tele mellett oldhat\u00f3 meg, esetleg teljes m\u00e9rt\u00e9kben jelenleg nem val\u00f3sulhat meg, ugyanakkor aj\u00e1nlott t\u00f6rekedni az\u00a0egy sz\u00fcl\u0151 n\u0151 \u2013 egy sz\u00fcl\u00e9szn\u0151 ell\u00e1t\u00e1si rendszer megval\u00f3s\u00edt\u00e1s\u00e1ra. (D)<\/em><\/p><p>Intrapartum care (NICE) 2023.:\u00a0<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng235\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng235<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-20817\" class=\"elementor-tab-title\" data-tab=\"17\" role=\"button\" aria-controls=\"elementor-tab-content-20817\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">B\u0151r-b\u0151r kontaktus biztos\u00edt\u00e1sa cs\u00e1sz\u00e1rmetsz\u00e9s ut\u00e1n<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-20817\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"17\" role=\"region\" aria-labelledby=\"elementor-tab-title-20817\"><p><strong>33. Aj\u00e1nl\u00e1s:<\/strong> <em>Cs\u00e1sz\u00e1rmetsz\u00e9s eset\u00e9n, m\u00e9g a\u00a0m\u0171t\u00e9t ideje alatt, az\u00a0\u201earany\u00f3ra\u201d id\u0151szak\u00e1ban, az\u00a0\u00fajsz\u00fcl\u00f6ttet az\u00a0anya mellkas\u00e1ra, k\u00f6zvetlen b\u0151r-b\u0151r kontaktussal aj\u00e1nlott elhelyezni. Ha ez\u00a0orvosi okb\u00f3l nem lehets\u00e9ges, \u00fagy az\u00a0\u00fajsz\u00fcl\u00f6ttet az\u00a0apa (k\u00eds\u00e9r\u0151) mellkas\u00e1ra, k\u00f6zvetlen b\u0151r-b\u0151r kontaktusban aj\u00e1nlott elhelyezni, majd az\u00a0any\u00e1nak \u00e1tadni, amint az\u00a0lehets\u00e9gess\u00e9 v\u00e1lik. (B)<\/em><\/p><p><strong>38. Aj\u00e1nl\u00e1s:<\/strong> <em>A\u00a0lep\u00e9ny megsz\u00fclet\u00e9se ut\u00e1n aj\u00e1nlott a\u00a0b\u0151r-b\u0151r kontaktus folyamatos, megszak\u00edt\u00e1s n\u00e9lk\u00fcli fenntart\u00e1sa, \u00edgy minden \u2013 az\u00a0\u00e9letjelens\u00e9gek figyel\u00e9s\u00e9n t\u00fali \u2013 vizsg\u00e1latot az\u00a0\u201earany\u00f3ra\u201d ut\u00e1ni id\u0151szakra aj\u00e1nlott halasztani. (A)\u00a0<\/em><\/p><p>Chi Luong K, Long Nguyen T, Huynh Thi DH, et al.: Newly born low birthweight infants stabilise better in skin-to-skin contact than when separated from their mothers: a randomised controlled trial. Acta Paediatr. 2016; 105:381\u201390 :\u00a0<a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.13164\" target=\"_blank\" rel=\"noopener\">https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.13164<\/a><\/p><p>Guala A, Boscardini L, Visentin R, et al, Skin-to-Skin Contact in Cesarean Birth and Duration of Breastfeeding: A Cohort Study, Scientific World Journal. 2017; 2017: 1940756. Published online 2017 Sep 7. doi: 10.1155\/2017\/1940756\/:\u00a0<a href=\"https:\/\/www.hindawi.com\/journals\/tswj\/2017\/1940756\" target=\"_blank\" rel=\"noopener\">https:\/\/www.hindawi.com\/journals\/tswj\/2017\/1940756<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-20818\" class=\"elementor-tab-title\" data-tab=\"18\" role=\"button\" aria-controls=\"elementor-tab-content-20818\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">H\u00fcvelyi sz\u00fcl\u00e9s lehet\u0151s\u00e9ge cs\u00e1sz\u00e1rmetsz\u00e9s ut\u00e1n<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-20818\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"18\" role=\"region\" aria-labelledby=\"elementor-tab-title-20818\"><p><strong>34. Aj\u00e1nl\u00e1s:<\/strong> <em>Az\u00a0el\u0151zetes cs\u00e1sz\u00e1rmetsz\u00e9sen \u00e1tesett v\u00e1rand\u00f3sok jelent\u0151s r\u00e9sze h\u00fcvelyi sz\u00fcl\u00e9sbe bocs\u00e1that\u00f3 (TOLAC), \u00e9s a\u00a0nemzetk\u00f6zi adatok alapj\u00e1n t\u00f6bb, mint k\u00e9tharmaduk h\u00fcvelyi \u00faton meg is tud sz\u00fclni (VBAC). A\u00a0v\u00e1rand\u00f3sokat err\u0151l ennek megfelel\u0151en aj\u00e1nlott felvil\u00e1gos\u00edtani. (D)<\/em><\/p><p class=\"heading-title\">ACOG Practice Bulletin No. 205: Vaginal Birth After Cesarean Delivery:\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30681543\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/30681543\/<\/a><\/p><p>SOGC clinical practice guidelines. Guidelines for vaginal birth after previous caesarean birth. Number 155 (Replaces guideline Number 147), February 2005:\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16001462\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/16001462\/<\/a><\/p><p>RCOG Green-top Guideline 2015. No.45. Birth after previous cesarean birth:\u00a0<a href=\"https:\/\/www.rcog.org.uk\/media\/kpkjwd5h\/gtg_45.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.rcog.org.uk\/media\/kpkjwd5h\/gtg_45.pdf<\/a><\/p><p class=\"heading-title\">Labour and Childbirth After Previous Caesarean Section: Recommendations of the Austrian Society of Obstetrics and Gynaecology (OEGGG):\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28017971\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/28017971\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-20819\" class=\"elementor-tab-title\" data-tab=\"19\" role=\"button\" aria-controls=\"elementor-tab-content-20819\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">WHO szoptat\u00e1si krit\u00e9riumok teljes\u00edt\u00e9se<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-20819\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"19\" role=\"region\" aria-labelledby=\"elementor-tab-title-20819\"><p><strong>43. Aj\u00e1nl\u00e1s:<\/strong> <em>A v\u00e1rand\u00f3ss\u00e1g, sz\u00fcl\u00e9s \u00e9s sz\u00fcl\u00e9s ut\u00e1ni ell\u00e1t\u00e1snak t\u00f6rekednie kell arra, hogy min\u00e9l ink\u00e1bb megfeleljen a WHO Szoptat\u00e1shoz vezet\u0151 10 l\u00e9p\u00e9ses krit\u00e9riumrendszer\u00e9nek. (D)\u00a0<\/em><\/p><p>WHO Ten steps to successful breastfeeding (revised 2018):\u00a0<a href=\"https:\/\/www.who.int\/nutrition\/bfhi\/ten-steps\/en\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.who.int\/nutrition\/bfhi\/ten-steps\/en\/<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bac6b83 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bac6b83\" data-element_type=\"section\" data-e-type=\"section\" id=\"forditas\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4dd3665\" data-id=\"4dd3665\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-57c9ab1 de_scroll_animation_no elementor-widget elementor-widget-spacer\" data-id=\"57c9ab1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6d62ceb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6d62ceb\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b325998\" data-id=\"b325998\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-44099e2 de_scroll_animation_no elementor-widget elementor-widget-text-editor\" data-id=\"44099e2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"0\" data-end=\"70\"><strong data-start=\"0\" data-end=\"68\">A k\u00fcls\u0151 magzatford\u00edt\u00e1s hat\u00e1sa a medencev\u00e9g\u0171 fekv\u00e9s kimeneteleire<\/strong><\/p><p data-start=\"72\" data-end=\"300\">A sikeres k\u00fcls\u0151 magzatford\u00edt\u00e1s (ECV) cs\u00f6kkenti a cs\u00e1sz\u00e1rmetsz\u00e9sek ar\u00e1ny\u00e1t, mik\u00f6zben biztons\u00e1gos az anya sz\u00e1m\u00e1ra, \u00e9s az \u00fajsz\u00fcl\u00f6ttek eg\u00e9szs\u00e9g\u00fcgyi mutat\u00f3i sem t\u00e9rnek el jelent\u0151sen a magzatford\u00edt\u00e1st nem alkalmaz\u00f3 esetekhez k\u00e9pest.<\/p><p data-start=\"302\" data-end=\"1025\"><strong data-start=\"302\" data-end=\"315\">Absztrakt<\/strong><br data-start=\"315\" data-end=\"318\" \/>Huszon\u00f6t, terminusban l\u00e9v\u0151 medencev\u00e9g\u0171 fekv\u00e9sr\u0151l sz\u00f3l\u00f3 tanulm\u00e1ny szerint az ECV sikeress\u00e9gi ar\u00e1nya 40% \u00e9s 87% k\u00f6z\u00f6tt mozog. A kutat\u00e1sok egy\u00e9rtelm\u0171en kimutatt\u00e1k, hogy a sikeres magzatford\u00edt\u00e1s jelent\u0151sen cs\u00f6kkenti a cs\u00e1sz\u00e1rmetsz\u00e9sek sz\u00e1m\u00e1t. Egy vizsg\u00e1lat p\u00e9ld\u00e1ul azt tal\u00e1lta, hogy sikeres ECV ut\u00e1n a cs\u00e1sz\u00e1rmetsz\u00e9sek ar\u00e1nya mind\u00f6ssze 13% volt, m\u00edg sikertelen pr\u00f3b\u00e1lkoz\u00e1s eset\u00e9n 98%-ban cs\u00e1sz\u00e1rmetsz\u00e9sre ker\u00fclt sor. Az \u00f6sszes\u00edtett adatok szerint a sikeres ECV eset\u00e9n a cs\u00e1sz\u00e1rmetsz\u00e9s kock\u00e1zata 43%-kal cs\u00f6kken (RR: 0,57; 95% CI: 0,50\u20130,64). T\u00f6bb tanulm\u00e1ny r\u00e1mutatott arra is, hogy a tocolysis (m\u00e9h\u00f6sszeh\u00faz\u00f3d\u00e1sokat cs\u00f6kkent\u0151 gy\u00f3gyszer) \u00e9s a region\u00e1lis f\u00e1jdalomcsillap\u00edt\u00e1s n\u00f6veli a magzatford\u00edt\u00e1s sikeress\u00e9g\u00e9t.<\/p><p data-start=\"1027\" data-end=\"1641\">Az anyai biztons\u00e1got illet\u0151en a kutat\u00e1sok nem sz\u00e1molnak be gyakori vagy s\u00falyos sz\u00f6v\u0151dm\u00e9nyekr\u0151l. A legt\u00f6bb tanulm\u00e1ny vagy egy\u00e1ltal\u00e1n nem \u00e9szlelt komplik\u00e1ci\u00f3t, vagy csak \u00e1tmeneti jelens\u00e9geket, p\u00e9ld\u00e1ul magzati sz\u00edvhanglassul\u00e1st (legfeljebb 36%-ban) vagy anyai v\u00e9rnyom\u00e1scs\u00f6kken\u00e9st (spinalis f\u00e1jdalomcsillap\u00edt\u00e1s eset\u00e9n kb. 32%-ban). S\u00falyos sz\u00f6v\u0151dm\u00e9nyek rendk\u00edv\u00fcl ritk\u00e1k voltak. Az \u00fajsz\u00fcl\u00f6ttkimenetelek \u2013 bele\u00e9rtve az 5 perces Apgar-pontsz\u00e1mokat, a k\u00f3rh\u00e1zi felv\u00e9teli ar\u00e1nyokat \u00e9s a perinat\u00e1lis hal\u00e1loz\u00e1st \u2013 nem mutattak statisztikailag szignifik\u00e1ns k\u00fcl\u00f6nbs\u00e9get az ECV-vel kezelt \u00e9s a beavatkoz\u00e1s n\u00e9lk\u00fcli esetek k\u00f6z\u00f6tt.<\/p><p data-start=\"1643\" data-end=\"1866\" data-is-last-node=\"\" data-is-only-node=\"\">Ezek az eredm\u00e9nyek azt sugallj\u00e1k, hogy ha a k\u00fcls\u0151 magzatford\u00edt\u00e1s sikeres, az jelent\u0151sen cs\u00f6kkenti a cs\u00e1sz\u00e1rmetsz\u00e9sek sz\u00e1m\u00e1t, mik\u00f6zben biztons\u00e1gos megold\u00e1s az any\u00e1k sz\u00e1m\u00e1ra, \u00e9s nem j\u00e1r kedvez\u0151tlenebb \u00fajsz\u00fcl\u00f6ttkimenetelekkel.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-610c0fd elementor-align-center de_scroll_animation_no elementor-widget elementor-widget-elementskit-button\" data-id=\"610c0fd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/Elicit-Impact-of-External-Cephalic-Version-on-Breech-Outc-Report.pdf\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\tMegn\u00e9zem a r\u00e9szleteket\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1ba838e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1ba838e\" data-element_type=\"section\" data-e-type=\"section\" id=\"inditas\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8ae6185\" data-id=\"8ae6185\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0a3e5d3 de_scroll_animation_no elementor-widget elementor-widget-spacer\" data-id=\"0a3e5d3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-82236e0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"82236e0\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2ab9944\" data-id=\"2ab9944\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8f14104 de_scroll_animation_no elementor-widget elementor-widget-text-editor\" data-id=\"8f14104\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"0\" data-end=\"49\"><strong data-start=\"0\" data-end=\"47\">A vaj\u00fad\u00e1s megindul\u00e1s\u00e1nak m\u00f3djai \u00e9s hat\u00e1saik<\/strong><\/p><p data-start=\"51\" data-end=\"280\">A spont\u00e1n vaj\u00fad\u00e1s kevesebb cs\u00e1sz\u00e1rmetsz\u00e9ssel, r\u00f6videbb k\u00f3rh\u00e1zi tart\u00f3zkod\u00e1ssal \u00e9s kedvez\u0151bb pszichol\u00f3giai kimenetelekkel j\u00e1r, m\u00edg az \u00fctemezett beavatkoz\u00e1sok a k\u00e9s\u0151i terhess\u00e9gi id\u0151szakban cs\u00f6kkenthetik a halvasz\u00fclet\u00e9s kock\u00e1zat\u00e1t.<\/p><p data-start=\"282\" data-end=\"1065\"><strong data-start=\"282\" data-end=\"295\">Absztrakt<\/strong><br data-start=\"295\" data-end=\"298\" \/>A vaj\u00fad\u00e1s spont\u00e1n megindul\u00e1sa \u00e9s a sz\u00fcl\u00e9s orvosi beavatkoz\u00e1ssal t\u00f6rt\u00e9n\u0151 elind\u00edt\u00e1sa elt\u00e9r\u0151 hat\u00e1ssal van az anya \u00e9s az \u00fajsz\u00fcl\u00f6tt eg\u00e9szs\u00e9g\u00e9re, valamint a sz\u00fcl\u00e9s\u00e9lm\u00e9nyre terminusban l\u00e9v\u0151, egyes terhess\u00e9gek eset\u00e9n. A kutat\u00e1sok szerint a spont\u00e1n vaj\u00fad\u00e1s alacsonyabb cs\u00e1sz\u00e1rmetsz\u00e9si ar\u00e1nnyal, ritk\u00e1bb epidur\u00e1lis \u00e9rz\u00e9stelen\u00edt\u00e9ssel, kevesebb g\u00e1tmetsz\u00e9ssel \u00e9s r\u00f6videbb k\u00f3rh\u00e1zi tart\u00f3zkod\u00e1ssal j\u00e1r. T\u00f6bb tanulm\u00e1ny \u2013 k\u00fcl\u00f6n\u00f6sen els\u0151 sz\u00fcl\u0151kn\u00e9l \u2013 azt mutatja, hogy a vaj\u00fad\u00e1s mesters\u00e9ges megind\u00edt\u00e1sa n\u00f6velheti a cs\u00e1sz\u00e1rmetsz\u00e9s, az eszk\u00f6z\u00f6s sz\u00fcl\u00e9s (bizonyos esetekben), a sz\u00fcl\u00e9s ut\u00e1ni v\u00e9rz\u00e9s \u00e9s a hosszabb k\u00f3rh\u00e1zi bennfekv\u00e9s kock\u00e1zat\u00e1t. Ugyanakkor egy kutat\u00e1s szerint a 39. h\u00e9ten v\u00e9gzett sz\u00fcl\u00e9sind\u00edt\u00e1s v\u00e9d\u0151hat\u00e1st gyakorolhat a medencefen\u00e9k izmaira, cs\u00f6kkentve a s\u00e9r\u00fcl\u00e9sek kock\u00e1zat\u00e1t.<\/p><p data-start=\"1067\" data-end=\"1523\">Az \u00fajsz\u00fcl\u00f6ttek szempontj\u00e1b\u00f3l a vaj\u00fad\u00e1s megindul\u00e1s\u00e1nak m\u00f3dja nem mutatott jelent\u0151s elt\u00e9r\u00e9st az Apgar-pontsz\u00e1mok \u00e9s a csecsem\u0151haland\u00f3s\u00e1g tekintet\u00e9ben. Ugyanakkor az \u00fctemezett sz\u00fcl\u00e9sind\u00edt\u00e1s cs\u00f6kkentheti a halvasz\u00fclet\u00e9sek el\u0151fordul\u00e1s\u00e1t a terhess\u00e9g k\u00e9s\u0151i szakasz\u00e1ban. A korasz\u00fcl\u00f6tt intenz\u00edv oszt\u00e1lyra (NICU) t\u00f6rt\u00e9n\u0151 felv\u00e9tel, a l\u00e9gz\u00e9si probl\u00e9m\u00e1k, a sz\u00fclet\u00e9si trauma \u00e9s az \u00fajsz\u00fcl\u00f6ttkori acid\u00f3zis el\u0151fordul\u00e1s\u00e1t illet\u0151en a kutat\u00e1sok vegyes eredm\u00e9nyeket mutattak.<\/p><p data-start=\"1525\" data-end=\"2130\" data-is-last-node=\"\" data-is-only-node=\"\">A pszichol\u00f3giai hat\u00e1sokat vizsg\u00e1lva a mesters\u00e9gesen ind\u00edtott vaj\u00fad\u00e1s \u00e1ltal\u00e1ban alacsonyabb sz\u00fcl\u00e9si el\u00e9gedetts\u00e9ggel t\u00e1rsul, amelyet az alacsonyabb vizu\u00e1lis anal\u00f3g sk\u00e1l\u00e1s (VAS) pontsz\u00e1mok \u00e9s a vaj\u00fad\u00e1s l\u00e1tens szakasz\u00e1ban megfigyelt megv\u00e1ltozott kortizolszintek is al\u00e1t\u00e1masztanak. Hossz\u00fa t\u00e1v\u00fa vizsg\u00e1latok szerint a spont\u00e1n vaj\u00fad\u00e1s ut\u00e1n ritk\u00e1bbak a gyermekkori fert\u0151z\u00e9sek, m\u00edg a l\u00e9gz\u0151szervi \u00e9s b\u0151rbetegs\u00e9gek el\u0151fordul\u00e1si gyakoris\u00e1ga hasonl\u00f3. Az anya hossz\u00fa t\u00e1v\u00fa eg\u00e9szs\u00e9g\u00e9re \u00e9s a gyermek fejl\u0151d\u00e9s\u00e9re gyakorolt hat\u00e1sokat illet\u0151en azonban jelenleg m\u00e9g nincs elegend\u0151 adat a megb\u00edzhat\u00f3 k\u00f6vetkeztet\u00e9sek levon\u00e1s\u00e1hoz.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0851af5 elementor-align-center de_scroll_animation_no elementor-widget elementor-widget-elementskit-button\" data-id=\"0851af5\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"indulas\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/Elicit-Impacts-of-Labour-Onset-Methods-Report.pdf\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\tMegn\u00e9zem a r\u00e9szleteket\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1e7907d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1e7907d\" data-element_type=\"section\" data-e-type=\"section\" id=\"kisero\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-db95b96\" data-id=\"db95b96\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9c83680 de_scroll_animation_no elementor-widget elementor-widget-spacer\" data-id=\"9c83680\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-03a0dae elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"03a0dae\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c66e2ab\" data-id=\"c66e2ab\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cc9706d de_scroll_animation_no elementor-widget elementor-widget-text-editor\" data-id=\"cc9706d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"0\" data-end=\"63\"><strong data-start=\"0\" data-end=\"61\">A sz\u00fcl\u00e9sk\u00eds\u00e9r\u0151 hat\u00e1sa az anya \u00e9s az \u00fajsz\u00fcl\u00f6tt eg\u00e9szs\u00e9g\u00e9re<\/strong><\/p><p data-start=\"65\" data-end=\"357\">A vaj\u00fad\u00e1s sor\u00e1n jelen l\u00e9v\u0151 sz\u00fcl\u00e9sk\u00eds\u00e9r\u0151 kedvez\u0151 hat\u00e1ssal van mind az anya, mind az \u00fajsz\u00fcl\u00f6tt eg\u00e9szs\u00e9g\u00e9re. A kutat\u00e1sok szerint a sz\u00fcl\u00e9sk\u00eds\u00e9rettel zajl\u00f3 vaj\u00fad\u00e1s alacsonyabb cs\u00e1sz\u00e1rmetsz\u00e9si ar\u00e1nnyal, r\u00f6videbb vaj\u00fad\u00e1si id\u0151vel, jobb \u00fajsz\u00fcl\u00f6ttkori \u00e1llapottal \u00e9s nagyobb anyai el\u00e9gedetts\u00e9ggel j\u00e1r.<\/p><p data-start=\"359\" data-end=\"1159\"><strong data-start=\"359\" data-end=\"372\">Absztrakt<\/strong><br data-start=\"372\" data-end=\"375\" \/>A sz\u00fcl\u00e9sk\u00eds\u00e9r\u0151 jelenl\u00e9te sz\u00e1mos el\u0151nnyel j\u00e1r az anya \u00e9s a baba sz\u00e1m\u00e1ra. A kutat\u00e1sok szerint azok a n\u0151k, akiknek van sz\u00fcl\u00e9sk\u00eds\u00e9r\u0151j\u00fck, nagyobb es\u00e9llyel sz\u00fclnek spont\u00e1n h\u00fcvelyi \u00faton (relat\u00edv kock\u00e1zat [RR] 1,08; 95% megb\u00edzhat\u00f3s\u00e1gi intervallum [CI] 1,04\u20131,12), \u00e9s kisebb es\u00e9llyel ker\u00fcl sor n\u00e1luk cs\u00e1sz\u00e1rmetsz\u00e9sre (RR 0,75; 95% CI 0,64\u20130,88) vagy eszk\u00f6z\u00f6s sz\u00fcl\u00e9sre (RR 0,90; 95% CI 0,85\u20130,96). A vaj\u00fad\u00e1s id\u0151tartama \u00e1tlagosan 35 perccel r\u00f6videbb (95% CI \u201351 \u00e9s \u201319 perc k\u00f6z\u00f6tt), \u00e9s cs\u00f6kken a f\u00e1jdalomcsillap\u00edt\u00f3k (RR 0,90; 95% CI 0,84\u20130,96) \u00e9s az epidur\u00e1lis \u00e9rz\u00e9stelen\u00edt\u00e9s (RR 0,93; 95% CI 0,88\u20130,99) alkalmaz\u00e1sa. Egyes tanulm\u00e1nyok szerint az oxitocin haszn\u00e1lata 30%-r\u00f3l 13%-ra cs\u00f6kken (p = 0,01), \u00e9s a g\u00e1tmetsz\u00e9sek ar\u00e1nya is alacsonyabb, az intervenci\u00f3s csoportban 8,57%-os \u00e9rt\u00e9ket m\u00e9rtek.<\/p><p data-start=\"1161\" data-end=\"1386\">A sz\u00fcl\u00e9s\u00e9lm\u00e9ny szempontj\u00e1b\u00f3l is jelent\u0151s el\u0151ny\u00f6ket mutattak ki: a n\u0151k 31%-kal ritk\u00e1bban \u00e9rt\u00e9kelt\u00e9k negat\u00edvan a sz\u00fcl\u00e9st (RR 0,69; 95% CI 0,59\u20130,79), \u00e9s t\u00f6bb mint 86%-uk teljes m\u00e9rt\u00e9kben el\u00e9gedett volt a jelen l\u00e9v\u0151 k\u00eds\u00e9r\u0151vel.<\/p><p data-start=\"1388\" data-end=\"1936\">Az \u00fajsz\u00fcl\u00f6tt szempontj\u00e1b\u00f3l is kedvez\u0151 hat\u00e1sok figyelhet\u0151k meg. A sz\u00fcl\u00e9sk\u00eds\u00e9r\u0151 jelenl\u00e9te cs\u00f6kkenti az alacsony \u00f6tperces Apgar-pontsz\u00e1m kock\u00e1zat\u00e1t (RR 0,62; 95% CI 0,46\u20130,85), b\u00e1r az \u00fajsz\u00fcl\u00f6tt intenz\u00edv oszt\u00e1lyra (NICU) val\u00f3 felv\u00e9tel ar\u00e1ny\u00e1ban a kutat\u00e1sok elt\u00e9r\u0151 eredm\u00e9nyeket mutattak. A szoptat\u00e1s korai megkezd\u00e9s\u00e9nek es\u00e9lye n\u00f6vekszik: a k\u00eds\u00e9r\u0151vel sz\u00fclt any\u00e1k bab\u00e1inak 93,3%-a kezd el id\u0151ben szopni, m\u00edg a kontrollcsoportban ez az ar\u00e1ny csak 73,3% volt (p &lt; 0,01). Emellett nem figyeltek meg n\u00f6veked\u00e9st az \u00fajsz\u00fcl\u00f6ttkori komplik\u00e1ci\u00f3k el\u0151fordul\u00e1s\u00e1ban.<\/p><p data-start=\"1938\" data-end=\"2235\" data-is-last-node=\"\" data-is-only-node=\"\">A pozit\u00edv hat\u00e1sok sz\u00e9les k\u00f6rben \u00e9rv\u00e9nyes\u00fclnek, f\u00fcggetlen\u00fcl att\u00f3l, hogy a sz\u00fcl\u00e9sk\u00eds\u00e9r\u0151 eg\u00e9szs\u00e9g\u00fcgyi szakember, d\u00fala vagy csal\u00e1dtag. K\u00fcl\u00f6n\u00f6sen kedvez\u0151 eredm\u00e9nyeket mutattak azok a helyzetek, ahol a k\u00eds\u00e9r\u0151 f\u00fcggetlen szem\u00e9ly volt, illetve ahol a rutinszer\u0171 epidur\u00e1lis \u00e9rz\u00e9stelen\u00edt\u00e9s kev\u00e9sb\u00e9 elterjedt.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-752b967 elementor-align-center de_scroll_animation_no elementor-widget elementor-widget-elementskit-button\" data-id=\"752b967\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/mamasherpas.care\/en\/wp-json\/wp\/v2\/pages\/8426\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\t\u00d6sszefoglal\u00f3\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a24d8fc elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a24d8fc\" data-element_type=\"section\" data-e-type=\"section\" id=\"felkeszito\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3c97a47\" data-id=\"3c97a47\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3e08256 de_scroll_animation_no elementor-widget elementor-widget-spacer\" data-id=\"3e08256\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-34d39a4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"34d39a4\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0137483\" data-id=\"0137483\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6737eaa de_scroll_animation_no elementor-widget elementor-widget-text-editor\" data-id=\"6737eaa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"0\" data-end=\"52\"><strong data-start=\"0\" data-end=\"50\">A sz\u00fcl\u00e9sfelk\u00e9sz\u00edt\u00e9s hat\u00e1sa az anyai eg\u00e9szs\u00e9gre<\/strong><\/p><p data-start=\"54\" data-end=\"366\">A kutat\u00e1sok szerint a sz\u00fcl\u00e9sfelk\u00e9sz\u00edt\u0151 tanfolyamok cs\u00f6kkenthetik a cs\u00e1sz\u00e1rmetsz\u00e9sek gyakoris\u00e1g\u00e1t, m\u00e9rs\u00e9kelhetik a sz\u00fcl\u00e9s ut\u00e1ni depresszi\u00f3 kock\u00e1zat\u00e1t, \u00e9s el\u0151seg\u00edthetik a szoptat\u00e1s kor\u00e1bbi megkezd\u00e9s\u00e9t. B\u00e1r egyes tanulm\u00e1nyok nem tal\u00e1ltak egy\u00e9rtelm\u0171 hat\u00e1st, az eredm\u00e9nyek \u00f6sszess\u00e9g\u00e9ben pozit\u00edv tendenci\u00e1t mutatnak.<\/p><p data-start=\"368\" data-end=\"845\"><strong data-start=\"368\" data-end=\"381\">Absztrakt<\/strong><br data-start=\"381\" data-end=\"384\" \/>A sz\u00fcl\u00e9sfelk\u00e9sz\u00edt\u0151 programok bizony\u00edtottan befoly\u00e1solj\u00e1k az anyai eg\u00e9szs\u00e9get \u00e9s a sz\u00fcl\u00e9s\u00e9lm\u00e9nyt. Egy nyolcalkalmas tanfolyam jelent\u0151s cs\u00f6kken\u00e9st eredm\u00e9nyezett a cs\u00e1sz\u00e1rmetsz\u00e9sek ar\u00e1ny\u00e1ban (p = 0,023 \u00e9s p = 0,044), b\u00e1r egy m\u00e1sik vizsg\u00e1lat nem mutatott szignifik\u00e1ns k\u00fcl\u00f6nbs\u00e9get a r\u00e9sztvev\u0151k \u00e9s a kontrollcsoport k\u00f6z\u00f6tt (26,09% vs. 26,83%). Egyes kutat\u00e1sok arra is r\u00e1mutattak, hogy a felk\u00e9sz\u00edt\u0151n r\u00e9sztvev\u0151 n\u0151k k\u00f6r\u00e9ben gyakoribb volt a term\u00e9szetes h\u00fcvelyi sz\u00fcl\u00e9s.<\/p><p data-start=\"847\" data-end=\"1202\">A sz\u00fcl\u00e9s ut\u00e1ni ment\u00e1lis \u00e1llapotot vizsg\u00e1lva t\u00f6bb tanulm\u00e1ny az Edinburghi Sz\u00fcl\u00e9s Ut\u00e1ni Depresszi\u00f3 Sk\u00e1l\u00e1t (EPDS) haszn\u00e1lva kimutatta, hogy a rendszeresen l\u00e1togatott felk\u00e9sz\u00edt\u0151 foglalkoz\u00e1sok cs\u00f6kkentett\u00e9k a sz\u00fcl\u00e9s ut\u00e1ni depresszi\u00f3 kock\u00e1zat\u00e1t (p &lt; 0,001 \u00e9s p &lt; 0,05), m\u00edg egy m\u00e1sik kutat\u00e1s alacsonyabb depresszi\u00f3s ar\u00e1nyokat figyelt meg a r\u00e9sztvev\u0151k k\u00f6r\u00e9ben.<\/p><p data-start=\"1204\" data-end=\"1643\">A szoptat\u00e1sra gyakorolt hat\u00e1sok is kedvez\u0151ek voltak: egy tanulm\u00e1ny szerint a sz\u00fcl\u00e9sfelk\u00e9sz\u00edt\u00e9sen r\u00e9sztvev\u0151 any\u00e1k \u00e1tlagosan 17,8 \u00f3r\u00e1r\u00f3l 6,2 \u00f3r\u00e1ra cs\u00f6kkentett\u00e9k a szoptat\u00e1s megkezd\u00e9s\u00e9hez sz\u00fcks\u00e9ges id\u0151t (p &lt; 0,01). Egy m\u00e1sik vizsg\u00e1lat az exkluz\u00edv szoptat\u00e1s elterjed\u00e9s\u00e9t dokument\u00e1lta, amely 78%-r\u00f3l 95%-ra emelkedett a tanfolyamot elv\u00e9gz\u0151k k\u00f6r\u00e9ben. Ugyanakkor egy harmadik kutat\u00e1s nem tal\u00e1lt jelent\u0151s k\u00fcl\u00f6nbs\u00e9get a kontrollcsoporthoz k\u00e9pest.<\/p><p data-start=\"1645\" data-end=\"1950\" data-is-last-node=\"\" data-is-only-node=\"\">Az eredm\u00e9nyek azt sugallj\u00e1k, hogy a j\u00f3l fel\u00e9p\u00edtett, t\u00f6bb alkalomb\u00f3l \u00e1ll\u00f3 sz\u00fcl\u00e9sfelk\u00e9sz\u00edt\u0151 tanfolyamok kedvez\u0151en befoly\u00e1solj\u00e1k a sz\u00fcl\u00e9s m\u00f3dj\u00e1t, az anyai lelki \u00e1llapotot \u00e9s a szoptat\u00e1s korai megkezd\u00e9s\u00e9t. A konkr\u00e9t hat\u00e1sok azonban a program fel\u00e9p\u00edt\u00e9s\u00e9t\u0151l \u00e9s a r\u00e9sztvev\u0151 n\u0151k egy\u00e9ni jellemz\u0151it\u0151l is f\u00fcgghetnek.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4961b05 elementor-align-center de_scroll_animation_no elementor-widget elementor-widget-elementskit-button\" data-id=\"4961b05\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/Elicit-Impact-of-Birth-Preparation-on-Maternal-Outcomes-Report.pdf\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\t\u00d6sszefoglal\u00f3\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f8a8232 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f8a8232\" data-element_type=\"section\" data-e-type=\"section\" id=\"terv\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-032f67b\" data-id=\"032f67b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c127aaa de_scroll_animation_no elementor-widget elementor-widget-spacer\" data-id=\"c127aaa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-088c410 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"088c410\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a9f18ab\" data-id=\"a9f18ab\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4dce9dd de_scroll_animation_no elementor-widget elementor-widget-text-editor\" data-id=\"4dce9dd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"0\" data-end=\"63\"><strong data-start=\"0\" data-end=\"61\">A sz\u00fcl\u00e9si terv hat\u00e1sa az anya \u00e9s az \u00fajsz\u00fcl\u00f6tt eg\u00e9szs\u00e9g\u00e9re<\/strong><\/p><p data-start=\"65\" data-end=\"320\">A kutat\u00e1sok szerint a sz\u00fcl\u00e9si terv k\u00e9sz\u00edt\u00e9se \u2013 k\u00fcl\u00f6n\u00f6sen, ha az eg\u00e9szs\u00e9g\u00fcgyi szakemberek t\u00e1mogat\u00e1s\u00e1val t\u00f6rt\u00e9nik \u2013 nemcsak az anya testi \u00e9s lelki j\u00f3ll\u00e9t\u00e9re van pozit\u00edv hat\u00e1ssal, hanem az \u00fajsz\u00fcl\u00f6tt eg\u00e9szs\u00e9g\u00e9t \u00e9s a sz\u00fcl\u00e9s menet\u00e9t is kedvez\u0151en befoly\u00e1solja.<\/p><h3 data-start=\"322\" data-end=\"341\"><strong data-start=\"326\" data-end=\"339\">Absztrakt<\/strong><\/h3><p data-start=\"342\" data-end=\"721\">T\u00edz tanulm\u00e1ny (\u00f6sszesen 17 603 r\u00e9sztvev\u0151vel) vizsg\u00e1lta, milyen hat\u00e1ssal van a sz\u00fcl\u00e9si terv megl\u00e9te az anya \u00e9s az \u00fajsz\u00fcl\u00f6tt kimeneteleire. Az elemz\u00e9sek sor\u00e1n \u00f6sszehasonl\u00edtott\u00e1k a sz\u00fcl\u00e9sre vonatkoz\u00f3 el\u0151zetes terveket \u2013 amelyek a vaj\u00fad\u00e1s lefoly\u00e1s\u00e1t, a f\u00e1jdalomcsillap\u00edt\u00e1si lehet\u0151s\u00e9geket \u00e9s a beavatkoz\u00e1sok elker\u00fcl\u00e9s\u00e9re vonatkoz\u00f3 preferenci\u00e1kat r\u00f6gz\u00edtett\u00e9k \u2013 a szok\u00e1sos ell\u00e1t\u00e1ssal.<\/p><p data-start=\"723\" data-end=\"1262\">T\u00f6bb kutat\u00e1s kimutatta, hogy a sz\u00fcl\u00e9si tervvel rendelkez\u0151k k\u00f6r\u00e9ben alacsonyabb volt a cs\u00e1sz\u00e1rmetsz\u00e9sek \u00e9s a s\u00fcrg\u0151ss\u00e9gi cs\u00e1sz\u00e1rmetsz\u00e9sek ar\u00e1nya. Egyes vizsg\u00e1latokban az els\u0151 gyermek\u00fcket sz\u00fcl\u0151 n\u0151k k\u00f6r\u00e9ben 18%-os cs\u00e1sz\u00e1rmetsz\u00e9si ar\u00e1nyt figyeltek meg, m\u00edg a kontrollcsoportban ez az ar\u00e1ny 29% volt. A vaj\u00fad\u00e1s alatt v\u00e9gzett cs\u00e1sz\u00e1rmetsz\u00e9sek sz\u00e1ma is cs\u00f6kkent (11,7% vs. 20,3%). A h\u00fcvelyi sz\u00fcl\u00e9sek ar\u00e1nya szint\u00e9n magasabb volt a sz\u00fcl\u00e9si tervet k\u00e9sz\u00edt\u0151k k\u00f6r\u00e9ben (p\u00e9ld\u00e1ul egy tanulm\u00e1nyban 85% vs. 71,7%, egy m\u00e1sikban 81,9% vs. 48,7%; p &lt; 0,001).<\/p><p data-start=\"1264\" data-end=\"1977\">A vaj\u00fad\u00e1s id\u0151tartam\u00e1ra vonatkoz\u00f3 eredm\u00e9nyek elt\u00e9r\u0151ek voltak: egy kutat\u00e1s szerint a sz\u00fcl\u00e9si tervet alkalmaz\u00f3 csoportban r\u00f6videbb volt az \u00f6sszvaj\u00fad\u00e1si id\u0151, m\u00edg egy m\u00e1sik tanulm\u00e1ny azt tal\u00e1lta, hogy az els\u0151 vaj\u00fad\u00e1si szakasz valamivel hosszabb volt (\u00e1tlagosan 6,28 \u00f3ra vs. 5,20 \u00f3ra). A beavatkoz\u00e1sok alkalmaz\u00e1s\u00e1nak gyakoris\u00e1ga szint\u00e9n elt\u00e9r\u00e9seket mutatott. Egyes tanulm\u00e1nyok szerint azokn\u00e1l a n\u0151kn\u00e9l, akik sz\u00fcl\u00e9si tervvel rendelkeztek, ritk\u00e1bban alkalmaztak intrav\u00e9n\u00e1s \u00e9s epidur\u00e1lis f\u00e1jdalomcsillap\u00edt\u00e1st (p\u00e9ld\u00e1ul epidur\u00e1lis \u00e9rz\u00e9stelen\u00edt\u00e9s: 69,7% vs. 80,3%, p = 0,009). Egy m\u00e1sik vizsg\u00e1lat ugyanakkor magasabb ar\u00e1nyban figyelt meg enyh\u00e9bb g\u00e1ts\u00e9r\u00fcl\u00e9seket (els\u0151- \u00e9s m\u00e1sodfok\u00fa g\u00e1treped\u00e9sek: 72,1% vs. 25,5%, p &lt; 0,001).<\/p><p data-start=\"1979\" data-end=\"2383\">A pszichol\u00f3giai hat\u00e1sokat tekintve a sz\u00fcl\u00e9si tervet k\u00e9sz\u00edt\u0151k k\u00f6r\u00e9ben k\u00f6vetkezetesen jobb sz\u00fcl\u00e9si \u00e9lm\u00e9nyt \u00e9s nagyobb el\u00e9gedetts\u00e9get tapasztaltak. A n\u0151k arr\u00f3l sz\u00e1moltak be, hogy nagyobb kontrollt \u00e9reztek a sz\u00fcl\u00e9s\u00fck felett, magabiztosabbnak \u00e9s felk\u00e9sz\u00fcltebbnek \u00e9rezt\u00e9k magukat, valamint kisebb szorong\u00e1st \u00e9ltek \u00e1t. A legt\u00f6bb esetben ezek a k\u00fcl\u00f6nbs\u00e9gek statisztikailag is szignifik\u00e1nsak voltak (p &lt; 0,001).<\/p><p data-start=\"2385\" data-end=\"2951\">A sz\u00fcl\u00e9si terv a csecsem\u0151k kimeneteleire is kedvez\u0151en hatott. Az \u00fajsz\u00fcl\u00f6ttek egyperces Apgar-pontsz\u00e1mai magasabbak voltak a sz\u00fcl\u00e9si tervvel rendelkez\u0151 csoportban (p = 0,048), \u00e9s kisebb ar\u00e1nyban fordult el\u0151 alacsony Apgar-pontsz\u00e1m els\u0151 gyermekes any\u00e1k eset\u00e9ben (8,1% vs. 20,6%, p = 0,010). Emellett jobb k\u00f6ld\u00f6kzsin\u00f3rv\u00e9r-pH-\u00e9rt\u00e9keket m\u00e9rtek (p = 0,019 vagy p = 0,011), \u00e9s kevesebb esetben volt sz\u00fcks\u00e9g \u00fajsz\u00fcl\u00f6ttkori \u00fajra\u00e9leszt\u00e9sre (4% vs. 15,9%, p = 0,008). A NICU-oszt\u00e1lyra (\u00fajsz\u00fcl\u00f6tt intenz\u00edv oszt\u00e1ly) val\u00f3 felv\u00e9telek ar\u00e1ny\u00e1ban azonban nem volt jelent\u0151s k\u00fcl\u00f6nbs\u00e9g.<\/p><p data-start=\"2953\" data-end=\"3222\" data-is-last-node=\"\" data-is-only-node=\"\">A tanulm\u00e1nyok arra is r\u00e1mutattak, hogy a sz\u00fcl\u00e9si tervek jellemz\u0151en m\u00e9g a vaj\u00fad\u00e1s el\u0151tt, \u00f6n\u00e1ll\u00f3an vagy \u00edr\u00e1sos dokumentum form\u00e1j\u00e1ban k\u00e9sz\u00fcltek. Ha a terv elk\u00e9sz\u00edt\u00e9s\u00e9t eg\u00e9szs\u00e9g\u00fcgyi szakemberek is t\u00e1mogatt\u00e1k, az m\u00e9g ink\u00e1bb jav\u00edtotta az anyai \u00e9s \u00fajsz\u00fcl\u00f6ttkori kimeneteleket.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2612318 elementor-align-center de_scroll_animation_no elementor-widget elementor-widget-elementskit-button\" data-id=\"2612318\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/mamasherpas.care\/wp-content\/uploads\/2025\/03\/Elicit-Impact-of-Birth-Plans-on-Maternal-and-Neonatal-Out-Report.pdf\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\t\u00d6sszefoglal\u00f3\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>",
        "protected": false
    },
    "excerpt": {
        "rendered": "<p>Interakt\u00edv szakmai aj\u00e1nl\u00e1sok a sz\u00fcl\u00e9szeti ell\u00e1t\u00e1sban\u200b \u00dcdv\u00f6zl\u00fcnk az interakt\u00edv aj\u00e1nl\u00e1si oldalunkon! Itt szakmai szerepk\u00f6r\u00f6k szerint keresheted meg azokat az aj\u00e1nl\u00e1sokat, amelyek a legrelev\u00e1nsabbak a munk\u00e1d sor\u00e1n, illetve megtal\u00e1lhatod, mely aj\u00e1nl\u00e1sok prioriz\u00e1l\u00e1s\u00e1val \u00e9rhetj\u00fck el k\u00f6z\u00f6sen a legnagyobb hat\u00e1st. C\u00e9lunk, hogy seg\u00edts\u00fcnk a csal\u00e1dk\u00f6zpont\u00fa, bizony\u00edt\u00e9kokon alapul\u00f3 \u00e9s korszer\u0171 sz\u00fcl\u00e9szeti ell\u00e1t\u00e1s megval\u00f3s\u00edt\u00e1s\u00e1ban a hazai jogszab\u00e1lyi k\u00f6rnyezet, ir\u00e1nyelvek, illetve [&hellip;]<\/p>",
        "protected": false
    },
    "author": 1,
    "featured_media": 8655,
    "parent": 0,
    "menu_order": 0,
    "comment_status": "closed",
    "ping_status": "closed",
    "template": "",
    "meta": {
        "ocean_post_layout": "full-screen",
        "ocean_both_sidebars_style": "",
        "ocean_both_sidebars_content_width": 0,
        "ocean_both_sidebars_sidebars_width": 0,
        "ocean_sidebar": "0",
        "ocean_second_sidebar": "0",
        "ocean_disable_margins": "enable",
        "ocean_add_body_class": "",
        "ocean_shortcode_before_top_bar": "",
        "ocean_shortcode_after_top_bar": "",
        "ocean_shortcode_before_header": "",
        "ocean_shortcode_after_header": "",
        "ocean_has_shortcode": "",
        "ocean_shortcode_after_title": "",
        "ocean_shortcode_before_footer_widgets": "",
        "ocean_shortcode_after_footer_widgets": "",
        "ocean_shortcode_before_footer_bottom": "",
        "ocean_shortcode_after_footer_bottom": "",
        "ocean_display_top_bar": "default",
        "ocean_display_header": "default",
        "ocean_header_style": "",
        "ocean_center_header_left_menu": "0",
        "ocean_custom_header_template": "0",
        "ocean_custom_logo": 0,
        "ocean_custom_retina_logo": 0,
        "ocean_custom_logo_max_width": 0,
        "ocean_custom_logo_tablet_max_width": 0,
        "ocean_custom_logo_mobile_max_width": 0,
        "ocean_custom_logo_max_height": 0,
        "ocean_custom_logo_tablet_max_height": 0,
        "ocean_custom_logo_mobile_max_height": 0,
        "ocean_header_custom_menu": "0",
        "ocean_menu_typo_font_family": "0",
        "ocean_menu_typo_font_subset": "",
        "ocean_menu_typo_font_size": 0,
        "ocean_menu_typo_font_size_tablet": 0,
        "ocean_menu_typo_font_size_mobile": 0,
        "ocean_menu_typo_font_size_unit": "px",
        "ocean_menu_typo_font_weight": "",
        "ocean_menu_typo_font_weight_tablet": "",
        "ocean_menu_typo_font_weight_mobile": "",
        "ocean_menu_typo_transform": "",
        "ocean_menu_typo_transform_tablet": "",
        "ocean_menu_typo_transform_mobile": "",
        "ocean_menu_typo_line_height": 0,
        "ocean_menu_typo_line_height_tablet": 0,
        "ocean_menu_typo_line_height_mobile": 0,
        "ocean_menu_typo_line_height_unit": "",
        "ocean_menu_typo_spacing": 0,
        "ocean_menu_typo_spacing_tablet": 0,
        "ocean_menu_typo_spacing_mobile": 0,
        "ocean_menu_typo_spacing_unit": "",
        "ocean_menu_link_color": "",
        "ocean_menu_link_color_hover": "",
        "ocean_menu_link_color_active": "",
        "ocean_menu_link_background": "",
        "ocean_menu_link_hover_background": "",
        "ocean_menu_link_active_background": "",
        "ocean_menu_social_links_bg": "",
        "ocean_menu_social_hover_links_bg": "",
        "ocean_menu_social_links_color": "",
        "ocean_menu_social_hover_links_color": "",
        "ocean_disable_title": "default",
        "ocean_disable_heading": "default",
        "ocean_post_title": "",
        "ocean_post_subheading": "",
        "ocean_post_title_style": "",
        "ocean_post_title_background_color": "",
        "ocean_post_title_background": 0,
        "ocean_post_title_bg_image_position": "",
        "ocean_post_title_bg_image_attachment": "",
        "ocean_post_title_bg_image_repeat": "",
        "ocean_post_title_bg_image_size": "",
        "ocean_post_title_height": 0,
        "ocean_post_title_bg_overlay": 0.5,
        "ocean_post_title_bg_overlay_color": "",
        "ocean_disable_breadcrumbs": "default",
        "ocean_breadcrumbs_color": "",
        "ocean_breadcrumbs_separator_color": "",
        "ocean_breadcrumbs_links_color": "",
        "ocean_breadcrumbs_links_hover_color": "",
        "ocean_display_footer_widgets": "default",
        "ocean_display_footer_bottom": "default",
        "ocean_custom_footer_template": "0",
        "footnotes": ""
    },
    "class_list": [
        "post-8426",
        "page",
        "type-page",
        "status-publish",
        "has-post-thumbnail",
        "hentry",
        "entry",
        "has-media",
        "owp-thumbs-layout-horizontal",
        "owp-btn-normal",
        "owp-tabs-layout-horizontal",
        "has-no-thumbnails"
    ],
    "_links": {
        "self": [
            {
                "href": "https:\/\/mamasherpas.care\/en\/wp-json\/wp\/v2\/pages\/8426",
                "targetHints": {
                    "allow": [
                        "GET"
                    ]
                }
            }
        ],
        "collection": [
            {
                "href": "https:\/\/mamasherpas.care\/en\/wp-json\/wp\/v2\/pages"
            }
        ],
        "about": [
            {
                "href": "https:\/\/mamasherpas.care\/en\/wp-json\/wp\/v2\/types\/page"
            }
        ],
        "author": [
            {
                "embeddable": true,
                "href": "https:\/\/mamasherpas.care\/en\/wp-json\/wp\/v2\/users\/1"
            }
        ],
        "replies": [
            {
                "embeddable": true,
                "href": "https:\/\/mamasherpas.care\/en\/wp-json\/wp\/v2\/comments?post=8426"
            }
        ],
        "version-history": [
            {
                "count": 219,
                "href": "https:\/\/mamasherpas.care\/en\/wp-json\/wp\/v2\/pages\/8426\/revisions"
            }
        ],
        "predecessor-version": [
            {
                "id": 8739,
                "href": "https:\/\/mamasherpas.care\/en\/wp-json\/wp\/v2\/pages\/8426\/revisions\/8739"
            }
        ],
        "wp:featuredmedia": [
            {
                "embeddable": true,
                "href": "https:\/\/mamasherpas.care\/en\/wp-json\/wp\/v2\/media\/8655"
            }
        ],
        "wp:attachment": [
            {
                "href": "https:\/\/mamasherpas.care\/en\/wp-json\/wp\/v2\/media?parent=8426"
            }
        ],
        "curies": [
            {
                "name": "wp",
                "href": "https:\/\/api.w.org\/{rel}",
                "templated": true
            }
        ]
    }
}