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Normalan porođaj se ponekad zna zakomplicirati pa ga je potrebno dovršiti jednom od porodničkih operacija ukoliko postoji indikacija. Primalja mora poznavati osobitosti epiziotomije, vakuum ekstrakcije i carskog reza jer manje ili više sudjeluje u svakoj. Glavna uloga joj je psihofizička priprema i poslijeoperacijska njega majke i djeteta. A normal birth can sometimes get complicated, in whitch case, it needs to be finished by one of the obstetric operations given the slightest indication. The midwife must know the properties of episiotomy, the vacuum extraction and the caesarean section because she's, more or less, present in each of them. Her main role is the psychophysiological preparation and post-operational care of the mother and the child.

Danas u svijetu postoji sve veći broj porodničkih operacija. Prilikom izvođenja svake od njih, primalja ima vrlo važnu ulogu u porodničarskom timu. Najpopularnija porodnička operacija današnjice je carski rez čija je učestalost izvođenja u porastu. Za izvođenje tog kiruškog zahvata nužno je postojanje medicinskih indikacija za obavljanje istog. Tijekom carskog reza i nakon njega moguće su kiruške komplikacije koje otežavaju proces babinja. Proces babinja uvelike otežava i bolnosti koju izaziva druga najpopularnija porodniča operacija, epiziotomija. Taj zahvat vrši se u svrhu proširivanja porođajnog kanala. Rez epiziotomije ponekada stvara brojne probleme koji sprječavaju babinjaču u svakodnevnoj skrbi za novorođenče. Vakuumska ekstrakcija najrjeđe je korištena porodničarska operacija od navedenih. Iako je njena incidencija u padu, ona je ponekad jedino rješenje kada dođe do zastoja porođaja. Isto tako, često se kosristi u svrhu skraćivanja drugog porodnog doba kada je rodilja jako iscrpljena. Žene su oduvijek u ovakvim situacijama imale potrebu za nekim tko će im pružiti sigurnost i smanjiti njihovu zabrinutost. Primalje oduvijek imaju važnu ulogu u pružanju psihičke potpore rodiljama koje su se našle pred tako važnim životnim događajem. Važnost primalje je i u prosvjećivanju žena, njihovih obielji i šire društvene zajednice. Zanimanje primalje privilegirano je zbog toga što one imaju priliku prisustvovati u najranjivijim trenutcima ženinog života, koji će zauvijek ostati u njihovom sjećanju. Today, there is an increasing number of obstetrical operations in the world. When performing each of them, the midwife has a very important role in the obstetrical team. The most popular obstetrical operation is the Ceasarean section whose incidence is increasing. To perform this surgical procedure, it is necessary to have medical indications for doing the same. Once the Ceasarean section is done, complications can always be present, which can make the puerperal process difficult. The puerperal process is greately hampered by the pain caused by the other most popular obstetrical operation, episiotomy. This procedure is made for the purpose of expanding the vaginal canal. The incision of episiotomy sometimes can create numerous problems that prevent puerperae in everyday care for newborns. Vacuum extraction is the least utilized obstetrical operation of the above mentioned. Although its incidence is declining, it is sometimes the only solution when there is a delay in delivery. Also, it is often used to shorten the second birth period when the woman in labor is heavily exhausted. Women in such situations have always had the need for someone who will give them security and reduce their concerns. Midwives have always played an important role in providing psychological support to women in labor who have encountered before such important life events. The importance of the midwife is also in the enlightenment of women, their families and the wider community. The profession of the midwife is privileged because they have the opportunity to attend the most vulnerable moments of a woman's life, which will forever remain in their memory.