Comparison of postpartum incontinence outcomes after vacuum-assisted and forceps-assisted deliveries in a tertiary maternity unit

Abstract Background The neonatal period can be associated with a multitude of medical and social problems. Little is known about the reasons that lead to neonatal readmissions in a pediatric hospital and their individual outcomes. Objective To record the diagnosis of neonatal admissions in a pediatric hospital after discharge from a maternity unit. Predictive parameters are to be identified and a possible trend over the years is to be examined. Methods The medical history of newborns admitted to a pediatric hospital in the Rhine-Main area from 01/01/2004 to 31/12/2013 was retrospectively analyzed based on provided medical files. Results The data of 2851 newborns was recorded. 72% of the patients were delivered by vaginal birth. During the period under examination, there was a certain fluctuation although no significant trend in the number of admissions per year (p=0.062). The most frequent primary diagnoses were jaundice (27%), newborn infection (12.4%), and feeding problems (12.3%). Exclusively breastfed newborns had fewer feeding problems than newborns with a mixed or purely formula diets (p < 0.001). Conclusions The results of this study showed that the hospital readmissions of newborns throughout the years did not increase. Unfortunately, owing to the retrospective character of the study, it is not possible to make a clear statement as to whether hospitalization can be prevented with more intensive preventative measures. A prospective study on this matter is being planned.

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Maternity unit performance index. A novel approach for evaluation of the changing obstetric practice in a single maternity unit

Archives of Gynecology and Obstetrics ◽

10.1007/s00404-007-0426-1 ◽

2007 ◽

Vol 277 (2) ◽

pp. 121-126

Author(s):

Eleftherios Anastasakis ◽

Aris Antsaklis

Keyword(s):

Performance Index ◽

Maternity Unit ◽

Obstetric Practice ◽

Novel Approach ◽

Unit Performance

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Unusual Occurrence of Neonatal Meningitis Due to Group B Beta-Hemolytic Streptococci

PEDIATRICS ◽

10.1542/peds.38.4.661 ◽

1966 ◽

Vol 38 (4) ◽

pp. 661-662

Author(s):

RICHARD H. WINTERBAUER ◽

ROBERT FORTUINE ◽

THEODORE C. EICKHOFF

Keyword(s):

Terminal Illness ◽

Cross Infection ◽

Neonatal Meningitis ◽

Maternity Unit ◽

Labor And Delivery ◽

Critical Interval ◽

Unusual Occurrence ◽

Group B ◽

Southwestern Alaska

Two cases of sepsis and meningitis due to Group B beta-hemolytic streptococci occurred within 1 week in newborns on a small maternity unit in southwestern Alaska. The same physician and nurse cared for the first infant during his terminal illness, while simultaneously attending the labor and delivery of the mother of the second infant. Although the coincidental occurrence of these two infections could not be ruled out, cross infection may well have occurred during that critical interval.

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Risk factors and between-hospital variation of caesarean section in Denmark: a cohort study

BMJ Open ◽

10.1136/bmjopen-2017-019120 ◽

2018 ◽

Vol 8 (2) ◽

pp. e019120 ◽

Cited By ~ 5

Author(s):

Sonja Wehberg ◽

Rikke Guldberg ◽

Kim Oren Gradel ◽

Ulrik Schiøler Kesmodel ◽

Lis Munk ◽

...

Keyword(s):

Risk Factors ◽

Cohort Study ◽

Caesarean Section ◽

Breech Presentation ◽

Emergency Caesarean Section ◽

Secondary Outcome ◽

Maternity Unit ◽

Cephalopelvic Disproportion ◽

Hospital Units ◽

Hospital Variation

ObjectivesThe aim of this study was to estimate the effects of risk factors on elective and emergency caesarean section (CS) and to estimate the between-hospital variation of risk-adjusted CS proportions.DesignHistorical registry-based cohort study.Settings and participantsThe study was based on all singleton deliveries in hospital units in Denmark from January 2009 to December 2012. A total of 226 612 births by 198 590 mothers in 29 maternity units were included.Primary and secondary outcome measuresWe estimated (1) OR of elective and emergency CS adjusted for several risk factors, for example, body mass index, parity, age and size of maternity unit and (2) risk-adjusted proportions of elective and emergency CS to evaluate between-hospital variation.ResultsThe CS proportion was stable at 20%–21%, but showed wide variation between units, even in adjusted models. Large units performed significantly more elective CSs than smaller units, and the risk of emergency CS was significantly reduced compared with smaller units. Many of the included risk factors were found to influence the risk of CS. The most important risk factors were breech presentation and previous CS. Four units performed more CSs and one unit fewer CSs than expected.ConclusionThe main risk factors for elective CS were breech presentation and previous CS; for emergency CS they were breech presentation and cephalopelvic disproportion. The proportions of CS were stable during the study period. We found variation in risk-adjusted CS between hospitals in Denmark. Although exhaustive models were applied, the results indicated the presence of systematic variation between hospital units, which was unexpected in a small, well-regulated country such as Denmark.

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Cateter central de inserção periférica e dissecção venosa em bebês: estudo descritivo

Online Brazilian Journal of Nursing ◽

10.17665/1676-4285.20165420 ◽

2016 ◽

Vol 15 (2) ◽

Author(s):

Keline Soraya Santana Nobre ◽

Maria Vera Lúcia Moreira Leitão Cardoso ◽

Juliana Lopes Teixeira ◽

Márcia Maria Coelho Oliveira Lopes ◽

Fernanda Cavalcante Fontenele

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Quantitative Study ◽

Neonatal Unit ◽

Northeastern Brazil ◽

Maternity Unit ◽

Peripherally Inserted Central Catheter ◽

Central Catheter ◽

Catheter Tip

Aim: analyze the use of peripherally inserted central catheter in terms of the aspects of technique, positioning and maintenance, as well as the influence on the number of venous dissections in hospitalized infants in a neonatal unit. Method: descriptive, retrospective, quantitative study, in reference maternity unit of a city in northeastern Brazil. Sample composed of 1,599 peripherally inserted central catheter insertions in 1,204 infants during the years 2006 to 2013. Instruments were used that recorded aspects of the insertion of peripherally inserted central catheter and venous dissection. Results: most babies were premature, of low birth weight and male. The veins of the cubital region were the most punctured with insertion success until the fourth puncture. The central positioning of the catheter tip predominated, with a permanency time between 11 and 20 days, removing it at the end of the treatment. Over the years, the number of venous dissections was inversely proportional to the insertion of peripherally inserted central catheter. Conclusion: this transvenous device was shown to be important for the treatment of hospitalized newborns, favoring reduction of venous dissections.

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