scholarly journals Native Hawaiian and Pacific Islander mothers’ experiences with obstetric care providers and health systems

2022 ◽  
Vol 226 (1) ◽  
pp. S271-S272
Author(s):  
Michelle P. Debbink ◽  
O. Fahina Tavake-Pasi ◽  
Siale Vaitohi ◽  
Naomi Flake ◽  
Brieanne Witte ◽  
...  
Keyword(s):  
Health Systems ◽  
Native Hawaiian ◽  
Pacific Islander ◽  
Obstetric Care ◽  
Care Providers ◽  
Obstetric Care Providers ◽  
Mothers Experiences

Anxiety, Depression, and Pain in the Perinatal Period: A Review for Obstetric Care Providers

2021 ◽  
Vol 76 (11) ◽  
pp. 692-713
Author(s):  
Pa Ta Xiong ◽  
John Poehlmann ◽  
Zachary Stowe ◽  
Kathleen M. Antony
Keyword(s):  
Obstetric Care ◽  
Perinatal Period ◽  
Care Providers ◽  
Obstetric Care Providers ◽  
Anxiety Depression

scholarly journals Asthma in pregnancy: An update

2020 ◽  
pp. 1753495X2096507
Author(s):  
Simon Couillard ◽  
Clare Connolly ◽  
Catherine Borg ◽  
Ian Pavord
Keyword(s):  
Asthma Management ◽  
Obstetric Care ◽  
Asthma Patient ◽  
Convincing Evidence ◽  
Care Providers ◽  
Inhaled Steroids ◽  
Obstetric Care Providers ◽  
New Biomarkers ◽  
Blood Eosinophils ◽  
In Pregnancy

Aim To update obstetric care providers about asthma management. Summary Asthma is the most frequent comorbid chronic illness in pregnancy. Convincing evidence shows that uncontrolled asthma magnifies the risk of maternal, fetal and neonate complications. Unfortunately, one in four women take no inhaler during pregnancy, and it is likely that decreased adherence, rather than changes in pathology, explains uncontrolled maternal asthma. Patient surveys reveal a need for information and reassurance. Although some molecules are preferred in pregnancy, there is currently no basis to withhold any asthma medication – old or new. Biomarkers such as blood eosinophils and fractional exhaled nitric oxide are an effective way to assess the risk of asthma attacks and the likelihood of responding to inhaled steroids. Furthermore, practice-changing trials in mild asthma show that switching reliever-only regimens to as-needed ‘controller-and-reliever’ therapy is effective. We suggest that applying these changes can alleviate women’s concerns and improve outcomes.

scholarly journals Healthy Birth Practice #1: Let Labor Begin on Its Own

2019 ◽  
Vol 28 (2) ◽  
pp. 68-80 ◽  
Author(s):  
Debby Amis
Keyword(s):  
Obstetric Care ◽  
Labor Induction ◽  
Low Risk ◽  
Professional Organizations ◽  
Current Evidence ◽  
High Tech ◽  
Care Providers ◽  
Medical Interventions ◽  
Nulliparous Women ◽  
Obstetric Care Providers

Current evidence and professional organizations identify letting labor begin on its own as one of the most important strategies for promoting normal, physiologic birth. It also prevents iatrogenic prematurity and the need for high-tech medical interventions required for labor induction. Because the American College of Obstetricians and Gynecologists (ACOG) now states that it is reasonable for obstetric care providers to offer induction at 39 weeks to low-risk nulliparous women, it is more important than ever for childbirth educators to be familiar with best evidence on letting labor begin on its own.

scholarly journals Utilization of Obstetric Analgesia for Labor Pain Management and Associated Factors among Obstetric Care Providers in Public Hospitals of Addis Ababa, Ethiopia: A Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Rediet Gido ◽  
Tesfaye Assebe Yadeta ◽  
Abera Kenay Tura
Keyword(s):  
Addis Ababa ◽  
Obstetric Care ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Labor Pain ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Obstetric Analgesia ◽  
Obstetric Care Providers

Background. In low-income countries, pain-free labor initiative is an emerging concept and still parturient undergoes through painful labor; this is not different in Ethiopia; despite the national direction to use analgesia for labor pain and strong demand from the women, evidence on utilization of obstetric analgesia for labor pain management in Ethiopia is scarce. The objective of this study was to assess level of obstetric analgesia utilization and associated factors among obstetric care providers in public hospitals in Addis Ababa, Ethiopia. Methods. An institution-based cross-sectional study was used. All obstetric care providers working in labor and delivery units in public hospitals in Addis Ababa were included. The data were collected using a self-administered structured questionnaire. After checking for completeness, data were entered into Epi-data 3.1 and analyzed using SPSS 20. Bivariate and multivariable logistic regressions were used to identify factors associated with utilization of obstetric analgesia. Result. Of 391 obstetric care providers included in the study, 143 (36.6%; 95% CI: 31.5–40.9%) reported providing labor analgesia. Having adequate knowledge (AOR 2.7; 95% CI: 1.37–5.23), ten and more years of work experience (AOR 4.3; 95% CI: 1.81–10.13), and availability of analgesics (AOR 3.3; 95% CI: 1.99–5.53) were significantly associated with providing labor analgesia. Conclusion. Slightly more than 3 in 10 obstetric care providers reported providing labor analgesics to women. Training of providers and ensuring adequate supply of analgesics is required to make sure that women in labor would not suffer from labor pain.

Determinants of Pelvic Organ Prolapse at Public Hospitals in Hawassa City, Southern Ethiopia, 2020: Unmatched Case Control Study

2021 ◽  
Author(s):  
Bezabih Terefe Dora ◽  
Zemenu Yohannes Kassa ◽  
Nebiha Hadra ◽  
Bamlaku Birie Tsigie ◽  
Hawi Leul Esayas
Keyword(s):  
Pelvic Organ Prolapse ◽  
Obstetric Care ◽  
Work Load ◽  
Pelvic Organ ◽  
Care Providers ◽  
History Of ◽  
Obstetric Care Providers ◽  
Birth Space ◽  
Control Study ◽  
Fundal Pressure

Abstract Introduction: Even though the Pelvic organ prolapse (POP) is outstanding gynecologic problem, most private and asymptomatic nature of the illness makes it the “hidden epidemic.” The aim of this study was to identify the determinants of POP. Methods: Facility based unmatched case control study was conducted from June 15 to September 10, 2020. All cases diagnosed with POP were enrolled in the study by using consecutive random sampling method by assuming that patient flow by itself is random until the required sample size was obtained. Then 1:2 cases to control ratio was applied. A structured interviewer-administered questionnaire and chart review for type and degree of prolapse was used. Epi-data and SPSS were used for analysis. Chi square test and binary and multivariable logistic regression analysis was employed. Multicolinearity was checked. Result: On multivariate logistic regression, heavy usual work load(AOR=2.3, CI(1.066-4.951), number of pregnancy ≥ 5(AOR=3.911, CI(1.108-13.802), birth space of <2 years(AOR=2.88, CI(1.146-7.232), history of fundal pressure (AOR=5.312, CI(2.366-11.927) and history of induced labor (AOR=4.436, CI(2.07-9.505) were significantly associated with POP with P value <0.05 and 95% CI after adjusting for potential confounders.Conclusion: Heavy usual work load, having pregnancy greater than five, short birth space, history of induced labor, and history of fundal pressure are independent predictors of pelvic organ prolapse. Hence the responsible body and obstetric care providers should counsel the women about child spacing. The obstetric care providers also avoid fundal pressure and the hospital officials set a law to ban fundal pressure during labor.

Update on uterine tachysystole

2019 ◽  
Vol 47 (2) ◽  
pp. 152-160 ◽  
Author(s):  
Sebastian Rupert Hobson ◽  
Merihan Zarif Abdelmalek ◽  
Dan Farine
Keyword(s):  
Clinical Management ◽  
Obstetric Care ◽  
Care Providers ◽  
Perinatal Complications ◽  
Management Guidelines ◽  
Obstetric Practice ◽  
Obstetric Care Providers

Abstract Uterine tachysystole (TS) is a potentially significant intrapartum complication seen most commonly in induced or augmented labors but may also occur in women with spontaneous labor. When it occurs, maternal and perinatal complications can arise if not identified and managed promptly by obstetric care providers. Over recent years, new definitions of the condition have facilitated further research into the field, which has been synthesized to inform clinical management guidelines and protocols. We propose a set of recommendations pertaining to TS in line with contemporary evidence and obstetric practice.

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