scholarly journals Implications of pain in functional activities in immediate postpartum period according to the mode of delivery and parity: an observational study

2017 ◽  
Vol 21 (1) ◽  
pp. 37-43 ◽  
Author(s):  
Thalita R.C. Pereira ◽  
Felipe G. De Souza ◽  
Ana C.S. Beleza
Keyword(s):  
Observational Study ◽  
Postpartum Period ◽  
Mode Of Delivery ◽  
Functional Activities

scholarly journals Neonatal Outcomes in the Postpartum Period depending on Perinatal Risk Factors, Terms and Mode of Delivery

2016 ◽  
Vol 6 (3) ◽  
pp. 202-206
Author(s):  
Agamurad Orazmuradov ◽  
◽  
Nina Zakharova ◽  
Aleksey Lukaev ◽  
Ekaterina Zholobova ◽  
...  
Keyword(s):  
Risk Factors ◽  
Postpartum Period ◽  
Mode Of Delivery ◽  
Neonatal Outcomes ◽  
Perinatal Risk Factors ◽  
Perinatal Risk

Oxytocin administration for induction and augmentation of labour in Polish maternity units– an observational study

2020 ◽  
Author(s):  
Barbara Baranowska ◽  
Anna Kajdy ◽  
Iwona Kiersnowska ◽  
Dorota Sys ◽  
Urszula Tataj-Puzyna ◽  
...  
Keyword(s):  
Observational Study ◽  
Prospective Observational Study ◽  
Mode Of Delivery ◽  
Perinatal Outcomes ◽  
Quality Of Healthcare ◽  
Study Data ◽  
Labour Induction ◽  
Healthcare Personnel ◽  
National Guidelines

Abstract BackgroundThere is not enough data regarding practices and protocols that healthcare personnel follow and the amount of oxytocin that women receive during labour. Empirical evidence indicates that compliance with the guidelines improves the quality of healthcare and reduces adverse effects. The aim of the study was to evaluate oxytocin supply practices of oxytocin for labour induction and augmentation in Polish maternity units.MethodsThe article presents a prospective observational study. Data collection took place in two selected maternity units between January 15 and July 31, 2019 (n=545). Inclusion criteria were women in term pregnancies, undergoing oxytocin induction or augmentation of labour. Exclusion criteria were women who were in preterm labour, aged less than 18 years, and women whose baby was known to have a malformation. ResultsThe average total amount of oxytocin administrated to women before birth was 7,329µg following labour induction and 3.952µg following labour augmentation. The actual administration of oxytocin deviated both from the unit and national guidelines in 93,6% of all observed labours. We found no statistically significant correlation between the amount of oxytocin administered and mode of delivery, immediate postpartum blood loss or Apgar scores. There was no observed effect of total oxytocin on short-term perinatal outcomes. Hospitals with similar protocols did not differ significantly in terms of total oxytocin amount, induction to stimulation ratio—the only observed difference was the mode of delivery. ConclusionsThere is a need for a thorough analysis to find out the reasons for the observed discrepancies between protocols and practice.

Influence of Various Modes of Delivery on Mother-infant Bonding: A Prospective Observational Study

2019 ◽  
Vol 15 (4) ◽  
pp. 295-300
Author(s):  
Vidyashree Ganesh Poojari ◽  
Akhila Vasudeva ◽  
Vidya Sudha
Keyword(s):  
Observational Study ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Postpartum Period ◽  
Prospective Observational Study ◽  
Post Partum ◽  
Elective Cesarean Delivery ◽  
Emergency Cesarean ◽  
Bonding Failure ◽  
Elective Cesarean

Background: Mother-infant bonding has tremendous implications for the child's future development. The difficulties that some mothers have in establishing an emotional bond with their newborns often referred to as impaired bonding or bonding failure are an essential focus in the postpartum period. Therefore, it is important to identify predictive factors for bonding failure and to intervene at an early stage for the better mental health care of mothers as well as infant. Objective: To determine the effect of various modes of delivery on the mother-infant bonding. Methods: Prospective observational study performed on low-risk singleton pregnancy who delivered at term. Mother-to-Infant Bonding Scale (MIBS; Taylor et al., 2005), a validated self-report test was used to measure mother's feelings towards her baby within three days of delivery and at the end of six weeks postpartum period. Total score ranges from 0 to 24. A total MIBS score of ≥ 2 is established as cut-off indicating “poor bonding”. MIBS score of 0 and 1 is considered as “good bonding”. The mean bonding score among the 3 groups was compared. Results: Elective cesarean delivery group had 112 participants, 115 were Emergency cesarean group and 107 were vaginal delivery group. Immediately after the delivery (MIBS 1), the proportion of women with poor bonding among Emergency cesarean group was 34.8% when compared to proportion of women with poor bonding among Elective cesarean (11.6%) and Vaginal delivery (13%). This was statistically significant (p-value 0.01). When we followed up these mothers at 6 weeks post-partum checkup, the MIBS scoring (MIBS-2) consistently improved among the three groups. However, proportion of women with poor bonding still remained high at 16.5% among the Emergency cesarean group. Conclusion: Mode of delivery has a significant impact on MIBS. In this study, unplanned cesarean delivery was associated with a high incidence of poor mother to infant bonding. Poor bonding was commoner in this group even at 6 weeks post-partum, compared to those undergoing a successful vaginal delivery and a planned elective cesarean delivery.

Mode of delivery and pain during intercourse in the postpartum period: Findings from a developing country

2015 ◽  
Vol 6 (1) ◽  
pp. 44-47 ◽  
Author(s):  
Tamar Kabakian-Khasholian ◽  
Alexandra Ataya ◽  
Rawan Shayboub ◽  
Faysal El-Kak
Keyword(s):  
Developing Country ◽  
Postpartum Period ◽  
Mode Of Delivery

scholarly journals Ultrasonographic Evaluation of Uterine Involution in the Early Puerperium

2017 ◽  
Vol 39 (04) ◽  
pp. 149-154
Author(s):  
Juliana Kristoschek ◽  
Renato Moreira de Sá ◽  
Fernanda Silva ◽  
Guillermo Vellarde
Keyword(s):  
Birth Weight ◽  
Postpartum Period ◽  
Mode Of Delivery ◽  
Uterine Cavity ◽  
High Birth Weight ◽  
Transverse Diameter ◽  
Uterine Involution ◽  
Significant Difference ◽  
Cavity Thickness ◽  
Uterine Volume

Purpose Our aim was to describe the changes observed by ultrasonography in uterine dimensions during the early puerperium among women who experienced an uncomplicated puerperium. Additionally, the influence of parity, mode of delivery, breastfeeding and birth weight on uterine involution was evaluated. Methods Ninety-one patients underwent an ultrasound examination on days 1 (D1), 2 (D2) and 7 (D7) of the postpartum period. The longitudinal, anteroposterior and transverse uterine diameters were measured, and the uterine volume was calculated by the formula: longitudinal diameter (LD) X anteroposterior diameter (APD) X transverse diameter (TD) X 0.45. The thickness and length of the uterine cavity were also measured. Results The uterine volume and the LD, APD and TD decreased by 44.8%, 20.9%, 11.8% and 20.0% respectively. The uterine cavity thickness was reduced by 23%, and the length of the cavity was reduced by 27.2% on D7. Uterine involution was correlated inversely with parity when the day of the postpartum period was not taken into account (p = 0.01). However, when the uterine involution was correlated to parity separately, with D1, D2 or D3, no correlations were found. A significant difference occurred at D2, when it was found that the uterus had a smaller volume following cesarean section compared with vaginal delivery (p = 0.04). The high birth weight and breastfeeding were significantly related to uterine involution (p ≤ 0.01 and p = 0.04). Conclusion The sonographic evaluation of the uterus in the early puerperium should consider birth weight, breastfeeding and parity, as well as the delivery route on D2, to identify abnormalities related to uterine involution.

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