scholarly journals Type of Childbirth and its Association with the Maternal-Filial Interaction

2020 ◽  
Vol 42 (10) ◽  
pp. 597-606
Author(s):  
Crystiane Hereny dos Santos Neto ◽  
Fábio Sagula Oliveira ◽  
Graciele Fernanda Gomes ◽  
Edward Araujo Júnior ◽  
Mary Uchiyama Nakamura ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Vaginal Delivery ◽  
Sao Paulo ◽  
Elective Cesarean Section ◽  
São Paulo ◽  
Visual Contact ◽  
Cross Sectional ◽  
Elective Cesarean ◽  
Observation Protocol

Abstract Objective The purpose of the present study was to evaluate the quality of mother-child bonding in three different contexts related to the labor, that is, vaginal delivery, elective cesarean section, and intrapartum cesarean section. Methods This was an observational, cross-sectional clinical study conducted in two cities within the state of São Paulo, Brazil. The study sample consisted of 81 babies born without any major complications during pregnancy and labor, aged 3 to 4 months, and their respective mothers, aged between 20 and 35 years old, primiparous, living in the cities of Palmital and Ourinhos, state of São Paulo, Brazil. The evaluation of the quality of the maternal-filial interaction was performed through video-image analysis, using the Mother-baby Interaction Observation Protocol from 0 to 6 months (POIMB 0–6, in the Portuguese acronym). Results Mothers who had vaginal delivery had higher amount of visual contact or attempted visual contact (p = 0.034), better response to the social behavior of the child (p = 0.001) and greater sensitivity (p = 0.007) than the others. Their children also showed more interaction with them, as they looked more frequently at the mother's face (p ≤ 0.008) and responded more frequently to the mother's communicative stimulus (p < 0.001). Conclusion Considering the occurrence of vaginal delivery, it is concluded that the interaction between the mother-child dyad is quantitatively larger and qualitatively better when compared with intrapartum or elective cesarean section.

Comparison of Melatonin Levels in the Colostrum between Vaginal Delivery and Cesarean Delivery

2017 ◽  
Vol 35 (05) ◽  
pp. 481-485 ◽  
Author(s):  
Ziya Kalem ◽  
Tuncay Yuce ◽  
Batuhan Bakırarar ◽  
Feride Söylemez ◽  
Müberra Namlı Kalem
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Mode Of Delivery ◽  
Elective Cesarean Section ◽  
Enzyme Linked Immunosorbent Assay ◽  
Cross Sectional ◽  
Emergency Cesarean ◽  
Study Results ◽  
Elective Cesarean

Objective This study aims to compare melatonin levels in colostrum between vaginal and cesarean delivery. Study Design This cross-sectional study was conducted with 139 mothers who gave live births between February 2016 and December 2016. The mothers were divided into three groups according to the mode of delivery: 60 mothers (43.2%) in the vaginal delivery group, 47 mothers (33.8%) in the elective cesarean delivery, and 32 mothers (23.0%) in the emergency cesarean delivery group. Colostrum of the mothers was taken between 01:00 and 03:00 a.m. within 48 to 72 hours following the delivery, and the melatonin levels were measured using the enzyme-linked immunosorbent assay (ELISA) and compared between the groups. Results The melatonin levels in the colostrum were the highest in the vaginal delivery group, lower in the elective cesarean section group, and the lowest in the emergency cesarean group (265.7 ± 74.3, 204.9 ± 55.6, and 167.1 ± 48.1, respectively; p < 0.001). The melatonin levels in the colostrum did not differ according to the demographic characteristics of the mothers, gestational age, birth weight, newborn sex, the Appearance, Pulse, Grimace, Activity, and Respiration (APGAR) scores, and for the requirement for neonatal intensive care. Conclusion Our study results showed that melatonin levels in the colostrum of the mothers who delivered vaginally were higher than those who delivered by cesarean section. Considering the known benefits of melatonin for the newborns, we believe that vaginal delivery poses an advantage.

scholarly journals Perbandingan Nilai Apgar antara Persalinan Normal dengan Seksio Sesarea Elektif

2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Neila Azka ◽  
Syahredi Syahredi ◽  
Eva Chundrayetti
Keyword(s):  
Cesarean Section ◽  
Vaginal Delivery ◽  
Apgar Score ◽  
Cross Sectional Study ◽  
Elective Cesarean Section ◽  
Normal Vaginal Delivery ◽  
Sectional Study ◽  
Cross Sectional ◽  
Elective Cesarean ◽  
Minute Apgar Score

AbstrakPada masa sekarang ini telah terjadi perubahan tren dalam persalinan, yaitu berupa peningkatan angka seksio sesarea. Peningkatan ini dipengaruhi berbagai faktor seperti: adanya kekhawatiran akan terjadinya cedera janin, peningkatan permintaan ibu untuk melakukan persalinan seksio sesarea, serta faktor sosioekonomi. Beberapa penelitian justru menunjukkan seksio sesarea dapat menimbulkan morbiditas pada bayi. Tujuan penelitian ini adalah membandingkan kondisi bayi antara persalinan normal dan seksio sesarea elektif dilihat dari nilai Apgar Penelitian dilaksanakan dari Mei 2014 sampai Januari 2014 di bagian rekam medis RSUP Dr. M. Djamil Padang.. Jenis penelitian yang digunakan adalah analitik dengan desain cross-sectional study. Sampel dalam penelitian ini terdiri dari 179  pasien dengan persalinan normal dan 56 pasien dengan seksio sesarea. Hasil penelitian menunjukkan bahwa pada menit pertama nilai Apgar 4-6 adalah 3,4% pada persalinan normal. Nilai Apgar 7-10 sebanyak 96,6% pada persalinan normal dan 100% pada seksio sesarea pada menit pertama. Pada menit kelima, nilai Apgar 4-6 adalah 1,1% pada persalinan normal, sedangkan nilai Apgar 7-10 sebanyak 98,9% pada persalinan normal dan 100% pada seksio sesarea pada menit kelima. Setelah dilakukan analisis dengan mann-whitney test didapatkan bahwa tidak terdapat perbedaan nilai Apgar pada menit-1 (p=0,777) dan menit-5 (p=0,887) antara persalinan normal dengan seksio sesarea.Kata kunci: persalinan normal, seksio sesarea elektif, nilai Apgar AbstractIn recent years, cesarean section have increased. Several factor are contributing, such as fears of injury to the fetus, increased women's request to do a cesarean section deliveries and socioeconomic factors. Some studies have also shown that cesarean section can lead to morbidity in infants. The objective of this study was to compare between Apgar scores of infant born by elective cesarean section and normal vaginal deliveries. The research was done from May 2013 to January 2014 at the medical records department of general hospital center Dr. M. Djamil Padang. This was an analytic study with cross-sectional study design. This study used 179 samples with normal vaginal delivery and 56 samples with cesarean section. The result showed that 1st minute Apgar score of 4-6 in normal vaginal delivery was 3.4%, and Apgar score 7-10 was 96.6% in normal vaginal delivery while in cesarean section was 100%. The 5th minute Apgar score of  4-6 in normal vaginal delivery was 1.1%, and Apgar score 7-10 was 98.9% in normal vaginal delivery while in cesarean section was 100%. After being analyzed using Mann-Whitney test, the study showed that there was no significant different in Apgar score of neonates born through normal vaginal delivery and neonates born trough cesarean section at first minute (p=0.777) and fifth minute (p=0.887).Keywords: normal vaginal delivery, elective cesarean section, Apgar score

Comparing the Experiences of Parturient Women With Remifentanil Analgesia and Elective Cesarean Section and Providing Improver Strategies: A Sequential Explanatory Mixed Method Study

2021 ◽  
Author(s):  
rana dousti ◽  
Sevil Hakimi ◽  
Hojjat Pourfathi ◽  
Roghayeh Nourizadeh ◽  
Niloufar sattarzadeh jahdi
Keyword(s):  
Cesarean Section ◽  
Mixed Method ◽  
Elective Cesarean Section ◽  
Mixed Method Study ◽  
Quality Of Data ◽  
Sequential Approach ◽  
Private Hospitals ◽  
Elective Cesarean ◽  
The City

Abstract Background Identifying methods that can effectively and safely improve the childbirth experience and are tailored to mothers' needs are of crucial importance. The current study aimed to compare experiences of parturient women with remifentanil analgesia and elective cesarean section and providing improver strategies for women living in the city of Tabriz, Iran.MethodsThis is a mixed-method study with an explanatory sequential approach. The first stage is quantitative and longitudinal. The study population is all parturient women who will give birth by elective C-section or vaginal painless delivery using remifentanil in private hospitals of the city of Tabriz in 2020-2021. All mothers are free to choose either method. Participants will be selected from all private hospitals using the convenience sampling technique proportioned to the number of eligible women in each hospital. Participants will be followed up to 30 days after delivery to complete the Edinburgh Postpartum Depression questionnaire. The second stage is a qualitative study aimed at exploring the perceptions of parturient women who had either elective C-section or painless delivery (using remifentanil), including factors related to labor experiences. Data will be collected by semi structured interviews with new mothers and important others (if needed).In the third stage, a mixed study will be performed to provide strategies for improving labor experiences. we will use an explanatory Sequential approach in order to increase the accuracy and quality of data and to use the findings to evaluate different methods of delivery.DiscussionBy comparing the experience of parturient women receiving Remifentanil analgesia and elective C-section, evidence-based improving strategies using a culturally sensitive approach can be provided. Presentation of the results obtained from this study using the mixed method may help in better understanding the issue. Also, the obtained results can be used to enhance the quality of midwifery care to be examined by health policymakers and planners.Trial registrationThis study is approved by the ethics committee of the Tabriz University of Medical Sciences (code: IR.TBZMED.REC.1399. 521). Besides, it's evaluated by relevant refers.

scholarly journals Relation between delivery mode and maternal mental status one month after delivery at a perinatal center in Japan: A cross-sectional study

F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 1755
Author(s):  
Shunji Suzuki
Keyword(s):  
Cesarean Section ◽  
Mental Status ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Elective Cesarean Section ◽  
Delivery Mode ◽  
Cross Sectional ◽  
Delivery Modes ◽  
Emergency Cesarean ◽  
Elective Cesarean

Background: Maternal mental status has been thought to be affected by the delivery modes. We examined the relation between delivery modes and the mental status of women who delivered at our institute in Japan. Methods: Data were collected from the medical charts of 643 primiparous women without a history of mental disorders who delivered singleton babies and underwent a 1-month postpartum check-up at our institute from September 2018 to June 2019. The maternal mental status was examined based on the scores of the Edinburgh Postnatal Depression Scale (EPDS) and the Mother-Infant Bonding Scale (MIBS). Results: The rate of high scores of the EPDS and the MIBS in women choosing elective cesarean section were higher than in women with vaginal delivery and emergency cesarean section. Conclusion: Mental health care may be necessary for women choosing elective cesarean section.

Intravertebral Anaesthesia For cesarean section

2019 ◽  
Author(s):  
Fangjun Wang ◽  
Dan Xie ◽  
Chun Hong Xu ◽  
Qin Ye
Keyword(s):  
Cesarean Section ◽  
Spinal Anaesthesia ◽  
Motor Block ◽  
Epidural Block ◽  
Elective Cesarean Section ◽  
Complete Regression ◽  
Caudal Block ◽  
Sensory Blockade ◽  
Elective Cesarean

Abstract BACKGROUND: Although epidural and spinal anaesthesia in patients undergoing cesarean section is the general choice recently, both of the two anesthesia methods still have imperfects. Caudal anesthesia has been considered more appropriate for gynecological surgery. However, there is a lack of experiments on the effects of epidural block combined with caudal block anaesthesia for cesarean section. METHODS: One hundred and fifty patients undergoing elective cesarean section were recruited to this clinical trial and randomized to receive epidural block, subarachnoid block, and epidural block combined with caudal block. The primary objective was to compare and evaluate the clinical efficacy of three groups. Secondary outcomes included side effects and the quality of intraoperative and postoperative comfort assessment. RESULTS: The times to cryanaesthesia at T10 and time to maximum motor block were shorter in group SAB. The maximal sensory blockade spinal segments of group SAB(15.18±0.90)and EAC (14.74±1.16)were much more than group EPB(10.74±1.77). Compared to group EPB(155.40±13.28) and EAC(160.70±12.58), the duration of complete regression of motor block was longer in group SAB(190.00±13.25). The intraoperative quality of anesthesia was judged by the gynecologist was excellent in group EAC and SAB(P=0.005), and by the parturients was only best in group EAC(P=0.001). The parturients felt more comfortable after surgery in group EPB and group EAC(P=0.007). CONCLUSIONS: Epidural block combined with caudal block anaesthesia can achieve the same anesthetic effect as spinal anaesthesia which is bettter than epidural anaesthesia for elective cesarean section, and have the highest level of intraoperative and postoperative comfort for parturient.

scholarly journals Clinical pharmacology profile of care in Hepatology clinic

2017 ◽  
Vol 63 (5) ◽  
pp. 401-406
Author(s):  
Talita Rocha Passos ◽  
Fabiana Silva Santos ◽  
Maria Cleusa Martins ◽  
Vanusa Barbosa Pinto ◽  
Flair José Carrilho ◽  
...  
Keyword(s):  
Elderly Population ◽  
Health Spending ◽  
Secondary Level ◽  
Sao Paulo ◽  
São Paulo ◽  
Cross Sectional ◽  
Medical Specialties ◽  
The University ◽  
Basic Health Units

Summary Since 2010, the Clinical Gastroenterology and Hepatology Division of the Central Institute of Hospital das Clínicas of the University of São Paulo Medical School (HC-FMUSP, in the Portuguese acronym) has been developing specialized electives assistance activities in the Outpatient Specialty Clinic, Secondary Level, in São Paulo NGA-63 Várzea do Carmo. The objective of this study was to analyze the pharmacotherapeutic profile of patients. This is a cross-sectional and retrospective study in which patients were seen at the Hepatology sector and the results were submitted to descriptive statistics. During the study period, 492 patients were treated at the clinic, with a mean age of 58.9 years and frequency of 61.2% female and 74.8% living in São Paulo. This population was served by various other medical specialties (cardiology and endocrine among others) and the major liver diagnoses were: chronic hepatitis B and C and fatty liver. Comorbidities were also identified, such as diabetes, hypertension and dyslipidemia. Most patients took their medication in the Basic Health Units. We found that 30% of patients use of more than five medications and the most prescribed were omeprazole 208 (42.3%), metformin 132 (26.8%) and losartan 80 (16.3%). Because it is an adult/elderly population, with several comorbidities and polymedication, it is important to be aware of the rational use of medication. The multidisciplinary team is important in applying correct conducts for the safe use of medicines, to reduce the burden on health spending and improving the quality of life of patients.

scholarly journals Perfil epidemiológico e análise do impacto na qualidade de vida dos homens portadores de condilomas anogenitais / Epidemiologic profile and analysis of the impact on the quality of life of male patients with anogenital condylomas

2019 ◽  
Vol 64 (1) ◽  
pp. 29
Author(s):  
John Verrinder Veasey ◽  
Adriana Bittencourt Campaner
Keyword(s):  
Quality Of Life ◽  
Condylomata Acuminata ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
Emotional Impact ◽  
São Paulo ◽  
Cross Sectional ◽  
Epidemiological Profile ◽  
The Impact

Objetivo: Avaliar o perfil epidemiológico e impacto na qualidade de vida dos pacientes portadores de verrugas anogenitais. Métodos: Trata-se de estudo transversal prospectivo realizado no Ambulatório de Infecções Sexualmente Transmissíveis do Hospital da Santa Casa de São Paulo no período de janeiro de 2015 a dezembro de 2017. Para avaliação do impacto na qualidade de vida foi aplicado um questionário específico para condiloma acuminado, que analisa o impacto na esfera emocional e sexual, e comparou-se seus resultados ao número e tempo de lesões apresentadas pelos pacientes do sexo masculino. Resultados: Foram avaliados o perfil epidemiológico de 48 pacientes, destes 23 pacientes responderam o questionário e demonstraram terem sido afetados na dimensão emocional e/ou sexual pelas suas lesões. Ao se correlacionar o número de lesões de condilomas aos resultados de impacto emocional, impacto sexual e impacto geral não se observou relação estatisticamente significante (p= 0,298, p=0,297 e p=0,230 respectivamente). Ao se correlacionar o tempo de lesão apresentada pelos pacientes ao impacto nas esferas emocional, sexual e geral houve uma relação inversa significativa com p<0,05, apresentando correlação moderada pelo método de análise de Pearson com p=0,039 na esfera emocional, p=0,009 na esfera sexual e p=0,010 na esfera global. Conclusões: A presença de condilomas anogenitais interfere na qualidade de vida de seus portadores, afetando tanto a esfera emocional quanto sexual. Notou-se também que pacientes com impacto na qualidade de vida pela presença de condilomas tendem a buscar auxílio médico mais rapidamente, enquanto pacientes com baixo impacto nas esferas sexual e emocional demoram mais tempo a procurar tratamento médico.Descritores: Papillomaviridae, Condiloma acuminado, Perfil de impacto da doença, Indicadores de qualidade de vida Abstract Objective: To evaluate the epidemiological profile and impact on the quality of life of patients with anogenital warts. Methods: This is a prospective cross-sectional study conducted at the Ambulatory of Sexually Transmitted Infections at Santa Casa de São Paulo Hospital from January 2015 to December 2017. To evaluate the impact on quality of life, a specific questionnaire was used for condyloma acuminata, which analyzes the impact in the emotional and sexual sphere, and compared its results to the number and time of lesions presented by the patients. Results: The epidemiological profile of 48 patients was evaluated; 23 of these patients answered the questionnaire and were affected in the emotional and / or sexual dimension by their lesions. When correlating the number of condyloma lesions to the results of emotional impact, sexual impact and general impact, no statistically significant relationship was observed (p = 0.298, p = 0.297 and p = 0.230, respectively). When correlating the time of condyloma presented by the patients to the impact in the emotional, sexual and general spheres, there was a significant inverse relationship with p <0.05, presenting a moderate correlation with the Pearson analysis method with p = 0.039 in the emotional sphere, p = 0.009 in the sexual sphere and p = 0.010 in the global sphere. Conclusions: The presence of anogenital condylomas interferes in the quality of life of the patients, affecting both the emotional and sexual spheres. It was also noted that patients with impact on quality of life due to the presence of condylomata tend to seek medical help more quickly, while patients with low impact in the sexual and emotional spheres take more time to seek medical treatment.Key Words: Papillomaviridae, Condylomata acuminata, Sickness impact profile, Indicators of quality of life

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