Women's perception of choice and support in making decisions regarding management of breech presentation

2021 ◽  
Vol 29 (7) ◽  
pp. 392-400
Author(s):  
Antonio Sierra
Keyword(s):  
Breech Presentation ◽  
Study Data ◽  
External Cephalic Version ◽  
Structured Interviews ◽  
Management Options ◽  
Lower Segment Caesarean Section ◽  
Postnatal Women ◽  
Phenomenological Research Design ◽  
Colaizzi's Method ◽  
Professional Guidelines

Background Professional guidelines recommend midwives and obstetricians actively involve women in making decisions about their care. To date, breech research has focused mainly on assessing the effectiveness of different management options. Aim This research explores women's experience of breech presentation and their perception of choice and support in making decisions with regards to breech management. Methods This study uses a phenomenological research design. Semi-structured interviews took place in hospital or women's homes. A total of six postnatal women who were diagnosed with breech presentation after 36 weeks' gestation took part in the study. Data was analysed using Colaizzi's method. Findings A total of 84 significant statements were clustered into four main emerging themes. These include women's feelings, their healthcare expectations, their preferences and their values. Results Breech discussions mostly occurred between obstetricians and women. These primarily focused on external cephalic version, Elective Lower Segment Caesarean Section and Breech Vaginal Birth. These options did not always become choices available to women.

Family dynamics and delinquency: understanding the experience of female adolescents with their families

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Melati Sumari ◽  
Dini Farhana Baharudin ◽  
Ida Hartina Ahmed Tharbe ◽  
Norsafatul Aznin A. Razak ◽  
Norfaezah Md Khalid
Keyword(s):  
Research Design ◽  
Phenomenological Research ◽  
Study Data ◽  
Female Adolescents ◽  
Structured Interviews ◽  
Rehabilitation Centre ◽  
Family Experiences ◽  
Content Type ◽  
The Family ◽  
Phenomenological Research Design

Purpose This study aims to explore the family experiences of delinquent adolescents and uses a descriptive phenomenological research design. Design/methodology/approach The study explores the family experiences of delinquent adolescents and uses a descriptive phenomenological research design. Eight adolescents that were under detainment in a rehabilitation centre in Malaysia participated in the study. Data were gathered through semi-structured interviews and reflective journals. Findings Five themes common to the participants’ experience were inductively identified from the analysis. These were: life without guidance, alienation and isolation, conflict on how the family is managed; I am still a little child and prisoners at home. Originality/value Despite many studies on delinquent adolescents were conducted in Malaysia, no study has been conducted so far to explore and understand the experience of female adolescents in their families.

scholarly journals Successful External Cephalic Version in Early Labour: A Case Report and Literature Review

2021 ◽  
Vol 2 (10) ◽  
pp. 926-928
Author(s):  
Janjua NB ◽  
Birmani SA ◽  
Maeve White ◽  
Sarah Siu ◽  
Asish Das
Keyword(s):  
Breech Presentation ◽  
External Cephalic Version ◽  
Lower Segment ◽  
Baby Girl ◽  
Healthy Baby ◽  
Lower Segment Caesarean Section ◽  
Amniotic Fluid Volume ◽  
Early Labour ◽  
Vaginal Deliveries ◽  
Labour Pains

Presentation: A 35 year old woman, gravida 7 para 7, all vaginal deliveries, presented with labour pains at 39 weeks’ gestation with intact membranes. Cardiotocograph (CTG) was reassuring. Diagnosis: Breech presentation was confirmed by an ultrasound. Treatment: The patient was offered options of External Cephalic Version (ECV) versus (vs) Lower Segment Caesarean Section (LSCS). She opted for ECV which was successful, followed by controlled artificial rupture of membranes. She delivered a healthy baby girl vaginally and was discharged home on day 1 postpartum. Conclusion: Although intrapartum ECV is not recommended routinely, there is a place for its judicious use in selective cases. The prerequisites include an experienced obstetrician, reassuring CTG, previous vaginal delivery, no obstetric indication for performing LSCS, adequate amniotic fluid volume with intact membranes, early labour, and informed maternal consent. We recommend keeping theatre on standby while performing ECV in case an obstetric complication arises.

scholarly journals Zunanji obrat ploda na glavico v Porodnišnici Izola

2017 ◽  
Vol 86 ◽  
Author(s):  
Boštjan Lovšin ◽  
Mladen Mrkajić ◽  
Janja Zver-Skomina ◽  
Dušan Deisinger
Keyword(s):  
Caesarean Section ◽  
Amniotic Fluid ◽  
Breech Presentation ◽  
Muscle Relaxants ◽  
External Cephalic Version ◽  
Uterine Muscle ◽  
Obstetrics And Gynaecology ◽  
Almost All ◽  
Professional Guidelines ◽  
Fetal Position

Background: Almost all babies in breech presentation at term are delivered by caesarean section. Professional guidelines recommend an attempt of external cephalic version to reduce breech presentations at birth and thus the proportion of caesareans. Our aim was to analyse the clinical and ultrasound factors to predict the outcome of version and check the hypothesis, if the implementation of the external cephalic version helps to reduce the number of caesareans.Methods: The study included all attempts of external cephalic version after 36 weeks of pregnancy at the Department of Obstetrics and Gynaecology in Izola General Hospital from 2002 to 2010.Results: 68/143 (47.6 %) external cephalic versions were successful. the success of intervention was mostly influenced by a greater amount of amniotic fluid, higher fetal position in the pelvis and transverse or oblique lie of the fetus. With 100 attempts of external cephalic version 32 caesareans were avoided or one cesarean per 3.1 attempts.Conclusions: the study has confirmed that by performing external cephalic version the number of caesareans can be reduced. The proportion of successful versions was comparable to studies in the literature despite the minimal use of uterine muscle relaxants.

scholarly journals Aging out of foster care: The experiences of former foster youth who successfully navigated this transition

2021 ◽  
pp. 251610322110194
Author(s):  
Margot Hedenstrom
Keyword(s):  
Foster Care ◽  
Foster Youth ◽  
Life Experiences ◽  
Study Data ◽  
Aging Out ◽  
Structured Interviews ◽  
Former Foster Youth ◽  
Making A Difference ◽  
Human Costs ◽  
Poor Outcomes

Foster youth face high risks and poor outcomes after aging out of care resulting in great economic and human costs to society. The purpose of the study was to describe life experiences of children aging out of the foster care system from the perspectives of adults who have successfully navigated this transition. Their life experiences during this period provided meaningful information for this study which helped to identify themes. Their perceptions of the periods during and after their transitions were explored to investigate supportive relationships, education, and workplace stability. Phenomenology was used to describe the experiences of nine young adults who had aged out of foster care. Participant ages ranged from 20 to 25 years old. Audiotaped semi-structured interviews were conducted for the study. Data analysis was ongoing throughout data collection. Four themes were identified: (1) “Facing a transition”; (2) “Depending on adults for help”; (3) “Making a difference for others”; and (4) “Moving forward with my life.” These four themes highlighted the participants’ experiences as they aged out of foster care. This study contributes to our understanding of the life experiences of former foster youth who are successful after the transition out of foster care. Recommendations for practice and research are identified.

Cesarean delivery after successful external cephalic version of breech presentation at term: a comparative study

2004 ◽  
Vol 190 (3) ◽  
pp. 763-768 ◽  
Author(s):  
Yannik Vézina ◽  
Emmanuel Bujold ◽  
Jocelyne Varin ◽  
Gérald P Marquette ◽  
Marc Boucher
Keyword(s):  
Comparative Study ◽  
Cesarean Delivery ◽  
Breech Presentation ◽  
External Cephalic Version

Building a digital marketing internship program for technology-based start-ups: an exploratory study of student experiences

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
G. Russell Merz ◽  
Jamie Ward ◽  
Sufian Qrunfleh ◽  
Bud Gibson
Keyword(s):  
Factor Analysis ◽  
Language Processing ◽  
Exploratory Study ◽  
Study Data ◽  
Student Experiences ◽  
Structured Interviews ◽  
Content Type ◽  
Student Interns ◽  
Internship Programs ◽  
Blog Posts

PurposeThe purpose of this paper is to describe the role and characteristics of the summer internship program (Digital Summer Clinic) delivered by Eastern Michigan University. The authors report the results of an exploratory study of interns participating in the Digital Summer Clinic over a five-year time period. The study captures and analyzes the experiences of interns as expressed in structured interviews and blog posts.Design/methodology/approachThe study data were text from structured interviews and blog posts capturing the “voice” of the interns. A natural language processing (NLP) analysis of the text corpus, consisting of 43 interviews and blog posts, resulted in the identification of 242 unique stem-terms used by interns in describing the internship experiences. The authors used the JMP Pro 15.2 Text Explorer algorithm (It is defined as a suite of computer programs for statistical analysis developed by the JMP business unit of SAS Institute) to extract the terms that were subsequently transformed and analyzed with factor analysis and regression to address the research questions.FindingsThe factor analysis results found six dimensions or themes, defined by the stem-terms used by student interns, best described the internship experience. The authors then explored the relationship between the six themes and the umbrella term “internship” with multiple regression analysis. The regression findings suggest a hierarchy of effects with the theme “Introducing Professional Opportunities” being the theme most predictive of the umbrella term.Originality/valueThe methodology used within the paper is unique in several ways when compared to other research investigating internship programs. First, it uses NLP analysis for the qualitative analysis of text-based descriptions of student experiences over a five-year time horizon. Second, the data analysis uses transformed text to quantitatively determine the major dimensions or themes expressed by the interns about their experiences in the Summer Clinic program. Finally, the relative importance of the themes identified provided direction for future program development.

Fetal Malpresentation in Pregnancy

2020 ◽  
Author(s):  
Afshin Azimirad ◽  
Errol R. Norwitz
Keyword(s):  
Vaginal Delivery ◽  
Medical Center ◽  
Breech Presentation ◽  
Obstetric Care ◽  
External Cephalic Version ◽  
Breech Delivery ◽  
Advantages And Disadvantages ◽  
Ultrasound Evaluation ◽  
Elective Repeat Cesarean ◽  
Anatomical Part

Fetal presentation refers to that anatomical part of the fetus that presents at the maternal pelvic inlet. The most common and most desirable fetal presentation is cephalic (head first). Any presentation other than cephalic is referred to as a malpresentation. Breech is the most common fetal malpresentation. The prevalence of breech presentation varies with gestational age (25% at 28 weeks and 3-5% of at term). Ultrasound evaluation is the gold standard for the diagnosis of fetal presentation. External cephalic version (ECV) refers to a series of manual manipulations designed to convert a malpresenting fetus to cephalic to promote vaginal delivery. There are two strategies around the timing of ECV; at 36-37 weeks and/or at or shortly after 39 weeks’ gestation. Each has advantages and disadvantages. Currently, most breech pregnancies at term are delivered by cesarean at 39 weeks prior to the onset of labor. Malpresentation is the second most common indication for planned cesarean (behind elective repeat cesarean). Vaginal delivery for a breech fetus at term should only be attempted if the mother is strongly motivated, if the obstetric care provider is experienced, and if the medical center has the requisite facilities to manage any and all complications. This review contains 3 figures, 2 tables, and 66 references. Keywords: fetal presentation, malpresentation, breech presentation, ultrasound evaluation, external cephalic version (ECV), cesarean delivery, vaginal breech delivery

Experience and impact of the 1-2-3 magic parent programme for children with ADHD on the family unit from the mothers’ perspectives: A narrative analysis

2021 ◽  
pp. 136749352110399
Author(s):  
Stephanie Allen ◽  
Stephen K Bradley ◽  
Eileen Savage
Keyword(s):  
Narrative Analysis ◽  
Family Members ◽  
Study Data ◽  
Unintended Consequences ◽  
Structured Interviews ◽  
Children With Adhd ◽  
Family Unit ◽  
The Family ◽  
Narrative Constructions ◽  
The Impact

Parent programmes are often used in the clinical management of children with ADHD. Research into parent programmes has predominantly been concerned with their effectiveness and much less attention has been paid to the impact that they may be having on the family and the inter-relationships between family members. This study explores the perspectives and experiences of parents of children with ADHD, who participated in a parent programme, including its impact on the family unit. A purposive sample of six mothers of children with ADHD who completed a 1-2-3 Magic parent programme in Ireland was invited to take part in this qualitative study. Data were collected by means of individual in-depth, semi-structured interviews and a narrative inquiry approach further informed analysis of the interview data. Two major narrative constructions of experience: ‘parent programme as positive’ and ‘parent programme as negative’ were identified. Outcomes from this study illustrated some unintended consequences caused by the parent programme (i.e. sibling rivalry and conflict arising between family members). Mothers believed that the parent programme was a beneficial intervention, but it was not without its flaws and they felt it was helpful for their family when used in conjunction with other supports and mediations.

Causes and mitigation for declining productivity in the Australian mid-rise residential construction sector

2018 ◽  
Vol 8 (3) ◽  
pp. 253-266 ◽  
Author(s):  
Tillmann Böhme ◽  
Alberto Escribano ◽  
Emma Elizabeth Heffernan ◽  
Scott Beazley
Keyword(s):  
Supply Chain ◽  
Study Data ◽  
Residential Construction ◽  
Construction Sector ◽  
Structured Interviews ◽  
Content Type ◽  
Construction Productivity ◽  
Productivity Losses ◽  
Design Changes ◽  
Stage Process

Purpose The construction industry is a significant driver of economic activity in many countries. However, there has been a lack of growth in productivity within the Australian construction sector over recent years. The purpose of this paper is to gain an in-depth understanding of the causes for declining productivity within the Australian mid-rise residential construction network. Design/methodology/approach Two in-depth case studies have been conducted with a builder and developer, both significant entities of the Australian mid-rise residential construction network. Case study data collection comprised a five-stage process including semi-structured interviews and archival information review. Findings Drivers for declining construction productivity were identified under the categories of: industry-, firm- and project-level productivity. The drivers include: incomplete documentation, design changes, inefficient project management, supply chain fragmentation, among others. Originality/value The contribution of this study is the identification and categorisation of major issues impacting sector productivity along the mid-rise residential construction supply chain. The research identified that the substructure and superstructure are the construction phases during which most productivity losses occur. Mitigations are discussed in terms of systemic sector productivity increases at an industry, firm and project levels.

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