Delivery in water, experiences in a population of Mexican women in Mexico City

Background: Labor is a physiological process during which the fetus, the membranes, the umbilical cord and the placenta are expelled from the uterus and water delivery has become popular, although its prevalence is unknown, it is supported by healthy women with full-term pregnancies, without complications; although there is insufficient evidence to support or discourage it. Objective: To identify obstetric and neonatal outcomes and complications in women who delivered in water and to compare them with traditional deliveries. Material and methods: It is a retrospective, observational and cross-sectional study, where 2486 women were included from a database of 4223 women assisted from 2004 to 2020 in private hospitals; Of the 2486 patients included, 1025 had a water delivery and 1461 had a conventional delivery, discarding 1737 women who underwent caesarean section from the study. The information obtained from the patients, their data obtained for this study were kept in the anonymity of the patients, where they were analyzed: non-parametric data reported in percentages using Chi square; Parametric, perinatal and neonatal data are reported as mean plus standard deviation (±SD) and analyzed using Student's T, using the SPSS version 25 statistical package. Results: A total of 2486 women were included in this study, the birth in 1025 was water delivery (24%) and 1461 was conventional delivery (35%), 1737 caesarean section (41%) were excluded from the study, no difference was observed maternal age; unlike weight, height, body mass index; they were higher in women with water birth compared to conventional. No difference was demonstrated between nulliparous (45.99%) and multiparous (53.86%) when comparing both birth in water and conventional; only increase in previous caesarean sections (9.36 vs 6.5%, p=0.008) and decrease in previous abortions (16.19 vs 20.94%, p=0.002) in water delivery with the conventional one; complications were not different: administration of oxytocin (3.2 vs 3.1) or postpartum hemorrhage (0.29 vs 0.13) in both deliveries; no differences in first degree perineal tears (21.4 vs 18.5%). Conclusion: Water birth reduces stress, pain sensation, second and third degree perineal lacerations and contributes to better newborn outcomes; the selection and inclusion of patients with low-risk pregnancies allows better perinatal results than conventional delivery; but, further studies are required to use it routinely.

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Perineal outcomes and its associated variables of water births versus non-water births: a cross-sectional study

Revista Brasileira de Saúde Materno Infantil ◽

10.1590/1806-93042019000400003 ◽

2019 ◽

Vol 19 (4) ◽

pp. 777-786

Author(s):

Joyce da Costa Silveira de Camargo ◽

Vitor Varela ◽

Fernanda Marçal Ferreira ◽

Christiane Borges do Nascimento Chofakian ◽

Ruth Hitomi Osava ◽

...

Keyword(s):

Public Hospital ◽

Cross Sectional Study ◽

Test Results ◽

Chi Square ◽

Cross Sectional ◽

Fourth Degree ◽

Perineal Tears ◽

Water Births ◽

Water Birth ◽

Associated Variables

Abstract Objectives: to describe the perineal outcomes of women who had delivered in water and out of water. Methods: a cross-sectional and quantitative study developed in a public hospital in Setúbal, Portugal. The population was of women who participated in the "Water Birth Project" in the period from 2011 to 2014, which gave birth in water and out of water. 104 women were selected according to established inclusion criteria. The groups were compared according to the following variables: demographics, obstetric information, delivery care and perineal outcomes. The data were analyzed in the Stata(r) software, with descriptive and bivariate statistics (chi-square and Fisher's test). Results: the medical records of 73 women who gave birth in water and 31 women who gave birth out of water were studied. Water deliveries were significantly associated with fewer perineal lacerations, lower rates of episiotomy, and shorter delivery time. Conclusions: the results of the study suggest that childbirth in water has a protective effect against severe third or fourth degree perineal tears, during fetal expulsion in water.

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Spirometric evaluation of pulmonary function in Yazd’s dental laboratory workers in 1398

Occupational Medicine ◽

10.18502/tkj.v12i3.4986 ◽

2020 ◽

Author(s):

M Hatami ◽

AH Mehrpaevar ◽

A Kouchak zadeh

Keyword(s):

Pulmonary Function ◽

Work Experience ◽

Screening Method ◽

Cross Sectional Study ◽

Influential Factor ◽

Chi Square ◽

Cross Sectional ◽

Dental Staff ◽

Laboratory Workers ◽

Student’S T

Introduction: Spirometry is used as a screening method for occupational lung diseases. Dental laboratory workers are exposed to solvent vapors, toxic gases, and dust from metal alloys, acrylics, and gypsum. This study aimed to investigate the spirometric function of lung function in dental staff in Yazd. Materials and Methods: This descriptive cross-sectional study was performed on 37 technicians of dental laboratories in Yazd in the three months of spring 2017. To evaluate respiratory problems and their pulmonary function, standard respiratory and spirometry questionnaires according to ATS / ESR guidelines were used, respectively. Data were analyzed by SPSS software version 18 using Mann-Whitney U, Chi-square, and Student's T-test. Results: Mean age of participants was 35.59±1.13. 54% of participants had no respiratory symptoms. The most common respiratory complain were dry and exudative cough. The work field was the only influential factor in FVC%. Age and work experience, and exercise no significant effect on respiratory parameters. Overall spirometry parameters were in the normal pattern range, and only 5% of participants showed a mild restrictive pattern. Conclusion: Spirometric pulmonary function of Yazd'dental laboratory technicians was in the normal range, and possibly working in the dental laboratory did not have a significant effect on the pulmonary Function of technicians based on spirometric indices.

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Lymphoscintigraphic findings: delayed oedema after great saphenous vein harvesting

Phlebology The Journal of Venous Disease ◽

10.1258/phleb.2010.010071 ◽

2011 ◽

Vol 26 (5) ◽

pp. 185-190 ◽

Cited By ~ 1

Author(s):

C E Q Belczak ◽

J M P de Godoy ◽

A F Cruz ◽

A L Tyszca ◽

H J G Neto ◽

...

Keyword(s):

Saphenous Vein ◽

Coronary Bypass ◽

Cross Sectional Study ◽

Lower Limbs ◽

Water Displacement ◽

Chi Square ◽

Cross Sectional ◽

Student’S T ◽

Alpha Error ◽

Student’S T Test

Objective The aim of this study was to identify lymphoscintigraphic changes associated with lower-extremity oedema after the harvesting of the saphenous vein using a series of short Q2 incisions for coronary bypass. Method Forty-four patients (32 males and 12 females) with a mean age of 62.7 ± 7.8 (47–75 years old) were evaluated in a retrospective, quantitative, cross-sectional study from June 2007 to January 2008, three to 188 months (mean: 46 months) after the surgical procedure. Assessment was by water displacement volumetry and lymphoscintigraphy of the lower limbs. Results expressed as means with standard deviations were compared employing the Student's t-test and the chi-square or Fisher's exact tests were used to compare data expressed as frequencies. An alpha error of 5% was considered acceptable ( P ≤ 0.05). Results The presence of dermal backflow, as identified by lymphoscintigraphy with an accumulation of radiotracer in the thoracic duct and popliteal lymph nodes was significantly greater on the operated side. Conclusion There was a significant association between dermal backflow and delayed oedema.

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Metabolic syndrome in children aged 6 to 12 years with obesity in public schools of seven municipalities in the State of Mexico

Salud Pública de México ◽

10.21149/8470 ◽

2018 ◽

Vol 60 (4, jul-ago) ◽

pp. 395 ◽

Cited By ~ 1

Author(s):

Abelardo Ávila-Curiel ◽

Carlos Galindo-Gómez ◽

Liliana Juárez-Martínez ◽

Mario Luis Osorio-Victoria

Keyword(s):

Metabolic Syndrome ◽

Public Schools ◽

Cardiovascular Risk ◽

Cross Sectional Study ◽

School Age Children ◽

Obese Children ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test ◽

Student’S T

Objective. To estimate the prevalence of Metabolic Syndrome (MS), its components and its association with obesity and cardiovascular risk in school age children. Materials and methods. A cross-sectional study of 1,017 children from 6 to 12 years of age. Anthropometric information, blood pressure, glucose, insulin, cholesterol, HDLc, LDLc and triglycerides were collected. The presence of MS and its components were determined by criteria of Cook et. al. (2003), modified for children and adolescents. In the analysis, the children were grouped by aged group of 6 to 9 and 10 to 12 years. The association between MS, obesity and cardiovascular risk was estimated using Student’s t-test and Mann-Whitney U test, Chi-square test and logistic regression. Results. The MS was present with 54.6% in obese children. Obesity was the characteristic of greater association to suffer from MS with an OR=8.62 p<0.001. Conclusions. MS is high among children with obesity, and is mostly associated with insulin resistance and atherogenic risk.

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Nursing team knowledge on care for patients with fungating wounds

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0738 ◽

2020 ◽

Vol 73 (1) ◽

Cited By ~ 1

Author(s):

Fernanda Mateus Queiroz Schmidt ◽

Flávia Firmino ◽

Nariman de Felício Bortucan Lenza ◽

Vera Lúcia Conceição de Gouveia Santos

Keyword(s):

Staff Training ◽

Cross Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Orientation Data ◽

Exact Test ◽

Nursing Team ◽

Student’S T ◽

Educational Variables ◽

Student’S T Test

ABSTRACT Objective: to evaluate the nursing team knowledge of a cancer hospital on care for patients with Malignant Fungating Wounds (MFW) and to analyze associated sociodemographic and educational factors. Method: an observational and cross-sectional study, conducted between September and October 2015, after approval by the Research Ethics Committee. A questionnaire was applied containing sociodemographic, educational and related components to the accomplishment of dressings, dressings choice and orientation. Data were analyzed by using Chi-square, Fisher’s exact test, Student’s t-Test and Pearson’s correlation. Results: 37 professionals participated in the study, most of whom were technicians (56.8%), women (91.9%) and with a mean age of 32 years. The professionals presented 56.5% of correct answers. There were no statistically significant associations between sociodemographic/educational variables and number of correct answers. Conclusion: there was a lack of important knowledge about care for patients with MFW, which should guide strategies for the oncology staff training.

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Enamel of Premolars whose Predecessors Presented Rupture of the Follicle Bone Crypt from Periapical Infections

Journal of Clinical Pediatric Dentistry ◽

10.17796/1053-4625-44.4.7 ◽

2020 ◽

Vol 44 (4) ◽

pp. 256-261

Author(s):

Marcondes Cavalcante Santana Neto ◽

Ana Victória Lopes Bandeira ◽

Heloísa Clara Santos Sousa ◽

Marcoeli Silva de Moura ◽

Lúcia de Fátima Almeida de Deus Moura ◽

...

Keyword(s):

Linear Trend ◽

Descriptive Analysis ◽

Cross Sectional Study ◽

Study Data ◽

Permanent Teeth ◽

Periapical Lesion ◽

Chi Square ◽

Cross Sectional ◽

History Of ◽

Student’S T

Objective: To observe if dental alterations in premolars are associated with the rupture of the follicle bone crypt caused by a periapical lesion in the predecessor molars. Study design: This is a cross-sectional study. Data collection consisted of the analysis of medical records, a socioeconomic questionnaire, and dental clinical examination. Records from patients with a history of a radiographically visible periapical lesion in lower primary molars submitted to pulp therapy or extraction from a university dental clinic were selected. Successor premolars were clinically evaluated for the presence of enamel development defects, shape alterations, and eruption deviations. The descriptive analysis of data was performed, and Fisher’s exact tests, linear trend chi-square, and the Student’s t-test were applied. Results: Forty-eight permanent teeth were from 36 patients were evaluated in this study, and 20 (41.7%) of the 48 examined premolars showed a radiographic image suggestive of the rupture of the bone crypt. Rupture of the follicle bone crypt was not associated with the occurrence of enamel alterations in premolars (p = 0.418). An association between dental alterations and age over six years at the time of intervention was observed (p = 0.043). Conclusion: The presence of enamel alterations of premolars was not associated with the rupture of the follicle bone crypt caused by a periapical lesion in predecessor molars.

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Cancer patients, emergencies service and provision of palliative care

Revista da Associação Médica Brasileira ◽

10.1590/1806-9282.62.03.207 ◽

2016 ◽

Vol 62 (3) ◽

pp. 207-211 ◽

Cited By ~ 3

Author(s):

Bruno Miranda ◽

Suely Arruda Vidal ◽

Maria Júlia Gonçalves de Mello ◽

Jurema Telles de Oliveira Lima ◽

Judith Correia Rêgo ◽

...

Keyword(s):

Palliative Care ◽

Home Care ◽

Cancer Patients ◽

Emergency Service ◽

Length Of Hospital Stay ◽

Cross Sectional Study ◽

Minimum Length ◽

Chi Square ◽

Cross Sectional ◽

Student’S T

SUMMARY Objective: To describe the clinical and sociodemographic profile of cancer patients admitted to the Emergency Center for High Complexity Oncologic Assistance, observing the coverage of palliative and home care. Method: Cross sectional study including adult cancer patients admitted to the emergency service (September-December/2011) with a minimum length of hospital stay of two hours. Student’s t-test and Pearson chi-square test were used to compare the means. Results: 191 patients were enrolled, 47.6% elderly, 64.4% women, 75.4% from the city of Recife and greater area. The symptom prevalent at admission was pain (46.6%). 4.2% of patients were linked to palliative care and 2.1% to home care. The most prevalent cancers: cervix (18.3%), breast (13.6%) and prostate (10.5%); 70.7% were in advanced stages (IV, 47.1%); 39.4% without any cancer therapy. Conclusion: Patients sought the emergency service on account of pain, probably due to the incipient coverage of palliative and home care. These actions should be included to oncologic therapy as soon as possible to minimize the suffering of the patient/family and integrate the skills of oncologists and emergency professionals.

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Comparing breast feeding practices in baby friendly and non-accredited hospitals in Salvador, Bahia

Revista Brasileira de Saúde Materno Infantil ◽

10.1590/s1519-38292011000400007 ◽

2011 ◽

Vol 11 (4) ◽

pp. 405-413 ◽

Cited By ~ 1

Author(s):

Priscilla Nunes Ortiz ◽

Rafaela Borges Rolim ◽

Mateus Freire Lima e Souza ◽

Poliana Louzada Soares ◽

Tatiana de Oliveira Vieira ◽

...

Keyword(s):

Breast Feeding ◽

Cross Sectional Study ◽

Systematic Evaluation ◽

Baby Friendly Hospital Initiative ◽

Continuous Variables ◽

Chi Square ◽

Cross Sectional ◽

Maternity Hospitals ◽

Chi Square Test ◽

Student’S T

OBJECTIVES: to compare compliance with Steps 4 to 10 of "The Steps to Successful Breastfeeding" in two hospitals accredited by the Baby-Friendly Hospital Initiative (BFHI group) with two not yet accredited hospitals in Salvador. METHODS: a cross-sectional study was conducted with 100 women in BFHI-accredited hospitals and 103 women in non-BFHI-accredited hospitals by collecting data on their obstetric history, any breast feeding counseling received during antenatal care, and data on delivery and hospitalization. Data were obtained by applying questionnaires and reviewing patients' medical charts. The chi-square test was used for bivariate variables and Student's t test for continuous variables. RESULTS: statistically significant differences (p<0.05) were found between the BFHI-accredited group and the non-BFHI group with respect to steps 5 (77% vs 35.9%), 6 (81% vs 31%), 8 (77% vs 52.4%), and 9 (100% vs 94.2%). No differences were found between the two groups with respect to steps 4, 7 or 10. Satisfactory compliance with the requirements of the Baby-Friendly Hospital Initiative in BFHIaccredited hospitals was found only with respect to steps 6, 7 and 9. CONCLUSIONS: these results highlight the benefits of BFHI accreditation but emphasize the need for continuous and systematic evaluation in order to promote breastfeeding and provide support in BFHIaccredited maternity hospitals.

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Obese and female adolescents skip breakfast more than their non-obese and male peers

Open Medicine ◽

10.2478/s11536-007-0043-1 ◽

2007 ◽

Vol 2 (4) ◽

pp. 481-487 ◽

Cited By ~ 5

Author(s):

Arash Rashidi ◽

Behnoush Mohammadpour-Ahranjani ◽

Majid Karandish ◽

Mohammad-Reza Vafa ◽

Majid Hajifaraji ◽

...

Keyword(s):

Cross Sectional Study ◽

Female Adolescents ◽

Normal Male ◽

Normal Female ◽

Chi Square ◽

Cross Sectional ◽

Breakfast Consumption ◽

Adolescent Students ◽

Significant Difference ◽

Student’S T

AbstractWe examined the association between overweight/gender and skipping breakfast among adolescent students in Tehran city using a cross-sectional study and a multistage random sampling method. All educational zones in Tehran city were covered during the educational year of 2000–01. In total, 2321 students aged 11–16 years (1068 male; 1263 female) participated in the study. Weight and height were measured and body mass index (BMI; kg/m2) was calculated. Overweight, pre-obesity and obesity were defined as BMI ≥ 85th, 85th to 95th, and ≥ 95th percentile of age-sex-specific BMI reference values, respectively. Self-reported frequency of breakfast consumption was categorized as usual/always, often, and rarely/never (5–7, 2–4 and 0–1 times/wk, respectively). Student’s t and Chi-square tests were employed to analyze the data. Statistical inferences were made at α = 0.05. In boys and girls, the mean ± standard deviation of BMI was 19.8 ± 4.0 and 20.6 ± 4.1 kg/m2, the 18.8% and 23.1% were overweight, and 7.3% and 8.3% were obese, respectively. There was a significant difference in the frequency of breakfast consumption between obese and normal male students (P < 0.001). Differences between pre-obese and normal, and obese and normal female students were also significant (P < 0.002 and P < 0.001, respectively). A significant difference was found in the frequency of breakfast consumption between male and female adolescents in all three categories (P < 0.001). These results suggest that obese and female adolescents are more likely to skip breakfast than their normal and male peers and are therefore at higher risk for growth deficits and low educational performance. Preventive/educational programs are urgently needed in this age group.

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The Predictors of Obesity among Urban Girls and Boys Aged 8–10 Years—A Cross-Sectional Study in North-Western Poland

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17186611 ◽

2020 ◽

Vol 17 (18) ◽

pp. 6611

Author(s):

Joanna Ratajczak ◽

Elzbieta Petriczko

Keyword(s):

Body Weight ◽

Task Force ◽

Statistical Significance ◽

Body Height ◽

Cross Sectional Study ◽

Preventive Action ◽

Chi Square ◽

Cross Sectional ◽

Urban Girls ◽

Student’S T

Background: Children worldwide are increasingly becoming overweight and obese and developing related health problems, including hypertension, lipid disorders, abnormal glucose tolerance, type 2 diabetes, and secondary psychological disorders. The aim of the study was to determine sociodemographic risk factors that predict an increase in BMI in children at an early school age. Material and method: The study covered 4972 children aged 8–10 years, including boys (N = 2461) and girls (N = 2511). Measurements of basic anthropometric indicators were used, such as body height, body weight, body composition, and physical fitness. The criteria developed by the International Obesity Task Force (IOTF) were adopted. Sociodemographic features were analyzed based on a diagnostic survey. IBM SPSS Statistics v.25 (Mineral Midrange SA, Warsaw, Poland) and IBM SPSS Amos software (Mineral Midrange SA, Warsaw, Poland) were used to perform descriptive statistics, the Kolmogorov-Smirnov test, Pearson′s chi-square test, Student’s t-test, and the Mann-Whitney U test. The statistical significance index was assumed to be p < 0.05, while p < 0.01 was taken as an indicator of a trend which was not completely statistically significant. Results: Both the children and their parents had mainly moderate BMI. A total of 78.7% of children were within the weight norm. Among girls, extreme obesity was two times more frequent than extreme underweight. The examined boys were significantly taller, heavier, and had a higher BMI than girls. There were significant differences between boys and girls in BMI; however, gender alone accounted for less than 1% variance. The influence of parents′ characteristics was much greater, increasing the explained variance to 10%. Body weight of mothers and fathers (p < 0.001), mother′s height (p < 0.01) and both parents′ level of education (p < 0.001) were detected as significant predictors of children’s BMI. Conclusions: The analysis of selected sociodemographic and health factors determining the BMI of the child population indicates the need for preventive action and health promotion both among children and their parents.

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