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

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 ◽  
...  

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.

2022 ◽  
Vol 13 (1) ◽  
pp. 1-6
Author(s):  
Vargas Hernández Victor Manuel ◽  
Luján-Irastorza Jesús Estuardo ◽  
Durand-Montaño Carlos ◽  
Hernández-Ramos Roberto ◽  
Ávila-Pérez Felipe de Jesús ◽  
...  

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.


2016 ◽  
Vol 25 (2) ◽  
Author(s):  
Tânia Regina Scheidt ◽  
Odaléa Maria Brüggemann

ABSTRACT The aim of this cross-sectional study was to identify the prevalence of water births in a maternity hospital of Santa Catarina, Brazil, and to investigate the association between sociodemographic and obstetric variables and water birth. The sample consisted of 973 women who had normal births between June 2007 and May 2013. Data was analyzed through descriptive and bivariate statistics, and estimated prevalence and tested associations through the use of the chi-square test; the unadjusted and adjusted odds ratio were calculated. The prevalence of water births was 13.7%. Of the 153 women who had water birth, most were aged between 20 to 34 years old (122), had a companion (112), a college degree (136), were primiparous (101), had a pregnancy without complications (129) and were admitted in active labor (94). There was no association between sociodemographic characteristics and obstetric outcomes in the bivariate and multivariate analyses and in the adjusted model. Only women with private sources for payment had the opportunity to give birth in water.


2021 ◽  
Vol 5 (1) ◽  
pp. 018-021
Author(s):  
Gómez Elena ◽  
Guzmán Marianela ◽  
Torres Oriol Yuguero

Introduction: Psychiatric emergencies constitute between 1% - 10% of general emergencies in Spain, of which a quarter will end up being hospital admissions. There is little literature on patients who are referred from general to specialized hospitals. Methods: Cross-Sectional study of all the patients referred in 2018. Sociodemographic variables and clinical variables, such as diagnosis and discharge destination, were analyzed. An analysis was performed by comparing means with the Chi Square test. Results: 433 derived emergencies were analyzed. Most of the patients were women. The main reason for derivation were suicide attempts. Of those patients, 40% required hospitalizations. More than 50% of the derived emergencies were referred to the home and followed up on an outpatient basis. Conclusion: Most derived emergencies are referred to the home after evaluation. This implies that most are not life-threatening and that with adequate tools for evaluating suicide risk, we could avoid transfers and improve the resolution of these cases.


Author(s):  
Lukwan Lukwan

Abstrak Salah satu permasalahan Indonesia secara nasional yang berkaitan dengan kader adalah tingginya angka drop out kader.Tiap Posyandu hanya memiliki 2 orang kader yang aktif. Tujuan penelitian ini adalah untuk mengetahui kontribusi pengetahuan terhadap kinerja kader Posyandu. Jenis penelitian yang digunakan adalah penelitian analitik dengan desain Cross Sectional Study dimana pengukuran variabel terikat dan variabel bebas dilakukan pada waktu dan tempat secara bersamaan. Data diolah dengan menggunakan uji statistik SPSS dengan teknik analisis data menggunakan uji Chi square dan uji phi. Hasil uji Chi square diperoleh X2 hit (4,375) dan uji koefisien kontingensi C = (0,474) dengan tingkat kepercayaan 95% (α = 0,05). Nilai X2 hit (4,375) > X2 (3,841), maka Ho ditolak dan Ha diterima. Kesimpulannya adalah ada hubungan yang cukup antara pengetahuan dengan Kinerja kader Posyandu di wilayah kerja Puskesmas Matandahi Kabupaten Konawe Utara. Kata kunci: Pengetahuan, Kinerja Kader Posyandu Abstract Nationally, one of Indonesia’s problems related to the cadres is the high number of drop out cadres. Each Posyandu only has 2 active cadres. The purpose of this study is to know the contribution of knowledge to the performance of Posyandu cadres. The type of research used is analytical research with Cross Sectional Study design where the measurement of dependent variable and independent variable is done at the same time and place. Data were processed by using statistical test of spss with technique of data analysis using chi square test and phi test. Chi square test results obtained X2 hit (4.375) and contingency coefficient test C = (0.474) with 95% confidence level (α = 0.05). X2 hit value (4.375) > X2 (3.841), then Ho is rejected and Ha accepted. The conclusion is that there is a sufficient relationship between knowledge with the performance of Posyandu cadres in the working area of the Puskesmas Matandahi Kabupaten Konawe Utara. Keywords: Knowledge, Performance of Posyandu Cadre’s


2017 ◽  
Vol 6 (2) ◽  
pp. 129
Author(s):  
Haryati Haryati ◽  
Muhammad Ansar ◽  
Firdaus J Kunoli ◽  
Andi Bungawati

Exclusive breastfeeding is breastfeeding only to infants from birth to months old, without the addition of other liquids and other food additives. Efficacy of milk may decrease the risk of babies suffering from various diseases. In the region of Puskesmas Baolan Tolitoli in 2015 in the know about exclusive breastfeeding coverage of 54.3%. This study aims to relations knowledge and maternal employment status with exclusive breastfeeding in infants aged 0-6 months working area of Puskesmas Baolan Tolitoli 2015. Kind of research is analytic survey with the draft “cross sectional study”.Sampel In this research were 137 respondents in the District Baolan Regency Village Tambun Tolitoli.Cara sampling is random sampling. Based on the test results of Chi-Square dengan value of p = 0.033 (> 0.05), meaning there is no relationship between the mother's knowledge by giving exclusive breastfeeding in infants 0-6 months. The test results obtained statistical p value = 0.000 (<0.05), meaning that there is a significant relationship between maternal employment status with exclusive breastfeeding in infants 0-6 months. The conclusion of this study based on the results of research there are no relationships of the variables knowledge Exclusive breastfeeding mothers with babies 0-6 months and there is a relationship of maternal employment status variables with exclusive breastfeeding in infants 0-6 months in the Village Tambun subdistrict Baolan Tolitoli. Keywords : KnowLedge Job Status Mother, Exclusive Breastfeeding, Baby.


2016 ◽  
Vol 7 (01) ◽  
pp. 99-112
Author(s):  
Chairil

Diarrhea is one of the diseases that get priority eradication program because of the high morbidity and caused many deaths. In an effort to decrease the morbidity due to diarrhea important to know the factors that become menyebab incidence of the disease include the state of the environment, disease vector, personal hygiene, snack habits, and health services. The research was done at Village West Sidomulyo Tuah Karya and Sidomulyo subdistrict Puskesmas Handsome that during the period of the last 4-6 months of diarrhea always get into the top 10 diseases. The research objective was to determine the relationship between risk factors with the incidence of diarrhea. The study was a cross sectional study, using a questionnaire. Sampling was done by randomsampling, some 96 respondents. Results of research for the environmental health situation no association with diarrhea because of the test results chi-square statistic with continuity correction values obtained p = (1.00)> α = (0.05), disease-carrying vector no association with diarrhea because of test results chi-square statistic with continuity correction values obtained p = (1.00)> α = (0.05), there is no relationship between personal hygiene with diarrhea, because of the results of statistical chi-square test with continuity correction values obtained p = (0.69)> α = (0.05), there was no relationship between snacks at roadside with diarrhea, because of the results of statistical chi-square test with continuity correction values obtained p = (1.00)> α = (0, 05) there is no relationship between counseling with diarrhea, because of the results of statistical chi-square test with continuity correction values obtained p = (0.42)> α = (0.05), the variables being researched nothing to do with diarrhea , but it diskritif there, it is to note could be a risk for diarrhea will occur, it is necessary to promotive and preventive efforts. 


Author(s):  
Ionara Vieira Rocha Da Mota ◽  
Paulo Henrique Ribeiro Fernandes Almeida ◽  
Lucas Brasileiro Lemos ◽  
Mario Borges Rosa ◽  
Gisele Da Silveira Lemos

To analyze the errors of prescription and administration of antimicrobials powder for solution for injection in a public hospital. This is a cross-sectional study carried out in a public hospital, in which antimicrobials prescriptions and administrations were analyzed for patients admitted to the Intensive Care Unit (ICU) and Medical Clinic (CM) from November 2015 to February 2016. The tabulation and data analysis were done in Epidata software version 3.1 of 2008 and IBM Statistical Package for the Social Sciences (SPSS). In the statistical analysis, chi-square tests or Fisher’s exact test were applied when necessary. The level of significance was 5%. Among the statistically significant results, the following are the errors related to medical prescription with the variables: age at 57% and medical specialty at 67%, both at the ICU; bed with 30% and hospitalization unit with 37%, both in CM. In the administration of antimicrobials, statistically significant differences were observed only in the failure to identify the patient (30% in CM). Regarding the use of antimicrobials, Cefepime was the most prescribed with 65.1%. In view of these aspects, it is extremely important that errors arising from an incomplete and misleading prescribing are identified, to propose improvements in the medication system, in order to prevent errors, and to promote a more rational antibiotic therapy, avoiding infections.


2014 ◽  
Vol 3 (1) ◽  
pp. 39-45
Author(s):  
Samreen Yasmeen ◽  
Muhammad Shahrukh ◽  
Zuhaira Farooqui

OBJECTIVES To determine the awareness level of good body posture in school going students and teachers of different academic places and compare the level of awareness between students and teachers. STUDY DESIGN A cross sectional study was conducted during January 2013 to April 2013. STUDY SETTINGS & PARTICIPANTS Research data was collected from different schools of Karachi. One hundred and thirty two participants including both school going students and teachers were participated in this study. The students belonged to 9-16 year age group. DATA COLLECTION TOOL Data was collected through close ended self-administered questionnaire. RESULTS Chi square test was applied to check the association between occupation and lecture attending question. Chi-square test results (p value = 0.000) showed that, there was a significant association between the occupation and attended lectures regarding postural awareness. Results also revealed that teachers and students were equally aware of standing and lying position, whereas for sitting position teachers were more aware than the students. CONCLUSION Study showed significant association of awareness between students and teachers. However, more education and further awareness regarding good body posture is needed to perform activities of daily living (ADLs) and to prevent prevalence of body pain due to poor posture.


2018 ◽  
Vol 3 (1) ◽  
pp. 12
Author(s):  
Chyntia Novita Kalalo ◽  
Elly Lilianty Sjattar ◽  
Rosdiana Natzir

Introduction: Compensation provided by hospital and job satisfaction of nurses can affect the performance of nurses. The research aimed to analyze the correlation between compensation and work satisfaction with nurses’ performance through motivation in inpatient room of Bethesda Publik Hospital of Tomohon. Method: The method used is analytic observational approach with cross sectional study. The number of sample were of 50 respondents. The methods of obtaining the data were questionnaire with Likert scale and observation of nurses’ performance with Guttman scale. The data were analyzed using univariate and bivariate analysis by means of frequency distribution table and cross tabulation with chi square. Results: The research indicate that compensation has a correlation with work load (p=0.003), motivation (p=0.040), and nurses’ performance (p=0.001). Work satisfaction has a correlation with motivation (p=0.002) and nurses’ performance (p=0.000). Motivation has a correlation with nurses’ performance (p=0.013). Conclusion: The management of the hospital should pay attention to compensation given and nurses’ work satisfaction, so the nurses are more motivated to carry out services in a professional nursing care in order that more optimal nurses’ performance.


Author(s):  
Witdiawati ◽  
Umar Sumarna ◽  
Udin Rosidin

Abstract: Background: Patient satisfaction is a factor that supports loyalty. Likewise with patients of the BPJS Health Program. The health workers at the Lower Marjan Ward of dr. Slamet Garut Regional Public Hospital need to improve its health services, in order to grow its loyalty to subscribe by using the care facilities at dr. Slamet Garut Regional Public Hospital. Objective: This study aims to determine the relationship between the level of patient satisfaction about the BPJS health program service with their loyalty. Methods: The study used Cross Sectional Study design, the study was conducted on 50 patients as a sample who taked accidently. The study was conducted with apply the Chi square test. Results: The results were analyzed and it was found that there are only 2 satisfaction factors that have a significant relationship with loyalty, that was the Reliability Factor with a pValue of 0.014 and an Odd Ratio of 0.930, accompanied by the Assurance Factor with a pValue of 0.009 and an Odd Ratio of 1.061. While other factors are not significant, namely the Responsiveness Factor with a pValue of 0.087 and an Odd Ratio of 0.833, Empathy factor with a pValue of 1.172 an Odd Ratio of 0.909 accompanied Tangible factor with a pValue of 0.231 and an Odd Ratio of 1.333.Conclussion: Conclussion of the study show that patient loyalty will appear when the level of patient satisfaction is high, therefore satisfaction factors must be increased by health worker as a service provider.


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