Factors associated with obstetric interventions in public maternity hospitals

Abstract Objectives: to identify the prevalence and factors associated with obstetric interventions in parturients assisted in public maternity hospitals. Methods: a cross-sectional study with 344 puerperal women, from two public maternity hospitals, referring to childbirth by Sistema Único de Saúde (SUS) (Public Health Service System) in Londrina City, Paraná, Brazil, between January and June 2017. The medical records were the data source. The following obstetric interventions were considered: oxytocin use, artificial rupture of the membranes, instrumental childbirth and episiotomy. Multivariate Poisson regression was used to analyze associated factors, with p<5% being significant. Results: the prevalence of obstetric intervention was 55.5%, the maximum number of interventions in the same parturient woman was three. The most frequent interventions were the use of oxytocin (50.0%) and artificial rupture of membranes (29.7%). The variables associated on maternal disease (p=0.005) and intrapartum meconium (p=0.022) independently increased, the risk of obstetric intervention, while dilation was equal to or greater than 5 cm at admission, there was a protective factor against this outcome (p=0.030). Conclusion: the prevalence of obstetric interventions was high. In the case of maternal disease and intrapartum meconium, special attention should be given to the parturient woman, in order to avoid unnecessary interventions. Thus, the maternity hospitals need to review their protocols, seeking good practices in childbirth care.

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The Relationship between Mental Health with the Level of Empathy Among Medical Students in Southern Thailand: A University-Based Cross- Sectional Study

Siriraj Medical Journal ◽

10.33192/smj.2021.108 ◽

2021 ◽

Vol 73 (12) ◽

pp. 832-840

Author(s):

Katti Sathaporn ◽

Jarurin Pitanupong

Keyword(s):

Mental Health ◽

Medical Students ◽

Protective Factor ◽

Cross Sectional Study ◽

Clinical Group ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Significant Difference ◽

High Level

Objective: To determine the level of and factors associated with empathy among medical students.Materials and Methods: This cross-sectional study surveyed all first- to sixth-year medical students at the Facultyof Medicines, Prince of Songkla University, at the end of the 2020 academic year. The questionnaires consisted of:1) The personal and demographic information questionnaire, 2) The Toronto Empathy Questionnaire, and 3) ThaiMental Health Indicator-15. Data were analyzed using descriptive statistics, and factors associated with empathylevel were assessed via chi-square and logistic regression analyses.Results: There were 1010 participants with response rate of 94%. Most of them were female (59%). More than half(54.9%) reported a high level of empathy. There was a statistically significant difference in empathy levels betweenpre-clinical and clinical medical students; in regards to empathy subgroups (P-value < 0.001). The assessment ofemotional states in others by demonstrating appropriate sensitivity behavior, altruism, and empathic respondingscores among the pre-clinical group were higher than those of the clinical group. Multivariate analysis indicatedthat female gender, pre-clinical training level, and minor specialty preference were factors associated with empathylevel. The protective factor that significantly improved the level of empathy was having fair to good mental health.Conclusion: More than half of the surveyed medical students reported a high level of empathy. The protective factorthat improved the level of empathy was good mental health. However, future qualitative methods, longitudinalsurveillance, or long-term follow-up designs are required to ensure the trustworthiness of these findings.

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Prevalence of prediabetes and modifiable factors in an ethnic group of Mexico: the Comcáac Project

Public Health Nutrition ◽

10.1017/s1368980017002658 ◽

2017 ◽

Vol 21 (2) ◽

pp. 333-338 ◽

Cited By ~ 7

Author(s):

Monica Daniela Robles-Ordaz ◽

Ana Cristina Gallegos-Aguilar ◽

Rene Urquidez-Romero ◽

Rolando Giovanni Diaz-Zavala ◽

Marcos Gerardo Lavandera-Torres ◽

...

Keyword(s):

Physical Activity ◽

Insulin Resistance ◽

Plasma Glucose ◽

Fruits And Vegetables ◽

Protective Factor ◽

Cross Sectional Study ◽

Model Assessment ◽

Cross Sectional ◽

Factors Associated ◽

Modifiable Factors

AbstractObjectiveTo determine the prevalence of and modifiable factors associated with prediabetes in the Comcáac Indians.DesignCross-sectional study where prediabetes was defined using fasting plasma glucose, 2 h plasma glucose and glycated Hb (HbA1c). Physical, anthropometric and biochemical measurements, medical record, socio-economic, dietary and physical activity information were collected. The modifiable factors associated with prediabetes were assessed using multiple logistic regression.SettingsComcáac Indian communities of Punta Chueca and El Desemboque, Sonora, Mexico.SubjectsAdults (n227) aged 20 years or older.ResultsThe sex- and age-adjusted prevalence (95 % CI) of prediabetes was 47·1 (40·8, 53·5) % in the overall population; age-adjusted prevalence was 47·3 (35·6, 59·0) % in men and 46·7 (39·1, 54·3) % in women. The modifiable factors associated with a risk of prediabetes (OR; 95 % CI) were light-intensity physical activity (per 1 h/week increase: 1·04; 1·01, 1·07) and insulin resistance (homeostasis model assessment of insulin resistance score >6·1v. <4·1: 4·62; 1·37, 15·51). Increased consumption of a traditional dietary pattern based on fish and seafood, low-fat cereals, fruits and vegetables was a protective factor (0·49; 0·31, 0·79). All variables were modelled together and adjusted for age and sex.ConclusionsThe high prediabetes prevalence found in the Comcáac community is alarming because it represents a large number of people who are at risk for type 2 diabetes. The identification of modifiable factors associated with prediabetes that are specific to this population may be useful for designing effective strategies to prevent prediabetes.

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Factors associated with pacifier use among children of working women with childcare in the workplace

Revista CEFAC ◽

10.1590/1982-021620171950617 ◽

2017 ◽

Vol 19 (5) ◽

pp. 654-663 ◽

Cited By ~ 1

Author(s):

Thais Rosa dos Santos ◽

Gabriela dos Santos Buccini ◽

Luciana Tavares Sebastião

Keyword(s):

Maternal Education ◽

Protective Factor ◽

Working Women ◽

Education Institution ◽

Cross Sectional Study ◽

Self Report ◽

Cross Sectional ◽

Factors Associated ◽

Pacifier Use ◽

Multiple Analysis

ABSTRACT Purpose: to identify the prevalence of pacifier use as well as the reasons for introducing a pacifier and to analyze factors associated with this practice among children of working women with childcare in the workplace. Methods: a cross-sectional study was conducted with 46 women working at a higher education institution that offered childcare in the workplace; the children were in the age range 2.6 years. Data collection was carried out using a self-report questionnaire filled at home. Reasons for introducing a pacifier were analyzed descriptively; Poisson regression was used in the multiple analysis. Results: the prevalence of pacifier use was 63%. Most women offered the pacifier after the infant's 16th day of life, in order to calm the baby. In the multiple analysis, higher maternal education was associated with pacifier use. Conclusion: a high prevalence of pacifier use was observed, as well as early pacifier introduction, among children of working women with childcare in the workplace. With regard to the factors associated with pacifier use in this population, lower maternal education acted as a protective factor against pacifier use.

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Performance of resident nurses in obstetrics on childbirth care

Revista Brasileira de Saúde Materno Infantil ◽

10.1590/1806-93042019000100008 ◽

2019 ◽

Vol 19 (1) ◽

pp. 135-144

Author(s):

Ariane Teixeira de Santana ◽

Ridalva Dias Martins Felzemburgh ◽

Telmara Menezes Couto ◽

Lívia Pinheiro Pereira

Keyword(s):

Maternity Hospital ◽

Cross Sectional Study ◽

Nursing Program ◽

Categorical Variables ◽

Cross Sectional ◽

Good Practices ◽

Hot Bath ◽

Obstetric Intervention ◽

Pharmacological Method ◽

Childbirth Care

Abstract Objectives: to describe good practices on childbirth care and obstetric interventions performed by resident nurses in obstetrics during the obstetric childbirth risk at a public maternity hospital in Salvador. Methods: a descriptive cross-sectional study with a quantitative approach, based on the of 102 parturients, between February and April 2016. The data collection was performed through the collection of information on clinical files for analysis by using descriptive statistics with absolute and relative frequencies for the evaluated categorical variables. Results: it was observed that 100.0% of the women used some kind of non-pharmacological method for pain relief, although the method of choice was to take a hot bath; 99.0% of the women drank liquids; 94.0% had the presence of a companion of free choice; 99.0% walked during labor; 100.0% had the freedom to choose a position during childbirth. It is noteworthy that no woman in this study was submitted to episiotomy, and more than 70.0% were not submitted to any obstetric intervention. Conclusions: the Programa de Residência em Enfermagem (Residency Nursing Program) an important point in the childbirth humanization process is directly associated to the increase in the normal childbirth rates, the highest use on good practices in childbirth care, and the reduction on obstetric interventions.

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Practices and obstetric interventions in women from a state in the Northeast of Brazil

Revista da Associação Médica Brasileira ◽

10.1590/1806-9282.63.12.1039 ◽

2017 ◽

Vol 63 (12) ◽

pp. 1039-1048 ◽

Cited By ~ 2

Author(s):

Daniela Siqueira Prado ◽

Rosemar Barbosa Mendes ◽

Rosana Queiroz Gurgel ◽

Ikaro Daniel de Carvalho Barreto ◽

Felipa Daiana Bezerra ◽

...

Keyword(s):

Best Practices ◽

Cross Sectional Study ◽

Labor Analgesia ◽

Lithotomy Position ◽

Postpartum Women ◽

Private Funding ◽

Cross Sectional ◽

Factors Associated ◽

Maternity Hospitals ◽

Private Financing

Summary Objective: To describe practices and interventions used during labor and childbirth and factors associated with such practices in puerperae in the state of Sergipe. Method: A cross-sectional study with 768 postpartum women from 11 maternity hospitals interviewed 6 hours after delivery, and hospital records review. The associations between best practices and interventions used during labor and delivery with exposure variables were described using simple frequencies, percentages, crude and adjusted odds ratio (ORa) with the confidence interval. Results: Of the women in the study, 10.6% received food and 27.8% moved during labor; non-pharmacological methods for pain relief were performed in 26.1%; a partogram was filled in 39.4% of the charts; and an accompanying person was present in 40.6% of deliveries. Oxytocin, amniotomy and labor analgesia were used in 59.1%, 49.3% and 4.2% of women, respectively. Lithotomy position during childbirth was used in 95.2% of the cases, episiotomy in 43.9% and Kristeller maneuver in 31.7%. The variables most associated with cesarean section were private financing (ORa=4.27, 95CI 2.44-7.47), higher levels of education (ORa=4.54, 95CI 2.56-8.3) and high obstetric risk (ORa=1.9, 95CI 1.31-2.74). Women whose delivery was funded privately were more likely to have an accompanying person present (ORa=2.12, 95CI 1.18-3.79) and to undergo labor analgesia (ORa=4.96, 95CI 1.7-14.5). Conclusion: Best practices are poorly performed and unnecessary interventions are frequent. The factors most associated with c-section were private funding, greater length of education and high obstetric risk.

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FACTORS ASSOCIATED WITH SUPPORT PROVIDED TO WOMEN DURING CHILDBIRTH BY COMPANIONS IN PUBLIC MATERNITY HOSPITALS

Texto & Contexto - Enfermagem ◽

10.1590/1980-265x-tce-2018-0239 ◽

2020 ◽

Vol 29 ◽

Author(s):

Carolina Frescura Junges ◽

Odaléa Maria Brüggemann

Keyword(s):

Data Collection ◽

Prenatal Care ◽

Binary Logistic Regression ◽

Maternity Hospital ◽

Cross Sectional Study ◽

Cross Sectional ◽

Four Dimensions ◽

Factors Associated ◽

Maternity Hospitals ◽

Hospital Characteristics

ABSTRACT Objective: to identify the factors associated with providing emotional, physical, informational and intermediation support for companions during childbirth. Method: this is a cross-sectional study, whose sample consisted of 861 companions from public maternity hospitals in Florianópolis, SC. Data collection was carried out from March/2015 to May/2016, using a questionnaire as a data collection instrument. The data were analyzed by Binary Logistic Regression, using the Hierarchical Model of Multivariate Analysis. Results: the factors associated with emotional support were: having between 8 and 11 years of study (OR: 2.70 - CI: 1.19-6.13), participation in prenatal care (OR: 3.40 - CI: 1.63 -7.10), adequate environment (OR: 3.02 - CI: 1.35-6.75) and concern about pain (OR: 2.95 - CI: 1.33-6.50); in relation to physical support: having 12 or more years of study (OR: 1.68 - CI: 1.10-2.56); in relation to informational support: companion being a woman’s mother (OR: 2.96 - CI: 1.71 to 5.12) and having knowledge about the Companion Law (OR: 1.47 - CI: 1.04 - 2.08); in relation to intermediation support: maternity hospital characteristics. Having received guidance from health professionals and participating in prenatal care were also associated with informational and intermediation support. Providing support in all four dimensions in labor was associated with all outcomes. Conclusion: the companion’s participation in prenatal and labor, maternity hospital characteristics and professionals’ attitude were the factors associated with support in childbirth.

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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ABORTUS

JURNAL MEDIA KESEHATAN ◽

10.33088/jmk.v6i2.209 ◽

2018 ◽

Vol 6 (2) ◽

pp. 169-179

Author(s):

Rika Rahmi

Keyword(s):

Significant Relationship ◽

Cross Sectional Study ◽

Primary Data ◽

Exclusion Criteria ◽

Chi Square ◽

Cross Sectional ◽

Factors Associated ◽

Chi Square Test ◽

History Of ◽

Maternal Disease

The purpose of this study was to determine the factors related to the abortion. Design Cross Sectional study using primary data, the population of pregnant women ≤ 20 weeks bleed by 2011 as many as 309 respondents, the study sample was taken with accidental sampling amounted to 55 people with primigravida as exclusion criteria, using the format of data collection, analyzed by univariate, bivariate with Chi-Square test and multivariate multiple logistic regression. The results show (40%) of maternal aged <20 or > 35 years (32.7%) had parity > 3, (30.9%) no history of abortion, (40%) pregnancies distance <2 years (18,2%) no maternal disease, (76.3%) experienced abortion. The results of Chi-Square test, age obtained p = 0.006, p = 0.038 obtained parity, history of abortion obtained p = 0.012, spacing pregnancies obtained p = 0.030, maternal disease obtained p = 0.565 showed there is significant relationship between age, parity, history of abortion, the distance pregnancy by abortion, and there is no significant relationship between maternal disease and abortion. Distance pregnancy dominant factors associated with the incidence of abortion (OR: 12.364).

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Prevalence and Factors Associated with Vitamin D Deficiency and Hyperparathyroidism in HIV-Infected Patients Treated in Barcelona

ISRN AIDS ◽

10.5402/2012/485307 ◽

2012 ◽

Vol 2012 ◽

pp. 1-5 ◽

Cited By ~ 5

Author(s):

Elisabet Lerma ◽

M. Ema Molas ◽

M. Milagro Montero ◽

Ana Guelar ◽

Alicia González ◽

...

Keyword(s):

Vitamin D ◽

Vitamin D Deficiency ◽

Protective Factor ◽

Chronic Kidney Failure ◽

Cross Sectional Study ◽

Vitamin D Insufficiency ◽

Cross Sectional ◽

Factors Associated ◽

Solar Exposure ◽

High Prevalence

Vitamin D deficiency is an important problem in patients with chronic conditions including those with human immunodeficiency virus (HIV) infection. The aim of this cross-sectional study was to identify the prevalence and factors associated with vitamin D deficiency and hyperparathyroidism in HIV patients attended in Barcelona. Cholecalciferol (25OH vitamin D3) and PTH levels were measured. Vitamin D insufficiency was defined as 25(OH) D < 20 ng/mL and deficiency as <12 ng/mL. Hyperparathyroidism was defined as PTH levels >65 pg/mL. Cases with chronic kidney failure, liver disease, treatments or conditions potentially affecting bone metabolism were excluded. Among the 566 patients included, 56.4% were exposed to tenofovir. Vitamin D insufficiency was found in 71.2% and 39.6% of those had deficiency. PTH was measured in 228 subjects, and 86 of them (37.7%) showed high levels. Adjusted predictors of vitamin D deficiency were nonwhite race and psychiatric comorbidity, while lipoatrophy was a protective factor. Independent risk factors of hyperparathyroidism were vitamin D < 12 ng/mL (OR: 2.14, CI 95%: 1.19–3.82, P: 0.01) and tenofovir exposure (OR: 3.55, CI 95%: 1.62–7.7, P: 0.002). High prevalence of vitamin deficiency and hyperparathyroidism was found in an area with high annual solar exposure.

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Factors associated with low Apgar in newborns in birth center

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2018-0924 ◽

2019 ◽

Vol 72 (suppl 3) ◽

pp. 297-304

Author(s):

Nágela Cristine Pinheiro Santos ◽

Sibylle Emilie Vogt ◽

Elysângela Dittz Duarte ◽

Adriano Marçal Pimenta ◽

Lélia Maria Madeira ◽

...

Keyword(s):

Protective Factor ◽

Positive Association ◽

Cross Sectional Study ◽

Low Risk ◽

Bivariate Analysis ◽

Cross Sectional ◽

Birth Center ◽

Factors Associated ◽

Normal Birth ◽

Low Risk Women

ABSTRACT Objective: to analyze factors associated with Apgar of 5 minutes less than 7 of newborns of women selected for care at the Center for Normal Birth (ANC). Method: a descriptive cross-sectional study with data from 9,135 newborns collected between July 2001 and December 2012. The analysis used absolute and relative frequency frequencies and bivariate analysis using Pearson’s chi-square test or the exact Fisher. Results: fifty-three newborns (0.6%) had Apgar less than 7 in the 5th minute. The multivariate analysis found a positive association between low Apgar and gestational age less than 37 weeks, gestational pathologies and intercurrences in labor. The presence of the companion was a protective factor. Conclusion: the Normal Birth Center is a viable option for newborns of low risk women as long as the protocol for screening low-risk women is followed.

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Factors associated with normal and cesarean delivery in public and private maternity hospitals: a cross-sectional study

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2018-0996 ◽

2020 ◽

Vol 73 (suppl 4) ◽

Author(s):

Thales Philipe Rodrigues da Silva ◽

Erica Dumont-Pena ◽

Alexandra Dias Moreira ◽

Bárbara Araujo Camargos ◽

Marivania Queiroz Meireles ◽

...

Keyword(s):

Mode Of Delivery ◽

Cross Sectional Study ◽

Outcome Variable ◽

Sectional Study ◽

Cross Sectional ◽

Public And Private ◽

Logistic Regression Models ◽

Factors Associated ◽

Maternity Hospitals ◽

Belo Horizonte

ABSTRACT Objectives: to investigate the factors associated with the mode of delivery in pregnant women in the city of Belo Horizonte. Methods: cross-sectional study developed with data from the study “Being born in Belo Horizonte: survey on childbirth and birth” carried out in seven maternity hospitals in Belo Horizonte - Minas Gerais. The final sample consisted of 1088 pregnant/postpartum women. In this study, to verify the magnitude of the association between the outcome variable and its possible determinants (exposure variables) logistic regression models were constructed to estimate the Odds Ratio. Results: increasing age, the lack of companionship, the hospital’s private financing for performing delivery and being a first-time pregnant woman increased the chance of delivery by cesarean section. Final Considerations: the knowledge of factors associated with the prevalence of cesarean sections can support reflections among health professionals about this surgical procedure in certain situations, especially when there are no precise clinical indications.

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