Incomplete abortion following medical method of abortion: study at a tertiary care teaching hospital at Bihar

2020 ◽  
Vol 9 (12) ◽  
pp. 4903
Author(s):  
Pushpa .
Keyword(s):  
Health Care Providers ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
Care Providers ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Medical College ◽  
Incomplete Abortion ◽  
Comprehensive Abortion Care ◽  
One Year

Background: Medical method of abortion (MMA) is a safe and effective method of abortion. Combination of mifepristone and misoprostol is most widely used. However, this is being randomly used by women without proper prescription which can lead to life threatening complications.Methods: This is an observational study done at Patna Medical College and Hospital, Patna, a tertiary care teaching hospital in Bihar, in a period of one year from March 2019 to February 2020. This is an attempt to study incomplete abortion after medical method of abortion and to observe the method of taking it among patients, with prescriptions or without it. Hundred women with incomplete abortion following MMA in 1st trimester of pregnancy were included. Patients’ age, parity, gestational age, locality, complaints, complications and treatment were noted. An information regarding method of administration and prescription noted.Results: 96% women used combined mifepristone plus misoprostol drug. Only 12% took the medicine on prescription of MBBS doctor, rest were all either self-administered or advised by quacks. Blood transfusion was required in 60% patients.Conclusions: Medical method of abortion is safe and effective but complications can occur if not used in accordance with guidelines. Women should be taught about and motivated for contraception. Adequate training to health care providers about comprehensive abortion care should be given.

scholarly journals Surgical Site Infection in a 1000-Bed Tertiary-Care Teaching Hospital in New Delhi, India

2020 ◽  
Vol 7 (4) ◽  
Author(s):  
Inam Danish Khan ◽  
Akanksha Yadav ◽  
Umesh Kapoor ◽  
Ishitta Joshi ◽  
Rahul Pandey ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Health Care Providers ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
Medical Illness ◽  
New Delhi ◽  
Site Infection ◽  
Care Providers ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching

Background: Surgical site infection (SSI) includes infections occurring after 48 hours of any surgery and accounts for most of the healthcare-associated infections (HAIs) in surgical centers. Surgical site infections can result in pain, discomfort, prolonged hospital stay, increased exposure to antimicrobials, and consequentially, increased healthcare costs. Objectives: The study intended to characterize the incidence, etiology, and emerging resistance of SSI in a 1000-bed tertiary-care teaching hospital in New Delhi. Methods: The ambispective study was conducted in a 1000-bed tertiary-care teaching hospital in New Delhi. Clinical, laboratory, and environmental surveillance and screening of health care providers (HCPs) were conducted using the National Healthcare Safety Network (NHSN) definitions and methods given by the US Centers for Disease Control and Prevention (CDC). Results: With 3,541 patients admitted to the Gynecology and Obstetrics Ward and General Surgical Ward of the hospital, the total episodes of SSI were 80 (2.26%). The mean rates of superficial, deep, and organ space SSI were 46.25%, 47.5%, and 6.25%, respectively. The most common organisms isolated were Acinetobacter baumannii (23.75%), Pseudomonas aeruginosa (17.5%), Escherichia coli (15%), and Staphylococcus aureus (12.5%). Conclusions: The rate of SSI in our study was comparable to the unadjusted rates in India, lower-middle, upper-middle, and high-income countries worldwide. Patients with pre-existing medical illness, prolonged operation time, and wound contamination are strongly predisposed to surgical site infection.

Knowledge, Attitude and Practices of Pharmacovigilance among Doctors at a Tertiary Care Teaching Hospital Birgunj, Nepal

Med Phoenix ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 14-18
Author(s):  
Smita Singh ◽  
Deependra Prasad Sarraf ◽  
Prabin Singh ◽  
Pragati Poudyel
Keyword(s):  
Teaching Hospital ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Medical College ◽  
National Medical

Introduction: Pharmacovigilance helps in the detection and prevention of adverse effects of drugs. For the effectiveness of this program, health care professionals should report adverse drug reactions (ADRs) considering it as their moral and professional obligation. The objective of the study was to assess the knowledge, attitude, and practices (KAP) of the doctors towards ADRs and pharmacovigilance in  National Medical College Teaching Hospital (NMCTH), a tertiary care teaching hospital situated in the Narayani zone. Materials and Methods: A cross-sectional study was carried out using a self-administered questionnaire consisting of four parts; first part included a demographic profile of participants, the second part consisted of ten questions for the assessment of the knowledge about pharmacovigilance, third part comprised of six questions on attitude and fourth part consisted of five questions on practice. The results were depicted in the form of percentages for each KAPs questionnaire.   Results: The response rate of participants was 85.16%. Pharmacovigilance was correctly defined by 52%. Department of drug administration was responsible for monitoring ADRs in Nepal was correctly given by 80%. Only 8% had reported ADRs, although 62% had encountered an ADR in their clinical practice. Conclusion: The doctors at NMCTH had a poor KAP towards pharmacovigilance and educational intervention is needed for the proper functioning of this program.

scholarly journals A study assessing patient satisfaction in otolaryngology OPD of a district medical college of West Bengal

2019 ◽  
Vol 6 (3) ◽  
pp. 1247
Author(s):  
Shamima Yasmin ◽  
Tanmay Kanti Panja ◽  
Baijayanti Baur
Keyword(s):  
Drinking Water ◽  
Patient Satisfaction ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
Outpatient Department ◽  
Cross Sectional ◽  
Registration System ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Medical College

Background: Patient satisfaction is perhaps is a proxy indicator to measure the success of a hospital. The aim of this study was to evaluate the level of patient satisfaction among patients attending Otorhinolaryngology outpatient department (OPD) of a tertiary care teaching hospital in a district.Methods: Cross-sectional observational study among 230 patients attending Otorhinolaryngology outpatient department (OPD) of a tertiary care teaching hospital in a district using a modified validated Bengali questionnaire. Analysis of results was done by percentage and proportion.Results: Overall satisfaction was above 60% for only 42.6% of patients. Major dissatisfaction was with the registration system. 50.4% were dissatisfied for waiting at the queue of registration counter to get OPD ticket. Other causes of dissatisfaction were infrastructure e.g. non-availability of adequate seating arrangement (39.6%), fans (58.7%), non-availability of drinking water (71.7%). 78.3% were dissatisfied for the available washroom facilities. However 92% were satisfied by attention paid by doctors.Conclusions: The present study was an attempt to assess the level of satisfaction of the patients. It highlights maintaining privacy during history taking examination and improving infrastructure like drinking water and washroom facilities, improving registration system to decrease waiting time can improve patient satisfaction which can be easily done with help of stakeholders.

scholarly journals A Study on Detection of Drug-Laboratory interactions in Dermatology, in a Tertiary Care Teaching Hospital

2020 ◽  
Vol 13 (4) ◽  
pp. 350-355
Author(s):  
M. Sreenivasulu ◽  
K. Sivaiah ◽  
V.Jagadeesh Naik
Keyword(s):  
Drug Interactions ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
American Psychological Association ◽  
Educational Interventions ◽  
Environmental Chemical ◽  
Dermatology Department ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Medical College

Background: An interaction is alleged to occur once the consequences of one drug is changed by the presence of another drug, herbal medicine, food, drink or by some environmental chemical agents. As per American psychological association drug interaction is defined as chemical or physiological reaction that can occur when two different drugs are taken together. Objective: This study was conducted for the detection of various drug interactions in dermatology in a tertiary care teaching hospital. Methods: An observational, prospective study was conducted for a period of six months (July 2017 to December 2017) among 108 patients in dermatology department of Santhiram Medical College and General Hospital, Nandyal. Results: A total of 108 patients were included in the study. Among them, 63 (58.3%) were males and 45(41.7%) were females. Of total 108 prescriptions, sever drug-drug interactions were present in 42 (38.9 %) prescriptions. Whereas, moderate drug-drug interactions were found in 14 (13%) and 52 prescriptions doesn’t have drug-drug interactions respectively. The study found the associations of potential drug interactions with age, sex, number of drugs per prescription. There was a direct link between polypharmacy and occurrence of drug interactions. To lower the frequency of potential interactions it could be necessary to make a careful selection of therapeutic alternatives, and in cases without other options, patients should be continuously monitored to identify adverse events. Conclusion: we concluded that educational interventions can minimize the incidence of drug interactions.

scholarly journals Analysis of indication of caesarean sections according to Robson’s ten group classification system at a tertiary care teaching hospital in South Rajasthan

2021 ◽  
Vol 10 (3) ◽  
pp. 1106
Author(s):  
Saroj Saharan ◽  
Radha Rastogi ◽  
Deepti Chyaunal
Keyword(s):  
Teaching Hospital ◽  
Caesarean Section Rate ◽  
Tertiary Care ◽  
Group Classification ◽  
Obstetrics And Gynecology ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Medical College ◽  
Group 5 ◽  
Group 2

Background: The objective of this study was categorization and evaluation of the caesarean section rate at our institute as per Robson’s formula.Methods: This retrospective study was conducted at department of obstetrics and gynecology, RNT Medical college, Udaipur, a tertiary care teaching hospital in South Rajasthan. The data was collected retrospectively from December 2020 to February 2020 over a period of 2 months and percentage were calculated in various groups as per Robson’s ten group classification system.Results: Among a total of 1195 women delivered during study period, 420 (35.14%) delivered by CS. Women with previous CS (group 5) contributed maximum (35.95%) to the total number of CS followed by group 2 (27.14%).Conclusions: Standardization of indication of caesarean deliveries, regular audits and definite protocol in hospitals will aid in curbing the rate of caesarean deliveries in hospitals.  

scholarly journals Knowledge and attitude towards exclusive breast feeding among postnatal mothers in a tertiary care teaching hospital-an institution based cross sectional study

2021 ◽  
Vol 8 (9) ◽  
pp. 1551
Author(s):  
Revathi V.
Keyword(s):  
Breast Feeding ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
Care Providers ◽  
Exclusive Breast Feeding ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Postnatal Mothers ◽  
Knowledge And Attitude ◽  
Study Participants

Background: Exclusive breast feeding (EBF) is termed as an optimal strategy for feeding newborns and as per WHO   should start within the first one hour of delivery and must continue up to 6 months of infant’s age, as the only source of nutrition and fluids for babies at that age. Unfortunately, a report estimated in 2012 that, only 35% of infants were exclusively breastfed globally. This stresses the need to educate and motivate mothers to exclusively breastfeed their babies for the first six months of life.Methods:  Knowledge and attitude towards EBF, of postnatal mothers admitted to a tertiary care teaching hospital was assessed using a self-administered questionnaire and their responses analysed using statistics software.Results: From our study we found that, based on knowledge score, 88 (69.8%) of the respondents had good knowledge and 38 (30.2%) of the study participants were categorized as having poor knowledge. Based on the attitudinal score, 17 (14%) of the study participants were categorized as having negative attitude towards EBF and 108 (86%) were categorized as having positive attitude towards EBF. Conclusions: Health care providers working in the areas of maternal and child health (MCH), should evaluate mothers’ knowledge and attitude for EBF, every visit by asking questions related to EBF. IEC activities related to EBF should be promoted to disseminate knowledge regarding EBF. Breast feeding support groups should be established to help motivate mothers to exclusively breast feed their babies for the first six months of life. 

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