scholarly journals Factors affecting breastfeeding techniques among postnatal mothers: an experience in a tertiary care centre

2019 ◽  
Vol 6 (7) ◽  
pp. 2991
Author(s):  
Shubhra Agarwal Gupta ◽  
Mini Sharma ◽  
Abha Ekka ◽  
Nirmal Verma
Keyword(s):  
Tertiary Care ◽  
Mode Of Delivery ◽  
Delivery Mode ◽  
Care Centre ◽  
Interventional Study ◽  
Tertiary Care Centre ◽  
Factors Affecting ◽  
Number Of Factors ◽  
Lactating Mothers ◽  
Postnatal Mothers

Background: Large number of factors related to mother and neonates can affects breastfeeding technique. Therefore, the main objective of this study was to know the association of maternal and neonatal characteristics that can affect correct breastfeeding techniques after intervention among post natal mothers admitted in a tertiary care centre.Methods: An institutional-based pre and post interventional study design was used. 414 lactating mothers were contacted during study period.Results: It was found that parity, time of delivery, mode of delivery, birth weight were statistically significantly associated with correct breast feeding technique.Conclusions:This study highlights that correct breastfeeding technique depends on various factors related to mother and neonate. 

scholarly journals To study pattern of obstetric cases referred at tertiary care centre in Central India

2017 ◽  
Vol 6 (6) ◽  
pp. 2370
Author(s):  
Prakriti Goswami ◽  
Jyoti Bindal ◽  
Niketa Chug
Keyword(s):  
Tertiary Care ◽  
Mode Of Delivery ◽  
Central India ◽  
Maternal Outcome ◽  
Child Health Services ◽  
Care Hospital ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Common Diagnosis ◽  
Mode Of Transport

Background: Maternal morbidity and mortality remains a major challenge to health systems worldwide. Referral services for identification and referral of high risk pregnancies are an integral part of maternal and child health services. Timeliness and appropriateness of referral are challenge to obstetricians, since delay in referral affects maternal outcome adversely, hence the identification of at risk patients and obstetric emergencies and their timely referral is of immense importance. The aim of this study was to review the pattern of obstetric cases referred to tertiary care centre, to identify their clinical course, mode of delivery and maternal outcomes.Methods: It was prospective observational study carried out from January 2015 to July 2016. Study population was all Obstetrics patients referred to Department of Obstetrics and Gynecology of Kamla Raja Hospital, G.R. Medical College, Gwalior, Madhya Pradesh, a tertiary care centre during the study period.Results: The total number of referred cases in above study period was 4085.The proportion of referred cases in the tertiary care hospital was 20.86%. Mode of transport used by the referred patients were hospital ambulances (38%) and private vehicles (62%). Most common diagnosis at the time of referral was anaemia (27.8%). Out of the total referred cases, 48% had vaginal delivery (either spontaneous or induced), 28% had caesarean section and 24% were managed conservatively. Hypertensive disorders (25.4%) constitutes the leading cause of maternal deaths amongst the referred cases.Conclusions: Peripheral health care system needs to be strengthened and practice of early referral needs to be implemented for better maternal outcome.

scholarly journals Factors affecting on Adherence to the Prescribed Drugs in Diabetic Patients Visiting a Tertiary Care Centre

2013 ◽  
Vol 2 (2) ◽  
pp. 11-17
Author(s):  
Bijay Thapa ◽  
Paras Kumar Pokharel ◽  
Ishwori Sharma Poudel ◽  
Sanjib Kumar Sharma ◽  
Pramod Mohan Shyangwa ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Diabetic Patients ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Factors Affecting ◽  
Medical College

Journal of Nobel Medical College Vol. 2, No.2 Issue 4 May-October 2013 Page 11-17 DOI: http://dx.doi.org/10.3126/jonmc.v2i2.8799

scholarly journals Maternal outcome of term obstetric emergencies referred to tertiary care centre

2021 ◽  
Vol 10 (7) ◽  
pp. 2843
Author(s):  
Shivani Badal ◽  
L. Ranjit Singh
Keyword(s):  
Tertiary Care ◽  
Mode Of Delivery ◽  
Ground Level ◽  
Maternal Outcome ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Health Care Centre ◽  
Early Referral ◽  
Maternal Morbidity And Mortality ◽  
Obstetric Emergencies

Background: Lack of basic facilities at ground level in backward areas of country affect the outcome of obstetric emergencies thereby affecting maternal morbidity and mortality. This study was conducted to compare the outcome of term obstetric emergencies referred to tertiary care centre.Method: This prospective observational study was conducted to study the maternal outcome in obstetric emergencies referred to our institution.Results: Most of the patients were exhausted (59.47%). Majority were referred for prolonged labour (47.71%), previous cesarean section (16.33%), pre-eclampsia (13.07%) and eclampsia (1.96%). Most patients were given more than one intervention. Emergency LSCS was the common mode of delivery (39.86%).Conclusions: It is important to improve the conditions of peripheral health care centre with amenities like specialist doctors and transport. Awareness of population, attitude buildup is important for early referral to resist care centre to improve outcome of pregnancy.

scholarly journals Study of knowledge, attitude and practices of contraception in breast-feeding mothers

2019 ◽  
Vol 8 (4) ◽  
pp. 1473
Author(s):  
Aiyleen Shiza Shawl ◽  
Vidya Thobbi
Keyword(s):  
Breast Feeding ◽  
Rural Areas ◽  
Urban Areas ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Lower Class ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Knowledge And Attitude ◽  
The Government

Background: In India, as in many other countries, postpartum family planning is usually initiated after 6 weeks postpartum. Early resumption of sexual activity coupled with early and unpredictable ovulation leads to many unwanted pregnancies in the first year postpartum. Increase in hospital deliveries provides an excellent opportunity to sensitize women and provide effective contraception. Hence the present study was done at our tertiary care centre to assess the knowledge, attitude, practice regarding contraception and to find out the relationship between knowledge and attitude regarding contraception among breast feeding mothers.Methods: A hospital based observational study. The patients admitted at our tertiary care centre in the Department of Obstetrics and Gynecology.Results: Majority of the participants (72%) were in the age group of 21-25 years. 21.2% of the study group was educated up to primary level while 33.2% and 18.4% of the participants studied till SSC and HSC respectively. Majority of participants were from middle class (50%) followed by lower class (36.4%) and upper class (13.6%). 69.6% participants resided in rural areas while 30.4% participants were from urban areas. It was observed that age, education and mode of delivery were the significant factors.Conclusions: As the government gives incentives to couples who opt for permanent sterilization, which is an effective drive, it should also give incentives to couples who follow temporary methods and delay pregnancies. Couples who adopt one child norm or 2 children norm should be encouraged by benefits either in the form of children’s education or health insurance.

scholarly journals Impact of COVID-19 on the patient visits in ortho emergency at a tertiary care centre

2020 ◽  
Vol 9 (1) ◽  
pp. 192
Author(s):  
Nitin Choudhary ◽  
Akhil Gupta ◽  
Sanjeev Gupta ◽  
Amar Saharan
Keyword(s):  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Patient Awareness ◽  
Notable Effect ◽  
Number Of Factors ◽  
Ed Visits ◽  
The Mean ◽  
Using Data ◽  
Record Section

Background: COVID-19 pandemic effects are still being elucidated. Stay-at-home orders issued during peak of COVID-19 and social distancing as lockdown measures compounded with COVID-19 concerns have caused significant disruptions in daily life. One notable effect of these variables may be a change in the number of emergency department (ED) visits. This study aims to investigate the effects of COVID-19 on ED visits, and possible reasons for changes.Methods: Retrospective analysis using data for ED visits and procedures performed in the orthopaedics department of GMC Jammu were collected from the record section of GMC Jammu for four months prior and post implementation of lockdown and results were deduced with regards to the comparison in the number of visits, admissions and surgeries done pre and post-lockdown period.Results: The mean number of ED visits/admissions per day for the last four months of available data post lockdown due to COVID-19 pandemic was significantly less than the four months prior to COVID-19 pandemic.Conclusions: A number of factors have likely contributed to the substantial decrease in ED visits observed in this study. In light of these findings, it is important to raise patient awareness regarding conditions that require urgent ortho consultation so as to avoid any type of deformity/disability whatsoever.

scholarly journals Changing trends in incidence, type, indication and maternal outcome of peripartum hysterectomy over 10 years at a tertiary care centre

2017 ◽  
Vol 6 (6) ◽  
pp. 2216
Author(s):  
Taru Gupta ◽  
Sangeeta Gupta ◽  
. Deepika ◽  
Nupur Gupta
Keyword(s):  
Tertiary Care ◽  
Mode Of Delivery ◽  
Maternal Outcome ◽  
Care Centre ◽  
Abnormal Placentation ◽  
Tertiary Care Centre ◽  
Peripartum Hysterectomy ◽  
Primary Indication ◽  
Gestational Age At Delivery ◽  
Life Threatening

Background: Peripartum hysterectomy is the most dramatic operation in modern obstetrics and is generally performed when all conservative measures fail to achieve haemostasis in the setting of life threatening haemorrhage. The objective was to review all peripartum hysterectomies performed at a tertiary care centre over a ten-year period from 2007 to 2016 to determine the incidence, types, indications and maternal outcome and also to study the changing trendsMethods: This was a retrospective, observational, analytical study of parturient women requiring peripartum hysterectomy (PH). We looked at data over a ten-year period, from January 2007 to December 2016. Case records were reviewed for socio-demographic characteristics of the patients, type and indications for the hysterectomy performed, booking status of patients, mode of delivery, gestational age at delivery and maternal outcome. Change in trends of the rate and indications of peripartum hysterectomy at the centre was also reviewed.Results: The overall rate of peripartum hysterectomy was 1/876 deliveries. The rate of peripartum hysterectomy had a 4-fold rise from 2007 to 2016.The primary indication was abnormal placentation which included morbidly adherent placentation 22/59 (37.2%) and placentapraevia 5/59 (8.4%), followed by intractable atonic haemorrhage in 35.6% of cases. Abnormal placentation as an indication for PH increased significantly form 34.6% (2007-2011) to 54.54% (2012-2016). After hysterectomy, 56% cases were admitted to ICU. All patients needed blood transfusion. Maternal mortality was 10.1%.Conclusions: Peripartum hysterectomy is a most demanding obstetric surgery performed in very trying circumstances of life threatening hemorrhage. The indication for emergency peripartum hysterectomy in recent years has changed from traditional uterine atony to abnormal placentation. 

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