scholarly journals Effects of Midwifery Care on Mode of Delivery, Duration of Labor and Postpartum Hemorrhage of Elderly Parturients

2021 ◽  
Author(s):  
Yuefang ZHOU ◽  
Chunping YANG
Keyword(s):  
Nursing Care ◽  
Postpartum Hemorrhage ◽  
Mode Of Delivery ◽  
Total Duration ◽  
Anxiety And Depression ◽  
Control Group ◽  
Study Group ◽  
Midwifery Care ◽  
Neonatal Asphyxia ◽  
Self Rating

Background: We aimed to explore the influence of midwifery care on the mode of delivery (MOD), duration of labor and postpartum hemorrhage (PPH) of elderly parturients. Methods: A total of 165 elderly parturients admitted to Tongde Hospital of Zhejiang Province, China from May 2018 to Aug 2019 were allocated into a study group (n=85, midwifery care) and a control group (n=80, conventional nursing care). Visual analogue scale (VAS) was employed to estimate the pain of parturients, and self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were employed to evaluate the anxiety and depression status. The satisfaction of patients on nursing care was scored by a self-made satisfaction questionnaire. Results: The parturients in the study group presented higher spontaneous vaginal delivery (SVD) rate (P < 0.05), and had shortened duration of first and second stages of labor and total duration of labor (P < 0.05). The incidence of both PPH and neonatal asphyxia in the study group was lower than that in the control group (both P < 0.05). The VAS, SAS and SDS scores in the study group were significantly lower than those in the control group (P < 0.05), and the patients’ satisfaction in the study group was significantly higher (P < 0.05). Conclusion: Midwifery care is effective for the delivery of elderly parturients, which significantly improves VSD rate, shortens duration of labor, reduces incidence of PPH and neonatal asphyxia, as well as relives labor pain, anxiety and depression, and increases satisfaction of parturients.

scholarly journals Compare the effect of amniotomy and oxytocin infusion in duration of labour

2019 ◽  
Vol 8 (8) ◽  
pp. 3123
Author(s):  
Katta Jyothi ◽  
Senadhipathi Shakunthala
Keyword(s):  
Continuous Process ◽  
Mode Of Delivery ◽  
Total Duration ◽  
Control Group ◽  
Study Group ◽  
Second Stage Of Labour ◽  
Significant Difference ◽  
Oxytocin Infusion ◽  
Unique Experience ◽  
Foetal Outcome

Background: Labour is a unique experience in a women’s life, it is a physiological but painful event. It is a dynamic and continuous process which cumulates in the birth of a healthy baby followed by expulsion of the placenta and the membranes. The objective of this study was to determine the effectiveness of amniotomy and oxytocin in terms of duration of labour, mode of delivery and maternal and fetal outcome.Methods: A non-randomized comparative study of accelerating effect of  oxytocin and amniotomy has been studied, in the age group of 19-30 years, who are admitted in obstetric ward 200 primigravidae were studied out of which 100 belongs to control group and 100 study group.Results: In the study series 93 cases had labour lasting less than 4 hours when compared to only. The mean total duration of labour is reduced in study group with a difference of 204 minutes. Quantity and duration of blood loss is significantly less in study group when compared to control group. There was no significant difference in terms of mode of delivery, maternal and foetal outcome between the two groups.Conclusions: Oxytocin infusion combined with amniotomy is safe and effective in accelerating the first and second stage of labour in apparently normal cases. No statistically significant adverse effects were noted with oxytocin infusion and amniotomy.

scholarly journals The Effect of Nursing Intervention on the Psychological States of Hemodialysis Patients with Uremia

2015 ◽  
Vol 4 (4) ◽  
pp. 45
Author(s):  
Fang Wang
Keyword(s):  
Nursing Care ◽  
Research Group ◽  
Psychological Factors ◽  
Depression Scale ◽  
Nursing Intervention ◽  
Hemodialysis Patients ◽  
Anxiety And Depression ◽  
Control Group ◽  
Psychological States ◽  
Self Rating

<p><strong>Objective: </strong>To investigate the effect of nursing intervention on the psychological states of hemodialysis patients with uremia. <strong>Method:</strong> 57 hemodialysis patients with uremia who received regular hemodialysis in our hospital were gathered, and were divided into the control group and the research group randomly, between which the control group was treated giving routine life nursing care, while the research group was given psychological nursing care with the same treatment of the control group as a basis. Then, Zung Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS) were used to evaluate the psychological states of hemodialysis patients with uremia before the intervention and five months after the intervention respectively. <strong>Result:</strong> Three months later, in the research group, the scores of SDS and SAS of those 27 hemodialysis patients with uremia reduced 5.7 points and 5.5 points respectively; the results were significantly higher than those of the control group, and differences were statistically significant. <strong>Conclusion:</strong> Reasonable and effective nursing intervention can relieve the anxiety and depression of hemodialysis patients with uremia and can prevent the development of bad psychological factors.</p>

scholarly journals Effect of progressive muscle relaxation technique on stress, anxiety, and depression after hysterectomy

2017 ◽  
Vol 7 (7) ◽  
pp. 77 ◽  
Author(s):  
Rasha Mohamed Essa ◽  
Nemat Ismail Abdel Aziz Ismail ◽  
Nagia Ibrahim Hassan
Keyword(s):  
Nursing Care ◽  
Muscle Relaxation ◽  
Abdominal Hysterectomy ◽  
Structured Interview ◽  
Progressive Muscle Relaxation ◽  
Relaxation Technique ◽  
Anxiety And Depression ◽  
Control Group ◽  
Study Group ◽  
Study Results

Progressive muscle relaxation (PMR) is one the systematic techniques that could be utilized to obtain a deep state of relaxation. It is an important component of nursing care for gynecological postoperative patients. The aim of this study was to determine the effect of progressive muscle relaxation technique on stress, anxiety and depression after hysterectomy. A quasi experimental research design with a pretest-posttest control group was utilized. The study was conducted at the gynecological ward of National Medical Institution in Damanhour, Albehera Governorate. Collection of data consumed six months from starting of December 2014 until the end of May 2015. It comprised a purposive sample of 80 women who were undergoing abdominal hysterectomy. They were divided into two equal groups (study group and control group). Two tools were utilized to gather the necessary data; a socio-demographic structured interview schedule, and the Depression, anxiety and stress scale (DASS-21). Study results revealed that stress, anxiety and depression were statistically significantly decreased among the study group after the intervention (p = .000). The study concluded that the women who received progressive muscle relaxation technique after hysterectomy demonstrated lower stress, anxiety and depression levels than those who received only the routine nursing care. It is recommended that maternity and gynecological nursing should encourage the utilization of the progressive muscle relaxation technique to patients undergoing hysterectomy to minimize their stress, anxiety and depression.

scholarly journals Assessment the role of tranexamic acid in prevention of postpartum hemorrhage

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Nevein Gerges Fahmy ◽  
Fahmy Saad Latif Eskandar ◽  
Walid Albasuony Mohammed Ahmed Khalil ◽  
Mohammed Ibrahim Ibrahim Sobhy ◽  
Amin Mohammed Al Ansary Amin
Keyword(s):  
Blood Loss ◽  
Cesarean Section ◽  
Tranexamic Acid ◽  
Postpartum Hemorrhage ◽  
Postoperative Bleeding ◽  
Control Group ◽  
Study Group ◽  
Mortality And Morbidity ◽  
Lower Segment Cesarean Section ◽  
Prophylactic Use

Abstract Background Postpartum hemorrhage (PPH) is one of the leading causes of maternal mortality and morbidity worldwide. It is believed that hemostatic imbalance secondary to release of tissue plasminogen activator (tPA) and subsequent hyperfibrinolysis plays a major role in PPH pathogenesis. Antifibrinolytic drugs such as tranexamic acid (TXA) are widely used in hemorrhagic conditions associated with hyperfibrinolysis. TXA reduced maternal death due to PPH and its use as a part of PPH treatment is recommended, and in recent years, a number of trials have investigated the efficacy of prophylactic use of TXA in reducing the incidence and the severity of PPH. The study is aiming to assess the efficacy of tranexamic acid in reducing blood loss throughout and after the lower segment cesarean section and reducing the risk of postpartum hemorrhage. Results The amount of blood loss was significantly lower in the study group than the control group (416.12±89.95 and 688.68±134.77 respectively). Also the 24-h postoperative hemoglobin was significantly higher in the study group (11.66±0.79 mg/dl) compared to the control group (10.53±1.07mg/dl), and the 24-h postoperative hematocrit value was significantly higher in the study group (34.99±2.40) compared to control (31.62±3.22). Conclusion Prophylactic administration of tranexamic acid reduces intraoperative and postoperative bleeding in cesarean section and the incidence of postpartum hemorrhage.

scholarly journals Perinatal outcome in meconium-stained amniotic fluid at term: a single center prospective study

2020 ◽  
Vol 10 (1) ◽  
pp. 107
Author(s):  
Vandana Mohapatra ◽  
Sujata Misra ◽  
Tapas Ranjan Behera
Keyword(s):  
Caesarean Section ◽  
Amniotic Fluid ◽  
Pregnant Women ◽  
Perinatal Outcome ◽  
Mode Of Delivery ◽  
Birth Asphyxia ◽  
Control Group ◽  
Study Group ◽  
The Mean ◽  
Meconium Stained Amniotic Fluid

Background: The presence of meconium-stained amniotic fluid is a sign of fetal compromise and is associated with increased perinatal morbidity. The objective of this study was to determine the perinatal outcome in pregnant women at term with meconium-stained amniotic fluid (MSAF) and compare it with the outcome associated with clear liquor. Methods: A prospective observational, study was conducted in the department of obstetrics and gynecology, VIMSAR, Burla from January, 2013 to June, 2013. Pregnant women with singleton pregnancy, cephalic presentation at term were included in the study. Total 135 cases of MSAF (study group) were compared with 165 randomly selected controls with clear liquor. Outcome measures were fetal heart rate (FHR) abnormality, mode of delivery, Apgar score, neonatal intensive care unit (NICU) admission, diagnosis of meconium aspiration syndrome (MAS), birth asphyxia and neonatal death. Statistical analysis was done by using the mean and Chi-square test with or without Yates’ correction.  Results: The mean gestational age for meconium staining in the present study was 40.31±0.48 weeks. Caesarean section was the most common mode of delivery in MSAF group whereas vaginal delivery was most common in control group. Significantly higher number of babies in the study group required NICU admissions. The incidence of MAS and birth asphyxia too was statistically higher among babies born to study group as compared to control group.Conclusions: MSAF has significant adverse effect on the perinatal outcome, as it increases the caesarean section rates, NICU admissions, MAS and birth asphyxia.

scholarly journals Efficacy of psychological intervention for patients with psoriasis vulgaris: a prospective study

2020 ◽  
Vol 48 (10) ◽  
pp. 030006052096167
Author(s):  
Xiaoli Li ◽  
Liangliang Liu ◽  
Yanfei Zhang ◽  
Li Li
Keyword(s):  
Quality Of Life ◽  
Prospective Study ◽  
Psoriasis Vulgaris ◽  
Psychological Intervention ◽  
Compliance Rate ◽  
Psychological Status ◽  
Control Group ◽  
Study Group ◽  
Self Rating

Objective The study aim was to examine the effect of a psychological intervention on patients with psoriasis vulgaris. Methods Participants in this prospective study were 205 patients with psoriasis vulgaris, 104 who received a psychological intervention (study group) and 101 who received routine nursing care (control group). An additional 291 healthy subjects formed a non-psoriasis group. The Symptom Checklist-90 (SCL-90), Generic Quality of Life Inventory (GQOLI), Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS) were used to evaluate psychological status and quality of life. Results There were significant differences in SCL-90 and GQOLI scores between the study and non-psoriasis groups. After treatment, the study group showed significantly improved scores on the SCL-90 and GQOLI compared with the control group. Scores on the SDS (mean ± standard deviation: 31.99 ± 4.54 vs. 44.08 ± 4.52) and SAS (28.36 ± 4.52 vs. 40.14 ± 6.33) were improved in the study group. In addition, patients in the study group showed higher satisfaction rate and compliance rate than those in the control group. Conclusion Psychological intervention may be beneficial for improving quality of life and the therapeutic efficacy of drugs in patients with psoriasis.

scholarly journals Assessment of Anxiety and Depression in Polish Primary Parental Caregivers of Children with Cerebral Palsy Compared to a Control Group, as well as Identification of Selected Predictors

2019 ◽  
Vol 16 (21) ◽  
pp. 4173 ◽  
Author(s):  
Barbara Gugała ◽  
Beata Penar-Zadarko ◽  
Danuta Pięciak-Kotlarz ◽  
Katarzyna Wardak ◽  
Aneta Lewicka-Chomont ◽  
...  
Keyword(s):  
Mental Health ◽  
Cerebral Palsy ◽  
Sense Of Coherence ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Control Group ◽  
Depression Symptoms ◽  
Study Group ◽  
Modifiable Factors ◽  
Taking Care

Background: Taking care of a child with Cerebral Palsy (CP) may be linked with adverse effects in the parents’ physical and mental health. The causes of anxiety and depression symptoms associated with childcare are still not fully understood. Aim: To assess the intensity of anxiety and depression symptoms in parents of children with CP compared to a control group and to identify selected mental health predictors. Design and Methods: Data were collected from 301 respondents, including 190 parents of children with CP (study group) and 111 parents taking care of children developing normally (control group). Intensity of anxiety and depression was rated using the Hospital Anxiety and Depression Scale (HADS) scale. Gross Motor Function Classification System for Cerebral Palsy (GMFCS), Sense of Coherence Scale (SOC-29), Berlin Support Social Scales (BSSS) scales and a specially designed questionnaire were used to assess the predictors. The investigated variables included the children’s and the parents’ characteristics, as well as environmental factors. The analyses applied Spearman’s rank correlation coefficient, M(SD) as well as multiple regression. Results: The level of anxiety and depression was clearly higher in the parents of children with CP–the mean levels of anxiety and depression in the study group and the controls amounted to 8.1 vs. 4.7 and 6.8 vs. 3.7, respectively. The factors associated with intensity of anxiety and depression in the parents of children with CP included lack of social support, mainly perceived and received support, unsatisfying parental health status, poor economic status of the family, as well as difficult living conditions, sense of coherence, loneliness, the parent’s gender, and the child’s intellectual disability. Conclusions: Identification of significant anxiety and depression predictors, understood as modifiable factors, should be considered in determining and planning comprehensive support for a child with CP and his/her primary parental caregiver.

scholarly journals Complications and residual pleural thickening after intrapleural instillation of streptokinase with pigtail catheter drainage of tuberculous pleural effusion

2019 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Sandeepa H. S. ◽  
Narendra U. ◽  
Gajanan S. Gaude ◽  
Supriya Sandeepa
Keyword(s):  
Pleural Effusion ◽  
Total Duration ◽  
Control Group ◽  
Study Group ◽  
Pigtail Catheter ◽  
Catheter Drainage ◽  
Female Ratio ◽  
Tuberculous Pleural Effusion ◽  
Pleural Thickening

Background: Tuberculosis is the most common cause of exudative lymphocytic pleural effusion in India. Residual pleural thickening (RPT) is observed in about 50 percent of patients even after proper treatment with ATT. Pleural fluid drainage either with simple aspiration or with intercostal drainage and addition of corticosteroids along with antitubercular drugs have not shown to influence the incidence of RPT. The present study was undertaken to study the complications and residual effects of tubercular pleural effusion on the patients during the follow up period following intrapleural streptokinase instillation.Methods: Clinical profile, hospital course and outcome of tuberculous pleural effusion patients at the end of six months of anti-tubercular treatment of 50 patients from January 2009 to June 2010 were analyzed. These patients were randomly divided into two groups. One group (n=25) received intrapleural streptokinase via pigtail catheter and the other group (n=25) received intercostal drainage without intrapleural streptokinase instillation. All the patients received standard daily anti TB regimen of 2HERZ/4HR for a total duration of six months. All the patients were followed up for a total duration of 1 year for evidence of any residual pleural thickening.Results: Majority of the patients were above 40 years of age (60%). The male to female ratio was 2.3:1. The major symptoms of the patients were, fever in 44 patients (88%), cough in 42 patients (84%), breathlessness in 33 patients (66%), loss of appetite in 25 patients (50%) and chest pain in 25 patients (50%). Most of the patients had ADA levels between 40-70IU/L (48%) and only 6% had ADA levels below 40IU/L. The incidence of residual pleural thickening in the study group was less as compared to the control group (2.36±0.49mm vs 9.28±1.50mm) (p <0.0001).Conclusion: Intrapleural streptokinase instillation with pigtail catheter drainage less number of complications associated with study group and is successful with the decreased incidence of residual pleural thickening during the follow up period.

scholarly journals Perinatal Mood Disorders in Second Trimester Pregnant Women with Cervical Insufficiency, a Population-based Cohort Study

2021 ◽  
Author(s):  
Chunqi Luo ◽  
Qiaojian Zou ◽  
Huiling Liang ◽  
Jingyi Chen ◽  
Xuanmin Chen ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Mood Disorders ◽  
Protective Factor ◽  
Multiple Logistic Regression Analysis ◽  
Anxiety And Depression ◽  
Control Group ◽  
Cervical Insufficiency ◽  
Observation Group ◽  
Second Trimester ◽  
Self Rating

Abstract Background: Perinatal mood disorders can seriously endanger the health of pregnant women and fetus, affect family relationships and cause heavy burden and potential hazards to family and society. This study aims to investigate anxiety and depression in second trimester pregnant women with cervical insufficiency (CI) and identify its risk factors, so as to provide guidance for daily clinic work.Methods: From April 2019 to July 2020, 98 mid-pregnancy women with CI underwent laparoscopic cervical cerclage in the First Affiliated Hospital of Sun Yat-sen University were selected as observation group and 166 normal pregnant women in second trimester were set as control group. Zung's Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were applied to evaluate perinatal mood disorders in both groups.Results: Pregnant women in CI group had a SAS score of 46.31±11.29 and SDS score of 54.12±11.72, higher than the SAS score of 41.63±7.70 and SDS score of 47.56±9.31 in control group (both P<0.001). While 32.65% and 67.35% of pregnant women in observation group were considered to have different degrees of anxiety and depression, only 15.06% and 30.72% of normal pregnant women meet the same condition (both P<0.001). Multiple logistic regression analysis indicated that educational experience is an independent protective factor for depression disorder in second trimester pregnant women with CI.Conclusion: Pregnant women with CI are prone to develop anxiety and depression in the second trimester than normal pregnant women, therefore doctors and nurses should pay more attention to them in clinic work.

scholarly journals Prophylactic use of tranexamic acid for reducing postpartum hemorrhage in vaginal delivery

2021 ◽  
Vol 10 (4) ◽  
pp. 1654
Author(s):  
Anusha Ginjupalli ◽  
Anuradha S. N. ◽  
Joshi Suyajna D.
Keyword(s):  
Blood Pressure ◽  
Blood Loss ◽  
Tranexamic Acid ◽  
Vaginal Delivery ◽  
Pulse Rate ◽  
Postpartum Hemorrhage ◽  
Control Group ◽  
Study Group ◽  
Normal Delivery ◽  
Number Of Patients

Background: The use of anti-fibrinolytic therapy has potential to reduce obstetric blood loss due to profound changes that take place in the fibrinolytic system during normal childbirth. Objective was to evaluate the efficacy of tranexamic acid in reducing postpartum hemorrhage (PPH) during normal labour.Methods: Patients who planned for normal delivery and fulfilling the inclusion criteria were recruited for the study. The pre-delivery parameters -pulse rate, blood pressure, Hb gm% and PCV% were measured for each patient. The study group received injection oxytocin (10 IU) and injection tranexamic acid (500 mg) slow intravenous route. The control group received injection oxytocin (10 IU) and placebo injection. Immediately after delivery of the anterior shoulder of the baby, when all the liquor was drained, Brasse-V drape is placed under the patient. Then the patient was given pre-weighed pads, which were weighed 2 hours post-partum. Final blood loss was calculated by combining amount of blood collected in the drape and blood absorbed by the pads.Results: The total number of patients studied was 300- equally distributed in both the groups. There was a significant increase in the pulse rate and decrease in blood pressure in the control group compared to the study group. The post-delivery haemoglobin and haematocrit were significantly reduced in the control group. The blood loss was significantly low in the study group. The need for other uterotonics, blood transfusion, and duration of hospital stay, were significantly low in study group.Conclusions: Tranexamic acid, when given prophylactically to the women with vaginal delivery who received prophylactic oxytocin, appears to reduce the blood loss effectively compared to placebo alone.

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