scholarly journals La Surveillance Prénatale, Au Maroc Cas Des Femmes Ayant Accouché À La Maternité Souissi, CHU (Ibn Sina) Rabat

2016 ◽  
Vol 12 (6) ◽  
pp. 232 ◽  
Author(s):  
Y. El Housni ◽  
E. Boussalwa ◽  
A. Kharbach ◽  
A. Khadmaoui

The aim of this study is to analyse the prenatal care performed to the women who gave birth at the Souissi Maternity, Ibn Sina University Hospital of Rabat, Morocco. This study is based on a historical cohort with prospective data collection, during the period of 2 April 2013 to 14 April 2013, with 230 patients Hospitalized to deliver. According to the study 96, 5 % of the women interviewed received at least one prenatal consultation from a qualified staff. Despite the high rate of coverage with antenatal care, it was found that more than half of women did not benefit from the following services: size measuring, urinalysis, rubella and toxoplasmosis serology. We also noted a growing concern among women for pregnancy monitoring quality, since 43% were simultaneously monitored by several categories of staff. To improve the quality of prenatal care, we recommend that health professionals complete physical and diagnostic tests, also provide more information about continuity of care during prenatal consultations.

2021 ◽  
Vol 319 ◽  
pp. 01069
Author(s):  
Fatna EL Mehdaoui ◽  
Abdelmajid Soulaymani ◽  
Malika EL Khiari ◽  
Soukaina Benissa Laghawati ◽  
Raouf Alami

Objective: To evaluate the knowledge of transfusion and transfusion safety among health professionals. Materials and method: 47 volunteers, working at the University Hospital Ibn Sina in Rabat of Morocco, answered a survey on knowledge, skills in transfusion and transfusion safety. Results: 68% of the participants were female against 32% male, 85.11% were aged 20-30 years. 77% had a seniority of less than 5 years. 57% were nurses and 42% doctors. According to these participants, allergic reactions and hyperthermia occur with 85.11% after a transfusion, 57.45% mentioned lung edema. 80.85% of the participants stated that immunological and infectious risks are the main risks occurring after transfusion. 25.53% did not know that there were preventive measures for transfusion risks, 8.51% stated that there were none. 72.34% of the staff stated that hemovigilance is based on transfusion surveillance. For 68.09% reporting transfusion events, informing recipients and monitoring them after transfusion are the main tools of hemovigilance. 27.66% of the participants were aware of the transfusion regulations and 53.19% were not. Only 41% had received training in blood transfusion. 91.49% of the participants wanted to develop their transfusion knowledge and competence. Conclusion: Heterogeneity of knowledge and skills in transfusion is raised among these professionals, as well as a great motivation to improve their knowledge and the development of their skills in the field of transfusion. Thus, the development of training programs remains an urgent need for health professionals to further improve their knowledge and ensure the safety and quality of blood transfusions.


2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Cristiana Araújo Guiller Ferreira ◽  
Flávia Simphronio Balbino ◽  
Maria Magda Ferreira Gomes Balieiro ◽  
Myriam Aparecida Mandetta

ABSTRACT Objective: to develop and validate instruments to identify health professionals’ beliefs related to the presence of the child’s family in invasive procedures and in cardiopulmonary resuscitation. Method: study based on Psychometrics to conduct the theoretical, empirical and analytical stages, developed in a neonatal unit of a university hospital. The two instruments were constructed based on the literature and applied to 96 health professionals. Results: the Cronbach’s Alpha of the instrument related to the professionals’ beliefson invasive procedures was 0.863 and the instrument on cardiopulmonary resuscitation was 0.882. In both instruments, the tests performed indicated a correlation between the items. From the factorial analysis, four factors were generated: (1) benefits of the presence of the family; (2) impairment for professional practice; (3) strategies for the inclusion of the family; and (4) limitation of learning and decision making by the professional. Conclusion: the instruments analyzed obtained a good internal consistency and are indicators of the professionals’ beliefs with the potential to evaluate the quality of family care in this context.


2015 ◽  
Vol 31 (2) ◽  
pp. 645 ◽  
Author(s):  
César Carrillo-García ◽  
María E. Martínez-Roche ◽  
Carmen I. Gómez-García ◽  
Mariano Meseguer-DePedro

Job satisfaction in health services is measured by the quality of care provided, hence the importance of surveying the workers of health institutions. The objective was to explore and analyze the phenomenon of the satisfaction of working in a sample made up of 546 health professionals belonging to a public University Hospital. Both a socio-demographic questionnaire and General Scale of Satisfaction (<em>Overall</em> <em>Job</em> <em>Satisfacción</em>) that were both validated in Spanish were given to the participants. The results of general satisfaction showed a mean of 71.37 (<em>SD</em> = 14.03). The subscales with better results were: colleagues and immediate superior. There were important differences in satisfaction scores between the different professional categories. The higher levels of general satisfaction were found in hospital management groups and resident doctors, while the lower levels of general satisfaction were found in medical area specialists, nurses and auxiliary nurses.


Author(s):  
Sabine Schütze ◽  
Benedikt Hohlfeld ◽  
Thomas W. P. Friedl ◽  
Stephanie Otto ◽  
Katrina Kraft ◽  
...  

Abstract Purpose Obstetric anal sphincter injuries (OASIS) increase the risk for pelvic floor dysfunctions. The goal of this study was to examine the long-term outcomes after OASIS on pelvic floor functions and quality of life. Material and methods Between 2005 and 2013, 424 women had an OASIS at the Women University Hospital Ulm. Out of these 71 women completed the German pelvic floor questionnaire, which includes questions regarding prolapse symptoms as well as bladder, bowel and sexual function. In addition, 64 women were physically examined, including a speculum examination to evaluate the degree of prolapse, a cough test to evaluate urinary stress incontinence (SI) and an evaluation of both pelvic floor sphincter (modified Oxford score) and anal sphincter contraction. Results A high rate of pelvic floor disorders after OASIS was found, as 74.6% of women reported SI, 64.8% flatus incontinence and 18.3% stool incontinence, respectively. However, only few women stated a substantial negative impact on quality of life. The clinical examination showed that a positive cough test, a weak anal sphincter tone and a diagnosed prolapse correlated with the results of the self-reported questionnaire. Conclusion On one hand, OASIS has an influence on pelvic floor function going along with lots of complaints, while on the other hand, it still seems to be a taboo topic, as none of the participants spoke about the complaints after OASIS with a doctor. Therefore, the gynecologist should actively address these issues and offer therapy options for the women with persisting problems.


2013 ◽  
Vol 5 (3) ◽  
pp. 235-244
Author(s):  
Thelma Spindola ◽  
George Lincoln dos Santos Lima ◽  
Renata Lazone Cavalcanti

Objetivos: Conhecer o perfil das gestantes primigestas atendidas no pré-natal; identificar a incidência de pré-eclâmpsia em gestantes primigestas atendidas em consultas do pré-natal e discutir a contribuição do enfermeiro obstetra na detecção precoce de intercorrências na gravidez. Método: Estudo descritivo, quantitativo, retrospectivo, realizado num Hospital Universitário no Rio de Janeiro. Os prontuários de primigestas atendidas de 2008 a 2009 foram analisados com apoio da estatística descritiva. Resultados: Ocorreram 264 (56,3%) admissões de primigestas. Fizeram parte do conjunto amostral 105 prontuários. Neste grupo, 43(40,9%) gestantes não apresentaram edema; 2 (1,9%) tiveram proteinúria; 29 (27,6 %) não tiveram anormalidades nas aferições dos níveis tensionais.  Conclusão: Na amostra analisada não houve registro de pré-eclâmpsia, todavia 41 (38,9%) mulheres apresentaram alterações tensionais compatíveis com Doença Hipertensiva Específica da Gestação (DHEG). O enfermeiro tem um importante papel na equipe multiprofissional, para  detecção precoce de intercorrências na gestação contribuindo para a redução da incidência de morbi-mortalidade. Aims: To investigate the profile of primigravida women who attend prenatal care consultation; to identify the incidence of preeclampsia in women in their first pregnancy attending prenatal care visits and to discuss the contribution of obstetric nurses in the early detection of intercurrent events in pregnancy. Methods: This is a descriptive, quantitative and retrospective study carried out in a University Hospital of Rio de Janeiro. The medical records of primigravida women who attended prenatal care visits from 2008 to 2009 were analyzed using descriptive statics. Results: 264 (56.3%) primigravida were admitted at prenatal consultation, however the sample was composed of 105 medical records. We observed in the studied group that 43(40.9%) pregnant women did not have edema; 2 (1.9%) had proteinuria and 29 (27.6%) did not have abnormal changes in blood pressure levels. Conclusion: There was no record of women with preeclampsia in the analyzed sample; however 41(38.9%) women had blood pressure level change compatible with Specific Hipertensive Disease of Pregnancy (SHDP). The nurse plays an important role in the multiprofesional team aiming at early detection of intercurrent events during pregnancy which contributes to a significantly decrease in morbimortality.Objetivos. Conocer el  perfil de las gestantes primigestas atendidas en el pre-natal; identificar la incidencia de pre-eclampsia en gestantes primigestas atendidas en consultas del pre-natal y discutir la contribución del enfermero obstetra en la detección precoz de interconsultas durante el embarazo. Método: Estudio descriptivo, cuantitativo, retrospectivo, realizado en uno de los Hospitales Universitarios de Rio de Janeiro. Las historias clínicas de primigestas atendidas desde 2008 a 2009 fueron analizados con apoyo de la estadística descriptiva. Resultados: Fueron 264 (56,3%) internaciones de primigestas, fueron parte del conjunto de muestra 105 historias clínicas.  En este grupo investigado, 43(40,9%) gestantes no presentaron edema; 2 (1,9%) tuvieron proteinuria e 29 (27,6 %) no tuvieron anormalidades en los controles de presión arterial. Conclusión: En la muestra no hubo registro de pre-eclampsia, además 41 (38,9%) mujeres presentaron alteraciones de presión arterial compatibles con  Enfermedad Hipertensiva Específica de la Gestación (EHEG). El enfermero tiene un papel importante en el equipo multi-profesional para la detección precoz de complicaciones en la gestación contribuyendo para la reducción de la incidencia de morbimortalidad.  


2016 ◽  
Vol 6 (2) ◽  
pp. 01 ◽  
Author(s):  
Vanessa Andréia Wachholz ◽  
Melissa Guterres Costa ◽  
Nalú Pereira da Costa Kerber ◽  
Carla Vitola Gonçalves ◽  
Diego Vasconcelos Ramos ◽  
...  

A prematuridade é um dos grandes problemas de saúde pública, por contribuir fortemente para a elevada taxa de morbimortalidade infantil. Possíveis fatores de risco que colaboram para sua ocorrência têm sido investigados, dentre eles a assistência pré-natal, pois a mesma é elencada em virtude de, por meio dela, ser possível prevenir, diagnosticar e tratar eventos indesejáveis que possam resultar em danos para mãe e o recém-nascido. Objetivou-se identificar a produção cientifica sobre a associação entre a prematuridade e a qualidade da assistência pré-natal. Revisão integrativa com coleta de dados realizada de março a junho de 2014 utilizando o descritor trabalho de parto prematuro nas bases de dados Scientific Eletronic Library Online e Literatura Internacional em Ciências da Saúde. Os artigos foram organizados conforme o assunto abordado, sendo criadas três categorias: fatores de risco para o parto prematuro, prevenção ao parto prematuro e assistência pré-natal e parto prematuro. Embora tenham sido encontrados poucos estudos relacionando o parto prematuro e a realização do pré-natal, cabe ressaltar a importância da realização de uma assistência pré-natal adequada, de acordo com o que o Ministério da Saúde preconiza por meio de uma rotina mínima. Ela é importante para detectar e tratar precocemente determinadas complicações que levam, entre outros desfechos indesejáveis, ao parto prematuro. Relationship between the quality of service pre -natal and a prematurity: An integrative reviewAbstract: Prematurity is a one of the major problem of public health, for contributing to the high rate of infant morbidity and mortality. Possible risk factors that collaborate to their occurrence have been investigated, including prenatal assistance, because through it, be possible to prevent, diagnose and treat adverse events that may result in damage to mother and the newborn. The objective identify the scientific production on the association between prematurity and the quality of prenatal care. Integrative review with data collection carried out from March to June 2014 using the descriptor preterm labor in databases Scientific Electronic Library Online and International Literature on Health Sciences. The articles were organized according to the subject matter, being created three categories: risk factors for preterm birth, preterm labor prevention and prenatal care and preterm birth. Although they have been found few studies relating the premature birth and the completion of prenatal care, it is important to stress the importance of a proper prenatal care, according to the Ministry of Health recommends using a minimum routine. It is important to detect and treat early certain complications that lead, among other undesirable outcomes, to premature birth.


2012 ◽  
pp. 58-65
Author(s):  
Duy Thai Truong ◽  
Van Dung Phan ◽  
Tu The Nguyen

Objective: Study on clinical characteristics and result of treatment benign vocal cord tumor with suspensive laryngeal endoscopic surgery. Materials and Methods: A prospective study was undertaken in 43 patients who had benign vocal cord tumor and performed a suspensive laryngeal endoscopic surgery at ENT Dept. of Hue University Hospital, from 3/2010 to 5/2011. Results: The most common was group was 31 - 45 (44.2%). There was no difference of gender. Moderate hoarness was 67.4%. Classification of benign laryngeal tumor: vocal nodules (13 cases), vocal cyst (18 cases), vocal polyp (10 cases) and Reinke’s edema (2 cases). The successful treatment rate of vocal benign tumor was 88.4%. Conclusions: Suspensive laryngeal endoscopic surgery was the best method to cure benign vocal cord tumor. The surgeon had a clear operative field, easy manoeuver, high rate of cure and less complication.


2016 ◽  
pp. 105-111
Author(s):  
Nu Phuong Anh Ton ◽  
Thi Minh Chau Ngo

Introduction: Intestinalparasite infections still are very common in tropical country such as Vietnam. Therefore evaluation of the prevalence of them should be done. Materials and methods: A crosssectional descriptivestudy were carried out to use the wet mount direct examination, Kato and ELISA technique for evaluation the rate of intestinal parasite infections, interviewed them to reveal their life’s hygenic condition, knowledge and risk behaviour of intestinal parasite infections in 640 patients attending to the in Hue University of hospital. Result: The rate of soiltransmitted intestinal helminth were lower than the foodborne infection of cestode and trematode such as: Taenia solium/saginata 3.64%, Clonorchis sinensis 2.73%. The rate of positive antibody of rare intestinal parasite were Fasciola gigantica 40.68%, E. histolytica/dispar 43.75%, Toxocara canis 32.43%, Gnasthostoma spinigerum 37.5%, Taenia solium 51.43%, Strongyloidesstercoralis 16.67%. Most of people has hygenic life condition with hygenic water available. The popular knowledge of intestinal parasite diseases of transmission, pathology, prevention and treatment were concentrate on oiltransmittedintestinal helminth.There were high rate of platyhelminths infectious behaviourssuch as: eating raw water plant 75.6%, eating raw beef 80.6%, eating raw pork 72.2%, eating raw fish 11.8%, bare foot 34.2%. Conclusions: The result of our study showed that the higher rate of foodborne cestode and trematode than soiltransmittedhelminth correspond tothe hygenic life condition, the knowledge of the diseases and risk behavior of intestinal parasites infection. Key words: Helminth, cestode, trematode


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