scholarly journals The Impact of the COVID‐19 Lockdown on Obstetrics Practice at a Rural Based Tertiary Care Centre: An Analytical Crossectional Study

2021 ◽  
Vol 6 (11) ◽  
pp. 772-775
Author(s):  
Dr. Amrita Singh ◽  
Dr. Anjali Kawthalkar ◽  
Jaydeep Nyase ◽  
Dr. Priya Sontakke
Keyword(s):  
Health Care Workers ◽  
Tertiary Care ◽  
Significant Rise ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Care Workers ◽  
Group A ◽  
Group B ◽  
Methods Analytical ◽  
The Impact

Objective: To evaluate the impact of the COVID‐19 lockdown on obstetrics practise in a tertiary care centre. Methods: Analytical Crossectional observational study was conducted in the obsgyn department from Jan 2020 to June 2020.There were two groups pre lockdown (Group B) and post lockdown (Group A) of 180 women in each group. Results were analysed using Epi info software version 7. Results: There was significant (p < 0.001) rise in LSCS rates (80%) in post lockdown period as compared to prelockdown (50%). Emergency LSCS (87.5%) was seen more during pandemics as compared to elective LSCS (12.5%). Elective LSCS was seen more prior to lockdown. The gestational age during admission in lockdown was more in <37 weeks gestation group with complications or >40 weeks. Significant rise (p< 0.001) in IUD (13.3%), NICU admissions (23.3%) were noted during lockdown as compared to prelockdown (6.6%), (10%). Hospital stay was reduced from 4 days to 3 days during the lockdown. Conclusion: Lockdown affects obstetrics outcome adversely. There is an urgent need to sensitize antenatal women as well as health care workers to continue the routine obstetrics care, especially in the second half of pregnancy with covid appropriate behaviour.

Needle Stick Injuries: A study Among Health Care Workers Tertiary Care Centre Nepal

2018 ◽  
Vol 17 (2) ◽  
pp. 44
Author(s):  
Manjari Bajracharya ◽  
Sushila Bhandari
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Tertiary Care ◽  
Working Hours ◽  
Needle Stick Injury ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Long Working Hours ◽  
Needle Stick ◽  
Care Workers

<p><span><strong>Introduction:</strong> A needle stick injury is a percutaneous piercing wound typically set by a needle point but possibly also by other sharp instruments or objects commonly encountered by health care professionals because of the risk to transmitting blood borne diseases like Hepatitis B Virus (HBV), Hepatitis C (HCV) and Human Immuno Deficiency Virus (HIV). The aim of this study was to assess the prevalence, causes, awareness and knowledge regarding Needle Stick Injury among health care workers Tertiary Care Centre of Nepal.</span></p><p><span><strong>Methods:</strong> A descriptive cross sectional study was conducted in 350 staffs of Tertiary Care Centre Nepal, from June to August 2013. Data was collected through semi-structured self-administered questionnaire. All the collected data was processed and analyzed by using descriptive statistics namely the frequency and percentage. </span></p><p><span><strong>Results: </strong>The study showed that out of the 350 respondents, 65.1% had there medicinal years of practices extended to five years. Among the responses 44.8% mentioned, highest number of needle prick was observed when recapping the needles due to long working hours. About 64.6% respondents washed their hands with soap, water or other antiseptics for effective post exposure preventive measures and 24.9% had access to infection control protocol.</span></p><p><span><strong>Conclusions: </strong>Despite the awareness regarding needle stick injury and its preventive measures, health care workers are yet bound to face it often during their surgical or medicinal area of practice due to monotonous and long working hours. </span></p><div><span><br /></span></div>

scholarly journals Needle Stick Injuries: A study Among Health Care Workers Tertiary Care Centre Nepal

2018 ◽  
Vol 17 (1) ◽  
pp. 44-48
Author(s):  
Manjari Bajracharya ◽  
Sushila Bhandari
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Tertiary Care ◽  
Working Hours ◽  
Needle Stick Injury ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Long Working Hours ◽  
Needle Stick ◽  
Care Workers

Introduction: A needle stick injury is a percutaneous piercing wound typically set by a needle point but possibly also by other sharp instruments or objects commonly encountered by health care professionals because of the risk to transmitting blood borne diseases like Hepatitis B Virus (HBV), Hepatitis C (HCV) and Human Immuno Deficiency Virus (HIV). The aim of this study was to assess the prevalence, causes, awareness and knowledge regarding Needle Stick Injury among health care workers Tertiary Care Centre of Nepal.Methods: A descriptive cross sectional study was conducted in 350 staffs of Tertiary Care Centre Nepal, from June to August 2013. Data was collected through semi-structured self-administered questionnaire. All the collected data was processed and analyzed by using descriptive statistics namely the frequency and percentage. Results: The study showed that out of the 350 respondents, 65.1% had there medicinal years of practices extended to five years. Among the responses 44.8% mentioned, highest number of needle prick was observed when recapping the needles due to long working hours. About 64.6% respondents washed their hands with soap, water or other antiseptics for effective post exposure preventive measures and 24.9% had access to infection control protocol.Conclusions: Despite the awareness regarding needle stick injury and its preventive measures, health care workers are yet bound to face it often during their surgical or medicinal area of practice due to monotonous and long working hours.

scholarly journals TO SEE THE IMPACT OF LOCKDOWN IN COVID19 PANDEMIC ON TUBERCULAR PATIENTS IN A TERTIARY CARE CENTRE OF HILLY AREA.

2020 ◽  
pp. 33-34
Author(s):  
Subhash Chander ◽  
Ritin Sharma ◽  
Ankit Chaudhary ◽  
Rakesh Chauhan
Keyword(s):  
Health Centre ◽  
Tertiary Care ◽  
Healthcare Services ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Tuberculosis Patients ◽  
Hilly Area ◽  
Number Of Patients ◽  
Group B ◽  
The Impact

Aim: To see the impact of lockdown in Covid19 Pandemic on Tubercular patients in a Tertiary care Centre of hilly area. Material and Methods: The study was conducted among adult patients in a tertiary health centre in a rural area. Study was conducted through lockdown period, comparing it with corresponding period in 2019. Tuberculosis patients or suspects were categorized in two groups. Group A was designated for participants in the year 2020 during lockdown period. Group B was data taken from time period similar to lockdown period in the year 2019. Data from two groups was compared. Observations: There was a 44.1% decline in number of male patients, whose sputum was examined by microscopy for tuberculosis. In case of female patients, decline was 68.6%. This decrease was present in all phases, more in 1st phase, 69.1%. During lockdown period number of patients presenting to medicine department were 45% compared to previous year ( 5129 vs 11280), sputum positive diagnosed during lockdown and similar period in 2019 were (84.4%) 27 vs 32 ( p 0.016). OPD declined by 54.5% during lockdown, however diagnosed tubercular cases by CBNAAT declined by 44.4%. Conclusion: COVID 19 pandemic greatly affected the routine healthcare services. Lockdown period saw a decline in number of patients presenting to outdoor as well as indoor patients. There was a decline in number of tuberculosis suspects as well as number of diagnosed tuberculosis patients. However decline in tuberculosis patients was less as compared to overall patients.

scholarly journals Implementation of RMC at Tertiary Care Centre in South India

2021 ◽  
Author(s):  
Papa Dasari ◽  
Mahalakshmy Thulasingam
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Maternity Care ◽  
Tertiary Care ◽  
Respectful Maternity Care ◽  
Disrespect And Abuse ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Care Workers ◽  
Birth Companion

Title: Implementation of RMC at Tertiary Care Centre in South IndiaAbstract:Background: Disrespect and abuse experienced during childbirth has been reported by women to various sections of health care workers. The objective was to abolish Disrespect and Abuse and to bring about a policy change in labour room practices and to implement Respectful Maternity Care (RMC) in a high-volume tertiary care teaching hospital in South India.Methods: A Workshop and Continuous Medical Education Programme involving RMC experts were conducted in Phase I with defined objectives. These targeted health care workers were nurses, resident doctors, consultants, medical nursing students involved in giving care during pregnancy and labour. In Phase II the Govt. of India Policy on Birth Companion was presented in a meeting discussing on the National guidelines of “LaQshya”. Consent forms for birth companions were introduced and a dedicated public health nurse was trained to train the birth companions regarding their role in maternal support. The change of policy was officially intimated to the hospital administration. A qualitative assessment was done whether the Residents and Nurses practiced RMC as demonstrated in the Workshop. The operationalization of the birth companion policy was followed on daily observations, enquiries and onsite surprise visits over one year period.Results: The practice of RMC was followed only by few health care workers and certain cadre of women who laboured, received RMC and disrespect and abuse still prevailed. The bottle necks identified were low socioeconomic status of women, the in-charge consultants not insisting on presence of birth companions, the residents and nurses not promoting birth companion policy.Conclusions: : Implementation of Respectful Maternity Care needs change of attitudes of personnel who render care during child birth and it can only be successful unless it forms an integral part of Medical and Nursing curriculum.

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