scholarly journals A Comparative Study to Assess The Effectiveness of Breast Crawl on Infant Delivery among mothers who underwent Cesarean Delivery Vs Spontaneous Vaginal Delivery

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 584-588
Author(s):  
Padmapriya D ◽  
Babu Devi ◽  
Dhovarani
Keyword(s):  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Demographic Data ◽  
Sampling Technique ◽  
Intensity Level ◽  
Spontaneous Vaginal Delivery ◽  
Medical College ◽  
Postnatal Mothers ◽  
The Mean ◽  
Questionnaire Method

Breast crawl has been described as an instinctive postpartum behavior for full-term children after vaginal birth. The present aim was to assess the effectiveness of breast crawl on infant delivery among postnatal mothers who underwent cesarean delivery vs spontaneous vaginal delivery at Saveetha Medical College and Hospital. A quantitative approach with comparative research design was adopted for the present study. A total of 60samples among which in spontaneous vaginal delivery (n=30) and cesarean delivery (n=30) were selected by using a non-probability convenient sampling technique. A self-structured questionnaire method was used to collect the demographic data followed by that breast crawl was initiated between infant delivery by vaginal delivery and cesarean delivery among mothers. Among 60 samples, the mean score on the intensity level of pain among mothers delivery infant by vaginal delivery was 3.70±1.29 and the mean score on the intensity level of pain among mothers delivered infant by cesarean delivery was 6.13±1.25. The calculated student independent 't’ test was 7.412, which was found to be effectively significant. This clearly infers that breast crawl was found to be effective in minimizing the intensity level of pain among the mother's delivered infant by spontaneous vaginal delivery than the mother's delivered infant by cesarean delivery.

scholarly journals A Comparative Study to Assess the Level of Anxiety among Primi Gravida Mothers Planned for Normal Vaginal Delivery and Caesarean Section in the Selected Hospital, Agartala, West Tripura

2021 ◽  
Vol 6 (2) ◽  
pp. 58-61
Author(s):  
Ishita Nath
Keyword(s):  
Caesarean Section ◽  
Comparative Study ◽  
Vaginal Delivery ◽  
Demographic Variable ◽  
Demographic Data ◽  
Sampling Technique ◽  
Normal Vaginal Delivery ◽  
Research Approach ◽  
Perinatal Anxiety ◽  
Anxiety Screening

A comparative study was conducted among 100 primi gravida mothers (50 mothers in each group) from MCH clinic and IPD of IGM hospital, Agartala, West Tripura, who had planned for normal vaginal delivery and caesarean section. Research approach used was non experimental quantitative approach and research design was descriptive comparative design. Purposive sampling technique was used to draw the sample. Socio demographic data and modified Perinatal Anxiety Screening Scale were used to collect data from the samples through interview method. Analysis revealed that 52% of the primi gravida who had planned for caesarean section and 44% mothers who had planned for normal vaginal delivery had mild symptoms of anxiety. Mean anxiety score of the mothers who planned for caesarean section and normal vaginal delivery was 27.3 and 19.7 respectively, median 28.855 and 18.915 respectively and SD 7.0715 and 8.038 respectively. The mean difference was 7.6 and unpaired ‘t’ value was 5.0198, which was significant at p<0.05. Analysis of variance result showed that there was significant association between the level of anxiety of the primi gravida mothers who had planned for caesarean section with their selected socio demographic variable ‘occupation of husband’. The calculated ‘F’ value was 3.33 at p<0.05. The researcher concluded that the primi gravida mothers who had planned for caesarean section had more anxiety than the mothers who had planned for normal vaginal delivery and the anxiety level of the mothers who had planned for caesarean section was dependent on selected demographic variable occupation of the husband. Keywords:Anxiety, primi gravida, normal vaginal delivery, caesarean section.

scholarly journals Prevalence of anemia among medical students of nobel medical college and correlation with body mass index

2020 ◽  
Vol 11 (3) ◽  
pp. 62-66
Author(s):  
Renu Yadav ◽  
Nisha Ghimire ◽  
Soumitra Mukhopadhyay ◽  
Subodh Kumar Yadav
Keyword(s):  
Body Mass Index ◽  
Medical Students ◽  
Body Mass ◽  
Teaching Hospital ◽  
Demographic Data ◽  
Sampling Technique ◽  
Food Habit ◽  
Cross Sectional ◽  
Medical College ◽  
Prevalence Of Anemia

Background: Studies have concluded that the medical students of hostels are at high risk of anemia due to inappropriate diet and their long schedules that indirectly affect their performance. Thus, concerning for the long duration of medical studies, it has become a serious medical issue. Aims and Objective: Thus, our objective is to determine the prevalence of anemia among medical students in Nobel Medical College and Teaching Hospital, Nepal. Materials and Methods: This is a descriptive cross-sectional study which was conducted and Teaching Hospital from January 2017 to December 2017 where all the subjects were selected with convenient sampling technique. The total of 150 MBBS students (male=95, female=55), age 18-25 years were included in the study who were clinically healthy. The demographic data (name, age, sex, address) and anthropometric variables (height, weight, body mass index) were recorded and hemoglobin was estimated by Sahli’s acid hematin method. Results: Only 42.1% of total were mild anemic and 11.6 % were moderately anemic. Among female, 1.8% were severely anemic, 9.1% were moderately anemic and 41.8% were mild anemic. Compared to male, anemia in female medical students was found to be more extensive. Conclusions: It has been concluded from the above study that the mild anemia is highly prevalent among medical students regardless of gender. Though the subjects are not severely affected, it is a concerned issue since the cause might be inappropriate food habit or the food facilities available at hostels.

scholarly journals Differences in Expulsion on Post-placenta Intrauterine Contraceptive Device between Mother with Vaginal and Cesarean Delivery

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Atika Zahria Arisanti ◽  
Tono Djuwantono ◽  
Sri Endah Rahayuningsih
Keyword(s):  
General Hospital ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Intrauterine Device ◽  
Sampling Technique ◽  
Sectio Caesarea ◽  
Contraceptive Device ◽  
Cross Sectional ◽  
Post Placental

Intrauterine device (IUD) is a long term, highly effective, and reversible contraception method. In Indonesia, the number of IUD acceptors is still lower than other methods. An effort to improve the long term contraception is using post-placental IUD that can be a choice for postpartum mother who has limited access to another contraception service. The purpose of this study was to compare the incidence of expulsion in post-placental IUD insertion between mother with vaginal delivery and cesarean delivery. This study design was a comparative cross-sectional method with a consecutive sampling technique conducted at Dr. Hasan Sadikin General Hospital Bandung and Dr. Kariadi General Hospital Semarang from November 2017 to February 2018. Subjects were postpartum mothers who received post-placental IUD insertion at vaginal delivery and cesarean delivery. Samples were 96 women, consisting of 48 women with IUD insertion in vaginal delivery and 48 women with IUD insertion in cesarean delivery. Data obtained from interviews and transvaginal ultrasonography examination. The result showed there was a difference in expulsions incidence between IUD’s insertion among vaginal delivery compared to cesarean delivery (p=0.041). It concluded that expulsion’s to post-placental IUD insertion is higher in vaginal delivery compared to cesarean delivery. PERBEDAAN KEJADIAN EKSPULSI PADA PEMASANGAN ALAT KONTRASEPSI DALAM RAHIM PASCAPLASENTA ANTARA IBU DENGAN PERSALINAN PER VAGINAM DAN PERSALINAN SECTIO CAESAREAAlat kontrasepsi dalam rahim (AKDR) merupakan kontrasepsi jangka panjang, efektif dan reversibel. Di Indonesia, jumlah akseptor AKDR masih lebih rendah daripada metode lainnya. Salah satu upaya untuk meningkatkan penggunaan kontrasepsi jangka panjang, yaitu dengan AKDR pascaplasenta yang dapat menjadi alternatif bagi ibu pascasalin yang mempunyai akses terbatas untuk mendapatkan pelayanan kontrasepsi. Penelitian ini bertujuan membandingkan kejadian ekspulsi pada pemasangan AKDR pascaplasenta antara ibu dengan persalinan per vaginam dan persalinan sectio caesarea. Desain penelitian ini adalah cross-sectional komparatif dengan teknik pengambilan sampel consecutive yang dilaksanakan di RSUP Dr. Hasan Sadikin Bandung dan RSUP Dr. Kariadi Semarang dari bulan November 2017 hingga Februari 2018. Subjek penelitian adalah ibu pascasalin yang mendapatkan insersi AKDR pascaplasenta pada persalinan per vaginam dan persalinan sesar. Jumlah sampel 96 ibu, terdiri atas 48 ibu yang bersalin per vaginam dan 48 ibu yang bersalin sesar. Data didapatkan melalui wawancara dan pemeriksaan ultrasonografi transvaginal. Hasil penelitian menunjukkan terdapat perbedaan kejadian ekspulsi pada pemasangan AKDR antara ibu dengan persalinan per vaginam dan persalinan sectio caesarea (p=0,041). Simpulan, kejadian ekspulsi pada pemasangan AKDR pascaplasenta lebih tinggi pada ibu dengan persalinan per vaginam dibanding dengan persalinan sectio caesarea.

scholarly journals Clinical predictive factors for vaginal delivery following induction of labour among pregnant women in Jordan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rawan A. Obeidat ◽  
Mahmoud Almaaitah ◽  
Abeer Ben-Sadon ◽  
Dina Istaiti ◽  
Hasan Rawashdeh ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Induction Of Labour ◽  
Labour Induction ◽  
Bishop Score ◽  
Nulliparous Women ◽  
Multiparous Women ◽  
The Mean

Abstract Background Induction of labour (IOL) is an important and common clinical procedure in obstetrics. In the current study, we evaluate predictors of vaginal delivery in both nulliparous and multiparous women in north Jordan who were induced with vaginal prostaglandins. Method A prospective study was conducted on 530 pregnant women at King Abdullah University Hospital (KAUH) in north Jordan. All pregnant mothers with singleton live fetuses, who had induction of labour (IOL) between July 2017 and June 2019, were included in the study. Mode of delivery, whether vaginal or caesarean, was the primary outcome. Several maternal and fetal variables were investigated. The safety and benefit of repeated dosage of vaginal prostaglandin E2 (PGE2) tablets, neonatal outcomes and factors that affect duration of labour were also evaluated. Pearson χ2 test was used to investigate the significance of association between categorical variables, while student’s t-test and ANOVA were applied to examine the mean differences between categorical and numerical variables. Linear regression analysis was utilized to study the relation between two continuous variables. A multivariate regression analysis was then performed. Significance level was considered at alpha less than 0.05. Results Nulliparous women (N = 254) had significantly higher cesarean delivery rate (58.7% vs. 17.8%, p < 0.001) and longer duration of labour (16.1 ± 0.74 h vs. 11.0 ± 0.43 h, p < 0.001) than multiparous women (N = 276). In nulliparous women, the rate of vaginal delivery was significantly higher in women with higher Bishop score; the mean Bishop score was 3.47 ± 0.12 in nulliparous women who had vaginal delivery vs. 3.06 ± 0.10 in women who had cesarean delivery (Adjusted odds ratio (AOR) = 1.2, 95% CI: 1.03–1.28, p = 0.03). In multiparous women, the rate of vaginal delivery was significantly higher in women with higher Bishop scores and lower in women with higher body mass index (BMI). The mean Bishop score was 3.97 ± 0.07 in multiparous women who had vaginal delivery vs. 3.56 ± 0.16 in women who had cesarean delivery (AOR = 1.5, 95% CI: 1.1–2.1, p = 0.01). The mean BMI was 30.24 ± 0.28 kg/m2 in multiparous women who had vaginal delivery vs. 32.36 ± 0.73 kg/m2 in women who had cesarean delivery (AOR = 0.89, 95% CI: 0.84–0.96, p = 0.005). 27% of nulliparous women who received more than two PGE2 tablets and 50% of multiparous women who received more than two PGE2 tablets had vaginal delivery with no significant increase in neonatal morbidity. Conclusion Parity and cervical status are the main predictors of successful labour induction. Further studies are required to investigate the benefit of the use of additional doses of vaginal PGE2 above the recommended dose for IOL.

Change of Positional Blood Pressure and Indication of Ephedrine in Hypotension During Spinal Anesthesia for Cesarean Delivery

2013 ◽  
Vol 21 (Number 2) ◽  
pp. 18-23
Author(s):  
Md. A Matin ◽  
J Banu ◽  
K Sultana ◽  
S M Shahana
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Clinical Practice ◽  
Spinal Anesthesia ◽  
Cesarean Delivery ◽  
Lateral Position ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
The Mean

Hypotension during spinal anaesthesia for caesarean section remains a common scenario in clinical practice. Certain risk factors play a role in altering the incidence of hypotension. A cross sectional observational study was done on sixty patients undergone cesarean delivery spinal anesthesia in Holy Family Red Crescent Medical College Hospital to evaluate the correlation between pre-anesthetic change of positional blood pressure and predictive necessity of Ephedrine to mange per-operative hypotension. The mean age of the patients included in the study was 25.85 ± 4.24 years and weighted 63.60 ± 6.91 kg (Mean ± sco. The haemodynamic outcomes of the patients are summarized in Table-I as mean systolic blood pressure increased (118 ± 12.02 and 132 ± 14.11 mm of Hg) after change of position from baseline (supine position) to right lateral position. The positional blood pressure varied from 2 to 32 mm of Hg and was observed in 54 patients. But only 35 patients were hypotensive (58.33%) after spinal anesthesia among them only 28 patients required Ephedrine (46.6%). But there was no significant correlation was observed in patients needed Ephedrine who hypotension but not obvious with positional change of pre-anesthetic blood pressure.

scholarly journals Evaluation of primigravida in labour using modified WHO partograph: comparative study of 100 cases

2018 ◽  
Vol 7 (2) ◽  
pp. 470
Author(s):  
Nivedita D. ◽  
Mehvish Anjum
Keyword(s):  
Vaginal Delivery ◽  
Total Duration ◽  
Developed Countries ◽  
Active Management ◽  
Control Group ◽  
Study Group ◽  
Spontaneous Vaginal Delivery ◽  
Second Stage Of Labour ◽  
Management Group ◽  
The Mean

Background: Prolonged labour has become a rarity in developed countries, but it still poses a problem in developing countries causing increase in maternal and perinatal morbidity and mortality. This study is undertaken to assess the efficacy of modified WHO partograph in monitoring progress of labour in primigravidae with spontaneous onset of labour and in patients with active management and to assess whether active management of labour helps in reducing the duration of labour.Methods: In this study, 100 primigravidae partographs are analyzed, 50 patients are in active management group (early amniotomy and use of oxytocin) and 50 patients are in control group (spontaneously).Results: The mean duration of first stage of labour in the study group is 6.73±2 and in the control group is 11.30±4.51hrs( statistically significant p<0.001).Mean duration of second stage of labour in study group is 33.73±28.77mins and in control group is 38±24.98 mins (p<0.079), mean total duration of labour in active group is 7.17±2.64 hr and  in control group is 11.76hrs±-4.71hrs ( p<0.001).89% of study group patients had Spontaneous Vaginal Delivery as compared to the 80% in control group (p>0.05 ). Assisted vaginal delivery (vaccum) is found in 6% in the study group and 8% in control group patients (p>0.05). LSCS is found 10% in study group and 8% in control group patients (p>0.05).Conclusions: Active management of labour significantly reduces the mean duration of 1st active stage, 2nd stage and total duration of labour, but does not decrease the rate of the caesarean section.

scholarly journals Prevalence of obesity among adults in Ras Al Khaimah, United Arab Emirates

2019 ◽  
Vol 7 (2) ◽  
pp. 555
Author(s):  
Ramasamy Kalavathy ◽  
Sumaya Ahmed Al Araj ◽  
Syed Arman Rabbani
Keyword(s):  
United Arab Emirates ◽  
Demographic Data ◽  
Sampling Technique ◽  
Obesity Prevalence ◽  
Obesity And Overweight ◽  
Prevalence Of Obesity ◽  
Study Population ◽  
Grade Ii ◽  
The Mean ◽  
Grade Iii

Background: There is an increasing prevalence of obesity globally which is associated with Non Communicable Diseases. As this trend continues even in UAE we decided to focus on determining the prevalence of obesity among adults in Ras Al Khaimah (RAK), UAE.Methods: This was a retrospective observational study done in adults between the age group of 18 to 77 years using convenience sampling technique in 544 subjects. Anthropometric, bio chemical, clinical and demographic data was collected by direct interview for four consecutive years, i.e. from 2013 to 2016. Body Mass Index (BMI) was analyzed to classify individuals as overweight (BMI 25.0-29.9kg/m²), Obese grade I (BMI 30.0-34.9kg/m²), Obese grade II (BMI 35.0-39.9kg/m²) and obese grade III (BMI > 40.0kg/m²).Results: Data was obtained from 544 subjects and considered for analysis. Our results showed that the mean age of the study population was 39.29±13.43 years, the mean weight was 75.35±15.65 kilograms and the mean BMI was 27.62±5.43kg/m2. A total of 67.6% of the study population was either overweight or obese. The prevalence of overweight is 36.2% followed by obesity prevalence of 31.4% of which 22.8% were categorized as Grade I obese, 5.5% Grade II obese and 3.1% Grade III obese. We found that higher proportions of males were in overweight and obese category compared to females.Conclusions: The results derived from our study shows that obesity and overweight are widespread among Ras al khaimah population with the obesity prevalence of 31.4%. Hence, policy makers should focus on preparing national nutritional strategies and implement protocols to overcome this burden by giving practical solutions.

scholarly journals Pattern of Prolactin Secretion after Normal Vaginal Delivery and in Cesarean Delivery

2014 ◽  
Vol 5 (1) ◽  
pp. 15-17
Author(s):  
Asokan Keloth Manapatt ◽  
Latha Anoop ◽  
Deepna Tharammal ◽  
Aiswarya Sathyapal ◽  
Yasmeen Muneer
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Prolactin Secretion ◽  
Assay Method ◽  
Normal Vaginal Delivery ◽  
Obstetrics And Gynecology ◽  
Medical College ◽  
The Impact ◽  
Biological Actions

ABSTRACT Prolactin (PRL) is hormone of multiple biological actions and is best known for its role in milk production. This hospital-based study was undertaken to review the impact of PRL hormone in vaginal delivery and cesarean delivery. Our study is meant to create awareness in the society to promote breast feeding and the importance of promoting normal vaginal delivery whenever possible. In this study, we investigated the serum PRL values using enzyme-linked immunoflow assay method in 101 women who underwent normal (56) and cesarean delivery (45) in obstetrics and gynecology department of Kannur Medical College, Anjarakandy. Serum PRL at 24 and 48 hours blood sample was estimated among the two groups, mean PRL in vaginal delivery 24 hours 359.46 ± 119.70 ng/ml, 48 hours 386.67 ± 135.66 ng/ ml and in cesarean delivery 24 hours 245.49 ± 115.49 ng/ml, 48 hours 282.92 ± 69.59 ng/ml. The values of serum PRL are found to be significantly higher in the vaginal delivery group (p < 0.001) as compared with the cesarean section group. Through this study, we concluded that the mothers who delivered by cesarean section had decreased PRL levels than the women who delivered vaginally which may have a significant role in establishment of breastfeeding. How to cite this article Manapatt AK, Anoop L, Tharammal D, Sathyapal A, Muneer Y. Pattern of Prolactin Secretion after Normal Vaginal Delivery and in Cesarean Delivery. Int J Infertility Fetal Med 2014;5(1):15-17.

Assess the knowledge regarding Osteoarthritis among the Osteoarthritis client in middle adulthood in Orthopedic OPD in Rohilkhand Medical College and Hospital, Bareilly U.P, with self-developed Instructional module

2021 ◽  
pp. 326-328
Author(s):  
Mamta Mamta ◽  
Nikita Chand ◽  
Pooja Sharma ◽  
Pooja Yadav
Keyword(s):  
Demographic Data ◽  
Sampling Technique ◽  
Descriptive Study ◽  
Middle Adulthood ◽  
Medical College ◽  
Interview Method ◽  
Adequate Knowledge ◽  
Inadequate Knowledge ◽  
Level Of Knowledge ◽  
Structured Questionnaire

A descriptive study to assess the knowledge regarding osteoarthritis among the osteoarthritis client in middle adulthood (34-60) in orthopedic OPD in Rohilkhand medical college and hospital, Bareilly with self-developed. Objective of the Study: 1. To assess the knowledge regarding prevention of osteoarthritis among middle adulthood Clients in RMCH, Bareilly. 2. To find out the association between knowledge and selected demographical variables among prevention of osteoarthritis. Method: Study was conducted in Orthopedic O.P.D of Rohilkhand Medical College and Hospital Bareilly, the convenient sampling technique were used and the sample was 40 who were diagnosed with Osteoarthritis middle adult-hood client, structured questionnaire tools, with the help of interview method used in this study. The data was collected to assess the level of knowledge regarding Osteoarthritis among osteoarthritis clients. The data collected were analyzed and interpreted by using descriptive and inferential statistics. Result: The result shows that there are 32.5% participants have adequate knowledge, 65% have moderate knowledge, only 2.5% inadequate knowledge regarding osteoarthritis and its prevention. There was no relationship between the levels of related to Osteoarthritis among osteoarthritis client with demographic data.

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