A cross-sectional analytical study to evaluate need of prophylactic antimicrobials in patients undergoing normal vaginal delivery with episiotomy before and after implementation of antimicrobial policy

2019 ◽  
Vol 12 (3) ◽  
pp. 81-85
Author(s):  
Sujal Vaibhav Mehta ◽  
◽  
Sanjivani Ashok Deshpande ◽  
Keyword(s):  
Vaginal Delivery ◽  
Analytical Study ◽  
Normal Vaginal Delivery ◽  
Cross Sectional ◽  
Before And After

scholarly journals Postpartum quality of life after normal vaginal delivery and caesarean section

2015 ◽  
Vol 2 (2) ◽  
pp. 13-18
Author(s):  
Yogendra Amatya ◽  
Samita Acharya
Keyword(s):  
Quality Of Life ◽  
Caesarean Section ◽  
Vaginal Delivery ◽  
Elective Caesarean Section ◽  
Family Type ◽  
Normal Vaginal Delivery ◽  
Cross Sectional ◽  
Normal Delivery ◽  
Physical Health Composite Score

Introductions: Caesarean section is rising. The best method of delivery, vaginal or caesarean, for postpartum quality of life in women is a matter of controversy both from professionals’ perspectives and from women’s experience of childbirth. This study analyses quality of life after these two methods of deliveries.Methods: This was a cross-sectional comparative study in postnatal care outpatient department at Patan Hospital. Primipara women with normal delivery and elective caesarean section done in Patan Hospital were enrolled to analyse postpartum quality of life. The SF-12 questionnaire tool at 6 weeks post delivery was used to compare age, ethnicity, education, family type and employment. Data was analysed using ANOVA test for descriptive parameters.Results: There were 468 primipara, age 30-45 years, 94% in 15-30 years77.8% educated, 74.4% in joint family,73.5% housewife. Normal vaginal delivery was 360 (72.6%) and 128 (27.4%) elective caesarean. Vaginal delivery group had average SF score of Physical Health Composite Score of 68.7, Mental Health CompositeScore69.5 and total SF score 67.7. While in caesarean group, it was 64.8,64.1 and 63.4.Conclusions: Normal vaginal delivery had better quality of life resulting in both superior physical as well as mental health.Journal of Patan Academy of Health Sciences, Vol. 2, No. 2, 2015. page:13-18

scholarly journals Analysis of physical activity level and sedentary behavior before and after stroke: A cross-sectional study

2021 ◽  
Author(s):  
João Victor de Araújo Souza ◽  
Monalisa Silva de França ◽  
Nayara Karina Ferreira Pereira ◽  
Denise Soares de Araújo ◽  
Roberta de Oliveira Cacho ◽  
...  
Keyword(s):  
Physical Activity ◽  
Analytical Study ◽  
Chronic Phase ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Activity Level ◽  
Systemic Hypertension ◽  
Cross Sectional ◽  
Before And After ◽  
Regular Practice

Introduction: Stroke is a major cause of death and mortality worldwide. The sedentary lifestyle is a modifiable risk factor and the regular practice of physical activity can reduce the recurrence of stroke and its symptoms. Objective: To characterize the level of physical activity of post-stroke patients before and after the event. Methodology: This is a cross-sectional, analytical study. The population of the study consisted of patients diagnosed with stroke, in the chronic phase under treatment or that have already been discharged from the Physiotherapy School Clinic of FACISA in Santa Cruz-RN. The individuals were evaluated by the Modified Baecker Questionnaire for the Elderly (QBMI) that classifies the level of physical activity in: sedentary (-9), active (9 to 16), and athletes (+16). The normality of the variables was verified by the Shapiro-Wilk test. Wilcoxon’s test was used for comparative analysis of QBMI before and after stroke. Results: Nineteen patients participated (8 male and 11 female) with a mean age of 63 years, of these, 11 had systemic hypertension. Before, 3 were classified as sedentary (score mean: 5.34), 5 active (score mean: 12.254) and 1 athlete ( score mean: 27.04). After the stroke, 18 were classified as sedentary (score mean: 1.46) (p=0.001). Conclusion: There was a reduction in the participants’ level of physical activity, showing greater sedentariness after stroke, although physical activity is essential for secondary prevention of stroke.

scholarly journals Prevalence and risk factors of postpartum dyspareunia at three months post- delivery in Sudanese women

2017 ◽  
Vol 6 (7) ◽  
pp. 2724
Author(s):  
Inas Mohamed Elhassan Abd. Alkareem ◽  
Mohamed Ahmed A/Gadir Ounsa ◽  
Elsadig Yousif Mohamed ◽  
Elsadig Mohamed ◽  
Sawsan Abdalla
Keyword(s):  
Risk Factors ◽  
Vaginal Delivery ◽  
Scar Tissue ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Normal Vaginal Delivery ◽  
Obstetrics And Gynecology ◽  
Sectional Study ◽  
Cross Sectional ◽  
Ethical Approval

Background: Postpartum dyspareunia affects many women following childbirth: however, the extent of the problem is difficult to estimate. The objectives of the current study were to determine the prevalence of postpartum dyspareunia and to estimate its risk factors.Methods: This is a cross-sectional study conducted at the National Ribat University Hospital, Sudan. The study was carried out on women attended the refer clinics of obstetrics and gynecology and pediatrics departments in the hospital. The sample size was calculated as 380. The data were collected by a pre-tested questionnaire along with a clinical examination of the vulva and vagina after obtaining the ethical approval. The SPSS was used to analyze the data.Results: The prevalence of postpartum dyspareunia in women attended the National Ribat University hospital was 42.6 %. Regarding age, 8 (61.5%) of women less than 20 years of age experienced dyspareunia, 102 (46.4%) and 52 (35.4%) of women whose age was 20-29 years; and more than 29 years experienced the condition. One hundred forty (51.7%) of women who delivered by normal vaginal delivery developed postpartum dyspareunia. Eight (72.7%), 8 (12.5%) and 6 (17.6%) of women delivered by Operative vaginal, Elective C/S and Emergency C/S developed postpartum dyspareunia respectively. One hundred forty-eight (62.4%), 153 (51.3%) women who had decircumcision and episiotomy in last delivery had postpartum dyspareunia respectively. Forty-six (93.3%), fifty-three (86.9%) and 60 (87%) women who had infected episiotomy, scar tissue at episiotomy and tight interoitus developed the condition respectively.Conclusions: The prevalence of postpartum dyspareunia in women attended the National Ribat University hospital was 42.6 %. Regarding age, 8 (61.5%) of women less than 20 years of age experienced dyspareunia, 102 (46.4%) and 52 (35.4%) of women whose age was 20-29 years; and more than 29 years experienced the condition. One hundred forty (51.7%) of women who delivered by normal vaginal delivery developed postpartum dyspareunia. Eight (72.7%), 8 (12.5%) and 6 (17.6%) of women delivered by Operative vaginal, Elective C/S and Emergency C/S developed postpartum dyspareunia respectively. One hundred forty-eight (62.4%), 153 (51.3%) women who had decircumcision and episiotomy in last delivery had postpartum dyspareunia respectively. Forty-six (93.3%), fifty-three (86.9%) and 60 (87%) women who had infected episiotomy, scar tissue at episiotomy and tight interoitus developed the condition respectively.

scholarly journals Perbandingan Nilai Apgar antara Persalinan Normal dengan Seksio Sesarea Elektif

2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Neila Azka ◽  
Syahredi Syahredi ◽  
Eva Chundrayetti
Keyword(s):  
Cesarean Section ◽  
Vaginal Delivery ◽  
Apgar Score ◽  
Cross Sectional Study ◽  
Elective Cesarean Section ◽  
Normal Vaginal Delivery ◽  
Sectional Study ◽  
Cross Sectional ◽  
Elective Cesarean ◽  
Minute Apgar Score

AbstrakPada masa sekarang ini telah terjadi perubahan tren dalam persalinan, yaitu berupa peningkatan angka seksio sesarea. Peningkatan ini dipengaruhi berbagai faktor seperti: adanya kekhawatiran akan terjadinya cedera janin, peningkatan permintaan ibu untuk melakukan persalinan seksio sesarea, serta faktor sosioekonomi. Beberapa penelitian justru menunjukkan seksio sesarea dapat menimbulkan morbiditas pada bayi. Tujuan penelitian ini adalah membandingkan kondisi bayi antara persalinan normal dan seksio sesarea elektif dilihat dari nilai Apgar Penelitian dilaksanakan dari Mei 2014 sampai Januari 2014 di bagian rekam medis RSUP Dr. M. Djamil Padang.. Jenis penelitian yang digunakan adalah analitik dengan desain cross-sectional study. Sampel dalam penelitian ini terdiri dari 179  pasien dengan persalinan normal dan 56 pasien dengan seksio sesarea. Hasil penelitian menunjukkan bahwa pada menit pertama nilai Apgar 4-6 adalah 3,4% pada persalinan normal. Nilai Apgar 7-10 sebanyak 96,6% pada persalinan normal dan 100% pada seksio sesarea pada menit pertama. Pada menit kelima, nilai Apgar 4-6 adalah 1,1% pada persalinan normal, sedangkan nilai Apgar 7-10 sebanyak 98,9% pada persalinan normal dan 100% pada seksio sesarea pada menit kelima. Setelah dilakukan analisis dengan mann-whitney test didapatkan bahwa tidak terdapat perbedaan nilai Apgar pada menit-1 (p=0,777) dan menit-5 (p=0,887) antara persalinan normal dengan seksio sesarea.Kata kunci: persalinan normal, seksio sesarea elektif, nilai Apgar AbstractIn recent years, cesarean section have increased. Several factor are contributing, such as fears of injury to the fetus, increased women's request to do a cesarean section deliveries and socioeconomic factors. Some studies have also shown that cesarean section can lead to morbidity in infants. The objective of this study was to compare between Apgar scores of infant born by elective cesarean section and normal vaginal deliveries. The research was done from May 2013 to January 2014 at the medical records department of general hospital center Dr. M. Djamil Padang. This was an analytic study with cross-sectional study design. This study used 179 samples with normal vaginal delivery and 56 samples with cesarean section. The result showed that 1st minute Apgar score of 4-6 in normal vaginal delivery was 3.4%, and Apgar score 7-10 was 96.6% in normal vaginal delivery while in cesarean section was 100%. The 5th minute Apgar score of  4-6 in normal vaginal delivery was 1.1%, and Apgar score 7-10 was 98.9% in normal vaginal delivery while in cesarean section was 100%. After being analyzed using Mann-Whitney test, the study showed that there was no significant different in Apgar score of neonates born through normal vaginal delivery and neonates born trough cesarean section at first minute (p=0.777) and fifth minute (p=0.887).Keywords: normal vaginal delivery, elective cesarean section, Apgar score

scholarly journals Clinical study of Rh-isoimmunization in pregnant women

2018 ◽  
Vol 7 (2) ◽  
pp. 731
Author(s):  
Bhavani Bhagat ◽  
V. Sitalakshmi ◽  
K. L. Azad ◽  
Nirmala Banoth
Keyword(s):  
Vaginal Delivery ◽  
Antenatal Clinic ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
Full Term ◽  
Normal Vaginal Delivery ◽  
Maternal Circulation ◽  
Cross Sectional ◽  
Institutional Ethics ◽  
History Of

Background: Iso-immunization has been defined as the process whereby immune antibodies are produced in an individual in response to antigens from another individual of same species. Objective was to study the fetal outcome in immunized and non-immunized women and also to prevent isoimmunization during pregnancy and labour.Methods: A total of 40 patients attending outdoor antenatal clinic or admitted in the indoor wards in obstetric unit of Obstetrics and Gynecology department were included in the present study which was hospital based cross sectional study. The study was carried out for one year at Government Medical College Jagdalpur, Chhattisgarh, India. Permission from Institutional Ethics Committee was obtained. From each and every patient included in the study, initially informed individual consent was taken.Results: Maximum patients (25%) had an income of Rs. 200- 300 per month and minimum patients (10%) had an income of Rs. 500- 600 per month. Maximum cases of Rh – negative patients 87.5% are Hindus and 10 % are Muslims while only 2.5% are Christians. The percentage of patients below 20 years is 2.5, that between 20 to 25 are 67.5, between 26 to 30 is 27.5 and between 31 to 35 is 2.5. Thus, maximum patients belong to the age group 20 to 25 years and above 31 years.. Accordingly, 6 patients had history of abortion, 2 had pre- term deliveries, and 18 had full term deliveries. 4 had history of operation and 1 had history of jaundice in previous children. Cases with presence of Rh- Antibody in Maternal Circulation during Pregnancy. It was found that one out of 40 patients, had Rh- Antibody in titer of 1: 128 and 39 cases, did not show presence of Rh- Antibody in their circulation. Outcome of pregnancy in 40 patients studied. 3 patients had pre- mature labour, 26 had normal vaginal delivery, 10 had caesarean section and one patient was Ante- natal.Conclusions: Present study reveals more than Maximum patients were from low socioeconomic group and minimum cases were from higher socio- economic group. Majority of cases were Hindus, next in order Muslims and then Christians. Age of maximum patients ranged from 20-25 years. Maximum patients had normal full term deliveries. In 65% cases, outcome of pregnancy was normal vaginal delivery.

scholarly journals Gut microbiome characteristics in mothers and infants according to the presence of atopic dermatitis

2021 ◽  
Author(s):  
Myong Soon Sung ◽  
Yujin Choi ◽  
Hyunjoon Park ◽  
Chul Sung Huh
Keyword(s):  
Atopic Dermatitis ◽  
Vaginal Delivery ◽  
Gut Microbiome ◽  
Bacterial Flora ◽  
Normal Vaginal Delivery ◽  
Cross Sectional ◽  
Fecal Samples ◽  
Akkermansia Muciniphila ◽  
Healthy Infants ◽  
Mothers And Children

Background: The role of the gut microbiome in the onset and development of atopic dermatitis (AD) has been postulated. Therefore, we investigated the gut microbial compositions in infants with and without AD, and compared it to the gut bacterial flora of their mothers. Methods: This was a prospective and cross-sectional study. Among 44 pairs of mothers and children, we selected infants who were born via full-term normal vaginal delivery and that had no history of antibiotic or probiotic use, and infection during the first three months of life. The 15 pairs, consisting of nine healthy infants and six AD infants, were included in this study. Fecal samples of mothers and infants were analyzed within 30 days of delivery and at 12 months of age. Microbes in the fecal samples of mothers and infants were subjected to analysis of 16S rRNA amplicon sequencing. Results: Abundance of specific taxonomic groups was notably different, but microbial diversity and phylogenetic distances were not significantly different in either maternal or infant groups according to the presence of infant AD. A total of 12 species were selected as differential species in infants with AD compared to healthy infants. Six species were significantly different in the mothers of infants with AD compared to the mothers of healthy infants. Akkermansia muciniphila was only detected in healthy infants and their mothers. Conclusions: These data indicated that the presence of Akkermansia muciniphila in mothers and children after vaginal delivery is associated with the onset and development of AD.

scholarly journals Effect of episiotomy on perineal lacerations in spontaneous vertex deliveries

2016 ◽  
Vol 11 (4) ◽  
Author(s):  
Meherun Nisa
Keyword(s):  
Vaginal Delivery ◽  
Local Anaesthesia ◽  
Analytical Study ◽  
Study Groups ◽  
Perineal Laceration ◽  
Cross Sectional ◽  
Fourth Degree ◽  
Mediolateral Episiotomy ◽  
Perineal Tears ◽  
Perineal Lacerations

Objectives: To evaluate the effects of episiotomy on the frequency of perineal lacerations. Design: Cross-Sectional analytical study. Place & duration of study: Department of Gynae Obstetrics unit III. Lady willingdon Hospital Lahore. From April 1994 to March 1996. Patients & methods: 2918 women who delivered vaginally were included in the study. Only right mediolateral episiotomy incision was used in these cases. Local anaesthesia in the form of 2% Lignocain was used in all cases to infiltrate the area before episiotomy cut. The delivery was conducted in most cases by a resident. The rate of perineal lacerations with or without episiotomy in both primiparae and multiparae groups was noted. Results 2918 women of term singleton babies were entered into this study. Episiotomy was performed in 1419 (48.63%) of these women. There were 1095(37.53%) primiparae and 1823 (62.47%) multiparae in the study groups. The rate of episiotomy in primiparae and multiparae were 93.42% and 21.72% respectively. A total of 267 (9.2%) perineal tears were sustained by these women during vaginal delivery . Episiotomy was associated with 151 (10.6%) perineal tears compared to 116(7.7%) without episiotomy. The incidence of fourth degree perineal laceration was 0.4% without episiotomy but increased to 1% with the use of episiotomy. This difference is statistically significant. Conclusion: Episiotomy is not protective against severe perineal lacerations. A selective use of episiotomy is recommended for appropriate indications.

Frequency of Sciatica in Women after Normal Vaginal Delivery in Lithotomy Position

2021 ◽  
Vol 15 (8) ◽  
pp. 2199-2201
Author(s):  
Jawad Hussain ◽  
Muhammad Saqib ◽  
Nadia Khan ◽  
Sohail Khan ◽  
Fawad Jan ◽  
...  
Keyword(s):  
Sciatic Nerve ◽  
Pregnant Women ◽  
Vaginal Delivery ◽  
Muscle Weakness ◽  
Low Socioeconomic Status ◽  
Sampling Technique ◽  
Normal Vaginal Delivery ◽  
Lithotomy Position ◽  
Cross Sectional ◽  
Function Loss

Background and aim; Reflex changes, distal motor, and sensory involvement are the primary manifestations of secondary sciatica. Sciatica can be diagnosed with a dural mobility test due to pain sensitivity of dura nerve roots and their sleeves. The present study aimed to determine the frequency of sciatica in women after normal vaginal delivery in the lithotomy positions. Materials and Methods: This cross-sectional study was carried out on 56 pregnant women with sciatica from March 2020 to February 2021 at Neurology and Gynaecology departments of Ayub Teaching Hospital, Abbottabad. A conventional sampling technique was used for sample and data collection. Ethical approval and consent were taken from all the individuals who met the inclusive criteria. All the pregnant women of age 25-45 years old with multigravida, primigravidas and neuropathy were enrolled in this study. All the women below or above 325-45 years and who had trauma and surgical intervention before conception were excluded. Symptom-based proforma was used for demographic and baseline characterization. SPSS version 20 was used for statistical data analysis. Results: According to the data of 56 multigravida pregnant women, sciatic nerve compression, and involvement during pregnancy in multigravida women. The mean age of all the women was 35.6 ± 5.73 with an age range between 25 years and 45 years. Sciatica mostly occurs in pregnancy 3rd trimester. The muscles weakness, mild function loss, increased weight, bad posture, and poor economic status are sciatica complications. The prevalence of mild muscle weakness, moderate weakness, and severe weakness were 23 (41%), 25 (44.72%) and 8 (14.28%) respectively. The mild function loss or weakness was 39 (70.51%) while moderate muscle weakness was 17 (29.49%). Conclusion: The present study found that in pregnant multigravida women, the commonly involved nerves are the sciatic nerve and median. Compression neuropathies are common in the third trimester of pregnancy. Compression neuropathies are caused by an increase in weight during pregnancy (above 55 kg), a low socioeconomic status, and poor posture. Keywords: Compression neuropathies, Sciatica, Multigravida

scholarly journals Preferences between Caesarean Section and Normal Vaginal Delivery among the reproductive women in Bangladesh

2020 ◽  
Vol 3 (1) ◽  
pp. 82-89
Author(s):  
Md. Iftakhar Parvej ◽  
Mimma Tabassum ◽  
Nelufa Aktar
Keyword(s):  
Caesarean Section ◽  
Vaginal Delivery ◽  
Reproductive Age ◽  
High Rate ◽  
Normal Vaginal Delivery ◽  
Delivery Mode ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Southern Asia

Amount of death due to pregnancy are gradually decreasing worldwide, among all of these estimated deaths, one-fifth of the maternal death recorded in southern Asia. The increasing rate of caesarean section (CS) delivery and the improved safety of surgical skill are the big reason of reduced pregnancy related mortality rate. Bangladesh has the increasing CS rate on southern Asia. This study aimed to identify the different factors affecting the increasing rate of CS in Bangladesh This cross-sectional survey was conducted between January 2020 - March 2020 among the married women at reproductive age (15-49 years age) having at least one under five years child of Dhaka and Noakhali district in Bangladesh. A questionnaire was designed to survey the preference of their delivery mode. Bivariate logistic regression analysis was performed to identify the factors. A total of 357 Bangladeshi women participated in the survey and 55.7% declared they would prefer normal vaginal delivery (NVD) and 37.3% had no clear preference. The actual scenario was the overall CS rate was 51.8% during 2015-2019. But it was very high (77.8%) for the 40 years and above women. The study revealed several important factors that significantly affect the increasing rate of CS for childbirth. Maternal age, religion, current place of residence, working status, monthly household income, birth order, marital age and year of childbirth were found to have significant effect on the high rate of CS. All those who have had face CS at least once in our study faced various problem, they reported. Most of them was feeling tired to do little work and suffered long term back pain. This study will help policy makers in formulating appropriate programs to cope with this challenge efficiently and effectively. Some Special programs should be taken to increase the social awareness and values to save both mother and child, which may lead to decrease the rate of CS in Bangladesh.

scholarly journals Attitudes of Primary Pregnant Women Toward Preference of Birth Method in Dezful, Iran: A Cross-Sectional Study

2021 ◽  
Vol 4 (1) ◽  
pp. p1
Author(s):  
Mahnaz Nosratabadi ◽  
Nasrin Sarabi ◽  
Leila Masoudiyekta ◽  
Zahra Abbaspoor ◽  
Aziz Kassani
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Cross Sectional Study ◽  
Vaginal Birth ◽  
Normal Vaginal Delivery ◽  
Sectional Study ◽  
Delivery Method ◽  
Cross Sectional

Introduction: Choosing the birth method is a major issue for pregnant women that is affected by multifaceted physiological, psychological and socio-cultural factors. Aim(s): The aim research was performed to explore factors influencing pregnant women’s attitude toward birth method. Methods: This is a cross-sectional study on 220 healthy nulliparous pregnant women with uncomplicated pregnancies without any contraindication for vaginal birth in Medical Centers of Dezful, in the south west of Iran. Data collection tool was a questionnaire for factors affecting the choice of delivery method. Differences in attitude were compared between two groups of natural vaginal delivery preference and cesarean delivery preference. Statistical analysis was performed with SPSS Version 16.0 statistic software package. Descriptive statistics were used to report percentages, mean, and standard deviation, and t-test, chi-square were applied to analyze the data. Results: During the study period, 206 primary pregnant women were examined to determine the attitudinal influencing factors the birth method preference. 131 women (64%) chose the natural delivery method and 71 women (36%) chose the cesarean delivery method. In addition, the results showed a statistically significant difference between the two groups regarding the general attitude of the participants towards natural delivery (164.43 in the normal vaginal delivery (NVD) group versus 134.50 in the cesarean section (CS) group (p < 0.001)). Conclusion: There is a direct relationship between the attitude of pregnant women towards vaginal birth and the tendency to normal vaginal delivery and cesarean section. Also, according to the results of the study of 8 components of attitudes, counseling sessions and prenatal training sessions can be identified based on counseling needs and be guided counseling sessions more purposefully.

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