scholarly journals Vertical Delivery as a Method of Prevention of Obstetric and Perinatal Complications

2019 ◽  
Vol 4 (5) ◽  
pp. 7-13
Author(s):  
M. N. Mochalova ◽  
S. V. Novokshanovа ◽  
V. A. Mudrov

Currently, there are many points of view on management of physiological labor, in particular, it concerns the intrapartum position of a woman. Tactics of modern obstetrics should ensure the safety of motherhood, which in future ensures the prosperity of the state. One of the alternative methods of delivery is the vertical position of a woman in the intrapartum period. It is impossible to describe the whole range of possible positions of a woman in the intrapartum period, the common ones being: lying position (lateral, reclining, lithotomy, Trendelenburg’s, etc.) or upright position (sitting, using a chair for childbirth, standing, squatting, standing on the knees, etc.). Opinions about how the vertical position of a mother in the intrapartum period affects the outcome of childbirth are quite ambiguous. The conclusions of various authors on that matter often contradict each other.The aim of the research was to study the role of vertical delivery in reducing the frequency of obstetric and perinatal complications.Materials: publications of foreign and domestic authors within the period from 1989 to 2017.Methods: systematic analysis and synthesis of literature data.Conclusion: Despite a significant number of studies, it is not possible to determine the universality of the vertical position in childbirth, therefore, the selection of patients for the management of vertical childbirth should be approached carefully. In the presence of pregnancy complications, preference should be given to the classic version of the position in childbirth. In women who have a low risk of perinatal complications, an upright position can be a worthy alternative. To prevent the development of bleeding in the III stage of labor and the early postpartum period, a woman should take a horizontal position after the birth of the fetus. This condition must also be observed when examining the birth canal. Thus, the rational tactics of conducting childbirth is to determine the optimal combination of vertical and horizontal positions at different periods of the childbirth process, taking into account the convenience for the woman in labor. 

2020 ◽  
Vol 5 (1) ◽  
pp. 7-13
Author(s):  
M. N. Mochalova ◽  
V. A. Mudrov ◽  
S. V. Novokshanovа

Rational management of labor refers to the most significant areas of practical obstetrics, since errors in predicting the outcome of labor through the birth canal often lead to the development of birth injury to the mother and fetus. Modern research methods and rational management of childbirth have led to a decrease in perinatal mortality. However, despite these achievements, the incidence of birth injury and subsequent disability of newborns is still at a level that is not acceptable for the XXI century.The purpose of the research was to study the structure and outcome of the generic injury of the fetus.Materials: Literature of foreign and domestic authors within the period from 2003 to 2018.Methods: Systematic analysis and synthesis of literary data.Conclusion: Despite the decline in perinatal mortality, the problem of disability of children, as well as violations of the quality of life due to birth trauma, remains relevant. This requires further study, the introduction of new diagnostic and clinical and prognostic technologies aimed at reducing birth injuries. Prevention of birth injury should be based on timely prenatal diagnosis of fetal macrosomia, determination of the optimal method of delivery, exclusion of iatrogenic factors of aggression during birth through the birth canal.


2016 ◽  
Vol 65 (3) ◽  
pp. 52-63
Author(s):  
Elena V Suslova ◽  
Mariya I Yarmolinskaya ◽  
Vladimir V Potin

Background: to consider the modern ideas of a role of prolactin and dopamine in a pathogenesis of the endometriosis and possibility to apply of agonists of dopamine in disease,s therapy. Materials: literary data of foreign and native authors from 1972 for 2015. Methods: systematic analysis and synthesis of publications. Conclusion: Carrying out further researches of a role of prolactin and dopamine in a pathogenesis of endometriosis and multicenter supervision is necessary for confirmation of safety and effectiveness of therapy by dopamine agonists.


Author(s):  
Manuel Montenegro

The Faculdade de Arquitectura da Universidade do Porto, as an institution, starts in 1979. To its works and the design of the new building for the School (1983-1996) presided the idea of maintaining and building upon two centuries of accumulated pedagogical experience in Architectural teaching, a purpose that will decisively condition the programmatic brief given to Álvaro Siza, and his response to it.From all the requirements, together with the careful selection of the architect and the client, we find a purpose to manage the explosive growth of the school guarding careful consideration of its teaching model. The brief and the design clearly show a strategy of resistance facing the instability of the postmodern condition, strengthening the disciplinary autonomy through the hegemonic centrality of the Design Studio space and its product as the main synthesis of knowledge in Architecture.It is our understanding that this strategy may also have to do with a desire to invest the building with the role of a permanent lesson in architecture, and by immersion, educating its inhabitants in a “particular way of doing and teaching architecture” [Távora, 1991], thus developing in them the capacity for simultaneous analysis and synthesis of architecture, a particular characteristic of the Porto School.


2019 ◽  
pp. 92-96
Author(s):  
Viktoriia Danylenko-Kulchytska

Purpose. The aim of the article is to analyze the changes that have occurred in modern advertising and to find the best ways of advertising the tourism product of Ternopil region. Methodology of research. General and special methods are used in the course of the research, in particular: systematic analysis – to reveal the essence of basic categories; methods of analysis and synthesis – in substantiated the process of finding the best ways to advertise types of tourism; methods of observation and generalization – when considering the changing role of advertising in the modern world. Findings. The characteristic features of modern advertising in the sphere of tourism are considered. Changes in approaches to the advertising process that are taking place in the market are analyzed. The transformation of the advertising consumer himself and the transition of his role from secondary to the main one in initiating the advertising process are analyzed. The ways of promotion of different types of tourism of Ternopil region are offered. Originality. It has been proven that modern advertising has undergone a significant transformation, namely the transition from marketing the advertised product to providing information services about it. It has been established that the consumer of advertising himself has undergone the change. He initiates the advertising process, actively seeking the information he needs. The methods of advertising the tourist product of Ternopil region in terms of its types are offered. Practical value. The obtained results of the study can be used by tourism organizations of Ternopil region in choosing the method of promotion of their services, which will contribute to the constant growth of the number of clients and, accordingly, the successful functioning of the tourist organization in the market. Key words: tourist product; advertising; advertising process; tourist opportunities; types of tourism; advertising means; consumer of advertising; advertising media; advertisers.


2019 ◽  
Vol 8 (3) ◽  
pp. 5572-5579

The article attempted to study the role of management of the region's economic risks. The article is aimed at identifying main regularities determining the risk assessment features in business as a key element contributing to the achievement of economic safety, as well as a comparative analysis of methods of assessment and management of investment risks. The methods of cognition, retrospective and documentary analysis and synthesis, generalization, and systematization were used in the work. The scenario method and the analysis of hierarchies are the most effective ways of reducing the risk in the unstable economic and political situation in Russia. The article discusses important issues of economic safety in the region as part of the country's socio-economic system, as well as economic risks in the region. Decision-making in the context of risk and uncertainty is a fundamental aspect of the activity of an active financial market participant. The logic and probabilistic approach in risk assessment of the sustainable strategy for the region has been analyzed.To create an economic safety strategy, factors that may affect the position of the region are investigated. The most important aspect of the issue of the region's economic safety is the selection of criteria that allow evaluating its level, as well as the calculation of threshold values for each criterion.


1953 ◽  
Vol 47 (2) ◽  
pp. 525-532 ◽  
Author(s):  
V. O. Key

The textbooks contain singularly little systematic analysis of the role of party in local government. They abstract the relevant statutes. They expound more or less orthodox suppositions. Voting on local candidates corresponds closely with presidential voting. Party groups compete for control of local government more or less as they do on the national level. Or, the contrary notion is argued that party has little place in local politics. Personal followings or essentially non-party courthouse cliques determine all. This paper represents a modest attempt, by analysis of Ohio data, to test a few of the standard suppositions and to suggest lines of inquiry that might be fruitful in the study of local politics.Relation of voting for county and presidential candidates. Contrary to the belief that the presidential tide almost invariably carries with it the local candidates of the winning party, the Ohio record indicates a fairly high degree of independence of national party trends in the selection of county officers. Although in most instances a Republican county presidentially chooses Republican county officers and a Democratic county, Democratic county officers, the departures from this consistency are of sufficient magnitude to excite attention.


2010 ◽  
Author(s):  
Aja Taitano ◽  
Bradley Smith ◽  
Cade Hulbert ◽  
Kristin Batten ◽  
Lalania Woodstrom ◽  
...  

2016 ◽  
Vol 04 (01) ◽  
pp. 4-10

AbstractImmunosuppression permits graft survival after transplantation and consequently a longer and better life. On the other hand, it increases the risk of infection, for instance with cytomegalovirus (CMV). However, the various available immunosuppressive therapies differ in this regard. One of the first clinical trials using de novo everolimus after kidney transplantation [1] already revealed a considerably lower incidence of CMV infection in the everolimus arms than in the mycophenolate mofetil (MMF) arm. This result was repeatedly confirmed in later studies [2–4]. Everolimus is now considered a substance with antiviral properties. This article is based on the expert meeting “Posttransplant CMV infection and the role of immunosuppression”. The expert panel called for a paradigm shift: In a CMV prevention strategy the targeted selection of the immunosuppressive therapy is also a key element. For patients with elevated risk of CMV, mTOR inhibitor-based immunosuppression is advantageous as it is associated with a significantly lower incidence of CMV events.


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