scholarly journals Study of Maternal and Fetal Outcome among Booked and Unbooked Patients at tertiary Hospital

2020 ◽  
Vol 5 (2) ◽  
pp. 1027-1030
Author(s):  
Shanti Sunuwar Subedi ◽  
Rakina Bhansakarya ◽  
Sajjan Kumar Sharma

Introduction: To evaluate the maternal and perinatal outcome in booked and unbooked cases. Objectives: To assess the maternal and fetal outcomes in unbooked and booked patients. Methodology: This was a cross-sectional comparative study conducted in the Department of Obstetrics and Gynecology from Augustti2019 to January 2020. Using a convenient sampling technique, 204 samples were taken and cross-sectional study was done. Results: There were total 204 cases in this study;102were booked and 102 were unbooked. In this study, 85(83%) of booked cases were educated up to secondary level as compared toti65 (64%) of unbooked cases. There was no significant difference in Apgar score in 1 and 5 minute between booked and unbooked cases. More babies in the unbooked group were transferred to NICU as compared to the booked group and the difference was significant (9.8%vs 1.9%). Greater proportion of booked cases had spontaneous vaginal delivery (81.3% vs 59.8%) and complications like preterm delivery, anemia, preeclampsia/ eclampsia, complicated labor and puerperal sepsis was also less in the booked group. Conclusions: The study showed that unbooked mothers and their newborns had higher chance of having complications.

2017 ◽  
Vol 6 (1) ◽  
pp. 15-20
Author(s):  
Fatima Bichi ◽  
Dr. Shumaila Hanif

Diastasis Recti (DR) is a common muscular condition often present during and after pregnancy. This cross-sectional correlational study investigated the prevalence of DR among pregnant and postpartum women. A total of 250 pregnant and postpartum women were recruited using convenience sampling technique from obstetrics and gynaecology department, Aminu Kano Teaching Hospital, Kano, Nigeria. Age, body mass, height, BMI, parity, trimester, duration of DR postpartum, location of DR and DR status was recorded for each participant. Presence of DR was confirmed using the finger width method. Descriptive statistics of mean, SD, percentage were used to describe the data and determine the prevalence. Inferential statistics of Pearson’s and Spearman’s correlation were used to analyse the relationship between prevalence of DR and age, parity and duration of DR postpartum. Chi square was computed to determine the difference in prevalence of DR across trimesters. The result of this study indicated high prevalence of DR in post-partum and pregnant women (84% and 64.7% respectively); the most common location of DR was at the umbilicus in both pregnant and postpartum women. Prevalence of DR was high among the multigravida; and a significant relationship was found between prevalence of DR and age and parity of participants. There was a significant difference in prevalence of DR across the trimesters. It can be concluded that prevalence of DR among pregnant and postpartum women is high; age and parity are determinants of DR prevalence. Evaluation of DR should be considered as routine assessment in both pregnant and postpartum women.


2021 ◽  
Vol 8 (9) ◽  
pp. 491-496
Author(s):  
Chirayu N. Pandya ◽  
Donald S. Christian ◽  
Mansi M. Patel

BACKGROUND Smartphone use has gone tremendously up throughout the world during the past decade and addiction potential is well documented among the users. Smartphone addiction among adolescents and young adults should be seen with caution as they lay the foundations not only for their healthy lives but also of the country’s future and its economy, they live in. METHODS Both school and college students aged between 15 - 24 years were enrolled in this cross sectional study, using systematic random sampling technique to determine smartphone addiction potential through Smartphone Addiction Scale (SAS). The possible factors contributing to SAS scores were also determined through statistical tests (Chi-square test, Kruskal-Wallis H test and Mann Whitney U test). RESULTS Among a total of 239 respondents of age 15 to 24 years (mean age 18.5 ± 2.35 years), there were 124 (51.9 %) females and 231 (96.7 %) belonged to the urban area. Most of the participants were studying in high school (40.6 %) followed by medical field (40.2 %). A total of 110 (46 %), students had used their smartphone commonly for social media purpose, followed by entertainment purpose (29.3 %), education (36 %), web surfing (20 %). The median daily usage of smartphone was found to be 4 hours among participants. The mean score of SAS was found to be 103.59 ± 25.08. There was statistically significant difference in SAS score according to age group, according to their smartphone usage per day, according to common purpose of usage of smartphone and also according to their streams, and monthly expenses the student spends to recharge their smartphone. CONCLUSIONS Smartphone addiction potential was determined according to various social and demographic characteristics. Factors causing smartphone addiction should be tackled by multiple stakeholders to reduce the chances of addiction due to smartphone and to protect them from future health consequences. KEYWORDS Adolescent, Smartphone Addiction, Smartphone Addiction Scale, Young Adults


Author(s):  
Anupama Dhiman ◽  
Naveen K. Goel ◽  
Dinesh Kumar ◽  
Navpreet . ◽  
Abhiruchi Galhotra

Background: Antenatal care (ANC) provides an important opportunity to improve maternal understanding about pregnancy, childbirth, and care of the newborn. Adequate and quality ANC can help ensure a favourable pregnancy outcome, but the coverage of ANC in India remains inadequate. The present study was conducted with an objective to assess ante natal counselling services at health centers in Chandigarh Tricity.Methods: The cross-sectional study was conducted in the Chandigarh Tricity during April 2012 to September 2013. Stratified multistage sampling technique was used to select health centers in tricity. A total of 345 pregnant women in second and third Trimester were interviewed with the help of pre-designed, structured and pre-tested questionnaire after taking their written informed consent. It was supplemented by observation of ante natal sessions. Data was entered and analyzed using SPSS version 19.Results: Nearly one-fourth (28.1%) participants received counselling regarding diet and rest. Only 26 (07.5%) participants were explained about danger signs during pregnancy. Significant difference was found between counseling given regarding ‘diet and rest’ with respect to city (p=0.03) and health centers (p=0.00). Significant difference was found between counselling for ‘family planning’ with respect to city (p=0.01) and health centers (p=0.00).Conclusions: Findings from our study indicate low level of counselling on various components of ANC. Thus, strategies under National Health Mission to improve quality of antenatal communication as well as maternal understanding should be strengthened.


Author(s):  
Raimundo Homero Carvalho Neto ◽  
Antonio Brazil Viana Junior ◽  
Antonio Fernandes Moron ◽  
Edward Araujo Júnior ◽  
Francisco Herlânio Costa Carvalho ◽  
...  

Abstract Objective To evaluate the ability of the pubic arch angle (PAA) as measured by transperineal ultrasonography during labor to predict the delivery type and cephalic pole disengagement mode. Methods The present prospective cross-sectional study included 221 women in singleton-gestational labor ≥ 37 weeks with cephalic fetuses who underwent PAA measurement using transperineal ultrasonography. These measurements were correlated with the delivery type, cephalic pole disengagement mode, and fetal and maternal characteristics. Results Out of the subjects, 153 (69.2%) had spontaneous vaginal delivery, 7 (3.2%) gave birth by forceps, and 61 (27.6%) delivered by cesarean section. For the analysis, deliveries were divided into two groups: vaginal and surgical (forceps and cesarean). The mean PAA was 102 ± 7.5° (range, 79.3–117.7°). No statistically significant difference was observed in delivery type (102.6 ± 7.2° versus 100.8 ± 7.9°, p = 0.105). The occipitoanterior position was seen in 94.1% of the fetuses and the occipitoposterior position in 5.8%. A narrower PAA was found in the group of surgical deliveries (97.9 ± 9.6° versus 102.6 ± 7.3°, p = 0.049). Multivariate regression analysis showed that PAA was a predictive variable for the occurrence of head disengagement in occipital varieties after birth (odds ratio, 0.9; 95% confidence interval, 0.82–0.99; p = 0.026). Conclusion Ultrasonographic measurement of the PAA was not a predictor of delivery type, but was associated with the persistence of occipital varieties after birth.


Author(s):  
Naivah Harharah

Objective: To compare serum Anti Müllerian Hormone (AMH) levels in infertile women with and without endometriosis, and to determine the mean levels of serum AMH in every stage of endometriosis. Method: We performed a cross-sectional study. Sixty-eight subjects who have undergone laparoscopy and fulfilled both inclusion and exclusion criteria are recruited consecutively. They are divided into two groups, namely group with endometriosis and without endometriosis. Blood samples are taken from each subject before laparoscopy, where serum AMH levels are then measured. The difference in mean levels of each group are tested with Mann-Whitney test. Result: The mean levels of serum AMH were significantly lower in the endometriosis group than those in the group without endometriosis (2.30 1.8 ng/ml vs 3.75 2.13 ng/ml; p=0.005). Using Kruskal-Wallis test, it was found that there was a statistically significant difference among endometriosis groups based on the severity of endometriosis. There was no significant difference in the mean serum AMH levels between the minimal-mild endometriosis group and without endometriosis group (p=0.34), but the mean levels of serum AMH were significantly lower in the moderate-severe endometriosis compare to the group without endometriosis (p


2020 ◽  
Vol 36 (5) ◽  
Author(s):  
Melike Mercan Baspınar ◽  
Okcan Basat

Objectives: To assess inappropriate analgesic use (IAU) by comparison of STOPP/START Version-2 and Beers 2019 criteria. Methods: This is a cross-sectional study of 331 elderly patients admitted to family medicine clinics at a tertiary hospital between February and July 2018. Data were collected from face-to-face surveys, including informed patient consent and electronic drug monitoring databases. Results: The presence of IAU by STOPP version2 was higher than the Beers criteria (19.6%, 14.5%, respectively; P<0.04; Z= –2.5) with a moderate agreement (Kappa= 0.458). The number of drugs and pain score were predictors of IAU. The most commonly caused IAU was diclofenac, although naproxen was the most used analgesic. Almost 39% of diclofenac use, 18.5% of naproxen use, and 33% of etodolac use were IAU. Most commonly, IAU reasons were; (i) NSAID use in hearth failure (Beers) (ii) NSAID use with an antiplatelet agent(s) without PPI (STOPP). Conclusions: The difference between criteria in terms of IAU was significant in favor of STOPP V2. doi: https://doi.org/10.12669/pjms.36.5.2331 How to cite this:Baspınar MM, Basat O. Evaluation of the Rational Analgesic use in elderly adults: A cross-sectional study. Pak J Med Sci. 2020;36(5):---------. doi: https://doi.org/10.12669/pjms.36.5.2331 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2020 ◽  
Vol 7 (1) ◽  
pp. 51-62
Author(s):  
Sabita Pandey Bashyal ◽  
Narbada Thapa

Background: Hypertension has a great impact on cardiovascular disease and death all over the world. Low and middle-income countries including Nepal are facing higher disease burden because of complications arise from uncontrolled hypertension. Patient’s knowledge and perception play an important role for the proper management of hypertension. There are limited studies related to knowledge and perception of hypertension, therefore, this study aimed to assess the knowledge and perception of hypertension among hypertensive patients at a tertiary hospital in Nepal. Methods: This is a hospital based, mixed-method, cross-sectional study which was conducted among 400 hypertensive patients in the outpatient department of Sahid Gangalal National Heart Center, Kathmandu, Nepal. Patients who were diagnosed as hypertensive at least 6 months before were selected by simple random sampling technique and were interviewed using semi- structured questionnaire, and interview schedule from March to May 2019. Data were analyzed using descriptive and inferential statistics.    Results: The mean age of the respondents was 58.86 ±11.07 years and nearly half (47.8%) of them were in the age group of 60 years and above. More than half, (58%) were male, 77.8% were overweight, about half of them had a significant family history of hypertension with first degree relatives. Regarding the knowledge, the total mean score was 16.16±3.032 and had significant difference with age (p= 0.002), gender (p=.000), education (p=0.002), occupation (p=0.000), and duration of HTN diagnosis (p=0.000). Majority of them perceived hypertension as less serious illness and had significant difference with education level (p=0.001) and duration of HTN diagnosis (p=0.000). Conclusions: Majority of participants had inadequate knowledge of hypertension and they perceived hypertension as less severe illness which might hinder the adherence to treatment recommendations. Hence, mass awareness program strategies might be helpful to increase hypertension related knowledge and perception.


2019 ◽  
Vol 6 (1) ◽  
pp. 40
Author(s):  
Putu Ardiya Suginama ◽  
I Made Kerta Duana

ABSTRAK Hipertensi adalah salah satu gangguan kesehatan yang disebabkan oleh berbagai faktor, salah satunya adalah paparan bising. Tenaga kerja di unit pembangkit listrik merupakan salah satu profesi yang berisiko mengalami hipertensi. Tujuan penelitian ini adalah untuk mengetahui gambaran kejadian hipertensi berdasarkan karakteristik (umur, pendidikan dan masa kerja), kepatuhan penggunaan APT, jarak paparan dan paparan bising. Desain penelitian yang digunakan adalah cross sectional study. Teknik pengambilan sampel menggunakan simpel random sampling, dengan jumlah sampel sebanyak 79 tenaga kerja di PT Indonesia Power UBP Bali. Alat yang digunakan tediri dari kuisioner, sphygmomanometer, dan sound level meter. Analisis data dilakukan secara deskriftif dengan menggunakan tabel distribusi yang disertai dengan penjelasan pada tabel. Hasil penelitian menunjukkan bahwa kejadian hipertensi lebih banyak ditemukan pada kelompok umur ?40 tahun (47,2%), responden dengan pendidikan tinggi (44,4%), masa kerja ?5 tahun (51,9%),  responden yang tidak patuh  dalam menggunakan alat pelindung telinga (83,3%), responden yang bekerja pada radius I dan II (43,6%), dan pada  paparan bising lebih dari atau sama dengan 85 dB(A) (45,8%). Kejadian hipertensi lebih tinggi secara bermakna pada kelompok umur ?40 tahun (p=0,028), masa kerja ?5 tahun (p=0.004), responden yang tidak patuh dalam penggunaan alat pelindung telinga (p=0,000) %), responden yang bekerja pada radius I dan II (p=0.008), dan pada paparan bising lebih dari atau sama dengan 85 dB(A) (p=0,000). Sedangkan tingkat pendidikan tidak menunjukkan perbedaan yang bermakna terhadap kejadian hipertensi (p=0,082). Perusahaan harus lebih meningkatkan pengendalian kebisingan baik pada sumber kebisingan (sillincer atau barrier), maupun pada penerima (penggunaan APT, meminimalisir faktor risiko hipertensi lainnya) Kata kunci: Hipertensi, Paparan Bising, Pembangkit Listrik   ABSTRACT Hypertension is one of the health problems caused by various factors, one of which is noise exposure. Labor in power generation units is a profession that is at risk of experiencing hypertension. The purpose of this study was to determine the description of the incidence of hypertension based on characteristics (age, education and years of service), compliance with the use of APT, exposure distance and noise exposure. The research design used was cross sectional study. The sampling technique uses simple random sampling, with a total sample of 79 workers at PT Indonesia Power UBP Bali. The tools used consist of questionnaires, sphygmomanometers, and sound level meters. Data analysis was carried out descriptive using a distribution table accompanied by an explanation in the table. The results showed that the incidence of hypertension was more often found in the age group ?40 years (47.2%), respondents with higher education (44.4%), tenure of ?5 years (51.9%), respondents who were not compliant in using ear protection (83.3%), respondents who worked at radius I and II (43.6%), and at noise exposure more than or equal to 85 dB (A) (45.8%). The incidence of hypertension was significantly higher in the age group ?40 years (p = 0.028), work period ?5 years (p = 0.004), respondents who were not compliant in the use of ear protection equipment (p = 0,000)%), respondents who worked at radius I and II (p = 0.008), and at noise exposure more than or equal to 85 dB (A) (p = 0,000). While the level of education did not show a significant difference in the incidence of hypertension (p = 0.082). Companies must further improve noise control both at the source of noise (sillincer or barrier), and at the recipient (use of APT, minimizing other risk factors for hypertension). Keywords: Hypertension, Noise Exposure, Power Plants


2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Ivanny Kasenda ◽  
Sylviah Marunduh ◽  
Herlina Wungouw

Abstract: The pulse is a pressure that is delivered in the form of a wave when the heart pumped up blood around the body.  Pulse is determined by the elasticity of blood vessels.  There are research showing the difference in pulse rate in the highlands and lowlands.  This research aimed to determine the ratio between the pulse of the people that live in the highlands (mountain area) and lowlands (coastal area). This research is an analytic method using cross sectional study.  The subjects of this research is 80 people living in the highlands and 80 people living in the lowlands.  The subjects are 18-65 years, physically and mentally healthy and they have been living at the area for 5 years.  The data were analyzed using non-parametric test Mann Whitney test. Based on the results of the Mann Whitney statistical test, it shows that there is a difference between the result  of pulse measurement  of the people living in the highlands and lowlands with asymp value. Sig. (2-tailed) α = 0:03 (α <0.05), which means that there are significant difference between highlands and lowlands. The result of this research can be concluded that there is a significant difference in the measurement of the pulse between people living in the highlands and lowlands. Keywords: Pulse, highlands, lowlands.     Abstrak: Denyut nadi adalah suatu tekanan yang dihantarkan dalam bentuk gelombang saat darah dipompa jantung ke seluruh tubuh. Denyut nadi ditentukan oleh elastisitas pembuluh darah. Terdapat penelitian yang menunjukkan adanya perbedaan denyut nadi di dataran tinggi dan dataran rendah. Penelitian ini bertujuan untuk mengetahui perbandingan denyut nadi  antara penduduk yang tinggal di dataran tinggi (daerah pegunungan) dan dataran rendah (daerah pesisir pantai). Jenis penelitian ini adalah bersifat metode analitik dengan pendekatan rancangan cross sectional study. Subjek dari penelitian ini adalah 80 orang yang tinggal di dataran tinggi dan 80 orang yang tinggal di dataran rendah. Subjek berumur 18- 65 tahun, sehat jasmani dan rohani serta tinggal menetap 5 tahun. Data di analisis menggunakan uji non parametrik yaitu uji Mann Whitney. Berdasarkan hasil uji statistik Mann Whitney menunjukkan bahwa ada perbedaan hasil pengukuran denyut nadi antara penduduk yang tinggal di dataran tinggi dan dataran rendah dengan nilai asymp. Sig. (2-tailed) α = 0.03(α < 0.05) yang berarti terdapat perbedaan yang bermakna antara dataran tinggi dan dataran rendah. Hasil penelitian ini dapat disimpulkan bahwa terdapat perbedaan yang bermakna pada pengukuran denyut nadi antara penduduk yang tinggal di dataran tinggi dan dataran rendah. Kata kunci denyut nadi, dataran tinggi, dataran rendah.


2019 ◽  
Vol 57 (215) ◽  
Author(s):  
Suraj Thulung ◽  
Kajan Ranabhat ◽  
Suresh Bishokarma ◽  
Dinesh Nath Gongal

Introduction: The skull’s main function is to protect the brain. Total skull bone thickness is the total thickness of diploe and the external and internal tables. The measurement of the human skull based on CT images results are of great practical value in the fields of anatomy, clinical medicine, biomechanics study and head injury analysis. There are few literatures about imaging assisted measurement of the cranial vault thickness while sparse literature among Nepalese population. In this study, we aim to measure the thickness of Nepalese calvarian bones and find the difference between gender and ethnic groups.Methods: This was a descriptive cross-sectional study conducted in our center during a period of 6 months. Patient of age 15 to 50 years with normal CT finding were included in the study. Using the axial view of brain CT, the thickness of cranial vault was measured and recorded in millimeter. Results: Among 100 patients, 51 were male and 49 were female. Mean thickness of frontal bone, parietal, temporal and occipital bone were 8.02±1.97 mm, 7.04±1.43 mm, 4.71±1.34 mm and 7.98±2.47 mm respectively. Conclusions: There was no significant difference in cranial vault thickness among sex or ethnical groups in patients of a hospital. Keywords: cranial vault; ethnicity; Nepalese; thickness.


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