scholarly journals Comprehensive Emergency Obstetrical and Neonatal Care (CEmONC) at Karnali Academy of Health Sciences, Teaching Hospital, Jumla

2018 ◽  
Vol 1 (3) ◽  
pp. 31-34
Author(s):  
Saraswoti Kumari Gautam Bhattarai ◽  
M. Dahal
Keyword(s):  
Cesarean Section ◽  
Teaching Hospital ◽  
Newborn Care ◽  
Secondary Data ◽  
Sampling Technique ◽  
Fetal Distress ◽  
Neonatal Care ◽  
Ethical Review ◽  
Maternity Ward ◽  
Cross Sectional

Introduction: Providers skilled in emergency obstetric and newborn care (EmONC) services are essential, particularly in countries like Nepal with a high burden of maternal and newborn mortality. So this study aims to find out the status of comprehensive emergency obstetrical and neonatal care (CEmONC) service. Method: A retrospective cross-sectional study was conducted using secondary data sources at maternity ward of KAHS teaching hospital, Jumla. Total 291 women admitted in maternity ward for childbirth were included in the study of six month period of 2075. Sampling technique was census for the study who were admitted for child birth purpose. Cases were selected from the record of the maternity ward. The data was collected by using structured tool. Ethical approval was taken from the ethical review committee of KAHS for ethical clearance. Data was analyzed by using descriptive statistics. Result: There were 291 women admitted in the maternity ward for the purpose of childbirth during six-month period. Among them 224(76.97%) women delivered baby by spontaneous vaginal delivery; 61(20.96%) delivered with C/S and 6(2.06%) were delivered with instrumental delivery. Regarding the indication of 61 cesarean section (C/S) delivery; 22.95% with fetal distress, 16.39% with cephalopelvic disproportion and 11.47% with meconium stained liquor Conclusions: About one third childbirth was done by cesarean section with indication of fetal distress, cephalo-pelvic disproportion and meconium stained liquor in higher proportion. Although CEONC service is effective, the rate of cesarean section can be reduced by providing good quality antenatal care.

scholarly journals Factors Associated for Caesarean Section among Mothers Attending in Teaching Hospital, Chitwan

2020 ◽  
Vol 6 (1) ◽  
pp. 39-49
Author(s):  
Indira Adhikari Poudel ◽  
B Bhattarai ◽  
P Dhakal
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Teaching Hospital ◽  
College Teaching ◽  
Sampling Technique ◽  
Fetal Distress ◽  
Cross Sectional ◽  
Medical College ◽  
Health Experts ◽  
Previous Cesarean

Correction: The page numbers were changed from 57-67 to 39-49 on 31/08/2020. Background: Cesarean section (CS) rate has increased rapidly over the past two decades in world. It is serious concern for public health experts globally. Various medical and non-medical factors, such as maternal socio-demographics, are found to be responsible for this upsurge. Like in other countries, the rate of caesarean sections has increased in Nepal as well. Therefore, there is a need to investigate the factors behind this increase. Objectives: To identify the factors associate for caesarean section among mothers attending at teaching hospital, Chitwan Methods: A cross sectional analytical study was conducted using total enumerative sampling technique in the maternity ward of Chitwan Medical College Teaching Hospital. Interview was done with closed ended Questionnaire for data collection, a total number of 139 mothers after 24 hours cesarean section (CS). Results: The study shows that, nearly three- quarters (71.2%) of CS were performed as an emergency. There are mainly fetal, maternal and placental indication for cesarean section. The most frequent indications were: previous cesarean section (22.3%), thick Meconium stained liquor (12.2%), fetal distress (10.6%) and oligohydramnios (7.2%).

scholarly journals Evaluation of caesarean section practices according to Robson's 10-group classification at a level two maternity ward in Conakry, Guinea

2019 ◽  
Vol 8 (11) ◽  
pp. 4468
Author(s):  
Daniel W. A. Leno ◽  
Mamoudou E. Bah ◽  
Jerry C. Moumbagna ◽  
Tamba M. Millimouno ◽  
David Lamah ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Medical Center ◽  
Caesarean Section Rate ◽  
Relative Size ◽  
Newborn Care ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
Maternity Ward ◽  
Cross Sectional ◽  
Robson Classification

Background: The frequency of caesarean sections (CS) increased dramatically in the world over the last twenty years. The objective of this study was to evaluate caesarean section practices based on Robson classification in an urban referral hospital in Conakry, GuineaMethods: We conducted a cross-sectional study of 2,266 birthing records collected at the maternity ward of the Coronthie Communal Medical Center in Conakry, from January 1st to December 31st 2016. We included in the study all women who had a caesarean section and whose medical records were complete. Robson's classification was used to classify women into 10 groups based on maternal and fetal characteristics. The relative size of each group, its gross caesarean section rate as well as its contribution to overall caesarean section rate and the main caesarean section indications were calculated.Results: In 2016, 769 caesarean sections were performed out of 2,266 deliveries, corresponding to a hospital section rate of 33.9%. Groups 5 (11.0%), 1 (4.8%), and 3 (4.3%) of the Robson classification were the most contributors to registered hospital caesarean section rate. The main indications for caesarean section were uterine scar in group 5 and acute fetal distress in groups 1 and 3.Conclusions: The systematic reference to the Robson classification could help to identify and avoid the relative indications of the caesarean section in urban Guinea. Besides, increasing induction of labor and strengthening providers’ capacities in emergency obstetric and newborn care services could contribute to reduce caesarean section rates in Guinea.

scholarly journals Appraisal of caesarean section incidence and indications at manipal teaching hospital, Pokhara, Nepal

2021 ◽  
Vol 12 (1) ◽  
pp. 50-54
Author(s):  
Aashika Shrestha ◽  
Junu Shrestha ◽  
Sangeeta Devi Gurung
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Teaching Hospital ◽  
Secondary Data ◽  
Fetal Distress ◽  
Lower Segment Caesarean Section ◽  
Other Information ◽  
Future Pregnancy ◽  
One Year ◽  
The One

Background: Worldwide lower segment caesarean section (LSCS) is the most commonly performed obstetric operation. Though it’s a lifesaving procedure it is sometime associated with both short and long term risk which can extend many years beyond current delivery and affect health of mother, fetus and future pregnancy. Aims and Objective: The study aims to examine the incidence and indication of caesarean section at Manipal teaching hospital. Materials and Methods: A retrospective descriptive study of 2140 cases was carried out at a teaching hospital in Pokhara, Nepal. Data regarding total number of vaginal delivery and caesarean section performed in 1 year duration from August 2019 to July 2020 was obtained from the operation record book and medical record section of hospital. Other information regarding age, parity, gestational period and indication of cesarean section were obtained and depicted in tabulated form. The collected secondary data has been analyzed employing frequencies and percentage. Results: During the one year study period, 2140 deliveries were made out of which 1170 (54.7%) cases underwent caesarean section. Out of those cases 78.8% of women underwent emergency LSCS. Most of the women were in the age group of 21-30 years (69.2%). In 81.2% cases caesarean was done between 38-42 weeks gestation. 52.3% of cases were multigravida, 43.8% were primigravida and only 3.1% were grand multigravida. Most common indication of caesarean were fetal distress (23.7%), previous LSCS (23%), cephalopelvic disproportion (15.6%), oligohydramnios (11%) followed by breech, preeclampsia, eclampsia and non-progress of labour. Conclusion: This study revealed that the incidence of caesarean section was high in the hospital and majority of the patients who underwent caesarean section had an emergency caesarean section. The commonest indications were fetal distress and repeat cesarean section. The issue requires further investigation to identify reasons for high CS rate and raises necessity of policy guidelines and intervention in order to prevent possible unjustified use of surgical delivery.

scholarly journals Knowledge and Practice on Neonatal Care Among Postnatal Mothers in A Selected Teaching Hospital, Kaski District, Nepal

2021 ◽  
Vol 8 (1) ◽  
pp. 279-284
Author(s):  
Muna Bhattarai ◽  
Rajmi Gurung ◽  
Sunita Gurung ◽  
Sharmila Poudel ◽  
Janaki Mahato ◽  
...  
Keyword(s):  
Care Delivery ◽  
Newborn Care ◽  
Sampling Technique ◽  
Neonatal Care ◽  
Good Knowledge ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Postnatal Mothers ◽  
Knowledge And Practice

Newborn care is an essential component of the health care delivery system to maintain the optimal health of the newborn and reduce mortality and morbidity in newborn. Neonatal care refers to the services which are provided by the mother to their neonates such as maintaining thermoregulation, breastfeeding, hygiene, immunization, and care of umbilical cord. The objective of the study was to assess the knowledge and practice of neonatal care among postnatal mothers. A descriptive cross-sectional study design was adopted and 150 postnatal mothers were selected using a non-probability, convenient sampling technique. Data were collected by using semi-structured interviews with a Likert scale and analyzed by using descriptive and inferential statistics. The study result revealed that 60.7 percent of the postnatal mother was aged between more than 25 years. The majority of the postnatal mother (60.7%) of had good knowledge and majority of the respondent (80.7%) of had adequate practice regarding neonatal care. Among multigravida mothers, the majority (61.9%) had good knowledge of neonatal care. Where among primigravida mothers, majority (54.2%) had good knowledge. Among multigravida mothers, the majority (78.6%) had adequate practices on neonatal care.Wheres among primigravida mothers; majority (91.7%) had adequate practices. There is a significant association between the level of knowledge and age (P=0.020), occupational status (P= 0.027), and type of family (p= 0.004). It is concluded that multigravida mothers had good knowledge and adequate practices compared to primigravida mothers. Hence, there is a need for awareness programs by government and non-government organizations, especially among first-time pregnant mothers. Int. J. Soc. Sc. Manage. Vol. 8, Issue-1: 279-284

scholarly journals HEPATITIS C VIRUS (HCV) INFECTION

2015 ◽  
Vol 22 (11) ◽  
pp. 1403-1408
Author(s):  
Aiza Sajjad ◽  
Shahnawaz Gardezi ◽  
Fatima Mukhtar ◽  
Amna Anjum ◽  
Qiarush Saeed ◽  
...  
Keyword(s):  
Hepatitis C ◽  
Teaching Hospital ◽  
Sampling Technique ◽  
Safe Sex ◽  
Cross Sectional Study ◽  
Continuous Variable ◽  
Categorical Variables ◽  
Ethical Review ◽  
Cross Sectional ◽  
Study Results

Background: With a high magnitude of hepatitis C in the country and theburden still rising it was imperative to assess the knowledge of HCV infected individuals, whichwould determine the further spread of the disease or otherwise based on the adoption of goodpractices by these patients. Objectives: To evaluate the knowledge and practice regardingHCV in Hepatitis C patients presenting at Ghurki Trust Teaching Hospital, Lahore and toformulate recommendations based on study results to improve knowledge about hepatitisC. Study Design: Descriptive cross-sectional study. Setting: Ghurki Trust Teaching Hospital(GTTH), Lahore. Period: January to May 2015. Methods: The patients of hepatitis C registeredat GTTH for treatment were included in the study after obtaining voluntary informed consentfrom the respondents and approval of the study from the institutional ethical review board. Theconvenience non-probability sampling technique was used to recruit 169 study participants.A pre-tested structured questionnaire was used to collect information, which was recordedand analyzed using the statistical package for social sciences version 21.0. Data is describedin the form of frequencies and percentages for categorical variables and mean and standarddeviation for continuous variable. Results: Of the 169 HCV patients, 110(65%) had heard ofhepatitis C before acquiring it, the popular source of information regarding HCV was identifiedas relatives by 67(39.8%) of the patients. 70(41.4%) of the respondents were aware of a virusbeing the cause of hepatitis C, 140(82.8%) knew that HCV can be spread through sharinginjecting equipment, nearly half the respondents 87(51.5%) had asked their family membersto get tested for HCV and 68(40.2%) patients practiced safe sex. Conclusion: Majority of therespondents had heard of HCV before acquiring the disease. A large proportion of patients wereaware of the disease being spread through sharing injecting equipment. Half of the patients hadtheir family members tested for HCV. But less than half practiced safe sex.

scholarly journals Assessment of patients waiting and service times in the ophthalmology clinic of a public tertiary hospital in Nigeria

2020 ◽  
Vol 54 (4) ◽  
pp. 231-237
Author(s):  
Lateefat B. Olokoba ◽  
Kabir A. Durowade ◽  
Feyi G. Adepoju ◽  
Abdulfatai B. Olokoba
Keyword(s):  
Waiting Time ◽  
Waiting Times ◽  
Sampling Technique ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Ethical Review ◽  
Cross Sectional ◽  
Arrival Times ◽  
The Mean ◽  
Service Times

Introduction: Long waiting time in the out-patient clinic is a major cause of dissatisfaction in Eye care services. This study aimed to assess patients’ waiting and service times in the out-patient Ophthalmology clinic of UITH. Methods: This was a descriptive cross-sectional study conducted in March and April 2019. A multi-staged sampling technique was used. A timing chart was used to record the time in and out of each service station. An experience based exit survey form was used to assess patients’ experience at the clinic. The frequency and mean of variables were generated. Student t-test and Pearson’s correlation were used to establish the association and relationship between the total clinic, service, waiting, and clinic arrival times. Ethical approval was granted by the Ethical Review Board of the UITH. Result: Two hundred and twenty-six patients were sampled. The mean total waiting time was 180.3± 84.3 minutes, while the mean total service time was 63.3±52.0 minutes. Patient’s average total clinic time was 243.7±93.6 minutes. Patients’ total clinic time was determined by the patients’ clinic status and clinic arrival time. Majority of the patients (46.5%) described the time spent in the clinic as long but more than half (53.0%) expressed satisfaction at the total time spent at the clinic. Conclusion: Patients’ clinic and waiting times were long, however, patients expressed satisfaction with the clinic times.

scholarly journals HUBUNGAN PENGETAHUAN, SIKAP DAN PERSEPSI IBU DENGAN STATUS IMUNISASI DASAR DI WONOKUSUMO

2019 ◽  
Vol 7 (1) ◽  
pp. 67
Author(s):  
Tri Anisca Dillyana
Keyword(s):  
Data Collection ◽  
Hepatitis B ◽  
Secondary Data ◽  
Sampling Technique ◽  
Primary Data ◽  
Immunization Program ◽  
Cross Sectional ◽  
Urban Village ◽  
Immunization Status ◽  
To Receive

Background: Basic immunization is the first immunization that should be given to everyone, especially infants and children from birth to protect lifes from dangerous diseases. The immunization program in Indonesia requires every infant (0-11 months) to receive complete basic immunization consist of 1 dose of Hepatitis B, 1 dose of BCG, 3 doses of DPT-HB-Hib, 4 doses of polio, and 1 dose of measles. Basic Immunization in RW 8 Wonokusumo Urban Village in 2017 has not reached the target. Only 73 infants (67%) of 108 have received complete basic immunization which the target of Puskesmas is 95%. This study aims to know the correlation of knowledge, attitude and mother perception with the basic immunization status in Wonokusumo. This study is an observational analytic research with quantitative approach. The study was cross sectional with a sample of 39 respondents. The sampling technique used is purposive sampling. Respondents in this study are mothers who have children under three and have KMS in RW 8 Wonokusumo Urban Village. Primary data collection techniques obtained from questionnaires while secondary data obtained from Wonokusumo Puskesmas and Surabaya City Health Office reports .The result of bivariate statistic test shows that there is correlation between knowledge, attitude, and mother perception with the immunization status of children under three with p = 0,001 (p < 0,05). Conclusion: There is correlation between knowledge, attitude, and mother perception with the basic immunization status in RW 8, Wonokusumo Village.

scholarly journals Hubungan Pemberian Anestesi Regional Dengan Kelancaran ASI Pada Ibu Post Partum Sectio Caesarea Di Rumah Sakit Muhammadiyah Gresik

2020 ◽  
Vol 7 (2) ◽  
pp. 42
Author(s):  
Vina Rahmatika ◽  
Musa Ghufron ◽  
Nenny Triastuti ◽  
Syaiful Rochman
Keyword(s):  
Breast Milk ◽  
Caesarean Section ◽  
Post Partum ◽  
Secondary Data ◽  
Sampling Technique ◽  
Primary Data ◽  
Sectio Caesarea ◽  
P Value ◽  
Cross Sectional ◽  
Anesthetic Drugs

Background: The birth rate by caesarean section method is getting higher. Risk data for 2013 shows the method of birth with the operation method of 9.8 percent of the total 49,603 births during 2010 to 2013. Being in practice the mother must be given anesthetic before the surgery begins. This anesthesia will later affect the pain that will occur after SC. Purpose: The purpose of this study was to determine the correlation between regional anesthetic drugs and the smoothness of breast milk in women born in sectio caesarea at Muhammadiyah Gresik Hospital. Method: Method with Cross Sectional approach. The population in this study mothers who gave birth in a caesarean section at Muhammadiyah Hospital Gresik in December 2019 to January 2020. The sampling technique in this study is probability / random simple sampling. The sample in this study was a portion of mothers who gave birth in a caesarean section at Muhammadiyah Gresik Hospital. The instrument used was primary data collection in the form of questionnaires and secondary data in the form of patient medical records. Result: The data obtained in this study were processed using spearman correlation statistics. From the statistical test the Correlation coefficient value was 0.807, and obtained P-Value equal to 0,000 this value is less than 0.05. Conclusion: The conclusion of this study is that there is a correlation between the administration of a regional anesthetics and the smoothness of breast milk in mothers of post partum caesarea at Muhammadiyah Gresik Hospital.

scholarly journals Hubungan Pre-Eklampsia Dengan Angka Kejadian Seksio Sesaria

2021 ◽  
Vol 8 (2) ◽  
pp. 74-79
Author(s):  
Andi Syintha Syintha Ida ◽  
Nurjaya Nurjaya ◽  
Andi Ika Abriani
Keyword(s):  
Developing Countries ◽  
Cesarean Section ◽  
Sampling Technique ◽  
Medical Personnel ◽  
Mortality Rates ◽  
Statistical Test ◽  
Observational Research ◽  
Cross Sectional ◽  
Relationship Of ◽  
The Relationship

  Background: Pre-eclampsia is one of the factors causing high maternal and infant mortality rates, especially in developing countries such as Indonesia and this will continue to increase if efforts to prevent not being qualified and professional, one of the treatments of pre-eclampsia is the act of Cesarean section  which for medical personnel is the main choice to save the mother and fetus, because longer delays in delivery will cause serious harm to the mother, fetus or. Purpose: toknow the relationship of Pre-eclampsia with the number of incidents Cesarean section Method: Design analytical observational research with a cross sectional approach. Sampling technique is accidental sampling with the number of samples as many as 40. The results showed that of 40 respondents there were 35 (87.5%) who had pre-eclampsia and 5 (12.5%) who had severe pre-eclampsia. Based on the results of the statistical test, the value p = 0.005 < α = 0.05. There is a significant relationship between the incidence of Pre-eclampsia and the incidence of Cesarean section in RSUP Dr.Wahidin Sudirohusodo Makassar in 2018   Keywords: Pre-eclampsia Relationship, Cesarean section    

scholarly journals Gambaran Faktor Risiko Kejadian Penyakit Jantung Koroner di Poliklinik Jantung RSI Siti Rahmah Padang Tahun 2017-2018

2020 ◽  
Vol 3 (1) ◽  
pp. 20-28
Author(s):  
Yushera Atika Sari ◽  
Wisda Widiastuti ◽  
Betty Fitriyasti
Keyword(s):  
Internal Medicine ◽  
Medical Records ◽  
Univariate Analysis ◽  
Secondary Data ◽  
Sampling Technique ◽  
Cross Sectional ◽  
Long Period ◽  
Survey Results ◽  
Artery Disease ◽  
Descriptive Method

Introduction: CAD occurs indirectly, usually a person will experience a process of narrowing of the coronary arteries in quite a long period of time. Primary survey results that researchers have done at Siti Rahmah Padang Hospital, recorded from 2017-2018 the number of CAD events as many as 115 cases. Aims : To obtain information about an overview of risk factors for the occurrence of coronary artery disease in the heart policlinic of Siti Rahmah Hospital Padang in 2017-2018. Method: This research covers the field of internal medicine and cardiology, this study was conducted at the Islamic hospital Siti Rahmah Padang in May to November 2019. This research used a descriptive method with a cross sectional approach using secondary data from medical records. The affordable population of this study is CAD patients who seek treatment at Siti Rahmah Hospital in Padang in 2017-2018 with 51 samples using Total Sampling technique. Univariate analysis is presented in the form of a frequency distribution table. Results: Based on the results of the study the most age was at the age of 50-59 years, 21 people (41.2%), the most sex was female, 26 people (51%), hypertension, 27 people (52,9%), experienced DM 26 people (51%) were obese, 16 people (31,4%) and hyperlipidemia, 13 people (25,5%). Conclusion : Most age 50-59 years, most sexes of women, most have hypertension, less than half are obese, most have DM and less than half have hyperlipidemia. 

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