scholarly journals Decreased fetal movement: Is it an alarm to Obstetrician and Pregnant Lady?

2018 ◽  
Vol 1 (2) ◽  
pp. 92-97
Author(s):  
Padma Raj Dhungana ◽  
Rajesh Adhikari ◽  
Prem Raj Pageni ◽  
Apsara Koirala
Keyword(s):  
Heart Rate ◽  
Fetal Movement ◽  
Maternal Outcome ◽  
P Value ◽  
Indirect Measure ◽  
System Integrity ◽  
Significant Difference ◽  
Fetal Wellbeing ◽  
Movement Group ◽  
And Function

Introduction: Fetal activity serves as an indirect measure of the fetus central nervous system integrity and function. Regular fetal movement can be regarded as an expression of fetal wellbeing. Maternal perception of decreased fetal movement is associated with poor feto-maternal outcome. This study is to find out feto-maternal outcome in cases of decreased fetal movement, done by assessing fetal heart rate (FHR) correlating with cardiotocography (CTG) and USG (ultrasonography) findings, Apgar score and meconium in amniotic fluid. Materials and method: This was a hospital based, prospective comparative study done in Patan Academy of Health Sciences, Lalitpur, Nepal. The sample size was 200; 100 cases of decreased fetal movement versus 100 cases of good fetal movement at same gestational age in weeks. Data processing was done in SPSS version 20.0 (SPSS, Chicago, IL, USA) and calculated by chisquare test. P value less than 0.05 was considered significant. Results: Significant difference was found in fetal kick chart counting. In the decreased fetal movement group, 16% had oligohydraminos, 3% had polyhydraminos and 5% had non reassuring CTG and 4% had abnormal heart rate detected clinically. There was statistically significant difference observed between the two groups in labor induction, cesarean section, meconium stain liquor, cord around the neck and different neonatal morbidities. Conclusion: Decreased fetal movement is associated with poor fetomaternal outcome. Improved vigilance, early identification, further evaluation with CTG, USG and proper management of these pregnancies have favourable pregnancy outcome.

Memperbaiki Saturasi Oksigen, Frekuensi Denyut Jantung, dan Pernafasan Neonatus yang Menggunakan Ventilasi Mekanik Dengan Terapi Musik

2013 ◽  
Vol 16 (3) ◽  
pp. 154-160 ◽  
Author(s):  
Rahmadevita S.A.M ◽  
Yeni Rustina ◽  
Elfi Syahreni
Keyword(s):  
Heart Rate ◽  
Mechanical Ventilation ◽  
Music Therapy ◽  
Oxygen Saturation ◽  
Respiratory Rate ◽  
T Test ◽  
P Value ◽  
Respiratory Disorder ◽  
Significant Difference ◽  
Paired T Test

AbstrakNeonatus yang menggunakan ventilasi mekanik akibat gangguan pernapasan mengalami masalah oksigenisasi dan frekuensi denyut jantung. Berbagai upaya perlu dilakukan agar neonates tenang sehingga kebutuhan oksigen dapat diminimalkan, salah satu upaya tersebut adalah terapi musik. Penelitian ini bertujuan untuk menguji pengaruh terapi musik terhadap saturasi oksigen, frekuensi denyut jantung dan frekuensi pernafasan neonatus yang menggunakan ventilasi mekanik. Penelitian kuasi eksperimen dengan rancangan pretest-posttest without control meibatkan 13 neonatus yang dipilih secara konsekutif. Intervensi yang diberikan adalah terapi musik dengan Brahm’s Lullaby selama 30 menit dengan headphone. Pengumpulan data menggunakan observasi dan dianalisis dengan Paired t test. Hasil penelitian menunjukkan adanya perbedaan bermakna antara rerata saturasi oksigen, frekuensi denyut jantung dan frekuensi pernafasan sebelum dan setelah pemberian terapi musik. Pada saturasi oksigen terjadi peningkatan, sedangkan pada frekuensi denyut jantung dan pernapasan mengalami penurunan. Terapi musik dapat digunakan sebagai pendamping terapi medis untuk memperbaiki oksigenisasi pada neonatus yang menggunakan ventilasi mekanik.Kata kunci: denyut jantung neonatus, pernapasan, saturasi oksigen, terapi musik, ventilasi mekanikAbstractImproving Oxygen Saturation, Heart Rate, and Respiratory Rate of Neonates Using Mechanical Ventilation with Music Therapy. Neonates using mechanical ventilation cause of respiratory disorder experience oxygenation and heart rate problems. Interventions should be made in order to calm neonates so that the need of oxygen can be minimized, one of these interventions is music therapy. This study aimed to identify the effect of music therapy on oxygen saturation, heart rate and respiratory rate of neonates using mechanical ventilation. This quasi experiment study with a pretest-posttest design without control involved 13 neonates selected by consecutive sampling. Data collected through observation and analyzed by paired t test. There was a significant difference on the average of oxygen saturation, heart rate and respiratory rate of infants using mechanical ventilation before and after music therapy (p value <0,05). Music therapy can be used as a complementary medical therapies to improve oxygenation in neonates using mechanical ventilation.Key words: heart rate, mechanical ventilation, music therapy, neonate, oxygen saturation, respiratory rate

scholarly journals Comparison the Sedation Effect and Satisfaction of Two Combinations, Dexmedetomidine and Fentanyl with Midazolam and Fentanyl, in Patients Undergoing Bronchoscopy

2021 ◽  
Vol 6 (6) ◽  
Author(s):  
Alireza Kamali ◽  
Sepideh Sarkhosh ◽  
Hosein Kazemizadeh
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Oxygen Saturation ◽  
Statistical Tests ◽  
Arterial Oxygen Saturation ◽  
Mean Blood Pressure ◽  
Arterial Oxygen ◽  
P Value ◽  
Double Blind ◽  
Significant Difference

Objectives: The aim of this study was to compare sedative effects of dexmedetomidine and fentanyl with midazolam and fentanyl in patients undergoing bronchoscopy. Methods: This study was a double-blind randomized clinical trial that was performed on 92 patients who referred to Amir al Momenin Hospital in Arak for bronchoscopy and underwent ASA 1 or 2 underlying grading procedure. Patients were randomly divided into two groups of dexmedetomidine and fentanyl (D) midazolam and fentanyl (M). Primary vital signs including hypertension and arterial oxygen saturation were monitored and recorded. Then all patients were injected with 2 μg / kg fentanyl as a painkiller and after 3 minutes 30 μg dexmedetomidine in syringe with code A and midazolam 3 mg in syringe with code B were injected to patients by an anesthesiologist. Then the two groups were compared in terms of pain at injection, conscious relaxation, satisfaction of operation, recovery time, hypotension and arterial oxygen saturation and drug side effects and data were analyzed by using statistical tests. Results: There was no significant difference between the two groups in terms of mean age and sex distribution. According to the results of this study, there was no significant difference between the two groups in mean blood pressure (P-value = 0.6) and mean heart rate (P-value = 0.4) at the time of bronchoscopy, but at 5 and 10 minutes after bronchoscopy there was a significant difference, mean blood pressure and heart rate were significantly lower in dexmedetomidine group. Conclusion: Both dexmedetomidine and midazolam drug groups contributed to the development of stable and sedative hemodynamics and satisfaction in patients undergoing bronchoscopy, however, the dexmedetomidine and fentanyl group showed a significant decrease in blood pressure and heart rate compared to midazolam and fentanyl and a weaker decrease in arterial oxygen saturation, and patients with bronchoscopy were more satisfied in the dexmedetomidine group.

scholarly journals Automated Detection of Fetal Movements Based on Baseline Calculation and Fetal Heart Rate Accelerations

2018 ◽  
Vol 12 (9) ◽  
pp. 173
Author(s):  
Mei-Jia Huang ◽  
Hui-Jin Wang
Keyword(s):  
Heart Rate ◽  
Error Detection ◽  
Fetal Heart Rate ◽  
Electronic Monitoring ◽  
Fetal Heart ◽  
Threshold Value ◽  
Fetal Movement ◽  
Important Indicator ◽  
Fetal Movements ◽  
Fetal Wellbeing

Fetal electronic monitoring is extensive and important in obstetrics. Although fetal movement is ususally used as an important indicator for quantifying fetal wellbeing, non-invasive and long-term monitoring of fetal movement remains challenging. The object of this study is to develop an algorithm for automatic detection of the fetal movements based on the analysis of Doppler ultrasound signals. In order to detect fetal movements automatically, a two-step process was proposed to track fetal movement. In Step 1, to suppress the problem of error detection, we calculated the baseline of the fetal movement signals from actography to extract new signals. In step2, we recalculated the threshold value of fetal movement detection by utilizing the information of fetal heart rate (FHR) acceleration to produced adaptive threshold values. The results showed that the union of results detected by the proposed method from actography and tocography achieved an encouraging performance with highest sensitivity and acceptable positive predictive value (PPV).

scholarly journals The Effect of Cold Compress on Pain Intensity in Fractured Patients at RSUP H. Adam Malik Medan

2021 ◽  
Vol 16 (2) ◽  
Author(s):  
Citra Amelia Lubis ◽  
Dudut Dudut Tanjung ◽  
Asrizal Asrizal Asrizal
Keyword(s):  
Pain Intensity ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Nursing Interventions ◽  
Significant Difference ◽  
Before And After ◽  
Quasi Experimental ◽  
Equivalent Control ◽  
And Function

<em><span lang="EN-US">Fracture occurs due to the damage of the shape and function of the bone, and the fractured patients generally experience pain. One of the interventions to reduce pain intensity in fracture patients is cold compress. This study aims to identify the effectiveness of cold compress on pain intensity in fracture patients in H. Adam Malik Hospital Medan. This is a quantitative study with a quasi-experimental design approach with an equivalent control group pretest-posttest design. The number of samples is 70 respondents consisting of 35 people for each intervention and control group, respectively, which was collated by consecutive sampling. Data analysis used paired t-test and independent t-test. The results showed that there was a significant influence before and after cold compress intervention on pain intensity (p value 0.001 (p = &lt;0.05)). There is a significant difference between the intervention with cold compresses and the hospital standard intervention on pain intensity in fracture patients (p value 0.001 (p = &lt;0.05)). It can be concluded that cold compress has a significant effect on the pain intensity in fracture patients. Cold compress is one of the nursing interventions that can help to reduce the intensity of fracture pain.</span></em>

scholarly journals Effectiveness of Exercises in Glycaemic Control and Maternal Outcome among Women with Gestational Diabetes Mellitus- A Pilot study

2021 ◽  
Author(s):  
Reena Wilma Frank ◽  
Kaipangala Raja Gopal ◽  
Devina E Rodrigues
Keyword(s):  
Diabetes Mellitus ◽  
Pilot Study ◽  
Intervention Group ◽  
Maternal Outcome ◽  
Control Group ◽  
P Value ◽  
Significant Difference ◽  
Moderate Effect ◽  
And Control ◽  
Interventional Group

Introduction: Diabetes Mellitus is a common medical problem that is very often seen in pregnancy in the present era. Pregnant women should keep in mind their health and lifestyle considerations or else pregnancy will end up with many complications. Pre-existing factors and pregnancy factors will be contributing and make pregnancy more complicated. Exercises are recommended as a healthy practice which prevents many diseases and provides a healthy life. Aim: To evaluate the glycaemic level by focusing on exercises to improve the maternal outcome. Materials and Methods: A Pilot study with Quasi-experimental pre-post control group design with 30 Gestational Diabetes Mellitus (GDM) women (15 in each group) were selected who met the inclusion and exclusion criteria. The study was conducted in tertiary care Hospital between June 2019 and December 2019. Based on the convenience sampling technique, the setting was selected and a simple random technique was adopted to select the subjects. The 15 subjects were included in each groups, both intervention and control group. Exercises were taught for the interventional group of women for 12 weeks. Regular treatment was continued for both groups which include medication, diet and regular walking. Pre-test and post-test glycaemic scores were done for both the groups. Mann-whitney test, ANOVA, post-hoc test, paired Eta square were also used and IBM Statistical Package for the Social Sciences (SPSS) version 23.0 was used. Results: The study shows there was a significant difference in the pre-Fasting Blood Sugar (FBS) and post FBS values in the intervention group p-value <0.027. The paired Eta square value was 0.303 which showed a moderate effect of the exercise on the glycaemic value in the interventional group. There was a significant difference in the pre glycosylated haemoglobin (HbA1c) and post HbA1c values in both the intervention and control group was p-value <0.023 and p-value <0.025, respectively. The maternal outcome shows increased severity of the complications in the control group while comparing with the intervention group such as pre-eclampsia, operative interference, and preterm deliveries. But there was no significant difference in the maternal outcome observed between intervention and control group p-value >0.05. Conclusion: Regular moderate-intensity aerobic and resistance exercise training during pregnancy is associated with lower blood glucose level. Thus, study concluded that exercise has a moderate effect on glycaemic control.

scholarly journals ADMINISTRATION OF SALINE INJECTION IN EPIDURAL SPACE AVOIDS INTRAVASCULAR CATHETER INSERTION IN PATIENTS UNDERGOING CAESARIAN SECTION: A RANDOMIZE CONTROLLED TRIAL

2016 ◽  
Vol 21 (4) ◽  
pp. 257
Author(s):  
Muhammad Azam ◽  
Naila Akthar ◽  
Tanvir Akhtar Butt
Keyword(s):  
Heart Rate ◽  
Cesarean Section ◽  
Epidural Catheter ◽  
Epidural Space ◽  
Catheter Placement ◽  
P Value ◽  
Intravascular Catheter ◽  
Epidural Catheter Placement ◽  
Significant Difference ◽  
Group A

AbstractObjective:The objective of this study was to determine if injecting 10 ml saline in epidural space before epidural catheter placement in pregnant women undergoing cesarean section can decrease the frequency of inadvertent intravascular catheter placement.Study Design:Randomize Controlled Trail.Place and Duration of Study:Department of Anaesthesia at Gynaecology and Obstetrics operation theater, Jinnah Hospital, Lahore affiliated with College of Physician and Surgeon Pakistan from April 2008 to March 2009.Methodology:Sixty pregnant patients (ASA I and II) randomly allocated in Group A and B equally for elec-tive cesarean section were selected. In each patient epidural space was identified with LOR technique using air in sitting position. In Group A (dry group), no saline was injected while in Group B (saline gro-up), 10 ml saline was injected before epidural catheter placement. Using 16 G Toughy needle, catheter was inserted up to 4 cm in the epidural space. To find out inadvertent intravascular catheter placement, epidural catheter was aspirated to exclude blood. After negative aspiration, test dose of 3ml injection xylocain 2% (with adrenaline 1:200,000) was administrated and patient were monitored one minute for increase in heart rate (> 20% of baseline), tinnitus and perioral numbness.Results:In both group data collected was analyzed in SPSS version 11 and Chi-square test was applied. P value of 0.05 or less was taken significant. Percentage of positive inadvertent intravascular catheterization in term of bloody aspirate (20 and 13.3%) was not signi-ficantly different between two groups (P value = 0.488). Increase in heart rate, tinnitus and perioral numbness was not observed in any patient.Conclusion:There was no significant difference in accidental intravascular catheterization if 10 ml saline is injected through needle before catheter insertion.Key word:Epidural catheter, accidental intravascular catheterization, anaesthesia.

scholarly journals EFFECT OF PRENATAL YOGA ON ANXIETY, BLOOD PRESSURE, AND FETAL HEART RATE IN PRIMIGRAVIDA MOTHERS

2017 ◽  
Vol 3 (3) ◽  
pp. 246-254 ◽  
Author(s):  
Hamdiah Hamdiah ◽  
Ari Suwondo ◽  
Triana Sri Hardjanti ◽  
Ariawan Soejoenoes ◽  
M Choiroel Anwar
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Systolic Blood Pressure ◽  
Fetal Heart Rate ◽  
Rating Scale ◽  
Fetal Heart ◽  
Alternative Therapy ◽  
Control Group ◽  
P Value ◽  
Significant Difference

Background: Pregnancy increases the risk of developing anxiety that may affect the fetus. Yoga is considered as an alternative therapy to reduce anxiety, blood pressure, and fetal heart rate.Objective: This study aimed to examine the effect of prenatal yoga on anxiety, blood pressure, and fetal heart rate in primigravida mothers.Methods: There were 39 primigravida mothers selected using purposive sampling, which divided to be an experiment group with four-times prenatal yoga and eight-times prenatal yoga, and a control group. The Hamilton Rating Scale For Anxiety (HRSA) was used. Data were analyzed using One way ANOVA and MANOVA.Results: There was a statistically significant difference of prenatal yoga on anxiety (P=0.005), systolic blood pressure (P=0.045), and fetal heart rate (P=0.010). However, there was no significant difference of prenatal yoga on diastolic blood pressure with p-value 0.586 (>0.05)Conclusion: There were significant effects of prenatal yoga on anxiety level, systolic blood pressure, and the fetal heart rates in primigravida mothers. The findings of this study can be an alternative treatment for midwife to deal with anxiety during pregnancy, and an input on the class program of pregnant women to improve the quality of maternal and fetal health.

PENGARUH KEBERADAAN PANGKALAN PENDARATAN IKAN (PPI) SAIJAAN KOTABARU TERHADAP PENDAPATAN PENGUSAHA PERIKANAN DI KECAMATAN PULAU LAUT UTARA KABUPATEN KOTABARU PROVINSI KALIMANTAN SELATAN

2016 ◽  
Vol 4 (7) ◽  
pp. 59
Author(s):  
Syahruddin Syahruddin ◽  
Idiannor Mahyudin ◽  
Emmy Sri Mahreda
Keyword(s):  
Wilcoxon Test ◽  
P Value ◽  
Test Results ◽  
Internal Factors ◽  
Fishing Vessels ◽  
Significant Difference ◽  
Before And After ◽  
Descriptive Approach ◽  
And Function ◽  
Relationship Of

Fish landing base (PPI) is a container that can support development and the development of a better fishery.Accordence with the increasing number of fishing vessels that enter the  territory  Kotabaru, either the ships  from itself or the ships that come from the outside area.  Making  the  existence  of  the PPI  Saijaan Kotabaru  a  medium  which  accommodates  fishery  activities  to  make  a   direct   relevance  relationship  of  upriver  and  downstream activities. This research was conducted: identifying facilities, conditions  and function of the PPI Saijaan Kotabaru; Analyzing changes in the income of entrepreneur fishery before and after the PPI Saijaan Kotabaru in District Stagen Kotabaru; Formulating a strategy of economic development of the PPI  Saijaan  Kotabaru as an area of fisheries.Analysis  Technique of  the  research  uses  qualitative  and  quantitative  method  with descriptive approach. The results obtained that the basic, functional and additional facilities of  the PPI Saijaan Kotabaru have been fulfilled by 90 % and have not been  fulfilled  by 10 % thatneed to be developed. Condition and function facilities of  the PPI Saijaan Kotabaru, is only 90 % facilities are function optimally and 10 % is  not function optimally.Wilcoxon  test results  in Statistics  Test, shows that value of Wilcoxon test p-value is  0.003 (< 0.05),then Ho is rejected and H1 is accepted, meaning that there is a very significant difference from the increased income of entrepreneur fishery after the construction of  the PPI Saijaan  Kotabaru as well. The results of the value to external factors (EFAS) is = 2.85, while  for  internal factors (IFAS) is = 2.55. So the value of EFAS >IFAS value, then a qualitative activity and capacity of existing facilities of the PPI Saijaan Kotabaru still very likely to be developed. 

scholarly journals Role of antihypertensives drugs on proteinuria in patients with chronic kidney disease and hypertension

2017 ◽  
Vol 6 (10) ◽  
pp. 2522
Author(s):  
Ritu Bala ◽  
Harminder Singh ◽  
. Rupali ◽  
Kuhu Verma
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Heart Rate ◽  
P Value ◽  
Biochemical Tests ◽  
Mortality And Morbidity ◽  
Significant Difference ◽  
Group A ◽  
Group B

Background: Hypertension is the most prevalent cardiovascular disease and the relevant data suggest that the burden, risk factors and co-morbidities associated with the essential hypertension is increasing with every passing day. It is one of the major chronic diseases resulting in high mortality and morbidity in today’s world. Aim: The aim of the study was to compare effects of cilnidipine and amlodipine on the blood pressure (BP), heart rate and proteinuria among patients of hypertension with chronic kidney disease.Methods: 100 patients were included in this study. Patients were randomly assigned into two groups Group A and Group B (50 each). Group A: Patients received Cilnidipine (5-10mg/day). Group B: Patients received amlodipine (5-10mg/day).Results: No significant difference in SBP, DBP, MBP and proteinuria while comparing both the groups of patients taking cilnidipine and amlodipine at baseline i.e. 0 to 12 week, 12 to 24 weeks and 0 to 24 weeks. Cilnidipine caused decrease in HR 0 to 12 week (p value 0.001), 12 to 24 weeks (p value 0.001) and 0 to 24 weeks (p value 0.0001). Amlodipine had increased heart rate from baseline to 12 weeks (p value 0.0001), 12 to 24 weeks (p value 0.051) and 0 to 24 weeks (p value 0.001). No significant difference was seen in any biochemical readings.Conclusions: There was a significant change in all the parameters including BP, heart rate, proteinuria and other biochemical tests when they compared within the group but no significant difference while comparing both the groups.

scholarly journals Heart Rate Monitoring of Anaesthesiology Residents during the Airway Management of COVID 19 Suspect Patients: An Observational Study

2021 ◽  
Author(s):  
Bhavna Gupta ◽  
Vijay Adabala ◽  
Pratik Tuppad ◽  
Unni Kannan
Keyword(s):  
Heart Rate ◽  
Tertiary Care ◽  
Perioperative Period ◽  
Smart Devices ◽  
P Value ◽  
Heart Rate Monitoring ◽  
Indirect Measure ◽  
Percentage Points ◽  
Observational Cohort ◽  
The Difference

Background: Anaesthesiologists undergo shear stress during the perioperative period, which was further increased during the COVID 19 pandemic. Many observational studies were done to find out the stress levels of the residents. Methods: This was a prospective observational cohort study of Anaesthesiology residents in a tertiary care academic institution. We have measured the minute to minute heart rate variability which can be an indirect measure of stress level with the help of wrist band MI 4 which works on the principle of PPG. Results: The difference between baseline HR and resting HR was observed to be substantial (p value 0.115 and 0.000 respectively). The percentage rise in heart rate during intubation from resting heart rate was 42.79 ± 25.54 percentage points. Conclusion: Users can use this type of ongoing information as a feedback option to increase their work efficacy. Understanding how to use these smart devices will assist us in balancing our stress-free day-to-day activities.

Sign in / Sign up

Export Citation Format

Share Document