scholarly journals Factors Influencing Perception of Labor Pain among Parturient Women at Tribhuvan University Teaching Hospital

2013 ◽  
Vol 8 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Isha Shrestha ◽  
N Pradhan ◽  
J Sharma
Keyword(s):  
Teaching Hospital ◽  
Demographic Data ◽  
Labor Pain ◽  
University Teaching ◽  
Cervical Dilatation ◽  
Factors Affecting ◽  
Primary Level ◽  
Uterine Contractions ◽  
Obstetrics And Gynaecology ◽  
Active Labor

Aims: This study was done to understand the severity of labor pain in parturients of Kathmandu and to determine factors affecting it. Methods: A descriptive study was conducted in Tribhuvan University Teaching Hospital (TUTH), Kathmandu, Nepal where 300 term parturientsin active labor (cervical dilatation of 3-5 cm with three uterine contractions in 10 minutes each lasting for ≥ 30 seconds) were analysed for socio-demographic data, clinical profile and pain assessment.Visual analog scale was used for pain assessment. Results: The intensity of labor pain was graded as severe by 32%, moderateby 57% and mild by 11% of parturients.Almost half ofthe parturients in the age group of ≤19years described labor pain as severe as compared to women between 20-34years (30.4%) and ≥35years (20%). Among the nulliparous parturients, 37% described it as severe compared to only 20.7% in≥Para1.In those with≥higher secondary leveleducation, 35.9% described labor pain as severe as compared to those women who had education of ≤primary level(26.9%) and upto secondary level (27.1%). Labor pain was seen to be more severe in advanced labor withmore than half describingit as severe when the cervix was dilated to 5 cm, as compared to only 25.9% and 29.4% of the parturients at 3 and 4cm cervical dilatation respectively. Conclusions: This study concluded that the labor pain was moderate to severe for majority of the parturients.Adolescents, nullipara, patients with higher education and those in advanced laborwere more likely to perceive labor pain of higher intensity. Nepal Journal of Obstetrics and Gynaecology / Vol 8 / No. 1 / Issue 15 / Jan- June, 2013 / 26-30 DOI: http://dx.doi.org/10.3126/njog.v8i1.8857

scholarly journals Out-of-Hospital Cardiac Arrest in a Teaching Hospital in Hong Kong: Descriptive Study Using the Utstein Style

2005 ◽  
Vol 12 (3) ◽  
pp. 148-155 ◽  
Author(s):  
AKC Wai ◽  
P Cameron ◽  
CK Cheung ◽  
P Mak ◽  
TH Rainer
Keyword(s):  
Cardiac Arrest ◽  
Hong Kong ◽  
Hospital Discharge ◽  
Teaching Hospital ◽  
Discharge Rate ◽  
Demographic Data ◽  
University Teaching ◽  
Time Interval ◽  
Utstein Style ◽  
Hospital Cardiac Arrest

Objective To describe, using the Utstein template, the characteristics of patients presenting with out-of-hospital cardiac arrest to a university teaching hospital in the New Territories of Hong Kong, and to evaluate survival. Design Prospective study. Setting The emergency department of a teaching hospital in the New Territories, Hong Kong. Participants Patients older than 12 years with non-traumatic out-of-hospital cardiac arrest who were transported to the hospital between 1 July 2002 and 31 December 2002. Main outcome measures Demographic data, characteristics of cardiac arrest and response time intervals of the emergency medical service presented according to the Utstein style, and also survival to hospital discharge rate. Results A total of 124 patients were included (49.2% male; mean age 71.9 years). The majority of cardiac arrests occurred in patients' home. The overall bystander cardiopulmonary resuscitation (CPR) rate was 15.3% (19/124). The most common electrocardiographic rhythm at scene was asystole, whilst pulseless ventricular tachycardia (VT)/ventricular fibrillation (VF) was found in 18.0%. The overall survival was 0.8% (1/124), and survival to hospital discharge was significantly higher for patients with VF or pulseless VT than those patients with other rhythms of cardiac arrest (11.1% versus 0%). The median witnessed/recognised collapse to defibrillation time was 14 minutes. The median prehospital time interval from collapse/recognition to arrival at hospital was 33 minutes. Conclusion The prognosis of out-of-hospital cardiac arrest in Hong Kong was poor. Major improvements in every component of the chain of survival are necessary.

scholarly journals EFEKTIVITAS PIJAT EFFLEURAGE DAN COUNTERPRESSURE TERHADAP KEMAJUAN DILATASI SERVIKS PADA KALA I FASE AKTIF

2019 ◽  
Vol 7 (3) ◽  
pp. 185-190
Author(s):  
Retty Nirmala Santiasari ◽  
Detty Siti Nurdiati ◽  
Wiwin Lismidiati
Keyword(s):  
Sampling Technique ◽  
Active Phase ◽  
Labor Pain ◽  
Cervical Dilatation ◽  
Control Group ◽  
Research Subjects ◽  
Uterine Contractions ◽  
Average Improvement ◽  
Before And After ◽  
Post Test

Backgraound: Labor process begins with the process of cervical dilatation, which is commonly accompanied by pain. Labor pain caused by uterine contractions can cause thinning of the cervix. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counterpressure are complementary treatment to stimulate uterine contractions. Objective: To analyze the effectiveness of effleurage and counterpressure massages on the progress of cervical dilatation. Method: This was a quasi-experiment study with pre-post test nonequivalent control group. Population was the women in labor in stage I active phase. Research subjects were 68 people that were divided into two groups. Sampling technique was consecutive sampling. Instrument used in this study was the internal examination. Data were analyzed using Wilcoxon and Mann Whitney. Results: The progress of cervical dilatation before and after the intervention of the effleurage was 4.74±0.83 vs 7.47±1.21 with p=0.00 and the result for the counterpressure group was 4.59±0.66 vs 8.03±0.96 with p=0.00. The average improvement of cervical dilatation on the effleurage and counterpressure groups was 2.73 vs 3.44 with p=0.00. Conclusion: The counterpressure has the more significant effect than the effleurage on improving the cervical dilatation.   Keywords: Cervical dilatation, counterpressure, effleurage

scholarly journals The Maternal Deaths at the Obstetrics and Gynaecology Department of the Ignace Deen National Hospital, University Teaching Hospital (CHU) Conakry, Guinea

2019 ◽  
Vol 09 (05) ◽  
pp. 597-603
Author(s):  
Boubacar Siddi Diallo ◽  
Mamadou Hady Diallo ◽  
Ousmane Balde ◽  
Ibrahima Sylla ◽  
Ibrahima Conte ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
University Teaching ◽  
National Hospital ◽  
Maternal Deaths ◽  
Obstetrics And Gynaecology

scholarly journals AN AUDIT OF BREAST BIOPSIES IN BABCOCK UNIVERSITY TEACHING HOSPITAL ILISHAN REMO, OGUN STATE, NIGERIA, BETWEEN JANUARY 2013 TO AUGUST 2015

2016 ◽  
Vol 4 (4) ◽  
Author(s):  
Aramide Kolawole Olanrewaju ◽  
Oyedeji Samson Oluwayomi
Keyword(s):  
Teaching Hospital ◽  
Demographic Data ◽  
Inflammatory Lesion ◽  
The Elderly ◽  
University Teaching ◽  
Anatomical Site ◽  
High Morbidity ◽  
Age Group ◽  
Benign Lesions ◽  
Malignant Lesions

Background: Breast cancer is one of the most important tumors affecting women in Nigeria and all over the world, with high morbidity and mortality if detection is delayed or if wrong diagnosis is made. Objectives: This study was carried out to review the histology of all breast biopsies sent to Histopathology Laboratory in Babcock University Teaching Hospital, Ilishan, Nigeria. Method: All breast biopsies received from January 2013 to August 2015 were analyzed. Demographic data such as age, sex, and anatomical site of the biopsy were obtained through histology request card and biopsy registers. Result:Atotal of 55 breast samples were received during the period under review, 45 samples (81.8%) were benign lesions, 9 samples (16.4%) malignant lesions and 1 sample (1.8%) was an inflammatory lesion. The age group with the highest occurrence of breast pathology is 10-19 years, which are mostly benign lesions, with 30-39 years age group having the highest occurrence of malignant lesions. Conclusion: The study indicated that most breast lesions occurring in the first three decades of life are benign, while those in the elderly are mostly malignant. We recommend strong awareness campaign to encourage early detection and appropriate management of these lesions.

scholarly journals EFEKTIVITAS PIJAT EFFLEURAGE DAN COUNTERPRESSURE TERHADAP KEMAJUAN DILATASI SERVIKS PADA KALA I FASE AKTIF

2019 ◽  
Vol 7 (3) ◽  
pp. 185-197
Author(s):  
Retty Nirmala Santiasari ◽  
Detty Siti Nurdiati ◽  
Wiwin Lismidiati
Keyword(s):  
Sampling Technique ◽  
Active Phase ◽  
Labor Pain ◽  
Cervical Dilatation ◽  
Control Group ◽  
Research Subjects ◽  
Uterine Contractions ◽  
Average Improvement ◽  
Before And After ◽  
Post Test

Backgraound: Labor process begins with the process of cervical dilatation, which is commonly accompanied by pain. Labor pain caused by uterine contractions can cause thinning of the cervix. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counterpressure are complementary treatment to stimulate uterine contractions. Objective: To analyze the effectiveness of effleurage and counterpressure massages on the progress of cervical dilatation. Method: This was a quasi-experiment study with pre-post test nonequivalent control group. Population was the women in labor in stage I active phase. Research subjects were 68 people that were divided into two groups. Sampling technique was consecutive sampling. Instrument used in this study was the internal examination. Data were analyzed using Wilcoxon and Mann Whitney. Results: The progress of cervical dilatation before and after the intervention of the effleurage was 4.74±0.83 vs 7.47±1.21 with p=0.00 and the result for the counterpressure group was 4.59±0.66 vs 8.03±0.96 with p=0.00. The average improvement of cervical dilatation on the effleurage and counterpressure groups was 2.73 vs 3.44 with p=0.00. Conclusion: The counterpressure has the more significant effect than the effleurage on improving the cervical dilatation. Keywords: Cervical dilatation, counterpressure, effleurage

Sign in / Sign up

Export Citation Format

Share Document