scholarly journals PERINATAL OUTCOME OF VAGINAL BREECH DELIVERY VERSUS CAESAREAN BREECH DELIVERY

2021 ◽  
Vol 5 (8) ◽  
Author(s):  
Rupal Malik ◽  
Ritu Gupta
Keyword(s):  
Logistic Regression ◽  
Vaginal Delivery ◽  
Odds Ratio ◽  
Perinatal Outcome ◽  
Binary Logistic Regression ◽  
Vaginal Route ◽  
Breech Delivery ◽  
Vaginal Breech Delivery ◽  
Significant Odds Ratio ◽  
Gynecology And Obstetrics

Background: The aim to find out any differences in outcome between vaginal breech delivery and cesarean breech delivery in our setup Methods: Data were collected from record book of Department of Gynecology and obstetrics. Data of 100 patients were analysed among which 36 underwent vaginal delivery for breech and 64 underwent cesarean breech delivery Results: Binary logistic regression was used to compare outcome among different groups. In our study only 5.56% of newborn delivered by vaginal route were admitted to NCU vs. 12.50% in cesarean group which was significant (odds ratio=0.07, P=0.01) Conclusion: Keywords: LSCS, Breech, NICU

scholarly journals Perinatal Outcome of Vaginal Breech Delivery versus Caesarean Breech Delivery in a Tertiary Care Center

2018 ◽  
Vol 56 (212) ◽  
pp. 796-799 ◽  
Author(s):  
Rajendra Kumar Chaudhary ◽  
Rajan Ghimire ◽  
Deepak Raj Kafle
Keyword(s):  
Perinatal Outcome ◽  
Care Center ◽  
Tertiary Care ◽  
Breech Presentation ◽  
Study Data ◽  
Perinatal Morbidity ◽  
Vaginal Route ◽  
Breech Delivery ◽  
Vaginal Breech Delivery ◽  
Significant Odds Ratio

Introduction: Breech delivery has always been matter of interest in obstetrics. Cesarean breech delivery has been preferred method of delivery. We aim to find out any differences in outcome between vaginal breech delivery and cesarean breech delivery in our setup. Methods: Data were collected from record book of Department of Gynaecology and obstetrics, Pokhara Academy of Health Sciences, Kaski, Nepal. Pregnant with breech presentation who had delivery in the centre from 2074 Baishak to 2074 chaitra were enrolled in the study. Data of 174 patients were analysed among which 74 underwent vaginal delivery for breech and 110 underwent cesarean breech delivery. Results: Only 1 (1.6%) of newborn delivered by vaginal route were admitted to NCU vs 17 (15.5% )in cesarean group which was significant (odds ratio= 0.071, 95% C.I 0.009-0.574; p= 0.004). There was only one death of newborn which was delivered by vaginal route. Mean APGAR score at 1 and 5 minute in vaginal breech delivery was 6 and 7 and in cesarean breech delivery was 6 and 8. Conclusions: Though perinatal morbidity was more with cesarean breech delivery but further study with more sample size is needed before reaching conclusion.

scholarly journals Singleton Vaginal Breech Delivery at Term: Maternal and Perinatal Outcome

2017 ◽  
Vol 23 (1) ◽  
Author(s):  
Tayyiba Wasim ◽  
Ahmad Zunair Wasim ◽  
Muhammad Ashraf Majrooh
Keyword(s):  
Wound Infection ◽  
Vaginal Delivery ◽  
Apgar Score ◽  
Perinatal Outcome ◽  
Birth Asphyxia ◽  
Breech Presentation ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Breech Delivery ◽  
Vaginal Breech Delivery

<p><strong>Objectives:</strong><strong> </strong>To determine fetomaternal outcome in patients undergoing planned vaginal breech delivery at term.</p><p><strong>Methods:</strong><strong> </strong>It was a descriptive cross sectional study conducted at Lady Aitchison hospital, Lahore for one and a half year from July 2012 to December 2013. All patients presenting with term breech presentation were included. Fetomaternal outcome in terms of successful vaginal delivery, maternal complications of operative delivery, PPH, wound infection and fetal complications of apgar score of less than five minutes, nursery admission, trauma during delivery (bone fracture, intra cranial hemorrhage) and perinatal mortality was studied.</p><p><strong>Results:</strong>  375 patients delivered as breech presentation during the study period. Out of 375 patients, 155 patients were selected for vaginal birth. Out of these, 65% had successful vaginal delivery, rest had emergency caesarean section due to fetal distress, cord prolapse dysfunctional labour. 6.4% patients had wound infection and 3.2% had PPH. Booking status was significantly important in patients who had successful vaginal delivery as 80% were booked (p = 0.001). There was no maternal mortality in these patients. Perinatal outcome was good in 87% of patients. 20 fetuses had Apgar score less than 7/min and required nursery admission. Two babies expired due to birth asphyxia and rest were discharged home in satisfactory condition.</p><p><strong>Conclusion:</strong><strong>  </strong>Although delivery of breech remains a dilemma, the plan of delivery should be individualized. Proper selection of cases with proper antenatal and intrapartum care can result in successful breech vaginal delivery without compromising feto maternal wellbeing and curtailing the percentage of caesarean being done for this malpresentation.<strong></strong></p>

scholarly journals Comparison of Perinatal Outcome of Breech Presentation between Vaginal Delivery and Cesarean Section

2016 ◽  
Vol 4 (1) ◽  
pp. 4 ◽  
Author(s):  
Buddhi Kumar Shrestha ◽  
Subha Shrestha
Keyword(s):  
Cesarean Section ◽  
Vaginal Delivery ◽  
Perinatal Outcome ◽  
College Teaching ◽  
Breech Presentation ◽  
Morbidity And Mortality ◽  
Breech Delivery ◽  
Vaginal Breech Delivery ◽  
Vaginal Deliveries ◽  
Significant Difference

Introduction: Many times, parturient opt for labour and vaginal breech delivery even after informing increased perinatal risks. Vaginal breech deliveries are undertaken with the reasons like avoidance of cesarean section in next pregnancy, null risk of operative and anesthetic hazards, ability to resume early all household works after vaginal birth, etc. The purpose of this study is to compare the perinatal outcome of breech deliveries in singleton breech presentation between vaginal breech delivery and cesarean section.   Methods: A retrospective study was done in Lumbini Medical College Teaching Hospital for the duration of one year (December 2014 to November 2015). Data of perinatal outcome of breech deliveries were collected from the hospital records. The records of neonatal examination were also collected. The primary outcomes included were neonatal morbidity and mortality.   Results: Out of 80 selected women with breech presentation, 42 of them had vaginal deliveries and 38 women had undergone caesarean section. The perinatal mortality was 4.8% and morbidity was 2% in vaginal breech deliveries. There was no significant difference of APGAR score in the two groups at any time. Similarly, there was no significant difference in perinatal morbidity and mortality in the two groups. Nulliparous women were more likely to deliver by Cesarean section.   Conclusion:  In places where planned vaginal delivery is a common practice and when strict criteria are met before and during labour, planned vaginal breech delivery of singleton fetus in breech presentation remains a safe option that can be offered to women.

scholarly journals Relationship Between Unbound Bilirubin Levels and Acute Bilirubin Encephalopathy in Exchange Transfusion Neonates

2021 ◽  
Author(s):  
Yiyi Ding ◽  
Shuo Wang ◽  
Rui Guo ◽  
Aizhen Zhang ◽  
Yufang Zhu
Keyword(s):  
Logistic Regression ◽  
Blood Glucose ◽  
Odds Ratio ◽  
Exchange Transfusion ◽  
Binary Logistic Regression ◽  
P Value ◽  
Bilirubin Encephalopathy ◽  
Unbound Bilirubin ◽  
Independent Variable ◽  
The Relationship

Abstract BACKGROUND: Evidence regarding the relationship between unbound bilirubin levels and acute bilirubin encephalopathy was limited. Therefore, this study set out to investigate whether the unbound bilirubin level was independently related to acute bilirubin encephalopathy in children who underwent exchange transfusion after adjusting for other covariates. METHODS: A total of 46 neonates who underwent exchange transfusion were involved in The First People's Hospital Of Changde City in China from 2016-1-1 to 2018-12-31. The target independent variable and the dependent variable were unbound bilirubin levels measured at baseline and acute bilirubin encephalopathy respectively. Covariates involved in this study included sex, age, birth weight, blood glucose, red blood cell, hemolysis, receive phototherapy before exchange transfusion. RESULTS: The average gestational age of 46 selected participants was 38.6 ± 1.3 weeks old, the average age was 146.5 ± 86.9 hours old, 52.17% of them were male. Result of fully-adjusted binary logistic regression showed unbound bilirubin levels were positively associated with risk of acute bilirubin encephalopathy after adjusting confounders (Odds ratio = 1.41, 95% confidence intervals 1.05-1.91, P value <0.05). CONCLUSION: Unbound bilirubin levels are associated with neonatal acute bilirubin encephalopathy. The mechanism of unbound bilirubin levels leading to neonatal acute bilirubin encephalopathy needs to be further explored.

scholarly journals Elevated Level of Plasma B-Type Natriuretic Peptide (BNP) as a Prognostic Marker in Patients with Acute Coronary Syndrome

2019 ◽  
Vol 46 (2) ◽  
pp. 32-37
Author(s):  
Dilshad Parvin ◽  
Md Nasir Uddin ◽  
Md Shahjahn Kabir ◽  
Afsana Ahmed ◽  
SM Rahat Hossain ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Logistic Regression ◽  
Odds Ratio ◽  
Binary Logistic Regression ◽  
Prognostic Indicator ◽  
Morbidity And Mortality ◽  
Coronary Syndrome ◽  
Group I ◽  
Group Ii ◽  
Age Range

Acute coronary syndrome (ACS), a life-threatening manifestation of coronary artery disease, ranges from unstable angina (UA) to acute myocardial infarction (AMI). To reduce the morbidity and mortality resulting from acute coronary syndrome, we should have to find out some predictor or prognostic indicator. A prognostic indicator should be available at the time of initial patient’s evaluation, in order to maximize the potential benefits of early risk assessment. This study designed to evaluate plasma BNP as a prognostic tool in patients with acute coronary syndrome. A prognostic cohort study was carried out with 90 (ninety) acute coronary syndrome patients on the basis of their clinical and laboratory criteria with age range of 30 to 90 years in the department of biochemistry, BSMMU, in collaboration with department of cardiology, NICVD, BSMMU and BIRDEM. Plasma BNP concentrations were measured on enrollment and then grouping of the study subjects were done on the basis of their empirical cut off value of plasma BNP concentration. All the patients were free from heart failure, renal disease, thyroid disease and hepatic disorder. Main outcomes were mortality, morbidity and survival after hospital discharge with or without any disability. All the subjects were categorized into two and to see the significance between two groups in relation to age and sex Unpaired –t test and Chi square test were done. Finally, Binary logistic regression was done. Among 90 acute coronary syndromes patients, there were 74(82.2%) male and 16(17.8%) female with mean age of the study population 51.8 years and the age range of 30 t0 90 years. Among enrolled patients, 24 (26.7%) were NSTEMI and 66 (73.3%) were STEMI that includes 29 (32.2%) anterior MI, 21 (23.3%) inferior MI, 16 (17.8%) other varieties of MI. All the study subjects were grouped into two on the basis of empirical cut off value of plasma BNP 640pg/ml on enrollment. Group I with plasma BNP level less than 640pg/ml includes 57 (63.3%) subjects and group II with plasma BNP more than 640pg/ml includes 33 (36.7%) subjects. Among group I (n=57) good recovery, morbidity and mortality found to be in 41(71.9%), 15(26.3%) and 1(1.8%) patients and those in group II (n=33) found in 6(18.2%), 19(57.6%) and 8(24.2%) patients respectively. Keeping the group I in reference category binary logistic regression analysis done, showing odds ratio 11.5 with p- value 0.000. The odds ratio 11.5 indicates that there is 11.5 times higher chance of getting bad outcome in ACS patients having higher plasma BNP concentrations. Bangladesh Med J. 2017 May; 46 (2): 32-37

Clinical Factors Associated with the Diagnosis of Granulomatosis with Polyangiitis

2017 ◽  
Vol 156 (3) ◽  
pp. 484-488 ◽  
Author(s):  
Erdem Eren ◽  
Toygar Kalkan ◽  
Seçil Arslanoğlu ◽  
Mustafa Özmen ◽  
Kazım Önal ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Nasal Mucosa ◽  
Odds Ratio ◽  
Granulomatosis With Polyangiitis ◽  
Univariate Analysis ◽  
Binary Logistic Regression ◽  
Binary Logistic Regression Analysis ◽  
Significant Difference ◽  
History Of

Objective To determine the predictive value of nasal endoscopic findings and symptoms in the diagnosis of granulomatosis with polyangiitis (GPA). Study Design A cross-sectional study. Setting A tertiary university hospital. Subjects and Methods A total of 116 adults were enrolled in the study: 19 patients with GPA, 29 patients with other rheumatic diseases, and 68 healthy volunteers. All patients were examined with a flexible endoscope, and nasal endoscopic images were recorded and evaluated blindly. The medical history of each patient was taken by a physician blinded to the patient’s diagnosis. Results Univariate analysis indicated a statistically significant difference in rhinorrhea ( P = .002), postnasal drip ( P = .015), epistaxis ( P < .001), and saddle nose ( P = .017). However, binary logistic regression analysis demonstrated that only history of epistaxis ( P = .012; odds ratio, 5.6) was statistically significant in predicting GPA. Univariate analysis showed a statistically significant difference in nasal secretion ( P = .028), nasal septal perforation ( P < .017), nasal crusting ( P < .001), nasal adhesion ( P < .001), nasal granuloma ( P = .017), and hemorrhagic fragile nasal mucosa ( P < .001). A binary logistic regression analysis demonstrated that only hemorrhagic fragile nasal mucosa ( P < .001; odds ratio, 52.9) was a statistically significant predictor of GPA. Conclusions Given the results of this study, we believe that hemorrhagic fragile nasal mucosa and history of recurrent epistaxis may put patients at risk for GPA and should be investigated accordingly.

scholarly journals Nexus between Poverty and Child Labor: A Case Study in Narayanganj Area of Bangladesh Using Binary Logistic Regression

2021 ◽  
Vol 7 (11) ◽  
pp. 194
Author(s):  
Shamima Akter ◽  
Wasim Akram
Keyword(s):  
Logistic Regression ◽  
Child Labor ◽  
Odds Ratio ◽  
Group Discussion ◽  
Binary Logistic Regression ◽  
Sampling Technique ◽  
Drop Out ◽  
Poor People ◽  
Binary Logistic Regression Model ◽  
Household Heads

<p>The purpose of the study is to see how poverty influences child labor. To carry out the study, moderate poor people have been considered as respondents. Kalibazar and Langalband regions of Narayanganj district have been selected. Random sampling technique and Focused Group Discussion with children have been taken to conduct the study. Data has been collected from 50 Household Heads and 50 Children (male and female). For economic analysis, the Binary Logistic Regression model has been undertaken to see the relationship between poverty and child labor.  The analysis shows that the odds ratio indicates that drop-out children from school are 11.34 times more likely to go for taking the occupation of child labor due to poverty (major cause) than those children who have been dropped out due to other reasons (reference category). The study also shows that the families having no loan are 0.444 times less likely to go for child labor due to major causes (poverty) than that of the families having a loan. Moreover, the odds ratio corresponding to the children who use their income to help their families is 3.26. It means that the children who use their income for family purposes go 3.26 times more likely to take the occupation of child labor due to a major cause (poverty) than those children who do not use their income for family purposes. At the same time, the children who use their income for treatment purposes go 1.45 times more likely to take the occupation of child labor due to poverty (a major cause) than those children who do not use their income for treatment purposes.</p>

scholarly journals Binary Logistic Regression Modeling in Predicting Consumer Behavior towards Mutual Fund Investment

2019 ◽  
Vol 8 (1) ◽  
pp. 59-65
Author(s):  
Debaleena Chatterjee ◽  
Ayan Chattopadhyay
Keyword(s):  
Logistic Regression ◽  
Mutual Fund ◽  
Odds Ratio ◽  
Research Work ◽  
Binary Logistic Regression ◽  
Information Criteria ◽  
Investment Behavior ◽  
Financial Investment ◽  
Investment Option ◽  
Fund Investment

Mutual fund, as a financial investment option, has gained reasonable acceptance in India since its inception. While traditional forms of investment have its own merits, the sheen of mutual fund has also been realized by Indian investors. A huge investor class have scored mutual fund higher than its counterparts on many counts. While the popularity of this new age investment option is on a rise, however, a mixed view is also experienced. The present study explores the behaviour of investors’ towards mutual fund. The study is based on the premise of regression analysis and binary logistic regression has been used to develop a model that best represents the consumer behaviour. The best model selection is based on the information criteria of Akike. Also, from the model, the researchers have evaluated the probability of mutual fund purchase by consumers. Finally, the research work shows computation of odds ratio that signifies the extent to which the probability of purchasing mutual fund would change with unit change in the levels of the covariates. This study is descriptive in nature and is based on primary survey with a sample size of 376. The results reveal that high returns are the most preferred determinant of investment behavior followed by the liquidity which is also evident from the odds ratio computation.

scholarly journals Un modelo de perfilación para agresores sexuales desconocidos que agreden en las entradas de los edificios

2021 ◽  
pp. 245
Author(s):  
Heriberto Janosch González ◽  
Francisco Pérez Fernández ◽  
Juan Enrique Soto Castro
Keyword(s):  
Logistic Regression ◽  
Odds Ratio ◽  
Statistical Tests ◽  
Binary Logistic Regression ◽  
Crime Scene ◽  
Sexual Assaults ◽  
Modus Operandi ◽  
Chi Square

En el presente estudio pretendimos analizar las características de los autores de agresiones sexuales cuyo modus operandi es el de atacar a la víctima en portales o entradas de garaje de edificios. Nuestro estudio estuvo orientado a determinar si es posible predecir tales características a partir de los datos de la escena del crimen, analizando casos resueltos. Partiendo del contenido de sentencias judiciales condenatorias dictadas en España, y aplicando pruebas estadísticas de chi-cuadrado, odds-ratio, y regresión logística binaria, hemos obtenido resultados alentadores, en el sentido de que algunas de las variables de la escena del crimen permiten predecir algunas características de los autores. Dado que las variables de la escena del crimen utilizadas aquí son conocidas por el equipo policial al inicio de la investigación, la predicción de características del agresor sexual podría ser de utilidad a la hora de priorizar sospechosos.This paper aims at analysing the features of the perpetrators of sexual assaults whose modus operandi consists of assaulting the victim in doorways or entrances of garage and buildings. Its objective was to determine whether it is possible to predict these features moving from the information regarding the crime scene, by means of analysing solved cases. Moving from the content of convicting judgments issued in Spain, and by applying statistical tests of chi-square, odds-ratio, and binary logistic regression, we have obtained encouraging results, in that some variables in the crime scene allow to predict some features of these offenders. Since the variables of the crime scene that have been used here are known to the police team at the beginning of the investigation, prediction of the sexual offender’s features could be useful to prioritize suspects.

scholarly journals INFLUENCE OF PHARMACISTS’ INTERVENTION ON DRUG-RELATED PROBLEMS RELATED TO CHANGE IN HEMOGLOBIN LEVELS OF HEMODIALYSIS PATIENTS AT ADJIDARMO HOSPITAL, LEBAK, BANTEN

2017 ◽  
Vol 10 (17) ◽  
pp. 124
Author(s):  
Ai Yeni Herlinawati ◽  
Rani Saurisari ◽  
Retnosariandrajati Retnosariandrajati
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Data Analysis ◽  
Odds Ratio ◽  
Multivariate Data Analysis ◽  
Binary Logistic Regression ◽  
Hemodialysis Patients ◽  
Binary Logistic Regression Analysis ◽  
Average Increase ◽  
Drug Related Problems

  Objective: This study aims to evaluate the intervention of pharmacists for drug-related problems (DRPs) related to hemoglobin (Hb) level.Methods: This study uses a prospective pre-experimental and pre-post design. The study sample included 85 patients. All patients were interviewed, and their prescriptions were identified. Then, interventions were given to doctors and patients based on the identified DRPs. Univariate, bivariate, and multivariate data analysis with binary logistic regression analysis were used.Results: There was a significant decrease (p<0.05) in the number of DRPs before (2.85±1.82) and after (0.74±0.86) the intervention. There was also a significant increase (p<0.05) in the average Hb level before (9.29±1.39) and after (9.68±1.41) the intervention; the average increase in Hb level after the intervention was 0.39 g/dl. DRP significantly influences the changes in Hb level after the intervention. Hb level increased by 0.145 times after intervention (odds ratio=0.145, p=0.015).Conclusions: Pharmacists’ intervention for DRPs can increase the success of anemia therapy of hemodialysis patients at Adjidarmo Hospital, Lebak, Banten.

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