scholarly journals Increased Rate of Cesarean Section among Teenage Mothers Attending a Tertiary Teaching Hospital in Indonesia

2017 ◽  
pp. 131
Author(s):  
I Putu G Kayika ◽  
Teuku K I Utama
Keyword(s):  
Cesarean Section ◽  
Antenatal Care ◽  
Teenage Pregnancy ◽  
Social Factor ◽  
Cross Sectional Study ◽  
Teenage Mothers ◽  
Cross Sectional ◽  
Tertiary Teaching ◽  
Tertiary Teaching Hospital ◽  
Obstetrical Outcome

Objective: To evaluate adverse obstetrical outcome in teenage pregnancy, and to investigate whether the social factor, demographic factor, and antenatal care is associated with the management of delivery in teenage pregnancy. Methods: A cross-sectional study was conducted by evaluating medical records teenage mothers who went to Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia during the period of January 2010 to December 2015. Results: From 186 teenage pregnancies, 75 pregnancies was terminated by cesarean section procedures (40.3%). The amount of antenatal care visit was significantly associated with teenage pregnancy (OR 4.14, CI95% 1.86-9.21). The provider of antenatal care, maternal age classification, education, and insurance were not signifcantly associated with management of labour. Conclusion: Teenage pregnancy is associated with higher cesarean section rate. [Indones J Obstet Gynecol 2017; 5-3: 131-134] Keywords: cesarean section, profile, teenage pregnancy

scholarly journals Colostrum avoidance practice and associated factors among mothers of children aged less than six months in Bure District, Amhara Region, North West, Ethiopia: A community-based cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245233
Author(s):  
Ayenew Mose ◽  
Merga Dheresa ◽  
Bezatu Mengistie ◽  
Biresaw Wassihun ◽  
Haimanot Abebe
Keyword(s):  
Cesarean Section ◽  
Antenatal Care ◽  
Cross Sectional Study ◽  
Home Delivery ◽  
Care Group ◽  
Cross Sectional ◽  
North West ◽  
North West Ethiopia ◽  
Colostrum Feeding ◽  
Study Participants

Introduction The World Health Organization and the United Nations International Children’s Emergency Fund jointly recommend colostrum feeding immediately following delivery of the newborn. Colostrum avoidance is the practice of discarding colostrum at least once within the first three days after delivery of the newborn. Colostrum contains antibodies that protect the newborn against disease. Despite this fact, many Ethiopian mothers see colostrum feeding as a cause of neonatal morbidity and mortality, and they believe colostrum should be discarded to alleviate its effects. However, the cause of this misconception about colostrum is not well researched in Ethiopia, particularly in the study area. Objective To assess the prevalence of colostrum avoidance and associated factors among mothers of children aged less than six months in Bure district, Amhara Region, North West, Ethiopia. Methods A community-based cross-sectional study was conducted from March 1st to 30th, 2019 in Bure district. Structured questionnaires and face to face interviews were used to collect data from 621 study participants. Multistage sampling technique was used to select study participants. Data were entered into Epi Data version 4.2.0 and then exported to Statistical Package for the Social Sciences version 23. Bivariate and multivariate logistic regression analyses were performed to identify predictors of colostrum avoidance practice. Results Six hundred twenty-one (621) mothers of children aged less than six months participated. The prevalence of colostrum avoidance was 14.5% (95%CI; 11.5–17.4). The multivariate analysis indicated that home delivery [AOR = 3.350, (95%CI; 2.517–14.847)], giving birth through cesarean section [AOR = 3.368, (95%CI; 1.339–8.471)], no participation in an antenatal care group [AOR = 1.889, (95%CI; 1.144–3.533)], poor knowledge of mothers about colostrum [AOR = 3.44, (95%CI; 2.45–4.977)], and poor attitude of mothers towards colostrum [AOR = 3.053, (95%CI; 1.157–8.054)] were important predictors of colostrum avoidance practice. Conclusion and recommendations Home delivery, giving birth through cesarean section, no participation in an antenatal care group, poor knowledge of mothers about colostrum, and poor attitude of mothers towards colostrum were significantly associated with colostrum avoidance practice. Therefore, health care workers in the district should promote institutional delivery, reduce the magnitude of cesarean section, encourage pregnant mothers to participate in an antenatal care group, and enhance maternal awareness about the merits of colostrum feeding. Moreover, health educations for mothers to have a positive attitude towards colostrum are important recommendations to be taken to prevent the further practice of colostrum avoidance.

scholarly journals Leave Against Medical Advice amongst Pediatric Patients Admitted in a Tertiary Teaching Hospital in Nepal: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (241) ◽  
pp. 897-901
Author(s):  
Sahisnuta Basnet ◽  
Ganesh B.K ◽  
Aslam Ansari ◽  
Suraj Adhikari
Keyword(s):  
Confidence Interval ◽  
Teaching Hospital ◽  
Pediatric Patients ◽  
Cross Sectional Study ◽  
Medical Advice ◽  
Sectional Study ◽  
Cross Sectional ◽  
Against Medical Advice ◽  
Tertiary Teaching ◽  
Tertiary Teaching Hospital

Introduction: Leave against medical advice has a potentially deleterious effect on the health of a child. This is particularly alarming in case of pediatric patients as they are unable to understand the implications of it and rely on parents to make decisions regarding their health. This study was undertaken to find out the prevalence of leave against medical advice among pediatric patients admitted in a tertiary teaching hospital in Nepal. Methods: A descriptive cross-sectional study was conducted in the Department of Pediatrics, Manipal Teaching Hospital between August 2019 and July 2020. Ethical clearance was obtained from the Institutional Review Committee (Ref: 256). Convenient sampling method was used. Data entry and analysis was done on Statistical Package for Social Sciences version 23. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.Results: Out of 1608 pediatric admissions taken in our study, the prevalence of leave against medical advice was found to be 67 (4.2%) at 95% Confidence Interval (3.22-5.18). Maximum 22 (33%) and minimum 6 (9%) patients respectively belonged to the age group from birth to 7 days and more than 10 years. Out of 67 cases, there were 36 (54%) males and 31 (46%) females.Conclusions: The prevalence of leave against medical advice among admitted pediatric patients in our study was similar to that of other studies. It is a social health problem which can be prevented by increasing the awareness and facilitating the use of health insurance schemes. More effective communication is required between the treating physicians and the parents to prevent this detrimental practice.

scholarly journals Teenage Pregnancies in Nepal – The Problem Status and Socio-Legal Concerns

2018 ◽  
Vol 56 (211) ◽  
pp. 678-682
Author(s):  
Samata Nepal ◽  
Alok Atreya ◽  
Tanuj Kanchan
Keyword(s):  
Teenage Pregnancy ◽  
Mode Of Delivery ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Teenage Mothers ◽  
Cross Sectional ◽  
Case Register ◽  
Low Socioeconomic ◽  
Education And Awareness ◽  
To Come

Introduction: Teenage pregnancy is an issue that needs to be addressed for a better health of the women and the society. The present analysis is undertaken to find out the incidence of teenage mothers who have had hospital delivery and focuses upon the various reasons for teenage pregnancy with a brief discussion upon the associated medicolegal and social aspects. Methods: A cross sectional study was carried out in a tertiary hospital in western region of Nepal. The delivery case register were reviewed for teenage pregnancies and the relevant data was captured in a data sheet and analysed. Results: During the study period, a total of sixty-nine teenage pregnancies culminated into delivery/ childbirth. The mean age of teenage mother was 18.16±0.99 years. Majority of the teenage mothers had not completed their secondary education and were of low socioeconomic strata. Mode of delivery was caesarean section in thirty four cases, whereas vaginal delivery was conducted in thirty five cases. Live births accounted for 67 deliveries, a still birth case was of anencephalic foetus while the other one was a preterm which was spontaneously delivered at the 23rd weeks of gestation. Conclusions: Education and awareness in the form of campaign, advertisements, road shows, television or radio programmes are suggested for a decline in the rate of teenage marriages and teenage pregnancies in Nepal in the days to come.

Workplace violence among nurses and physicians in a tertiary teaching hospital in Egypt

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Dena Ali Abozaid ◽  
Mohamed Momen ◽  
Nahla Fawzi Abou El Ezz ◽  
Hanaa Abdelhakiem Ahmed ◽  
Mahi Mahmoud Al-Tehewy ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Workplace Violence ◽  
Cross Sectional Study ◽  
Healthcare Sector ◽  
Cross Sectional ◽  
Tertiary Teaching ◽  
Healthcare Professions ◽  
Tertiary Teaching Hospital ◽  
Nurses And Physicians ◽  
Violence In The Workplace

Abstract Background Workplace violence (WPV) has been recognized as a major occupational hazard worldwide. Healthcare professions are particularly at a higher risk of WPV. Reported magnitude of WPV represents only the tip of an iceberg. The consequences of WPV in healthcare sector are dramatic; it affects the wellbeing of healthcare professions as well as the quality of the delivered service. Objective The study aimed to measure the magnitude of WPV, to identify factors associated with WPV among nurses and physicians working in a tertiary teaching hospital in Egypt. Methodology A descriptive cross-sectional study was conducted. A total of 114 physicians and 128 nurses were interviewed about exposure to WPV within the previous 12 months. Results The study found a high magnitude of WPV; nearly three fourth of physicians and nurses experienced violence in the workplace within the past 12 months. Female physicians experienced WPV more commonly compared to male physicians. There was a statistically significant association between type of patient nurses commonly cared for and experiencing WPV. Conclusion and Recommendations WPV among healthcare professions is an increasing problem that needs to be addressed. Increasing awareness of the problem among healthcare professions as well as the general public is warranted. Violence prevention program with a zero-tolerance policy is warranted.

scholarly journals Maternal and perinatal outcome of teenage pregnancy in a tertiary care centre

2018 ◽  
Vol 13 (1) ◽  
pp. 26-29
Author(s):  
Anjali Subedi ◽  
Junu Shrestha ◽  
Aashika Shrestha ◽  
Sangeeta Gurung
Keyword(s):  
Cesarean Section ◽  
Teenage Pregnancy ◽  
Perinatal Outcome ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Normal Vaginal Delivery ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Increased Risk ◽  
Nicu Admission

Aims: To evaluate the maternal and perinatal outcome in adolescent pregnancy,Method: This was a cross-sectional study conducted in Department of Obstetrics and Gynecology, Manipal Teaching Hospital, Pokhara from October 2017 to March 2018 for duration of 6 months.Results: There were total 82 cases of teenage pregnancy in the study duration with incidence of  6% among total deliveries. Majority of cases were of age 19 and were primigravida. Fifty five percent of the cases had normal vaginal delivery and cesarean section accounted for 39% of cases. The major indication for cesarean section was meconium stained liquor (52%) followed by oligohydraminos (15%) and cephalopelvic disproportion (11%). The maternal complication accounted for 59% of total cases. Among them, anaemia was highly prevalent comprising 11% of cases followed by PPROM (9.8%) and hypertensive disorders in pregnancy (8.5%). In perinatal outcome, the incidence of preterm birth was 15.9% and low birth weight was 13.4%. The rate of NICU admission was 2.4% and there was one case of still birth.Conclusion: The study showed that teenage pregnancy is at increased risk of adverse maternal and perinatal outcome. So if we lay an effort for reducing the incidence of teenage pregnancy, we can bring in positive changes in the indicators of maternal and perinatal morbidities.

scholarly journals PHYSICIANS’ ATTITUDE TOWARDS ARTIFICIAL INTELLIGENCE IN MEDICINE, THEIR EXPECTATIONS AND CONCERNS: AN ONLINE MOBILE SURVEY

2021 ◽  
Vol 21 (1) ◽  
pp. 181-189
Author(s):  
Muhammad alimin Mat reffien ◽  
Ellyana Mohamad Selamat ◽  
Hanani Nabilah Mohd Sobri ◽  
Mohd Fathulzhafran Mohamed Hanan ◽  
Mohd Ihsanuddin Abas ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Legal Aspect ◽  
Cross Sectional Study ◽  
Attitude Score ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Tertiary Teaching ◽  
Proper Training ◽  
Tertiary Teaching Hospital ◽  
Clinical Departments

The application of artificial intelligence (AI) is on the rise in the healthcare industry. However, the study on the physicians’ perspectives is still lacking.  The study aimed to examine physicians’ attitudes, expectations, and concerns regarding the application of AI in medicine. A cross-sectional study was conducted in October 2019 among physicians in a tertiary teaching hospital in Malaysia. The survey used a validated questionnaire from the literature, which covered: (1) socio-demographic profile; (2) attitude towards the application of AI; (3) expected application in medicine; and (4) possible risks of using AI. Comparison of the mean score between the groups using a t-test or one-way analysis of variance (ANOVA). A total of 112 physicians participated in the study: 64.3% from the clinical departments; 35.7% from the non-clinical specialties. The physicians from non-clinical departments had significantly higher mean attitude score (mean = 14.94 ± 3.12) compared to the clinical (person-oriented) departments (mean = 14.13 ± 3.10) and clinical (technique-oriented) departments (mean = 13.06 ± 2.88) (p = 0.033). The tech-savvy participants had a significantly higher mean attitude score (mean = 14.72 ± 3.55) than the non–tech-savvy participants (mean = 13.21 ± 2.46) (p = 0.01). There are differences in the expectations among the respondents and some concerns exist especially on the legal aspect of AI application in medicine. Proper training and orientation should precede its implementation and must be appropriate to the physicians’ needs for its utilization and sustainability.

scholarly journals Assessing the financial burden of hemodialysis treatment in Malaysia

2021 ◽  
Author(s):  
Nur Fatin Aqilah Mohd Fadzli ◽  
Ali Aminuddin Mohd Rasani ◽  
Soon Lean Keng
Keyword(s):  
Teaching Hospital ◽  
Employment Status ◽  
Financial Burden ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Income Class ◽  
Tertiary Teaching ◽  
Tertiary Teaching Hospital ◽  
Financial Burdens

Background: Patients with chronic kidney disease (CKD) spend substantial money on hemodialysis (HD) treatment. The growing intersection between socioeconomic status and financial burden represents an emerging challenge to the CKD community. Objective: This study assessed the financial burden of HD treatment on patients at a Malaysian tertiary teaching hospital. Methods: A cross-sectional study was carried out in the HD unit at a Malaysian tertiary teaching hospital from January to February 2021. Patients undergoing HD were purposively selected. A self-administered questionnaire was used to collect data on socio-demographic, finances, the patient's health history, treatment costs, and healthcare utilization. In addition, Pearson Chi-Square tests were used to analyze the data. Results: A total of 100 patients receiving HD treatment were included in the study. The mean age was 62.06 years (SD = 27.50), with 52% reporting moderate financial burdens. The financial burden was associated with employment status, salary, and income class among HD patients (p <0.05).  Conclusion: Evidence showed a large proportion of Malaysian patients receiving HD treatment came from the B40 income bracket. The findings indicate that financial burdens can impact HD patients and are related to employment status, salary, and income class. Therefore, the ability to identify HD patients' financial needs is critical in nursing practice.

scholarly journals Self-Medication Practice among Medical Students of a Tertiary Teaching Hospital in Dhaka City

2019 ◽  
Vol 6 (1) ◽  
pp. 28-31
Author(s):  
Asma Khan ◽  
Afroza Sultana ◽  
Benzir Ahammad ◽  
Shamsun Nahar ◽  
Shafeya Khanam
Keyword(s):  
Medical Students ◽  
Teaching Hospital ◽  
Cross Sectional Study ◽  
Self Medication ◽  
Cross Sectional ◽  
Medical College ◽  
Tertiary Teaching ◽  
Tertiary Teaching Hospital ◽  
Experience Of Illness ◽  
Structured Questionnaire

Background: Self-medication is a common practice worldwide and the irrational use of drugs is a cause of concern. Objective: This present study was designed to assess the rate of self-medication among the medical students in a tertiary teaching hospital in Dhaka. Methodology: This descriptive cross-sectional study was conducted in the Department of Pharmacology at Shaheed Suhrawardy Medical College, Dhaka, Bangladesh from October to December 2017 for a period of three (03) months. The participants were briefed about the nature of the study; the consent was taken and a pre‐tested semi‐structured questionnaire was administered to them. The information pertaining to the pattern of self‐medication, indications for self‐medication and drugs used for self‐medication was included in the questionnaire. Result: A total of 303 students were included in this study. The rate of self-medication was 100.0%. A larger number of females were self-medicating (81.2%) than males (75.3%). The majority of the students self-medicated because of the illness being too trivial for consultation (43.2%) and previous experience of illness (43.2%). Fever (73.3%) and headache (65%) are the most common cause of self-medication. Antipyretics were most commonly self–medicated by the participants (98%). 45.5% 0f students told that self-medication is not an acceptable practice. 40% of the participants opined that self-medication was a part of self-care. Conclusion: In conclusion self-medication is widely practiced among students of the institute Journal of Current and Advance Medical Research 2019;6(1):28-31

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