scholarly journals Cost and outcome of caesarean section in a public and private hospital in Dhaka city

2013 ◽  
Vol 12 (3) ◽  
pp. 276-281 ◽  
Author(s):  
Roskana Sabnom ◽  
Md. Ziaul Islam
Keyword(s):  
Caesarean Section ◽  
Indirect Cost ◽  
Public Hospital ◽  
Private Hospital ◽  
Medical Science ◽  
Lower Abdominal Pain ◽  
College Hospital ◽  
Cross Sectional ◽  
Public And Private ◽  
Safe Delivery

Introduction: Caesarean section (CS) is one of the most common surgical interventions to ensure safe delivery and outcome. Cost of CS is comparatively higher in private hospitals but it is not verified that this higher cost could influence the better outcome in private over a public hospital. Objectives: To compare cost and outcome of caesarean section between a public and private hospital. Materials and Methods: This cross-sectional comparative study was carried out among 130 clients of CS from Dhaka Medical College Hospital (DMCH) and Holly Family Red Crescent Hospital (HFRCH). Data were collected by face-to-face interview and reviewing medical documents. Cost of CS was estimated in terms of direct and indirect cost of CS incurred by the women while outcome was assessed by finding the health condition of the mother and newborn. Result: Majority of the women had CS as per doctor's advice. Majority (61.5%) had different kind of problems after CS including lower abdominal pain (86.0% in HFRCH and 69.2% in DMCH) and fever (10.7% in HFRCH and 17.3% in DMCH). Average cost of CS was significantly higher in HFRCH (Tk.36852.90±8396.38) than in DMCH (Tk.7344.23± 5081.67) [t(128), p<0.01]. Both direct and indirect cost of CS were significantly lower in DMCH than in HFRCH [t(128), p<0.01]. Outcome of CS was significantly better to mothers in DMCH than of HFRCH [?2 (7.9)=0.048, p<.05]. Conclusion: Cost of CS was higher in private hospital while outcome was better in public hospital. Effective measures are recommended for reduction of cost of CS to make it cost-effective. Bangladesh Journal of Medical Science Vol. 12 No. 03 July ’13 Page 276-281 DOI: http://dx.doi.org/10.3329/bjms.v12i3.15424

scholarly journals Indication and Outcome of Caesarean Section in Multigravid Women with a History of Vaginal Delivery in a Tertiary Care Hospital

2020 ◽  
Vol 14 (2) ◽  
pp. 86-89
Author(s):  
Poly Begum ◽  
Dipti Rani Saha ◽  
Dilruba Zeba
Keyword(s):  
Caesarean Section ◽  
Vaginal Delivery ◽  
Tertiary Care ◽  
Normal Vaginal Delivery ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Safe Delivery ◽  
Delivery Outcome ◽  
History Of

It is commonly believed that if the first child of a mother is born by normal vaginal delivery, all the subsequent deliveries will follow the same. As a result, such multiparous mothers often neglect routine antenatal check ups and intranatal care which may cause poor delivery outcome. For these reasons, attention should be given to analyze the indication of caesarean section (CS) in women who had history of previous vaginal delivery. Our objective was to know the indications and outcome of CS in multigravid women having a child previously delivered vaginally. This observational cross-sectional study was carried out in the Department of Obstetrics and Gynaecology in Diabetic Association Medical College Hospital, Faridpur. One hundred and ten multigravid women who had undergone elective as well as emergency CS for various indications were included in this study. Most common indication of CS was fetal distress (33.64%). Others were obstructed labour (10.9%), breech presentation (10.9%), and pre-eclampsia (9.09%). In the postpartum period, 75.5% patients were healthy. Others developed sepsis (10.9%) and URTI (8.2%). Most of the babies (95.5%) were alive. Understanding these insights may help both the mother and the caregiver an idea about the associated risks and what actions should be taken for a safe delivery outcome. Faridpur Med. Coll. J. Jul 2019;14(2): 86-89

scholarly journals Relationship between Stature and Length of Tendo Achilles in Adult Male and Female of Bangladesh

2020 ◽  
Vol 7 (2) ◽  
pp. 80-83
Author(s):  
Sanjida Amin ◽  
Shamim Ara ◽  
Rawshon Naznin ◽  
Umma Marium ◽  
Farah Diba ◽  
...  
Keyword(s):  
Medical Science ◽  
Age Groups ◽  
Medical College Hospital ◽  
Radiology Department ◽  
College Hospital ◽  
Cross Sectional ◽  
Male And Female ◽  
Medical College ◽  
Tendon Thickness ◽  
Ankle Flexibility

Background: Tendo Achilles injuries are usually related to poor ankle flexibility and strength and to overuse. Morphology of tendo Achilles is an important tool for its assessment which can be done by measuring tendon thickness, cross-sectional area and length of tendon. Objective: The aim of the study was to correlate length of tendo Achilles with stature in several age groups of sedentary people as measured by ultrasonography. Materials and method: This cross sectional analytical type of study was conducted in the department of Anatomy, Dhaka Medical College Hospital, Dhaka, Bangladesh from July 2013 to June 2014. The present study was performed on 200 tendo Achilles of 100 people (50 male and 50 female) randomly selected from the patients who came to the Radiology department of Dhaka Medical College Hospital for ultrasonography of any region of their body other than leg. Results: In this study length of tendo Achilles was measured in both legs of adult people and was correlated with stature. Highly significant correlation was found between length of tendo Achilles with stature (p<0.001). Conclusion: The data of length of tendo Achilles obtained from the present study may provide valuable information in different aspects of medical science as a guide line for physiotherapists, radiologists, sports professionals and ortho-surgeons in early detection and monitoring of rehabilitation especially of professional athletes. Delta Med Col J. Jul 2019 7(2): 80-83

scholarly journals Bacteriological analysis of infected wound and their antibiotic sensitivity following emergency caesarean section-a study of 100 cases

KYAMC Journal ◽  
2018 ◽  
Vol 9 (2) ◽  
pp. 61-64
Author(s):  
Sushmita Paul ◽  
Debashis Paul ◽  
Ashraful Haque ◽  
Bijan Kumar Nath ◽  
Md Rezaur Rahman Miah ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Wound Infection ◽  
Antibiotic Sensitivity ◽  
Cross Sectional Study ◽  
Emergency Caesarean Section ◽  
Klebsiella Pneumonia ◽  
Infected Wound ◽  
College Hospital ◽  
Cross Sectional ◽  
Emergency Caesarean

Background: Emergency caesarean section is one of the commonly performed operation in the department of gynae and obstetrics.Objectives: The aim and objective of the study was to evaluate the organisms responsible for post emergency caesarean wound infection and their antibiotics sensitivity.Materials & Methods: The study is a prospective type of cross sectional study where 100 patient of post emergency caesarean wound infection was evaluated during July 2012 to December 2012 (6 Month Duration) at Rajshahi Medical College Hospital (RMCH) Rajshahi. The wound swab was sent for culture and sensitivity test.Results: The peak incidence of wound infection to between 6th - 8th post operative day. In wound discharge shows various organism but 16% showed no growth. The most of the infected wound showed (48%) thick creamy pus and the organisms isolated is Staphylococcus. antibiotics mostly used were Ciprofloxacin, Cephradine and Metronidazole. This study revealed that maximum wound infection is due to S. aureus. Regarding antibiotic sensitivity of the cultured organisms, all of them are sensitive to Imepenem (100%). Staphylococcus aureus mostly sensitive to Flucloxacillin (79.16%). Ciprofloxacin sensitivity is found in 58.33% cases. E coli mostly sensitive to Imepenem (100%) followed by Ceftriaxone (53.84%). Klebsiella pneumonia found mostly sensitive to Imepenem (100%) followed by Ceftriaxone (75%) and Cephradine (50%).Conclusion: Selection of appropriate antibiotic is important to reduce post caesarean wound infection.KYAMC Journal Vol. 9, No.-2, July 2018, Page 61-64

scholarly journals Prescribing Pattern in Outpatient Departments of Two Tertiary Care Teaching Hospitals in Dhaka

2015 ◽  
Vol 5 (3) ◽  
pp. 157-160
Author(s):  
Halima Begum ◽  
Mahfuza Mazeda Rowshan ◽  
Sayeda Khanom ◽  
Shammin Haque ◽  
Farhana Afroze ◽  
...  
Keyword(s):  
Public Hospital ◽  
Private Hospital ◽  
Tertiary Care ◽  
Teaching Hospitals ◽  
Prescribing Pattern ◽  
College Hospital ◽  
Care Teaching ◽  
Medical College ◽  
Generic Prescribing ◽  
Outpatient Departments

Background: Medically inappropriate, ineffective and economically inefficient use of drugs is very common in our country. About 40% or more drugs expenditure may be wasted through irrational prescribing and dispensing. The need for promoting rational use of drugs is not only because of economic considerations; also it is an essential element for achieving quality of the health and medical care for patients and the community. For this purpose a cross sectional study was carried out among the individuals attending the outpatient departments (OPD) of Medicine, Surgery, Gynecology & Obstetrics, Pediatrics, Orthopedics, Dermatology & Venereology, Ophthalmology and Otolaryngology of two tertiary care teaching hospitals of Dhaka, Bangladesh.Objective: To observe the prescribing pattern in outpatient departments of two tertiary care teaching hospitals (Dhaka) by using World Health Organization (WHO) core prescribing indicators.Materials and Methods: Six hundred prescriptions of patients attending the OPD of Medicine, Surgery, Gynecology & Obstetrics, Pediatrics, Orthopedics, Dermatology & Venereology, Ophthalmology and Otolaryngology of Enam Medical College Hospital (private hospital) and Sir Salimullah Medical College Hospital (public hospital) were collected randomly on working days from April to September 2014. Then the prescriptions were analyzed by following the “Prescribing indicators form” as recommended by the International Organization of Rational Use of Drugs (INRUD)/WHO.Results: Average number of drugs per prescription was significantly high (3.07 in public hospital and 3.00 in private hospital). Generic prescribing was significantly lower in private hospital (4.00%) than that in public hospital (21.00%). Antibiotic prescription was higher in private hospital (42.35%). Injection prescribed in public hospital was 5.74% whereas 5.66% in private hospital. Drugs prescribed from Essential Drug List of Bangladesh were less in both the hospitals (42.85% in public hospital and 40.06% in private hospital).Conclusion: Average number of drugs per prescription was higher in both hospitals. Generic prescribing was lower in private hospital and prescribing from EDL was low in both hospitals.J Enam Med Col 2015; 5(3): 157-160

Measuring quality performance between public and private hospitals in Malaysia

2017 ◽  
Vol 9 (2) ◽  
pp. 218-228 ◽  
Author(s):  
Selim Ahmed ◽  
Noor Hazilah Abd Manaf ◽  
Rafikul Islam
Keyword(s):  
Patient Satisfaction ◽  
Public Hospital ◽  
Private Hospital ◽  
Hospital Staff ◽  
Quality Performance ◽  
Private Hospitals ◽  
Public And Private ◽  
Content Type ◽  
The Past ◽  
Public And Private Hospitals

Purpose This study aims to measure quality performance of the Malaysian hospitals based on eight items, namely, progress of quality management, medical service cost, reduce errors in medical services, patient waiting time, reduce waste in processes, patient complaint, employee job satisfaction and patient satisfaction. Mainly, it identifies difference or conformance between public and private hospitals on quality performance. Design/methodology/approach This study distributed 1,007 self-administered survey questionnaires to the hospital staff (i.e. doctors, nurses, pharmacists and medical laboratory technologists), resulting in 438 useful responses (43.5 per cent response rate). Research data were analysed based on descriptive analysis and independent samples’ t-tests using SPSS version 23. Findings The findings of this study indicate that there are significant differences between public and private hospital staff on progress of quality improvement process, patient satisfaction and cost of the medical services. Private hospital staff believed that their hospital’s quality management process and patient satisfaction has been improved over the past years compared to public hospital. However, private hospital staff does not perceive their medical service cost has been reduced over the past years compared to public hospital. Research limitations/implications This research focused solely on quality performance of the Malaysian health sector and, thus, the results might not be applicable to other countries. Originality/value Present research findings provide guidelines for enhancing quality performance in Malaysian public and private healthcare sectors and other countries.

scholarly journals Menstrual Hygiene and Reproductive Morbidity in Adolescent Girls in Dehradun, India

2014 ◽  
Vol 13 (2) ◽  
pp. 170-174 ◽  
Author(s):  
Ruchi Juyal ◽  
S. D. Kandpal ◽  
Jayanti Semwal
Keyword(s):  
Adolescent Girls ◽  
Gender Discrimination ◽  
Reproductive Tract ◽  
Strong Association ◽  
Medical Science ◽  
Lower Abdominal Pain ◽  
Reproductive Tract Infections ◽  
Cross Sectional ◽  
Menstrual Hygiene ◽  
Tract Infections

Context: In India, adolescent girls face serious health problem due to socio-economic, environmental and cultural conditions as well as gender discrimination. A vast majority of girls in India are suffering from either general or reproductive morbidities. Unhygienic practices during menstruation expose them for Reproductive Tract Infections (RTI). If not treated early, it could lead to various disabilities and consequently affect their valuable lives. This study was done with the aim of estimating the magnitude of gynaecological morbidities among unmarried adolescent girls as well as to find out the relation between menstrual hygiene and RTI. Settings and Design: Cross-Sectional Observational study conducted in two randomly selected Inter colleges (one rural and one urban) of district Dehradun, Uttarakhand state. Methods and Material: A cross-sectional study was undertaken in school going unmarried adolescent girls to know their menstrual hygiene practices as well as reproductive morbidity. Data was collected by interview method using a pretested, prestructured questionnaire after taking consent. Statistical analysis used: percentages and Chi-square test. Results: Approximately 65 % of the girls reported having dysmenorrhoea and 19 % of the girls had given the history of excessive vaginal discharge with or without low backache/lower abdominal pain. Strong association was found between Reproductive Tract Infections and poor menstrual hygiene. Conclusions: Girls should be made aware of the process of menstruation and importance of maintaining its hygiene before attaining menarche. They should also be made aware about its linkages with their forthcoming reproductive health. DOI: http://dx.doi.org/10.3329/bjms.v13i2.14257 Bangladesh Journal of Medical Science Vol.13(2) 2014 p.170-174

scholarly journals ASSESSMENT OF SOCIO-ECONOMIC STATUS OF PATIENTS

2008 ◽  
Vol 15 (02) ◽  
pp. 270-272
Author(s):  
AYESHA ASHFAQ ◽  
NOOR FATIMA ◽  
SEEMA DAUD ◽  
Ahsen Nazir Ahmed ◽  
Zakariya Imam ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Public Hospital ◽  
Private Hospital ◽  
Economic Status ◽  
Tertiary Care ◽  
Cross Sectional ◽  
The Public ◽  
Improve Compliance ◽  
Status Assessment ◽  
Tertiary Care Hospitals

Objective: To determine whether or not doctors assess the socio-economicstatus of their patients in order to customize treatment and improve compliance. Design: A cross-sectional Setting:Jinnah Hospital and Shalimar Hospital Lahore. Period: From March to June 2005 Methods & Material: Ninety-threepatients were included from each of the two randomly selected tertiary care hospitals (one public, one private) ofLahore. Doctor-patient encounters were observed. Results: No assessment was made for 134/186(72%) patients.51/186(27.4%) received an inadequate assessment. Only 01/186(0.5 %) patient received a thorough assessment ofhis socioeconomic status. Doctors in the private hospital made better effort to assess the socioeconomic backgroundof the patient (albeit inadequately), compared to those in the public hospital (p: < 0.0001). Conclusion: Doctors shouldbe regular and meticulous in patients’ socioeconomic status assessment.

scholarly journals Significant differences in cesarean section rates between a private and a public hospital in Brazil

2008 ◽  
Vol 24 (12) ◽  
pp. 2909-2918 ◽  
Author(s):  
Sueli de Almeida ◽  
Heloisa Bettiol ◽  
Marco Antonio Barbieri ◽  
Antônio Augusto Moura da Silva ◽  
Valdinar Sousa Ribeiro
Keyword(s):  
Public Hospital ◽  
Protective Factor ◽  
Private Hospital ◽  
Early Morning ◽  
Cross Sectional Study ◽  
Cesarean Sections ◽  
Cross Sectional ◽  
The Public ◽  
The City ◽  
Maternity Clinic

This paper evaluates the association of maternal variables and of variables related to prenatal and delivery care with cesarean sections at a public and at a private maternity. A retrospective cross-sectional study was performed at a public maternity clinic (2,889 deliveries) and at a private maternity clinic (2,911 deliveries) in the city of Ribeirão Preto, São Paulo State, Brazil. The prevalence of cesarean sections was 18.9% at the public maternity clinic and 84.3% at the private one. The factors associated with cesarean sections at both hospitals were: mothers from other cities, aged > 25 years and with hypertension. Having more than one child was a protective factor. At the public hospital, cesarean sections were more frequent on Wednesdays and from 12:00 to 23:59 hours of any day of the week, whereas at the private hospital they occurred on any day, though were less common on Sundays, and at any time except in the early morning. At the private hospital, cesarean sections were more frequent when performed by the doctor who had provided the prenatal care. Non-medical factors were more associated with cesarean sections in the private maternity clinic than biological or clinical factors related to pregnancy.

FACTORS INFLUENCING JOB SATISFACTION OF NURSES IN PUBLIC AND PRIVATE SECTOR'S HOSPITALS: A CROSS SECTIONAL STUDY

2018 ◽  
Vol 8 (3) ◽  
pp. 147-151
Author(s):  
Habib Ullah ◽  
Sehrish A. ◽  
Anwar CH ◽  
Meerub . ◽  
Saleem M Rana
Keyword(s):  
Job Satisfaction ◽  
Service Delivery ◽  
Private Sector ◽  
Private Hospital ◽  
Tertiary Care ◽  
Working Environment ◽  
Hospital Nurses ◽  
Government Hospital ◽  
Cross Sectional ◽  
Public And Private

Background: Human resource works as an engine to provide sustainable service delivery. An individual's perception in the organization plays a vital role in job satisfaction. In Health Care Nurse's job satisfaction in their jobs determines whether their roles are fulfilled towards service delivery for their clients of various communities. Better performance has been directly related with organizational working environment, social and financial aspects of the job are also important factors. Methods: A cross sectional descriptive study was carried out. 100 nursing officers working in two tertiary care hospitals (50 from each) was randomly selected from age group 22 to 60 years. The data was collected by using a self-administered structured questionnaire and was analyzed statistically to compare both the variables by using SPSS version 20. Results: Pay is the most important factor that leads to job satisfaction. Majority of nurses from government hospital are moderately satisfied from their pay scales only 2% were observed satisfied working in private hospital. Government hospital nurses were more satisfied (82%) with their job due to job security as compared to private hospital nurses. Conclusion: The study developed the significant differences in the job satisfaction of nursing officers between public and private sector hospitals. Workload, professional support, training arrangement, and working environment found main factors that influence job satisfaction. It is evident from the study that the nurses working in Public sectors are more satisfied than in Private sector.

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