scholarly journals Luaran persalinan gemeli di RSUP Prof. Dr. R. D Kandou Periode 1 Januari 2014 – 31 Desember 2015

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Yoel B. Parlindungan ◽  
Freddy W. Wagey ◽  
Maya Mewengkang
Keyword(s):  
Vaginal Delivery ◽  
Descriptive Study ◽  
Multiple Pregnancies ◽  
Delivery Method ◽  
Mortality And Morbidity ◽  
Delivery Outcome ◽  
Research Show ◽  
Duration Of Gestation

Abstract: Multiple pregnancies are pregnancy more than one fetuses. Multiple pregnancies increase seventy percent lately and effected on mortality and morbidity of maternal also fetal. This research is retrospective descriptive study with the purpose is outcome of twins’ delivery in RSUP Prof. DR. R. D Kandou from January 1st 2014 until December 31st 2015. The result of this research show 60 events of twins’ labor from 5038 labors (0.012%), most founded on mother age 21 – 25 years old with primiparas. The twins’ outcome shows the most presentations are cephalic-cephalic with vaginal delivery method. The most duration of gestation is 34 – 37 weeks shows prematurity is high. Female infants dominated. Birthweight show most 2000 – 2499 g on first infants and 2500 – 2999 g on second infants with 6-8 score of apgar.Keywords: twins’ delivery outcome, number of incidence. Abstrak: Kehamilan multijanin adalah kehamilan dengan jumlah janin lebih dari satu. Kehamilan kembar meningkat tujuh puluh persen saat ini dan meningkatkan angka mortalitas maupun morbiditas baik maternal maupun fetal. Penelitian ini menggunakan metode retrospektif deskriptif dengan tujuan untuk melihat luaran persalinan gemeli di RSUP Prof. DR. R. D Kandou periode 1 Januari 2014 – 31 Desember 2015. Hasil pengumpulan data dan penelitian menunjukan terdapat 60 kejadian persalinan gemeli dari 5038 persalinan (0.012%), paling banyak ditemukan pada ibu usia 21 – 25 tahun dengan primipara. Luaran bayi ditemukan presentasi bayi paling banyak adalah kepala-kepala, dengan metode persalinan spontan pervaginam. Usia kehamilan terbanyak adalah 34 – 37 minggu yang menunjukan tingginya prematuritas. Bayi perempuan mendominasi. Berat lahir terbanyak adalah 2000 – 2499 g pada bayi 1 dan 2500 – 2999 g pada bayi 2 dengan apgar skor terbanyak 6-8. Kata kunci: luaran persalinan kembar, angka kejadian.

scholarly journals Perinatal outcome of multiple pregnancy

2017 ◽  
Vol 6 (6) ◽  
pp. 2226
Author(s):  
Susithra Saravanan ◽  
Malarvizhi Loganathan
Keyword(s):  
Birth Weight ◽  
High Risk ◽  
Antenatal Care ◽  
Social Workers ◽  
Perinatal Outcome ◽  
Multiple Pregnancy ◽  
Multiple Pregnancies ◽  
Mortality And Morbidity ◽  
Obstetrics And Gynaecology ◽  
Multi Disciplinary Team

Background: Multifetal gestation in addition to perinatal mortality and morbidity, attributable to preterm delivery they are more vulnerable to unique complications such as, structural malformations and twin- twin transfusion syndrome so that still birth rates are also appreciably increased. The incidence of multifetal gestation following conventional gonadtropin therapy is 16-40% with 75% being twins, with super ovulation it is 25-30%. The incidence of twins and triplets with embryo transfer 22-24% and 26% respectively.Methods: The clinical material taken from institute of Obstetrics and Gynaecology, Egmore Maternity, Chennai. Material for this study consists of 100 multiple pregnancies from May 2001 to April 2002. During this study period 19,617 patients admitted for delivery. There were 99 seats of twins and 1 Triplets.Results: During the period of 1 year, 150 cases were analyzed. During the period 148 cases 2 cases of tripelets studied, no cases of quadruplets were reported during this period.Conclusions: Multifetal gestation is one of the high-risk pregnancies. Hence women with multifetal gestation should ideally receive antenatal care in special twin clinics to meet their special needs. The multi-disciplinary team should be lead by an obstetrician, should include midwives, USG, Neonatologists, social workers and anesthetists. Women followed in twin clinic had significant improvement in women outcome which includes increased mean birth weight, decreased low birth weight and low ICU admissions.

scholarly journals Pharmacologic Therapy in Postpartum Pelvic Pain Management

2019 ◽  
Vol 69 (12) ◽  
pp. 3622-3625
Author(s):  
Alexandra Matei ◽  
Cringu Ionescu ◽  
Mihai Dimitriu ◽  
Corina Ilinca ◽  
Diana Gheorghiu ◽  
...  
Keyword(s):  
Pain Management ◽  
Cesarean Section ◽  
Vaginal Delivery ◽  
Pelvic Pain ◽  
Epidural Anesthesia ◽  
Confidence Level ◽  
Pearson Correlation ◽  
Descriptive Study ◽  
Pharmacologic Therapy ◽  
Childbirth Experience

Women�s perception on childbirth experience is frequently related to pain struggle, regardless the type of birth. We aimed to present our Department�s experience on pharmacologically treating postpartum related pain. We developed a 6 months retrospective, descriptive study which included a number of 305 patients. Two sample patients were formed depending on the type of birth. In the sample of vaginal delivery a correlation between episiotomy and Paracetamol consumption was found (Pearson correlation of 0.238). In the sample of cesarean section births, for Acupan, Ketoprofen and Algifen the correlations with epidural anesthesia are negative and statistically significant at the 99.9% confidence level.

scholarly journals P339 Pregnant women with perianal Crohn’s Disease: suggestions for the improvement of the current guideline on delivery method

2021 ◽  
Vol 15 (Supplement_1) ◽  
pp. S364-S364
Author(s):  
I Schaafsma ◽  
F Hoogenboom ◽  
M Visschedijk ◽  
J Prins ◽  
G Dijkstra
Keyword(s):  
Caesarean Section ◽  
Pregnant Women ◽  
Vaginal Delivery ◽  
Faecal Incontinence ◽  
Perianal Disease ◽  
Current Guideline ◽  
Dutch Population ◽  
Delivery Method ◽  
General Dutch Population ◽  
Faecal Continence

Abstract Background Pregnant women with active perianal Crohn’s disease (CD), have an indication for a caesarean section according to the current ECCO guidelines. This advice is based on the assumption that vaginal delivery leads to exacerbation of perianal disease and to worsening of faecal continence. However, there is no strong evidence to support this. This study aims to examine the effects of delivery method on perianal disease progression and faecal incontinence in women with perianal CD Methods In this retrospective cohort study, 209 women were selected from a large IBD database within a tertiary hospital in the Netherlands. All women are aged >18 years, have perianal CD, and have at least one child. In addition, 102 women of this cohort completed a questionnaire. Faecal continence was scored using the Vaizey-score. Descriptive analysis using SPSS and linear regression analysis were performed. The outcome was corrected for the years after delivery (median 15, range 0-55). p-values <0,05 were considered statistically significant. Results The caesarean section rate within this cohort was 27,8%, which is high when compared the general Dutch population (14%). Within the group of women who delivered at least one child vaginally (n=84), 25,5% reported an alteration of faecal continence, compared to 18,8% of the women who never had a vaginal delivery (n=18). No significant relation between mode of delivery and faecal continence was found (B 0,97 [-1,19-3,14] p 0,375). The average Vaizey-score within this cohort in women who delivered solely through caesarean section had a median Vaizey-score of 5 (range 0-12). Women who had at least one vaginal delivery had an median Vaizey-score of 7 (range 0-20). In a large study amongst the general Dutch population (n=1259) a median Vaizey-score of 11 (range 0-17) was reported. Conclusion Faecal incontinence after vaginal delivery in CD women with perianal fistula is not significantly increased. Therefore the current guideline to advice a caesarean section should be adjusted and other factors such as the location of the fistula should be taken into account. To draw solid conclusions, better registration of fistula location and objective documentation of fistula activity (using PDAI-score) and stool consistency is needed.

scholarly journals Perceptions of mothers with children affected by major congenital malformations: the need to develop a system of appropriate care. Qualitative study of focus groups

1969 ◽  
Vol 40 (1) ◽  
pp. 85-94
Author(s):  
Fernando Suárez Obando ◽  
Adriana Ordóñez ◽  
Marisol Macheta
Keyword(s):  
Focus Groups ◽  
Health System ◽  
Congenital Malformations ◽  
Genetic Factors ◽  
Descriptive Study ◽  
Mortality And Morbidity ◽  
Appropriate Care ◽  
Causes Of Mortality ◽  
Major Congenital Malformations ◽  
Epidemiological Profile

Introduction: The diseases that are partly or wholly determined by genetic factors, gradually assume a ratio of greater importance in the epidemiological profile of the child population, becoming one of the leading causes of mortality and morbidity. The perception of mothers of children affected by major congenital malformations has not been studied before in relation to the health system in Colombia. Objectives: To know the mother’s perceptions of children with congenital malformations, on the etiology of the disease for their children, medical care received and the potential consequences of the malformation. Methods: Qualitative exploratory descriptive study of focus groups with mothers of children suffering from major congenital malformations. Results: Mothers identified the problems of child care in relation to the health system, treatment ambivalent and prejudice of health personnel and the need for clear answers on the future of children, as well as the need for reforms in the health care of people affected.

scholarly journals A STUDY TO EVALUATE THE CLINICAL PROFILE OF MULTIPLE GESTATIONS: A HOSPITAL BASED SURVEY

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Shahnawaz Hasnain Warsi ◽  
Kripa Nath Mishra
Keyword(s):  
Neonatal Mortality ◽  
Vaginal Delivery ◽  
Chromosomal Abnormalities ◽  
Normal Vaginal Delivery ◽  
Multiple Gestation ◽  
Singleton Pregnancy ◽  
Monochorionic Twins ◽  
Mortality And Morbidity ◽  
Multiple Gestations ◽  
Reproductive Techniques

Background: Monochorionic twins showed increased incidence of discordant growth as compared to dichorionic twins. Studies have reported fivefold mortality of twins in comparison with singleton pregnancy. In this a prospective study is done to assess the perinatal, neonatal mortality and morbidity in multiple gestations. Zygosity determines the degree of risk of chromosomal abnormalities in each fetus of a multiple gestation. The risk for aneuploidy in each fetus of an MZ pregnancy is the same as a singleton pregnancy, and except for rare cases of genetic discordancy, both fetuses are affected. In a DZ pregnancy, each twin has an independent risk for aneuploidy, and therefore has twice the risk of having a chromosomal abnormality compared with a singleton. Material and methods: This prospective observational study was conducted in the Department of Paediatrics Darbhanga Medical College and Hospital, Darbhanga Bihar India. The time period of the study from May 2019 to feb 2020. The total number of multiple gestation 160 include in this study. Results: Total 160 twins were studied, out of which preterm deliveries constituted 80.6% of all deliveries. Most of the mothers were between 24 to 30 year age group 70(43.8 %) followed by 18 to 24 year 55 (34.4 %) and most of them were primi 97(60.6%) and followed by gravid 2 was 54 (33.8%). Out of 160 patients 29 patient s was family history of twining in 18.1% of the study group. Assisted reproductive techniques such as clomiphene cirate,IUI and IVF  were used by 19.4% of couples. Dichorinic diamniotic twins accounted for 84.4% and Dichorinic triamniotic 2.4 %  of the  total  multiple deliveries. Normal Vaginal delivery was done for 65.6% of twins and LSCS for 34.4%. Conclusion: Most common type of delivery was vaginal delivery (65.6%) followed by LSCS (34.4%).Out of the variables studied, significant influence on neonatal mortality was seen only with discordant twins

scholarly journals Pregnancies past the estimated date of confinement: labour and delivery outcome

2003 ◽  
Vol 9 (5-6) ◽  
pp. 955-960
Author(s):  
M. Al Taani
Keyword(s):  
Caesarean Section Rate ◽  
Adverse Outcomes ◽  
Mortality And Morbidity ◽  
Delivery Outcome ◽  
Vaginal Deliveries ◽  
Significant Difference ◽  
The Difference ◽  
A Prospective Study ◽  
Onset Group ◽  
Spontaneous Onset

To compare labour and delivery outcomes in women undergoing induction and those having spontaneous onset for pregnancies past the estimated date of delivery, a prospective study of 395 singleton, uncomplicated pregnancies was performed. Labour was induced in 175 women. Overall caesarean section rate was 9.4%, with no significant difference between the 2 groups. Overall rate of assisted vaginal deliveries was 7%, higher in the induction group than the spontaneous onset group but the difference was not significant. There was no significant difference in occurrence of intrapartum meconium, nor for maternal morbidity. No neonate needed intubation. No perinatal deaths occurred. Perinatal mortality and morbidity are preventable, and induction of labour before 42 weeks is justifiable to prevent adverse outcomes

scholarly journals Survey of factors influencing women’s selection of the delivery method of their second child in Shanxi Province, China

2021 ◽  
Vol 37 (3) ◽  
Author(s):  
Jin-qiong Li
Keyword(s):  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Mode Of Delivery ◽  
Shanxi Province ◽  
Delivery Mode ◽  
Delivery Method ◽  
Childbearing Age ◽  
Second Child ◽  
Factors Influencing ◽  
Selection Of

Objective: To explore the factors influencing women’s selection of the delivery method of their second child. Methods: A questionnaire survey was administered among 431 women in the age range of interest from January 2015 to January 2017, and the survey results were evaluated and analyzed statistically. The experts evaluating the questionnaire are professionals in the Department of Obstetrics and Gynecology, Heji Hospital Affiliated to Changzhi Medical College. Results: A total of 70.99% of subjects were 28-35 years old. Approximately 82.35% wished to undergo vaginal delivery, and the remaining 17.65% expressed to undergo cesarean delivery. The reasons for cesarean delivery included the following: fetal factors: worry about fetal health (33.33%), birth trauma (12.90%), and fetal macrosomia (38.17%); maternal factors: advanced age (36.56%), inability to bear uterine contraction pains (21.51%), worry about uracratia after vaginal delivery (10.75%), worry about perineum laceration (8.60%) and the impacts on sexual gratification after delivery (5.38%); social factors: faster delivery mode (54.84%), selection of birth time (27.96%), and better planning of maternity leave (17.20%). Conclusion: Most women tend to undergo vaginal delivery. However, due to the influence of age, educational level and other factors, an increasing number of women prefer cesarean delivery. Medical institutions have the responsibility for providing overall and fair medical information to women of childbearing age to help them make informed choices regarding mode of delivery. doi: https://doi.org/10.12669/pjms.37.3.2634 How to cite this:Li JQ. Survey of factors influencing women’s selection of the delivery method of their second child in Shanxi Province, China. Pak J Med Sci. 2021;37(3):---------. doi: https://doi.org/10.12669/pjms.37.3.2634 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Revitalisasi Pendidikan Karakter melalui Islamisasi Kampus di Universitas Muhammadiyah Sukabumi

2019 ◽  
Vol 9 (2) ◽  
pp. 249
Author(s):  
Andri Moewashi Idharoelhaq ◽  
Muhammad Thariq Aziz
Keyword(s):  
Character Education ◽  
Complete Information ◽  
Descriptive Study ◽  
Hard Work ◽  
Quantitative Approach ◽  
Student Activities ◽  
Campus Environment ◽  
National Spirit ◽  
The University ◽  
Research Show

Campus Islamization has been held at Muhammadiyah University Sukabumi since 2014 but its effectiveness has not been measured especially to revitalize student character education. This research is a descriptive study with a quantitative approach. The instruments used included observation sheets for student activities in the classroom and campus environment. The results of the research show that the highest character is discipline (93.3%) and the lowest is the national spirit (60%) and the highest character is hard work (84%) and the lowest is fond of reading (61%). So it can be concluded that the results of the study show character that is expected to become complete information about the implementation of Islamization on campus as a form of efforts to revitalize character education especially at the University of Muhammadiyah Sukabumi.

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