BIRTH COMPANION AND RESPECTFUL MATERNAL CARE – AN EXPERIENCE AT TERTIARY CARE CENTRE

2021 ◽  
pp. 39-42
Author(s):  
B. L. Patidar ◽  
Neha Seehra ◽  
Samay Singh
Keyword(s):  
Emotional Support ◽  
Maternal Care ◽  
Tertiary Care ◽  
Critical Element ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Felt Sense ◽  
Positive Feelings ◽  
Birth Companion

Background: The promotion of facility based delivery has been at the forefront of the international efforts to reduce maternal mortality, promoting respectful maternal care being recognized as critical element to improve the quality of maternal care. Aim-To explore the contribution of a birth companion during labor and child birth to promote respectful maternal care. Method: This is a descriptive study with qualitative approach involving the experience of 489 women who delivered during November 2019 to February 2020. Results: Mean age was 25.58 years, 48.67% participants were primigravida, in 52.35% cohort birth companion was given by mother-in-law followed by mother( 25.56%). Most common reason for companion was to build their condence (50.5%) followed by better emotional support (46.83%).All participants felt sense of newborn security due to companion. Conclusion: Birth companion generates positive feelings for women and contributes to humanization of delivery thus bringing a respectful and zero defect maternal care.

scholarly journals Effect of treatment on the quality of life of cervical cancer patients: a prospective study from a tertiary care centre of West Bengal

2019 ◽  
Vol 7 (1) ◽  
pp. 300
Author(s):  
Manisha Sarkar
Keyword(s):  
Quality Of Life ◽  
Cervical Cancer ◽  
Cancer Patients ◽  
West Bengal ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Financial Difficulties ◽  
History Of

Background: Cervical cancer is one of many health care ironies. Better survival rates demand better quality of life (QoL). The aim of present study was to determine the change in QoL of cervical cancer patients due to treatment.Methods: An observational prospective study was conducted from July 2017 to June 2018 among 80 new cervical cancer patients without any prior history of treatment for cervical cancer, attending radiotherapy department of a tertiary care centre of West Bengal using a semi-structured schedule and European Organization for Research and Treatment of Cancer (EORTC) quality of life questionnaire (QLQ). Information was collected on socio-demographic and clinical aspects and QoL domains. Those with history of surgery for cervical cancer, advanced stage of disease were excluded. EORTC QLQ was administered at baseline and one month after completion of treatment. Data was analysed by percentage, means±standard deviation, range and Wilcoxon signed rank test etc. using SPSS-16.Results: Only 60 patients could be analysed as 10 patients died and 10 lost to follow-up. After treatment there was a significant improvement in global health, physical, emotional and cognitive functioning as well as decrease in symptoms like fatigue, pain, insomnia, appetite loss and constipation along with worsening of financial difficulties. There was significant improvement in body image, decrease in problems of symptom experience, peripheral neuropathy and menopausal symptoms after treatment.Conclusions: The cervical cancer patients show an overall improvement in their QoL in most of the domains after one month of treatment except worsening of financial difficulties. 

scholarly journals ADHERENCE TO ANTIEMESIS GUIDELINES IN A DAY CARE CHEMOTHERAPY UNIT: EXPERIENCE FROM A TERTIARY CARE CENTRE

2019 ◽  
pp. 1-3
Author(s):  
Arun Philip
Keyword(s):  
Quality Of Life ◽  
Treatment Outcome ◽  
Day Care ◽  
Public Awareness ◽  
Tertiary Care ◽  
Population Based ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Adherence To Guidelines

Among the side effects of cancer therapy, chemotherapy induced nausea and vomiting (CINV) is the most distressing and it affects the quality of life of patients and the treatment outcome. The study was undertaken to audit the adherence to antiemesis guidelines in the day care chemotherapy unit at our centre. Avast majority of our chemotherapies (85%) were high emetic risk regimes. We found that the adherence to anti-emesis guideline was 57%. Among the cases of non adherence, a majority were over-treated (57%). Looking into the reasons of non adherence, we feel the need to evolve our own population based guidelines. Improving public awareness about the toxicities of chemotherapy will help in dispelling unwanted fear of toxicity. Improving awareness about anti-emetic guidelines among clinicians also will play a major role in improving adherence to guidelines and thus improving outcome of therapy.

scholarly journals Psychosocial Needs of the Families with a Person with First Episode Psychosis

2019 ◽  
Vol 10 (1) ◽  
pp. 56
Author(s):  
Praful Prabhuappa Kapse ◽  
Manisha Kiran
Keyword(s):  
Tertiary Care ◽  
Family Members ◽  
First Episode Psychosis ◽  
First Episode ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Episode Psychosis ◽  
The Family ◽  
Expressed Emotions

Background: The people who experience psychotic symptoms first time can be frightening for them and their close family members. It is crucial to provide family support and care to persons with first episode psychosis. Aim: To assess the needs of family members presenting to a tertiary care centre. Methods: Cross-sectional outpatient based study design was adapted to collect data from the family members of persons with first episode psychosis presented to a tertiary care centre. Total 60 family members were randomly selected for the study and assessed for the burden, attitude, ways of coping and quality of life. Results: Study results indicate the high burden; it has noted that high negative expressed emotions among family members. Negative coping styles were also found and the family members and having a poor quality of life. Conclusion: First episode of psychosis can traumatizing to the patients and their family members. Family members can experience the burden of caregiving including financial burden, can have faulty ways of coping and negative expressed emotions towards their own wards having psychosis which can lead to poor treatment outcome. Findings indicated that need to provide psychosocial intervention for family members of persons with first episode psychosis. Keyword: Family, psychosocial intervention, needs, first episode psychosis, expressed emotions, burden

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