Puerperal Disorders

2021 ◽  
pp. 159-176
Keyword(s):  
Antenatal Care ◽  
Maternal Death ◽  
Post Partum ◽  
Care And Support ◽  
Life Saving ◽  
Abnormal Bleeding ◽  
Post Partum Period ◽  
The Difference ◽  
To Receive ◽  
Pregnancy And Birth

Unfortunately, the complexities of human pregnancy and birth make it a risky endeavor. The most vulnerable time for maternal death is the post-partum period during which 60% deaths and 65% deaths are reported. Around 62.3% deaths are estimated to occur in post-partum period. Unfortunately, post-partum period is the most neglected period. In the developing world, while 65% of all women have some form of antenatal care, 53% get intra-natal care; only 30% get post-partum care. Women continue to need care and support after childbirth. Postpartum checkups can make all the difference for an abnormal bleeding or infection. Living away from services or being unable to afford those services prevents a woman from acquiring the knowledge needed after birth to look after herself or to receive the life-saving antibiotics and the attention she may need after delivery.

scholarly journals Students and Emergency Medicine: what is the standard level of first aid knowledge?

2019 ◽  
Vol 13 (2) ◽  
pp. 1-8
Author(s):  
Katarzyna Kujawa
Keyword(s):  
Emergency Situation ◽  
First Aid ◽  
Chi Square ◽  
Life Saving ◽  
First Aid Training ◽  
Medium Level ◽  
Chi Square Test ◽  
Level Of Knowledge ◽  
The Difference ◽  
To Receive

Background. First aid is a critical skill, and knowing how to perform it may ultimately save a person’s life. Aim of the study. The aim of the study was to assess the level of first aid knowledge among students from three backgrounds: medicine, science, and the humanities. Materials and methods. The authors surveyed a group of 180 fifth-year physiotherapy, geoinformatics, and psychology students, of which there were 60 from each discipline. The authors used an anonymous survey of their own design, composed of open- and closed-ended questions, which included 15 questions about first aid rules. The research was conducted in Wrocław, Poland. Results. Only 60 students (30.33%) had previously had the opportunity to receive first aid training during the course of their studies. An additional 100 students (55.56%) claimed they were familiar with first aid rules. Of the physiotherapy students, 32 (53.3%) declared they would remain calm and composed in an emergency situation, with men claiming they would remain more composed than women. The difference in behaviour turned out to be statistically significant; the value of the chi-square test was 13.74. Students who had had prior first aid training at university were the most familiar with life-saving techniques and claimed they would remain the most composed in an emergency situation (32 students from physiotherapy; 53:3%). Prior to taking the first aid exam, the majority of students (100 respondents; 55.6% of the total) were confident that they would obtain the maximum number of points possible on the test. However, upon completion, they were found to have a medium level of knowledge at 889 points out of 1,500, or 59%. Conclusions. The level of first aid knowledge among university students should be dramatically improved, so they are able to perform first aid with some level of expertise, should the need ever arise. To facilitate this, every university should include first aid classes in their curriculum. First aid techniques should be revised and refreshed every six months.

scholarly journals Causes and Timing of Maternal Death in Mizan – Tepi University Teaching and Bonga General Hospital from 2011 – 2015: A Case Control Study and Using Propensity Score Matching Analysis

2017 ◽  
Vol 10 (1) ◽  
pp. 98-105
Author(s):  
Tegene Legese Dadi ◽  
Kebadnew Mulatu Mihirete ◽  
Tensay Kahsay Welegebriel
Keyword(s):  
Propensity Score ◽  
Propensity Score Matching ◽  
General Hospital ◽  
Maternal Death ◽  
Case Control Study ◽  
Post Partum ◽  
Case Control ◽  
Propensity Score Matching Analysis ◽  
Post Partum Period ◽  
Control Study

Background:Death of women during pregnancy, delivery and within 6 weeks of postpartum can threaten the survival of the entire family. Even though our country reduces the maternal death, still the number of death that occurs is high as WHO maternal death classification. So the need of further study is unquestionable to identify cause and timing of maternal death.Methods:A case control study on 595 charts, 119 cases and 476 controls was conducted in MTU teaching & Bonga general hospital. Data was analyzed by STATA 13.1. Propensity score matching analysis was used to see causes. Confidence interval of 95% was used to see the precision and the level of significance of p value =<0.05.Result:Most death (74.8%) occurred during post-partum period. Only 17.6% of women died in Intrapartum period. The major causes of maternal death in the study area were hemorrhage 47.9% (β =0.58 (95% CI (0.28, 0.87)) in hospital but when projected to population based on our sample (β =0.26 (95% CI (0.22, 0.31)). Infection 36 (25.21%) (β = 0.50 (95% CI (0.08, 0.92))..Conclusion:Most of the women died in post-partum period particularly within three days. Hemorrhage was the leading cause of death.

scholarly journals Which mothers receive a post partum home visit in Queensland, Australia? A cross-sectional retrospective study

2015 ◽  
Vol 39 (3) ◽  
pp. 337 ◽  
Author(s):  
Wendy Brodribb ◽  
Yvette Miller
Keyword(s):  
Private Sector ◽  
Home Visit ◽  
Home Visiting ◽  
Post Partum ◽  
Cross Sectional ◽  
Public And Private ◽  
The Public ◽  
Post Partum Period ◽  
Public And Private Sector ◽  
To Receive

Objective Although home visiting in the early post partum period appears to have increased, there are limited data defining which women receive a visit and none that include Queensland. We aimed to investigate patterns of post partum home visiting in the public and private sectors in Queensland. Methods Data were collected via a retrospective cross-sectional survey of women birthing in Queensland between 1 February and 31 May 2010 at 4 months post partum (n = 6948). Logistic regression was used to assess associations between receiving a home visit and sociodemographic, clinical and hospital variables. Analyses were stratified by public and private birthing sector because of significant differences between sectors. Results Public sector women were more likely to receive a visit from a nurse or midwife (from the hospital or child health sector) within 10 days of hospital discharge (67.2%) than private sector women (7.2%). Length of hospital stay was associated with home visiting in both sectors. Some vulnerable subpopulations in both sectors were more likely to be visited, whereas others were not. Conclusions Home visiting in Queensland varies markedly between the public and private sector and is less common in some vulnerable populations. Further consideration to improving the equity of community post partum care in Queensland is needed. What is known about the topic? A recent paper found that most women from the public sector in Victoria and South Australia receive an early post partum home visit from a midwife or nurse. Queensland only recently implemented a program to increase post partum home visiting but who receives visits is still unknown. What does this paper add? No previous study has investigated which women receive early post partum home visits in Queensland, nor home visiting rates within the private sector. This paper also examines whether specific subpopulations of vulnerable post partum women are receiving home visits so that patterns of inequity or unmet needs can be identified. What are the implications for practitioners? Home visiting by nurses or midwives in the post partum period in Queensland was less common than in other Australian states, and varies markedly between the public and private sector. These differences highlight inequities in community post partum care that need to be addressed if women are to receive the most cost-effective and clinically appropriate care and support in the post partum period.

The Effects of a Caffeine Placebo and Experimenter Expectation on Blood Pressure, Heart Rate, Well-Being, and Cognitive Performance

2001 ◽  
Vol 6 (1) ◽  
pp. 15-25 ◽  
Author(s):  
Harald Walach ◽  
Stefan Schmidt ◽  
Yvonne-Michelle Bihr ◽  
Susanne Wiesch
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Cognitive Task ◽  
Well Being ◽  
Control Group ◽  
Double Blind ◽  
Main Effect ◽  
The Difference ◽  
Being There ◽  
To Receive

We studied the effect of experimenter expectations and different instructions in a balanced placebo design. 157 subjects were randomized into a 2 × 4 factorial design. Two experimenters were led to expect placebos either to produce physiological effects or not (pro- vs. antiplacebo). All subjects except a control group received a caffeine placebo. They were either made to expect coffee, no coffee, or were in a double-blind condition. Dependent measures were blood pressure, heart rate, well-being, and a cognitive task. There was one main effect on the instruction factor (p = 0.03) with the group “told no caffeine” reporting significantly better well-being. There was one main effect on the experimenter factor with subjects instructed by experimenter “proplacebo” having higher systolic blood pressure (p = 0.008). There was one interaction with subjects instructed by experimenter “proplacebo” to receive coffee doing worse in the cognitive task than the rest. Subjects instructed by experimenter “antiplacebo” were significantly less likely to believe the experimental instruction, and that mostly if they had been instructed to receive coffee. Contrary to the literature we could not show an effect of instruction, but there was an effect of experimenters. It is likely, however, that these experimenter effects were not due to experimental manipulations, but to the difference in personalities.

Low back pain in pregnancy and post-partum period. Principles for medical rehabilitation

2018 ◽  
Vol 1 (19) ◽  
pp. 22
Author(s):  
Iulia Filipescu ◽  
Mihai Berteanu ◽  
George Alexandru Filipescu ◽  
Radu Vlădăreanu
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Post Partum ◽  
Medical Rehabilitation ◽  
Low Back ◽  
Post Partum Period ◽  
In Pregnancy

scholarly journals Using Anti-Cancer Agents during the Post-Partum Period: Not that Simple

Onkologie ◽  
2010 ◽  
Vol 33 (8-9) ◽  
pp. 419-419 ◽  
Author(s):  
Olivier Mir ◽  
Paul Berveiller ◽  
Raphaël Serreau
Keyword(s):  
Post Partum ◽  
Anti Cancer ◽  
Post Partum Period

scholarly journals Client satisfaction with existing postnatal care and associated factors: A study among mothers in Awi Zone, Amhara region, Ethiopia

2020 ◽  
Vol 16 ◽  
pp. 174550652097601
Author(s):  
Daniel Adane ◽  
Biresaw Wassihun
Keyword(s):  
Antenatal Care ◽  
Health Care Providers ◽  
Postnatal Care ◽  
Associated Factors ◽  
Client Satisfaction ◽  
Post Partum ◽  
Care Providers ◽  
Amhara Region ◽  
Awi Zone

Background: The majority of maternal and neonatal adverse events take place during the postnatal period. However, it is the most neglected period for the provision of quality care. Objective: The aim of this study among mothers in the Awi Zone, Amhara region, Ethiopia, was to assess client satisfaction with existing postnatal care and associated factors. Methods: An institution-based cross-sectional study was conducted in Awi Zone hospitals from 1 to 30 April 2018. A total of 422 post-partum mothers were selected by systematic sampling. The data were collected using a pre-tested structured questionnaire via a face-to-face interview. Data entry and analysis were completed using EpiData version 3.1 and SPSS version 22, respectively. The data were summarized with frequency and cross-tabulation. Both binary and multiple logistic regressions were used to identify predictor variables using odds ratios and 95% confidence intervals. Result: The prevalence of postnatal care satisfaction was 63%. Being from urban area (AOR = 2.1, 95% CI = (1.11–3.99)), having a history of antenatal care follow up (AOR = 1.62, 95% CI = (1.23–1.64)), spontaneous vaginal birth (AOR = 3.14, 95% CI = (1.77–3.28)), and those who did not face any complications during birth (AOR = 2.90, 95% CI = (1.47–1.69)) were some of the factors associated with client satisfaction. Conclusion: According to the results of this study, the majority of mothers were satisfied with post-partum care services. The study findings indicate that maternal satisfaction on post-partum care is mainly affected by residency, antenatal care follow up, mode of delivery, and complications during birth. Therefore, health care providers and other concerned bodies should give special attention to those mothers who are from rural areas, who face complications during birth or who have instrumental-assisted or cesarean section birth. Also, every pregnant mother should be supported to have at least four regular antenatal care visits.

A two-diet system andad libitumlactation feeding of the sow 1. Sow performance

1996 ◽  
Vol 62 (2) ◽  
pp. 337-347 ◽  
Author(s):  
M. Neil ◽  
B. Ogle ◽  
K. Annèr
Keyword(s):  
Food Consumption ◽  
Post Partum ◽  
Live Weight ◽  
Metabolizable Energy ◽  
Backfat Thickness ◽  
Conventional Diet ◽  
Feeding Regimes ◽  
Ad Libitum ◽  
The Difference ◽  
Depth Condition

AbstractEffects of a two-diet system combined withad libitumlactation feeding of sows on food consumption, sow live weight (LW), backfat depth, condition scoring, rebreeding interval, symptoms of agalactia and culling were studied on 60 sows followed for four parities. Feeding regimes were: CR, conventional i.e. restricted during gestation and lactation; SA, a simplified diet offered at a restricted level during gestation and a conventional dietad libitumduring lactation; CA, conventional during gestation and the same dietad libitumduring lactation. During lactation CR sows consumed 5·9 kg food daily (71 MJ metabolizable energy (ME)), whereas SA and CA sows consumed on average 7·0 kg (85 MJ ME), the difference being larger in multiparous than in primiparous sows and larger in the first than in later weeks of lactation. From the second farrowing onward sows on CR treatment were lighter and had thinner backfat and lower condition scores than sows on CA treatment, with sows on SA treatment in between, i.e. approaching the CR sows in the gestation periods and the CA sows in the lactation periods. At first service LW was 130 kg and backfat thickness 14 mm. During the fourth lactation LW averaged 190 kg in CR sows and around 220 kg for SA and CA sows, and backfat thickness was 11 mm in CR sows and around 16 mm in SA and CA sows. SA sows tended to rebreed earlier after weaning than did CR or CA sows. CA sows and in particular SA sows had higher incidences of agalactia symptoms and higher rectal temperatures post partum than CR sows. The culling rates did not differ between feeding regimes, although the predominant causes for culling did, being shoulder lesions and abscesses in thin CR sows and leg disorders in SA and CA sows. At the end of the experiment, however, more SA sows than others were retained in the experimental herd. It was concluded that the SA feeding regime was superior in terms of sow performance, despite an increased incidence of agalactia symptoms.

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