Application of High Quality Nursing in Nursing of Postpartum Hemorrhage of Pregnant Women with Hypertension

Postpartum hemorrhage (PPH) is a common complication of pregnancy and a global public health concern. Even though PPH risk factors were extensively studied and reported in literature, almost all studies were conducted in non-Asian countries or tertiary care centers. Our study aimed to explore relevant risk factors for PPH among pregnant women who underwent transvaginal delivery at a Thai–Myanmar border community hospital in Northern Thailand. An exploratory nested case-control study was conducted to explore risk factors for PPH. Women who delivered transvaginal births at Maesai hospital from 2014 to 2018 were included. Two PPH definitions were used, which were ≥ 500 mL and 1000 mL of estimated blood loss within 24 h after delivery. Multivariable conditional logistic regression was used to identify significant risk factors for PPH and severe PPH. Of 4774 women with vaginal births, there were 265 (5.55%) PPH cases. Eight factors were identified as independent predictors for PPH and severe PPH: elderly pregnancy, minority groups, nulliparous, previous PPH history, BMI ≥ 35 kg/m2, requiring manual removal of placenta, labor augmentation, and fetal weight > 4000 gm. Apart from clinical factors, particular attention should be given to pregnant women who were minority groups as PPH risk significantly increased in this population.

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Does facility readiness promote high-quality of provider-initiated HIV testing and counseling to pregnant women? A national survey for improving policy of prevention of mother-to-child transmission of HIV in Tanzania

AIDS Research and Therapy ◽

10.1186/s12981-021-00362-y ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Deogratius Bintabara ◽

Athanase Lilungulu ◽

Shakilu Jumanne ◽

Mzee M. Nassoro ◽

Bonaventura C. Mpondo

Keyword(s):

Pregnant Women ◽

Hiv Testing ◽

Mother To Child Transmission ◽

Child Transmission ◽

High Quality ◽

Hiv Testing And Counseling ◽

Mother To Child ◽

Facility Readiness ◽

Testing And Counseling

Abstract Background Provider-initiated HIV testing and counseling (PITC) is a recommended approach to screen for HIV to all pregnant women during antenatal care (ANC) visits, and all with HIV positive results have to be enrolled into prevention of mother-to-child transmission of HIV (PMTCT) program. However, little is known about the relationship between facility readiness and the uptake of PITC to pregnant women attending ANC in Tanzania. Therefore, this study assessed whether the facility readiness promotes the uptake of PITC to the pregnant women attending ANC for the purpose of improving the PMTCT interventions in Tanzania. Methods This study analyzed data for health facilities obtained from the 2014–2015 Tanzania service provision assessment survey. The Primary outcome measure was a composite variable (with score of 0–5) in which its higher scores indicates provision of high-quality of PITC. Also, facilities scored higher in the PMTCT service readiness index were considered to have high readiness to provide PMTCT services. In Poisson regression analyses, a series of models were fitted to assess whether there is an association between provision of high-quality of PITC and facility readiness. In all statistical analysis, a P < 0.05 was considered significant. Results Out of 1853 included first-visit ANC consultations, only about one-third of pregnant women received all five components required for PITC. The mean percentage of PMTCT readiness score was moderate 63.96 [61.32–66.59]%. In adjusted model, we found that facility with high readiness to provide PMTCT services was significantly associated with the provision of high-quality of PITC (model 2: [β = 0.075, P = 0.00]). Conclusion In order to increase high-quality of PITC services, efforts should be made to improve the PMTCT facility readiness by increasing availability of trained staffs, diagnostic tools, and ARTs among health facilities in Tanzania.

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A knowledge mobilisation study exploring the use of high quality research evidence in everyday decisions about induction of labour between pregnant women and maternity care professionals

Midwifery ◽

10.1016/j.midw.2021.103030 ◽

2021 ◽

pp. 103030

Author(s):

Allison Farnworth ◽

Ruth H Graham ◽

Catherine A Haighton ◽

Stephen C Robson

Keyword(s):

Pregnant Women ◽

Maternity Care ◽

Research Evidence ◽

Induction Of Labour ◽

High Quality ◽

High Quality Research ◽

Knowledge Mobilisation ◽

Quality Research

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The role of tourism awareness in developing accessible tourism

ARID International Journal of Social Sciences and Humanities ◽

10.36772/arid.aijssh.2020.s.2120 ◽

2020 ◽

pp. 437-463

Author(s):

طه مهدي محمود ◽

حسين محمد علي أسد

Keyword(s):

Young Children ◽

Pregnant Women ◽

Special Needs ◽

The Elderly ◽

Tourism Industry ◽

Negative Effects ◽

High Quality ◽

Tourism Sector ◽

Effective Contribution

Tourism awareness is one of the most important pillars that contribute to the development of the tourism industry in general, and the development of various tourism patterns in particular, and among those patterns are accessible tourism, because of its great importance in reducing the negative effects that may accompany the tourism industry by building educated tourism employees And be aware, knowledgeable and aware of the importance of the accomplishments and successes achieved by the tourism sector and the opportunities that this sector offers and economic opportunities that ultimately reflect on the members of society and the country. Perhaps the sensitivity of dealing with the categories of accessible tourism (those with special needs, the elderly, pregnant women, mothers for young children) need special type employees who possess a set of special skills and experiences in dealing with those groups to make the details of the tourist trip for the concerned individuals, the most important of which is accommodation (the hotel). And to achieve the best possibility to enjoy the tourist activity in general. This research aims to highlight on the role of tourism awareness for a sample of employees of the holy Karbala hotels and their effective contribution to achieve the development of soft tourism by providing high-quality services that reassure the targeted tourists and thus contribute to attract the largest number of them, which is greatly reflected in the development of tourism and making years Coming golden years for this tourist pattern, which is considered an ethical and human duty to care about and develop.

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Sheehan’s Syndrome Revisited: Underlying Autoimmunity or Hypoperfusion?

International Journal of Endocrinology ◽

10.1155/2018/8415860 ◽

2018 ◽

Vol 2018 ◽

pp. 1-8 ◽

Cited By ~ 1

Author(s):

José Gerardo González-González ◽

Omar David Borjas-Almaguer ◽

Alejandro Salcido-Montenegro ◽

René Rodríguez-Guajardo ◽

Anasofia Elizondo-Plazas ◽

...

Keyword(s):

Pregnant Women ◽

Diagnostic Criteria ◽

Postpartum Hemorrhage ◽

Hypovolemic Shock ◽

Sheehan’S Syndrome ◽

History Of ◽

Sheehan's Syndrome ◽

Pituitary Antibodies

Sheehan’s syndrome remains a frequent obstetric complication with an uncertain pathophysiology. We aimed to assess the incidence of hypopituitarism (≥2 hormonal axis impairment) within the first six postchildbirth months and to determine the existence of anti-pituitary antibodies. From 2015 to 2017, adult pregnant women, who developed moderate to severe postpartum hemorrhage (PPH), were consecutively included in the study. Pituitary function was assessed 4 and 24 weeks after PPH. At the end of the study, anti-pituitary antibodies were assessed. Twenty women completed the study. Mean age was 26.35 (±5.83) years. The main etiology for severe PPH was uterine atony (65%) which resulted mostly in hypovolemic shock grades III-IV. Within the first four weeks after delivery, 95% of patients had at least one hormonal pituitary affected and 60% of the patients fulfilled diagnostic criteria for hypopituitarism. At the end of the study period, five patients (25%) were diagnosed with hypopituitarism (GH and cortisol axes affected). Anti-pituitary antibodies were negative in all patients. At 6 months follow-up, one in every four women with a history of moderate-to-severe PPH was found with asymptomatic nonautoimmune-mediated hypopituitarism. The role of autoimmunity in Sheehan’s syndrome remains uncertain. Further studies are needed to improve the remaining knowledge gaps.

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