Practices of Skilled Birth Attendants about AMTSL in Prevention of Post-Partum Haemorrhage: Cross-sectional Study

2021 ◽  
Vol 15 (10) ◽  
pp. 2629-2630
Author(s):  
Tabassam Zia ◽  
Yasmin Saggu ◽  
Zarnigar . ◽  
Tahira Perveen ◽  
Saima Riaz ◽  
...  
Keyword(s):  
Post Partum ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Ethical Review ◽  
Check List ◽  
Skilled Birth Attendants ◽  
Cross Sectional ◽  
Birth Attendants ◽  
Post Partum Haemorrhage ◽  
Labour Room

Aim: To assess the practices of SBAs about AMTSL working in labour room at tertiary level of care in-order to minimize the accidence of PPH. Study Design: Cross-sectional descriptive study. Methodology: This study with enrolled SBAs (n=120) was done following ethical review committee’s (ERC) approval at Government tertiary care hospitals of the Lahore-Pakistan. For data collection a WHO standardized check list as a questionnaire was used to assess the practices of SBAs. Results: Results showed that there were gaps in competencies of SBAs about AMTSL working in labour room. Most of the steps that are S1, S3, S4, S8, S12, S13, S14 and S15 were not done by the majority of the SBA working in labour room. Almost 12 (10%) out of 120 SBAs just got 60% and above marks, 100 (83.3%) out of 120 got marks between40 to 59% and only 8 (6.7%) got less than 40% marks. Conclusion: We concluded that SBAs had unsatisfactory knowledge about standardized check list of AMTSL by WHO and their practices were not according to standard. Keywords: Skilled Birth Attendants, Labour Stages, Post-partum Haemorrhage and Practices.

ASSESSMENT OF SKILLED BIRTH ATTENDANTS REGARDING HELPING BABIES BREATH INTERVENTION TO IMPROVE NEWBORN CARE IN RURAL DISTRICT OF SINDH

1970 ◽  
Vol 7 (1) ◽  
pp. 48-53
Author(s):  
Sheh Mureed ◽  
Muhammad Hassan Gandro ◽  
Walid Hassan
Keyword(s):  
Newborn Care ◽  
Cross Sectional Study ◽  
Vital Role ◽  
Skilled Birth Attendants ◽  
Cross Sectional ◽  
Neonatal Deaths ◽  
Birth Attendants ◽  
Study Results ◽  
Knowledge And Practice ◽  
Labour Room

Background: Globally, 3.1 million newborn deaths occur every year out of these estimated 400,000 neonatal deaths occur in Pakistan. All neonatal deaths 99% take place in poorest region and countries of the world, usually within hours of birth; mostly the cause of neonatal deaths is hypoxia. To access knowledge and practice of SBAs regarding HBB and to access the availability of equipments required for HBB. Methods: Descriptive Cross-Sectional Study on SBAs as trained in HBB. All 46 SBAs trained on HBB working in Labour room eight rural Health centers, four Taluka, One district Head Quarter Health Facilities and thirteen Mlbcs of the district, were included in the sample for study. All 41 SBAs were trained on HBB participated in the study. Results: Mean age of 30 years. Out of total 41 participants 25 were working in B-EmoNC (61%), 3in C-EmoNC (7.3%) and 13 in mid wife laid birth Centre (MLBC) or birth station (31.7%). About 92.7% of participants said that main purpose of HBB training is to decrease the NMR by improving newborn care. Drying of newborn is 82.7%, hand washing is 95.12% and 85.3% of the study participants said that they gave 30-40 breaths per minutes. Cord clamp and pair of ties was accessible to 85% of participants versus 14.3% who reported it's not accessible. Almost one quarter (34.1%) participants have low knowledge and practice. Knowledge and training had significant effect on the overall practices of the skilled birth attendants for skilled birth deliveries and reduce the neonatal deaths (P <0.001). Conclusion: Tools play a vital role for the implication of the knowledge into practices and tools were available almost to every participant. Although few barriers also identified for the less application of the helping hand babies trainings in the community.

Frequency of factors leading to acute renal failure in obstetric patients.

2021 ◽  
Vol 28 (05) ◽  
pp. 640-646
Author(s):  
Shaheena Zafar ◽  
Riffat Jaleeel ◽  
Kouser Karim Lodhani
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Serum Creatinine ◽  
Placental Abruption ◽  
Post Partum ◽  
Common Factor ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional

Objective: To determine the frequency of factors leading to acute renal failure in obstetric patients. Study Design: Cross Sectional study. Setting: Department of Obstetrics and Gynecology, Civil Hospital Karachi, Tertiary Care Hospital. Period: July 2015- Jan 2016. Material & Methods: Total 250 women during pregnancy and within 42 days after delivery who were diagnosed as ARF were included. Serum creatinine was done on admission and then after 24 hours of delievery. Those with urine output < 30ml / hour and serum creatinine > 1.5 mg / dl were recruited. All data was recorded on proforma. Results: The average age of the women was 29.36±5.87 years. Post-partum hemorrhage was the important and common factor i.e. 40.4%, followed by placental abruption 25.6%, Severe pre-eclampsia 18.4%, puerperal sepsis 8.4% and eclampsia 7.2%. Conclusion: Ante partum hemorrhage like placental abruption, eclampsia and preeclampsia, and postpartum hemorrhages’ are the major causes of obstetrical ARF. Good antenatal care and provision of universal health facility can prevent this dangerous condition. Though it is a treatable and curable complication, but if not diagnosed and treated timely, it can lead to significant maternal morbidity and mortality.

scholarly journals To Formulate a Selective Patient Safety-related Policy for a Tertiary Care Hospital

2014 ◽  
Vol 2 (2) ◽  
pp. 94-102
Author(s):  
V Aggarwal ◽  
Shakti Kumar Gupta ◽  
S Arya ◽  
S Singh
Keyword(s):  
Patient Safety ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Check List ◽  
Patient Identification ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Public And Private

ABSTRACT Patient safety is the absence of preventable harm to a patient during the process of healthcare (WHO). Accuracy of patient identification remains a priority focus of healthcare organization. Identifying patients accurately presents many unique challenges in today's healthcare settings. We need to understand how human factors can be used to reduce adverse events. Using a human factor approach, the human system interface can be improved by providing better designed system and processes. This involves simplifying processes, standardizing procedures, providing back up when human fails, improving communication, redesigning equipment and engendering a consciousness of behavioral organization and technological limitation that lead to error. The above study was an initiative toward simplifying processes and standardizing procedures. It was a descriptive cross-sectional study carried out between April to August 2013. The tool used was a check list made after an exhaustive review of literature and validated by experts in quality assurance from NABH accredited private hospitals. The study population of 100 people which included doctors, nurses, paramedical staff and quality managers of tertiary care public and private hospitals were approached for interaction against the back drop of the check list. Response rate was 61%. Policy was framed after incorporating inputs from responses received against the back drop of the check list. How to cite this article Singh S, Gupta SK, Arya S, Aggarwal V. To Formulate a Selective Patient Safety-related Policy for a Tertiary Care Hospital. Int J Res Foundation Hosp Healthc Adm 2014;2(2):94-102.

scholarly journals Awareness of contraception in post-partum women in a tertiary care centre

2017 ◽  
Vol 6 (9) ◽  
pp. 3850
Author(s):  
Rupali Atmaram Gaikwad ◽  
Shrinivas N. Gadappa ◽  
Sonali S. Deshpande
Keyword(s):  
Post Partum ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Contraceptive Device ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Oral Contraceptive Pills ◽  
Medical College ◽  
Contraceptive Pills ◽  
Intrauterine Contraceptive

Background: In this modern or scientific era even though women are working equally or one step ahead of men, in family planning decision they are still lagging behind. Postpartum period is very crucial for a woman especially for many of those belonging to the villages as this may be the only time she comes in contact with a health personnel and in a mood to listen health advice. Keeping this in mind, this crucial period was considered as opportunity to test the issue of awareness regarding contraception.Methods: We conducted a cross-sectional study in the department of obstetrics and gynecology of Govt medical college and hospital, Aurangabad between August 2016 to December 2016. A total 720 post-partum women were interrogated and counselled regarding various methods of contraception.Results: Only 55.69% were aware about various methods of contraception. Awareness was maximum for Sterilisation (91%) followed by Intrauterine contraceptive device (81%) and Oral contraceptive pills (41%). Women knew about contraception from health care system (45%) and mass media (36%). After counselling 97% patients ready to use.Conclusions: There is lack of awareness regarding contraception. Contraceptive services are to be strengthened by intergrating with antenatal sevices.

scholarly journals Chronic headache among general practice out patients in a tertiary care hospital, Eastern Nepal

2017 ◽  
Vol 13 (2) ◽  
pp. 22-29
Author(s):  
Rabin Bhandari ◽  
R Bhandari ◽  
DR Shakya ◽  
R Maskey ◽  
M Paudel ◽  
...  
Keyword(s):  
General Practice ◽  
Chronic Headache ◽  
Tertiary Care ◽  
Significant Proportion ◽  
Cross Sectional Study ◽  
Tension Type Headache ◽  
Ethical Review ◽  
Care Hospital ◽  
Research Committee ◽  
Cross Sectional

Background: The term chronic headache is commonly taken as headache lasting for more than three months. It is common in general practice with minimal research on the topic in Nepal. Objective: To sort out the common diagnoses of chronic headache and to study the clinical features and demographic profile of patients presenting with chronic headache.Method: A descriptive cross sectional study was conducted (2012 August to 2013 August) at General Practice outpatients in BP Koirala Institute of Health Sciences, a medical university in eastern Nepal. Approval and ethical clearance was taken from Research Committee and Institutional Ethical Review Board. Descriptive statistical analysis was done.Result: 168 patients constituting 1% of outpatient visits presented due to chronic headache. Mean age was 29.57 years (SD 10.53) and female to male ratio was 3.67. Mean number of days of headache was 19.46 days (SD 4.62). Numerical pain score was reported at 7.1/10 (SD 1.85). The mean duration of presentation was 22 months (SD 11). 40% reported impaired activity of more than one week. Headache was classified as chronic migraine in 20.2%, chronic tension type headache in 16.7%, and chronic daily persistent headache in 11.9%. The diagnosis did not fit into any diagnostic criteria in 51.2% cases. Conclusion: Chronic headache is common in females and young age group. Patients present late despite significant pain scores. Significant proportion is still unclassified.Health Renaissance 2015;13(2): 22-29

scholarly journals Causes and management of post-partum hemorrhage at tertiary care center, Rajasthan, India

2019 ◽  
Vol 8 (6) ◽  
pp. 2425
Author(s):  
Kamlesh Gora ◽  
Anju Depan ◽  
Kanti Yadav ◽  
Devendra Benwal
Keyword(s):  
Surgical Intervention ◽  
Post Partum ◽  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Perineal Tear ◽  
Mortality Pattern ◽  
Cross Sectional ◽  
Severe Haemorrhage ◽  
Group I

Background: PPH is responsible for 25% of all maternal deaths. In India, PPH incidence in India is 2%-4% following vaginal delivery and 6% following cesarean section. PPH as the important cause of 19.9% of maternal mortality in India. The objectives of the study were to study the incidence, risk factors, cause, morbidity and mortality pattern and management of PPH.Methods: This is a cross-sectional study conducted among 102 pregnant women selected by convenient sampling and admitted in labour room during the study period who will be deliver by vaginally or by caesarean section. The patient having PPH were divided into two groups: Group I: Patients having primary atonic PPH, Group II: Patients having traumatic PPH.Results: Mean age of participants was 33.6 and 32.9 years, 59.3 and 51.2 have ‘0’ parity, mean BMI 22.8 and 23.9 kg/m2, 34.6% and 17.1 babies were delivered by LSCS, 11.7% and 12.2% have history of PPH in the group of atonic and traumatic respectively. In the group of atonic PPH cases, 77.2%, 15.4%, 4.3% and 3.1% cases managed by the method of ‘Uterotonics +<2 blood transfusions’, ‘Uterotonics + >2blood transfusions’, ‘Perineal Tear Repair’ and ‘Surgical Intervention’ respectively. All the traumatic PPH cases (100.0%) were managed by ‘surgical intervention’.Conclusions: A multi-disciplinary approach include medical, mechanical, surgical and radiological is required in severe haemorrhage. Availability of blood and blood products is very crucial. Prediction and assessment of blood loss and timely identification of uterine atony are remaining the cornerstone for prompt and effective management of PPH.

scholarly journals Knowledge attitude and practice of contraceptives in married women in a tertiary care

2017 ◽  
Vol 6 (9) ◽  
pp. 4102 ◽  
Author(s):  
Perveena Fareed ◽  
Farhana Siraj ◽  
Neha Mahajan
Keyword(s):  
Post Partum ◽  
Tertiary Care ◽  
Educational Status ◽  
Cross Sectional Study ◽  
High Fertility ◽  
Cross Sectional ◽  
Medical College ◽  
Attitude And Practice ◽  
Knowledge Practice ◽  
Knowledge Attitude And Practice

Background: To estimate the knowledge, attitude and practice of contraception among women attending postpartum OPD.Methods: This cross-sectional study was conducted in Obstetrics and Gynecology outpatient department Government medical college Srinagar. Sample size of 200 patients attending post-partum OPD were taken and questioned using a questionnaire. Questions were asked regarding age, educational status, parity, knowledge, practice of contraceptives and reasons for non-use of contraceptives.Results: 63% of patients were aware of any contraceptive. Among contraceptives most common known contraceptive was OCP’s (62%) followed by female sterilization (52%) and Intrauterine devices (51%). Only 21% were aware of male sterilization. Implants were known to only 5% of patients. Awareness of emergency contraceptives was seen in only 18.5% of patients. Among patients having awareness of contraceptives most common used method was OCP’s (73%) followed by barrier, IUD’s (48%) and injectable (44%).Conclusions: The study highlights that awareness does not always lead to the use of contraceptives. A lot of educational and motivational activities and improvement in family planning services are needed to promote the use of contraceptives and reduce the high fertility rate.

scholarly journals Drug utilization study of drugs used in the management of post-partum hemorrhage at a tertiary care hospital

2020 ◽  
Vol 9 (8) ◽  
pp. 1236
Author(s):  
G. N. S. Sangeetha Lakshmi ◽  
U. Bharathi ◽  
Vadlakonda Sruthi ◽  
Arige Geervani
Keyword(s):  
Maternal Mortality ◽  
Tertiary Care Hospital ◽  
Post Partum ◽  
Tertiary Care ◽  
Essential Medicine ◽  
Study Group ◽  
Care Hospital ◽  
Essential Drug ◽  
Cross Sectional ◽  
Labour Room

Background: Postpartum haemorrhage remains a major cause of both maternal mortality and morbidity worldwide, uterotonic drugs such as oxytocin, with or without ergometrine, have been used to prevent PPH. The objective to study the drugs used in the management of post-partum haemorrhage at a tertiary care hospital.Methods: An observational and cross-sectional study design was adopted for this study. The case sheets of 100 patients presenting in active stage of labour to the labour room in a tertiary care hospital were analysed.Results: In the prescriptions analysed from the patients in the labour room, drugs used to prevent PPH are oxytocin and misoprostol. Oxytocin is the most commonly prescribed drug to prevent PPH in the study group. It is a life-saving drug to prevent PPH and thereby maternal mortality. In the study group having 103 patients, a total of 81 patients received only 10 IU oxytocin IM and 14 patients received 10 IU oxytocin IM and 600 g misoprostol to prevent PPH.Conclusions: Oxytocin is an essential drug included in the WHO essential drug list and in the national list of essential medicine, so it shouldn’t have been dealt in such a biased manner.

Practice of Nurses Regarding Prevention from Needle Stick Injuries in Tertiary Care Hospital Lahore Pakistan

2021 ◽  
Vol 15 (5) ◽  
pp. 1389-1391
Author(s):  
Zarnigar . ◽  
R. Elahi ◽  
T. Zia ◽  
T. Sagir ◽  
W. Latif ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Sampling Technique ◽  
Ethical Review ◽  
Needle Stick Injury ◽  
Care Hospital ◽  
Check List ◽  
Cross Sectional ◽  
Needle Stick ◽  
Needle Stick Injuries ◽  
Tertiary Care Hospitals

Needle sticks injury considerably affects nurse’s wellbeing while performing routine patient’s care. Thus, nurses are at risk of exposure to various kinds of infectious diseases. Objectives: To analyze the practice of nurses regarding prevention from needle stick injury in Tertiary Care Hospitals of Lahore. Study Design: Cross-sectional study. Methodology: Study setting was tertiary care hospitals of Lahore, Pakistan after ethical review committee’s (ERC) approval. Data was collected from nurses by using tool used in this study was check list for observation of Nurses practice related to sharps and needles. This check list contains fourteen criteria for observation of Nurses’ practice. Whether they were doing; yes or no. sel. convenient sampling technique was used, and sample size was 93. Statistical analysis: SPSS 21 was utilized for the data analysis. Results: It was observed that 03(3%) Nurses were performing Safe Needle Handling Technique in procedure room while 90(97%) Nurses were not performing it. It was observed that 91(98%) Staff Nurses wash hands before and after use of syringes while only 02(2%) Nurses were not performing it. Conclusion: We concluded that nurses have ignorance of the protocols become the reason of such incidents even now. It is the need of time to implement appropriate strategies for precaution and intervention through hospital administration to avoid the needle stick injuries. Key Words: Needle Stick Injury, Re-capping of needles and Knowledge.

Varied Clinical Presentations of COVID-19 in Pregnant Women in Tertiary Care Hospital of Lahore-Pakistan

2021 ◽  
Vol 15 (6) ◽  
pp. 1266-1268
Author(s):  
S. Aslam ◽  
M. Gondal ◽  
T. Tahira ◽  
Zille Huma ◽  
M. Mumtaz ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Ethical Review ◽  
Care Hospital ◽  
Cross Sectional ◽  
Presenting Symptoms ◽  
Health Related ◽  
Obstetric Population

Background: The whole world is facing one of the biggest health related disasters of the century. As a novel disease, Covid-19 has so many parameters yet to explore. Aim: To explore varied pattern of clinical presentation of COVID-19 in obstetric population in tertiary care hospital. Study design: Cross-sectional study. Methodology: This study with enrolled pregnant females (n=36) was carried out after ethical review committee’s (ERC) approval at Department of Gynecology & Obstetrics, Sir Ganga Ram Hospital, Lahore-Pakistan over a period of 3 months in 2020. Data was analyzed by SPSS software, version-20. Presenting symptoms of subjects were presented as frequency and percentage. Results: Total 36 patients were selected. Twenty four (66.66%) patients were symptomatic while the rest 12 (33.33%) patients were asymptomatic. Conclusion: We concluded that clinical presentation of COVID-19 pregnant patients is similar as in rest of the world and it is also same as in general population. Keywords: Covid-19, Pregnant Patients and Clinical Presentation.

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