maternity ward
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2021 ◽  
Author(s):  
Therése Hansson ◽  
Maria E. Andersson ◽  
Gerd Ahlström ◽  
Stefan R. Hansson

Abstract Background Preeclampsia is a severe condition that annually affects about 3-8% of pregnancies worldwide. Preeclampsia is thereby one of the most common pregnancy complications for both mother and child. Despite that, there is limited research exploring the women´s perspective of experiencing preeclampsia. Aim The aim of this study was to describe women´s experiences of preeclampsia to improve the support and care given during and after pregnancy. Methods A qualitative descriptive interview study was undertaken. Nine women, who were diagnosed with preeclampsia, were recruited from a maternity unit in southern Sweden. The descriptive phenomenological method according to Amadeo Giorgi was used to analyse the data. Results The essence of women’s experiences of PE were expressed as A condition of uncertainty, meaning that it was an unexpected and unknown situation. The five constituents forming the essence were incomprehensible diagnosis message, ambivalent feelings when the unexpected happens, confusing contradictory messages, appreciated support from the midwife, and need for continuous information. The nature of preeclampsia can sometimes deteriorate rapidly both for the mother and/or the child, often resulting in conversion from a planned vaginal spontaneous delivery to an emergency Caesarean section. The women narrated diffuse symptoms, and they experienced that they got contradictory information from different health care professionals regarding the severity of their disease. Detailed and continuous information is requested throughout the course of the disease, and the postpartum period. Conclusion Health care professionals must be aware that women and their partners need detailed, consistent and repeated information about severity and prognosis to diminish the condition of uncertainty, confusion and fearful experience. The clinical implication would be a standardized preeclampsia education for pregnant women early on in the pregnancy, to raise awareness of preeclamptic symptoms. Furthermore, there is a need for harmonized guidelines both at the antenatal care and the maternity ward and inpatient care at the hospital.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Azra Lukač ◽  
Nenad Šulović ◽  
Aleksandra Ilić ◽  
Milica Mijović ◽  
Dijana Tasić ◽  
...  

Abstract Background and objectives The aim of the study was to use the United States Optimality Index (OI-US) to assess the feasibility of its application in making decisions for more optimal methods of delivery and for more optimal postpartum and neonatal outcomes. Numerous worldwide associations support the option of women giving birth at maternity outpatient clinics and also at home. What ought to be met is the assessments of requirements and what could be characterized as the birth potential constitute the basis for making the right decision regarding childbirth. Materials and methods The study is based on a prospective follow-up of pregnant women and new mothers (100 participants) who were monitored and gave birth at the hospital maternity ward (HMW) and pregnant women and new mothers (100 participants) who were monitored and gave birth at the outhospital maternity clinics (OMC). Selected patients were classified according to the criteria of low and medium-risk and each of the parameters of the OI and the total OI were compared. Results The results of this study confirm the benefits of intrapartum and neonatal outcome, when delivery was carried out in an outpatient setting. The median OI of intrapartum components was significantly higher in the outpatient setting compared to the hospital maternity ward (97 range from 24 to 100 vs 91 range from 3 to 100). The median OI of neonatal components was significantly higher in the outpatient compared to the inpatient delivery. (99 range from 97 to 100 vs 96 range from 74 to 100). Certain components from the intrapartum and neonatal period highly contribute to the significantly better total OI in the outpatient conditions in relation to hospital conditions. Conclusion Outpatient care and delivery provide multiple benefits for both the mother and the newborn.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hans-Christian Slotved ◽  
Jens Kjølseth Møller ◽  
Mohammad Rohi Khalil ◽  
Stine Yde Nielsen

Abstract Background We describe the serotype distribution of Streptococcus agalactiae (GBS) carriage isolates from women in labor and among GBS isolates causing invasive infections during the same period to see if the distribution of carriage serotypes reflects the GBS serotypes causing invasive diseases including early-onset disease (EOGBS). Methods Data on invasive isolates from 2019 including serotype, erythromycin and clindamycin susceptibility was retrieved from the Danish national reference laboratory, Statens Serum Institut. Carriage isolates were collected from women with risk factors for EOGBS enrolled at delivery at the maternity ward at a Danish University Hospital, first half of 2019. Results Among carriage isolates, the dominant serotype was IX (21 %) followed by serotype III (19 %). The resistance to erythromycin and clindamycin was 21 and 26 %, respectively. Among invasive GBS isolates, no case of EOGBS with serotype IX was detected but the distribution of serotypes were otherwise similar to the GBS carrier strains. The corresponding resistance to erythromycin and clindamycin was 23  and 15 %, respectively. Penicillin resistance was not detected among carriage nor invasive isolates. Conclusions The distribution of serotypes among carriage and invasive GBS reflects the assumption that EOGBS occur following transmission of GBS from mother to newborn, with the exception of serotype IX.


2021 ◽  
Vol 25 (11) ◽  
pp. 1171-1175
Author(s):  
N. N. Chukalov

In our previous work, we determined, using anthropometric indices for men according to the work of Dr. Andreev, and in correcting the mean and square deviations for women according to the works of Nedrigailova and Ulyanova, on the material of the maternity ward of our clinic, two female types of constitution - pycnic and asthenic and presented the relation of these constitutional types to childbearing function in women on the material in a hundred cases.


2021 ◽  
Vol 25 (5) ◽  
pp. 861-866
Author(s):  
T.O. Samuel ◽  
Y.A. Kayode ◽  
O.O. Odewunmi

Hospital infections caused by fungi have been frequently reported in hospitalized patients, with a high morbidity and mortality, making it increasingly important to the awareness of air quality. This study is designed to isolate, identify and investigate the occurrence of airborne fungal spores present in various working environments of some selected hospitals within Lagos State, Nigeria. Air samples at six working area (reception, out-patient, male ward, female ward, maternity ward and operating theatre) of the selected hospitals were obtained on triplicate of Sabouraud dextrose agar plates, every week days for six consecutive weeks. Isolated fungi were subsequently identified using both microscopic and macroscopic characteristics. Seven species of fungi belonging to three genera were recovered during this study period; Aspergillus niger, A. flavus, A. fumigatus, A. species, Candida species, Penicillium citrinum and P. species. The most abundant fungus encountered in this study is A. niger with P. species being the least isolated fungus from all the investigated hospitals. Of the six working areas sampled in the eight hospitals, the reception and out-patient areas appeared to record the highest occurrence of encountered fungi while the examined operating theatre rooms had the least fungal airsporal contaminant. It was gathered from this study that despite the daily cleaning of the investigated hospital working environments with different antiseptic and disinfectants, fungal contaminant was observed throughout the sampled period. We thereby conclude that the hospital environments are continuously monitored in order to identify and eliminate the sources of these fungal spores.


2021 ◽  
Author(s):  
Silvia Maya-Enero ◽  
Luis Ruiz-Guzmán ◽  
Júlia Candel-Pau ◽  
Xavier Duran-Jordà ◽  
María Ángeles López-Vílchez

Abstract Background Ankyloglossia may lead to an early abandonment of breastfeeding. Performing a frenotomy could increase the breastfeeding rate at discharge from the maternity ward. Methods This prospective cohort study included all the neonates born in our center in 2018 (1392). We offered a frenotomy to all tongue-tied patients. We determined how many frenotomies we performed (422), whether breastfeeding improved in the short term, and compared the breastfeeding rates between treated and untreated tongue-tied and non-tongue-tied neonates. Quantitative variables were described using the mean and standard deviation, and compared using a Student’s t-test. Rates of breastfeeding were compared using the Pearson chi square. Significance was set at the p < 0.05 level. Results The breastfeeding rate at discharge was higher among tongue-tied infants (92.1%) than non-tongue-tied (84.2%), and higher among treated than untreated neonates (93.1 vs 75.9%, respectively). Conclusions Frenotomy could help increase the breastfeeding rate at discharge among tongue-tied neonates. Trial registration: Not applicable


Author(s):  
Farzaneh Valizadeh ◽  
Farahnaz Heshmat ◽  
Solmaz Mohammadi ◽  
Zahra Motaghi

Objective: Different factors have an important role in the positive and negative childbirth experiences of the mothers. The parturient mother’s privacy preservation is one of the factors for increasing the mothers’ satisfaction consistent with natural childbirth. Hence, this study aimed to investigate the factors affecting the parturient mother’s privacy preservation. Materials and methods: Content analysis was used in this qualitative study that is based on the semi structured individual interviews with women who had experienced natural vaginal delivery, midwives, and the specialist in a maternity ward from 2018 to 2021 in Shahroud, Iran. The collected data were analyzed simultaneously with the sampling procedure using a five-step qualitative content analysis method. To ensure the robustness of the data, Lincoln and Guba's four criteria (credibility, dependability, confirmability, and transferability) were used. Results: The findings of the study with 40 participants resulted in the extraction of 28 codes, 9 subcategories, and 2 main categories entitled extra-and intra personal factors affecting the mother’s privacy. Conclusion: To foster the mother’s awareness of her rights and privacy during pregnancy and delivery, continuous education, monitoring, and evaluating both the students and the staff to respect preserving the mother’s privacy is necessary to develop an instrument to measure the preservation of the mother’s privacy in the maternity ward.


2021 ◽  
Vol 7 (9) ◽  
pp. 86371-86391
Author(s):  
Ellen Sterphanie Alves Da Silva ◽  
Rachel Caroline Alves Leite ◽  
Mateus Carneiro Vicente ◽  
Lucas Nunes Damásio De Oliveira ◽  
Herika Dantas Modesto Pinheiro ◽  
...  

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