Prediction of non-reassuring fetal status and umbilical artery acidosis by the maternal characteristic and ultrasound prior to induction of labor

Objective To investigate the predictive value of pre-induction digital examination, sonographic measurements and parity for the prediction of non-reassuring fetal status and cord arterial pH < 7.2 prior to the induction of labor (IOL). Method This was a prospective observational study, including 384 term pregnancies undergoing IOL. Before the IOL, the Bishop score (BS) by digital examination, sonographic Doppler parameters and the estimated fetal weight (EFW) was assessed. The fetal cord arterial was sampled to measure the pH at delivery. Multivariate logistic regression analysis was performed to identify independent predictors of non-reassuring fetal status and low cord arterial pH. Results Forty four cases (11.5%) had non-reassuring fetal status, and 76 cases (19.8%) had fetal cord arterial pH < 7.2. In the non-reassuring fetal status group, the incidence of cord arterial pH < 7.2 was significantly higher than that in the normal fetal heart rate group (χ2 = 6.401, p = 0.011). Multivariate analysis indicated that significant independent predictors of non-reassuring fetal status were nulliparity (adjusted odds ratio [AOR]: 3.746, p = 0.003), EFW < 10th percentile (AOR: 3.764, p = 0.003) and cerebroplacental ratio (CPR) < 10th centile (AOR:4.755, p < 0.001). In the prediction of non-reassuring fetal status, the performance of the combination of nulliparity and EFW < 10th percentile was improved by the addition of CPR < 10th percentile (AUC: 0.681, (95%CI: 0.636 to 0.742) vs 0.756, (95%CI:0.713 to 0.795)), but the difference was not significant (DeLong test: z = 1.039, p = 0.053).. None of the above variables were predictors of cord arterial pH < 7.2. Conclusion The risk of fetal acidosis has increased in cases of non-reassuring fetal status. Nulliparity, small for gestational age and CPR < 10th centile are independent predictors for non-reassuring fetal status in term fetuses, though the addition of CPR < 10th centile could not significantly improve the screening accuracy.

Characteristics overview of mother with perinatal death at Dr. Soetomo Hospital in 2015

Objectives: to determine the frequency distribution of perinatal mortality and maternal characteristic features in terms of age, parity, gestational age and pregnancy complications in Dr.Soetomo Hospital Surabaya in 2015. Materials and Methods: A descriptive study conducted by collecting data on patients who experienced perinatal mortality of infants born from January to December 2015 in Dr. Soetomo, Hospital Surabaya. Samples were collected using total sampling. The samples must meet the following criteria: mothers of infants with perinatal mortality in Dr. Soetomo Hospital, Surabaya, from January to December 2015.Results: There were 206 perinatal deaths out of 1018 births in Dr. Soetomo during 2015, of which 58% was live birth and 42% was stillbirth. Most of perinatal mortality found in the preterm gestational age as much as 78%, and gestational age 28-<37 weeks (58%). Most of perinatal mortality occured in infants with less than 1500 grams birth weight, which was as much as 53% of all perinatal deaths and infant whose birth weight from1500 to 2500 grams was about 29%. Most perinatal mortality found in multigravida (54%) and in infants whose mothers experienced preeclampsia in pregnancy complications (35%), followed by infant mortality in women with non-obstetric complications (23%).Conclusion: Perinatal mortality in Dr. Soetomo Hospital was mostly found in multigravida mothers, 16-35 years old maternal age, 28-37 weeks gestational age and those with complications of preeclampsia.

Characteristics overview of mother with perinatal death at Dr. Soetomo Hospital in 2015

Objectives: to determine the frequency distribution of perinatal mortality and maternal characteristic features in terms of age, parity, gestational age and pregnancy complications in Dr.Soetomo Hospital Surabaya in 2015. Materials and Methods: A descriptive study conducted by collecting data on patients who experienced perinatal mortality of infants born from January to December 2015 in Dr. Soetomo, Hospital Surabaya. Samples were collected using total sampling. The samples must meet the following criteria: mothers of infants with perinatal mortality in Dr. Soetomo Hospital, Surabaya, from January to December 2015.Results: There were 206 perinatal deaths out of 1018 births in Dr. Soetomo during 2015, of which 58% was live birth and 42% was stillbirth. Most of perinatal mortality found in the preterm gestational age as much as 78%, and gestational age 28-<37 weeks (58%). Most of perinatal mortality occured in infants with less than 1500 grams birth weight, which was as much as 53% of all perinatal deaths and infant whose birth weight from1500 to 2500 grams was about 29%. Most perinatal mortality found in multigravida (54%) and in infants whose mothers experienced preeclampsia in pregnancy complications (35%), followed by infant mortality in women with non-obstetric complications (23%).Conclusion: Perinatal mortality in Dr. Soetomo Hospital was mostly found in multigravida mothers, 16-35 years old maternal age, 28-37 weeks gestational age and those with complications of preeclampsia.

Tingkat Pengetahuan ASI Eksklusif pada Ibu Primipara di Dusun Pundong Kelurahan Srihardono Kecamatan Pundong Kabupaten Bantul

Background : Exclusive breastfeeding is the infant only breastmilk alone were given no food or liquid other than drugs, vitamins, and minerals. Primiparous mothers lack of knowledge about exclusive breastfeeding is good general, the definition of breastfeeding, benefit of breastfeeding, composition of breastfeeding, and how breastfeeding may be influenced by several factor, such as age, education, work, and resources, so that it can directly affect the success of exclusive breasfeeding. Objective : determine the level of knowledge of exclusive breastfeeding in primipara mothers. Methods : this research used descriptive method. Sampling by using total sampling. A large sample of 60 respondent. Analysis using descriptive. Result : based on the result of the research, found most respondent are mother with less knowledge of exclusive breastfeeding, as many as 36 respondents (60,0%). Primiparous mothers with the level of knowledge about the definition of breastfeeding exclusive less category as much as 41 respondents (68,3%). Primiparous mothers with the level of knowledge about the benefits of breastfeeding exclusive good category as much as 32 respondents (53,3%). Primiparous mothers with the level of knowledge about the composition of breastfeeding exclusive enough category as much as 33 respondents (55,0%). Primiparous mothers with the level of knowledge about how breastfeeding may be influenced exclusive less category as much as 40 respondents (66,7%). Conclusion : in this study indicate the level of knowledge of mothers who are less due to maternal characteristic ( occupation and resources), and therefore can be expected in health personel actively provide counseling on exclusive breastfeeding.

Caring Ability of Postcaesarean Mothers and It’s Association with Cultural Value

Introduction: Ability to care of postcaesarean mother affected by multifactor; moternal characteristic, knowledge and cultural values. Postcaesarean mother has high level of dependency in performing selfcare and baby care. The aim of this study was to identified of selfcare and baby care and relation with that factors and cultural behaviour associaated pospartum care. Method: this study used cross sectional design with a purpossive sampling of 66 post caesarean mother ini five hospital in West Java. Instrumen used consisted of maternal characteristic including ages, parity,job, income, knowledga, cultural values, cultural behaviour and observasional instruments of the ability to care. Result: there was a significant relationship between job characteristic and cultural values with the ability to care, for the correlation r 0.295 an 0.355 (p value = 0.003). Discussion: nurses must perform a cultural approach in facilitating the mother to care for themselves and care for the baby in accordance with their cultural values, so that the mother can perform optimally care. Keywords: ability to, cultural values, job, postcaesarean care

Risk Factors of Delivery by Caesarean Section in Cameroon (2003-2004): A Regional Hospital Report

We conducted this retrospective case-control study to identify possible risk factors of delivery through caesarean section in the Far North Region of Cameroon. Data was collected retrospectively from delivery room registers at the Provincial Hospital, Maroua, Cameroon from 01/01/2003 to 31/12/2004. The overall 125 eligible caesarean deliveries were compared with 244 women who delivered vaginally during the study period. The odds ratio as well as the 95% confidence interval was used to measure the relationship between maternal characteristic and risk of delivery by caesarean section. We found that the marital status is similar in the two study populations. Risk factors associated with cesarean section were: maternal age less than 17 years (OR 3.55, 95%CI: 1.46–8.64), maternal age over 39 years (OR 3.55, 95% CI: 1.17–10.75), nulliparity (OR 2.72, 95% CI: 1.59–4.66), grand multiparty (OR 3.43, 95% CI: 1.79–6.57), and macrosomia (OR 4.82, 95% CI: 1.49–16.44). There was a weak association with absent or poor. Caesarean delivery is associated with extreme ages of reproductive life, macrosomia, nulliparous and grand multiparous status. We strongly recommend that these factors be taken into consideration to strengthen the mother and child health programs in Cameroon and countries with similar socioeconomic profiles.

Hatchery Growth of Pure Strains and Intraspecific Hybrids of Juvenile Arctic Charr, Salvelinus alpinus (Canadian × Norwegian Charr)

Growth parameters of 36 tank populations representing 23 full-sib families of Nauyuk and Norwegian Arctic charr (Salvelinus alpinus) and both reciprocal hybrids were determined for 1 yr. Hatching success of families was a maternal characteristic. Mean weights of families at 30 d after swim-up were related to maternal effects as well as the general and specific combining abilities of the two strains, with the weight contribution of the Nauyuk parent(s) larger than that of the Norwegian. At 125 d after swim-up, the mean weights and coefficients of variation (CVs) in the four types of crosses were Nauyuk dam × Nauyuk sire, 2.05 g ± 20%; Nauyuk dam × Norwegian sire, 2.10 g ± 24%; Norwegian dam × Nauyuk sire, 1.91 g ± 26%; and Norwegian dam × Norwegian sire, 1.71 g ± 31%. After 125 d, the Nauyuk dam × Norwegian sire families showed superior growth, while the Norwegian dam × Nauyuk sire families grew slowly and developed large size variation. At 325 d, reciprocal effects were evident, and mean weights and CVs were Nauyuk dam × Nauyuk sire, 36 g ± 45%; Nauyuk dam × Norwegian sire, 43 g ± 48%; Norwegian dam × Nauyuk sire, 30 g ± 68%; and Norwegian dam × Norwegian sire, 38 g ± 36%. The largest individual fish in the experiment were hybrids.