THE CONCEPT OF LABOUR BY SOPHIA RUSOVA AND THE WAYS OF IST REALIZATION IN THE SYSTEM ‘PRESCHOOL ESTABLISHMENT – THE SCHOOL OF DOING’

In the context of metamorphoses that the state of Ukraine and the Ukrainian school go through, it is expedient to study and retrospectively analyse pedagogical thought of a specific historical period in order to find answers and form mature solutions to complex issues that arise in modern conditions. Due to certain similarity of historical circumstances, theoretical works and practical realization of ideas of Ukrainian pedagogues from the begin of the XXth century have deep potential as an ideological-inspiring source for contemporaneity. Based on the study of original sources using the comparative theoretical analysis and analytical generalization, the article summarizes the leading ideas of Sophia Rusova on the ways of implementing the concept of labour (activity method of teaching) in the system of preschool institutions and active (labor) school in the 20s of the XXth century. Recommendations for the use of this method are specified, taking into account the age of children and the specifics of the school subjects. Based on the analysis of Sophia Rusova’s works (“New School of Social Education”, “Theory and Practice of Preschool Education”, “Unified Active (Labor) School”, “Extracurricular Education”), the advantages of the labour method, its potential for the formation and development of the child’s personality has been investigated. The connection of Sofia Rusova’s ideas with the classical European pedagogical thought and practical application of such educational concepts in the European countries is traced. Emphasis is placed on the agreement of Sofia Rusova’s ideas on the advantages of the activity method of teaching with the task of reforming the national education system in Ukraine at the beginning of the XXIst century.

Maternal Childbirth Experience and Time in Labor - A Population-Based Cohort Study

A negative childbirth experience may have long term negative effects on maternal health. New international guidelines allow a slower progress of labor in the early active phase, however a longer time in labor may influence the childbirth experience. In this population-based cohort study including 26,429 women, who gave birth between Jan 2016 to March 2020, the association between duration of the different phases of active labor and childbirth experience was studied. The women assessed their childbirth experience by visual analogue scale (VAS) score. Data including VAS score and labor time estimates were obtained from electronic medical records and adjusted odds ratios (aOR) were calculated.The prevalence of negative childbirth experience (VAS 1-3) was 4,9%. A significant association between longer duration of all phases of active labor and a negative childbirth experience (VAS 1-3) was found for primi- and multipara. The aOR for negative childbirth experience and longer time in active labor in primipara was 1.88, 95% CI (1.59-2.22) and for multipara aOR 1.90, 95% CI (1.59-2.28).It is of great importance to identify and optimize the clinical care of women with prolonged labor to reduce the risk of negative childbirth experience and associated adverse long-term effects.

Differences in the Asymmetry of Beat-to-Beat Fetal Heart Rate Accelerations and Decelerations at Preterm and Term Active Labor

The fetal autonomic nervous system responds to uterine contractions during active labor as identified by changes in the accelerations and decelerations of fetal heart rate (FHR). Thus, this exploratory study aimed to characterize the asymmetry differences of beat-to-beat FHR accelerations and decelerations in preterm and term fetuses during active labor. In an observational study, we analyzed 10 min of fetal R-R series collected from women during active preterm labor (32–36 weeks of pregnancy, n = 17) and active term labor (38–40 weeks or pregnancy, n = 27). These data were used to calculate the Deceleration Reserve (DR), which is a novel parameter that quantifies the asymmetry of the average acceleration and deceleration capacity of the heart. In addition, relevant multiscale asymmetric indices of FHR were also computed. Lower values of DR, calculated with the input parameters of T = 50 and s = 10, were associated with labor occurring at the preterm condition (p = 0.0131). Multiscale asymmetry indices also confirmed significant (p < 0.05) differences in the asymmetry of FHR. Fetuses during moderate premature labor may experience more decaying R-R trends and a lower magnitude of decelerations compared to term fetuses. These differences of FHR dynamics might be related to the immaturity of the fetal cardiac autonomic nervous system as identified by this system response to the intense uterine activity at active labor.

The Influence of Diabetes on Labor Induction with Dinoprostone Vaginal Inserts

Objective The aim of this study was to compare duration of labor induction between diabetic and nondiabetic women receiving dinoprostone vaginal insert (10 mg). Study Design This is a secondary analysis of two large randomized controlled trials using dinoprostone vaginal inserts for labor induction. We compare time to active labor, overall delivery, and vaginal delivery between diabetic and nondiabetic women undergoing induction of labor with a 10-mg dinoprostone vaginal insert. Results Diabetic women receiving dinoprostone vaginal insert had a longer time to onset of active labor, overall delivery, and vaginal delivery than their nondiabetic counterparts. There was no difference in abnormal labor affecting fetal heart rate pattern in diabetic women compared with nondiabetic women. The rates of neonatal hyperbilirubinemia were higher in diabetic women. Conclusion Diabetes may represent an independent factor associated with prolonged induction among women undergoing induction of labor with dinoprostone. Dinoprostone is well tolerated in both diabetic and nondiabetic women. Key Points

REDUCING LABOR PAIN WITH WARM COMPRESS ON THE 1ST STAGE LABOR OF ACTIVE LABOR PHASE

Background: Labor pain is a visceral nociceptive pain caused by contraction and dilatation of the cervix. This condition affects the mother physically and psychologically. Pain that cannot be handled alone will cause anxiety and stress. Various techniques have been used to reduce pain during labor, which reduce emotional stress, increase calm, and physical contact while reducing pain. Warm compresses are a non-pharmacological method that can reduce labor pain. In addition, warm compresses are also a method that is cheap, simple, safe, and effective, without adverse side effects, and in accordance with the competence of midwives. This study aims to determine the effect of warm compresses in the first stage of the active phase on reducing labor pain. Methods: This research method is pre experimental designs with one group pretest-posttest research design. The number of samples as many as 10 maternity with purposive sampling sampling technique. This research was conducted in September-October 2019. Data analysis used the dependent T test. Results: The results showed that based on the results of the dependent t-Test test, the p value / Sig. (2-tailed) of 0.005, <0.05, thus there is a significant (significant) decrease between the average labor pain before which is 8.12 and after warm compresses is 6.86. Thus, there is an effect of warm compresses during the first stage of the active phase on reducing labor pain. Conclusion: There is an effect of warm compresses on decreasing labor pain scale.

The Cost of Plastics in Compost

In urban Blantyre, there is ample green-waste and widespread interest in compost, but the feedstock is often contaminated with plastics. If composting is going to become more widely implemented, it must be profitable and ideally, competitive with chemical nutrients, however the time and cost associated with plastics removal is currently a bottleneck to profitability. In this study we investigated the financial sustainability of compost production using a Time-Driven Activity-Based Costing method over 16-weeks to identify the types and duration of each activity required. Combining these data with capital and operating costs, we then modeled the profitability of the facility to identify cost-bottlenecks and to determine scenarios that would lead to improved profitability. The results show that it took 1 h 50 min of labor to produce 165-L (0.065 m3) bag of compost. A total of 12.3% of the active labor time was spent sorting out plastics from the organic waste before composting, during composting and from the finished product before packaging. Until similar work is published on the topic, these values cannot be evaluated as being either optimal or wasteful, but rather, serve as a baseline against which future interventions—e.g., source separation, especially at markets can be evaluated. Though based in Malawi, the documented and modeled costs can be converted and scaled by other entrepreneurs/agencies who are interested in estimating the financial feasibility of composting in their own context.