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Journal articles on the topic "Labor (obstetrics)":
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Choudhary, Anjali, and Meenakshi Tanwar. "Partogram and its relevance in modern obstetrics." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 4 (March 26, 2019): 1500. http://dx.doi.org/10.18203/2320-1770.ijrcog20191207.
Background: Normal labor and childbirth is fraught with complexities. In the modern times the child birth has proven to be more challenging than ever. Partogram has proven to be a simple and useful tool in monitoring normal labor. The objective of this endeavor was to site our experiences in using partogram for ‘plotting’ labors, to assess its utility, limitations and cite controversies.Methods: Authors analyzed progress of labor plotted on partograms in parturient women to see whether their labor patterns conform to the standard partogram, and can logical conclusions be drawn from their use to decide partogram’s utility and applicability.Results: The use of partogram was not universal and its charting inadequate due to lack of motivation on part of labor room residents, busy labor rooms. When plotted meticulously they showed a wide variation, and many women did not conform to the rates of dilatation of the graph. The use of partogram did not alter the rate of cesarean section for non-progressive labors with use and non-use of partogram.Conclusions: Philpott’s partogram is a very visual and useful tool to monitor labours and detect labour abnormalities timely. Although it has served as a labour management tool across the labour rooms its use is not universal. There is a plethora of conflicting opinions regarding its utility in modern obstetrics today, ranging from a complete faith in the tool to finding it obsolete and in need of a revision to calling it a medicalization of a natural process.
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Khurshid, Hafiza Naveeda, Samar Noor, Huma Tasheen, Shabana Khokar, and Sobia Saleem. "Mean Blood Loss in Third Stage of Labour Treated with and without Prophylactic Tranexamic Acid." Pakistan Journal of Medical and Health Sciences 16, no. 5 (May 26, 2022): 45–47. http://dx.doi.org/10.53350/pjmhs2216545.
Background: Massive obstetrical hemorrhage, a leading contributor towards maternal fatality in economically developing countries, is occasionally related with the passive and apathetic management of the third stage of labor. The increasing frequency of anaemia among pregnant women in developing countries, mild to moderate blood loss during labour necessitates massive transfusions with associated complications. Aim: Recent studies claimed that prophylactic tranexamic acid can significantly reduce the mean blood loss during 3rd stage of labour and advocated it in future practice. Methods: The research was conducted as randomized controlled trial carried out from February 2021 to October 2021 in the Department of Diagnostic Radiology and Obstetrics & Gynaecology Department, Ganga Ram Hospital, Lahore. A total of 116 pregnant women aged between 18-35 years presenting in labor at term (37-42 weeks of gestation as per dating scan) which were randomly allocated into two groups. Patients in Group-A were given additional tranexamic acid at the end of 2nd stage of labor while those in Group-B received conventional treatment alone. Results: Patients were 28.33±4.77 years with the mean age while the mean gestational age at delivery was 39.39±1.69 weeks. 30(25.9%) women were primiparas and 86 (74.1%) were multiaparas. The mean BMI of these patients was 27.50±3.90 Kg/m2 while the average duration of 3rd stage of labor was 4.69±1.83 minutes. Patients taking prophylactic tranexamic acid lost significantly less blood in the third stage of labors than controls (244.83±21.47 vs. 354.09±22.36 ml; p-value<0.001). Conclusion: In the present study, prophylactic tranexamic acid was found to significantly reduce the mean blood loss during 3rd stage of labor which along with low cost, widespread availability and oral administration advocates the routine use of tranexamic acid (during 3rd stage of labor) in future obstetric practice to minimize blood loss with subsequent decreased need for blood transfusion and better patient’s recovery. Keywords: Third Stage of Labor, Blood Loss, Tranexamic Acid
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Malhotra, Narendra, Ameet Patki, Uday Thanawala, Amarnath Bhide, Shirish N. Daftary, Shyam V. Desai, and Jesse Levi. "Programmed Labor—Indegenous Protocol to Optimize Labor Outcome." Journal of South Asian Federation of Obstetrics and Gynaecology 1, no. 1 (2009): 61–64. http://dx.doi.org/10.5005/jp-journals-10006-1048.
ABSTRACT Objective To Asses and develop an indigenous protocol to optimize labour outcome, as Programmed Labor. Design Open, prospective (Between January 2000 to December 2007), randomized, parallel group, monocentric, comparative matching trial. Settings Labor rooms at Nowrosjee Wadia Maternity, Mumbai. Selection criteria 200 patients in each group, aged between 21-30, as low-risk parturient. Intervention Partography, Oxytocin, Primiprost, Pentazocin, Dizepam, Tramadol, Drotin, Ketamine. Outcome parameters Satisfactory obstetric outcome, progressive labor of shorter duration, less blood loss and pain relief. Results Study group had mean shorter duration of active labor as 3.5 hrs compared to controls of 5.2 hrs. Excellant pain relief was of 24 and 62% of substantial relief in comparison to 32% only in other group with no patient falling in excellent group. Second stage of labor was reduced by half (26 to 48 meters) and lesser third stage blood loss. Conclusions Programmed labor with indigenous protocol developed and practiced, results in progressive, shorter, and comfortable labors with lesser blood loss.
4
Feinberg, B. "Artificial preterm labor in private practice." Journal of obstetrics and women's diseases 7, no. 1 (September 2, 2020): 67–69. http://dx.doi.org/10.17816/jowd7167-69.
Unfortunately, The benefits of Lister's antiseptic science, says Fehling, have been taken advantage of by gynecology to a much greater extent than obstetrics. From obstetric operations to caesarean section, Lister's scholarship brought more benefits than forceps and perforations. It would therefore be desirable that in the future, artificial premature birth under the influence of anti- and asepsis would give both the mother and the fetus better results than at the present time, and then only this operative aid in a state will be replaced, as a cesarean section with conditional shown and perforated.
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Sawant, Prabha P., Shilpa N. Chaudhari, Kishorkumar Hol, and Shraddha Shastri. "Lustrum study of labour induction." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 11, no. 8 (July 27, 2022): 2218. http://dx.doi.org/10.18203/2320-1770.ijrcog20221940.
Background: The rate of labor induction is steadily increasing. Approximately one out of four pregnant women has their labor induced. Over the years, various professional societies have recommended the use of induction of labor in circumstances in which the risk of waiting for the onset of spontaneous labor are judged by clinicians to be greater than the risks associated with shortening duration of pregnancy by induction. This study was carried out to categories indications and to know trends of indication over 5 years.Methods: This retrospective analytical study was conducted over a period of five years from 01 June 2016 to 31 May 2021 at the department of obstetrics and gynecology, tertiary care hospital, Pune, Maharashtra, India. The rate, indications and trend in indications of labor induction was calculated over the study period. The data so collected was presented with graphical representation.Results: There was a total of 10407 deliveries during the study period out of which, 865 were induced. So, the rate of labor induction in the study was found to be 8.31%. Post-datism accounts for 54.4% followed by pregnancy induced hypertension remains the major obstetric cause accounting for 16.6% of labour induction. Intrauterine growth restriction (IUGR) accounted for 3.6% causes of labour induction.Conclusions: Vaginal birth has lesser morbidity and mortality involving both the mother and the child compared to caesarean and will always be regarded as the superior mode of delivery. Apart from post-datism, the commoner obstetric indications for induction of labour are PIH and IUGR. Increasing trend in the incidence of pregnancy-induced hypertension (PIH) and IUGR is observed and therefore probably correlating to foetal distress after induction of labour causing increased trend of need for caesarean section over the five years.
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Hoque, Monjurul. "Incidence of Obstetric and Foetal Complications during Labor and Delivery at a Community Health Centre, Midwives Obstetric Unit of Durban, South Africa." ISRN Obstetrics and Gynecology 2011 (July 31, 2011): 1–6. http://dx.doi.org/10.5402/2011/259308.
The objectives of this retrospective cohort study were to estimate the incidence of obstetric complications during labor and delivery and their demographic predictors. A total of 2706 pregnant women were consecutively admitted to a midwife obstetric unit with labor pain between January and December 2007 constituted the sample. Among them 16% were diagnosed with obstetrical and foetal complications. The most frequently observed foetal and obstetric complications were foetal distress (35.5/1000) and poor progress of labor (28.3/1000), respectively. Primigravid and grandmultiparity women were 12 (OR = 11.89) and 5 (OR = 4.575) times, respectively, more likely to have complications during labor and delivery. Women without antenatal care had doubled (OR = 1.815, 95% CI, 1.310; 2.515) the chance of having complications. Mothers age <20 years was protective (OR = 0.579, 95% CI, 0.348; 0.963) of complications during delivery compared to women who were ≥35 years. National and local policies and intervention programmes must address the need of the risk groups of pregnant women during labor and delivery.
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Fisher, A. "Asepsis in obstetrics." Journal of obstetrics and women's diseases 6, no. 12 (September 1, 2020): 1231–32. http://dx.doi.org/10.17816/jowd6121231-1232.
The author's views on the dietetics of normal childbirth (mainly, not in clinics, but in private practice) boil down to the following. If possible, the woman in labor should have a shared bath. Recognizing that there are microorganisms on the external genital organs of each woman in labor, he considers their disinfection at the beginning of labor to be unnecessary, since it would only make sense if possible to apply an aseptic bandage to the disinfected parts, which, for obvious reasons, is not feasible; in view of this, he advises at the beginning of labor to make only a thorough washing of the external genital organs and surrounding parts with well-boiled (depleted) water and soap, repeated after each urination or excrement.
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Prata, Juliana Amaral, Jane Márcia Progianti, and Helena Scherlowski Leal David. "Productive restructuring in the area of health and obstetric nursing." Texto & Contexto - Enfermagem 23, no. 4 (December 2014): 1123–29. http://dx.doi.org/10.1590/0104-07072014002040013.
This reflection aimed to show the productive restructuring dimensions achieved in Brazilian healthcare, discussing the nexuses between this phenomenon and the work in obstetrical nursing. Its construction was based on articles about productive restructuring and health available in the Virtual Health Library, reflecting the consequences on this speciality's caregiving process. We observed that the productive restructuring in health care may be seen under the health system management and work organization viewpoints. Despite the negative impacts in the field of work, there has been an appreciation of living labor in obstetrics in a context favorable to changes in labor care, through the introduction of obstetrical nursing and implementation of health care technologies. We conclude that, besides the focus on living labor and soft technologies, such concepts comprise technological innovation, as they have changed and resignified the way of providing care, thus beginning the process of the inversion of the technological core in obstetrics.
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Tatic-Stupar, Zaklina, Aleksandra Novakov-Mikic, Mirjana Bogavac, Stevan Milatovic, and Slobodan Sekulic. "Prediction of labor induction outcome using different clinical parameters." Srpski arhiv za celokupno lekarstvo 141, no. 11-12 (2013): 770–74. http://dx.doi.org/10.2298/sarh1312770t.
Introduction. Induction of labor is one of the most common obstetric interventions in contemporary obstetrics. Objective. The aim of the study was to evaluate the clinical and sonographic parameters in prediction of success of labor induction. Methods. The prospective study included 422 women in whom induction of labor was carried out at the Department of Obstetrics and Gynecology of Clinical Centre of Vojvodina. The role of body mass index and age of women, parity Bishop score, cervical length measured by transvaginal ultrasound was evaluated in regard of the success of induction, which was considered successful if a vaginal delivery occurred within 24 hours after the onset of induction. Data were statistically analyzed by univariate statistical analysis and Pearson?s ?2 test. Results. Out of 422 women, induction of labor was successful in 356 (84.4%), and it failed in 66 (15.6%) cases. The values of Bishop score and cervical length had positive correlation with the success of induction. Conclusion. Bishop score and transvaginal cervical length were both reliable predictors in determining the success of labor induction, as well as parity and BMI. These parameters are mostly complementary, not competitive in prediction of labor induction success.
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Lakic, Dragana, Branko Petrovic, and Guenka Petrova. "Cost-effectiveness analysis of different types of labor for singleton pregnancy: Real life data." Srpski arhiv za celokupno lekarstvo 142, no. 11-12 (2014): 688–94. http://dx.doi.org/10.2298/sarh1412688l.
Introduction. Views on the conduct of labor have changed over time, and a significant difference exists in relation to obstetric centers. Objective. To assess cost, clinical outcomes and cost-effectiveness of different types of labor in singleton pregnancies. Methods. A decision model was used to compare vaginal labor, induced labor and planned cesarean section. All data were taken from the Book of Labor from the University Hospital for Gynecology and Obstetrics ?Narodni Front?, Belgrade, Serbia for labors conducted during one month period in 2011. Successful delivery (i.e. labor that began up to 42 gestation weeks, without maternal mortality and the newborn Apgar scores greater than or equal to seven in the fifth minute of life) was considered as the outcome of the cost effectiveness-analysis. To test the robustness of this definition probabilistic sensitivity analysis was performed. Results. From a total of 667 births, vaginal labor was conducted in 98 cases, induced vaginal in 442, while planned cesarean section was performed 127 times. Emergency cesarean section as a complication was much higher in the vaginal labor cohort compared to the induced vaginal cohort (OR=17.374; 95% CI: 8.522 to 35.418; p<0.001). The least costly type of labor was induced vaginal labor: average cost 461 euro, with an effectiveness of 98.17%. Both, vaginal and planned cesarean labor were dominated by the induced labor. The results were robust. Conclusion. Elective induction of labor was associated with the lowest cost compared to other types of labor, with favorable maternal and neonatal outcomes.
Dissertations / Theses on the topic "Labor (obstetrics)":
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Dodd, Jodie Michele. "Misoprostol for the induction of labour at term." Title page, table of contents and abstract only, 2005. http://hdl.handle.net/2440/37708.
Background: The aims of this randomised, double blind, placebo controlled trial were to compare vaginal PGE2 gel with oral misoprostol in the induction of labour at term. Methods: Women randomised to the oral misoprostol group received 20mcg oral misoprostol solution at two hourly intervals and placebo vaginal gel, and those in the vaginal prostaglandin group received vaginal PGE2 gel at six hourly intervals and oral placebo solution. The primary outcome measures were vaginal birth not achieved in 24 hours, uterine hyperstimulation with associated fetal heart rate changes, and caesarean section. Women were asked about their preferences for care, and a cost comparison was performed for the two methods of induction of labour. A nested randomised trial compared health outcomes for the woman and her infant related to morning or evening admission for commencing induction of labour. Results: A total of 741 women were randomised, 365 to the misoprostol group and 376 to the vaginal PGE2 group. There were no differences between women in the oral misoprostol group and women in the vaginal PGE2 group, for the outcomes vaginal birth not achieved in 24 hours (Misoprostol 168/365 (46.0%) versus PGE2 155/376 (41.2%); RR 1.12 95% CI 0.95-1.32; p=0.134), caesarean section (Misoprostol 83/365 (22.7%) versus PGE2 100/376 (26.6%); RR 0.82 95% CI 0.64- 1.06; p=0.127), or uterine hyperstimulation with fetal heart rate changes (Misoprostol 3/365 (0.8%) versus PGE2 6/376 1.6%); RR 0.55 95% CI 0.14-2.21; p=0.401). Women in the misoprostol group were more likely to indicate that they 'liked everything' associated with their labour and birth experience compared with women in the vaginal PGE2 group (Misoprostol 126/362 (34.8%) versus PGE2 103/373 (27.6%); RR 1.26; 95% CI 1.02-1.57; p=0.036). There were no differences in the primary outcomes when considering morning or evening admission to commence induction. The use of misoprostol was associated with a saving of $110.83 per woman induced. Conclusions: The use of oral misoprostol in induction of labour does not lead to poorer health outcomes for women or their infants, women express greater satisfaction with their labour and birth experience, and with misoprostol induction there is a cost saving to the institution. Thesis (Ph.D.)--Department of Obstetrics and Gynaecology, 2005.
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黎美芳 and Mei-fong Janny Lai. "Management of labour: use of water immersion for pain relief." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B40720937.
Lai, Mei-fong Janny. "Management of labour use of water immersion for pain relief /." Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B40720937.
Ngai, Suk-wai Cora. "Clinical applications of misoprostol in obstetrics and gynecology." Hong Kong : University of Hong Kong, 2000. http://sunzi.lib.hku.hk/hkuto/record.jsp?B2180638X.
倪淑慧 and Suk-wai Cora Ngai. "Clinical applications of misoprostol in obstetrics and gynecology." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2000. http://hub.hku.hk/bib/B31981720.
Ramstad, Marsha. "The Relationship between Epidural Analgesia during Childbirth and Childbirth Outcomes." Thesis, North Dakota State University, 2004. https://hdl.handle.net/10365/28727.
Epidural analgesia has increased in usage dramatically in the United States as a means
of comfort for labor pain. Prior studies have connected epidural analgesia to an increase in
cesarean birth rate, an increase in use of instrumentation, an increase in length of labor,
episiotomy rate, and maternal fever. Epidural analgesia has produced additional costs to
the patient and society. The purpose of this study is to examine the relationship between
epidural analgesia during childbirth and childbirth outcomes. The data for this study were obtained from a retrospective patient record review of 200
systematically selected labor patients who delivered in 2002 at a midwestern hospital. The
epidural analgesia rate was 72% at this facility in 2002, a signi?cant increase from the
previous 5 years. Using the Chi-square test of independence, 3 relationship was established
between epidural analgesia and four of the variables examined. A statistically signi?cant
relationship was found to exist between epidural analgesia and cesarean birth rate, pitocin
augmentation, and the ?rst and second stages of labor with the total sample. The results of
the study are important for healthcare providers who are relaying in?uential wellness
information to childbearing women and their partners. The results indicate a need for further education for healthcare providers on alternative methods of pain relief for their patients during childbirth.
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Duff, Margaret. "A Study of Labour." University of Technology, Sydney. Faculty of Nursing, Midwifery and Health, 2005. http://hdl.handle.net/2100/348.
The partograph, developed over 50 years ago and based on research conducted by Friedman (1954, 1955 & 1956), has been promoted by the World Health Organisation as the “gold” standard for assessing progress in labour. The basic premise of the partograph is that regular vaginal examinations throughout labour that calculate the extent and rate of cervical dilation will be the most reliable indicator of labour progress. A review of the medical and midwifery literature suggested that the progress of labour can also be assessed by observing women’s behavioural responses to labour. This study set out to describe and test the reliability and consistency of these behavioural cues. These cues were derived from published literature and used to construct a “Labour Assessment Tool” (LAT). The LAT was tested and modified using an expert reference group and results of a pilot test. Inter-rater reliability was established during the pilot study and verified with other experienced midwives as data collectors. The LAT recorded partograph observations as well as labour behaviours. The study was undertaken in two Australian hospitals between 1999 and 2002. Women were given information on the study during regular antenatal visits to the hospitals from 30 weeks gestation and invited to participate during one of their antenatal visits between 37 weeks and 42 weeks of pregnancy. There were 21 women of the 225 women approached who declined to participate. The LAT observations were recorded on 203 participants however only 179 participants (94 nulliparous and 85 multiparous women) who generated 47,768 individual observations were suitable for analysis. There were 59 participants (31 nulliparous and 28 multiparous women) who were induced into labour or had their labours augmented. Women excluded from the study included those with complications of pregnancy and labour. Women were also withdrawn from the study at the time an epidural was commenced but their data to that point were retained for analysis. The data were examined from three perspectives. The first was from a ‘phases of labour’ perspective based on the work of Friedman (1954; 1955). Data obtained at the time the women had an internal cervical assessment were allocated to early labour, active labour, transition or full dilation, based on the results of the cervical measurements. The second perspective examined all the descriptors over the course of labour from admission to hospital or the beginning of an induction of labour, to second stage of labour. Frequencies were again generated for each behaviour from admission to hospital until full dilation. They were compared to the mean dilation generated for both parity groups based on the 279 cervical examinations that were performed on the participants. The third perspective examined behavioural patterns observed within each woman’s labour unrelated to the time to full dilation or Friedman’s phases of labour model. Results indicate that specific behavioural descriptors associated with progress were observed before cervical dilation increased. Descriptors indicating cervical dilation was occurring, or had occurred, and descriptors indicating impending second stage as well as second stage itself, were identified. Differences were observed between the labours of multiparous and nulliparous women and induced labours and non induced labours.
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Schuster, Mary Francine 1943. "WOMEN'S ADAPTIVE RESPONSES TO EARLY LABOR CONTRACTIONS." Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/276383.
Hunter, Cheryl A. "The doula as educator labor, embodiment, and intimacy in childbirth /." [Bloomington, Ind.] : Indiana University, 2007. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3278464.
Thesis (Ph.D.)--Indiana University, Dept. of Educational Leadership and Policy Studies, 2007. Source: Dissertation Abstracts International, Volume: 68-10, Section: A, page: 4215. Adviser: Luise McCarty. Title from dissertation home page (viewed May 19, 2008).
Arnold, Kate C., and Caroline J. Flint. "Induction of Labor." In Obstetrics Essentials, 109–14. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-57675-6_17.
Arnold, Kate C., and Caroline J. Flint. "Management of Preterm Labor." In Obstetrics Essentials, 283–89. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-57675-6_42.
Lyons, Paul, and Nathan McLaughlin. "Normal Labor." In Obstetrics in Family Medicine, 163–67. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-39888-0_20.
Lyons, Paul, and Nathan McLaughlin. "Prolonged Labor." In Obstetrics in Family Medicine, 183–88. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-39888-0_24.
Lyons, Paul, and Nathan McLaughlin. "Preterm Labor." In Obstetrics in Family Medicine, 63–71. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-39888-0_8.
Lyons, Paul. "Normal Labor." In Obstetrics in Family Medicine, 141–45. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-20077-4_18.
Lyons, Paul. "Prolonged Labor." In Obstetrics in Family Medicine, 161–65. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-20077-4_22.
Lyons, Paul. "Preterm Labor." In Obstetrics in Family Medicine, 55–63. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-20077-4_7.
Jain, Joses A., and Cynthia Gyamfi-Bannerman. "Preterm labor." In Evidence-based Obstetrics and Gynecology, 385–95. Chichester, UK: John Wiley & Sons, Ltd, 2018. http://dx.doi.org/10.1002/9781119072980.ch37.
Boylan, P. C. "Fetal Monitoring in Labor." In Gynecology and Obstetrics, 227–28. Berlin, Heidelberg: Springer Berlin Heidelberg, 1986. http://dx.doi.org/10.1007/978-3-642-70559-5_75.
Conference papers on the topic "Labor (obstetrics)":
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Bhat, Rama B., and Padmavathi P. Bhat. "Biomechanical Considerations in Antenatal Care of High Risk Pregnancies." In ASME 2001 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2001. http://dx.doi.org/10.1115/detc2001/vib-21408.
Abstract Preterm labor is an important issue in the field of Obstetrics and Gynacology. The earlier the diagnosis, the better the prevention of preterm labor. This study examines the static and dynamic loads on the cervix, which is one of the causes of preterm labor, from a biomechanical point of view. A simple biomechanical model is formulated to assess the loads bearing on the cervix. Results indicate the need for extreme caution warranted in cases of high risk pregnancies in highly dynamic environments. In view of the very delicate nature of the issue, it is essential to formulate better simulation models using indirectly gathered data.
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Barreto, Tyler, Melina Taylor, Jessica Taylor Goldstein, and Aimee Eden. "Labor of Love: Could Different Compensation Models Help to Maintain the Family Medicine Obstetrics Workforce?" In NAPCRG 50th Annual Meeting — Abstracts of Completed Research 2022. American Academy of Family Physicians, 2023. http://dx.doi.org/10.1370/afm.21.s1.3984.
Huang, Zifang, Mei-Ling Shyu, James M. Tien, David J. Birnbach, and Michael M. Vigoda. "Labor contraction prediction via demographic and obstetrical information analysis." In 2012 IEEE International Conference on Bioinformatics and Biomedicine (BIBM). IEEE, 2012. http://dx.doi.org/10.1109/bibm.2012.6392687.
Rahayu, Esty Puji, and Lailatul Khusnul Rizki. "Effect of Affirmation Flashcards on Level of Anxiety in Second Stage of Labor at Midwifery Clinic, East Java." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.49.
ABSTRACT Background: The Indonesia Demographic and Health Survey (IDHS) 2017 reported a high maternal mortality rate (MMR) in Indonesia. Safe and effective management of the second stage of labor presents a clinical challenge for laboring women and practitioners of obstetric care. This study aimed to examine effect of affirmation flashcards on level of anxiety in second stage of labor at midwifery clinic, East Java. Subjects and Method: This was a quasi-experiment with pre and post-test design was conducted at Mei Kurniawati, Amd.Keb midwifery clinic, Surabaya from July to September 2020. A sample of 30 pregnant women who planned to give birth normally at Mei Kurniawati, Amd.Keb midwifery clinic was selected by simple random sampling. The dependent variable was anxiety in second stage of labor. The independent was flashcard affirmation treatment. The data were analyzed by Paired T test. Results: Effect of Flashcard Affirmation treatment on anxiety, control variable (Mean=-3.70; SD= 1.48; p< 0.001) was higher than treatment variable (Mean= -2.15; SD= 1.44; p< 0.001). Effect of flashcard affirmation on the duration of second stage of labor, control variable was higher (Mean= -8.88; SD= 3.81; p< 0.001) than treatment variable (Mean=-1.02; SD= 1.17; p< 0.001). Conclusion: Maintaining the mother’s psychological condition can be done by giving positive affirmations to the mother, besides that the support of husband and family is also an important point, for that research that may be carried out to develop this research is the role of husband support in the smooth delivery of labor. Keywords: flashcard affirmation, second stage of labor, anxiety Correspondence: Esty Puji Rahayu. Universitas Nahdlatul Ulama Surabaya. Jl. SMEA no.57, Surabaya. Email: esty@unusa.ac.id Mobile: 085755196600. DOI: https://doi.org/10.26911/the7thicph.03.49
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Samarasinghe, Ayshini, Manjula Samyraju, and Gill Harrison. "O1 Improved patient safety in obstetrics: reducing labour and complications. A success story using human factors and simulation training." In Abstracts of the Association for Simulated Practice in Healthcare 9th Annual Conference, 13th to 15th November 2018, Southport Theatre and Convention Centre, UK. The Association for Simulated Practice in Healthcare, 2018. http://dx.doi.org/10.1136/bmjstel-2018-aspihconf.1.
Fernandez, Michael, Joy Vink, Ronald Wapner, Kyoko Yoshida, and Kristin M. Myers. "Direct Measurement of Human Cervical Tissue Permeability." In ASME 2012 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2012. http://dx.doi.org/10.1115/sbc2012-80749.
The mechanical integrity of the uterine cervix is critical for the full-term success of a pregnancy. It must be strong to retain the fetus throughout gestation and then undergo a remodeling and softening process before labor to allow dilation and delivery. We hypothesize that the preterm birth (PTB) condition known as cervical insufficiency (CI) is related to a weak or soft cervix. Such PTBs are responsible for infant developmental problems and in severe cases, infant mortality. To understand the etiologies of CI, our overall research goal is to investigate the mechanical behavior of the cervix. As a foundation for future in-vivo tools to assess cervical softness, we aim to quantify cervical structure-material property relationships for nonpregnant (NP) and pregnant (PG) tissue from women with different obstetric backgrounds, including women with a previous history of CI. The goal of this study is to characterize cervical tissue as a poroelastic (biphasic) material. Here we present the results of two mechanical experiments on NP and PG hysterectomy cervical tissue samples: first, confined compression and second, direct measurement of permeability by a custom strain-adjustable permeation rig.
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Burleson, Grace, Brian Butcher, Brianna Goodwin, and Kendra Sharp. "Assisting Economic Opportunity for Women Through Appropriate Engineering Design of a Soap-Making Process in Uganda." In ASME 2016 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2016. http://dx.doi.org/10.1115/detc2016-59715.
TERREWODE, a non-governmental organization in Uganda, works to eradicate obstetric fistula in local communities and provide income-generating skills training to the affected women. Obstetric fistula is a traumatic childbirth injury caused by prolonged, obstructed labor and delayed intervention. The condition is preventable with proper medical attention, however, in rural areas women who suffer from the condition are typically disowned from their families and communities [1]. As part of their social reintegration program, TERREWODE provides training for women post-treatment in multiple income-generating skill areas; jewelry making, baking, cooking, sewing, and buying/selling produce. The soap-making idea originated within TERREWODE itself and is intended to create an income stream for the women participating. The scope of this senior capstone project, in collaboration with several organizations, is to increase efficiency, reliability, and repeatability of the soap-making process and explore potential avenues for powering the system in an off-grid setting. A weighted-design matrix was used to make engineering decisions throughout the project. The two primary engineering aspects of this project were the selection of soap-making process (hot vs. cold) and the selection of a mixing device and powering unit. Understanding of appropriate manufacturing technologies in Uganda was necessary as all materials and tools needed to be locally available for success for the project. The hot process requires maintaining the soap mixture at a constant temperature for roughly two hours or until the gel phase occurs. This process allows for a short curing time, permitting the soap to be ready for use sooner. Opposing this, the cold process requires little cook time but a lengthy curing time. Experimental data showed that maintaining a consistent temperature over an extended period of time while using a cookstove is nearly impossible, even in a controlled lab environment. The cold process was selected as a better suited solution for manufacturing due to field conditions and available resources. A mixing device is crucial to the soap-making process. Due to the unreliability of grid-based electricity in the region, the team considered both a human-powered mixing solution and a solar-powered mixing solution [2]. TERREWODE leadership steered the team away from creating a human powered bike mixer for fear of discouraging women to participate, due to potential health and comfort issues. The team selected a solar powered system and has tested a U.S. manufactured prototype. The ultimate goal of this soap-making project is to provide an opportunity for victims and survivors of obstetric fistula to earn a livelihood. The work done by the Oregon State (OSU) mechanical engineering design team, in conjunction with the OSU Anthropology department, University of Oregon College of Business, several private artists and entrepreneurs, and TERREWODE, will provide potential improvements to the process and implementation plan to more effectively and economically create soap.
8
Christiaens, G. C. M. L. "DIAGNOSIS AND MANAGEMENT OF ITP DURING THE PERINATAL PERIOD." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1644762.
Although maternal and perinatal mortality and morbidity in pregnant patients with ITP are lower than previously assumed, they are not negligable. Significant postpartum hemorrhage occurs in 7% of the mothers with ITP. Thrombocytopenia is found in 51% of the newborns born from mothers with ITP and 6% of these have serious bleeding problems. Tests which predict which fetuses are at risk, are not yet available. Thrombocyte counts in a fetal blood sample are falsely low in 40% of cases.A prospective controlled randomized study done in the Netherlands failed to show an effect of antenatal corticosteroid treatment on neonatal platelet counts. Elective caesarean section has not been shown to protect against intracranial bleeding in thrombocytopenic newborns. The choice between vaginal delivery and caesarean section in ITP patients should be made on obstetric grounds with one exception: no other assisted vaginal delivery than the easy outlet forceps should be done. All cases of slow progress of the second stage of labour with insufficient descent should be terminated by caesarean section as well as breech delivery with suboptimal progress. Newborn thrombocyte counts should be done daily during the first week of life, since lowest platelet counts are often found between the 3rd and 5th postpartum day. Newborn thrombocytopenia is transient and does not warrant splenectomy, but can necessitate treatment with corticosteroids and/or high doses of immunoglobulin 6. Current data do not justify to dissuade breastfeeding.The recurrence of neonatal thrombocytopenia in subsequent patients is unknown.
Reports on the topic "Labor (obstetrics)":
1
An observation checklist for facility-based normal labor and delivery practices: The Galaa study. Population Council, 2003. http://dx.doi.org/10.31899/rh2003.1000.
Globally, almost 515,000 women die every year from maternal causes related to pregnancy or childbirth. Most research focuses on identifying high-risk cases or managing obstetric emergencies, in an attempt to reduce women’s risk of dying of maternal causes. While facility practices for normal labor were extensively examined and revised in Europe and North America in the 1970s and 1980s, little is known about facility practices for normal labor in many parts of the developing world. It is important for practitioners and policymakers to know the nature and frequency of common facility practices for normal labor. Substandard care has been identified by the Egyptian Ministry of Health and Population as the leading avoidable factor contributing to maternal deaths in Egypt. Much progress has been achieved regarding management of obstetric emergencies, however facility practices for normal labor are unexplored and undocumented in Egypt. With the support and collaboration of El Galaa hospital staff, a study was conducted in 2001 and yielded comprehensive data. This monograph presents one of the data collection tools—the observation checklist—and describes the process of developing the checklist and a critical analysis of its performance.
2
Traditional birth attendants in maternal health programmes. Population Council, 2003. http://dx.doi.org/10.31899/rh2003.1017.
Despite the tremendous resources invested in training Traditional Birth Attendants (TBAs) over the past two decades, scientific evidence from around the world has shown that training TBAs has not reduced maternal mortality. Any improvement observed when TBA training programs have been introduced was because of the associated supervision and referral systems, and the quality of essential obstetric services available at first referral level. Conversely, evidence has shown reduced maternal and perinatal morbidity and mortality when women have a “Skilled Attendant” (a qualified health care provider who has midwifery or obstetric skills) present at every birth. Thus, national safe motherhood programs, including in Kenya, are now focusing on increasing the number of Skilled Attendants, whether a woman delivers in a facility or at home. Since TBAs are highly regarded by their communities, it is critical that they still be enabled to play a role in improving maternal health. As noted in this brief, the continued preference for TBAs in Western Province can be attributed to their proximity to the woman’s home, respectful attitude toward women, and flexible modes of payment. Problems can arise, however, when TBAs delay seeking skilled care for women in difficult labor.
