Relevant bibliographies by topics / Obstetric

Academic literature on the topic 'Obstetric'

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Published: 4 June 2021
Last updated: 1 March 2023

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Journal articles on the topic "Obstetric"

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Barreto, Tyler W., Aimee Eden, Elizabeth Rose Hansen, and Lars E. Peterson. "Opportunities and Barriers for Family Physician Contribution to the Maternity Care Workforce." Family Medicine 51, no. 5 (May 7, 2019): 383–88. http://dx.doi.org/10.22454/fammed.2019.845581.

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Background and Objectives: The number of family physicians providing obstetric deliveries is decreasing, but high numbers of new graduates report they intend to include obstetric deliveries in their practices. The objective of this study was to understand barriers to providing obstetrical care faced by recent family medicine residency graduates who intended to provide obstetrical care at graduation. Methods: Email surveys were sent to graduating family medicine residents who indicated intention to include obstetrics in their practice on the American Board of Family Medicine (ABFM) Certification Examination Registration Survey (2014-2016). We used descriptive and bivariate statistics to analyze the data. Results: Of our sample of 2,098 early career family physicians, 1,016 (48.4%) responded. Seven hundred (68.9%) currently include obstetrics in their practices. Those currently including obstetrics were more likely to practice in a small rural or isolated (15.4% vs 5.2% and 4.6% vs 1.7%, P<0.001) community and report credentialing was easy (85.2% and 26.5%, respectively, P<0.001). Physicians not currently including obstetrics in their practice reported “found a job without OB” and “lifestyle concerns” as the most significant barriers. Respondents living in the Middle Atlantic and West South Central regions were least likely to provide obstetric deliveries, with fewer than 50% doing so. Conclusions: Among recent graduates who intended to practice obstetrics, finding a job without obstetrics and lifestyle concerns were the most significant barriers to realizing the scope of practice they intended.
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Jamal, Shehla, Archana Mehta, Neerja Goel, Mayuri Ahuja, Naima Afreen, and Sweety Malik. "Obstetrics ICU admissions: challenges faced at a tertiary referral centre." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 5 (April 28, 2018): 1840. http://dx.doi.org/10.18203/2320-1770.ijrcog20181914.

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Background: Management of critically ill patients in obstetrics is a challenge owing to the changed physiology and unpredictability of the disease behaviour. Stratification strategy for early admission to obstetric ICU is imperative to reduce maternal morbidity and mortality. Due to lack of formal surveys regarding obstetrical ICU in our country, there is lack of precise national data on obstetrical ICU mortality. Aim of the present study was to estimate the obstetric ICU admission rate, to study the pattern of causative aetiology and to study the complications developed in ICU.Methods: The present study is a retrospective analytical study done in the Department of Obstetrics and Gynecology, from January 2015 to August 2017.Results: During the study period there were a total of 8466 obstetrical admissions, 2508 deliveries and 104 ICU admissions. Out of 104, analysis was done on 71 patients. Hypertensive disorders of the pregnancy were associated with maximum number of admissions (47.8%), followed by postpartum haemorrhage (12.6%). Maximum admissions were in postpartum period (63.4%). Anaemia was associated with 35.2% of the cases and it was closely followed by sepsis (28.2%). Mechanical ventilation was required for 30.9% of the patients.Conclusions: Hypertensive disorders of the pregnancy, haemorrhage and sepsis are the major risk factors for ICU admission in obstetric population.
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Savel'eva, G. M., E. Yu Bugerenko, and O. B. Panina. "PROGNOSTIC VALUE OF UTEROPLACENTAL CIRCULATION IMPAIRMENT IN 1ST TRIMESTER OF PREGNANCY IN PATIENTS WITH COMPLICATED OBSTETRIC HISTORY." Annals of the Russian academy of medical sciences 68, no. 7 (July 19, 2013): 4–8. http://dx.doi.org/10.15690/vramn.v68i7.704.

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One of the urgent problems of modern obstetrics is the early detection of irregularities in the development of the uteroplacental vessels system in patients with severe disorders in the history. Aim: to evaluate the predictive value of re-development of obstetric pathology on the basis of the uterine artery Doppler on 11–14 weeks of pregnancy. Patients and methods. 410 patients in I trimester of pregnancy were examined with fetal growth restriction, preeclampsia and/or fetal death and/or a history of preterm delivery were. The influence of physical factors and obstetric history on the state of uterine blood flow in the I trimester of pregnancy was studied. Results. The optimal Doppler indexes was calculated; a high predictive ability of the pulsation index in the uterine arteries with respect to pregnancy complications with early clinical manifestation, severe preeclampsia and combined obstetric complications was detected. Conclusions. Our data support the possibility of preclinical diagnosis of obstetrical complications in patients with complicated obstetric history.
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Ataide, Maryanne Machado, Amuzza Aylla Pereira Dos Santos, Jovânia Marques De Oliveira e Silva, and Maria Elisângela Torres de Lima Sanches. "EXAME OBSTÉTRICO REALIZADO PELA ENFERMEIRA: DA TEORIA À PRÁTICA." Enfermagem em Foco 7, no. 2 (August 10, 2016): 67. http://dx.doi.org/10.21675/2357-707x.2016.v7.n2.798.

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Objetivo: analisar o conhecimento e a prática da enfermeira acerca do exame físico obstétrico. Metodologia: pesquisa descritiva, quantitativa, realizada com 24 enfermeiras que atuam na assistência obstétrica em maternidades públicas da cidade de Maceió/ AL, no período de junho a agosto de 2014. Foi aplicado um questionário e, após essa etapa, realizada a análise descritiva dos dados. Resultados: o exame das mamas e a palpação obstétrica são as técnicas mais negligenciadas pela enfermeira durante a realização do exame obstétrico. As únicas técnicas realizadas unanimemente por elas são a medição da altura de Fundo de útero e o toque vaginal. Conclusão: o exame obstétrico realizado pela enfermeira ainda é subutilizado nas parturientes. As enfermeiras demonstram conhecimento sobre o assunto, porém a prática realizada não condiz com a teoria informada. Descritores: Enfermagem; Obstetrícia; Assistência; Gestante.EXAMINATION EXAM BY OBSTETRIC NURSE: FROM THEORY TO PRACTICEObjective: analyze the knowledge and practice nurse about obstetrical physical examination. Methodology: descriptive, quantitative research among 24 nurses working in maternity care in public hospitals of the city of Maceió/AL from June to August 2014. It was used a questionnaire containing demographic data, working time and knowledge exam. After this step was carried out a descriptive analysis of data. Results: The breast examination and obstetric palpation are the most neglected by nurses techniques while performing the obstetrical examination. The only techniques unanimously carried by them are Asao measuring the height of the uterus Fund and the vaginal ring. Conclusion: Obstetric examination performed by the nurse is still underused in pregnant women. Nurses demonstrate knowledge on the subject, but the practice performed dismissive informed theory.Descriptors: Nursing; obstetrics; assistance; pregnant.EXPLORACIÓN OBSTETRICA REALIZADO POR LA ENFERMERA DE LA TEORÍA A LA PRÁCTICAObjetivo: analizar el conocimiento y la práctica enfermera acerca de la exploración física obstétrica. Metodología: Estudio descriptivo, la investigación cuantitativa entre 24 enfermeras que trabajan en la atención de maternidad en los hospitales públicos de la ciudad de Maceió/AL de junio a agosto de 2014. Se utilizó un cuestionario que contiene datos demográficos, tiempo de trabajo y el conocimiento examen. Después de este paso se llevó a cabo un análisis descriptivo de dados. Resultados: El examen de las mamas y la palpación obstétrica son los más desatendidos por técnicas enfermeras mientras se realiza el examen de gravidez. Las únicas técnicas realizadas por unanimidad por ellos son Asao medir la altura del fondo del útero y el anillo vaginal. Conclusión: Examen obstétrico realizado por la enfermera todavía no se usa mucho en las mujeres embarazadas. Las enfermeras demuestran conocimiento sobre el tema, pero la práctica la teoría realizaron informado desdeñoso.Descriptores: Enfermería; Obstetricia; Asistencia; Mujer embarazada.
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Boonratsamee, Nattinee, Sutham Pinjaroen, and Chitkasaem Suwanrath. "Completeness of data record in the obstetric record form." Songklanagarind Medical Journal 35, no. 2 (May 25, 2017): 169. http://dx.doi.org/10.31584/smj.2017.35.2.699.

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Objective: To survey the completeness of obstetric data records.Material and Method: A survey study was conducted to determine the completeness of obstetric data records of women who delivered at Songklanagarind Hospital from January 1, to June 30, 2012 in the obstetric data record forms of the Statistical Unit, Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University. The data consisted of 5 parts including general information, obstetric history, pregnancy outcome, complications andoperative obstetrics with indications. Rates of completeness by recorders were calculated.Results: A total of 1,698 obstetric data records were evaluated. The overall rate of completeness was 10.1%. The rates of completeness of the general information (part 1), recorded by nurses, and the clinical part (parts 2 to 5), recorded by physicians, were 36.7% and 26.1%. The intern had the highest rate of completeness, followed by the extern and the resident.Conclusion: The rate of completeness of obstetric data records was low. The feedback report will be sent to theDepartment of Obstetrics and Gynecology to find out an appropriate strategy to improve quality of electronic databasefor future use in research and quality service management.
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Singh, Saddam, Ashish Pratap Singh, Anil Chouhan, and Ajay Patidar. "Prevalence of operative complications in obstetric and gynecological surgeries requiring interventions by a general surgeon and their associated risk factors: A retrospective study in a tertiary care hospital in Vindhya region." Asian Journal of Medical Sciences 13, no. 9 (September 1, 2022): 178–82. http://dx.doi.org/10.3126/ajms.v13i9.44060.

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Background: Surgical complications can occur in any surgery despite the best possible efforts, thereby affecting the prognosis. Gynecological and obstetric surgeries also result in some complications which require interventions by a general surgeon. These complications can be either causing hemodynamic instability, urinary tract injury, gastrointestinal tract injury, or infections. Aims and Objectives: The present study designed to identify and classify the various complication in obstetric and gynecological surgeries requiring interventions by a general surgeon and to correlate the various risk factors that predispose to these complications. Materials and Methods: The present retrospective study was conducted in the Department of Obstetrics and Gynecology and Department of Surgery, Shyam Shah Medical College and associated hospitals, Rewa, M.P., for 6 months from January 2021 to June 2021. Gynecological and obstetric surgeries resulting in complications requiring surgical intervention were identified and classified based on patients’ demographic characteristics, comorbidities, and type of complications. Results: A total of 1356 cases undergoing an obstetrical or gynecological procedure in the department of obstetrics and gynecology were studied. About 2.14% of the patients had some kind of intraoperative or post-operative complications, which required intervention by a general surgeon. The mean age of females having complications was 37.17±3.71 years. Overall the most common complication was surgical site infection with 48% of the total cases. Conclusion: In this present study, the incidence of surgical complications in obstetrical and gynecological surgeries, which is associated with higher morbidity postoperatively. These complications can be prevented by proper vigilance and surgical technique in high-risk patients.
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taprial, Mrs Rosie Taprial. "ASSESSMENT OF THE ATTITUDE TOWARDS PAINLESS DELIVERY AMONG ANTENATAL MOTHERS AT SELECTED HOSPITALS OF DISTRICT PATIALA, PUNJAB." GENESIS 8, no. 2 (June 10, 2021): 36–39. http://dx.doi.org/10.47211/tg.2021.v08i02.006.

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The true perspectives of painless labour came into existence with advancements over the last three decades as the birth of obstetric anaesthesia as a sub-speciality has cemented a permanent place in the field of obstetrics and anaesthesia. Advancements in obstetrical anaesthesia have shifted the previous focus from simply abolishing the labour pain to providing a quality labour analgesia with a minimal of side effects.
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Prasad, Dipali, Huma Nishat, Bhawana Tiwary, Swet Nisha, Archana Sinha, and Neeru Goel. "Review of obstetrical emergencies and fetal out come in a tertiary care centre." International Journal of Research in Medical Sciences 6, no. 5 (April 25, 2018): 1554. http://dx.doi.org/10.18203/2320-6012.ijrms20181467.

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Background: Obstetric emergencies can occur suddenly and unexpectedly. Obstetrics is unique in that there are two patients to consider and care for, a mother and a baby or fetus. Identification and referral of high risk pregnancies are an integral part of maternal and child health services. Timeliness and appropriateness can reduce the incidence of obstetric emergencies. Present study was carried out to know the incidence, nature and outcome of obstetric emergencies.Methods: Retrospective study of obstetric emergencies admitted to Obstetrics and Gynaecology department of Indira Gandhi Institute of Medical science, Patna from March 2015 to September 2017.Results: The common clinical presentation was Ectopic Pregnancy (19.64%), Heart Disease (16.64%), Abortion (13.69%), Severe Anaemia (16.66%), Purpureal Sepsis (9.52%), Sever pregnancy induced hypertension (3.57%), Eclampsia/ HELLP Syndrome (2.38%), Multiple Pregnancy (1.19%) Malignancy Disorder with Pregnancy (2.97%) and HIV in pregnancy (0.59%). Intervention done include Dilation and evacuation (13.69%), Caesarean section (28.57%), Vaginal delivery (22.62%), Caesarean Hysterectomy (2.38%), Exploratory Laparotomy (20.83%) and conservative management in (11.90%) of patients. Maternal outcome include shock due to rupture ectopic and post-partum (16.68%), Blood Transfusion done in (27.99%), Septicaemia (15.48%), ICU admission (8.92%), HDU (12.5%), Pulmonary oedema (6.54%), DIC (4.16%), CCF (3.57%), Ventilatory Support (1.78%) and Maternal Mortality (2.38%). Fatal outcome includes live birth (58.8%), NICU Admission (27.45%), Ventilatory Support (7.84%) and Neonatal mortality (5.88%).Conclusions: High risk pregnancy identification and proper antenatal, intranatal and postnatal care will reduce the incidence of obstetrical emergencies. Peripheral health care system need to be strengthen and early referral need to be implemented for better maternal and fetal outcome.
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Ville, Y. "From obstetric ultrasound to ultrasonographic obstetrics." Ultrasound in Obstetrics and Gynecology 27, no. 1 (December 22, 2005): 1–5. http://dx.doi.org/10.1002/uog.2690.

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Al.Kaaky, Nahla S. "Emergency obstetric hysterectomy: five years review at Al Sadaqa teaching hospital." University of Aden Journal of Natural and Applied Sciences 23, no. 2 (October 31, 2019): 511–20. http://dx.doi.org/10.47372/uajnas.2019.n2.a21.

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Emergency hysterectomy in obstetrics is rarely indicated and is always debatable. The aim of the study is to determine the incidence, sociodemographic factors, indications, maternal characteristics and maternal and perinatal outcome of emergency obstetric hysterectomy. This is a retrospective hospital based study of the cases of emergency obstetric hysterectomy performed over a period of 5 years from Jan 2014 to November 2018. A total of 55 cases of emergency obstetric hysterectomy (EOH) were studied in the Department of Obstetrics and Gynecology, in a Al-Sadaqa Teaching Hospital, Aden. During the study period there were 55 emergency obstetric hysterectomies and 33903 deliveries, giving an incidence of 0.16% or 1.6/1000. The majority of the cases were unbooked (36.4%). It was more common in multipara and grandmultipara (57.3%). Ruptured uterus (60.0%) , atonics postpartum hemorrhage (10.9%) and morbidly adherent placenta (9.1%) were the common indications. Subtotal hysterectomy was performed in 69.1% of the cases and total hysterectomy in the rest. The perinatal mortality was (67.0%), and the maternal mortality was 1.8%. Emergency obstetric hysterectomy is a lifesaving procedure. Uterine rupture, uterine atonia and morbid adherent placenta are the leading indications for emergency obstetric hysterectomy.
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Dissertations / Theses on the topic "Obstetric"

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Bhullar, Annum. "Obstetric fistula: challenges and approaches." Thesis, Boston University, 2012. https://hdl.handle.net/2144/31508.

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Thesis (M.A.)--Boston University
PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.
Obstetric Fistula (OF) is a devastating condition, normally caused by obstructed labor, which results in uncontrollable urinary and fecal incontinence and affects thousands of women every year. Most of the women affected by OF reside in small isolated, rural villages, creating challenges to diagnosis and treatment. Due to lack of standardization of therapy approaches, many women undergoing OF-repair often redevelop incontinence or other complications. This paper analyzes both vaginal and abdominal approaches to OF, evaluating their outcomes and the challenges they present. The therapies analyzed are: the Latzko approach, the layered-closure, and the Martius flap procedure. The goal of this paper is to determine which procedure is most appropriate to use for specific types of OF in order to establish therapeutic standardization. This study reviewed a significant amount of literature evaluating all three therapy approaches. It was determined that the Latzko approach should be utilized as the first approach to vesicovaginal fistula (WF) and vesicouterine fistula (VUF) due to its simplicity, avoidance of major operative complications, and successful postoperative repair results. Layered-closure approaches should be refrained from use, unless the Latzko approach is impossible or in specific cases of urethrovaginal fistula. Due to its more extensive operation and post-operative follow-up, the Martius flap procedures should be used only for significantly complex fistulas, such as those that involve multiple organs, are exceptionally large or recurrent. Surgical approaches, however, cannot repair the OF problem on its own, due to a number of challenges and ethical considerations. Therefore, challenges to OF treatment and repair were also considered and analyzed. A final evaluation determined that the creation of permanent infrastructure, such as women's reproductive health and delivery clinics will provide the greatest improvements to the current OF status. By solving problems such as surgeon shortages, cost issues, and the lack of follow-up and mental health services, it was determined that permanent delivery clinics with established transportation methods will produce the most significant reduction of obstructed labor, and therefore OF occurrence, and the most promising OF prevention method as well.
2031-01-01
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Mollberg, Margareta. "Obstetric brachial plexus palsy /." Göteborg : Department of Obstetrics and Gynaecology, The Institute of Clinical Sciences, Sahlgrenska Academy at Göteborg University, 2007. http://hdl.handle.net/2077/3191.

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Cattle, Kirsty. "Faecal incontinence : obstetric causality." Thesis, University of Manchester, 2012. https://www.research.manchester.ac.uk/portal/en/theses/faecal-incontinence-obstetric-causality(c98b4d67-566b-4e5c-b17b-6546387d30ea).html.

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Introduction: Faecal incontinence is more common in parous women who have had a difficult vaginal delivery. However, the pathophysiology of the injury resulting in faecal incontinence in such women is incompletely understood. This study therefore aimed to compare anal canal and pelvic floor parameters between continent and incontinent women and measure these during pregnancy and after delivery in order to more fully understand the initial insult to the pelvic floor. Methods: Anal manometry and fatigue (using a water-filled microballoon) and pelvic floor strength and fatigue (using an air-filled vaginal probe connected to a Peritron) were measured in 30 primiparous women at booking, end of pregnancy and 6 months post partum. Ten of these women also underwent measurement of pelvis size using ultrasound. A further 61 women, 39 incontinent and 22 continent, also underwent these measurements in order to compare pelvic floor parameters between continent and incontinent women. Results: Voluntary contraction of the external anal sphincter (EAS) was significantly lower 11 weeks post partum than antenatal values (106.5 ± 43.6 cmH2O antenatally vs 75.5 ± 45.6 cmH2O post partum, p < 0.001) but there was no significant difference between antenatal values and those measured 6 months post partum (p = 0.24). Anal fatigue rate was significantly slower 11 weeks post partum (p = 0.001), but by six months post partum the difference is no longer significant (p = 0.053). Pelvic floor muscle (PFM) strength fell with age and was significantly lower in incontinent women (8.97 ± 12.88 cmH2O) than incontinent women (27.17 ± 18.16 cmH2O; p < 0.001). PFM fatigue rate was also significantly slower in incontinent women (p = 0.01). The PFM strength was significantly higher in nulliparous than parous women (p = 0.002) and fatigue rate was faster (p = 0.022). PFM strength (p = 0.006) and fatigue rate (p =0.004) were significantly lower six months post partum when compared with antenatal values. It was shown that pelvis size can be measured using ultrasound and was found to be repeatable, but inaccurate when compared with magnetic resonance imaging. Insufficient numbers were studied to show an effect on pelvic floor function. Conclusion: Vaginal delivery causes impairment of EAS voluntary contraction which appears to have recovered by six months post partum. It also causes impairment of PFM contraction which is persistent at six months post partum. The reduced PFM function seen post partum also occurs in incontinent women, adding to the evidence that childbirth causes the initial insult to the pelvic floor which results in faecal incontinence, either immediately or some years later.
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McConville, Pauline Mary. "Obstetric complications and functional psychosis." Thesis, University of Edinburgh, 2007. http://hdl.handle.net/1842/24928.

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The main body of the work is a study of the rates of obstetric complications in 492 patients meeting ICD-9 criteria for schizophrenia, affective disorder and other functional psychosis, compared to their 797 non-psychotic siblings and to 2,460 normal controls. The main results, for each of the three diagnostic groups, indicate significant confounding between obstetric complications, maternal marital status and social class. No single obstetric complication remained associated with schizophrenia once these factors had been controlled for. Bleeding in pregnancy was associated with an increased risk of affective disorder compared to controls. A low Apgar score at 5 minutes was associated with an increased risk of affective disorder compared to controls. Low social class and maternal marital status were also associated with the risk of affective disorder. Induction of labour or elective caesarean section was associated with an increased risk of other functional psychosis compared to their non-psychotic siblings. Secondary analyses of the effect of season of birth, age of onset of illness and family history are presented. Schizophrenic patients were more likely to have been born in winter than their siblings but winter-born schizophrenics had similar rates of OCs to those born at other times.  An induced labour or elective caesarean section was associated with an increased risk of affective disorder of early onset and of non-familial affective disorder. Bleeding in pregnancy was also associated with an increased risk of non-familial affective disorder. The findings are compared to those of other studies and conclusions are drawn about the importance of obstetric complications in the aetiology of psychotic disorders, with particular emphasis on schizophrenia, and suggestions are made for further research.
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Tyler, Damian J. "Quantitative measurements in obstetric MRI." Thesis, University of Nottingham, 2002. http://eprints.nottingham.ac.uk/13964/.

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This thesis describes the development and application of quantitative echo planar magnetic resonance imaging techniques to the study of human placental development in normal and compromised pregnancies. Initially, a method of rapidly and accurately measuring the transverse relaxation time is proposed using a multi-echo measurement sequence. The method is described, validated on CUS04 phantoms and applied in the study of the human placenta and gastric dilution. It is shown that the inversion provided by sinc pulsesis insufficient to generate an accurate measurement but using adiabatic refocusing pulses yields a measurement that is comparable with a single spin echo. Subsequently, a rapid magnetisation transfer method is presented that allows the quantification of the relative size of the bound proton pool. An experimental pulse sequence is proposed, along with a theoretical model, that permits the investigation of the bound proton pool's transition towards the steady state. The sequence and model are validated using agar gel phantoms and shown to agree well with literature values. When applied in the study of the human placenta, it is shown that there is no significant variation in the fitted value of the bound proton pool size with increasing gestational age or in compromised pregnancies. Finally, several methods of measuring the oxygenation level of blood within the human placenta are investigated. The signal intensities of cardiac gated T~• and T~ weighted images acquired at various points in the maternal cardiac cycle are explored but no significant variation is shown through the cycle. A pulsed gradient spin echo sequence that utilises anti-symmetric sensitising gradients is validated and then applied in the human placenta. Oxygenation measurements with this technique are shown to be unfeasible but the potential of the sequence to monitor blood flow in the placenta is demonstrated.
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Шевченко, Тетяна Володимирівна, Татьяна Владимировна Шевченко, Tetiana Volodymyrivna Shevchenko, and D. M. Horobchenko. "Placental abruption the obstetric emergency." Thesis, Sumy State University, 2014. http://essuir.sumdu.edu.ua/handle/123456789/36585.

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The placenta is a structure that develops in the uterus during pregnancy to nourish the growing baby. If the placenta peels away from the inner wall of the uterus before delivery – either partially or completely – it's known as placental abruption. Placental abruption can deprive the baby of oxygen and nutrients and cause heavy bleeding in the mother. Placental abruption often happens suddenly. When you are citing the document, use the following link http://essuir.sumdu.edu.ua/handle/123456789/36585
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Giaxa, Thais Erika Peron [UNESP]. "Falso trabalho de parto: compreendendo os motivos da procura precoce à maternidade através da fenomenologia social." Universidade Estadual Paulista (UNESP), 2009. http://hdl.handle.net/11449/96454.

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Made available in DSpace on 2014-06-11T19:28:20Z (GMT). No. of bitstreams: 0 Previous issue date: 2009-12-17Bitstream added on 2014-06-13T19:57:37Z : No. of bitstreams: 1 giaxa_tep_me_botfm.pdf: 1061102 bytes, checksum: 822d02d996b7b1973ec41890861b7e33 (MD5)
Secretaria de Saúde do Estado de São Paulo
O estudo objetivou compreender os motivos da procura precoce do atendimento hospitalar pelas mulheres no final da gestação conduzidas pelo Serviço de Atendimento Móvel de Urgência. Utilizou-se a abordagem fenomenológica do tipo socioexistencial, proposta por Alfred Schütz considerando o desejo de revelar a característica típica de um grupo social que vive determinada situação. Os sujeitos foram nove gestantes conduzidas à maternidade em falso trabalho de parto. A entrevista foi norteada pelas questões: Quais os motivos que a levaram a procurar a maternidade? Conte-me a sua trajetória até a chegada aqui e qual a sua expectativa quando chegar o momento do trabalho de parto?. Os discursos foram submetidos a análise idiográfica e nomotética, emergindo do fenômeno as categorias: A crença em que está em trabalho de parto devido aos sinais/sintomas percebidos, A influencia de outros na procura pela assistência obstétrica, A dependência dos sistemas de apoio como influência na decisão, A busca pela tranqüilidade devido ao medo e insegurança sentidos, A busca pelo término da gestação e ocorrência do parto. Na relação social intersubjetiva de mulheres inseridas em um espaço comum de experiência, a vivência do final da gestação representa uma transformação no seu fazer cotidiano, seu comportamento e relacionamento social. Ao refletirem seus motivos porque, revelam uma riqueza de valores e crenças pessoais que constituem sua bagagem de conhecimentos adquiridos em suas experiências vividas. A presença da dor ou o temor de sentí-la mobilizam a ação de institucionalizar-se, garantindo a segurança que a relação face a face com os profissionais proporciona. A rede de relacionamento social influenciou sua decisão, bem como o incômodo causado pelas mudanças na rotina dos familiares para o suporte ao parto. Evidenciam conflitos internos na decisão...
The study aimed to understand the causes of the precocious search of the nosocomial service for the women in the end of the gestation driven by the Movable Service of Urgency. The approach made use fenomenológica of the type socioexistencial, proposed by Alfred Schütz considering the wish of revealing the typical characteristic of a social group that survives determined situation. The subjects were nine pregnant women led to the motherhood in false labor. The interview was orientated by the questions: Which the motives that took it looking for the motherhood? Tell to me his trajectory up to the brought near one here and which his expectation when the moment of the labor will arrive? The speeches were subjected the analysis idiográfica and nomotética, when the categories are surfacing of the phenomenon: The belief in which he labors due to the perceived signs / symptoms, influences It of others the search for the obstetric presence, The dependence of the systems of support as influence the decision, The search for the tranquillity due to the fear and insecurity felt, The search for the end of the gestation and incident of the childbirth. In the social intersubjective relation of women inserted in a common space of experience, the existence of the end of the gestation it represents a transformation in his to do daily, his behaviour and social relationship. While reflecting his motives because, they reveal a wealth of values and personal beliefs that constitute his luggage of knowledges acquired in his experiences experienced in life. The presence of the pain or the sentí-woolen fear mobilize the action of institucionalizar-se, when there is guaranteeing the security guard what the relation face to face with the professionals provides. The net of social relationship influenced his decision, as well as the nuisance caused by the changes in the routine of the relatives for the suppor... (Complete abstract click electronic access below)
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Poggenpoel, Elizabeth J. "Primary obstetric ultrasound : comparing a detail ultrasound only protocol with a booking ultrasound protocol." Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/4326.

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Fernando, Ruwan Janaka. "Obstetric anal sphincter injury and its management." Thesis, Keele University, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.483589.

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Tsai, Ya-Fang. "Inflammation and Altered Signaling in Obstetric Pathologies." BYU ScholarsArchive, 2021. https://scholarsarchive.byu.edu/etd/9215.

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The purpose of this research project was to elucidate the molecular interactions and detail the signaling pathways in obstetric pathologies. This work first seeks to understand inflammation related complications relevant to obstetrics. Prior research in our lab identified the implications of the receptor of advanced glycation end products (RAGE) during inflammatory response in the placenta. Current work identified the presence of DNA double-strand breaks (DNA-DSBs) in inflammation associated pregnancy complications of preeclampsia (PE) and preterm labor (PTL) and demonstrated the positive role of RAGE in repairing the damage. The confluent relevance of disrupted mitochondrial function and inflammation has been recognized in the etiology of numerous chronic diseases. Our current studies aim to understand the connections between energy metabolism and inflammation in pathologies of pregnancy complications. Previous research conducted in our laboratory has demonstrated the mediation of the Gas6/Axl pathway on the mechanistic target of rapamycin (mTOR), an important metabolic molecule. We observed the negative regulation of Gas6 treatment on the mTOR pathway and its negative effects on trophoblast cell invasion. In the current study looking at the aspect of energy regulation, we identified the activation of placental mTOR in gestational diabetes mellitus (GDM) and its decrease during PE and intrauterine growth restriction (IUGR). We further evaluated the regulation of mTOR on its downstream effector pyruvate kinase M2 (PKM2). We found that inhibition of mTOR decreased PKM2 activation; while PKM2 activation positively regulated trophoblastic invasion and rescued negative effects observed in our second-hand smoke IUGR murine model. Our work has opened a new direction of placental research, especially in pregnancy complications stemming from genomic instability. We also clarified details of mTOR and PKM2 meditated metabolic signaling that are crucial for future investigation on the dynamic metabolic regulation during pregnancy.
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Books on the topic "Obstetric"

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Brenda, Bucklin, Gambling David R, and Wlody David, eds. A practical approach to obstetric anesthesia. Philadelphia, PA: Lippincott Williams and Wilkins, 2009.

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Farook, Al-Azzawi, ed. Childbirth and obstetric techniques. 2nd ed. London: Mosby, 1998.

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Leroy, F. Histoire de naître: De l'enfantement primitif à l'accouchement médicalisé. Bruxelles: De Boeck, 2001.

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Montufar, Carlos, Jorge Hidalgo, and Alfredo F. Gei, eds. Obstetric Catastrophes. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-70034-8.

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Padumadasa, Sanjeewa, and Malik Goonewardene. Obstetric Emergencies. Boca Raton: CRC Press, 2021. http://dx.doi.org/10.1201/9781003088967.

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Ayres-de-Campos, Diogo. Obstetric Emergencies. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-41656-4.

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Pian-Smith, May C. M., and Lisa Leffert, eds. Obstetric Anesthesia. Cambridge: Cambridge University Press, 2007. http://dx.doi.org/10.1017/cbo9780511586057.

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Archer, Thomas L., ed. Obstetric Anesthesia. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-26478-9.

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Zacharin, Robert F. Obstetric Fistula. Vienna: Springer Vienna, 1988. http://dx.doi.org/10.1007/978-3-7091-8921-4.

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Nelson-Piercy, Catherine, and Joanna Girling. Obstetric Medicine. London: Springer London, 2007. http://dx.doi.org/10.1007/978-1-84628-582-0.

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Book chapters on the topic "Obstetric"

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Laack, Torrey A. "Obstetric Emergencies." In Emergency Medicine Simulation Workbook, 154–77. Oxford, UK: John Wiley & Sons, Inc., 2013. http://dx.doi.org/10.1002/9781118449844.ch8.

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Paterson-Brown, Sara, and Timothy J. Draycott. "Obstetric Emergencies." In Dewhurst's Textbook of Obstetrics & Gynaecology, 336–53. Chichester, UK: John Wiley & Sons, Ltd, 2018. http://dx.doi.org/10.1002/9781119211457.ch25.

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Paschall, Ray L. "Obstetric Anesthesiology." In Essentials of Regional Anesthesia, 689–730. New York, NY: Springer New York, 2011. http://dx.doi.org/10.1007/978-1-4614-1013-3_28.

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Iancu, George. "Obstetric Fistula." In Childbirth Trauma, 231–47. London: Springer London, 2016. http://dx.doi.org/10.1007/978-1-4471-6711-2_15.

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Chandler, Debbie, Ray Paschall, Leslie Robichaux, Burton Beakley, Elyse M. Cornett, and Alan David Kaye. "Obstetric Anesthesiology." In Essentials of Regional Anesthesia, 397–429. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-74838-2_21.

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Bailey, Hannah. "Obstetric haemorrhage." In The Midwife's Labour and Birth Handbook, 297–314. Chichester, UK: John Wiley & Sons, Ltd, 2017. http://dx.doi.org/10.1002/9781119235064.ch16.

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Stabile, Isabel, Tim Chard, and Gedis Grudzinskas. "Obstetric Statistics." In Clinical Obstetrics and Gynaecology, 3–5. London: Springer London, 1996. http://dx.doi.org/10.1007/978-1-4471-3374-2_1.

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Stabile, Isabel, Tim Chard, and Gedis Grudzinskas. "Obstetric Operations." In Clinical Obstetrics and Gynaecology, 155–60. London: Springer London, 1996. http://dx.doi.org/10.1007/978-1-4471-3374-2_21.

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Caetano, Ana Carolina Rabachini, and Luciano Marcondes Machado Nardozza. "Obstetric Management." In Fetal Growth Restriction, 185–93. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-030-00051-6_12.

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Baird, Emily J., Richard C. Month, and Valerie A. Arkoosh. "Obstetric anesthesia." In Management of Labor and Delivery, 416–68. Chichester, UK: John Wiley & Sons, Ltd, 2015. http://dx.doi.org/10.1002/9781118327241.ch17.

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Conference papers on the topic "Obstetric"

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Di Vece, Chiara, Brian Dromey, Francisco Vasconcelos, Anna L. David, Donald Peebles, and Danail Stoyanov. "Deep Learning-based Plane Pose Regression towards Training in Freehand Obstetric Ultrasound." In The Hamlyn Symposium on Medical Robotics: "MedTech Reimagined". The Hamlyn Centre, Imperial College London London, UK, 2022. http://dx.doi.org/10.31256/hsmr2022.24.

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In obstetrics ultrasound (US) training, the learner’s ability to mentally build a three-dimensional (3D) map of the fetus from a two-dimensional (2D) US image represents a major challenge. Pre-defined anatomical planes, known as standard planes (SPs), retain a sig- nificant clinical relevance. Their correct acquisition re- quires extensive experience due to the complexity of SP definition, their high intra- and low inter-class variation. Previous work proposed automating the extraction of SPs from data acquired with a simplified protocol rather than assisting operators in acquiring typical freehand 2D SPs. These methods, based on traditional machine learn- ing (ML) approaches [1] or convolutional neural network (CNN) [2], are mostly confined to selection or classifi- cation of SPs. Automatic approaches for the localisation of planes in 3D volumes are based either on supervised learning (SL) [3] or reinforcement learning (RL) [4]. The first ones, even though effective, can mainly localize one single plane at a time or are tailored to just one organ. Also, they attempt to learn a mapping from high- dimensional volumetric data to low-dimensional abstract features directly, making the training difficult. In the second case, most of the available solutions employing deep reinforcement learning (DRL) are based on robotic navigation and are used at the point of care. To the best of our knowledge, there are no available training systems to guide the sonographers in freehand obstetric US. Currently, training in obstetric US is focused on SPs recognition. The autonomous probe navigation towards SPs remains a highly challenging task due to the need to interpret variable and complex images and their spatial relationship. Our work aims to develop a real-time training platform to guide inexperienced sonographers in acquiring proper obstetric US images that could be potentially deployed for existing US machines.
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Souza Pedreira, Ana Luisa, and Giovana Pontes Chagas. "Obstetric outcomes in Takayasu Arteritis." In Congresso Brasileiro de Reumatologia 2020. Sociedade Brasileira de Reumatologia, 2021. http://dx.doi.org/10.47660/cbr.2020.16649.

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Suzuki, S., and K. Ichinoe. "COMPUTERGRAPHIC ANALYSIS OF OBSTETRIC HEMORRHAGE." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1644280.

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(Purpose) From the viewpoint of maternal and perinatal mortality, it is very important to manage the postpartum hemorrhage (PPH). In order to observe the riskfactors, especially the relationship between the obstetric factors, abnormal bleeding of PPH,. and blood -coagulation-system, we have tried to prognosticate the abnormal bleeding during labor.Next, the relationship of the Hepaplastintest-value of umbilical venous blood and obstetric factors were examined by computer graphic analysis.(Methods) 200 cases of non-DIC and 17 cases of DIC cases, Fibrinogen, FDP, Platelet, Factor XI and Factor XII et were tested in the 1st stage of delivery.(Results) (1) In the non-DIC cases no relation was proved between bloodcoag-ulation factors excluding Factor XI.(2) The correlation-Index in the DIC cases, we have proved the following order.Platelet (75 %) > Fibrinogen (65 %) > FDP (55 %)(Conclusion) (1) Even in normal delivery, the Kinin-Kallikrein system plays an important role in the contraction of the uterus, and the duration-of delivery.(2) In the DIC-cases, the platelet count was reversely related and showed a linear relation with Postpartum-Hemorrhage. We also noted that Fibrinogen, FDP and Prothrombin Time are important factors from the viewpoint of DIC.
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Vuwong, Vanee, John B. Hiller, and Jesse S. Jin. "Automatic segmentation applied to obstetric images." In Medical Imaging '98, edited by Kenneth M. Hanson. SPIE, 1998. http://dx.doi.org/10.1117/12.310883.

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Smith, Norma. "Online Communication of Obstetric Hospital Websites." In SIGDOC '16: The 34th ACM International Conference on the Design of Communication. New York, NY, USA: ACM, 2016. http://dx.doi.org/10.1145/2987592.2987633.

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Mustafa, Y., and E. Hindle. "102 Obstetric high BMI neuraxial survey." In ESRA 2021 Virtual Congress, 8–9–10 September 2021. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/rapm-2021-esra.102.

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"Obstetric Violence among pregnant Jordanian women." In International Conference on Public Health and Humanitarian Action. International Federation of Medical Students' Associations - Jordan, 2022. http://dx.doi.org/10.56950/rbnq7426.

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Objectives: The study aimed to assess for OV existence among sample of pregnant Jordanian women and for OV domains risk factors. Methodology: A case control study was conducted in public and private settings, 259 recently delivered mothers were the participants. A designated questionnaire including the demographic variables and OV domains. The responses to the questionnaire’s questions were analyzed statistically. Results: Settings were significantly associated with the educational status. OV domains including delivery supervision, overall satisfaction, occupation and the family monthly income were significantly associated in the private settings, in the private settings, respect feeling, discrimination feeling, the delivery provision update and performing episiotomy consent were higher versus the public ones, while, it was lesser for physical abuse. There was a significant association between delivery in a private room and the lack of physical abuse. In the public settings, medications information was lesser compared to the private ones, additionally, there is significant association between performing episiotomy, physical abuse by staff and the delivery in shared rooms in the private settings. Conclusion: This study clarified obstetric violence prevalence during childbirth in public and private setting. in Jordan with less susceptibility in the private settings. The educational status, low monthly family income, occupation are risk factors for OV, also, the participants were subjected to some features of disrespect and abuse like obtaining consent for episiotomy performance, delivery provision updates, care perception based on payment ability and medication information. Keywords: obstetric violence, maternal care, violation, disrespect and abuse, childbirth
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Bimi, Daniela. "Midwifery, the role in obstetric Trauma." In University for Business and Technology International Conference. Pristina, Kosovo: University for Business and Technology, 2018. http://dx.doi.org/10.33107/ubt-ic.2018.369.

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TVQ, Sá, Aguiar RALP, and Reis ZSN. "Much native data, little longitudinal information: a model of information for the continuity of care, from prenatal assistance to the emergency in maternities." In Simpósio Brasileiro de Computação Aplicada à Saúde. Sociedade Brasileira de Computação - SBC, 2021. http://dx.doi.org/10.5753/sbcas.2021.16059.

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Obstetric caring demands a continuous process of information sharing between health professionals. However, the lack of communication between points of assistance has allowed for an accumulation of local data without the benefits of data interoperability. The study’s objective is to develop an information model with essential obstetric data to foster the continuity of information. An exploratory research involved discussions of fictitious cases of obstetric emergencies and ninety electronic medical records (EMR) were used to validate the model. The minimum antenatal dataset entries was structured into nine sections, and fifty-six data entries. The development of an information model, based on the standard of interoperability, has the potential to overcome the informality of EMR.
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Coffey, Donnchadh, Sabin Tabirca, and Richard Greene. "OBSTETRICS ELEARNING: THROUGH THE USE OF VIDEO AND OTHER MEDIA TO ENHANCE LEARNING STYLES IN OBSTETRIC STUDENTS." In eLSE 2014. Editura Universitatii Nationale de Aparare "Carol I", 2014. http://dx.doi.org/10.12753/2066-026x-14-008.

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This paper presents an insight into the use of eLearning in Obstetrics Education and its advantages for practical application. The content available to existing obstetrics students attending practical and theoretical classes are established as the paper progresses into beneficial factors of video and eLearning as a source of valuable subject matter for these students as well as scope for new media interaction. Interaction in edifying methods promotes learners' efficiency, motivation and cognitive efficacy. A well designed e-learning programme can motivate learners to become more engaged with the content through assimilating cognizance, skills and postures more expeditious. E-learners have been shown to demonstrate incremented retention rates and ameliorated utilization of content, resulting in a more preponderant achievement of objectives. E-learning additionally offers the advantage of more preponderant integration of media technologies to accommodate diverse learning styles. Computer technologies have increasingly impacted medical edification, most recently through the electronic distribution of videos, that are utilized extensively for a wide range of edifying activities including demonstrating anatomical dissections, clinical procedures, assessments, providing access to online lectures for use in asynchronous learning, as well as videoconferencing of patient scenarios. Technology is an integral part of society today. Advances in technology are apparent in every discipline a few more acute than others but ultimately most have some technologic application. The field of medicine tackles an array of technological sources and there are advances in every field of this study. Video technology has been used universally in medical education. The use of video in medical education encourages teaching and learning in an array of different environments. Video Technology is a widely used medium for demonstrative, training and educational purposes. Video has been used in medicine since the 1950's providing a signal reference for CRT (cathode ray tube) technology. As video is a more viable and obtainable technology resource, it is used extensively in medicine. Video is now easily compiled and distributed through the means of online support making it an accessible interactive type of learning for medical students. Medical education has adopted video technology as an essential learning resource next to online learning, online learning tools and video tutorials are more prevalent in the curriculum of major Universities.
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Reports on the topic "Obstetric"

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Plaat, Dr Felicity, Dr David Bogod, Dr Valerie Bythell, Dr Mary Mushambi, Dr Paul Clyburn, Dr Nuala Lucas, Dr Ian Johnston, Dr Sarah Gibb, Dr Iftikhar Parvez, and Dr Anne Thornberry. Obstetric anaesthetic service. The Association of Anaesthetists of Great Britain and Ireland, June 2013. http://dx.doi.org/10.21466/g.oas2.2013.

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Measham, Diana, and Virginia Kallianes. Issues in essential obstetric care. Population Council, 1996. http://dx.doi.org/10.31899/rh5.1011.

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Brännström, Mats, Ylva Carlsson, and Henrik Hagberg. Obstetric outcome after uterus transplantation. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, January 2023. http://dx.doi.org/10.37766/inplasy2023.1.0052.

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Review question / Objective: Is delivery by elective cesarean section as safe for the mother and the neonate after uterus transplantation as after delivery by elective cesarean section for reasons such as breech and psychological indication regarding stillbirth/neonatal mortality, neonatal morbidity, maternal mortality, and morbidity? Rationale: To compare pregnancy, obstetrical and neonatal complications at delivery by cesarean section in patients that have undergone uterus transplantation and in a normal groups of women.
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Obaid, Thoraya, and Erica Chong. Healing wounds, instilling hope: The Tanzanian partnership against obstetric fistula. Population Council, 2004. http://dx.doi.org/10.31899/pgy2.1001.

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Ciapponi, Agustín. Do skilled birth attendance and emergency obstetric care reduce stillbirths? SUPPORT, 2017. http://dx.doi.org/10.30846/1703114.

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Some 2.6 million stillbirths occur worldwide every year, and almost all of these are in low and middle income countries. A significant proportion of these stillbirths take place at home, usually in the absence of a skilled birth attendant someone with the skills needed to manage normal uncomplicated pregnancies and childbirth.
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Bellows, Benjamin, Rachel Bach, Zoe Baker, and Charlotte Warren. Barriers to obstetric fistula treatment in low-income countries: A systematic review. Population Council, 2014. http://dx.doi.org/10.31899/rh10.1003.

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Fischer, Stefanie, Heather Royer, and Corey White. Health Care Centralization: The Health Impacts of Obstetric Unit Closures in the US. Cambridge, MA: National Bureau of Economic Research, June 2022. http://dx.doi.org/10.3386/w30141.

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Warren, Charlotte, and Annie Mwangi. Obstetric fistula: Can community midwives make a difference? Findings from four districts in Kenya. Population Council, 2008. http://dx.doi.org/10.31899/rh5.1034.

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Bergeron, Timothy N. Inpatient Obstetric Care at Irwin Army Community Hospital: A Study to Determine the Most Efficient Organization. Fort Belvoir, VA: Defense Technical Information Center, March 2001. http://dx.doi.org/10.21236/ada420872.

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Jamlick, Karumbi. Do emergency obstetric referral interventions reduce maternal and neonatal mortalities in low- and middle-income countries? SUPPORT, 2016. http://dx.doi.org/10.30846/1608123.

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Ensuring access to healthcare by pregnant women is a challenge in low- and middle-income countries. Even if access is possible, a lack of adequate personnel or equipment may mean that complications cannot be treated when they arise. Emergency referral interventions have been advocated to reduce both maternal and neonatal mortality.
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