Relevant bibliographies by topics / Obstetric intervention

Academic literature on the topic 'Obstetric intervention'

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Published: 4 June 2021
Last updated: 20 February 2023

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Journal articles on the topic "Obstetric intervention"

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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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Fox, Haylee, Emily Callander, Daniel Lindsay, and Stephanie M. Topp. "Is there unwarranted variation in obstetric practice in Australia? Obstetric intervention trends in Queensland hospitals." Australian Health Review 45, no. 2 (2021): 157. http://dx.doi.org/10.1071/ah20014.

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ObjectiveThe aim of this study was to report on the rates of obstetric interventions within each hospital jurisdiction in the state of Queensland, Australia. MethodsThis project used a whole-of-population linked dataset that included the health and cost data of all mothers who gave birth in Queensland, Australia, between 2012 and 2015 (n=186789), plus their babies (n=189909). Adjusted and unadjusted rates of obstetric interventions and non-instrumental vaginal delivery were reported within each hospital jurisdiction in Queensland. ResultsHigh rates of obstetric intervention exist in both the private and public sectors, with higher rates demonstrated in the private than public sector. Within the public sector, there is substantial variation in rates of intervention between hospital and health service jurisdictions after adjusting for confounding variables that influence the need for obstetric intervention. ConclusionsDue to the high rates of obstetric interventions statewide, a deeper understanding is needed of what factors may be driving these high rates at the health service level, with a focus on the clinical necessity of the provision of Caesarean sections. What is known about the topic?Variation in clinical practice exists in many health disciplines, including obstetric care. Variation in obstetric practice exists between subpopulation groups and between states and territories in Australia. What does this paper add?What we know from this microlevel analysis of obstetric intervention provision within the Australian population is that the provision of obstetric intervention varies substantially between public sector hospital and health services and that this variation is not wholly attributable to clinical or demographic factors of mothers. What are the implications for practitioners?Individual health service providers need to examine the factors that may be driving high rates of Caesarean sections within their institution, with a focus on the clinical necessity of Caesarean section.
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Saha, R., and P. Gautam. "Obstetric Emergencies: Feto-maternal Outcome at a Teaching Hospital." Nepal Journal of Obstetrics and Gynaecology 9, no. 1 (September 28, 2014): 37–40. http://dx.doi.org/10.3126/njog.v9i1.11186.

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Aims: This study was done to know the pattern of obstetric emergencies and its influence on maternal and fetal outcome. Methods: A descriptive study was carried out in the department of obstetrics and gynecology at Kathmandu Medical College Teaching Hospital from 1st June 2013 to 31st May 2014. Cases were categorized as early pregnancy emergencies (ruptured ectopic pregnancy, complications of abortion), ante-partum emergencies and intra-partum emergencies (antepartum haemorrhage, preeclampsia, eclampsia, preterm prelabor rupture of membranes, rupture uterus), post-partum emergencies (postpartum haemorrhage, retained placenta, placenta accreta, uterine inversion), puerperal emergencies (postpartum sepsis), fetal emergencies (cord prolapse, shoulder dystocia). Outcome noted were type of emergency, obstetric intervention done, maternal and perinatal morbidity and mortality. Results: A total of 80 (4.45%) obstetric emergencies occurred among 1796 deliveries .The most common obstetric emergencies were obstetric hemorrhage (62.5%), severe preeclampsia (23.5%) and preterm prelabor rupture of membranes (10%). The obstetric interventions done were cesarean section (43.75%), exploratory laparotomy (33.75%) and blood transfusion (40%). Obstetric emergencies were responsible for 66.6% of total maternal death and 24.56% of total perinatal death. Conclusions: In spite of best efforts, some obstetric emergencies do occur. Obstetric hemorrhage and severe preeclampsia are the frequent obstetric emergencies. Cesarean section, exploratory laparotomy and blood transfusion were the commonly performed interventions. A better outcome can be achieved by national policy of promoting utilization of antenatal care, institutional deliveries, skilled birth attendance at delivery, liberal blood transfusion and regular training of doctors and nurses. DOI: http://dx.doi.org/10.3126/njog.v9i1.11186 NJOG 2014 Jan-Jun; 2(1):37-40
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Rawal, S., and A. Rana. "Second Intervention in Obstetric Hemorrhage." Journal of Institute of Medicine Nepal 34, no. 1 (November 9, 2013): 18–24. http://dx.doi.org/10.3126/jiom.v34i1.9118.

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Introduction: Obstetric hemorrhage is still one of the dreaded complications that contribute to a maximum number of maternal morbidity and mortality till date. The management of obstetric hemorrhage involves early recognition, assessment and resuscitation. Though dealt with appropriate use of oxytocic agents, it may seldom require surgical techniques, including uterine tamponade, major vessel ligation, compression sutures, and even hysterectomy. Method: Prospective study of 20 cases of laparotomy for obstetrical hemorrhage carried out at Tribhuvan University Teaching Hospital, Kathmandu, Nepal, between Jan 2003 to Nov 2011. Results: Out of 20 cases, massive hemoperitoneum (more than a liter) was noted in 9 and associated risk factors in 10. Source of bleeding in 20 cases were from extensive hematoma (retroperitoneal and broad ligament) in 5, including a rectus sheath hematoma and with colporrhexis, oozing inverted T incision repaired in a single layer (1), placental bed (3) and 1 was from vessels in LUS. There was bleeding from uterine angle (4) and incision (1). Bleeding from tear at various sites were 3, from uterovesicle fold of peritoneum 1 and from the ruptured uterus following vacuum delivery in a case of VBAC (1). Uterine packing was done in 1, B-Lynch in 3 and 1 failed needing the uterine packing; uterine artery ligation in 2 including ovarian vessel ligation in 1, repair of ruptured uterus in 1 and subtotal hysterectomy in 5 cases. There were 3 mortalities due to DIC, pulmonary edema and ARF and rest were discharged in good health. Conclusion: Choosing of the right technique, complete hemostasis and meticulous closure of all surgical incisions will prevent the need for laparotomy following LSCS. Vigilant monitoring of all the post operative patients will lead to early diagnosis of intraperitoneal / pervaginal bleeding and its management, thus preventing morbidity and mortality owing to late diagnosis. DOI: http://dx.doi.org/10.3126/joim.v34i1.9118 Journal of Institute of Medicine, April, 2012; 34:1 18-24
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Malla, D. S. "EPISIOTOMY : A CHALLENGING OBSTETRIC INTERVENTION." Journal of Nepal Medical Association 42, no. 145 (January 1, 2003): 54–58. http://dx.doi.org/10.31729/jnma.791.

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ABSTRACTThe professional literatures on the development of widely practiced procedure, episiotomy through theyears from the first publication in 1742 are reviewed. It reveals the change in number of publication as wellas the contributors to the development of perception about episiotomy. So it consisted expression of opinionof doctors initially then the co-workers like nurses and researchers and clients or consumers themselvestoo. It concludes that episiotomies prevent anterior perineal tear but fails to accomplish other benefitstraditionally ascribed to pelvic floor damage and relaxation including its sequel and also protection ofnewboin from intracranial haemorrhage and intrapartum asphyxia. Episiotomy substantially increasematernal blood loss during delivery and risk of anal sphincter damage with their long term morbidity.There is an urgent need to restrict the use of episiotomy in vaginal delivery.Key Words: Episiotomy, Perineal tear, anal sphincter damage.
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Swahnberg, Katarina, Anke Zbikowski, Kumudu Wijewardene, Agneta Josephson, Prembarsha Khadka, Dinesh Jeyakumaran, Udari Mambulage, and Jennifer J. Infanti. "Can Forum Play Contribute to Counteracting Abuse in Health Care? A Pilot Intervention Study in Sri Lanka." International Journal of Environmental Research and Public Health 16, no. 9 (May 8, 2019): 1616. http://dx.doi.org/10.3390/ijerph16091616.

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Obstetric violence refers to the mistreatment of women in pregnancy and childbirth care by their health providers. It is linked to poor quality of care, lack of trust in health systems, and adverse maternal and neonatal outcomes. Evidence of interventions to reduce and prevent obstetric violence is limited. We developed a training intervention using a participatory theatre technique called Forum Play inspired by the Theatre of the Oppressed for health providers in Sri Lanka. This paper assesses the potential of the training method to increase staff awareness of obstetric violence and promote taking action to reduce or prevent it. We conducted four workshops with 20 physicians and 30 nurses working in three hospitals in Colombo, Sri Lanka. Participants completed a questionnaire before and three-to-four months after the intervention. At follow-up, participants more often reported that they had been involved in situations of obstetric violence, indicating new knowledge of the phenomenon and/or an increase in their ability to conceptualise it. The intervention appears promising for improving the abilities of health care providers to recognise obstetric violence, the first step in counteracting it. The study demonstrates the value of developing further studies to assess the longitudinal impacts of theatre-based training interventions to reduce obstetric violence and, ultimately, improve patient care.
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Santana, Ariane Teixeira de, Ridalva Dias Martins Felzemburgh, Telmara Menezes Couto, and Lívia Pinheiro Pereira. "Performance of resident nurses in obstetrics on childbirth care." Revista Brasileira de Saúde Materno Infantil 19, no. 1 (March 2019): 135–44. http://dx.doi.org/10.1590/1806-93042019000100008.

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Abstract Objectives: to describe good practices on childbirth care and obstetric interventions performed by resident nurses in obstetrics during the obstetric childbirth risk at a public maternity hospital in Salvador. Methods: a descriptive cross-sectional study with a quantitative approach, based on the of 102 parturients, between February and April 2016. The data collection was performed through the collection of information on clinical files for analysis by using descriptive statistics with absolute and relative frequencies for the evaluated categorical variables. Results: it was observed that 100.0% of the women used some kind of non-pharmacological method for pain relief, although the method of choice was to take a hot bath; 99.0% of the women drank liquids; 94.0% had the presence of a companion of free choice; 99.0% walked during labor; 100.0% had the freedom to choose a position during childbirth. It is noteworthy that no woman in this study was submitted to episiotomy, and more than 70.0% were not submitted to any obstetric intervention. Conclusions: the Programa de Residência em Enfermagem (Residency Nursing Program) an important point in the childbirth humanization process is directly associated to the increase in the normal childbirth rates, the highest use on good practices in childbirth care, and the reduction on obstetric interventions.
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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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Dodd, Jodie, and Jeffrey Robinson. "Commentary: public and private intervention rates in obstetric practice." Australian Health Review 27, no. 2 (2004): 9. http://dx.doi.org/10.1071/ah042720009.

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Dr Jodie Dodd is a maternal fetal medicine fellow, and Professor Jeffrey Robinson is head of Department of Obstetrics & Gynaecology, University of Adelaide.The paper by Shorten and Shorten published in the last edition of Australian Health Review highlights differences in intervention rates (induction of labour, caesarean section, use of epidural analgesia) between women receiving private obstetric care and those receiving public obstetric care (Shorten & Shorten 2004).Similarly, the authors highlight the more frequent occurrence of "less favourable birth outcomes such as emergency CS, instrumental birth, episiotomy and (perineal) tear requiring suturing" in women giving birth in private hospital settings. These differences persisted after controlling for the risk profile of the woman or development of complications during birth (Shorten & Shorten 2004). These findings are not new in Australia, having been reported previously by King (1993 and 2000), and Roberts and colleagues (2000 and 2002). However, Shorten and Shorten's link to subsidies for private insurance raises a new concern.The global interest in obstetric intervention rates and in particular rates of caesarean section has been underpinned by the assumption that there is in fact an "ideal" rate of intervention, where benefits outweigh risks. Much of this discussion developed after the World Health Organization published a statement to the effect that a caesarean section rate of 15% was appropriate (WHO 1985). However there has been little critique of the derivation of this figure and there is a lack of evidence in the scientific literature supporting it. The rate of any particular intervention should not be considered in isolation - what is important is how the intervention relates to increasing or decreasing maternal and infant mortality and morbidity.
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Pinto, Keli Regiane Tomeleri da Fonseca, Adriana Valongo Zani, Cátia Campaner Ferrari Bernardy, Mariana Angela Rossaneis, Renne Rodrigues, and Cristina Maria Garcia de Lima Parada. "Factors associated with obstetric interventions in public maternity hospitals." Revista Brasileira de Saúde Materno Infantil 20, no. 4 (December 2020): 1081–90. http://dx.doi.org/10.1590/1806-93042020000400009.

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Abstract Objectives: to identify the prevalence and factors associated with obstetric interventions in parturients assisted in public maternity hospitals. Methods: a cross-sectional study with 344 puerperal women, from two public maternity hospitals, referring to childbirth by Sistema Único de Saúde (SUS) (Public Health Service System) in Londrina City, Paraná, Brazil, between January and June 2017. The medical records were the data source. The following obstetric interventions were considered: oxytocin use, artificial rupture of the membranes, instrumental childbirth and episiotomy. Multivariate Poisson regression was used to analyze associated factors, with p<5% being significant. Results: the prevalence of obstetric intervention was 55.5%, the maximum number of interventions in the same parturient woman was three. The most frequent interventions were the use of oxytocin (50.0%) and artificial rupture of membranes (29.7%). The variables associated on maternal disease (p=0.005) and intrapartum meconium (p=0.022) independently increased, the risk of obstetric intervention, while dilation was equal to or greater than 5 cm at admission, there was a protective factor against this outcome (p=0.030). Conclusion: the prevalence of obstetric interventions was high. In the case of maternal disease and intrapartum meconium, special attention should be given to the parturient woman, in order to avoid unnecessary interventions. Thus, the maternity hospitals need to review their protocols, seeking good practices in childbirth care.
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Dissertations / Theses on the topic "Obstetric intervention"

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Creedy, Debra Kay, and D. Creedy@mailbox gu edu au. "Birthing and the development of trauma symptoms: Incidence and contributing factors." Griffith University. School of Applied Psychology, 1999. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20030102.101015.

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Background: Little is known about the relationship between women's birthing experiences and the development of trauma symptoms. This study aimed to determine the incidence of acute trauma symptoms and posttraumatic stress disorder (PTSD) in women as a result of their labor and delivery experiences, and identify factors that contributed to the women's psychological distress. Method: Using a prospective, longitudinal design, women in their last trimester of pregnancy were recruited from four public hospital antenatal clinics. Four to six weeks postpartum, telephone interviews were conducted with participants (n = 499) and explored the medical and midwifery management of the birth, perceptions of intrapartum care, and the presence of trauma symptoms. Results: One in three women (33%) identified a traumatic birthing event and reported the presence of at least three trauma symptoms. Twenty-eight women (5.6%) met DSM-IV criteria for acute posttraumatic stress disorder. Antenatal variables were not found to contribute to the development of acute or chronic trauma symptoms. The level of obstetric intervention experienced during childbirth (beta = .351, p <.0001) and the perception of inadequate intrapartum care (beta = .319, p <.0001) during labor were consistently associated with the development of acute trauma symptoms. Conclusions: Posttraumatic stress disorder following childbirth is an under-recognized phenomenon. Women who experienced both a high level of obstetric intervention and were dissatisfied with their intrapartum care were more likely to develop trauma symptoms than women who received a high level of obstetric intervention or women who perceived their care to be inadequate. Such findings should prompt a serious review of intrusive obstetric intervention during labor and delivery, and the psychological care provided to birthing women.
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Creedy, Debra. "Birthing and the development of trauma symptoms: Incidence and contributing factors." Thesis, Griffith University, 1999. http://hdl.handle.net/10072/367663.

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Background: Little is known about the relationship between women's birthing experiences and the development of trauma symptoms. This study aimed to determine the incidence of acute trauma symptoms and posttraumatic stress disorder (PTSD) in women as a result of their labor and delivery experiences, and identify factors that contributed to the women's psychological distress. Method: Using a prospective, longitudinal design, women in their last trimester of pregnancy were recruited from four public hospital antenatal clinics. Four to six weeks postpartum, telephone interviews were conducted with participants (n = 499) and explored the medical and midwifery management of the birth, perceptions of intrapartum care, and the presence of trauma symptoms. Results: One in three women (33%) identified a traumatic birthing event and reported the presence of at least three trauma symptoms. Twenty-eight women (5.6%) met DSM-IV criteria for acute posttraumatic stress disorder. Antenatal variables were not found to contribute to the development of acute or chronic trauma symptoms. The level of obstetric intervention experienced during childbirth (beta = .351, p <.0001) and the perception of inadequate intrapartum care (beta = .319, p <.0001) during labor were consistently associated with the development of acute trauma symptoms. Conclusions: Posttraumatic stress disorder following childbirth is an under-recognized phenomenon. Women who experienced both a high level of obstetric intervention and were dissatisfied with their intrapartum care were more likely to develop trauma symptoms than women who received a high level of obstetric intervention or women who perceived their care to be inadequate. Such findings should prompt a serious review of intrusive obstetric intervention during labor and delivery, and the psychological care provided to birthing women.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Applied Psychology (Health)
Griffith Health
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Ball, Colleen. "Homebirth in WA: Why women make this choice." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2014. https://ro.ecu.edu.au/theses/1277.

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Background: Homebirths in Western Australia (WA) account for approximately 0.8% of all births. Two consecutive reports from the Perinatal and Infant Mortality Monitoring Committee found increased rates of perinatal mortality in homebirths and recommended a prospective cohort study to assess mortality and morbidity outcomes for women with planned home births in WA. The Homebirth in WA Study, of which this thesis is a component, has been funded by a directed research grant. Aim: The aim of this study was to explore the specific reasons why women in WA choose homebirth. Research on homebirths is focused on perinatal outcomes and comparisons of satisfaction between hospital and homebirth. Based on these comparisons, assumptions are made as to why women choose to have a homebirth or make this choice. There is a paucity of research directly addressing the reasons why women make this choice. Methods: This is a quantitative prospective observational study. Pregnant women planning a homebirth in WA were invited to participate in the study. Women recruited into this study (n=135) were asked about their obstetric history and associated satisfaction with their previous birth experience, and were asked to select from any of 27 options as being their reasons for choosing homebirth, with the option to provide additional reasons of their own. They were also asked to select the three most important reasons. Women were asked to rank their perception of how important it is for them to have a homebirth, their perception of the safety, their level of confidence and the support they have received from their spouse and family and friends for their choice. The women were also invited to share further comments. Results: The majority of women (n=107) received care from the Community Midwifery Program and the remainder (n=28) from privately practicing Midwives. In this study 50 women were nulliparous and 85 multiparous. Women who previously had a homebirth reported a higher level of satisfaction (4.7/5) for the birth experience, compared to women who had hospital births (2.3/5). Avoiding unnecessary intervention was the dominan reason for choosing home birth in 95.5% of participants, regardless of parity, education or previous birth experience; this was followed by the comfort and familiarity of the home (93%) and the freedom to make their own choices (86%). Avoiding unnecessary intervention ranked the highest of the 3 most important reasons. Women reported a high level of support for their choice from their spouse (4.65/5) and substantially less from family and friends (3.68/5). They ranked the safety of homebirth highly and had a high level of confidence. The women who elected to share further comments referred most frequently (28%) to GP’s and obstetricians not presenting homebirth as an option, and also made frequent reference to their negative attitude in relation to the women’s choice. Women also commented on the negative attitudes encountered from family and friends, and additional references reflected their attitudes regarding intervention. Conclusion: Women choosing homebirth in WA do so to avoid unnecessary intervention and have the freedom to make their own choices in the surrounds of the home. They receive limited support for their choice from GP’s and obstetricians as well as friends and relatives. This study underscores the reaction of some women to the current rates of obstetric intervention.
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Mbola, Mbassi Symplice. "Soins obstétricaux d'urgence et mortalité maternelle dans les maternités de troisième niveau du Cameroun : approche évaluative d'une intervention visant à améliorer le transfert obstétrical et la prise en charge des complications maternelles." Thesis, Paris 6, 2014. http://www.theses.fr/2014PA066352/document.

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Malgré de nombreuses initiatives entreprises par le gouvernement au cours des dernières années, la mortalité maternelle demeure un véritable fléau au Cameroun. Pour cette raison, une recherche a été conduite pour déterminer l'ampleur de la mortalité maternelle dans les 7 maternités de troisième niveau du Cameroun, décrire les différentes étapes d'une intervention visant à améliorer le système de référence et la prise en charge des urgences obstétricales et évaluer son effet sur la mortalité maternelle.La recherche a été menée en trois phases. Une revue rétrospective des données agrégées de la période 2004 à 2006 a été réalisée incluant tous les accouchements, les complications obstétricales, les césariennes et les décès maternels. Ensuite une intervention de 33 mois a été mise en place dans 22 maternités périphériques ainsi que dans 3 maternités de troisième niveau où la mortalité maternelle était importante. L'évaluation de l'intervention a été faite à travers la méthode quasi expérimentale combinant l'étude avant-Après à l'étude ici-Ailleurs. Deux ans après l'intervention, les décès maternels enregistrés dans les 3 maternités cibles avaient diminué de plus de la moitié (P=0,000001). Le taux de létalité des complications obstétricales observé dans les mêmes maternités est passé de 2,2 à 0,7% (P=0,000001). Par ailleurs, le nombre de décès observés chez les femmes référées avait diminué et le taux de létalité était inférieur à 1%. Les résultats de la recherche mettent en évidence les conséquences du renforcement des compétences des prestataires, de l'amélioration du système de référence et de la qualité des soins sur la mortalité maternelle
Despite numerous initiatives undertaken by health authorities in the past years, maternal mortality remains a major public health issue in Cameroon. Against this background, research was conducted (i) to determine the maternal mortality patterns in 7 tertiary maternity centers in Cameroon, (ii) to document various stages of an intervention for improving referral system and the management of obstetric emergencies and (ii) evaluate the effect of these measures on maternal mortality and propose future actions. The research was conducted in three phases. A retrospective review of the aggregate data for the period 2004-2006 was performed including all births, obstetric complications, caesarean sections and maternal deaths. Then 33 months intervention has been set up in 22 peripheral maternities and in three tertiary maternity centers where maternal mortality was very high. The evaluation of the intervention was made using the quasi-Experimental design. This method combined the pre- and post- intervention study as well as the study of the maternities where there was intervention compared to the control group. Two years after the intervention, maternal deaths recorded in the target tertiary maternity centers decreased by more than half (P = 0.000001). The case fatality rate decreased from 2.2 to 0.7% in the same group (P = 0.000001). Moreover, the number of deaths among referred women decreased significantly and the case fatality rate was less than 1%. The research findings highlight the impact of capacity building providers, improvement of the referral system and quality of care on maternal mortality
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August, Furaha. "Effect of Home Based Life Saving Skills education on knowledge of obstetric danger signs, birth preparedness, utilization of skilled care and male involvement : A Community-based intervention study in rural Tanzania." Doctoral thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-272245.

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Use of skilled care during antenatal visits and delivery is recommended to address the burden of maternal mortality. However there are few facility deliveries and insufficient knowledge of danger signs, especially in rural Tanzania.  The aim of this thesis was to explore the perceptions and challenges that the community faces while preparing for childbirth and to evaluate an intervention of the Home Based Life Saving Skills education programme on knowledge of danger signs, facility delivery and male involvement when delivered by rural community health workers in Tanzania. In Paper I, Focus Group Discussions explored the perceptions and challenges that the community encounters while preparing for childbirth. Structured questionnaires assessed men’s knowledge of danger signs and birth preparedness and complication readiness in Paper II. The effect of the Home Based Life Saving Skills education programme in the community was assessed with a before-and-after evaluation in two districts; one intervention and one comparison. Paper III assessed the effect of the programme on knowledge of danger signs and birth preparedness and facility delivery among women, while Paper IV evaluated its effect on male involvement. The community perceived that all births must be prepared for and that obstetric complication demands hospital care; hence skilled care was favoured. Men’s knowledge of danger signs was limited; only 12% were prepared for childbirth and complications. Preparedness was associated with knowledge of obstetric complications (AOR=1.4 95% CI 1.8 – 2.6). The intervention showed women utilizing antenatal care (four visits) significantly more (43.4 vs 67.8%) with a net effect of 25.3% (95% CI: 16.9 – 33.2; p < .0001). The use of facility delivery improved in the intervention area (75.6 vs 90.2%; p = 0.0002), but with no significant net effect 11.5% (95% CI: -5.1 – 39.6; p = 0.123) when comparing the two districts. Male involvement improved (39.2% vs 80.9%) with a net intervention effect of 41.1% (CI: 28.5 – 53.8; p < .0001). Improvements were demonstrated in men’s knowledge level, in escorting partners for antenatal care and delivery, making birth preparations, and shared decision-making. The intervention, in educating this rural community, is effective in improving knowledge, birth preparedness, male involvement and use of skilled care.
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Dench, Erin. "Maternal decision making in obstetrical interventions." Honors in the Major Thesis, University of Central Florida, 2010. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1393.

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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.
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Claesson, Ing-Marie. "Weight gain restriction for obese pregnant women : An Intervention study." Doctoral thesis, Linköpings universitet, Obstetrik och gynekologi, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-56390.

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Introduction: Obesity is a growing global public health problem and is as prevalent among pregnant women as in the general population. It is well known that obese women have an increased risk for several complications during pregnancy and delivery and this is also true for the neonate. Excessive gestational weight gain among obese women seems to further increase these risks for adverse outcomes. It has not been known up to the time of this study whether a behavioral intervention program designed for obese pregnant women could result in a reduction of gestational weight gain. Aim: The overall aim of the present thesis was to study the effect of an intervention program designed to control weight gain among obese pregnant women during pregnancy and to then observe the outcomes of their pregnancies. In addition we wanted to learn if this behavioral intervention program could result in a weight gain of less than seven kilograms. Material and methods: The intervention group consisted of 155 obese (BMI >30 kg/m2) pregnant women at the antenatal care clinic (ANC) in Linköping; the control group consisted of 193 obese pregnant women in two other cities. The women in the intervention group were offered, in addition to regular care at the ANC, motivational interviewing in weekly visits to support them in making this behavioral change. They were also offered aqua aerobic class once or twice a week. The women in the control group attended the routine antenatal program in their respective ANCs. Outcome measures were: weight in kg, pregnancy-, delivery and neonatal outcomes, prevalence of anxiety- and depressive symptoms and attitudes and experiences of participating in an intervention program. Results: The women in the intervention group had a significantly lower gestational weight gain and also had a lower postnatal weight than the women in the control group. The percentage of women in the intervention group who gained <7 kg was greater than the percentage in the control group. There were no differences between the two groups in pregnancy-, delivery- and neonatal outcomes. In addition, there was no difference in prevalence of symptoms of anxiety and depressions between the intervention- and control group and the gestational weight gain did not have any effect on symptoms of depression or anxiety. The women in the intervention group with gestational weight gain <7 kg, weighed less at the two years follow-up than the women in the control group. Most of the women who participated in the intervention program expressed positive attitudes and were positive towards their experiences with the intervention program and their efforts to manage the gestational weight gain. Conclusion: The intervention program was effective in controlling weight gain during pregnan-cy and did not change the pregnancy, delivery or neonatal outcomes or the prevalence of anxie-ty- and depressive symptoms. The group with a gestational weight gain <7 kg showed the same distribution of complications as the group with a higher weight gain. The intervention program seems to influence the development of weight in a positive direction up to two years after childbirth. The women were also satisfied with their participation in the intervention program.
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Escuriet, Peiró Ramón 1968. "Modelos de organización de los servicios de atención al parto : efecto sobre la provisión de servicios y los resultados." Doctoral thesis, Universitat Pompeu Fabra, 2015. http://hdl.handle.net/10803/319718.

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Existen diferentes modelos para la provisión de servicios de atención al parto y distintos factores relacionados con la organización de los servicios en los que se atiende a las mujeres. En esta tesis se exploran los resultados de la atención al parto en Cataluña, y se comparan los resultados de 64 hospitales en base al tipo de financiación y también al volumen de partos anuales que se atiende en cada centro hospitalario. En este trabajo también se evalúa el impacto de una política sanitaria para implantar un modelo de atención al parto normal, basado en un concepto fisiológico y que promueve un uso racional de los recursos sanitarios disponibles. Para contextualizar el trabajo se ha realizado una exploración de diferentes modelos de atención en varios países industrializados, se han buscado los indicadores más utilizados en Europa, para la evaluación de este tipo de atención, y se han elaborado indicadores específicos y adecuados al contexto catalán. Para la exploración de los diferentes modelos de atención y de los indicadores para la evaluación más utilizados en Europa se ha realizado una revisión crítica de la bibliografía y de diferentes bases de datos. Además se han realizado entrevistas con expertos. Para la comparación de los resultados se han extraído los diagnósticos y procedimientos relacionados del Conjunto Mínimo Básico de Datos (CMBD) registrados en el Servei Català de la Salut. Además, se han agrupado los hospitales según el tipo de financiación y según el volumen de partos atendidos y se han comparado los resultados de todos los partos únicos de entre 37 a 42 semanas de gestación. Las conclusiones más relevantes son que el tipo de financiación y el volumen de partos atendidos en los hospitales tienen un efecto significativo en las intervenciones obstétricas investigadas en Cataluña. Por otra parte, la realización de episiotomía ha descendido de forma significativa y la incidencia de lesiones perineales graves se ha mantenido por debajo del 1% en todos los hospitales de Cataluña.
There are different models of maternity care and also other factors related to the organisation of services in which women are attended to. In this thesis the results of delivery of birth care in Catalonia are investigated, and the outcomes of 64 hospitals are compared according to the type of financing and volume of births attended to in each hospital. This thesis also evaluates the impact of the undertaken maternity care policy for the implementation of the normal childbirth model of care and to promote a rational use of the existing health care resources. For the contextualization of this work, some models of care in different industrialized countries are explored, and also it has been identified the most widely used indicators for the assessment of maternity care in Europe. Then specific and appropriate indicators for the Catalan context have been developed. To get information on different models of care and to know what indicators are used in the European context, it has been conducted a critical review of literature, an exploration on several database and also interviews with experts. A number of selected diagnoses and procedures have been obtained from the Minimum Basic Data Set (MBDS) recorded in the Catalan Health Service for the comparison of outcomes. Hospitals have been grouped by type of financing and by the volume of births attended to. All singleton births between 37 to 42 weeks of pregnancy have been included on the analysis. The most relevant conclusions are the type of funding and the volume of births in hospital have a significant effect on the obstetric interventions investigated in Catalonia. Also episiotomy has decreased significantly, and the incidence of severe perineal trauma has remained below 1% in all hospitals in Catalonia.
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Pless, Mia. "Developmental co-ordination disorder in pre-school children : Effects of motor skill intervention, parents' descriptions, and short-term follow-up of motor status." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2001. http://publications.uu.se/theses/91-554-4963-8/.

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Larsson, Margareta. "The Adoption of a New Contraceptive Method – Surveys and Interventions Regarding Emergency Contraception." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4237.

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Books on the topic "Obstetric intervention"

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Graham, Ian D. Episiotomy: Challenging obstetric interventions. Oxford: Blackwell Science, 1997.

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author, Ancheta Ruth, ed. The labor progress handbook: Early interventions to prevent and treat dystocia. Chichester, West Sussex, UK: Wiley-Blackwell, 2011.

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Reidy, John, Nigel Hacking, and Bruce McLucas, eds. Radiological Interventions in Obstetrics and Gynaecology. Berlin, Heidelberg: Springer Berlin Heidelberg, 2014. http://dx.doi.org/10.1007/978-3-642-27975-1.

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Juncker, Thérèse. Interventions in obstetric care: Lessons learned from Abhoynagar. Dhaka: International Centre for Diarrhoeal Disease Research, 1996.

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Lacy, Janet B. The effect of obstetrical triage on rates of obstetrical intervention. Ottawa: National Library of Canada, 1993.

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Simkin, Penny. The labor progress handbook: Early interventions to prevent and treat dystocia. Chichester, West Sussex, UK: Wiley-Blackwell, 2011.

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Simkin, Penny. The labor progress handbook: Early interventions to prevent and treat dystocia. 2nd ed. Oxford: Blackwell Pub., 2005.

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Simkin, Penny. The labor progress handbook: Early interventions to prevent and treat dystocia. 2nd ed. Oxford: Blackwell Pub., 2005.

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Joaquin, Santolaya-Forgas, and Lémery Didier, eds. Interventional ultrasound in obstetrics, gynaecology, and the breast. Oxford: Blackwell Science, 1998.

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Cummings, Neil. Court-ordered obstetrical interventions in AIDS-infected pregnancy. Ottawa: National Library of Canada = Bibliothèque nationale du Canada, 1992.

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Book chapters on the topic "Obstetric intervention"

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Lacoius-Petruccelli, Alberto. "Obstetric and Medical Intervention." In Perinatal Asphyxia, 143–48. Boston, MA: Springer US, 1987. http://dx.doi.org/10.1007/978-1-4613-1807-1_19.

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Halliday, Samantha. "Court-authorised obstetric intervention." In Childbirth, Vulnerability and Law, 178–203. New York : Routledge, 2019.: Routledge, 2019. http://dx.doi.org/10.4324/9780429443718-11.

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Ragusa, Antonio, Shin Ushiro, Alessandro Svelato, Noemi Strambi, and Mariarosaria Di Tommaso. "Obstetric Safety Patient." In Textbook of Patient Safety and Clinical Risk Management, 205–12. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-59403-9_16.

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AbstractIn healthcare, the patient safety system which has been developed following the study of the various phases necessary for its determination, supplies strategies to avoid the repetition of circumstances that originally has led an individual to make mistakes. In fact, the culture of risk management, starting from the consideration that the errors are not eliminable, is based on the belief that they need to be properly analyzed, implementing intervention strategies that avoid its repetition, in order to become good learning opportunities.
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Bertino, Enrico, Giovanna Oggè, Paola Di Nicola, Francesca Giuliani, Alessandra Coscia, and Tullia Todros. "Intrauterine Growth Restriction: Obstetric and Neonatal Aspects. Intervention Strategies." In Neonatology, 1–23. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-18159-2_158-1.

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Bertino, Enrico, Giovanna Oggè, Paola Di Nicola, Francesca Giuliani, Alessandra Coscia, and Tullia Todros. "Intrauterine Growth Restriction: Obstetric and Neonatal Aspects. Intervention Strategies." In Neonatology, 147–69. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-29489-6_158.

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Lapeer, Rudy, Vilius Audinis, Zelimkhan Gerikhanov, and Olivier Dupuis. "A Computer-Based Simulation of Obstetric Forceps Placement." In Medical Image Computing and Computer-Assisted Intervention – MICCAI 2014, 57–64. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-10470-6_8.

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Droste, Richard, Lior Drukker, Aris T. Papageorghiou, and J. Alison Noble. "Automatic Probe Movement Guidance for Freehand Obstetric Ultrasound." In Medical Image Computing and Computer Assisted Intervention – MICCAI 2020, 583–92. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-59716-0_56.

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Marenco, Stefano, and Daniel R. Weinberger. "Obstetric Risk Factors for Schizophrenia and Their Relationship to Genetic Predisposition." In Early Clinical Intervention and Prevention in Schizophrenia, 43–71. Totowa, NJ: Humana Press, 2004. http://dx.doi.org/10.1007/978-1-59259-729-1_3.

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Zhao, Cheng, Richard Droste, Lior Drukker, Aris T. Papageorghiou, and J. Alison Noble. "Visual-Assisted Probe Movement Guidance for Obstetric Ultrasound Scanning Using Landmark Retrieval." In Medical Image Computing and Computer Assisted Intervention – MICCAI 2021, 670–79. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-87237-3_64.

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Ruder, Bonnie, and Alice Emasu. "The Promise and Neglect of Follow-up Care in Obstetric Fistula Treatment in Uganda." In Global Maternal and Child Health, 37–55. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-84514-8_3.

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AbstractConsidered the most severe of maternal morbidities, obstetric fistula is a debilitating childbirth injury that results in complete incontinence with severe physical and psychosocial consequences.The primary intervention for women with obstetric fistula is surgical repair, and success rates for repair are reported between 80% and 97%. However, successful treatment is commonly defined solely by the closure of the fistula defect and often fails to capture women who continue to experience urinary incontinence after repair. Residual incontinence post-fistula repair is both underreported and under-examined in the literature. Through a novel mixed-method study that examined clinical, quantitative, and qualitative aspects of residual incontinence post-repair, this chapter draws on in-depth interviews with women suffering with residual incontinence and fistula surgeons, participant observation, and a desk review of fistula policies and guidelines to argue that an inadequate model of fistula treatment that neglects follow-up care exists. We found that obstetric fistula policy has been determined in large part over the years by international development agencies and funding organizations, such as international nongovernmental organizations (INGOs). We argue that the neglect in follow-up care is evident in fistula policy and can be traced to a donor-funded treatment model that fails to prioritize and fund follow-up care as an essential component of fistula treatment, instead focusing on a “narrative of success” in fistula treatment. As a result, poor outcomes are underreported and women who experience poor outcomes are largely erased from the fistula narrative. This erasure has limited the attention, resources, research, and dedicated to residual incontinence, leaving out women suffering from residual incontinence largely without alternative treatment options.
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Conference papers on the topic "Obstetric intervention"

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Das Neves, Andrea, Daniela N. Vasquez, Dante Intile, Federico Cicora, Maria G. Saenz, Cecilia Loudet, Hector Canales, et al. "Outcome And Level Of Intervention Of Critically Ill Obstetric Patients From The Public Health Sector Vs. The Private Health Sector: Prospective Cohort." In American Thoracic Society 2011 International Conference, May 13-18, 2011 • Denver Colorado. American Thoracic Society, 2011. http://dx.doi.org/10.1164/ajrccm-conference.2011.183.1_meetingabstracts.a5833.

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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.

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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.
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Gamanagatti, Shivanand, Mohit Gambhir, Vatsala Dodwal, Neena Malhotra, J. B. Sharma, and Aunkumar Gupta. "Endovascular Interventions in Obstetric Emergencies: A Game changer." In PAIRS Annual Meeting. Thieme Medical and Scientific Publishers Pvt. Ltd., 2019. http://dx.doi.org/10.1055/s-0041-1730626.

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Sturgeon, Tracey, Huma Ayaz, Kirsty McCrorie, and Kate Stewart. "24 Informed consent in obstetrics: a survey of pregnant women to set a new standard in informed consent for emergency obstetric interventions." In Leaders in Healthcare Conference, Poster Abstracts, 4–6 November 2019, Birmingham, UK. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/leader-2019-fmlm.24.

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Allan, Michael B., Mohammad H. Jafari, Nathan V. Woudenberg, Oron Frenkel, Darra Murphy, Tracee Wee, Rob D'Ortenzio, et al. "Multi-task deep learning for segmentation and landmark detection in obstetric sonography." In Image-Guided Procedures, Robotic Interventions, and Modeling, edited by Cristian A. Linte and Jeffrey H. Siewerdsen. SPIE, 2022. http://dx.doi.org/10.1117/12.2611163.

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Zhou, Yan. "Obstetrics and Gynecology Patients Postoperative Pain Effect Assessment by Comprehensive Nursing Intervention." In 2015 3rd International Conference on Education, Management, Arts, Economics and Social Science. Paris, France: Atlantis Press, 2016. http://dx.doi.org/10.2991/icemaess-15.2016.178.

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Mandour, Y., M. Khaku, H. Caulfield, and J. Dick. "106 Time to expand the diagnostic and interventional uses of ultrasound in obstetric anaesthesia – introducing a holistic course at a London tertiary obstetric hospital." In ESRA 2021 Virtual Congress, 8–9–10 September 2021. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/rapm-2021-esra.106.

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Pfniß, I., D. Ulrich, A. Griesbacher, W. Schöll, U. Lang, and P. Reif. "Birth during off-hours: an evaluation of obstetric interventions depending on time of birth, attending staff's level of education and unit volume." In Jahrestagung der Österreichischen Gesellschaft für Gynäkologie und Geburtshilfe – OEGGG. Georg Thieme Verlag KG, 2018. http://dx.doi.org/10.1055/s-0038-1648269.

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"Challenges of Thromboprophylaxis In Pregnancy: A 12 Months Audit and A Review of The Literature." In 4th International Conference on Biological & Health Sciences (CIC-BIOHS’2022). Cihan University, 2022. http://dx.doi.org/10.24086/biohs2022/paper.809.

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The presentation is going to comprise of two parts: The first part will be about the role of the nurse in management of women and girls with inherited bleeding Disorder (IBD) in a comprehensive care centre. The role of the nurse within the multidisciplinary team is to provide educational and emotional support to the women and the facilitate and coordinate person-centred care. This will be followed by presentation of an audit that was carried out on antenatal thromboprophylaxis in a single centre. Over the recent decades, there is increasing focus on women with inherited bleeding disorders (WBD) which has brought more patients into Haemophilia Treatment Centres (HTC) around the globe. These women require input of a multidisciplinary team to improve outcomes in their gynaecological and obstetric care. Nurses play a pivotal role in patient and family education and in the coordination of the multidisciplinary team. Carriers of Haemophilia and women with IBD experience heavy menstrual bleeding, bleeding from dentistry, surgery, injury or childbirth. Symptoms are treated leading to full and active lives. The nurse is often the point of contact for women who are pregnant, to organise and schedule attendance at a multidisciplinary clinic. The nurse is able to offer regular monitoring of the outcome of interventions in an ongoing relationship with the woman.The number of WBD in HTC has increased and the nurse should play an active role in outreach and education in the developing world where the numbers of identified WBD falls further below the expected numbers based on prevalence.
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Reports on the topic "Obstetric intervention"

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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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Mali: FGC excisors persist despite entreaties. Population Council, 2000. http://dx.doi.org/10.31899/rh2000.1031.

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About 94 percent of Malian women aged 15–49 have experienced female genital cutting (FGC). In Mali, FGC is associated with serious gynecological and obstetric complications. In 1998, the National Center of Scientific and Technological Research of the Mali Ministry of Secondary and Higher Education and Scientific Research conducted an evaluation of programs to eradicate FGC. The study assessed the work of three national nongovernmental organizations working in Bamako and five regions of Mali. These NGOs had attempted to persuade traditional practitioners of FGC (“excisors”) to abandon the practice. All three NGOs employed outreach workers to educate excisors and community members on the adverse effects of FGC on women’s health. Two NGOs developed income-generation schemes to provide the excisors with alternate revenues. One NGO sought to train excisors to advocate discontinuation of FGC. As this brief concludes, programs to persuade traditional practitioners to discontinue the practice of female genital FGC are ineffective, and interventions must address the demand for FGC rather than focusing on the supply.
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Senegal: Train more providers in postabortion care. Population Council, 2000. http://dx.doi.org/10.31899/rh2000.1004.

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Recognizing unsafe abortion as a serious health problem, the government of Senegal adopted a national health strategy in 1997 that aims to halve the number of unsafe abortions by 2001. In 1997, the Center for Training and Research in Reproductive Health (CEFOREP) and the Obstetrics and Gynecology clinic (CGO) at Le Dantec University Teaching Hospital in Dakar introduced new clinical techniques to improve emergency treatment for women with complications from miscarriage or abortion. CGO and two other teaching hospitals served as pilot sites. Physicians, nurses, and midwives at the three sites received training in manual vacuum aspiration, family planning, and counseling. To measure the impact of the training, CEFOREP interviewed 320 women receiving emergency treatment and 204 providers before the intervention, and 543 patients and 175 providers after. This brief states that improving postabortion care services can result in shorter hospital stays, decreased patient costs, better communication between providers and patients, increased acceptance of contraceptive use by women treated for abortion or miscarriage, and that local anesthesia is needed for pain control.
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