Pub Date : 2023-03-27DOI: 10.15406/ipcb.2023.09.00277
P. Juan, Perruzza Marta, Donfrancesco Cristina, R. Giuseppe
Background: Polycistic ovary syndrome (PCOs) is one of the most common endocrine and metabolic disorders in premenopausal women. Our team aimed to know an eventual significant effect of the therapy based on an Alfa Lipoic Acid (ALA)/Myoinositol (Myo) combined drug on adnexal parameters as assessed by ultrasound and follow up clinical analysis. Methods: The following represents the results of a prospective trial considering data from thirty italian nulliparous women considered for the study, chosen from an initial group of fifty-eight women, compared to data taken from a healthy women group paired by age and nulliparous status. The mean age was 30.1 years old. Patients underwent a Myoinositol (400 mg) plus ALA (800 mg) regimen twice a day in a continued fashion in a twenty four months period. Ultrasound examinations were coincident with the fifth day of menstrual period and were set as follows: Time 0 (first evaluation), Time 12 (after twelve months) and finally Time 24 (after 24 months). Results: Comparisons were performed between Time 0 and Time 12 paired data, No significant ultrasound parameters differences were found between paired patients regarding: endometrial width, number of follicles and ovarian volume at the time of the trial. Regarding clinical symptoms, menstrual pelvic pain significantly decreased after a mean time of about four months and menstrual cycle tended to be regular in 12 from 30 patients after eight months under therapy. Parameters dealing with ultrasound color Doppler velocimetry status were studied considering other twelve months and will be described in a further report considering only ultrasound parameters. Conclusions: Considering the preliminary results of this study, we may hypothesize that Inositol may block the vascular effects of hyperadrogenism, and that the ALA in addition may play a role regarding anti oxidant and anti inflammatory pathways
{"title":"Adnexal and clinical effects of myoinositol and lipoic acid in PCOs patients","authors":"P. Juan, Perruzza Marta, Donfrancesco Cristina, R. Giuseppe","doi":"10.15406/ipcb.2023.09.00277","DOIUrl":"https://doi.org/10.15406/ipcb.2023.09.00277","url":null,"abstract":"Background: Polycistic ovary syndrome (PCOs) is one of the most common endocrine and metabolic disorders in premenopausal women. Our team aimed to know an eventual significant effect of the therapy based on an Alfa Lipoic Acid (ALA)/Myoinositol (Myo) combined drug on adnexal parameters as assessed by ultrasound and follow up clinical analysis. Methods: The following represents the results of a prospective trial considering data from thirty italian nulliparous women considered for the study, chosen from an initial group of fifty-eight women, compared to data taken from a healthy women group paired by age and nulliparous status. The mean age was 30.1 years old. Patients underwent a Myoinositol (400 mg) plus ALA (800 mg) regimen twice a day in a continued fashion in a twenty four months period. Ultrasound examinations were coincident with the fifth day of menstrual period and were set as follows: Time 0 (first evaluation), Time 12 (after twelve months) and finally Time 24 (after 24 months). Results: Comparisons were performed between Time 0 and Time 12 paired data, No significant ultrasound parameters differences were found between paired patients regarding: endometrial width, number of follicles and ovarian volume at the time of the trial. Regarding clinical symptoms, menstrual pelvic pain significantly decreased after a mean time of about four months and menstrual cycle tended to be regular in 12 from 30 patients after eight months under therapy. Parameters dealing with ultrasound color Doppler velocimetry status were studied considering other twelve months and will be described in a further report considering only ultrasound parameters. Conclusions: Considering the preliminary results of this study, we may hypothesize that Inositol may block the vascular effects of hyperadrogenism, and that the ALA in addition may play a role regarding anti oxidant and anti inflammatory pathways","PeriodicalId":211817,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121984479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-06DOI: 10.15406/ipcb.2023.09.00276
Gupta R, N. M, Chetcuti Ganado Claudia
Background: While therapeutic hypothermia is accepted as a standard of care for improving neurological outcome for HIE patients, evidence of its benefits for neonatal stroke is lacking. Neurological presentations of HIE and neonatal stroke can be difficult to distinguish and indeed neonatal stroke can coexist with HIE. Our observational analysis of a single centre cohort of stroke infants with MRI diagnosis highlights the practical challenges for distinguishing between the two groups and reaching an early definitive diagnosis to inform appropriate treatment. Methods: A retrospective cohort study of term neonates >37 weeks gestation born between May 2011 and April 2020 born at a specialised NICU network in the East of England with a principal diagnosis of neonatal stroke were obtained from Badgernet data. Results: 81% of infants (13/16) had sentinel events around delivery. 50% (8/16) of infants were therapeutically cooled. Of the 8 cooled infants only 3 (37%) of cooled infants fulfilled both Toby A and B criteria. Infants who received therapeutic hypothermia were more likely to present with early onset seizures (5/8) than infants who were not cooled (1/8) (p=0.019) . 6 of the 8 non-cooled infants compared to 2of the 8 cooled infants (p=0.03) had a higher seizure burden requiring escalation of antiepileptic medication to second line or need for maintenance treatment. Conclusion: Infants with neonatal stroke who present with early seizures are more likely to receive therapeutic hypothermia despite failure to fulfil both Toby A and B criteria. Early suspicion to inform management can be obtained more effectively from CFM while cranial ultrasound findings are generally non-specific. A normal CFM background, unilateral abnormal background and unilateral seizure activity are highly suggestive of neonatal stroke.
{"title":"Perinatal stroke and overlapping clinical presentation with HIE; studying practical diagnostic and management challenges through observational analysis of a single tertiary centre stroke patients","authors":"Gupta R, N. M, Chetcuti Ganado Claudia","doi":"10.15406/ipcb.2023.09.00276","DOIUrl":"https://doi.org/10.15406/ipcb.2023.09.00276","url":null,"abstract":"Background: While therapeutic hypothermia is accepted as a standard of care for improving neurological outcome for HIE patients, evidence of its benefits for neonatal stroke is lacking. Neurological presentations of HIE and neonatal stroke can be difficult to distinguish and indeed neonatal stroke can coexist with HIE. Our observational analysis of a single centre cohort of stroke infants with MRI diagnosis highlights the practical challenges for distinguishing between the two groups and reaching an early definitive diagnosis to inform appropriate treatment. Methods: A retrospective cohort study of term neonates >37 weeks gestation born between May 2011 and April 2020 born at a specialised NICU network in the East of England with a principal diagnosis of neonatal stroke were obtained from Badgernet data. Results: 81% of infants (13/16) had sentinel events around delivery. 50% (8/16) of infants were therapeutically cooled. Of the 8 cooled infants only 3 (37%) of cooled infants fulfilled both Toby A and B criteria. Infants who received therapeutic hypothermia were more likely to present with early onset seizures (5/8) than infants who were not cooled (1/8) (p=0.019) . 6 of the 8 non-cooled infants compared to 2of the 8 cooled infants (p=0.03) had a higher seizure burden requiring escalation of antiepileptic medication to second line or need for maintenance treatment. Conclusion: Infants with neonatal stroke who present with early seizures are more likely to receive therapeutic hypothermia despite failure to fulfil both Toby A and B criteria. Early suspicion to inform management can be obtained more effectively from CFM while cranial ultrasound findings are generally non-specific. A normal CFM background, unilateral abnormal background and unilateral seizure activity are highly suggestive of neonatal stroke.","PeriodicalId":211817,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123367231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-27DOI: 10.15406/ipcb.2023.09.00275
Elba Wu Hupat
The history of HIV/AIDS in Chilean children is described, from the detection of the first case in 1987 to date, with the main advances obtained by the Paediatric HIV/AIDS Care Programme, SOCHIPE/MINSAL. Thefollow-up and management of children and adolescents in this Program is described
{"title":"Thirty-five years of HIV/AIDS in Chilean children and adolescents","authors":"Elba Wu Hupat","doi":"10.15406/ipcb.2023.09.00275","DOIUrl":"https://doi.org/10.15406/ipcb.2023.09.00275","url":null,"abstract":"The history of HIV/AIDS in Chilean children is described, from the detection of the first case in 1987 to date, with the main advances obtained by the Paediatric HIV/AIDS Care Programme, SOCHIPE/MINSAL. Thefollow-up and management of children and adolescents in this Program is described","PeriodicalId":211817,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121414387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-01DOI: 10.15406/ipcb.2023.09.00274
N. Hooja, Andaleeb Fatima
Background: The high prevalence of anaemia in pregnancy has serious adverse consequences in both mother and baby. Management of anaemia in pregnancy should be given great importance in obstetric practice.The study was undertaken to compare the efficacy of oral iron (ferrous sulphate) and intravenous iron sucrose complex in the management of moderate anaemia in pregnancy. Method: A randomized comparative hospital–based longitudinal analysis was conducted in the Department of Obstetrics and Gynaecology of a tertiary care hospital, involving 70 women with haemoglobin between 7- 9.9 g/dl and serum ferritin < 50 mcg/l, attending antenatal clinic. Intravenous iron sucrose complex was given in one group and tablet ferrous sulfate (100 mg elemental iron) to the oral group. Treatment efficacy was assessed by measurement of haemoglobin and reticulocytes on days 8, 15, 21 and 30 and ferritin on day 30. Result: An increase in haemoglobin was observed in both groups, rising from 8.26 ±0.764g/dl to 11.08± 0.71g/dl in the intravenous group and from 8.14±0.767 g/dl to 10.98 ±0.61 g/dl on day 30 in the oral group. S.ferritin on day 30 was significantly higher in the intravenous group. The side effects in both groups were negligible though there were there were 3 dropouts due to adverse effects. Conclusion : Both oral ferrous sulphate and intravenous iron sucrose complex are safe, convenient and effective in treatment of iron deficiency anaemia in pregnant women with negligible side effects, but intravenous iron sucrose complex is better in improving serum iron and in restoring maternal iron stores
{"title":"Oral versus intravenous iron therapy for correction of iron deficiency anaemia in pregnancy","authors":"N. Hooja, Andaleeb Fatima","doi":"10.15406/ipcb.2023.09.00274","DOIUrl":"https://doi.org/10.15406/ipcb.2023.09.00274","url":null,"abstract":"Background: The high prevalence of anaemia in pregnancy has serious adverse consequences in both mother and baby. Management of anaemia in pregnancy should be given great importance in obstetric practice.The study was undertaken to compare the efficacy of oral iron (ferrous sulphate) and intravenous iron sucrose complex in the management of moderate anaemia in pregnancy. Method: A randomized comparative hospital–based longitudinal analysis was conducted in the Department of Obstetrics and Gynaecology of a tertiary care hospital, involving 70 women with haemoglobin between 7- 9.9 g/dl and serum ferritin < 50 mcg/l, attending antenatal clinic. Intravenous iron sucrose complex was given in one group and tablet ferrous sulfate (100 mg elemental iron) to the oral group. Treatment efficacy was assessed by measurement of haemoglobin and reticulocytes on days 8, 15, 21 and 30 and ferritin on day 30. Result: An increase in haemoglobin was observed in both groups, rising from 8.26 ±0.764g/dl to 11.08± 0.71g/dl in the intravenous group and from 8.14±0.767 g/dl to 10.98 ±0.61 g/dl on day 30 in the oral group. S.ferritin on day 30 was significantly higher in the intravenous group. The side effects in both groups were negligible though there were there were 3 dropouts due to adverse effects. Conclusion : Both oral ferrous sulphate and intravenous iron sucrose complex are safe, convenient and effective in treatment of iron deficiency anaemia in pregnant women with negligible side effects, but intravenous iron sucrose complex is better in improving serum iron and in restoring maternal iron stores","PeriodicalId":211817,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125211127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-25DOI: 10.15406/ipcb.2023.09.00273
Melese Tadesse Aredo, Hailu Fekadu Demise, Emebet Daba Megersa
Background: Anemia during pregnancy affects both the mother and the fetus and is a leading cause of morbidity and mortality in pregnant women in underdeveloped nations. Studies were undertaken in many sections of the nation to assess the prevalence of anemia and predictor variables despite its well-known negative impact on health; however, the topic in Asella has not been well addressed or investigated. Objective: From March 15 to April 15, 2017, pregnant women receiving Antenatal Care services at a public health center in Asella, Ethiopia, were assessed for the prevalence of anemia and its contributing factors. Methods and materials: A facility-based cross-sectional study design was used. Data were collected using an interviewer-administered questionnaire complemented by laboratory tests. Data were collected by face-to-face interviews using a pre-tested, semi-structured questionnaire and the Hg test. EPI ENFO version 7.1 was used for data clearing and documentation, and SPSS version 21 was used for data analysis. The predictors of anemia were found using a logistic regression analysis. To determine the strength of the association, crude and adjusted OR were computed along with their respective 95% CI. P 0.05 was also regarded as statistically significant. Result: The magnitude of anemia was 46.1% in this investigation utilizing a cut level of hemoglobin of 11 g/dl. Anemia was strongly linked with the occupation of merchant (AOR=0.066,95%CI=0.006,0.761), third trimester gestational age (AOR=2.631,95%CI=1.272,5.44), lack of nutrition education (AOR=1.723,95%CI=1.010,2.939), and consumption of wheat as a staple food (AOR=3.288,95%CI=1.765,6.128). Conclusion and recommendation: In the study area, anemia is discovered to be a serious public health issue. A special focus needs to be placed on raising awareness about the consumption of iron-rich and diverse foods among pregnant women and people who work as housewives
{"title":"Magnitude and factors associated with anemia among pregnant woman attending antenatal care in asella town arsi oromia, Ethiopia","authors":"Melese Tadesse Aredo, Hailu Fekadu Demise, Emebet Daba Megersa","doi":"10.15406/ipcb.2023.09.00273","DOIUrl":"https://doi.org/10.15406/ipcb.2023.09.00273","url":null,"abstract":"Background: Anemia during pregnancy affects both the mother and the fetus and is a leading cause of morbidity and mortality in pregnant women in underdeveloped nations. Studies were undertaken in many sections of the nation to assess the prevalence of anemia and predictor variables despite its well-known negative impact on health; however, the topic in Asella has not been well addressed or investigated. Objective: From March 15 to April 15, 2017, pregnant women receiving Antenatal Care services at a public health center in Asella, Ethiopia, were assessed for the prevalence of anemia and its contributing factors. Methods and materials: A facility-based cross-sectional study design was used. Data were collected using an interviewer-administered questionnaire complemented by laboratory tests. Data were collected by face-to-face interviews using a pre-tested, semi-structured questionnaire and the Hg test. EPI ENFO version 7.1 was used for data clearing and documentation, and SPSS version 21 was used for data analysis. The predictors of anemia were found using a logistic regression analysis. To determine the strength of the association, crude and adjusted OR were computed along with their respective 95% CI. P 0.05 was also regarded as statistically significant. Result: The magnitude of anemia was 46.1% in this investigation utilizing a cut level of hemoglobin of 11 g/dl. Anemia was strongly linked with the occupation of merchant (AOR=0.066,95%CI=0.006,0.761), third trimester gestational age (AOR=2.631,95%CI=1.272,5.44), lack of nutrition education (AOR=1.723,95%CI=1.010,2.939), and consumption of wheat as a staple food (AOR=3.288,95%CI=1.765,6.128). Conclusion and recommendation: In the study area, anemia is discovered to be a serious public health issue. A special focus needs to be placed on raising awareness about the consumption of iron-rich and diverse foods among pregnant women and people who work as housewives","PeriodicalId":211817,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129743693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-20DOI: 10.15406/ipcb.2023.09.00271
James Bemshima Orpin, A. S, Eberemu Nc
This study was carried out to investigate the Prevalence of Trichomoniasis among Pregnant Women attending General Hospital Dutsin-Ma. A total number of 181 high vaginal swab (HVS) samples were examined in General Hospital Dutsin-ma. Fifty-six (30.9%) samples were positive considering the risk factors of Age, number of sexual partners, method of douche and type of latrine. The age range of 26-30 had high incidence of 36% while 36-40 recorded 23%. With respect to the number of sexual partners, participants with four (4) sexual partners had the highest incidence of 60%. Participants with three (3) sexual partners had the incidence of 41%, participants with two (2) sexual partners had the incidence of 31%, while participants with one (1) sexual partner had the prevalence of 27%. Considering the method of douche, it showed that participants that use water only to douche had the highest incidence of 46%, participants who use water and soap to douche had the incidence of 39%, and those that use herbal concoctions to douche had the incidence of 7.5%. Based on type of latrine, participants who use pit latrine or public toilets had the highest prevalence of 34%, and participants who use water closet had the incidence of 25%.
{"title":"Prevalence of Trichomoniasis among pregnant women attending antenatal clinic of the general hospital Dutsin-ma, Katsina State","authors":"James Bemshima Orpin, A. S, Eberemu Nc","doi":"10.15406/ipcb.2023.09.00271","DOIUrl":"https://doi.org/10.15406/ipcb.2023.09.00271","url":null,"abstract":"This study was carried out to investigate the Prevalence of Trichomoniasis among Pregnant Women attending General Hospital Dutsin-Ma. A total number of 181 high vaginal swab (HVS) samples were examined in General Hospital Dutsin-ma. Fifty-six (30.9%) samples were positive considering the risk factors of Age, number of sexual partners, method of douche and type of latrine. The age range of 26-30 had high incidence of 36% while 36-40 recorded 23%. With respect to the number of sexual partners, participants with four (4) sexual partners had the highest incidence of 60%. Participants with three (3) sexual partners had the incidence of 41%, participants with two (2) sexual partners had the incidence of 31%, while participants with one (1) sexual partner had the prevalence of 27%. Considering the method of douche, it showed that participants that use water only to douche had the highest incidence of 46%, participants who use water and soap to douche had the incidence of 39%, and those that use herbal concoctions to douche had the incidence of 7.5%. Based on type of latrine, participants who use pit latrine or public toilets had the highest prevalence of 34%, and participants who use water closet had the incidence of 25%.","PeriodicalId":211817,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116194250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-15DOI: 10.15406/ipcb.2022.08.00270
Shweta Mathur, Neha Gupta
The placenta accreta spectrum is on rise. If the placenta is covering the entire anterior uterine wall, there are definite challenges involved in delivering the fetus without exsanguination and with minimal maternal blood loss. We present a case report that highlights the use of transverse uterine fundal incision (TFUI) in an anterior placenta previa with accreta involving the entire uterine wall. It can be considered as an option to vertical uterine incision in such cases where the patient is not desirous of future fertility and caesarean hysterectomy is planned
{"title":"Transverse uterine fundal incision - an alternative to vertical uterine incision for anterior placenta accreta involving the entire uterine wall: a case report","authors":"Shweta Mathur, Neha Gupta","doi":"10.15406/ipcb.2022.08.00270","DOIUrl":"https://doi.org/10.15406/ipcb.2022.08.00270","url":null,"abstract":"The placenta accreta spectrum is on rise. If the placenta is covering the entire anterior uterine wall, there are definite challenges involved in delivering the fetus without exsanguination and with minimal maternal blood loss. We present a case report that highlights the use of transverse uterine fundal incision (TFUI) in an anterior placenta previa with accreta involving the entire uterine wall. It can be considered as an option to vertical uterine incision in such cases where the patient is not desirous of future fertility and caesarean hysterectomy is planned","PeriodicalId":211817,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134027677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-05DOI: 10.15406/ipcb.2022.08.00268
Gargi Deshmukh, Tapan Bandyopadhyay, A. Kakade, A. Ghosh
Introduction: Obstructed labor with the fetal head impacted in the pelvis is an obstetric complication that requires caesarean delivery with skilful handling in an organized manner to avoid serious maternal and neonatal morbidity. The present study was undertaken to compare the Patwardhan technique with push and pull methods and also to evaluate the safety of Patwardhan technique. Material & methods: Study based on a total 90 pregnant women, of age 18 – 35 years with singleton pregnancy in second stage of labor with deeply impacted head, cases examined in labor room who gave consent and fulfilled inclusion criteria including inpatient admissions and referral randomly allocated in three groups 30 each.1. Patwardhan technique. 2. Push Technique 3. Pull technique. Results: Age, gestational age and duration of labor of the subjects in three were similar. There was significantly less incidence of uterine incision extension to either side, board ligament hematoma, intra-operative blood loss and traumatic Postpartum hemorrhage in subjects undergoing Patwardhan’s technique. With regards to neonatal outcome, wound infection, foetal injury and mean duration of hospital stay were significantly less in Patwardhan’s technique. Birth weight and APGAR scores were similar in all groups. Conclusion: There was less incidence of maternal and foetal morbidity in Patwardhan’s technique which makes it a preferred choice for management during second stage of labor
{"title":"A comparative study between Patwardhan technique and push & pull method in women undergoing second stage of labor","authors":"Gargi Deshmukh, Tapan Bandyopadhyay, A. Kakade, A. Ghosh","doi":"10.15406/ipcb.2022.08.00268","DOIUrl":"https://doi.org/10.15406/ipcb.2022.08.00268","url":null,"abstract":"Introduction: Obstructed labor with the fetal head impacted in the pelvis is an obstetric complication that requires caesarean delivery with skilful handling in an organized manner to avoid serious maternal and neonatal morbidity. The present study was undertaken to compare the Patwardhan technique with push and pull methods and also to evaluate the safety of Patwardhan technique. Material & methods: Study based on a total 90 pregnant women, of age 18 – 35 years with singleton pregnancy in second stage of labor with deeply impacted head, cases examined in labor room who gave consent and fulfilled inclusion criteria including inpatient admissions and referral randomly allocated in three groups 30 each.1. Patwardhan technique. 2. Push Technique 3. Pull technique. Results: Age, gestational age and duration of labor of the subjects in three were similar. There was significantly less incidence of uterine incision extension to either side, board ligament hematoma, intra-operative blood loss and traumatic Postpartum hemorrhage in subjects undergoing Patwardhan’s technique. With regards to neonatal outcome, wound infection, foetal injury and mean duration of hospital stay were significantly less in Patwardhan’s technique. Birth weight and APGAR scores were similar in all groups. Conclusion: There was less incidence of maternal and foetal morbidity in Patwardhan’s technique which makes it a preferred choice for management during second stage of labor","PeriodicalId":211817,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133212663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-19DOI: 10.15406/ipcb.2022.08.00267
Temesgen Geta, Merid Mekine, Nebiyat Kasa
Background: Despite the Ethiopian federal ministry of health implementing compassionate, respectful, and caring as one of the health sector transformation agendas to increase health service utilization, the level of maternal satisfaction with institutional delivery is still low and varies from region to region. In addition, no previous study was conducted in this study area. Therefore, the main objective of the study was to assess the level of women's satisfaction with institutional delivery services and associated factors among mothers who gave birth at Hawassa University's comprehensive specialized Hospital. Methods and Materials: Institutional based quantitative cross-sectional study was employed from April to May 2022 at Hawassa University's comprehensive specialized hospital. A total of 265 women who came to delivery service were included in the study and systematic sampling techniques was used to select study participant. A semi-structured questionnaire was used to collect data. The data was entered into EPI Data 3.1 version and transported to SPSS version 25 for data analysis. Binary and multi-regression were done for predictor variables associated at p-value <0.05 with the dependent variable. Result: A total of 265 mothers fully responded, making a response rate of 95.3%. This study found that 63% of study participants were satisfied and 37% of them were unsatisfied with the delivery and labor service. Participants' occupation, last pregnancy wanted, health conditions of the mother during and after delivery, media exposure to institutional delivery, total duration of labor, a surgical procedure done for women, the provider gives periodic updates on the progress of labor and explained what is being done and that to be expected were statistically associated with satisfaction status. Conclusion: The study showed that the overall satisfaction of the women with the delivery service provided by health care providers in the study area was relatively low. Therefore, all stakeholders should take immediate and appropriate action on those identified factors.
背景:尽管埃塞俄比亚联邦卫生部将同情、尊重和关怀作为卫生部门转型议程之一，以提高卫生服务的利用率，但孕产妇对机构分娩的满意度仍然很低，而且因地区而异。此外，在此研究领域未进行过相关研究。因此，研究的主要目的是评估在哈瓦萨大学综合专科医院分娩的母亲对机构分娩服务的满意程度及其相关因素。方法与材料:采用基于机构的定量横断面研究，于2022年4 - 5月在哈瓦萨大学综合专科医院进行。本研究共纳入265名前来分娩的妇女，采用系统抽样技术选择研究对象。采用半结构化问卷收集数据。数据录入EPI data 3.1版本，传输至SPSS 25版本进行数据分析。对p值<0.05与因变量相关的预测变量进行二元和多元回归。结果:265位母亲充分回复，回复率为95.3%。本研究发现，63%的研究参与者对分娩和劳动服务感到满意，37%的人不满意。参与者的职业、上次怀孕的要求、分娩期间和分娩后母亲的健康状况、媒体对机构分娩的报道、分娩总持续时间、为妇女进行的外科手术、提供者定期提供分娩进展的最新情况，并解释正在进行的工作和预期的工作，这些在统计上与满意度有关。结论:研究表明，研究区妇女对卫生保健提供者提供的分娩服务的总体满意度较低。因此，所有利益相关者都应该针对这些确定的因素立即采取适当的行动。
{"title":"Satisfaction status and its associated factors on delivery service provided among women who gave birth at hawassa university comprehensive specialized hospital in southern Ethiopia 2022","authors":"Temesgen Geta, Merid Mekine, Nebiyat Kasa","doi":"10.15406/ipcb.2022.08.00267","DOIUrl":"https://doi.org/10.15406/ipcb.2022.08.00267","url":null,"abstract":"Background: Despite the Ethiopian federal ministry of health implementing compassionate, respectful, and caring as one of the health sector transformation agendas to increase health service utilization, the level of maternal satisfaction with institutional delivery is still low and varies from region to region. In addition, no previous study was conducted in this study area. Therefore, the main objective of the study was to assess the level of women's satisfaction with institutional delivery services and associated factors among mothers who gave birth at Hawassa University's comprehensive specialized Hospital. Methods and Materials: Institutional based quantitative cross-sectional study was employed from April to May 2022 at Hawassa University's comprehensive specialized hospital. A total of 265 women who came to delivery service were included in the study and systematic sampling techniques was used to select study participant. A semi-structured questionnaire was used to collect data. The data was entered into EPI Data 3.1 version and transported to SPSS version 25 for data analysis. Binary and multi-regression were done for predictor variables associated at p-value <0.05 with the dependent variable. Result: A total of 265 mothers fully responded, making a response rate of 95.3%. This study found that 63% of study participants were satisfied and 37% of them were unsatisfied with the delivery and labor service. Participants' occupation, last pregnancy wanted, health conditions of the mother during and after delivery, media exposure to institutional delivery, total duration of labor, a surgical procedure done for women, the provider gives periodic updates on the progress of labor and explained what is being done and that to be expected were statistically associated with satisfaction status. Conclusion: The study showed that the overall satisfaction of the women with the delivery service provided by health care providers in the study area was relatively low. Therefore, all stakeholders should take immediate and appropriate action on those identified factors.","PeriodicalId":211817,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116382794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-30DOI: 10.15406/ipcb.2022.08.00266
Gudisa Bereda
Chickenpox can be defined as a highly communicable viral infection caused by varicella zoster virus; most frequently influences pediatric in five to nine yrs old. The commonly occurred signs and symptoms of chickenpox are comprises vesicular rash appears on the scalp, face and trunk, and then disseminates distally to limbs (centrifugal distribution). The most common complications of chickenpox are bacterial soft-tissue infection, pneumonia, and encephalitis. Encephalitis is a most commonly occurred central nervous system complications expose the pediatric to other problems or death. The main goal chickenpox infection management in children is to alleviate the symptoms such as skin infections, fever, itching etc and making the children confortable. Adequate intravenous acyclovir administration is crucial for successful management of chickenpox, but it must be administered within twenty-four hrs. after the onset of the disease. Management of chickenpox with oral acyclovir given within twenty four hrs of onset of rash may be more effective.
{"title":"Clinical manifestations, complications and management of chickenpox infection in pediatric","authors":"Gudisa Bereda","doi":"10.15406/ipcb.2022.08.00266","DOIUrl":"https://doi.org/10.15406/ipcb.2022.08.00266","url":null,"abstract":"Chickenpox can be defined as a highly communicable viral infection caused by varicella zoster virus; most frequently influences pediatric in five to nine yrs old. The commonly occurred signs and symptoms of chickenpox are comprises vesicular rash appears on the scalp, face and trunk, and then disseminates distally to limbs (centrifugal distribution). The most common complications of chickenpox are bacterial soft-tissue infection, pneumonia, and encephalitis. Encephalitis is a most commonly occurred central nervous system complications expose the pediatric to other problems or death. The main goal chickenpox infection management in children is to alleviate the symptoms such as skin infections, fever, itching etc and making the children confortable. Adequate intravenous acyclovir administration is crucial for successful management of chickenpox, but it must be administered within twenty-four hrs. after the onset of the disease. Management of chickenpox with oral acyclovir given within twenty four hrs of onset of rash may be more effective.","PeriodicalId":211817,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131790828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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