{"title":"The First Reported Sri Lankan Case of Sirenomelia, the Mermaid Syndrome","authors":"Samaranayake Pgws, Amarasekara Agsm, Sandakelum Hgu, Abrew Kgl, LucasMN","doi":"10.4038/sljpm.v4i1.64","DOIUrl":"https://doi.org/10.4038/sljpm.v4i1.64","url":null,"abstract":"No abstract available","PeriodicalId":273627,"journal":{"name":"Sri Lanka Journal of Perinatal Medicine","volume":"479 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133603989","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}
N. M. C. L. Nishshanka, C. Goonewardena, S. K. Kasturiarachchi, M. Waas, K. Kulathunga, N. Gamagedara
Background: Progressive muscle relaxation therapy is an anxiety and stress reducing method. Anxiety and stress during antenatal period cause many adverse effects on pregnancy outcomes; therefore require early screening and management of those conditions to improve pregnancy outcomes. Objective: Our objective was to evaluate effectiveness of progressive muscle relaxation therapy in improving pregnancy outcomes among primigravida mothers in Badulla district. Methods: A community-based cluster randomized controlled trial was conducted among 288 primigravida mothers in latter stage of second trimester who screened to have anxiety or stress or both by Depression Anxiety Stress Scale-21 (DASS-21). 144 primigravida mothers were recruited to each intervention and control arms from six selected Medical Officer of Health areas in Badulla district. Pregnancy outcomes were compared in both arms at one month post-partum by calculating Pearson’s correlation coefficient.Results: Pregnancy outcomes at one month post-partum showed significant differences in the control arm compared to the intervention arm; in caesarean section or assisted vaginal delivery (OR = 2.44; 95% CI = 1.34, 4.46), delivery of baby before 37 weeks of gestation (OR = 2.35; 95% CI = 1.31, 4.21), prolong labour (OR = 4.93; 95% CI = 1.05, 23.27) and experienced post-natal complications in babies (OR = 2.12; 95% CI = 1.03, 4.35).Conclusions: Progressive muscle relaxation therapy was effective in improving pregnancy outcomes in primigravida mothers.
背景:渐进式肌肉放松疗法是一种减轻焦虑和压力的方法。产前焦虑和压力对妊娠结局有许多不利影响;因此,需要早期筛查和管理这些条件,以改善妊娠结局。目的:我们的目的是评估渐进式肌肉放松疗法在改善巴杜拉地区初产妇妊娠结局中的有效性。方法:对288例经抑郁焦虑应激量表-21 (DASS-21)筛查为焦虑或应激或两者兼有的孕中期晚期初孕母亲进行社区整群随机对照试验。从巴杜拉区选定的六个卫生保健区医务官员中,为每个干预和控制组招募了144名初诊妇女。通过计算Pearson相关系数比较两组产后1个月的妊娠结局。结果:对照组与干预组产后1个月妊娠结局差异有统计学意义;剖宫产或辅助阴道分娩(or = 2.44;95% CI = 1.34, 4.46),妊娠37周前分娩(OR = 2.35;95% CI = 1.31, 4.21),延长产程(OR = 4.93;95% CI = 1.05, 23.27),并经历过产后并发症(OR = 2.12;95% ci = 1.03, 4.35)。结论:渐进式肌肉放松疗法可有效改善初产妇妊娠结局。
{"title":"Effectiveness of Progressive Muscle Relaxation Therapy on Pregnancy Outcomes among Stressed and Anxious Primigravida Antenatal Mothers: A Randomized Controlled Trial","authors":"N. M. C. L. Nishshanka, C. Goonewardena, S. K. Kasturiarachchi, M. Waas, K. Kulathunga, N. Gamagedara","doi":"10.4038/sljpm.v4i1.63","DOIUrl":"https://doi.org/10.4038/sljpm.v4i1.63","url":null,"abstract":"Background: Progressive muscle relaxation therapy is an anxiety and stress reducing method. Anxiety and stress during antenatal period cause many adverse effects on pregnancy outcomes; therefore require early screening and management of those conditions to improve pregnancy outcomes. Objective: Our objective was to evaluate effectiveness of progressive muscle relaxation therapy in improving pregnancy outcomes among primigravida mothers in Badulla district. Methods: A community-based cluster randomized controlled trial was conducted among 288 primigravida mothers in latter stage of second trimester who screened to have anxiety or stress or both by Depression Anxiety Stress Scale-21 (DASS-21). 144 primigravida mothers were recruited to each intervention and control arms from six selected Medical Officer of Health areas in Badulla district. Pregnancy outcomes were compared in both arms at one month post-partum by calculating Pearson’s correlation coefficient.Results: Pregnancy outcomes at one month post-partum showed significant differences in the control arm compared to the intervention arm; in caesarean section or assisted vaginal delivery (OR = 2.44; 95% CI = 1.34, 4.46), delivery of baby before 37 weeks of gestation (OR = 2.35; 95% CI = 1.31, 4.21), prolong labour (OR = 4.93; 95% CI = 1.05, 23.27) and experienced post-natal complications in babies (OR = 2.12; 95% CI = 1.03, 4.35).Conclusions: Progressive muscle relaxation therapy was effective in improving pregnancy outcomes in primigravida mothers.","PeriodicalId":273627,"journal":{"name":"Sri Lanka Journal of Perinatal Medicine","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117150031","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}
Pregnant mothers under care for second quarter of 2019 and 2020 were 353 and 345 respectively. Significant reductions were observed in subsequent antenatal clinic (ANC) visits (15.20%, CI 8.00%-22.18%, p<0.0001), attendance to second antenatal session (22.94%, CI 11.88%-33.21%, p<0.0001), number of pregnant mothers who attended more than seven ANC (12.92%, CI 1.67%-23.70%, p=0.024), and number referred for oral health (21.84%, CI 11.55%-31.49%, p<0.0001). Postpartum mothers under care during the study period for the years 2019 and 2020 were 58 and 53 while infants registered were 151 and 133 respectively. Infants registered with a normal birth weight decreased by 14.82% (CI6.19%-23.27%, p=0.0008). Continuation of home visits by PHM after 42 days of delivery and the number of infants who were brought to the clinic at one month showed a significant decline of 18.25% (CI 15.61%20.85%, p<0.0001) and 30.93% (CI 20.30% 40.48%, p<0.0001) respectively.
{"title":"Disruption to antenatal and postnatal services during the COVID-19 pandemic: Experience in a selected Medical Officer of Health area in Colombo District","authors":"Seneviwickrama Klmd, Liyanage Wwed, Jayasinghe Plsj, Abeyrathne Gnu, Goonewardena Cse","doi":"10.4038/sljpm.v3i2.57","DOIUrl":"https://doi.org/10.4038/sljpm.v3i2.57","url":null,"abstract":"Pregnant mothers under care for second quarter of 2019 and 2020 were 353 and 345 respectively. Significant reductions were observed in subsequent antenatal clinic (ANC) visits (15.20%, CI 8.00%-22.18%, p<0.0001), attendance to second antenatal session (22.94%, CI 11.88%-33.21%, p<0.0001), number of pregnant mothers who attended more than seven ANC (12.92%, CI 1.67%-23.70%, p=0.024), and number referred for oral health (21.84%, CI 11.55%-31.49%, p<0.0001). Postpartum mothers under care during the study period for the years 2019 and 2020 were 58 and 53 while infants registered were 151 and 133 respectively. Infants registered with a normal birth weight decreased by 14.82% (CI6.19%-23.27%, p=0.0008). Continuation of home visits by PHM after 42 days of delivery and the number of infants who were brought to the clinic at one month showed a significant decline of 18.25% (CI 15.61%20.85%, p<0.0001) and 30.93% (CI 20.30% 40.48%, p<0.0001) respectively.","PeriodicalId":273627,"journal":{"name":"Sri Lanka Journal of Perinatal Medicine","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125864749","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}
{"title":"Abstracts and Proceedings of the 21st Annual Scientific Congress 2022, Perinatal Society of Sri Lanka, Colombo","authors":".. Editor-in-Chief","doi":"10.4038/sljpm.v3i2.59","DOIUrl":"https://doi.org/10.4038/sljpm.v3i2.59","url":null,"abstract":"","PeriodicalId":273627,"journal":{"name":"Sri Lanka Journal of Perinatal Medicine","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122133778","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}
Z. M. F. Z. Safinaz, W. Fernando, K. Karunathilake, K. L. J. Wansha, D. Vipulaguna, S. Sumanasena
{"title":"Neurodevelopmental outcomes of infants referred to High-Risk Infant Follow-up (HRIF) program at a tertiary care centre","authors":"Z. M. F. Z. Safinaz, W. Fernando, K. Karunathilake, K. L. J. Wansha, D. Vipulaguna, S. Sumanasena","doi":"10.4038/sljpm.v3i2.60","DOIUrl":"https://doi.org/10.4038/sljpm.v3i2.60","url":null,"abstract":"","PeriodicalId":273627,"journal":{"name":"Sri Lanka Journal of Perinatal Medicine","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126517493","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}
{"title":"Rising caesarean section rates – A global crisis: What can we do? : Prof Indrajee Amarasinghe Oration 2022","authors":"U. D. P. Ratnasiri","doi":"10.4038/sljpm.v3i2.56","DOIUrl":"https://doi.org/10.4038/sljpm.v3i2.56","url":null,"abstract":"","PeriodicalId":273627,"journal":{"name":"Sri Lanka Journal of Perinatal Medicine","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117078557","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}
{"title":"Media ethics in covering health issues in the current crisis","authors":"Surantha Perera","doi":"10.4038/sljpm.v3i2.55","DOIUrl":"https://doi.org/10.4038/sljpm.v3i2.55","url":null,"abstract":"","PeriodicalId":273627,"journal":{"name":"Sri Lanka Journal of Perinatal Medicine","volume":"177 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115006499","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}