{"title":"Trends in induction of labour: implications for Sri Lanka","authors":"M. Goonewardene","doi":"10.4038/sljpm.v2i2.41","DOIUrl":"https://doi.org/10.4038/sljpm.v2i2.41","url":null,"abstract":"","PeriodicalId":273627,"journal":{"name":"Sri Lanka Journal of Perinatal Medicine","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131349206","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":"Experiences of vaccinating pregnant women against COVID-19 in Sri Lanka","authors":"K. Kasturiaratchi","doi":"10.4038/sljpm.v2i2.42","DOIUrl":"https://doi.org/10.4038/sljpm.v2i2.42","url":null,"abstract":"","PeriodicalId":273627,"journal":{"name":"Sri Lanka Journal of Perinatal Medicine","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115674925","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}
Sangeetha Wickramaratne, N. Senadheera, S. Gunasekera, Shyama Basnayake
{"title":"A rare case of congenital acute lymphoblastic leukemia presenting as Leukemia Cutis and generalized lymphadenopathy","authors":"Sangeetha Wickramaratne, N. Senadheera, S. Gunasekera, Shyama Basnayake","doi":"10.4038/sljpm.v2i2.43","DOIUrl":"https://doi.org/10.4038/sljpm.v2i2.43","url":null,"abstract":"","PeriodicalId":273627,"journal":{"name":"Sri Lanka Journal of Perinatal Medicine","volume":"274 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132965294","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}
Type 2 diabetes is considered the ‘mother of all diseases’ due to its macrovascular and microvascular complications negatively impacting on quality of life. It has a huge impact on well-being of South Asian populations being number one cause for premature disability and death. Its impact on economic development of lower and middle-income countries being significant, saw heads of states pledge at the UN general assembly 2011 to pay special attention in enhancing healthy lifestyle. This initiative has been unable to stem the tide in the next decade. The global prevalence of diabetes and related metabolic disease has risen exponentially. Worldwide trends of age-standardized diabetes prevalence increased from 4.3% in 1980 to 9.0% in 2014 in men, and from 5.0% to 7.9% in women, with women surpassing men with advancing age. In 2019, a total of 463 million people was estimated to be living with diabetes, representing 9.3% of the global adult population (20–79 years). This is projected to increase to 578 million (10.2%) in 2030 and 700 million (10.9%) in 2045. The prevalence of diabetes in women in 2019 was estimated to be 9.0%, and 9.6% in men. The increase in diabetes prevalence with age leads to a prevalence of 19.9% in people aged 65–79 years. It is well accepted that women are not far behind men in prevalence and also recognized to suffer from more severe complications. World Diabetes Day is observed on 14 November, since 2006. More recently the internationally agreed themes include ‘Healthy WomenHealthy Nation’ and ‘Diabetes and the Family’. Many countries struggling with the rise of type 2 diabetes have focused on the affliction of prediabetes and diabetes in young women.
{"title":"Focus on the fetus through enhanced maternal care: the way forward for diabetes and cardiovascular disease prevention","authors":"I. A. Jayawardane, S. Sudasinghe, C. Wijeratne","doi":"10.4038/sljpm.v2i1.36","DOIUrl":"https://doi.org/10.4038/sljpm.v2i1.36","url":null,"abstract":"Type 2 diabetes is considered the ‘mother of all diseases’ due to its macrovascular and microvascular complications negatively impacting on quality of life. It has a huge impact on well-being of South Asian populations being number one cause for premature disability and death. Its impact on economic development of lower and middle-income countries being significant, saw heads of states pledge at the UN general assembly 2011 to pay special attention in enhancing healthy lifestyle. This initiative has been unable to stem the tide in the next decade. The global prevalence of diabetes and related metabolic disease has risen exponentially. Worldwide trends of age-standardized diabetes prevalence increased from 4.3% in 1980 to 9.0% in 2014 in men, and from 5.0% to 7.9% in women, with women surpassing men with advancing age. In 2019, a total of 463 million people was estimated to be living with diabetes, representing 9.3% of the global adult population (20–79 years). This is projected to increase to 578 million (10.2%) in 2030 and 700 million (10.9%) in 2045. The prevalence of diabetes in women in 2019 was estimated to be 9.0%, and 9.6% in men. The increase in diabetes prevalence with age leads to a prevalence of 19.9% in people aged 65–79 years. It is well accepted that women are not far behind men in prevalence and also recognized to suffer from more severe complications. World Diabetes Day is observed on 14 November, since 2006. More recently the internationally agreed themes include ‘Healthy WomenHealthy Nation’ and ‘Diabetes and the Family’. Many countries struggling with the rise of type 2 diabetes have focused on the affliction of prediabetes and diabetes in young women.","PeriodicalId":273627,"journal":{"name":"Sri Lanka Journal of Perinatal Medicine","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128885483","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}
Baby Friendly Hospital Initiative which was introduced by WHO introduced to Sri Lanka in 1992. Main mission of this program was to promote exclusive breast feeding (XBF) under which all health care staff had multiple training sessions. Public Health Midwives (PHM) are pivotal in this mission both in fields as well as in hospitals. And their knowledge on breast feeding is crucial since they are directly involved in health education and management of lactating mothers. Despite measures undertaken to disseminate and update knowledge on XBF, mis-concepts and ill practices still prevail and is a major hindrance to achieve above goal. This descriptive cross-sectional study was planned to assess knowledge and concepts of XBF among a cohort of PHMs in the government sector. 234 midwives attending CME sessions in 3 districts were assessed based on a questionnaire regarding exclusive breast feeding (XBF). Despite the satisfactory overall performance, results revealed gaps in basic knowledge and concepts of breast-feeding practices among midwives. PHMs showed satisfactory knowledge on important properties of colostrum and breast milk, management of common breast conditions during lactation and indications for EBM. However, participants knowledge on practical aspects of XBF such as frequency of breast feeding was unsatisfactory and the 45.7% did not appreciate the concept of demand feeding. This study revealed that important aspects of mis-concepts still prevail among PHMs which needs to be addressed in order to promote XBF among mothers.
{"title":"A survey of knowledge and concepts of Public Health Midwives on exclusive breast feeding, in three districts of Sri Lanka","authors":"M. Guruge, S. Suthesan","doi":"10.4038/sljpm.v2i1.35","DOIUrl":"https://doi.org/10.4038/sljpm.v2i1.35","url":null,"abstract":"Baby Friendly Hospital Initiative which was introduced by WHO introduced to Sri Lanka in 1992. Main mission of this program was to promote exclusive breast feeding (XBF) under which all health care staff had multiple training sessions. Public Health Midwives (PHM) are pivotal in this mission both in fields as well as in hospitals. And their knowledge on breast feeding is crucial since they are directly involved in health education and management of lactating mothers. Despite measures undertaken to disseminate and update knowledge on XBF, mis-concepts and ill practices still prevail and is a major hindrance to achieve above goal. This descriptive cross-sectional study was planned to assess knowledge and concepts of XBF among a cohort of PHMs in the government sector. 234 midwives attending CME sessions in 3 districts were assessed based on a questionnaire regarding exclusive breast feeding (XBF). Despite the satisfactory overall performance, results revealed gaps in basic knowledge and concepts of breast-feeding practices among midwives. PHMs showed satisfactory knowledge on important properties of colostrum and breast milk, management of common breast conditions during lactation and indications for EBM. However, participants knowledge on practical aspects of XBF such as frequency of breast feeding was unsatisfactory and the 45.7% did not appreciate the concept of demand feeding. This study revealed that important aspects of mis-concepts still prevail among PHMs which needs to be addressed in order to promote XBF among mothers.","PeriodicalId":273627,"journal":{"name":"Sri Lanka Journal of Perinatal Medicine","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134224302","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":"Guideline on management of Persistent pulmonary hypertension (PPHN) of the newborn using inhaled Nitric Oxide therapy","authors":"R. Perera, A. Gupta","doi":"10.4038/sljpm.v2i1.34","DOIUrl":"https://doi.org/10.4038/sljpm.v2i1.34","url":null,"abstract":"","PeriodicalId":273627,"journal":{"name":"Sri Lanka Journal of Perinatal Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115841326","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}
W. S. Samaranayake, T. Prasadani, A. Athapathu, A. A. Aruppala, R. Perera
{"title":"Neonate with Aplasia Cutis Congenita associated with Foetus Papyraceus","authors":"W. S. Samaranayake, T. Prasadani, A. Athapathu, A. A. Aruppala, R. Perera","doi":"10.4038/sljpm.v2i1.37","DOIUrl":"https://doi.org/10.4038/sljpm.v2i1.37","url":null,"abstract":"","PeriodicalId":273627,"journal":{"name":"Sri Lanka Journal of Perinatal Medicine","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121023079","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}
Sri Lanka being a middle-income country with per-capita GDP of 3852 US$ in 2019, has indicators that reflect satisfactory overall health status of the population. The infant mortality rate and the maternal mortality rate in Sri Lanka are among the lowest in South East Asian region. For the Year 2019, Neonatal mortality rate (7.0 per 1000 live births), Infant mortality rate (10.5 per 1000 live births), under-five mortality rate (11 per 1000 live births). Maternal Mortality Rate (32.0 deaths per 100,000 live births in 2018) [28.8 deaths per 100,000 live Births in 2019 (Provisional)]. The population growth rate has reached 0.6% in 2019 with a total fertility rate 2.2 per woman which is close to the population replacement level.
{"title":"‘Excellence in perinatal care through research, training and audit’","authors":"Sanath Lanerolle","doi":"10.4038/sljpm.v2i1.33","DOIUrl":"https://doi.org/10.4038/sljpm.v2i1.33","url":null,"abstract":"Sri Lanka being a middle-income country with per-capita GDP of 3852 US$ in 2019, has indicators that reflect satisfactory overall health status of the population. The infant mortality rate and the maternal mortality rate in Sri Lanka are among the lowest in South East Asian region. For the Year 2019, Neonatal mortality rate (7.0 per 1000 live births), Infant mortality rate (10.5 per 1000 live births), under-five mortality rate (11 per 1000 live births). Maternal Mortality Rate (32.0 deaths per 100,000 live births in 2018) [28.8 deaths per 100,000 live Births in 2019 (Provisional)]. The population growth rate has reached 0.6% in 2019 with a total fertility rate 2.2 per woman which is close to the population replacement level.","PeriodicalId":273627,"journal":{"name":"Sri Lanka Journal of Perinatal Medicine","volume":"38 9","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131992430","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":"Perinatal care in Sri Lanka – the past, present and future","authors":"D. Gunasekera","doi":"10.4038/sljpm.v2i1.32","DOIUrl":"https://doi.org/10.4038/sljpm.v2i1.32","url":null,"abstract":"","PeriodicalId":273627,"journal":{"name":"Sri Lanka Journal of Perinatal Medicine","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121627865","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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