E. Çağlıyan, S. Özmen, Ezgi Bilicen, Aslı Akdöner, O. Yavuz, M. Soytürk
Objective: To report a case with Crigler-Najjar syndrome type 2 of elevated bilirubin levels who was treated with triple therapy. Case(s): Crigler-Najjar syndrome is a rare congenital disorder that causes non-obstructive non-hemolytic unconjugated jaundice. The syndrome is divided into two groups according to the severity and the clinical presentation of the disease. In these cases, there is an elevated risk of antenatal death or permanent neurological impairment of the fetus due to fetal kernicterus caused by excessively increased unconjugated bilirubin levels. Phototherapy, phenobarbital and plasmapheresis can be useful in reducing serum total bilirubin concentrations, thus adverse maternal and neonatal risks. Conclusion: At her 37 weeks of gestation, the patient delivered a healthy girl. No pathological neurological findings were found and the baby had normal growth with intact neurological development.
{"title":"Management of a pregnancy with Crigler-Najjar syndrome type 2: a case report","authors":"E. Çağlıyan, S. Özmen, Ezgi Bilicen, Aslı Akdöner, O. Yavuz, M. Soytürk","doi":"10.2399/prn.23.0311007","DOIUrl":"https://doi.org/10.2399/prn.23.0311007","url":null,"abstract":"Objective: To report a case with Crigler-Najjar syndrome type 2 of elevated bilirubin levels who was treated with triple therapy. Case(s): Crigler-Najjar syndrome is a rare congenital disorder that causes non-obstructive non-hemolytic unconjugated jaundice. The syndrome is divided into two groups according to the severity and the clinical presentation of the disease. In these cases, there is an elevated risk of antenatal death or permanent neurological impairment of the fetus due to fetal kernicterus caused by excessively increased unconjugated bilirubin levels. Phototherapy, phenobarbital and plasmapheresis can be useful in reducing serum total bilirubin concentrations, thus adverse maternal and neonatal risks. Conclusion: At her 37 weeks of gestation, the patient delivered a healthy girl. No pathological neurological findings were found and the baby had normal growth with intact neurological development.","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"40 10","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72458807","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}
Objective: Umbilical cord clamping time is a situation that should be planned before delivery. It is recommended that the umbilical cord be clamped for at least 30–60 seconds after birth in healthy preterm and term newborns. There are few studies investigating the effect of umbilical cord clamping time on cord blood gas. If the umbilical cord is clamped before 30 seconds after birth, it is considered early clamping, and if it is clamped after 30 seconds, it is considered late clamping. In this study, we aimed to compare the early or late clamping time of the umbilical cord with the acid-base parameters and lactate values of babies. Methods: A total of 217 term newborn infants who were delivered by cesarean section between December 2020 and December 2021 in our hospital, whose umbilical cord clamping times were recorded and who had cord blood samples, were included in our study retrospectively. pH, pCO2, pO2, HCO3, BE, lactate, Hb and bilirubin values in cord blood gas samples were compared between the two groups. Results: Two hundred seventeen term newborn babies were included in the study. Cord clamping time of infants was delayed in 125 (57.6%) and early in 92 (42.4%) infants. The mean pH in cord blood gas was 7.37±0.07 (7.16–7.57), pCO2 was 39.73 ±8.97 (20.3–65.4) mmHg, pO2 was 53.42±41.95 (14.8–198) mmHg, BE was -2.18±2.90 (-11.9–13.6) mmol/L, lactate was 2.12±0.88 (0.50–5.90) mmol/L, Hb was 14.57± 2.54 (10–23.7) g/dl, and bilirubin was 1.71±1.33 (0–3.7) mg/dl. Conclusion: There was no significant relationship between early and late clamping of the umbilical cord and acid-base parameters, and hemoglobin values in cord blood gas in term newborn babies delivered by cesarean section.
{"title":"The effect of cord clamping time on cord blood gas in term newborn babies delivered by cesarean section","authors":"S. Tanrıverdi, Burak Pelit, İbrahim Tekinli","doi":"10.2399/prn.23.0311001","DOIUrl":"https://doi.org/10.2399/prn.23.0311001","url":null,"abstract":"Objective: Umbilical cord clamping time is a situation that should be planned before delivery. It is recommended that the umbilical cord be clamped for at least 30–60 seconds after birth in healthy preterm and term newborns. There are few studies investigating the effect of umbilical cord clamping time on cord blood gas. If the umbilical cord is clamped before 30 seconds after birth, it is considered early clamping, and if it is clamped after 30 seconds, it is considered late clamping. In this study, we aimed to compare the early or late clamping time of the umbilical cord with the acid-base parameters and lactate values of babies. Methods: A total of 217 term newborn infants who were delivered by cesarean section between December 2020 and December 2021 in our hospital, whose umbilical cord clamping times were recorded and who had cord blood samples, were included in our study retrospectively. pH, pCO2, pO2, HCO3, BE, lactate, Hb and bilirubin values in cord blood gas samples were compared between the two groups. Results: Two hundred seventeen term newborn babies were included in the study. Cord clamping time of infants was delayed in 125 (57.6%) and early in 92 (42.4%) infants. The mean pH in cord blood gas was 7.37±0.07 (7.16–7.57), pCO2 was 39.73 ±8.97 (20.3–65.4) mmHg, pO2 was 53.42±41.95 (14.8–198) mmHg, BE was -2.18±2.90 (-11.9–13.6) mmol/L, lactate was 2.12±0.88 (0.50–5.90) mmol/L, Hb was 14.57± 2.54 (10–23.7) g/dl, and bilirubin was 1.71±1.33 (0–3.7) mg/dl. Conclusion: There was no significant relationship between early and late clamping of the umbilical cord and acid-base parameters, and hemoglobin values in cord blood gas in term newborn babies delivered by cesarean section.","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"39 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73352154","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}
Ömer Gökhan Eyisoy, L. Uygur, Ü. Taşdemir, Ç. Özgökçe, Büşra Cambaztepe, O. Demirci
Objective: To evaluate fetal anomalies and processes leading to termination of pregnancy in the third trimester. Methods: The study includes all cases who underwent termination of pregnancy after 28 weeks of gestation due to fetal anomalies between 2017 and 2022. Results: Forty four of third trimester terminations were carried out in our clinic due to fetal anomalies incompatible with life or associated with severe sequelae. Structural anomalies including 35 (79.5%) cases were the most common reason of terminations followed by chromosomal or genetic abnormalities in 8 (18.2%) cases and intrauterine cytomegalovirus infection in 1 (2.3%) case. The processes leading to the third trimester termination were evaluated by dividing 44 patients into 5 groups. (1) Delayed diagnosis due to inadequate prenatal care (25 patients, 56.8%); (2) patients diagnosed with late-onset findings (5 patients, 11.4%); (3) patients with abnormal findings in prenatal care or history but delayed diagnosis (5 patients, 11.4%); (4) patients with abnormal findings requiring further evaluation (4 patients, 9.0%); (5) patients with a definitive diagnosis but latency in the decision of family for termination of pregnancy (5 patients, 11.4%). Conclusion: Termination of pregnancy in the third trimester has an important role in countries where unfollowed pregnancies are common and access to health services is poor due to low socio-economic status.
{"title":"Analysis of the process leading to termination of pregnancy in the third trimester","authors":"Ömer Gökhan Eyisoy, L. Uygur, Ü. Taşdemir, Ç. Özgökçe, Büşra Cambaztepe, O. Demirci","doi":"10.2399/prn.23.0311011","DOIUrl":"https://doi.org/10.2399/prn.23.0311011","url":null,"abstract":"Objective: To evaluate fetal anomalies and processes leading to termination of pregnancy in the third trimester. Methods: The study includes all cases who underwent termination of pregnancy after 28 weeks of gestation due to fetal anomalies between 2017 and 2022. Results: Forty four of third trimester terminations were carried out in our clinic due to fetal anomalies incompatible with life or associated with severe sequelae. Structural anomalies including 35 (79.5%) cases were the most common reason of terminations followed by chromosomal or genetic abnormalities in 8 (18.2%) cases and intrauterine cytomegalovirus infection in 1 (2.3%) case. The processes leading to the third trimester termination were evaluated by dividing 44 patients into 5 groups. (1) Delayed diagnosis due to inadequate prenatal care (25 patients, 56.8%); (2) patients diagnosed with late-onset findings (5 patients, 11.4%); (3) patients with abnormal findings in prenatal care or history but delayed diagnosis (5 patients, 11.4%); (4) patients with abnormal findings requiring further evaluation (4 patients, 9.0%); (5) patients with a definitive diagnosis but latency in the decision of family for termination of pregnancy (5 patients, 11.4%). Conclusion: Termination of pregnancy in the third trimester has an important role in countries where unfollowed pregnancies are common and access to health services is poor due to low socio-economic status.","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"4 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75238093","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}
Objective: This study aimed to compare spot urine protein-to-creatinine ratio and 24-hour urine methods in pregnant patients and to evaluate the accuracy of spot urine protein-to-creatinine ratio against the reference standard 24-hour urine method. Methods: This retrospective study included 399 pregnant patients diagnosed with proteinuria, gestational hypertension, or preeclampsia. Urinary protein concentrations were measured by spot dipstick urine analysis, spot urinary protein-to-creatinine, and 24-hour total proteinuria via 24-hour urine collection. The 24-hour total proteinuria measurement was accepted as the reference standard for diagnosis of proteinuria, and significant proteinuria was defined ≥300 mg of protein in the 24-hour urine collection. Results: According to the receiver operating characteristics analysis of the spot urinary protein-to-creatinine ratio measurements, the cut-off value of the protein-to-creatinine ratio method was ≥0.443 mg protein/mg creatinine, the area under the curve was 0.887, the sensitivity was 77.14%, the specificity was 87.76%, and the accuracy was 84.96%. According to the receiver operating characteristics analysis of the 24-hour total proteinuria measurements, these values were >0.405 mg/day, 0.874, 82.86%, 84.64%, and 84.17%, respectively. No difference was observed between these two proteinuria methods regarding the receiver operating characteristics analysis (p=0.475). There was a strong and significant correlation between the spot urine protein-to-creatinine ratio and the 24-hour total proteinuria (r=0.842, p<0.001). Conclusion: Our findings revealed that there was a strong and significant correlation between the spot urine protein-to-creatinine ratio and the 24-hour total proteinuria, and it may be used as an alternative to the 24-hour total proteinuria. In addition, the spot urine protein-to-creatinine ratio is noteworthy, especially in an emergency situation in pregnant women for whom the time is limited to make a rapid clinical decision.
{"title":"Comparison of proteinuria diagnostic methods in pregnant patients","authors":"Ö. Özdemir, Gökhan Bolluk, U. Çoban","doi":"10.2399/prn.23.0311012","DOIUrl":"https://doi.org/10.2399/prn.23.0311012","url":null,"abstract":"Objective: This study aimed to compare spot urine protein-to-creatinine ratio and 24-hour urine methods in pregnant patients and to evaluate the accuracy of spot urine protein-to-creatinine ratio against the reference standard 24-hour urine method. Methods: This retrospective study included 399 pregnant patients diagnosed with proteinuria, gestational hypertension, or preeclampsia. Urinary protein concentrations were measured by spot dipstick urine analysis, spot urinary protein-to-creatinine, and 24-hour total proteinuria via 24-hour urine collection. The 24-hour total proteinuria measurement was accepted as the reference standard for diagnosis of proteinuria, and significant proteinuria was defined ≥300 mg of protein in the 24-hour urine collection. Results: According to the receiver operating characteristics analysis of the spot urinary protein-to-creatinine ratio measurements, the cut-off value of the protein-to-creatinine ratio method was ≥0.443 mg protein/mg creatinine, the area under the curve was 0.887, the sensitivity was 77.14%, the specificity was 87.76%, and the accuracy was 84.96%. According to the receiver operating characteristics analysis of the 24-hour total proteinuria measurements, these values were >0.405 mg/day, 0.874, 82.86%, 84.64%, and 84.17%, respectively. No difference was observed between these two proteinuria methods regarding the receiver operating characteristics analysis (p=0.475). There was a strong and significant correlation between the spot urine protein-to-creatinine ratio and the 24-hour total proteinuria (r=0.842, p<0.001). Conclusion: Our findings revealed that there was a strong and significant correlation between the spot urine protein-to-creatinine ratio and the 24-hour total proteinuria, and it may be used as an alternative to the 24-hour total proteinuria. In addition, the spot urine protein-to-creatinine ratio is noteworthy, especially in an emergency situation in pregnant women for whom the time is limited to make a rapid clinical decision.","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"48 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73807941","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}
Objective: To compare Fenton and Intergrowth-21st growth charts in assessing the growth pattern of preterm infants at birth and at discharge. Methods: This is a retrospective study conducted over a period of 1 year. The study included the neonates born at ≤34 weeks of gestation who are admitted and stayed for ≥14 days in our hospital. The data was collected from discharge sheets and electronic database. The weight of all babies at birth and at discharge was collected. Growth was assessed based on Fenton and Intergrowth-21st growth charts. The small for gestational age (SGA) was defined as birth weight ≤-1.28SD. The extrauterine growth restriction (EUGR) status of babies was assessed by a criteria of ≤-1.28SD at discharge. Results: Most common preterm phenotype was spontaneous preterm labor (47.4%), and the rate of singleton birth was 78.9%. The mean gestational age and birth weight of babies were 31.6±1.42 weeks and 1608.06±275 g, respectively. We found the rates of SGA in our group 15.2% and 13.5%, and appropriate for gestational age (AGA) 80.5% and 82.2%, respectively by using Intergrowth and Fenton growth charts. The EUGR rates in our group were 72.8% and 81.3%, respectively, on Intergrowth-21st and Fenton growth charts using a criteria of ≤-1.28SD at discharge. Conclusion: There is no statistical difference between Fenton and Intergrowth-21st charts in identifying SGA and EUGR. However, the rate of EUGR is higher in Fenton charts than intergrowth-21st charts.
{"title":"Comparison of Fenton and Intergrowth-21st growth charts: a retrospective study of preterm neonates at ≤34 weeks","authors":"K. Haridas, M. Solaiappan, Muthukumaran Natarajan","doi":"10.2399/prn.23.0311002","DOIUrl":"https://doi.org/10.2399/prn.23.0311002","url":null,"abstract":"Objective: To compare Fenton and Intergrowth-21st growth charts in assessing the growth pattern of preterm infants at birth and at discharge. Methods: This is a retrospective study conducted over a period of 1 year. The study included the neonates born at ≤34 weeks of gestation who are admitted and stayed for ≥14 days in our hospital. The data was collected from discharge sheets and electronic database. The weight of all babies at birth and at discharge was collected. Growth was assessed based on Fenton and Intergrowth-21st growth charts. The small for gestational age (SGA) was defined as birth weight ≤-1.28SD. The extrauterine growth restriction (EUGR) status of babies was assessed by a criteria of ≤-1.28SD at discharge. Results: Most common preterm phenotype was spontaneous preterm labor (47.4%), and the rate of singleton birth was 78.9%. The mean gestational age and birth weight of babies were 31.6±1.42 weeks and 1608.06±275 g, respectively. We found the rates of SGA in our group 15.2% and 13.5%, and appropriate for gestational age (AGA) 80.5% and 82.2%, respectively by using Intergrowth and Fenton growth charts. The EUGR rates in our group were 72.8% and 81.3%, respectively, on Intergrowth-21st and Fenton growth charts using a criteria of ≤-1.28SD at discharge. Conclusion: There is no statistical difference between Fenton and Intergrowth-21st charts in identifying SGA and EUGR. However, the rate of EUGR is higher in Fenton charts than intergrowth-21st charts.","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"1 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79986288","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}
Objective: To compare the efficacy of different non-pharmacological interventions (kangaroo care, cuddling, playing white noise, ambient sound) applied to newborns during the heel stick procedure on newborns’ pain level, duration of crying, and voice decibel. Methods: This is a prospective, randomized controlled trial including pre- and post-tests of four groups. The setting is a neonatal intensive care unit in Türkiye. One hundred and thirty-six newborns were recruited. Newborns were randomly assigned to four groups (i) kangaroo care, (ii) cuddling, (iii) white noise, and (iv) ambient sound. Pain measures were recorded 1 minute before, during, and 3 minutes after blood collection based on the Neonatal Infant Pain Scale (NIPS). Results: There was a significant difference between the pain levels (χ2=16.910, p=.001) and durations of crying (χ2=13.888, p=.003) during the heel stick procedure of the newborns depending on the non-pharmacological intervention. The pain levels of newborns who received kangaroo care were significantly lower compared to those who were listened to ambient sound during the procedure. The newborns’ durations of crying who received kangaroo care and who were lapped by their mothers during the heel stick procedure were also lower than those who are listened to ambient sound. There was no significant difference between the highest sound decibel levels of newborns after the procedure due to the non-pharmacological intervention applied during the heel stick procedure. Conclusion: Kangaroo care was more effective in reducing pain level and duration of crying. The non-pharmacological interventions had no effects on the highest sound decibel levels of newborns.
{"title":"Comparison of the efficacy of non-pharmacological interventions during the heel stick procedure on pain level, duration of crying, and voice decibel of newborns: a randomized controlled trial","authors":"P. Duru, Zehra Akkoca, Ö. Örsal","doi":"10.2399/prn.23.0311006","DOIUrl":"https://doi.org/10.2399/prn.23.0311006","url":null,"abstract":"Objective: To compare the efficacy of different non-pharmacological interventions (kangaroo care, cuddling, playing white noise, ambient sound) applied to newborns during the heel stick procedure on newborns’ pain level, duration of crying, and voice decibel. Methods: This is a prospective, randomized controlled trial including pre- and post-tests of four groups. The setting is a neonatal intensive care unit in Türkiye. One hundred and thirty-six newborns were recruited. Newborns were randomly assigned to four groups (i) kangaroo care, (ii) cuddling, (iii) white noise, and (iv) ambient sound. Pain measures were recorded 1 minute before, during, and 3 minutes after blood collection based on the Neonatal Infant Pain Scale (NIPS). Results: There was a significant difference between the pain levels (χ2=16.910, p=.001) and durations of crying (χ2=13.888, p=.003) during the heel stick procedure of the newborns depending on the non-pharmacological intervention. The pain levels of newborns who received kangaroo care were significantly lower compared to those who were listened to ambient sound during the procedure. The newborns’ durations of crying who received kangaroo care and who were lapped by their mothers during the heel stick procedure were also lower than those who are listened to ambient sound. There was no significant difference between the highest sound decibel levels of newborns after the procedure due to the non-pharmacological intervention applied during the heel stick procedure. Conclusion: Kangaroo care was more effective in reducing pain level and duration of crying. The non-pharmacological interventions had no effects on the highest sound decibel levels of newborns.","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"38 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72688924","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}
Objective: The study aimed to identify the effects of restless legs syndrome (RLS) on sleep quality and quality of life in pregnant women.Methods: This comparative and descriptive study was conducted with 109 pregnant women between the 24 and 39 weeks of gestation. The presence and severity of RLS were investigated using the International Restless Legs Syndrome Study Group’s Diagnostic Criteria Scale and Severity Rating Scale, and the effects of the syndrome on sleep and quality of life were evaluated. Results: The prevalence of RLS in pregnant women was found to be 47.7%. In the RLS group, 22.0% of the pregnant women had severe RLS symptoms and 20.2% had moderate RLS symptoms. The mean score for Restless Legs Syndrome Severity Rating Scale was determined 20.75±6.38. The mean score for quality of life scale was determined 17.75±3.73 in RLS group and 26.46±2.67 in non-RLS group. Conclusion: The difference between the mean scores for Pittsburgh Sleep Quality Index of the pregnant women with RLS and those without the syndrome was found to be statistically significant. While the mean score for Quality of Life Scale in pregnant women with RLS was lower in general health, physical health and psychological health sub-dimensions, no statistically significant difference was found in social relations and environment sub-dimensions. It is recommended that nurses investigate RLS complaints of pregnant women and include non-pharmacological methods in their nursing practices.
{"title":"The effects of restless legs syndrome on sleep and quality of life during pregnancy: a comparative descriptive study","authors":"İffet Güler Kaya, D. Koçak","doi":"10.2399/prn.23.0311008","DOIUrl":"https://doi.org/10.2399/prn.23.0311008","url":null,"abstract":"Objective: The study aimed to identify the effects of restless legs syndrome (RLS) on sleep quality and quality of life in pregnant women.Methods: This comparative and descriptive study was conducted with 109 pregnant women between the 24 and 39 weeks of gestation. The presence and severity of RLS were investigated using the International Restless Legs Syndrome Study Group’s Diagnostic Criteria Scale and Severity Rating Scale, and the effects of the syndrome on sleep and quality of life were evaluated. Results: The prevalence of RLS in pregnant women was found to be 47.7%. In the RLS group, 22.0% of the pregnant women had severe RLS symptoms and 20.2% had moderate RLS symptoms. The mean score for Restless Legs Syndrome Severity Rating Scale was determined 20.75±6.38. The mean score for quality of life scale was determined 17.75±3.73 in RLS group and 26.46±2.67 in non-RLS group. Conclusion: The difference between the mean scores for Pittsburgh Sleep Quality Index of the pregnant women with RLS and those without the syndrome was found to be statistically significant. While the mean score for Quality of Life Scale in pregnant women with RLS was lower in general health, physical health and psychological health sub-dimensions, no statistically significant difference was found in social relations and environment sub-dimensions. It is recommended that nurses investigate RLS complaints of pregnant women and include non-pharmacological methods in their nursing practices.","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"91 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80411109","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}
We conducted a narrative review to assess the use and effectiveness of breathing techniques for pain control as the only non-pharmacological resource during labor and childbirth. A search was conducted using PubMed, PEDro, SciELO, and Scopus with publications between January 2005 and September 2021 in English, Portuguese, or Spanish. Seven publications were selected. Most of the articles reported on the use of slow and deep breathing during contractions in the first stage of labor and breathing associated with pushing-down efforts in the second stage. The information regarding the moment when guidance on the use of the techniques was provided varied across studies. According to the reviewed papers, breathing techniques offer benefits for women in labor without adverse effects on newborns.
{"title":"Breathing Techniques During Labor: A Multinational Narrative Review of Efficacy.","authors":"Maria Augusta Heim, Maria Yolanda Makuch","doi":"10.1891/JPE-2021-0029","DOIUrl":"10.1891/JPE-2021-0029","url":null,"abstract":"<p><p>We conducted a narrative review to assess the use and effectiveness of breathing techniques for pain control as the only non-pharmacological resource during labor and childbirth. A search was conducted using PubMed, PEDro, SciELO, and Scopus with publications between January 2005 and September 2021 in English, Portuguese, or Spanish. Seven publications were selected. Most of the articles reported on the use of slow and deep breathing during contractions in the first stage of labor and breathing associated with pushing-down efforts in the second stage. The information regarding the moment when guidance on the use of the techniques was provided varied across studies. According to the reviewed papers, breathing techniques offer benefits for women in labor without adverse effects on newborns.</p>","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"32 1","pages":"23-34"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9822559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10578685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marjaana Siivola, Eero Tiainen, Eeva Ekholm, Teemu Leinonen, Lauri Malmi
During the pandemic in Finland, most childbirth education (CBE) programs were canceled or transferred online. We aimed to improve the situation by developing a virtual reality (VR) CBE. This article describes the process of developing a VR CBE pilot program and the results from the preliminary user test. To create the VR experience, we used 360° videos as the main content. The program is usable with VR headsets, a computer, tablet, and smartphone. When using the program with a VR headset, the users felt they were in the birthing room; they did not feel motion sickness, nor did they have usability challenges. The users preferred using the program on their own, studying independently with a tablet or mobile device.
{"title":"Virtual Reality Childbirth Education With 360° Videos.","authors":"Marjaana Siivola, Eero Tiainen, Eeva Ekholm, Teemu Leinonen, Lauri Malmi","doi":"10.1891/JPE-2021-0021","DOIUrl":"10.1891/JPE-2021-0021","url":null,"abstract":"<p><p>During the pandemic in Finland, most childbirth education (CBE) programs were canceled or transferred online. We aimed to improve the situation by developing a virtual reality (VR) CBE. This article describes the process of developing a VR CBE pilot program and the results from the preliminary user test. To create the VR experience, we used 360° videos as the main content. The program is usable with VR headsets, a computer, tablet, and smartphone. When using the program with a VR headset, the users felt they were in the birthing room; they did not feel motion sickness, nor did they have usability challenges. The users preferred using the program on their own, studying independently with a tablet or mobile device.</p>","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"32 1","pages":"35-47"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9822558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10529560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In this column Henci Goer shares the stories of her two births and how those births shaped her life's work. With her first birth she believed that her caregivers knew better than she what was right for her. During the birth she was ignored. She was left feeling distressed and diminished. Her second birth was dramatically different. She was an active participant, listened to, respected and part of decision-making. She highlights that no matter how difficult the birth, whether things go as planned or not, the joy, the pride, the satisfaction with birth comes with being listened to, respected, and part of decision-making. This birth story is an excerpt from Henci Goer's recent publication, Labor Pain: What's Your Best Strategy? (2022).
{"title":"My Story: The Transforming Power of Birth.","authors":"Henci Goer","doi":"10.1891/JPE-2022-0023","DOIUrl":"10.1891/JPE-2022-0023","url":null,"abstract":"<p><p>In this column Henci Goer shares the stories of her two births and how those births shaped her life's work. With her first birth she believed that her caregivers knew better than she what was right for her. During the birth she was ignored. She was left feeling distressed and diminished. Her second birth was dramatically different. She was an active participant, listened to, respected and part of decision-making. She highlights that no matter how difficult the birth, whether things go as planned or not, the joy, the pride, the satisfaction with birth comes with being listened to, respected, and part of decision-making. This birth story is an excerpt from Henci Goer's recent publication, Labor Pain: What's Your Best Strategy? (2022).</p>","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"32 1","pages":"6-7"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9822557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10574563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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