Kind Of Delivery Research Articles

Proportion and factors influencing client satisfaction with delivery services in health facilities in the Sissala East Municipality, Ghana: A cross-sectional study.

Client satisfaction is the difference between the healthcare services delivered and the needs of the client. Anecdotal evidence suggests the quality of maternal health and delivery services in Ghana especially in the Upper West Region is appalling. Moreover, there is a paucity of data on clients' satisfaction with maternal and delivery services rendered by healthcare. This study, therefore, assessed clients' satisfaction with delivery services and their associated factors. This analytical cross-sectional study included 431 women who had delivered in the last 7 days from four health facilities within Sissala East Municipality using a multistage and simple random sampling technique. A well-structured questionnaire was used to collect sociodemographic and client satisfaction data. All statistical analyses were done using Statistical Package for Social Sciences Version 26.0 and GraphPad Prism Version 8.0. A p < 0.05 was considered statistically significant. Clients' satisfaction with general delivery services was rated as 80.3% and was significantly associated with process-related factors (p < 0.0001) and structural-related factors (p < 0.0001) of the health facilities. This study found that health facilities' delivery services differed significantly and were associated with clients' satisfaction (p < 0.0001). Moreover, age group (p = 0.0200), occupation (p = 0.0090), kind of delivery (p = 0.0050), and delivery outcome (p < 0.0001) were significantly associated with client satisfaction with delivery services. More than two-thirds of women are satisfied with delivery services within selected health facilities in the Sissala East municipality, although satisfaction within health facilities differs. Furthermore, age group, occupation, kind of delivery, delivery outcome, process, and structural-related factors significantly contribute to client satisfaction with delivery services. To provide more comprehensive coverage of customers' satisfaction with delivery services in the municipality, strategiessuch as free maternal health initiatives and health education on the significance of facility delivery should be reinforced.

Ligustrazine as an Extract from Medicinal and Edible Plant Chuanxiong Encapsulated in Liposome-Hydrogel Exerting Antioxidant Effect on Preventing Skin Photoaging.

Long-term sunlight exposure will cause the accumulation of free radicals in the skin and lead to oxidative damage and aging, antioxidant drugs have gradually become the focus of research, but there is little research on antioxidant drugs for percutaneous treatment. The purpose of this study was to prepare ligustrazine hydrochloride (TMPZ)-loaded liposome-hydrogel (TMPZ-LG), evaluate its antioxidant properties, and apply it on the skin of mice to observe whether it had preventive and therapeutic effect on the irradiation under the ultraviolet rays, in an attempt to make it into a new kind of delivery through the skin. TMPZ-LG was prepared by the combination of film dispersion and sodium carboxymethylcellulose (2%, CMC-Na) natural swelling method. The release rates in vitro permeation across the dialysis membrane and ex vivo transdermal had both reached 40%; the scavenging effect of TMPZ-LG on 1,1-diphenyl-2-picrylhydrazyl (DPPH) and H2O2 were 65.57 ± 4.13% and 73.06 ± 5.65%; the inhibition rate of TMPZ-LG on malondialdehyde (MDA) production in liver homogenate and anti-low density lipoprotein (LDL) oxidation experiments ex vivo were 15.03 ± 0.9% and 21.57 ± 1.2%. Compared with untreated mice, the skin pathological symptoms of mice coated with TMPZ-LG were significantly reduced after ultraviolet irradiation, and there was statistical significance. The results showed TMPZ-LG could exert good antioxidant activity in vitro and ex vivo; therefore, it is feasible to prevent and treat skin oxidation.

Impact Mode of Delivery on Breastfeeding Practice Among Women Delivering in Maternity Teaching Hospital Sulaimani City

Background: Breastfeeding is a factor in the health of both the kid and the mother. However, research on how a manner of birth affects breastfeeding is scarce. Caesarean section rates are high, and breastfeeding rates are low, which are major public health problems in all developing countries. Objective: The study aimed to evaluate the impact mode of delivery on breastfeeding practices. Methods: A quantitative/prospective longitudinal study was conducted in a maternity teaching hospital from April 24 to October 5, 2021. The study included 215 patients, 105 of whom had a cesarean section and 110 of whom had a vaginal delivery. The participants were followed for two months after childbirth. A questionnaire was used to collect demographic information and the kind of delivery. In-person interviews were used to finish all of the subjects.Using SPSS version 24 software, researchers analyzed and interpreted data using descriptive statistical analysis, inferential chi-square test, and multivariate conditional logistic regression statistical analysis. Results: The study found that women who gave birth vaginally were more likely than those who had a cesarean section to breastfeed during the first hour following birth. In terms of skin-to-skin contact immediately after birth, rooming-in, the initiation of breastfeeding, from delivery to first breastfeeding duration, barriers to exclusive breastfeeding, and many lactations per day, there was a statistically significant difference between mothers who had vaginal deliveries and mothers who had caesarean deliveries. Conclusion: After two months of follow-up, the study found a statistically significant relationship between mode of delivery and breastfeeding practice.

Mobile Computing with a Smart Cricket Ball: Discovery of Novel Performance Parameters and Their Practical Application to Performance Analysis, Advanced Profiling, Talent Identification and Training Interventions of Spin Bowlers.

Introduction: Profiling of cricket bowlers is performed with motion analyses systems that require the placement of markers on the bowler’s body and on the ball. Conventional smart balls such as cricket and baseballs provide only one speed and one spin rate datum at the release point, which is insufficient for biomechanical profiling. Method: In this study, we used an advanced smart cricket ball that measures the angular velocity at 815 Hz and calculates four further physical performance parameters (resultant torque, spin torque, power and angular acceleration) and five new skill parameters (precession, normalised precession, precession torque, efficiency and ratio of angular acceleration to spin rate), which we used for profiling and talent identification of spin bowlers. Results: The results showed that the spin rate is a function of physical (torque) and skill proficiency, namely how efficiently the torque is converted to angular velocity rather than being wasted for precession. The kind of delivery also influences the efficiency, as finger-spin deliveries were less efficient than wrist-spin ones by 6.8% on average; and topspin deliveries were generally more efficient than backspin ones by 15% on average. We tested three bowlers in terms of physical and skill performance during a 10-over spell, revealing that some parameters can improve or decline. When profiling a topspinner, we detected from the performance parameters a lower skill performance than expected, because there was an initial arm motion for backspin delivery before releasing the ball with a topspin. After training intervention, the skill parameters improved significantly (the efficiency increased from 39% to 59%). Conclusions: The advanced smart cricket ball is a classic example of mobile computing for sport performance analysis that can conducted indoors as well as outdoors, generating instant data from 10 performance parameters that provide critical feedback to the coach and bowler.

WITHDRAWN: Comparing Nucleated Red Blood Cells in Neonates with and without Retinopathy

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The Relationship between the Kind of Delivery and 5 Indexes of Mother and Baby's Health Before and After Implementing Health Reform Plan in Selected Hospitals of Azarbaijan Sharghi

Introduction and aim: To improve the individuals' health, reforms should be made in the health systems. As a result, assessing the impacts of reforms is a way to evaluate the effectiveness of the health system. The aim of this study was to study the relationship between the kind of delivery and the five indexes of mother and baby's health before and after implementing the health reform plan in selected hospitals of Azarbaijan Sharghi, Iran. Issues and methods: This descriptive-analytical study was conducted in 2017. The study was conducted among eight educational, medical, and private hospitals. Before and after the program, 800 files were selected using simple random sampling method. The researcher made a check list with confirmed validity to extract the data. The data were analyzed using descriptive statistics and T-tests by SPSS-22. Results: The average age of mothers in the two intervals was 27 years. Most participants did not deliver before and their education was diploma or lower. The rate of natural delivery from 34.5% (before the plan) reached 44.2% (after the plan)(p&lt;0.05). The rate of mothers and babies' mortality reduced from 0.3 and 0.8 to 0 and 0.5, respectively. Mothers and babies' mortality and stillbirth had no significant difference based on the kind of delivery (p&gt;0.05). Conclusion: Findings indicated significant increase of natural delivery after the reform plan in health system. Moreover, the rate of mothers and babies' mortality decreased. These results can guide the policymakers for deciding about the course of plan and its review.

Ultrasonographic evaluation of the second stage of labor. Predictive parameters for a successful vaginal delivery with or without neuraxial analgesia: a pilot study.

The aim of the study was to evaluate the progression and rotation of the fetal head during the second stage of labor using translabial ultrasound and to compare ultrasonographic data obtained in nulliparous women both receiving and not receiving neuraxial analgesia. The 49 patients enrolled in the study were divided into two groups according to receiving or not receiving neuraxial analgesia. Every half hour from full dilation to delivery, the ultrasonographic translabial parameters of Angle of Progression, Head Symphysis Distance, and Midline Angle were obtained and recorded by a single operator. Then, these records were compared between the two groups of patients. Patients that underwent neuraxial analgesia presented with increased duration of the second stage of labor, with mean values of Angle of Progression significantly higher and of Midline Angle significantly lower for each time interval studied compared to patients without analgesia. A borderline significant relationship was found between administration of neuraxial analgesia and Head Symphysis Distance. In this study, we demonstrated that combined spinal-epidural analgesia influences the duration of the second stage of labor and the initial progression and rotation of the fetal head through the birth canal, but not the kind of delivery. A correlation between Angle of Progression values and success in the application of a vacuum has been reported by other authors and confirmed in our study.

Evaluation of the Maternal Health Indicators: An Ecological Study from 2000 to 2014

The aiming of this worksheet is to evaluate and to compare the quantity of prenatal appointment indicators; childbirth by kind of delivery; maternal mortality coefficient and maternal deaths number. It is about an ecological, descriptive and analytical study, made through the appreciation of secondary data related to the maternal mortality in Rio Grande do Norte, from 2000 to 2014. To that, it was used information from SISPACTO to compare real data to the estimated goals. The results show that there was an increase on the number of women who performed seven or more prenatal queries, in turn, there was an increase of alive newborns through cesarean, moreover, it is observed an oscillation on the maternal deaths number by residence during the studied period, achieving superior values to the agreed goals during the last two analyzed years. It is concluded that the maternal health, in Rio Grande do Norte, negative indicators are being presented concerning the maternal mortality, in spite of presenting an improvement on the prenatal access.

Umbilical Cord Blood

Umbilical cord blood (UCB) is widely considered as a potential alternative to bone marrow for haematopoietic stem cells. Efforts on UCB research have now taken a step further with the establishment of numerous cord blood banks throughout the world. In 15 months (from December 1999 to February 2001) we obtained 863 cord blood units by withdrawing residual blood from the placenta.The method of blood collection consisted of puncturing, with an 18-gauge needle, the umbilical cord vein and withdrawing the blood into a sterile bag immediately after clamping and newborn assistance. The blood was collected when the placenta was still in utero. Analysis of the blood was also performed to exclude any bacterial contamination. Among them 429 were collected from newborns delivered vaginally (Group 1) and 434 were collected from caesarean sections (Group 2). In this study we evaluated the volume of blood collected and the number of CD34+ cells contained in the foetal cord blood and we demonstrated that these two parameters were similar between the two groups; The higher median volume of blood collected from infant delivered through a caesarean section seems mainly due to the different clamping time rather than to the kind of delivery.

Correlation between Kind of Delivery and Posttraumatic Stress Disorder.

Background:Posttraumatic stress disorder (PTSD) is a very common mental condition and a unique anxiety disorder.Aim:The present study tried to examine the correlation between kind of delivery and PTSD.Subjects and Methods:This prospective study evaluated 240 Iranian female residents of Tehran, Iran, during the third trimester of their pregnancy and 6–8 weeks after labor. Data were collected using the customized screening form, the Symptom Checklist-90, PTSD Symptom Scale (PSS), and Social Support Questionnaire. The collected data were then analyzed with SPSS software.Results:According to the participants' responses to the subscales of the PSS, reexperiencing, avoidance, and hyperarousal symptoms were present in 100, 25, and 77 participants, respectively. Moreover, 15 individuals manifested all three groups of symptoms. Therefore, the prevalence of PTSD in the studied population was 6.2%. The logistic regression analysis revealed PTSD to be 0.06 times more prevalent in women with poor social support after delivery than in those enjoying a desirable level of support (P < 0.01; odds ratio = 0.06). Based onChisquare test results, there was no significant correlation between the kind of delivery and the incidence of PTSD after delivery (P = 0.48).Conclusion:Since PTSD was more common after cesarean sections (than after vaginal deliveries), health policymakers need to develop efficient strategies to promote vaginal delivery.

The cultura interfering in the wish of kind of delivery

Objetivos: Estudo qualitativo realizado em hospital de ensino e uma unidade básica de saúde do Rio Grande do Sul, de janeiro a março de 2011, que objetivou compreender de que forma a cultura influencia no processo de parturição da mulher. Métodos: Foram entrevistadas 08 mulheres e, os dados foram analisados e interpretados conforme Análise de Conteúdo Temática. Esta análise possibilitou duas categorias: a percepção das mulheres sobre o parto desejado: e, questionamento e resistência ao modelo biomédico. Resultados: Os resultados mostram que a via de parto desejada pela maioria das entrevistadas foi o parto normal, mas constatou-se que a maioria não conseguiu realizar esse desejo, devido à influência e às intervenções recebidas do médico. Conclusões: Foi demonstrado pelas mulheres claro desagrado por algumas práticas que retiram da mulher a sua autonomia no processo da parturição sendo uma delas a falta de autonomia na escolha da via de parto normal.

Clinical management of the induction of labor in intrauterine fetal death: evaluation of incidence of cesarean section and related conditions.

To assess the incidence and conditions associated with cesarean section in a cohort of pregnant women with intrauterine fetal death (IUFD), and clinical management to anticipate the childbirth. It was a retrospective cohort study with 163 mothers with IUFD, at the second half of pregnancy, who were managed to anticipate childbirth using pharmacological preparations and/or a mechanical method (Foley catheter) in a teaching hospital in Rio de Janeiro State, Brazil. Cox regression was used to evaluate the effect of the clinical methods on the kind of delivery. The Subgroups A (misoprostol or Oxytocin), B (misoprostol and Oxytocin), and C (Foley catheter alone or combined with misoprostol and/or Oxytocin) were formed according to the applied methods. Nine out of 163 cases ended with cesarean section. The incidence of cesarean section was 3.5 per 1,000 people-hours, meaning that a pregnant woman with IUFD had a 15.6% risk of cesarean section during the first 48 hours of clinical management to anticipate childbirth. The conditions significantly associated with the mode of delivery were placental abruption (HR: 44.97), having two or more previous cesarean deliveries (HR: 10.03), and mechanical method with Foley catheter (HR: 5.01). Cesarean section was an essential conduct in this cohort and followed previous cesarean delivery and placental abruption. The effect of the mechanical method on the abdominal route suggests that the Foley catheter method was used in the most difficult cases and that the surgery was performed to ensure maternal health.

Série temporal de características maternas e de nascidos vivos em Niterói, RJ

OBJETIVOS: descrever a tendência temporal de características maternas, assistenciais e dos recém-nascidos, em Niterói, cidade do Estado do Rio de Janeiro. MÉTODOS: estudo ecológico, de tendência temporal, de 2000 a 2009. A fonte de dados foi o Sistema de Informações sobre nascidos vivos (SINASC). Foram descritas variações anuais de: idade materna, escolaridade, história reprodutiva, pré-natal, tipo de parto, cor, peso ao nascer e idade gestacional. RESULTADOS: a completitude da informação foi alta nos 62.449 nascidos vivos estudados. Reduziram-se os nascimentos e aumentou a primiparidade. Houve redução da gravidez adolescente (2,3% ao ano) e aumento de mães com mais de 35 anos. Melhorou a escolaridade, com redução do percentual de gestantes com menos de oito anos de estudo. Cerca de 80% das mulheres realizou sete ou mais consultas de pré-natal. O parto cesáreo apresentou tendência de aumento, realizado por 67,7% das mulheres em 2009. O baixo peso ao nascer apresentou tendência de queda de 1,1% ao ano. A prematuridade aumentou de 7,4 para 7,9%. CONCLUSÕES: Niterói apresentou evolução demográfica e social favorável. O peso ao nascer não foi muito afetado pela prematuridade. Como em outros locais do Brasil, tem se elevado o número de cesarianas.

Obstetricians and pregnant women from Formiga’s town, in Minas Gerais State, Brazil. Deciding what kind of labor to be held

The decision of what kind of labor that should be held is intermittently generating a great debate in Brazil. The growth in the number of cesarean sections has raised worries in some of the involved sectors of the society. It was proposed to investigate the factors which lead the women to take this decision, trying to understand the principle involved. A bibliographic review about the subject was made. The research happened in the town of Formiga, where some data were collected in two hospitals—public and private —about the number of labors during two months. Subsequently, the obstetricians and a group of pregnant women were submitted to a questionnaire, the answers were compiled and transformed into graphs which were analyzed. Finally, the data were compared with the related literature. The number of cesarean sections in the town was above the standard recommended. According to the obstetricians, the main reason would be the preference of the pregnant women, fact which was not confirmed by them, that discrepancy was confirmed by the literature. The level of information about the clinical indications for the type of labor was considered satisfactory by the doctors and the pregnant women, data contestable by the academics. The fear and the pain were identified by obstetricians and pregnant women as a predominant factor for the preference of cesarean sections, provided that, according to the literature, shows the precariousness of information for pregnant women about the normal birth. Another important data is that the doctors can have an important role in the kind of labor to be made. According to the obstetricians, their role would be very limited, but according to some pregnant women, they did trust in the doctors which should be the ideal labor for them. The analysis of most of the data collected shows a discrepancy between the information of pregnant women and obstetricians. Both sides involved in the issue do not admit as responsible for the elevate number of cesarean sections, so, some new approaches are needed for analysis. This analysis and diagnosis indicate the next step of the research: the supervision of the pregnant women, since the beginning of the gestation until the birth, trying to figure out the real factors which lead them to decide what kind of delivery should be taken.

Iranian obstetricians’ views about the factors that influence pregnant women's choice of delivery method: A qualitative study

Caesarean section is a commonly performed childbirth procedure. While caesarean section is undeniably a lifesaving procedure for some mothers and babies, it can also be an unnecessary procedure for others. Different factors may be involved in the rate of birth by caesarean section. This qualitative study was conducted in Kashan city, Iran, to explore obstetrician's views of what might influence pregnant women's choice of delivery method. Obstetricians' views and experiences were collected using semi-structured interviews. Interviews were conducted in a clinic or hospital, based on the preference of the 18 physicians who agreed to participate in the study. All interviews were recorded and transcribed. Participants were asked key questions, including: "Why do some women prefer caesarean section?"; "What kind of delivery did you have and why?"; "What kind of delivery would you recommend to pregnant women and why?" Inductive qualitative content analysis was undertaken using the method described by Morreti with 120 initial codes categorized into six categories. The six categories developed from the initial codes were: factors relating to women, obstetricians, delivery conditions, complications, society's beliefs and the health system. A qualitative study conducted in Iran showed that most of the factors identified by participants facilitated the choice of caesarean section. Vaginal birth was anticipated as a painful and lengthy process, with low cultural acceptance and resulting in less income for obstetricians.

Parto humanizado e tipo de parto: avaliação da assistência oferecida pelo Sistema Único de Saúde em uma cidade do sul do Brasil

OBJETIVOS: avaliar a qualidade da atenção ao parto nos dois hospitais de referência para atendimento ao parto no Sistema Único de Saúde - SUS no município de Maringá, Paraná. MÉTODOS: estudo transversal, conduzido mediante pesquisa em prontuário hospitalar e entrevistas com 569 mulheres. Foram utilizados sete indicadores de processo, sendo quatro relacionados ao trabalho de parto e três ao parto. Por meio do estabelecimento de escores para cada um dos indicadores a assistência hospitalar foi qualificada em quatro níveis: excelente, boa, regular e insatisfatória. O tipo de parto foi considerado indicador de resultado. A análise foi realizada nos softwares Excel e Statistica e utilizados os testes Qui-quadrado e T de Student. RESULTADOS: 1,0% das mulheres tiveram atendimento excelente; 28,9% boa; 52,7% regular; e 17,4% insatisfatória. Na média geral de escores, o hospital 1 apresentou média superior ao do hospital 2.O parto cesariana prevaleceu nos dois hospitais, com taxas superiores a 50%. CONCLUSÕES: os hospitais obtiveram desempenho classificado como regular e resultado da assistência insatisfatório, determinado pelas altas taxas de cesarianas.

Using Technology to Enhance Higher Education

Whether our students are sitting in the room with us as we teach, sitting in their home listening, participating by video-conference, or answering discussion questions on an online platform, technology can play a pivotal role in student learning. In this article we discuss technology in higher education, specifically its role in hybrid or online formats. As Renard (2005) so eloquently stated, "No generation has ever had to wait so little time for so much information" (p. 44). Presented here is a discussion of the types of students who benefit from distance learning, the factors that prompt instructors to engage in distance learning, and what instructors should know about distance education before they begin teaching with this kind of delivery.

Relationship between kind of delivery and postpartum depression

Relationship between kind of delivery and postpartum depression

Low-dose, long-term caroverine administration attenuates impulse noise-induced hearing loss in the rat

Conclusion. Physiological and morphological assessments indicated that low-dose and long-term caroverine delivery might be a new approach to protect against impulse noise-induced hearing loss. Background. Although the exact mechanisms by which impulse noise causes hearing loss are still unclear, there is accumulating evidence that increased reactive oxygen species (ROS) production and excessive glutamate released from the inner hair cells lead to hair cell loss and consequently hearing loss. Caroverine is an antagonist of two glutamate receptors, α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) and N-methyl-D-aspartate (NMDA) receptors in the inner ear, as well as an antioxidant. Materials and methods. In this study, caroverine was delivered subcutaneously using an osmotic pump. This kind of delivery has the advantage, via continuous, long-term and low dose drug administration, of avoiding systemic side effects. Results. It was shown that caroverine could significantly protect the cochlea against impulse noise trauma.

Influência do tipo de parto na hematologia do cordão umbilical de cães

O sangue do cordão umbilical humano tem sido crescentemente utilizado como fonte de células-tronco. Os modelos experimentais de células-tronco da medula óssea, em cães, têm propiciado informações importantes para transplantes medulares em humanos. Vários trabalhos citam a influência do tipo de parto nas características do sangue do cordão umbilical (SCU) humano. Entretanto, não existem relatos sobre a colheita do sangue do cordão umbilical de cães. O objetivo deste ensaio é avaliar a influência do tipo de parto na hematologia do cordão umbilical de cães. No presente protocolo experimental, foram estudados 54 fetos de cães, ao final da vida intra-uterina, provenientes de parto normal (n=24) e cesariana (n=30). A colheita de sangue do cordão umbilical foi realizada com seringa de cinco mL contendo solução anticoagulante EDTA (1mg/1mL sangue). Em seguida, a contagem global de hemácias, leucócitos, plaquetas, a determinação da concentração de hemoglobina, taxa de hematócrito, os índices eritrocitários foram realizados no contador automático de células. A contagem diferencial de leucócitos foi determinada em esfregaços de SCU corados com May-Grunwald-Giemsa (MGG). Com relação ao eritrograma e ao plaquetograma, não houve diferença significativa entre as amostras obtidas em cesarianas e partos normais. Os valores do leucograma do SCU colhido em partos normais foram superiores àqueles obtidos em cesarianas (P&lt;0,05). Portanto, o tipo de parto influencia os valores hematológicos do cordão umbilical de cães.