Normal Childbirth Research Articles

Analysis of the Application of Partographs in Normal Childbirth Care (APN) by Midwives

Analysis of the Application of Partographs in Normal Childbirth Care (APN) by Midwives

The impact of pregnancy and childbirth on pelvic sensation: a prospective cohort study

Pelvic organ prolapse, urinary, bowel and sexual dysfunction, collectively called pelvic floor dysfunction (PFD) affects 1 in 3 women and has a significant public health impact. The causes of PFD are not fully understood but involve injury to connective tissue and motor nerve during childbirth. Women with PFD also have sensory nerve impairment, and it is likely this occurs during childbirth, but this has never been investigated. In the current study 150 women underwent quantitative sensory testing for vibration sensation at the vagina and clitoris, and stretch sensation at the vagina and introitus, in the third trimester, 3 and 6 months postnatal. Antenatally vibration sensation was reduced but stretch sensation was normal. Postnatally vibration sensation deteriorated whilst stretch sensation initially deteriorated but recovered by 6 months postnatal to antenatal levels (all p < 0.001). Mode of birth had a significant impact on sensation, with caesarean section appearing neuroprotective, normal vaginal birth resulted in a transient deterioration in sensation that recovered by 6 months, whilst assisted vaginal delivery was prolonged suggesting persistent neurological impairment (all p < 0.015). Further research is required to study the clinical effect of these changes on pelvic floor dysfunction in the medium and long-term.

Identification and Quantification of Waddlia Chondrophila in Women with Recurrent Pregnancy Loss

Background and Aims: Recurrent pregnancy loss (RPL) is one of the important complications of pregnancy. Only 50% of cases have a known cause of RPL. One of the causes of RPL is Waddlia Chondrophila (W. Chondrophila), but no information is available regarding its in Iran. This study aimed to develop a Taqman Real-Time polymerase chain reaction assay to detect recA Gene of W. Chondrophilain biological samples from women with RPL in Yazd city.&#x0D; Materials and Methods: Clinical samples of women with a history of RPL, normal childbirth, and standard strain WSU 86–1044 were provided. Primers and probes of W. Chondrophila were designed. Positive control was provided based on the PUC57 vector. Technical performance was examined using a control plasmid.&#x0D; Results: Analytical sensitivity was 5 ng/µl of control plasmid DNA. No cross-amplification was observed when testing other pathogens that can detect in human vaginitis. The Taqman Real-Time PCR assay exhibited good reproducibility. This Real-Time PCR was then applied to 100 vaginal swabs. No samples were revealed to be Waddlia positive.&#x0D; Conclusions: This new TaqMan Real-Time PCR assay represents a diagnostic tool that may be used to further study the prevalence of W. Chondrophila infection in clinical specimens.

Retrospektyvnyi analiz spektra pryrodzhenykh vad rozvytku, vyznachenykh antenatalno u Lvivskomu medyko-henetychnomu tsentri (2018–2020)

Introduction. According to the WHO, about 3 % of infants worldwide are born with a congenital malformation (CM). The aim of the study. To conduct a retrospective analysis of the spectrum of congenital malformations diagnosed during pregnancy based on the Lviv Medical Genetics Center during 2018-2020 yy. Materials and methods. Clinical and epidemiological, as well as medical and statistical data on CM diagnosed prenatally between 2018-2020 were collected from primary source documents (Form No. 49) and then analyzed at the Lviv Medical Genetics Center ʺInstitute of Hereditary Pathology, National Academy of Medical Sciences of Ukraineʺ, Lviv. The Student’s t-test was used to determine the difference between the arithmetic means. The null hypotheses were tested using a t-test at the significance level of p-value less than 0.05. Results. A total of 11062 pregnant women were examined between 2018-2020: CM at different stages of pregnancy were diagnosed in 454 cases, which accounted for 4.1 % of cases and did not exceed the population value. There was a 2.3-fold reduction in the number of pregnant women presented to the Medical Genetics Center in 2020, probably due to the global coronavirus pandemic – from 5007 women in 2018 to 2212 females in 2020. However, the number of CM diagnosed prenatally in 2020 was not statistically significant (p-value more than 0.05) as compared to the average value for these years and 2018. In 2018, a total of 5007 pregnant women were examined at the Lviv Medical Genetics Center. In 136 (4.8 %) cases, fetal malformations were diagnosed before 22 weeks of gestation, while in 26 (1.2 %) cases, pregnancy was affected by congenital anomaly in its second half. In 2019, there were examined 3843 pregnant women. In169 (7.8 %) cases, CM were diagnosed before 22 weeks of gestation, that was statistically significant as compared to 2018 (p-value less than 0.05) and in 20 (1.2 %) cases, fetal anomalies were detected in the second half of pregnancy, that was not statistically significant as compared to the previous year (p-value more than 0.05). In 2020, we examined 2212 pregnant women. Reducing the number of visits to our medical center was probably due to the coronavirus pandemic. There were95 (5.0 %) cases of fetal malformations diagnosed before 22 weeks of gestation and 8 (2.5 %) cases of congenital anomalies detected in the second half of pregnancy. The number of CM diagnosed prenatally was the highest in 2019 – 4.9 %; however, there was no statistically significant difference (p-value more than 0.05) in the average values for these years – 4.1 % and 3.2 % in 2020 and 2018, respectively. In 2020, the incidence of congenital malformations diagnosed after 22 weeks of gestation was significantly higher (p-value less than 0.05) than in other years – 2.5 % and 1.2 %, respectively. Conclusions. Between 2018-2020, the incidence of congenital malformations diagnosed at different stages of pregnancy was 4.1 %. Congenital malformation s of the nervous system (Q00-Q07) were the most common anomalies diagnosed before 22 weeks of gestation, while after 22 weeks, the most common malformations were congenital malformations of the urinary system (Q60-Q64). Qualified timely diagnosis of correctable developmental deficiencies, as well as team efforts of obstetricians, neonatologists, pediatric neurologists, pediatricians, and other health care professionals to ensure normal childbirth and provide a baby with specialized care, followed by life-time rehabilitation are the main tasks of prenatal medicine.

Candidal Infections in the Neonatal Intensive Care Unit: A Retrospective Observational Study.

The aims of this study were to evaluate the demographic characteristics, risk factors, mortality rates, and laboratory findings of infants with fungal sepsis in the Neonatal Intensive Care Unit (NICU). This retrospective multicenter study included patients in NICU with Candida spp isolated in blood cultures between November 01, 2019, and September 01, 2022. The patients were evaluated in two groups as Group 1 infants with Candida albicans and Group 2 infants with Candida non-albicans positive blood cultures. Candida infection was detected in blood cultures in 57 of 3450 patients admitted to the NICU. A total of 57 infants included in the study. Candida infection was determined 1.6% of infants in the study population, and 57% of them were extremely pre-term infants. There was no significant difference between the two groups in terms of laboratory data. Normal vaginal birth was determined at a higher rate in Group 1. In Group 2, length of hospital stay, duration of total parenteral nutrition (TPN), and mechanical ventilation (MV) were determined to be longer. The mortality due to Candida fungemia was determined as 35%, and of these patients, 65% had an additional medical condition. In accordance with the literature, this study showed that prolonged MV and longer TPN increased the incidence of fungal sepsis. Therefore, to decrease the fungal sepsis rate of NICU, shortening the hospital stay and effective screening programs are recommended.

Prevalence of Neck and Low Back Pain in Women During Post-Partum Period

Background: Due to the changes in the woman's body during and after birth, neck and back pain are common complaints among postpartum women. Objective: To determine the prevalence of neck and low back pain in the post-partum period of pregnancy. Methods This descriptive cross-sectional study was carried out within six months after the approval of the synopsis. After receiving their written consent, participants from the Jinnah and Services hospitals were given a standard questionnaire to complete. Pregnant females aged between 20-40 years of age were included in the study. Those having complications like gestational diabetes, pre-eclampsia or other serious conditions were excluded from the study. A predesigned Nordic questionnaire was utilized for the data collection purpose. A total of 19 closed-ended questions were included in the survey, covering the subjects' demographic information, parity, recent C-section or normal delivery, physical activity, low back and neck pain during the postpartum period. After completing the questionnaire, data was gathered to assess the prevalence of neck and low back pain. Using SPSS 22.0, the data was analyzed and for the quantitative variables, means and standard deviations were computed, while the qualitative variables were shown as frequency and percentage. Results: Among 119 postpartum women, 53 (44.5%) had a normal vaginal birth and 66 (55.5%) had the cesarean mode of delivery, 43 (36.1%) were breastfeeding, 22 (18.49%) were bottle-feeding and 54 (45.38%) were given both. In 12 months, 62 (52.10%) reported neck pain, whereas 80 (67.23%) reported low back pain. Women experiencing neck pain were 53(44.54%) and 72(60.50%) in the previous 7 days respectively. Conclusion: The study revealed that the frequency of neck pain and lower back pain was found to be 44.54% and 60.5% respectively in pregnant females.

Comparison of Proprioceptive Neuromuscular Facilitation with other exercises on Pain and Disability in patients with Non-specific Chronic Low Back Pain: A Meta Analysis

Background: Low back pain (LBP) is encountered in both developed and developing countries. It has becomeone of the commonest health threats. Proprioceptive Neuromuscular Facilitation (PNF) exercises are designed toenhance stimulation of proprioception in neuromuscular junction, thereby leading to greater reduction in painand disability score along with increase in ROM and core strength. Therefore, the present study is intended tocompare the role of PNF and other exercise approach.Objectives: To compare the effect of Proprioceptive Neuromuscular Facilitation (PNF) and other exerciseapproaches in Non-specific low back pain.Methods: In this review, Pub Med, Google Scholar, Cochrane CENTRAL databases were searched for prospectivestudies fulfilling inclusion and exclusion criteria. Randomized controlled trials comparing PNF with othertreatment techniques to treat chronic non-specific low back pain were included in this review. Data was extractedand assessed for the quality of the trials by two independent reviewers. The results were presented in form offorest plots.Results: 11 studies were included in the review for qualitative analysis and meta-analysis. All the studieshowever,relatively little study has been undertaken examining the effects of massage on women in labour. Methods. Arandomized controlled study was conducted between September 1999 and January 2000. Sixty primiparouswomen expected to have a normal childbirth at a regional hospital in southern Taiwan were randomly assignedto either the experimental (n=30 were included in the meta-analysis of pain and eight of the studies were includedin the meta-analysis of the functional disability due to back pain. Overall, there was a small reduction in painintensity of low back pain in patients receiving PNF treatment as compared to other treatment techniques (SMD:-1.41 [95% CI: -1.97, -0.84], I2= 82.9%; p&lt;0.000). ). There was marked improvement in functional disability in lowback patients after PNF than other treatment techniques (SMD: -1.63 [95% CI: -2.28, -0.98], I2= 80.8%; p&lt;0.000).Conclusion: PNF group was more beneficial than other treatment techniques in decreasing pain and functionaldisability scores in 4- to 6-week intervention. This meta-analysis suggests publication bias.

Evaluation of Meta-UI in AR and VR Application for Medical Education

Immersive technology has provided many benefits in various fields, including in medical education. Several learning obstacles have been overcome, such as limited practicum space, few teaching aids, and limited time. To address this issue further, the authors are building virtualized AR and VR modules that are implemented to help users improve their skills before doing practical work in the real world. The authors use AR technology to study human anatomy, while VR technology to study Normal Childbirth Surgery. To build a module, the authors need to design an interface that can provide convenience for the user, so that it can be used continuously. This research collected feedback from users to build an unobtrusive interface when running the application and remove animations that have nothing to do with the medical lab module. The authors designed the interface with a Meta-UI approach to provide a clean look, so users can focus on doing practicums. This research observed that the use of Meta-UI in this study has given satisfaction to the users through the analysis of the PIECES framework. The authors got a score between 3.97 - 4.20 for AR and 4.5 - 4.67 for VR from the user satisfaction measurement which means that users are satisfied with the offerings and services of this app.

Anatomical and functional conditions of the pelvic floor muscles after assisted vaginal delivery

BACKGROUND: The main function of the muscles of the perineum is to preserve the syntopy and topography of the organs of the abdominal cavity and small pelvis. Clinically, various groups of complaints that significantly worsen the patients quality of life manifest pelvic floor muscle failure. Currently, one of the most commonly discussed causes of pelvic organ prolapse is still considered obstetric trauma.&#x0D; AIM: The aim of this study was to assess the anatomical and functional conditions of the pelvic floor muscles after normal physiologic childbirth and childbirth with the use of obstetric forceps.&#x0D; MATERIALS AND METHODS: The study was conducted in Maternity Hospital No. 13 (Saint Petersburg, Russia) in 20202021, which involved 137 patients who delivered through the natural birth canal with the use of obstetric forceps (main group, n = 47) or without the use of delivery instruments (control group, n = 90) six months after delivery. A comprehensive assessment of the condition of the pelvic floor muscles was carried out using the validated PFDI-20 questionnaire and ultrasound examination of the pelvic floor structures at rest. A functional assessment of the condition was carried out using the Pneumatic Pelvic Muscle Trainer XFT-0010.&#x0D; RESULTS: Evaluating complaints using the PFDI-20 scale revealed that the median was 6.00 1.77 points in the main group and 5.50 1.29 points in the control group, the differences being not significant (p = 0.8). The ultrasound examination showed no significant difference in decreases in the thickness of the tendon center of the perineum and m. bulbocavernosus between the study groups; m. puborectalis thickness in the main group did not differ significantly from the norm either. The assessment of the functional condition of the pelvic floor muscles revealed no significant differences between the patients of the study groups.&#x0D; CONCLUSIONS: The data obtained demonstrate the safety of the use of obstetric forceps for the anatomical and functional viabilities of the pelvic floor muscles and do not have significant differences compared to childbirth performed without the use of delivery instruments. However, the use of obstetric forceps in the practice of obstetricians and gynecologists can be a reliable tool that does not affect the quality of life of patients in the long term.

Descriptive Analysis Sociodemography of Breastfeeding Mother in Suku Anak Dalam During Covid-19 Pandemic

Now moment now this the problem of Covid-19 in Indonesia already start sloping however no could denied that mother breastfeed must exists enhancement power stand body especially baby with breastfeeding , breastfeeding becomes very good protection for baby. Effect Breast milk protection is very strong in fighting disease infections through increased power hold on baby. The purpose of this study to determine the characteristics mother breast-feed in Suku Anak Dalam in on period pandemic . Quantitative research methods , design cross-sectional with a total sampling of 58 respondents mother breast-feed in Suku Anak dalam , data collection is done through observation and questionnaire . Results study obtained 98.3% of mothers no work , 58.6% mother no take formal education , 62.1% range age mother reproduction , 77.6% mother have child ≥ 3, 98.3% mother going through a normal childbirth process is not in service health , 94.8% Mother argue that breast milk can replaced with other foods as well as 98.3% mothers provide complementary foods aged &lt;6 months. Concluded description from sociodemography on mother breastfeeding in the tribe child in must very noticed and need maximizing facility and service health especially continuity health on mother and child with maximizing program management lactation , as well with condition moment now this need exists cooperation cross- sector and cross program inside even distribution service excellent health.

Promoting normal childbirth: Research status and application of upright positions in the second stage of labour

Promoting normal childbirth: Research status and application of upright positions in the second stage of labour

Chronic Myeloid Leukemia Diagnosed during Pregnancy: How to Manage? Description of 86 Cases from ELN International Registry

Background Among the different scenarios of pregnancy and chronic myeloid leukemia (CML) the situation in which CML is diagnosed during pregnancy is one of the most challenging for management. The high survival rate of patients (pts) in chronic phase (CP) encourages support of continuation of the pregnancy, but there is a lack of information regarding optimal therapy and weighting the risks/benefits for both mother and baby remains difficult. Aim To describe therapy and outcomes in pts with CML at onset during pregnancy. Methods Data were obtained both retrospectively and prospectively from 11 countries through the ELN CML pregnancy registry since 2001. Clinical and demographic data, therapy, pregnancy outcomes and follow-up were analyzed. Results We have data from a total of 400 pregnancies in 298 CML women (including consecutive pregnancies) as of June 2022. CML was diagnosed during pregnancy in 86/298 (29%) pts, all in CP. Median (Me) age was 27 years (range 18-41). CML was diagnosed during 1st, 2nd and 3rd trimester (trim) in 49(57%), 21(24%) and 16(19%) pts, respectively, with Me CML onset at 11 weeks gestation (range 5-38). Sokal score was low, intermediate and high in 61(71%), 15(17%) and 5(6%) respectively; not available in 5(6%). Sixty-five (76%) pregnancies ended in childbirth, 18(21%) elective and 3(3%) spontaneous abortion. During pregnancy 23(35%) pts were not treated with anti-leukemic drugs , while 42 (65%) did receive therapy (figure 1,2). In total 28 (43%) pts received interferon (IFN) with Me start of 12 w (range 5-35): 11/28 pts got pegylated IFN (PEG IFN), 16/28 pts received regular (daily dose) IFN and 1 pt got regular IFN in 1st trim and PEG IFN since 2nd trim. Twenty (31%) pts received imatinib (IM) at late pregnancy: Me start was 18 w (range 16-34). Six pts were switched from IFN to IM: 5 in 2nd trim and 1 in 3rd trim. Seven (11%) pts received hydroxycarbamide (HC) as monotherapy or in combination with IFN or IM. Additionally, 5(8%) pts received leucapheresis. Sixty six children were born (one set of twins). No congenital abnormalities were reported in 64 (97%). One baby had an abdominal skin angioma (exposed to IFN in 2-3 trim and HU in 3rd trim). One baby born at 35 w had a patent foramen ovale (IM since 33w). Seven newborns were of low birth weight (<2500 g), 2 with no drug exposure, and 2 were exposed to IM, PEG-IFN (n=1), IFN and IM (n=1), HC (n=1), Follow-up of the children was uneventful. All 86 females received TKIs after pregnancy end: IM 70(81%)/ 2ndgeneration TKI 16(19%). With Me follow-up of 36 months (mo) (range 1 mo-17 years) 23/70(33%) pts on IM were switched to other TKI. The best overall response was at least major molecular response in 65(86%) of 75 evaluable pts with a treatment period >6 mo. No CML progression was observed during pregnancy. However, 3 pts unfortunately died 19, 24 and 119 mo after pregnancy completion, the reasons were not thought to be related to management in pregnancy: non-compliance, progression/resistance (1 case with T315/F359 mutation in the time of pre-ponatinib availability) and death after bone marrow transplantation. Conclusions More than 20 years of international efforts to collect data on pregnancy in women with CML can conclude that there is a real possibility of normal childbirth in women diagnosed with CP CML during pregnancy. We did not observe an increased rate of birth abnormalities nor life threatening events including cases treated with IM at late pregnancy. It is reasonable to balance the risks for both the safety of mother and infant and the efficacy of treatment. IFN can be used from 1st trim and may be prolonged in cases of good disease control and good tolerability. IM is probably safe in 2nd- 3rd trim considering its limited placental crossing. The use of HC is more questionable, as it has no advantages over IM and passes freely to the placenta: its use may be acceptable if there is a need for the urgent cytoreduction and leucapheresis is not available. Figure 1View largeDownload PPTFigure 1View largeDownload PPT Close modal

Kejadian Depresi Postpartum pada Ibu yang Menikah Dini

ABSTRACT Background: Postpartum depression is a psychiatric disorder that came a few days or the first week after birth. Postpartum depression though indirectly cause mortality but can cause pain or morbidias to mother and child. Psychic disorders called postpartum depression can be affected by characteristics of the mother's age. The factor of postpartum depression is in the teenage years or &lt;20 years. Indonesia is the country with the highest percentage of young marriage age in the world (ranked 37) and the second highest in ASEAN. In DIY, Gunung Kidul is high enough percentage of birth in teens. Purpose of this research was to determine the incidence of postpartum depression in women who married early in Pacarejo Semanu Gunungkidul. Method: Quantitative survey research type is descriptive. Sampling with accidental sampling technique with the number of respondents 50 mothers who married early and had given birth. The instrument used was a questionnaire Edinburgh Postnatal Depression Scale (EPDS). Result: Based on the characteristics of the respondents, the majority married aged 20 years (26.0%), SMPN majority educational level (72.0%), job housewife majority (82.0%), primiparous parity majority (88.0%), and the majority of normal childbirth (96.0%). The results of research as many as 20 respondents did not postpartum depression, 16 respondents mild postpartum depression, 9 respondents moderate postpartum depression, and 5 respondents severe postpartum depression. Psychosocial background factors concerning age, parity, education, employment, and the type of labor may be a factor contributing to postpartum depression in women who married early. Keywords: Characteristics, Postpartum Depression, EPDS

Fetal malposition in labour and health outcomes for women and their newborn infants: A retrospective cohort study.

Occiput-posterior (OP) or occiput-transverse (OT) fetal malposition has a prevalence of 33-58% in the first-stage of labour with 12-22% persisting until delivery. Malposition is associated with significant maternal and neonatal morbidity. Most previous studies report the incidence and adverse maternal and fetal outcomes of persistent fetal malposition in the second stage of labour and do not include outcomes that may be present in the first stage of labour. To assess the incidence and health outcomes for women and their newborn infants of a fetal malposition in the first or second stage of labour. A retrospective cohort study of 738 maternity records (randomly selected) from a tertiary hospital in New Zealand. Maternal and neonatal characteristics are described. Outcomes for women with a fetus in an OP or OT position in labour are compared to those for women with a fetus in an occiput-anterior position (OA). 499 (68%) women had an OP/OT positioned fetus and 239 (32%) had an OA positioned fetus on vaginal examination in labour. Women had similar characteristics except a body mass index ≥30 kg/m2 was more common in the OP/OT group. Fetal malposition appears to be more likely in women with a right-sided fetal occiput. Three quarters of OP/OT fetuses rotated anteriorly by birth. Fetal malposition compared to no malposition was associated with oxytocin augmentation, epidural use, a longer first stage of labour, fewer normal vaginal births, and more caesarean sections. Fetal malposition during labour was not associated with adverse neonatal outcomes. Interventions such as maternal posture in the first and second stage of labour could potentially reduce the incidence of malposition and improve health outcomes for mothers.

A CADAVERIC STUDY OF SEEMANTA MARMA

Background: The marma sharira is a prime territory of Rachana sharira. Sushruta had elaborated marma sharira at a certain depth. Marma (vital area) is described in the Hindu scripture Atharva Veda. During the Vedic era, the Marma Sharira had particular importance in the case of war field. The seemanta marma is shira marma, kalantara pranahara. The nature of this marma is sandhi marma. Aims: There are very few studies regarding the cadaveric study of seemanta marma. This study aims to identify the possible anatomical structure and analyze those structures. Perhaps it could be helpful for future scholars of Ayurveda. Material and method: The review was performed based on traditional Ayurvedic classics and contemporary medical sciences, journals, publications, articles, e-journals etc. The region of seemanta marma and surrounding area was dissected, and complete anatomical study was done. Discussion: The term seemanta indicates that the bony joint is present in the skull region. The joints present in the skull region are mainly sutural joints and fibrous, which provide malleable head quality. There are five major sutures in adult like coronal suture, sagittal suture, lambdoid suture and two squamous sutures, the frontal sutures present in infant and children. Conclusion: It has a significant role during delivery and brain development, which allows normal vaginal birth of the head. It also offers normal cranial growth by proper fusion if the premature fusion of sutures occurs (craniosynostosis), which results in cranial malformation.

Iranian women’s perception on the determinants of birth experience: a qualitative study

BackgroundThe prevalence of cesarean birth in Iran is very high. Having a negative childbirth experience is one of the reasons that primiparous women provide to prefer caesarean birth over a vaginal birth. This study is aimed to understand women’s perspective on what determines a positive or negative birth experience for them.MethodsThis qualitative study is a part a mixed method study that was conducted among primiparous women with a previous vaginal birth experience. The purpose of the main study was to develop a guideline based on Iranian primiparous women’s birth experiences. The quantitative phase of the study was a cross-sectional study where women’s childbirth experiences was measured in a survey via the Childbirth Experience Questionnaire-2. In the qualitative part of the study, women were invited for an in-depth interview via a random stratified sampling method based on their childbirth mean score (women with 10% of the upper bound score which indicated a positive birth experience and 10% of the lower bound indicating negative birth experience, n = 17). Conventional content analysis was used for data analysis.ResultsWe extracted three main themes: (a) “Internal control”, (b) “External control”, and (c) “Support”. Possessing internal control, having a balanced external control to feel cared and feeling supported were the main reasons for women to feel positive about their birth experiences. Whereas, loss of internal control, imbalanced external control and unsupportive environment were related to their negative childbirth experiences.ConclusionConsidering that women’s sense of control, the care and support that they receive can influence their childbirth experiences, there is a need for changing maternity policies and practices to highlight the importance of a woman-centred care to create a pleasant, respectful and positive memory for primirparous women who experience normal vaginal births.

PERCEPTIONS OF POSTPARTUM WOMEN ABOUT EDUCATIONAL PRACTICES DEVELOPED IN A NORMAL BIRTH CENTER: A DESCRIPTIVE-EXPLORATORY STUDY

Objective: to understand the meanings of postpartum women about the educational practices developed in a Normal Birth Center. Method: descriptive-exploratory study, of qualitative approach, with 15 postpartum women assisted at the Haydeê Pereira Sena Normal Childbirth Center, in the metropolitan region of Pará, Brazil. Semi structured interviews were used from August to November 2020. Data were transcribed and submitted to content analysis in the thematic modality. Results: it was found that the activities developed by the nurse midwives promote a link to the visibility of the site as a service that seeks to welcome and support women, ensuring greater tranquility, confidence, and respect at the time of birth. Conclusion: the results translate the need to encourage educational practices to ensure rights and respect for women, such as quality assistance, a welcoming environment, aggregating tranquility, and confidence for normal birth. Thus, it contributes effectively to the practice of obstetric nursing with direct impact on the care of women and families.

A Case of Yoga Prana Vidya Healing Treatment of an Endometriosis Female Patient: Successful Outcome of Normal Pregnancy and Child Birth

Introduction: Endometriosis is a difficult to diagnose condition, and chronic disease of the females associated with severe, debilitating pain during periods, sexual intercourse, bowel movements and/or urination, pelvic pain, abdominal bloating, nausea, fatigue, with likely consequential anxiety, depression and infertility. Several therapeutic options are available for patients which are time consuming and with varying results. This paper presents a case of Yoga Prana Vidya system healed patient, who achieved success overcoming endometriosis, conceived normally and delivered a healthy baby. Method: This is an in-depth case study going through patient’s full details before and through long- term YPV intervention, medical test reports and patient feedback. Results: The patient was given continued YPV healings over a period of 3 years and 8 months, from diagnosis to confirmed pregnancy, conceived normally without need of IVF. She delivered a healthy baby, and a follow up after 2 years confirmed that the mother had no pain, nor other health issues, and the baby too found healthy without any health issues. Conclusions: It is noted from this study that long-term application of YPV system protocols have worked well in eliminating endomtriosis, achieving natural pregnancy with trouble free delivery. With decades of experience, YPV system has been established as a no-drug no-touch and safe modality with holistic health of patients.There is a need for more research and awareness globally to ensure effective prevention, early diagnosis, and improved management of endometriosis.

A Case of Yoga Prana Vidya Healing Treatment of an Endometriosis Female Patient: Successful Outcome of Normal Pregnancy and Child Birth

A Case of Yoga Prana Vidya Healing Treatment of an Endometriosis Female Patient: Successful Outcome of Normal Pregnancy and Child Birth

Incidence of postpartum infections and outcomes associated with antibiotic prophylaxis after normal vaginal birth.

Antibiotic consumption accounted for approximately 15–20% of total drug costs in Thailand. From 2017 to 2018, 24.86% of Thai women who experienced vaginal delivery during normal term labour received antibiotics for postpartum infection. The Thai national practice guidelines set the target use of antibiotic prophylaxis in women following vaginal delivery of normal term labour to be no more than 10%. This study aimed to determine the incidence of postpartum infections and the outcomes and factors associated with antibiotic prophylaxis in women following vaginal delivery. The prospective cohort study was collected from 909 eligible patients who delivered infants in 7 secondary hospitals in Chiang Mai from July 2020 to February 2021. Antibiotic prescribing data and infections in women experiencing vaginal delivery during normal term labour were collected. The incidence of postpartum infections was calculated at 2 periods, 48 h and 6 weeks, after labour. Factors associated with the prescription of antibiotic prophylaxis in vaginal delivery were analysed using multivariate logistic regression. The results showed that the prevalence of antibiotic prescribing was 12.87% in a cohort of 117 patients. Postpartum infection was reported in 3 of 117 patients with antibiotics prophylaxis and 11 of 792 without antibiotics, with no statistically significant difference (RR: 1.04, 95% CI: 0.26–4.14; p = 0.956). Postpartum hygiene self-care practices were collected in the 6th week. The results found that there were no statistical differences in mean scores for all questions on postpartum hygiene self-care practices between the infected and non-infected groups (p-value > 0.05). One of the factors associated with antibiotic prophylaxis was third to fourth degree of tear and episiotomy (OR: 7.72, 95% CI: 1.13–52.75; p = 0.037 and OR: 2.41, 95% CI: 1.24–4.70; p = 0.010, respectively). There was no significance difference in postpartum infection among patients receiving antibiotic and those who did not receive antibiotics. Third to fourth degree of tear and episiotomy were significantly factors related to antibiotic prophylaxis in women with vaginal delivery after labour. This study supports practice guidelines and helps healthcare team to be assured on the use of antibiotics in no more than 10% of women experiencing normal vaginal delivery.