Current Issue : October - December Volume : 2018 Issue Number : 4 Articles : 6 Articles
Investigator understood primi caesarean mothers (PCM) inadequate knowledge of breastfeeding techniques (BFT) and breast engorgement (BE) and unsatisfied practice of BFT causes BE. Good positioning promotes latch, reducing nipple traction and help nipple, areola in infant’s mouth to draw milk, emptying breast. PCM need more support, in positioning babies for breastfeeding (BF). A PCM may BF soon after repair and is in recovery. Nurse must primarily give practical BF information, minimizing BF interference thus preventing BE. Therefore, the study aims assessing knowledge and practice of BFT and BEs. Settings for study were made in Father Muller Medical College Hospital and Government Lady Goshen Hospital, Mangalore, intended to find correlation between BFT and BE. This study helps us understanding problems and factors responsible for BE. Descriptive correlational approach describes relationship between BFT and BE. Data was collected using selected baseline variable, structured interview on knowledge of BFT and BE, observation checklist for practice of BFT and BE occurrence. Data from 100 PCM is tabulated, analysed and interpreted considering objectives and hypothesis of the study, using descriptive and inferential statistics. Found that 6% PCM had excellent, 34% good, 54% average and 6% very poor knowledge on BFT and BE. 11% of the PCM follow excellent, 25% good, 25% average 30% poor and 9% very poor practice of BFT. Above half of samples (53%) had BE. 25% had mild, 22% moderate and 6% had severe BE. Found negative correlation between practices of BFT and BE (¡=-0.571, p<0.05) showed that wrong practice increased BE. Positive correlation (r=0.701, p<0.05) between mothers knowledge on BFT, BE and practice of BFT showed that knowledgeable mothers practice better BFT. Investigator found inadequate knowledge of PCM, unsatisfactory BFT which increased BE. Health professionals can use the study in planning efficient services for PCM regarding BFT and BE knowledge, developing good practices, reducing complications, having a healthy mother and baby....
Vaginal tumors, whether benign or malignant, are rare. They include fibroepithelial\npolyps (FEPs), which are benign lesions originating in mesenchymal\ncells, comprised of a core of connective tissue covered by squamous epithelium.\nThey are usually small and asymptomatic. When symptomatic or very\nlarge, they may cause bleeding, genital discomfort or the presence of a bulge\nin the vagina. In the last case, they may be mistaken for a genital prolapse.\nAlthough their physiopathology is still not clearly understood, the presence of\nhormonal receptors and the occurrence of FEPs during the use of hormone\ntherapy or pregnancy suggest that changes in the stroma of these lesions may\nbe induced by hormones. We report on the case of a patient who presented\nwith a vaginal bulge and was referred to the urogynecology outpatient ward\nwith a diagnosis of genital prolapse, which had actually a large fibroepithelial\npolyp on the posterior vaginal wall....
Maternal deaths mostly occur from the third trimester to the first week after birth. Most maternal deaths are related to obstetrical emergencies which are the life threatening conditions occur during antenatal, intranatal and postnatal periods. In our country, nurses play a pivotal role in delivering health services at the grass root level. The nurses have a direct influence on reducing maternal mortality. So the researcher thought of taking the task of assessing the knowledge of staff nurses to impart knowledge through a structured teaching programme (STP) which will facilitate effective management of obstetrical emergencies in their practice settings. The study was conducted among 60 labour room staff nurses, Caritas Hospital and Bharat Hospital, Kottayam. One group pre test post test research design was used and the samples were selected by purposive sampling. The demographic variables were used to assess the sample characteristics and structured knowledge questionnaire to assess the level of knowledge regarding intranatal obstetrical emergencies. The data was analyzed using descriptive and inferential statistics. The study revealed that the average pretest and postest knowledge score was 16.27 and 29.58 respectively. The teaching programme was found to be effective in improving the knowledge (t = 21.899, p < 0.05) regarding intranatal obstetrical emergencies. There was significant association between knowledge regarding intranatal obstetrical emergencies and years of experience of labour room staff nurses. Hence the study concluded that the knowledge on intranatal obstetrical emergencies among labour room staff nurses could be improved by STP....
We report a case of arrhythmic storm in a patient with recent vaginal insertion\nof a device with release of levonorgestrel (synthetic progestin). A woman\nof 60 years was hospitalized for runs of monomorphic sustained ventricular\ntachycardia. She received a vaginal device levonorgestrel-releasing 2 days before\nadmission. No history of associated cardiovascular or thyroid disease or\nrisk factors was reported. Laboratory parameters as well as ECG and echocardiogram\nwere normal. After 48 hours from removal of the vaginal device, the\npatient was asymptomatic and showed only single ectopic beats, sometimes in\npairs. The subsequent coronary angiography, electrophysiological study and\ncardiac magnetic resonance resulted negative....
The aim of this study was to compare the in vitro fertilization (IVF) cycles ended\nby miscarriage with subsequent IVF cycles in relation to various IVF cycle parameters\nand pregnancy termination modalities. Comparison of pre-miscarriage to\npost-miscarriage IVF cycles parameters demonstrated that lower peak E2 levels\n(1087 �± 593 versus 1237 �± 676 pg/ml, respectively; p < 0.05) were achieved\nin the post miscarriage cycles despite higher total gonadotropin consumption\n(2341 �± 1488 versus 2115 �± 1101 IU; p <0.05). A greater endometrial thickness\n(10.4 �± 2.16 versus 9.98 �± 1.74 mm, respectively; p < 0.05) and a higher number\nof embryos (4.62 �± 2.63 versus 3.78 �± 2.54, respectively; p < 0.05) were\nobserved in the pre-miscarriage cycles. A comparison of IVF parameters between\nthe first and second IVF cycles following miscarriage showed an increase\nin peak estradiol level (954 �± 800 and 1257 �± 838 pg/ml, respectively; p\n< 0.05), an increased number of retrieved oocytes (7.38 �± 4.2 and 10.49 �± 4.99,\nrespectively; p < 0.05), more fertilized embryos (3.87 �± 2.38 and 5.66 �± 3.64,\nrespectively; p < 0.05), and an increase in the conception rate (34.7% versus\n42.2%, respectively) at the second post-miscarriage IVF cycle....
Objective: To evaluate whether prophylactic administration of 200 mg vaginal\nprogesterone can reduce the incidence of preterm birth in women with documented\nhistory of preterm birth <37 weeks of gestation or not. Setting: Obstetrics\nand Gynecology Department, Zagazig University Hospital, Egypt.\nMethods: Ninety patients with previous history of preterm birth prior to 37\nweek presenting with singleton pregnancy between 20 - 24 weeks were randomly\nallocated to receive either the progesterone 200 mg vaginal suppository\nor no treatment. Results: The incidence of preterm labor before 37 weeks of\ngestation was significantly lower in the study group than in the control group\n(22.2% vs. 53.3%) especially in earlier gestational ages. While, the mean birth\nweight was significantly higher in the study group than in control group\n(2872.67 �± 565.76 gm vs. 2487.78 �± 742.40 gm). The neonatal morbidities and\nmortality associated with preterm labor were significantly lower in the study\ngroup than in the control group as shown by lower incidence of neonatal RDS\n(13.3% vs. 31.1%; P = 0.043) and lower incidence of the need for NICU admission\n(15.6% vs. 35.5%; P = 0.03). Conclusion: Administration of prophylactic\nvaginal progesterone (200 mg, daily) can significantly reduce the rate of\npreterm birth before 37, 32 and 28 wks of gestation among women with previous\nspontaneous preterm birth. In addition, the rates of RDS and admission\nto NICU were significantly decreased among infants of women assigned to\nprogesterone treatment. Also, there was an additional benefit of vaginal\nprogesterone for prevention of preterm birth in women who had prior spontaneous\npreterm birth and cervical length < 25 mm....
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