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Current Intrapartum Care Practices in India. Opinion and Beliefs on Routine versus Evidence based Practice during Childbirth

Автор:
мягкая обложка
80 страниц
2008 год
Издательство:   Книга по Требованию
Цена:
2005 руб
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Описание:Less attention has been paid to the quality of care within hospital based-services and there is growing evidence that women receive and experience appalling care in some institutions. According to the annual report of the Government of India, 100,000 women annually continue to die because of childbirth related complications (Ministry of Health and Family Welfare (Government of India), 2000-2001). Statistical Package for the Social Sciences (SPSS) software was used for descriptive analysis of the data. This translates to approximately 30 million women in India experiencing pregnancy every year, and 27 million having live births (Bakshi, 2006). A semi-structured survey questionnaire was developed with 34 items in the form of fixed-choice and open ended questions. Care providers believe that episiotomy has more benefits over perineal laceration, such as easy wound healing, prevention of deep perineal lacerations, easy to deliver the baby, mother experiences less pain, and there are less chances of hematoma formation. Hence, more descriptive and interventional studies need to be done in India to identify the barriers that may impact implementation of evidence-based practices. Significant differences were found for the practice of fundal pressure between doctors and nurse-midwives (p = . 05). Maternity care providers from government and non-government hospitals had significant differences in their opinion towards conducting episiotomy for all deliveries (mean = . 000) and to all primigravidas (. 002). The study findings suggested that self-reported practices of maternity care providers reflect a big gap in the utilization of evidence based-practices. Of these, 136,000 maternal deaths occur every year due to childbirth complications, most of which can be prevented. In India, over 90% of women become mothers and a majority of them deliver without skilled assistance during delivery. A convenience sample (n = 188) of maternity care providers comprising doctors and nurse-midwives was obtained from the northern states of India. Literature reveals that lack of appropriate care during pregnancy and childbirth, and especially the inadequacy of services for detecting and managing complications, explains most of the maternal deaths. The developed questionnaire was intended to measure the intrapartum care practices comprising six elements: episiotomy, labor induction, birthing position, labor pain management, fundal pressure, and childbirth support. The findings of the study demonstrated that providing lithotomy position at the time of delivery and giving episiotomy to all primigravida mothers were highly practiced during intrapartum care.


Orthomol Immun Junior Сила иммунитета на страже Вашего ребенка Orthomol Immun Junior Сила иммунитета на страже Вашего ребенка

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Teasing Secrets from the Dead: My Investigations at America's Most Infamous Crime Scenes

Nancy had studied the macabre practice of human butchering and the evidence this practice left on bones-just the kind of science that I needed to wrap up this case. When Nancy had a chance to examine the bones, she confirmed that the preliminary cuts on Bill's legs had been made with a thick, smooth-bladed knife, while the final amputations had been performed with hacking blows from an axe-like tool. She explained that a saw or a knife often leaves its БЂњsignatureБЂ« on the bone, so that a hacksaw, for instance, makes fine irregular lines across the cut end of a bone, whereas a large table saw cuts cleanly in a single direction until the bone is severed. A chainsaw rips and chews through the bone in an instant, leaving gouges and chips in its wake, while a serrated knife leaves a pattern of dips and points-not to be confused with the straight, smooth cut mark often left by a butcher knife or a meat cleaver. The work done with cut marks by Nancy and my fellow forensic anthropologists-Steve Symes of Pennsylvania and the late William Maples of Florida-has helped to put numerous suspects behind bars ...»

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