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PloS One 2022Partograph is a simple, inexpensive & economical tool that provides a continuous graphical overview of labour and prevents prolonged and obstructed labor. The purpose of...
Partograph utilization and associated factors among obstetric care givers in governmental health institutions of Jigjiga and Degehabur towns, Somali region, Ethiopia: A cross-sectional study.
BACKGROUND
Partograph is a simple, inexpensive & economical tool that provides a continuous graphical overview of labour and prevents prolonged and obstructed labor. The purpose of the study is to assess partograph utilization and associated factors among obstetric care givers in governmental health institutions of Jigjiga and Degehabur Towns, Somali Region, Ethiopia.
METHODS
An institution based cross-sectional quantitative study was carried out among obstetric care givers who were working in governmental health institutions. Systematic random sampling with proportional to size allocation was used to recruit a total of 235 study participants. Self-administered questionnaire was used to collect data in this study. Three data collectors and one supervisor were recruited and trained to facilitate the data collection activities. Data were entered into Epi data software and exported into SPSS (23.0) for analysis. Descriptive statistics, bivariate and multivariate logistic regression were computed to determine proportions and significant association with partograph utilization among obstetric care givers.
RESULT
Less than half of obstetric care givers, 41% (95%CI: 34.5-46.9) had good partograph utilization to monitor progress of labor. Being female [AOR = 2.36, 95%CI:(1.03-5.44)], availability of partograph [AOR = 4.633, 95%CI: (1.698-12.640)], having good knowledge [AOR = 6.90, 95%CI:(2.62-18.18)], receiving on job training [AOR = 15.46, 95%CI:(6.95-34.42)] and positive attitude towards partograph [AOR = 2.99, 95%CI:(1.25-7.14)] were significantly associated with partograph utilization.
CONCLUSION
Partograph utilization in this study was low. Especial emphasizes and interventions should be given to periodic on job training that improve knowledge and attitude of obstetric care givers to increase partograph utilization.
Topics: Caregivers; Cities; Cross-Sectional Studies; Ethiopia; Female; Humans; Labor, Obstetric; Male; Obstetric Labor Complications; Pregnancy; Somalia
PubMed: 35263361
DOI: 10.1371/journal.pone.0264373 -
Frontiers in Medicine 2023To explore obstetric nurses and midwifery professionals' experiences with the Perinatal Bereavement Care Training Programme (PBCTP) after implementation.
AIM
To explore obstetric nurses and midwifery professionals' experiences with the Perinatal Bereavement Care Training Programme (PBCTP) after implementation.
DESIGN
A qualitative descriptive design was used.
METHOD
This qualitative study was conducted at a tertiary level maternity hospital in China. The PBCTP was implemented at Women's Hospital School of Medicine, Zhejiang University from March to May 2022. A total of 127 nurses and 44 midwives were invited to participate in the training. Obstetric nurses and midwives studied a 5-module training programme comprised of eight online theoretical courses and submitted a reflective journal after each session. Semi-structured interviews were conducted with 12 obstetric nurses and four midwives from May to July 2022 as a post-intervention evaluation. Thematic analysis was used in data analysis.
FINDINGS
A total of 16 participants in this study ranged in age from 23 to 40 years [mean age (SD), 30 (4) years]. Six main themes within participants' experiences of PBCTP intervention were identified: participants' aims of undertaking the training; personal growth and practice changes after training; the most valuable training content; suggestions for training improvement; directions for practice improvement; influencing factors of practice optimization.
CONCLUSION
Nursing and midwifery professionals described the PBCTP as satisfying their learning and skills enhancement needs and supporting positive changes in their care providing for bereaved families. The optimized training programme should be widely applied in the future. More efforts from the hospitals, managers, obstetric nurses, and midwives are needed to jointly contribute to forming a uniform care pathway and promoting a supportive perinatal bereavement care practice.
PubMed: 37007785
DOI: 10.3389/fmed.2023.1122472 -
Evidence-based Complementary and... 2022The purpose of this study was to understand the current status and existing responses of obstetricians and obstetric nurses in Guangdong Province regarding sex education...
Research on Cognition and Training Needs of Sex Education during Pregnancy among Obstetricians and Obstetric Nurses in Guangdong Province Based on Mixed Research Perspective.
OBJECTIVE
The purpose of this study was to understand the current status and existing responses of obstetricians and obstetric nurses in Guangdong Province regarding sex education during pregnancy and to understand their acceptance of sex education during pregnancy and the knowledge and information they would like to obtain in sex education courses.
METHODS
A phenomenological research method was used to conduct in-depth interviews with 12 obstetricians and obstetric nurses in a tertiary hospital in Guangdong Province to understand their perceptions and attitudes toward providing sex education to pregnant women. A self-designed questionnaire was used to survey 462 obstetricians and obstetric nurses in Guangdong Province to understand their needs for sex education.
RESULTS
Three themes were summarized: insufficient awareness of sex education during pregnancy; negative attitudes of obstetricians and obstetric nurses toward sex education during pregnancy; and the need for a long-term process for the development and popularization of sex education during pregnancy. We obtained the required scores of obstetricians and obstetric nurses on 11 aspects of sex education during pregnancy with a coefficient of variation ≤25%.
CONCLUSION
There is an urgent need to improve the awareness and related competencies of obstetricians and obstetric nurses about sex education during pregnancy, and the purpose and content of sex education courses should be in line with the clinical reality.
PubMed: 36072407
DOI: 10.1155/2022/2536849 -
Revista Brasileira de Enfermagem 2021Evaluate the association between early pregnant hospitalization and the use of obstetric interventions and cesarean delivery route.
OBJECTIVE
Evaluate the association between early pregnant hospitalization and the use of obstetric interventions and cesarean delivery route.
METHODS
Cross-sectional study, with 758 women selected at the time of childbirth. It was assumed as early hospitalization when the woman was admitted to the hospital having less than 6 cm of cervical dilation. Logistic regression models were constructed in order to estimate the odds ratio for each obstetric intervention, adjusted by sociodemographic and obstetric variables.
RESULTS
73.22% of women were early hospitalized. On average, they had 1.97 times the chance to undergo Kristeller's maneuver, 2.59 and 1.80 times the chance to receive oxytocin infusion and analgesia, respectively, and 8 times more chances to having their children by cesarean delivery when compared to women that had timely hospitalization.
CONCLUSION
Early hospitalized women were submitted to a higher number of obstetric intervention and had increased chances of undergoing cesarean sections.
Topics: Cesarean Section; Clinical Protocols; Cross-Sectional Studies; Delivery, Obstetric; Female; Hospitalization; Humans; Labor, Obstetric; Obstetric Nursing; Parturition; Perinatal Care; Pregnancy
PubMed: 34105639
DOI: 10.1590/0034-7167-2020-0397 -
Revista Gaucha de Enfermagem Sep 2016To evaluate the use of nursing diagnoses and interventions proposed for women in labour and high-risk pregnancies.
OBJECTIVE
To evaluate the use of nursing diagnoses and interventions proposed for women in labour and high-risk pregnancies.
METHOD
This is a descriptive, retrospective study with documentary analysis of 1000 medical records and a checklist conducted from July to September 2014, at a maternity hospital in Paraiba, Brazil. It consisted of analysing descriptive measures and comparing the relationship between nursing diagnoses and interventions using NANDA - International and the Nursing Interventions Classification.
RESULTS
The most common diagnoses in labour were acute pain (62%), fatigue (24.7%), and anxiety (22%). For high-risk pregnant women they were impaired sleep and rest (100%), risk of infection (81.8%), and anxiety (77.2%). The interventions were hand washing (80.8%) and identify and accommodate patient in the bed (78%).
CONCLUSION
The diagnoses express needs during parturition and the psychobiological changes in high-risk pregnancy. The interventions are disconnected from the diagnoses and should therefore be reviewed and altered.
Topics: Brazil; Female; Humans; Nursing Diagnosis; Obstetric Labor Complications; Pregnancy; Pregnancy, High-Risk; Retrospective Studies
PubMed: 27706441
DOI: 10.1590/1983-1447.2016.03.55316 -
BMC Pregnancy and Childbirth Sep 2022Direct obstetric causes account for nearly 75% of all maternal deaths. Controversy prevails in the effect of grand multiparity on adverse obstetric outcomes. This study...
BACKGROUND
Direct obstetric causes account for nearly 75% of all maternal deaths. Controversy prevails in the effect of grand multiparity on adverse obstetric outcomes. This study thus aimed to determine and compare the obstetric outcomes in low multiparous (LM) and grand multiparous (GM) women in Public Hospitals of North Ethiopia.
METHOD
An institution-based comparative cross-sectional study was done among 540 (180 GM and 360 LM) participants from January 1 to March 30, 2021. The data was collected through face-to-face interviews and a review of clinical records and birth registries. Epi-Data version 4.6 was used for data entry and analysis was performed using SPSS version 25.0 statistical software. A p-value of ≤ 0.05 (2-tailed) was used to consider the significance of statistical tests.
RESULT
The prevalence of adverse obstetric outcomes was 32.6% (95% CI: 28.7-36.5). Antepartum hemorrhage, anemia, and postpartum hemorrhage were higher in grand multiparous women. Whereas, prolonged labor, induction/augmentation, prelabor rupture of membrane, episiotomy, and post-term pregnancy was higher in low multiparous women. Income (AOR (CI) = 3.15 (1.30-7.63), alcohol consumption (AOR (CI) = 3.15 (1.49-6.64), preterm delivery (AOR (CI) = 9.24 (2.28-27.3), cesarean delivery (AOR (CI) = 13.6 (6.18-30.1), and low birth weight (AOR (CI) = 3.46 (1.33-9.03) significant predictors of adverse obstetric outcomes. However, parity did not show a statistically significant difference in obstetric outcomes.
CONCLUSION
In the study area, obstetric complications were high compared to a systematic review and meta-analysis study done in the country (26.88%). Socio-economic status, alcohol consumption, gestational age at delivery, mode of delivery, and birth weight were significant associates of the obstetric outcome. There was no statistically significant difference in obstetric outcomes between GM and LM women. Socio-economic development, avoiding alcohol consumption, early identification and treatment of complications, and adequate nutrition and weight gain during pregnancy are needed regardless of parity.
Topics: Cross-Sectional Studies; Ethiopia; Female; Hospitals, Public; Humans; Infant, Newborn; Meta-Analysis as Topic; Parity; Pregnancy; Pregnancy Outcome; Systematic Reviews as Topic
PubMed: 36076160
DOI: 10.1186/s12884-022-05021-2 -
International Journal of Environmental... Nov 2021obstetric violence is still far too invisible; the word "violence" generates rejection and obstetric violence is complex to define and typify, as it is a subjective...
BACKGROUND
obstetric violence is still far too invisible; the word "violence" generates rejection and obstetric violence is complex to define and typify, as it is a subjective experience. It has been widely analyzed from legal, sociological, and clinical perspectives, but not equally so from the bioethical point of view. This article sets out to take a more in-depth look at the experiences of midwives in order to describe the ethical perspectives of obstetric violence. We intend to describe the effects that malpractice and violence within obstetric care have on American and European bioethical principles.
METHODOLOGY
A qualitative methodology of the phenomenological tradition was used: 24 midwives participated in three focus groups.
RESULTS AND DISCUSSION
four categories were arrived at; they are "the maleficence of forgetting my vulnerability", "beneficence requires respect for my integrity and dignity", "my autonomy is being removed from me" and "a problem of social justice towards us, women".
CONCLUSION
obstetric violence infringes on the main bioethical principles (non-maleficence, beneficence, autonomy, justice, vulnerability, dignity, and integrity). Beyond whether it is called violence or not, what matters from an ethical perspective is that, as long as women have such negative experiences during pregnancy and childbirth, obstetric care needs better humanizing.
Topics: Delivery, Obstetric; Female; Focus Groups; Humans; Midwifery; Parturition; Pregnancy; Violence
PubMed: 34886279
DOI: 10.3390/ijerph182312553 -
MedEdPORTAL : the Journal of Teaching... Oct 2018Cardiac arrest in pregnancy is rare. Advanced Cardiovascular Life Support courses rarely address interventions specific to obstetric patients, and knowledge gaps are...
INTRODUCTION
Cardiac arrest in pregnancy is rare. Advanced Cardiovascular Life Support courses rarely address interventions specific to obstetric patients, and knowledge gaps are frequent among providers. The Society for Obstetric Anesthesia and Perinatology and American Heart Association have published guidelines regarding management of cardiac arrest in pregnancy, and interdisciplinary simulation training has been advocated to reinforce key management points for this clinical scenario.
METHODS
In situ multidisciplinary simulation training was implemented for anesthesia and maternal fetal medicine fellows and obstetric nurses at our hospital. The case was amniotic fluid embolism in a 35-year-old parturient at term. The patient had a witnessed seizure before cardiovascular collapse. Learners were expected to initiate high-quality cardiopulmonary resuscitation and perform a perimortem cesarean delivery within 5 minutes while demonstrating clear communication with each other. The case required a labor room, high-fidelity mannequin, defibrillator, code cart, cesarean section instruments, and simulated medications and intravenous fluids.
RESULTS
Participants comprised two obstetric anesthesia fellows, three maternal fetal medicine fellows, and three obstetric nurses. Positive feedback about the training and increased perceptions of self-efficacy were received. Potential systems issues were detected and corrected because of the training, highlighting the value of in situ drills.
DISCUSSION
We found it challenging to implement more frequent multidisciplinary sessions, but participants found the experience highly rewarding. We hope to expand the training to all physicians and nurses covering the unit on a regular basis. Modified scenario versions are being used for nursing-only and obstetric resident-only simulations during protected teaching time for those services.
Topics: Adult; Airway Management; Cardiopulmonary Resuscitation; Cesarean Section; Embolism, Amniotic Fluid; Female; Heart Arrest; Humans; Patient Simulation; Pregnancy; Pregnancy Complications, Cardiovascular
PubMed: 30800968
DOI: 10.15766/mep_2374-8265.10768 -
Revista Brasileira de Enfermagem 2019to build an educational hypermedia about nursing care at usual risk birth and to perform validation of content and appearance.
OBJECTIVE
to build an educational hypermedia about nursing care at usual risk birth and to perform validation of content and appearance.
METHOD
methodological research carried out following the following stages: content and planning of modules; media production and organization of tutorial units; organization of student space, tutor and communication between them; availability of hypermedia; assessment by experts in nursing and informatics; and implementation of proposed suggestions.
RESULTS
educational hypermedia showed to be a validated material, since it presented an optimum index of global content of 0.97 and statistical significance in the binomial test for the content and appearance.
CONCLUSION
it is believed that the use of this material with undergraduate students in nursing will contribute to the quality of obstetric care, considering that it is an illustrated technology capable of favoring teaching-learning about normal humanized childbirth.
Topics: Curriculum; Female; Humans; Hypermedia; Mentoring; Midwifery; Nursing Education Research; Obstetric Nursing; Parturition; Pregnancy
PubMed: 31644732
DOI: 10.1590/0034-7167/2018-0163 -
Medicine Oct 2023The aim of this study is to investigate the core competencies of midwives in China. Combination of qualitative research and quantitative research. A total of 100...
The aim of this study is to investigate the core competencies of midwives in China. Combination of qualitative research and quantitative research. A total of 100 midwives in 3 tertiary (Grade 3) hospitals in Shijiazhuang were investigated by using the Midwife Core Competency Scale, and simultaneously followed by semi-structured interviews with 12 midwives. The questionnaire survey showed that the average score of core competencies of midwives was 4.17 ± 0.17. The scores of midwives' competency for labor and delivery care (4.31 ± 0.09), new-born care (4.29 ± 0.04), and postpartum care (4.25 ± 0.13) were relatively high, while the prepregnancy care had the lowest score (3.88 ± 0.07). The interview results showed that the self-perception of core midwifery competencies was not bad, the limitations of midwives' work scope affect the core competencies, and midwifery education needs to strengthen the humanistic care and the training of obstetric knowledge and technology.
Topics: Pregnancy; Female; Humans; Midwifery; Labor, Obstetric; Qualitative Research; Hospitals; China
PubMed: 37904464
DOI: 10.1097/MD.0000000000034246