Search results for "Caesarean section"

Emocionālā statusa un saiknes ar jaundzimušo salīdzinājums sievietēm pēc dzemdībām pa dabiskiem ceļiem un pēc ķeizargrieziena operācijas

2017

Pētījuma mērķis bija izpētīt, vai dzemdību veids – ķeizargrieziens vai dzemdības pa dabīgiem ceļiem, ietekmē mātes pēcdzemdību psiho-emocionālo status un mātes-bērna saiknes izveidošanos. Mātes emocionālais stāvoklis tika novērtēts ar tā saucamo Edinburgas Pēcdzemdību Depresijas Skalu (EPDS). Skala tika iekļauta pētījumā izmantotā anketā, kuru aizpildīja pētījuma dalībnieces. Ar EPDS nosaka mātes risku uz pēcdzemdību depresijas attīstību, kur iegūto punktu skaitu interpretē sekojoši: 0-9 punkti nozīmē zemu, 9-13 vidējo un >13 punktiem augstu risku uz pēcdzemdību depresijas attīstību. Pēcdzemdību perioda pirmās nedēļas laikā siviete stresa rezultātā var piedzīvot tā saucamo “Baby Blues”, jeb…

L’analisi delle politiche di riduzione dei cesarei attraverso il dynamic performance management: La valutazione del percorso nascita in un’azienda sa…

2018

Da tre decenni l'Organizzazione Mondiale della Sanità considera appropriata una percentuale di cesarei tra il l 0-1 5%. Tuttavia, molti Paesi tuttora si trovano a fronteggiare valori molto più elevati e le politiche adottate dai decisori pubblici spesso mostrano di essere poco efficaci. Il presente lavoro prende avvio dall'analisi del percorso nascita introdotto in Sicilia e propone il ricorso all'approccio del Dynamic Performance Management per investigare le cause sottostanti l'andamento dei parti cesarei. Lo studio ha consentito di costruire un modello di System Dynamics, successivamente personalizzato con i dati di un'azienda sanitaria. L'analisi dei risultati delle simulazioni evidenzi…

Framing Caesarean Section Reduction Policies Through a Dynamic Performance Management Approach: A Maternity Pathway Case-Based Analysis

2017

The World Health Organization since the last three decades strongly encourages countries to reduce the caesarean section (CS) rate down to 10–15%. However, this goal nowadays appears still far from its achievement. Public decision-makers are indeed struggling to design and implement effective policies to reduce the CS rate. The literature provides a wide range of factors causing a change in the CS rate, such as the patient clinical profile and the healthcare service quality provided. Maternity pathway (MP) is considered a mean through which to standardize the cares and to reduce CSs. This study investigates the MP recently introduced in Sicilian local health authorities. Based on such an an…

Should We Use Dexmedetomidine for Sedation in Parturients Undergoing Caesarean Section Under Spinal Anaesthesia?

2017

Impact of mode of delivery on levator morphology: a prospective observational study with three-dimensional ultrasound early in the postpartum period

2011

Please cite this paper as: Albrich S, Laterza R, Skala C, Salvatore S, Koelbl H, Naumann G. Impact of mode of delivery on levator morphology: a prospective observational study with three-dimensional ultrasound early in the postpartum period. BJOG 2012;119:51–61. Objective  To evaluate morphology and integrity of the levator ani muscle (LAM) with three-dimensional ultrasound early in the postpartum period. Design  Prospective cross-sectional observational study. Setting  University hospital in Germany. Population  Women after vaginal delivery and caesarean section with no previous vaginal delivery. Methods  Three-dimensional perineal ultrasound was performed between 48 and 72 hours postpartu…

Deliveries by caesarean sections on request of women: legal-medical evidence

2014

Introduction: In Italy the use of caesarean delivery has a rising trend moving away from European standards appeared on Euro-Peristat on maternal and child health, presenting the highest percentage of use of this procedure with significant regional differences. This study have analyzed the most recent data of a Sicilian reality about normal delivery and caesarean sections carried out in a hospital situated in Messina (Italy). Materials and methods: A total number of 1,573 medical records from 1st January 2011 to 31st December 2013 were analyzed and data gathered were statistically examined to describe general and specific parameters of the sample making use of Epi Info 7.1.4 software (CDC A…

Corrective factors of intestinal microflora disorders in the perinatal period

2019

Intestinal microflora is found at approximately 104 bacteria per ml of intestinal fluid. Although this ecosystem is very diverse with dynamic changes taking place within it, there is a certain stability in the type and number of species, referred to as the core microbiome, found in 95% of the human population. Genetic variation of microorganisms is relatively small, and their functions are strictly defined and highly conservative. The microbiome exists symbiotically with the host, protecting it against colonization by pathogenic microorganisms, providing essential metabolites, and stimulating the immune system. Colonization begins prenatally and its development is greatly influenced by the …

Designing Outcome-Based Performance Management Systems to Assess Policies Impacting on Caesarean Section Rate: An Analysis of the Sicilian Maternity …

2017

The reduction in Caesarean sections (CSs) is widely considered a priority in the public decision makers agenda. Though the World Health Organisation has strongly encouraged countries to implement policies to reduce CSs to 10–15%, after almost thirty years this goal appears still far from its achievement. The literature depicts CS as a multifaceted phenomenon whose causes involve different factors, ranging from the patient sphere to the health care level of services provided, and the societal preference of CS practice. Policy makers aiming to standardise cares and to reduce CSs often implement maternity pathways (MP). By investigating the MP introduced in the Sicilian region, the authors hig…

Thiopentalkonzentrationsverlauf im Vollblut von schwangeren und nichtschwangeren Patientinnen in den ersten Minuten nach der Injektion

1991

Thiopentone concentrations in blood following injection of the induction solution (Thiopental, 2.5%) may be critical in the context of lethal complications arising during induction of anaesthesia and thereby the toxicological aspects of this drug can become an issue in forensic considerations. The study was designed to find out whether the dose of injected thiopentone may be calculated from blood levels measured in nine pregnant and ten non-pregnant patients. The doses injected ranged from 4-5 mg per kg body weight. The drug was administered as a single bolus dose to the patients undergoing Caesarean section. In the non-pregnant group the first dose of thiopentone was given over 25 s. After…

722: Maternal solid organ transplantation and pregnancy outcome; a national population-based cohort study

2013

outcome; a national population-based cohort study Nils-Halvdan Morken, Cesar Diaz-Garcia, Mats Brannstrom University of Bergen, Public Health and Primary Health care, Bergen, Norway, University of Valencia, Gynecology and Obstetrics, Valencia, Spain, University of Gothenburg, Obstetrics and Gynecology, Valencia, Sweden OBJECTIVE: The first pregnancy with a live birth after solid organ transplantation in the human occurred more than 50 years ago. Still, knowledge about this very special patient group is limited. The objective was to assess the risk of adverse pregnancy outcome after transplant compared to pregnancies before transplant in females. We also compared the risk after transplant wi…