Thursday, June 20, 2019 admin Comments(0)

EPUB eBook here { }. .. Content • • • • • Stage of labor Content of partogram Normal partogram in multi and nuli Causes of abnormal partogram Abnormal partogram – – – – Prolong latent phase. Comparison 2 Partograph with 2-hour action line versus partograph with 4-hour action line (studies obstetrics and gynaecology Sep 11 Epub ahead of. The partograph as recommended by the World Health. Downloads: PDF / ePUB. / Citation Partograph use for labour monitoring averaged 54% in this study.

Language:English, Spanish, Hindi
Published (Last):13.10.2015
ePub File Size:30.69 MB
PDF File Size:10.38 MB
Distribution:Free* [*Register to download]
Uploaded by: FRANCIS

Arch Gynecol Obstet. Jan;(1) doi: /s Epub Aug 6. Role of partogram in high risk pregnancies: an experience at a . Midwifery. Feb; doi: / Epub Nov Use of the partogram in a private hospital in South Africa. Yazbek M(1). PARTOGRAM PROF DR MN MOHD AZHAR ROYAL COLLEGE OF MEDICINE PERAK EPUB Ebook here { }.

Data collected from the medical records of parturient women cared for between and indicated 11 hospital transfers, nine of which underwent a Cesarean section. The majority of women who had a home birth showed normal fetal heart beat Outcomes indicated that planned home birth is safe. Descriptors: Home Childbirth. Humanizing Delivery.

The median value of postoperative pain analyzed using VAS after giving education, at 5 h was significantly reduced in Group A 5.

Use of an electronic Partograph: feasibility and acceptability study in Zanzibar, Tanzania

The median value of VAS score at 24 h was significantly different in both groups. It was 1. The median difference in hours in the duration of analgesia between the two groups was 0. Conclusion: A planned preoperative education and handout with details about spinal anesthesia can have a significant impact on reducing the preoperative anxiety and the postoperative pain in parturients undergoing elective CS under spinal anesthesia.

I-gel for day care diagnostic laparoscopic gynecological surgery: A comparison of two regimes of IV propofol with dexmedetomidine or butorphanol p.

Propofol with adjuvants is commonly used to facilitate I-gel insertion. This study was conducted to compare ease of insertion by addition of either dexmedetomidine or butorphanol added to propofol for insertion of I-gel in gynecological laparoscopic surgeries. Ease of insertion score was determined by jaw mobility grading, number of attempts, need of manipulation, limb movement and bucking, use of laryngoscope and muscle relaxant, and time taken for insertion. Adverse events like expiratory stridor, lacrimation, breath holding, and audible air leak after insertion were also noted.

Intraoperative monitoring included heart rate HR , mean arterial pressure MAP , and oxygen saturation at 0—15 min of I-gel insertion.

Epub partogram

Post-operative side effects like coughing, laryngospasm, hiccups, and sedation were also noted. Significant fall in HR from baseline to 15 min after I-gel insertion There was a fall in MAP from baseline values after induction upto 15 min following insertion in Group I Conclusion: Addition of dexmedetomidine to propofol provided significantly better insertion characteristics for I-gel and adequate hemodynamic stability with minimal complications compared to butorphanol.

A comparative clinical study of intrathecal bupivacaine 2. Aim: To study the effect of intrathecal dexmedetomidine versus fentanyl when added to bupivacaine on the duration of labor analgesia, progress of labor, block characteristics, and side effects.

Settings and Design: A prospective, randomized double-blind study. Materials and Methods: Sixty parturients consenting for labor analgesia were divided into two groups.

Partogram, visual analog score, sensory and motor blockage, progress of labor, maternal hemodynamic variations, and fetal heart rate were noted. Statistical Analysis Used: Standard qualitative and quantitative tests were used to compare data e. Results: Duration of labor analgesia was significantly greater in Group A as compared to Group B Mean onset of analgesia was earlier in Group A as compared to Group B 1.

This study aimed to evaluate the efficacy of the SMS chart to predict maternal morbidity and improve maternal and fetal outcomes. Materials and Methods: A single-center randomized study was done on subjects of two groups from February to Results: Demographic data, preterm deliveries, and cesarean delivery rate were not significantly different in both groups.

Advances in Medicine

Stata Statistical Software: Release Notes on questions raised during data collection were used by the study team to identify any additional training needs.

COs took notes in either English or Kiswahili, based on their preference. Interview notes captured in Kiswahili were translated into English. IDI audio-recordings were transcribed in Kiswahili, and translated into English for analysis. De-identified interview data were then analyzed by two study team members using thematic analysis techniques.

In addition to the IRB approval, to gain community support and acceptance for the study, the study team conducted an orientation meeting with the MOH, facility in-charges, and community leaders.

Clients provided oral consent to SBAs for their labors to be monitored using the ePartogram. In addition, to mitigate risks associated with potential tablet or software failure, and to adhere to MOH recordkeeping standards, COs completed a paper partograph for each labor the SBA monitored using the ePartogram. To ensure that SBAs managed care during labor and delivery in accordance with the normal standard of care, the ePartogram was only used when a senior clinician was on duty or on call at the facility in case of emergency.

Facilities were supplied with at least four Samsung Tab3 7-in. Tablets had screen protectors and cases. Infection prevention protocols and supplies were distributed to the facilities.

COs conducted a total of 82 short interviews with SBAs after having used the ePartogram to monitor their first five clients. The proportion of SBAs completing these tasks with ease from the beginning of a shift steadily increased over each observed shift. By the fifth shift, no SBAs were observed having difficulty with any of the four tasks.

Overview | Intrapartum care for healthy women and babies | Guidance | NICE

Observed ease of use in completing tasks on the ePartogram: a registering a new client; b entering the first set of clinical measurements; c entering subsequent data; d navigating between data entry screens Based on short interviews, SBAs generally reported that they felt comfortable using the ePartogram when they first used it with a woman in labor.

A couple of SBAs did report difficulty understanding where to enter maternal and fetal data the first time they used the ePartogram, but this was no longer a concern with their second client. SBAs who had used the ePartogram for two or more clients expressed that the ePartogram was increasingly easy to use and that data entry was simple and quick. In all other shifts the tablet battery lasted or was charged when low.

In interviews, some SBAs expressed concern that the ePartogram might be challenging to use in an environment with staffing shortages or in a facility with a high client-to-provider ratio. A few SBAs raised concerns about breaking the tablet or losing data if the battery ran out, although this did not occur during the study. It was widely reported that the content and information contained within the ePartogram was similar to that of the paper partograph.

Role of partogram in high risk pregnancies: an experience at a tertiary centre.

That wastes time. In addition to the qualitative findings, COs perceived that SBA confidence and comfort in using the ePartogram increased over each shift. Throughout short interviews and IDIs, SBAs almost universally reported that having auditory and visual reminders for which measurements were due—or were overdue—increased the frequency with which the mother was checked, improving timeliness of care.

Epub partogram

Observation data also showed that these reminders spurred SBAs to action, primarily to take measurements. By the fifth observed shift, all SBAs took measurements in response to reminders Fig. During the first three shifts of ePartogram use, in three instances, an SBA was observed ignoring the reminder, and three SBAs asked for clarification from the CO about an alert; by the fourth shift, this behavior was no longer observed.

They jolted me into making decisions, and they helped me a lot in my decisions. SBA responses to alerts are more difficult to interpret because an alert indicates an abnormal clinical measurement for which a decision may need to be made, and this decision may or may not include taking action.