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Volumen 24 (2020): Heft 3 (September 2020)

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Zeitschriftendaten
Format
Zeitschrift
eISSN
2719-535X
Erstveröffentlichung
01 Jan 2020
Erscheinungsweise
4 Hefte pro Jahr
Sprachen
Englisch

Suche

AHEAD OF PRINT

Zeitschriftendaten
Format
Zeitschrift
eISSN
2719-535X
Erstveröffentlichung
01 Jan 2020
Erscheinungsweise
4 Hefte pro Jahr
Sprachen
Englisch

Suche

7 Artikel
Uneingeschränkter Zugang

Occupational risks to pregnant obstetrics and gynaecology trainees and physicians: Is it time to think about this?

Online veröffentlicht: 20 Jul 2022
Seitenbereich: -

Zusammenfassung

Abstract

The proportion of women in the workforce has been steadily increasing worldwide. Women now constitute approximately 75% of the global health workforce and almost 90% in nursing and midwifery professions. The present times have witnessed a dramatic gender shift in the speciality of obstetrics and gynaecology. Women now comprise a significant proportion of practicing obstetrics and gynaecology specialists all over the world. In 2018, more than 80% of resident doctors and nearly 60% of physicians in the speciality were female, far exceeding any other surgical speciality. Most resident doctors and a significant proportion of practising physicians in obstetrics and gynaecology are in the reproductive age group. They will become pregnant at some point in their training program or career. The present review focuses on all work-related exposure risks for pregnant obstetrics and gynaecology professionals. It discusses the risks of infectious diseases, radiation, stress, violence against doctors, and even peer support (or lack of it) that can have deleterious effects on the health of pregnant physicians and the health of their unborn foetuses.

Schlüsselwörter

  • Occupational risks
  • pregnancy
  • health care workers
  • obstetrician
  • gynaecologist
  • teratogenesis
  • radiation exposure
  • violence against doctors
Uneingeschränkter Zugang

Umbilical cord arterial blood lactate dehydrogenase and pH as predictors of perinatal outcome in high-risk term pregnancies: a cohort study

Online veröffentlicht: 20 Jul 2022
Seitenbereich: -

Zusammenfassung

Abstract Background

Birth asphyxia is a common cause of perinatal morbidity, mortality.

Objective

To compare the efficacy of umbilical cord arterial blood lactate dehydrogenase (LDH) and pH as predictors of neonatal outcome in high-risk term pregnancies using receiver operating characteristic (ROC) curves.

Material and methods

Present retrospective cohort study was conducted in the rural tertiary centre of Northern India over two years (January 2017–December 2018). Neonates delivered to 300 term (≥37 – ≤42 weeks) high-risk antenatal women were enrolled after fulfilling inclusion criteria. Immediately after delivery of a newborn by any mode, the segment of the umbilical cord (10 cm) was double clamped, cut, and arterial blood samples were taken for LDH and pH and were compared with neonatal outcome. Statistical analysis was done using SPSS 22.0 software.

Results

For all 300 neonates mean ± SD values of cord blood LDH and pH were 545.19 ± 391.93 U/L and 7.13 ± 0.15, respectively. High cord blood lactate and low pH values were significantly associated with adverse neonatal outcomes including neonatal resuscitation, NICU admission, complications and early neonatal deaths (p=0.000). The sensitivity, specificity and negative predictive value of cord blood LDH in the prediction of neonatal death was 100.00%, 53.17%, 100%, and pH was 93.75%, 53.17%, 99.34%, respectively.

Conclusion

Cord blood lactate and pH help in the early prediction of neonatal outcomes, but cord blood lactate is a better predictor.

Schlüsselwörter

  • Birth Asphyxia
  • Encephalopathy
  • Neonate
  • Pregnancy Umbilical cord
Uneingeschränkter Zugang

Pulse oximetry as a screening test for congenital heart disease in newborns

Online veröffentlicht: 20 Jul 2022
Seitenbereich: -

Zusammenfassung

Abstract Background

Congenital heart disease (CHD) can be fatal if not diagnosed at the early phases of life. Available diagnostic tools for screening critical CHD are mostly invasive and costly.

Aim

The current study aimed to validate the use of pulse oximetry as a non-invasive and cost-effective tool to screen critical CHD.

Material and methods

This observational study was conducted in a tertiary care teaching institute. A total of 1,082 asymptomatic term neonates (aged 2–24 h) were screened by pulse oximetry and clinical examination for the detection of critical CHD. Neonates with abnormal pulse oximetry and clinical examination findings were subjected to confirm the presence of CHD.

Results

The incidence of critical CHD in asymptomatic newborns was found to be 0.5% (5/1000 live births). Echocardiography confirmed five cases of critical CHD. Pulse oximetry alone could detect 80%, and clinical examination alone could detect 60% of the CHD cases, while combining both methods gave 100% detection rate.

Conclusion

Pulse oximetry is a simple, cost-effective, and reliable tool to diagnose critical CHD. In majority of the newborns who have not undergone fetal echocardiography, the underlying critical CHD can be missed, and in such cases, pulse oximetry screening offers an effective way to minimise the undiagnosed discharge risk.

Schlüsselwörter

  • congenital heart disease (CHD)
  • pulse oximetry
  • physical examination
  • echocardiography
Uneingeschränkter Zugang

Suspicions regarding the genetic inheritance of acute lymphoblastic leukemia in patients with down syndrome

Online veröffentlicht: 20 Jul 2022
Seitenbereich: -

Zusammenfassung

Abstract

Children with Down syndrome (DS) are at markedly increased risk for acute lymphoblastic leukaemia (ALL). DS is caused by trisomy of chromosome 21 affecting approximately 1 in 732 newborns in the USA. ALL is the most common cancer in children and constitutes approximately 25% of cancer diagnoses among children under the age of 15. Different protocols for treatment and management of paediatric ALL are available; however, DS children with ALL (DS-ALL) have increased risk of therapy-related toxicity compared to those without DS. Herein, we summarize the available literature on inherited predisposition for ALL, and possibilities for molecular therapy and treatment for DS-ALL patients.

Schlüsselwörter

  • Down syndrome (DS)
  • acute lymphoblastic leukaemia (ALL)
  • gene mutations
  • therapy
Uneingeschränkter Zugang

The child-to-family education program regarding self-medication: a theory-based interventional study

Online veröffentlicht: 20 Jul 2022
Seitenbereich: -

Zusammenfassung

Abstract Background and objective

Self-medication is considered one of the largest social, economic, and health problems in developing communities, including Iran. The present study aimed to determine the effectiveness of a child to family communication approach to self-medication based on the Health Belief Model [HBM].

Material and methods

This study is a quasi-experimental study that was conducted on 124 students in the fourth grade and their mothers in the intervention and control groups in Isfahan city, Iran. Using multi-stage simple random sampling, two primary schools were selected from each group, and then one class was selected from each primary school. Students in the intervention group attended the educational sessions. Then, the students were required to transfer their education to their families. The impact of education on mothers was evaluated two months after the last session. Data were collected before and after the intervention with a researcher-created questionnaire based on the HBM and were analysed using the SPSS 17 software package, with chi-square, Mann-Whitney U, and Wilcoxon tests.

Results

Before training, there was not a significant difference in the mean scores of the HBM constructs in terms of the demographic characteristics between the two groups. After the educational intervention, the mean of knowledge and HBM constructs were increased significantly, and the mean of perceived barriers decreased significantly in the experimental group [P < 0.001].

Conclusion

According to the present study, the child-to-family education based on the HBM was effective. It is suggested that educational interventions based on the HBM be designed and implemented to decrease self-medication in Iranian families.

Schlüsselwörter

  • Child-to-family
  • Health Belief Model
  • self-medication
  • educational intervention
Uneingeschränkter Zugang

Validity and reliability of the Greek version of Pregnancy Outcome Questionnaire (POQ)

Online veröffentlicht: 20 Jul 2022
Seitenbereich: -

Zusammenfassung

Abstract Background

During the last decades a considerable increase in biological and psychosocial approaches have occurred so as to enhance the study of prenatal period. This study aimed to investigate the validity and reliability of the Greek version of Pregnancy Outcome Questionnaire (POQ) in assessing pregnancy-related stress.

Material and methods

The study group consisted of 135 first-time expectant women with good knowledge of the Greek language, low-risk pregnancies and a gestational age of ≥24 weeks. Questionnaires containing the POQ scale questions in addition to other questions and scaleswere distributed in printed and digital format at private gynecological clinics. The collected data were analysed using the SPSS software.

Results

The POQ scale score showed satisfactory reliability (Cronbach’s alpha = 0.8), while the factor analysis showed a major factor with an eigenvalue of 4.17 and an overall interpreted factor variance of 41%. The sample showed moderate intensity values on the scale. We observed that pregnancy-related characteristics affected the scale, while no significant correlations with demographic variables were recorded.

Conclusion

The results of the reliability and factor analyses evaluating the scale structure indicated that the tool performed well in Greek, had a compact structure with satisfying reliability, and is suitable for use in the Greek pregnant population. However, additional research is warranted to investigate the effect of various additional factors on the scale.

Schlüsselwörter

  • Validity and reliability
  • Pregnancy Outcome Questionnaire (POQ)
  • pregnancy-specific anxiety
  • pregnancy-related stress
Uneingeschränkter Zugang

The effect of integrating midwifery counselling with a spiritual content on improving the antenatal quality of life: a randomized controlled trial

Online veröffentlicht: 20 Jul 2022
Seitenbereich: -

Zusammenfassung

Abstract Background

Poor antenatal quality of life (QoL) is associated with adverse outcomes.

Objective

This study was performed to examine the effect of integrating midwifery counseling with spiritual content to improve the antenatal quality of life.

Material and methods

This randomised controlled trial was performed on 60 first-time pregnant women who were referred to two childbirth preparation centers in Zanjan city, Iran, in 2019. The counselling was conducted in eight sessions. The QoL SF-36 questionnaire was completed right before and two months after the intervention. Data were analysed using the chi-square test, independent t-test, and paired-samples t-test. The level of significance was p < 0.05.

Results

After intervention based on an independent t-test the total score of QoL was significantly greater in the intervention group compared with the control group (p = 0.001). After the intervention, the mean scores of four domains of QoL (Role-Physical, General Health, Vitality, Role-Emotional, and Mental Health) were significantly higher than the control group (p = 0.001). Whilst in terms of Physical Functioning, Bodily Pain and Social Functioning domains were not statistically significant (p > 0.05).

Conclusion

Integrating midwifery counseling with spiritual content had a positive impact on improving the psychological aspect of quality of life more than the physical and social aspects. It can be used by providers for planning antenatal care programs.

Schlüsselwörter

  • Quality of life
  • Pregnancy
  • Spirituality
  • Women's Health
  • Childbirth
7 Artikel
Uneingeschränkter Zugang

Occupational risks to pregnant obstetrics and gynaecology trainees and physicians: Is it time to think about this?

Online veröffentlicht: 20 Jul 2022
Seitenbereich: -

Zusammenfassung

Abstract

The proportion of women in the workforce has been steadily increasing worldwide. Women now constitute approximately 75% of the global health workforce and almost 90% in nursing and midwifery professions. The present times have witnessed a dramatic gender shift in the speciality of obstetrics and gynaecology. Women now comprise a significant proportion of practicing obstetrics and gynaecology specialists all over the world. In 2018, more than 80% of resident doctors and nearly 60% of physicians in the speciality were female, far exceeding any other surgical speciality. Most resident doctors and a significant proportion of practising physicians in obstetrics and gynaecology are in the reproductive age group. They will become pregnant at some point in their training program or career. The present review focuses on all work-related exposure risks for pregnant obstetrics and gynaecology professionals. It discusses the risks of infectious diseases, radiation, stress, violence against doctors, and even peer support (or lack of it) that can have deleterious effects on the health of pregnant physicians and the health of their unborn foetuses.

Schlüsselwörter

  • Occupational risks
  • pregnancy
  • health care workers
  • obstetrician
  • gynaecologist
  • teratogenesis
  • radiation exposure
  • violence against doctors
Uneingeschränkter Zugang

Umbilical cord arterial blood lactate dehydrogenase and pH as predictors of perinatal outcome in high-risk term pregnancies: a cohort study

Online veröffentlicht: 20 Jul 2022
Seitenbereich: -

Zusammenfassung

Abstract Background

Birth asphyxia is a common cause of perinatal morbidity, mortality.

Objective

To compare the efficacy of umbilical cord arterial blood lactate dehydrogenase (LDH) and pH as predictors of neonatal outcome in high-risk term pregnancies using receiver operating characteristic (ROC) curves.

Material and methods

Present retrospective cohort study was conducted in the rural tertiary centre of Northern India over two years (January 2017–December 2018). Neonates delivered to 300 term (≥37 – ≤42 weeks) high-risk antenatal women were enrolled after fulfilling inclusion criteria. Immediately after delivery of a newborn by any mode, the segment of the umbilical cord (10 cm) was double clamped, cut, and arterial blood samples were taken for LDH and pH and were compared with neonatal outcome. Statistical analysis was done using SPSS 22.0 software.

Results

For all 300 neonates mean ± SD values of cord blood LDH and pH were 545.19 ± 391.93 U/L and 7.13 ± 0.15, respectively. High cord blood lactate and low pH values were significantly associated with adverse neonatal outcomes including neonatal resuscitation, NICU admission, complications and early neonatal deaths (p=0.000). The sensitivity, specificity and negative predictive value of cord blood LDH in the prediction of neonatal death was 100.00%, 53.17%, 100%, and pH was 93.75%, 53.17%, 99.34%, respectively.

Conclusion

Cord blood lactate and pH help in the early prediction of neonatal outcomes, but cord blood lactate is a better predictor.

Schlüsselwörter

  • Birth Asphyxia
  • Encephalopathy
  • Neonate
  • Pregnancy Umbilical cord
Uneingeschränkter Zugang

Pulse oximetry as a screening test for congenital heart disease in newborns

Online veröffentlicht: 20 Jul 2022
Seitenbereich: -

Zusammenfassung

Abstract Background

Congenital heart disease (CHD) can be fatal if not diagnosed at the early phases of life. Available diagnostic tools for screening critical CHD are mostly invasive and costly.

Aim

The current study aimed to validate the use of pulse oximetry as a non-invasive and cost-effective tool to screen critical CHD.

Material and methods

This observational study was conducted in a tertiary care teaching institute. A total of 1,082 asymptomatic term neonates (aged 2–24 h) were screened by pulse oximetry and clinical examination for the detection of critical CHD. Neonates with abnormal pulse oximetry and clinical examination findings were subjected to confirm the presence of CHD.

Results

The incidence of critical CHD in asymptomatic newborns was found to be 0.5% (5/1000 live births). Echocardiography confirmed five cases of critical CHD. Pulse oximetry alone could detect 80%, and clinical examination alone could detect 60% of the CHD cases, while combining both methods gave 100% detection rate.

Conclusion

Pulse oximetry is a simple, cost-effective, and reliable tool to diagnose critical CHD. In majority of the newborns who have not undergone fetal echocardiography, the underlying critical CHD can be missed, and in such cases, pulse oximetry screening offers an effective way to minimise the undiagnosed discharge risk.

Schlüsselwörter

  • congenital heart disease (CHD)
  • pulse oximetry
  • physical examination
  • echocardiography
Uneingeschränkter Zugang

Suspicions regarding the genetic inheritance of acute lymphoblastic leukemia in patients with down syndrome

Online veröffentlicht: 20 Jul 2022
Seitenbereich: -

Zusammenfassung

Abstract

Children with Down syndrome (DS) are at markedly increased risk for acute lymphoblastic leukaemia (ALL). DS is caused by trisomy of chromosome 21 affecting approximately 1 in 732 newborns in the USA. ALL is the most common cancer in children and constitutes approximately 25% of cancer diagnoses among children under the age of 15. Different protocols for treatment and management of paediatric ALL are available; however, DS children with ALL (DS-ALL) have increased risk of therapy-related toxicity compared to those without DS. Herein, we summarize the available literature on inherited predisposition for ALL, and possibilities for molecular therapy and treatment for DS-ALL patients.

Schlüsselwörter

  • Down syndrome (DS)
  • acute lymphoblastic leukaemia (ALL)
  • gene mutations
  • therapy
Uneingeschränkter Zugang

The child-to-family education program regarding self-medication: a theory-based interventional study

Online veröffentlicht: 20 Jul 2022
Seitenbereich: -

Zusammenfassung

Abstract Background and objective

Self-medication is considered one of the largest social, economic, and health problems in developing communities, including Iran. The present study aimed to determine the effectiveness of a child to family communication approach to self-medication based on the Health Belief Model [HBM].

Material and methods

This study is a quasi-experimental study that was conducted on 124 students in the fourth grade and their mothers in the intervention and control groups in Isfahan city, Iran. Using multi-stage simple random sampling, two primary schools were selected from each group, and then one class was selected from each primary school. Students in the intervention group attended the educational sessions. Then, the students were required to transfer their education to their families. The impact of education on mothers was evaluated two months after the last session. Data were collected before and after the intervention with a researcher-created questionnaire based on the HBM and were analysed using the SPSS 17 software package, with chi-square, Mann-Whitney U, and Wilcoxon tests.

Results

Before training, there was not a significant difference in the mean scores of the HBM constructs in terms of the demographic characteristics between the two groups. After the educational intervention, the mean of knowledge and HBM constructs were increased significantly, and the mean of perceived barriers decreased significantly in the experimental group [P < 0.001].

Conclusion

According to the present study, the child-to-family education based on the HBM was effective. It is suggested that educational interventions based on the HBM be designed and implemented to decrease self-medication in Iranian families.

Schlüsselwörter

  • Child-to-family
  • Health Belief Model
  • self-medication
  • educational intervention
Uneingeschränkter Zugang

Validity and reliability of the Greek version of Pregnancy Outcome Questionnaire (POQ)

Online veröffentlicht: 20 Jul 2022
Seitenbereich: -

Zusammenfassung

Abstract Background

During the last decades a considerable increase in biological and psychosocial approaches have occurred so as to enhance the study of prenatal period. This study aimed to investigate the validity and reliability of the Greek version of Pregnancy Outcome Questionnaire (POQ) in assessing pregnancy-related stress.

Material and methods

The study group consisted of 135 first-time expectant women with good knowledge of the Greek language, low-risk pregnancies and a gestational age of ≥24 weeks. Questionnaires containing the POQ scale questions in addition to other questions and scaleswere distributed in printed and digital format at private gynecological clinics. The collected data were analysed using the SPSS software.

Results

The POQ scale score showed satisfactory reliability (Cronbach’s alpha = 0.8), while the factor analysis showed a major factor with an eigenvalue of 4.17 and an overall interpreted factor variance of 41%. The sample showed moderate intensity values on the scale. We observed that pregnancy-related characteristics affected the scale, while no significant correlations with demographic variables were recorded.

Conclusion

The results of the reliability and factor analyses evaluating the scale structure indicated that the tool performed well in Greek, had a compact structure with satisfying reliability, and is suitable for use in the Greek pregnant population. However, additional research is warranted to investigate the effect of various additional factors on the scale.

Schlüsselwörter

  • Validity and reliability
  • Pregnancy Outcome Questionnaire (POQ)
  • pregnancy-specific anxiety
  • pregnancy-related stress
Uneingeschränkter Zugang

The effect of integrating midwifery counselling with a spiritual content on improving the antenatal quality of life: a randomized controlled trial

Online veröffentlicht: 20 Jul 2022
Seitenbereich: -

Zusammenfassung

Abstract Background

Poor antenatal quality of life (QoL) is associated with adverse outcomes.

Objective

This study was performed to examine the effect of integrating midwifery counseling with spiritual content to improve the antenatal quality of life.

Material and methods

This randomised controlled trial was performed on 60 first-time pregnant women who were referred to two childbirth preparation centers in Zanjan city, Iran, in 2019. The counselling was conducted in eight sessions. The QoL SF-36 questionnaire was completed right before and two months after the intervention. Data were analysed using the chi-square test, independent t-test, and paired-samples t-test. The level of significance was p < 0.05.

Results

After intervention based on an independent t-test the total score of QoL was significantly greater in the intervention group compared with the control group (p = 0.001). After the intervention, the mean scores of four domains of QoL (Role-Physical, General Health, Vitality, Role-Emotional, and Mental Health) were significantly higher than the control group (p = 0.001). Whilst in terms of Physical Functioning, Bodily Pain and Social Functioning domains were not statistically significant (p > 0.05).

Conclusion

Integrating midwifery counseling with spiritual content had a positive impact on improving the psychological aspect of quality of life more than the physical and social aspects. It can be used by providers for planning antenatal care programs.

Schlüsselwörter

  • Quality of life
  • Pregnancy
  • Spirituality
  • Women's Health
  • Childbirth

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