Childbirth - Science topic

What an important question! Often clinical skills especially in the hospital setting are taught without attention to counseling skills which are just as important for a patient's overall experience. Practitioners need to be aware that though they do these procedures on a daily basis, patients do not and need procedures to be explained and emotions to be affirmed as well. Family Centered Care does a great job of this. Treating families as complete humans instead of treating specific body parts.

Interesantes preguntas

Son cosas diferentes, aunque guarden una estrecla relación

Women’s experiences and perceptions of anxiety and stress during the perinatal period: a systematic review and qualitative evidence synthesis

has suggested a number of journals that will publish protocols but as far as I am aware most (if not all) will still charge a fee although they may offer discount on publications of the full paper.

One option might be to register your review (Prospero is free I think: https://www.crd.york.ac.uk/prospero/), which you should do anyway, including relevant details from the protocol and upload the protocol itself on a pre-print server (or another site) that can provide you with a doi (e.g. https://www.medrxiv.org/).

Sorry, that's not my field, so I don't understand. I also don't have close friends whose field of study is about it

Dear Boniface Okpala

This is the reason. Many maternal deaths or disability occur in this period because of poor care. I think we must strongly advocate inclusion of fourth stage in the labour process to ensure safe motherhood

Thank you all for your answers. I wish you all the best.

@Himani Deshpande,

Please find the link given below. In past 2 years this journal has been taken a significant spot on Human health using machine learning approach. Please check the links

1. jamanetwork.com

2. https://scholar.google.co.in/scholar?start=10&q=machine+learning+based+journal+on+Women+health&hl=en&as_sdt=0,5&as_vis=1

Best wishes with regards,

Suraj

Find my suggestion in the following URL:

https://arxiv.org/ftp/arxiv/papers/1402/1402.6282.pdf

Regards

Es importante dar a conocer tus objetivos junto con el lugar donde vas a recoger la muestra y darlos a un experto informático y será el el que te calcule la muestra apropiada. Es diferente dependiendo del diseño del estudio, si es cuali o cuanitativo.

You can see how the simulation results change depending on the increase in the sample size. You will see that they converge asymptotically to certain limits. You can extrapolate this convergence and understand how to reduce the error of research results compared to the limit values

In Saudi Arabia the lock down has resulted in depletion of medications. There is no warfarin available. Antimicrobials are in very short supply. Shipping charges have increased significantly. The situation is likely to be similar in other countries. We must urgently determine which medications are effective for this condition to avoid wastage.

risks of childbirth will increase as supplies of important medications are depleted...

In South Africa, I would highly recommend midwifery-led units which are close by to hospitals in case of an emergency. The midwives in South Africa are trained well and highly skilled to recognise if there is a need for referral. Most of the deliveries even in hospital are done by midwives.

In my opinion each one has its own advantadges and disadvantadges. TVT's Pros are their better long-time outcome and Cons their heigher rate of blader perforations. TOT are easier to perform but have more pelvic postoperative pain.

Amniotomy may hasten Labour progression by allowing fetal axis pressure to come into play early and hasten the release of prostaglandins , all which may impact positively on Labour progression but not necessarily Labour outcome has been well documented.

Similarly amniotomy is a well documented integral and cardinal component of management of placental abduction but not it's prevention. Of crucial significance is the fact amniotomy should be performed in a controlled fashion in order to prevent sudden decompression of intrauterine pressure particularly in cases of uterine overdistension due to e.g. polyhydramnios which may then predispose to placental abduction.

Thanks for your answer.

Dear partner,

I know the Mackey Childbirth Satisfaction Rating Scale to measure women's satisfaction with labor and delivery. In my country, there are some studies that have used this scale. Chronbach's alpha coefficient reported for the Spanish version is 0.94 for the total scale, ranging from 0.72 to 0.96 for the subscales.Esta scale can be useful in measuring the satisfaction of women with the experience of the childbirth. I hope you will be of help. A greeting

Héctor Glez

PhD, MsC, RN-Midwife

Technically, the answer to your question is "Yes".

However, there is a more focused question that you should be asking:

"If I use expenditure on childbirth as a proxy for the cost of healthcare, will I learn anything useful about the economics of the overall healthcare system?"

The answer to that second question is "No".

Expenditure on a particular healthcare service is strongly influenced by the availability and cost of staff and resources. If operating theatres and obstetric surgeons are freely available, then the rate (and cost) of caesarian sections will be high; if access to theatres and surgeons is limited, the rate will be much lower. And as Judy has pointed out above, childbirth without medical intervention is always an option.

You also need to be quite clear about whether you are attempting to evaluate "the cost of healthcare" (as stated in your headline question) or "the cost efficiency of health sector" (as mentioned in the explanation that follows).

Dear Praxedes,

This is a very important topic and one that is socioculturally contextualised. Depending on the location of the world, there will be different answers. I would therefore recommend that you speak directly with mid-wives in your specific region in which you will be conducting research to inquire to what they are finding as the lack of knowledge that women/mothers have. Good luck on your work!

Hi Shobha,

Are you looking for certified financial planners or advisors without appropriate certification? Certification appears to be managed by the Financial Planning Standards Board, India, and all certified candidates are registered on their website here: http://www.fpsbindia.org/scripts... Many likely work for larger organizations who you could reach out to, but there will also be individuals with their own advisory businesses. You may also have luck looking on websites like LinkedIn. In any case, if you are working from a University, do ensure you have appropriate ethical clearance before approaching anyone. I hope this helps!

Dear Arwa,

Start translation by using forward and backward method.  I am familiar with this questionnare and worked with using it.  Henceforth I can help u.  

This sounds like a useful and informative study - assuming the methods you select are feasible for your circumstances. My first thought, when I read the word restorative, is the work of Kaplan and Kaplan who study attention restoration and developed a comprehensive theory ART (attention restoration theory) - though this is not what you are describing - I thought I'd point out the overlap. Meanwhile, I am one of the colleagues Dr Newnham referred to above. I have multiple publications regarding the physical birth unit design's influence on women's supporters' experiences. It is a 'wicked' problem - better understanding the space in which such a number of different experiences occur (caregivers, the woman, the supporters). There isn't necessarily one best method - but making sure that you are connecting your well-developed research question very clearly with the population of interest and the existing literature and the possible outcomes is important. 

From the findings of my research women are talking to each other about severe morbidities after traumatic vaginal deliveries and becoming 'fearful' of lifestyle consequences like sexual dysfunction, urinary and fecal incontinence, pelvic organ prolapse. This appears to be the more pertinent reason they are requesting caesarean sections. Women who sustained injuries like levator ani avulsion or OASI noted that they would have preferred  information and informed consent prior to deliveries that resulted in unexpected and unexplained long term  physical and psychological repercussions. Whilst vaginal deliveries can have positive outcomes for some women it is integral that clinicians be aware others suffer severe damage and up until recently have not had a voice and been dismissed as having 'women's problems that will get better'. Yes the paradigm has changed but not due to the fact women are less resilient.

There is a greater risk of relapse of a recovering addict of pain is not properly controlled. There is always an inherent risk of relapse when giving pain medicine to a recovering addict but the other option is cruel. The individual has to have a strong program of recovery and fellowship of others to speak with for guidance when giving pain medicine.

Women used a variety of birth positions and a majority gave birth in flexible sacrum positions. No associations were found between flexible sacrum positions and SPT. Flexible sacrum positions were associated with fewer episiotomies.

Perineal injuries and birth positions among 2992 women with a low risk pregnancy who opted for a homebirth

The birth satisfaction scale revised - (BSS-R) produced by Hollins Martin

Caroline J. Hollins Martin, PhD, MPhil, BSc, PGCE, ADM, RM, RGN, MBPsS (Professor of Midwifery), Colin R. Martin, PhD, MBA, BSc, RN, YCAP, CPsychol, CSci, AFBPsS (Professor of Mental Health)  Development and psychometric properties of the Birth Satisfaction Scale-Revised (BSS-R) Midwifery 30 (2014) 610–619 

The uterine cavity with intact membranes and closed cervix is a closed container and have no choice but to obey Palcal's law. Considering that contractions of normal labor start at the cornua region of the uterine fundus and then spread towards the cervix, every contraction exerts pressure in the amniotic sac/uterine wall structures in one direction and receives counter pressure from the rest of the container walls. If the cervix dilates and the amniotic sac looses its protection, then the amniotic sac will prolapse into the cervical canal and eventually will rupture. During this transitional period, the exposed amniotic sac obeys Pascal's law only partly and once membranes rupture, the uterus becomes an open container and does not obey Pascal's law anymore. The development of funneling in patients with in patients with premature cervical shortening is part of this function relationship. 

If you are interested in the neuroscience aspects of prenatal psychology, you might look at graduate programs (and advisors in Psychology) at Indiana (Dr. Alberts), Iowa (Dr. Blumberg), Wright State University (Dr. Kleven), Columbia (Dr. Fifer), Wake Forest School of Medicine (Dr. Ronca, in Obstetrics), or Johns Hopkins (Dr. DiPietro, in Public Health). Check out other researchers, who often publish in Developmental Psychobiology, for other alternatives.

Patient Participation and Satisfaction Questionnaire, LADY-X, Labour Agentry Scale (LAS-10), Hodnett and Simons-Tropea 1987

In my hospital we only allow 3 CS for any one person but very rarely do we encounter a 4th CS. I recommend above the scar because of the space available for extension of the incision and I personal tear up and down on a horizontal incision (publication attached ) so the extended tear usually extend upwards on either side, like a "smile". this is because of the alignment of the muscle fibers. since we only allow 3 CS, incision on the upper segment is not a issue because Bilateral Tubal ligation is done with the patients approval.

I don't think that you need any permission. You can use this validated scale for your researc. Good luck from Trudy

I think whatever position you feel most comfortable. Personally I usually stand but as long as you have a solid base which does not move I honestly don't think it matters. I stand so that the patient sees me and I can talk to them whilst performing the delivery but we also use a wedge so the patient is propped up a little and not lying flat.

This depends on the viability of the detached part of the cervix. If it is viable reconstruction of the cervix can be attempted. If the tissues are not viable excision and re epithelialisation of the raw surface should be done.

Sorry, this one  - the Barkin Index of Maternal Functioning

Sorry earlier i had sent a wrong attachment

pls find the correct one

Gac Sanit. 2012 May-Jun;26(3):236-42. doi: 10.1016/j.gaceta.2011.09.019. Epub 2011 Dec 3.

[Women's satisfaction with the experience of childbirth: validation of the Mackey Childbirth Satisfaction Rating Scale].

[Article in Spanish]

Mas-Pons R, Barona-Vilar C, Carreguí-Vilar S, Ibáñez-Gil N, Margaix-Fontestad L, Escribà-Agüir V.

Culture is important to be used as a framework for our care as it shape our behavior, believes, and attitudes