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Postpartum Quality of Life in primiparous Women after Normal Vaginal Delivery versus Caesarean Section

Open Journal of Obstetrics and Gynecology 2024年第7期14卷 1027-1045页

作者： Bayan Ahmed Basma Alsayegh Fatema Ahmed Zainab Aljufari Department of Obstetrics and Gynecology Salmaniya Medical Complex Manama Kingdom of Bahrain

Background: Studies on either postnatal quality of life in general or studies that compare quality of life in new mothers after different mode of delivery are limited. An investigation on health related quality of life measures in women after different type of delivery showed that women who had vaginal delivery had better health related quality of life compared to those who had caesarean section. However, the best method of delivery, vaginal or caesarean for postpartum quality of life is a difficult question as it is a matter of controversy both from professional’s perspectives and from women’s experience during childbirth. Objective: To compare postpartum quality of life in primiparous women after vaginal delivery versus caesarean section. Methods: Prospective cross-sectional study was conducted at the department of Obstetrics and Gynecology, Salmaniya medical complex in Kingdom of Bahrain. 500 primiparous women who gave birth either vaginally or by cesarean section answered a questionnaire designed to include general information, questions from short form health survey questionnaire (SF-36) and specific questions regarding postnatal related symptoms. Results: Body pain, fatigue, wound pain, headache and backache were significantly higher in cesarean section group as compared to vaginal delivery group (p-value Conclusion: Cesarean delivery has negatively affected the quality of life (QOL) of primiparous women. More studies with larger sample sizes should be conducted to examine the effects of cesarean delivery on QOL in both primiparous and multiparas within a shorter period after delivery. .

关键词： Quality of Life primiparous Vaginal Delivery Caesarean Section

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Effectiveness of lukewarm water compress on reduction of breast pain and breast engorgement among post-cesarean section mothers

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Journal of Integrative Nursing 2023年第3期5卷 167-172页

作者： Soni CHAUHAN Kumari NUTAN Monica AGRAWAL Surya Kant TIWARI Nursing Tutor Yatharth Nursing College and Paramedical InstituteChandauliUttar PradeshIndia Institute of Nursing King George’s Medical UniversityLucknowUttar PradeshIndia Professor Cum Vice-Principal M.V.P.Samaj’s Institute of Nursing EducationNashikMaharashtraIndia Department of Obstetrics and Gynecology King George’s Medical UniversityLucknowUttar PradeshIndia

Objective:The study aimed to assess the effectiveness of lukewarm water compress on breast pain and breast engorgement among post-cesarean primiparous *** and Methods:This quasi-experimental posttest-only design was conducted with 60 post-cesarean section primiparous mothers between October 2018 and January 2019.A simple random sampling technique was used to allocate 30 participants to both experimental and control *** experimental group received lukewarm water compress using a sponge cloth for 20 min twice a day on the second,third,and fourth postnatal *** control group received routine hospital *** pain and engorgement were assessed using the Visual Analog Pain Scale and Breast Engorgement Assessment Scale on the third,fourth,and fifth postnatal ***:Significant differences were observed between the experimental and control groups on day 1 and day 3 in terms of breast pain and engorgement scores among post-cesarean section mothers(P0.05).Conclusion:Lukewarm water compress is effective in reducing breast pain and engorgement in post-cesarean primiparous *** research can include randomized controlled trials to evaluate the effectiveness of different therapies in treating breast pain and engorgement.

关键词： Effectiveness lukewarm water compress post-cesarean section postnatal posttest only primiparous

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Level of Labor Pain, Level of Labor Pain Behaviors, and Cultural Pain Behaviors among First-Time Indonesian Muslim Mothers

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Open Journal of Obstetrics and Gynecology 2021年第1期11卷 27-39页

作者： Desmawati Waraporn Kongsuwan Warangkana Chatchawet Faculty of Health Science Universitas Pembangunan Nasional Veteran Jakarta Jakarta Indonesia Faculty of Nursing Prince of Songkla University Hatyai Thailand

Background: Many factors influence the expressions of pain in primiparous women aside from contractions of the uterus. Objective: This study aimed to describe the level labor pain, level of labor pain behaviors based on cultural pain behaviors at 3 - 4 cm of cervical dilation or the beginning of the active phase of labor among primiparous Muslim women in Indonesia. Methods: This was a study with 42 primiparous Muslim women who gave birth in the labor room at Bhinneka Bhakti Husada Hospital and Community Health Center Pamulang, Indonesia from June until January 2017. The women were asked to describe on a 100 mm Visual Analogue Scale the intensity of level of labor pain in their abdomen during the last contractions at 3 - 4 cm of cervical dilation, and Pain Behaviors Observation Scale to observe pain behaviors. Descriptive statistics were used to analyze the data. Results: The findings showed that the mean score of level of labor pain at 3 - 4 cm of cervical dilation was 86.38 (SD = 4.47) and most participants experienced high level of labor pain (97.6%). The expression of cultural labor pain behaviors including saying praises to Allah, Asma’aul husna, reciting the Qur’an, sholawat.

关键词： Level of Labor Pain Pain Behaviors Cultural Pain Behaviors primiparous

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Association of pre-pregnancy body mass index and gestational weight gain with labor stage

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Chinese Medical Journal 2019年第4期132卷 483-487页

作者： Li Zhou Hui-Xia Yang Rui-Fen Zhao Wei-Yuan Zhang Department of Perinatal Medicine Beijing Obstetric and Gynecology HospitalCapital Medical University.Beijing 100026China Department of Obstetrics and Gynecology The First Hospital of Peking UniversilyBeijing 100034China

To the Editor:In recent years,as marriage and childbearing have been delayed,the ages of primiparous women have,in general,*** addition,with changes in the dietary habits of pregnant women,the body mass index (BMI)during pregnancy,and birth weight of newborns have also increased.A retrospective multi-center study demonstrated the effects of obstetric characteristics (increased maternal age and the BMI)and clinical treatment (labor induction and painless delivery)on labor duration:cervical dilatation was slower than that described previously,especially during cervical dilatation of 4 to 6 *** new information on labor duration could provide new research directions *** is, whether the BMI can become an indicator of the optimization and management of labor *** research aimed to assess the effects of pre-pregnancy body mass index (BMI)and gestational weight gain (GWG)on primipara duration of labor.

关键词： marriage childbearing primiparous

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Effects of Reduced <i>in Utero</i>and Post-Weaning Nutrition on Glucose Clearance Measures and Serum Metabolites

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Agricultural Sciences 2018年第8期9卷 947-957页

作者： Richard Waterman Mark Petersen Thomas Geary Lance Vermeire USDA-ARS Fort Keogh Livestock and Range Research Laboratory Miles City MT USA

Lowering production costs while maintaining an optimal level of production is important to producers in extensive environments. Efforts that strive to match the environment to the nutritional requirements of the grazing animal will substantially improve economic returns to the producer. Therefore, a 3-yr study was implemented that evaluated glucose clearance and serum metabolites in primiparous beef heifers (n = 48;16/yr) from two different feeding regimes. Serum metabolites and glucose clearance measures were analyzed by fitting a repeated measure mixed model using the MIXED procedure of SAS 9.4 (SAS Inst., Inc., Cary, NC). Heifers dams received adequate 1.8 (ADEQ) or marginal 1.2 (MARG) kg/d winter supplementation for approximately 80 d prior to parturition and their heifer calves were then randomly assigned to heifer development treatments that provided ad-libitum (AL) or 80% of ad-libitum (LAL) feed post weaning. Heifers that received the AL treatment during the developmental period were then assigned the 1.8 kg/d winter supplementation for life, whereas heifers that received the LAL treatment during development were assigned the 1.2 kg/d winter supplementation for life. Peak glucose concentrations in response to a bolus dose of glucose changed in magnitude between ADEQ and MARG in utero treatments and decreased further removed from parturition (P = 0.05). However, these changes did not manifest along with other glucose clearance measures (P > 0.17) indicating that regardless of in utero treatment or heifer development treatment the reduction in feed input did not greatly influence glucose clearance measures or baseline serum metabolites throughout postpartum, first parity period.

关键词： Heifer Development Glucose primiparous Beef Cow

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Experiences of women with the support they received from their birth companions during labour and delivery in Malawi

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Health 2013年第1期5卷 45-52页

作者： Esther Kungwimba Address Malata Alfred Maluwa Ellen Chirwa Department of Maternal and Child Health University of Malawi Kamuzu College of Nursing Blantyre Malawi Department of Maternal and Child Health University of Malawi Kamuzu College of Nursing Lilongwe Malawi Malawi College of Health Sciences Blantyre Malawi Research Directorate University of Malawi Kamuzu College of Nursing Lilongwe Malawi

A study was conducted to describe the experiences of primiparous women with the support they received from their birth companions during labour and delivery in Malawi. The study design was descriptive and utilized qualitative data collection and analysis method on a sample of 20 primiparous women. The women were recruited from the postnatal ward of Bwaila hospital and were interviewed regarding their experiences on the support they received from their birth companions during labour and delivery using an open ended interview guide. Data was manually analyzed using content analysis. primiparous women described the support they received from their birth companions as useful and beneficial. Birth companions provided advice, physical, emotional and spiritual support to the women during their labour and delivery. In addition, the birth companions were viewed as guardians of the women during labour and delivery. Results however, show that some women were not properly assisted by their companions because both the mothers and companions lacked knowledge on birth companionship. The results further show that birth companions play important roles during the birth and delivery of primiparous women and thereby improving birth outcomes. Therefore, there is a need to train the companions regarding support to a woman during labour and delivery. primiparous women also need to be trained during antenatal care education so that they properly understand the roles of a birth companion as opposed to those of the midwives.

关键词： primiparous Woman Birth Companion Labour Delivery Support Antenatal Clinic Education Birth Experience

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Relation between Obstetric Outcome and Parity

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Open Journal of Obstetrics and Gynecology 2019年第6期9卷 894-903页

作者： Helene Warde Chami Mamour Gueye Mame Diarra Ndiaye Mouhamadou Wade Aliou Diouf Abdoulaye Diakhate Simon Birame Ndour Ndama Niang Magatte Mbaye Gynaecologic and Obstetric Clinic Aristide Le Dantec Teaching Hospital Cheikh Anta Diop University Dakar Senegal

Objectives: To evaluate the prognosis of obstetric complications by parity in a suburban center in Dakar. Patients and Method: We conducted a retrospective and prospective, cross-sectional study that evaluated all women admitted to the Philippe Maguilen Senghor Health Center for the management of their pregnancy (childbirth, abortion, ectopic pregnancy), whether they were primiparous or multiparous. The data for this study covered a 66-month period, from January 1, 2012 to June 30, 2017. Data were entered into our E-perinatal computer database. They were then extracted and analyzed first on Microsoft Excel 2016 and then on SPSS 24, Windows version. Results: Between January 2012 and June 2017, we’ve registered 27,441 patients including 25,905 deliveries, 1415 abortions and 121 ectopic pregnancies. Direct obstetric complications involved 14.1% of our patients. 12.1% multiparous and 17.3% primiparous had at least one direct obstetric complication of World Health Organization (WHO). Antepartum haemorrhage, uterine rupture, ectopic pregnancy, and abortion complications were more common in multipara, whereas prolonged and obstructed labor, preeclampsia, and eclampsia were more common in primiparous women. Postpartum haemorrhage occurred at substantially equal frequencies in both parity groups. We had not found any case of sepsis. Conclusion: Our study confirms that primiparity is a factor that may lead to obstetric complications. However, while some complications were more common in the primiparous, others were exclusive to multiparous when we did not expect it. We also recommend continuing this work by singling out multiparas and large multiparas, in order to better understand the obstetric prognosis linked to parity.

关键词： Direct Obstetric Complications primiparous Multiparous

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