scholarly journals OC134: Agreement between transvaginal ultrasound examination performed before and after hydrosonography with regard to caesarean section scar defects

2008 ◽  
Vol 32 (3) ◽  
pp. 286-286
Author(s):  
O. Vikhareva Osser ◽  
L. Jokubkiene ◽  
L. Valentin
Keyword(s):  
Caesarean Section ◽  
Ultrasound Examination ◽  
Transvaginal Ultrasound ◽  
Before And After

Variation in Cervical Length over Time during a Single Transvaginal Ultrasound Examination

2018 ◽  
Vol 36 (08) ◽  
pp. 781-784
Author(s):  
Katherine A. Connolly ◽  
Luciana Vieira ◽  
Elizabeth M. Yoselevsky ◽  
Stephanie Pan ◽  
Joanne L. Stone
Keyword(s):  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Ultrasound Examination ◽  
Transvaginal Ultrasound ◽  
Intraclass Correlation ◽  
Cervical Length ◽  
Linear Mixed Effect Model ◽  
Mixed Effect ◽  
Time Points ◽  
Significant Difference

Objective To quantify the degree of change in cervical length (CL) over a 3-minute transvaginal ultrasound. Study Design We conducted a prospective observational study of nulliparous patients who underwent routine transvaginal CL screening at the time of their second-trimester ultrasound. We recorded CL at four time points (0, 1, 2, 3 minutes) and compared these values to determine the minute-to-minute change within a single patient. Results A total of 771 patients were included. The mean gestational age was 20.8 weeks (±0.84). We used a linear mixed effect model to assess if each minute during the ultrasound is associated with a change in CL. The intraclass correlation coefficient between minute 0 to minute 3 was 0.82 (95% confidence interval: 0.80, 0.84). This indicates that there is a relatively high within-patient correlation in CL during their ultrasound. Additionally, we stratified patients based on their starting CL; the intraclass correlation coefficient remained high for all groups. We additionally compared CL at each minute. Although there is a statistically significant difference between several time points, the actual difference is small and not clinically meaningful. Conclusion The variation in CL over a 3-minute transvaginal ultrasound examination is not clinically significant. It may be reasonable to conduct this examination over a shorter period.

scholarly journals Patients’ Lived Experiences of the Care Provided Before and After Caesarean Sections in the City of Tshwane, Gauteng, South Africa

2021 ◽  
Vol 23 (2) ◽  
Author(s):  
Tendani Ramukumba ◽  
Tshidi M. E. Masala-Chokwe ◽  
Takalani Mudau
Keyword(s):  
South Africa ◽  
Caesarean Section ◽  
Lived Experiences ◽  
Caesarean Section Rate ◽  
Elective Caesarean Section ◽  
Multidisciplinary Teams ◽  
District Hospitals ◽  
Before And After ◽  
The City ◽  
Nurses And Midwives

A caesarean section is an incision of the abdomen and uterine walls to deliver the foetus. An emergency caesarean section may be performed if complications during pregnancy or labour arise. Various indications such as abnormal presentation, a previous caesarean section, and other related conditions may need an elective caesarean section. In South Africa, the national average caesarean section rate between 2015 and 2016 was 26.2 per cent, whereas the rate in district hospitals was 24.1 per cent. At a community hospital in the City of Tshwane, the caesarean section rate of 32 per cent in 2015 was recorded as high. The aim of this research was to explore and to describe patients’ lived experiences of the care provided before and after a caesarean section in the City of Tshwane, Gauteng, South Africa. To achieve the aim of the study, a qualitative, exploratory, descriptive study was conducted. The sampling method used was purposive, and the sample size was determined by data saturation. An interview schedule was used to collect the data. The study concluded that some women were satisfied with the care provided, whereas the majority were dissatisfied. The need for strategies to improve such care provided by nurses and midwives was highlighted. Multidisciplinary teams have to acknowledge gaps and develop effective strategies to motivate nurses and midwives in the workplace to provide quality care. Research should be conducted to design an effective nursing framework for caesarean section care.

scholarly journals Neonatal brain ultrasound training for beginners: Could a head phantom be useful?

Ultrasound ◽  
2020 ◽  
Vol 28 (3) ◽  
pp. 180-186
Author(s):  
Antonio La Torre ◽  
Carmen Beatriz Visioli
Keyword(s):  
Ultrasound Examination ◽  
Rank Test ◽  
Neonatal Brain ◽  
Signed Rank ◽  
Brain Ultrasound ◽  
Safe Stress ◽  
Before And After ◽  
Signed Rank Test ◽  
Free Environment ◽  
Sick Baby

Background The traditional method of teaching the technique of neonatal brain ultrasonography is based upon the interaction between the practitioner and the neonate under the supervision of a tutor. This approach has disadvantages in that it may result in a longer imaging examination and the patient may become agitated. As demand for ultrasound services escalates and departments get busier, this often means that the trainee and supervisor are under pressure to work rapidly. Such environments are common but not conducive to the development of adequate skills and competencies. A neonatal head phantom used as part of a dedicated study day could help the beginner to learn basic elements of the ultrasound examination within a safe stress-free environment. It offers the opportunity to repeat the examination as often as the trainee wishes without time pressures and the distraction of a moving and potentially very sick baby. Aim The aim of this study is to evaluate the efficacy of a commercial phantom as a means for the practitioner to acquire the fundamental principles of neonatal brain ultrasound. Method A total of 17 participants attending a one day neonatal ultrasound course aimed at beginners were invited to complete a short two-part questionnaire that assessed their perceived improvement in scanning ability before and after using a commercially available head phantom. Results Of the 14 returned questionnaires, the overall perceived understanding, ability and confidence improved and anxiety levels about the procedure fell. The median pre-training score was 9.0 compared with the median post-training score of 12.0 (P = 0.005, Wilcoxon signed-rank test). At least 79% (up to 86%) of participants valued their experience with the phantom and would recommend the course to colleagues. Furthermore, about two-thirds reported that they would like to have additional practise with the phantom. Preliminary data from this study suggest that beginners found the head phantom useful for mastering some of the early skills required for neonatal brain ultrasound examinations, which in turn improved their confidence and reduced anxiety.

Ultrasound examination of caesarean section scars during pregnancy

1991 ◽  
Vol 248 (3) ◽  
pp. 129-138 ◽  
Author(s):  
M. Fukuda ◽  
T. Shimizu ◽  
Y. Ihara ◽  
Kiyomi Fukuda ◽  
E. Natsuyama ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Ultrasound Examination

scholarly journals Women’s experiences of midwifery care immediately before and after caesarean section deliveries at a public Hospital in the Western Region of Ghana

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Agani Afaya ◽  
Veronica Millicent Dzomeku ◽  
Elizabeth A. Baku ◽  
Richard Adongo Afaya ◽  
Mavis Ofori ◽  
...  
Keyword(s):  
Pain Management ◽  
Caesarean Section ◽  
Public Hospital ◽  
Life Experience ◽  
Sampling Technique ◽  
Major Life ◽  
Midwifery Care ◽  
Physical Support ◽  
Before And After ◽  
Mothers Experiences

Abstract Background Childbirth remains a uniquely multifaceted, mental-cognitive and a major life experience to women. It is composed of a variety of psycho social and emotional aspects and creates memories, sometimes bad experiences and unmet expectations which leaves the mother with lasting scars. Therefore, this study aimed at exploring post-caesarean section delivered mothers experiences of midwifery care in a public hospital in Ghana. Methods This descriptive exploratory qualitative research used an interpretative approach to explore mothers’ experiences of midwifery care immediately before and after caesarean section (CS). The study employed a purposive sampling technique in recruiting 22 participants who had knowledge of the phenomenon under study. Data collection was guided by an interview guide, which involved face to face individual interviews and focus group discussion at the postnatal ward and clinic. All interviews were audio-recorded and lasted 30–40 min. Audio recordings were transcribed verbatim and inductive thematic data analysis employed. Results Four major themes emerged from the analysis of participants’ transcripts: Support by Midwives (physical and psychological, and attitude towards patients’ pain management); Protection of mothers (provision of privacy, confidentiality and physical environment); Provision of information/communication (before caesarean section, and before a minor task) and midwives’ attitude (attitude towards delivery care). Conclusion Mothers delivered by caesarean section had varied experiences of midwifery care which were both positive and negative ones. Provision of psychological support and adequate pain management were positive experiences. The challenges experienced were related to provision of information, privacy, and physical support. Participants, who underwent emergency CS in particular, were dissatisfied with the provision of information concerning the surgical procedure. Provision of privacy and physical support were also issues of great concern. We therefore, recommend supportive and sensitive midwifery care particularly for mothers undergoing emergency CS. Documenting women’s diverse experiences of midwifery care before and after CS delivery is important to healthcare providers, hospital managers and policy makers as the feedback garnered can be used to improve maternity services and inform decisions on midwifery care.

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