scholarly journals The Impact of Healthcare Reform Plan on the Rate of Vaginal Delivery and Cesarean Section in Shiraz (Iran) in 2015

10.19082/3076 ◽  
2016 ◽  
Vol 8 (10) ◽  
pp. 3076-3080 ◽  
Author(s):  
Faranak Rooeintan ◽  
Parviz Aghaei Borzabad ◽  
Abbas Yazdanpanah
Keyword(s):  
Cesarean Section ◽  
Vaginal Delivery ◽  
Healthcare Reform ◽  
Reform Plan ◽  
The Impact

scholarly journals The Impact of Cesarean and Vaginal Delivery on Results of Psychological Cognitive Test in 5 Year Old Children

Medicina ◽  
2020 ◽  
Vol 56 (10) ◽  
pp. 554
Author(s):  
Barbora Blazkova ◽  
Anna Pastorkova ◽  
Ivo Solansky ◽  
Milos Veleminsky ◽  
Milos Veleminsky ◽  
...  
Keyword(s):  
Secondary Education ◽  
Cognitive Development ◽  
Cesarean Section ◽  
Vaginal Delivery ◽  
Mode Of Delivery ◽  
Cognitive Test ◽  
Cognitive Tests ◽  
Higher Secondary Education ◽  
University Degree ◽  
The Impact

Background and objectives: The impact of cesarean and vaginal delivery on cognitive development was analyzed in 5 year old children. Materials and Methods: Two cohorts of 5 year old children born in the years 2013 and 2014 in Karvina (Northern Moravia) and Ceske Budejovice (Southern Bohemia) were studied for their cognitive development related to vaginal (n = 117) and cesarean types of delivery (n = 51). The Bender Visual Motor Gestalt Test (BG test) and the Raven Colored Progressive Matrices (RCPM test) were used as psychological tests. Results: In the comparison of vaginal delivery vs. cesarean section, the children delivered by cesarean section scored lower and, therefore, achieved poorer performance in cognitive tests compared to those born by vaginal delivery, as shown in the RCPM (p < 0.001) and in the BG test (p < 0.001). When mothers’ education level was considered, the children whose mothers achieved a university degree scored higher in both the RCPM test (p < 0.001) and the BG test (p < 0.01) compared to the children of mothers with lower secondary education. When comparing mothers with a university degree to those with higher secondary education, there was a significant correlation between level of education and score achieved in the RCPM test (p < 0.001), but not in the BG test. Conclusions: According to our findings, the mode of delivery seems to have a significant influence on performance in psychological cognitive tests in 5 year old children in favor of those who were born by vaginal delivery. Since cesarean-born children scored notably below vaginally born children, it appears possible that cesarean delivery may have a convincingly adverse effect on children’s further cognitive development.

scholarly journals Pattern of Prolactin Secretion after Normal Vaginal Delivery and in Cesarean Delivery

2014 ◽  
Vol 5 (1) ◽  
pp. 15-17
Author(s):  
Asokan Keloth Manapatt ◽  
Latha Anoop ◽  
Deepna Tharammal ◽  
Aiswarya Sathyapal ◽  
Yasmeen Muneer
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Prolactin Secretion ◽  
Assay Method ◽  
Normal Vaginal Delivery ◽  
Obstetrics And Gynecology ◽  
Medical College ◽  
The Impact ◽  
Biological Actions

ABSTRACT Prolactin (PRL) is hormone of multiple biological actions and is best known for its role in milk production. This hospital-based study was undertaken to review the impact of PRL hormone in vaginal delivery and cesarean delivery. Our study is meant to create awareness in the society to promote breast feeding and the importance of promoting normal vaginal delivery whenever possible. In this study, we investigated the serum PRL values using enzyme-linked immunoflow assay method in 101 women who underwent normal (56) and cesarean delivery (45) in obstetrics and gynecology department of Kannur Medical College, Anjarakandy. Serum PRL at 24 and 48 hours blood sample was estimated among the two groups, mean PRL in vaginal delivery 24 hours 359.46 ± 119.70 ng/ml, 48 hours 386.67 ± 135.66 ng/ ml and in cesarean delivery 24 hours 245.49 ± 115.49 ng/ml, 48 hours 282.92 ± 69.59 ng/ml. The values of serum PRL are found to be significantly higher in the vaginal delivery group (p < 0.001) as compared with the cesarean section group. Through this study, we concluded that the mothers who delivered by cesarean section had decreased PRL levels than the women who delivered vaginally which may have a significant role in establishment of breastfeeding. How to cite this article Manapatt AK, Anoop L, Tharammal D, Sathyapal A, Muneer Y. Pattern of Prolactin Secretion after Normal Vaginal Delivery and in Cesarean Delivery. Int J Infertility Fetal Med 2014;5(1):15-17.

scholarly journals Assessment of performance of midwives and pediatricians in preparation for receiving a neonate immediately after birth. A prospective observational study.

2018 ◽  
Vol 17 (3) ◽  
pp. 65-72
Author(s):  
Lambros Mpoltsis ◽  
Emmanuel Stamatakis ◽  
Theodoros Xanthos ◽  
Nicoletta Iacovidou ◽  
Athanasios Chalkias ◽  
...  
Keyword(s):  
Observational Study ◽  
Cesarean Section ◽  
Vaginal Delivery ◽  
Prospective Observational Study ◽  
Healthcare Professionals ◽  
Life Support ◽  
Item Checklist ◽  
The Impact ◽  
To Receive ◽  
Erc Guidelines

Background. The 2015 European Resuscitation Council (ERC) Guidelines for Resuscitation and support of transition of babies at birth stress the importance of adequate preparation by the healthcare professionals who are going to receive the newborn immediately after birth in order to avoid preventable neonate deterioration. Midwives and pediatricians are the healthcare professionals in the frontline of neonate reception. Methods. Based on the 2015 ERC guidelines we created a 9-item checklist of indispensable actions for correct preparation for neonate reception after vaginal delivery or cesarean section. 78 midwives and 39 pediatricians were included in this prospective observational study. The impact of prior neonate life support training (NLS) on their performance was also assessed. Results. Regarding preparation for neonate reception, participants performed significantly better when the neonate was delivered by vaginal delivery (mean score 7.21±1.77 vs 5.45±1.55 for cesarean section, p<0.0005). Furthermore, midwives performed significantly better (performance score 6.88±1.87) than pediatricians even when subgroup analysis was performed for residents (5.40±1.59, p=0.002) and consultants (5.46±1.47, p=0.002). Previous NLS training resulted in significantly higher performance scores (6.57±1.81 vs 5.18±1.91 for no NLS training, p=0.004). Conclusions. In the present study midwives performed better than consultant and resident pediatricians in preparing for receiving a neonate immediately after birth and neonatal life support training led to significantly better performance when compared to particiants with no prior NLS training. To our knowledge, this is the first study to assess these skills in midwives and pediatricians.

Gastroschisis: Impact of Delivery Planning on Patient Outcomes

2020 ◽  
pp. 1-3
Author(s):  
Burjonrappa Sathyaprasad ◽  
Amy Sullivan ◽  
Burjonrappa Sathyaprasad
Keyword(s):  
Cesarean Section ◽  
Vaginal Delivery ◽  
Patient Outcomes ◽  
Mode Of Delivery ◽  
Bowel Function ◽  
Categorical Variables ◽  
Success Rates ◽  
Factors Influencing ◽  
The Impact ◽  
Length Of Hospitalization

Introduction: Success rates of gastroschisis interventions on outcome have been increasingly examined. Much of the work has focused on post-delivery management and timing of the final closure. Little data is available regarding the impact of the timing of fetal delivery on outcomes. This study aims to examine the relationships between overall outcomes of patients diagnosed with gastroschisis and timing of delivery (planned versus non-planned) and mode of delivery (cesarean section versus vaginal delivery). The primary outcome evaluated was the length of hospitalization. Methods: This work was performed as a ten-year retrospective chart analysis including patients from 2005 to 2013. Inclusion in the study required a pre-operative diagnosis and a surgical intervention for gastroschisis. We identified 29 patients of interest who were filtered based on availability of the specific timing of each intervention. Chi-square test was used to determine statistical differences amongst categorical variables and the student t-test was used to determine differences amongst continuousvariables. Results: The major factors influencing the Length of hospitalization were return of bowel function (p = 0.0213) and tolerance of full oral feeds (p = 0.0116). Further early extubation was also correlated to a shorter hospitalization (p = 0.0003). Analysis of mode of delivery, comparing vaginal delivery to Cesarean section, showed that patients delivered by Cesarean section had a reduced length of hospitalization as compared to those delivered vaginally (p = 0.0080). Mode of delivery did not significantly impact the other patient outcomes, but we did find that time to oral feeds was increased in those patients undergoing unplanned deliveries (p = 0.0176). No other outcomes were impacted by undergoing a planned versus unplanned gastroschisis delivery. Conclusion: Our data suggests that patients delivered without prior planning will have an extended time to tolerance of oral feeds. In addition, we find that patients delivered by Cesarean section will have shorter lengths of hospitalizations in the setting of poor antenatal care. Factors influencing length of stay after gastroschisis, such as return of bowel function and time to tolerance of oral feeds may be related to mode and timing of delivery. We recommend that future analysis of larger databases should focus on peri-partum factors that may influence outcomes in gastroschisis. Further greater consideration should be given to the impact of lack of antenatal services in many parts of the world and its implications on maternal fetal wellbeing in congenital malformations such as gastroschisis.

scholarly journals Length of hospital stay after delivery among Danish women with congenital heart disease: a register-based cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anne Marie Kirkegaard ◽  
Maria Breckling ◽  
Dorte Guldbrand Nielsen ◽  
Janne S. Tolstrup ◽  
Søren Paaske Johnsen ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Cohort Study ◽  
Heart Disease ◽  
Cesarean Section ◽  
Hospital Stay ◽  
Vaginal Delivery ◽  
Congenital Heart ◽  
Mode Of Delivery ◽  
Length Of Hospital Stay ◽  
The Impact

Abstract Background The literature about the impact of congenital heart disease (CHD) on the length of hospital stay after delivery is limited, and nonexisting in a country with free and equal access to healthcare. We aimed to examine the hypothesis that Danish women with CHD have a longer hospital stay after delivery compared to women without CHD. Secondarily, we aimed to examine the hypothesis that cesarean section modifies the association. Methods The study was a national cohort study using Danish nationwide registers in 1997–2014. Maternal CHD was categorized as simple, moderate, or complex CHD. The comparison group consisted of women without CHD. Outcome of interest was length of hospital stay after delivery registered in complete days. Mode of delivery was categorized as cesarean section or vaginal delivery. Data was analyzed using a generalized linear model with a Poisson distribution. Results We included 939,678 births among 551,119 women. Women without CHD were on average admitted to the hospital for 3.6 (SD 3.7) days, whereas women with simple, moderate, and complex CHD were admitted for 3.9 (SD 4.4), 4.0 (SD 3.8) and 5.1 (SD 6.7) days, respectively. The adjusted length of hospital stay after delivery was 12% (relative ratio (RR) = 1.12, 95% confidence interval (CI) 1.07–1.18), 14% (RR = 1.14, 95% CI: 1.07–1.21), and 45% (RR = 1.45, 95% CI: 1.24–1.70) longer among women with simple, moderate, and complex CHD, respectively, compared to women without CHD. The association between maternal CHD and length of hospital stay was not modified by mode of delivery (p-value of interaction = 0.62). Women who gave birth by cesarean section were on average admitted to the hospital for 2.7 days longer compared to women with vaginal delivery. Conclusion The hospital stay after delivery was significantly longer among women with CHD as compared to women without CHD. Further, higher complexity of CHD was associated with longer length of stay. Cesarean section did not modify the association.

scholarly journals Administrative Coding Methods Impact Surgical Site Infection Rates

2020 ◽  
Vol 41 (S1) ◽  
pp. s111-s112
Author(s):  
Mohammed Alsuhaibani ◽  
Mohammed Alzunitan ◽  
Kyle Jenn ◽  
Daniel Diekema ◽  
Michael Edmond ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Surgical Procedures ◽  
Hip Prosthesis ◽  
Knee Prosthesis ◽  
Surgical Site Infections ◽  
Fold Increase ◽  
Abdominal Hysterectomy ◽  
Absolute Difference ◽  
Coding Method ◽  
The Impact

Background: Surveillance for surgical site infections (SSI) is recommended by the CDC. Currently, colon and abdominal hysterectomy SSI rates are publicly available and impact hospital reimbursement. However, the CDC NHSN allows surgical procedures to be abstracted based on International Classification of Diseases, Tenth Revision (ICD-10) or current procedural terminology (CPT) codes. We assessed the impact of using ICD and/or CPT codes on the number of cases abstracted and SSI rates. Methods: We retrieved administrative codes (ICD and/or CPT) for procedures performed at the University of Iowa Hospitals & Clinics over 1 year: October 2018–September 2019. We included 10 procedure types: colon, hysterectomy, cesarean section, breast, cardiac, craniotomy, spinal fusion, laminectomy, hip prosthesis, and knee prosthesis surgeries. We then calculated the number of procedures that would be abstracted if we used different permutations in administration codes: (1) ICD codes only, (2) CPT codes only, (3) both ICD and CPT codes, and (4) at least 1 code from either ICD or CPT. We then calculated the impact on SSI rates based on any of the 4 coding permutations. Results: In total, 9,583 surgical procedures and 180 SSIs were detected during the study period using the fourth method (ICD or CPT codes). Denominators varied according to procedure type and coding method used. The number of procedures abstracted for breast surgery had a >10-fold difference if reported based on ICD only versus ICD or CPT codes (104 vs 1,109). Hip prosthesis had the lowest variation (638 vs 767). For SSI rates, cesarean section showed almost a 3-fold increment (2.6% when using ICD only to 7.32% with both ICD & CPT), whereas abdominal hysterectomy showed nearly a 2-fold increase (1.14% when using CPT only to 2.22% with both ICD & CPT codes). However, SSI rates remained fairly similar for craniotomy (0.14% absolute difference), hip prosthesis (0.24% absolute difference), and colon (0.09% absolute difference) despite differences in the number of abstracted procedures and coding methods. Conclusions: Denominators and SSI rates vary depending on the coding method used. Variations in the number of procedures abstracted and their subsequent impact on SSI rates were not predictable. Variations in coding methods used by hospitals could impact interhospital comparisons and benchmarking, potentially leading to disparities in public reporting and hospital penalties.Funding: NoneDisclosures: None

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