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Training Traditional Birth Attendants In Sub-Saharan Africa, Lindsey J. Smith 2016 Liberty University

Training Traditional Birth Attendants In Sub-Saharan Africa, Lindsey J. Smith

Senior Honors Theses

Even after many adjustments, recommended practice regarding traditional birth attendants (TBAs) and their contribution to lowering the maternal mortality rate (MMR) continues to be disputed among various stakeholders. Sub-Saharan Africa continues to see high maternal mortality rates, despite various attempts by the World Health Organization (WHO) and others at utilizing the formal health care system (Prata, et al., 2011). Considering all factors and variables behind the reason for this problem in Sub-Saharan African, it is reasonable to conclude that training traditional birth attendants (TBAs) in evidence-based practice, in conjunction with developing longer-term strategies, is an appropriate approach for the short ...


Validity Of Home-Based Sonographic Diagnosis Of Obstetric Risk Factors By Auxiliary Nurse Midwives In Rural Nepal, Naoko Kozuki, Luke C. Mullany, Subarna K. Khatry, Ram Ghimire, Sharma Paudel, James M. Tielsch, +5 additional authors 2016 George Washington University

Validity Of Home-Based Sonographic Diagnosis Of Obstetric Risk Factors By Auxiliary Nurse Midwives In Rural Nepal, Naoko Kozuki, Luke C. Mullany, Subarna K. Khatry, Ram Ghimire, Sharma Paudel, James M. Tielsch, +5 Additional Authors

Global Health Faculty Publications

Background

Approximately 2·3 million fetal, neonatal, or maternal deaths occur annually during the intrapartum period or on the day of birth. Several risk factors for intrapartum-related complications require ultrasonography for accurate diagnosis, but sonographic services are scarce in low-resource settings. In this study, we aimed to assess the feasibility of community-based ultrasonography conducted by auxiliary nurse midwives to identify basic obstetric risk factors, in rural Sarlahi District, Nepal. We aimed to assess the validity at which these health workers can detect noncephalic position, multiple gestation, and placenta previa and to explore whether sonographic diagnosis could improve outcomes for women ...


The Changing Roles And Reputations Of Dais In Rural Uttarakhand: An Investigation Into The Maternal Health Services Of Villages In Okhalkanda Block In Nainital, Jenna Davis 2016 SIT Graduate Institute - Study Abroad

The Changing Roles And Reputations Of Dais In Rural Uttarakhand: An Investigation Into The Maternal Health Services Of Villages In Okhalkanda Block In Nainital, Jenna Davis

Independent Study Project (ISP) Collection

The dai, once a prominent figure in Indian maternal health, now faces marginalization as the government of India adopts the goal of universal institutional delivery. Under pressure from international discourse that Skilled Birth Attendants (SBAs) were more effective at lowering Maternal Mortality Rate (MMR) than Traditional Birth Attendants (TBAs) like dais (World Health Organization), dai training was discontinued and left in the hands of NGOs, while concurrently women and ASHAs were monetarily incentivized for every institutional birth (Park, 419). Yet in rural, isolated, or hilly areas like Okhalakanda block in Uttarakhand, institutional delivery is a long way from universal—only ...


Organisation Of Health Services For Preventing And Treating Pressure Ulcers (Protocol), Pauline Joyce, Zena EH Moore, Janice Christie, Jo C. Dumville 2016 Royal College of Surgeons in Ireland

Organisation Of Health Services For Preventing And Treating Pressure Ulcers (Protocol), Pauline Joyce, Zena Eh Moore, Janice Christie, Jo C. Dumville

School of Nursing and Midwifery Articles

This is the protocol for a review and there is no abstract. The objectives are as follows: To assess the effects of different pr ovider-orientated interventions targeted at the organisation of he alth services, on the prevention and treatment of pressure ulcers.


A Pilot Study Of A 6-Week Parenting Program For Mothers Of Pre-School Children Attending Family Health Centers In Karachi, Pakistan., Yasmeen Khowaja, Rozina Karmaliani Professor, Shela A. Hirani, Asif Raza Khowaja, Ghazala Rafique, Judith McFarlane 2016 Aga Khan University

A Pilot Study Of A 6-Week Parenting Program For Mothers Of Pre-School Children Attending Family Health Centers In Karachi, Pakistan., Yasmeen Khowaja, Rozina Karmaliani Professor, Shela A. Hirani, Asif Raza Khowaja, Ghazala Rafique, Judith Mcfarlane

School of Nursing & Midwifery

BACKGROUND:

Recently, parenting programs to address behavioural and emotional problems associated with child maltreatment in developing countries have received much attention. There is a paucity of literature on effective parent education interventions in the local context of Pakistan. This study aimed to assess the feasibility of offering a 6-week parenting program for mothers of pre-schoolchildren attending family health centres (FHCs) in Karachi, the largest metropolitan city of Pakistan.

METHODS:

A pilot quasi-experimental trial was conducted. Two FHCs were selected, one as the intervention and the second as the control. A total of 57 mothers of pre-school children (n = 30 intervention ...


Does A Change In The Way Early Labour Care Is Provided Reduce Epidural Rates? A Pre-Post Intervention Study, Lauren Williams 2016 Australian Catholic University

Does A Change In The Way Early Labour Care Is Provided Reduce Epidural Rates? A Pre-Post Intervention Study, Lauren Williams

Theses

Background: Normal birth, by common definition, is achieved with minimal or no intervention and is widely regarded as the safest method of birth for healthy mothers and babies. There is evidence to support delaying women’s admission to birthing suite until labour has established to avoid unnecessary interventions, such as epidurals and augmentation of labour. Reflecting this evidence base a large metropolitan hospital (study site) introduced an early labour care model in September 2012, to improve the flow of work and provide better accommodation and an alternative care option for women and their support people during early labour. This involved ...


Integration Of Health Promotion Into Nursing Practice: A Case Study In Pakistan., Muneerah Vastani, Rozina Karmaliani Professor, Pammla M. Petrucka 2016 Aga Khan University

Integration Of Health Promotion Into Nursing Practice: A Case Study In Pakistan., Muneerah Vastani, Rozina Karmaliani Professor, Pammla M. Petrucka

School of Nursing & Midwifery

The purpose of this study was to understand the concept of health promotion and perceptions related to the integration of health promotion in nursing practice in Pakistan. The study utilized the qualitative single case study approach to explore and describe the concept of health promotion, its significance and ways to integrate health promotion strategies in nursing practice. The data were collected from three different sources; focus group discussion among final year Post-RN BScN students, key informant interviews of practicing nurses, faculty, and MScN students, as well as a document review of the Post-RN BScN curriculum. Data analysis included a content ...


Experiences Of Adopting Blended Pedagogies In Health Assessment Course In Post Rn Baccalaureate Program Of Nursing In Karachi, Pakistan., Shanaz Hussein Cassum SC, Saleema Allana, Jacqueline Maria Dias 2016 Aga Khan University

Experiences Of Adopting Blended Pedagogies In Health Assessment Course In Post Rn Baccalaureate Program Of Nursing In Karachi, Pakistan., Shanaz Hussein Cassum Sc, Saleema Allana, Jacqueline Maria Dias

School of Nursing & Midwifery

Purpose:

There is little known about whether faculty and students in a resource constricted context experience a change in learning due to the adoption of blended learning (BL) pedagogies in a lab based course. The study aimed to understand the experiences of faculty and students’ related to the adoption of BL pedagogies in health assessment course.

Design:

An action research design was used in this study to integrate planning, action and research in the setting where the change is required. The study sample consisted of year 1 Post RN BScN students enrolled at the Aga Khan University School of Nursing ...


An Ethnographic Investigation Of The Maternity Healthcare Experience Of Immigrants In Rural And Urban Alberta, Canada., Gina M. Higginbottom, Jalal Safipour, Sophie Yohani, Beverly O’Brien, Zubia Mumtaz, Patricia Paton, Yvonne Chiu, Rubina Barolia 2016 University of Nottingham, South Block Link Queen's Medical Centre, Nottingham, UK.

An Ethnographic Investigation Of The Maternity Healthcare Experience Of Immigrants In Rural And Urban Alberta, Canada., Gina M. Higginbottom, Jalal Safipour, Sophie Yohani, Beverly O’Brien, Zubia Mumtaz, Patricia Paton, Yvonne Chiu, Rubina Barolia

School of Nursing & Midwifery

BACKGROUND:

Canada is among the top immigrant-receiving nations in the world. Immigrant populations may face structural and individual barriers in the access to and navigation of healthcare services in a new country. The aims of the study were to (1) generate new understanding of the processes that perpetuate immigrant disadvantages in maternity healthcare, and (2) devise potential interventions that might improve maternity experiences and outcomes for immigrant women in Canada.

METHODS:

The study utilized a qualitative research approach that focused on ethnographic research design and data analysis contextualized within theories of organizational behaviour and critical realism. Data were collected over ...


Effective Interventions To Reduce The Increase In Elective Cesarean Sections In Low Risk Women, Kimberly Kelsey, Crystal Hunter, Brianna Tan, Sara Shea, Heather Holland, Sasha Riley, Mary Uy, Tenzin Tsomo, Fasha Ruys-solorzano, Dolma Tso 2016 Dominican University of California

Effective Interventions To Reduce The Increase In Elective Cesarean Sections In Low Risk Women, Kimberly Kelsey, Crystal Hunter, Brianna Tan, Sara Shea, Heather Holland, Sasha Riley, Mary Uy, Tenzin Tsomo, Fasha Ruys-Solorzano, Dolma Tso

Student Research Posters

According to the Annals of Family Medicine, the amount of babies born via cesarean section has increased from 4.5% in 1965 to 26.1% in 2002 and nearly 40% of all cesarean sections are repeats. After an extensive literature review, results showed that patients need to be educated about the risks and benefits of vaginal delivery and cesarean delivery. It was also found that there needs to be policy changes to decrease the amount of cesarean sections done and increase the labor and delivery support without using interventions. Further study should be focused on morbidity and mortality very low ...


Measuring Oral Health During Pregnancy: Sensitivity And Specificity Of A Maternal Oral Screening (Mos) Tool, Ajesh George, Hannah G. Dahlen, Anthony Blinkhorn, Shilpi Ajwani, Sameer Bhole, Sharon Ellis, Anthony Yeo, Emma Elcombe, Ayesha Sadozai, Maree Johnson 2016 Australian Catholic University

Measuring Oral Health During Pregnancy: Sensitivity And Specificity Of A Maternal Oral Screening (Mos) Tool, Ajesh George, Hannah G. Dahlen, Anthony Blinkhorn, Shilpi Ajwani, Sameer Bhole, Sharon Ellis, Anthony Yeo, Emma Elcombe, Ayesha Sadozai, Maree Johnson

Faculty of Health Sciences Publications

Background: Being the parent of a severely injured child involves many stressors throughout the trauma journey. Internationally, little is known about the experiences or levels of emotional distress, parenting stress, quality of life, and resilience for parents of injured children. The aim of this study is to investigate the experiences, unmet needs and outcomes of parents of physically injured children 0–12 years over the 2 year period following injury. Methods/design: This is a prospective longitudinal study using an embedded mixed methods design. This design has a primary qualitative strand which incorporates supplementary quantitative data on child quality of ...


What Do Antenatal Care Providers Understand And Do About Oral Health Care During Pregnancy: A Cross-Sectional Survey In New South Wales, Australia, Ajesh George, Hannah G. Dahlen, Jennifer Reath, Shilpi Ajwani, Sameer Bhole, Andrew Korda, Harrison Ng Chok, Charmaine Miranda, Amy Villarosa, Maree Johnson 2016 Australian Catholic University

What Do Antenatal Care Providers Understand And Do About Oral Health Care During Pregnancy: A Cross-Sectional Survey In New South Wales, Australia, Ajesh George, Hannah G. Dahlen, Jennifer Reath, Shilpi Ajwani, Sameer Bhole, Andrew Korda, Harrison Ng Chok, Charmaine Miranda, Amy Villarosa, Maree Johnson

Faculty of Health Sciences Publications

Background There is mounting evidence to support the lack of awareness among pregnant women about health consequences and long term risks associated with poor oral hygiene during pregnancy. A recognised and important point of influence is their interaction with health professionals, particularly when receiving Antenatal Care. However, there is limited evidence about the perceptions of ANC providers in Australia toward the provision of perinatal oral healthcare. This study was undertaken to explore the knowledge, attitudes and practices of Antenatal Care ( ANC ) providers in New South Wales ( NSW ), Australia providing perinatal oral healthcare and to identify barriers to and predictors of ...


The Effect Of Alternative Labor Positions Versus The Lithotomy Position On Birthing Outcomes: An Integrative Literature Review, Kelsey Gaffka 2016 University of Central Florida

The Effect Of Alternative Labor Positions Versus The Lithotomy Position On Birthing Outcomes: An Integrative Literature Review, Kelsey Gaffka

Honors in the Major Theses

Traditionally, the lithotomy position is the most commonly used birthing position in western cultures. The purpose of this literature review was to examine the differences in maternal and neonatal outcomes when alternative labor positions are used. Implications for future use of alternative labor positions were explored. Peer reviewed, English-language research articles published from 2009 to 2015 were included for synthesis. Study results revealed that the lithotomy position is linked to multiple negative maternal outcomes. Birthing in a water pool or in a lateral position has been linked to more optimal maternal and neonatal outcomes compared to other positions. Health care ...


Pelvic Floor Muscle Training In Management Of Postpartum Pelvic Floor Dysfunctions: A Literature Review, Rebecca S. Tanner 2016 University of Central Florida

Pelvic Floor Muscle Training In Management Of Postpartum Pelvic Floor Dysfunctions: A Literature Review, Rebecca S. Tanner

Honors in the Major Theses

Women can face a wide range of pelvic floor dysfunctions following pregnancy, ranging from urinary incontinence to pelvic pain. Unfortunately, these problems are not routinely checked for in postpartum check-ups and women do not always bring it to the physician’s attention. Strengthening of the pelvic floor muscles may be able to help women prevent these disorders and improve these women’s lifestyles.

The purpose of this thesis was to review and analyze different trials to determine if different pelvic floor dysfunctions (urinary incontinence, sexual dysfunction, and pelvic girdle pain) can be treated using pelvic floor muscle training in the ...


Antenatal Psychosocial Risk Status And Australian Women's Use Of Primary Care And Specialist Mental Health Services In The Year After Birth: A Prospective Study, Virginia Schmied, Rachel Langdon, Stephen Matthey, L. Kemp, Marie-Paule Austin, Maree Johnson 2016 Australian Catholic University

Antenatal Psychosocial Risk Status And Australian Women's Use Of Primary Care And Specialist Mental Health Services In The Year After Birth: A Prospective Study, Virginia Schmied, Rachel Langdon, Stephen Matthey, L. Kemp, Marie-Paule Austin, Maree Johnson

Faculty of Health Sciences Publications

Background: Poor mental health in the perinatal period can impact negatively on women, their infants and families. Australian State and Territory governments are investing in routine psychosocial assessment and depression screening with referral to services and support, however, little is known about how well these services are used. The aim of this paper is to report on the health services used by women for their physical and mental health needs from pregnancy to 12 months after birth and to compare service use for women who have been identified in pregnancy as having moderate-high psychosocial risk with those with low psychosocial ...


Patient And Lay Carer Education For Preventing Pressure Ulceration In At-Risk Populations (Protocol), Tom O'Connor, Zena EH Moore, Jo C. Dumville 2015 Royal College of Surgeons in Ireland

Patient And Lay Carer Education For Preventing Pressure Ulceration In At-Risk Populations (Protocol), Tom O'Connor, Zena Eh Moore, Jo C. Dumville

School of Nursing and Midwifery Articles

This is the protocol for a review and there is no abstract. The objectives are as follows: To assess whether patient and lay carer education for preventing pressure ulceration affects the incidence of pressure ulceration in at-risk people, in any care setting.


Hospital Practices Related To Breastfeeding In Mississippi: A Socio-Ecological Approach, Amir Alakaam 2015 The University of Southern Mississippi

Hospital Practices Related To Breastfeeding In Mississippi: A Socio-Ecological Approach, Amir Alakaam

Dissertations

Mississippi continues to have one of the lowest rates and the weakest support in respect to breastfeeding in the nation (Centers for Disease Control and Prevention, 2014a). Hospital practices supporting breastfeeding such as the Ten Steps to Successful Breastfeeding (TSSB) can dramatically increase breastfeeding rates and duration (Rosenberg, Stull, Adler, Kasehagen, & Crivelli-Kovach, 2008). The aim of this study was to explore breastfeeding practices in Mississippi hospitals based on two levels of the Socio-Ecological Model: the organizational level (phase I) examined the hospital practices based on the level of implementation of the TSSB; the individual level (phase II) examined knowledge and practices related to breastfeeding, and interest to adopt the TSSB among maternity nurses in the hospitals. Correlations among the variables were also measured. Moreover, the researcher was interested in identifying the barriers and facilitators to implementing the TSSB in maternity practices ...


Conflict Between Paternalism And Autonomy., Amber Hussain Sayani 2015 Aga Khan University

Conflict Between Paternalism And Autonomy., Amber Hussain Sayani

School of Nursing & Midwifery

In the past, paternalism played an important role in making decisions at the end of life. However, in the modern era its significance has become unpopular as it require physicians to decide what is good or bad for the patient without considering patients wish and interest. This commentary article is based on a case study of a woman whose life was lost due to complications of pregnancy. The paper critically reviews this case study, and attempts to provide a reasonable and systematic framework to make sound decisions in similar cases.


The Rates Of Mothers Who Continually Breastfeed After Implemented Breastfeeding Teaching, Katherine L. Moore 2015 University of Arkansas, Fayetteville

The Rates Of Mothers Who Continually Breastfeed After Implemented Breastfeeding Teaching, Katherine L. Moore

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Many mothers are unaware of the benefits of breastfeeding. This lack of knowledge leads to an inability to weigh the advantages and disadvantages of the potential source of nutrition their infant will receive during his or her first months of life. Many mothers never even attempt to breastfeed their infant. Even among the mothers who do initially choose to breastfeed, the majority deviate to other forms of feeding early in the postpartum period. Despite the fact that most major medical organizations encourage exclusive breastfeeding through the first six months of an infant’s life, the CDC report for 2013 claims ...


Common Factors In Unplanned Cesarean Section, Lauren C. Compton 2015 Eleanor Mann School of Nursing - University of Arkansas

Common Factors In Unplanned Cesarean Section, Lauren C. Compton

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Obstetrical delivery by cesarean section is a prevalent form of delivery. Whether clinically indicated or by maternal request, cesarean delivery rates in the United States have risen to account for over a third of all deliveries. Cesarean section procedures are often clinically indicated and occur because of fetal factors, but they can also be elected by maternal request. The aims of this study are to analyze the frequency of the factors in the study questions that are associated with unplanned cesarean section procedures and to compare the frequency of these factors per cesarean section with the time of day the ...


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