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Ouch, That Hurts: Childbirth-Related Pain Management And The Inappropriate Replacement Of Traditional Obstetrical Knowledge In Kumaon, Uttarakhand, India, Sabrina Zionts 2015 SIT Graduate Institute - Study Abroad

Ouch, That Hurts: Childbirth-Related Pain Management And The Inappropriate Replacement Of Traditional Obstetrical Knowledge In Kumaon, Uttarakhand, India, Sabrina Zionts

Independent Study Project (ISP) Collection

Throughout India, obstetrical knowledge and practice has been developed and passed down by generations of women. In many Indian societies, traditional birth attendants, or dais, remain the gatekeepers of childbirth-related knowledge. Yet with the push towards institutional delivery, traditional knowledge and practices are being increasingly replaced with modern and Western ones. While the trend of hospital deliveries has yielded positive health outcomes, its socio-cultural consequences remain unclear. Situated in Uttarakhand’s Kumaon Himalayas, this study employs a bio-social framework and begins to reveal these consequences. Using labor pain management as an entry point, this study argues that the push towards ...


Implementation Of Interprofessional Education And Physician Order Set Improves Compliance With Early Recognition And Treatment Of Maternal Sepsis, Lori Susan Olvera 2015 Northern California Consortium, Doctor of Nursing Practice Program, California State University, Fresno and San José State University

Implementation Of Interprofessional Education And Physician Order Set Improves Compliance With Early Recognition And Treatment Of Maternal Sepsis, Lori Susan Olvera

Doctoral Projects

Septic shock is rare in pregnancy; however, sepsis remains an important contributor to maternal mortality. The perinatal patient can appear deceptively well before rapidly deteriorating to septic shock. There is a need for protocols regarding early recognition and management of maternal sepsis. The Surviving Sepsis Campaign developed guidelines to provide guidance for the clinician caring for patients with severe sepsis or septic shock. The purpose of this doctoral project was to evaluate compliance with early goal directed therapy before, during, and following the implementation of a standardized physician order set and interprofessional education for nurses and physicians in the perinatal ...


Parental Knowledge Of Shaken Baby Syndrome: Effects Of A High Risk Parent Teaching Program On Incidence Of Abusive Head Trauma, Mujeebat Suleiman 2015 La Salle University

Parental Knowledge Of Shaken Baby Syndrome: Effects Of A High Risk Parent Teaching Program On Incidence Of Abusive Head Trauma, Mujeebat Suleiman

Undergraduate Research

The purpose of this research is to determine if parents and caregivers are educated about SBS, the incidence of SBS decreases. The subjects of this study are parents of newborns born at Pennsylvania Hospital. The experimental group will consist of 50 parents who will receive supplemental information in regards to preventing Shaken Baby Syndrome. The comparison group will consist of 50 parents who will receive no further education from the one received prior to discharge of the hospital. After the study is completed, the experimental group will be compared to the comparison group on the decrease incidence of SBS they ...


The Benefits Of Breastfeeding, Helen L. Byers 2015 Liberty University

The Benefits Of Breastfeeding, Helen L. Byers

Senior Honors Theses

It is important to educate women of childbearing age, their families, and society of the benefits that breastfeeding has over bottle-feeding and formula-feeding. The benefits of breastfeeding are in three main categories. First, the developmental, physical, emotional, and spiritual benefits of the baby will be discussed. Then the physical, emotional, and spiritual benefits for the mother will be talked about along with possible contraindications or difficulties. Finally, the financial benefits of breastfeeding over feeding an infant from the bottle will be discussed as it relates to the family and government. The goal is to persuade that breastfeeding is a superior ...


(How) Does The Way Maternity Care Is Provided Affect The Health And Well-Being Of Young Women And Their Babies?, Jyai Danielle Nicole Allen 2015 Australian Catholic University

(How) Does The Way Maternity Care Is Provided Affect The Health And Well-Being Of Young Women And Their Babies?, Jyai Danielle Nicole Allen

Theses

Access to timely, quality maternity care improves health outcomes for mothers and babies. Inadequate antenatal care (defined as 1-5 visits) is associated with an increase in the risk of preterm birth and neonatal morbidity; even after controlling known confounders. Pregnant adolescents typically live in circumstances of socio-economic deprivation, which is exemplified by poorer general health status, domestic violence, mental health issues, inadequate nutrition, and smoking and illicit drug use. Adolescent pregnancy is associated with higher rates of preterm birth, low birth weight, and neonatal intensive care unit admission; along with lower rates of breastfeeding initiation.


Case Report: Bicornuate Uterus – A Precipitator Of Maternal Morbidity, Merlin Mary James 2015 Jamia Hamdard

Case Report: Bicornuate Uterus – A Precipitator Of Maternal Morbidity, Merlin Mary James

Journal of Asian Midwives (JAM)

This case report concerns a woman diagnosed with a bicornuate uterus with ovarian torsion. She had been married for seven years and had conceived three times, giving birth to two live babies and had onespontaneous abortion. She was presently admitted to the hospital with complaints of pain in the left iliac fossa,which she had had for two hours before admission along with vomiting, severe bleeding, and burning micturition.During the abdominal examination, left iliac tenderness was present. During the speculum examination, cervical erosions were seen and discharge was present. A vaginal examination revealed a normal sized uterus and the ...


National Skills Training Centre In India, Manju Chhugani, Ashin Merlin 2015 Jamia Hamdard

National Skills Training Centre In India, Manju Chhugani, Ashin Merlin

Journal of Asian Midwives (JAM)

A key determinant which can ensure the quality of healthcare in public health institutions is the skill set of the individuals providing service delivery. Health professionals possess the skills and the expertise in this respect; however, they fail to utilize these optimally. This is because there is a disconnect between their knowledge and practice, it is now imperative tobridge the gap between basic education and clinical practice. The creation of skill labs is one way in which this gap can be addressed. Though India has seen a decline inboth the Maternal and Infant Mortality Rates, significant changes are yet to ...


Factors Affecting The Midwifery-Led Service Provider Model In Pakistan, Surriya Shahnaz, Rafat Jan, Arusa Lakhani, Rozina Sikandar 2015 College of Nursing, Nishtar Hospital, Multan, Pakistan

Factors Affecting The Midwifery-Led Service Provider Model In Pakistan, Surriya Shahnaz, Rafat Jan, Arusa Lakhani, Rozina Sikandar

Journal of Asian Midwives (JAM)

Background

Pakistan has a high rate of maternal and infant mortality, and a shortage of skilled birth attendants (SBAs). Many efforts have been made through the health sector and the international agencies to resolve the problem of both a high Infant Mortality Rate (IMR) and Maternal Mortality Ratio (MMR), but the desired outcomes have not been achieved so far. Literature shows that midwifery plays a significant role in the reduction of MMR and IMR in other parts of the world, and the implementation of a Midwifery-led Service Provider Model could help reduce these rates in Pakistan. This study aims to ...


To Achieve Safe And Respectful Maternity Care In Tertiary Level Hospitals In Nepal, Relatives Are A Valued Addition To The Provision Of Maternity Care, Sabitri Sapkota, Jamuna T. Sayami, Maiya Manadhar, Kerstin Erlandsson 2015 Sunaulo Parivar, Nepal

To Achieve Safe And Respectful Maternity Care In Tertiary Level Hospitals In Nepal, Relatives Are A Valued Addition To The Provision Of Maternity Care, Sabitri Sapkota, Jamuna T. Sayami, Maiya Manadhar, Kerstin Erlandsson

Journal of Asian Midwives (JAM)

Introduction

The White Ribbon Alliance for safe motherhood believes respectful maternity care is the universal right of every childbearing woman.

Methods

NHRC in 2012 approved an inquiry of respectful care at facility-based childbirth. Individual-, focus group interviews and content analysis was used for gathering and analysis of data.

Findings

The participating women and the SBAs shared similar views, and this was that together the SBAs and relatives ensured the women remained within the comfort and safety zone when giving birth in a tertiary level maternity unit.

Conclusion

The SBAs strategy of having relatives provides basic care alongside the provision of ...


Community Based Skilled Birth Attendants Programme In Bangladesh; Intervention Towards Improving Maternal Health, Sabera Turkmani, Fatima Gohar 2015 Afghan Midwives Association

Community Based Skilled Birth Attendants Programme In Bangladesh; Intervention Towards Improving Maternal Health, Sabera Turkmani, Fatima Gohar

Journal of Asian Midwives (JAM)

Aim

To review the strength and weakness of a community based skilled birth attendant (CSBA) program in Bangladesh.

Specific Objective

To explore perceptions of the providers, decision makers and community regarding newly trained community based skilled birth attendants

To understand challenges, gaps and obstacles and recommend potential solutions for programme improvement.

Design

A descriptive study, using a qualitative approach was chosen to elicit the views and experiences of different stakeholders and the beneficiaries of the program was undertaken. The study intended to enhance understanding on gaps and challenges during program implementation by getting insight into different views. The data were ...


Is “Empowerment” A Trickle-Down Effect Of The Afghanistan Midwifery Education Program?, Fatima Gohar, Pashtoon A. Zyaee, Sabera Turkmani 2015 Afghan Midwives Association

Is “Empowerment” A Trickle-Down Effect Of The Afghanistan Midwifery Education Program?, Fatima Gohar, Pashtoon A. Zyaee, Sabera Turkmani

Journal of Asian Midwives (JAM)

Introduction
The patriarchal Afghan society has thousands of years of history. For most parts it has been governed by its tribal systems. The society has systematically evolved with its thousands of years old tradition, which has resulted in the subjugation of women. Although it is widely assumed that the midwifery education program (MEP) has contributed to female empowerment, no formal investigation has been carried out that explores the actual impact of MEP on the status of women midwifery graduates. Therefore, this study systematically explores the trickle down effects of MEP on women’s empowerment.

Methodology

Design: Exploratory qualitative study

Study ...


News & Events, 2015 Aga Khan University

News & Events

Journal of Asian Midwives (JAM)

No abstract provided.


Jam Carries On To Serve Midwives And The Midwifery Profession, Rafat Jan 2015 Aga Khan University

Jam Carries On To Serve Midwives And The Midwifery Profession, Rafat Jan

Journal of Asian Midwives (JAM)

No abstract provided.


The Effectiveness Of Varying Birthing Positions In Laboring Women, Marissa Giovinazzo, Elaine Panelli 2015 West Chester University of Pennsylvania

The Effectiveness Of Varying Birthing Positions In Laboring Women, Marissa Giovinazzo, Elaine Panelli

Nursing Student Work

No abstract provided.


Effect Of Midwife Led Care On Cesarean Section Rate, Steven Donahue, Micaela Sunday 2015 West Chester University of Pennsylvania

Effect Of Midwife Led Care On Cesarean Section Rate, Steven Donahue, Micaela Sunday

Nursing Student Work

No abstract provided.


A Delphi Survey Of Leadership Attributes Necessary For National Nurse Leaders’ Participation In Health Policy Development: An East African Perspective, Nilufa Jivraj Shariff 2015 Aga Khan University

A Delphi Survey Of Leadership Attributes Necessary For National Nurse Leaders’ Participation In Health Policy Development: An East African Perspective, Nilufa Jivraj Shariff

School of Nursing & Midwifery, East Africa

Background: Nurses’ involvement in health policy development ensures that health services are: safe, effective, available and inexpensive. Nursing history reveals several legendary nurse leaders who have influenced policy and the course of nursing and health care. In the recent times there have been concerns regarding the availability of effective leaders physically, symbolically and functionally at clinical, organizational and national levels, who can effectively influence health policy. Exerting influence in the policy arena requires that nurse leaders acquire attributes that enable them to be effective in policy development activity.

This paper reports part of a larger study whose purpose included: “build ...


Psychobiobehavioral Model For Preterm Birth In Pregnant Women In Low- And Middle-Income Countries, Shahirose S. Premji, Ilona S. Yim, Aliyah Dosani (Mawji), Zeenatkhanu Kanji, Salima Sulaiman, Wangira Musana, Pauline Samia, Kiran Shaikh, Nicole Letourneau 2015 University of Calgary

Psychobiobehavioral Model For Preterm Birth In Pregnant Women In Low- And Middle-Income Countries, Shahirose S. Premji, Ilona S. Yim, Aliyah Dosani (Mawji), Zeenatkhanu Kanji, Salima Sulaiman, Wangira Musana, Pauline Samia, Kiran Shaikh, Nicole Letourneau

School of Nursing & Midwifery, East Africa

Preterm birth (PTB) is a final common outcome resulting from many interrelated etiological pathways; of particular interest is antenatal psychosocial distress (i.e., stress, anxiety, and depression). In LMI countries, both exposure to severe life stressors and rate of PTB are on average greater when compared with high-income countries. In LMI countries women are exposed to some of the most extreme psychosocial stress worldwide (e.g., absolute poverty, limited social resources). High prevalence of antenatal stress and depression have been observed in some studies from LMI countries. We propose a psychosocial, biological, and behavioral model for investigating the complex multisystem ...


Increasing Breastfeeding Rates Up To Six Months Among Primparous Women : A Quasi-Experimental Study Of The Effectiveness Of The Milky Way Program, Shahla Meedya 2015 Southern Cross University

Increasing Breastfeeding Rates Up To Six Months Among Primparous Women : A Quasi-Experimental Study Of The Effectiveness Of The Milky Way Program, Shahla Meedya

Theses

Aim: To evaluate effectiveness of The Milky Way Program in increasing rates of breastfeeding to six months.

Method: Four hundred and twenty nulliparous women were recruited in the study. Women were surveyed in the antenatal period about baseline data. Postnatal data were collected at one, four and six months postpartum. The intervention was three antenatal breastfeeding sessions and two postnatal follow up phone calls.

Results: Women in The Milky Way group had higher rates of breastfeeding at six months (54.3% vs. 31.4% p

Discussion: The Milky Way Program was effective in prolonging breastfeeding up to six months.


Variables In Vbac Success: A Retrospective Review Of Trial Of Labor After Cesarean (Tolac) And Labor Support, Jenna A. Koblentz 2015 Scripps College

Variables In Vbac Success: A Retrospective Review Of Trial Of Labor After Cesarean (Tolac) And Labor Support, Jenna A. Koblentz

Scripps Senior Theses

For most of the 20th century, the saying “once a cesarean, always a cesarean” was a rule in the United States. Today, the National Institutes of Health (NIH) opposes the dictum and urges women to consider trial of labor after cesarean (TOLAC). However, the factors that lead to a successful outcome remain unclear, as research continues to be conducted in hopes of creating a predictive model for vaginal birth after cesarean (VBAC) success.

The NIH’s request for more research in this area of obstetrics led to this retrospective cohort study of all TOLACs at Marin General Hospital (MGH ...


Time Of Hiv Diagnosis And Engagement In Prenatal Care Impact Virologic Outcomes Of Pregnant Women With Hiv, Florence M. Momplaisir, Kathy Brady, Thomas Fekete, David Robert Thompson, Ana Diez Roux, Baligh R. Yehia 2015 Australian Catholic University

Time Of Hiv Diagnosis And Engagement In Prenatal Care Impact Virologic Outcomes Of Pregnant Women With Hiv, Florence M. Momplaisir, Kathy Brady, Thomas Fekete, David Robert Thompson, Ana Diez Roux, Baligh R. Yehia

Faculty of Health Sciences Publications

Background

HIV suppression at parturition is beneficial for maternal, fetal and public health. To eliminate mother-to-child transmission of HIV, an understanding of missed opportunities for antiretroviral therapy (ART) use during pregnancy and HIV suppression at delivery is required.

Methodology

We performed a retrospective analysis of 836 mother-to-child pairs involving 656 HIV-infected women in Philadelphia, 2005-2013. Multivariable regression examined associations between patient (age, race/ethnicity, insurance status, drug use) and clinical factors such as adequacy of prenatal care measured by the Kessner index which classifies prenatal care as inadequate, intermediate, or adequate prenatal care; timing of HIV diagnosis; and the outcomes ...


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