Search

Background: Hypothermia occurs when the core body temperature of an organism is <36°C, commonly affecting up to 70% of surgical patients perioperatively. Body temperature performs vital role in maintaining normal human activities. However, factors like, the use of anesthetic drugs, cold operating theater, skin antisepsis and cold irrigation of a patient with the body uncovered and the use of intravenous solutions during surgery can leads to a low body temperature. Objective: objective of this study was effect of sociodemographicals on the post operative hypothermia. Method: a hospital based descriptive observational study was undertaken. All the postoperative patients (N=250) that underwent anaesthesia were included. The body temperature was measured after immediately after surgery at the arrival of recovery room or Preanesthetic care unit in post operative period. Analysis was done using the software SPSS version 26.00. Results: Total 250 post operative patients were included in the study. Among them 185 (74%) patients had post operative hypothermia. Mean of age of hypothermia patients were 45.74 years. the maximum cases had hypothermia 173 (93.5%) were having Hindu religion. the majority of patients 63 (34.1%) had hypothermia patients were having no education. 84 (45.4%) had hypothermia they were having farmers. 79 (42.7%) had hypothermia were having monthly income between 11000-19999. 96 (51.9%) had hypothermia they were in rural residency. Therefore while considering p value <0.05 significant, there is no any significant association of hypothermia with socio demographical variables found. Conclusion: The majority of samples 50% were having age between the 19 to 40 years. There no any significant association was found between hypothermia and socio demographical variables. [ABSTRACT FROM AUTHOR]

Background: Children are a future of nation and take precaution of child health it's our responsibility. Multigravida women etiological factors more much affect on children health. But these factors affect on children heath at the time of pregnancy to birth of children and after that see the effect on children growth and development in living life sometime chance to child suffering any kind of morbidity and its cause to die. Objective: To determine mortality among earlier children of multigravida women. Methodology: The present descriptive cross-sectional study was use. The study conducted on multigravida women randomly sample of a village from selected PHCs. total 492 multigravida women with her earlier children age 0-18 yrs age group was enrolled. To conduct this study, a predesigned Structured Interview questionnaire was developed and all the questions were framed keeping the study objectives in mind to obtain the necessary information. Result: out of 492 multigravida women 21(2.1%) were having earlier children mortality. majority woman was gravida 2nd and Para one women and gravida 3rd Para two. Conclusion and recommendation: The regrettable side to the issue is that most of the mortality are largely preventable by simple interventions like; Promotion of hygienic practices, through proper health education to their parents. Community health workers should also be trained adequately so that they are able to pick up signs of illness and encourage people in the community to seek treatment and reduced mortality in children. [ABSTRACT FROM AUTHOR]

Context: Menopausal and postmenopausal health has emerged as an important public health concern in India owing to improved economic conditions, rapid lifestyle changes and increased longevity. During menopausal transition, there is a lot of fluctuation in the hormone levels making the peri and post menopausal women susceptible to various mental and physical disorders . Investigator is interested to study on the effect of interventional packages on quality of life of menopausal women after assessment of specific symptoms in rural area. Aims: To assess the severity of menopausal related symptoms and determine the effectiveness of interventional package on women’s quality of life Settings and Design: Interventional Study with control group in Selected Primary Health Centres, Karad Material and Methods: Women age group 40-55 years residing in selected rural area of Karad Taluka by using Simple Random Sampling Technique. Participants in the study will be assessed for menopausal related symptoms and quality of life at their residence using a structured questionnaire. a) Intervention consists of an educational sessions of 45 minutes duration will cover structured teaching programme on definition of menopause, phases, symptoms, complications, dietary pattern and exercise . b) Exercises: Exercises performed to strengthen a woman's pelvic floor muscles. (30 minutes, 4 days / week for 12 weeks). Symptoms and quality of life will be evaluated in first and third and 6 month. Conclusions: This study will help in improvement of the quality of life of menopausal woman. [ABSTRACT FROM AUTHOR]

Background: Maternal morbidity is one of the important risk factors associated with Low Birth Weight (LBW) and preterm births. LBW (birth weight < 2500 g) and prematurity (gestational age <37 weeks) are major contributors of neonatal and infant mortality and morbidity worldwide. Prematurity and LBW are priority public health concerns as both have ongoing impact on the individuals, families, the community as well as on the health system. Maternal risk factors for LBW and preterm births include presence of malnutrition and medical illnesses like anemia, preeclampsia, pregnancy induced hypertension etc. Aim and Objectives: To study the maternal morbidity in LBW and preterm births. Material and Methods: All consecutive eligible women were registered from 1st November 2013 to 30th November 2015. There were 2028 pregnant women who, were followed up during Antenatal Care (ANC) period and the outcome of the pregnancy was noted. Only the pregnant women giving birth to live born singleton babies were included in the study to find out co-relation between antenatal morbidity of the mother during pregnancy and the birth weight and the gestational age of the baby. Thus, the statistical analysis was done for 1876 mothers and babies only. Results: Among maternal factors anemia was present in 62.8% pregnant women at registration and was significantly associated with LBW and preterm birth in this study. Out of all conditions related to pregnancy, pre-eclampsia, hyperemesis gravidarum, Pregnancy Induced Hypertension (PIH), poly hydramnios, Ante Partum Hemorrhage (APH) and type of diet were associated with LBW and preterm birth. Conclusion: Anemia at registration could be prevented by care of adolescent girls by ensuring good nutrition and giving iron and folic acid supplementations. Good antenatal care and timely identification and management of maternal morbidities will go a long way in preventing LBW and preterm births. [ABSTRACT FROM AUTHOR]

Background: Women who experience perineal trauma can subsequently be affected by conditions such as dyspareunia, urinary and anal incontinence, perineal pain, and delayed mother-neonate interaction Aim and objectives: This study aimed to assess the effects of prenatal perineal massage on gestational age duration of 1st and 2nd stage of labour. Material and Methods: A quantitative research approach and experimental research design was used for the present study. The study was conducted on 60 (experimental 30+ control 30 randomly assigned by lottery method)prenatal mothers without any complication attending antenatal outpatient department and deliver vaginally in labour ward of Krishna Hospital, Karad. The independent variable was prenatal perineal massage and dependent variables were labour outcome i.e. gestational age, duration of first stage and second stage of labour. The data was collected by the researcher after obtaining an informed consent from participants. Results: Maximum mothers (63.33%) and (53.33%) were <23 years of age respectively. As per education, majority of mothers 24 (80%) and (86.6%) were educated up to secondary level from both the groups respectively. From both the groups maximum mothers (90%) had normal vaginal delivery. The mean gestational age 38.4 ± 1.3 of mothers from control group was higher than the mean gestational age 37.8 ± 1.4 of mothers from experimental group. There was significant association found between mean duration of first stage and second stage of labour from both the groups (P<0.05). Conclusion: Prenatal perineal massage after 34 weeks of gestation is effective in reduction of duration of 1st and 2nd stage of labour. [ABSTRACT FROM AUTHOR]

Background: Maternal nutrition during pregnancy is one of the most important factors for the health and the wellbeing of both mother and the baby. In spite of Reproductive Child Health (RCH) programme, the proportion of Low Birth Weight (LBW) babies continues to be at around 28% and preterm birth around 12% with associated high mortality and morbidity. Aim and Objectives: To study the association between frequency of meals of the mother, their nutrient content and the birth weight and the gestational age of the baby. Material and Methods: A cohort of 1876 apparently healthy pregnant women registered and attending Antenatal Care (ANC) clinic of Krishna Hospital was studied to find out the maternal risk factors associated with the LBW and preterm births. Mothers with twin pregnancy were excluded. A sub sample of 380 women was taken for the in-depth study of frequency of meals and nutrient content of food of pregnant women. They were followed till delivery and the birth weight was noted on standard electronic weighing machine and the gestational age of the baby was calculated from the Last Menstrual Period (LMP). A dietary history was asked during second trimester and nutrient content of their daily diet was found out by 24-hours' recall method. If the diet was not representative of their usual food intake next eligible woman was included instead of earlier randomly chosen woman. The analysis of the data was done using SPSS version 16. Results: The change in meal pattern from 2 to 3 meals a day meant average of 291 calories, 7.4 g of protein, 27.6 mg of calcium and 0.4 mg of iron more and from 3 meals to 4 meals a day meant on an average of 374 calories, 11.3 g of protein, 181 mg of calcium and 3.7 mg of iron more. The mean birth weight increased by 443 g and the mean gestational age increased by 18 days and the proportion of LBW reduced from 100 to 57.8% and the proportion of preterm reduced from 66.7% to 17.8% when the frequency of meals changed from 2 to 3. There was further increase in birth weight by average of 496 g and increase in gestational age by 4.3 days and reduction in proportion of LBW from 57.8% to 5.2% and proportion of preterm from 17.8 to 7.4% when number of meals increased from 3 to 4. Conclusion: There was a strong association between the frequency of meals and the daily intake of calories, proteins, calcium and iron. Significant increase in the mean birth weight and mean gestational age was associated with increasing frequency of meals from two to four. There was also a significant reduction in the proportion of LBW and preterm births. [ABSTRACT FROM AUTHOR]