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https://www.readbyqxmd.com/read/29751489/will-happiness-improve-the-psychological-integration-of-migrant-workers
#1
Tian-Cheng Li, Chien-Chi Chu, Fan-Cun Meng, Qin Li, Di Mo, Bin Li, Sang-Bing Tsai
Happiness is a major factor that influences people’s perceptions and behavior. Two-stage least squares regression was applied to investigate the effect of happiness on the psychological integration of migrant workers in China. The data for a total of 1625 individuals were obtained from the 2014 China Labor-force Dynamics Survey (CLDS). This study describes happiness from three main aspects: happiness, life satisfaction, and economic satisfaction. The psychological integration includes two dimensions of settlement willingness, and trust level; these have gone through dimension-reduced processing by using the weighted average method...
May 3, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29749657/fundal-pressure-in-second-stage-of-labor-kristeller-maneuver-is-associated-with-higher-risk-of-levator-ani-muscle-avulsion
#2
Aly Youssef, Ginevra Salsi, Ilaria Cataneo, Giuseppina Pacella, Carlotta Azzarone, Maria Chiara Paganotto, Jovana Krsmanovic, Elisa Montaguti, Luisa Cariello, Federica Bellussi, Nicola Rizzo, Gianluigi Pilu
OBJECTIVE: to investigate the association between fundal pressure in the second stage (Kristeller maneuver) and the risk of levator ani muscle (LAM) injury. METHODS: This was a prospective case-control study conducted in our university hospital. We recruited women immediately following their first vaginal delivery. Women who underwent Kristeller maneuver were recruited as cases. For each case, a control (no Kristeller) was recruited matched by BMI, epidural analgesia, second stage duration and birthweight...
May 10, 2018: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29744866/what-is-the-effect-of-physical-activity-on-duration-and-mode-of-delivery-secondary-analysis-from-the-norwegian-fit-for-delivery-trial
#3
Birgitte Sanda, Ingvild Vistad, Linda R Sagedal, Lene A H Haakstad, Hilde Lohne-Seiler, Monica K Torstveit
INTRODUCTION: The beneficial effects of physical activity during pregnancy for the mother and offspring have been reported by several studies but there are conflicting results concerning the possible effect of physical activity on the course of labor and risk of cesarean delivery. This study presents secondary analyses from the Norwegian Fit for Delivery randomized controlled trial, aiming at studying the effect of a lifestyle intervention including group exercise classes, as well as the possible influence of physical activity level in late pregnancy, on labor outcomes...
May 9, 2018: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29733840/clinical-opinion-doing-something-about-the-cesarean-delivery-rate
#4
S L Clark, T J Garite, E J Hamilton, M A Belfort, G D Hankins
There is a general consensus that the cesarean delivery rate in the U.S. is too high, and that practice patterns of obstetricians are largely to blame for this situation. In reality, the U.S. cesarean delivery rate is the result of 3 forces largely beyond the control of the practicing clinician: patient expectations and misconceptions regarding the safety of labor, the medical-legal system, and limitations in technology. Efforts to "do something" about the cesarean delivery rate by promulgating practice directives which are marginally evidence-based or influenced by social pressures are both ineffective and potentially harmful...
May 4, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29731323/on-the-variation-in-maternal-birth-canal-in-vivo-viscoelastic-properties-and-their-effect-on-the-predicted-length-of-active-second-stage-and-levator-ani-tears
#5
Paige V Tracy, Shreya Wadhwani, Jourdan Triebwasser, Alan S Wineman, Francisco J Orejuela, Susan M Ramin, John O DeLancey, James A Ashton-Miller
The pubovisceral muscles (PVM) help form the distal maternal birth canal. It is not known why 13% of vaginal deliveries end in PVM tears, so insights are needed to better prevent them because their sequelae can lead to pelvic organ prolapse later in life. In this paper we provide the first quantification of the variation in in vivo viscoelastic properties of the intact distal birth canal in healthy nulliparous women using Fung's Quasilinear Viscoelastic Theory and a secondary analysis of data from a clinical trial of constant force birth canal dilation to 8 cm diameter in the first stage of labor in 26 nullipara...
April 25, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29705985/systematic-review-of-pelvic-floor-interventions-during-pregnancy
#6
REVIEW
Lucas Schreiner, Isabel Crivelatti, Julia M de Oliveira, Christiana C Nygaard, Thais G Dos Santos
BACKGROUND: Pelvic floor interventions during pregnancy could reduce the impact of pregnancy and delivery on the pelvic floor. OBJECTIVE: To determine the effects of pelvic floor interventions during pregnancy on childbirth-related and pelvic floor parameters. SEARCH STRATEGY: PubMed, Embase, and LILACS were searched for reports published during between 1990 and 2016 in English, Spanish, or Portuguese. The search terms were "pregnancy," "pelvic floor muscle training," and related terms...
April 28, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29683307/maternity-care-update-labor-and-delivery
#7
Andrew Smith, Wendy B Barr, Erin Bassett-Novoa, Nicholas LeFevre
Labor is defined as contractions with cervical change and active labor starts when the cervix is dilated 6 cm. Updated labor curves and definitions should be used to define labor dystocia. Oxytocin and amniotomy have important roles in the management of labor dystocia. Structured intermittent fetal monitoring should be considered for women with low-risk pregnancies but continuous electronic fetal monitoring still is used most commonly. Moderate fetal heart rate variability is the most reliable marker of fetal well-being...
April 2018: FP Essentials
https://www.readbyqxmd.com/read/29680213/effect-of-change-in-position-and-back-massage-on-pain-perception-during-first-stage-of-labor
#8
Suad Abdul-Sattar Khudhur Ali, Hamdia Mirkhan Ahmed
Labor is one of the most painful events in a women's life. Frequent change in positions and back massage may be effective in reducing pain during the first stage of labor. The focus of this study was to identify the impact of either change in position or back massage on pain perception during first stage of labor. A quasi-experimental study. Teaching hospital, Kurdistan Region, Iraq, November 2014 to October 2015. Eighty women were interviewed as a study sample when admitted to the labor and delivery area and divided into three groups: 20 women received frequent changes in position (group A), 20 women received back massage (Group B), and 40 women constituted the control group (group C)...
April 18, 2018: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
https://www.readbyqxmd.com/read/29652678/using-hourly-time-outs-and-a-standardized-tool-to-promote-team-communication-medical-record-documentation-and-patient-satisfaction-during-second-stage-labor
#9
Jessica Wood, Eleanor Stevenson
BACKGROUND: During labor, effective communication and collaboration among the healthcare team is critical for patient safety; however, there is currently no standard for communication and documentation of the plan of care as agreed upon by healthcare team members and the woman in labor. OBJECTIVES: The goal of this project was to increase consistency in communication and collaboration between clinicians and laboring women during secondstage labor. An hourly "time-out" meeting of all healthcare team members was initiated for all women during second-stage labor...
April 12, 2018: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/29588826/relationship-between-behavioral-indices-of-pain-during-labor-pain-with-pain-intensity-and-duration-of-delivery
#10
Bibi Marziyeh Hashemi Asl, Atiyeh Vatanchi, Nahid Golmakani, Alireza Najafi
Background: Certain behaviors can be adopted by women to cope with labor pain according to their individual characteristics, which are currently called behavioral indicators during labor pain, and include facial expressions, verbal expressions, tone of voice, body movements, degree of relaxation, and respiratory system functioning during delivery. Moreover, severity of pain and duration of labor can vary due to several factors including individual characteristics. Objective: The purpose of the present study was to determine the relationship between behavioral indicators during labor pain, severity of pain, and delivery duration...
January 2018: Electronic Physician
https://www.readbyqxmd.com/read/29587562/correlation-between-umbilical-arterial-ph-values-and-fetal-vertebral-artery-doppler-waveforms-at-the-beginning-of-the-second-stage-of-labor-a-pilot-prospective-study
#11
Danila Morano, Gennaro Scutiero, Piergiorgio Iannone, Giulia Nencini, Elena Mantovani, Antonio Farina, Pantaleo Greco
OBJECTIVE: The aim of this study was to evaluate the association between umbilical arterial pH and fetal vertebral artery Doppler velocimetry waveforms measured at the beginning of the second stage of labor in physiological term pregnancies. METHODS: This was a prospective cohort study of 250 pregnancies. The resistance index, pulsatility index and peak systolic velocity were measured. The relationship between the fetal Doppler and the umbilical arterial pH was evaluated...
March 27, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29583056/effect-of-an-educational-program-based-on-cognitive-behavioral-techniques-on-fear-of-childbirth-and-the-birth-process
#12
Tuba Uçar, Zehra Golbasi
OBJECTIVE: This study determined the effect of an educational program based on cognitive behavioral techniques (CBT) provided for pregnant women to address their fear of childbirth. METHODS: This study was conducted experimentally using pretest-posttest and a control group. A total of 111 Turkish pregnant women were recruited with 52 in the intervention group and 59 in the control group. The intervention group attended the educational program on coping with childbirth fears based on CBT, which took 3 weeks over six sessions...
March 27, 2018: Journal of Psychosomatic Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29578971/epidural-analgesia-during-the-second-stage-of-labor-a-randomized-controlled-trial
#13
Jessica L Illuzzi, Jessica T Greenberg, Peter A Mancini
No abstract text is available yet for this article.
April 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29575180/sonographic-assessment-of-the-anal-sphincter-after-obstetric-anal-sphincter-injury-oasi-using-transperineal-ultrasound-tpus
#14
EDITORIAL
Vered H Eisenberg, Dan V Valsky, Simcha Yagel
Obstetric anal sphincter injury (OASI) is the most common cause of anal incontinence and ano-rectal symptoms in women1 . Reported rates of anal incontinence following primary repair of OASI range between 15-61%, with a mean of 39%2, 3 . Other possible complications of OASI include perineal pain, dyspareunia, and less commonly, abscess formation, wound breakdown, and rectovaginal fistulae. Symptom onset may occur immediately, several years postpartum, or only late in life when aging of tissues adds to the delivery insult...
March 24, 2018: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29553965/efficacy-of-an-ergonomic-ankle-support-aid-for-squatting-position-in-improving-pushing-skills-and-birth-outcomes-during-the-second-stage-of-labor-a-randomized-controlled-trial
#15
Yu-Ching Lin, Meei-Ling Gau, Ghi-Hwei Kao, Hung-Chang Lee
BACKGROUND: The physical positions that are adopted by women during childbirth significantly impact their childbirth outcomes and experiences. Literature studies have associated using a squatting position with reduced childbirth pain and increased comfort and pushing efficiency. However, the major disadvantage of the squatting position is that women may lack the muscular fitness and stamina necessary to sustain this position for a long period. PURPOSE: The aim of this study was to compare the pushing experiences and birth outcomes of three different pushing positions during the second stage of labor...
March 16, 2018: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/29532533/traditionally-vs-sonographically-coached-second-stage-of-labor-a-pilot-study
#16
F Bellussi, L Alcamisi, G Guizzardi, D Parma, G Pilu
OBJECTIVES: to investigate the usefulness of visual biofeedback by transperineal ultrasound to improve the pushing coaching during the active second stage of labor in nulliparous women. METHODS: a randomized controlled trial of low risk nulliparous women in the active second stage of labor. Patients were allocated either to coaching aided by visual demonstration of the progress of the fetal head by transperineal ultrasound (sonographic coaching, Group A) or to classical coaching (Group B)...
March 13, 2018: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29529475/exercise-during-pregnancy-is-associated-with-a-shorter-duration-of-labor-a-randomized-clinical-trial
#17
Ruben Barakat, Evelia Franco, María Perales, Carmina López, Michelle F Mottola
OBJECTIVE: to examine the influence of an exercise program throughout pregnancy on the duration of labor in healthy pregnant women. STUDY DESIGN: A randomized clinical trial was used (Identifier: NCT02109588). In all, 508 healthy pregnant women were randomly assigned between 9 and 11 weeks of gestation to either a Control Group (CG, N = 253) or an Exercise Group (EG, N = 255). A moderate aerobic exercise program throughout pregnancy (three weekly sessions) was used as the intervention...
May 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29528468/a-prediction-model-for-severe-maternal-morbidity-in-laboring-patients-at-term
#18
Joshua I Rosenbloom, Methodius G Tuuli, Molly J Stout, Omar M Young, Candice L Woolfolk, Julia D López, George A Macones, Alison G Cahill
OBJECTIVE:  To determine the factors associated with severe maternal morbidity in a modern cohort of women laboring at term and to create a prediction model. STUDY DESIGN:  This is a retrospective cohort study of all term, laboring patients with live births at a single tertiary care center from 2004 to 2014. The primary outcome was composite maternal morbidity including organ failure, amniotic fluid embolism, anesthesia complications, sepsis, shock, thrombotic events, transfusion, or hysterectomy...
February 8, 2018: American Journal of Perinatology
https://www.readbyqxmd.com/read/29526235/effects-of-aromatherapy-with-rosa-damascena-on-nulliparous-women-s-pain-and-anxiety-of-labor-during-first-stage-of-labor
#19
Sepideh Hamdamian, Soheila Nazarpour, Masoumeh Simbar, Sepideh Hajian, Faraz Mojab, Atefeh Talebi
BACKGROUND: Reducing labor pain and anxiety is one of the most important goals of maternity care. OBJECTIVE: This study aimed to assess the effects of aromatherapy with Rosa damascena on pain and anxiety in the first stage of labor among nulliparous women. DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONS: This was a randomized clinical trial of 110 nulliparous women. The eligible participants were randomly assigned to two groups of aromatherapy and control in an Iranian maternity hospital...
March 2018: Journal of Integrative Medicine
https://www.readbyqxmd.com/read/29516128/is-increased-peripheral-ligamentous-laxity-in-term-pregnant-women-associated-with-obstetric-anal-sphincter-injury
#20
Bertrand Gachon, Marion Desgranges, Laetitia Fradet, Arnaud Decatoire, Florian Poireault, Fabrice Pierre, Xavier Fritel, David Desseauve
INTRODUCTION AND HYPOTHESIS: Increased ligamentous laxity is associated with pelvic floor distension in pregnant women. This considered, it may also be related to the risk of obstetric anal sphincter injury (OASI). Our objective was to assess the association among increased ligamentous laxity, perineal tear severity, and OASI occurrence. METHODS: This is a prospective study. We assessed ligamentous laxity between the 36th week of pregnancy and the onset of labor, by measuring the passive extension of the nondominant index finger for a 0...
March 7, 2018: International Urogynecology Journal
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