Mother's Anxiety Face Primigravidal Delivery Ages 20-35 Years at Mandiri Midwife Practices Cengkal Sewu Village, Kayen District, Pati Regency

Anxiety before labor in pregnant women is a physiological matter, but in facing labor process in which there are a series of physical and psychological changes that starting with uterine contractions, dilatation of the birth canal, and spending baby and placenta which ended with first punding between mother and baby. Anxiety and depression are two types of interference that related each other. The objectives of this study is to explore mother’s anxiety facing labor primigravid 20-35 years old in BPM Sulityowati Cengkalsewu Village Sub Kayen Pati Regency. This study used a qualitative method with phenomenological approach. Technique of data collection with in depth interview and purposive sampling. The results of in-depth interview in participant obtained information mother’s anxiety resolve labor primigravid 20-35 years old about definition, causes, family support, factors of anxiet. and how to prevent and resolve anxiety. All mothers who are facing labor already know about the content of the anxiety in the face of first child labor. As well as how to prevent and resolve that anxiety.Mother’s anxiety facing labor primigravid 20-35 years old is good.

Fetal head circumference versus fetal weight at term as a predictor of labour outcome

Background: Several models have been proposed to predict the need for an LSCS. With reference to this, the impact of the size of the fetal head traversing the birth canal is an important determinant of delivery outcomes. We examined the association between the head circumference and mode of delivery and perinatal outcomes, when compared to birth weight predicted by scan.Methods: This was a retrospective study, on 800 electronic delivery records between December 2019 and May 2021. Sociodemographic data, obstetrical parameter, term scan findings of head circumference and estimated fetal weight, and labour and perinatal outcomes were collected and analysed.Results: HC >95th centile was found to be comparatively more predictive and statistically significant compared to EFW >95th centile in the prediction of LSCS, with the most common indication being cephalopelvic disproportion. Prolonged second stage of labour was statistically significant in both cohort A and B, undergoing vaginal delivery. It was also noted that a significant number of newborns in cohort A required NICU admissions, while NICU admissions after emergency LSCS was significantly higher in the cohort B (p=0.0032) though the overall 5 and 10 minute APGAR scores and duration of stay were comparable in the groups classified on basis of EFW and HC.Conclusions: The above statistics observed on an Indian population may aid obstetricians in the planning of the mode of delivery, improve pre-labor counselling and efficient management of mothers of large babies.

Surreal Femininity: Nature and “Woman” in the Art of Marguerite Humeau

This paper focuses on the work of contemporary French artist Marguerite Humeau, specifically her 2018-19 exhibition “Birth Canal” and her 2016-17 exhibition “FOXP2.” Building on Surrealism’s interest in subverting the viewer’s notion of the real, the two exhibitions expand and reimagine the relationship between Woman, Nature, and the automaton. Humeau’s work makes the viewer question their understanding of gender, particularly whether behaviours that are codified as “female” in humans can easily be transposed onto the mechanical and the natural worlds. While the physical sculptures push the boundary between living and non, organic and mechanical, sound also plays an integral role in Humeau’s work by serving as the sculptures’ “voice.” In doing so, Humeau allows the nonhuman body to speak for itself, thereby undermining the Romantic notion of Nature as a sublime but passive muse.

To Assess Social Demographic Characteristics of Women with Pelvic Organ Prolapse

Introduction: One of the prevalent clinical conditions in daily gynecological treatment is pelvic organ prolapses (POP), particularly in parous women. The entity comprises vaginal wall descent and/or uterine descent. Pelvic organ prolapse is a common pelvic disorder among women. Objective: To determine the social demographic characteristics and types of pelvic organ prolapse and to find out the association between social demographical characteristics with pelvic organ prolapse. Methods: The descriptive survey was used and the sampling technique was non probability convenient sampling technique and the sample size was 60. Results: Twenty six (43.3%) women were belongs to in the age group of 33-40 years. 54 (90%) of women were married.29 (48.3% ) of women never had abortion. 26 (43.3%) of women had normal delivery whereas 17(28.3) had instrumental delivery .19 (31.3%) of women had perineal tear, 20 (33.30%) of women had cervical tear in previous pregnancy . 21(35% ) of women had cystocele whereas 20(33.3) has rectocele . There is significance association between the of age of women, marital status, occupation, Place of previous delivery, type of previous delivery, complications during previous labour except the parity with pelvic organ prolapse. Conclusion: Pelvic organ prolapse is common gynecological condition .The patients are relatively middle age group. Parity, Occupation, Injuries to birth canal was may be contributory to severity of pelvic organ prolapse.

Pregnancy management in patients with uterine fibroids. Case report

Uterine fibroids (UF) are the most common tumor in women of reproductive age. The growth of myomatous nodes during pregnancy is non-linear and mainly occurs in the first trimester. In most cases, UF do not burden the course of pregnancy. Large size (5 cm), retroplacental location, and/or deformity of the uterine cavity by the myomatous node are associated with increased risks of spontaneous miscarriage, placental abruption, bleeding, preterm birth, and cesarean section. Myomectomy during pregnancy is undesirable, with the development of pain syndrome, the use of acetaminophen is safe. Indications for cesarean section in UF are the presence of a large size of fibroids that prevent delivery through the natural birth canal, red degeneration of myomatous nodes, torsion of the subserous myomatous node (degree 2C).

Myomectomy or conservative management of uterine fibroids: effects on reproductive potential

AIM: The aim of this study was to analyze reproductive function, pregnancy and labor in women after laparoscopic myomectomy and in women with unoperated myoma. MATERIALS AND METHODS: The main group consisted of 60 patients aged 25-46 years with a scar on the uterus who had laparoscopic myomectomy. Inclusion criteria were full-term pregnancy, uterine scar after laparoscopic myomectomy for subserosal or intramural uterine myoma (3-10 cm), and myomatous nodules (one to three). The comparison group included 30 women aged 25-46 years who were not surgically treated. Inclusion criteria were full-term pregnancy, subserosal or intramural uterine myoma (3-10 cm), and myomatous nodules (one to three). All patients in the main group underwent laparoscopic myomectomy. In all cases, the myomatous nodule was removed intracapsularly, leaving the leiomyoma pseudocapsule, which, with a deep arrangement of the transmural myomatous nodules, avoided opening the uterine cavity; myomatous nodule morcellation being used. With a deep intramural arrangement of the leiomyoma, the myometrial defect was sutured layer by layer with the application of several rows of endosutures. RESULTS: Six months after myomectomy, the patients underwent MRI of their pelvic organs with contrast. In 95% of cases, the uterine scar had no anatomical insolvency. In assessing the anamnesis, gynecological diseases occurred two times more often in women in the main group: 22 (36.7%) patients resorted to the use of the in vitro fertilization method for pregnancy, while among the patients in the comparison group, there were only two (6.7%) of them (2 = 12.8; р 0.001). In the main group, moderate preeclampsia and gestational diabetes mellitus were twice as common. In the main group, all patients were delivered by caesarean section, of which 83.3% were planned and 16.7% were emergency. In the comparison group, 73.3% of patients were delivered through the natural birth canal and 26.7% by caesarean section (2 = 149, p 0.0001). The most unfavorable signs predisposing to obstetric complications and operative delivery were the presence of multiple nodules (OR = 5.96 (1.09-32.72), p 0.05), the location of the nodule or scar in the uterine bottom (OR = 2.52 (1.00-6.33), p 0.05), and their combination with IVF (OR = 9.09 (2.42-34.07), р 0.01). CONCLUSIONS: In 95% of women, the scar on the uterus after myomectomy was consistent, but all these pregnant women were delivered by cesarean section, mainly for combined indications. However, they carried out the pregnancy safely, with a good outcome for the fetus. In women with uterine myoma and its conservative management, there was a lower rate of aggravated gynecological history and obstetric complications, and 73.3% of them were delivered through the natural birth canal. Despite the increased risk of caesarean section, the presence of uterine fibroids, even of a large size (more than 4 cm), should not be considered as a contraindication to vaginal delivery.

Vacuum extractor in the fight against intra- and postnatal fetal mortality

The introduction of obstetric forceps into practice did not satisfy obstetricians, since their use can cause severe damage to the birth canal and the head of the fetus, even if the head is located in the wide part or in the exit of the small pelvis, not to mention the imposition of high forceps, which is dangerous for both the mother and for the fetus.

A REVIEW ON SUKHAPRASAVA

The series of actions happen in the genitals to expel the live product of fertilization from the uterus at the end of full-term pregnancy through the route of the vagina referred to as normal labour. This definition of labor is quite like the classical definition of Prasava which defines as at an appropriate time Prasuti Maruta acts in the right direction to rotate the fetus as per the pathway of the birth canal with head downward and fetus delivered out of Apathyapathya and can survive independently. The whole process is called Prasava or Sukhaprasava or Prakrutaprasava. In classics, the description regarding different stages of labour is found based on signs and symptoms of the parturient along with care to be given to her. In the present paper, Sukhaprasava is described completely including all its stages mentioned in classics and try to clarify the signs and symptoms mentioned as per the present scenario.

The evolution of pelvic canal shape and rotational birth in humans

Background The human foetus typically needs to rotate when passing through the tight birth canal because of the complex shape of the pelvis. In most women, the upper part, or inlet, of the birth canal has a round or mediolaterally oval shape, which is considered ideal for parturition, but it is unknown why the lower part of the birth canal has a pronounced anteroposteriorly oval shape. Results Here, we show that the shape of the lower birth canal affects the ability of the pelvic floor to resist the pressure exerted by the abdominal organs and the foetus. Based on a series of finite element analyses, we found that the highest deformation, stress, and strain occur in pelvic floors with a circular or mediolaterally oval shape, whereas an anteroposterior elongation increases pelvic floor stability. Conclusions This suggests that the anteroposterior oval outlet shape is an evolutionary adaptation for pelvic floor support. For the pelvic inlet, by contrast, it has long been assumed that the mediolateral dimension is constrained by the efficiency of upright locomotion. But we argue that the mediolateral elongation has evolved because of the limits on the anteroposterior diameter imposed by upright posture. We show that an anteroposteriorly deeper inlet would require greater pelvic tilt and lumbar lordosis, which compromises spine health and the stability of upright posture. These different requirements of the pelvic inlet and outlet likely have led to the complex shape of the pelvic canal and to the evolution of rotational birth characteristic of humans.