scholarly journals Antenatal, intranatal and postnatal care: a tertiary centre study of North India

2018 ◽  
Vol 5 (6) ◽  
pp. 2500
Author(s):  
Anjali Gupta ◽  
Anish Khanna ◽  
Rekha Sachan ◽  
V. K. Singh ◽  
O. P. Singh
Keyword(s):  
Multivariate Logistic Regression Analysis ◽  
Normal Growth ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
North India ◽  
Growth Data ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Factors Affecting ◽  
Tertiary Centre

Background:Care of pregnant lady during antenatal period is the key to reducing maternal mortality and morbidity during pregnancy and child birth and futher improving the growth and development of the newborn. Optimal weight gain in the initial 6 months is very essential. Therefore, study aims to assess antenatal, intranatal and postnatal factors affecting the growth of newborn child. Methods:A Community based cross sectional study was conducted twice – at delivery and second after 6 months. A total of 220 ladies delivered at QMH, King Georges Medical University, Lucknow between August-2016 to September-2017 were included. WHO Standards were used to calculate the deviation from normal growth. Data was entered in SPSS-23 and assessment was made for factors affecting the growth of newborn. Results:At the time of birth the weight, length and head circumference of newborn was measured. Normal weight, length and H.C of ±2 SD was seen in 91%, 88%, 94% males respectively and 87.8%, 97.8 and 73.3% females. Repeat measurements at 6 month age of newborn showed normal weight, length and H.C in 62%, 58% and 87% males respectively and 87.8%, 74.4% and 96.7% females. Multivariate logistic regression analysis of factors revealed that growth of newborn upto 6 months was significantly associated with exclusive breastfeeding (OR 0.161; 95% CI 0.053-0.492; p=0.001), Illness in past 6 months (OR 6.820; 95%CI 2.376-19.579; p<0.001) low birth weight (OR 0.101; 95% CI 0.015-0.665; p=0.017). Conclusions:Although adherence to the proper schedule of antenatal, intranatal and postnatal visits and care varies between individuals and over time, the factors can be addressed with periodic counselling and motivation of pregnant ladies and their families.

scholarly journals Parturient satisfaction with labour epidural and factors affecting satisfaction scores: experiences from a tertiary centre in Southern India

2019 ◽  
Vol 9 (1) ◽  
pp. 383
Author(s):  
Leah Raju George ◽  
Thenmozhi Mani ◽  
Ekta Rai
Keyword(s):  
Cross Sectional Study ◽  
Labour Analgesia ◽  
Satisfaction Score ◽  
Feedback Form ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Tertiary Centre ◽  
High Satisfaction ◽  
Two Factors ◽  
Timing Of Initiation

Background: Labour analgesia though widely practised is still not routinely administered to all parturients in India. We conducted this historical observational cross-sectional study to assess parturient knowledge and factors affecting satisfaction in those who received epidural labour analgesia; aiming at improving the services.Methods: All parturients requesting epidural labour analgesia have the catheter sited and the drug administered as per institutional protocols. A feedback form is given to these parturients, postnatally. The form consists of questions regarding her knowledge of and experience with labour analgesia, including her satisfaction score on a scale of 0 to 10. Author collected these forms and analyzed them along with information from the labour epidural register and the discharge summary.Results: The mean satisfaction score was 7.1 (SD- 2.28). 46 parturients (31.08%) had ‘low satisfaction’ (<7 score) and 102 parturients (68.9%) had ‘high satisfaction’ (≥7 score). The timing of initiation of epidural analgesia within the parturients expectations and adequate analgesia were two factors that were found to affect satisfaction scores, with statistically significant values (p=0.002 and p=0.006 respectively). Those with a very short or very long duration of labour analgesia, were more likely to give less satisfaction scores (p=0.023 and p=0.002). Only 30% of parturients had heard of labour analgesia in the past.Conclusions: In this setting good analgesia and receiving it on time are of utmost importance in those receiving epidural labor analgesia, emphasising the need for adequate analgesia and prompt initiation of the same.

scholarly journals Dietary Approach to Stop Hypertension and Obesity Among Iranian Adults: Yazd Health Study-TAMYZ and Shahedieh Cohort

2021 ◽  
Author(s):  
Sahar Sarkhosh-Khorasani ◽  
Hassan Mozaffari-Khosravi ◽  
Masoud Mirzaei ◽  
Azadeh Nadjarzadeh ◽  
Mahdieh Hosseinzadeh
Keyword(s):  
Central Obesity ◽  
Multivariate Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Health Study ◽  
Dash Score ◽  
Cross Sectional ◽  
Dash Diet ◽  
Mortality And Morbidity ◽  
Risk Of Mortality ◽  
Relationship Of

Abstract PurposeEstablished data revealed a relationship between obesity and increasing the risk of mortality and morbidity of chronic diseases. There are conflicting data regarding the association between adherence of Dietary Approach to Stop Hypertension (DASH) and obesity. Therefore, this study intends to investigate this relationship among a large sample of Iranian adults.MethodsThis cross-sectional study was performed by 10693 individuals; in the urban population: Yazd Health Study (n=6750), and in the suburb region: Shahedieh cohort study (n=3943). Dietary intake was evaluated by using a validated Food Frequency Questionnaire (FFQ). In all participants, anthropometric indices including body mass index were measured. The DASH score was considered utilizing gender-specific quintiles of DASH items. To evaluate the relationship of DASH diet and obesity, multivariate logistic regression analysis was used.ResultsBy adjusting confounders, participants in highest quintiles of DASH diet compared to the lowest have lower odds of obesity in suburb area (OR: 0.78; 95% CI: 0.63, 0.96), in urban (OR: 0.71; 95% CI: 0.52, 0.99), and in whole population of both studies (OR: 0.75; 95% CI: 0.63, 0.90). Besides, more compliance of women to this diet in urban (OR: 0.64; 95% CI: 0.48, 0.85) and population of both studies (OR: 0.77; 95% CI: 0.62, 0.96) were associated with reduced odds of central obesity. ConclusionsDASH dietary pattern could decrease odds of obesity in both urban and suburb area, and central obesity in urban area only. Further prospective studies are needed for causal conclusion.

scholarly journals Factors Affecting the Overweight and Obesity of Students Aged 11 to 17 in Low and Middle-Income Countries Based on GSHS Questionnaire Data

2021 ◽  
Author(s):  
Rafat Shadmehr ◽  
Mehdi Moradinazar ◽  
Ebrahem Shakiba ◽  
Farid Najafi ◽  
Shayan Mostafaee ◽  
...  
Keyword(s):  
Gini Index ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
Overweight And Obesity ◽  
Cross Sectional ◽  
Middle Income ◽  
Factors Affecting ◽  
Country Level ◽  
Unit Increase ◽  
Low And Middle Income

Abstract Background:Obesity and overweight in early life arebeingone of the challenges of public health in both developed and developing societies.Methods:This cross-sectional study was designed on the Global School-based Student Health Survey (GSHS) data from the WHO, in collaboration with UNAIDS, UNESCO, and UNICEF. The countries of low- and middle-income in the six WHO regions were included.BMIis classified into three classes: overweight, normal-weight, and underweight based on length/height, weight, and age.Results: Of the 187893 students aged 11 to 17 years, 43220 (23.0%) were overweight. The prevalence of obesitywas higher in boys (23.67% and 22.39% in boys and girls respectively).The probability of obesity decreases by the age of the students. There was a positive relationship between following personal hygieneprinciples and overweight so that the use of soap and washing hands after going to the toilet increased the odds of overweight by 17% and 11%, respectively.Each unit increased the prevalence of overweight in adulthood (1.07 - 1.04 OR = 1.06), and each unit increase in Gini Index (OR = 1.03,1.00-1.05) on average increased the odds of overweight in students aged 11 to 17 years, but for the prevalence of overweight in children less than 5 years old, GDP and SDGs did not have any significant effect onoverweight in children aged 11 to 17 years.Conclusion:The country-level Gini index and the prevalence of overweight and obesity in adults had a significant role in overweight and obesityin students. Due to the different situation of the countries, it is required to plan specific programs to tackle overweight in children.

scholarly journals Examination of preterm babies for ROP referred to an eye department from an urban and semi-urban neonatal intensive care unit: implications for practice.

2019 ◽  
Author(s):  
Ramesh Venkatesh ◽  
Prachi Abhishek Dave ◽  
Prachi Gurav ◽  
Manisha Agarwal ◽  
Mamta Jajoo ◽  
...  
Keyword(s):  
Neonatal Intensive Care ◽  
Cross Sectional Study ◽  
Urban Setting ◽  
North India ◽  
Cross Sectional ◽  
Systematic Screening ◽  
Factors Affecting ◽  
Preterm Babies ◽  
The Mean

Abstract Background: To study and analyse the factors affecting the proportion of retinopathy of prematurity (ROP) distribution between the urban and semi-urban regions in North India. Methods: Retrospective, observational, cross-sectional study. All babies referred for ROP examination by paediatricians or other general ophthalmologists between 2013 – 2016 were included in the study. Demographic, clinical and treatment related findings were recorded. Results: Five hundred and fifty-eight (467: urban & 91: semi urban) babies were examined for ROP. The mean birth weight in the urban and semi-urban setting was 1348.6 ± 395.21 gm and 1703.77 ± 401.76 gm respectively. The mean gestational age was 30.99 ± 2.93 weeks and 30.73 ± 2.08 weeks in the urban and semi-urban cohorts respectively. The average time for first ophthalmic examination following birth was 23.82 ± 13.69 (range: 3-77) days in the urban and 101.16 ± 238.26 (range: 13- 330) days in the semi-urban setting. 94% of the babies completed all screening examination visits. Any ROP was identified in 11.6% and 33.0% of the urban and semi-urban cohorts respectively; Type 1 was detected in 7.5% of urban babies and 23.1% of semi-urban babies Conclusion: Differences in the proportion of babies developing any ROP and Type 1 ROP between the semi-urban and urban groups is likely due to selection bias, as a high proportion of semi-urban babies did not attend for examination or failed to complete all the examinations necessary. This was particularly true for females. More needs to be done to increase access to regular, systematic screening of preterm babies within neonatal units.

scholarly journals Examination of preterm babies for ROP referred to an eye department from an urban and semi-urban neonatal intensive care unit: implications for practice.

2019 ◽  
Author(s):  
Ramesh Venkatesh ◽  
Prachi Abhishek Dave ◽  
Prachi Gurav ◽  
Manisha Agarwal ◽  
Mamta Jajoo ◽  
...  
Keyword(s):  
Neonatal Intensive Care ◽  
Cross Sectional Study ◽  
Urban Setting ◽  
North India ◽  
Cross Sectional ◽  
Systematic Screening ◽  
Factors Affecting ◽  
Preterm Babies ◽  
The Mean

Abstract Background: To study and analyse the factors affecting the proportion of retinopathy of prematurity (ROP) distribution between the urban and semi-urban regions in North India. Methods: Retrospective, observational, cross-sectional study. All babies referred for ROP examination by paediatricians or other general ophthalmologists between 2013 – 2016 were included in the study. Demographic, clinical and treatment related findings were recorded. Results: Five hundred and fifty-eight (467: urban & 91: semi urban) babies were examined for ROP. The mean birth weight in the urban and semi-urban setting was 1348.6 ± 395.21 gm and 1703.77 ± 401.76 gm respectively. The mean gestational age was 30.99 ± 2.93 weeks and 30.73 ± 2.08 weeks in the urban and semi-urban cohorts respectively. The average time for first ophthalmic examination following birth was 23.82 ± 13.69 (range: 3-77) days in the urban and 101.16 ± 238.26 (range: 13- 330) days in the semi-urban setting. 94% of the babies completed all screening examination visits. Any ROP was identified in 11.6% and 33.0% of the urban and semi-urban cohorts respectively; Type 1 was detected in 7.5% of urban babies and 23.1% of semi-urban babies Conclusion: Differences in the proportion of babies developing any ROP and Type 1 ROP between the semi-urban and urban groups is likely due to selection bias, as a high proportion of semi-urban babies did not attend for examination or failed to complete all the examinations necessary. This was particularly true for females. More needs to be done to increase access to regular, systematic screening of preterm babies within neonatal units.

scholarly journals SATISFACTION OF SUSPECTED COVID-19 PATIENTS REGARDING MEAL SERVICES AT A TERTIARY CARE HOSPITAL OF NORTH INDIA

2021 ◽  
Vol 5 (12) ◽  
Author(s):  
Shweta Talati ◽  
Saru Sethi ◽  
Ritin Mohindra ◽  
Pankaj Arora ◽  
Navneet Dhaliwal ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
North India ◽  
Care Hospital ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Discharge From Hospital

Introduction: Meal services plays a significant role in speedy recovery and increases patient satisfaction. Objective: Present study was done to assess the satisfaction of suspected COVID-19 patients regarding meal services at a tertiary care hospital of north India. Methodology:  This cross-sectional study in retrospective design was done to understand the factors affecting the satisfaction of suspected COVID-19 patients with respect to meal services. The data was collected for patients admitted from January 2020-June 2020 with the help of a questionnaire with graded responses i.e Yes, No or Maybe/Not applicable, gathered from participants after discharge from hospital through ‘google forms’. Results: Out of 160 participants, 159 filled up the questionnaire through ‘google form’. Majority of the participants were <30 Years old 46.5%, had university or higher education 52.8%. The study showed 96.9% patients were satisfied and 3.1% were not satisfied   with the quality of the meal services provided during the hospital stay. There was no significant association observed between taste of meals and consumption of whole meal with the quality of the meal served (p = 0.875, p = 0.855 respectively). Although significant association was observed between temperature of meal, time of meal distribution, quantity of water bottles provided, and quality of meal served (p = 0.000, p = <0.001, p = 0.000). Conclusion: Present study connotes that such types of assessments can help identify the gaps which can be worked on for achieving maximal satisfaction of patients with respect to quality of meal services in the hospital. Key words: COVID-19 patients; Meal services; Patient Satisfaction; Tertiary care hospital

scholarly journals A cross sectional study to find incidence of clinically detectable congenital malformations and factors affecting it in tertiary care hospital

2019 ◽  
Vol 6 (6) ◽  
pp. 2364
Author(s):  
Vikram V. Yaragatti ◽  
Shivanagouda .
Keyword(s):  
Congenital Anomalies ◽  
Congenital Malformations ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Factors Affecting ◽  
Difficult Challenge

Background: Congenital malformations are emerging as an important perinatal problem, contributing sizably to the perinatal mortality with considerable repercussions on the mothers and the families. Patients with multiple congenital anomalies present a relatively infrequent but tremendously difficult challenge to the pediatrician. Authors objective was to study the incidence of clinically detectable congenital malformations among consecutive births in hospital deliveries examined during hospital stay.Methods: A prospective cross sectional study was conducted in Department of Pediatrics at Dr R N Cooper Municipal General Hospital, Mumbai from June 2016 to June 2017. All live births from June 2016 to June 2017 were considered in the studyResults: The total number of deliveries in our hospital were 3120(100%) and the total number of babies with congenital anomaly were 43(1.4%), So the incidence of congenital anomalies amongst study population was 1.4%. The involvement of various systems was seen in our study. The involvement of CNS (9.3%), Eye (7%), ENT (28%), GIT (20.9%), Urinary Tract (2.3%), Musculoskeletal System (35%), Gentialia (7%), CVS (7%).Conclusions: Congenital malformation, one of the important causes of infant mortality and morbidity can be reduced by proper preconception care and level two anomaly scan. Congenital anomalies must be identified, as early diagnosis and surgical correction of malformed babies offer the best chance for survival.

scholarly journals Vitamin D3 Level And Risk of Diabetes In Patients With Hyperuricemia

2021 ◽  
Author(s):  
Gong Rongpeng ◽  
Zixin Xu ◽  
Xiaoxin Wei
Keyword(s):  
Uric Acid ◽  
Vitamin D3 ◽  
Multivariate Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
The Body ◽  
Sufficient Evidence ◽  
Cross Sectional ◽  
Factors Affecting ◽  
The Difference ◽  
The Relationship

Abstract BackgroundPrevious studies have shown that hyperuricemia is involved in diabetes, obesity, hypertension, chronic kidney disease, and other diseases. At the same time, studies have shown that vitamin D3 levels in the body are linked to the onset of diabete. However, there is currently no sufficient evidence to prove whether this connection is affected by uric acid levels. Therefore, we attempted to investigate the relationship between vitamin D3 content and the occurrence of diabetes in the hyperuricemia population by using the data of the NHANES database from 2009 to 2018.MethodWe conducted a cross-sectional study using the NHANES database. According to strict inclusion and exclusion criteria, we finally selected 3543 representative data. Multivariate logistic regression analysis was used to explore the relationship between vitamin D3 and diabetes in the hyperuricemia population after complete adjustment. We found a linear relationship between vitamin D3 content and the incidence of diabetes.ResultThe results of this study showed that there was a correlation between the content of vitamin D3 and the incidence of diabetes in people with hyperuricemia, and the effect values (OR and 95% confidence interval) were 0.95and (0.92-0.98), respectively, and the difference was statistically significant.ConclusionOur study shows that vitamin D3 content is associated with the incidence of diabetes in people with high uric acid. This study provides a new idea for exploring the factors affecting the pathogenesis of diabetes in patients with hyperuricemia.

scholarly journals Adherence to Healthy Eating Index-2015 and Obesity Among Iranian Adults: Yazd Health Study-TAMYZ and Shahedieh Cohort Study

2021 ◽  
Author(s):  
Sahar Sarkhosh-Khorasani ◽  
Azadeh Nadjarzadeh ◽  
Hassan Mozaffari-Khosravi ◽  
Masoud Mirzaei ◽  
Mahdieh Hosseinzadeh
Keyword(s):  
Cohort Study ◽  
Healthy Eating ◽  
Central Obesity ◽  
Multivariate Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Healthy Eating Index ◽  
Health Study ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Study Participants

Abstract Objectives: Data demonstrated a relationship between obesity and increasing the risk of mortality and morbidity of chronic diseases. Inconsistent data regarding the association between adherence of Healthy Eating Index-2015 (HEI-2015) and obesity is identified. Thus, this study intends to address this relationship among a large sample of both urban and suburb areas of Iranian adults.Methods: This cross-sectional study was performed by 10693 participants of Shahedieh cohort study (n=3943) and TAghzieh Mardom-e-Yazd (TAMYZ) which was conducted on Yazd Health Study participants, (n=6750) living in urban and suburb areas. Dietary intake was assessed by using a validated Food Frequency Questionnaire (FFQ). In all participants, anthropometric indices including body mass index were measured. Multivariate logistic regression analysis was utilized to assess the relationship of HEI-2015 with obesity.Results: No significant association was found between adherence to the HEI-2015 diet and odds of general and central obesity. Conclusions: Our findings showed adherence to HEI-2015 might have no protective effect on odds of general obesity. Also, in suburb region and whole population of both urban and suburb regions greater compliance of men to HEI-2015 diet might have a positive effect on odds of central obesity. Moreover, in suburb area participants in the highest quintile significantly were smoker and had higher level of SES. Finally, the casual effect of HEI-2015 on obesity needs to be investigated further in prospective studies and among different populations.

scholarly journals Adherence to Healthy Eating Index-2015 and Obesity Among Iranian Adults: Yazd Health Study-TAMYZ and Shahedieh Cohort Study

2021 ◽  
Author(s):  
sahar sarkhosh khorasani ◽  
Azadeh Nadjarzadeh ◽  
Hassan Mozaffari-Khosravi ◽  
Masoud Mirzaei ◽  
Mahdieh Hosseinzadeh
Keyword(s):  
Cohort Study ◽  
Healthy Eating ◽  
Central Obesity ◽  
Multivariate Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Healthy Eating Index ◽  
Health Study ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Study Participants

Abstract Objectives: Data demonstrated a relationship between obesity and increasing the risk of mortality and morbidity of chronic diseases. Inconsistent data regarding the association between adherence of Healthy Eating Index-2015 (HEI-2015) and obesity is identified. Thus, this study intends to address this relationship among a large sample of both urban and suburb areas of Iranian adults.Methods: This cross-sectional study was performed by 10693 participants of Shahedieh cohort study (n=3943) and TAghzieh Mardom-e-Yazd (TAMYZ) which was conducted on Yazd Health Study participants, (n=6750) living in urban and suburb areas. Dietary intake was assessed by using a validated Food Frequency Questionnaire (FFQ). In all participants, anthropometric indices including body mass index were measured. Multivariate logistic regression analysis was utilized to assess the relationship of HEI-2015 with obesity.Results: No significant association was found between adherence to the HEI-2015 diet and odds of general and central obesity. Conclusions: Our findings showed adherence to HEI-2015 might have no protective effect on odds of general obesity. Also, in suburb region and whole population of both urban and suburb regions greater compliance of men to HEI-2015 diet might have a positive effect on odds of central obesity. Moreover, in suburb area participants in the highest quintile significantly were smoker and had higher level of SES. Finally, the casual effect of HEI-2015 on obesity needs to be investigated further in prospective studies and among different populations.

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