An instrument for the continuous measurement of cervical dilatation is described. The principle of operation, being that of mutual inductance, utilises two coils, one on the posterior lip of the cervix and the other on the anterior, the axes of these coils being kept parallel by a flexible linkage. A magnetic field, from the primary coil being driven with a lOkHz alternating current of constant amplitude, induces a voltage in the secondary coil. This voltage whose magnitude decreases as the distance between the coils increases, is used by the instrument for the determination of cervical dilatation. A cervical dilatation recording from a multiparous patient is presented and discussed.

Thesis (M.A.)--Boston University / PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you. / Obstetric Fistula (OF) is a devastating condition, normally caused by obstructed labor, which results in uncontrollable urinary and fecal incontinence and affects thousands of women every year. Most of the women affected by OF reside in small isolated, rural villages, creating challenges to diagnosis and treatment. Due to lack of standardization of therapy approaches, many women undergoing OF-repair often redevelop incontinence or other complications. This paper analyzes both vaginal and abdominal approaches to OF, evaluating their outcomes and the challenges they present. The therapies analyzed are: the Latzko approach, the layered-closure, and the Martius flap procedure. The goal of this paper is to determine which procedure is most appropriate to use for specific types of OF in order to establish therapeutic standardization. This study reviewed a significant amount of literature evaluating all three therapy approaches. It was determined that the Latzko approach should be utilized as the first approach to vesicovaginal fistula (WF) and vesicouterine fistula (VUF) due to its simplicity, avoidance of major operative complications, and successful postoperative repair results. Layered-closure approaches should be refrained from use, unless the Latzko approach is impossible or in specific cases of urethrovaginal fistula. Due to its more extensive operation and post-operative follow-up, the Martius flap procedures should be used only for significantly complex fistulas, such as those that involve multiple organs, are exceptionally large or recurrent. Surgical approaches, however, cannot repair the OF problem on its own, due to a number of challenges and ethical considerations. Therefore, challenges to OF treatment and repair were also considered and analyzed. A final evaluation determined that the creation of permanent infrastructure, such as women's reproductive health and delivery clinics will provide the greatest improvements to the current OF status. By solving problems such as surgeon shortages, cost issues, and the lack of follow-up and mental health services, it was determined that permanent delivery clinics with established transportation methods will produce the most significant reduction of obstructed labor, and therefore OF occurrence, and the most promising OF prevention method as well. / 2999-01-01

ABSTRACT Naturalistic Inquiry was used to explore, describe and discover the experiences and perceptions of men whose partners have been admitted to an Intensive Care Unit (ICU) immediately after childbirth. The sixteen men's experiences were explored using semi-structured open-ended questions. Data were analysed using thematic content analysis. The research questions driving this study were: • What are men's experiences and perceptions of the incidence and impact of their partners being admitted to ICU following the complications of childbirth? • What is the nature of the relationships and interactions that men have with healthcare professionals before, during and after their partner's ICU admission following the complications of childbirth? • What impact did the experience of their partners being admitted to ICU, following the complications of childbirth, have on the men's relationships with their partners, newborn child, and other children? • What impact did the experiences of their partners being admitted to ICU following the complications of childbirth have on their future life plans? During the time of their partners' obstetric crisis the men, in this study, were left isolated, alone and struggling. The current healthcare policy and practice for men with their partners in life-threatening situations intrapartum and immediately postpartum failed 16 families.

No description available.

Thesis (M.S.)--Boston University / PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you. / 2999-01-01

Obstetric Fistulas have a high prevalence rate in developing countries where there is a lack of immediate access to maternal health care for women. Although Obstetric Fistulas are physical injuries, they affect women’s psychosocial health. This analysis aims to display the inefficiency of focusing on surgical repairs as the only treatment option and to demonstrate the need to integrate mental health treatment at different Obstetric Fistulas treatment stages. A total of 8 research articles from both Pub Med and Web of Science met the inclusion criteria, and the analysis was done by country. The results showed the presence of depressive symptoms, although there is an immediate improvement in quality of life after surgical repair. In some cases, there was worsening of psychological symptoms due to residual incontinence with or without successful fistula closure. These results suggested that whereas surgical repairs positively impact Obstetric Fistula patients, it does not solve the depressive symptoms, which cause women to self-isolate and have suicidal ideations. The mental sequelae caused by Obstetrical Fistulas can only be resolved using structured mental health care that should be started before surgical repair and continued after repair.

No description available.

ABSTRACT Objectives: To determine what obstetric complications can be associated with end-stage AIDS and maternal death. Method: From 1990 to 2005 the maternal death files of patients with either AIDS-defining illnesses or CD4 counts of less than 200x106/ℓ were analyzed in a descriptive study. All patients died undelivered or within 42 days of delivery. Result: Sixty six percent (49/74) of pregnancies ended prematurely by preterm delivery or miscarriage. Twenty perinatal deaths occurred. The average birth weight was 1498g at an average gestational age of 30.5 weeks. The mean CD4 count was 45.5x106/ℓ. The majority of maternal deaths were caused by respiratory illnesses. Conclusion: Preterm ABSTRACT Objectives: To determine what obstetric complications can be associated with end-stage AIDS and maternal death. Method: From 1990 to 2005 the maternal death files of patients with either AIDS-defining illnesses or CD4 counts of less than 200x106/ℓ were analyzed in a descriptive study. All patients died undelivered or within 42 days of delivery. Result: Sixty six percent (49/74) of pregnancies ended prematurely by preterm delivery or miscarriage. Twenty perinatal deaths occurred. The average birth weight was 1498g at an average gestational age of 30.5 weeks. The mean CD4 count was 45.5x106/ℓ. The majority of maternal deaths were caused by respiratory illnesses. Conclusion: Preterm labour and early pregnancy loss are common among terminally ill pregnant women with AIDS. It is proposed that hypoxia in the presence of respiratory disease could lead to cytokine production in the uterine cavity, leading to preterm delivery, even in the absence of intrauterine infection.

Lau, Tze Kin. / "May 1998." / Thesis (M.D.)--Chinese University of Hong Kong, 1998. / Includes bibliographical references (p. 165-178). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Mode of access: World Wide Web.

nÃo hà / A presente pesquisa teve por objetivo construir e validar um protocolo direcionado a consulta de Enfermagem no prÃ-natal a ser utilizado na Casa de Parto Natural LÃgia Barros Costa. Pesquisa tecnolÃgica desenvolvida de janeiro de 2012 a novembro de 2013 em quatro fases com 10 etapas. A primeira fase correspondeu à construÃÃo do protocolo onde foi realizada uma adaptaÃÃo as etapas propostas pela GerÃncia de Ensino e Pesquisa do Grupo Hospitalar ConceiÃÃo (GHC) para Diretrizes ClÃnicas/ Protocolos Assistenciais de Porto Alegre e foi composta por sete etapas. A primeira etapa correspondeu à escolha do tema, onde o protocolo foi dividido em capÃtulos em uma sequÃncia lÃgica para melhor direcionar o atendimento prÃ-natal. A etapa 2 foi referente a justificativa do tema escolhido. Na etapa 3 foram disponibilizadas as fontes bibliogrÃficas utilizadas no protocolo. A etapa 4 correspondeu as evidÃncias encontradas ao longo da elaboraÃÃo do protocolo. Na etapa 5 foi realizada a organizaÃÃo do protocolo em algoritmos visando ordenar e estabelecer os fluxos das aÃÃes. A etapa 6 foi caracterizada pela enumeraÃÃo das referÃncias utilizadas as quais foram disponibilizadas em formato Vancouver. Na etapa 7 ocorreu a diagramaÃÃo do protocolo desenvolvida atravÃs do programa CorelDraw x6. A fase 2 correspondeu a elaboraÃÃo textual do protocolo o qual foi escrito em fonte Times New Roman, tamanho 12 sendo composto por 94 pÃginas com 12 capÃtulos. A fase 3 foi referente a validaÃÃo de conteÃdo e aparÃncia do protocolo. Na etapa 8 foram escolhidos, atravÃs de critÃrios de inclusÃo prÃ-estabelecidos, 22 especialistas com experiÃncia na Ãrea de interesse (ObstetrÃcia, saÃde da mulher, prÃ-natal, saÃde da famÃlia, validaÃÃo de instrumentos), os quais avaliaram objetivos, estrutura, aparÃncia e relevÃncia do protocolo. Um item era considerado validado quando apresentasse Ãndice de Validade de ConteÃdo (IVC) ≥0,78. Ressalta-se que todos os itens apresentaram IVC superior a esse valor. Em relaÃÃo aos objetivos do protocolo houve variaÃÃo do IVC de 0.86 a 1.0. Na avaliaÃÃo alusiva a estrutura e aparÃncia o IVC tambÃm variou de 0.86 a 1.0. No tocante a avaliaÃÃo da relevÃncia do protocolo, houve variaÃÃo do IVC de 0.90 a 0.95. O protocolo foi validado de forma global com IVC=0.92. Na etapa 9 foi realizada adequaÃÃo do protocolo Ãs sugestÃes dos especialistas referente a reelaboraÃÃo de frases, acrÃscimo ou modificaÃÃes de informaÃÃes e ilustraÃÃes. A fase 4 foi equivalente a disponibilizaÃÃo do protocolo e foi composta pela etapa 10 que correspondeu ao encaminhamento do protocolo para impressÃo. Considerou-se o protocolo validado em conteÃdo e aparÃncia por especialistas, sendo importante a realizaÃÃo de estudo posterior para verificar o seu impacto na unidade de saÃde na qual serà utilizado.