Evaluation of Quality Control Circle Activities in Improving the Delayed Cord Clamp Rate of Newborns Undergoing Vaginal Delivery
Xinke Huang,
Li Zuo,
Ruihong Chen,
Baohua Qiu,
Wenfei Liang
Issue:
Volume 7, Issue 6, November 2019
Pages:
155-160
Received:
17 September 2019
Accepted:
29 September 2019
Published:
17 October 2019
Abstract: Probing into the Quality Control Circle (QCC) activities in improving the delayed cord clamp rate (DCC) of newborns undergoing vaginal delivery. By setting up QCC team, to investigate and diagnose the problems of DCC rate of newborns undergoing vaginal delivery in our hospital in 2017, therefore, to draw up our new target and the responding measurement. After that, we analyze and discuss the data, and finally filter the valid data. Finally, we compare the two sets of situations and data. According to the investigation of DCC rate undergoing vaginal delivery and the relative Maternal-and-Infant outcome in August to November in 2017, after setting up QCC activities, it shows the DCC rate of newborns undergoing vaginal delivery has an significant increased, from 35.1% to 82.3%, duration of the Third Stage of Labor, hospitalization rate of Neonatal intensive Care Nursing (NICU), Apgar score, incidence of postpartum hemorrhage, asphyxia neonatorum and hyperbilirubinemia has no statistical sence (P>0.05). The Quality Control Circle (QCC) activities can effectively improve the delayed cord clamp rate (DCC) of newborns undergoing vaginal delivery, without affecting the incidence of undesirable Maternal-and-Infant outcome. And the quality control circle activities can be fed back and improved through the PDCA cycle to make it more scientific and practical.
Abstract: Probing into the Quality Control Circle (QCC) activities in improving the delayed cord clamp rate (DCC) of newborns undergoing vaginal delivery. By setting up QCC team, to investigate and diagnose the problems of DCC rate of newborns undergoing vaginal delivery in our hospital in 2017, therefore, to draw up our new target and the responding measure...
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Five Year Study of a Unique, Eco-friendly, Menstrual Cup, That Enhances the Quality of Women’s Lives During Menstruation
Alfred Adib Shihata,
Steven Brody
Issue:
Volume 7, Issue 6, November 2019
Pages:
161-165
Received:
11 September 2019
Accepted:
29 September 2019
Published:
23 October 2019
Abstract: Menstrual cups are gaining more popularity among women, [1]. who prefer cups over pads and tampons. The innovative FemmyCycle (Figure 2) has several advantages over traditional menstrual cups, which has led to its increased popularity [2]. The objective of this study is to mitigate and correct the possible or potential side effects caused by traditional menstrual cups (Figure 3). The most common side effect among traditional cups is leakage. "Despite the fact that 1.9 billion women globally are of menstruating age—spending on average 65 days a year dealing with menstrual blood flow, few good quality studies exist that compare sanitary products", says senior author Penelope Phillips-Howard, a public health epidemiologist from the Liverpool School of Tropical Medicine in the UK. [3]. We focused our study on all causes of leakage and other side effects caused by traditional menstrual cups. Methods of corrective and preventive actions included; the no-spill design, (Figure 4 & Figure 5), use of a removal ring instead of a rigid stem, the use of a flask shaped body rather than the conical shape of traditional menstrual cups, (Figure 2 & Figure 3), the elimination of suction holes and the need to manually open the cup. We analyzed 834 independent reviews by women who have had prior experience with traditional menstrual cups to obtain objective results. The implementation of these design changes and enhancing the written and video instructions produced measurable, objective, positive results in favor of the FemmyCycle. We analyzed all these reviews for FemmyCycle to measure the effects on leakage and other side effects. We selected the reviewers who volunteered to compare the FemmyCycle with their experience with traditional cone shaped menstrual cups. There were many reasons why women preferred FemmyCycle, but the most common by far was the prevention of leakage followed by the ease of insertion, ease of removal and comfort when inserted. The implementation of the design changes from a conical shaped cup with a removal stem to a flask shape cup with a removal ring, in addition to the added no-spill feature and enhanced instructional material, improved the acceptability of the FemmyCycle.
Abstract: Menstrual cups are gaining more popularity among women, [1]. who prefer cups over pads and tampons. The innovative FemmyCycle (Figure 2) has several advantages over traditional menstrual cups, which has led to its increased popularity [2]. The objective of this study is to mitigate and correct the possible or potential side effects caused by tradit...
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Fetomaternal Outcome in Pregnant Women with Acute Hepatitis E
Sadia Asghar,
Sadia Maqbool
Issue:
Volume 7, Issue 6, November 2019
Pages:
166-169
Received:
1 May 2019
Accepted:
21 October 2019
Published:
31 October 2019
Abstract: Hepatitis E is fairly common among pregnant population and puts a threat to mother and fetal wellbeing. Only limited research is available on association of Hepatitis E infection in pregnancy with feto-maternal outcome. The purpose of the current study was to investigate such patients while carefully eliminating bias by controlling confounders. We aimed to determine the feto-maternal outcome in pregnant women with acute hepatitis E. A descriptive case series was conducted to find feto-maternal outcome in pregnant women with acute hepatitis E. The mean maternal age was 30.05±4.49 years ad mean Gestational age of the patients was 35.73±2.10 months. Most (47%) of the patients were para 3 followed by para 2 (31.8%). 78.8% of the mothers underwent caesarean delivery. Most of the patients had Preterm delivery (69.7%). 16 (24.2%) patients died while majority (75.8%) of the patients survived for more than 30 days after delivery. Most of the mothers (50.0%) died during first 10 days of delivery. 28.8% of patients suffered fetal loss while majority (71.2%) of the neonates survived for more than 7 days. Majority (78.9%) of those who expired died in utero while only a smaller percentage (21.1%) expired in neonatal period. Hepatitis E infection in pregnancy is associated with poor feto-maternal outcome. Careful monitoring and early intervention in the form of caesarean delivery can improve the outcome.
Abstract: Hepatitis E is fairly common among pregnant population and puts a threat to mother and fetal wellbeing. Only limited research is available on association of Hepatitis E infection in pregnancy with feto-maternal outcome. The purpose of the current study was to investigate such patients while carefully eliminating bias by controlling confounders. We ...
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