This paper presents a study that examines doctor/physician knowledge about minimizing the impact of post-surgery ailments related to unplanned cesarean deliveries.
Abstract The paper reveals that there are several short-term and long-term ailments associated with cesarean deliveries for mothers. This study proposes a semi-structured interview to examine whether physicians have sufficient knowledge about the process to minimize the impact of post-surgery ailments related to unplanned cesarean deliveries. The paper also explores whether physicians across different hospitals adopt identical procedures to minimize this impact. This includes short-term risks, long-term risks and risks to future pregnancies.
Outline:
Introduction
Problem Statement
Purpose of this Study
Definition of Key Concepts
Literature Review
Dependent Variables
Independent Variables
Hypotheses or Research Questions
Research Method
Research Design
Participants
Recruitment Strategy
Sampling Frame
Method of Selecting the Sample Elements
Data Collection
Trustworthiness (Credibility and rigor) of Results
Delimitations
Ethical Issues
Data Analysis
Conclusion
From the Paper "Unplanned cesarean deliveries can take place when induced and/or continued labor may turn out to be harmful for either the mother or the child or both. Doctors prefer unplanned cesarean deliveries when the child fails to make a movement towards the birth channel; or when the cervix fails to open up; or when the child's heart rate is abnormal and it is assumed that the child can no longer deal with continued labor; or when prolapsed cord slides through the cervix which endangers child's oxygen supply; or when placental abruption takes place and sufficient oxygen cannot be delivered; or when the water breaks; or when the genital herpes erupts."
This paper discusses the article "Maternal Mortality and Severe Morbidity Associated with Low-risk Planned Cesarean Delivery versus Planned Vaginal Delivery at Term" by Liu, Shiliang, Liston, Robert M., Joseph, K.S., Heaman, Maureen, Sauve, Reg,
Abstract In this article the writer reviews the scholarly article, "Maternal Mortality and Severe Morbidity Associated with Low-risk Planned Cesarean Delivery versus Planned Vaginal Delivery at Term", about the relative dangers of cesarean section versus vaginal delivery for women. The paper looks at the purpose of the study and summarizes the results. The writer then describes its strengths and weaknesses and outlines how such findings should be utilized in the future. In addition, two key questions that should guide future investigation are enumerated.
Outline:
Abstract
Purpose of the study
Results of the study
Strengths of the study
Weaknesses of the study
How to use these findings in practice
Two questions for future research
From the Paper "The strengths of the study lie in the fact that few studies this writer has reviewed have been more comprehensive. To wit, the planned cesarean group comprised 46,766 women; for the planned vaginal delivery group, the figure was 2,292,420. Every bit as importantly, the study is longitudinal in nature. Specifically, the study encompasses a 14-year period - a length of time seemingly sufficient to ensure that curious aberrations or anomalies in particular years did not cause fundamental distortions in the findings of the study. Additionally, to ensure the validity of the data findings, the researchers employed adjusted odds ratio and confidence intervals; as well, the authors used multivariate analysis to control for "confounding variables" such as age, year of delivery, and elderly primigravidity - among other factors."
Abstract This paper discusses the controversy over VBAC (vaginal birth after Cesarean). The paper reviews research on the issue and presents the benefits and risks of both sides of the issue. The paper concludes with a summary that includes the author's personal view about the issue.
Abstract This paper examines some of the advantages and disadvantages associated with giving birth vaginally after having previously delivered by a Cesarean (VBAC). The paper looks at why doctors try to avoid them, but also gives support from the literature for their safety and success. The paper further discusses contraindications and the major problem which is uterine rupture following prior C-section. It points out that uterine rupture is usually due to Pitocin use, and that VBACs have a 98 percent success rate.
From the Paper "Vaginal Birth After Cesarean (VBAC) is becoming increasingly popular and the medical profession has tried somewhat to discourage it because of the risk of uterine rupture. While postpartum fever seemed to correlate with uterine rupture at VBAC in a recent study there was no relationship between single or double..."
Tags: Vaginal Birth After Caesarean (VBAC), VBA2C, VBA2+C, VBA3+C
Abstract This paper discusses that decisions made around pregnancy can affect the child's future in many ways. The paper outlines the problems surrounding smoking and Cesarean Sections. The author concludes that to ensure that both the mother and baby are healthy throughout the pregnancy, women need to get regular medical checkups, eat healthily, exercise and refrain from alcohol, drugs or smoking.
From the Paper "Babies also have risks if the mother undergoes a C-Section. First, if the due date is not accurately calculated, the baby could be delivered too early. Next, babies born by cesarean are more likely to develop breathing problems such as transient tachypnea (abnormally fast breathing during the first few days after birth). Third, babies born by cesarean sometimes have low Apgar scores. While the low score may be an effect of the anesthesia and C-Section, the baby may have been in distress to begin with or was not stimulated as he or she would have been by vaginal birth."
Abstract In this article, the writer notes that gestational diabetes affects only a very small percentage of all pregnant mothers. The writer further notes that pregnancy-induced hypertension is found in about the same proportion of pregnant mothers as is gestational diabetes. The writer points out that weight gain during pregnancy predicts very high risk for gestational diabetes, along with other problems such as pregnancy-induced hypertension, Cesarean section and stillbirth. The writer provides a literature review and discusses whether there is a link between gestational diabetes and pregnancy-induced hypertension so that they can be treated together. The writer maintains that the treatment of women with gestational diabetes, along with health teaching, which involves dietary advice, blood glucose monitoring, and insulin therapy, results in a reduction of serious perinatal outcomes such as death or bone fracture. Other benefits include improved health-related quality of life among women with gestational diabetes, both during the antenatal period and three months after birth, as well as a possible reduction in the incidence of postnatal depression.
Outline:
Introduction
Background
Literature Review
Analysis
From the Paper "Haakova and Cibula found in their retrospective study with data obtained from medical records that women who have polycystic ovary syndrome, which is a common endocrine disorder, that there are no important differences in the prevalence of gestational diabetes or of pregnancy-induced hypertension. Even though the two groups in the study were matched for age, weight, family history, and patient history, both gestational diabetes and hypertension were similar for those groups. However, as these researchers note, a high incidence of pregnancy induced hypertension has been found in several other studies of women with polycystic ovary syndrome, so that there may be a link between hyperinsulinaemia and hypertension during pregnancy.
"Lifestyle interventions also constitute the primary treatment for gestational diabetes."
Abstract This paper discusses the importance and use of multi-modal pharmacological therapy, particularly in the management of post-operative pain. The paper presents a case study of a patient who has recently undergone surgery and describes the use of multi-modal pharmacological therapy throughout the patient's recovery period.
Table of Contents:
Introduction
Analgesic Agents Used
Patient Assessment and Safety Considerations
Conclusion
From the Paper "However, the patient must be made aware of all that was, and is being done to her, as it would be futile to expect expedient recovery without informing the patient (ideally beforehand) regarding what she could expect post-operatively. The aim of this is self-empowerment. Orem's theories, particularly on self-care have played pivotal roles in accomplishing patient empowerment. Orem's Theory of Self-Care is significant in the realm of patient education, especially in this case because events such as pregnancy and birth are often life-altering. It is essential that the nurse also take on the role of the learner as well. In the process, the nurse becomes more introspective about herself and can more adeptly communicate the tools needed by the patient to carry on with guided self-care requisites."
