The present study was carried out in the department of the otorhinolaryngology at a Secondary health care institute, with the aim of screening of new born (especially high risk) for hearing with OAE (Oto Acoustic Emis...The present study was carried out in the department of the otorhinolaryngology at a Secondary health care institute, with the aim of screening of new born (especially high risk) for hearing with OAE (Oto Acoustic Emission test). Loss of impairment of auditory sense is the most prevalent deficit of all sensory organs. Hearing impairment causes a huge impact on one’s social, educational, and economic wellbeing. There are about 5 - 6 infants who have hard of hearing out of 1000 neonates. It was carried out over a period of 15 months (April 21 to July 22) in association with department of Paediatrics. 645 new born and infants were screened by DPOAE (Distortion Product Oto Acoustic Emission) test for congenital hearing impairment. 54 new born infants out of 645 neonates screened showed “refer” in our study. To decrease the burden of morbidity of hearing loss in the society, universal new born hearing screening (UNBHS) policy is the concept to diagnose and treat at the earliest age of affected child, because early detection remains the primary element to decrease the associated morbidity.展开更多
<strong>Background: </strong>Quality education is one of the important factors in empowering midwives to provide quality health care services to mothers and newborns irrespective of their practice settings...<strong>Background: </strong>Quality education is one of the important factors in empowering midwives to provide quality health care services to mothers and newborns irrespective of their practice settings. Due to lack of standardization of the duration, content, and structure of midwifery education and different pathways to midwifery across the world, midwives may lack the confidence to deliver quality health care services in the main domain of the ICM competences. <strong>Aim:</strong> To assess the confidence of final year midwifery students in the domain of new-born care based on the ICM midwifery competencies. <strong>Methods:</strong> The first phase consisted of a quick situation analysis of midwifery education and regulation in Zambia, followed by a cross-sectional survey through a self-administered questionnaire to assess the confidence of final year midwifery students. <strong>Results: </strong>Most (51.9%) of the respondents were aged between 18 and 28 years, and majority of them were placed in Levels 1, 2 and 3 Hospitals and also clinics for their clinical practice, with between one hundred to ten thousand annual births, followed by 16.9% who were placed in Level 3 hospitals only. Most students (38.3%) reported receiving classroom instruction by both Lecture and Demonstration. Few students (22.7%) responded that they were not satisfied with their clinical supervision, while 77.3% were satisfied. There was significant association between confidence to perform skills independently and having enough time to practice on models in the labs (p value = 0.024), confidence when practiced for the first time on mothers (p value = 0.007) and satisfaction with supervision during clinical practice (p value = 0.000). Binary logistic regression of characteristics associated with confidence to perform new-born skills independently revealed significant association between satisfaction with clinical supervision and confidence to perform skills independently, 95% CI [1.83, 15.37]. <strong>Conclusion: </strong>Midwifery students need quality training both theoretically and practically in order for them to gain confidence in newborn care upon completion of their training. They need adequate time to practice on models in the skills laboratory, and need adequate clinical supervision for them to gain confidence in performing new born skills independently.展开更多
<strong>Background: </strong><span style="font-family:;" "=""><span style="font-family:Verdana;">Depressive symptoms and anxiety symptoms during the postpartu...<strong>Background: </strong><span style="font-family:;" "=""><span style="font-family:Verdana;">Depressive symptoms and anxiety symptoms during the postpartum period affect physical health and child rearing and that these effects are important social issues. </span><b><span style="font-family:Verdana;">Objective:</span></b><span style="font-family:Verdana;"> The aims of this study were to clarify the differences in the transition of depressive symptoms and anxiety symptoms according to parity during a 6-month postpartum period and to clarify the differences in associations of depressive symptoms and anxiety symptoms with feelings for involvement with newborn infants in primiparous and multiparous postpartum women. </span><b><span style="font-family:Verdana;">Methods: </span></b><span style="font-family:Verdana;">The design of this study was a longitudinal investigation. This study was conducted from February 2017 to July 2018 in Japan. By using self-administered questionnaires that included questions on psychological symptoms in a standard climacteric scale and questions on feelings for involvement with newborn infants, we collected data at 3 days postpartum, 2 weeks postpartum, one month postpartum, 3 months postpartum and 6 months postpartum. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">Responses to all of the questionnaires were obtained from 121 (52.8%) of 229 women. The score for depressive symptoms in primiparous women was significantly higher than that in multiparous women at 3 days postpartum. Depressive symptoms and anxiety symptoms showed peaks at 2 weeks postpartum in both primiparous women and multiparous women, but depressive symptoms reoccurred from 3 months postpartum to 6 months postpartum in primiparous women and anxiety symptoms reoccurred from one month to 3 months postpartum in multiparous women. Depressive symptoms and anxiety symptoms were associated with negative feelings for involvement with newborn infants and with mother’s sleeping time. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">Changes in depressive symptoms and anxiety symptoms were different in primiparous women and multiparous women during a 6-month postpartum period. In addition, depressive symptoms and anxiety symptoms were associated with negative feelings for involvement with newborn infants and with sleeping time in postpartum women.</span></span>展开更多
The maternity process that has unfolded throughout the pregnancy, undergoes a turning point that occurs most of the time during the stay in diaper: place for installation of early mother-born interactions. The objecti...The maternity process that has unfolded throughout the pregnancy, undergoes a turning point that occurs most of the time during the stay in diaper: place for installation of early mother-born interactions. The objective of the study is the evaluation of the quality of the establishment of early motherborn interactions as well as the effect of maternal feeling disruption on these interactions. It is a prospective study, focused on a total of 102 maternal-New-born dyads, in the unit of maternity series, at Rabat Children’s Hospital, University Hospital of Ibn Sina. It was based on a scale and an evaluation grid: the Mother-to-Infant Bonding Scale MIBQ and an evaluation grid of early mother-child interactions. The results showed that the age of the youth who is dominated at 60% (between 21 and 30 years), and that the primiparity was at 54% and 51% healthy;the correlation analysis between MIBQ and the grid shows that there is a significant correlation of average size with the emotional stability of the mother (p = 0.014 < 0.05), the quality of the attachment of the baby as his mother at the moment breastfeeding (p = 0.011 < 0.05) and the quality of the observed family context (p = 0.017 < 0.05). The installation of the mother-child relationship therefore depends on maternal capacities to recognize her place as a mother and to recognize the needs of their child, but it also depends on the child’s ability to show signs of attachment, his feelings of discomfort and pleasure.展开更多
文摘The present study was carried out in the department of the otorhinolaryngology at a Secondary health care institute, with the aim of screening of new born (especially high risk) for hearing with OAE (Oto Acoustic Emission test). Loss of impairment of auditory sense is the most prevalent deficit of all sensory organs. Hearing impairment causes a huge impact on one’s social, educational, and economic wellbeing. There are about 5 - 6 infants who have hard of hearing out of 1000 neonates. It was carried out over a period of 15 months (April 21 to July 22) in association with department of Paediatrics. 645 new born and infants were screened by DPOAE (Distortion Product Oto Acoustic Emission) test for congenital hearing impairment. 54 new born infants out of 645 neonates screened showed “refer” in our study. To decrease the burden of morbidity of hearing loss in the society, universal new born hearing screening (UNBHS) policy is the concept to diagnose and treat at the earliest age of affected child, because early detection remains the primary element to decrease the associated morbidity.
文摘<strong>Background: </strong>Quality education is one of the important factors in empowering midwives to provide quality health care services to mothers and newborns irrespective of their practice settings. Due to lack of standardization of the duration, content, and structure of midwifery education and different pathways to midwifery across the world, midwives may lack the confidence to deliver quality health care services in the main domain of the ICM competences. <strong>Aim:</strong> To assess the confidence of final year midwifery students in the domain of new-born care based on the ICM midwifery competencies. <strong>Methods:</strong> The first phase consisted of a quick situation analysis of midwifery education and regulation in Zambia, followed by a cross-sectional survey through a self-administered questionnaire to assess the confidence of final year midwifery students. <strong>Results: </strong>Most (51.9%) of the respondents were aged between 18 and 28 years, and majority of them were placed in Levels 1, 2 and 3 Hospitals and also clinics for their clinical practice, with between one hundred to ten thousand annual births, followed by 16.9% who were placed in Level 3 hospitals only. Most students (38.3%) reported receiving classroom instruction by both Lecture and Demonstration. Few students (22.7%) responded that they were not satisfied with their clinical supervision, while 77.3% were satisfied. There was significant association between confidence to perform skills independently and having enough time to practice on models in the labs (p value = 0.024), confidence when practiced for the first time on mothers (p value = 0.007) and satisfaction with supervision during clinical practice (p value = 0.000). Binary logistic regression of characteristics associated with confidence to perform new-born skills independently revealed significant association between satisfaction with clinical supervision and confidence to perform skills independently, 95% CI [1.83, 15.37]. <strong>Conclusion: </strong>Midwifery students need quality training both theoretically and practically in order for them to gain confidence in newborn care upon completion of their training. They need adequate time to practice on models in the skills laboratory, and need adequate clinical supervision for them to gain confidence in performing new born skills independently.
文摘<strong>Background: </strong><span style="font-family:;" "=""><span style="font-family:Verdana;">Depressive symptoms and anxiety symptoms during the postpartum period affect physical health and child rearing and that these effects are important social issues. </span><b><span style="font-family:Verdana;">Objective:</span></b><span style="font-family:Verdana;"> The aims of this study were to clarify the differences in the transition of depressive symptoms and anxiety symptoms according to parity during a 6-month postpartum period and to clarify the differences in associations of depressive symptoms and anxiety symptoms with feelings for involvement with newborn infants in primiparous and multiparous postpartum women. </span><b><span style="font-family:Verdana;">Methods: </span></b><span style="font-family:Verdana;">The design of this study was a longitudinal investigation. This study was conducted from February 2017 to July 2018 in Japan. By using self-administered questionnaires that included questions on psychological symptoms in a standard climacteric scale and questions on feelings for involvement with newborn infants, we collected data at 3 days postpartum, 2 weeks postpartum, one month postpartum, 3 months postpartum and 6 months postpartum. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">Responses to all of the questionnaires were obtained from 121 (52.8%) of 229 women. The score for depressive symptoms in primiparous women was significantly higher than that in multiparous women at 3 days postpartum. Depressive symptoms and anxiety symptoms showed peaks at 2 weeks postpartum in both primiparous women and multiparous women, but depressive symptoms reoccurred from 3 months postpartum to 6 months postpartum in primiparous women and anxiety symptoms reoccurred from one month to 3 months postpartum in multiparous women. Depressive symptoms and anxiety symptoms were associated with negative feelings for involvement with newborn infants and with mother’s sleeping time. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">Changes in depressive symptoms and anxiety symptoms were different in primiparous women and multiparous women during a 6-month postpartum period. In addition, depressive symptoms and anxiety symptoms were associated with negative feelings for involvement with newborn infants and with sleeping time in postpartum women.</span></span>
文摘The maternity process that has unfolded throughout the pregnancy, undergoes a turning point that occurs most of the time during the stay in diaper: place for installation of early mother-born interactions. The objective of the study is the evaluation of the quality of the establishment of early motherborn interactions as well as the effect of maternal feeling disruption on these interactions. It is a prospective study, focused on a total of 102 maternal-New-born dyads, in the unit of maternity series, at Rabat Children’s Hospital, University Hospital of Ibn Sina. It was based on a scale and an evaluation grid: the Mother-to-Infant Bonding Scale MIBQ and an evaluation grid of early mother-child interactions. The results showed that the age of the youth who is dominated at 60% (between 21 and 30 years), and that the primiparity was at 54% and 51% healthy;the correlation analysis between MIBQ and the grid shows that there is a significant correlation of average size with the emotional stability of the mother (p = 0.014 < 0.05), the quality of the attachment of the baby as his mother at the moment breastfeeding (p = 0.011 < 0.05) and the quality of the observed family context (p = 0.017 < 0.05). The installation of the mother-child relationship therefore depends on maternal capacities to recognize her place as a mother and to recognize the needs of their child, but it also depends on the child’s ability to show signs of attachment, his feelings of discomfort and pleasure.
