Background: Antenatal Care (ANC) is the care before birth that include complete screening, treatment, promoting and monitoring of the safety of the mother and fetus. Objectives: Assessment of knowledge, attitudes and practices of expectant mothers in relation to antenatal care in Abha. Methods: This is a cross-sectional questionnaire based study conducted in Abha City from August to October 2017among 300 expectant women from different parts of Abha city. Results: Most of the subjects had appropriate knowledge about the importance of ANC visits which resulted in good attitude and practice pattern among the majority of them. The majority of included women had good knowledge about the importance of ANC visits for supplementing women with vitamins and folic acid, giving them information about breast feeding and postpartum care, correct signs of labor, its importance for maintain women and child health, importance of ANC visits for the fetal developmental stages, decreasing the rates of maternal mortality, providing adequate knowledge about the danger symptoms and the complications of pregnancy and the importance of booking, following up and delivering later in the same place that they booked in. Conclusion: Most of the women had good knowledge, attitude and practice toward ANC visits. The majority of the subjects were highly educated thus further large population studies are needed to be conducted all over KSA cities and include rural areas.
Background: Hyperbilirubinemia is one of the presenting signs of bacterial infection in newborns, and the association of neonatal jaundice with urinary tract infection (UTI) has been particularly emphasized. The aim of this study was to determine the prevalence of UTI in asymptomatic jaundiced neonates younger than 4 weeks old. Method: A cross sectional survey has been conducted at Newborn Unit of Maternity & Pediatrics Hospital-Abha from January 2016 to August 2016. A total of 15 patients have been included in the study, who were diagnosed with hyperbilirubinemia due to urinary tract infection (UTI) after exclusion of unrelated criteria. Conclusion: It could be concluded that UTI should be routinely investigated in early (⩽10 days) idiopathic neonatal jaundice in which all other etiologic factors of neonatal hyperbilirubinemia are ruled out, and the presence of UTI should be considered in case of a poor phototherapy response in cases receiving phototherapy.
Background: Subdural hematoma is extra-cerebral accumulation of blood between the dura matter and the subarachnoid layer. It is almost always caused by trauma or due to blood thinning therapies, and occurs due to rupture of bridging veins. Acute subdural hematoma is an emergency situation and requires prompt diagnosis using CT most of the time, and management requires surgery as well as reversal of anticoagulants. Materials and methods: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 1985, through February 2017. The following search terms were used: subdural hematoma, emergency management of subdural hematoma, CT vs. MRI in diagnosis of subdural hematoma, treatment of subdural hematoma. Aim: In this review, we aim to study the etiology of subdural hematoma, explore how to diagnose and manage it in the emergency department Conclusion: Subdural hematoma is an important clinical presentation that needs proper and prompt surgical management and treatment. Treatment should be as less invasive as possible, with higher efficacy and lower recurrence rates. Non-surgical approaches are still being studied with no proven efficacy for them until now.
Surgical wound infections prompt antagonistic patient results, including delayed hospitalization and demise. Wound infection happens with every entry point, however demonstrated procedures exist to diminish the hazard of surgical injury diseases. Specifically, enhanced adherence to prove that based deterrent measures identified with fitting antimicrobial prophylaxis can diminish the rate of surgical wound infection. Various patient-related and technique related components impact the danger of surgical injury disease, and henceforth counteractive action requires a package approach, with deliberate consideration regarding numerous hazard factors, to diminish the hazard of bacterial pollution and enhance the patient's defences. Forceful surgical debridement and successful antimicrobial treatment are expected to enhance the treatment of surgical wound infections.
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