Background:Dentists encounter numerous professional stressful situations, beginning from education to day-to-day practice. The resulting stress tends to have a negative impact on their personal as well as professional lives.Objectives:To measure daily burnout, and to investigate the extent of expectations from dental career and the feeling of being unqualified new dental practitioner.Materials and Methods:A close-ended questionnaire, i.e., “the Copenhagen Burnout Inventory,” was utilized for evaluation. A total of 121 dentists with an experience ranging between 6 months and 5 years were included. The period was considered initiating from graduation to dental practicing in urban or rural areas. Ninety-seven dentists replied with filled questionnaires (80.16%). The multivariant analysis was done using SPSS 11.0 ver. (Chicago, USA).Results:Using measures analysis, the mean scores for dentists on the basis of age and sex (n = 97) were calculated. The factors most commonly considered responsible for professional burnout were emotional exhaustion (39.27%), frustrations (47.83%), feeling worn out at the end of the day (35.05%), feeling worn out at the end of the working day (46.80%), exhaustion in the morning at the thought of another day at work (35.05%), feeling that every working hour is tiring (46.80%), less energy and less time for family and friends (47.83%). The most common cause for stress was professional burnout that was recorded commonly in females in the age range of 26–28 years.Conclusions:Dentists are more prone for professional burnout, anxiety, and depression. The main reason for this is the nature of their practice and their personality traits, especially while pursuing dentistry as a carrier. Stress may lead to negative impact on dentists’ personal as well as professional lives.

Satisfaction is considered as a very important indicator of quality of services. Availability of patient centered services ensures optimum utilization and compliance to interventions. Maternal satisfaction with the available childbirth services has an impact on her birthing experience and ability to bond with the newborn. Multiple factors influence maternal satisfaction with childbirth services. This narrative review summates the level of maternal satisfaction with child birth services at public health facilities and its determinants. PubMed and Google Scholar data base were searched using various keywords and Mesh terminologies. Reference lists of related articles were also screened. This review concluded that the majority of the mothers were satisfied with the child birth services available at the public health facilities. All three domains of the Donabedian model of quality care including the structure, process and outcome were among the determinants of maternal satisfaction but process of care dominated the determinants of maternal satisfaction. Interpersonal behavior was a key determinant of maternal satisfaction; other determinants were provision of privacy, availability and perceived competency of human resource and cleanliness of the labor room.

Context: Birth companions are women who have experienced the process of labor and provide continuous one-to-one support to the other women who are experiencing the process of labor and childbirth. Aim: This study aimed to assess knowledge, attitude, and factors affecting the implementation of birth companionship among obstetricians, nurses, and pregnant women. Settings and Design: Nonexperimental quantitative research approach with a descriptive design carried out at All India Institute of Medical Sciences, Jodhpur, Rajasthan. Materials and Methods: Data were collected from 25 obstetricians, 15 nurses selected by consecutive sampling technique, and 120 pregnant women selected by purposive sampling technique. Data collection tool included a structured knowledge questionnaire, an attitude Likert scale, and a checklist to assess factors affecting the implementation of birth companionship. Statistical Analysis Used: Data were entered into a master sheet and SPSS 16 version was used for the descriptive and inferential statistical analysis. Results: Most of the obstetricians (60%) and pregnant women (59.2%) had fair knowledge, whereas nurses (53%) had good knowledge regarding birth companionship. Most of the obstetricians (96%), nurses (73%), and pregnant women (81.7%) had positive attitudes regarding birth companionship. Breach of privacy of other mothers, less availability of space to accommodate birth companion, and nonavailability of ideal birth companion were the most common factors reported to affect the implementation of birth companionship by the obstetricians and nurses, whereas long distance of hospital from home and apprehension due to a known person's presence were the factors reported by pregnant women. Knowledge level and attitude level of the pregnant women had a significant association with age (P = 0.000) and parity (P = 0.042), respectively.

Introduction: Every woman has the right to respectful and empathetic care during childbirth that addresses her needs for pain management, and allows her the liberty to make it a memorable experience. This study aimed to assess the effect of birthing ball exercises on labor pain and labor outcome among primigravidae parturients at a tertiary care hospital. Method: A quasi-experimental design was used. A total of 60 primigravidae with 30 each in the control and experiment groups were selected by consecutive sampling. Primigravidae in the experiment group underwent two sessions of 20 minutes of birthing ball exercises at a subsequent gap of one hour during their active phase of labor (>4 cm cervical dilation). Primigravidae in the control group received routine standard care that included continuous observation and monitoring of vital signs and progress of labor. The visual analog scale (VAS) score was assessed in the transition phase (cervical dilation 8 cm to 10cm) and labor outcomes were assessed after delivery in both groups. Result: The experiment group had significantly better labor outcomes in terms of labor pain, cervical dilatation, and duration of labor compared to the primigravidae in the control group (p<0.05). In addition, the majority of mothers in the experiment group (86.7 %) underwent vaginal delivery with episiotomy compared to the control group (53.3%). Findings also revealed a statistically significant difference in the newborns of both groups regarding appearance, pulse, grimace, activity, and respiration (APGAR) score, crying immediately after birth, and admission to the neonatal intensive care unit (NICU) at p<0.05. Conclusion: There are a variety of discomforts that a woman experiences during labor. Reducing these discomforts is an important part of good nursing care. Non-pharmacologic methods like birthing ball exercises help decrease these discomforts by reducing labor pain and improving maternal and neonatal outcomes.

Background: Pregnancy is a special condition which is neither a disease nor a normal body status. The anatomical, physiological, and biochemical adjustments are significant during pregnancy, starting soon after fertilization and continuing throughout pregnancy. Reasons for pain during pregnancy include hormonal changes, increased weight, postural variations and impaired strength and co-ordination of abdominal and pelvic muscles. Musculoskeletal pain during pregnancy can have a significant negative impact on day to day functioning. Objectives: To determine the level of musculoskeletal discomforts in pregnancy, to explore the relationship between the musculoskeletal discomfort and quality of life in pregnancy and to associate the selected demographic variables with musculoskeletal discomfort in pregnancy. Methods: Cross-sectional research design was used. 323 antenatal mothers, gestational age more than 20 weeks, attending antenatal OPD of a tertiary care hospital of western Rajasthan were selected with the convenient sampling technique. Pregnancy musculoskeletal discomforts were assessed by Pregnancy Induced Musculoskeletal Dysfunctional Scale (PMDS) and quality of life (QOL) was assessed by the WHOQOL-BREF scoring questionnaires. Descriptive and inferential statistics were employed to analyse the data. Results: Pregnant women reported most frequently the low back pain (60%) and leg cramps (42%) and majority of them experienced mild form of pain. Result also showed the number of symptoms increased with progressing trimester. In case of quality of life, less than 50% of pregnant women reported with average and poor quality of life. The quality of life was found to be negatively correlated with various level of intensity of musculoskeletal pain. Conclusion: Among various musculoskeletal dysfunctions, low back pain and leg cramp are the most common symptoms of all and it affects the quality of life in pregnancy in different dimensions of health. Considering this aspect would help health care professionals to offer appropriate care and education in view of prevention of musculoskeletal dysfunctions and promote health of mother during pregnancy.