Introduction In low-resource settings (LRSs), pain relief during labor is often neglected. Women and health professionals (HPs) may lack awareness of analgesic options, may not accept these options, or may have concerns regarding their safety. Furthermore, even if women or HPs preferred labor analgesia, options may not be available at the hospital. This study was carried out to explore how HPs perceive and practice pain management during labor in Minia maternity units in Egypt. Methods A structured, self-administered questionnaire from 306 HPs in Minia maternity units from August 1, 2016, to August 30, 2017, after approval by the organizational Ethical Review Committee. Results The response rate was 76.5%. The majority, 78.2% of participants, believed in pain relief during labor. However, their practices are different. In the first stage of labor, almost 44.9% used nonpharmacological methods, whereas 36.8% used neither pharmacological nor nonpharmacological methods. Hospital-related factors were the major barriers against using pain-relief methods, as stated by HPs. Conclusion Although most HPs understand the role of analgesia in labor pain relief, there is a wide gap between the use of pain-relief methods and women's need in Minia, Egypt; HPs claim this is due to health care facilities. There is an urgent need to identify the barriers against and raise the awareness among the community and HPs of the need to use pain-relief methods as part of improving the quality of care during labor.
This study provided a descriptive overview of the care provided in the delivery room focused on respectful maternity care as perceived by women during labor and delivery in a maternity and child health hospital in Egypt. The dimensions examined were those related to services that arepatient-friendly, free of abuse, timely and free of discrimination. A cross-sectional retrospective study was conducted at the postpartum department in Minia University Maternity and Child Health Hospital in Minia, Egypt. Purposive sampling technique was used to recruit participants from a population of postpartum women who delivered their babies in the hospital, received delivery services from 6 hours to 7 days before the study period. The 15-item Respectful Maternal Care (RMC) Scale was used for this study. A total of 580 questionnaires were distributed to the postpartum women in the hospital and 501 were completed and collected giving a retrieval rate of 86.4%. The findings indicated that majority of the postpartum mothers felt that they received friendly care, abuse-free care and a timely care on a moderate degree during childbirth. Generally, the postpartum mothers felt that they received a high degree of discrimination free care during childbirth. Overall, the postpartum mothers in this study experienced moderate degree of respectful maternity care during childbirth. Although the general findings show moderate respectful maternity care, more than fifty percent of the postpartum mothers experienced being shouted at by healthcare workers and more than half of the postpartum mothers claim that they were not given prompt service by the healthcare workers and waiting time is long. These aspects of maternity care need to be improved.
Introduction: In growing countries, women's death is contributed to a wide array of complications in pregnancy, childbirth or the postpartum period. These complications existed because of their pregnancy status and some because pregnancy, severed their existing diseases. Among developing countries, postpartum hemorrhage is the most common cause of maternal morbidity and mortality. As recommended by the Baby Friendly Hospital Initiative (BFHI), infants must be in skin to skin contact with their mother immediately after birth, and mothers must be assisted for initiating breastfeeding within the first half hour of initiating birth. There are lesser studies on breastfeeding advantages for mothers compare to those of infants, but satisfactory evidences show that women who breastfeed have improved health in the short term and has lower risk for developing future diseases. Aim of the Study: This study aims to examine the effect of early initiation and frequency of breast-feeding on the uterine consistency and the amount of vaginal blood loss during early post-partum period. Methods: A quasi experimental research design was carried out. Study was conducted in delivery room and postpartum units at King Fahd Hospital of the university in Al-Khobar, and Qatief Central Hospital in Qatief and Maternity and Children Hospital in Dammam. Convenient sample was used over a period of three months. The sample size was (100 women) whom divided into two groups. The researchers assessed the uterine consistency, fundal level and the amount of vaginal blood loss for women in both groups immediately following placenta separation and every 30 minutes for the first 2 hours in relation to breastfeeding. Results: In relation to uterine consistency after placental delivery the experimental and control groups showed no statistically significant differences between them. As regards to the amount of vaginal blood loss in the experimental and control groups, it was observed that the mean of vaginal blood loss among the control group was higher compared with the experimental group, this difference was statistically significant. Conclusion: Early initiation and frequency of breastfeeding immediately following labor decrease the amount of vaginal blood loss and improve uterine involution.
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