Introduction: Partogram represents labor events. World Health Organisation (WHO) had produced a partogram in the last decade and subsequently modified it to make it easier to use. The present study was conducted to note the effectiveness of the WHO modified partogram. Methods: Altogether 430 primigravida women, at term, having single live fetus in vertex presentation, were included for the study. The women were randomly subdivided into three groups: Group A (180 women) - monitoring of labor done by WHO modified partogram; Group B (150 women)- monitoring of labor done by WHO original partogram and 100 women in Group C (control), the labor would be monitored clinically. The results were noted in each group regarding the length of labor, vaginal delivery, cesarean sections, augmentation of labor etc. The results of Group A were compared with Group B and Group C. Result: The comparison of the results of the Group A and Group B did not reveal any statistically significant difference. The comparison of the results of the Group A and Group C observed that significantly less number of women in Group A (4.44%) was in labor for more than 12 hours than in Group C (18%). The number of vaginal delivery was more and cesarean section was less in Group A than Group C (p < 0.05). More number of women required augmentation of labor in Group C (p<0.001). Conclusion: WHO modified partogram, which is easier to use, gives almost the same effects as the WHO original partogram but significantly better results than clinical monitoring. DOI: http://dx.doi.org/10.3126/njog.v3i2.10824 Nepal Journal of Obstetrics and Gynaecology Vol.3(2) 2008; 8-11
The objectives of the present study were to evaluate depressive symptoms and coping strategy among HIV-positive women and men. This cross-sectional study was done among 164 newly diagnosed HIV-positive people through a structured questionnaire. Beck Depression Inventory (BDI) scale was used to measure depression. A 16-items coping scale, Coping with AIDS - Fleishman (CWAF) Instrument, was used to assess coping strategy. χ(2) test was used to compare proportions. Men had significantly higher mean BDI somatic score. Odds for being depressed were 3.6 times higher among men (P value .001, 95% C.I. 1.64-8.07). Analysis of the coping strategies showed that women had better coping skill. Significant correlation was observed between BDI score and emotion-focused coping score (correlation coefficient -0.258, P value .01). HIV-positive men had more depression. Gender-sensitive strategies needed to provide better care for them.
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