Background: Neonatal respiratory distress syndrome (RDS) remains one of the major causes of neonatal mortality and morbidity despite advance in perninatal care. In RDS, ventilation may be affected by homogeneity of the airways with atelectasis and over distension, as hyaline membranes block small airways. Aim: To compare the frequency of neonatal respiratory distress syndrome with dexamethasone versus control (without dexamethasone) in mothers admitted for elective cesarean section. Design of the Study: Randomized controlled trial Place and Duration of Study: Obstetrics and Gynecology Department, Unit- II, Aziz Bhatti Shaheed Hospital, Gujrat from 01-05-2019 to 31-10-2019. Methodology: A total of 140 patients were included in the study. In group A, females were given 4 doses of 6mg intramuscular dexamethasone, 12 hours apart pre-operatively. In group B, females were not given any corticosteroids. Results: Patients ranged between 18-40 years of age with mean age 31.1±4.7 and 31.3±4.2 years in Group A & B, respectively. The mean gestational age in Group-A was 38.0±0.6 and in Group-B 38.1±0.7 weeks. In Group-A mean BMI was observed 29.1±3.9 and Group-B 29.0±4.3 Kg/m2. In both groups there was a majority of primigravidae. Neonatal RDS in Group-A was found in 6 (8.6%) while in Group-B RDS was found in 18 (25.7%). There was a statisticallysignificant difference (p=0.007) between two groups. Stratification with respect to age, gestational age, parity and BMI was also noted. Conclusion: In conclusion, preoperatively Dexamethasone administration was associated with a significant lowering (p=0.007) of the incidence of neonatal respiratory distress syndrome in mothers of undergoing elective cesarean section. Keywords: Cesarean section; Neonatal respiratory distress syndrome, Dexamethasone
Introduction: Evaluation of the impact of the emotional intelligence (EI) of doctors on patient satisfaction could help in identifying areas of deficiencies in a particular organization. EI plays a pivotal role in successful medical practice. However, it is studied very little in the Pakistani hospital environments for doctors as well as nursing staff. There is still a lack of understanding about the impact of EI on the working of our health care system. Objective: The objective of the study was to evaluate the emotional intelligence of resident doctors and its correlation with the satisfaction level of patients. Methods: This study was done with post-graduate residents (from the first to the fourth year). This was a correlational study conducted at Nawaz Sharif Medical College (NSMC), Gujrat for 6 months from March-August 2019. Sixty postgraduate residents took part in it. Convenient sampling was done, and prior permission was taken from the ethical review board of NSMC. Anonymous Wong and Law The emotional Intelligence Scale (WLEIS) questionnaire was filled voluntarily by residents (self-rating) and by the sister in charge (feedback). A patient feedback form was filled by the patients about the attending doctor to measure patient satisfaction level. Correlation between the EI of doctors and patient satisfaction level was assessed. SPSS version 20 was used for data analysis. Correlation between EI and patient satisfaction level was calculated with the application of paired sample t-test. Results: The EI level of doctors rated by the Nurse in charge’s feedback was higher as compared to the one rated by self and positively correlated with the patient-doctor relationship. A higher score of EI is seen to be related to a high patient satisfaction level. P-value was <0.01 and R square value was 0.655 for correlation of EI (feedback) with patient satisfaction. The correlation of EI (self-rated) with patient satisfaction showed a P-value of 0.818 and an R square value of 0.001. The correlation between EI (Self-rated) and EI (feedback) was not statistically significant (0.167) as calculated by pair sample t-test. Conclusion: Higher scores of EI in doctors are positively correlated with patient satisfaction. EI of resident doctors calculated by feedback method is higher as compared to the one assessed by themselves. Keywords: Emotional intelligence, Patient satisfaction, Feedback.
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