assessment of mother friendly in maternity services in Egypt

The aim of the study was to assess mother friendly practices and satisfaction of mothers with services they received in maternity facilities. The study was conducted in 5 hospitals with 1145 mothers and 120 staff who attend labor. Overall findings revealed that mothers were not allowed to have preferred family companion at birth, non-pharmacological pain relief methods were ho encouraged and mothers were not allowed to assume position of her choice at birth. This reflected on mothers1 dissatisfaction with the quality of services. It is concluded that there is a need to encourage mother friendly practices at birth

Planned cesarean section versus planned vaginal birth in vertex-nonvertex twin pregnancies: maternal and neonatal outcomes

Over 97% of all multiple pregnancies are twin pregnancies and 35% of twins present as cephalic/noncephalic at birth. The approach to the delivery of cephalic/noncephalic twins is controversial. The purpose of this study is to compare between planned cesarean section [CS] and planned vaginal birth [VB] for delivery of vertex-nonvertex twins in terms of perinatal/ neonatal mortality and morbidity and maternal morbidity. The study is a randomized controlled trial [RCT], included 120 women with twin pregnancies and within gestational age groups [32-38 weeks] with twin A in cephalic presentation, they were randomized to either planned CS group [n = 60] or planned VB group [n = 60]. The study was carried out in Assiut University Hospital, Assiut, Egypt, through the period from October 2003 to August 2005. No perinatal death was reported in twins A born in the CS group compared to 2 perinatal deaths [3.3%] in the VB group. However, 4 perinatal deaths [6.7%] were reported in twins B born in CS group compared to 14 perinatal deaths [23.3%] in the VB group. Neonatal resuscitation, birth trauma, respiratory and cerebral complications were higher among twins born in VB group than those in CS group. Maternal morbidity as birth canal trauma, pos-partum hemorrhage, urinary incontinence and fecal/flatal incontinence were higher among women delivered by planned VB than those delivered by planned CS. The conclusion of the present study is that planned CS at 38 weeks gestation for delivery of vertex-nonvertex twins may be better than planned VB. A multicentre RCT with large sample size is needed to test this suggestion

Histochemical study of the effect of pyrethroid insecticide on the collagen fibers glycogen, and DNA and RNA in the different organs of guinea pigs

This work was done on 60 guinea pigs divided into four groups including one control group. These groups were given a sublethal dose of fenvalerate insecticide for variable periods of time to see the effect of this insecticide on the collagen fibers, glycogen, DNA and RNA in the different organs. There was a moderate increase of collagen fibers which was proportional to the durations of administration. Glycogen content of the parenchymatous organs was increased in the first group and showed gradual decrease in the second group and returned to nearly normal level in third group. Animals of the first group showed decreased level of RNA and DNA content of the cells of the different organs and further decrease was noticed in animals of the second group. Animals of the third group showed a slight increase in the RNA and DNA of the cells of the different organs but less than control group

Clinical studies for the effects of intrathecal high dose fentanyl and low dose xylocaine 5

35 patients were divided into 6 groups. The first group was a control one given only xylocaine 5% 1.5-2 mg/kg [Melman et al., 1975] spinally. The other 5 groups were given increasing doses of fentanyl [0.02, 0.04, 0.06, 0.08 and 0.1 mg] and decreasing doses of xylocaine 5% [100,50 and 25 mg] spinally. The 35 patients were divided into 25 males representing 71% and 10 females representing 29% of patients. Their mean age was 48.2 years [range 18-80 years]. All the operations were lower abdominal and lower limb operations. The mean duration of operations was 62.5 min. [range 30-120 min]. The mean duration of operations lasted more than 44 min, it was 63.3 min. indicating that fentanyl increase the time of analgesia during operations. The mean duration of post operative analgesia was 31.95 hours [range 5.5-50 hs]. The heart rate, blood pressure and respiratory rate remained within the physiological range during the observation time. The side effects were retention of urine [2 cases], hypotension and bradycardia [2 cases], anal spasm during anal dilatation [one case] and pain during skin incision [2 cases]. The combination of intrathecal fentanyl and the local anesthetic xylocaine 5% hasten the onset of complete analgesia, prolong the sensory blockade, improve the intra-operative analgesia and limit the motor blockade with little side effects on prolongation of time of postoperative analgesia but decreasing the dose of the local anesthetic is of beneficial values as it avoids the important side effects of its intrathecal injection

Factors influencing autograft taking in burns

In this study, 50 patients with post burn granulating wounds at different sites and of variable extents [ranging from 1-10%], were selected during their 8-78 weeks post burn Their age ranged from 12-50 years The material of this work was taken from the cases, admitted to burra unit at AI-Zahraa University hospital. In the pathological part of the work, the granulating burn wounds were examined macroscopically and microscopically, under different methods of management [exposure of grafts closure of the grafted burn wound by dressings and exposure with local heating of the grafts applied. The clinical part of this work was done in order to study the effect of different methods of graft management on the auto graft take and correlate this with the pathological condition of the granulation tissue bed. The investigations included the determination of the HB%, the plasma protein, the A/G ratio, blood urea, full urine analysis and bacteriological study. Culture tests were done pre and post grafting. The clinical results were revealing that both the rate and extent of partial graft failure in closed wounds was greater than exposed ones