ABSTRACT
Human health behavior is presented in many traits. Among them fear is a strong factor that influences not only on health but also procedures and communication with health care provider. The objectives were to explore dental anxiety at various levels in different dental procedures among patients visiting Dental Hospital. A cross sectional survey was conducted on 702 patients visiting general out-patient Departments at Fatima Memorial Hospital College of Dentistry. A structured, standardized and validated questionnaire was used for the purpose of data collection [Modified Dental Anxiety Scale by Corah]. Informed consent was obtained from patients. Extreme anxiety level was found more in younger age and in female patients. Mean score was 13.2 [+ 4.3] which makes participant from slightly to fairly anxious while visiting any dentist for any procedure. According to ranking, extreme anxieties developed from procedures are as follows local anaesthesia is highest, tooth drill, Scaling, waiting area and next day appointment was ranked lowest respectively. It is important for dentist to focus on patient anxiety level particularly in younger and female patients. It also helps to carry out smooth dental treatment
ABSTRACT
To assess awareness about gestational diabetes mellitus in pregnant cases attending antenatal clinic at Holy Family hospital. Cross sectional study, at antenatal clinic gynae and obstetric department unit II, Holy Family Hospital Rawalpindi, for two months [January-February 2014]. Using convenient sampling, all consecutive pregnant cases visiting antenatal clinics were enrolled and interviewed by trained medical officers. A pretested proforma was used to record the information which included information under three heads i.e. demography, knowledge about diabetes, gestational diabetes and its management. The data was analyzed as frequencies and percentages using spss 17 version. A total of 500 pregnant cases were interviewed, of whom 80% were from urban areas, 32.8% were primi-gravida and 14% were illiterate, 436 [87.2%] knew about the disease however only 170 [30%] could tell the normal blood sugar Level. Majority [77.2%] of the patients knew that diabetes is inherited. Regarding Gestational Diabetes Mellitus [GDM], 302 [60.4%] knew that it develops during pregnancy and 67% considered it is a high risk condition. Almost 49% knew that un- controlled diabetes could cause fetal and maternal complications. Majority 332 [66%] was of opinion that GDM could lead to diabetes in future while 302 [60.4%] thought that it will persist after pregnancy. About treatment, 246 [49.2%] knew about insulin therapy, whereas only 160 [32%] knew the signs and symptoms of hypoglycemia. Exercise and diet were considered important for the control and prevention of diabetes by 440 [88%] and 404 [88%] and 404 [80.8%] thought that obesity had a definitive relation in development of diabetes. Pregnant cases had good knowledge about gestational diabetes, its associated risks, progress of disease, confounding factors and its prevention. However knowledge about disease specific maternal and fetal morbidities was deficient
Subject(s)
Adult , Female , Humans , Middle Aged , Awareness , Pregnant Women , Tertiary Care Centers , Cross-Sectional StudiesABSTRACT
To thoroughly analyze hospital based information pertaining to maternal mortalities, enumerating the causes and identifying the preventable factors. Descriptive observational study. Obstetric and Gynaecology Unit-II, Holy Family Hospital [HFH] Rawalpindi. 1st January to 31st December 2011. A total of 21 mortalities were included in this study and they were critically analyzed by studying various demographic parameters such as age, parity, socio economic status, educational level, distance from the hospital, antenatal care, level of care and cause of death. The total number of deliveries in the year 2011, in Unit-II of Holy Family Hospital was 9098. Twenty one maternal mortalities were reported in this time period. Haemorrhage [with its resultant sequele] was the commonest cause of mortality followed by sepsis and pregnancy with hypertensive disorders. Major proportion of mortalities comprised of uneducated young woman belonging to low socio economic status and thus deprived of facilities of proper antenatal and intrapartum care. Obstetric haemorrhage, sepsis and pregnancy induced hypertensive disorders are major causes of death. Data reflect uncoordinated and poor quality health system. Majority of maternal deaths are preventable by improving primary health care system, an organized referral system, easy access and availability of skilled staff and equipment for emergency obstetric care [EmOC].
ABSTRACT
The success of a health care program is directly linked to the satisfaction of its clients. Quality of antenatal care assessment is no exception and views of women are important in assessing quality of such services. The objective of our study is to find out the areas in which the women attending antenatal clinic are less satisfied so that improvements can be made in those areas thereby to improve health care delivery system at local antenatal clinic. Descriptive observational study, carried out at antenatal clinic Gynae and Obstetrics, Unit-II Holy Family Hospital Rawalpindi in May - June 2008. A total of 250 women were interviewed, every third woman who has had at-least two antenatal checkups at the clinic was interviewed at exit pole. Women satisfaction attending antenatal clinic was assessed by a multidimensional structured questionnaire which was developed from womb antenatal satisfaction questionnaire. The topic guide was then used to design the final questionnaire to make it suitable for use in our antenatal clinic. A total of 250 women were interviewed whose mean age was 27 years. In the clinic, the waiting time was reported to be less than 2 hours by 84% cases while 5% had to wait more than 4 hours. Courteous staff was reported by 72% and majority of ladies [665] said that they had no social support from other ladies in the clinic. As far as professional satisfaction was concerned, 76% ladies were satisfied with the time given by the doctor, and their communication skills but only 60% were satisfied with the attitude of the doctors. Overall satisfaction in antenatal clinic was reported by 73% while 27% were either unsatisfied or uncertain. The ladies utilizing antenatal care services at public sector do not have high expectation as far as clinic characteristics are concerned however professional dimension including doctors attitude towards women need improvement. The decision/ policy makers should take concrete steps in improving antenatal care of public sector hospitals