ABSTRACT
O estudo apresentado neste artigo investigou o contexto em que se dá o trabalho de entregadores via aplicativos, levando em consideração problemas agravados pela pandemia de covid-19, tais como: o fato de ser realizado na rua, o sucateamento de direitos trabalhistas e sua precarização com o fenômeno de uberização. Os resultados apontam impactos negativos na saúde biopsicossocial desses entregadores, evidenciando uma queda da remuneração e uma maior exposição ao vírus. Dentre os impactos, destacam-se o aumento de processos psicopatológicos, além do medo em relação à iminente possibilidade de contrair o coronavírus e contaminar sua rede de apoio social. Desta maneira, conclui-se que a pandemia de covid-19, aliada a políticas de sucateamento dos direitos trabalhistas influenciam diretamente a saúde biopsicossocial desses trabalhadores, empurrando-os para a margem do trabalho formal e potencializando o processo de uberização relacionado a esse modelo de trabalho informal
The study presented in this article examined the work context of delivery drivers via apps, taking into account the problems aggravated by the covid-19 pandemic such as: the fact that the work is carried out on the street, the scrapping of labour rights and the precariousness of their work, due to the phenomenon of uberization. The results reveal negative impacts on the biopsychosocial health of these delivery drivers, highlighting a drop in remuneration and a greater exposure to the virus. Among these impacts, the increase in psychopathological processes as well as the fear of the imminent possibility of contracting the corona-virus and contaminating their social support network are the most visible. In this way, it is concluded that the covid-19 pandemic combined with policies to scrap labour rights have influence on the biopsychosocial health of these workers, pushing them to the margins of formal employement and intensifying the uberiza-tion process related to this informal work model
L'étude presentée dans cet article a examiné le contexte dans lequel des livreurs par l'entremise d'appli-cations travaillent, en tenant compte des problèmes aggravés par la pandémie de covid-19, tels que: le fait que le travail soit effectué dans la rue, la supression des droits du travail et sa précarisation causé par le phénomène d'ubérisation. Les résultats indiquent des impacts négatifs sur la santé biopsychosociale de ces livreurs, montrant une baisse des rémunérations et une plus grande exposition au virus. Parmi ces impacts, attirent l'attention l'augmentation des processus psychopathologiques, de la même manière que la crainte de la possibilité imminente de contracter le coronavirus et de contaminer leur réseau de soutien social. Il est conclu que la pandémie de covid-19 combinée aux politiques de suppression des droits du travail influent directement sur la santé biopsychosociale de ces travailleurs, en les poussant en marge du travail formel et en renforçant le processus d'ubérisation lié à ce modèle de travail informel
Subject(s)
Humans , Occupational Health , COVID-19 , Working Conditions , Occupational Groups , ReviewABSTRACT
The context of the Gig Economy involves a break in the standard employment relationship between employees and employer; and a questioning of the role of Human Resources management (HR) in charge of managing this link. This article aims to analyse the role and configuration of HR management in the context of the Gig Economy From the contingent configurational approach, the way in which HR practices are combined and configured to contribute to performance and manage the relationship with the individuals who participate in this economy is argued. It is found that the labour relationship between companies and gig workers is characterized by being transactional and symbiotic based on the utilitarian premise of mutual benefit. For this reason, for this context, an HR configuration oriented towards the market or maximizing productivity and the fulfilment of agreements would predominate. JEL CLASSIFICATION J0I; J2I; MI2
O contexto da Gig Economy implica uma ruptura da relação de emprego padrão entre empregados e empregador e um questionamento do papel da gestão de Recursos Humanos (RH) no gerenciamento desse vínculo. Este artigo tem como objetivo analisar o papel e a configuração da GRH no contexto da Gig Economy. A partir de uma abordagem configuracional contingente, ele argumenta como as práticas de RH são combinadas e configuradas para contribuir para o desempenho e gerenciar o relacionamento com os indivíduos que participam dessa economia. O estudo conclui que a relação de emprego entre as empresas e os trabalhadores autônomos é caracterizada como transacional e simbiótica, com base na premissa utilitarista do benefício mútuo. Assim, nesse contexto, predominaria uma configuração de RH orientada para o mercado ou para maximizar a produtividade e o cumprimento de acordos. CLASSIFICAÇÃO JEL J01; J21; M12
El contexto de la Gig Economy supone una ruptura de la relación laboral estándar entre empleados y empleador; y un cuestionamiento sobre la función de la gestión de Recursos Humano (RR.HH.) encargada de gestionar dicho vínculo. El presente artículo tiene como objetivo analizar la función y configuración de la gestión de RR.HH. en el contexto de la Gig Economy. Desde el enfoque configuracional contingente se argumenta el modo en el que las prácticas de RR.HH. se combinan y configuran para aportar al desempeño y gestionar el relacionamiento con los individuos que participan de esta economía. Se encuentra que la relación laboral entre las empresas y los trabajadores gig se caracteriza por ser transaccional y simbiótica basada en la premisa utilitaria del beneficio mutuo. Por ello, para este contexto predominaría una configuración de RR.HH. orientada hacia el mercado o en maximizar la productividad, y al cumplimiento de acuerdos. CLASIFICACIÓN JEL J0I; J2I; MI2
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Madiga community is one of the largest communities in Karnataka state and politically this community is neglected as well as educationally backward. In the field study region, most of the respondents have lower status because these community people are being treated as untouchables. Though this community is included in the scheduled caste, they have failed to utilise the benefits of the government. The first generation of this community is going to school but because of poverty, many dropouts are noticed among the respondents' children. This paper is to shed some light on education and other changes among the respondents
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Lamaze technique supports, sustains and safeguards sound, and healthy pregnancy, and safe birthing. The objective of this study was to compare the impact of Lamaze technique on duration of labour and neonatal outcomes among primigravid and multigravida women. A parallel group prospective randomised controlled trial was adapted where eligible primigravid & multigravida women were randomised into intervention and standard care groups at an antenatal outpa- tient clinic of a secondary healthcare institution. Women in the intervention group were trained on Lamaze breathing techniques at 36 weeks of gestation and were advised to practice these twice daily. Instructions were given to continue during the active phase of the first stage of labour under the supervision of labour room nurses. Compliance was monitored with help of a daily log along with the daily foetal movement count (Sadovsky method, as advised by obstetrician). The mean duration of labour in the intervention group for primigravid women was 5.5127'plusmn; 1.998 hours and that for multigravid women 3.3704'plusmn;1.584 hours whereas in standard care group it was 7.238'plusmn;3.678 hours and 4.2899'plusmn;2.182 hours respectively. The mean duration of labour for women in the intervention group was less compared to standard care group F(1)= 133.800, p 'lt;0.001. Two- way ANOVA revealed significant difference in gestational age at birth [F(1)= 0.020, p=0.887] and mean birth weight [F(1)=0.854, p=0.411] between primigravid and multigravid women. The current research concludes that Lamaze techniques when taught during the antenatal period facilitates natural childbirth by shortening the duration of labour and escalates its progress.
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Este estudo teve como objetivo traduzir, adaptar e, apresentar as propriedades psicométricas do Unified Multidimensional Calling Scale UMCS, assim como invariância da medida por sexo para a população brasileira. O estudo contou com uma amostra de 2111 trabalhadores adultos (67% mulheres), com idades entre 18 e 77 anos (M = 41,70; DP = 11,10). A versão brasileira da escala apresentou melhores índices de ajuste com uma estrutura de sete fatores e invariância por sexo. Além disso, a medida apresentou evidências externas com trabalho significativo, orientação proteana de carreira, satisfação no trabalho, satisfação com a vida e workaholismo. Concluiu-se que os resultados obtidos ampliam a rede nomológica do construto Chamados Ocupacionais e discutem suas implicações teórico e práticas. Sendo os resultados favoráveis para o uso da medida adaptada em contextos de pesquisa e avaliação em temas de carreira no Brasil.
This study aimed to translate, adapt and present the psychometric properties of the Unified Multidimensional Calling Scale UMCS, as well as the invariance of the measure by sex for the Brazilian population. The study included a sample of 2111 adult workers (67% women), aged between 18 and 77 years (M = 41.70; SD = 11.10). The Brazilian version of the scale showed better fit indices with a seven-factor structure and gender invariance. In addition, the measure showed external evidence with significant work, protean career orientation, job satisfaction, life satisfaction, and workaholism. Thus, it was concluded that the results obtained expand the nomological network of the construct Occupational Callings and discuss its theoretical and practical implications. The results are favorable for the use of the adapted measure in research and evaluation contexts in career themes in Brazil.
Este estudio tuvo como objetivo traducir, adaptar y presentar las propiedades psicométricas de la Escala Unificada Multidimensional de Llamado - UMCS, así como la invariancia de la medida por sexo para la población brasileña. El estudio incluyó una muestra de 2111 trabajadores adultos (67% mujeres), con edades comprendidas entre 18 y 77 años (M = 41,70; DT = 11,10). La versión brasileña de la escala mostró mejores índices de ajuste con una estructura de siete factores e invariancia de género. Además, la medida presentó evidencia externa con trabajo significativo, orientación profesional proteica, satisfacción laboral, satisfacción con la vida y adicción al trabajo. Se concluyó que los resultados obtenidos amplían la red nomológica del constructo denominado Llamados Ocupacionales y discuten sus implicaciones teóricas y prácticas. Los resultados son favorables para el uso de la medida adaptada en contextos de investigación y evaluación en temas de carrera en Brasil.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Psychometrics , Work , Occupational Health , Personal Satisfaction , Brazil , Growth and Development , Job SatisfactionABSTRACT
Objective:To investigate the influence of the upright position delivery in the second stage of labour on delivery outcomes in primiparas, so as to provide reference for the formation of systematic delivery management strategies.Methods:This study was a cohort study, 454 primiparas who delivered in Beijing Hospital from January 2022 to December 2022 were selected. In the second stage of labour, according to the willingness of the primiparas, they were divided into the upright group(delivered in upright position, 222 cases) and the supine group(delivered in supine position, 232 cases). The duration of the second stage of labour, perineal injury, vaginal midwifery, neonatal asphyxia, and the effect of pharmacological analgesia on delivery outcomes in two groups of primiparas were observed and compared.Results:The duration of the second stage of labour was 30 (22, 50) min in the upright group, which was shorter than 48 (30, 80) min in the supine group, with statistically significant difference ( Z=-5.90, P < 0.05). The rate of lateral episiotomy was 17.6% (39/222) in the upright group, which was lower than 28.0% (65/232) in the supine group, with statistically significant difference ( χ2=7.02, P <0.05). There was no significant difference in the incidence of second degree perineal injury, vaginal midwifery, shoulder difficulty rate and neonatal asphyxia in the two groups ( P>0.05). The incidence of vaginal midwifery was 10.9% (14/129) and 2.2% (2/93) respectively in the upright group with pharmacological analgesia and non pharmacological analgesia, and the difference was statistically significant (Fisher's exact test, P<0.05). The duration of the second stage of labour was 53 (32, 85), 41 (27, 59) min in the supine group with pharmacological analgesia and non pharmacological analgesia, and the difference was statistically significant ( Z=-3.28, P<0.05). Conclusions:The adoption of upright position in the second stage of labour for primiparas can shorten the duration of the second stage, and reduce the rate of lateral episiotomy which can optimize the delivery outcome. For primiparas with pharmacological analgesia, it is recommended to use an upright position for delivery if conditions permit.
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The new business forms are the new patterns of the job market extended by the use of mobile internet, big data, cloud computing, and other information technologies in the context of a new round of information technology development. In recent years, under the catalysis of the new employment model, a large number of new business employees have emerged such as food delivery riders, couriers, and online car-hailing drivers, whose employment forms are flexible and don’t fully conform to the establishment of labor relations with the employers, and whose problem of overtime work is common. The employment characteristics of new business forms of "focusing on performance and ignoring responsibility" make workers at great risks of occupational injuries and occupational health problems such as work-related musculoskeletal disorders, mental disorders, and overwork. However, the current research on occupational safety and health of workers in new business forms is insufficient, and the experience of institutional practice and supervision is also limited. Therefore, based on relevant research progress at home and abroad, this paper discussed the health injuries of workers in new business forms, summarized associated influencing factors from four aspects: employment form, employment affiliation, long working hours exposure, and institutional guarantee, and then proposed countermeasures to strengthen occupational safety and health protection of workers. For the current problems in the employment of new business forms, the government, enterprises, and workers need to work together to improve the legal and regulatory system for employment of new business forms, and standardize occupational safety and health management, thus effectively protect the occupational safety and health rights and interests of workers in new business forms.
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RESUMO Este artigo objetiva discutir a conceituação do "ativo" jogador de futebol, bem como sua repercussão dentro da indústria futebolística. A investigação foi caracterizada como exploratória e bibliográfica. Como principais achados, percebeu-se a relevância dos atletas para a produção de riqueza na modalidade, tanto na relação clube-clube como pelo vínculo clube-futebolista, notadamente a partir da reestruturação capitalista em sua fase tardia. Por outro lado, ao cotejar o "ativo" com o conceito de força de trabalho, concluiu-se pela necessidade de se problematizar a definição contábil de "ativo" como a mais apropriada para explicar a realidade, particularmente o processo de produção de valor pela indústria do futebol.
ABSTRACT This article aims to discuss the conceptualization of the "asset" football player, as well as its repercussion within the football industry. The investigation was characterized as exploratory and bibliographical. As main findings, the relevance of the athletes for the production of wealth in the modality was perceived, as much in the club-club relation, as by the club-footballer link, notably, from the capitalist restructuring in its late phase. On the other hand, when comparing the "asset" with the concept of work force, it was concluded that it is necessary to problematize the accounting definition of "asset" as the most appropriate one to explain reality, particularly, the process of production of value by the football industry.
RESUMEN Este artículo pretende discutir la conceptualización del futbolista "activo", así como su repercusión dentro de la industria del fútbol. La investigación se caracterizó como exploratoria y bibliográfica. Como principales hallazgos, se percibió la relevancia de los atletas para la producción de riqueza en la modalidad, tanto en la relación club-club, como por el vínculo club-futbolista, notablemente, a partir de la reestructuración capitalista en su fase tardía. Por otro lado, al comparar el "activo" con el concepto de fuerza de trabajo, se concluyó que es necesario problematizar la definición contable de "activo" como la más adecuada para explicar la realidad, en particular, el proceso de producción de valor por la industria del fútbol.
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Resumo Reconhece-se a escassez de investigação sobre o mercado de trabalho do setor da saúde. Com a ampliação dos fenómenos de precarização objetiva e subjetiva, decorrente da agenda neoliberal de mercadorização do valor do trabalho e das reformas gestionárias da saúde, a "atipicidade" dos vínculos laborais e a "insegurança" de vida dos profissionais de saúde têm introduzido lógicas de segmentação e polarização do mercado de trabalho. Este deixa de ser palco apenas de mercados protegidos, passando a incluir mercados desregulados e "híbridos". Neste artigo pretende-se explorar os sentidos, com implicações desiguais, da (des)regulação do mercado de trabalho no setor da saúde em Portugal. Parte-se de fontes secundárias e de investigação qualitativa suportada em 32 entrevistas semiestruturadas feitas com profissionais de saúde, que atestam o fenômeno da crescente individualização e subcontratação laboral. Propõe-se um modelo conceitual que capte os sentidos de (des)regulação, num continuum de regulação social e mobilidade profissional, traduzindo mercados protegidos (profissionais e internos) e mercados híbridos (terciarizados e secundários) a serem testados por confronto empírico e investigação futura.
Abstract The need for further research on the labor market in the health sector is acknowledged. With the expansion of the phenomena of objective and subjective precariousness, resulting from the neoliberal agenda of commodification of the value of work and the managerial reforms in health, the "atypicality" of labor ties and the "insecurity" of health professionals' lives have introduced segmentation and polarization logics into the labor market. The latter is no longer the stage for protected markets, but includes deregulated and "hybrid" markets. This article aims to explore the directions, with unequal implications, of the (de)regulation of the labor market in the health sector in Portugal. We begin from secondary and qualitative research supported by 32 semi-structured interviews with health professionals, which attest to the phenomenon of increasing individualization and labor subcontracting. A conceptual model is proposed that captures the meanings of (de)regulation, in a continuum of social regulation and professional mobility, translating protected markets (professional and internal) and hybrid markets (outsourced and secondary) to be tested by empirical confrontation and future research.
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El artículo aborda el carácter histórico y político del tiempo, por considerarle un articulador de la existencia humana, a partir de una lectura crítica de la vida cotidiana. La reproducción de la temporalidad está mediada por el trabajo, el que, analizado desde una perspectiva feminista-marxista, permite reconocer desigualdades en la experiencia del tiempo de hombres y mujeres, basadas en la división sexual del trabajo. Para profundizar en este fenómeno se presentan resultados derivados de una investigación cualitativa que buscó analizar la experiencia del tiempo cotidiano de mujeres que realizan el trabajo de cuidados de personas adultas con discapacidad en Santiago de Chile. Se realizaron entrevistas semiestructuradas y observaciones participantes en los contextos cotidianos de ocho mujeres, reconociendo que su experiencia del tiempo depende de otras personas, que está densificada por la continua realización simultánea de trabajos no remunerados y que no distingue tiempos libres, de ocio ni por fuera del cuidado. Se concluye reconociendo que las desigualdades de género también producen desigualdades en la experiencia del tiempo, lo que insta a avanzar en políticas sociales que reconozcan el cuidado como un derecho social para que las mujeres puedan construir experiencias de sentido, azar, demora y libertad.
The article addresses time's historical and political character, considering it an articulator of human existence from a critical reading of everyday life. The reproduction of temporality is mediated by work, which, analyzed from a feminist-Marxist perspective, allows the recognition of inequalities in the experience of time for men and women based on the sexual division of labor. To delve into this phenomenon, the article presents the results from qualitative research that sought to analyze the daily experience of women who are caregivers of adults with disabilities in Santiago de Chile. Methodologically, semi-structured interviews and participant observations were made in the everyday contexts of eight women, recognizing that their experience of time depends on other people, that it is densified by the continuous and simultaneous performance of unpaid work, and that it does not distinguish free time, leisure, or time outside care. It concludes by recognizing that gender inequalities also produce inequalities in the experience of time, which urges progress in social policies recognizing care as a social right so that women can build experiences of meaning, chance, delay, and freedom.
O artigo aborda a natureza histórica e política do tempo, considerando-o um articulador da existência humana, a partir de uma leitura crítica da vida cotidiana. A reprodução da temporalidade é mediada pelo trabalho, que, analisado a partir de uma perspectiva feminista-marxista, permite reconhecer desigualdades na experiência do tempo de homens e mulheres, a partir da divisão sexual do trabalho. Para aprofundar este fenômeno, são apresentados os resultados derivados de uma pesquisa qualitativa, que buscou analisar a experiência do tempo cotidiano de mulheres que realizam o trabalho de cuidar de adultos com deficiência em Santiago do Chile. Foram realizadas entrevistas semiestruturadas e observações participantes nos contextos cotidianos de oito mulheres, reconhecendo que sua experiência do tempo depende de outras pessoas, que está intensificada pelo desempenho contínuo e simultâneo de trabalhos não remunerados, e que não distingue os tempos livres, de lazer nem externo ao cuidado. Conclui-se reconhecendo que as desigualdades de gênero também produzem desigualdades na experiência do tempo, o que urge avançar em políticas sociais que reconheçam o cuidado como um direito social, para que as mulheres possam construir experiências de sentido, casualidade, lentidão e liberdade.
Subject(s)
Women , Work , Caregivers , Work Hours , Disabled Persons , Gender-Based Division of LaborABSTRACT
A partir de análises teóricas e estatísticas, objetivou-se apreender relações entre a política de assistência social e o processo de precarização da classe trabalhadora no atual contexto econômico e social brasileiro. Observa-se que o caráter compensatório das políticas de assistência social vem sendo acompanhado da precarização das condições de trabalho e da naturalização e da individualização do pauperismo, que mistificam os laços que conectam os usuários à sua classe social. Com isso, a aparente desconexão com a classe trabalhadora naturaliza a ausência de garantia do direito ao trabalho e potencializa a subsunção ao capital
Based on theoretical and statistical analyses, the objective was to apprehend relations between the social assistance policy and the process of precariousness of the working class, in the current Brazilian economic and social context. It Ìs observed that the compensatory nature of social assistance policies is followed by the precariousness of working conditions and the naturalization and individualization of pauperism, which mystify the ties that connect the users to their social class. With this, the apparent disconnection with the working class naturalizes the lack of guarantee of the right to work and enhances the subordination to capital
Subject(s)
Public Policy , Capitalism , Working ConditionsABSTRACT
Resumo Neste ensaio trazemos uma discussão sobre o conceito de tecnologia leve aplicado ao trabalho em saúde, como proposto por Emerson Merhy. Objetivamos problematizar a ideia de tecnologia leve e, para isso, estabelecemos duas linhas de análise. Na primeira, há um diálogo com Antonio Negri, Michael Hardt e Maurízio Lazzarato na reflexão sobre a dimensão produtiva do trabalho vivo, como trabalho imaterial e produção de valor no campo da saúde. Na segunda, orientados por Michel Foucault, analisamos a dimensão ética de um trabalho que tem na imprevisibilidade do encontro, da experiência e do acontecimento a produção de um saber. Concluímos apontando que o trabalho em saúde se trata de uma tecnologia que produz relações de cuidado e, assim, solicita a criação de modos de cuidar, trabalhar e gerir com os cotidianos da saúde pela metamorfose de um êthos.
Abstract In this essay we discuss the concept of soft technology applied to health work proposed by Emerson Merhy. We aimed to discuss the idea of soft technology and, to that end, we established two analytical paths. The first one dialogues with Antonio Negri, Michael Hardt, and Maurízio Lazzarato in thinking about the productive dimension of living labour, such as immaterial labour and value production in the healthcare field. In the second, driven by Michel Foucault, we analyze the ethical dimension of a work that has the production of a knowledge in the unpredictability of the encounter, the experience, and the event. We conclude by pointing out that healthcare work is a technology that produces care relationships and, thus, calls for the creation of ways of caring, working, and managing daily health by the metamorphosis of an ethos.
Subject(s)
Humans , Male , Female , Technology , Work , Health , Ethics , Value-Based Health Care , Health PolicyABSTRACT
Abstract Sustainable development is based on three pillars: environment preservation, cost-effective production and human development. Within this context, emerges Life Cycle Assessment (LCA), a solid methodology for assessing the impact of products and services. Whereas Social LCA (S-LCA) is an early-stage approach, currently under development, requiring theoretical and methodological improvements. This study aimed at mapping the main gaps in S-LCA to identify potential contributions from the Psychology field. A preliminary literature review indicated several constraints: consensus between social indicators; methods for measuring subjective data; predominance of secondary data; underutilization of the Social Sciences, etc. Therefore, this study outlines multiples intersection points where the Social Sciences, more specifically, psychology could contribute to filling some of the theoretical and methodological gaps in S-LCA.
Resumo O desenvolvimento sustentável ocorre por três pilares: preservação do meio-ambiente, produção com custo econômico eficiente e desenvolvimento humano. Nesse contexto surge a Avaliação do Ciclo de Vida (ACV), que determina métodos para avaliação de impacto de produtos e serviços. A ACV Social (ACV-S) é uma abordagem em desenvolvimento, requerendo avanços à plena aplicação. Este estudo objetivou mapear as principais lacunas teórico-metodológicas da ACV-S para a identificação convergências com a psicologia. A revisão da literatura indicou diferentes lacunas: consenso entre indicadores sociais; métodos para mensuração de dados subjetivos; primazia de dados secundários; subemprego das Ciências Sociais etc. Assim, este estudo apontou pontos de interseção onde as Ciências Sociais, especificamente, a Psicologia poderá contribuir para preencher algumas das lacunas teórico-metodológicas da ACV-S.
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Labour pain is perceived as the most harrowing and agonizing event of a woman's life. Efforts at reducing the pain and making the event less stressful have predated modern obstetric practice. Epidural analgesia has provided effective pain relief in labour for over three decades. Delivery with epidural analgesia is routine for willing parturients in the developing world, however ignorance, cost as well as lack of qualified personnel has made this to be out of reach of the average Nigerian mother. The aim of this study was to assess level of awareness, acceptability, previous utilization and willingness to utilize epidural analgesia in labour following health education.Subjects/Methods: This cross-sectional study was carried out in the antenatal clinic of UTH, Osogbo. Health education on events of labour and methods of analgesia available was provided to all antenatal clinic attendees between September 2021and March 2022, following which a semistructured purpose designed, and self- administered questionnaire was administered to 415 of these women who consented to participate in this study. Results: The mean age of the respondents was 32.57± 4.42 years and mean parity of 1.73± 0.96. 70.8% reported that labour pain was severe. 41.7% were aware of epidural analgesia before the health talk. 3.6% of our subjects had utilized epidural in their last confinement. However, only 47.7% expressed a wish to utilize epidural analgesia in labour. Conclusion: Awareness of epidural analgesia in study population was passable at 40% however willingness to utilize it was less than average despite health talk and reassurance by their attending obstetric team.
Subject(s)
Humans , Labor Relations , Patient Acceptance of Health Care , Pain , Awareness , Analgesia, Epidural , KnowledgeABSTRACT
@#Introduction: Child birth can be an enjoyable process for all birthing women. Use of HypnoBirthing®Mongan during birthing process induces the women to be relaxed and minimises her fear. The aim of the research is to explore the perspective of primigravida mother’s experience in their birthing process utilising hypnobirthing. Methods: A qualitative study involving 10 participants were carried out in a private hospital in Malaysia. Purposive sampling was used. Women using HypnoBirthing during birthing were interviewed for 40 minutes using semi structured, face to face method. Analysed using thematic analysis. Results: Three main themes were identified namely: ‘physical and emotional effect of pain’, ‘behaviour response to pain’ and ‘maternal and newborn wellbeing’. Physical and emotional effect of pain has four subthemes where else the other has two subthemes. Conculsion: Women using Hypnobirthing enjoyed the birthing process and immediate bonding with the newborn.
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MGNREGA is thought to be the answer to ending rural poverty and employment by stimulating the demand for skilled labourers in Indian villages. The MGNREGA programme is the most effective programme ever launched in India to alter rural livelihoods. The NREGA is, in a number of ways, an exact clone of past plans with a legal guarantee. In contrast to previous programmes, MGNREGA is demand-driven. MGNREGA is a signi?cant step towards the rural poor's social security system. The MGNREGA is the nation's largest employment programme that is constantly in operation and has received signi?cant public funding. Because of this, the current study uses primary data from MGNREGA bene?ciaries in Tamilnadu to examine the effects of the socioeconomic environment on their employment and income. This assessment is then veri?ed using percentage analysis, paired t-tests, and multiple regression models
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Introduction: Vitamin D de?ciency and insuf?ciency have been associated with a variety of adverse maternal and fetal outcomes, ranging from Gestational hypertension, preeclampsia, gestational diabetes, preterm delivery, intrauterine growth restriction, and cesarean section. The study was done to determine whether vitamin D de?ciency in pregnant women was associated with complications. In this prospective observational study, Methods: vitamin D levels were estimated in 100 pregnant women from gestational age 32 to 40 weeks in a teaching hospital in Delhi, India. All the subjects were further followed up for the appearance of pregnancy associated complications mostly focusing on the appearance of Gestational Hypertension, Pre-eclampsia, Gestational Diabetes, IUGR, Preterm labour or landing up in Caesarean section. 84% had suboptimal vitamin D level i.e serum vitamin D < 30ng/ml. Common complications were Results: gestational hypertension (47%), caesarean section (47%) and gestational diabetes (41%). Signi?cantly low vitamin D levels were found in women with obstetric complications as compared to controls with no complications. Also, signi?cant association was found between suboptimal vitamin D levels and complications. The routine measurement of vitamin D in Conclusion: pregnancy can be of great help in identifying patients at risk for development of these complications, early intervention and prevention of occurrence of these complications. Cost effective and timely treatment can prevent the complications in expecting mothers.
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Childbirth is an experience in a woman' s life that holds the power to transform her forever. The objective of the study was to assess the effectiveness of Shiatsu massage upon rst stage Labour pain among the parturient mothers. In this pre-test, post-test experimental study, 60 parturient mothers were selected by simple random sampling technique among which 30 were assigned to the control group and 30 mothers to the experimental group. The labour pain level was assessed by the visual pain analogue scale, and foeto maternal parameters using modi- ed WHO partograph before and after intervention for both control and experimental group of parturient mothers. The experimental group was provided with Shiatsu massage on UB30 of the sacro-meridian region for 10 minutes for every two hours along with the routine care and the control group was treated only with the routine care during the labour process. The results showed a signi cant difference in after therapy pain score, at p'lt;0.001 between the control and experimental group. The foeto maternal parameters like foetal heart rate, uterine contraction and cervical dilatation was stable throughout the labour process. The Shiatsu massage was effective in reducing the level of labour pain perception. The management of labour pain is a primary responsibility of the nurse. Midwives can be empowered to provide Shiatsu massage as non-pharmacological pain management during childbirth.
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Introduction: Labour induction at term is a universal conventional obstetric interference with an objective to stimulate uterine contractions artificially to attain a spontaneous vaginal delivery. The current study was aimed to compare the efficacy and safety profile of low dose vaginal Misoprostol with Dinoprostone gel for induction of labour in term pregnancies with unfavorable cervix and intact membranes. Methodology: This Randomized Controlled Trial was conducted among pregnant women with term pregnancy with obstetrical or medical indication for induction of labour after institutional ethical committee approval. A detailed history, complete physical examination and investigations were done for all patients. Result: Misoprostol and Dinoprostone gel are equally effective inducing agents. Both are equally effective in Primigravida and Multigravida. Failure of induction rate for Misoprostol and Dinoprostone was statistically not significant. The need of Oxytocin augmentation, maternal complication rate, NICU admission rate, caesarean section rate and occurrence of meconium-stained liquor are statistically not significant in both the study groups. Our study was unable to demonstrate superiority of any single drug compared to other. Only the difference is cost, induction with Conclusion: considering the easy to preserve and administer, we recommend use of Misoprostol as a safe, effective, cheaper, and more convenient drug for induction of labour.
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Background: Obstructed labour is one of the major causes of maternal mortality (8%) in Bangladesh. It is also responsible for high rate of maternal and fetal morbidity. If we can identify the medical and social causes of obstructed labour in our country it may be helpful to find out the way to prevent this disease. Objectives: This study was to find out the medical and social causes of obstructed labour in our country. It also finds out the cause of delay in seeking care.Material & Methods:This study is a prospective observational study has been done in Dhaka Medical College Hospital, Dhaka from August 2004 to December 2005. One hundred patients who were admitted with obstructed labour during study period were included in this study.Results:In this study prevalence of obstructed labour was 3.59%. Among the patients who were admitted with obstructed labour 52% were within 20 to 25 years of age, 55% were primigravida, only 30% were on regular antenatal checkup. The medical causes of obstructed labour were cephalopelvic disproportion in 30%, malposition and malpresntation in 69% and cervical fibroid in 1 %. In this study 72% of study population had monthly income below 3,000 BTD, 27% had 3,001 � 5,000 BDT and only 1 % had above 5,000 BDT. Among them 8% patient had crossed the primary level of education and 35% were illiterate. The patients who were admitted with obstructed labour could not utilize the health facility in time and they had to go for trial of home delivery first. In 25% cases their husband and family members did not agree to bring them to hospital, 31.3% was because of ignorance, 14% was due to economic constraints, 13.3% wanted to avoid operative delivery, 9.4 % patient herself did not agree to come to hospital because it would disrupt house hold work and the rest 7% could not come due to long distance between home and health center and tertiary hospital. Modes of delivery were LSCS in 85%, craniotomy in 9% and evisceration in 4%. Maternal outcome was WF in 7% and puerperial sepsis in 18%. Perinatal death was 45%, MMR was 3% due to obstructed labour.Conclusions:SThe causes of obstructed labour are not only due to medical causes but also have social causes. The social causes depend on the socio-economic status and the level of education