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1.
Artigo | IMSEAR | ID: sea-208107

RESUMO

Background: The rate of caesarean section (CS) has been skyrocketed globally over the past three decades which makes it utmost essential to be reanalyzed. Hence, the Robson’s classification of international standards has become a need of an hour. This study aimed to analyze the trend of caesarean sections at a tertiary care teaching hospital, by using Robson’s criteria.Methods: This cross-sectional observational study was conducted at Government Medical College in Akola. The data was collected for the women delivered by CS during November 2017 to April 2019 and proportions in various groups as per Robson’s criteria were calculated.Results: The overall CS rate for the study period at our hospital was 63.89%. Robson Group 1 (24.5%) had the greatest representation in the study population followed by Group 5 (21.27%) and 3 (14.18%). While Groups 6 (10.13%) and 9 (0.63%) had the least representation. Group 5 was found to be the highest absolute contributor (20.5%) to overall CS rates followed by Group 1 (16.08%). Group 9 had a least possible share in the study population, but it had 100% CS rate.Conclusions: Robson’s classification must be implemented in all delivery units to avoid unnecessary caesarean sections. Every effort should be made to provide caesarean sections to women in need, rather than striving to achieve a specific rate and Robson’s criteria is a step forward in the same direction.

2.
Artigo | IMSEAR | ID: sea-189900

RESUMO

Background:Ithas been observed that playing a wind instrument (e.g. flute) does have an effect on lung physiology.Aims &Objectives:To study the effect of playing flute on lung function and vitals.Material and Methods: The study was conducted on 60 males (30 flautists and 30 normal subjects) ranging from 10-40 yrs. The procedure included estimation of Peak Expiratory Flow Rate (PEFR) by Peak Flow Meter (PulmoPeak PEF meter) and measurement of pulse rate, respiratory rate and breath holding time.Results:It was found thatthe flautists had no significant variation in their vitals and PEFRs. But they did have a positive correlation between PEFR and their period of learning. Conclusion:Our study concluded that the period of learning flute plays a vital role in remodelling respiratory system. So, this technique if exercised in childhood or in early cases of lung diseases(COPD, obstructive sleep apnoea etc.), it would probably benefit them

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