Maternal satisfaction with childbirth services among postnatal mothers at a primary health center

Background: Primary health centers (PHC) are the first point of contact among the public and structured health services. Maternal satisfaction is an indicator of the quality of services received by the mother during their childbirth experience at the primary health centers. This study aimed to assess the maternal satisfaction of postnatal mothers with childbirth services at a primary health center. Methods: A descriptive study was undertaken at a conveniently selected 24-hour functional primary health center. Maternal satisfaction of mothers delivering at the selected PHC was assessed by using the standardized SMMS tool. 36 mothers selected by convenience sampling were interviewed. Results: All (100%) mothers were satisfied with their childbirth experience (overall mean score 143.3 and SD 5.68). Mothers expressed their highest level of satisfaction with the childbirth experience as one of their best experiences (4.9±.3), they agreed that doctors did all interventions they could do (4.8±0.4) and also, they said that doctors and nurses explained them about all new situations related to labor (4.4±0.5). Mothers were least satisfied with the management of labor pain (1.9±1), nurses could have given them a little more time to start their breast feed (3.1±0.8) and if they could have started breast-feeding a little early (3.2±1.2). Conclusions: Maternal satisfaction is an important indicator of maternal and newborn services provided at any health care facility. Assessing the mother’s perspective is a good determinant of their expectations and can help improve the quality of services at the primary health centers.

Cardiopulmonary Resuscitation Knowledge/Awareness Among Final Year B. Physiotherapy Students: A Questionnaire-Based Study

Background:Cardiopulmonary resuscitation (CPR) reduces cardiac arrests and related deaths when patients receive CPR promptly from adequately trained and specialized healthcare professionals. Quality CPR consists of providing an appropriate frequency and depth of compressions, minimised interruptions and appropriate volume of ventilation. The objective of the study was to determine the current level of knowledge /awareness of Cardiopulmonary Resuscitation (CPR) among Final Year B. Physiotherapy students. Material And Methods:This cross-sectional study involved final year B. Physiotherapy students from different colleges of Ahmedabad. A Questionnaire containing 14 Questions was given to the students and were ask to tick the most appropriate answer.Result:The average score is 44.53% (N=200). While only 31.5% of them were completely aware of the universal compression rate, 62.5% were aware of the compression depth in adults whereas only 19% were aware of the compression depth in infants.Conclusion:This questionnaire survey demonstrated that CPR skills in physiotherapy students were insufficient, which could be improved by well-designed certified training programs.

Ethnoveterinary practices associated with animal healthcare in Dang District of South Gujarat, India.

The paper deals with the indigenous knowledge of local communities on medicinal plants used for curing various diseases in Dang district, Gujarat state. Information collected is based on interview and observation was cross-checked with traditional herbal practitioners in the region. Adivasi, Kukunas, Kamits, Bhika, Warlis, and Kunbis are the chief communities in this area. This study revealed that 34 plant species were used for curing various diseases and disorders in animals, in this region.

Hydatid cyst in head of pancreas presenting with obstructive jaundice.

We report a patient with hydatid cyst in the head of the pancreas who presented with obstructive jaundice. At operation, the cyst was compressing the common bile duct and pancreatic duct. Excision of the cyst with choledochoduodenostomy was performed.

Oral mucosal lesions in patients with acute leukemias and related disorders due to cytotoxic therapy.

Forty-seven children afflicted with acute leukemia were studied at the Tata Memorial Hospital Bombay to record the occurrence of oral manifestations prior to and during chemotherapy. Lymphadenopathy was the most frequent single finding suggestive of leukemia during head and neck examination. Gingival abnormalities, bleeding gums and oral mucosal pallor were the other findings on initial oral examination. Due to immunosuppression caused by the chemotherapy drugs oral mucosal ulcerations, uncontrolled herpes, candidiasis and pseudomoniasis were observed.

Fluoride profiles of enamel following topical application of neutral and acidulated NaF solution using x-ray photoelectron spectroscopy (ESCA)--an in vitro study.

An in vitro analysis of fluoride in the surface enamel using x-ray photo-electron spectroscopy carried out on sound untreated teeth, sound teeth treated with neutral NaF and acidulated NaF and teeth with artificial caries treated with NaF and acidulated NaF revealed Ca/F ratio at surface and 360 degrees A as 0.140:1 and 0.140:1; 0.636:1 and 0.192:1; 1.112:1 and 0.908:1. 1.2:1 and 1.289:1; 2.11:1 and 1.87:1 respectively.

Comparative study of oral health status of mentally sub-normal, physically handicapped, juvenile delinquents and normal children of Bombay.

Prevalence study on dental caries and periodontal disease carried out in 94 mentally subnormal, 92 physically handicapped, 74 juvenile delinquents and 206 normal children (11-14-year-old) revealed high prevalence of periodontal disease in handicapped (95 to 100%) and low in normal children (54.37%). The point prevalence of dental caries was higher in normal children (84.9%, DMFS 6.19) followed by juvenile delinquents (75.67%, DMFS 4.3), physically handicapped (73.91%, DMFS 4.3) and mentally subnormal (64.9%, DMFS 4.48).