Download or read book La douleur de l pisiotomie et sa prise en charge dans le post partum written by Capucine Tellier and published by . This book was released on 2001 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book valuation de la prise en charge de la douleur de l pisiotomie dans les suites de couches written by Khadija Ouddasser and published by . This book was released on 2010 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: L'épisiotomie reste toujours l'acte chirurgical le plus pratiqué en obstétrique malgré une diminution depuis 1997. Elle est une des principales causes de douleur dans les suites de couches, donc la prise en charge de sa douleur est primordiale. La circulaire du 30 avril 202, impose la mise en place de protocoles de prise en charge de la douleur. l'objectif de cette étude était d'évaluer la prise en charge de la douleur de l'épisiotomie les 4 premiers jours de postpartum au CHU de Rouen. Méthodologie : Étude prospective monocentrique à la clinique obstétricale du CHU de Rouen chez 72 patientes primipares ayant bénéficié d'une épisiotomie entre octobre 2009 et janvier 2010. La douleur a été évaluée les quatre premiers jours de postpartum à l'aide de l'échelle visuelle analogique. Ont également été étudiées : l'information délivrée aux patientes, l'application de protocole d'analgésie du service, la satisfaction de la prise en charge de la douleur. Résultats : Il existe un pic de douleur de 5.5 sur 10 entre J0 et J1, avec une médiane de douleur durant le séjour de 3.5 sur 10. 21% des patientes ont eu des EVA supérieures à 3 au quatrième jour de leur séjour. Le protocole existant n'est que peu appliqué (54%). l'information délivrée aux patientes est peu satisfaisante néanmoins l'indice de satisfaction de la prise en charge de la douleur est de 7.5 sur 10 en moyenne. Conclusion : La prise en charge de la douleur n'est pas optimale, il serait important que le protocole soit suivi pour pouvoir évaluer son efficacité.
Download or read book valuation de la douleur et de sa prise en charge apr s pisiotomie en post partum written by Coralie Chiesa and published by . This book was released on 2004 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Comparaison entre l pisiotomie et la d chirure spontan e written by Carole Borye and published by . This book was released on 2008 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objectif : l’objectif principal de ce travail était de comparer l’épisiotomie à la déchirure spontanée au niveau de la douleur et de la cicatrisation périnéale en post-partum immédiat suite à un accouchement eutocique. L’objectif secondaire était d’identifier les éventuels facteurs de risque de la douleur et des problèmes de cicatrisation périnéale précoces. Matériels et méthodes : nous avons effectué une étude prospective de cinq mois au sein de la Maternité du C.H.U. de Grenoble, recrutant 185 patientes ayant accouché de manière eutocique et présentant soit une épisiotomie (58) soit une déchirure spontanée (127). Au troisième jour, la douleur et la cicatrisation ont été évaluées par : les scores E.V.A., la consommation d’antalgiques et d’anti-inflammatoires pour le périnée et l’échelle de cicatrisation R.E.E.D.A. Résultats : nNos résultats ne montrent pas de différence au niveau de la douleur et de la cicatrisation périnéale entre les patientes ayant présenté une épisiotomie et une déchirure spontanée, au troisième jour du post-partum. Les patientes présentant des éraillures multiples présentent davantage de problèmes de douleurs et de cicatrisation en post-partum immédiat. Conclusion : il n’y a aucun bénéfice à réaliser une épisiotomie au cours d’un accouchement eutocique dans le but de diminuer la douleur et d’améliorer la cicatrisation périnéale dans le post-partum immédiat. Les problèmes entraînés par les éraillures multiples en post-partum immédiat nécessitent une prise en charge adaptée.
Download or read book Prise en charge de la douleur post pisiotomie en suites de couches written by Mathilde Wehrlé and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: OBJECTIFS DE L'ETUDE : Observer la prise en charge actuelle de la douleur post-épisiotomie et évaluer son efficacité à la Maternité Régionale de Nancy. POPULATION ET MÉTHODES : Etude prospective unicentrique incluant 65 femmes ayant subi une épisiotomie sur la période de septembre à décembre 2014. Cette étude s'est faite à l'aide de questionnaires distribués en suites de couches de J0 à J3 du post-partum. L'intensité de la douleur était évaluée par cotation sur l'échelle numérique. Les facteurs de risque influençant la douleur, la prise en charge reçue ainsi que la satisfaction des patientes ont également été recherchés. RÉSULTATS : La douleur moyenne au cours du séjour est de 4,3/10. Le pic de douleur se situe à J1 avec une moyenne de 4,9/10. Toutes les patientes n'ont pas bénéficié de la même prise en charge. Nousavons observé un manque d'anticipation de la douleur, les médicaments étant donnés systématiquement seulement à 62,3%. Nous avons également constaté que les AINS ne sont que très peu utilisés (26% contre 74% paracétamol seul), et que l'automédication concerne une partie importante de notre population (57%). De plus, l'évaluation orale quotidienne de la douleur ne concerne que 11% des patientes. Globalement, les patientes sont satisfaites avec une moyenne de 6,9/10 pour leur prise en charge. CONCLUSION : La prise en charge de la douleur post-épisiotomie n'est pas optimale. L'uniformisation des pratiques permettrait une amélioration de la qualité des soins.
Download or read book Awareness During Anesthesia written by Mohamed M. Ghoneim (M.D.) and published by Butterworth-Heinemann. This book was released on 2001 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: * First comprehensive source on facts about consciousness while under anesthesia * Includes a detailed pharmacology of drugs * Details techniques for detection and prevention. * Author is leading expert in field
Download or read book Perineal and Anal Sphincter Trauma written by Abdul H Sultan and published by Springer Science & Business Media. This book was released on 2007-03-20 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book clarifies and explains perineal anatomy and the pathophysiology of anal incontinence as well as applied pharmacology. It also institutes the new recommended classification of perineal tears, and describes anal sphincter repair techniques. The emphasis is on correct post-operative management, management of pregnancy following previous anal sphincter injury, and prevention of anal sphincter tears. The book will interest students, colorectal surgeons, physiotherapists, midwives, continence advisors, labour wards and lawyers.
Download or read book In the Shadow of the Moons written by Nansook Hong and published by Little Brown & Company. This book was released on 1998 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Korean-American recounts her fourteen years of abuse at the hands of her husband, the drug-addicted eldest son of the Reverend Sun Myung Moon, and reveals the corruption behind the religious fac+a2ade of Moon's organization. 50,000 first printing. Tour.
Download or read book Pain in Childbearing written by Margaret Yerby and published by Bailliere Tindall Limited. This book was released on 2000 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written with a team of midwifery specialists, this book provides effective techniques for alleviating pain during childbirth. Key topics include the physiology of pain in childbirth, antenatal and postnatal pain, pharmacological and non-pharmacological views on pain relief, psychology of pain relief, fetal and neonatal pain, and sociological and historical perspectives.
Download or read book Clinical Management of Patients with Viral Haemorrhagic Fever written by World Health Organization and published by World Health Organization. This book was released on 2016-05-03 with total page 203 pages. Available in PDF, EPUB and Kindle. Book excerpt: First published in March 2014 under the title "Clinical management of patients with viral haemorrhagic fever: a pocket guide for front-line health workers: interim emergency guidance for West Africa".
Download or read book The Routledge Handbook of Epistemic Injustice written by Ian James Kidd and published by Taylor & Francis. This book was released on 2017-03-31 with total page 438 pages. Available in PDF, EPUB and Kindle. Book excerpt: This outstanding reference source to epistemic injustice is the first collection of its kind. Over thirty chapters address topics such as testimonial and hermeneutic injustice and virtue epistemology, objectivity and objectification, implicit bias, gender and race.
Download or read book WHO Recommendations for Prevention and Treatment of Maternal Peripartum Infections written by World Health Organization and published by World Health Organization. This book was released on 2016-02-12 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt: The goal of the present guideline is to consolidate guidance for effective interventions that are needed to reduce the global burden of maternal infections and its complications around the time of childbirth. This forms part of WHO's efforts towards improving the quality of care for leading causes of maternal death especially those clustered around the time of childbirth in the post-MDG era. Specifically it presents evidence-based recommendations on interventions for preventing and treating genital tract infections during labour childbirth or puerperium with the aim of improving outcomes for both mothers and newborns. The primary audience for this guideline is health professionals who are responsible for developing national and local health protocols and policies as well as managers of maternal and child health programmes and policy-makers in all settings. The guideline will also be useful to those directly providing care to pregnant women including obstetricians midwives nurses and general practitioners. The information in this guideline will be useful for developing job aids and tools for both pre- and inservice training of health workers to enhance their delivery of care to prevent and treat maternal peripartum infections.
Download or read book Mindfulness for Mums written by Izzy Judd and published by Penguin UK. This book was released on 2020-01-09 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: Discover this beautiful collection of calming and soothing exercises for maintaining a happy mind, perfect for finding peace during stressful times 'Delightful. Provides simple, easy and fun activities for both parents and children of all ages to restore calm and peace' MAIL ON SUNDAY ______ Being a mum is often anything but mindful. Having suffered from anxiety for much of her life, Izzy Judd has brought together a brilliant and inspiring collection of simple activities and exercises to help parents find their own piece of calm. Included are exercises both for you to do alone and with your children of all ages, giving them their own tools to help remain happy and peaceful too. Inside you'll discover: · Ways of bringing mindfulness to your day · Your own self-care routine · Breathing exercises to do with children · How to prepare for a good night's sleep · One-minute mindfulness Izzy Judd's beautiful and practical book will hold your hand through the challenging and exhausting days as well as the exciting and happy days. Most importantly, it will help you to create special memories for you to share with your children.
Download or read book Plexus Anesthesia written by and published by . This book was released on 1984 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Women with Physical Disabilities written by Danuta M. Krotoski and published by Brookes Publishing Company. This book was released on 1996 with total page 508 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medieval England written by M. W. Beresford and published by Cambridge University Press. This book was released on 1979-11-15 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book discusses in detail some aspects of life in medieval England still to be seen in the landscape. The perspective of the air photograph conveys a fresh understanding of the physical setting of medieval society, of the interaction between communities and the land upon which they settled and of the varying pattern of the social and economic fabric of the country.
Download or read book Stories in the Time of Cholera written by Charles L. Briggs and published by Univ of California Press. This book was released on 2003-01-16 with total page 456 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cholera, although it can kill an adult through dehydration in half a day, is easily treated. Yet in 1992-93, some five hundred people died from cholera in the Orinoco Delta of eastern Venezuela. In some communities, a third of the adults died in a single night, as anthropologist Charles Briggs and Clara Mantini-Briggs, a Venezuelan public health physician, reveal in their frontline report. Why, they ask in this moving and thought-provoking account, did so many die near the end of the twentieth century from a bacterial infection associated with the premodern past? It was evident that the number of deaths resulted not only from inadequacies in medical services but also from the failure of public health officials to inform residents that cholera was likely to arrive. Less evident were the ways that scientists, officials, and politicians connected representations of infectious diseases with images of social inequality. In Venezuela, cholera was racialized as officials used anthropological notions of "culture" in deflecting blame away from their institutions and onto the victims themselves. The disease, the space of the Orinoco Delta, and the "indigenous ethnic group" who suffered cholera all came to seem somehow synonymous. One of the major threats to people's health worldwide is this deadly cycle of passing the blame. Carefully documenting how stigma, stories, and statistics circulate across borders, this first-rate ethnography demonstrates that the process undermines all the efforts of physicians and public health officials and at the same time contributes catastrophically to epidemics not only of cholera but also of tuberculosis, malaria, AIDS, and other killers. The authors have harnessed their own outrage over what took place during the epidemic and its aftermath in order to make clear the political and human stakes involved in the circulation of narratives, resources, and germs.
