Jyoti Sarin
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Review of Obstetrical Emergencies: Its Concept and Optimal Management Simarjeet Kaur; Poonam Sheoran; Jyoti Sarin
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15349

Abstract

Obstetrical emergencies are life threatening conditions that occur in pregnancy during labour and after delivery. It is common that approximately 15% of all pregnant women develop serious complication from conception to delivery. Obstetrical emergencies may turn catastrophic in women, so every little contribution to save maternal and neonatal life brings about reduction in maternal and neonatal mortality and morbidity. Among all the emergency situations which may arise across the field of obstetrics, there are small numbers which call urgent practical steps to be taken in order to safeguard the life of the mother or the baby or both. Emergency obstetric care is a set of critical lifesaving functions commonly called signal functions provided by a health care facility throughout the day and week. Obstetric complications can neither be predicted nor be prevented but can be managed by timely provision of life saving services. When obstetric emergencies occur, effective and efficient care by the health care professionals is essential for good outcome and safety. Diagnosis of serious situation to delivery interval should be less than 30 minutes; however, it is expected to be lengthy then appropriate measure should be taken to manage the obstetric complications. Prompt diagnosis , timely performed intervention and positive impact of maternal and neonatal management have significantly improved the maternal and neonatal outcome.
A Study to Assess the Effectiveness of Developmental Supportive Care Bundle on Neonatal Outcomes of Low Birth Weight Babies at Selected Hospital of Ambala, Haryana Neelam Thakur; Yogesh Kuma; Parvinder Kaur; Jyoti Sarin
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15874

Abstract

Background: Neonatal period, the first 28 days of life is most vulnerable and crucial time for babies, whose birth weight is less than 2.5 kg. Developmental supportive care is an integrated approach for these babies. The main objectives of the study were to assess and compare neonatal outcomes (physiological, comfort behavior) of LBW Babies before and after implementation of Developmental Supportive Care Bundle in experimental and comparison group and to determine the association of neonatal outcomes of LBW Babies with their selected demographic variables in experimental and comparison group. Methodology: Quasi-Experimental research design (Non- Equivalent Control Group Pretest Posttest Design) was used. Data was collected from 30 Low Birth Weight Babies (15 in each group) by convenience sampling technique in NICU of MMIMS&R of Ambala, Haryana. Pre assessment – temperature and pain assessment done before intervention in both group. After that intervention given in only experimental group and post test done on 2 to 5 days. On day 4, the mean post implementation score (36.60) of temperature was found significantly (p=.01*) higher in experimental group. On day 2 to 5, the mean post implementation score (6.80, 6.40, 6.47 and 6.47) of comfort behavior was found to be significantly (p=.006*, .001*, .005* and .002* respectively) higher in experimental group. Conclusions: The findings of the study concluded that Developmental Supportive Care Bundle (DSCB) was effective in improving neonatal outcomes (temperature and comfort behavior) of Low Birth Weight babies.