View clinical trials related to Postpartum Women.
Filter by:The primary objective of this study is to evaluate the impact of systematic catheter-drainage of urine for parturient women immediately in the delivery room on the occurrence of post-voiding urine residue.
In this study, a single blind randomized trial with third party evaluation is carried out in order to compare the postpartum blood loss when Ren Mai 6 point is stimulated and when this point is not stimulated. Investigators focus on measuring the volume of postpartum blood during the third stage of labor and during the first two hours after birth. A significant reduction in the volume of bleeding would imply a reduction in the rate of postpartum hemorrhage (PPH) (more than 500 ml) and the rate of severe PPH (more than 1000 ml). The principal outcome of the study is the volume of postpartum blood, this volume is measured by the midwife who is responsible of the birth. Collection of lost blood is initiated immediately after birth of the baby by passing a blood collection drape under the woman's buttocks. The secondary outcomes are the influence of acupuncture in the placental expulsion time, and the influence of the predictor variables in the bleeding volume and in the placental expulsion time: primiparity or multiparity, number of gestation including abortions, doses of oxytocin during labor, maternal age, maternal weight in the beginning of the gestation, maternal ponderal gain during pregnancy, date of the last blood test during pregnancy and value of hemoglobin and hematocrit, spontaneous labor or induction by means of oxytocin or prostaglandins, spontaneous or artificial rupture of membranes, first stage of labor duration, second stage of labor duration, hours since rupture of membranes, hours since epidural analgesia, volume of serotherapy during labor, and newborn weight. Possible puerperal complications or security problems, the degree of Satisfaction of the Mother and the degree of ease with which the acupuncturist administered the treatment are also secondary outcomes.
Immunization injections are the most common recurring painful medical procedure undertaken in childhood. Numerous evidence-based and feasible interventions are available to mitigate immunization pain, however, there is low uptake of these interventions in clinical practice, revealing a knowledge-to-care gap between what is known about pain and pain management. This is a 4-year single-centre, randomized, parallel 3-group add-on trial that will enrol 3420 mothers hospitalized following the birth of an infant at Mount Sinai Hospital (MSH) in Toronto. The trial will evaluate and compare the impact of two levels of intensity of maternal education about pain management during infant immunizations ('low': pamphlet vs. 'high': pamphlet + video) compared to placebo control after the birth of an infant on maternal behaviour during future infant immunizations at up to 6 months of age (use of analgesic interventions), maternal knowledge and attitudes about pain and pain management up to 6 months after birth.
This project aims to analyze and compare the prevalence of breastfeeding at one hour after delivery, discharge from hospital, one month, two months, four months, and six months after delivery and to examine factors associated with breastfeeding between baby-friendly hospitals and non baby-friendly ones. Employing a prospective cohort design, the study population is mothers who gave lived births in Taiwan area from August, 2009 to March, 2010. At least 11 hospitals both in non baby-friendly and baby-friendly hospitals from northern, middle, southern and east areas will be asked for permission to join this study (totally 22 hospitals). The research assistants will contact each eligible participant in the hospitals and explained the purposes and procedure of the study. Once permission was obtained, mothers will be asked to write a questionnaire and their telephone numbers as well as address for future contacts. After the individual case returned home, the collection of data was mainly via telephone interviews. However, if the individual case could not be contacted more than two times via telephone, she would be surveyed by questionnaire. The collection of data showed the state of mother milk feeding one month, two months, four months, or six months after delivery. 1, 000 effective questionnaires were expected to be returned (500 ones from baby friendly hospitals; 500 ones, from non baby-friendly hospitals.) The survey include questions on breastfeeding experiences (one hour after delivery, discharge from hospital, one month, two months, four months, and six months), planned duration of breastfeeding, socio-demographic information, perceived baby-friendly practices at hospital, social support regarding breastfeeding, prior infant feeding method, maternal and infant health conditions, mother's working plan, receipt of formula samples and commercial message during perinatal period. The researcher hopes that based on the research results we can have a better understanding of the influencing factors of promoting mother milk feeding in non baby-friendly hospitals, and that we know how to raise the breastfeeding rate in Taiwan area, which can serve as references for the governmental policies.