Audit of caesarean section for non-progress of labor

Background: There is alarming increase in the number of caesarean section in the recent past years and many of the indications are due to non-progress of labor. The aim of the present study is to evaluate various parameters and associated factors responsible for non-progress of labor and to study the neonatal outcome.Methods: Retrospective analysis of 42 emergency cases leading into caesarean section for non-progress of labor was done. Factors like age, parity, gestational age, duration of prolong labor, maternal and neonatal outcome was analyzed.Results: In our study mean age of the women who underwent caesarean section for non-progress of labor was 25 years±2.26. When the duration of labor was analyzed, maximum cases i.e. 60% non-progress of labor is seen in active phase, 30% cases had prolonged latent phase of labor, arrest of descent in 10% .There were 14 babies who were shifted to NICU, out of them 10 babies had Apgar score <7. Average baby weight was 2689grams±446.60. Median range of birth weight was 2800 grams.Conclusions: Maximum cases 60% were in active phase, 10% with non-progress in second stage of labor. Out of total cases, 33% of newborns had NICU admission, out of them 16% had poor Apgar score but rate of NICU admission due to non-progress of labor remained same. Hence early decision making in caesarean section will help in preventing neonatal complication. There was no neonatal mortality observed in the study

Links Between Maternal Emotion Socialization Goals and Practices in an Urban Indian Context

Socialization goals and practices are shifting and changing in countries like India due to modernization, particularly in urban context. Given the shift, mothers may endorse balanced socialization goals over traditional relational goals and that may influence their emotion regulation behavior with the toddlers. This paper aims to test whether mothers’ emotion socialization practices toward their toddlers differ with reference to their socialization goals for both positive and negative socially disengaging and engaging emotions. Fifty mothers of toddlers (M = 25 months) from Vadodara, India, participated in the study. They answered the Emotion Socialization Goals Questionnaire (Chan et al., 2006) and were interviewed about their emotion regulation practices. Results indicated that the majority (58%) of Indian mothers showed clear preference for endorsing balanced goals. As expected, mothers with relational goals endorsed more non-supportive strategies like training, especially for negative socially disengaging emotions. No differences occurred for positive emotions. The findings are discussed with respect to the various emotion competence models that are present in the Indian cultural context

Emotion Socialization in the Indian Cultural Context

The social cultural norms that guide parental practices regarding emotion socialization are determined by cultural meanings ascribed to emotion, emotion expression, regulation, and larger socialization goals. The majority of the empirical research on emotion socialization has been carried out in the US and in Western European countries. The current article aims at understanding emotion socialization in the Indian context interweaving broader views on parenting and socialization, socialization goals, and ancient and modern emotion concepts that shape emotion socialization in India. The heterogeneity of the Indian culture as well as modernization processes that influence these practices suggest heterogeneity of emotion socialization across contexts (e.g., rural-urban; multiple caregiver models)

Audit of caesarean section for non-progress of labor

Background: There is alarming increase in the number of caesarean section in the recent past years and many of the indications are due to non-progress of labor. The aim of the present study is to evaluate various parameters and associated factors responsible for non-progress of labor and to study the neonatal outcome.Methods: Retrospective analysis of 42 emergency cases leading into caesarean section for non-progress of labor was done. Factors like age, parity, gestational age, duration of prolong labor, maternal and neonatal outcome was analyzed.Results: In our study mean age of the women who underwent caesarean section for non-progress of labor was 25 years±2.26. When the duration of labor was analyzed, maximum cases i.e. 60% non-progress of labor is seen in active phase, 30% cases had prolonged latent phase of labor, arrest of descent in 10% .There were 14 babies who were shifted to NICU, out of them 10 babies had Apgar score &lt;7. Average baby weight was 2689grams±446.60. Median range of birth weight was 2800 grams.Conclusions: Maximum cases 60% were in active phase, 10% with non-progress in second stage of labor. Out of total cases, 33% of newborns had NICU admission, out of them 16% had poor Apgar score but rate of NICU admission due to non-progress of labor remained same. Hence early decision making in caesarean section will help in preventing neonatal complication. There was no neonatal mortality observed in the study

Death Anxiety, Religiosity and Culture: Implications for Therapeutic Process and Future Research

Death anxiety is a common phenomenon that humans experience. It is multidimensional. There has been an upsurged interest around the discussion on death anxiety across the globe, however, much of the literature focuses on the concept of death anxiety, religiosity, and its role in mental health conditions. Further, studies on death anxiety are scattered and at times disconnected. It is important to review existing literature to get an overview of the current direction in research and understand its relevance to facilitate therapeutic processes. In this scoping review, literature was searched in databases such as PubMed, Scopus, and PsychINFO using key words such as “death anxiety”, “fear of death”, religion”, “culture”, and “psychopathology” combined with Boolean operators to narrow down the search results. The initial search yielded 614 records, of which 546 records were removed based on title review (363), abstract review (94), and full-text review (89). Finally, 68 articles were appraised, narratively synthesized, and thematically presented. Major themes revealed in the literature were theoretical frameworks of death anxiety, religiosity, universality, psychological effects of death anxiety, psychopathology, and religious coping strategies. There is a need to assess client’s death anxiety and address them using religious rituals and coping mechanisms

Death Anxiety, Religiosity and Culture: Implications for Therapeutic Process and Future Research

Death anxiety is a common phenomenon that humans experience. It is multidimensional. There has been an upsurged interest around the discussion on death anxiety across the globe, however, much of the literature focuses on the concept of death anxiety, religiosity, and its role in mental health conditions. Further, studies on death anxiety are scattered and at times disconnected. It is important to review existing literature to get an overview of the current direction in research and understand its relevance to facilitate therapeutic processes. In this scoping review, literature was searched in databases such as PubMed, Scopus, and PsychINFO using key words such as &ldquo;death anxiety&rdquo;, &ldquo;fear of death&rdquo;, religion&rdquo;, &ldquo;culture&rdquo;, and &ldquo;psychopathology&rdquo; combined with Boolean operators to narrow down the search results. The initial search yielded 614 records, of which 546 records were removed based on title review (363), abstract review (94), and full-text review (89). Finally, 68 articles were appraised, narratively synthesized, and thematically presented. Major themes revealed in the literature were theoretical frameworks of death anxiety, religiosity, universality, psychological effects of death anxiety, psychopathology, and religious coping strategies. There is a need to assess client&rsquo;s death anxiety and address them using religious rituals and coping mechanisms

Percutaneous angio-embolization of a post laparoscopy complex utero-adenexal vascular malformation

Vascular abnormalities are uncommon causes of uterine bleeding. Laparoscopic surgeries, however, require expertise and improper techniques can lead to major vascular complications. We report an unusual case of utero-adenexal arterio- venous fistula with arterio - venous malformation due to pelvic trauma caused during laparoscopic sterilisation procedure, which was treated by percutaneous embolisation technique. To the best of our knowledge, this is the first documentation of such a complex vascular injury caused by laparoscopic sterilisation and its endovascular managemen

Percutaneous angio-embolization of a post laparoscopy complex utero-adenexal vascular malformation

Vascular abnormalities are uncommon causes of uterine bleeding. Laparoscopic surgeries, however, require expertise and improper techniques can lead to major vascular complications. We report an unusual case of utero-adenexal arterio- venous fistula with arterio - venous malformation due to pelvic trauma caused during laparoscopic sterilisation procedure, which was treated by percutaneous embolisation technique. To the best of our knowledge, this is the first documentation of such a complex vascular injury caused by laparoscopic sterilisation and its endovascular management