Material and methods: Placentas at term were obtained immediately after cesarean delivery. Three biopsies per placenta were taken from the maternal basal surface in the delivery room. Specimens from peripheral ramifications of the villous tree (especially immature intermediate and terminal villi) were processed through conventional procedures of transmission electron microscopy and opportunely ...

Heart rate and oxygenation status are essential to the delivery room assessment of newborn infants. Pulse oximetry (PO) can capture these two variables but low peripheral perfusion, patient motion and the presence of ambient lighting can challenge the technology. New generation pulse oximeters claim to measure through these conditions. The objective of this study was to assess the performance o...

BACKGROUND Manual ventilation in the delivery room is provided with devices such as self-inflating bags (SIBs), flow-inflating bags, and T-piece resuscitators. OBJECTIVE To compare the effect of type of manual ventilation device on overall response to resuscitation among preterm neonates born at < 35 weeks gestation. METHODS Retrospective data were collected in 2 time periods. Primary outco...

BACKGROUND Poor quality of care at health facilities is a barrier to pregnant women and their families accessing skilled care. Increasing evidence from low resource countries suggests care women receive during labor and childbirth is sometimes rude, disrespectful, abusive, and not responsive to their needs. However, little is known about how frequently women experience these behaviors. This stu...

OBJECTIVE A cesarean section (C-section) is performed to deliver a baby through the mother's abdomen. In recent years, the rate of incidences requiring a C-section is steadily increasing all over the world. Advanced maternal age, chronic health problems, multiple pregnancies as a result of the development of assisted reproductive technologies, and an insufficient supplementary health network ca...

background: women's dissatisfaction with childbirth experience may have immediate and long-term effects on their health and relationship with infant. there is not enough documented researchs in this area. the aim of this study was to evaluate effects of li4 acupressure on delivery satisfaction in women referring to fatemieh hospital in shahroud.  methods: in this experimental study 100 women in...

BACKGROUND There is little evidence to compare the effectiveness of large collaborative quality improvement versus individual local projects. METHODS This was a prospective pre-post intervention study of neonatal resuscitation practice, comparing 3 groups of nonrandomized hospitals in the California Perinatal Quality Care Collaborative: (1) collaborative, hospitals working together through fa...

AIM In 2005, we changed our minimally invasive departmental policy for infants born before 26 weeks of gestation to a proactive approach. This included structured guidelines as well as intubation and surfactant in the delivery room, if the parents agreed. The aim of this study was to evaluate the effect of this change of policy. METHOD We compared the Ages and Stages Questionnaire (ASQ) score...

BACKGROUND Studies introduce maternal and neonatal safety phenomena as important challenges to the public health, particularly in low-income countries. However, few researches are conducted on the identification of safety issues in maternity hospitals in Iraq. It was the first study on nurses' perspectives on safety issues in Kurdistan, Iraq. OBJECTIVES The current study aimed to describe nur...

BACKGROUND Stabilization and resuscitation of a newborn infant is a complex activity that involves multiple team members. Neonatal intensive care units (NICU) participating in the Vermont Oxford Network (VON) iNICQ 2012 quality improvement collaborative reported on delivery room care policies and guidelines and submitted information on up to 10 consecutive deliveries attended by NICU team membe...