...Absorbable Sutures versus Staples for Cesarean Sections Victoria Fath Kent State University Absorbable Sutures versus Staples for Cesarean Sections Introduction The Merriam-Webster Dictionary (n.d.) defines a Cesarean section as, "A surgical operation for giving birth in which a cut is made in the mother's body so that the baby can be removed through the opening." "Cesarean delivery is the most common major surgical procedure performed in the United States and elsewhere. Currently, approximately a third of pregnant women in the US and 15% worldwide deliver by cesarean, and this prevalence is on the rise" (Dana Figueroa et al., 2013, p. 33). Since Cesarean sections are incredibly common and are only increasing, the risks for complications, such as infections, increase with it. To try and decrease the risks as much as possible, this study aims to look at the differences between two types of closing material used in Cesarean sections; absorbent sutures and staples. Are absorbable sutures more effective and safer than staples for Cesarean sections? The purpose of this study is to compare absorbent sutures and staples for clients undergoing a Cesarean section and to see which material has a lesser risk for infection and wound complications, which is more cost effective for the hospital, and patient satisfaction. This paper will help shed light on this subject by compiling multiple research articles and journals to create a better understanding on which...
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...and village elders would come to be with the laboring mother and to help her through the process. Vaginal birth was not only considered the normal way of birth, it was also the only way of birth. Vaginal birth is no longer the only choice when it comes to delivering a baby. Cesarean deliveries (CDs) are now a lifesaving strategy. CD is a surgical procedure in which a doctor in an operating room makes an incision through the mother’s abdomen and down to the uterus. The baby is removed from the uterus and the uterus and abdomen are then closed with sutures. This takes place while the mother is awake and made numb from the waist down by either a spinal or epidural anesthetic. In emergency situations, a general anesthetic is used and the mother is put to sleep and is unconscious for the procedure. CDs were originally used to save the life of the mother, save the life of the baby or when a vaginal delivery wasn’t possible. Since the birth of CDs, they are now performed for more than just saving the baby’s or the mother’s life. “Cesarean delivery is the most frequently performed surgical procedure in the United States” (Campbell, 2011, p. 310). Women are choosing medically elective cesarean deliveries (MECDs) for a variety of reasons including fear of pain and the unknown, convenience, previous traumatic birth experiences, past abuse and wanting to have their...
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...practices of Somali women. These birthing practices vary from typical American birth practices in a variety of ways, including beliefs regarding cesarean sections, preferences for female care providers, issues surrounding infibulation, lack of prenatal care and education, religious influences, and views on pain, among a variety of other issues. It is important for nurses to be aware of cultural differences in order to provide culturally competent care to all women. Somalia is a country located on the horn of Africa. All Somalis share a uniform language, religion, and culture, unlike most parts of Africa. It is common for women to marry at a young age, and the ability to have many children is highly valued. It is estimated that the maternal mortality rate is 1,400 per 100,000 women, one of the highest in the world. Somalia’s lack of medical care during pregnancy and delivery contributes to their high infant and maternal mortality rates. The experience of pregnancy and the labor and delivery process in Somalia differs in many ways from that of women in the United States. It is important that health care providers in the United States are aware of these differences because 32% of the refugees in the U.S. are from Somalia, so it is likely that providers will care for a Somali female at some point in their careers. In Somalia, cesarean sections are rarely discussed and typically not performed (Ameresekere, et al., 2011). Somali women also feel that the entire labor process is rushed...
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...clinicians, and are not intended to reflect or establish a standard of care or to replace individual clinician judgment and medical decision making for specific healthcare environments and patient situations. Guideline for the Use of Oxytocin December 2012 INTRODUCTION The benefits of labor induction and augmentation must be weighed against the potential maternal and fetal risks associated with this procedure (1). The induction or augmentation of labor may increase the likelihood of neonatal complications or result in unnecessary cesarean section. These risks may be necessary to assume in complicated pregnancies, in which prolongation of gestation presents further risk to the mother or fetus. Prior to initiating oxytocin, the patient should be counseled about the indications for the use of oxytocin, the methods of administration to be employed, and the risks of failure, cesarean delivery, or fetal compromise. A physician capable of performing cesarean section should be readily available during the induction or augmentation of labor (2). UNIT STRUCTURE Each hospital’s department of obstetrics should develop a standardized, single, universal written protocol for the use of oxytocin for labor induction or augmentation. Standardization of an oxytocin infusion protocol is recommended to reduce medication dosing error and improve patient assessment. Elements of a protocol should include (2): Indications for the use of oxytocin for labor induction and augmentation. Methods for preparation...
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...The quality improvement project I chose to critique focused on decreasing the occurrence of postoperative surgical site infections following a cesarean delivery. This project was initiated in August 2014 at the hospital in which I am employed. It was started in response to our elevated number of surgical site infections. The rates of surgical infections had been slowly increasing over the previous year but stayed below our benchmark of 1 out of every 100 procedures. When our infection rate rose to 3.32, it was clear that an intervention needed to occur and the quality improvement project was launched. During this quality improvement initiative, a bundle of recommendations was created to address several areas of concern in regards to infection...
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...is to explain the how the medicalization has negative effects on the health of people- i.e. ‘the medical establishment has become a major threat to health’ and providing a dossier of medicine’s adverse effects – the wrongs and harms it has done – through processes of clinical, social and cultural ‘iatrogenesis’ or doctor-induced conditions, and finally (c) third is to explain the impact of the dominance of professional medical power on the people’s lives especially including women. This paper is mostly based on the secondary sources such as books, articles, journals, papers, reports etc. Besides this some data has been collected from online sources. Key words: Medicalization, De-medicalization, Re-medicalization, Power, Caesarean section delivery. INTRODUCTION The concept of...
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...Nursing 202: Scheduled Induction Mindy C. Grenade Bucks County Community College Spring, 2014 Ms. Bobbie Table of Contents Abstract 3 Body of paper Introduction 4 History 4 Techniques 6 The Bishop Scoring System 7 Indications 8 Contraindications 10 Risks 12 Nursing 12 Conclusion 15 References Abstract Inducing labor has been occurring since before our time. There are two types of labor inductions, scheduled and elective. For purposes of this paper scheduled inductions will be focused on. A scheduled induction is defined as using artificial methods to start the labor process at a specific time. Inductions are performed for many reasons. In most cases scheduled induction are performed because of medical complications to the baby and/or mother. In healthcare, there has been an increase in incidence regarding scheduled inductions related to convenience for the mother as well as for the doctors. To better understand the complexity of scheduled induction the history has to be addressed. What is the reasoning behind changing the natural birthing process? This paper will explain the methods of induction: pharmacological vs. mechanical, and the indications thereof. Nurse’s play a key role in labor and delivery. They have to be prepared to address and treat their patients’ condition, as well as be knowledgeable on the contraindications of this delicate...
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...Case 1: Is It Permissible to Shut Off this Pacemaker? The following case is based on a real clinical dilemma that led to a request for an ethics consultation. Some details have been changed to preserve patient privacy. The goal of this column is to address ethical dilemmas faced by patients, families and healthcare professionals, offering careful analysis and recommendations that are consistent with biblical standards. The format and length are intended to simulate an actual consultation report that might appear in a clinical record and are not intended to be an exhaustive discussion of the issues raised. Case: Dorthea is a 69-year-old woman who was well and active until about five years ago when she developed diabetes. She was admitted to the hospital 18 months ago with recurrent fainting and was found to have an intermittent transient heart block1. She reluctantly consented to insertion of a permanent pacemaker. Three months ago her kidney function was found to be diminished to about 10% of normal, probably caused by her diabetes. It was expected that she would soon require dialysis. However, her kidney function has since improved so that dialysis will not likely be needed for some time. She has since said she would refuse dialysis even if it were needed, and she has refused treatment of her profound anemia. She did consent to a colonoscopy last month to see if she had cancer (malignant change was found in one small area, presumably cured)...
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...chronic, and lasting a month or more, or it can be mild or aseptic. Acute bacterial meningitis is the most common form of meningitis.Meningitis is a disease that can be passed from person to person (contagious). It is caused most often by viruses or bacteria that infect the tissues, meninges and sometimes the fluid (cerebral spinal fluid, or CSF) that surround the brain and spinal cord. Organisms that cause meningitis can be passed from one person to another or passed from rodents and insects to people. But exposure to an organism that causes meningitis does not mean you will get the infection. During birth, a mother can pass organisms that cause meningitis to her baby even if the mother does not have symptoms. Delivering a baby by cesarean section rather than through the birth canal does not always protect the baby from getting the infection. Both bacteria and viruses can be transmitted this way. Through stool, stool could have enteroviruses or certain types of bacteria in it. Washing hands on a regular basis can help prevent you and your children from getting infected this way. More children than adults get meningitis this way. Through coughing and sneezing. Infected people can pass certain bacteria that are normally found in saliva or mucus in their noses and throats. Through kissing, sexual contact, or contact with infected blood. The human immunodeficiency virus (HIV) also can cause meningitis and can be passed from an infected person to another person through blood or...
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...is to strengthen the platform from which nurses make better decisions, plans, and evaluations of patient outcomes. In order to do that, enhanced knowledge is required.” (Hood & Leddy, 2006, para. 1) Baccalaureate prepared nurses are trained and prepared to practice in all health care settings which not only include inpatient care but also outpatient care, public health, mental health and critical care areas. Because health care is moving into a direction of more preventative services, it is important to be BSN prepared so that the nurse is able to make quick decisions and provide well rounded and exceptional care to each patient they are in contact with. According to the American Association of Colleges of Nursing it states, “At increasing numbers of hospitals nationwide, baccalaureate-prepared nurses are being utilized in ways that recognize their different educational preparation and competency from other entry-level RNs.” ("A Model for Differentiated Nursing Practice," 1995, p. 26-29) With this in mind, BSN nurses are providing much more complex aspects...
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...Directly Affects the Knowledge and Competency of the Clinical Nurse Abstract The level of education and the resulting competency levels have been an area of debate throughout the history of formalized nursing education. This is evident in the increased patient acuity and call for shorter hospitalizations. Many hospitals have taken this need a step further and are presently encouraging staff to further their education to the baccalaureate level. Clinical situations have demonstrated the use of critical thinking and increased competency utilized in everyday patient care. Higher levels of communication and problem solving skills are key competencies that contribute to the positive outcomes and increased patient safety. With the increasing needs for baccalaureate prepared staff, many hospitals are taking steps to ensure educational opportunities for advancement are available and attainable. Nursing and the method of education has been a source of controversy since the development of ADN and the BSN prepared programs. In March 2007, the American Association of Colleges of Nurses released an updated statement supporting the belief that the level of education directly affects the knowledge and competency of the clinical nurse. AACN professes that nurses with Bachelor of Science in nursing degrees are well-prepared to meet the demands placed on today’s nurse. The skills of critical thinking, leadership, case management, and health promotion are just a few of the skills required...
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...What is a cystocele? A cystocele occurs when the wall between a woman's bladder and her vagina weakens and allows the bladder to droop into the vagina. This condition may cause discomfort and problems with emptying the bladder. * Occurs when the wall between the wall between a women’s bladder and vagina weakens and the bladder falls into the vagina * Grade 2 and 3 cystocele can be seen by the doctor * Grade 1 may require an xray called a cystourethrogram * A cystourethrogram views the bladder while urination occurs allowing the doctor to observe any blockages A bladder that has dropped from its normal position may cause two kinds of problems -- unwanted urine leakage and incomplete emptying of the bladder. In some women, a fallen bladder stretches the opening into the urethra, causing urine leakage when the woman coughs, sneezes, laughs, or moves in any way that puts pressure on the bladder. A cystocele is mild -- grade 1 -- when the bladder droops only a short way into the vagina. With a more severe -- grade 2 -- cystocele, the bladder sinks far enough to reach the opening of the vagina. The mostadvanced -- grade 3 -- cystocele occurs when the bladder bulges out through the opening of the vagina. A cystocele is a fallen bladder, which occurs when the wall between a woman’s bladder and her vagina is torn by childbirth, resulting in the bladder bulging or dropping towards the vagina. Cases range from mild to severe and treatment usually depends on the severity...
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...Running head: ALTERNATIVE MEDICINE - HEALTHCARE Special CCN [Name of writer] [Name of institution] Special CCN Introduction Ms Angie Taylor whose age is around 48years old had a car accident 15 years back. She is suffering from severe complications after an accident as she had never such a relevant past history. Her case study needs a thorough analysis which can be done through answering some important questions keeping in view the case study of Ms Angie Taylor. There are some important questions and queries in this case which needs to be resolve through proper analysis of the case study of Ms Taylor by looking at the literature. There are many complications seen in the case of Ms Angie Taylor, therefore it is very much essential to address all the questions regarding the case study of Ms Angie Taylor. Epidural infusion for pain relief in the post operative care of Ms Taylor Epidural infusion of pain relief in the post operative care can be define as the supervision in the epidural space of Opioid analgesics, mixture of opioid analgesics and local anesthetics, local anesthetics and it also supervise into many Alpha-2 agonists, for example, as an add-on to epidural clonidine might be seen in future. For pain relief in the post operative care of Ms Taylor, the use of epidural infusion can be very much effective. If it is taken as the pain reliever in the post operative care then it can be very much useful to reduce the pain. After the operation...
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...to absorb and use glucose (sugar) as fuel for the body’s cells. Without a properly functioning insulin signaling system, blood glucose levels become elevated and other metabolic abnormalities occur, leading to the development of serious, disabling complications (www.Healthypeople.gov ). The 3 common types of diabetes are Type 1 which is the results when the body loses its ability to produce insulin, type 2 which is the results from a combination of resistance to the action of insulin and insufficient insulin production, and the third type of diabetes is Gestational diabetes, a common complication of pregnancy. Gestational diabetes can lead to prenatal complications in mother and child and substantially increases the likelihood of cesarean section. Diabetes affects an estimated 23.6 million people in the United States and is the 7th leading cause of death (Centers for Disease Control and Prevention). More than 25% of the U.S. population aged 65 years or older has diabetes (Centers for Disease Control and Prevention), and the aging of the...
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...Introduction “Hospitals in Early America were founded to shelter older adults, the dying, orphans, and vagrants and to protect the inhabitants of a community from the contagiously sick and the dangerously mental ill.” Hospitals were not utilized by the general public and were thereby, poorly staffed, dirty and contaminated. (Sultz). Hospital Care is the most efficient way to detect chronical illness. They have all the machine and technology to be able to identify and find a disease. They can store files, that can pinpoint patients records, so that they can be care for their patients. Historical development Medicine has a history spanning many thousands of years and specialized establishment for treating the sick have also existed for a long period of time. Even though hospitals functions have not changed much over the last century, technological and scientific process has made possible treatment approaches that could not have been made 100 of years ago. and have made a huge contribution to healthcare. The main differences between hospitals today and a century ago are improved surgical techniques, safer use of anesthesia, and safer childbirth procedures. Today, many people take anesthesia for granted and people can't imagine having surgery without it, anesthetics are widely used and even with minor surgery it is done with the application of these drugs. They have become less dangerous and the control over their usage is applied effectively. Another significant achievement...
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