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Childbirth In India
Childbirth practices in India are shaped by the prevalence of religious customs and joint-family living, India's young average population, the lower national average age at marriage, and disparities in social status and literacy between men and women. Inadequate maternal health care services in India are a result of poor organization, the huge rural-urban divide, and large interstate disparities coupled with stringent social-economic and cultural constraints. Social structure and organization The joint-family system is one of the basic features of Hindu social organization. Therefore, since Hinduism is the primary practiced religion in India, the joint-family system constitutes the majority of family structures in India.Driver, E. D. (1963). Differential fertility in Central India. Princeton: Princeton Univ. Press. The joint-family system is described as follows: “In structure, it comprises a married man, his father, his grandfather and his collaterals within three generations ...
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Extended Family
An extended family is a family that extends beyond the nuclear family of parents and their children to include aunts, uncles, grandparents, cousins or other relatives, all living nearby or in the same household. Particular forms include the stem and joint families. Description In some circumstances, the extended family comes to live either with or in place of a member of the immediate family. These families include, in one household or close proximity, relatives in addition to an immediate family. An example would be an elderly parent who moves in with his or her children due to old age. In modern Western cultures dominated by immediate family constructs, the term has come to be used generically to refer to grandparents, uncles, aunts, and cousins, whether they live together within the same household or not. However, it may also refer to a family unit in which several generations live together within a single household. In some cultures, the term is used synonymously with consa ...
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Uttar Pradesh
Uttar Pradesh ( ; UP) is a States and union territories of India, state in North India, northern India. With over 241 million inhabitants, it is the List of states and union territories of India by population, most populated state in India as well as the List of first-level administrative divisions by population, most populous country subdivision in the world – more populous than List of countries and dependencies by population, all but four other countries outside of India (China, United States, Indonesia, and Pakistan) – and accounting for 16.5 percent of the population of India or around 3 percent of the total world population. The state is bordered by Rajasthan to the west, Haryana, Himachal Pradesh and Delhi to the northwest, Uttarakhand and Nepal to the north, Bihar to the east, Madhya Pradesh, Chhattisgarh and Jharkhand to the south. It is the List of states of India by area, fourth-largest Indian state by area covering , accounting for 7.3 percent of the total ...
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Impurity After Childbirth
Impurity after childbirth is the concept in many cultures and religions that a new mother is in a state of uncleanliness for a period of time after childbirth, requiring ritual purification. Practices vary, but typically there are limits around what she can touch, who she can interact with, where she can go, and what tasks she can do. Some practices related to impurity after childbirth, such as seclusion, overlap with the more general practice of postpartum confinement. Practices by culture Ancient Greece The Ancient Greek philosopher Theophrastus compared the impurity of childbirth to the impurity of death. The entire household, all those who assisted at the birth, and the new baby incurred this impurity; this most likely ended with the ritual washing of hands at the , five to seven days later. The mother's purification may also have occurred then, or she may have remained heavily polluted until the , ten days after giving birth. A period of lighter pollution followed, during ...
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Postpartum Confinement
Postpartum confinement is a traditional practice following childbirth. Those who follow these customs typically begin immediately after the birth, and the seclusion or special treatment lasts for a culturally variable length: typically for one month or 30 days, 26 days, up to 40 days, two months, or 100 days. This postnatal recuperation can include postpartum care, care practices in regards of "traditional health beliefs, taboos, rituals, and proscriptions." The practice used to be known as "lying-in", which, as the term suggests, centres on bed rest. In some cultures, it may be connected to taboos concerning impurity after childbirth. Overview Postpartum confinement refers both to the mother and the baby. Human newborns are so underdeveloped that pediatricians such as Harvey Karp refer to the first three months as the "fourth trimester". The weeks of rest while the mother heals also protect the infant as Adaptation to extrauterine life, it adjusts to the world, and both learn th ...
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Postpartum Period
The postpartum (or postnatal) period begins after childbirth and is typically considered to last for six to eight weeks. There are three distinct phases of the postnatal period; the acute phase, lasting for six to twelve hours after birth; the subacute phase, lasting six weeks; and the delayed phase, lasting up to six months. During the delayed phase, some changes to the genitourinary system take much longer to resolve and may result in conditions such as urinary incontinence. The World Health Organization (WHO) describes the postnatal period as the most critical and yet the most neglected phase in the lives of mothers and babies. Most maternal and newborn deaths occur during this period. In scientific literature, the term is commonly abbreviated to P''x'', where ''x'' is a number; for example, "day P5" should be read as "the fifth day after birth". This is not to be confused with the medical nomenclature that uses G P to stand for number and outcomes of pregnancy ( gravidit ...
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Episiotomy
Episiotomy, also known as perineotomy, is a surgical incision of the perineum and the posterior vaginal wall generally done by an obstetrician. This is usually performed during the second stage of labor to quickly enlarge the aperture, allowing the baby to pass through. The incision, which can be done from the posterior midline of the vulva straight toward the anus or at an angle to the right or left (medio-lateral episiotomy), is performed under local anesthetic ( pudendal anesthesia), and is sutured after delivery. Its routine use is no longer recommended, as perineal massage applied to the vaginal opening, is an alternative to enlarge the orifice for the baby. It was once one of the most common surgical procedures specific to women. In the United States, as of 2012, it was performed in 12% of vaginal births. It is also widely practiced in many parts of the world, including Korea, Japan, Taiwan, China, and Spain in the early 2000s. Uses Vaginal tears can occur during c ...
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Postpartum Bleeding
Postpartum bleeding or postpartum hemorrhage (PPH) is often defined as the loss of more than 500 ml or 1,000 ml of blood following childbirth. Some have added the requirement that there also be signs or symptoms of low blood volume for the condition to exist. Signs and symptoms may initially include: an increased heart rate, feeling faint upon standing, and an increased breathing rate. As more blood is lost, the patient may feel cold, blood pressure may drop, and they may become restless or unconscious. In severe cases circulatory collapse, disseminated intravascular coagulation and death can occur. The condition can occur up to twelve weeks following delivery in the secondary form. The most common cause is poor contraction of the uterus following childbirth. Not all of the placenta being delivered, a tear of the uterus, or poor blood clotting are other possible causes. It occurs more commonly in those who already have a low amount of red blood, are Asian, have ...
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Childbirth Positions
Childbirth positions (or maternal birthing positions) are the physical postures that the pregnant mother may assume during the process of childbirth. They may also be referred to as delivery positions or labor positions. In addition to the lithotomy position (on back with feet pulled up), still commonly used by many obstetricians, other positions are successfully used by midwives and traditional birth-attendants around the world. Engelmann's seminal 1882 work "Labor among primitive peoples" publicised the childbirth positions amongst primitive cultures to the Western world. They frequently use squatting, standing, kneeling and all fours positions, often in a sequence. They are referred to as ''upright birth positions''. Understanding the physical effects of each birthing position on the mother and baby is important. However, the psychological effects are crucial as well. Knowledge about birthing positions can help mothers choose the option they are most comfortable with. Having ...
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Stillbirth
Stillbirth is typically defined as fetus, fetal death at or after 20 or 28 weeks of pregnancy, depending on the source. It results in a baby born without vital signs, signs of life. A stillbirth can often result in the feeling of guilt (emotion), guilt or grief in the mother. The term is in contrast to miscarriage, which is an early pregnancy loss, and sudden infant death syndrome, where the baby dies a short time after being born alive. Often the cause is unknown. Causes may include pregnancy complications such as pre-eclampsia and birth complications, problems with the placenta or umbilical cord, birth defects, infections such as malaria and syphilis, and poor health in the mother. Risk factors include a mother's age over 35, smoking, drug use, use of assisted reproductive technology, and first pregnancy. Stillbirth may be suspected when no fetal movement is felt. Confirmation is by ultrasound. Worldwide prevention of most stillbirths is possible with improved health syste ...
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Public Hospital
A public hospital, or government hospital, is a hospital which is government owned and is predominantly funded by the government and operates predominantly off the money that is collected from taxpayers to fund healthcare initiatives. In almost all the developed countries but the United States of America, and in most of the developing countries, this type of hospital provides medical care almost free of charge to patients, covering expenses and wages by government reimbursement. The level of government owning the hospital may be local, municipal, state, regional, or national, and eligibility for service, not just for emergencies, may be available to non-citizen residents. Americas Brazil The Brazilian health system is a mix composed of public hospitals, non-profit philanthropic hospitals, and private hospitals. The majority of the low- and medium-income population uses services provided by public hospitals run by either the state or the municipality. Since the inception of Consti ...
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Private Hospital
A private hospital is a hospital not owned by the government, including for-profit and non-profit hospitals. Funding is by patients themselves ("self-pay"), by insurers, or by foreign embassies. Private hospitals are commonly part, albeit in varying degrees, of the majority of healthcare systems around the world. United Kingdom In the United Kingdom private hospitals are distinguished from National Health Service (NHS) institutions. However, many National Health Service hospitals provide some privately funded care in Private Patient Units (PPUs), and are included as private hospitals for competition law purposes. As of December 2018, there were an estimated 556 hospitals with over 9,000 beds providing privately funded care in the UK, in addition to many more private clinics providing outpatient services. Around 812,000 privately funded admissions occurred in 2017, comprising same-day treatment ("day-case") or overnight stays ("inpatient"). Of these, 714,000 took place in indepen ...
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Epidural Administration
Epidural administration (from Ancient Greek ἐπί, "upon" + '' dura mater'') is a method of medication administration in which a medicine is injected into the epidural space around the spinal cord. The epidural route is used by physicians and nurse anesthetists to administer local anesthetic agents, analgesics, diagnostic medicines such as radiocontrast agents, and other medicines such as glucocorticoids. Epidural administration involves the placement of a catheter into the epidural space, which may remain in place for the duration of the treatment. The technique of intentional epidural administration of medication was first described in 1921 by the Spanish Aragonese military surgeon Fidel Pagés. Epidural anaesthesia causes a loss of sensation, including pain, by blocking the transmission of signals through nerve fibres in or near the spinal cord. For this reason, epidurals are commonly used for pain control during childbirth and surgery, for which the technique is c ...
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