4^th International Conference on Midwifery and Womens Health October 15-16, 2018 Athens, Greece

Biography:

Professor Zavos is recognized worldwide as a leading researcher and a strong authority in the areas of male reproductive medicine, gamete physiology, male infertility, Andrology and other ART procedures including the development of in-vitro round spermatid manipulations (ROSI procedures). Dr. Zavos is also recognized as an international authority on cloning, SCNT and embryonic stem cells, pioneering the creation of the first cloned embryos and transfering them in women for reproductive purposes. He is also known for his pioneering work on many other aspects of reproductive medicine and smoking and its effects on human reproductive performance.

Abstract:

Approximately 1 in 20 young men today have sperm counts low enough to impair fertility, whereas this may not have been the case historically. The cause(s) of such a decline in male reproductive health is unknown, despite it being a global health issue. Concomitantly, little progress has been made in answering fundamental questions in andrology or in developing new diagnostic tools or alternative management strategies to various assisted reproductive technologies (ARTS) along with intra-cytoplasmic sperm injection (ICSI) modalities in infertile men. Male infertility is part of a very dynamic and yet rapidly growing health industry and the ART market is a worldwide, highly innovative, multi-billion dollar enterprise. Combined with the fact that reproductive medicine is newsworthy and rapidly captures the attention of the general public, the perception from the non-clinical world is that all is well in the world of male reproduction. However, this is merely an illusion. Numerous basic clinical and scientific questions in andrology remain unanswered—some for over half a century. A sentinel example is the lack of any real progress in developing robust methods for objective semen analysis, despite it being the cornerstone of routine male infertility investigations. If a simple diagnosis cannot be correctly identified, then how can we progress? These limitations have been well rehearsed elsewhere but do not diminish our collective universal failure in this area. Moreover, diagnostic tools/treatments are introduced too fast and usually without proof of their efficacy. A recent assessment demonstrated that the overwhelming majority of ‘add ons’ in ART (including andrology examples) had no robust evidence to support their use is damning in this respect. To a large extent, this situation is simply a consequence of our continuing ignorance about male infertility, as it creates a vacuum that encourages the premature introduction of new putative diagnostic assays and/or treatments because there is nothing else to offer the patients. Couples seeking assistance in attempting to procreate via ART because the male partner has poor semen quality are likely to grasp at any new initiative, irrespective of cost, and are in no position to judge the benefits or efficacy of such efforts. The paucity of effective non-ART treatments for male infertility, at least since 1992, simply adds to the pressure. We are at the cross-roads of many challenges for treatment of male infertility and we must take a giant step in gaining better understanding of the problems which can lead to huge potential benefits, into the male’s reproductive health!

Biography:

Panagiotis Christopoulos holds a MSc and a PHD degree fron University of Athens, as well as an International Fellowship on Pediatric and Adolescent Gynecology (IFEPAG) from FIGIJ. He is the Scientific Director of “Healthy Lady”  Ob/Gyn and Womens Health Medical Center. He acts as the European Coordinator of Pediatric – Adolescent Gynecologists.

He has published more than 50 papers in Scientific journals and is an editorial board member of several Medical Journals. He is a member of several National and International Medical Sociaties and the winner of 4 prizes and awards. 

Abstract:

Aesthetic gynecology is a field with increasing patient interest and demand. It encompasses procedures designed to change aesthetic and/or functional aspects associated with congenital abnormalities or course-of-life women's genital changes.

An increasing number of patients who are concerned about their genital appearance are searching for more information and well trained gynecologists, who are in position to offer genital cosmetic solutions.

Nowadays, only few obstetricians and gynecologists have the required skills and experience to provide such services, as there are only few specific postdoc training programs.

Cosmetic gynecology includes multiple surgical treatments, such as labiaplasty, vaginoplasty, clitoral hoodectomy, hymenoplasty, labia majora augmentation, G-spot amplification ect. Non-surgical procedures have substantially increased in popularity and look as safe alternatives, but with questionable results.  

This presentation aims to increase knowledge, regarding surgical and non-surgical techniques of Cosmetic Gynecology, as it becomes more popular among women. Surrounding controversies regarding clear indications and lack of safety data, regarding long-term benefits and harms of these treatments will also be mentioned. 

Biography:

Natsuko Hiramoto graduated from Hiroshima University and then qualified as a registered physical therapist in Japan. She has been working at Hiroshima International University and completed her PhD at the age of 36 years from this university. She is an executive committee member of the Japanese Physical Therapy Association section for Women’s and Men’s Health. She has published more than 10 papers in reputed journals and 4 books about women’s health for Japanese physical therapists.

Abstract:

The purpose of this study was to compare the spinal curvatures and postural characteristics of postpartum women with non-parous women.

Twelve women at 2–12 months post-childbirth comprised the study group, and 10 non-parous women volunteers comprised the control group. Spinal curvatures were measured with the Spinal Mouse® to calculate the means for sacral inclination, thoracic and lumbar curvature and inclination. Groups were compared using the paired-t test.

The mean age, height and body weight of the postpartum women were 32.0 ± 3.2 years old, 157.9 ± 4.5cm, and 48.8 ± 5.3kg, and were 8.0 ± 1.7 months postpartum. Those of the control group were 32.3 ± 3.7 years old, 158.4 ± 7.7cm, and 50.3 ± 6.1kg. There were no significant differences in age, height or body weight between the two groups.

For postpartum women, the means of the calculated spinal curvatures were: sacral inclination 10.0 ± 3.8°, thoracic curvature 42.6 ± 7.8°, lumbar curvature -25.3 ± 4.8° and inclination -2.9 ± 2.8°. The sacral inclination 18.6 ± 4.2°, thoracic curvature 40.4 ± 8.1°, lumbar curvature -34.6 ± 5.2° and inclination-1.2 ± 2.1° were determined for the control group. There were significant differences found in sacral inclination and lumbar curvature between the study group and the control group (p <0.05).

In this study, postpartum women showed a flat lumbar spinal curvature or decreased lumbar lordosis and sacral posterior inclination, and these spinal curvatures may be caused by the dysfunction of trunk muscles related to the pregnancy or delivery. (Up to 250 words 248)

Biography:

Mrs. Anagnostou completed her medical studies at the University of Athens in 2012. After her graduation she moved to Germany and worked as a resident doctor in Paediatrics in Klinikum Hanau (2013- 2015), Klinikum Aschaffenburg-Alzenau (2015-2017), and University Hospital of Frankfurt (2017 until present). In March 2018 she succesfully finished her specialisation in the field of paediatrics. Since July 2015, Mrs. Anagnostou has been a PhD-Student under the supervision of Prof. Rolf Schlößer, Director of the Neonatology Department at the University Hospital in Frankfurt. The focus of her study is neonatal rehospitalisations and the factors associated with them. 

Abstract:

Background: The decreasing length of postnatal hospital stays over the years requires close monitoring of newborns by paediatricians and midwives. Little is known about the reasons leading to neonatal readmissions and their outcomes.

Objective: To examine the factors associated with early neonatal rehospitalisation and indentify predictive parameters.

Methods: Newborns admitted to a paediatric clinic in the Rhine - Main area during a 10-year-period (2004-2013) were retrospectively analysed based on their medical files.

Results: A total of 2851 newborns was recorded. 72 % were delivered by vaginal birth. During the 10-year-period, there was a certain fluctuation, but without a significant trend in the number of admissions per year (p = 0.062). Jaundice was the most frequent main diagnosis (27 %), followed by newborn infection (12.4 %), and feeding problems (12.3 %). Between October and March jaundice was more frequent than between April and September (29.0 % vs. 24.5 %, p < 0.001). "ALTE"/apnoea/cyanosis was the sixth most frequent diagnosis at 7.9 %. Newborns exclusively breastfed had fewer feeding problems than newborns with a mixed or  an exclusively formula based diet (p < 0.001).

Conclusions: Hospital readmissions of newborns throughout the years did not increase. The most frequent reasons for neonatal hospital readmissions are jaundice (more frequent in winter than summer) and newborn infection. Due to the retrospective character of the study, a clear statement as to whether hospitalisation can be prevented with more intense preventative measures is not possible. A prospective study in this matter is being planned. 

Biography:

Abstract:

Researchers from all over the world, in the fields of medicine, biochemistry, physiology, genetics, epigenetics and psychology have shed a new light on prenatal life, from conception to birth, acknowledging the importance of this period for the health, psychological balance and creative potential of tomorrow’s adults.                                                                                                                                                                                                                                                                                                                                   In the womb, the baby receives physical, psychological and spiritual information that contributes – as much as the genetic material received at conception – to the formation of the human being he or she is becoming. A person’s lifelong health, inner balance and cheerfulness, his or her soul’s aptitude to give and receive love, as well as character traits such as intelligence, skills, gifts, and virtues depend on those nine months. Once born, and throughout life we unconsciously draw from the molecular information gathered during these months! Even the capacity for self-love, for loving others as well as nature and life, takes root in this initial period.

 The formation and programing of our circulatory, nervous, hormonal, immune, digestive, muscular and skeletal systems are established in the womb. It is there that their good development has to be ensured.  The mother is constantly transmitting her blood and also her energy to the baby: her thoughts, her emotions and what she lives are translated from her blood’s biochemistry directly to the baby as valuable information. The baby’s cells and organs record everything. These memories, these imprints become programs and have a lifelong influence on the person’s mind and character.

A background of pessimistic thoughts, relentless stress or sadness in a pregnant mother will predispose, her child to develop a sad and pessimistic temperament, diminishing his or her desire to live and communicate with others. Aggressiveness, anti-social behavior and self-destructive tendencies often then develop. On the other hand, when an expectant mother is optimistic, hopeful, loving, good humored and lives a harmonious existence, she generates imprints that convey an optimistic, joyous, altruistic and creative temperament to her child who will be able to develop a pacific and convivial attitude, thus succeeding in expressing inner treasures and wonderful aptitudes.

As body and mind are interdependent, what the mother lives becomes the biology of the fetus.

“Nine months are enough to change the world!”, mothers and midwives from Spain say.

Understanding the depth of this truth is extremely significant and implies a powerful role of the parents in their children’s formation and consequently of the midwives guiding them.

             The ten golden rules that follow are a simple and precious gift for future parents and midwives advising some practical and primal information, concerning health of body and mind! It transmits a more constructive way of life, filled with love, beauty, art, music, enthusiasm and positivity. I hope you’ll appreciate them.

Biography:

Ms. Winifred Mardenborough –Razack  has completed her Master is Public health  at the age of 47 years from the St Georges University. She completed internship at the CARICOM Secretariat in the Health Department where her primary task involved a critical analysis of the Midwifery curriculum for Nursing programmes in the region.She is a lecturer in the Department of Public Health at the University of Guyana . She has published an abststract with the CICAD on the Risk and protective factors associated with adolescent Drug abuse in Grenada.

Abstract:

Strategies used to diagnose and manage post- partum depression among high risk mothers attending the high risk clinics in at the Mackenzie Hospital Complex: Studies suggest that the incidence of PPD varies with the population (Earls, 2010; Vigod,2010). 10 - 25% of  young  mothers may experience PPD (Ikeda,2013).  Evidence suggest 16% of  high risk mothers enrolled at the  Mackenzie hospital high risk antenatal clinic reported symptoms of  major depressive episodes. (Razack et al, 2014). The institutional stratagies used by the staff to diagnose PPD has not been identified.This study aims to determine stratighes implemented at the Linden hospital complex to manage post- partum depression among high risk mothers and produce evidence for advancement . A quantitative, cross-sectional study of 56 staff members and 37 high risk mothers was analyzed through the SPSS software version 20,using descriptive statistics and ANOVA.

Findings revealed no signifincant differences in staff’s training to diagnose PPD (p 0.16). Significant differences emerged in the staff’s perception of the incidence of PPD. (P .069 ), mothers’ EPDS scores and their  family support (p .051), financial support (p .058) and the mother to child relationship (, p 083). There is some evidence of staff training to recognize PPD in high risk mothers, however, the majority feel that it is inadequate.

Biography:

Dr Eleni Hadjigeorgiou joined the Cyprus University of Technology in 2009. She is a scientific personnel, midwifery educator at the Department of Nursing. She was a midwifery educator in Nursing and Midwifery School from 1999 until 2009. Dr Hadjigeorgiou has received her PhD from the Cyprus University Of Technology in cooperation with Middlesex University, UK, and SKOVDE University Sweden, a Master’s degree in Midwifery Education, BSc (Hons) in Nursing and a Diploma in Nursing and in Midwifery. She is a registered Midwife and served as a Board member of the Cyprus Nurses and Midwives Association and Nursing and Midwifery Council

Abstract:

Introduction: Maternal mental health has received increasing research interest as it has direct impact of the mother and the fetus/neonates health. Many psychosocial risks factors have been found to have a negative impact on mothers – child bonding, obstetric and neonatal outcomes.

Aim: To investigate the psychosocial factors that may affect pregnant women in public hospitals of Cyprus Republic and examine the value of KINDEX questionnaire in the daily practice of health professionals providing prenatal care.

Method: Mixed Method study. Quantitative: using the KINDEX questionnaire. N=300 pregnant women were interviewed in the public hospitals of Cyprus Republic. Qualitative: 9 midwives contacting the interviews wrote reflective diaries, and thematic analysis was conducted.

Results: Comparisons between high-risk pregnancies and low-risk pregnancies in relation to the KINDEX sum score and the perceived stress of the mother as assessed by the perceived stress scale (PSS-4) was examined. KINDEX sum score was significant higher in women with fears of financial difficulties in the future and in women experiencing intimate partner violence (IPV). From qualitative three main themes identified: Theme 1: Health professionals should have the ability to identify psychosocial factors that affect pregnant women’s and babies’ health. Theme II: Feasibility of the interview. Theme III: Partnership between woman and health professionals.

Conclusion: KINDEX questionnaire is a valid prenatal screening tool for identification of psychosocial risks. Health professionals should have the opportunity to use a screening test and provide evidence based, cost effective, and human rights oriented mental health and social care services. Policy makers should create strategies for promotion of psychosocial well-being of mothers during pregnancy.

Biography:

Abstract:

Biography:

Dr. Amr I.M. Hawal has his expertise in evaluation and passion in improving the health and wellbeing. His open and contextual evaluation model based on responsive constructivists creates new pathways for improving health care specially in Neonatology field. He has built this model after years of experience in research, evaluation, teaching and administration both in hospital and education institutions. Our case presentation was done in one of the biggest & modern of art & advanced NICU based on tertiary generation level in the region (Latifa Hospital, DHA, Dubai, UAE).

Abstract:

Biography:

Andi Fajrin Permana is currently studying as master student in Salford University Manchester in School of Health and Social Worker specifically in nursing. Andi Fajrin Permana has been awarded as Goverment Scholarship Awardee since his first degree in Indonesia until now. Andi Fajrin Permana is focusing into nursing management and evidence-based practice application in Indonesia. He is a registered nurse in Indonesia.

Abstract:

The level of the nosocomial infection in the care room 1 of Hasanuddin University Hospital shows a value of 5,56% in the fourth quarter of 2014 indicated the higher value compared to the standard Decision of the Health Minister (DHM) No. 129 of 2008, which is < 1.5%. Some effort to prevent it, is the management implementation of the primary team task method and the study of the nurses’ experiences about the patient safety. The aim of the research is to look at the illustration of the application of the primary team model and the experience of the Hasanuddin University Hospital. The research used a combined method of the quantitative and qualitative approach. The data collection was conducted through questionnaires, interviews, observation, and documentation study. The research result  4 themes of the qualitative findings were found namely: the illustration of the prevention of decubitus and flebitis; the effectiveness of the primary team method in preventing the decubitus and flebitis; the nurses’ discipline in their effort to prevent infection; and the nurses’ main constraints in preventing infection, such as the inadequate availability of the decubitus mattresses with the ration of 1:50 patients and the inadequate number of nurses against the number of patients with the ratio of 1:9. Thus, it could be concluded that the application of the primary team modification and the effort to prevent the decubitus and flebitis had been carried out well, the experience of the nurses had proven that the primary team tasks had helped the effort to prevent infection.

Biography:

Cevriye OCAKTAN graduated from Adnan Menderes University in 2017 and has been attending doctorate in Istanbul University since 2017.

Abstract:

Objective: This study was planned to evaluate emotional intelligence and emotional self-efficacy levels of midwifery students.

Material and Methods: The universe of the study consisted of 410 students who have been studying in the department of midwifery in a university. 318 students who agreed to participate in the research between 28 May-07 June 2018 were included in the sample without sample selection. In the research, "Personal Information Form", "The Emotional Intelligence Scale" and "The Emotional Self-Efficacy Scale" were used as data collection tools. Questions that would reveal the identities of the participants were not included in the data collection tools. Institutional permission was obtained in order to carry out the research, the participants were informed about the research and their written consents were taken prior to the data collection.

Findings: The average age of midwifery students (n=318) was 20.42±1.44 in the study. Of the students, 96.8% were single, 60.2% have been living in a dormitory, 33% have been living with their families and 79.6% had a nuclear family. Among the students who willingly chose the department of midwifery (68.1%), 28.3% have chosen since they liked the department, 17.9% have chosen since the profession is related to health, and 16.1% have chosen since their exam score was sufficient only for this department. The average score of midwifery students from the Emotional Intelligence Assessment Scale was 128.37±29.58. When the sub-dimensions of the scale were examined; the average scores of awareness of emotions, control of emotions, self-action, empathy and social skills were 23.63±6.06, 26.72±7.12, 26.17±6.98, 26.24±6.75 and 25.59±6.58, respectively. The average Emotional Self-Efficacy Scale score was calculated as 117.67±21.77. In our study, there was a correlation determined between the total Emotional Intelligence Assessment Scale score and the total Emotional Self-Efficacy Scale score of students (r=0.480, p=0.00).

Results: In conclusion, there is a correlation between emotional intelligence assessment and emotional self-efficacy of students. Development of emotional intelligence skills in midwifery students becomes more of an issue for the increase of good quality care in midwifery profession, which is continually in communication with individuals. To support the development of emotional self-efficacy and emotional intelligence of midwifery students, programs such as communication skills, empathy, emotional intelligence skills training should be planned and included in undergraduate education.

Keywords: Midwifery, Student, Emotional Intelligence, Emotional Self-Efficacy

Biography:

Deborah Froiio has completed her Bachelors Degree in Midwifery at Università “Magna Graecia” di Catanzaro (Italy) with 110/110 cum laude in November 2016. She won a scholarship - Erasmus +  traineeship - and she worked for two months (March-May 2017) with and independent midwife, Amanda Garside, at B.A.C. To Normality, in United Kingdom discovering NHS midwifery care and independent midwifery, also supporting IMUK. She is now working as a Midwife at Coombe Women and Infants University Hospital in Dublin, in delivery suite since October 2018. She is also writing obstetrics and gynecology articles for a lawyers company, Studio legale Marzorati, in Milan since March 2018. She has published an article ‘Midwifery beyond borders’ published on Midwifery Matters, spring 2018 in March 2018. She loves travelling, discovering new cultures and she tries to do it even in Midwifery, with a continuous up to date knowledge: she has attended different courses in Italy, United kingdom and Ireland.

Abstract:

Biography:

Dorothy Guerra, founder of the Yoga Birth Method Institute, leading advocate for workshops on  medical marijuana use in labor, completed first year midwifery stufdies in Utah, prenatal yoga teacher aand doula. Trains and certifies yoga teachers and birth professionals worldwide in her method.  Guerra speaks at conferences and travels to third world countries to advocate and educate on safe birth practices. Travels to Kenya to educate women and rural medical clinics on safe birht practices using clean birth kits.

Abstract:

Supporting calm, natural and self empowered birthing with The Yoga Birth Method. Appling the wisdom of yoga throughout the stages of  labor, author Dorothy Guerra teaches as an eight-step pathway to create harmony between mind body and baby from start to finish.

Advocating for medical canniboid use for pain mamangement designed specifically for labor use.

Understanding how to support, manage pain and eliminate anxiety in birthing mothers.

Breathing and meditation techniques, affirmations and yoga poses.  Midwives learn how to offer alternative support to women. The Yoga Birth Method book is sold in 5 languages worldwide.

Biography:

Dr.Shady Saleem is currently working as President of Arabic Society of Fetal Medicine and Surgery. Fellowship of Fetal Medicine from  Iean Donald University. Research fellow of Fetal Medicine at Fetal Medicine Unit, Cairo University from 2011 tell now . his academic background includes Consultant of Obs. & Gyn. at Ministry of Health Hospitals , Lecturer at many international Universities. He Participated and organized many ultrasound and fetal medicine courses as a trainer at Egyptian medical syndicate and Fetal Medicine Unit, Cairo University ,Iraq ministry of health, Suadia ministry of health and Moritanea Ministry of health. Instructor for many courses at Arabic Society of Fetal Medicine and Surgery as Fetal abnormalities course, 3D and 4D in Obs. & Gyn. course, Fetal Echocardiography course and IVF course.

Abstract:

Transvaginal ultrasound is commonly used as a part of routine Gynecological examination, resulting in diagnosis of adnexeal masses, the majority of which are functional or benign lesions. Due to the possible complications involving benign adnexeal cysts (I.e adnexeal torsion, pelvic pain or ruptue cyst)and the importance of early diagnosis and treatment of ovarian cancer, the correct ultrasound diagnosis of adnexeal masses is essential in clinical practice. This lecture will describe the typical ultrasound appearance of common physiologic,benign,and malignant adnexeal masses with the aim of aiding the clinician to reach the correct diagnosis.

Biography:

Duygu MURAT ÖZTÜRK has completed her PhD in Department of Midwifery,  EskiÅŸehir University,Turkey. She is a lecturer in Amasya University Faculty of Health Sciences, Turkey.  She leads many studies on the profession of the midwifery.

Abstract:

In this study, effects of synthetic oxytocin application on the labor process and the birth hormones of rats were investigated.  

Pregnant Sprague Dawley rats (n=18) were divided into three groups including control group, synthetic oxytocin injected group and physiological saline solution injected group. Synthetic oxytocin was injected on 20th and 21th days of gestation. All rats were subjected to open field test for 5 minutes at the last trimester. Blood samples were taken from the tail vein at the beginning of birth to measure ten different parameters (including Corticotropin-releasing hormone, oxytocin, endorphin, epinephrine, norepinephrine, prolactin, estrogen, progesterone, vasopressin and Brain Derived Neurotrophic Factor)  that are involved in the labor process.  

Kruskal Wallis and Mann Whitney U tests were used to compare data by using MedCalc Statistical Software program (version 12.7.7). Correlation of two continuous variables that did not display normal distribution was done by Spearman's rho correlation analysis.

In one of the animals injected synthetic oxytocin, a cardiac defect was detected. However, this result was statistically insignificant, since it was the only case in the experimental group. Levels of progesterone and BDNF were significantly (p<0.05) different between synthetic oxytocin and physiological saline solution injected groups. While the mean oxytocin level was the lowest in the synthetic oxytocin injected group; the mean endorphin level was the highest in the control group. These hormonal changes were not affected the physiology of birth. However, routine interventions should be avoided as much as possible.

Biography:

Fatma Deniz Sayıner has completed her PhD in Department of Obstetrics and Gynecologic Nursing,  Marmara University,Turkey. She is the director of Midwifery Department in EskiÅŸehir Osmangazi University Faculty of Health Sciences, Turkey.  She has published more than 20 papers in reputed journals. She leads many studies on the profession of the midwifery

Abstract:

The aim of this study was to compare the effect of environmental conditions on the birth hormones and labor process of pregnant rats. A total of 18 pregnant Sprague Dawley rats were divided into control, stress and enriched group. Animals in the stress group were exposed to unexpected variable stress paradigm three times a day during their pregnancy third trimester. Whereas animals raised in enriched environment were raised in larger cages equipped with different toys and shelters.  All rats were subjected to open field test for 5 minutes in the last trimester. Blood samples were taken from the tail vein at the beginning of birth, and ten parameters (including Corticotropin-releasing hormone , oxytocin, endorphin, epinephrine, norepinephrine, prolactin, estrogen, progesterone, vasopressin and Brain Derived Neurotrophic Factor)  involved in labor were assessed.

Kruskal Wallis and Mann Whitney U tests were used to compare data by using MedCalc Statistical Software program (version 12.7.7). Correlation of two continuous variables that did not display normal distribution was done by Spearman's rho correlation analysis.

Interactions of hormones and environmental conditions were significantly different among the groups. While the hormonal interactions in the control group were similar to the physiological parameters, while in other groups this situation displayed variations. There were significant (p<0.05) differences in the values of Corticotropin Relasing Hormone (CRH) and Vasopressin hormone levels. In the open field test, vertical standing scores of animals displayed differences among control, stress and enriched environment groups (p<0.05).

These results showed that labor environment diversely affects the physiology of birth. Therefore, the birth environment, either at home or at the hospital, needs to be well-organized accordingly. While organizing the environment, it is recommended that all unnecessary materials are removed from the birth scenery and replaced with women-specific materials. 

Biography:

Ghasem Yadegarfar has completed his PhD at the age of 43 years from Manchester University and postdoctoral studies from Manchester University Age & Cognitive Research Centre. He is an associate professor in Epidemiology & Biostatistics. He has published more than 45 papers in reputed journals and has been serving as a reviewer of EJC, as an editorial board member of Kerman University of Medical Sciences and Iranian Journal of Nursing and Midwifery Research

Abstract:

Introduction: Lung cancer is one of the most common cancers in the world and considered as one of the top five cancers in Iran. The study aims to explore the predictors of lung cancer survival in Yazd province located at centre of Iran.

Materials and Methods: This prospective cohort study conducted on 207 lung cancer patients between 2008 to 2012. To collect required data, Yazd Cancer Registry Office, Province Vital Statistics Department, telephone interview, and hospital records were used. To explore predictors of lung cancer survival, Cox Regression were applied using SPSS. To compare survival rate in different subgroups, the Log Rank test was employed.

Result: Of 207 patients, 132 cases were male (63.8%). Overall, mean age at diagnosis was 63.7±14.1 years. The mean and median survival time were 15.4 and 10.8 months, respectively. Cox regression analysis results revealed age as the most important predictor of survival. The one, three and five year survival rates were predicted as 0.23, 0.05 and 0.03, respectively.

Conclusion: Age plays the role of main predictor of lung cancer survival.  The survival rates in Yazd province predicts less than reported for the worldwide and the whole country, Iran. However, this result may be affected by selection bias.

Keywords: Lung Cancer, Survival Rate, Risk Factors, Epidemiology

Biography:

Hanny Afifah is  aStudents of Midwifery, Madinatul ‘Ilim, Arina Nursafrina Rahmatina, and Arini Yuni Lastuti, and accounting student Chairul Anis Aribah, under the supervision of lecturer Diah Wulandari, M.Keb, made the rescue holder.

Abstract:

Asphyxia is the first leading cause of infant mortality. In order to safe life, it is important to give quick and exact actions, one of them is resuscitation. In primary healthcare facilities, such as midwifery clinic, if some actions have been done with no betterment in result, midwives must refer the baby to higher level of healthcare facilities and keep doing resuscitation. Unfortunately, midwife mostly don’t have any adequate facilities to keep doing proper resuscitation. TAMARESI is a portable resuscitation table that enable midwives to do proper resuscitation in refering.  The method of this program consists of designing the product, pre-production stage, production, quality control, marketing, and evaluation. TAMARESI market segment is midwifery clinic, maternity hospital, and midwifery education institution in Indonesia. TAMARESI is served in a package consisting of mattress, mattress case, and manual book. They are sold for Rp200.000/package. The affordable cost and urgency need make a lot of health provider, especially midwife, interested in this product. ROI analysis shows the number of 21.86%, while B/C ratio is 2.32. So that, this business is reasonable to be commenced and developed.

Keywords: TAMARESI, portable resuscitation table, referring, asphyxia

Biography:

Abstract:

The performance assessment should include the nature and the position of the work,the number of the patients,quality of services,tecnical difficulties and the patients satisfaction,all of these factors will impact in the level of payment for every nurse (Honygan, 2013). The purpose of the thesis is to evaluate the interconnection between the objectiv evaluation of performance,stress and the opportunity to quit job in nursery.

The methodology of one sample from N=228 respondents- Nurses are chosen in a random order in health institutions both public and privat. From these nurses 56(24.6%) were males 171(75.0%).Their average payment was 397.22 euro and their experience was avereged about 12.56 years of experience. The datas are collected by a structured instrument ” Nursing Scale Stresi (ENSS). The results of the correlation analysis show that there is a negative link between the objective assessment and the resignation (r = -.197, p <.05). While, positive correlation is found between objective assessment and satisfaction at work (r = .253 & p < .01). While there is no correlation between evaluation and stress at work. Correlational analyzes have also shown that stress has a negative correlation with work satisfaction (r = - 138, p <.05), while stress-related work-leaving relationships have not been found. Also, there was a significant negative correlation between job breaks and work satisfaction (r = -.297, & p<.01). The results showed a significant regression coefficient = .134, (F =7.81, p <0.01). So, 13.4% of variance in the variables titled leaving work is explained by objective assessment, stress, job satisfaction, and feedback. From the outcomes we can conclude that the evaluation of Nurses' performance are well perceived as our expectations. The results revealed that there is room for improvement in all aspects. For more, the results give some idea of how these improvements can be integrated from more sources of assessment can be useful to the institution. 

Biography:

Introduction: In Jordan, as other countries, there is over-use of treatments that were originally designed to manage complications of labour and birth. However, many healthy women and newborns become exposed to the side effects of unnecessary interventions, which are used routinely as limited mobility in labour, episiotomy, and caesarean section.

The purposes of the study are: to explore the extent of the application of evidence- based practices in the maternal and newborn clinical settings from professional view: midwives, nurses, and physicians. To identify the barriers to change in the maternal and newborn care practices from the health care providers’ perspectives.

Methods: a general qualitative design was used to explore health care providers’ perspectives regarding evidence- based practices in the maternal and newborn clinical settings.

Data collection methods were mainly semi-structured interviews with the participants and observation. All interviews were audio recorded, then transcribed verbatim and translated into the  English language.

The Findings of this study were summarized in four main themes that described the application of evidence-based practices in the maternal and newborn clinical settings. These themes are: 1) Limited resources (human, financial and infrastructures). 2) Work Bureaucracy in Ministry of Health its affiliated hospitals. 3) Social and cultural influences. 4) Lack of evidence- based research environment.

Conclusion: there is weak application of evidence-based practices in the maternal and newborn clinical settings in governmental hospitals in Jordan. This is because of many obstacles and limited resources. 

Abstract:

Biography:

Kathryn Dowling is a leading pediatric sleep therapist who recognizes that childrenare not simply small adults; they have special sleep challenges and needs.Having practiced sleep medicine since 1999, Ms Dowling is qualified to evaluate andreat a wide spectrum of baby, infant, child and adolescent sleep disturbances to sleep disorders in pre and post-natal mothers.

Having built and directed her own paediatric sleep program in London, Ms Dowling has evaluated hundreds of babies, infants, children, adolescents, infants and preterm and term for sleep disorders together with pre and post-natal mothers, using a range of behavioural and therapeutic interventions as well as working alongside other professionals for more involved sleep disorders.

Abstract:

This talk will shed light on the characteristics and prevalence of sleep disruption and insomnia among pre and post-natal mothers and the impact insomnia has on babies and infants. Furthermore, delegates will be introduced to new innovative

perspectives and developments that could change the approach to treating sleep disorders in pre and post-natal mothers. The purpose of this talk is to provide information about perspectives and applications of pre and post-natal sleep problems and their consequences. And to increase the knowledge - and share

emergent practice - of clinical care in these areas amongst the nursing and midwifery community. This talk will reference research by S Iranpour - 2016, maternal sleep quality in the perinatal period; Signal et al and Longitudinal change in sleep and daytime sleepiness in postpartum women:

Filtness A. J., MacKenzie J., Armstrong K and sleep disturbances in depressed and non-depressed pregnant women ML Okun - 2011; circadian rhythms, sleep and mood across the perinatal period, E Krawczak-2015 amongst others. It will also cite emergent pre and post-natal sleep science at The Princess Anne maternity hospital, Southampton.

Biography:

Abstract:

Introduction: Home delivery refers to pregnant women giving birth in the absence of a skilled birth attendant. It is a key determinant of maternal and perinatal death. Although there is high inspiration to decline home delivery, the magnitude is still high for general population in Ethiopia. Moreover, much less is known about home delivery among HIV- positive mothers in the country. Therefore; the purpose of this study was to assess home delivery and its correlates among HIV positive women attending ART clinic in Gondar town governmental health institutions, Northwest Ethiopia, 2017.

Methods: An institutional based cross sectional study was conducted from May 1 to June 30 / 2017. A total of 485 mothers were included in the study. Structured questionnaire and check lists were used to collect the data. Face to face interview and chart review were utilized. The data were entered in to Epinfo version 7.0 and then exported to SPSS version 20.0 for analysis. Both bivariate and multivariable logistic regression model were fitted. Crude and Adjusted Odds ratio with 95 % confidence interval were computed and variables with p-value < 0.05 were considered statistically significant.

Result: The prevalence of home delivery among HIV positive women found to be 22.7% with 95% CI (19.2, 26.4). In the multivariable analysis; marital status (AOR=2.83; 95%CI: 1.25, 6.43), husband educational status (AOR=3.35; 95% CI: 1.22, 9.15), antenatal care visit (AOR=27.78; 95%CI: 12.23, 23.14) and monthly income (AOR=2.86; 95%CI: 1.21, 6.77) were correlates of home delivery.

Conclusion and recommendation: In this study, prevalence of home delivery among HIV positive mothers is high. Not having any ANC follow during the recent pregnancy was the strongest correlate of home delivery among other determinants. Hence, it is recommended to encourage mothers to have ANC visit during pregnancy to decrease home delivery.

Keywords: ART, Gondar Town, HIV Infection, Home Delivery