Modern conducted labor is medically assisted

Abstract

SUMMARYIntroduction: First child delivery stage lasts 12-16 hours not including any medications, while the second child delivery stage and grand multiparity last a couple of hours shorter. Oxytocin (Syntocinon ® ) is drug that facilitates well-fed delivery, therefore, induced labor assisted by peridural lasts approximately 4 hours less than natural labor not supported by any medication. Aim: To make quantitative analysis of the medically assisted childbirth and spontaneous vertex delivery within three years (2014)(2015)(2016). Methodology: This paper is part of a non-commercial, retrospective, IV phase epidemiological study. The study was conducted at the Clinical Centre "Dr Dragiša Mišović, Dedinje", Hospital for Gynecology and Obstetrics. The data are obtained from the ZIS Monthly-Yearly Heliant Reports of the Hospital for Gynecology and Obstetrics, Delivery room. Results: In the Clinical Centre "Dr Dragiša Mišović, Dedinje", Hospital for Gynecology and Obstetrics, Delivery room there is over 2000 childbirths annually. Number of pharmacologically assisted labors was 1290 or (62%) in 2014, in 2015 was 1318 or (61%) and in 2016 was 1286 or (60%).Using syntocinon, there was 585 or (28%) in 2014, in 2015, 513 or (28%) and in 2016, 639 or (30%) cesarean sections, urgent, planned and elective labors. Of the total 80% of newborns received Apgar score 9 (nine). Conclusions: Labor induced by medication is a joint choice of a midwifes and doctors health team because the fl ow of labor can be anticipated and infl uenced at any moment.

Clinical considerations of drug management in chronic cardiovascular and respiratory disorders in perioperative healthcare

“…Dejan B. Živanović 1,2 , Dragan M. Rakanović 3,4 A 1 Klinika za urologiju, Kliničko-bolnički centar "Dr Dragiša Mišović -Dedinje", Beograd, Srbija 2 Visoka zdravstvena škola stzrukovnih studija, Odsek za sestrinstvo, Beograd, Srbija 3 Klinika za anesteziologiju i intenzivno liječenje, Univerzitetski klinički centar, Banja Luka, Republika Srpska, Bosna I Hercegovina 4 Panevropski univerzitet "Apeiron", Fakultet zdravstvenih nauka, Banja Luka, Republika Srpska, Bosna i Hercegovina…”

“…As in any other clinical discipline, individually tailored drug management takes one of the most important places in the entire treatment of a surgical patient. Application of pharmacotherapy is very complex process during which all members of the perioperative interdisciplinary health team participate equally, each within their own formal qualifi cations and professional competencies -physicians prescribe, nurses are applying therapy according to the established standardized procedures of drug administration [3]. Professional activity of all these healthcare professionals, surgeons, anesthesiologists and critical care nurses is directed towards the same goals -to stabilize health condition of the operated patient and contribute to its faster recovery.…”