Introduction: Access to the best quality of obstetrical care sometimes conceals acts and behaviors that fail to respect women’s physical, mental and social integrity. These negative experiences are referred to as obs...Introduction: Access to the best quality of obstetrical care sometimes conceals acts and behaviors that fail to respect women’s physical, mental and social integrity. These negative experiences are referred to as obstetrical violence. The aim of this study is to contribute to improving the quality of maternal health care. Patient and Method: This was a cross-sectional study with a quantitative component carried out in the obstetrics and gynecology department of the Maman Elisabeth Domitien University Hospital from November 1 to 30, 2024. All women in childbed seen for postnatal consultations within 42 days of delivery were included. Results: We included 109 women. Age ranged from 16 to 44 years with a mean of 26.9 (±6.02). The majority of women were living in common-law unions with 79.8% and 57.8% of mothers having a secondary education level. More than half of the participants (52.9%) said that they had not been prepared for childbirth during prenatal follow-up and 44.0% had not freely chosen their path of delivery. The vaginal route was the most observed route of delivery (97.3%). Of all vaginal deliveries, episiotomy was performed in 21.7% and uterine revision in 66.0%. For episiotomies, 26.1% of women in childbed were informed about its performance and 87.0% had had a bad experience with this event. For women who had undergone a uterine revision, 52.9% had been informed of its performance and 77.1% had a bad experience with the event. Women in childbed had been victims of inappropriate acts and verbal aggression in 18.4% and 14.7% respectively. Of all the participants, 45.0% said they had experienced the birth episode badly. Conclusion: This study has given us an idea of the subject. However, a large-scale study will enable us to understand the different facets of this subject.展开更多
Oliver Wendell Holmes’1836 hand written doctorate dissertation on acute pericarditis was discovered in the archives of the Boston Medical Library 101 years after it was successfully defended.It was then printed as an...Oliver Wendell Holmes’1836 hand written doctorate dissertation on acute pericarditis was discovered in the archives of the Boston Medical Library 101 years after it was successfully defended.It was then printed as an unabridged monograph with an explanation of its provenance.The dissertation has received little scrutiny since then.Holmes gathered materials for the scholarly work while he was a third and fourth year student at Ecole de Medecine in Paris.His mentor,Pierre-Charles-Alexandre-Louis insisted on the meticulous gathering and recording of every patient’s history and findings.Each category of data was given a weighted numerical value of diagnostic importance and the information was placed in a registry.Holmes became a disciple of Louis in gathering data by direct observation and measuring outcomes in a“statistical”fashion.Holmes dissertation on acute pericarditis describes the state of knowledge about the illness in the 1830s.When Holmes and other students who had studied in Paris returned to the United States,they helped turn American Medicine from opinion and strong personal bias toward scientific objectivity.Oliver Wendell Holmes eventually became both a professor of anatomy/physiology and a dean at Harvard Medical School.He is recognized as a leader in medicine and a popular author in America and beyond.In his late and infirmed years,Holmes questioned the wisdom of his unswerving advocacy for the scientific underpinnings of medicine.In retrospect he had overlooked the importance of also advocating that each patient be approached with comforting compassion.展开更多
文摘Introduction: Access to the best quality of obstetrical care sometimes conceals acts and behaviors that fail to respect women’s physical, mental and social integrity. These negative experiences are referred to as obstetrical violence. The aim of this study is to contribute to improving the quality of maternal health care. Patient and Method: This was a cross-sectional study with a quantitative component carried out in the obstetrics and gynecology department of the Maman Elisabeth Domitien University Hospital from November 1 to 30, 2024. All women in childbed seen for postnatal consultations within 42 days of delivery were included. Results: We included 109 women. Age ranged from 16 to 44 years with a mean of 26.9 (±6.02). The majority of women were living in common-law unions with 79.8% and 57.8% of mothers having a secondary education level. More than half of the participants (52.9%) said that they had not been prepared for childbirth during prenatal follow-up and 44.0% had not freely chosen their path of delivery. The vaginal route was the most observed route of delivery (97.3%). Of all vaginal deliveries, episiotomy was performed in 21.7% and uterine revision in 66.0%. For episiotomies, 26.1% of women in childbed were informed about its performance and 87.0% had had a bad experience with this event. For women who had undergone a uterine revision, 52.9% had been informed of its performance and 77.1% had a bad experience with the event. Women in childbed had been victims of inappropriate acts and verbal aggression in 18.4% and 14.7% respectively. Of all the participants, 45.0% said they had experienced the birth episode badly. Conclusion: This study has given us an idea of the subject. However, a large-scale study will enable us to understand the different facets of this subject.
文摘Oliver Wendell Holmes’1836 hand written doctorate dissertation on acute pericarditis was discovered in the archives of the Boston Medical Library 101 years after it was successfully defended.It was then printed as an unabridged monograph with an explanation of its provenance.The dissertation has received little scrutiny since then.Holmes gathered materials for the scholarly work while he was a third and fourth year student at Ecole de Medecine in Paris.His mentor,Pierre-Charles-Alexandre-Louis insisted on the meticulous gathering and recording of every patient’s history and findings.Each category of data was given a weighted numerical value of diagnostic importance and the information was placed in a registry.Holmes became a disciple of Louis in gathering data by direct observation and measuring outcomes in a“statistical”fashion.Holmes dissertation on acute pericarditis describes the state of knowledge about the illness in the 1830s.When Holmes and other students who had studied in Paris returned to the United States,they helped turn American Medicine from opinion and strong personal bias toward scientific objectivity.Oliver Wendell Holmes eventually became both a professor of anatomy/physiology and a dean at Harvard Medical School.He is recognized as a leader in medicine and a popular author in America and beyond.In his late and infirmed years,Holmes questioned the wisdom of his unswerving advocacy for the scientific underpinnings of medicine.In retrospect he had overlooked the importance of also advocating that each patient be approached with comforting compassion.
