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  • 1
    Online Resource
    Online Resource
    Assessment of immunization among newborns: comparison between children delivered vaginally and by cesarean section
    Medip Academy ; 2020
    In:  International Journal Of Community Medicine And Public Health Vol. 7, No. 3 ( 2020-02-27), p. 1164-
    Details
    In: International Journal Of Community Medicine And Public Health, Medip Academy, Vol. 7, No. 3 ( 2020-02-27), p. 1164-
    Abstract: Background: Timely administration of vaccines, particularly for hepatitis B birth dose within 24 hours of birth is of immense importance. It is considered as an indicator of quality of immunization programme. This study aimed to assess effect of mode of delivery and type of hospital on immunization among newborns. Methods: This large multi-site study was conducted in Pune district having population of 9.43 million. A total of 13 hospitals were selected which included all government hospitals performing more than five cesarean sections per month, and one government and one private medical college hospital. Cesarean section and vaginally deliveries were enrolled in 1:1 ratio. Their children were followed till discharge. Data were collected by obstetrician or qualified nurse.Results: During study period 3,112 women were enrolled.  The relative risk of not getting vaccine Hepatitis B birth dose before 24 hours among cesarean delivered newoborns was 1.08. The relative risk of not getting zero polio and BCG among cesarean delivered newborns was 0.71 and 0.76 respectively. All these differences were significant. The coverage for all vaccines was better in sub district hospitals than others. Coverage of all vaccines in government teaching hospital was better than private.Conclusions: Cesarean section enabled better coverage among newborns probably due to length of stay. Whereas the physical and mental stress after cesarean section resulted lesser coverage of hepatitis B birth dose within 24 hours. Opportunities of timely Hepatitis B birth dose administration were missed probably due to lack of knowledge among health workers about ideal timing.
    Type of Medium: Online Resource
    ISSN: 2394-6040 , 2394-6032
    URL: Article
    DOI: 10.18203/2394-6040.ijcmph20200985
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2020
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  • 2
    Online Resource
    Online Resource
    MONITORING OF MEASLES RUBELLA VACCINATION SESSIONS AT SCHOOLS IN PUNE CITY
    World Wide Journals ; 2021
    In:  GLOBAL JOURNAL FOR RESEARCH ANALYSIS
    Details
    In: GLOBAL JOURNAL FOR RESEARCH ANALYSIS, World Wide Journals
    Abstract: Introduction: India with the support of WHO launched one of the world's largest vaccination campaigns against measles and rubella on 5 February 2017. The campaign was launched to vaccinate children in the age group of 9 months to 15 years with measles and rubella vaccine. In Maharashtra state the campaign started from 27th November 2018. All eligible children were vaccinated at the following session sites: Schools, Health sub-centers, Anganwadi centers, xed outreach sessions and mobile posts in villages and urban areas, Government health facilities will vaccinate on all days of campaign. Aim and objectives: To monitor vaccination injection practices, cold chain maintenance and safe needle disposal at measles rubella vaccination sessions at schools in Pune city. Material and methods: Study was a cross sectional study. 5 schools in each 5 Wards (Bibewadi, Kondwa, Hadapsar, Wanowri, and Dhankawadi) out of the 15 wards of Pune Municipal Corporation were MR vaccination campaign session will take place will be studied in 2nd week of the campaign. After obtaining permission from the WHO surveillance medical ofcer The above mentioned sites were visited on vaccination day. A structured Performa based on WHO checklist were lled on observation of all the sites selected. Results: 92% of the vaccinators have attended training sessions, 16% of the vaccinators were wearing gloves, Swabbing of the skin done by 52% , 80% of the vaccinators were administering vaccine through subcutaneous route, cold chain were maintained to 100% perfection and Safe needle disposal practices were maintained to 100%. Conclusion: Need for better training to healthcare workers about safe practices and proper implementation of vaccination campaign.
    Type of Medium: Online Resource
    URL: Journal
    URL: Article
    DOI: 10.36106/gjra
    DOI: 10.36106/gjra/4703836
    Language: English
    Publisher: World Wide Journals
    Publication Date: 2021
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  • 3
    Online Resource
    Online Resource
    Comparative Study of Prevalence of Early Initiation of Breast Feeding, Its Enablers and Impeders
    Indian Association of Preventive and Social Medicine ; 2021
    In:  Indian Journal of Community Health Vol. 33, No. 1 ( 2021-03-31), p. 56-64
    Details
    In: Indian Journal of Community Health, Indian Association of Preventive and Social Medicine, Vol. 33, No. 1 ( 2021-03-31), p. 56-64
    Abstract: Background: In India the proportion of early initiation of breastfeeding is hovering around 50% and the proportion of cesarean deliveries is increasing substantially. Objectives: To compare the prevalence of early initiation of breastfeeding (EIBF) among cesarean and vaginally delivered women in hospitals in Pune District, Maharashtra State, India and to measure any association between EIBF and various socio-demographic, maternal and fetal factors. Methods: This was a multi-site study conducted in 13 selected hospitals in Pune District in 2017-18. Pune District by population is the fourth largest in India. All women delivered by cesarean section in these hospitals and an equal number of age and parity matched vaginally delivered women were enrolled. They were interviewed before discharge by obstetricians or nurses under the supervision of obstetricians, using a structured, validated tool. The data were analyzed by using Statistical Package for Social Sciences, version 25. Results: In each group, 1,556 women were enrolled. The prevalence of EIBF was 81.5% and 63.6% among vaginally and cesarean delivered women. There was a significant association between EIBF and the place of residence, mode of delivery, gestational period, parity, and presence of some disease. Residence in the rural area was the strongest enabling factor with an adjusted odds ratio of 29.6 (95% C.I.; 18.7-46.9) whereas cesarean section, preterm delivery and first para were impeding factors. Conclusions: Among institutional delivered women EIBF was about 70%. Health care workers need to strongly promote EIBF awareness, especially among women from urban areas, and undergoing cesarean section. 
    Type of Medium: Online Resource
    ISSN: 2248-9509 , 0971-7587
    URL: Article
    DOI: 10.47203/IJCH.2021.v33i01.008
    Language: Unknown
    Publisher: Indian Association of Preventive and Social Medicine
    Publication Date: 2021
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  • 4
    Online Resource
    Online Resource
    Prevalence of aflatoxin contamination in groundnuts in Pune city
    Medip Academy ; 2019
    In:  International Journal Of Community Medicine And Public Health Vol. 6, No. 8 ( 2019-07-26), p. 3310-
    Details
    In: International Journal Of Community Medicine And Public Health, Medip Academy, Vol. 6, No. 8 ( 2019-07-26), p. 3310-
    Abstract: Background: Aflatoxin contamination in groundnuts is caused by the fungi Aspergillus flavus and Aspergillus parasiticus. In this study, the prevalence of aflatoxin B1 in groundnuts has been assessed. Aflatoxins are highly carcinogenic, mutagenic and teratogenic. They are known to cause hepatocellular toxicity. The aim of the study is to estimate prevalence of aflatoxin contamination in groundnuts sold in the city of Pune and to assess the awareness about aflatoxin contamination amongst shopkeepers of selected shops/vendors.Methods: Sampling of groundnuts was conducted in 17 out of 144 administrative wards of Pune city. Hundred samples weighing 250g each were purchased from the randomly selected stores and transported in black polythene bags to The State Public Health Laboratory, Pune. Thin layer chromatography (TLC) was used by the laboratory to determine levels of aflatoxin B1. A pre-structured questionnaire was used for assessment of knowledge of aflatoxin contamination amongst vendors.Results: Out of 100 samples, four samples were contaminated with aflatoxin. However the maximum contamination was 0.6 parts per billion, which is well within the permissible limit of 30 parts per billion. Awareness of aflatoxin contamination amongst vendors was six percent. Ninety four percent of vendors were unaware of the concept of aflatoxin contamination.Conclusions: It is necessary to educate vendors, suppliers and handlers about the health hazards caused by this toxic fungus for the benefit of the average consumer. 
    Type of Medium: Online Resource
    ISSN: 2394-6040 , 2394-6032
    URL: Article
    DOI: 10.18203/2394-6040.ijcmph20193446
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2019
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  • 5
    Online Resource
    Online Resource
    Assessment of difference in postpartum depression among caesarean and vaginally delivered women at 6-week follow-up in hospitals in Pune District, India: an observational cohort study
    BMJ ; 2021
    In:  BMJ Open Vol. 11, No. 9 ( 2021-09), p. e052008-
    Details
    In: BMJ Open, BMJ, Vol. 11, No. 9 ( 2021-09), p. e052008-
    Abstract: To compare the proportion of postpartum depression at 6 weeks among women who had caesarean delivery and women who had vaginal delivery and to assess its association with some sociodemographic factors. Design This is a descriptive comparative study with prospective enrolment. We followed the enrolled women and assessed them for postpartum depression 6 weeks after delivery. Setting We conducted the study in Pune District, India from July 2017 to December 2018. The study sites were all non-teaching government hospitals performing five or more caesarean sections per month and two teaching hospitals: one government and one private. Participants We included in the study group women who have undergone caesarean section in the participating hospitals and were residents of Pune District. Women who delivered vaginally and matched in age and parity were included in the comparison group. We followed 1556 women in each group. Main outcome measures An Edinburgh Postnatal Depression Scale score of 10 or more for each woman was the primary outcome. χ 2 test and multivariable binary logistic regression were performed to assess the effect of mode of delivery on postpartum depression. Results The proportion of postpartum depression at 6 weeks was 3.79% among women who had caesarean delivery and 2.35% among those who had vaginal delivery (χ 2 =4.50, p=0.03). The adjusted OR was 1.86 (95% CI 1.14 to 3.03). Women of age less than 25 years had higher risk of postpartum depression. The adjusted OR was 2.10 (95% CI 1.21 to 3.65). The study did not observe any association between postpartum depression and income, education, occupation or sex of the newborn child. Conclusions We conclude that young women particularly those who had caesarean delivery should be screened 6 weeks after delivery.
    Type of Medium: Online Resource
    ISSN: 2044-6055 , 2044-6055
    URL: Article
    DOI: 10.1136/bmjopen-2021-052008
    Language: English
    Publisher: BMJ
    Publication Date: 2021
    detail.hit.zdb_id: 2599832-8
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