Study Into Female Pain During Childbirth

Study Into Female Pain During Childbirth SUMMARY Delivery is a one of the miracle of every womens life. The mothers suffer much distress. After child birth due to painful perineum. Perineal pain is most commonly associated with child birth by vaginal delivery. Pain following episiotomy appears to be universal. The mother undergoing episiotomy is characterised by greater blood loss in conjunction with delivery, and there is a risk of improper wound healing and increased pain during early puerperium. Various interventions are found to aid the healing process, which include cleanliness, applying ice pack, topical application by dry heat (infrared therapy), sitz bath performance of kegels exercise and perineal care. Any outward incident in the family may cause shees and stain which in turn will affect the psychological well being of the mother. Aromatherapy is effective for reducing labor pain, decreasing stress hormones, alleviating depression and anxiety, and increasing interactive behaviors between parent and child. Lavender oil is a great aid to perineal healing. So, the investigator assessed the effectiveness of lavender oil sitz bath on reduction of episiotomy wound healing and psychological wellbeing among postnatal mothers in Gani hospital, Tirunelveli district, Tamil Nadu. Objectives of the study were To assess and compare the pre and post test level of episiotomy wound status and psychological wellbeing among the experimental group of postnatal mothers. To assess and compare the pre and post test level of episiotomy wound status and psychological wellbeing among the control group of postnatal mothers. To compare the pre test level of episiotomy wound status and psychological wellbeing between the experimental and the control group of postnatal mothers. To compare the post test level of episiotomy wound status and psychological wellbeing between the experimental and the control group of postnatal mothers. To associate the post test level of episiotomy wound status and psychological wellbeing among the control group of postnatal mothers with selected demographic variables The assumptions of this study were The assumptions of the study were. Unhealing and inadequate care of episiotomy wound may predispose to vulval haematoma, infection, wound dehiscence and scar endometriosis. Lavender oil sitz bath may improve the wound healing psychological wellbeing. Hypotheses of the study were RH1 There is a significant difference between pre and post test level of episiotomy wound status and psychological wellbeing among the experimental group of postnatal mothers. RH2 There is a significant difference between pre and post test level of episiotomy wound status and psychological wellbeing among the control group of postnatal mothers. RH3 There is a significant difference in pre test level of episiotomy wound status and psychological wellbeing between the experimental and the control group of postnatal mothers. RH4 There is a significant difference in post test level of episiotomy wound status and psychological wellbeing between the experimental and the control of group of postnatal mothers. RH5 There is a significant association of post test level of episiotomy wound status and psychological wellbeing among the experimental and the control group of postnatal mothers with selected demographic variables. Review of literature collected for the studies related to The literature gathered from exclusive review is depicted under the following heading. Section A: Literature related to episiotomy. Section B: Literature related to episiotomy wound healing. Section C: Literature related to psychological wellbeing of mother with episiotomy. Section D: Literature related to lavender oil sitz bath on episiotomy wound healing and psychological wellbeing The conceptual frame work opted for the study was based Ludwig Von Bertalarffy `s general system theory and it provided a complete framework in order to achieve the objectives of the study. The research design selected for the study was true experimental pre and post only design was used and the study was conducted in the postnatal ward in Gani Hospital, Tirunelveli Dist, and Tamil Nadu. The tool used for data collection consisting of demographic variables which include age, education status, work pattern, type of the family and parity. The assessment level of episiotomy wound and psychological wellbeing among the experimental group and the control group were measured by using REEDA scale and structured observation check list . The tool was validated by 2 experts in the field of obstetrician and gynecologist and 3 experts in obstetrician and gynecologist nursing personnel and the reliability of the tool was established by interpreter reliability method. The value of the reliability was r=0.9. The tool was highly reliable to conduct the main study. The pilot study was conducted in Gani Hospital, Tirunelveli district among 6 samples out of which 3 were in the experimental group and 3 were in the control group of postnatal mothers. The experimental group received lavender oil sitz bath but no one had lavender oil sitz bath in control group. The finding revealed the feasibility, reliability and practicability of the tool for conducting main study. No modification was made after pilot study. Pilot study period was 4 consecutive days from28-4-2010 to1-5-2010 from 9am to5pm. The main study was conducted at Gani Hospital, Tirunelveli district. Tamil Nadu. The 60 postnatal mothers who fulfilled the inclusive and exclusive criteria were selected for the study ,out of which 30 mothers were the experimental group and 30 of them were the control group . Sample was selected by using simple random sampling method by Lottery method. Mothers who came under group A lottery will come under the experimental group of mother and mother who came under group B lottery will come under the control group of mothers. The investigator gave lavender oil sitz bath to the experimental group . Lavender oil sitz bath is Lavender oil is added with warm water in a basin and asked the mother to sit for 15 minutes 2 times per day about 3 days in the experimental group. Hospital routine care was given to the control group. The collected data was analyzed and interpreted based on the objective by using descriptive and inferential statistics. The findings of the study revealed that the calculated t value was 8.75 which showed highly statistical significant difference in post test level of episiotomy wound status and psychological wellbeing among the experimental group and the control group of postnatal mother at p

The Importance of Birth Control :: Contraceptives, Birth Control Essays

We have all heard sad stories of unwanted teenage pregnancies. There are the girls who drop out of school to care for babies they did not really want, having to work to support their unexpected new "families." There are the guys who marry before they are ready and perhaps to wives they would not otherwise have married-so often these marriages end in divorce. Most tragic of all, though, are the children who grow up knowing that they were not wanted in the first place, knowing that they were more a burden to their parents than a joy even before they were born. Clearly, we as a society need to get a grip on this problem of teenage pregnancy, and the obvious solution is to encourage teens to be responsible and practice birth control. But we face so many choices in deciding which type of birth control to use. Condoms? IUDs? Diaphragms? DepoProvera injections? "The Pill"? Abortion? Abstinence? Which method of birth control is the most practical and the most likely to provide a legitimate s olution to the problem of teenage pregnancy?      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Far and away the most common method of birth control today is the birth control pill. The pill is relatively easy to obtain through Planned Parenthood clinics, the price is not unreasonable, and the pill has an excellent record of success in pregnancy prevention. However, the pill places all the burden of birth control on women, and although it is usually the women who have the most to lose in unwanted pregnancy, shouldn't [GR#1] men take some of the responsibility for birth control, too? Plus, the pill is something that users must remember to take every day, even if they do not engage in sex for months or years. The pill may have the added advantages of making menstrual cycles more regular, and decreasing the sometimes painful intensity of a woman's periods, but as far as being purely a method of birth control, the pill has drawbacks, too. Besides being something that the user must remember to take each and every day regardless of the frequency of sexual activity, being on the pill involves visits to the doctor's office or to Planned Parenthood with annual or even more frequent exams and tests that may be unpleasant and cost more money.      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Diaphragms? IUDs? DepoProvera Injections? These methods, too, place all the burden of birth control on the woman.

Market Entry Essay

Value chain outline Business model restructuration Domestic market 1. Analysis 2. Factors of success 4. International expension strategy 1. Management method 2. Analysis 3. Factors of success 5. 6. Value creation Debate   Top quality products Adapted and productive management style Group capacity to restructure and timulate other companies Value chain analysis & good partnership Value Chain Outline Business model restructuration Domestic Market International expension strategy Value Creation Debate Value Chain Outline Business model restructuration International expension strategy Domestic Market 1984 1988 Zhang become Manager of Quingdao General Refrigiretor Factory Gold medal for product quality in national competition Value Creation 1989 1991 Chinese market face oversupply Diversification through aquisitions (eg, telecommunication, equipment†¦) Debate Raise the price and move to high quality strategy 1998 Operational restructuring Value Chain Outline Business model restructuration Domestic Market Diversification and internal reorganization ? 7 product divisions ? Glocal strategy: ? 4 Group-wide  « Development Divisions  » International expension strategy Value Creation Debate Value Chain Outline Business model restructuration Domestic Market International expension strategy Value Creation Debate Market share in 2004 Refrigerator Washing Machine Air conditioner 28% 18% 30% other ? ? ? By 2002, they accounted for 61% of industry profits. From 1989 to 1996, the number of refrigerators producers :100 to 20 3 Chinese manufacturers = 60% of the market ? Kelon is the main competitor Value Chain Outline ? Business model restructuration Domestic Market After the Chinese entry in WTO: ? new entrants (Electrolux, Siemens†¦) ? Refrigerator unit sales: 31% in 2002 vs 26% in 2001 ? Automatic washing machine: 38% in 2002 vs 31% in 2001. ? Before 2000: ? Core profit ? state-owned department stores ? In 2004: ? individual specialized shops/ private retail International expension strategy Value Creation Debate % Haier’s sales Domestic Chain International chain Licensed dealers Independent retail shops Government purchases. Management method Market responsiveness: focus on meeting customer needs Good after-sale service: offerings that Chinese customers was not accustomed (free replacement, warranty†¦) Distribution network: one single company (Haier logistics) serving the entire group, good network Be cautious: These points can be learnt, copied and imitated by multinationals International expension strategy Value Creation Debate Value Chain Outline ? ? Business model restructuration Domestic Market International expension strategy Value Creation Debate Key factor for international strategy Focus on market pressure: choose difficult market (eg. US, Europe)  « If we can succeed there we can succeed in easier market  » ? Look for hard challenges ? Focus on Human Resources assets ? Implement a  « local thinking  » ? Hire Local employees Value Chain Outline Business model restructuration Domestic Market International expension strategy Value Creation ? Since 1997: Willpower of a global expansion strategy (3third) ? Joint ventures ? Manufacturer of Liebherr (Germany): 8 top ranking ? 1999: Willpower of Haier to make a brand reputation overseas. Difference with the domestic rival Kelon ? Take example of the successful Japanese and Korean model. % of sales in the US an EU Export from China (% of total revenue) 1998 – 3% 2004 – 17% 1998 – 3% 2004 – 8,3% Overseas Made and Sold (% of total revenue) 2002 – 4,6% 2004 – 8,3% 70% of Haier overseas’ revenues come from developed markets Debate Value Chain Outline Business model restructuration Domestic Market.International expension strategy Value Creation Debate Focus on difficult (flat market) and highly competitive markets Penetrate the market with niche products Hire local people Make JV on five continents ? Benefit from existing networks. Pay close attention to market specifications Make  « response speed  » Satisfy customer needs Value Chain Outline Business model restructuration Domestic Market International expension strategy Value Creation Debate Growth leverage Restructuration Differentiation Know How After Sales Management Vision Market responsiveness Distribution Glocal Strategy Value Chain Outline ? ? Business model restructuration Domestic Market International expension strategy How would Haier evolve in order to gain more market share internationally and in their home market?

Latin Americ The Era Of Colonization - 2711 Words

Latin America as continent is a very diverse, culturally, geographically and in the people who inhabit the land. Some are ancestors of the indigenous people to the land, some are African Americans whose ancestors were brought over during the slave trade, others are of European descent, specifically Spanish and Portuguese who’s ancestors came to Latin America during the late 1400’s to either acquire land through the encomienda, capitancy or intendancy system; or to follow the â€Å"Spanish Dream† of coming to the New World and creating a life with prestige and wealth. Latin America was developed through imperialism, the idea that one country could control another country and that country’s economy, and political system from outside its borders. Through this idea of imperialism came the era of colonization. Latin America was colonized by Spain and Portugal, but mostly Spain, Portugal colonized Brazil. The failure of Latin America as a state can be attributed to the act of colonization by the Spanish and Portuguese. When Christopher Columbus sailed to the New World for the Spanish in 1492 under the rule of King Ferdinand and Queen Isabella, he was sent with three ships, The Nina, The Pinta, and The Santa Maria, these three ships carried European men who acted as Columbus’s crewmen for the voyage. The men who were sent over to the New World brought with them the mindset of the European, as well as violence. The men sent were purposely sent from Europe to the New World to rid