Research Article
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Does Symphysis Pubis Width Change During Labor?

Year 2019, Volume: 5 Issue: 3, 121 - 125, 31.12.2019
https://doi.org/10.19127/mbsjohs.627302

Abstract




Objectives: The anatomical and dynamic structure of the pelvis is an important element in delivery.  During pregnancy, high progestorene and relaxin
levels produce physiological ligament relaxation on the pelvis. 
The suitability of pelvic diameters is important in performing vaginal delivery. In this study we aimed to determine whether there is any change in symphysis pubis width during delivery.

Methods: This prospective observational study included 108
pregnant women who were at 37-42 weeks of gestation with cephalic presentation
of a singleton pregnancy and were hospitalized for delivery. Symphysis
pubis
width was measured by transabdominal ultrasonography in each woman during the
latent phase while cervical dilatation was 2 cm, the active phase while
cervical dilatation was 6 cm and the second stage within one hour of complete
cervical dilatation.

Results: Symphysis pubis width value significantly increased
as the labor progressed. Namely, the mean symphysis pubis width value measured
in the latent phase was the smallest while the mean value in the second stage
of the labor was the highest. In addition, birth weight of newborn was
positively correlated each of symphysis pubis width values measured at all
three different times.

Conclusion:
Symphysis pubis width increases as labor progresses. And this increase advances
as the weig
ht of newborn increases.



References

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  • Barikani A, Afaghi A. Knowledge, Attitude and Practice Towards Standard Isolation Precautions Among Iranian Medical Students. Glob J Health Sci 2012; 4(2): 142-6. doi:10.5539/gjhs.v4n2p142.
  • Bayilmiş OÜ. Assessment of occupational health and safety awareness: field survey for health care workers. Yalova: Yalova University Labor Economics and Industrial Relations. 2013.
  • Bilir N, Yildiz AN. Occupational health and safety. Guler C, Akın L, editors. Public Health Basic Information Book. Ankara: Hacettepe University Publications; 2012. p. 1070-103.
  • Canli Ozer Z, Aydin Bektas H. Needlestick Injuries During Education Period in Nursing Students in Turkey. Procedia Social and Behavioral Sciences 2012; 46: 3798-801. doi:10.1016/j.sbspro.2012.06.149.
  • Celikkalp U, Varol Saracoğlu G, Tokuc B. Increase of Knowledge Level of Nursing Students About Occupational Health and Safety. Namik Kemal Medical Journal 2017; 5(1): 36-43.
  • International Labour Organization (ILO) statistic. 2018. [cited 2018 Aug 21]. Available from: URL: https://www.ilo.org/moscow/areas-of-work/occupational-safety-and-health/WCMS_249278/lang--en/index.htm. Isara AR, Ofili AN. Prevalence of Occupational Accidents/Injuries Among Health Care Workers in A Federal Medical Centre in Southern Nigeria. West Afr J Med 2012; 31(1): 47-51.
  • Karatas B, Celik SS, Koc, A. Needlestick and Sharps Injuries Among Turkish Nursing Student Knowledge and Attitude. Bozok Med J 2016; 6(4): 21-9.
  • Lauer AC, Reddemann A, Meier-Wronski CP, Bias H, Gödecke K, Arendt M et al. Needlestick and Sharps Injuries Among Medical Undergraduate Students. Am J Infect Control 2014; 42: 235-9. doi:10.1016/j.ajic.2013.08.013.
  • Merlin JS, Morrison G, Gluckman S, Lipschik G, Linkin DR, Lyon S. Blood and Body Fluid Exposures Among us Medical Students in Botswana. J Gen Intern Med 2011; 26(5): 561-4. doi:10.1007/s11606-010-1586-4.
  • Sagoe-Moses C, Pearson RD, Perry J, Jagger J. Risks to Health Care Workers in Developing Countries. N Engl J Med 2001; 345: 538-9. doi:10.1056/NEJM20010816345071.
  • Savci C, Şerbetci G, Kılıc Ü. Status of Health Discipline Students to Receive Training on Occupational Health and Safety and Exposure to Occupational Accident. Journal of Health and Nursing Management 2018; 5(1): 36-47.
  • Shiao JSC, McLaws ML, Huang KY, Guo YL. Student Nurses in Taiwan at High Risk for Needlestick Injuries. Ann Epidemiol 2002; 12: 197-201. doi:10.1016/S1047-2797(01)00303-9.
  • Smith DS, Leggat PA. Needlestick and Sharps Injuries Among Nursing Students. J Adv Nurs 2005; 51(5): 449-55. doi:10.1111/j.1365-2648.2005.03526.x.
  • Suliman M, Aloush S, Aljezawi M. Knowledge and Practices of Isolation Precautions Among Nurses in Jordan. Am J Infect Control 2018; Jun;46(6): 680-4. doi: 10.1016/j.ajic.2017.09.023.
  • Talas MS. Occupational Exposure to Blood and Body Fluids Among Turkish Nursing Students During Clinical Practice Training: Frequency of Needlestick/Sharp Injuries and Hepatitis B Immunisation. J Clin Nurs 2009; 18: 1394-403. doi:10.1111/j.1365-2702.2008.02523.x.
  • Tayran N, Ulupinar S. Development of A Scale Study: Validity and Reliability of A Scale Compliance with Isolation Precautions. Florence Nightingale Journal of Nursing 2011; 19(2): 89-98.
  • Togan T, Isık B, Turan H, Ciftci O. Hand Hygiene, Occupational Accidents, Attitudes and Behaviors of Health Vocational High School Students in Aksaray City Center. Journal of Health Academics 2015; 2(1): 8-15..
Year 2019, Volume: 5 Issue: 3, 121 - 125, 31.12.2019
https://doi.org/10.19127/mbsjohs.627302

Abstract

References

  • Aiken LH, Clarke SP, Sloane DM. Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction. JAMA 2002; 288(16): 1987-93. doi:10.1001/jama.288.16.1987
  • Akgun S. Work Accidents in Health Sector. Health Care Acad J 2015; 2(2): 67-75. doi:10.5455/sad.2015131442264595.
  • Alotaibi MM, Almasari SM, Alkadam AN, Alanazi YA, Gahtani KA. Knowledge and Compliance with Standard Isolation Precautions Among Healthcare Students in Al-Kharj Governorate, Saudi Arabia. J Health Spec 2017; 5: 162-70. doi: 10.4103/jhs.JHS_94_16.
  • Babayigit MA. Knowledge, attitudes and behaviors of occupational health and safety of a medical school students. Ankara: Gazi University Institute of Health Sciences. 2014.
  • Barikani A, Afaghi A. Knowledge, Attitude and Practice Towards Standard Isolation Precautions Among Iranian Medical Students. Glob J Health Sci 2012; 4(2): 142-6. doi:10.5539/gjhs.v4n2p142.
  • Bayilmiş OÜ. Assessment of occupational health and safety awareness: field survey for health care workers. Yalova: Yalova University Labor Economics and Industrial Relations. 2013.
  • Bilir N, Yildiz AN. Occupational health and safety. Guler C, Akın L, editors. Public Health Basic Information Book. Ankara: Hacettepe University Publications; 2012. p. 1070-103.
  • Canli Ozer Z, Aydin Bektas H. Needlestick Injuries During Education Period in Nursing Students in Turkey. Procedia Social and Behavioral Sciences 2012; 46: 3798-801. doi:10.1016/j.sbspro.2012.06.149.
  • Celikkalp U, Varol Saracoğlu G, Tokuc B. Increase of Knowledge Level of Nursing Students About Occupational Health and Safety. Namik Kemal Medical Journal 2017; 5(1): 36-43.
  • International Labour Organization (ILO) statistic. 2018. [cited 2018 Aug 21]. Available from: URL: https://www.ilo.org/moscow/areas-of-work/occupational-safety-and-health/WCMS_249278/lang--en/index.htm. Isara AR, Ofili AN. Prevalence of Occupational Accidents/Injuries Among Health Care Workers in A Federal Medical Centre in Southern Nigeria. West Afr J Med 2012; 31(1): 47-51.
  • Karatas B, Celik SS, Koc, A. Needlestick and Sharps Injuries Among Turkish Nursing Student Knowledge and Attitude. Bozok Med J 2016; 6(4): 21-9.
  • Lauer AC, Reddemann A, Meier-Wronski CP, Bias H, Gödecke K, Arendt M et al. Needlestick and Sharps Injuries Among Medical Undergraduate Students. Am J Infect Control 2014; 42: 235-9. doi:10.1016/j.ajic.2013.08.013.
  • Merlin JS, Morrison G, Gluckman S, Lipschik G, Linkin DR, Lyon S. Blood and Body Fluid Exposures Among us Medical Students in Botswana. J Gen Intern Med 2011; 26(5): 561-4. doi:10.1007/s11606-010-1586-4.
  • Sagoe-Moses C, Pearson RD, Perry J, Jagger J. Risks to Health Care Workers in Developing Countries. N Engl J Med 2001; 345: 538-9. doi:10.1056/NEJM20010816345071.
  • Savci C, Şerbetci G, Kılıc Ü. Status of Health Discipline Students to Receive Training on Occupational Health and Safety and Exposure to Occupational Accident. Journal of Health and Nursing Management 2018; 5(1): 36-47.
  • Shiao JSC, McLaws ML, Huang KY, Guo YL. Student Nurses in Taiwan at High Risk for Needlestick Injuries. Ann Epidemiol 2002; 12: 197-201. doi:10.1016/S1047-2797(01)00303-9.
  • Smith DS, Leggat PA. Needlestick and Sharps Injuries Among Nursing Students. J Adv Nurs 2005; 51(5): 449-55. doi:10.1111/j.1365-2648.2005.03526.x.
  • Suliman M, Aloush S, Aljezawi M. Knowledge and Practices of Isolation Precautions Among Nurses in Jordan. Am J Infect Control 2018; Jun;46(6): 680-4. doi: 10.1016/j.ajic.2017.09.023.
  • Talas MS. Occupational Exposure to Blood and Body Fluids Among Turkish Nursing Students During Clinical Practice Training: Frequency of Needlestick/Sharp Injuries and Hepatitis B Immunisation. J Clin Nurs 2009; 18: 1394-403. doi:10.1111/j.1365-2702.2008.02523.x.
  • Tayran N, Ulupinar S. Development of A Scale Study: Validity and Reliability of A Scale Compliance with Isolation Precautions. Florence Nightingale Journal of Nursing 2011; 19(2): 89-98.
  • Togan T, Isık B, Turan H, Ciftci O. Hand Hygiene, Occupational Accidents, Attitudes and Behaviors of Health Vocational High School Students in Aksaray City Center. Journal of Health Academics 2015; 2(1): 8-15..
There are 21 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research articles
Authors

Buğra Çoşkun 0000-0003-1938-3833

Demet Kokanalı This is me 0000-0001-6915-3257

Bora Çoşkun 0000-0002-2338-7186

Burcu Timur This is me 0000-0001-8769-5949

Ramazan Erda Pay 0000-0001-7183-4246

Ulaş Fidan This is me 0000-0001-7603-597X

Kazım Emre Karaşahin This is me 0000-0002-4624-4874

Publication Date December 31, 2019
Published in Issue Year 2019 Volume: 5 Issue: 3

Cite

Vancouver Çoşkun B, Kokanalı D, Çoşkun B, Timur B, Pay RE, Fidan U, Karaşahin KE. Does Symphysis Pubis Width Change During Labor?. Mid Blac Sea J Health Sci. 2019;5(3):121-5.

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