Browsing by Author "Sharma, Chanderdeep"

Now showing 1 - 3 of 3
  • Thumbnail Image
    Item
    Assessment of labor room communication skills among postgraduate students of obstetrics and gynecology
    (Medip Academy, 2020-06) Gupta, Amit; Gupta, Bharti; Verma, Ashok; Sharma, Chanderdeep; Thakur, Sita; Soni, Anjali
    Background: “Communication with patients” is an important skill needed for every physician in their clinical practice.  These soft skills are required in dealing with patients at every step which include history taking from the patients, explaining them the diagnosis, the prognosis of the disease with associated complications. Dealing with empathy, taking informed consent, explaining the operative procedure and the complications associated with surgery, the art of breaking bad news are the mandatory skills for a good clinician. Labouring women like other patients also require special attention and empathy. So, the residents working in labor room need commitment to develop these soft skills in order to improve the labor room experience of expectant mothers. Objective of this study was to analyse role of a formal training in labor room communication skills among post graduate students of the department of obstetrics and gynecology.Methods: Faculty and students’ sensitization was done after approval from institutional ‘ethics committee’ for conducting this study. Pre-workshop assessment of residents for communication skills attitude and effective communication was done through ‘communication skill attitude scale’ (CSAS) and ‘GAP-KALAMAZOO scale’. Workshop for communication skills on the framework of Calgary Cambridge patient interview model and online teaching of students through what’s app videos, role-play demonstrations was followed by reassessment of the residents through above used scales.Results: Results depicted both improvements in attitude and effective communication skills among residents. 100% of the students were convinced and opined that good communication skills necessary for perfect clinical practice.Conclusions: The skill to communicate with patients is a fine art and needs to be mastered to be a good clinician. A formal training in effective communication skills is absolutely necessary to bring professionalism in medical practice.
  • No Thumbnail Available
    Item
    A comparative study on the effect of intravenous Ringer lactate at 125 ml/hour versus 250 ml/hour on the duration of labour in nulliparous pregnant women
    (Medip Academy, 2023-03) Mittal, Shivika; Gupta, Amit; Sharma, Chanderdeep; Dhatwalia, Prashant; Mittal, Rita
    Background: Several factors may influence the progression of normal labour. It has been postulated that the routine administration of intravenous fluids to keep women adequately hydrated during labour may reduce the period of contraction and relaxation of the uterine muscle, and may ultimately reduce the duration of the labour. However, the routine administration of intravenous fluids to labouring women has not been adequately studied although it is widely practiced, and there is no consensus on the type or volume of fluids that are required, or indeed, whether intravenous fluids are at all necessary. This study was conducted to study the effect of intravenous Ringer lactate at 125 ml/hour versus 250 ml/hour on the duration of labour.Methods: In the study, patients were divided in two groups of nulliparous pregnant women in spontaneous early labour (between 3-5 cm dilatation), at term with singleton pregnancy and cephalic presentation, where one group received intravenous Ringer lactate at 125 ml/hour and the other group received Ringer lactate at 250 ml/hour. The duration of labour, mode of delivery and caesarean rates were measured in both groups along with incidence of prolonged labour and need for oxytocin augmentation.Results: The incidence of prolonged labour and oxytocin augmentation were less in the group receiving intravenous RL at 250 ml/hour but was not statistically significant. Remaining outcomes were comparable in both the groups with no outcome reaching statistical significance.Conclusions: Rate of fluid administration is one of the many variables which affects the labour outcomes. The incidence of prolonged labour and oxytocin augmentation was less in the group which received intravenous RL 250 ml/hour. There was no statistically significant difference in both groups in respect of duration of labour, mode of delivery and caesarean rates.
  • Thumbnail Image
    Item
    Improving the Breastfeeding Practices in Healthy Neonates During Hospital Stay Using Quality Improvement Methodology
    (Indian Academy of Pediatrics, 2018-09) Sharma, Seema; Sharma, Chanderdeep; Kumar, Dinesh
    Objective: To demonstrate the applications of the principles ofQuality Improvement (QI) in a tertiary-care centre with the aim toimprove the breastfeeding practices during hospital stay.Methods: An operational team was formulated to identify thereasons for low proportion of exclusive breast feeding (EBF) inhealthy neonates. Reason specific solutions were proposed,discussed, prioritized and tested using Plan-Do-Study-Act Cycle(PDSA Cycle). Strategies included clear departmental policy planand creation of Breastfeeding support package (BFSP). PDSAcycles were tested and implemented over 6 weeks period and itssustainability was measured monthly for five months duration.Results: After implementation of PDSA cycles, the proportion ofneonates receiving early breastfeeding within one hour of birthincreased from 55% to 95%, and the proportion of neonates onEBF during hospital stay increased from 72% to 98%.Conclusion: Quality Improvement principles are feasible andeffective to improve breastfeeding practices in the hospitalsetting.