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Publication Open Access ความแม่นยำในการประเมินการสูญเสียเลือดหลังคลอดระหว่างการใช้ถุงตวงเลือด และการคาดคะเนด้วยสายตาในโรงพยาบาลรามาธิบดี(2562) ศิริกัญญา ไผ่แก้ว; โสภาพรรณ พวงบุญมี; Sirikanya Phaikaew; Sophaphan Ploungbunmee; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี. ฝ่ายการพยาบาลBackground: Postpartum hemorrhage is a common cause of maternal death. Accurate estimation of postpartum blood loss is important to help parturients before crisis. Objectives: To compare estimation of postpartum blood loss and proportion... at Ramathibodi Hospital. T test was used for comparing the difference of blood loss with Fisher exact test employed for calculating the proportion of parturients postpartum hemorrhage. The Bland-Altman method was used to determine the level of agreement betweenPublication Metadata only Clinical audit of postpartum hemorrhage at district-level and referral-level hospitals in southern Thailand(2012-10-01) Pattarawalai Talungchit; Tippawan Liabsuetrakul; Mahidol University; Prince of Songkla University%. The adherence of managements was more likely to be found in cases with severe blood loss or received blood transfusion. Conclusion: Although low incidence of PPH was reported, incidence of blood transfusion, hypovolemic shock, and hysterectomy were not uncommon...Objective: Assess the management and clinical outcomes of women diagnosed immediate PPH in three referral hospitals and six district hospitals in southern Thailand. Material and Method: A cross-sectional study was done in participated hospitalItem Metadata only The efficacy of postpartum tubal sterilization training program with minilaparotomy approach in Ob/Gyn residents(2023-01-01) Songkanha P.; Chanprapaph P.; Lertbunnaphong T.; Supapueng O.; Naimsiri U.; Mahidol Universityof direct observation of procedural skills (DOPS) score introduced by Royal Thai College of Obstetricians and Gynecologists were assessed. DOPS score, operative time, blood loss and post-op complication were analyzed and compared. Results: Median of total....045 and 40 vs. 32, p = 0.020). There was no significant difference observed in the median score of 3 other domains (peritoneal cavity accessing, abdominal wall closure and complication prevention), estimated blood loss and operative time. ConclusionPublication Metadata only Uterine compression suture versus cesarean hysterectomy in management of intractable postpartum hemorrhage(2020-10-01) Suntorn Intapibool; Piyathida Pummara; Apichart Chittacharoen; Faculty of Medicine, Ramathibodi Hospital, Mahidol University; Srisangwornsukhothai Hospitalsection. Clinical data risk factors were age, complications while receiving blood transfusion, injury to the urinary bladder, and death. Several outcomes in group 1 were better than in group 2, such as the interval of operation, blood loss, fever after...© JOURNAL OF THE MEDICAL ASSOCIATION OF THAILAND | 2020. Background: Postpartum hemorrhage (PPH) is the third leading cause of maternal death. Uterine atony is the most common cause, and surgical management is the last method for PPH. ObjectiveItem Metadata only Impact of Maternal Weight and Gestational Weight Gain on Postpartum Hemorrhage and Adverse Outcomes: A Case–Control Study(2025-01-01) Chawanpaiboon S.; Lucksanapanij M.; Chawanpaiboon S.; Mahidol UniversityObjective: To assess the impact of maternal weight on postpartum hemorrhage (PPH) and other adverse outcomes at Siriraj Hospital. Materials and Methods: We conducted a retrospective chart review of 835 women who underwent spontaneous vaginal... medical complications, estimated blood loss, causes of PPH, neonatal outcomes, and other maternal adverse outcomes. Results: Baseline characteristics such as maternal age, pre-existing medical conditions, pre-pregnancy body mass index, total pregnancyPublication Metadata only Anaesthesia/analgesia for manual removal of retained placenta(2020-06-12) Kiattisak Kongwattanakul; Nonthida Rojanapithayakorn; Malinee Laopaiboon; Pisake Lumbiganon; Khon Kaen University; Faculty of Medicine, Siriraj Hospital, Mahidol University's primary outcomes of pain intensity and adverse events. The study reported that there were no women, in either group, who experienced an estimated postpartum blood loss of more than 500 mL. We are uncertain about the providers' satisfaction... will provide adequate uterine relaxation and pain control, enabling it to be carried out effectively. Objectives: To assess the effectiveness and safety of general, regional, and local anaesthesia or analgesia during manual removal of a retained placentaPublication Open Access Implementing comprehensive prevention of mother-to-child transmission and HIV prevention for South African couples: study protocol for a randomized controlled trial(2014) Jones, Deborah; Peltzer, Karl; Weiss, Stephen M; Sifunda, Sibusiso; Dwane, Ntabozuko; Ramlagan, Shandir; Cook, Ryan; Matseke, Gladys; Maduna, Vincent; Spence, Andrew; Mahidol University. ASEAN Institute for Health DevelopmentBackground: In rural South Africa, only two-thirds of HIV-positive pregnant women seeking antenatal care at community health centers took full advantage of ‘prevention of mother-to-child transmission’ (PMTCT) services in 2010. Studies generally support male involvement to promote PMTCT, but the nature and impact of that involvement is unclear and untested. Additionally, stigma, disclosure and intimate partner violence pose significant barriers to PMTCT uptake and retention in care, suggesting that male involvement may be ‘necessary, but not sufficient’ to reduce infant HIV incidence. This study expands on a successful United States President's Emergency Plan for AIDS Relief (PEPFAR)-supported PMTCT couples intervention pilot study conducted in the Mpumalanga province, targeting HIV-positive pregnant women and their partners, the primary objective being to determine whether male partner involvement plus a behavioral intervention will significantly reduce infant HIV incidence. Methods/design: The study follows a cluster randomized controlled design enrolling two cohorts of HIV-positive pregnant women recruited from 12 randomly assigned Community Health Centers (CHC) (six experimental, six control). The two cohorts will consist of women attending without their male partners (n = 720) and women attending with their male partners (n = 720 couples), in order to determine whether the influence of male participation itself, or combined with a behavioral PMTCT intervention, can significantly reduce infant HIV infection ante-, peri- and postnatally. Discussion: It is our intention to significantly increase PMTCT participation from current levels (69%) in the Mpumalanga province to between 90 and 95% through engaging women and couples in a controlled, six session ante- and postnatal risk-reducing and PMTCT promotion intervention addressing barriers to PMTCT (such as stigma, disclosure, intimate partner violence, communication, infant feeding practices and safer conception) that prevent women and men from utilizing treatment opportunities available to them and their infants. Based upon the encouraging preliminary results from our pilot study, successful CHC adoption of the program could have major public health policy implications for containing the epidemic among the most vulnerable populations in rural South Africa: HIV-positive pregnant women and their infants. Trial registration: ClinicalTrials.gov NCT02085356 (registration date: 10 March 2014).Publication Open Access Quality of intrapartum care by skilled birth attendants in a refugee clinic on the Thai-Myanmar border: a survey using WHO Safe Motherhood Needs Assessment(2015) Gabie Hoogenboom; Thwin, May Myo; Kris Velink; Marijke Baaijens; Prakaykaew Charrunwatthana; François Nosten; Rose McGready; Mahidol University. Faculty of Tropical Medicine. Mahidol-Oxford Tropical Medicine Research Unitof intrapartum care provided by SBAs in Mae La camp, a low resource, protracted refugee context on the Thai-Myanmar border. Methods: In the obstetric department of Shoklo Malaria Research Unit (SMRU) the standardized WHO Safe Motherhood Needs Assessment tool... was adapted to the setting and used: to assess the facility; interview SBAs; collect data from maternal records during a one year period (August 2007 – 2008); and observe practice during labour and childbirth. Results: The facility assessment recordedPublication Open Access Correlation between Transcutaneous Bilirubinometry and Measurement by Digital Photographic Yellow Level among Neonates(2019) Sophaphan Ploungbunmee; Somsak Suthatvoravut; Mahidol University. Faculty of Medicine, Ramathibodi Hospital. Department of Obstetrics and GynecologyNeonatal jaundice is a common medical problem among newborns. This study was conducted to evaluate the correlation among serum microbilirubin (SMB), transcutaneous bilirubinometry (TCB) and digital photographic yellow level (DPYL) among neonates. This research employed a quasi-experimental design. TCB and DPYL at chest level of 42 newborns were determined at more than 24 hours after birth in Ramathibodi Hospital. Digital photographs were taken at chest level of the newborns and were analyzed using Photoshop computer program to determine the yellowish level of neonatal skin. The results of three methods were compared. Regression equation for the correlation between SMB and DPYL was SMB = 6.073 + 0.191(DPYL) mg/dL with R2 = 0.766, (p < 0.05). The regression equation for the correlation between TCB and DPYL was TCB = 5.414+0.22 (DPYL) mg/dL with R2= 0.935, (p < 0.05). The results of DPYL could be used as a screening test for neonatal jaundice especially in locations where resources are limited.Publication Open Access การเปรียบเทียบผลของการใช้ผ้าพันหน้าท้องแบบ 12 สายผูกด้วยเชือกกับผ้าพันหน้าท้องแบบ 3 สายติดเวลโครเทปของสตรีหลังผ่าตัดคลอดในโรงพยาบาลรามาธิบดี(2561) พรศรี ดิสรเตติวัฒน์; นิตยา โรจนนิรันดร์กิจ; Pornsri Disorntatiwat; Nitaya Rotjananirankit; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี. โรงเรียนพยาบาลรามาธิบดีwith velcro tape, and time spent for using the abdominal binders. The sample consisted of: 1) 20 women after caesarean section in a postpartum ward who were purposively selected, and 2) 23 nursing personnel in a postpartum ward at Ramathibodi Hospital... Assessment, and the Satisfaction Questionnaires after using the abdominal binders. Descriptive statistics, paired t-test and multilevel mixed effects linear regression were used for data analysis. The results showed that the mean pain scores after using