European Journal of Molecular & Clinical Medicine

Introduction: A childbirth education programme empowers the women to participate in the birthing process with complete psychological preparation, helping to preserve her energy and gain control over the birthing process. Knowledge about labor process affects possible pregnancy outcome in Primigravida mothers.
Methods: This experimental study with Non- equivalent post test only design was conducted on a sample of 200 Primigravida mothers, assigned into two groups, 100 in experimental group (implementation of child birth education programme) and 100 in control group (routine care). Data was collected at Department of Obs. and Gynae. AIIMS Jodhpur.
Results: Personal variables were comparable between experimental and control group. Significant difference was observed in knowledge score (Z score (N=200) =16.83, p<0.05), intrapartum behaviour (Z score (N=200) =14.80, p<0.05), and pregnancy outcome (Z score (N=200) =4.30, p<0.05) in control and experimental group. There is a Moderate positive correlation(r=0.611) between the knowledge score and intrapartum behavior.
Conclusion: The study concluded that childbirth education programme was found to be effective in significantly improving knowledge, intrapartum behavior and pregnancy outcome among Primigravida mothers. This study recommends that childbirth education programme need to be included as an essential part of antenatal care.

BACKGROUND:The amniotic fluid plays an important role in fetal growth. Measurement
of amniotic fluid volume can be made directly, indirectly, or estimated sonographically.
Thetwo standardmethods of sonographic evaluation of amniotic fluid volume are single
deepest pocket (SDP), and amniotic fluid index (AFI). We aimed to compare different
methods of measuring AFI for increasing its accuracy and, subsequently neonatal
outcome.
METHODS: A cross-sectional study was conducted at the Obstetric and gynecological
departmentfrom May 2019 to February 2020. The study included 80 pregnant women (18-
35) years old whose gestational age before 24 weeks of gestation and not hypertensive or
diabetic. Women were assigned to AFI or SVDP measurement for estimation of amniotic
fluid volume in lateral decubitus Position at 36 weeks, thenfollow-up measurements of AFI
and SVDP were performed at 38 – 40 weeks of gestation at both postures.
RESULTS: At 36 weeks of gestation, there was a statistically significant increase in AFI
and VDP values on maternal change position from supine to lateral decubitus.Also, a
similar significant increase in AFI and VDP values on changing maternal position at 38-
40 weeks of gestation.There was a significant increase in AFI values with the progress of
gestation age at the supine position. Without significant difference at lateral decubitus
position, but there was a significant increase in VDP values with the progress of gestation
age at both positions.There was a significant negative correlation between AFImeasured
on lateral decubitus position at 36 weeks and incidence of AF-stained meconium and need
for NICU admission alsothe incidence of respiratory distress as well as there was a
significant negative correlation between all VDP values and need for NICU admission and
the incidence of respiratory distress.
CONCLUSION:We concluded that the VDP method is the favorable method to estimate
amniotic fluid volume.

Based on what is known at this time, pregnant women are at an increased risk for severe illness from COVID-19 compared to non-pregnant women. Additionally, pregnant women with COVID-19 might have an increased risk of adverse pregnancy outcomes, such as preterm birth. The study was conducted in the city of Kirkuk city during the period between February 1, 2020, and September 1, 2020, at Gynecology and children hospital. Through the study, 100 pregnant women were received, complaining of Covid-19 infections, which were diagnosed in Kirkuk, and now Real Time PCR was confirmed through nasopharyngeal swabs that were taken from the Hospital. The study also included measuring the level of blood pressure, sugar and IL-6 in those women during the fifth to eight week, where we were infected, and then in the 12th week of pregnancy took place, where communication was made, and a level was measured, and as a result, these women who completed the period with a pre-term labor, miscarriage before the 24th week of pregnancy or those completed the period with successful pregnancyThe study showed that were asymptomatic, 45% of cases of COVID-19 patients were with mild infection and 10% were with severe infection (P<0.001) In this study, 10 % of COVID-19 pregnant women suffer from hypertension, 13% were with Diabetes, 35% with UTI while 70% were suffered from fever. When reaching 24th week of pregnancy, and as shown in Table 3. The study showed that 40% COVID-19 pregnant women experienced completed the period with a preterm labor, 10% was with miscarriage before the 24th week of pregnancy, while 50% of them completed the period continued the pregnancy. In this study, 82.5 % of COVID-19 pregnant women with preterm labor were suffered previously from fever comparing with 55% of COVID-19 pregnant women without preterm labor.The study showed that the highest mean of serum IL-6 was found in women infected with COVID-19 comparing with healthy control (12.8±3.6 v.s. 29.3±3.1 ng/ml) (P: <0.001). Conclusions:The study showed a significant relation of COVID-19 infection with pregnant women who pre-term labor especially who have high body temperature.