INTRODUCTION The use of epidural anaesthesia in delivery with the purpose to reduce pain and fear in a pregnant woman has the influence on the physiological status of the woman in childbirth and the course of delivery. From the epidural space of the pregnant woman, one part of free anaesthetic comes in the foetal circulation through the mother's circulation and placenta and connects with the foetal proteins. A lower value of albumins and serum proteins in the foetal circulation give bigger free fraction of anaesthetic which is accumulated in the foetal liver, brain and heart full of blood. OBJECTIVE The aim of the study was to examine the influence of epidural anaesthesia on the newborn. METHODS Retrospective study of 6398 documents of newborns was performed in our Clinic of Gynaecology and Obstetrics "Narodni front" during 2006. The first group was made of 455 newborns from deliveries with epidural anaesthesia and the second was the control group of 5,943 remaining newborns. In both groups we analysed the following: sex, week of gestation, weight, Apgar score, measure of care and resuscitation, perinatal morbidity and then the obtained results were compared. RESULTS Most of deliveries were vaginal without obstetric intervention (86.6%). The number of deliveries finished with vacuum extractor (4.6%) was statistically significantly bigger in the group with epidural anaesthesia than in the control group. Most of the newborns in the first group were born on time (96.5%) in 39.0 +/- 1.0 week of gestation and with foetal weight 3448 +/- 412 grammes. There was no statistical significance in Apgar score between both groups. Epidural anaesthesia does not increase the degree of the newborn's injury. Lower pH of blood was found in the newborns from deliveries with vacuum extractor or operated on (the Ceasarean section). CONCLUSION Application of epidural anaesthesia decreases duration of delivery and has no adverse effects on the newborn and hypoxic encephalopathy is lower.
Background and Purpose: The forest related conflicts has not been very often used as a research topic in Croatia. This paper presents results from two case studies conducted in Nature Parks »Kopa~ki rit« and »Velebit«. The aim of the study was to explore conflicts between forestry and nature protection on management level. The main research questions were raised: (a) What causes conflicts?; (b)What are the attitudes of conflict actors towards conflicts as a phenomenon and towards other conflict parties?; (c) What was undertaken to manage conflicts and was it successful? and (d) How the conflicts and CM influence forest policy development process? Material and Methods: Data was collected by conducting in-depth resulting in 27 interviews in total. The interviewees were managers in CF, NPs and representatives of NGOs active in the respective areas. Theoretical framework was combination of Progressive Triangle with three main aspects of conflicts: substance, relation and procedure (3) embedded in structure of four main elements: culture, conflicts, conflicts management and policy development (10). Results and Conclusion: Primary parties in conflicts are NPs and CF. Interviewees named mostly problems with legislation, performance of forest management activities within protected areas and lack of proper communication as possible conflict causes. Main conclusion is that differing attitudes towards forestry and nature protection as well as education as elements of cultural background probably influence conflict occurrence, CM and policy development. There is no sound CM strategy or significant policy development.
Nema pronađenih rezultata, molimo da izmjenite uslove pretrage i pokušate ponovo!
Ova stranica koristi kolačiće da bi vam pružila najbolje iskustvo
Saznaj više