The term "postpartum complications" describes health issues that arise in the woman after giving birth, usually within the six weeks known as the "puerperium period," though some issues may continue or manifest after that time. These problems might entail systemic, psychological, or physical health issues and range in severity from minor to life-threatening. Improving maternal outcomes requires an understanding of their genesis, prevalence, and management.
Hysterectomy is the removal of the uterus and it is the commonest major surgical procedure after caesarean section performed in gynecology. This study aimed to examine women's knowledge and self-care practices post hysterectomy surgery. For this study Descriptive research design was used. Study was conducted among 150 women undergoing hysterectomy at a hospital in Coimbatore. The sample was selected by purposive sampling. Data was collected by Structured Self-reported knowledge questionnaire and structured practice check list questionnaire. The result shows that in knowledge level regarding self-care, 21(14%) are have good knowledge, 38(25.33) are have average knowledge, 91(60.67) are have poor knowledge about postoperative self-care. In Practice level regarding self-care, 20(13.33%) are have good practice, 15(10%) are have average practice, 115(76.67%) are have poor practice about postoperative self-care. There is no correlation (r=0.1725) between the knowledge and practice of self-care among women undergone hysterectomy. There is significant between the level of knowledge and selected demographic variables. Most women lacked sufficient knowledge and practiced unsatisfactory self-care after hysterectomy.
Robotic-assisted surgery (RAS) continues to reshape surgical practice with clear clinical benefits over traditional and laparoscopic procedures. Across multiple specialties and the latest meta-analyses, robust evidence indicates that RAS can reduce blood loss, hospital stay, transfusion needs and complications-though longer operative times and higher costs persist. Adoption is increasing globally, supported by both evidence and strategic healthcare plans. Addressing cost, training and patient awareness remains crucial to expanding equitable access and optimizing outcomes.
Brain death is a critical medical condition characterized by the irreversible cessation of all brain functions, including the brainstem. It is important to distinguish brain death from other forms of coma or vegetative state, as brain death is legally and medically recognized as death. Definition and Diagnosis: The diagnosis of brain death involves a comprehensive clinical examination and often, confirmatory tests. A qualified medical professional typically conducts a series of tests to assess the patient’s neurological function. These tests evaluate responsiveness, reflexes, and the ability to breathe independently. If there is no evidence of brain activity and the criteria for brain death are met, the individual is considered deceased. Medical Criteria for Brain Death: 1. Coma: The patient must be in a coma with no response to external stimuli. 2. Absence of Brainstem Reflexes: This includes the absence of pupil reaction and lack of response to pain.3. Apnea Test: This examines the body’s ability to breathe independently by checking for any spontaneous respiratory effort. Legal and Ethical Considerations: The declaration of brain death carries significant legal implications, as it establishes that the individual is legally deceased. This status is crucial in contexts such as organ donation. The decision-making process in these scenarios is often guided by ethical principles, including respect for the wishes of the patient and the needs of the family. Impact on Families: The diagnosis of brain death can be an extremely challenging experience for families. It involves the confrontation of deep emotional and ethical questions, particularly regarding end-of-life decisions and organ donation. It is essential for healthcare providers to approach these discussions with sensitivity and compassion, ensuring that families receive the necessary support and information. Conclusion: Understanding brain death is vital for patients, families and healthcare providers alike. It is a complex interplay of medical facts and human emotions and navigating this landscape requires both rigorous medical standards and deep empathy. As medical technology continues to advance, awareness and dialogue surrounding brain death will remain crucial in ensuring ethical practices in healthcare.
