Every week, Eco India brings you stories that inspire you to build a cleaner, greener and better tomorrow.
In India’s Himalayan region, grazing and rearing of sheep has a long tradition. But the change in wool production and consumer preferences has meant that the use of traditional Himalayan wool has declined massively - with a direct impact on the region's ecosystem. Some organisations are now trying to change this. Let's see how.
Credits:
Supervising Producer: Nooshin Mowla
Field Producer: Aditya Pande
Script: Nooshin Mowla, Tejprakash Bhardwaj Video Editor: Amit Garg (Metro Media Works) Associate Producer: Ipsita Basu
Director of Photography: Jagdish Jahagid
Executive Producer: Sannuta Raghu
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Konda Reddi Tribe: Exploring the Rich Cultural Heritage of Andhra Pradesh's Indigenous Community #BlogchatterA2Z
Konda Reddi Tribe: Exploring the Rich Cultural Heritage of Andhra Pradesh's Indigenous Community #BlogchatterA2Z #KondaReddi #IndigenousCultures #AndhraPradesh #EasternGhats #CulturalHeritage #TraditionalPractices
Unveiling the Rich Cultural Tapestry of the Konda Reddi Tribe in Andhra Pradesh
The Konda Reddi tribe is an indigenous community primarily found in the Indian state of Andhra Pradesh, particularly in the hilly regions of the Eastern Ghats. They are also known as Kondareddy, Kondareddi, or Kondareddiar. The term “Konda” means hill or mountain in Telugu, reflecting their traditional habitat.
The…
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Fundal Pressure in Labor: Balancing Practice and Potential Risks
During labor, healthcare providers may employ various techniques to assist with the delivery process. One such technique is fundal pressure, which involves applying pressure on the upper abdomen to aid in the descent and expulsion of the baby. While fundal pressure has been used for decades, its effectiveness and potential risks have been the subject of debate. In this blog post, we will explore the main points from several studies and shed light on the practice of fundal pressure, its purpose, and the associated consequences.
Understanding the Practice and Prevalence:
A systematic review and meta-analysis conducted by Farrington et al. (2021) examined the prevalence of uterine fundal pressure during the second stage of labor. The study revealed that fundal pressure was utilized in a considerable number of cases, with variations observed across different regions and healthcare facilities. For instance, in some low- and middle-income countries, the use of fundal pressure was more prevalent compared to high-income countries, highlighting the influence of local protocols and traditions.
The Potential Effects and Consequences:
To assess the impact of fundal pressure, Buhimschi et al. (2002) conducted a study on intrauterine pressure during the second stage of labor. The research demonstrated that fundal pressure increased the intrauterine pressure significantly. While this might aid in fetal descent, it also raises concerns about potential adverse effects on maternal and fetal well-being. Excessive uterine pressure can lead to potential complications, including maternal perineal trauma, prolonged second stage of labor, and fetal distress, as highlighted by Pinar and Karaçam (2018).
The Call for Caution and Critical Appraisal:
Papadakis (2019) critically appraised the role of fundal pressure in labor, emphasizing the principle of "First, do no harm." The study highlighted the lack of scientific evidence supporting the routine use of fundal pressure, especially in cases where it is not medically indicated. Papadakis cautioned against the potential risks associated with fundal pressure and stressed the importance of individualized care and shared decision-making between healthcare providers and birthing individuals.
The Importance of Informed Decision-Making:
Fundal pressure should be employed cautiously and with a thorough understanding of the potential risks and benefits. Healthcare providers must engage in shared decision-making with birthing individuals, considering their unique circumstances and preferences. Informed consent and adherence to evidence-based practices are crucial in ensuring the well-being of both mother and baby during childbirth.
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The practice of fundal pressure during labor continues to be a subject of debate in the medical community. While it is employed in certain circumstances to aid in the delivery process, there are potential risks and adverse consequences associated with its use. Healthcare providers must carefully consider the benefits and harms, taking into account the specific context of each laboring individual.
For example, in low-resource settings where alternative interventions may be limited, fundal pressure could be utilized judiciously to assist with delivery. However, in other cases, the routine use of fundal pressure without medical indication may pose unnecessary risks. Individualized care, shared decision-making, and critical appraisal of the available evidence are essential in ensuring the safety and well-being of birthing individuals and their infants.
As research continues to advance, it is crucial to critically evaluate the practice of fundal pressure and prioritize the principles of beneficence and non-maleficence in childbirth. By promoting informed decision-making and evidence-based practices, healthcare providers can navigate the complexities of fundal pressure and strive to optimize outcomes for both mothers and babies.
References!
Buhimschi, Catalin S., et al. "The effect of fundal pressure manoeuvre on intrauterine pressure in the second stage of labour." BJOG: an international journal of obstetrics and gynaecology 109.5 (2002): 520-526.
Farrington, Elise, et al. "The prevalence of uterine fundal pressure during the second stage of labour for women giving birth in health facilities: a systematic review and meta-analysis." Reproductive Health 18.1 (2021): 1-17.
Mahendru, Rajiv, Savita Malik, and Tina Anand. "Age old practice of Uterine Fundal Pressure in Labor-more risky than beneficial." Biomedical Research 21.3 (2010): 295-296.
Papadakis, Konstantinos. "Critical appraisal of the role of applying uterine fundal pressure in labour: First, do no harm." Hypertension Research in Pregnancy 7.1 (2019): 22-26.
Pinar, Semra, and Zekiye Karaçam. "Applying fundal pressure in the second stage of labour and its impact on mother and infant health." Health care for women international 39.1 (2018): 110-125.
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