Aligning Developmental Programs to Implement SDGs in India: Challenges and the Way Forward

United Nations Agenda 2030 for sustainable development provides seventeen sustainable development goals (SDGs) to be achieved by 2030. India also committed to SDGs and signed the declaration to implement SDGs in the year 2015. India being home to one of the largest poor population in the world, the success of Agenda 2030 to large extent depends upon how India implements and achieves its SDGs targets. To this end, the Government of India has integrated SDGs with the national policy framework to achieve the targets of SDGs. Now, the development agenda of India primarily focus on five P’s- People, Planet, Peace, and Prosperity & Partnership. The present study provides insights into the progress being made by India to achieve SDGs through the review of various development programs. This paper maps various government schemes and development programs being implemented to achieve SDGs in India. Further, the paper also presents key bottlenecks and execution challenges to implement and achieve SDGs targets in India

Use of Bakri balloon tamponade (BBT) for conservative management of postpartum haemorrhage: a tertiary referral centre case series

The aim of this study was to investigate the efficacy of the Bakri balloon in the management of PPH. This was a retrospective review of 49 patients, who had Bakri balloon inserted for PPH in KK Hospital between April 2013 and December 2015. The main outcome measure was achievement of haemostasis by Bakri balloon tamponade (BBT). Our success rate was 81.6%. Out of the nine failures (18.0%), five (55.6%) had subtotal hysterectomies and four (44.4%) had total hysterectomies. The causes of PPH in these nine women were unsuspected or foci of placenta accreta (55.6%), uterine atony (33.3%) and retained products of conception (11.1%). Our study suggests that BBT is more likely to fail when bleeding is secondary to undiagnosed focal placenta accreta (p = .011) and when the estimated blood loss is more than 1.5 litres (p < .001). Our study adds to the growing body of evidence that BBT is not only effective for management of PPH in haemodynamically stable patients and in cases secondary to uterine atony and placenta praevia, but also in a small number of undiagnosed focal placenta accreta.Impact statement There is limited evidence regarding efficacy of BBT for PPH. Our study supports the use of BBT for PPH due to uterine atony and placenta praevia and in a small number of undiagnosed placenta accreta

Perception and Feelings of Antenatal Women during COVID-19 Pandemic: A Cross-Sectional Survey

Introduction: To assess the level of anxiety and knowledge regarding COVID-19 amongst antenatal women. Materials and Methods: This cross-sectional survey was conducted in the antenatal clinics of KK Women’s and Children’s Hospital, Singapore, from 31 March to 25 April 2020 to assess pregnant women’s knowledge of COVID-19, their perceptions of its impact upon pregnancy and psychological impact using the validated Depression, Anxiety, and Stress Scales (DASS-21). Results: Of the 324 women who participated in the study, the mean age was 31.8 years (range, 20–45). The majority (53.7%) were multiparous with mean gestational age of 23.4 weeks (SD 10). The commonest sources of information were Internet-based social media platforms. A significant proportion were unaware, or associated COVID-19 infection during pregnancy with fetal distress (82.1%), intrauterine death (71.3%), fetal anomalies (69.8%), miscarriages (64.8%), preterm labour (67.9%) and rupture of membranes (61.4%). A total of 116 (35.8%) women screened positive for anxiety, 59 (18.2%) for depression, and 36 (11.1%) for stress. There was a significant association between household size and stress scores [B = 0.0454 (95% CI, 0.0035–0.0873)]. Women who associated COVID-19 infection with fetal anomalies and intrauterine fetal death had significantly higher anxiety scores [B = −0.395 (95% CI, −0.660 to −0.130) and B = −0.291 (95% CI, −0.562 to −0.021) respectively]. Conclusion: Our study highlights that a lack of timely and reliable information on the impact of COVID-19 on pregnancy and its outcomes results in increased levels of depression, anxiety and stress. The healthcare provider must address these issues urgently by providing evidence-based information using Internet-based resources and psychological support. Key words: Depression, Anxiety, Stress, Pregnancy, Knowledge</jats:p