Pub Date : 2017-12-22DOI: 10.4172/2167-0420.1000406
B. Meshesha, G. Dejene, T. Hailemariam
Background: Maternity Waiting Areas also called Maternity Waiting Homes are residential facilities, located near a recognized medical facility, where non-laboring pregnant women from remote areas stay awaiting their delivery and be transferred to the medical facility shortly before delivery. Research indicates that 99% of all maternal mortalities occur in the developing countries. Ethiopia is a major contributor to the world-wide death of mothers. Maternity Waiting Areas, an approach designed to improve access of rural mothers to comprehensive emergency obstetric care has been introduced three decades ago in Ethiopia. Methods: Hospital-based comparative cross-sectional study was conducted. Results: Only 16.7% of the total 516 mothers were admitted to the Maternity Waiting Areas of which 90.7% were from rural areas. Almost all mothers from the Maternity Waiting Areas (98.8%) delivered at the hospital with relatively reduced occurrence of the bad obstetric outcomes of interest when compared to the mothers from home. More than 53% of the mothers who reported late to labor ward were mothers from rural areas. Mothers from the Maternity Waiting Areas were 97% less likely to experience prolonged PROM when compared to the home group, AOR and 95% CI: 0.03 (0.01, 0.24). They had also 74% lesser odds of experiencing delay in admission to labor ward when in labor, AOR and 95% CI: 0.25 (0.15, 0.43). The collective bad obstetric outcomes were reduced by 27.5% from 61.2% prevalence in the home group to 33.7% in the Maternity Waiting Areas group, AOR and 95% CI: 0.32 (0.20, 0.53). Conclusion: Mothers from the Maternity Waiting Areas had been protected from the risk of intrauterine infections and thereby from maternal and perinatal complications unlike mothers from home.
{"title":"The Role of Maternity Waiting Area in Improving Obstetric Outcomes: A Comparative Cross-sectional Study, Jinka Zonal Hospital, Southern Regional State","authors":"B. Meshesha, G. Dejene, T. Hailemariam","doi":"10.4172/2167-0420.1000406","DOIUrl":"https://doi.org/10.4172/2167-0420.1000406","url":null,"abstract":"Background: Maternity Waiting Areas also called Maternity Waiting Homes are residential facilities, located near a recognized medical facility, where non-laboring pregnant women from remote areas stay awaiting their delivery and be transferred to the medical facility shortly before delivery. Research indicates that 99% of all maternal mortalities occur in the developing countries. Ethiopia is a major contributor to the world-wide death of mothers. Maternity Waiting Areas, an approach designed to improve access of rural mothers to comprehensive emergency obstetric care has been introduced three decades ago in Ethiopia. Methods: Hospital-based comparative cross-sectional study was conducted. Results: Only 16.7% of the total 516 mothers were admitted to the Maternity Waiting Areas of which 90.7% were from rural areas. Almost all mothers from the Maternity Waiting Areas (98.8%) delivered at the hospital with relatively reduced occurrence of the bad obstetric outcomes of interest when compared to the mothers from home. More than 53% of the mothers who reported late to labor ward were mothers from rural areas. Mothers from the Maternity Waiting Areas were 97% less likely to experience prolonged PROM when compared to the home group, AOR and 95% CI: 0.03 (0.01, 0.24). They had also 74% lesser odds of experiencing delay in admission to labor ward when in labor, AOR and 95% CI: 0.25 (0.15, 0.43). The collective bad obstetric outcomes were reduced by 27.5% from 61.2% prevalence in the home group to 33.7% in the Maternity Waiting Areas group, AOR and 95% CI: 0.32 (0.20, 0.53). Conclusion: Mothers from the Maternity Waiting Areas had been protected from the risk of intrauterine infections and thereby from maternal and perinatal complications unlike mothers from home.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85310960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-19DOI: 10.4172/2167-0420.1000409
B. Duko, B. Tadesse, M. Gebre, T. Teshome
Background: Anemia affects around half a billion women of reproductive age worldwide, women; especially pregnant women are at high risk of contracting anemia. The aim of this study was to asses’ awareness of anemia among pregnant women and identifies associated factors with the level of awareness. Methods: Institutional based cross-sectional study was conducted from April to June 2016 at Yrga Cheffe health center, South Ethiopia. Data were gathered using structured questionnaire. Simple random sampling technique was used to select participants. Sample frame was prepared from secondary data at antenatal care service unit. SPSS version 20 was used to analyze the data. Results: Among 244 study participants about 94.3% (230) pregnant women were responsive and only 44.3% (102) of the women have comprehensive awareness of anemia. Awareness of anemia was significantly associated with number of ANC visit {AOR=7.407, CI=95% [3.247-16.895]}, occupational status {AOR=1.970, CI=95% [1.092-3.555]} and educational status {AOR=6.141, CI=95% [2.781-13.562]} of respondents. Conclusion: Promoting the benefits of early and frequent ANC, enhancing the quality of ANC and counseling on the ad knowledge of women on anemia are essential elements for improving the awareness of anemia.
{"title":"Awareness of Anemia and Associated Factors among Pregnant Women Attending Antenatal Care, South Ethiopia","authors":"B. Duko, B. Tadesse, M. Gebre, T. Teshome","doi":"10.4172/2167-0420.1000409","DOIUrl":"https://doi.org/10.4172/2167-0420.1000409","url":null,"abstract":"Background: Anemia affects around half a billion women of reproductive age worldwide, women; especially pregnant women are at high risk of contracting anemia. The aim of this study was to asses’ awareness of anemia among pregnant women and identifies associated factors with the level of awareness. Methods: Institutional based cross-sectional study was conducted from April to June 2016 at Yrga Cheffe health center, South Ethiopia. Data were gathered using structured questionnaire. Simple random sampling technique was used to select participants. Sample frame was prepared from secondary data at antenatal care service unit. SPSS version 20 was used to analyze the data. Results: Among 244 study participants about 94.3% (230) pregnant women were responsive and only 44.3% (102) of the women have comprehensive awareness of anemia. Awareness of anemia was significantly associated with number of ANC visit {AOR=7.407, CI=95% [3.247-16.895]}, occupational status {AOR=1.970, CI=95% [1.092-3.555]} and educational status {AOR=6.141, CI=95% [2.781-13.562]} of respondents. Conclusion: Promoting the benefits of early and frequent ANC, enhancing the quality of ANC and counseling on the ad knowledge of women on anemia are essential elements for improving the awareness of anemia.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90320811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Velonis, P. O’Campo, V. Kaufman-Shriqui, Kathleen S. Kenny, P. Schafer, M. Vance, C. Schetter, M. Hillemeier, R. Lanzi, V. Chinchilli
Abstract Background: Intimate partner violence (IPV) negatively impacts maternal and infant health, yet few studies assess violence at multiple time points during the childbearing year. Methods: Using data on 2018 women from the multisite Community Child Health Network (CCHN), this study assesses the relationship between past-year IPV (reported at 1 and 12 months postpartum) and maternal depression and perceived stress measured 1 year postpartum. Past-year IPV was measured using a modified version of the HITS (Hurts, Insults, Threatens, and Screams) assessment; depression was assessed using the Edinburgh Postnatal Depression Scale; perceived stress was assessed by the Perceived Stress Scale. Multivariable logistic regression models estimated risk for depression and estimated stress scores among women reporting exposure to IPV at one or both time points compared to those unexposed to IPV, adjusting for maternal age and household income. Results: At 1 month postpartum, 36% of participants reported past-year...
{"title":"The Impact of Prenatal and Postpartum Partner Violence on Maternal Mental Health: Results from the Community Child Health Network Multisite Study","authors":"A. Velonis, P. O’Campo, V. Kaufman-Shriqui, Kathleen S. Kenny, P. Schafer, M. Vance, C. Schetter, M. Hillemeier, R. Lanzi, V. Chinchilli","doi":"10.1089/JWH.2016.6129","DOIUrl":"https://doi.org/10.1089/JWH.2016.6129","url":null,"abstract":"Abstract Background: Intimate partner violence (IPV) negatively impacts maternal and infant health, yet few studies assess violence at multiple time points during the childbearing year. Methods: Using data on 2018 women from the multisite Community Child Health Network (CCHN), this study assesses the relationship between past-year IPV (reported at 1 and 12 months postpartum) and maternal depression and perceived stress measured 1 year postpartum. Past-year IPV was measured using a modified version of the HITS (Hurts, Insults, Threatens, and Screams) assessment; depression was assessed using the Edinburgh Postnatal Depression Scale; perceived stress was assessed by the Perceived Stress Scale. Multivariable logistic regression models estimated risk for depression and estimated stress scores among women reporting exposure to IPV at one or both time points compared to those unexposed to IPV, adjusting for maternal age and household income. Results: At 1 month postpartum, 36% of participants reported past-year...","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79994821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Tom, A. Wyman, N. Woods, F. Anderson, J. Adachi, R. Chapurlat, J. Compston, C. Cooper, A. Díez-Pérez, A. Díez-Pérez, S. Gehlbach, S. Greenspan, F. Hooven, L. March, J. Netelenbos, J. Nieves, J. Pfeilschifter, M. Rossini, C. Roux, K. Saag, E. Siris, S. Silverman, N. Watts, A. LaCroix
Abstract Background and Objectives: The extent to which greater frailty among American compared with European women reflects individual-level characteristics has not been well studied. To test the hypothesis that cardiometabolic conditions and depression and anxiety confound the relationship between region and incident prefrailty and frailty in American compared with European women. Materials and Methods: The Global Longitudinal Study of Osteoporosis in Women (GLOW) is a 5-year observational cohort study of women aged ≥55 years. A total of 19,674 participants from the United States and Europe were nonfrail at baseline and provided information on characteristics, including body mass index, depression and anxiety, and cardiovascular disease. We used multivariable Cox proportional hazards models to examine the relationship between region and incident frailty and prefrailty. Results: Over 40% of respondents became prefrail or frail during follow-up. Adjusting for age, body mass index, depression and anxiety, ...
{"title":"Regional Differences in Incident Prefrailty and Frailty","authors":"S. Tom, A. Wyman, N. Woods, F. Anderson, J. Adachi, R. Chapurlat, J. Compston, C. Cooper, A. Díez-Pérez, A. Díez-Pérez, S. Gehlbach, S. Greenspan, F. Hooven, L. March, J. Netelenbos, J. Nieves, J. Pfeilschifter, M. Rossini, C. Roux, K. Saag, E. Siris, S. Silverman, N. Watts, A. LaCroix","doi":"10.1089/JWH.2016.6041","DOIUrl":"https://doi.org/10.1089/JWH.2016.6041","url":null,"abstract":"Abstract Background and Objectives: The extent to which greater frailty among American compared with European women reflects individual-level characteristics has not been well studied. To test the hypothesis that cardiometabolic conditions and depression and anxiety confound the relationship between region and incident prefrailty and frailty in American compared with European women. Materials and Methods: The Global Longitudinal Study of Osteoporosis in Women (GLOW) is a 5-year observational cohort study of women aged ≥55 years. A total of 19,674 participants from the United States and Europe were nonfrail at baseline and provided information on characteristics, including body mass index, depression and anxiety, and cardiovascular disease. We used multivariable Cox proportional hazards models to examine the relationship between region and incident frailty and prefrailty. Results: Over 40% of respondents became prefrail or frail during follow-up. Adjusting for age, body mass index, depression and anxiety, ...","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91102386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-11DOI: 10.4172/2167-0420.1000382
Senol Senturk, N. Akalin
Background: We have aimed to determine thyroid dysfunction prevalence among pregnant women in a city of Black Sea Region that iodine deficiency is most frequently seen in our country. Materials: We have included pregnant women in their 7-8 days to 12th weeks of gestation according to last menstrual cycle. Serum triiodothyronin, tetraiodothyronin, thyroid stimulating hormone and anti-thyroperoxidase levels were measured. Results: We have observed that iodine deficiency seen in the region did not have any effect on maternal thyroid dysfunction prevalence. Maternal thyroid dysfunction prevalence was not different from maternal thyroid dysfunction prevalence reported in the worldwide. There was no statistically significant difference between prevalence of hyperthyroidism and hypothyroidism. Conclusion: Thyroid dysfunction prevalence should be established in all regions especially among pregnant women population. Thus, frequently seen cases of endemic goiter, endemic cretinism and fetal maternal complications in last 3-4 decades could be prevented.
{"title":"Thyroid Dysfunction Prevalence in a Turkish Pregnant Women Population Living in Black Sea Region","authors":"Senol Senturk, N. Akalin","doi":"10.4172/2167-0420.1000382","DOIUrl":"https://doi.org/10.4172/2167-0420.1000382","url":null,"abstract":"Background: We have aimed to determine thyroid dysfunction prevalence among pregnant women in a city of Black Sea Region that iodine deficiency is most frequently seen in our country. \u0000Materials: We have included pregnant women in their 7-8 days to 12th weeks of gestation according to last menstrual cycle. Serum triiodothyronin, tetraiodothyronin, thyroid stimulating hormone and anti-thyroperoxidase levels were measured. \u0000Results: We have observed that iodine deficiency seen in the region did not have any effect on maternal thyroid dysfunction prevalence. Maternal thyroid dysfunction prevalence was not different from maternal thyroid dysfunction prevalence reported in the worldwide. There was no statistically significant difference between prevalence of hyperthyroidism and hypothyroidism. \u0000Conclusion: Thyroid dysfunction prevalence should be established in all regions especially among pregnant women population. Thus, frequently seen cases of endemic goiter, endemic cretinism and fetal maternal complications in last 3-4 decades could be prevented.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74011934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Masafumi Saito, Satomi Kobayashi, H. Uchida, H. Suga, Jun Kobayashi, Satoshi Sasaki
Abstract Objective: Some epidemiological studies have reported that caffeine intake is positively associated with urinary incontinence (UI). However, it remains unclear whether caffeine, caffeinated beverages, or both directly influence UI development, or work as a surrogate of unknown risk factors. Therefore, we investigated the association between UI and the intake of caffeinated beverages and total caffeine intake in middle-aged Japanese women. Design: Habitual coffee, Japanese and Chinese tea, and total caffeine intake were assessed using validated self-administered dietary history questionnaires. UI was defined using the Epidemiology of Incontinence in the County of Nord-Trondelag Study questionnaire. Subjects: A total of 3,313 women aged 40–59 years from the Three-Generation Study of Women on Diets and Health were included. Results: A total of 1,145 participants (35%) had UI. Multivariate-adjusted odds ratios (ORs) (95% confidence interval [CI]) for UI in the first, second, third, fourth, and fifth ...
{"title":"No Association of Caffeinated Beverage or Caffeine Intake with Prevalence of Urinary Incontinence Among Middle-Aged Japanese Women: A Multicenter Cross-Sectional Study","authors":"Masafumi Saito, Satomi Kobayashi, H. Uchida, H. Suga, Jun Kobayashi, Satoshi Sasaki","doi":"10.1089/JWH.2016.6094","DOIUrl":"https://doi.org/10.1089/JWH.2016.6094","url":null,"abstract":"Abstract Objective: Some epidemiological studies have reported that caffeine intake is positively associated with urinary incontinence (UI). However, it remains unclear whether caffeine, caffeinated beverages, or both directly influence UI development, or work as a surrogate of unknown risk factors. Therefore, we investigated the association between UI and the intake of caffeinated beverages and total caffeine intake in middle-aged Japanese women. Design: Habitual coffee, Japanese and Chinese tea, and total caffeine intake were assessed using validated self-administered dietary history questionnaires. UI was defined using the Epidemiology of Incontinence in the County of Nord-Trondelag Study questionnaire. Subjects: A total of 3,313 women aged 40–59 years from the Three-Generation Study of Women on Diets and Health were included. Results: A total of 1,145 participants (35%) had UI. Multivariate-adjusted odds ratios (ORs) (95% confidence interval [CI]) for UI in the first, second, third, fourth, and fifth ...","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86985477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-07-20DOI: 10.4172/2167-0420.1000377
F. Adebayo, Olatunde Onafowokan, Akinola Babalola, N. Adewole, B. Nggada
Sonographic assessment of amniotic fluid has formed an integral and important component of pregnancy assessment of fetal wellbeing. Changes in amniotic fluid volume are associated with variable outcome of the fetus. Amniotic fluid index which is an objective means of assessing adequacy of amniotic fluid volume does not only vary with gestational age but also differs from population to population. The study determined the reference values of amniotic fluid index and compared the values with the established ranges throughout gestation in uncomplicated singleton pregnancies among women attending our antenatal care facility. This was a longitudinal prospective assessment of amniotic fluid index in eighty six healthy pregnant women with singleton pregnancies recruited at 20 to 22 weeks of gestation and followed up to 41 weeks and 3 days. The patients recruited at 20 weeks had amniotic fluid measurements at recruitment and 4 weeks apart until 40 weeks gestation. Those recruited at 22 weeks had it also at recruitment and 4 weekly with the last estimation at 41 weeks +3 days. These measurements were plotted against their respective gestational ages. The graph was then analyzed using statistical and graphical packages of SPSS version 21. The study populations mean, 5th and 95th percentiles was documented and discussed appropriately. A total of 414 readings were obtained from 81 subjects who underwent more than 3 measurements. Analysis of the data obtained shows a rising AFI with a mean 28 weeks and, thereafter gradually fell till term. The mean age obtained in the study group compared with that of Caucasians showed statistically significant difference (P=0.014). Also, comparison with Chama et al. showed obvious statistical difference at the lower limit (5th percentile; P=0.007, 50th percentile; P=0.006) but no differences at the upper limit (95th percentile; P=0.726). Amniotic fluid index values appear to be differing in different population. The reference range of AFI used in clinical practice should therefore be based on data obtained from local population.
{"title":"Comparison of Amniotic Fluid Index at Different Gestational Age in Normal Pregnancy","authors":"F. Adebayo, Olatunde Onafowokan, Akinola Babalola, N. Adewole, B. Nggada","doi":"10.4172/2167-0420.1000377","DOIUrl":"https://doi.org/10.4172/2167-0420.1000377","url":null,"abstract":"Sonographic assessment of amniotic fluid has formed an integral and important component of pregnancy assessment of fetal wellbeing. Changes in amniotic fluid volume are associated with variable outcome of the fetus. Amniotic fluid index which is an objective means of assessing adequacy of amniotic fluid volume does not only vary with gestational age but also differs from population to population. The study determined the reference values of amniotic fluid index and compared the values with the established ranges throughout gestation in uncomplicated singleton pregnancies among women attending our antenatal care facility. This was a longitudinal prospective assessment of amniotic fluid index in eighty six healthy pregnant women with singleton pregnancies recruited at 20 to 22 weeks of gestation and followed up to 41 weeks and 3 days. The patients recruited at 20 weeks had amniotic fluid measurements at recruitment and 4 weeks apart until 40 weeks gestation. Those recruited at 22 weeks had it also at recruitment and 4 weekly with the last estimation at 41 weeks +3 days. These measurements were plotted against their respective gestational ages. The graph was then analyzed using statistical and graphical packages of SPSS version 21. The study populations mean, 5th and 95th percentiles was documented and discussed appropriately. A total of 414 readings were obtained from 81 subjects who underwent more than 3 measurements. Analysis of the data obtained shows a rising AFI with a mean 28 weeks and, thereafter gradually fell till term. The mean age obtained in the study group compared with that of Caucasians showed statistically significant difference (P=0.014). Also, comparison with Chama et al. showed obvious statistical difference at the lower limit (5th percentile; P=0.007, 50th percentile; P=0.006) but no differences at the upper limit (95th percentile; P=0.726). Amniotic fluid index values appear to be differing in different population. The reference range of AFI used in clinical practice should therefore be based on data obtained from local population.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76637200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-06-30DOI: 10.4172/2167-0420.1000E129
J. Turabián
The author hypothesize that patient gender could have an effect on expression and communication of symptoms. Symptoms may be defined as “any subjective evidence of a health problem as perceived by the patient”. Symptoms are the result of an interpretation process. Symptom experiences are embedded in a complex interplay between biological, psychological and cultural factors. The expression of symptoms depends more on psychosocial aspects than biological. In consequence there must be a variety of interpretations of sensations, which are not equivalent to expressions of underlying disease. Moreover, this interpretation of sensations, being fundamentally of a psychosocial character, must be different according to the gender of the patient. So, symptoms of the same disease could differ between women and men, and the same symptom could have different meanings in females and males. If diagnosis of disease is based exclusively on the presence of specific symptom characteristics, we may risk not take into account the different meanings by reason of gender, and give rise to misinterpretations and misdiagnoses. The implications of this perspective are immense. There is a need for developing research designs that test alternative conceptions of symptoms as a complexity phenomenon, with gender/sex differences in health, more rigorously.
{"title":"Is The Meaning of Symptoms the Same in Women And Men","authors":"J. Turabián","doi":"10.4172/2167-0420.1000E129","DOIUrl":"https://doi.org/10.4172/2167-0420.1000E129","url":null,"abstract":"The author hypothesize that patient gender could have an effect on expression and communication of symptoms. \u0000 Symptoms may be defined as “any subjective evidence of a health problem as perceived by the patient”. Symptoms \u0000 are the result of an interpretation process. Symptom experiences are embedded in a complex interplay between \u0000 biological, psychological and cultural factors. The expression of symptoms depends more on psychosocial aspects \u0000 than biological. In consequence there must be a variety of interpretations of sensations, which are not equivalent to \u0000 expressions of underlying disease. Moreover, this interpretation of sensations, being fundamentally of a \u0000 psychosocial character, must be different according to the gender of the patient. So, symptoms of the same disease \u0000 could differ between women and men, and the same symptom could have different meanings in females and males. \u0000 If diagnosis of disease is based exclusively on the presence of specific symptom characteristics, we may risk not \u0000 take into account the different meanings by reason of gender, and give rise to misinterpretations and misdiagnoses. \u0000 The implications of this perspective are immense. There is a need for developing research designs that test \u0000 alternative conceptions of symptoms as a complexity phenomenon, with gender/sex differences in health, more \u0000rigorously.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86066068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-06-30DOI: 10.4172/2167-0420.1000376
Asrat Meleko Mara, Mengistu Ayenew, Haile Haftu, B. Aregay
Background: Countries with narrow bases for legal abortion are vulnerable for burden of unsafe abortion and related mortality. Globally, 26% of populations live where abortion is prohibited or permitted on certain circumstances where majorities are in developing countries. Objectives: To assess knowledge and attitudes of men and women aged 15-49 years towards legalization of abortion in Mizan Aman town, South West Ethiopia. Methods: Community based cross-sectional study was conducted from October 2015 to June 2016. Data collection tool used was structured questionnaire. Data entry and analysis was done using EpiData V3.1 and SPSS V20. The result was displayed using tables and figures. Verbal consent was obtained from study participant. Result and Discussion: Total of 422 individuals were included in this study. Majority, 238 (56.4%), of them preferred legalization of induced abortion. Only, 24 (5.7%), respondents know current legal status of abortion. Knowledge about abortion complication and preference to terminate unwanted pregnancy has association with attitude towards legalization of abortion (P<0.005). Conclusions and Recommendation: Low number of respondents knows current legal status of abortion. Professionals and other influential individuals should be involved in improving community perception towards legal aspects of abortion.
{"title":"Assessment of Knowledge and Attitudes of Men and Women Aged between15-49 Years towards Legalization of Induced Abortion in Mizan Aman Town,Bench Maji Zone, South West Ethiopia, 2016","authors":"Asrat Meleko Mara, Mengistu Ayenew, Haile Haftu, B. Aregay","doi":"10.4172/2167-0420.1000376","DOIUrl":"https://doi.org/10.4172/2167-0420.1000376","url":null,"abstract":"Background: Countries with narrow bases for legal abortion are vulnerable for burden of unsafe abortion and \u0000 related mortality. Globally, 26% of populations live where abortion is prohibited or permitted on certain circumstances \u0000 where majorities are in developing countries. \u0000Objectives: To assess knowledge and attitudes of men and women aged 15-49 years towards legalization of \u0000 abortion in Mizan Aman town, South West Ethiopia. \u0000Methods: Community based cross-sectional study was conducted from October 2015 to June 2016. Data \u0000 collection tool used was structured questionnaire. Data entry and analysis was done using EpiData V3.1 and SPSS \u0000 V20. The result was displayed using tables and figures. Verbal consent was obtained from study participant. \u0000Result and Discussion: Total of 422 individuals were included in this study. Majority, 238 (56.4%), of them \u0000 preferred legalization of induced abortion. Only, 24 (5.7%), respondents know current legal status of abortion. \u0000 Knowledge about abortion complication and preference to terminate unwanted pregnancy has association with \u0000attitude towards legalization of abortion (P<0.005). \u0000Conclusions and Recommendation: Low number of respondents knows current legal status of abortion. \u0000 Professionals and other influential individuals should be involved in improving community perception towards legal \u0000 aspects of abortion.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74940764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-06-25DOI: 10.4172/2167-0420.1000373
L. Kotlow
{"title":"Why canâÂÂt I Breastfeed Comfortably and Bond with My Baby?","authors":"L. Kotlow","doi":"10.4172/2167-0420.1000373","DOIUrl":"https://doi.org/10.4172/2167-0420.1000373","url":null,"abstract":"","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87833664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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