Obstetrics and Gynecology International最新文献_第9页

Knowledge, Attitude, and Perceptions about In Vitro Fertilization (IVF) among Women of Childbearing Age in Cape Coast, Ghana. 加纳海岸角育龄妇女对体外受精(IVF)的知识、态度和看法。

IF 1.9 Q3 OBSTETRICS & GYNECOLOGY

Obstetrics and Gynecology International

Pub Date : 2022-07-07 eCollection Date: 2022-01-01 DOI: 10.1155/2022/5129199

Samuel Kofi Arhin, Richard Tang, Aisha Hamid, Delali Dzandu, Bright Kwaku Akpetey

Background: Infertility impacts a lot of considerable negative social effects on the lives of infertile partners, especially females, who repeatedly experience the emotional sequelae of childlessness. The study's goal was to assess women of reproductive ages' awareness of IVF treatments, as well as their attitudes and misunderstandings about them in Cape Coast, Ghana.Methods: A total of 437 reproductive-age women in Cape Coast Metropolis were recruited using a simple random sampling approach for this Cross-Sectional Descriptive study. Data were collected with a semistructured interviewer-administered questionnaire and were analyzed using IBM SPSS version 26.0, and p ≤ 0.05 was considered significant.Results: The mean age was calculated to be 25.33 ± 0.066 years with a greater proportion, 65.7% within 15-24 years, 76.5% had no or had never had a child before. 93.4% were of the Christian faith, 66.8% were aware of IVF, and 74.8% think IVF offers hope. Although 41.4% believe it is not a natural procedure and 44.6% believe IVF children are normal but not natural. While 72.1% believe the treatment is very costly, and 40.7% believe it is not affordable or accessible. The majority believe IVF kids are legitimate (76.9%), and so should be welcomed by society (86.5%). The overall opinion of IVF service acceptability was 81.7% good. Seventy-two and three percent did not know whether IVF services are available in Cape Coast. Also, 48.1% were aware that IVF may result in pregnancy failure, with fewer than half (43.5%) believing it could be linked to genetic problems in the baby. The majority (60.4%) were willing to use IVF services, and 82.8% will utilize just their husband's sperm technique. While others may not want to undergo any form of IVF technique because they desire to conceive naturally (51.0%) and 22.4% may be unable to pay for it. Educational status and awareness of the availability of IVF services were factors that were significantly associated with their overall good perception of IVF services. Also, age, marital status, number of live children, occupation, educational status, awareness, and their overall perception were factors that are significantly associated with their preparedness to utilize IVF services.Conclusion: Overall, women's opinions of IVF and their readiness to use them were favorable, and they think it offers hope for their condition since they were well-informed about its forms and that infertility may be a result of several factors, all of which may need IVF services. It does not matter if it is difficult to obtain, expensive, or unavailable. It is recommended that the government collaborates with healthcare providers to investigate ways through the mass media in the drive to clear the misconceptions and improve the public understanding of the IVF procedure towards its utilization, thereby reducing the burden of childlessness and

背景:不孕不育对不孕伴侣的生活产生了许多相当大的负面社会影响，尤其是女性，她们反复经历着无子女的情感后遗症。该研究的目的是评估加纳海岸角育龄妇女对试管婴儿治疗的认识，以及她们对试管婴儿治疗的态度和误解。方法:采用简单随机抽样的方法，在开普敦海岸大都会共招募了437名育龄妇女进行横断面描述性研究。采用半结构化访谈问卷收集数据，采用IBM SPSS 26.0版本进行分析，p≤0.05为显著性。结果:平均年龄为25.33±0.066岁，15 ~ 24岁占65.7%，未生育或未生育占76.5%。93.4%的人有基督教信仰，66.8%的人知道试管婴儿，74.8%的人认为试管婴儿带来了希望。尽管41.4%的人认为这不是一个自然的过程，44.6%的人认为试管婴儿是正常的，但不是自然的。而72.1%的人认为这种治疗非常昂贵，40.7%的人认为负担不起或无法获得。大多数人(76.9%)认为试管婴儿是合法的，因此应该受到社会的欢迎(86.5%)。总体认为IVF服务可接受性良好的占81.7%。72%和3%的人不知道在海岸角是否有试管婴儿服务。此外，48.1%的人知道试管婴儿可能导致怀孕失败，不到一半(43.5%)的人认为这可能与婴儿的遗传问题有关。大多数人(60.4%)愿意使用体外受精服务，82.8%的人只使用丈夫的精子技术。而其他人可能不想接受任何形式的试管婴儿技术，因为他们希望自然怀孕(51.0%)，22.4%可能无法支付费用。受教育程度和对试管婴儿服务可用性的认识是与他们对试管婴儿服务的总体良好认知显著相关的因素。此外，年龄，婚姻状况，活子女数量，职业，教育状况，意识和他们的整体感知是与他们准备使用试管婴儿服务显着相关的因素。结论:总的来说，女性对试管婴儿的看法和她们使用试管婴儿的准备是有利的，她们认为这为她们的病情带来了希望，因为她们对试管婴儿的形式很了解，不孕可能是几个因素的结果，所有这些因素都可能需要试管婴儿服务。它是否难以获得、昂贵或不可获得并不重要。建议政府与医疗保健提供者合作，调查如何通过大众媒体消除误解，提高公众对试管婴儿程序的理解，从而减少无子女的负担和由此导致的夫妇心理障碍，这对家庭快乐和社会发展有影响。

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引用次数: 0

Relationship of Placental Vascular Indices with Macroscopic, Histopathologic, and Intraoperative Blood Loss in Placenta Accreta Spectrum Disorders. 胎盘血管指数与胎盘增生谱系障碍患者肉眼、组织病理学及术中出血量的关系。

IF 1.9 Q3 OBSTETRICS & GYNECOLOGY

Obstetrics and Gynecology International

Pub Date : 2022-06-24 eCollection Date: 2022-01-01 DOI: 10.1155/2022/2830066

Mohammad Adya Firmansha Dilmy, Yuditiya Purwosunu, Yudianto Budi Saroyo, Tantri Hellyanti, Noroyono Wibowo, Damar Prasmusinto, Rima Irwinda, Victor Prana Andika Santawi, Hizkia Mangaraja Hasiholan, Rabbania Hiksas

Introduction Placenta accreta spectrum is an obstetrical complication with a high level of morbidity. The 3-dimensional (3D) power Doppler method has been widely used to improve the diagnosis. Therefore, this study aims to elucidate better the relationship of quantitative placental vascular indices towards macroscopic findings, histopathological grading, and intraoperative blood loss in the disorder. Methods A preliminary study using a cross-sectional design was conducted on 34 clinically diagnosed women with PAS. The 3D power Doppler with the VOCAL II software was used to measure the level of vascularization index (VI), flow index (FI), and vascularization flow index (VFI). Gross anatomical appearance and histopathology results were categorized as accreta, increta, and percreta. In addition, the intraoperative blood loss level was measured, and 1500 mL was the cutoff for massive hemorrhage. Results The vascularity indexes were VI = 44.2 (23.7–74.9), FI = 35.4 (24.9–57), and VFI = 15.3 (8.5–41.7). The FI value was significant in comparing gross pathological stages (p=0.015) and had a moderate positive correlation in relation to blood loss (r = 0.449). VI, FI, and VFI above the cutoff values were shown to be strongly associated with blood loss ≥ 1500 cc with aOR 7.00 (95% CI 1.23–39.56), aOR 10.00 (95% CI 1.58–63.09), and aOR 9.16 (95% CI 1.53–54.59), respectively. Conclusion This preliminary study demonstrated an initial potential of the FI value from 3D USG power Doppler to predict the depth of PAS invasion before surgery and intraoperative blood loss level.

简介:胎盘增生谱是一种高发病率的产科并发症。三维功率多普勒法已被广泛应用于提高诊断。因此，本研究旨在更好地阐明定量胎盘血管指标与该疾病的宏观表现、组织病理学分级和术中出血量的关系。方法:采用横断面设计对34名临床诊断为PAS的女性进行初步研究。采用VOCAL II软件三维功率多普勒测量血管化指数(VI)、血流指数(FI)和血管化流量指数(VFI)水平。大体解剖外观和组织病理学结果分为增生、递增和percreta。同时测定术中出血量，1500ml为大出血临界值。结果:血管指数VI = 44.2 (23.7 ~ 74.9)， FI = 35.4 (24.9 ~ 57)， VFI = 15.3(8.5 ~ 41.7)。FI值与大体病理分期比较具有统计学意义(p=0.015)，与出血量呈中度正相关(r = 0.449)。高于临界值的VI、FI和VFI与失血量≥1500cc密切相关，aOR分别为7.00 (95% CI 1.23-39.56)、10.00 (95% CI 1.58-63.09)和9.16 (95% CI 1.53-54.59)。结论:本初步研究证明了3D USG功率多普勒FI值在术前预测PAS侵袭深度和术中出血量水平方面的初步潜力。

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引用次数: 1

Determinants of Dietary Diversity Practice among Pregnant Women in the Gurage Zone, Southern Ethiopia, 2021: Community-Based Cross-Sectional Study 2021年埃塞俄比亚南部古拉格地区孕妇饮食多样性实践的决定因素:基于社区的横断面研究

IF 1.9 Q3 OBSTETRICS & GYNECOLOGY

Obstetrics and Gynecology International

Pub Date : 2022-05-09 DOI: 10.1155/2022/8086793

Tolesa Gemeda Gudeta, Ayana Benti Terefe, Girma Teferi Mengistu, Seboka Abebe Sori

Background Dietary diversification is considered the proxy indicator of dietary quality and nutrient adequacy during pregnancy. Pregnant women have been considered susceptible to malnutrition because of their increased nutrient demands and thus consuming a variety of foods in their diet plays a lion's role in ensuring adequate nutrient intake. So understanding bottleneck factors associated with dietary diversity practice is very crucial to encouraging adequate dietary diversity practice. Therefore, this paper aimed to assess determinants of dietary diversity practice among pregnant women in the Gurage zone, Southwest Ethiopia. Methods A community-based cross-sectional analytical study was conducted among 726 pregnant women, 13 key informants, and 27 focus group discussion discussants in the Gurage zone, southwest Ethiopia, from 1 September to 1 November 2021. A face-to-face interviewer-administered questionnaire was used to collect the data. According to the Minimum Dietary Diversity Score for Women (MDD-W) tool, women who consumed more than or equal to 5 of 10 food groups in the previous 24 hours had a diverse diet. Epi data version 3.1 was used for data entry, while SPSSversion 26 was used for analysis. To determine factors associated with dietary diversity, bivariate and multivariable logistic regression models were used to obtain crude odds ratio (COR), adjusted odds ratios (AOR), and 95 percent confidence intervals (CIs). Statistical significance was determined using adjusted odds ratios (AORs) with 95 percent confidence intervals (CIs) and p values less than 0.05. In narrative form, qualitative results were triangulated with quantitative data. Results The overall prevalence of the adequate dietary diversity practice was found to be 42.1% with 95% CI (48.4–46.1%) and the mean dietary diversity score was 5.30 ± 1.49 standard deviation (SD). Multivariable analysis revealed that primary school level [AOR = 6.471 (2.905, 12.415)], secondary school level (9–12) [AOR = 7.169 (4.001, 12.846)], college and above level [AOR = 32.27 (15.044, 69.221)], women with higher empowerment [AOR = 3.497 (2.301, 5.315)], women with a favorable attitude toward dietary diversity [AOR = 1.665 (1.095, 2.529)], women from wealthier households [AOR = 2.025 (1.252, 3.278)], and having well-secured food status [AOR = 3.216 (1.003, 10.308)] were variables that influence dietary diversity practice. Three FGD and 13 key informant interviews were conducted, and the results of qualitative data generated three major themes. Conclusion The overall prevalence of adequate dietary diversity practice was found to be low in this study when compared to studies conducted in Ethiopia. Maternal educations, mothers' attitudes toward dietary diversity, women empowerment, food security status, and wealth index level of the household were determinant factors that influence dietary diversity practice in this study. Therefore, programs aimed to improve pregnant women's dietary diversity prac

膳食多样化被认为是妊娠期膳食质量和营养充足性的替代指标。孕妇被认为容易营养不良，因为她们对营养的需求增加，因此在饮食中摄入各种各样的食物在确保足够的营养摄入方面起着重要作用。因此，了解与饮食多样性实践相关的瓶颈因素对于鼓励适当的饮食多样性实践至关重要。因此，本文旨在评估埃塞俄比亚西南部古拉格地区孕妇饮食多样性实践的决定因素。方法于2021年9月1日至11月1日在埃塞俄比亚西南部古拉格地区对726名孕妇、13名关键信息提供者和27名焦点小组讨论者进行了基于社区的横断面分析研究。采用面对面访谈问卷收集数据。根据女性最低饮食多样性评分(MDD-W)工具，在过去24小时内食用超过或等于10种食物中的5种的女性具有多样化的饮食。数据录入使用Epi数据3.1版本，分析使用spss26版本。为了确定与饮食多样性相关的因素，使用双变量和多变量logistic回归模型获得粗优势比(COR)、调整优势比(AOR)和95%置信区间(CIs)。采用校正优势比(AORs)确定统计学显著性，95%置信区间(ci)和p值小于0.05。在叙述形式中，定性结果与定量数据进行三角测量。结果膳食多样性实践的总体患病率为42.1%，95% CI(48.4 ~ 46.1%)，平均膳食多样性评分为5.30±1.49标准差(SD)。多变量分析显示，小学水平[AOR = 6.471(2.905, 12.415)]、中学水平(9-12)[AOR = 7.169(4.001, 12.846)]、大专及以上水平[AOR = 32.27(15.044, 69.221)]、权能较高的女性[AOR = 3.497(2.301, 5.315)]、对膳食多样性持良好态度的女性[AOR = 1.665(1.095, 2.529)]、家庭较富裕的女性[AOR = 2.025(1.252, 3.278)]、食物状况较好的女性[AOR = 3.216 (1.003，10.308)]是影响饮食多样性实践的变量。进行了三次FGD和13个关键信息提供者访谈，定性数据的结果产生了三个主要主题。结论:与在埃塞俄比亚进行的研究相比，本研究中膳食多样性实践的总体流行率较低。母亲受教育程度、母亲对饮食多样性的态度、妇女赋权、粮食安全状况和家庭财富指数水平是影响本研究饮食多样性实践的决定因素。因此，旨在改善孕妇饮食多样性实践的项目应侧重于改善社会经济地位和创造适宜的环境，以促进妇女赋权。

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引用次数: 2

Effect of New Peripudendal Block (PPB) in the Second Stage of Labour on Perineal Relaxation and on the Reduction of Episiotomy Rate: A Randomized Control Trial 分娩第二阶段新阴部周围阻滞(PPB)对会阴松弛和降低会阴切开率的影响:一项随机对照试验

IF 1.9 Q3 OBSTETRICS & GYNECOLOGY

Obstetrics and Gynecology International

Pub Date : 2022-03-26 DOI: 10.1155/2022/9352540

A. Beke

Methods In a prospective randomized study, we examined the extent to which the PPB we developed changed the rate of episiotomies, injury rates. Results A total of 333 primiparas and 324 multiparas were included in the study. In the case of primiparas, we used the PPD procedure in 133 cases, while in the case of multiparas, we used it in 103 cases. The rate of episiotomy in primiparas was 89/133 (66.9%) with PPD and 181/200 (90.5%) without PPD (p < 0.02). In multiparas, the episiotomy rate was 30/103 (29.1%) with PPD and 140/221 (63.3%) without PPD (p < 0.02). In the case of primiparas, the rate of perineal injury and lesion was 33/133 (24.8%) with PPD, while without PPD it was 12/200 (6.0%). Examining the need for all surgical care (due to episiotomy and/or injury), a total of 103/133 cases of operative surgery were required with PPD (77/4%) while 183/200 cases were required without PPD (91.5%)(p < 0.02). In the case of multiparas, the rate of perineal injury and lesion was 11/103 (10.7%) with PPD, while without PPD it was 9/221 (4.1%). In the case of multiparas, a total of 41/103 cases required surgical care with PPD (39.8%), while without PPD, 147/221 cases required surgical care (66.5%)(p < 0.02). Conclusion The PPB is simpler, requires less medication, can be easily mastered, and perineal relaxation can also be observed, reducing the need for an episiotomy.

方法在一项前瞻性随机研究中，我们研究了我们开发的PPB在多大程度上改变了外阴切开术的发生率和损伤率。结果共纳入初产妇333例，多产妇324例。在初产妇的病例中，我们使用了133例PPD程序，而在多产妇的病例中，我们使用了103例。有PPD的初产妇会阴切开术率为89/133(66.9%)，无PPD的初产妇会阴切开术率为181/200 (90.5%)(p < 0.02)。有PPD的会阴切开率为30/103(29.1%)，无PPD的会阴切开率为140/221 (63.3%)(p < 0.02)。在初产妇中，PPD组会阴损伤及病变发生率为33/133(24.8%)，未PPD组为12/200(6.0%)。检查所有手术护理的需要(由于外阴切开和/或损伤)，共有103/133例PPD患者需要手术治疗(77/4%)，而183/200例无PPD患者需要手术治疗(91.5%)(p < 0.02)。在多宫病例中，有PPD的会阴损伤及病变发生率为11/103(10.7%)，无PPD的会阴损伤及病变发生率为9/221(4.1%)。在多囊卵巢病例中，有PPD的41/103例需要手术治疗(39.8%)，无PPD的147/221例需要手术治疗(66.5%)(p < 0.02)。结论PPB操作简单，用药少，易于掌握，可观察到会阴松弛，减少会阴切开术的需要。

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引用次数: 0

Comparison of Expectant and Excisional/Ablative Management of Cervical Intraepithelial Neoplasia Grade 2 (CIN2) in the Era of HPV Testing HPV检测时代宫颈上皮内瘤变2级(CIN2)的预期治疗与切除/消融治疗的比较

IF 1.9 Q3 OBSTETRICS & GYNECOLOGY

Obstetrics and Gynecology International

Pub Date : 2022-03-24 DOI: 10.1155/2022/7955290

K. Tjandraprawira, A. Olaitan, A. Petrie, N. Wilkinson, A. Rosenthal

Objective To investigate conservative and excisional/ablative treatment outcomes for cervical intraepithelial neoplasia grade 2 (CIN2) following introduction of virological test of cure. Methods This was a retrospective study of prospectively collected data at a teaching hospital colposcopy unit. 331 sequential biopsy-proved CIN2 cases were involved. CIN2 cases diagnosed between 01/07/2014 and 31/12/2017 were either conservatively managed or treated with excision/ablation and then were followed up until discharge from colposcopy clinic and then using the national cervical cytology database. Outcomes were defined: cytological/histological regression was absence of high-grade CIN on biopsy and/or high-grade dysplasia; virological regression was cytological/histological regression and negative human papillomavirus testing; persistence was biopsy-proven CIN2 and/or moderate dyskaryosis; progression was biopsy-proven CIN3+ and/or severe dyskaryosis. Results Median follow-up was 22.6 months (range: 1.9–65.1 months). Among 175 (52.9%) patients initially managed conservatively, 77.3% (133/172) regressed, 13.4% (23/172) persisted, 9.3% (16/172) progressed to CIN3+, and 97 (56.4%) patients achieved virological regression. 156 (47.1%) patients underwent initial excision/ablation, with an 89.4% (110/123) virological cure rate. After discharge, 7 (4.0%) and 3 (1.9%) patients redeveloped CIN in the conservative and treatment groups, respectively, during a median period of 17.2 months. Conclusion Conservative management is a reasonable and effective management strategy in appropriately selected women with CIN2. High rates of histological and virological regression should be expected. The previously mentioned data provide useful information for deciding management options.

目的探讨宫颈上皮内瘤变2级(CIN2)引入病毒学治疗后的保守和切除/消融治疗效果。方法回顾性分析某教学医院阴道镜检查科室的前瞻性资料。331例经序贯活检证实为CIN2。2014年7月1日至2017年12月31日诊断的CIN2例患者，要么保守治疗，要么切除/消融治疗，然后随访至阴道镜诊所出院，然后使用国家宫颈细胞学数据库。结果被定义为:细胞学/组织学倒退是活检中没有高级别CIN和/或高级别不典型增生;病毒学消退为细胞学/组织学消退和人乳头瘤病毒检测阴性;活检证实持续存在CIN2和/或中度核发育不良;活检证实CIN3+和/或严重核发育不良。结果中位随访时间为22.6个月(范围1.9 ~ 65.1个月)。175例(52.9%)患者最初采用保守治疗，77.3%(133/172)患者病情好转，13.4%(23/172)患者持续，9.3%(16/172)进展为CIN3+， 97例(56.4%)患者病毒学好转。156例(47.1%)患者接受了初始切除/消融治疗，病毒学治愈率为89.4%(110/123)。出院后，保守组和治疗组分别有7例(4.0%)和3例(1.9%)患者再次发生CIN，中位时间为17.2个月。结论选择合适的CIN2患者，保守治疗是合理有效的治疗策略。高的组织学和病毒学退化率是可以预料的。前面提到的数据为决定管理方案提供了有用的信息。

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引用次数: 2

Factors Associated with Ruptured Ectopic Pregnancy: A 10-Year Review at a District Hospital in Ghana 与宫外孕破裂相关的因素:加纳一家地区医院的10年回顾

IF 1.9 Q3 OBSTETRICS & GYNECOLOGY

Obstetrics and Gynecology International

Pub Date : 2022-03-07 DOI: 10.1155/2022/1491419

Promise E. Sefogah, Nana E Oduro, A. Swarray-Deen, H. G. Nuamah, Raphael B. Takyi, M. Nuamah, S. Oppong

Background Approximately 1–2% of all pregnancies are ectopic. Despite a decline in ectopic pregnancy-related mortality, there is still a paucity of information on the factors associated with clinical presentation and outcomes in Sub-Saharan Africa which is essential in determining the most appropriate treatment modalities. Methods We performed a ten-year retrospective chart review of cases of ectopic pregnancies managed at the Lekma hospital and assessed them for peculiar risk factors, clinical presentation, and outcomes. Associations between patients' sociodemographic characteristics, clinical presentation, and treatment outcome were evaluated using multiple logistic regression and reported as adjusted odds ratios (AOR). The confidence interval (CI) was set at 95%, and a p value <0.05 were considered significant. Results Over the ten-year period, there were 115 ectopic pregnancies and 14,450 deliveries (7.9/1,000). The mean age ± standard deviation of the 115 patients was 27.61 ± 5.56. More than half of the patients were single (59/115, 51.3%). The majority (71.3%) of the patients presented with a ruptured ectopic pregnancy. After adjusting for covariates, the odds of an ectopic pregnancy presenting as ruptured among single patients was 2.63 times higher than that of married patients (AOR = 3.63, 95% CI: 1.33–9.93, p=0.01). Ectopic pregnancies located in the isthmic region of the tube had a 77% lower odds of presenting as ruptured than those located in the ampullary region (AOR = 0.23, 95% CI: 0.07–0.74, p=0.01). The odds of rupturing were 1.69 times increased for every additional week after the missed period (AOR = 2.69, 95% CI: 1.56–4.64, p < 0.01). No mortalities were reported as a result of an ectopic pregnancy. Conclusion Most of the cases of ectopic pregnancy presented ruptured. Marital status and period of amenorrhoea were significantly associated with rupture.

背景:大约1-2%的妊娠是异位妊娠。尽管异位妊娠相关的死亡率有所下降，但在撒哈拉以南非洲，与临床表现和结果相关的因素的信息仍然缺乏，这对于确定最适当的治疗方式至关重要。方法:我们对Lekma医院的异位妊娠病例进行了十年的回顾性分析，并评估了其特殊的危险因素、临床表现和结局。患者的社会人口学特征、临床表现和治疗结果之间的关联使用多重逻辑回归进行评估，并以调整优势比(AOR)报告。置信区间(CI)为95%，p值<0.05为显著性。结果10年间宫外孕115例，分娩14450例(7.9/ 1000)。115例患者的平均年龄±标准差为27.61±5.56。超过一半的患者为单身(59/115,51.3%)。大多数(71.3%)患者表现为宫外孕破裂。调整协变量后，单身患者宫外孕破裂的几率是已婚患者的2.63倍(AOR = 3.63, 95% CI: 1.33-9.93, p=0.01)。位于峡部的异位妊娠比位于壶腹区的异位妊娠出现破裂的几率低77% (AOR = 0.23, 95% CI: 0.07-0.74, p=0.01)。漏经后每延长1周，破裂几率增加1.69倍(AOR = 2.69, 95% CI: 1.56 ~ 4.64, p < 0.01)。没有因异位妊娠而死亡的报告。结论异位妊娠以破裂为主。婚姻状况和闭经时间与破裂有显著关系。

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引用次数: 2

Relationship between Religious Coping, Pain Severity, and Childbirth Self-Efficacy in Iranian Primipara Women. 伊朗初产妇宗教应对、疼痛严重程度和分娩自我效能感的关系

IF 1.9 Q3 OBSTETRICS & GYNECOLOGY

Obstetrics and Gynecology International

Pub Date : 2022-02-15 eCollection Date: 2022-01-01 DOI: 10.1155/2022/2338683

Tahereh Sotudeh, Seyedeh Batool Hasanpoor-Azghady, Leila Amiri-Farahani

Background: One of the important goals of midwifery support and care is to control labor pain and increase the ability to cope with pain. The use of religious coping may be effective in counteracting the stressors of labor, especially labor pain, as well as increasing the self-efficacy of labor. This study was conducted to determine the relationship between religious coping, pain severity, and childbirth self-efficacy in Iranian primipara women.

Materials and methods: This cross-sectional study was performed on 200 Iranian primiparous women referred to eight health centers in the capital of Hormozgan Province who were intending to have a normal vaginal delivery (NVD) in the Persian Gulf and Sharifi Hospitals. The sampling was multistage. Data were collected by demographic and fertility questionnaires, the Iranian Religious Coping Scale, the Childbirth Self-Efficacy Inventory, and the Visual Analog Scale for pain measurement.

Results: Among the dimensions of religious coping, benevolent reappraisal had a significant direct relationship with pain severity, and negative religious coping had a significant inverse relationship with pain severity. In the case of childbirth self-efficacy subscales, the results showed dimensions of religious practices, benevolent reappraisal, and active religious coping had a significant direct relationship with outcome expectancy, and negative religious coping had a significant indirect relationship with outcome expectancy. Also, there was a significant direct relationship between religious practices and efficacy expectancy and a significant inverse relationship between negative and passive religious coping and efficacy expectancy.

Conclusion: With increasing some dimensions of positive religious coping, the severity of labor pain and childbirth self-efficacy increases, and with increasing dimensions of negative and passive religious coping, childbirth self-efficacy decreases. These correlations were weak in all the mentioned results.

背景:产科支持和护理的重要目标之一是控制分娩疼痛，提高应对疼痛的能力。使用宗教应对可以有效地抵消分娩压力，特别是分娩疼痛，并提高分娩自我效能感。本研究旨在确定伊朗初产妇的宗教应对、疼痛严重程度和分娩自我效能之间的关系。材料和方法:这项横断面研究是对200名伊朗初产妇进行的，她们被转诊到霍尔木兹甘省首府的8个保健中心，打算在波斯湾和沙里菲医院进行正常阴道分娩。抽样是多阶段的。数据通过人口统计和生育问卷、伊朗宗教应对量表、分娩自我效能量表和视觉模拟疼痛量表收集。结果:在宗教应对的各维度中，善意重评与疼痛严重程度呈显著正相关，消极宗教应对与疼痛严重程度呈显著负相关。在分娩自我效能子量表中，宗教实践、仁慈重评和积极的宗教应对维度与结果预期有显著的直接关系，消极的宗教应对维度与结果预期有显著的间接关系。此外，宗教实践与疗效预期之间存在显著的正相关关系，消极和被动宗教应对与疗效预期之间存在显著的负相关关系。结论:随着积极宗教应对的某些维度的增加，分娩疼痛程度和分娩自我效能感增加，而随着消极和被动宗教应对维度的增加，分娩自我效能感降低。这些相关性在所有提到的结果中都很弱。

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引用次数: 2

Perinatal Outcomes in Babies Born before Arrival at Prince Mshiyeni Memorial Hospital in Durban, South Africa. 南非德班姆希耶尼王子纪念医院出生前婴儿的围产期结局。

IF 1.9 Q3 OBSTETRICS & GYNECOLOGY

Obstetrics and Gynecology International

Pub Date : 2022-02-05 eCollection Date: 2022-01-01 DOI: 10.1155/2022/2316490

M Jenneker, N R Maharaj

Objective: To evaluate the maternal demographics, incidence, perinatal outcomes, and characteristics of babies born before arrival (BBAs) to hospitals.

Methods: A prospective, observational study was conducted at a large maternity unit in Durban, KwaZulu-Natal. A total of 200 mothers who attended the hospital within 24 hours of an out-of-hospital birth were recruited and interviewed, and 142 participants were eligible. A total of 128 mothers who delivered their babies in hospital (inborns) were used as the control group. Specific maternal and neonatal characteristics were analysed.

Results: The incidence of BBAs was 2.2%. The percentage of premature neonates in the BBA group was 54% vs 17.9% for inborns (p ≤ 0.001). A total of 33.8% of BBA mothers were unbooked vs 2.4% of inborns (p ≤ 0.001). The majority (59%) of inborns were primigravidas whereas the majority (73.9%) in the BBA group were multigravidas (p ≤ 0.001). Women in the BBA group were more prone to genital tears (p ≤ 0.001). There were no significant differences in respect of NICU admission and all-cause mortality; however, an increased risk for hypothermia and hypoglycaemia was found.

Conclusion: BBAs are at a significant risk of prematurity, low birth weight, hypothermia, and hypoglycaemia and are prone to longer hospital stays.

目的:了解早产儿(BBAs)的产妇人口学特征、发生率、围产儿结局及特点。方法:在夸祖鲁-纳塔尔省德班的一家大型产科医院进行了一项前瞻性观察性研究。总共招募和采访了200名在院外分娩后24小时内到医院就诊的母亲，其中142名参与者符合条件。共有128名在医院分娩的母亲被用作对照组。分析了产妇和新生儿的具体特征。结果:BBAs发生率为2.2%。BBA组早产儿的比例为54%，而新生儿的比例为17.9% (p≤0.001)。共有33.8%的BBA母亲未预订，而2.4%的新生儿未预订(p≤0.001)。多数新生儿(59%)为初产，而BBA组多数新生儿(73.9%)为多胎(p≤0.001)。BBA组的女性更容易出现生殖器撕裂(p≤0.001)。两组新生儿重症监护病房住院率和全因死亡率无显著差异;然而，体温过低和低血糖的风险增加。结论:BBAs有早产、低出生体重、低体温和低血糖的显著风险，且住院时间较长。

{"title":"Perinatal Outcomes in Babies Born before Arrival at Prince Mshiyeni Memorial Hospital in Durban, South Africa.","authors":"M Jenneker, N R Maharaj","doi":"10.1155/2022/2316490","DOIUrl":"https://doi.org/10.1155/2022/2316490","url":null,"abstract":"Objective: To evaluate the maternal demographics, incidence, perinatal outcomes, and characteristics of babies born before arrival (BBAs) to hospitals.Methods: A prospective, observational study was conducted at a large maternity unit in Durban, KwaZulu-Natal. A total of 200 mothers who attended the hospital within 24 hours of an out-of-hospital birth were recruited and interviewed, and 142 participants were eligible. A total of 128 mothers who delivered their babies in hospital (inborns) were used as the control group. Specific maternal and neonatal characteristics were analysed.Results: The incidence of BBAs was 2.2%. The percentage of premature neonates in the BBA group was 54% vs 17.9% for inborns (p ≤ 0.001). A total of 33.8% of BBA mothers were unbooked vs 2.4% of inborns (p ≤ 0.001). The majority (59%) of inborns were primigravidas whereas the majority (73.9%) in the BBA group were multigravidas (p ≤ 0.001). Women in the BBA group were more prone to genital tears (p ≤ 0.001). There were no significant differences in respect of NICU admission and all-cause mortality; however, an increased risk for hypothermia and hypoglycaemia was found.Conclusion: BBAs are at a significant risk of prematurity, low birth weight, hypothermia, and hypoglycaemia and are prone to longer hospital stays.","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":" ","pages":"2316490"},"PeriodicalIF":1.9,"publicationDate":"2022-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8840937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39927659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Extent of Home Delivery among Women Who Gave Birth in the Last One Year in Serbo, Kersa Woreda, Jimma Zone, Oromia Region, Southwest Ethiopia. 埃塞俄比亚西南部奥罗米亚地区塞尔博、克尔萨沃雷达、吉玛地区过去一年中分娩妇女在家分娩的情况

IF 1.9 Q3 OBSTETRICS & GYNECOLOGY

Obstetrics and Gynecology International

Pub Date : 2022-01-17 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7728127

Gemechu Terefe, Ahmedin Teha, Tujuba Diribsa, Daba Abdisa

Background: Home delivery is childbirth in a nonclinical setting that takes place in a residence rather than in a health institution. Maternal morbidity and mortality are global health challenges, and developing countries contribute to most of the maternal deaths.

Objective: This study aimed to assess the extent and associated factors for home delivery in Serbo, Kersa Woreda, Jimma Zone, Southwest Ethiopia.

Method: A community-based cross-sectional study was employed among the 240 study participants. Data were collected by using systematic sampling technique from July 5 to 26, 2021, via a pretested semistructured questionnaire through face-to-face interview, and analyzed by a statistical package for the social sciences version 23.0. Bivariable and multivariable logistic regression analyses were carried out to identify factors associated with the extent of home delivery, and factors associated with the extent of home delivery were declared at a p value <0.05.

Result: In this study, the extent of home delivery was 28.7%. Identified factors statically associated with home delivery were low monthly income (AOR = 16.7, 95% CI: (2.028-13,83)), only the husband as the decision-maker (AOR = 5.0, 95% CI: (1.252-20.021)), never had a history of ANC follow-up (AOR = 5.7, 95% CI: (2.358-16.3)), poor knowledge toward delivery service (AOR = 3.0, 95% CI: (1.661-5.393)), negative attitude toward delivery service (AOR = 2.2, 95% CI: (1.054-4.409)), and large family size (AOR = 2.2, 95% CI: (1.187-4,119)).

Conclusion: When compared to the Ethiopian Demographic and Health Survey 2016, the prevalence of home delivery among women who gave birth in the last one year was low in this study. The study participants' identified factors that were significantly linked with home delivery were low monthly income, only husband as decision maker, no ANC follow-up, poor knowledge of delivery services, negative attitude toward delivery services, and large family size. Health professionals and health extension workers should raise awareness about institutional delivery and birth readiness so that women can give birth at a health facility even if labor begins unexpectedly.

背景:家庭分娩是在非临床环境中分娩，发生在住宅而不是在卫生机构。产妇发病率和死亡率是全球性的健康挑战，发展中国家造成了大多数产妇死亡。目的:本研究旨在评估在塞尔博，克尔萨沃雷达，吉马地区，埃塞俄比亚西南部的家庭分娩的程度和相关因素。方法:采用以社区为基础的横断面研究方法，对240名研究对象进行调查。数据采集时间为2021年7月5日至26日，采用系统抽样技术，采用面对面访谈预测半结构化问卷，采用社会科学版23.0统计软件包进行分析。通过双变量和多变量logistic回归分析确定与送货到家程度相关的因素，并以p值声明与送货到家程度相关的因素。结果:本研究中送货到家程度为28.7%。静态识别因素与送货上门很低月收入(AOR = 16.7, 95% CI:(-13 - 2.028, 83)),只有丈夫的决策者(AOR = 5.0, 95% CI:(1.252 - -20.021)),没有历史的ANC后续(AOR = 5.7, 95% CI: -16.3(2.358)),可怜的知识向送货服务(优势比= 3.0,95%置信区间CI: -5.393(1.661)),消极态度送货服务(优势比= 2.2,95% CI: -4.409(1.054)),和大的家庭规模(优势比= 2.2,95% CI: 1.187(-4119))。结论:与2016年埃塞俄比亚人口与健康调查相比，本研究中过去一年中分娩的妇女在家分娩的比例较低。研究参与者认为，与送货上门有显著关系的因素是月收入低、只有丈夫作为决策者、没有ANC随访、对送货服务的了解不足、对送货服务的态度消极、家庭规模大。卫生专业人员和卫生推广工作者应提高对机构分娩和分娩准备的认识，以便妇女即使意外分娩也能在卫生机构分娩。

{"title":"Extent of Home Delivery among Women Who Gave Birth in the Last One Year in Serbo, Kersa Woreda, Jimma Zone, Oromia Region, Southwest Ethiopia.","authors":"Gemechu Terefe, Ahmedin Teha, Tujuba Diribsa, Daba Abdisa","doi":"10.1155/2022/7728127","DOIUrl":"https://doi.org/10.1155/2022/7728127","url":null,"abstract":"Background: Home delivery is childbirth in a nonclinical setting that takes place in a residence rather than in a health institution. Maternal morbidity and mortality are global health challenges, and developing countries contribute to most of the maternal deaths.Objective: This study aimed to assess the extent and associated factors for home delivery in Serbo, Kersa Woreda, Jimma Zone, Southwest Ethiopia.Method: A community-based cross-sectional study was employed among the 240 study participants. Data were collected by using systematic sampling technique from July 5 to 26, 2021, via a pretested semistructured questionnaire through face-to-face interview, and analyzed by a statistical package for the social sciences version 23.0. Bivariable and multivariable logistic regression analyses were carried out to identify factors associated with the extent of home delivery, and factors associated with the extent of home delivery were declared at a p value <0.05.Result: In this study, the extent of home delivery was 28.7%. Identified factors statically associated with home delivery were low monthly income (AOR = 16.7, 95% CI: (2.028-13,83)), only the husband as the decision-maker (AOR = 5.0, 95% CI: (1.252-20.021)), never had a history of ANC follow-up (AOR = 5.7, 95% CI: (2.358-16.3)), poor knowledge toward delivery service (AOR = 3.0, 95% CI: (1.661-5.393)), negative attitude toward delivery service (AOR = 2.2, 95% CI: (1.054-4.409)), and large family size (AOR = 2.2, 95% CI: (1.187-4,119)).Conclusion: When compared to the Ethiopian Demographic and Health Survey 2016, the prevalence of home delivery among women who gave birth in the last one year was low in this study. The study participants' identified factors that were significantly linked with home delivery were low monthly income, only husband as decision maker, no ANC follow-up, poor knowledge of delivery services, negative attitude toward delivery services, and large family size. Health professionals and health extension workers should raise awareness about institutional delivery and birth readiness so that women can give birth at a health facility even if labor begins unexpectedly.","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":" ","pages":"7728127"},"PeriodicalIF":1.9,"publicationDate":"2022-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8786506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39952142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Postabortion Contraceptive Acceptance Rate and Its Determinants among Women Receiving Abortion Service before Discharge from the Health Facilities in Harar, Eastern Ethiopia. 埃塞俄比亚东部哈拉尔卫生机构出院前接受堕胎服务的妇女的堕胎后避孕接受率及其决定因素

IF 1.9 Q3 OBSTETRICS & GYNECOLOGY

Obstetrics and Gynecology International

Pub Date : 2022-01-12 eCollection Date: 2022-01-01 DOI: 10.1155/2022/4050844

Endalkachew Atnafu, Biftu Geda, Lemessa Oljira, Genanaw Atnafe, Dawit Tamiru, Abdi Birhanu, Getahun Tiruye, Haregeweyn Kibret, Adera Debella

Background: Annually, around 121 million unintended pregnancies occur in the world and more than 73 million encountered abortion. Ethiopia is also losing 19.6% of mothers due to unsafe abortion. Despite that postabortion contraceptive service is a climactic entry point for the prevention of unwanted pregnancy and associated deaths, the service magnitude and determinants immediately before discharge are not characterized well in Ethiopia. Hence, this study aimed to assess the magnitude of postabortion contraceptive utilization and associated factors among women receiving abortion care service before being discharged from health facilities in Harar, Eastern Ethiopia.

Methods: A facility-based cross-sectional study was conducted among 390 women receiving abortion care services. At discharge, data about contraceptive acceptance and related maternal characteristics were collected. A binary logistic regression model was used to assess the association between independent and dependent variables (postabortion contraceptive utilization). Analysis was done with SPSS 22. Statistical significance was considered at P < 0.05.

Result: The overall prevalence of postabortion contraceptive utilization was 81.5% (95% CI: 77.9, 85.4). Being unmarried (AOR, 0.05; 95% CI (0.02, 0.16)), having no history of previous abortion (AOR, 0.11; 95% CI (0.04, 0.34)), being multigravida (AOR 8.1; 95% CI (2.20, 13.40), lacking desire to have an additional child (AOR, 6.3; 95% CI (2.65, 15.34), and history of family planning use (AOR, 17.20; 95% CI (6.5, 38.60)) were determinants of postabortion contraceptive utilization before being discharged from the health facilities.

Conclusion: Postabortion contraceptive utilization in Harar health facilities still needs improvement as per the WHO and national recommendations. Therefore, the family planning provision strategies should be convincing and friendly, especially for unmarried mothers, and those who had no history of abortion should be counseled in friendly and systematically convincing schemes for enabling them to take the service before discharge from the health facility.

背景:全世界每年约有1.21亿例意外怀孕，7300多万例堕胎。由于不安全堕胎，埃塞俄比亚也失去了19.6%的母亲。尽管堕胎后避孕服务是预防意外怀孕和相关死亡的高潮切入点，但在埃塞俄比亚，出院前的服务规模和决定因素并没有很好地描述。因此，本研究旨在评估在埃塞俄比亚东部哈拉尔的卫生机构出院前接受堕胎护理服务的妇女中堕胎后避孕药具的使用程度及其相关因素。方法:对390名接受流产护理服务的妇女进行了基于医院的横断面研究。出院时，收集有关避孕接受度和相关产妇特征的数据。采用二元logistic回归模型评估自变量和因变量(流产后避孕药具利用)之间的相关性。使用SPSS 22进行分析。P < 0.05认为差异有统计学意义。结果:流产后避孕药具使用率为81.5% (95% CI: 77.9, 85.4)。未婚(AOR, 0.05;95% CI(0.02, 0.16))，无流产史(AOR, 0.11;95% CI(0.04, 0.34))，多孕(AOR 8.1;95% CI(2.20, 13.40)，缺乏生育意愿(AOR, 6.3;95% CI(2.65, 15.34)和计划生育使用史(AOR, 17.20;95%置信区间(6.5,38.60))是流产后出院前使用避孕药具的决定因素。结论:根据世卫组织和国家建议，哈拉尔卫生机构的流产后避孕药具利用情况仍需改善。因此，计划生育提供战略应具有说服力和友好性，特别是对未婚母亲而言，应向没有堕胎史的妇女提供友好和系统的有说服力的建议，使她们能够在离开保健设施之前接受这项服务。

{"title":"Postabortion Contraceptive Acceptance Rate and Its Determinants among Women Receiving Abortion Service before Discharge from the Health Facilities in Harar, Eastern Ethiopia.","authors":"Endalkachew Atnafu, Biftu Geda, Lemessa Oljira, Genanaw Atnafe, Dawit Tamiru, Abdi Birhanu, Getahun Tiruye, Haregeweyn Kibret, Adera Debella","doi":"10.1155/2022/4050844","DOIUrl":"https://doi.org/10.1155/2022/4050844","url":null,"abstract":"Background: Annually, around 121 million unintended pregnancies occur in the world and more than 73 million encountered abortion. Ethiopia is also losing 19.6% of mothers due to unsafe abortion. Despite that postabortion contraceptive service is a climactic entry point for the prevention of unwanted pregnancy and associated deaths, the service magnitude and determinants immediately before discharge are not characterized well in Ethiopia. Hence, this study aimed to assess the magnitude of postabortion contraceptive utilization and associated factors among women receiving abortion care service before being discharged from health facilities in Harar, Eastern Ethiopia.Methods: A facility-based cross-sectional study was conducted among 390 women receiving abortion care services. At discharge, data about contraceptive acceptance and related maternal characteristics were collected. A binary logistic regression model was used to assess the association between independent and dependent variables (postabortion contraceptive utilization). Analysis was done with SPSS 22. Statistical significance was considered at P < 0.05.Result: The overall prevalence of postabortion contraceptive utilization was 81.5% (95% CI: 77.9, 85.4). Being unmarried (AOR, 0.05; 95% CI (0.02, 0.16)), having no history of previous abortion (AOR, 0.11; 95% CI (0.04, 0.34)), being multigravida (AOR 8.1; 95% CI (2.20, 13.40), lacking desire to have an additional child (AOR, 6.3; 95% CI (2.65, 15.34), and history of family planning use (AOR, 17.20; 95% CI (6.5, 38.60)) were determinants of postabortion contraceptive utilization before being discharged from the health facilities.Conclusion: Postabortion contraceptive utilization in Harar health facilities still needs improvement as per the WHO and national recommendations. Therefore, the family planning provision strategies should be convincing and friendly, especially for unmarried mothers, and those who had no history of abortion should be counseled in friendly and systematically convincing schemes for enabling them to take the service before discharge from the health facility.","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":" ","pages":"4050844"},"PeriodicalIF":1.9,"publicationDate":"2022-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8769860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39962692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0