Azza Ismail El Sayed, Mirfat Mohamed Labib Elkashif, Thanaa Ali Ahmad Elawany, Azza Mohamed Fathy, Howaida Amin Hassan Fahmy Elsaba
INTRODUCTION: Major placenta previa with advanced maternal age (AMA) is a significant risk factor for obstetric hemorrhage and associated maternal and neonatal complications. OBJECTIVE: The objective was to study major placenta previa in advanced age among nulliparous with cesarean section. METHODS: This prospective cross-sectional study analyzes 78 pregnant women of advanced age with major placenta previa under a cesarean section. Data were collected using interview questionnaires between January 2019 and June 2020. RESULTS: The mean gestational age at delivery was 35.7 ± 3 years. Antepartum hemorrhage, premature membrane rupture, and placenta accreta occurred in 15.4%, 35.9%, and 15.4% of cases, respectively. About 12.8% of women were at risk of post-traumatic stress disorder symptoms. Fetal distress, postpartum hemorrhage (PPH), and cesarean hysterectomy occurred in 37.2%, 46.2%, and 15.4% of patients. Mean Apgar scores in the first and fifth minutes were 7.0 ± 0.90 and 8.0 ± 0.82, respectively. The mean birth weight was 2.7 ± 0.14823. Of neonates, 37.2% were premature, 37.2% required resuscitation, less than half (44.9%) were admitted to the neonatal intensive care unit, and 37.2% had respiratory distress syndrome. Moreover, there is a statistically significant relationship between placenta accreta and cesarean hysterectomies and the occurrence of PPH. Also, a highly significant association was observed between the use of antenatal steroids, fetal distress, Apgar score <3 at 1 minute, and neonatal respiratory distress syndrome. CONCLUSION: Major placenta previa with AMA significantly influences pregnancy outcomes and is considered an obstetric emergency. Therefore, early detection of major placenta previa and proper management during clinical care is essential.
{"title":"Major Placenta Previa in Advanced Age Among Nulliparous With Cesarean Section: A Cross-Sectional Study","authors":"Azza Ismail El Sayed, Mirfat Mohamed Labib Elkashif, Thanaa Ali Ahmad Elawany, Azza Mohamed Fathy, Howaida Amin Hassan Fahmy Elsaba","doi":"10.1891/ijc-2022-0114","DOIUrl":"https://doi.org/10.1891/ijc-2022-0114","url":null,"abstract":"INTRODUCTION: Major placenta previa with advanced maternal age (AMA) is a significant risk factor for obstetric hemorrhage and associated maternal and neonatal complications. OBJECTIVE: The objective was to study major placenta previa in advanced age among nulliparous with cesarean section. METHODS: This prospective cross-sectional study analyzes 78 pregnant women of advanced age with major placenta previa under a cesarean section. Data were collected using interview questionnaires between January 2019 and June 2020. RESULTS: The mean gestational age at delivery was 35.7 ± 3 years. Antepartum hemorrhage, premature membrane rupture, and placenta accreta occurred in 15.4%, 35.9%, and 15.4% of cases, respectively. About 12.8% of women were at risk of post-traumatic stress disorder symptoms. Fetal distress, postpartum hemorrhage (PPH), and cesarean hysterectomy occurred in 37.2%, 46.2%, and 15.4% of patients. Mean Apgar scores in the first and fifth minutes were 7.0 ± 0.90 and 8.0 ± 0.82, respectively. The mean birth weight was 2.7 ± 0.14823. Of neonates, 37.2% were premature, 37.2% required resuscitation, less than half (44.9%) were admitted to the neonatal intensive care unit, and 37.2% had respiratory distress syndrome. Moreover, there is a statistically significant relationship between placenta accreta and cesarean hysterectomies and the occurrence of PPH. Also, a highly significant association was observed between the use of antenatal steroids, fetal distress, Apgar score <3 at 1 minute, and neonatal respiratory distress syndrome. CONCLUSION: Major placenta previa with AMA significantly influences pregnancy outcomes and is considered an obstetric emergency. Therefore, early detection of major placenta previa and proper management during clinical care is essential.","PeriodicalId":43300,"journal":{"name":"International Journal of Childbirth","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135393443","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}
L. B. Fons, O. P. Roda, Marta Peró, Paula Fabra Roca, Marta Simó González
{"title":"Results of a Systematic Intensive Follow-Up of 259 Cases of Obstetric Anal Sphincter Injury","authors":"L. B. Fons, O. P. Roda, Marta Peró, Paula Fabra Roca, Marta Simó González","doi":"10.1891/ijc-2022-0062","DOIUrl":"https://doi.org/10.1891/ijc-2022-0062","url":null,"abstract":"","PeriodicalId":43300,"journal":{"name":"International Journal of Childbirth","volume":"1 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41757293","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}
J. Zammit, Pauline Fenech, Rita Borg Xuereb, Nicoletta Riva
{"title":"Women’s Experiences of Pregnancy, Birth, and the Postpartum Period During the COVID-19 Pandemic: A Cross-Sectional Survey Study","authors":"J. Zammit, Pauline Fenech, Rita Borg Xuereb, Nicoletta Riva","doi":"10.1891/ijc-2023-0007","DOIUrl":"https://doi.org/10.1891/ijc-2023-0007","url":null,"abstract":"","PeriodicalId":43300,"journal":{"name":"International Journal of Childbirth","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45332170","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}
Theresa Obiageli Madu, Adaobi Obiekwu, C. Mbadugha, N. Omotola
{"title":"Knowledge and Practice of Pelvic Floor Muscle Exercises Among Antenatal and Postnatal Women Attending a Secondary Health Facility in Southeast, Nigeria","authors":"Theresa Obiageli Madu, Adaobi Obiekwu, C. Mbadugha, N. Omotola","doi":"10.1891/ijc-2022-0046","DOIUrl":"https://doi.org/10.1891/ijc-2022-0046","url":null,"abstract":"","PeriodicalId":43300,"journal":{"name":"International Journal of Childbirth","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45074414","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}
{"title":"Women’s Experiences of Care Provider Interaction During Decision-Making About Induction of Labor: A Narrative Systematic Review of the Qualitative Literature","authors":"Katrina Reid, C. H. Hollins Martin","doi":"10.1891/ijc-2022-0088","DOIUrl":"https://doi.org/10.1891/ijc-2022-0088","url":null,"abstract":"","PeriodicalId":43300,"journal":{"name":"International Journal of Childbirth","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45397650","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}
Charlotte Brosens, Y. V. Gils, L. Branden, Roxanne Bleijenbergh, Sophie Rimaux, Eveline Mestdagh, Yvonne J. Kuipers
{"title":"Pregnancy-Related Anxiety and Associated Coping Styles and Strategies: A Cross-Sectional Study","authors":"Charlotte Brosens, Y. V. Gils, L. Branden, Roxanne Bleijenbergh, Sophie Rimaux, Eveline Mestdagh, Yvonne J. Kuipers","doi":"10.1891/ijc-2022-0102","DOIUrl":"https://doi.org/10.1891/ijc-2022-0102","url":null,"abstract":"","PeriodicalId":43300,"journal":{"name":"International Journal of Childbirth","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45695982","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}
BACKGROUND: Migrating to Australia to work as a midwife can be challenging, particularly for those from non-English speaking backgrounds, since they must achieve strict qualification standards, English language skills, and professional competence to be eligible for registration. AIM: The purpose of this study was to explore the registration experiences of Middle Eastern-qualified midwives in Australia. METHODS: Multiple case narrative study, underpinned by structuration theory, involving 19 Middle Eastern-qualified midwives from different states of Australia. Individual semi-structured interviews were conducted between November 2020 and September 2021 and digitally recorded and then transcribed. Transcriptions were analyzed in three stages, with categories generated in the second stage and core categories developed in the third. RESULTS: This study found that Middle Eastern-qualified midwives’ registration experiences were significantly impacted by evolutions in policies in Australia. The accounts of participants who applied for registration at varying stages suggested the process became more complicated over time. Overall, four categories emerged with varying prominence from the accounts of participants who applied for registration at different times including: language barrier, variation in the process, inadequate orientation, and misdirection . Systemic issues were identified as significant barriers to the registration of Middle Eastern-qualified midwives in Australia. CONCLUSION: With Australia’s reliance on internationally qualified midwives, strategies should be developed to identify the language support, appropriate orientation, and regulatory adjustment necessary to reduce the underutilization of Middle Eastern-qualified midwives.
{"title":"Registration Experiences of Middle Eastern Qualified Midwives in Australia: A Narrative Case Study Analysis","authors":"Kolsoom Safari, Lisa McKenna, Jenny Davis","doi":"10.1891/ijc-2022-0073","DOIUrl":"https://doi.org/10.1891/ijc-2022-0073","url":null,"abstract":"BACKGROUND: Migrating to Australia to work as a midwife can be challenging, particularly for those from non-English speaking backgrounds, since they must achieve strict qualification standards, English language skills, and professional competence to be eligible for registration. AIM: The purpose of this study was to explore the registration experiences of Middle Eastern-qualified midwives in Australia. METHODS: Multiple case narrative study, underpinned by structuration theory, involving 19 Middle Eastern-qualified midwives from different states of Australia. Individual semi-structured interviews were conducted between November 2020 and September 2021 and digitally recorded and then transcribed. Transcriptions were analyzed in three stages, with categories generated in the second stage and core categories developed in the third. RESULTS: This study found that Middle Eastern-qualified midwives’ registration experiences were significantly impacted by evolutions in policies in Australia. The accounts of participants who applied for registration at varying stages suggested the process became more complicated over time. Overall, four categories emerged with varying prominence from the accounts of participants who applied for registration at different times including: language barrier, variation in the process, inadequate orientation, and misdirection . Systemic issues were identified as significant barriers to the registration of Middle Eastern-qualified midwives in Australia. CONCLUSION: With Australia’s reliance on internationally qualified midwives, strategies should be developed to identify the language support, appropriate orientation, and regulatory adjustment necessary to reduce the underutilization of Middle Eastern-qualified midwives.","PeriodicalId":43300,"journal":{"name":"International Journal of Childbirth","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135220498","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}
Margaret Omowaleola Akinwaare, Abimbola Oluwatosin, Olakekan Uthman, Elizabeth Ike
INTRODUCTION: Globally, efforts are being made to reduce the menace of maternal death in order to achieve the sustainable development goal. Maternal death has been associated with inadequate Birth Preparedness and Complication Readiness (BPCR), especially in low- and middle-income countries. Therefore, this review assessed birth preparedness and complication readiness in Nigeria. METHODS: A systematic review and meta-analysis of published research articles on birth preparedness and complication readiness in Nigeria were done using PubMed, EMBASE, and MEDLINE databases. All published articles from inception to November 2018 were included in the review. A total of 8,913 published articles were identified from an electronic search, and a total of 4,440 studies were included in this review, while only 12 articles met the inclusion criteria and were included in the meta-analysis. RESULTS: The pooled prevalence of “good BPCR” for all studies yielded an estimate of 58.7% (95% CI 43.9%–72.7%). The I 2 statistic was 98%, indicating statistically significant heterogeneity among the studies. The percentage of women with good birth preparedness and complication readiness increases with the year of publication, such that women have tended to be more aware of good birth preparedness and complication readiness in recent years. More than half of the women had knowledge of obstetric danger signs (52.0%, 95% CI 39.5%–64.4%, 10 studies), arranged for transportation (59.5%, 95% CI 36.2%–80.7%, 11 studies), or saved money (63.4%, 95% CI 44.7%–80.2%, 11 studies) as part of the BPCR. PROSPERO REGISTRATION NUMBER: The study protocol was registered with PROSPERO number CRD42019123220. CONCLUSION: Women in Nigeria are better prepared for birth preparedness and complication readiness in recent years. Therefore, interventions to promote more adequate birth preparedness and complication readiness among women are recommended.
导言:全球正在努力减少产妇死亡的威胁，以实现可持续发展目标。产妇死亡与分娩准备和并发症准备不足有关，特别是在低收入和中等收入国家。因此，本综述评估了尼日利亚的分娩准备和并发症准备情况。方法:使用PubMed、EMBASE和MEDLINE数据库对尼日利亚发表的关于分娩准备和并发症准备的研究文章进行系统回顾和荟萃分析。从成立到2018年11月的所有已发表的文章被纳入综述。通过电子检索，共检索到8,913篇已发表的文章，共纳入4,440项研究，但只有12篇文章符合纳入标准，被纳入meta分析。结果:所有研究中“良好BPCR”的总患病率估计为58.7% (95% CI 43.9%-72.7%)。i2统计量为98%，表明研究间存在显著的统计学异质性。随着出版年份的增加，做好分娩准备和并发症准备的妇女比例增加，因此，近年来妇女往往更了解做好分娩准备和并发症准备。作为BPCR的一部分，超过一半的妇女了解产科危险体征(52.0%，95% CI 39.5%-64.4%， 10项研究)，安排交通(59.5%，95% CI 36.2%-80.7%， 11项研究)，或省钱(63.4%，95% CI 44.7%-80.2%， 11项研究)。普洛斯彼罗注册号:研究方案的普洛斯彼罗注册号为CRD42019123220。结论:近年来尼日利亚妇女在分娩准备和并发症准备方面做了更好的准备。因此，建议采取干预措施，促进妇女更充分的分娩准备和并发症准备。
{"title":"Women’s Birth Preparedness and Complication Readiness in Nigeria: A Systematic Review and Meta-Analysis","authors":"Margaret Omowaleola Akinwaare, Abimbola Oluwatosin, Olakekan Uthman, Elizabeth Ike","doi":"10.1891/ijc-2022-0068","DOIUrl":"https://doi.org/10.1891/ijc-2022-0068","url":null,"abstract":"INTRODUCTION: Globally, efforts are being made to reduce the menace of maternal death in order to achieve the sustainable development goal. Maternal death has been associated with inadequate Birth Preparedness and Complication Readiness (BPCR), especially in low- and middle-income countries. Therefore, this review assessed birth preparedness and complication readiness in Nigeria. METHODS: A systematic review and meta-analysis of published research articles on birth preparedness and complication readiness in Nigeria were done using PubMed, EMBASE, and MEDLINE databases. All published articles from inception to November 2018 were included in the review. A total of 8,913 published articles were identified from an electronic search, and a total of 4,440 studies were included in this review, while only 12 articles met the inclusion criteria and were included in the meta-analysis. RESULTS: The pooled prevalence of “good BPCR” for all studies yielded an estimate of 58.7% (95% CI 43.9%–72.7%). The I 2 statistic was 98%, indicating statistically significant heterogeneity among the studies. The percentage of women with good birth preparedness and complication readiness increases with the year of publication, such that women have tended to be more aware of good birth preparedness and complication readiness in recent years. More than half of the women had knowledge of obstetric danger signs (52.0%, 95% CI 39.5%–64.4%, 10 studies), arranged for transportation (59.5%, 95% CI 36.2%–80.7%, 11 studies), or saved money (63.4%, 95% CI 44.7%–80.2%, 11 studies) as part of the BPCR. PROSPERO REGISTRATION NUMBER: The study protocol was registered with PROSPERO number CRD42019123220. CONCLUSION: Women in Nigeria are better prepared for birth preparedness and complication readiness in recent years. Therefore, interventions to promote more adequate birth preparedness and complication readiness among women are recommended.","PeriodicalId":43300,"journal":{"name":"International Journal of Childbirth","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135220499","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}
{"title":"Fetal Middle Cerebral Artery and Umbilical Artery Pulsatility Index Doppler Associations With Pregnancy Risk and Neonatal Outcomes","authors":"D. Setiawan, J. Mose, Muhammad Alamsyah Azis","doi":"10.1891/ijc-2022-0049","DOIUrl":"https://doi.org/10.1891/ijc-2022-0049","url":null,"abstract":"","PeriodicalId":43300,"journal":{"name":"International Journal of Childbirth","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42087018","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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