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Determinants of meconium-stained amniotic fluid among laboring mother in Ethiopia, systematic review and meta-analysis 埃塞俄比亚产妇羊水中胎粪染色的决定因素,系统回顾和荟萃分析
IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-07-05 DOI: 10.3389/fgwh.2024.1393145
Anteneh Gashaw, Yayeh Adamu, Yohanes Sime, Belete Destaw
Meconium-stained amniotic fluid (MSAF) occurs during childbirth when the amniotic fluid carries traces of meconium, the initial stool passed by a newborn. Often signaling fetal distress, MSAF is linked to heightened risks for both the mother and the newborn. In Ethiopia, there is insufficient attention given to this condition. Despite varied study results indicating a considerable range in MSAF occurrences, there is an absence of a comprehensive national overview. Therefore, this systematic review and meta-analysis aim to evaluate the aggregated prevalence of meconium-stained amniotic fluid among laboring mothers and its influencing factors in Ethiopia, providing a consolidated understanding for healthcare strategies and policies.Following PRISMA guidelines, a systematic review and meta-analysis were executed. Extensive literature searches were conducted on PubMed, Google Scholar, and African Online Journal databases. The pooled prevalence was estimated using a weighted inverse variance random effect model. Heterogeneity among studies was evaluated through Cochrane Q-test and I2 statistics. To assess publication bias, a funnel plot and Egger's test were performed. The identification of factors associated with meconium-stained amniotic fluid among laboring mothers in Ethiopia was conducted using Stata v 18 software.In total, 63 articles were initially identified, and ultimately, four articles were deemed suitable for inclusion in this review. The combined prevalence of meconium-stained amniotic fluid among laboring mothers in Ethiopia was determined to be 20% (95% CI: 14%–25%). Upon conducting subgroup analysis, it was revealed that the prevalence of meconium-stained amniotic fluid was highest in the Oromia region and lowest in Addis Ababa. Notably, pregnancies complicated by pregnancy-induced hypertension disorder showed a significant association with the presence of meconium-stained amniotic fluid, with an odds ratio of 6.21 (95% CI: 4.04–8.38).In conclusion, this review emphasizes the common occurrence of meconium-stained amniotic fluid (MSAF). Notably, it identifies a significant association between pregnancy complicated by hypertension and the presence of MSAF. This underscores the need for targeted interventions to reduce MSAF incidence and mitigate associated adverse outcomes in the Ethiopian.http://www.library.ucsf.edu/, (CRD42023491725).
胎粪染色羊水(MSAF)是指在分娩过程中,羊水中含有新生儿最初排出的胎粪。羊水窘迫通常是胎儿窘迫的信号,与母亲和新生儿的风险增加有关。在埃塞俄比亚,人们对这种情况的关注不够。尽管不同的研究结果表明 MSAF 的发生率有相当大的差异,但仍缺乏全面的全国性综述。因此,本系统综述和荟萃分析旨在评估埃塞俄比亚产妇中胎粪染色羊水的总体流行率及其影响因素,为医疗保健战略和政策提供综合认识。在 PubMed、谷歌学术和非洲在线期刊数据库中进行了广泛的文献检索。使用加权反方差随机效应模型估算了汇总的流行率。研究之间的异质性通过 Cochrane Q 检验和 I2 统计量进行评估。为评估发表偏倚,进行了漏斗图和 Egger 检验。研究人员使用 Stata v 18 软件对埃塞俄比亚产妇羊水中胎粪染色的相关因素进行了鉴定。埃塞俄比亚产妇中胎粪染色羊水的综合流行率被确定为 20%(95% CI:14%-25%)。在进行亚组分析后发现,奥罗米亚(Oromia)地区的胎粪染羊水发生率最高,而亚的斯亚贝巴(Addis Ababa)地区的发生率最低。值得注意的是,因妊娠高血压疾病而并发的妊娠与胎粪染羊水的出现有显著关联,其几率比为 6.21(95% CI:4.04-8.38)。总之,本综述强调了胎粪染羊水(MSAF)的常见性,并指出妊娠合并高血压与胎粪染羊水之间存在显著关联。这突出表明,有必要在埃塞俄比亚采取有针对性的干预措施,以降低MSAF的发生率并减轻相关的不良后果。http://www.library.ucsf.edu/, (CRD42023491725)。
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引用次数: 0
Level of client satisfaction among family planning service users in semi-pastoralist areas of Southeast Ethiopia: a mixed-methods study 埃塞俄比亚东南部半牧区计划生育服务使用者的满意度:一项混合方法研究
IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-07-04 DOI: 10.3389/fgwh.2024.1271115
Hana Eshetu, Dawit Jember Tesfaye, Selam Fantahun, Bezawit Birhanu, Daniel Dere Deffecho, Shitalem Tadesse Teshager, Beka Teressa Meka, Zenawi Hagos Gufue
Client satisfaction with family planning services is a crucial metric for gauging healthcare providers' performance. There is a dearth of local data that explores the factors that influence clients' satisfaction with family planning services in semi-pastoral areas using a mixed-methods approach. This study aimed to assess the level of client satisfaction and its associated factors among family planning service users in six public health centers in Southeast Ethiopia.A multi-centered, concurrent, mixed-method survey using quantitative and qualitative methods was conducted in six public health centers in Southeast Ethiopia from March 15 to April 16, 2022. Four hundred nineteen systematically selected family planning method users and their respective six family planning service providers were approached using a purposive sampling technique. A multivariable binary logistic regression model was used to identify the independent factors associated with clients' satisfaction with family planning services.Four hundred fourteen study participants were finally approached, and client satisfaction with family planning services in those centers was 57.5% with a 95% CI of 52.71%–62.71%. Being in the age group of 25–34 years (AOR = 1.99; 95% CI 1.2, 3.29), married (AOR = 2.41; 95% CI 1.13, 5.15), waiting less than 30 min (AOR = 1.74; 95% CI 1.11, 2.72), and receiving the family planning method they want (AOR = 2.35; 95% CI 1.16, 4.76) were positively associated with client satisfaction. Updating the provider's skills and knowledge, keeping clients' method choices, and leaving free decisions also increased client satisfaction.In this study, client satisfaction with family planning services remains low. Users' age, marital status, waiting time, and wish to receive the method they want were positively associated with client satisfaction.
客户对计划生育服务的满意度是衡量医疗服务提供者业绩的重要指标。在半牧区,采用混合方法探讨影响客户对计划生育服务满意度的因素的本地数据十分匮乏。2022 年 3 月 15 日至 4 月 16 日,我们在埃塞俄比亚东南部的六家公共医疗中心开展了一项多中心、并行、混合方法调查,采用了定量和定性方法。采用目的性抽样技术,系统性地选择了 419 名计划生育方法使用者和他们各自的 6 名计划生育服务提供者。最终接触了 4414 名研究参与者,这些中心的计划生育服务满意度为 57.5%,95% CI 为 52.71%-62.71%。25-34 岁年龄组(AOR = 1.99;95% CI 1.2,3.29)、已婚(AOR = 2.41;95% CI 1.13,5.15)、等待时间少于 30 分钟(AOR = 1.74;95% CI 1.11,2.72)、获得自己想要的计划生育方法(AOR = 2.35;95% CI 1.16,4.76)与客户满意度呈正相关。更新服务提供者的技能和知识、保留客户的方法选择以及让客户自由决定也提高了客户满意度。使用者的年龄、婚姻状况、等待时间和希望获得自己想要的方法与客户满意度呈正相关。
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引用次数: 0
Imaging phenotypic differences in multiple sclerosis: at the crossroads of aging, sex, race, and ethnicity. 多发性硬化症的成像表型差异:老龄化、性别、种族和民族的交叉点。
IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-06-28 eCollection Date: 2024-01-01 DOI: 10.3389/fgwh.2024.1412482
Nabeela Nathoo, Nur Neyal, Orhun H Kantarci, Burcu Zeydan

Clear sex differences are observed in clinical and imaging phenotypes of multiple sclerosis (MS), which evolve significantly over the age spectrum, and more specifically, during reproductive milestones such as pregnancy and menopause. With neuroimaging being an outcome measure and also a key subclinical biomarker of subsequent clinical phenotype in MS, this comprehensive review aims to provide an overview of sex and hormone differences in structural and functional imaging biomarkers of MS, including lesion burden and location, atrophy, white matter integrity, functional connectivity, and iron distribution. Furthermore, how therapies aimed at altering sex hormones can impact imaging of women and men with MS over the lifespan is discussed. This review also explores the key intersection between age, sex, and race/ethnicity in MS, and how this intersection may affect imaging biomarkers of MS.

多发性硬化症(MS)的临床和影像表型存在明显的性别差异,这种差异在不同年龄段,尤其是在妊娠和绝经等生育高峰期有显著变化。神经影像学是多发性硬化症的结果测量指标,也是随后临床表型的关键亚临床生物标志物,本综述旨在概述多发性硬化症结构和功能影像学生物标志物的性别和激素差异,包括病变负荷和位置、萎缩、白质完整性、功能连接性和铁分布。此外,还讨论了旨在改变性激素的疗法如何影响女性和男性多发性硬化症患者一生中的影像学表现。本综述还探讨了多发性硬化症患者的年龄、性别和种族/民族之间的关键交叉点,以及这种交叉点可能如何影响多发性硬化症的影像生物标志物。
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引用次数: 0
Corrigendum: Gender analysis of the World Health Organization's online learning programme on Immunization Agenda 2030. 更正:对世界卫生组织 2030 年免疫议程在线学习计划的性别分析。
IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-06-28 eCollection Date: 2024-01-01 DOI: 10.3389/fgwh.2024.1433748
Boetumelo Julianne Nyasulu, Shirin Heidari, Michela Manna, Jhilmil Bahl, Tracey Goodman

[This corrects the article DOI: 10.3389/fgwh.2023.1230109.].

[此处更正了文章 DOI:10.3389/fgwh.2023.1230109]。
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引用次数: 0
Loneliness and social isolation: exploring the experiences of older women during the pandemic in terms of social connection, feeling of loneliness, and the impact on mental health and wellbeing. 孤独和社会隔离:探讨大流行病期间老年妇女在社会联系、孤独感以及对心理健康和幸福的影响方面的经历。
IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-06-28 eCollection Date: 2024-01-01 DOI: 10.3389/fgwh.2024.1410058
Nasrullah Bhat, Fayaz Ahmad Paul, Aamir Gul, Zahoor Ahmad Ganie

Objectives: To investigate the unique challenges faced by older women during the COVID-19 pandemic regarding social connection, feelings of loneliness, and their subsequent impact on mental health and well-being.

Method: A qualitative research methodology is used to examine how older women experienced loneliness, social relationships, and mental health consequences during the COVID-19 pandemic.

Results: The results are discussed in terms of two main themes each with their sub-themes; 1. Social Connection amidst Physical Distancing Measures, 2. Impact on Mental Health and Well-being.

Conclusion: The study highlights the significant impact of loneliness and social isolation on the mental health of older women during the COVID-19 pandemic, emphasizing the need for targeted interventions and support systems.

目的调查在 COVID-19 大流行期间,老年妇女在社会联系、孤独感及其对心理健康和幸福的影响方面所面临的独特挑战:方法:采用定性研究方法,探讨老年妇女在 COVID-19 大流行期间如何体验孤独感、社会关系和心理健康后果:结果:研究结果分为两大主题及其子主题:1.身体疏远措施中的社会联系,2.对心理健康和幸福的影响:本研究强调了在 COVID-19 大流行期间,孤独和社会隔离对老年妇女心理健康的重大影响,强调了有针对性的干预措施和支持系统的必要性。
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引用次数: 0
The effect of continuous electronic fetal monitoring on mode of delivery and neonatal outcome among low-risk laboring mothers at Debre Markos comprehensive specialized hospital, Northwest Ethiopia. 连续电子胎儿监护对埃塞俄比亚西北部 Debre Markos 综合专科医院低危产妇分娩方式和新生儿预后的影响。
IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI: 10.3389/fgwh.2024.1385343
Tirusew Nigussie Kebede, Kidist Ayalew Abebe, Moges Sisay Chekol, Tebabere Moltot Kitaw, Muhabaw Shumye Mihret, Bezawit Melak Fentie, Yared Alem Sibhat, Michael Amera Tizazu, Solomon Hailemeskel Beshah, Birhan Tsegaw Taye

Background: Electronic fetal heart rate monitoring (EFM) has been widely used in obstetric practice for over 40 years to improve perinatal outcomes. Its popularity is growing in Ethiopia and other sub-Saharan African countries to reduce high perinatal morbidity and mortality rates. However, its impact on delivery mode and perinatal outcomes in low-risk pregnancies remains controversial. This study aimed to assess the effect of continuous EFM on delivery mode and neonatal outcomes among low-risk laboring mothers at Debre Markos Comprehensive Specialized Hospital, Northwest Ethiopia.

Methods: A prospective follow-up study was conducted from November 20, 2023, to January 10, 2024. All low-risk laboring mothers meeting the inclusion criteria were included. Data were collected via pretested structured questionnaires and observation, then analyzed using Epi-data 4.6 and SPSS. The incidences of cesarean delivery and continuous EFM were compared using the chi-squared test and Fisher's exact test.

Results: The study found higher rates of instrumental-assisted vaginal delivery (7% vs. 2.4%) and cesarean sections (16% vs. 2%) due to unsettling fetal heart rate patterns in the continuous EFM group compared to the intermittent auscultation group. However, there were no differences in immediate neonatal outcomes between the groups.

Conclusion: When compared to intermittent auscultation with a Pinard fetoscope, the routine use of continuous EFM among low-risk laboring mothers was associated with an increased risk of cesarean sections and instrumental vaginal deliveries, without significantly improving immediate newborn outcomes. However, it is important to note that our study faced significant logistical constraints due to the limited availability of EFM devices, which influenced our ability to use EFM comprehensively. Given these limitations, we recommend avoiding the routine use of continuous EFM for low-risk laboring mothers to help reduce the rising number of operative deliveries, particularly cesarean sections. Our findings should be interpreted with caution, and further research with adequate resources is needed to draw definitive conclusions.

背景:40 多年来,电子胎心率监护(EFM)已广泛应用于产科实践,以改善围产期预后。为了降低围产期的高发病率和死亡率,电子胎心监护在埃塞俄比亚和其他撒哈拉以南非洲国家越来越受欢迎。然而,它对低危妊娠分娩方式和围产期结果的影响仍存在争议。本研究旨在评估埃塞俄比亚西北部 Debre Markos 综合专科医院的低风险产妇中,持续使用 EFM 对分娩方式和新生儿预后的影响:方法:2023 年 11 月 20 日至 2024 年 1 月 10 日进行了一项前瞻性随访研究。所有符合纳入标准的低风险产妇均被纳入研究范围。通过预先测试的结构式问卷和观察收集数据,然后使用 Epi-data 4.6 和 SPSS 进行分析。使用卡方检验(chi-squared test)和费雪精确检验(Fisher's exact test)对剖宫产和连续顺产的发生率进行比较:研究发现,与间歇性听诊组相比,连续性电频法组由于胎心率不稳定而导致的器械辅助阴道分娩率(7% 对 2.4%)和剖宫产率(16% 对 2%)更高。结论:与间歇性听诊相比,连续性超频监护组的新生儿死亡率较高,而间歇性听诊组的新生儿死亡率较低:结论:与使用皮纳尔胎儿镜进行间歇性听诊相比,在低风险产妇中常规使用连续性胎儿心率监测会增加剖宫产和阴道助产的风险,但不会显著改善新生儿即刻预后。然而,值得注意的是,我们的研究面临着巨大的后勤限制,因为可用的超导电子胎产仪设备有限,这影响了我们全面使用超导电子胎产仪的能力。鉴于这些局限性,我们建议避免对低风险产妇常规使用连续超导电子胎心监护仪,以帮助减少不断增加的手术分娩,尤其是剖宫产。在解释我们的研究结果时应谨慎,需要进一步开展研究并获得足够的资源,才能得出明确的结论。
{"title":"The effect of continuous electronic fetal monitoring on mode of delivery and neonatal outcome among low-risk laboring mothers at Debre Markos comprehensive specialized hospital, Northwest Ethiopia.","authors":"Tirusew Nigussie Kebede, Kidist Ayalew Abebe, Moges Sisay Chekol, Tebabere Moltot Kitaw, Muhabaw Shumye Mihret, Bezawit Melak Fentie, Yared Alem Sibhat, Michael Amera Tizazu, Solomon Hailemeskel Beshah, Birhan Tsegaw Taye","doi":"10.3389/fgwh.2024.1385343","DOIUrl":"10.3389/fgwh.2024.1385343","url":null,"abstract":"<p><strong>Background: </strong>Electronic fetal heart rate monitoring (EFM) has been widely used in obstetric practice for over 40 years to improve perinatal outcomes. Its popularity is growing in Ethiopia and other sub-Saharan African countries to reduce high perinatal morbidity and mortality rates. However, its impact on delivery mode and perinatal outcomes in low-risk pregnancies remains controversial. This study aimed to assess the effect of continuous EFM on delivery mode and neonatal outcomes among low-risk laboring mothers at Debre Markos Comprehensive Specialized Hospital, Northwest Ethiopia.</p><p><strong>Methods: </strong>A prospective follow-up study was conducted from November 20, 2023, to January 10, 2024. All low-risk laboring mothers meeting the inclusion criteria were included. Data were collected via pretested structured questionnaires and observation, then analyzed using Epi-data 4.6 and SPSS. The incidences of cesarean delivery and continuous EFM were compared using the chi-squared test and Fisher's exact test.</p><p><strong>Results: </strong>The study found higher rates of instrumental-assisted vaginal delivery (7% vs. 2.4%) and cesarean sections (16% vs. 2%) due to unsettling fetal heart rate patterns in the continuous EFM group compared to the intermittent auscultation group. However, there were no differences in immediate neonatal outcomes between the groups.</p><p><strong>Conclusion: </strong>When compared to intermittent auscultation with a Pinard fetoscope, the routine use of continuous EFM among low-risk laboring mothers was associated with an increased risk of cesarean sections and instrumental vaginal deliveries, without significantly improving immediate newborn outcomes. However, it is important to note that our study faced significant logistical constraints due to the limited availability of EFM devices, which influenced our ability to use EFM comprehensively. Given these limitations, we recommend avoiding the routine use of continuous EFM for low-risk laboring mothers to help reduce the rising number of operative deliveries, particularly cesarean sections. Our findings should be interpreted with caution, and further research with adequate resources is needed to draw definitive conclusions.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11228245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560466","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
Husband's intention to support during pregnancy for the use of maternity waiting home in Jimma Zone, Southwest, Ethiopia: a community-based cross-sectional study. 埃塞俄比亚西南部吉马区丈夫在怀孕期间对使用待产之家的支持意向:一项基于社区的横断面研究。
IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-06-17 eCollection Date: 2024-01-01 DOI: 10.3389/fgwh.2024.1342687
Mamusha Aman, Adisu Bekele, Fira Abamecha, Yohannes Kebede Lemu, Abraham Tamirat Gizaw

Background: Husbands are the primary decision-makers about the place of childbirth. Lack of husbands' support for maternal health care is associated with low maternal waiting home utilization and less is known about the husbands' intention to support their wife's use of maternal waiting homes (MWHs) and underlying beliefs in Ethiopia. This community-based cross-sectional survey aimed to study husbands' intention to support during pregnancy through the use of maternity waiting homes in Jimma Zone, Southwest Ethiopia.

Method: A cross-sectional study was conducted among 396 randomly selected husbands whose wives were pregnant. Interviewer-administered, a structured questionnaire developed based on the Theory of Planned Behavior (TPB) was used to collect the data. Multivariable logistic regression analyses were used to examine the association between behavioral intention and constructs of the theory of planned behavior.

Results: Of the 396 husbands who took part in the study, 42.7% intend to support their partner's use of a maternity waiting home. Intention to support a wife to use a maternity waiting home was associated with subjective norm [AOR = 1.303, 95% CI (1.054, 1.611)] and perceived behavioral control [AOR = 1.446, 95% CI (1.234, 1.695)]. Among the control beliefs, "having childcare"; "having a person who stays with a wife at a maternity waiting home"; and "availability of quality service provided to a wife in the maternity waiting home" significantly separated intenders and non-intenders.

Conclusion: The findings suggest that husbands who perceived more social pressure and felt in control of barriers were more likely to intend to support their partner in using a maternity waiting home. Intervention should focus on underlying normative and control beliefs to improve the husband's intention.

背景:丈夫是分娩地点的主要决策者。在埃塞俄比亚,丈夫对孕产妇保健缺乏支持与待产室利用率低有关,但人们对丈夫支持妻子使用待产室的意向和基本信念知之甚少。这项以社区为基础的横断面调查旨在研究埃塞俄比亚西南部吉马区丈夫通过使用待产院支持妻子怀孕的意愿:方法:对随机抽取的 396 名妻子怀孕的丈夫进行了横断面调查。数据收集采用了访谈人员管理、基于计划行为理论(TPB)开发的结构化问卷。采用多变量逻辑回归分析来研究行为意向与计划行为理论构建之间的关联:在参与研究的 396 名丈夫中,42.7% 的人打算支持其伴侣使用待产之家。支持妻子使用待产室的意愿与主观规范[AOR = 1.303,95% CI (1.054, 1.611)]和感知行为控制[AOR = 1.446,95% CI (1.234, 1.695)]有关。在控制信念中,"有托儿所"、"有人在待产室陪伴妻子 "和 "待产室为妻子提供的优质服务 "明显区分了有意和非有意者:研究结果表明,感受到更大社会压力并认为能够控制障碍的丈夫更有可能打算支持其伴侣使用待产院。干预措施应侧重于潜在的规范和控制信念,以提高丈夫的意愿。
{"title":"Husband's intention to support during pregnancy for the use of maternity waiting home in Jimma Zone, Southwest, Ethiopia: a community-based cross-sectional study.","authors":"Mamusha Aman, Adisu Bekele, Fira Abamecha, Yohannes Kebede Lemu, Abraham Tamirat Gizaw","doi":"10.3389/fgwh.2024.1342687","DOIUrl":"10.3389/fgwh.2024.1342687","url":null,"abstract":"<p><strong>Background: </strong>Husbands are the primary decision-makers about the place of childbirth. Lack of husbands' support for maternal health care is associated with low maternal waiting home utilization and less is known about the husbands' intention to support their wife's use of maternal waiting homes (MWHs) and underlying beliefs in Ethiopia. This community-based cross-sectional survey aimed to study husbands' intention to support during pregnancy through the use of maternity waiting homes in Jimma Zone, Southwest Ethiopia.</p><p><strong>Method: </strong>A cross-sectional study was conducted among 396 randomly selected husbands whose wives were pregnant. Interviewer-administered, a structured questionnaire developed based on the Theory of Planned Behavior (TPB) was used to collect the data. Multivariable logistic regression analyses were used to examine the association between behavioral intention and constructs of the theory of planned behavior.</p><p><strong>Results: </strong>Of the 396 husbands who took part in the study, 42.7% intend to support their partner's use of a maternity waiting home. Intention to support a wife to use a maternity waiting home was associated with subjective norm [AOR = 1.303, 95% CI (1.054, 1.611)] and perceived behavioral control [AOR = 1.446, 95% CI (1.234, 1.695)]. Among the control beliefs, \"having childcare\"; \"having a person who stays with a wife at a maternity waiting home\"; and \"availability of quality service provided to a wife in the maternity waiting home\" significantly separated intenders and non-intenders.</p><p><strong>Conclusion: </strong>The findings suggest that husbands who perceived more social pressure and felt in control of barriers were more likely to intend to support their partner in using a maternity waiting home. Intervention should focus on underlying normative and control beliefs to improve the husband's intention.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11215070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141478093","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
Work-life integration among nurse educators: a meta-synthesis. 护士教育工作者的工作与生活融合:元综合。
Pub Date : 2024-05-30 eCollection Date: 2024-01-01 DOI: 10.3389/fgwh.2024.1287484
Sonja Erasmus, Charlene Downing, Nompumelelo Ntshingila

Background: Work-life integration has been extensively researched in various contexts. Women dominate the nursing profession, but work-life integration is essential for men and women since both are expected to focus equally on their families and careers. The nursing faculty perceives nurse educators' work environment as undervalued, lacking support, and limited time to grow and carry the heavy workload.

Method: A qualitative meta-synthesis of studies between 2013 and 2023 was conducted using ScienceDirect, EBSCO Host, Sage and Sabinet databases. Seven articles related to the research phenomenon were retrieved.

Conclusion: The resulting themes revolved around two central aspects: nurse educators' work and life integration. Nurse educators face various challenges with work-life integration and often view their failure as a personal rather than a societal issue. However, as much as achieving work-life integration is personal, there is a call for employers in academic environments to improve workplace policies, like better-paid maternity leave, affordable quality childcare, and social support. Furthermore, nurse educators' line managers should display warmth and encouragement about personal challenges affecting nurse educators.

背景:在各种情况下,人们对工作与生活的融合进行了广泛的研究。女性在护理行业中占主导地位,但工作与生活的融合对男性和女性都至关重要,因为他们都要同样关注家庭和事业。护理教师认为,护士教育者的工作环境价值被低估、缺乏支持、成长时间有限、工作量繁重:使用 ScienceDirect、EBSCO Host、Sage 和 Sabinet 数据库对 2013 年至 2023 年间的研究进行了定性元综合。检索到七篇与研究现象相关的文章:得出的主题围绕两个核心方面:护士教育者的工作与生活融合。护士教育工作者在工作与生活的融合方面面临着各种挑战,他们往往将失败视为个人问题而非社会问题。然而,正如实现工作与生活的融合是个人问题一样,人们也呼吁学术环境中的雇主改善工作场所政策,如带薪产假、负担得起的优质托儿服务和社会支持。此外,护士教育工作者的部门经理应该对影响护士教育工作者的个人挑战表现出热情和鼓励。
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引用次数: 0
Magnitude of preterm birth and associated factors Among mothers who gave birth in Debre Berhan comprehensive specialized hospital. 在 Debre Berhan 综合专科医院分娩的母亲的早产率及相关因素。
Pub Date : 2024-05-28 eCollection Date: 2024-01-01 DOI: 10.3389/fgwh.2024.1375196
Yosef Kibret, Abebe Minda Bunie, Sadat Mohammed, Tilahun Deresse Tamene, Tadesse Mamo Dejene

Background: Premature deliveries are a major public health issue, with high health, economic, and productivity costs associated with lengthy hospitalizations in neonatal critical care units. The goal of this study was to determine the number of premature births in Ethiopia's Debre Berhan Comprehensive Specialized Hospital and the factors that influence them.

Methods: The Debre Berhan Comprehensive Specialized Hospital conducted an institution-based cross-sectional study between February and April 2020. A total of 325 study participants were selected using systematic random sampling. Face-to-face interviews using a pre-tested semi-structured questionnaire were used to collect data. For data entry and analysis, Epi data version 3.1 and SPSS version 20 were used. At a P-value of 0.2, bivariate logistic regression analysis was used to categorize candidate variables to the next level, and variables in multivariate logistic regression models with a p-value of 0.05 were considered statistically significant.

Result: Preterm births accounted for 16.1% of all births at Debre Berhan Comprehensive Specialized Hospital. Cesarean section [AOR = 2.412; 95% CI (1.154, 5.0370)], twin pregnancy [AOR = 3.524; 95% CI (1.114, 11.150)], and maternal anemia during pregnancy [AOR = 3.124; 95% CI (1.417, 6.887)] were statistically significant associations with the outcome variable in the final logistic regression model.

Conclusion and recommendation: Preterm birth was found to be greater in the study area than in the Global Action Report for Sub-Saharan Africa and a few other countries. Efforts should be made to prevent maternal health issues that lead to caesarean section, and all pregnant mothers should be supplemented with iron and folic acid as soon as feasible. This study suggests that there is still a gap in the field in terms of health service intervention.

背景:早产是一个重大的公共卫生问题,与新生儿重症监护室的长期住院相关的健康、经济和生产成本都很高。本研究旨在确定埃塞俄比亚 Debre Berhan 综合专科医院的早产儿数量及其影响因素:Debre Berhan 综合专科医院在 2020 年 2 月至 4 月期间开展了一项以医院为基础的横断面研究。研究采用系统随机抽样法,共抽取了 325 名参与者。研究人员使用事先测试过的半结构化问卷进行面对面访谈,以收集数据。数据输入和分析采用 Epi data 3.1 版和 SPSS 20 版。在 P 值为 0.2 时,使用二元逻辑回归分析将候选变量分类到下一级,P 值为 0.05 的多变量逻辑回归模型中的变量被视为具有统计学意义:结果:早产儿占 Debre Berhan 综合专科医院所有新生儿的 16.1%。在最终的逻辑回归模型中,剖宫产[AOR = 2.412; 95% CI (1.154, 5.0370)]、双胎妊娠[AOR = 3.524; 95% CI (1.114, 11.150)]和孕期贫血[AOR = 3.124; 95% CI (1.417, 6.887)]与结果变量有显著的统计学关联:研究发现,研究地区的早产率高于《撒哈拉以南非洲全球行动报告》和其他一些国家。应努力预防导致剖腹产的孕产妇健康问题,并在可行的情况下尽快为所有孕产妇补充铁和叶酸。这项研究表明,该领域在卫生服务干预方面仍存在差距。
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引用次数: 0
An assessment of the provision of women-friendly care and its associated factors among mothers who gave birth at public health institutions in South Gondar Zone, Northwest Ethiopia. 对埃塞俄比亚西北部南贡达区公立医疗机构为产妇提供的妇女友好型护理及其相关因素进行评估。
Pub Date : 2024-05-27 eCollection Date: 2024-01-01 DOI: 10.3389/fgwh.2024.1368388
Wassie Yazie Ferede, Besfat Berihun Erega, Enyew Dagnew Yehuala, Tigist Seid Yimer

Introduction: "Women-friendly care" is one of the categories of respectful maternal care and is a method of providing care that improves women's access to safe parenting and to reproductive health services by creating a friendly environment at all levels. Improving service use is crucial, particularly in situations where it is low. There is limited data on women-friendly care during childbirth in Ethiopia.

Objective: This study aimed to assess the provision of women-friendly care and its associated factors among mothers who gave birth at health institutions in the South Gondar zone, Northwest Ethiopia.

Methods: A multicenter institutional-based cross-sectional study design was conducted among mothers who gave birth at South Gondar Zone public health institutions, from February 01 to March 30/2021. Three hundred forty-eight study participants were selected by using systematic random sampling. A validated questionnaire was used for data collection. For analysis, the data were imported into Epi-Data version 4.6 and exported to SPSS version 25. A multivariable logistic regression analysis was performed to identify factors associated with the outcome variable. An adjusted odds ratio with a 95% confidence interval was computed to determine the level of significance.

Results: The study had 344 participants in total, with a response rate of 98.85%. The study revealed that a full 73% [95%; CI: 68.6, 77.3%] its participants received women-friendly care. Having antenatal care follow-up [AOR: 3.02, 95% CI: 2.16-11.68], being a primipara [AOR = 2.30 95% CI: 1.23-5.49], not experiencing complications during childbirth [AOR: 2.13, 95% CI: 1.17-12.4], stays at health care facilities, specifically between 13 and 24 h [AOR: 0.25, 95% CI: 0.09-0.67], place for delivery [AOR: 2.01, 95% CI: 1.29-6.09] and delivering during daytime hours [AOR = 2.17, 95% CI: 1.08-5.65] were significantly associated with the provision of women-friendly care.

Conclusions: Only two-thirds of the study participants received Women's-friendly care during childbirth. It was found to be low in our study area in contrast with the majority of the previous findings. Our own findings also suggest the importance of minimizing elective induction of labor during night, of providing comprehensive counseling on antenatal care follow-up, of ensuring mothers remain at health care facilities until the recommended duration, and of implementing early prevention and management of childbirth complications to ensure that mothers receive women-friendly care.

导言"妇女友好型护理 "是尊重产妇护理的一个类别,是一种提供护理的方法,通过在各个层面营造友好的环境,改善妇女获得安全育儿和生殖健康服务的机会。提高服务使用率至关重要,尤其是在服务使用率较低的情况下。在埃塞俄比亚,有关分娩期间妇女友好型护理的数据十分有限:本研究旨在评估埃塞俄比亚西北部南贡达尔地区医疗机构为产妇提供的妇女友好型护理及其相关因素:从 2021 年 2 月 1 日至 3 月 30 日,对在南贡达尔区公共卫生机构分娩的母亲进行了多中心机构横断面研究。研究采用系统随机抽样法,共抽取了 348 名参与者。数据收集采用了经过验证的调查问卷。为便于分析,数据被导入 Epi-Data 4.6 版,并导出到 SPSS 25 版。进行了多变量逻辑回归分析,以确定与结果变量相关的因素。计算了调整后的几率比率和 95% 的置信区间,以确定显著性水平:研究共有 344 人参与,回复率为 98.85%。研究显示,73% [95%; CI: 68.6, 77.3%]的参与者接受了妇女友好型护理。产前护理随访[AOR:3.02,95% CI:2.16-11.68]、初产妇[AOR = 2.30,95% CI:1.23-5.49]、分娩时未出现并发症[AOR:2.13,95% CI:1.17-12.4]、在医疗机构停留时间,特别是 13-24 h [AOR:0.25,95% CI:0.09-0.67]、分娩地点[AOR:2.01,95% CI:1.29-6.09]和白天分娩[AOR = 2.17,95% CI:1.08-5.65]与提供妇女友好型护理显著相关:结论:只有三分之二的研究参与者在分娩时接受了关爱女性的护理。结论:只有三分之二的研究参与者在分娩时接受了妇女友好型护理,在我们的研究地区,这一比例较低,这与之前的大多数研究结果形成了鲜明对比。我们的研究结果还表明,尽量减少夜间选择性引产、提供全面的产前护理随访咨询、确保产妇在建议的时间内留在医疗机构、及早预防和处理分娩并发症以确保产妇得到关爱女性的护理非常重要。
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Frontiers in global women's health
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