Pub Date : 2018-01-01DOI: 10.4172/2376-127x.1000398
A. Soares, Horácio Azevedo, Vanessa Silva, R. Sousa-Santos
{"title":"Prognostic Factors for Vaginal Delivery After Cesarean","authors":"A. Soares, Horácio Azevedo, Vanessa Silva, R. Sousa-Santos","doi":"10.4172/2376-127x.1000398","DOIUrl":"https://doi.org/10.4172/2376-127x.1000398","url":null,"abstract":"","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127x.1000398","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70311400","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 : 2018-01-01DOI: 10.4172/2376-127X.1000367
D. Getaneh, Abera Bayeh, B. Belay, Tewabe Tsehaye, Z. Mekonnen
Background: Anemia in pregnancy is a public health problem affecting maternal and child health globally and particularly in many developing countries like Ethiopia. Objective: This study aims to assess the prevalence of anemia and associated factors among pregnant women at Bahir Dar city administration, Northwest Ethiopia. Methods: A cross-sectional study was conducted in public health facilities of Bahir Dar city from May to July 2014 on 480 pregnant women. Mothers who came for ANC during the study period and who met the inclusion criteria were interviewed. Hemoglobin level determination was assessed following the standard procedures. Socio-demographic, obstetrics, medical history and nutrition related data was collected using a pretested structured questionnaire. Data were collected by trained health workers and coded and cleaned. The data were entered and analyzed by using SPSS version 16.0 software. Bivaraite and multivariate regression analysis were done to assess the association between outcome and independent variables. Significance level of 0.05 was considered. Result : The overall prevalence of anemia in this study population was 18.3%. Fifty one anemic cases (10.6%) showed mild type of anemia followed by moderate anemia 33 (6.9%) and the remaining 4 (0.8%) were having severe anemia. Gravidity (AOR=2.1, 95% CI: 1.1-4.1), trimester of pregnancy (AOR=2.9, 95% CI: 1.1-7.7), history of abortion (AOR=4.9, CI: 2.4-10.2) and history of ante partum hemorrhage (AOR=2.6, 95% CI: 1.1-6.6) had statistically significant association with anemia in pregnant women. Conclusion : In the present study, the prevalence of anemia was relatively low. Gravidity, trimester of pregnancy, history of abortion and antepartum hemorrhage are the main contributing factors for anemia.
{"title":"Assessment of the Prevalence of Anemia and Its Associated Factors among Pregnant Women in Bahir Dar City Administration, North-West Ethiopia","authors":"D. Getaneh, Abera Bayeh, B. Belay, Tewabe Tsehaye, Z. Mekonnen","doi":"10.4172/2376-127X.1000367","DOIUrl":"https://doi.org/10.4172/2376-127X.1000367","url":null,"abstract":"Background: Anemia in pregnancy is a public health problem affecting maternal and child health globally and particularly in many developing countries like Ethiopia. Objective: This study aims to assess the prevalence of anemia and associated factors among pregnant women at Bahir Dar city administration, Northwest Ethiopia. Methods: A cross-sectional study was conducted in public health facilities of Bahir Dar city from May to July 2014 on 480 pregnant women. Mothers who came for ANC during the study period and who met the inclusion criteria were interviewed. Hemoglobin level determination was assessed following the standard procedures. Socio-demographic, obstetrics, medical history and nutrition related data was collected using a pretested structured questionnaire. Data were collected by trained health workers and coded and cleaned. The data were entered and analyzed by using SPSS version 16.0 software. Bivaraite and multivariate regression analysis were done to assess the association between outcome and independent variables. Significance level of 0.05 was considered. Result : The overall prevalence of anemia in this study population was 18.3%. Fifty one anemic cases (10.6%) showed mild type of anemia followed by moderate anemia 33 (6.9%) and the remaining 4 (0.8%) were having severe anemia. Gravidity (AOR=2.1, 95% CI: 1.1-4.1), trimester of pregnancy (AOR=2.9, 95% CI: 1.1-7.7), history of abortion (AOR=4.9, CI: 2.4-10.2) and history of ante partum hemorrhage (AOR=2.6, 95% CI: 1.1-6.6) had statistically significant association with anemia in pregnant women. Conclusion : In the present study, the prevalence of anemia was relatively low. Gravidity, trimester of pregnancy, history of abortion and antepartum hemorrhage are the main contributing factors for anemia.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70310928","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 : 2018-01-01DOI: 10.4172/2376-127X.1000393
M. Aboubakar, M. Ogoudjobi, F. MuhindoShabani, Tognifode, Lokossou Msh, A. Tonato-Bagnan, R. Perrin
{"title":"Maternity at Extreme Ages of Reproductive Life: Maternal and Perinatal Morbidity and Mortality in West African Country (Benin)","authors":"M. Aboubakar, M. Ogoudjobi, F. MuhindoShabani, Tognifode, Lokossou Msh, A. Tonato-Bagnan, R. Perrin","doi":"10.4172/2376-127X.1000393","DOIUrl":"https://doi.org/10.4172/2376-127X.1000393","url":null,"abstract":"","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127X.1000393","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70311488","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 : 2018-01-01DOI: 10.4172/2376-127X.1000374
A. Adem, Hiwot Berhanu, Daniel Geleta
Introduction: Globally 60% of the infant and young child death occurs due to the inappropriate infants feeding practices and infectious diseases from which two-thirds of the deaths are attributable to sub-optimal breastfeeding practices. In Ethiopia, sub-optimal breastfeeding was annually contributed to 70,000 infant mortalities. Therefore, the current study aimed to assess breastfeeding practices among children aged 0-23 months. Methods: Community-based cross-sectional study was conducted from July 18-31, 2017. A systematic random sampling technique was used to select mothers (n=421) with index age child. Data was collected on socio-demographic characteristics and breastfeeding practices through face to face interview using World Health Organization’s breastfeeding assessment criteria. The collected data were entered into and analyzed by statistical software SPSS version 20 and tested for significance at 0.05. Finally, results were presented using tables and figures. Results: The study depicted all participant infants have ever breastfed at some point in their life. The proportions of infants and young children who put on the breast early and fed colostrum were 58.4% and 52.4% in respective order while the prevalence of exclusive breastfeeding practice reported 57%. Complementary food was introduced at exactly 6 months for 34.5% of infants. The higher proportions of young children were continued breastfeeding at the age of 1year (87%) and 2 years (62.5%). Similarly, about sixty-eight (68.2%) of infants were fed breast ≥ 8 times in 24 hours. On the other hand, 41.8% of mothers practiced bottle feeding and 76.7% reduced child feeding frequency when their child got ill. Finally, early initiation of breastfeeding(X2=5.9, P=0.01) and bottle feeding (X2=3.7, P=0.03) were demonstrated significance with child sex. Conclusion: Breastfeeding practice is relatively not at the better rim among the current study community. Therefore, the scaling up of breastfeeding practice should be the imminent assignment for service providing health facilities in the area. Further, it is missive to local government to form a coalition with breastfeeding partners and community to improve optimal breastfeeding practices.
导言:全球60%的婴幼儿死亡是由于不适当的婴儿喂养方法和传染病造成的,其中三分之二的死亡可归因于不理想的母乳喂养方法。在埃塞俄比亚,不理想的母乳喂养每年造成7万名婴儿死亡。因此,本研究旨在评估0-23个月儿童的母乳喂养做法。方法:于2017年7月18-31日进行基于社区的横断面研究。采用系统随机抽样方法,选取有指标年龄子女的母亲(n=421)。采用世界卫生组织母乳喂养评估标准,通过面对面访谈收集有关社会人口特征和母乳喂养做法的数据。收集的数据采用SPSS version 20统计软件进行录入和分析,显著性检验为0.05。最后以表格和图表的形式给出了结果。结果:该研究描述了所有参与研究的婴儿在他们生命中的某个阶段都曾接受过母乳喂养。早期哺乳和初乳喂养的婴幼儿比例分别为58.4%和52.4%,纯母乳喂养的比例为57%。34.5%的婴儿在刚好6个月时开始辅食。幼儿在1岁(87%)和2岁(62.5%)时继续母乳喂养的比例较高。同样,约68名(68.2%)婴儿在24小时内母乳喂养≥8次。另一方面,41.8%的母亲实行奶瓶喂养,76.7%的母亲在孩子生病时减少了孩子的喂养频率。最后,早期母乳喂养(X2=5.9, P=0.01)和奶瓶喂养(X2=3.7, P=0.03)与儿童性别有显著性差异。结论:在目前的研究群体中,母乳喂养的实践相对来说还不是很好。因此,扩大母乳喂养做法应该是该地区提供服务的卫生设施的紧迫任务。此外,它还要求地方政府与母乳喂养伙伴和社区结成联盟,以改进最佳母乳喂养做法。
{"title":"Breastfeeding Practices among Infants and Young Children Less Than Two Years of Age in East-Central Ethiopia: A Community-Based Cross-Sectional Study","authors":"A. Adem, Hiwot Berhanu, Daniel Geleta","doi":"10.4172/2376-127X.1000374","DOIUrl":"https://doi.org/10.4172/2376-127X.1000374","url":null,"abstract":"Introduction: Globally 60% of the infant and young child death occurs due to the inappropriate infants feeding practices and infectious diseases from which two-thirds of the deaths are attributable to sub-optimal breastfeeding practices. In Ethiopia, sub-optimal breastfeeding was annually contributed to 70,000 infant mortalities. Therefore, the current study aimed to assess breastfeeding practices among children aged 0-23 months. Methods: Community-based cross-sectional study was conducted from July 18-31, 2017. A systematic random sampling technique was used to select mothers (n=421) with index age child. Data was collected on socio-demographic characteristics and breastfeeding practices through face to face interview using World Health Organization’s breastfeeding assessment criteria. The collected data were entered into and analyzed by statistical software SPSS version 20 and tested for significance at 0.05. Finally, results were presented using tables and figures. Results: The study depicted all participant infants have ever breastfed at some point in their life. The proportions of infants and young children who put on the breast early and fed colostrum were 58.4% and 52.4% in respective order while the prevalence of exclusive breastfeeding practice reported 57%. Complementary food was introduced at exactly 6 months for 34.5% of infants. The higher proportions of young children were continued breastfeeding at the age of 1year (87%) and 2 years (62.5%). Similarly, about sixty-eight (68.2%) of infants were fed breast ≥ 8 times in 24 hours. On the other hand, 41.8% of mothers practiced bottle feeding and 76.7% reduced child feeding frequency when their child got ill. Finally, early initiation of breastfeeding(X2=5.9, P=0.01) and bottle feeding (X2=3.7, P=0.03) were demonstrated significance with child sex. Conclusion: Breastfeeding practice is relatively not at the better rim among the current study community. Therefore, the scaling up of breastfeeding practice should be the imminent assignment for service providing health facilities in the area. Further, it is missive to local government to form a coalition with breastfeeding partners and community to improve optimal breastfeeding practices.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127X.1000374","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70310624","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 : 2018-01-01DOI: 10.4172/2376-127X.1000369
S. Katsuragi, Masahiro Nakao, Ryoko Ono, A. Yoshida, T. Kawamura, Ryo Suzuki, T. Yoshikawa, Taku Ishii, N. Wada, M. Ando
A 24-year-patient with Double-Chambered Right Ventricle (DCRV) got pregnant and echocardiography revealed the pressure of high pressure chamber was equal to the left ventricle and she was told the risk for the index pregnancy and had intracaradiac repair after termination of the pregnancy. Another 23 year patient with Ross procedure was told there was a severe pulmonary stenosis of the composite graft and was recommended re conduit replacement after termination. These two patients had not enough cardiac examination and did not understand well their own cardiac performance. For patients with congenital heart diseases, both education of their cardiac status and preconceptional counseling is necessary when they reach childbearing age depending on the patients’ age and development.
{"title":"Two Cases of Congenital Heart Diseases those Experienced Intracardiac Repair after Termination of Index Pregnancy","authors":"S. Katsuragi, Masahiro Nakao, Ryoko Ono, A. Yoshida, T. Kawamura, Ryo Suzuki, T. Yoshikawa, Taku Ishii, N. Wada, M. Ando","doi":"10.4172/2376-127X.1000369","DOIUrl":"https://doi.org/10.4172/2376-127X.1000369","url":null,"abstract":"A 24-year-patient with Double-Chambered Right Ventricle (DCRV) got pregnant and echocardiography revealed the pressure of high pressure chamber was equal to the left ventricle and she was told the risk for the index pregnancy and had intracaradiac repair after termination of the pregnancy. Another 23 year patient with Ross procedure was told there was a severe pulmonary stenosis of the composite graft and was recommended re conduit replacement after termination. These two patients had not enough cardiac examination and did not understand well their own cardiac performance. For patients with congenital heart diseases, both education of their cardiac status and preconceptional counseling is necessary when they reach childbearing age depending on the patients’ age and development.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127X.1000369","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70310984","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 : 2018-01-01DOI: 10.4172/2376-127X.1000386
Atiporn Ponpermpoonthawee, Ratchadawan Sooklim
{"title":"A Comparison of Contamination Rate between Water and Antiseptic Solution in Cleansing Method for Urine Collection","authors":"Atiporn Ponpermpoonthawee, Ratchadawan Sooklim","doi":"10.4172/2376-127X.1000386","DOIUrl":"https://doi.org/10.4172/2376-127X.1000386","url":null,"abstract":"","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70310796","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 : 2018-01-01DOI: 10.4172/2376-127x.1000387
S. A. Gallegos, M. Sibaja, J. G. Gaona, J. Calvo, Berenice Velazquez Torrez, D. C. Cabrera
Objective: Our purpose was to describe the evolution and perinatal outcome of Congenital Adenomatoid Cystic Malformation (CCAM) according to prenatal sonographic features in expectantly managed fetuses. Materials and Method: A retrospective review of all prenatally diagnosed CCAM cases from 1995 to 2017 at a perinatal referral center in Mexico City was conducted. Results: Twenty-seven cases were identified. Mean gestational age at the time of diagnosis was 26.5 weeks. According to Stocker ́s classification, there were eight type 1 (29.6%), ten type 2 (30%) and nine type 3 (33.4%) cases. No bilateral lesions were found. Hydrops was observed in two cases (7.4%). Lesion dimensions remained stable throughout gestation in most cases (63%), ultrasonographic regression was observed in nine fetuses (33.3%). There were no elective pregnancy terminations. Fetal demise was reported in two cases. Mean gestational age at birth was 37.1 weeks. Most newborns required only usual neonatal care. After birth, two cases showed progressive deterioration which lead to early neonatal death. Conclusion: CCAM is a relatively rare abnormality of lung development, which can be accurately diagnosed by prenatal ultrasound. Conservative management is appropriate in most cases, with a favorable outcome and a chance of regression of up to one-third of the cases.
{"title":"Congenital Adenomatoid Cystic Malformation: Expectant Management Outcomes","authors":"S. A. Gallegos, M. Sibaja, J. G. Gaona, J. Calvo, Berenice Velazquez Torrez, D. C. Cabrera","doi":"10.4172/2376-127x.1000387","DOIUrl":"https://doi.org/10.4172/2376-127x.1000387","url":null,"abstract":"Objective: Our purpose was to describe the evolution and perinatal outcome of Congenital Adenomatoid Cystic Malformation (CCAM) according to prenatal sonographic features in expectantly managed fetuses. Materials and Method: A retrospective review of all prenatally diagnosed CCAM cases from 1995 to 2017 at a perinatal referral center in Mexico City was conducted. Results: Twenty-seven cases were identified. Mean gestational age at the time of diagnosis was 26.5 weeks. According to Stocker ́s classification, there were eight type 1 (29.6%), ten type 2 (30%) and nine type 3 (33.4%) cases. No bilateral lesions were found. Hydrops was observed in two cases (7.4%). Lesion dimensions remained stable throughout gestation in most cases (63%), ultrasonographic regression was observed in nine fetuses (33.3%). There were no elective pregnancy terminations. Fetal demise was reported in two cases. Mean gestational age at birth was 37.1 weeks. Most newborns required only usual neonatal care. After birth, two cases showed progressive deterioration which lead to early neonatal death. Conclusion: CCAM is a relatively rare abnormality of lung development, which can be accurately diagnosed by prenatal ultrasound. Conservative management is appropriate in most cases, with a favorable outcome and a chance of regression of up to one-third of the cases.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127x.1000387","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70310841","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 : 2018-01-01DOI: 10.4172/2376-127x.1000389
Mohammed Ali, N. Zaher, Salam Khalil, Abhilash Makkar, M. Kozak, Aqeel Khan, R. Duprey
The misuse of opioids during pregnancy has been associated with maternal, fetal and neonatal risks. Buprenorphine substitution has not been proven teratogenic during pregnancy. This case report highlights a multipara female who gave birth to four children while using Buprenorphine. All of her children were exposed to buprenorphine during pregnancy and they all appear healthy and have met normal developmental milestones. As such, a case can be built supporting the notion that the use of opioid maintenance treatment at the time of conception and during pregnancy is not likely to have negative effects on pregnant women or newborns. In this case, measurements such as the week of delivery, birth weight, height, umbilical acid-base balance and neurodevelopment were unaffected. Thus, the prognosis of using Buprenorphine during pregnancy is favourable. Medical professionals should be advised about the benefits of opioid maintenance treatment in pregnancy and educated about the potential results related to this treatment.
{"title":"Efficacy and Safety of Buprenorphine Maintenance Therapy during Pregnancy: A Case Report","authors":"Mohammed Ali, N. Zaher, Salam Khalil, Abhilash Makkar, M. Kozak, Aqeel Khan, R. Duprey","doi":"10.4172/2376-127x.1000389","DOIUrl":"https://doi.org/10.4172/2376-127x.1000389","url":null,"abstract":"The misuse of opioids during pregnancy has been associated with maternal, fetal and neonatal risks. Buprenorphine substitution has not been proven teratogenic during pregnancy. This case report highlights a multipara female who gave birth to four children while using Buprenorphine. All of her children were exposed to buprenorphine during pregnancy and they all appear healthy and have met normal developmental milestones. As such, a case can be built supporting the notion that the use of opioid maintenance treatment at the time of conception and during pregnancy is not likely to have negative effects on pregnant women or newborns. In this case, measurements such as the week of delivery, birth weight, height, umbilical acid-base balance and neurodevelopment were unaffected. Thus, the prognosis of using Buprenorphine during pregnancy is favourable. Medical professionals should be advised about the benefits of opioid maintenance treatment in pregnancy and educated about the potential results related to this treatment.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127x.1000389","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70310881","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}