Journal of women's health care and management最新文献

{"title":"Postpartum Family Planning Utilization among Postpartum Women in Public Health Institutions of Debre Berhan Town, Ethiopia","authors":"Takele Gezahegn Demie, Tigist Demissew, Tufa Kolola Huluka, Derara Workineh, Helen G Libanos","doi":"10.4172/2167-0420.1000426","DOIUrl":"https://doi.org/10.4172/2167-0420.1000426","url":null,"abstract":"Background: A mother’s health has become one of the important agendas in the development of a nation. Family planning use during post-partum has the potential to significantly reduce unintended pregnancies and ensure adequate birth spacing. \u0000Objectives: The aim of this study was to assess family planning use among postpartum women and factors associated with it in public health institutions of Debre Berhan town, Ethiopia. \u0000Method: A facility-based cross-sectional study was conducted among 248 women in Debre Berhan town. Simple random sampling technique was used for sample selection. An interviewer-administered structured and pre-tested questionnaire was used to collect data. Data entry and cleaning were done using Epi Info version 3.5.4, and analyzed using SPSS version 20.0 software. Multivariate binary logistic regression analysis was employed to identify factors associated with postpartum family planning use. Variables significantly associated with postpartum family planning use in bivariate analysis were selected for multivariate analysis. \u0000Result: Among total study subjects, about 238 (96%) women had information about family planning. Sixty three (25.4%) postpartum mothers were reported resumption of sexual intercourse. In total, 82 (41.6%) women started using contraceptive during postpartum period. Resumption of sexual intercourse [(AOR=2.01; 95% CI: (1.906-5.402)], resuming of sex before six month [(AOR=1.89; 95% CI: (1.906-5.402)] and return of menses [(AOR=1.907; 95% CI: (5.01-20.174)] were significantly associated with utilization of postpartum family planning. \u0000Conclusion: Postpartum family planning use is still low. Therefore, strengthening health education, sexual and family planning counseling, integrating with other service delivery and promoting PPFP should be recommended.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"38 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2018-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85019832","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":"Knowledge, Attitudes, and Practices of Family Planning Among Women of Reproductive Age in Suva, Fiji in 2017","authors":"Jay Lincoln, M. Mohammadnezhad, Sabiha Khan","doi":"10.4172/2167-0420.1000431","DOIUrl":"https://doi.org/10.4172/2167-0420.1000431","url":null,"abstract":"Objective: This study aims to identify the level of knowledge, attitudes and practices of family planning among women of reproductive age in Suva, Fiji in 2017. Methods: A quantitative, cross-sectional study using a self-administered questionnaire among women of reproductive age who attended three designated health clinics around Suva, Fiji from 15th March to 28th April 2017 was used. Using random sampling, those who met the inclusion and exclusion criteria of the study were asked to fill a questionnaire survey. Once the data was collected, it was analyzed with SPSS. Results: About 325 women participated in the study with the mean age of 31.53(± 7.35). Less than half (148 or 45.5 %) of the participants had a good level of knowledge towards family planning whereas 178 (53.5%) of them had a moderate level of knowledge of family planning. An overwhelming majority of the participants (176 or 54.2%) had high level of attitudes towards family planning. Only 3% of the respondents showed poor level of attitude towards family planning. With regards to practice, the participants showed a poor level of practice of family planning at 80 (24.6%) whereas those with good level of practice of family planning constituted only 31 (9.5%). Conclusion: This study provides a useful source of empirical information to policy makers to achieve the desired goals in family planning. These findings of the study will help health care providers promote family planning in Fiji.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"1 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2018-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84223524","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":"Effectiveness of Community Intervention Program to Improve Maternal Healthcare Services Uptake among Young Married Women in Rural India","authors":"Pankhuri Sharma, Rachana Patel, Jagannath Behera, Sumitra Dhal Samanta, S. Mehra","doi":"10.4172/2167-0420.1000432","DOIUrl":"https://doi.org/10.4172/2167-0420.1000432","url":null,"abstract":"Background: The uptake of maternal healthcare services by young women in rural India is limited. This study aims to assess the effectiveness of community intervention model to improve the maternal healthcare service uptake of young married couples (15-24 years) in rural India. A three year project was carried out to reach young married women through a multi-pronged community intervention involving sensitizing family members, community mobilization, and capacity building of frontline health functionaries. Methods: The study was conducted among the young married couples aged 15-25 years in states of Uttar Pradesh and Rajasthan of India. A quasi-experimental evaluation design was adopted for this study. Two rounds of cross-sectional surveys at baseline and end line were carried out at both intervention and control sites. Net impact of intervention (Difference-in-Difference and multivariate regression) on key outcomes was assessed adjusting for control variables. Composite maternal healthcare uptake score significantly increased in intervention area compared to control area. Results: Women who were able to discuss about delivery care with family, were five times more likely to go for institutional delivery, also the utilization of maternal health care services was higher among these women (β=1.58). Likelihood of uptake for more than three visits for antenatal care (3+ANC) service indicated three times (OR=3.14, p<0.001), and more than three visits. Postnatal care (3+PNC) service indicated two fold (OR=1.82, p<0.001) increase in intervention area than those in control area. Regression result on composite maternal health care uptake score significantly increased by 2.5 (β=2.23, p<0.001) in intervention area compared to control area. Conclusion: This study demonstrated that the community intervention to foster enabling environment was effective in improving the awareness and uptake of maternal healthcare services.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"8 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2018-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85676164","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":"A Nexus between Diversity in Women's Empowerment and Violation of their Sexual Rights in India: Evidence from National Family Health Surveys","authors":"S. Singh, Deepanjali Vishwakarma, Santosh Kumar Shama, G. C. Kashyap","doi":"10.4172/2167-0420.1000430","DOIUrl":"https://doi.org/10.4172/2167-0420.1000430","url":null,"abstract":"Concern of women empowerment in terms of violence reduction has become a burning issue in India since last few decades. Highlighting these issues would be impossible without realization of sexual rights of women. Mounting evidences of women empowerment in the country does not make women privileged in providing them, their sexual rights. This study aims to explore whether diverse situation of women’s empowerment is influencing violence against women including their perceived sexual rights by using data of National Family Health Survey fourth round, conducted in 2015-2016. Findings of this study reveal that upswing in the status of women in different dimension of empowerment has reduced the percentage of women who experienced spousal violence across all states of India except Meghalaya, Manipur, Chhattisgarh, Haryana and Karnataka. Further, lack of equity in women empowerment is adversely related to their perceived sexual rights. It is found that the percentage of women perceiving about sexual rights has decline in India from 75% in NFHS-3 to 70% in NFHS-4. Even after being financially empowered and holding rights in household decision making, women lack in negotiation power in individual decision making which relates to their reproductive and sexual rights. Thus, the recent upswing in different dimension of women’s empowerment is not leading towards qualitative change in life of women and they are still victim of violence which largely affects their physical and mental health.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"35 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2018-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75512131","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":"Reuse and Acceptability of the Female Condom in Nigeria","authors":"K. U. Ndugbu, Elsie Chizoba Maduke, Jane Chidimma Ezennia","doi":"10.4172/2167-0420.1000429","DOIUrl":"https://doi.org/10.4172/2167-0420.1000429","url":null,"abstract":"Aims: This study is determined to finding out the motivations for reuse; problems resulting from reuse of female condoms and, whether these affect its acceptability. Methods: This study reports on naturally occurring reuse from a small, purposive sample of self-identified women who, prior to the study, had reused the female condom of their own volition without reuse instruction. Results: Reporting that cost, inadequate supply, saving time and mere experimentation as motivating them; most of the respondents reported no problems with reuse. Conclusion: Irrespective of identified safety concerns, faced with barriers to single use of a female condom, majority of women will resort to reuse and rely on their own “common sense” notions to implement reuse.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"9 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75010945","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":"Breast Cancer Prevention: Knowledge, Attitudes and Practices of Women in Hospitals Environment in Urban Area of Southern Benin","authors":"Lokossou Mshs, Ogoudjobi Om, Tognifode, M. Aboubacar, A. Tonato-Bagnan, Komongui Gd, Koukpo Sx, A. Lokossou, R. Perrin","doi":"10.4172/2167-0420.1000427","DOIUrl":"https://doi.org/10.4172/2167-0420.1000427","url":null,"abstract":"Introduction: Breast cancer remains a global public health problem. In Benin, it is the first type of cancer developed by women and it causes an important morbidity and mortality. \u0000Objective: The purpose of this study is to assess women's knowledge, attitudes and practices regarding breast cancer screening in a hospital located in the southern side of Benin republic. \u0000Framework and study method: We conducted a descriptive cross-sectional study exploring the knowledge, attitudes, and practices of women regarding breast cancer screening. The population studied was made of women of 30 years old minimum admitted at the mother and child hospital (HOMEL) from July 1st to September 30th 2017. The data were collected using a structured questionnaire. \u0000Results: The participation rate to this survey was 67.1%. The average age of the respondents was 35.2 years old with extremes ranging from 30 to 48 years old. They were traders by profession (43%) with a level of education not exceeding the primary school in 42% of cases. They had heard about breast cancer in more than 9 out of 10 cases; by the media in half of the cases. Breast cancer risk factors were unknown in 51% of cases; Breast self-examination was practiced by 57% of the women, 6% of which conducted it properly. More than 8 out of 10 women (84%) had never been screened for breast cancer. \u0000Conclusion: Public awareness must be strengthened by all available means, including media, schools and social gatherings and waiting areas in primary health care centers.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"23 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79387053","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":"Incidence and Risk Factors for Development of Third and Fourth Degree Perineal Tears: A Four Year Experience in a Single Saudi Center","authors":"Thamer Al-Ghamdi, Al-Hanouf Al-Thaydi, A. Chamsi, Elham El-Mardawi","doi":"10.4172/2167-0420.1000423","DOIUrl":"https://doi.org/10.4172/2167-0420.1000423","url":null,"abstract":"Background: Vaginal delivery is a physiological process that holds multiple complications. Perineal trauma and vaginal laceration is considered a common complication associated with vaginal delivery. Well established risk factors, recognized by the Royal College of Obstetricians and Gynecologists, are ethnicity, birth weight over 4 kg, persistent occipital posterior position, nulliparity, induction of labor, shoulder dystocia, instrumental delivery. There are other risk factors that were suggested in the literature but data are conflicting, such as Prolonged second stage of labor, episiotomy and obesity Objectives: This study aimed to evaluate third and fourth degree tears rates and the impact of related risk factors on perineal tears in a single Saudi center. Study Design: A retrospective observational cohort study. Methods: This retrospective cohort study analyzed all vaginal deliveries from January 2011 to December 2015 in Security Forces Hospital, Riyadh, Saudi Arabia. The Hospital has around 6000 deliveries per year. Data were extracted from dedicated database software for antenatal care through Hospital System (Medical Record Viewer- MRV) and from Midwife Head Nurse daily record system. Results: During the period of interest 28325 records were identified. Caesarean section was performed in 7322 of them (25.8%). Of the remaining 21003 records, 20300 were included in the study according to the inclusion criteria mentioned above. 56 patients (0.28%) had a severe perineal tear because of delivery and were included in group A (Study Group). Group B (Control Group) consisted of remaining 20244 patients. Univariate analysis indicated the following as risk factors for severe perineal tears: gestational age >40 weeks, nulliparity, moderate/ severe obesity, instrumental delivery, shoulder dystocia, pushing stage >90 min, birth weight >4 kg, head circumference at birth >34 cm and length at birth >50 cm. Risk factors still significant in the final multivariate model were moderate/severe obesity (OR=2.8, CI=1.3-6.1), instrumental delivery (OR=2.6, CI=1.2-5.6) and birth weight (OR=1.1/hg, CI=1.1-1.2). Conclusions: Moderate/severe obesity, vacuum delivery and fetal weight resulted as independent risk factors for severe obstetrical tears.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"87 2","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72583688","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":"The Influence of Sleep Status on Urinary Adrenaline, Noradrenaline, and Cortisol Levels in Women","authors":"Atsuko Kawano","doi":"10.4172/2167-0420.1000422","DOIUrl":"https://doi.org/10.4172/2167-0420.1000422","url":null,"abstract":"Introduction: Postpartum depression, which occurs at high rates (10%-20%) in Japan, needs to be detected and treated early. An understanding of confounding factors is critical for determining early detection biomarkers of postpartum depression. This study examined urinary biomarkers and sleep status in women. \u0000Methods: About forty non-pregnant women in their 20s and 30s were surveyed for the previous day’s sleep status (hours slept, awakening time, falling asleep time and feeling of sleeping well) and urinary adrenaline, noradrenaline, and cortisol levels. Results: Hours slept and urinary noradrenaline and cortisol levels did not correlate. Urinary adrenaline levels correlated negatively with hours slept. For falling asleep time, urinary cortisol levels differed significantly between the groups that went to sleep \"before 12 p.m.\" and \"after 12 p.m.\" Similarly, for awakening time, urinary cortisol levels differed significantly between the groups that woke up \"before 8 a.m.\" and \"after 8 a.m.\" In the comparison of the group that felt they slept well and the group that felt they had not slept well, only urinary adrenaline levels differed significantly. \u0000Conclusion: Urinary adrenaline correlated with shortened sleep times and feeling of sleeping well, while urinary cortisol correlated with falling asleep time and awakening time differences.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"119 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85793321","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":"Self-use of Skin Bleaching Products among Female Attending Family Medicine Clinic at Prince Mansour Military Hospital, Taif 2017","authors":"Zinab Alatawi","doi":"10.4172/2167-0420.1000421","DOIUrl":"https://doi.org/10.4172/2167-0420.1000421","url":null,"abstract":"Introduction: The cosmetic use of skin bleaching products is a common practice in colored-skinned women. The use of skin lightening creams is common and widespread in the African, Asian, and North American populations. Use of skin bleaching agents has been reported in Saudi Arabia. The long-term use of these products for several months to years may cause cutaneous or systemic side-effects. Aims: This study aimed was to assess the prevalence of self-use of skin bleaching agents among Saudi women as well as the level of awareness, attitudes and practice towards use of these agents. Methods: A cross-sectional study was conducted by selection of systematic random sampling of female attending family medicine clinic at Prince Mansour Military Hospital. The data collected by structured questionnaire included information about background variables, attitudes, awareness and practice regarding use of skin bleaching agents. The data were analyzed using statistical software to yield descriptive and inferential statistics. Results: A total of 358 women aged between 18-55 years old were included in this study. About 25% of the women were current users of skin bleaching agents, while 39.6% were only previous users. Thus, more than half of these women were either current or previous users, while 12% of them used creams previously and still use it currently. About a third of women used bleaching creams as treatment for hypo or hyperpigmented skin and 29.4% used them for cosmetic purposes. Regarding the source of these agents, 38% of women obtaining them by medical prescription and 27.8% were from pharmacy without prescription, while the remaining women obtaining them from the market. Reason of using skin bleaching creams was varying among females, 51.6% of females used creams for increase beauty, 51% for making a new look, 6% for rising self-confidence, and 4.3% to increase stability of marriage. About 56% of women reported that cortisone is the most dangerous component in the skin bleaching agents. About 33% of women agreed to use a quick whitening agent from an unknown source. Significant associations were detected between use of skin bleaching agents and each of education, income, and occupation, while the associations with marital status and age were not statistically significant. Conclusion: The lifetime use of skin bleaching agents was relatively high divided evenly on cosmetic and curative purposes. The level of awareness about these agents is low since a considerable proportion of them agreed to use agents from unknown sources. In addition to high use of skin bleaching agents obtained without medical or pharmacist consultation.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"45 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2018-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85005690","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":"Uterine Fibroid Volume after Myomectomy Compared to Pre-Operative Measurement by Two and Three Dimensional Ultrasound","authors":"H. Saleh, Entesar R. Mahdy, Hala E. Mowafy, A. Alnemr, E. Mohamed","doi":"10.4172/2167-0420.1000419","DOIUrl":"https://doi.org/10.4172/2167-0420.1000419","url":null,"abstract":"Introduction and methods: In this prospective study we compared 2-dimensional and 3-dimensional ultrasound measurements with the actual myomas volume after surgical removal to test the validity and usability of 3D ultrasound as opposed to conventional 2D real-time ultrasound and to assess the reliability of different ultrasound methods to measure volume of uterine fibroids. Fibroid volume was measured for 44 patients by 2D-US using (3 dimensions), (mean of ellipse x its perpendicular diameter) and by 3D-US. After surgery; myoma volume was estimated by Archimede's law using water path. Results: 3D-US measurements were the most accurate method for measuring fibroid volumes with high significant difference (p<0.001), followed by mean of ellipse x its perpendicular diameter of 2D-US dimensions of 2D-US. 3 dimensions of 2D-US was the least accurate method. Conclusion: Using 2D-US with the mean of ellipse x its perpendicular diameter for measuring myoma volume in health care is alternative option where 3D-US is unavailable with nearly similar results.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"39 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91163811","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}