Pub Date : 2020-01-01DOI: 10.35248/2167-0420.20.9.497
Shubham Anthwal
Is the world falling apart? Is humanity on end? Will things be normal again? Is it all a bad dream? Every human has been occupied with these thoughts lately. Covid-19, an uncalled-for pandemic, has wreaked havoc on the lives of people. Corona or SARS-CoV-2 virus (RNA virus) spreads through droplets of saliva when an infected person coughs or sneezes. Patients with comorbidities like diabetes, respiratory disease, cardiovascular disease, STD/HIV related immunosuppression, have a higher fatality rate. People with a poor immune system and renal and hepatic dysfunctions are also at risk.
{"title":"Is Corona Virus Gender Biased? A Crisis within Crisis.","authors":"Shubham Anthwal","doi":"10.35248/2167-0420.20.9.497","DOIUrl":"https://doi.org/10.35248/2167-0420.20.9.497","url":null,"abstract":"Is the world falling apart? Is humanity on end? Will things be normal again? Is it all a bad dream? Every human has been occupied with these thoughts lately. Covid-19, an uncalled-for pandemic, has wreaked havoc on the lives of people. Corona or SARS-CoV-2 virus (RNA virus) spreads through droplets of saliva when an infected person coughs or sneezes. Patients with comorbidities like diabetes, respiratory disease, cardiovascular disease, STD/HIV related immunosuppression, have a higher fatality rate. People with a poor immune system and renal and hepatic dysfunctions are also at risk.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"68 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85342529","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 : 2020-01-01DOI: 10.35248/2167-0420.20.9.499
Shubham Snehi, Mukesh Kumar Gautam, Ayush Madan
The world is facing a pandemic creating a health crisis and affecting people's life in unimaginable ways. COVID-19 has increased the depth of our preexisting differences and exposed the faults in our systems, thereby amplifying the effects of pandemic. The layered effects of Covid-19 have created a plethora of problems for women and girls.
{"title":"Are Women more Susceptible to Mental Health Issues","authors":"Shubham Snehi, Mukesh Kumar Gautam, Ayush Madan","doi":"10.35248/2167-0420.20.9.499","DOIUrl":"https://doi.org/10.35248/2167-0420.20.9.499","url":null,"abstract":"The world is facing a pandemic creating a health crisis and affecting people's life in unimaginable ways. COVID-19 has increased the depth of our preexisting differences and exposed the faults in our systems, thereby amplifying the effects of pandemic. The layered effects of Covid-19 have created a plethora of problems for women and girls.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"18 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83280639","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 : 2020-01-01DOI: 10.35248/2167-0420.20.9.485
Khitam Abu Hamad
The current total fertility rate among Palestinian women in the Gaza Strip (4.5 births per woman) is higher than that of all neighbouring countries, and the population growth rate of 3.3% per year is also one of the highest in the world. This study aimed to examine the main determinants of fertility and contraceptive use among Palestinian women in the Gaza Strip. The study entailed collecting primary qualitative data that were collected through focus group discussions with contraceptive users and non-users who have at least one child less than 5 years of age. Six focus groups were assembled with 9 participants per group. Framework analysis was used to analyse the focus group data. The findings of study verified that the lack of social security policies and welfare services for elderly people encouraged parents to have many children to secure old age support. The current Israeli-Palestinian conflict was a driving force for fertility. Women desire more children as insurance against expected deaths due to the on-going conflict. Also, unemployment among women was a motivating factor for women to have more children and to use contraceptive, while Religion: “the Islamic doctrine”–does not have a direct effect on fertility decisions and contraception use. The findings of this study suggest that the Palestinian National Authority need to implement strategies to increase women’s labor force participation rate and to establish a social security system to provide income and other social welfare services to needy elderly people. Finally, increased knowledge about the availability and best practices of contraceptive methods is an important policy action.
{"title":"Determinants of Fertility and Contraceptive Use among Palestinian Women in the Gaza Strip: Qualitative Study","authors":"Khitam Abu Hamad","doi":"10.35248/2167-0420.20.9.485","DOIUrl":"https://doi.org/10.35248/2167-0420.20.9.485","url":null,"abstract":"The current total fertility rate among Palestinian women in the Gaza Strip (4.5 births per woman) is higher than that of all neighbouring countries, and the population growth rate of 3.3% per year is also one of the highest in the world. This study aimed to examine the main determinants of fertility and contraceptive use among Palestinian women in the Gaza Strip. The study entailed collecting primary qualitative data that were collected through focus group discussions with contraceptive users and non-users who have at least one child less than 5 years of age. Six focus groups were assembled with 9 participants per group. Framework analysis was used to analyse the focus group data. The findings of study verified that the lack of social security policies and welfare services for elderly people encouraged parents to have many children to secure old age support. The current Israeli-Palestinian conflict was a driving force for fertility. Women desire more children as insurance against expected deaths due to the on-going conflict. Also, unemployment among women was a motivating factor for women to have more children and to use contraceptive, while Religion: “the Islamic doctrine”–does not have a direct effect on fertility decisions and contraception use. The findings of this study suggest that the Palestinian National Authority need to implement strategies to increase women’s labor force participation rate and to establish a social security system to provide income and other social welfare services to needy elderly people. Finally, increased knowledge about the availability and best practices of contraceptive methods is an important policy action.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"42 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82472405","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 : 2020-01-01DOI: 10.35248/2167-0420.20.9.490
Wondimu Mitiku Geleta, Z. Babure
Background: Anemia affects almost two-thirds of pregnant women in developing countries and contributes to maternal morbidity and mortality and to low birth weight. Anemia during pregnancy is associated with negative maternal and neonatal outcomes. However, there is limited data regarding prevalence of anemia and its determinant factors during pregnancy in western Ethiopia. Objective: To determine the prevalence of anemia and its determinants among pregnant women in Ebantu District, East Wollega zone, Ethiopia. Material: A cross-sectional study was carried out among pregnant women. A total of 625 pregnant women were screened for hemoglobin level. The test was determined using hemocue screening technique. Weight and height was measured & other determinants of anemia during pregnancy were also assessed using a structured questionnaire. Results: This study revealed that 23.7% of patients had mild anemia, and 11.9% had moderate and none with severe anemia. Multivariate analysis showed that birth interval less than or equal to two years adjusted odds ratio (95%CI):1.5(1.1, 2.9), a history of abortion adjusted odds ratio (95%CI):2.4(1.6, 3.6), having two or more abortions adjusted odds ratio (95%CI) 2.6(1.3, 6.2), illiteracy with crudes odds ratio (95%CI):2.974(1.5, 5.6) and AOR: 5.92(1.8,18.9) were significantly associated with anemia in pregnancy. Conclusions: The major determinants of anemia in pregnancy are illiteracy, short birth spaces less than or equal to two, history of abortion and lack of Iron supplementation while pregnant. Content: The major determinants of anemia in pregnancy are illiteracy, short birth spaces less than or equal to two, history of abortion and lack of Iron supplementation while pregnant.
{"title":"Anemia and its Determinant Factors among Pregnant Women in Ebantu District, East Wollega zone, Ethiopia","authors":"Wondimu Mitiku Geleta, Z. Babure","doi":"10.35248/2167-0420.20.9.490","DOIUrl":"https://doi.org/10.35248/2167-0420.20.9.490","url":null,"abstract":"Background: Anemia affects almost two-thirds of pregnant women in developing countries and contributes to maternal morbidity and mortality and to low birth weight. Anemia during pregnancy is associated with negative maternal and neonatal outcomes. However, there is limited data regarding prevalence of anemia and its determinant factors during pregnancy in western Ethiopia. Objective: To determine the prevalence of anemia and its determinants among pregnant women in Ebantu District, East Wollega zone, Ethiopia. Material: A cross-sectional study was carried out among pregnant women. A total of 625 pregnant women were screened for hemoglobin level. The test was determined using hemocue screening technique. Weight and height was measured & other determinants of anemia during pregnancy were also assessed using a structured questionnaire. Results: This study revealed that 23.7% of patients had mild anemia, and 11.9% had moderate and none with severe anemia. Multivariate analysis showed that birth interval less than or equal to two years adjusted odds ratio (95%CI):1.5(1.1, 2.9), a history of abortion adjusted odds ratio (95%CI):2.4(1.6, 3.6), having two or more abortions adjusted odds ratio (95%CI) 2.6(1.3, 6.2), illiteracy with crudes odds ratio (95%CI):2.974(1.5, 5.6) and AOR: 5.92(1.8,18.9) were significantly associated with anemia in pregnancy. Conclusions: The major determinants of anemia in pregnancy are illiteracy, short birth spaces less than or equal to two, history of abortion and lack of Iron supplementation while pregnant. Content: The major determinants of anemia in pregnancy are illiteracy, short birth spaces less than or equal to two, history of abortion and lack of Iron supplementation while pregnant.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"38 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74529125","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 : 2020-01-01DOI: 10.35248/2167-0420.20.9.498
P. Sangal
A balanced diet is the need of the time. Proper nutrition and hydration are crucial for overall wellbeing, fitness and immunity especially in times when the immune system might be called to fight back. Women who eat a well-balanced diet are generally unaffected by changing season, weather, micro-organisms and are less prone to infectious diseases, deficiencies, disorders and chronic illnesses over women who do not eat a balanced diet.
{"title":"Nutrition for Women during Covid-19.","authors":"P. Sangal","doi":"10.35248/2167-0420.20.9.498","DOIUrl":"https://doi.org/10.35248/2167-0420.20.9.498","url":null,"abstract":"A balanced diet is the need of the time. Proper nutrition and hydration are crucial for overall wellbeing, fitness and immunity especially in times when the immune system might be called to fight back. Women who eat a well-balanced diet are generally unaffected by changing season, weather, micro-organisms and are less prone to infectious diseases, deficiencies, disorders and chronic illnesses over women who do not eat a balanced diet.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"59 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78171302","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 : 2020-01-01DOI: 10.35248/2167-0420.20.9.500
Weaam Faik Al Mahfooth, R. Lafta, Alyaa Nasser Khuoo
Background: From conception, the embryo is dependent on the mother for all nutritional requirements until birth. Vitamin D deficiency or insufficiency is thought to be common among pregnant women and have an adverse effect on pregnancy outcome. Objectives: To study the prevalence of vitamin D deficiency among pregnant women attending Al-Mawaani Teaching Hospital and to assess the correlation with maternal complications and evaluate the perinatal outcome. Material and Methods: A prospective hospital-based cross-sectional observational study undertaken at the Obstetrical Department at Al Mawani Teaching Hospital in Basra. A total of 100 pregnant women who attended the labor word in active labor were studied to determine the serum level of 25-hydroxyvitamin D and assessment of the associated obstetrical complications and risk factors for one year. Results: Of the studied pregnant women about 87% were deficient in vitamin D levels. The majority of patients were less than 30 years of age (68.97%) with vitamin D deficiency. Vitamin D deficiency was more in the housewife (89.66%), multigravida (67.81%), those with primary education (65.52%) and less exposure to the sun (83.91%).33 pregnant women had vitamin D deficiency with complications, like pre-eclampsia 4(12.12%), gestational diabetes mellitus 4(12.12%), PROM 9(27.27%), preterm labor 13(39.39%), chronic hypertension 3(9.09%). Neonatal outcome in deficient group was: Birth weight >2.5kg (95.23%), Birth weight 7(79.76%), Apgar score <7(20.23%), admitted to Neonatal Intensive Care Unit (25%) compared to (75%) not admitted. The Mode of delivery by caesarean section in 52% and by vaginal delivery in 35% of the deficient group. Conclusions: Our study shows a high prevalence of vitamin D deficiency in pregnant women. A complication in pregnancy like hypertension disorder, gestational diabetes, caesarean section, PROM and preterm labor were less predominantly seen in vitamin D deficiency group and fails to show a causal relationship between low maternal vitamin D level and adverse maternal and fetal outcome.
{"title":"A Study of Vitamin D Level in Pregnancy and the Effect of its Deficiency on Pregnancy Outcome","authors":"Weaam Faik Al Mahfooth, R. Lafta, Alyaa Nasser Khuoo","doi":"10.35248/2167-0420.20.9.500","DOIUrl":"https://doi.org/10.35248/2167-0420.20.9.500","url":null,"abstract":"Background: From conception, the embryo is dependent on the mother for all nutritional requirements until birth. Vitamin D deficiency or insufficiency is thought to be common among pregnant women and have an adverse effect on pregnancy outcome. Objectives: To study the prevalence of vitamin D deficiency among pregnant women attending Al-Mawaani Teaching Hospital and to assess the correlation with maternal complications and evaluate the perinatal outcome. Material and Methods: A prospective hospital-based cross-sectional observational study undertaken at the Obstetrical Department at Al Mawani Teaching Hospital in Basra. A total of 100 pregnant women who attended the labor word in active labor were studied to determine the serum level of 25-hydroxyvitamin D and assessment of the associated obstetrical complications and risk factors for one year. Results: Of the studied pregnant women about 87% were deficient in vitamin D levels. The majority of patients were less than 30 years of age (68.97%) with vitamin D deficiency. Vitamin D deficiency was more in the housewife (89.66%), multigravida (67.81%), those with primary education (65.52%) and less exposure to the sun (83.91%).33 pregnant women had vitamin D deficiency with complications, like pre-eclampsia 4(12.12%), gestational diabetes mellitus 4(12.12%), PROM 9(27.27%), preterm labor 13(39.39%), chronic hypertension 3(9.09%). Neonatal outcome in deficient group was: Birth weight >2.5kg (95.23%), Birth weight 7(79.76%), Apgar score <7(20.23%), admitted to Neonatal Intensive Care Unit (25%) compared to (75%) not admitted. The Mode of delivery by caesarean section in 52% and by vaginal delivery in 35% of the deficient group. Conclusions: Our study shows a high prevalence of vitamin D deficiency in pregnant women. A complication in pregnancy like hypertension disorder, gestational diabetes, caesarean section, PROM and preterm labor were less predominantly seen in vitamin D deficiency group and fails to show a causal relationship between low maternal vitamin D level and adverse maternal and fetal outcome.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"53 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88778858","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 : 2020-01-01DOI: 10.35248/2167-0420.20.9.481
U. Hanaoka, Mohamed Ellail, C. Tenkumo, K. Kanenishi
We present our experience of an ovarian dermoid cyst during pregnancy. The mass was presented by lower abdominal pain during pregnancy. Ultrasound revealed 62.4 × 31.4 mm left ovarian mass with mild pain that responded to conservative treatment. The course was stationary throughout pregnancy. After delivery, the patient refused any operative intervention because she was lactating. Laparoscopy was done 7 months postpartum revealed twisted ovarian cyst surrounded by adhesions with avulsed ovarian ligament. Adhesolysis followed by ovarian cystectomy was performed. In conclusion, conservative management of ovarian cysts during pregnancy might allow prolongation of pregnancy, however, risks cannot be ruled out in the absence of definite clinical criteria for complications as torsion.
{"title":"Dermoid Cyst in Pregnancy with Avulsed Ovarian Ligament: A Case Report Study","authors":"U. Hanaoka, Mohamed Ellail, C. Tenkumo, K. Kanenishi","doi":"10.35248/2167-0420.20.9.481","DOIUrl":"https://doi.org/10.35248/2167-0420.20.9.481","url":null,"abstract":"We present our experience of an ovarian dermoid cyst during pregnancy. The mass was presented by lower abdominal pain during pregnancy. Ultrasound revealed 62.4 × 31.4 mm left ovarian mass with mild pain that responded to conservative treatment. The course was stationary throughout pregnancy. After delivery, the patient refused any operative intervention because she was lactating. Laparoscopy was done 7 months postpartum revealed twisted ovarian cyst surrounded by adhesions with avulsed ovarian ligament. Adhesolysis followed by ovarian cystectomy was performed. In conclusion, conservative management of ovarian cysts during pregnancy might allow prolongation of pregnancy, however, risks cannot be ruled out in the absence of definite clinical criteria for complications as torsion.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"22 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82821209","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}
Objective: To investigate the influence of the MRI-guided high-intensity focused ultrasound ablation (HIFU) of uterine fibroids on the endometrial receptivity in patients planning pregnancy. Material and Methods: A prospective comparative controlled study of 95 reproductive age women planning a pregnancy with symptomatic uterine fibroids was conducted. 32 patients receiving HIFU treatment and 35 women receiving surgical treatment under laparoscopic myomectomy were examined. A control group was existing 28 healthy fertile women, examined voluntarily. The endometrium obtained with pipelle biopsia on days 20-22 of the menstrual cycle was examined by immunohistochemistry before and three months after the treatment. Statistical analysis of the results was carried out using SPSS 22.0. Results: It was established that the focusing ultrasound rays passing through the endometrium do not cause changes in the maturation rate and do not affect the state of intercellular contacts. At the same time, a significant increase in the frequency of asynchronous maturation of pinopodia was found to be 50.00% (16) versus 14.28% (4); p=0.021 and the number of heteromorphic secretory cells 53.33% (8) versus 5.88% (1); p=0.002 in implantation endometrium. Conclusions: The study did not reveal any significant negative effects of focused ultrasonic waves during FUSMRI ablation of uterine fibroids on endometrial receptivity in women of reproductive age. MRg HIFU ablation of uterine fibroids might be considered as an alternative treatment in patients of reproductive age with uterine fibroids planning a pregnancy. Content: A prospective comparative controlled study of 95 women planning a pregnancy with symptomatic uterine fibroids, who received treatment by HIFU ablation and laparoscopic myomectomy.
{"title":"Changes in Tissue Endometrial Receptivity under the Influence of High Intensity Focused Ultrasound during Ablation of Uterine Fibroids in Patients of Reproductive Age","authors":"Melkozerova Oxana Alex, rovna, Shchedrina Irina Dmitrievna, Malgina Galina Borisovna, Mikhelson Anna Alekseevna, Chistyakova Guzel Nukhovna","doi":"10.35248/2167-0420.20.9.491","DOIUrl":"https://doi.org/10.35248/2167-0420.20.9.491","url":null,"abstract":"Objective: To investigate the influence of the MRI-guided high-intensity focused ultrasound ablation (HIFU) of uterine fibroids on the endometrial receptivity in patients planning pregnancy. Material and Methods: A prospective comparative controlled study of 95 reproductive age women planning a pregnancy with symptomatic uterine fibroids was conducted. 32 patients receiving HIFU treatment and 35 women receiving surgical treatment under laparoscopic myomectomy were examined. A control group was existing 28 healthy fertile women, examined voluntarily. The endometrium obtained with pipelle biopsia on days 20-22 of the menstrual cycle was examined by immunohistochemistry before and three months after the treatment. Statistical analysis of the results was carried out using SPSS 22.0. Results: It was established that the focusing ultrasound rays passing through the endometrium do not cause changes in the maturation rate and do not affect the state of intercellular contacts. At the same time, a significant increase in the frequency of asynchronous maturation of pinopodia was found to be 50.00% (16) versus 14.28% (4); p=0.021 and the number of heteromorphic secretory cells 53.33% (8) versus 5.88% (1); p=0.002 in implantation endometrium. Conclusions: The study did not reveal any significant negative effects of focused ultrasonic waves during FUSMRI ablation of uterine fibroids on endometrial receptivity in women of reproductive age. MRg HIFU ablation of uterine fibroids might be considered as an alternative treatment in patients of reproductive age with uterine fibroids planning a pregnancy. Content: A prospective comparative controlled study of 95 women planning a pregnancy with symptomatic uterine fibroids, who received treatment by HIFU ablation and laparoscopic myomectomy.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"20 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77688286","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 : 2020-01-01DOI: 10.35248/2167-0420.20.9.486
Vishal D. Shastri, S. Ganguli
Background: Birth Preparedness and complication readiness (BPCR) is a comprehensive strategy to improve the use of skilled providers at birth, based on the theory that helps women to consider all available maternal health care services during pregnancy and prepare for potential complications. Even though there are no adequate evidences on determinant factors, women and new-born need timely access to skilled care during pregnancy, childbirth, and the postpartum period. This paper aims to identify factors associated with the practice of birth preparedness and complication readiness plan among women in Bihar. Objectives: The objectives of the study were to assess the knowledge and practices regarding birth preparedness for safe delivery; and to identify the triggers and barriers for the program intervention activities. Study Design: Study design includes a cross sectional survey among the various categories of respondents including the mothers. A multi-staged cluster sampling approach used, sample size of 7646 respondents spread across 200 primary sampling units (PSUs) from Bihar, India. Methods: Community-based cross-sectional study was conducted. Pregnant women, mothers of children and mother in laws of respondents were randomly selected and interviewed using pretested structured questionnaire. The data was collected using CAPI questionnaire and analysed using SPSS. Descriptive statistics were reported, and bivariate and multivariable logistic regression carried out to see the effect of each independent variable on the dependent variable. Results: The study reveals that the awareness on danger signs of pregnancy, when to start planning for the delivery is fairly low. The knowledge to keep the important information that might be required in emergency viz. phone numbers of frontline worker ASHA handy has been found to be minimal. The key influencer within the family i.e. respondents’ mothers-in-law who are also the main source of information have poor awareness on birth preparedness. The interactions with the frontline workers are low. Timely identification and registration of pregnancy with ASHA and seeking information on birth planning act as triggers for birth preparedness. Conclusions: The program interventions are required to improve awareness about birth preparedness including emergency preparedness, danger signs during pregnancy, across all the mothers, more particularly socially marginalized groups. There is a need to mobilize the frontline workers and increase the interaction between the beneficiaries and FLWs to clarify the benefits of preparing for the delivery in advance.
{"title":"Birth Preparedness for Safe Delivery, Readiness Planning and Associated Factors among Mothers in North India: A Cross-Sectional Study in Bihar India","authors":"Vishal D. Shastri, S. Ganguli","doi":"10.35248/2167-0420.20.9.486","DOIUrl":"https://doi.org/10.35248/2167-0420.20.9.486","url":null,"abstract":"Background: Birth Preparedness and complication readiness (BPCR) is a comprehensive strategy to improve the use of skilled providers at birth, based on the theory that helps women to consider all available maternal health care services during pregnancy and prepare for potential complications. Even though there are no adequate evidences on determinant factors, women and new-born need timely access to skilled care during pregnancy, childbirth, and the postpartum period. This paper aims to identify factors associated with the practice of birth preparedness and complication readiness plan among women in Bihar. Objectives: The objectives of the study were to assess the knowledge and practices regarding birth preparedness for safe delivery; and to identify the triggers and barriers for the program intervention activities. Study Design: Study design includes a cross sectional survey among the various categories of respondents including the mothers. A multi-staged cluster sampling approach used, sample size of 7646 respondents spread across 200 primary sampling units (PSUs) from Bihar, India. Methods: Community-based cross-sectional study was conducted. Pregnant women, mothers of children and mother in laws of respondents were randomly selected and interviewed using pretested structured questionnaire. The data was collected using CAPI questionnaire and analysed using SPSS. Descriptive statistics were reported, and bivariate and multivariable logistic regression carried out to see the effect of each independent variable on the dependent variable. Results: The study reveals that the awareness on danger signs of pregnancy, when to start planning for the delivery is fairly low. The knowledge to keep the important information that might be required in emergency viz. phone numbers of frontline worker ASHA handy has been found to be minimal. The key influencer within the family i.e. respondents’ mothers-in-law who are also the main source of information have poor awareness on birth preparedness. The interactions with the frontline workers are low. Timely identification and registration of pregnancy with ASHA and seeking information on birth planning act as triggers for birth preparedness. Conclusions: The program interventions are required to improve awareness about birth preparedness including emergency preparedness, danger signs during pregnancy, across all the mothers, more particularly socially marginalized groups. There is a need to mobilize the frontline workers and increase the interaction between the beneficiaries and FLWs to clarify the benefits of preparing for the delivery in advance.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"2016 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86379470","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: Cesarean section is a lifesaving surgical procedure for both the mother and the fetus when vaginal delivery is impossible. However, avoidable cesarean section leads to increased risks. This study aimed to assess the prevalence and predictors of cesarean section among women delivered at Durame General Hospital, Southern Ethiopia. Methods: A facility-based cross-sectional study was conducted on 300 women from April 1st to April 30th, 2019. Data were collected using a pretested and structured questionnaire through face to face interview and reviewing of medical records. Data were entered by Epi-data version 3.1 and analysed by SPSS version 23. A bivariate and multivariate logistic regression with their odds ratio was calculated at 95% confidence interval and p-value 0.005 was considered as statistically significant. Result: The overall prevalence of cesarean delivery in the study area was 24.7%. Previous cesarean section [AOR=7.3, 95% CI (2.02, 26.65)], post term pregnancy [AOR=3.3, 95% CI (1.26, 8.67)] and mothers age 35 years and above, [AOR=3.21, 95% CI (1.19, 8.67)] were predictors of cesarean section. Conclusion: The prevalence of cesarean section in the study area was high as compared to WHO recommendation. To keep a standard cesarean section rate due attention should be given for possibility of vaginal delivery by providing cautious assessment to every woman who had previous cesarean delivery and the appropriateness of the indications of cesarean section must be continually monitored.
{"title":"Predictors of Cesarean Section among Women Delivered at Durame General Hospital, Southern Ethiopia","authors":"Hassen Mosa Halil, R. Abdo, Shamill Eanga Helill, Romedan Delil Kedir","doi":"10.35248/2167-0420.20.9.482","DOIUrl":"https://doi.org/10.35248/2167-0420.20.9.482","url":null,"abstract":"Background: Cesarean section is a lifesaving surgical procedure for both the mother and the fetus when vaginal delivery is impossible. However, avoidable cesarean section leads to increased risks. This study aimed to assess the prevalence and predictors of cesarean section among women delivered at Durame General Hospital, Southern Ethiopia. Methods: A facility-based cross-sectional study was conducted on 300 women from April 1st to April 30th, 2019. Data were collected using a pretested and structured questionnaire through face to face interview and reviewing of medical records. Data were entered by Epi-data version 3.1 and analysed by SPSS version 23. A bivariate and multivariate logistic regression with their odds ratio was calculated at 95% confidence interval and p-value 0.005 was considered as statistically significant. Result: The overall prevalence of cesarean delivery in the study area was 24.7%. Previous cesarean section [AOR=7.3, 95% CI (2.02, 26.65)], post term pregnancy [AOR=3.3, 95% CI (1.26, 8.67)] and mothers age 35 years and above, [AOR=3.21, 95% CI (1.19, 8.67)] were predictors of cesarean section. Conclusion: The prevalence of cesarean section in the study area was high as compared to WHO recommendation. To keep a standard cesarean section rate due attention should be given for possibility of vaginal delivery by providing cautious assessment to every woman who had previous cesarean delivery and the appropriateness of the indications of cesarean section must be continually monitored.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"31 4 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73176155","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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