The impact of childbirth on pelvic floor morphology in primiparous Black South African women: a prospective longitudinal observational study

2017 ◽  
Vol 29 (3) ◽  
pp. 369-375 ◽  
Author(s):  
Zeelha Abdool ◽  
Barend G. Lindeque ◽  
Hans P. Dietz
Author(s):  
Lineo Matsela ◽  
Olakunle Towobola ◽  
Ephraim T Mokgokong

ABSTRACT Introduction Vasomotor symptoms of menopause could affect the quality-of-life of most women. The understanding of menopause by African women and the coping mechanisms of these women are essential factors that may be influenced by culture and traditions. This study has evaluated the psychosomatic and sociodemographic profiles of menopausal black South African women in order to ascertain the role played by their culture and traditions during the menopausal years. Materials and methods The study was carried out at three periurban districts close to the city of Pretoria, South Africa. A qualitative, prospective, community-based, cohort study was conducted over a 2-year period. The targeted population included women between 40 and 80 years, and each woman was interviewed using a structured questionnaire. Data on sociodemographic, psychosomatic profiles of the women as well as cultural and traditional beliefs relating to menopause were documented. The data from the study were analyzed by descriptive statistics. Results Totally, 450 women were interviewed: 250 (perimenopausal) and 200 (postmenopausal). The ages of the women ranged between 42.5 and 50.8 years (perimenopausal) and between 51.5 and 68.4 years for postmenopausal women. Only 20% of the women interviewed for the study had no formal education and 78% of them were financially independent. The percentage of the women who had an understanding of menopause and expressed cultural explanations for it was 96%. The women explained the impact of support systems on which they relied and by which their attitudes toward menopause were greatly influenced. Knowledge of hormone replacement therapy (HRT) and its importance in the alleviation of vasomotor symptomatology ranged between 80 and 84%, yet the women were reluctant to seek medical remedy for their vasomotor symptoms. Conclusion The study provides insight into the impact that traditions and culture of black South African women have on their capacity to cope with menopause. How to cite this article Matsela L, Towobola O, Mokgokong ET. Knowledge and Attitudes of Black South African Women toward Menopause: Impact of Culture and Traditions. J South Asian Feder Menopause Soc 2017;5(2):117-122.


2016 ◽  
Vol 34 (Supplement 1) ◽  
pp. e283
Author(s):  
Cindy George ◽  
Julia Goedecke ◽  
Nigel Crowther ◽  
Nicole Jaff ◽  
Andre Kengne ◽  
...  

2012 ◽  
Vol 15 (10) ◽  
pp. 1810-1817 ◽  
Author(s):  
Peggy C Papathakis ◽  
Kerry E Pearson

AbstractObjectiveTo investigate the impact of fortification by comparing food records and selected biochemical indicators of nutritional status pre- and post-fortification.DesignMean intake from 24 h recalls (n 142) was compared with the Estimated Average Requirement (EAR) to determine the proportion with inadequate intake. In a subsample (n 34), diet and serum retinol, folate, ferritin and Zn were compared pre- and post-fortification for fortified nutrients vitamin A, thiamin, riboflavin, niacin, folic acid, Fe and Zn.SettingSouth Africa.SubjectsBreast-feeding women (ninety-four HIV-infected, forty eight HIV-uninfected) measured at ∼6, 14, 24 weeks, and 9 and 12 months postpartum.ResultsPre-fortification, >80 % of women did not meet the EAR for vitamins A, C, D, thiamin, riboflavin, niacin, B6, B12 and folate and minerals Zn, iodine and Ca. Dietary intake post-fortification increased for all fortified nutrients. In post-fortification food records, >70 % did not meet the EAR for Zn and vitamins A, riboflavin and B6. Serum folate and Zn increased significantly post-fortification (P < 0·001 for both), with no change in ferritin and a reduction in retinol. Post-fortification marginal/deficient folate status was reduced (73·5 % pre v. 3·0 % post; P < 0·001), as was Zn deficiency (26·5 % pre v. 5·9 % post; P < 0·05). Pre- and post-fortification, >93 % were retinol replete. There was no change in Fe deficiency (16·7 % pre v. 19·4 % post; P = 0·728).ConclusionsMicronutrient intake improved with fortification, but >70 % of lactating women did not meet the EAR for Zn, vitamins A, riboflavin and B6. Although 100 % exceeded the EAR for Fe after fortification, Fe status did not improve.


2015 ◽  
Vol 19 (6) ◽  
pp. 628-636 ◽  
Author(s):  
O. F. Sotunde ◽  
H. S. Kruger ◽  
H. H. Wright ◽  
L. Havemann-Nel ◽  
I. M. Kruger ◽  
...  

2017 ◽  
Vol 29 (6) ◽  
pp. e23042 ◽  
Author(s):  
Herculina S. Kruger ◽  
Chrisna Botha-Ravyse ◽  
Lize Havemann-Nel ◽  
Maretha Doubell ◽  
Johannes M. van Rooyen

2004 ◽  
Vol 83 (3) ◽  
pp. 234-239 ◽  
Author(s):  
Frédéric Amant ◽  
Cecilia M. Dorfling ◽  
Jos De Brabanter ◽  
Joos Vandewalle ◽  
Ignace Vergote ◽  
...  

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