Unplanned pregnancy and discontinuation of SSRIs in pregnant women with previously treated affective disorder

2013 ◽  
Vol 150 (3) ◽  
pp. 807-813 ◽  
Author(s):  
A. Roca ◽  
M.L. Imaz ◽  
A. Torres ◽  
A. Plaza ◽  
S. Subirà ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Affective Disorder ◽  
Unplanned Pregnancy ◽  
Previously Treated

scholarly journals Knowledge and intake of folic acid to prevent neural tube defects among pregnant women in urban China: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mingming Cui ◽  
Xiao-Lin Lu ◽  
Yan-Yu Lyu ◽  
Fang Wang ◽  
Xiao-Lu Xie ◽  
...  
Keyword(s):  
Folic Acid ◽  
Pregnant Women ◽  
Neural Tube ◽  
Neural Tube Defects ◽  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Unplanned Pregnancy ◽  
Urban China ◽  
Cross Sectional

Abstract Background The prevalence of neural tube defects (NTDs) in China declined during 2000–2017 with periconceptional folic acid (FA) supplementation, which is effective in reducing the risk of birth defects. We aimed to assess the knowledge and actual use of FA among Chinese pregnant women and to explore factors associated with FA use before pregnancy. Methods All data were collected in face-to-face interviews during health visits among pregnant women. We collected information about knowledge and use of FA supplements and demographic, socioeconomic, and health status. One maternity and childcare hospital was chosen in each of four cities: Beijing, Huaibei, Kunming, and Haikou. In total, 435 pregnant women were randomly recruited for interviews conducted from June to December 2016. Results A total of 428 pregnant women were included in this survey. Of these, 82.0% (351/428) knew that FA can prevent NTDs, and 75.9% (325/428) knew the correct time to take FA. Overall, 65.9% (282/428) of women knew both that FA can prevent NTDs and the recommended time to take FA before pregnancy. Approximately 95.1% (407/428) of women reported having ever taken FA, only 46.3% (198/428) had begun to take FA supplementation before conception, and 64.5% (109/169) of women from rural areas failed to take FA before pregnancy. Women living in northern China (odds ratio [OR] = 1.81, 95% confidence interval [CI], 1.18–2.77), those with unplanned pregnancy (OR = 1.99, 95% CI 1.30–3.04), and highly educated women (OR = 2.37, 95% CI 1.45–3.88) were more likely to know about FA. Women who were homemakers (OR = 1.94, 95% CI 1.21–3.11) and had unplanned pregnancy (OR = 6.18, 95% CI 4.01–9.53) were less likely to begin taking FA before pregnancy. Conclusions Our survey showed that most pregnant women knew about FA. Although preconception intake of FA can help to reduce NTDs, improving the rate of FA intake before pregnancy is needed in urban areas of China, especially among homemakers and women from rural areas or with unplanned pregnancy. Campaigns are needed to increase awareness about FA and FA use before pregnancy among rural women, homemakers, and those with unplanned pregnancy and lower education levels.

Prevalence of intimate partner violence among pregnant women attending a public sector hospital in Bengaluru, southern India

2021 ◽  
Vol 34 ◽  
pp. 132-137
Author(s):  
ANITA NATH ◽  
SHUBHASHREE VENKATESH ◽  
J. VINDHYA ◽  
SHEEBA BALAN ◽  
CHANDRA S. METGUD
Keyword(s):  
Risk Factors ◽  
Intimate Partner Violence ◽  
Public Sector ◽  
Pregnant Women ◽  
Partner Violence ◽  
Unplanned Pregnancy ◽  
Public Health Problem ◽  
Intimate Partner ◽  
Southern India ◽  
Public Sector Hospital

Background Intimate partner violence (IPV) is recognized as an important public health problem globally as well as in India. It may result in adverse physical and mental health consequences for the victim or unfavourable pregnancy outcomes if it happens during pregnancy. The possible risk factors for IPV can be explained by four levels of ecological factors: individual, partner, household and community. We estimated the prevalence of IPV and its association with selected ecological risk factors among pregnant women availing of antenatal care at a public sector hospital in Bengaluru, southern India. Methods We included 350 women above the age of 18 years with a confirmed pregnancy of less than 24 weeks and having no obstetric complication. We used the Conflict Tactics Scale to determine the presence of IPV. The risk factors measured were—individual level: respondent’s age, education, occupation, gravidity, planned or unplanned pregnancy, substance abuse, presence of depression and anxiety; partner-related: spouse’s education, occupation and marital discord; household/community-related: socioeconomic status, social support, religion and consanguinity. Results The prevalence of IPV was 3.7%. Factors that were significantly associated on multivariate analysis were higher age (above 20 years) (adjusted odds ratio [AOR] 1.82 [1.12–2.97], p=0.016) and presence of depression (AOR 6.84 [1.76–26.61], p=0.005). Conclusion The prevalence of IPV was less in our study population compared to figures reported from other Indian study settings.

scholarly journals Alcohol consumption and its associated factors among pregnant women in Sub-Saharan Africa: a systematic review and meta-analysis' as given in the submission system

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Alemu Earsido Addila ◽  
Telake Azale Bisetegn ◽  
Yigzaw Kebede Gete ◽  
Mezgebu Yitayal Mengistu ◽  
Getnet Mihretie Beyene
Keyword(s):  
Systematic Review ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Pregnant Women ◽  
Associated Factors ◽  
Unplanned Pregnancy ◽  
Meta Analysis ◽  
Sub Saharan Africa ◽  
Pooled Prevalence ◽  
Sub Saharan

Abstract Background Alcohol consumption during pregnancy represents a significant public health concern. It has several adverse health effects for both the mother and the developing fetus. This study aimed to estimate the pooled prevalence and the effect size of associated factors of alcohol consumption during pregnancy in Sub-Saharan Africa countries. Methods The results of the review were reported based on the Preferred Reporting Items for Systematic Review and Meta-Analysis statement (PRISMA) guideline and, it was registered in the Prospero database, number CRD42019127103. The available primary studies were collated from different databases: PubMed, CINAHL, Cochrane Library, PsycINFO, Google Scholar, African Journals Online and Centre for Addiction and Mental Health Library. The main search terms were [((alcohol consumption) OR (alcohol drinking) OR (alcohol use) OR (ethanol use) OR (alcohol exposure)) AND ((pregnant women) OR (pregnant mother) OR (during pregnancy)) AND (Sub-Saharan Africa)]. We used the Joanna Briggs Institute (JBI) for critical appraisal of studies. The random-effects model was computed to estimate the pooled prevalence. Heterogeneity between studies was checked using the I2 statistic and the Cochrane Q test. Results The review resulted in 963 original studies after searching various databases, and finally 37 studies in qualitative synthesis and 30 articles in the systematic review and meta-analysis were included. The overall summary estimate of the prevalence of alcohol consumption during pregnancy was found to be 20.83% (95% CI: 18.21, 23.46). The pooled estimate of meta-analysis showed that depression (OR: 1.572; 95% CI: 1.34, 1.845), partners’ alcohol use (OR: 1.32, 95% CI: 1.11, 1.57), knowledge on harmful effect of alcohol consumption (OR: 0.36, 95% CI: 0.29, 0.45) and, unplanned pregnancy (OR: 2.33, 95% CI: 1.17, 4.63) were statistically significant factors with alcohol consumption during pregnancy. Conclusions The result showed that there was high alcohol consumption during pregnancy in Sub- Saharan Africa. Alcohol consumption during pregnancy was associated with depression, partners’ alcohol use, unplanned pregnancy and knowledge of the harmful effects of alcohol consumption. Therefore, this will be a basis for public policy and resource allocation for prevention initiatives.

scholarly journals Pregnant with HIV before age 25: data from a large national study in Italy, 2001–2016

2017 ◽  
Vol 145 (11) ◽  
pp. 2360-2365 ◽  
Author(s):  
M. FLORIDIA ◽  
G. MASUELLI ◽  
E. TAMBURRINI ◽  
I. CETIN ◽  
G. LIUZZI ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Pregnancy Outcomes ◽  
Antiretroviral Treatment ◽  
Unplanned Pregnancy ◽  
Adverse Pregnancy Outcomes ◽  
National Study ◽  
Treatment Coverage ◽  
Lower Treatment ◽  
Women With Hiv ◽  
Adverse Pregnancy

SUMMARYYoung pregnant women with HIV may be at significant risk of unplanned pregnancy, lower treatment coverage, and other adverse pregnancy outcomes. In a large cohort of pregnant women with HIV in Italy, among 2979 pregnancies followed in 2001–2016, 9·0% were in women <25 years, with a significant increase over time (2001–2005: 7·0%; 2006–2010: 9·1%; 2011–2016: 12·2%, P < 0·001). Younger women had a lower rate of planned pregnancy (23·2% vs. 37·7%, odds ratio (OR) 0·50, 95% confidence interval (CI) 0·36–0·69), were more frequently diagnosed with HIV in pregnancy (46·5% vs. 20·9%, OR 3·29, 95% CI 2·54–4·25), and, if already diagnosed with HIV before pregnancy, were less frequently on antiretroviral treatment at conception (<25 years: 56·3%; ⩾25 years: 69·0%, OR 0·58, 95% CI 0·41–0·81). During pregnancy, treatment coverage was almost universal in both age groups (98·5% vs. 99·3%), with no differences in rate of HIV viral suppression at third trimester and adverse pregnancy outcomes. The data show that young women represent a growing proportion of pregnant women with HIV, and are significantly more likely to have unplanned pregnancy, undiagnosed HIV infection, and lower treatment coverage at conception. During pregnancy, antiretroviral treatment, HIV suppression, and pregnancy outcomes are similar compared with older women. Earlier intervention strategies may provide additional benefits in the quality of care for women with HIV.

scholarly journals Herbal medicine use and its associated factors among pregnant women attending antenatal care at Wollega University Referral Hospital, West Ethiopia.

2020 ◽  
Author(s):  
Busha Gamachu Labata ◽  
Getu Bayisa Wakjira ◽  
Mohammed Gebre Dedefo ◽  
Ginenus Fekadu Mekonen ◽  
Eba Abdisa Golja ◽  
...  
Keyword(s):  
Herbal Medicine ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Low Income ◽  
Unplanned Pregnancy ◽  
Multivariate Logistic Regression Analysis ◽  
Referral Hospital ◽  
Medicine Use ◽  
Factors Associated ◽  
Planned Pregnancy

Abstract Background: Herbal medications are plant-derived materials or products with therapeutic or other human health benefits, which contain either raw or processed ingredients from one or more plants. There are many different types of herbal medicine that spring from different cultures around the world. All these have the use of medicinal plants in common. Developing world general population relies on these traditional medicines for primary care. Besides, pregnant women use herbal medicines because of pregnancy related ailments and normal aliments. Therefore, the study aimed to assess prevalence and factors associated with herbal medicine use among pregnant women attending antenatal care at Wollega University Referral Hospital. Method: A facility based cross sectional study was conducted among pregnant women attending Wollega University Referral Hospital antenatal care from May to June 2018. Written informed consent was obtained from study participants prior to data collection. Univariate and Multivariate logistic regression analysis was used to determine factors associated with herbal medicine use. Association was significant when p-value is less than 0.05. Result: A total of 238 pregnant mothers were participated in the study. The respondents’ age ranges from 17 to 46 years. The prevalence of herbal medicine use among pregnant women attending antenatal care at Wollega University Referral Hospital was 66.40%. The use of herbal medicine during pregnancy was 3.885 times more likely among rural residents (AOR =3.885, 95% CI 1.121-13.47) than urban residents. Respondents who has monthly income between 1001 to 2000 Ethiopian Birr (AOR=2.585, 95% CI 1.125–5.940) were 2.585 times more likely to use Herbal medicine as compared to those who earn >3000 Ethiopian Birr. However, mothers of planned pregnancy (AOR=0.335, 95% CI 0.114-0.986) were less likely to use Herbal medicine as compared to those who had unplanned pregnancy. Conclusion: The prevalence of herbal medicine use among pregnant women attending antenatal care at Wollega University Referral hospital was 66.40%. Commonly used herbs were Garlic (24.37%) and ginger (18.07%). Rural residence and low income had significantly associated to herbal medicine use while planned pregnancy was inversely associated to herbal medicine use.

scholarly journals The prevalence of unintended pregnancy and its association with HIV status among pregnant women in South Africa, a national antenatal survey, 2019

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Selamawit Woldesenbet ◽  
Tendesayi Kufa ◽  
Carl Lombard ◽  
Samuel Manda ◽  
Diane Morof ◽  
...  
Keyword(s):  
South Africa ◽  
Pregnant Women ◽  
Unintended Pregnancy ◽  
Unplanned Pregnancy ◽  
Multivariable Analysis ◽  
Pregnancy Intention ◽  
Antenatal Visit ◽  
Hiv Status ◽  
Reproductive Health Services ◽  
Cross Sectional Survey

AbstractTo describe the prevalence of unintended pregnancy and its association with HIV status among pregnant women in South Africa. A cross-sectional survey was conducted between October and mid-November 2019 among pregnant women aged 15–49 years in 1589 selected public antenatal care facilities. Pregnancy intention was assessed using two questions from the London Measure of Unplanned Pregnancy. Survey logistic regression examined factors associated with unintended pregnancy. Among 34,946 participants, 51.6% had an unintended pregnancy. On multivariable analysis, the odds of unintended pregnancy was higher among women who knew their HIV-positive status before pregnancy but initiated treatment after the first antenatal visit (adjusted odds ratio [aOR], 1.5 [95% confidence interval (CI):1.2–1.8]), women who initiated treatment before pregnancy (aOR, 1.3 [95% CI:1.2–1.3]), and women with a new HIV diagnosis during pregnancy (aOR, 1.2 [95% CI:1.1–1.3]) compared to HIV-negative women. Women who were single, in a non-cohabiting or a cohabiting relationship, and young women (15–24 years) had significantly higher risk of unintended pregnancy compared to married women and women aged 30–49 years, respectively. A comprehensive approach, including regular assessment of HIV clients’ pregnancy intention, and adolescent and youth-friendly reproductive health services could help prevent unintended pregnancy.

scholarly journals Prevalence of antenatal depression and associated factors among pregnant women in Aneded woreda, North West Ethiopia: a community based cross-sectional study

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Abebe Habtamu Belete ◽  
Mulunesh Alemayehu Assega ◽  
Amanuel Alemu Abajobir ◽  
Yihalem Abebe Belay ◽  
Mengistie Kassahun Tariku
Keyword(s):  
Pregnant Women ◽  
Partner Violence ◽  
Unplanned Pregnancy ◽  
Antenatal Depression ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
North West ◽  
North West Ethiopia

Abstract Objectives To assess the prevalence of antenatal depression and factors associated with antenatal depression among pregnant women in Aneded woreda, Northwest Ethiopia, 2019. A community based- cross sectional study was conducted in Aneded woreda among 7 kebles’ of North-West, Ethiopia from March 16 to April 23, 2019. A total of 342 pregnant women were recruited using simple random sampling. Result The prevalence of antenatal depression was 15.20%. Urban residence [AOR = 6.8; 95% CI (1.97, 23.32)], marital status of being unmarried [AOR = 5.1; 95% CI (1.79, 14.63)], occupation of being government employee [AOR = 8.8; 95% CI (2.06, 37.12)] and merchant [AOR = 3.7; 95% CI (1.27, 10.91)], prim gravid [AOR = 5.3; 95% CI (2.03, 13.82)], not attend ANC follow up [AOR = 8.7; 95% CI (3.46, 21.79)], intimate partner violence [AOR = 4.5; 95% CI (1.28, 15.52)], unplanned pregnancy [AOR = 6.2; 95% CI (2.37, 16.06)], and substance use [AOR = 5.6; 95% CI (2.12, 14.92)] were significantly factors. Strengthen the risk prevention activities so important to tackle the problem of antenatal depression.

scholarly journals Prevalence of Antenatal Depression and Associated Factors among Pregnant Women Attending Antenatal Care at Dubti Hospital: A Case of Pastoralist Region in Northeast Ethiopia

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Yihalem Abebe Belay ◽  
Nurilign Abebe Moges ◽  
Fetuma Feyera Hiksa ◽  
Kassahun Ketema Arado ◽  
Misgan Legesse Liben
Keyword(s):  
Social Support ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Marital Conflict ◽  
Associated Factors ◽  
Unplanned Pregnancy ◽  
Antenatal Depression ◽  
Cross Sectional ◽  
Pregnancy Planning ◽  
Northeast Ethiopia

Background. Globally, depression affects an estimated 10 % to 20% of women during pregnancy. There is limited evidence on antenatal depression in Northeast Ethiopia. This study aimed to assess prevalence of antenatal depression and associated factors among Dubti Hospital Antenatal care attendants. Methods. Institution based cross-sectional study was conducted among 363 Antenatal care attendants at Dubti Hospital from March 07 to May 07, 2016. Beck’s Depression Inventory tool was used to collect data. Data were entered into Epi-Data 3.1 and analyzed using SPSS 20. Bivariable and multivariable logistic regression analyses were fitted. Variables having p value < 0.05 were considered as statistically significant. Results. A total of 357 pregnant women were interviewed. The prevalence of antenatal depression was 17.9% [95% CI (14.0, 22.0%). Pregnancy planning [AOR: 0.04; 95% CI (0.014, 0.114), social support [AOR: 0.21; 95% CI (0.07, 0.66), and marital conflict [AOR: 6.45; 95% CI (2.1, 17.9)] were significantly associated with antenatal depression. Conclusions. Nearly one in five pregnant women had depression. Marital conflict, pregnancy planning, and social support were significant predictors of antenatal depression. Dubti Hospital should strengthen its effort on prevention of unplanned pregnancy. Healthcare workers in antenatal care unit have to deal with marital conflict and social support as part of their routine investigation to avoid complications through early detection of antenatal depression.

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