Differences in the self-reported racism experiences of US-born and foreign-born Black pregnant women

BACKGROUND In the conventional method, the blood pressure values of pregnant women were measured by nurses in the obstetrics outpatient clinics, and then were entered into the computer system.The pregnant women should wait for long time to complete this process.We hypothesized that the self-service blood pressure measurement by pregnant women could be a better option rather than measuring the blood pressure by nurses. OBJECTIVE This study aimed to analyze the effect of self-service blood pressure measurement in obstetrical outpatient clinic on waiting time, satisfaction of pregnant women and outpatient volume, and provide reference for the optimization of outpatient service processes. METHODS This was a cross-sectional study. The waiting time and satisfaction degree of pregnant women, as well as the outpatient volume in the Obstetrics Outpatient Clinic were compared on the use of self-service blood pressure measurement system with the conventional method. A total of 519 pregnant women in the obstetrics outpatient clinics of Guangzhou Women and Children’s Medical Center in China participated in the satisfaction survey. The sample means were compared with t-test. RESULTS Compared to wait a longer queue for blood pressure measured by nurses, after using the self-service blood pressure measurement system, the waiting time of pregnant women for blood pressure measurement was significantly reduced from (18.57±9.68) min to (2.39±1.96) min (P<0.001). In addition, the satisfaction degree of pregnant women was significantly increased (P<0.001), and the monthly outpatient volume was significantly increased (P=0.02,P<0.05). CONCLUSIONS This study showed that after implementation of self-service blood pressure measurement, the waiting time of the pregnant women for blood pressure measurement was decreased significantly, while the satisfactory degree and outpatient flow were increased significantly, improving the cost-effectiveness.Therefore, this method is worth to be popularized in clinical practices. Relevance to clinical practice: How to use medical intelligence in clinical practices, replace manual works by self-service devices to address the high outpatient flow, high work load of medical personnel, and improve the experience of patients in seeking medical services are the most concerned issues by both patients as well as hospital managers.This study demonstrated that the self-service blood pressure measurement as a promising strategy in clinical practices and provided reference for the optimization of outpatient service processes. CLINICALTRIAL This study was approved by the Ethics Committee of the Guangzhou Women and Children’s Medical Center (approval number:SFE-KL-46401; Supplementary file 4). All the pregnant women included in this study signed the informed consent form.

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Social Vulnerability among Foreign-Born Pregnant Women and Maternal Virologic Control of HIV

American Journal of Perinatology ◽

10.1055/s-0040-1721714 ◽

2020 ◽

Author(s):

Ashish Premkumar ◽

Lynn M. Yee ◽

Lia Benes ◽

Emily S. Miller

Keyword(s):

Antiretroviral Therapy ◽

Pregnant Women ◽

Median Time ◽

Social Vulnerability ◽

Viral Suppression ◽

Foreign Born ◽

Women Living With Hiv ◽

Virologic Control ◽

Clinical Records ◽

Living With Hiv

Objective The aim of this study was to assess whether social vulnerability among foreign-born pregnant women living with HIV is associated with maternal viremia during pregnancy. Study Design This retrospective cohort study included all foreign-born pregnant women living with HIV who received prenatal care in a multidisciplinary prenatal clinic between 2009 and 2018. A licensed clinical social worker evaluated all women and kept detailed clinical records on immigration status and social support. Social vulnerability was defined as both living in the United States for less than 5 years and reporting no family or friends for support. The primary outcome was evidence of viral non-suppression after achievement of initial suppression. Secondary outcomes were the proportion of women who required > 12 weeks after starting antiretroviral therapy to achieve viral suppression, median time to first viral suppression (in weeks) after initiation of antiretroviral therapy, and the proportion who missed ≥ 5 doses of antiretroviral therapy. Bivariable analyses were performed. Results A total of 111 foreign-born women were eligible for analysis, of whom 25 (23%) were classified as socially vulnerable. Social and clinical characteristics of women diverged by social vulnerability categorization but no differences reached statistical significance. On bivariable analysis, socially-vulnerable women were at increased risk for needing > 12 weeks to achieve viral suppression (relative risk: 1.78, 95% confidence interval: 1.18–2.67), though there was no association with missing ≥ 5 doses of antiretroviral therapy or median time to viral suppression after initiation of antiretroviral therapy. Conclusion Among foreign-born, pregnant women living with HIV, markers of virologic control during pregnancy were noted to be worse among socially-vulnerable women. Insofar as maternal viremia is the predominant driver of perinatal transmission, closer clinical surveillance and support may be indicated in this population. Key Points

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Patient participation

Journal of Asian Pacific Communication ◽

10.1075/japc.20.2.06wei ◽

2010 ◽

Vol 20 (2) ◽

pp. 260-278 ◽

Cited By ~ 1

Author(s):

Wei Zhang

Keyword(s):

Hong Kong ◽

Pregnant Women ◽

Genetic Counselling ◽

Patient Participation ◽

Qualitative Difference ◽

Information Delivery ◽

The Self ◽

Chinese Patients ◽

Chinese Group

This study analyses patient questions in prenatal genetic counselling (PGC) in a Hong Kong hospital. The focus is on the kinds of questions asked by the patients and the sequential environments in which the questions are asked. The ten patients in the study are pregnant women at or above 38 years of age, four local Cantonese-speaking Chinese, and six of Filipina or Thai origin. The PGC is conducted by a nurse who communicates with the Chinese patients in Cantonese and with the non-Chinese patients in English. Two broad types of questions, medical and administrative, in line with the purpose of PGC, are found in both groups. While both groups share a concern on the accuracy of the test, the Chinese group asks more questions on medical details beyond the issue of accuracy. With regard to sequential environments, questions may be either ‘occasioned’ by the nurse’s prior talk or ‘self-motivated’; both may occur in the positions for minimal responses in extended information delivery sequences. Self-motivated questions also occur as a second or later component in the patient’s extended turn. While the two groups of patients ask questions from either of the sequential positions, a qualitative difference lies in the turn design of the self-motivated questions.

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Optimalisasi Peran Kader Dalam Meningkatkan Self-Care Management Nutrisi Kehamilan Sebagai Upaya Pencegahan Risiko Stunting Di Kecamatan Air Periukan Kabupaten Seluma

JURNAL KREATIVITAS PENGABDIAN KEPADA MASYARAKAT (PKM) ◽

10.33024/jkpm.v4i4.4094 ◽

2021 ◽

Vol 4 (4) ◽

pp. 991-1001

Author(s):

Nur Elly Nur Elly ◽

Asmawati Asmawati ◽

Betty Yosephin ◽

Rahma Annisa ◽

Khelli Fitria Annuril ◽

...

Keyword(s):

Pregnant Women ◽

Care Management ◽

Maternal Nutrition ◽

Self Care ◽

Development Program ◽

The Self ◽

Children Under Five ◽

Under Five ◽

Nutrition Management ◽

Management Of Nutrition

ABSTRAK Pencegahan stunting merupakan program prioritas pembangunan di Indonesia sampai tahun 2024. Nutrisi pada periode 1000 Hari Pertama Kehidupan (HPK), yaitu sejak janin berada dalam kandungan sampai usia 2 tahun kelahiran sangat penting diperhatikan sebagai upaya pencegahan resiko stunting. Kader kesehatan berperan penting dalam self-care management nutrisi ibu selama kehamilan sebagai upaya pencegahan stunting. Permasalahan yang dihadapi kader Kesehatan di Desa Talang Benuang dan Lokasi Baru Kecamatan Air Priukan sebagai desa dari 20 desa lokasi khusus (lokus) stunting di Kabupaten Seluma tahun 2020 adalah kurangnya pengetahuan tentang stunting dan 1000 HPK sehingga belum memiliki bekal yang cukup untuk melaksanakan perannya sebagai pelaku penggerak masyarakat dalam mewujudkan kesehatan termasuk dalam pencegahan dan penanganan stunting. Tujuan PKM adalah memberdayakan kader sebagai garda terdepan dalam meningkatkan self-care management nutrisi ibu hamil untuk meminimalisir risiko stunting pada anak balita. Peserta pelatihan sebanyak 11 (sebelas) orang kader. Metode kegiatan adalah melakukan sosialisasi, pelatihan, dan pendampingan kader dalam self-care management nutrisi ibu hamil. Hasil kegiatan adalah adanya peningkatan pengetahuan, keterampilan serta kemandirian kader dalam memberikan edukasi dan pendampingan pada ibu hamil dalam self-care management nutrisi. Kader diharapkan mengaplikasikan pengetahuan dan kemampuan yang telah diperoleh untuk memberikan edukasi dan pendampingan terhadap ibu hamil di wilayahnya. Kata Kunci : Kader kesehatan, Self-care management nutrisi, Stunting ABSTRACT Prevention of stunting is a priority development program in Indonesia until 2024. Nutrition in the first 1000 days of life (HPK), which is from the fetus is in the womb until 2 years old, is very important to consider as an effort to prevent the risk of stunting. Health cadres play an important role in the self-care management of maternal nutrition during pregnancy as an effort to prevent stunting. The problem faced by health cadres in Talang Benuang Village and Lokasi Baru Village of Air Priukan Subdistrict as a village of 20 special locations (locus) for stunting in Seluma Regency in 2020 is a lack of knowledge about stunting and 1000 HPK so that they do not have sufficient provisions to carry out their role as perpetrators driving the community in realizing health, including the prevention and management of stunting. The goal of PKM is to empower cadres as the front guard in improving nutrition self-care management for pregnant women to minimize the risk of stunting in children under five. The participants were 11 cadres. The method was to conduct socialization, training, and mentoring cadres in self-care management of nutrition for pregnant women. The result of the activity was an increase in knowledge, skills, and independence of cadres in providing education and assistance to pregnant women in nutrition management self-care. Cadres were expected to apply the knowledge and abilities they have acquired to provide education and assistance to pregnant women in their area. Keywords: Health cadres, Self-care management nutrition, Stunting

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Scripting a Role for the Speaker of Private Prayer: 2 and 3 Henry VI

Shakespeare and the Play Scripts of Private Prayer ◽

10.1093/oso/9780198857310.003.0003 ◽

2020 ◽

pp. 65-105

Author(s):

Ceri Sullivan

Keyword(s):

Pregnant Women ◽

Thought Experiment ◽

The Self ◽

Life Coaching ◽

The World ◽

Henry Vi ◽

Counterfactual History ◽

Private Prayer

Private prayer creates narrative lines about its beneficiaries. Collections of model prayers show kitchen maids how to empathize with war heroes, or gentlemen with pregnant women, or merchants with coalminers, imagining their beneficiaries’ problems in loving detail. Pray-ers refer to themselves as marginalized (sick, criminal, in chains), yet at the same time as provided with an almighty weapons system to change the world. Praying could be a form of ethical and pragmatic life coaching, a way to steel the self to unpalatable actions or perform a thought experiment in alternative outcomes—but it could also shut down radical possibilities. This chapter discusses how alternative plot lines developed by the king’s prayer in Shakespeare’s 2 Henry VI and 3 Henry VI create a counterfactual history, one opposed by the normative pray-ers in the factions around Henry.

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The self-prescribed use of aromatherapy oils by pregnant women

Women and Birth ◽

10.1016/j.wombi.2013.09.005 ◽

2014 ◽

Vol 27 (1) ◽

pp. 41-45 ◽

Cited By ~ 9

Author(s):

David W. Sibbritt ◽

Christine J. Catling ◽

Jon Adams ◽

Andrea J. Shaw ◽

Caroline S.E. Homer

Keyword(s):

Pregnant Women ◽

The Self

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Self-compassion and insomnia at pregnancy

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.703 ◽

2016 ◽

Vol 33 (S1) ◽

pp. s268-s268 ◽

Cited By ~ 1

Author(s):

M. Marques ◽

A.T. Pereira ◽

V. Freitas ◽

E. Bento ◽

J. Azevedo ◽

...

Keyword(s):

Psychological Distress ◽

Pregnant Women ◽

The Self ◽

Common Humanity ◽

Self Compassion ◽

Competing Interest ◽

The Impact ◽

Compassion Scale ◽

Insomnia Symptoms ◽

In Pregnancy

IntroductionMindfulness based programs during pregnancy (some including self-compassion components) increase self-compassion, mindfulness and maternal self-efficacy, and reduce anxiety, stress and psychological distress in pregnant women. According to our knowledge, there are no studies about the association between self-compassion and sleep outcomes in pregnancy.ObjectiveTo explore differences in self-compassion, between three sleep groups, in a sample of Portuguese pregnant women.MethodsFour hundred and nineteen pregnant women (mean age: 32.51 ± 4.759; weeks of gestation: 17.32 ± 4.803) completed the Self-Compassion Scale (SCS, Bento et al., 2015), presenting six dimensions (self-kindness, self-judgment, common humanity, isolation, mindfulness and over-identification) and the Insomnia Assessment Scale (Marques et al., 2015). Three sleep groups were formed: good sleepers (no insomnia symptoms; no associated daily impairment); insomnia symptoms groups (one/more insomnia symptoms; no associated daily impairment); insomniacs (one/more insomnia symptoms; daily associated impairment).ResultsThere were significant differences in the total SCS, self-judgment, isolation and over-identification scores, between sleep groups [respectively, F (2,396) = 7,926, P ≤ 0,001; F (2,409) = 19,155, P ≤ 0,001; F (2,410) = 13,016, P ≤ 0,001; F (2,412) = 11,258, P ≤ 0,001]. Self-judgement, isolation and over-identification scores of good sleepers and insomnia symptoms group were higher than of insomniacs. Total SCS score of good sleepers was higher than of insomniacs and the same score of symptoms of insomnia group was also higher than of insomniacs.ConclusionsResults seem to show the importance of developing self-compassion to improve sleep in pregnancy or reduce the impact of insomnia symptoms (common at pregnancy).Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Validation of the self-compassion scale in a community sample of Portuguese pregnant women

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.598 ◽

2016 ◽

Vol 33 (S1) ◽

pp. s238-s238 ◽

Cited By ~ 2

Author(s):

E. Bento ◽

S. Xavier ◽

J. Azevedo ◽

M. Marques ◽

V. Freitas ◽

...

Keyword(s):

Pregnant Women ◽

Factor Model ◽

Community Sample ◽

Perinatal Period ◽

The Self ◽

Common Humanity ◽

Internal Reliability ◽

Portuguese Version ◽

Self Compassion ◽

Compassion Scale

IntroductionIn recent years, researchers and clinicians have shown an increasing interest in self-compassion. Indeed, several studies have suggested that self-compassion is a positive factor for mental and physical health. The Self-Compassion Scale (SCS; Neff, 2003) has been widely used to assess six dimensions of self-compassion (self-kindness, self-judgment, common humanity, isolation, mindfulness and over-identification) among diverse populations. Recently, it has also been used in perinatal samples but its psychometric properties in pregnant women is still unexplored.ObjectiveThis study aims was to investigate the reliability and the validity of the SCS using Confirmatory Factor Analysis in a sample of Portuguese pregnant women.MethodsParticipants were 417 pregnant women with a mean age of 33 years old (SD = 4.74) in their second trimester of pregnancy (M = 17.26, SD = 4.78, weeks of gestation). Participants completed the Portuguese version of the SCS while waiting for the routine prenatal consultation in Maternity Hospital, Portugal.ResultsA was tested and results showed that the six-factor model had a good fit to the data (TLI = 0.93, CFI = 0.94, RMSEA = 0.06). The total SCS presented a good internal reliability (α = 0.91) and their subscales showed Cronbach's alphas ranging between adequate (α = 0.77) and good (α = 0.87).ConclusionsOverall, these findings suggest that the Portuguese version of the SCS is a valid and reliable measure to assess self-compassion among pregnant women. Thus, SCS could be useful in diverse settings in the perinatal period.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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