A self-help programme for smoking cessation in pregnant women was not effective within routine antenatal care

2003 ◽  
Vol 5 (3) ◽  
pp. 107-108
2020 ◽  
Vol 9 (1) ◽  
pp. 15
Author(s):  
Enas Sabry Fathy Elbeltagy ◽  
Nahed Fikry Hassan Khedr ◽  
Nadia Youssef Ahmed Abd-Ella

Background: Gestational Diabetes Mellitus (GDM) is one of the most common medical health problems that may happen during pregnancy and may lead to a range of short and long-term maternal, fetal as well as neonatal complications. However, effective management and education on GDM self-care measures improve pregnancy outcomes for both women and their neonates.Aim: The study was carried out to evaluate the effect of utilizing developed gestational diabetes mellitus guideline on pregnancy and childbirth outcomes.Methods: A quasi-experimental research design was used at Antenatal Clinic of Obstetric and Gynecological Specialty Center at Mansoura University Hospitals, Mansoura city. A purposive sample of 126 pregnant women diagnosed with GDM, assigned to the intervention group (n = 63) who utilized the Gestational Diabetes Mellitus Guideline (GDMG) of care in addition to routine antenatal care and control group (n = 63) who followed routine antenatal care only. Tools: Three tools were used to collect data from participants as A structured interview schedule, maternal assessment record and fetal & neonatal assessment record.Results: The current study findings indicated that, there was a highly statistical significant reduction of body mass index and the mean random blood glucose levels at 34 & 37 weeks’ of pregnancy after intervention in the GDMG group than control groups (p < .001). Also, there was a statistical significant reduction in the occurrence of maternal complications as gestational hypertension, preeclampsia, preterm labor and polyhydramnios in the GDMG group .Similarly, the neonates of the GDMG group had better Apgar scores after birth & lower incidence for developing neonatal complications as prematurity, respiratory distress syndrome and NICU admission.Conclusions and Recommendations: This study showed that, pregnant women with GDM who utilized the GDMG had better maternal & neonatal outcomes than those who did not utilize it. It is recommended to provide a manual GDMG to all pregnant women with GDM for better lifestyle changes & maintaining self-management regimen as well as better pregnancy outcomes.


2020 ◽  
Vol 70 (692) ◽  
pp. e179-e185
Author(s):  
Christopher R Wilcox ◽  
Paul Little ◽  
Christine E Jones

BackgroundAntenatal vaccines are commonly delivered in primary care, yet the views of GPs regarding these programmes have been neglected in research to date.AimTo establish the attitudes and current practice of GPs towards antenatal vaccination and their views on the optimal location for delivery of this service.Design and settingA multicentre online survey questionnaire.MethodA questionnaire was sent to GPs across England between December 2018 and January 2019.ResultsThe majority of 1586 responders considered antenatal vaccination safe (96% for influenza, 89% pertussis). GPs were significantly less confident in their knowledge of pertussis compared with influenza vaccination (64% versus 80% were confident, P<0.001), and many desired further education (59% versus 48%, P<0.001). Few (37%) discussed vaccination with pregnant women regularly, but most (80%) felt their recommendation would influence decision making. Those with greater confidence in their knowledge of pertussis and influenza vaccination, and who were >2 years since qualifying, discussed vaccination significantly more often (odds ratio [OR] 3.52, P<0.001; OR 2.34, P = 0.001; OR 1.76, P = 0.003, respectively), regardless of whether they routinely saw pregnant women. Most (83%) reported that antenatal vaccination was GP led in their region, yet only 26% thought it should be primarily GP based. GPs expressed disconnect from antenatal care, and many suggested that midwives and/or secondary care should take greater responsibility for the delivery of antenatal vaccination.ConclusionThere is support among GPs to embed vaccination programmes within routine antenatal care. Further educational resources, specifically designed for the needs of GPs, are needed to facilitate opportunistic discussion with pregnant women about vaccination.


2019 ◽  
Vol 14 (2) ◽  
pp. 163
Author(s):  
Alfi Syahar Yakub ◽  
Iwan Sain ◽  
Sukma Saeni

Preeclampsia is the onset of hypertension with proteinuria due to pregnancy, after 20 weeks' gestation or immediately after delivery. These symptoms can occur before 20 weeks if trophoblastic disease occurs. This study aims to determine the relationship between age and maternal parity with the incidence of pre-eclampsia in pregnant women in the work area of the Puskesmas Mangasa, Makassar City. The research design used in this study was descriptive analytic research with a cross sectional study design. Conducted from July to October 2018, with a sample of 70 respondents. In this study showed that there was no relationship between the age of pregnant women and the incidence of preeclampsia with a value of p (1.00)> 0.05 and there was no relationship between parity and the incidence of preeclampsia with a value of p (1.00)> 0.05. It is recommended for health workers to be intensive in detecting the presence of preeclampsia in pregnant women and counseling about the importance of routine antenatal care to as early as possible be aware of the risk of the occurrence of preeclampsia-eclampsia in pregnancy and for further researchers, further research is needed to find factors related to the incidence of preeclampsia so that the results are in accordance with the theory, such as parity, hypertension history and Antenatal Care examination.


2020 ◽  
Vol 4 (1) ◽  
pp. 86-91
Author(s):  
Etti Suryani ◽  
Yuly Peristiowati ◽  
Yenny Puspitasari

Background : Low birth weight, commonly called LBW, is a major cause of infant mortality in Indonesia whereas its prevalence tends to increase from year to year. Purpose: This study aimed to analyze the determinants of gravida status, routine antenatal care, and comorbidities in LBW among young pregnant women in Blitar. Method : The research design was case-control using proportional cluster random sampling with a sample of 223 respondents. The data were analyzed with the binary logistic regression. Results : The results showed 214 respondents (96%) were primigravida, 23 respondents (10.3%) were not attended antenatal care routinely, 66 respondents (30%) had comorbidity, and 20 respondents (9%) delivered LBW baby. The statistical analysis of logistic regression showed there was no influence from gravida status and comorbidities, and routine antenatal care indicateda p-value of 0.000 which meant it was determined LBW among <20 years old pregnant women in Blitar. The interpretation of odd value was the group of < 20 years old pregnant women who were not attended routine ANC had a risk of 10 times to deliver LBW baby compared to the group of < 20 years old pregnant women who attended routine ANC. Conclusion : This study concluded that routine antennal care might prevent LBW for young pregnant women


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