scholarly journals R u a smkn m0m?: Aspects of a Text Messaging Smoking Cessation/Reduction Intervention for Younger Mothers

2013 ◽  
Vol 10 (1) ◽  
pp. 35-43 ◽  
Author(s):  
Sophie Soklaridis ◽  
Jenna López ◽  
Karina Czyzewski ◽  
Rosa Dragonetti ◽  
Peter Selby
Keyword(s):  
Smoking Cessation ◽  
Focus Groups ◽  
Young Women ◽  
Postpartum Period ◽  
Text Messaging ◽  
Unmet Need ◽  
Postpartum Women ◽  
Telephone Interviews ◽  
Pregnancy And Postpartum

Introduction: Women who are younger in age are more likely to smoke during pregnancy and postpartum and tend to have less success with cessation/reduction. There is an unmet need for interventions targeted to pregnant and postpartum young women that provide them with support to quit/reduce long-term into the postpartum period and beyond.Aims: Our study aimed to gain an in-depth understanding of the perspectives of young pregnant and postpartum women of text messaging (TM) as a conduit for smoking cessation/reduction, and to determine the appropriate content, frequency, duration and unique features needed for an effective cessation/reduction TM programme.Methods: Six focus groups and six telephone interviews were convened with 36 pregnant and postpartum women 16–30 years of age.Results: Three main themes were identified: 1) topic areas that women would like TM to focus on; 2) the need for messages to be tailored; and 3) the importance for the programme to take a woman-centered approach.Conclusions: Respondents supported the idea of a TM cessation/reduction intervention and had clear programme recommendations. A personalised, woman-centered TM programme that meets a young woman's unique needs and addresses her concerns through her participation and direction is likely to empower and support her to quit/reduce.

Diastasis Recti Abdominis in Pregnancy and Postpartum Period. Risk Factors, Functional Implications and Resolution

2015 ◽  
Vol 11 (1) ◽  
pp. 59-67 ◽  
Author(s):  
Patricia Mota ◽  
Augusto Gil Pascoal ◽  
Kari Bo
Keyword(s):  
Risk Factors ◽  
Postpartum Period ◽  
Postpartum Women ◽  
Diastasis Recti ◽  
Abnormal Posture ◽  
Pregnancy And Postpartum ◽  
Functional Implications ◽  
Postnatal Women ◽  
Diastasis Recti Abdominis

Diastasis recti abdominis (DRA) or the increased inter rectus distance (IRD) is described as the separation of the rectus abdominis muscles. It can occur during pregnancy and after childbirth. Mota et al. (2015) found DRA may affect up 100% of pregnant women [1], and it may persist separated in the immediate postpartum period in 35% to 60% of women [2]. Reported prevalence of DRA or increased IRD varies and may be inaccurate due to different cut off points for the diagnosis [1-7] and use of different measurement methods. To date limited studies about the normal width of the IRD in postpartum women are available [8, 9], and there is scarce information about risk factors for DRA. There are some theories stating that failure to treat DRA effectively can lead to long term sequelae [10], including abnormal posture [1], lumbo-pelvic pain and cosmetic imperfections [10]. Postnatal women are stimulated to resume abdominal exercises shortly after delivery [3] to improve trunk function and restore abdominal figure and fitness [8]. To date there is scant knowledge on the most effective abdominal exercises both during pregnancy and after childbirth. In particular there is little evidence on which exercises are most efficient in the narrowing of the recti diastasis. The aim of this article is to critically review the literature on the risk factors, functional implications and the effect of exercise on DRA. This information is expected to be relevant for physiotherapists and exercise professionals.

Overcoming Barriers to Physical Activity During Pregnancy and the Postpartum Period: The Potential Impact of Social Support

2014 ◽  
Vol 3 (2) ◽  
pp. 135-148 ◽  
Author(s):  
Christopher P. Connolly ◽  
Deborah L. Feltz ◽  
James M. Pivarnik
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
Postpartum Period ◽  
Future Research ◽  
Postpartum Women ◽  
Physically Active ◽  
Pregnancy And Postpartum ◽  
Potential Impact ◽  
Primary Focus ◽  
Barriers To Physical Activity

Pregnant and postpartum women have reported a number of barriers that prevent them from being sufficiently physically active. Overcoming these barriers is critical to ensure the health benefits of physical activity to both mother and fetus. The primary focus of this review centers on the potential impact social support may have in overcoming each of the primary barriers to physical activity experienced during pregnancy and the postpartum period. A reasonable body of research exists regarding the relationships between social support and these barriers; however, few investigations have specifically attempted to mitigate the effects of these barriers via social support interventions. Within this review, the enabling influence of social support as it pertains to pregnant and postpartum women's physical activity is discussed. Recommendations are suggested for the application of social support in future research investigations involving physical activity during pregnancy and postpartum.

Concealed pregnancies and protected postpartum periods

2020 ◽  
pp. 472-492
Author(s):  
Jan Brunson
Keyword(s):  
Maternal Health ◽  
Sexual Activity ◽  
Postpartum Period ◽  
Urban Community ◽  
Demographic And Health Survey ◽  
Ethnographic Interviews ◽  
Critical Junctures ◽  
Pregnancy And Postpartum ◽  
Nutritional Needs

This chapter analyses the delineation of what counts as a critical period for action and intervention in improving maternal health. Using ethnographic interviews alongside descriptive data from the Nepal Demographic and Health Survey, it analyses two critical junctures for maternal health, the antepartum and postpartum periods, in the context of a particular peri-urban community of Nepal. The postpartum period is socially recognized as sutkeri for Hindu Nepalis, a forty-day period in which a woman who gave birth is considered ritually polluted, but also particularly susceptible to long-term health problems if proper care is not taken for her body in its vulnerable state. This perception of bodily vulnerability and mandated care while sutkeri exists in stark contrast to the absence of such notions and protective practices for the period of pregnancy. Pregnancy, an outwardly visible sign of sexual activity, is a state that one should hide or minimize in order to maintain one’s reputation and honour as a woman. Women worked to conceal their pregnancies, and typically no or little extra care was provided to women to meet their nutritional needs or to enable them to avoid hard physical labour. However, intersecting statuses, such as caste and class, and contexts, such as agricultural households and multi-generational households, crosscut any simple characterizations of the pregnancy and postpartum periods—even within the confines of a subgroup of the Nepali population (Parbatiya) in a single community and place.

scholarly journals Hypertensive Complications of Pregnancy and Risk of Venous Thromboembolism

Hypertension ◽  
2020 ◽  
Vol 75 (3) ◽  
pp. 781-787
Author(s):  
Luuk J.J. Scheres ◽  
Willem M. Lijfering ◽  
Norbert F.M. Groenewegen ◽  
Sanne Koole ◽  
Christianne J.M. de Groot ◽  
...  
Keyword(s):  
Venous Thromboembolism ◽  
Postpartum Period ◽  
Reference Group ◽  
Later Life ◽  
Thrombotic Risk ◽  
Hazard Ratios ◽  
Anticoagulation Clinics ◽  
Pregnancy And Postpartum ◽  
Cox Proportional Hazard Models

Hypertension during pregnancy and preeclampsia are associated with increased arterial thrombotic risk in later life. Whether these complications are associated with risk of venous thromboembolism (VTE) on the short term after pregnancy and on the long term, that is, outside pregnancy, is largely unknown. We conducted a nationwide cohort study in women with at least 1 pregnancy and their first VTE risk by linking the Dutch perinatal registry (Perined) to anticoagulation clinics. We used Cox proportional hazard models to estimate hazard ratios (HRs) and corresponding 95% CI for VTE risk in women with hypertension during pregnancy, women with preeclampsia, compared with women with uncomplicated pregnancies (reference). A total of 1 919 918 women were followed for a median of 13.7 (interquartile range, 7.6–19.2) years for a total of 24 531 118 person-years in which 5759 first VTEs occurred; incidence rate: 2.3 (95% CI, 2.3–2.4) per 10 000 person-years. In the first pregnancy and 3-month postpartum period, VTE risk was higher in women with hypertension, HR, 2.0 (95% CI, 1.7–2.4), and highest among women with preeclampsia, HR, 7.8 (95% CI, 5.4–11.3), versus the reference group. On the long term, women with hypertension during pregnancy and preeclampsia had a higher VTE risk: HR, 1.5 (95% CI, 1.4–1.6) and HR, 2.1 (95% CI, 1.8–2.4), respectively, versus the reference group. When excluding events during pregnancy and postpartum, these HRs were 1.4 (95% CI, 1.3–1.5) and 1.6 (95% CI, 1.4–2.0), respectively. In conclusion, hypertension during pregnancy and preeclampsia are associated with an increased VTE risk during pregnancy and postpartum period and in the 13 years after.

scholarly journals A Case Report : Pregnancy with Multiple Sclerosis

2020 ◽  
Vol 9 (1-2) ◽  
pp. 93-95
Author(s):  
Shiuly Chowdhury ◽  
Nilufar Islam ◽  
Khadiza Nurun Nahar ◽  
Kaniz Fatema ◽  
Salma Akter Munmun ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Young Adults ◽  
Case Report ◽  
Pregnant Woman ◽  
Postpartum Period ◽  
Clinical Course ◽  
Child Bearing ◽  
Pregnancy And Postpartum ◽  
Do So

Multiple sclerosis causes disability in young adults and like most autoimmune diseases, affects women more commonly in their child-bearing years. In general, pregnancy does not appear to affect the long-term clinical course of multiple sclerosis and the disease does not affect the course or outcome of pregnancy. In this reportedcase, a pregnant woman with multiple sclerosis showed relapse of the disease in first half of her pregnancy and disease was well controlled in the second half of her pregnancy and postpartum period after taking appropriate measure. Women who have multiple sclerosis and wish to have a family can usually do so successfully with the assistance of their neurologist and obstetrician. Ibrahim Card Med J 2019; 9 (1&2): 93-95

scholarly journals Study of choices of contraception in postpartum women in a tertiary care institute in Mumbai, Maharashtra, India

2019 ◽  
Vol 9 (1) ◽  
pp. 348
Author(s):  
Aliya Farogh ◽  
Tushar Palve
Keyword(s):  
Postpartum Period ◽  
Economic Status ◽  
Tertiary Care ◽  
Unmet Need ◽  
Cross Sectional Study ◽  
First Year ◽  
Postpartum Women ◽  
Postpartum Contraception ◽  
Cross Sectional ◽  
Contraception Use

Background: This modern era talks about women strength and empowerment where they are working either equally or one step ahead of men. However, a fall back in making decisions for contraception use and family planning can still be observed. It is most frequently seen among women belonging to some village as they are exposed to a minimal health care. Keeping this in mind, this crucial period was considered as opportunity to test the issue regarding the various choices of contraception available. Objective of this study was to find out the criteria and methods of contraception selected by women in the postpartum period.Methods: A cross-sectional study in the department of obstetrics and gynaecology was conducted over a period of 11/2 years in which a total of 150 postpartum women were interrogated and counselled regarding various methods of contraception.Results: The contraceptive methods most commonly selected in postpartum period are PPIUCD, Barrier, tubal ligation and injectable contraception of which condom is the most common method adopted. The important factors responsible for the choice of contraception include parity, breast- feeding, education and socio-economic status of the women.Conclusions: Postpartum period is particularly important for initiating contraception as the largest proportion with unmet need of contraception is found among those in their first year after child birth. In order to space birth in a healthy manner postpartum contraception should be emphasized upon.

scholarly journals Perceptions About Mindfulness and Text Messaging for Smoking Cessation in Vietnam: Results From a Qualitative Study

10.2196/17337 ◽  
2020 ◽  
Vol 8 (6) ◽  
pp. e17337
Author(s):  
Vuong Van Do ◽  
Claire Adams Spears ◽  
Hoang Van Minh ◽  
Jidong Huang ◽  
Pamela Buffington Redmon ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Focus Groups ◽  
Transtheoretical Model ◽  
Text Messaging ◽  
Developed Countries ◽  
Text Messages ◽  
Smoking Cessation Program ◽  
Intention To Quit ◽  
Message Content ◽  
Middle Income

Background With 15.6 million smokers, Vietnam is one of the top 10 largest cigarette-consuming countries in the world. Unfortunately, smoking cessation programs are still scarce in Vietnam. Mindfulness-based and text messaging–based interventions have been increasingly used in smoking cessation studies in developed countries, with promising results. Given the exponential growth of mobile phone usage in Vietnam in recent years, mobile health interventions could be a potential strategy to increase smoking cessation in Vietnam. However, substantial cultural adaptations are needed to optimize the effectiveness of these interventions among Vietnamese smokers. Objective This study aims to involve qualitative research to inform the development of a mindfulness-based text messaging smoking cessation intervention for Vietnamese smokers. Methods A total of 10 focus groups were conducted with 71 Vietnamese male smokers aged between 18 and 65 years (5-9 participants per focus group). Overall, 5 focus groups were conducted with smokers who had the intention to quit (ie, preparation stage of change in the transtheoretical model), and 5 focus groups were conducted with smokers who did not have the intention to quit (contemplation or precontemplation stage). The focus groups were audio recorded, transcribed verbatim, and analyzed using NVivo 12 software (QSR International). Results The major themes included smoking triggers, barriers and facilitators for quitting, the perceptions of text messaging and mindfulness approaches for smoking cessation, and suggestions for the development of a text messaging–based smoking cessation program. Common smoking triggers included stress, difficulties concentrating, and fatigue. Frequently encountering other people who were smoking was a common barrier to quitting. However, participants indicated that concerns about the harmful effects of smoking on themselves and their wives and children, and encouragement from family members could motivate them to quit. The participants preferred diverse message content, including information about the consequences of smoking, encouragement to quit, and tips to cope with cravings. They suggested that text messages be clear and concise and use familiar language. Most smokers perceived that mindfulness training could be useful for smoking cessation. However, some suggested that videos or in-person training may also be needed to supplement teaching mindfulness through text messages. Conclusions This study provides important insights to inform the development of a text messaging–based smoking cessation program that incorporates mindfulness for Vietnamese male smokers. The results could also be useful for informing similar programs in other low- and middle-income countries.

scholarly journals Predictors of Retention in an Adult Text Messaging Smoking Cessation Intervention Program: Cohort Study

10.2196/13712 ◽  
2019 ◽  
Vol 7 (8) ◽  
pp. e13712 ◽  
Author(s):  
Kara P Wiseman ◽  
Kisha I Coa ◽  
Yvonne M Prutzman
Keyword(s):  
Smoking Cessation ◽  
Logistic Regression ◽  
Text Messaging ◽  
User Characteristics ◽  
Opting Out ◽  
Quit Attempt ◽  
Cessation Intervention ◽  
Opt Out ◽  
Waking Up

Background Mobile health tools such as text messaging programs can support smoking cessation. However, high rates of disengagement from these tools decrease their effectiveness. Objective The purpose of this study was to identify user characteristics associated with retention in an adult text messaging smoking cessation intervention. Methods Adults initiating a quit attempt using the publicly available program SmokefreeTXT between March 6 and June 21, 2016 (n=6215), were included. Data were collected to assess nicotine dependence, frequency of being around other smokers, time of the day for cigarette cravings, extrinsic and intrinsic motivation to quit smoking, confidence in quitting, and long-term intention to be smoke free. Multivariable survival analysis modeling for time to opt out was conducted to identify characteristics associated with opting out over the course of the intervention, adjusting for age, sex, and smoking frequency, reset of the quit date by the user, and the number of days enrolled before initiating the quit attempt. Among those who opted out, multivariable multinomial logistic regression analysis was used to identify predictors of opting out early (within 3 days and between 4 and 7 days into the quit attempt) compared to opting out late (more than 7 days into the quit attempt), adjusting for the same confounders. Results Survival analyses indicated that younger age, female sex, higher levels of nicotine dependence, lower intention to be smoke free, and enrolling in SmokefreeTXT ≤1 week before initiating the quit attempt were associated with an increased risk of opting out. For example, users who smoked within 5 minutes of waking up were 1.17 times more likely to opt out than those who smoked more than 5 minutes after waking up (95% CI 1.01-1.35). Among users who opted out from SmokefreeTXT, logistic regression modeling indicated that compared to users who were never or rarely around other smokers, those who were sometimes around other smokers had 1.96 times more likely to opt out within the first 3 days of the quit attempt (95% CI 1.18-3.25). In addition, compared to users with high levels of long-term quit intention, users with lower levels of intention had 1.80 times the odds of opting out between 4 and 7 days into the quit attempt (95% CI 1.02-3.18). Users who reset their quit date after initiating a quit attempt were less likely to opt out at either time point compared with those who did not reset their quit date. Conclusions Several user characteristics are associated with retention in an adult text messaging smoking cessation program. These results provide guidance on potential characteristics that should be addressed in future text messaging smoking cessation programs. Providing additional support to users with these characteristics may increase retention in text messaging programs and ultimately lead to smoking cessation.

scholarly journals Exploring The Use of Health and Wellbeing Measures During Pregnancy and The First Year Following Birth in Women Living With Pre-Existing Long-Term Conditions: Qualitative Interviews With Women and Healthcare Professionals

2021 ◽  
Author(s):  
Laura Kelly ◽  
Jennifer J Kurinczuk ◽  
Oliver Rivero-Arias ◽  
Ray Fitzpatrick ◽  
Elizabeth Gibbons ◽  
...  
Keyword(s):  
Healthcare Professionals ◽  
Qualitative Interviews ◽  
Well Being ◽  
Postpartum Women ◽  
Structured Interviews ◽  
Long Term Conditions ◽  
Maternity Services ◽  
Telephone Interviews ◽  
Health And Wellbeing

Abstract BackgroundOne way in which care for pregnant and postpartum women living with long-term health conditions (LTCs) may be improved is through the adoption of standardised measures to provide evidence of health outcomes and wellbeing from the woman’s perspective. AimWe aimed to explore the views of pregnant and postpartum women living with LTCs, and healthcare professionals to better understand the potential value of using standardised health and wellbeing measures within this patient population.MethodsQualitative semi-structured telephone interviews were conducted to explore the perceived value of using measures with pregnant and postpartum women living with LTCs within maternity services. Participants were asked to provide feedback on three exemplar measures: the Long Term Conditions Questionnaire, the Well-being in Pregnancy Questionnaire and the EuroQol EQ-5D-5L instrument. Thematic analysis was used in the analysis of the transcripts. ResultsEleven women and 11 healthcare professionals took part in semi-structured interviews. Analysis identified five themes as relevant to the use of measures within maternity services: 1) Improving care, 2) Assessing outcomes, 3) Interpretation and application of data, 4) Engagement challenges and implementation and, 5) Women and healthcare professionals alignment.ConclusionsDespite varying prior experience and expressing some questions about implementation, respondents were cautiously positive about the use of standardised health and well-being measures. Their use offers the opportunity for both affected women and healthcare professionals caring for them to collectively identify and assess important areas of unmet needs and improve outcomes. Incorporating the perspectives of women with LTC’s will help to bring awareness to elements of women centred care which health services may seek to address.

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