scholarly journals Effectiveness of a redesigned iron supplementation delivery system for pregnant women in Negros Occidental, Philippines

2009 ◽  
Vol 12 (7) ◽  
pp. 932-940 ◽  
Author(s):  
Maria Grace D Risonar ◽  
Pura Rayco-Solon ◽  
Lorena W Tengco ◽  
Jesus N Sarol ◽  
Lourdes S Paulino ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Delivery System ◽  
Health Workers ◽  
Control Area ◽  
Group Discussions ◽  
Experimental Area ◽  
Before And After ◽  
Health Related ◽  
Hb Concentration ◽  
Health Related Behaviour

AbstractObjectiveTo determine the effectiveness of a redesigned Fe supplementation delivery system (ISDS) in improving Hb concentrations and compliance among pregnant women.DesignA controlled before and after study design was used. Interviews and Hb measurements of randomly selected pregnant women in both treatment areas were conducted at baseline and after 6 months. The redesigned ISDS, reached by consensus based on the surveys and focus group discussions, involved the health workers in spot mapping and clustering; Fe tablets’ distribution, monitoring and promotion; and counselling of pregnant women.SettingNegros Occidental and Negros Oriental, Philippines.SubjectsIn total, 1180 pregnant women given Fe/folic acid tablets daily through the redesigned ISDS in the experimental areas and the existing ISDS in the control areas.ResultsThere were significantly more anaemic pregnant women in the experimental than in the control area at baseline (50·7 v. 37·3 %; P = 0·001). However, at endline, the anaemia prevalence rate in the experimental area was comparable to that of the control (35·6 v. 33·1 %; P = 0·530). Also, the mean Hb concentration increased significantly in the experimental area by 0·5 g/dl (P = 0·002). An increase in the actual number of prenatal visits/trimester in the experimental area was observed (from 0·99 to 1·66; P < 0·0001). Pregnant women in the experimental area were four times more likely to take Fe tablets (OR = 3·79; P < 0·001) and sixteen times more likely to being monitored for Fe intake (OR = 16·86; P < 0·001) compared to the control.ConclusionsThe redesigned ISDS was effective in improving the Hb concentration and health-related behaviour of pregnant women.

scholarly journals Analysis of the Impact of the Confinement Resulting from COVID-19 on the Lifestyle and Psychological Wellbeing of Spanish Pregnant Women: An Internet-Based Cross-Sectional Survey

2020 ◽  
Vol 17 (16) ◽  
pp. 5933 ◽  
Author(s):  
Gemma Biviá-Roig ◽  
Valentina Lucia La Rosa ◽  
María Gómez-Tébar ◽  
Lola Serrano-Raya ◽  
Juan José Amer-Cuenca ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pregnant Women ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Eating Pattern ◽  
Before And After ◽  
Related Quality ◽  
Health Related ◽  
The Impact

(1) Background: This study aimed to analyze the impact of the confinement due to the COVID-19 pandemics on the eating, exercise, and quality-of-life habits of pregnant women. (2) Methods: This was an internet-based cross-sectional survey which collected information about adherence to the Mediterranean diet, physical exercise, health-related quality of life (HRQoL), and perceived obstacles (in terms of exercise, preparation for delivery, and medical appointments) of pregnant women before and after the confinement. The survey was conducted in 18–31 May 2020. (3) Results: A total of 90 pregnant women participated in this study. There was a significant decrease in the levels of physical activity (p < 0.01) as well as in HRQoL (p < 0.005). The number of hours spent sitting increased by 50% (p < 0.001), 52.2% were unable to attend delivery preparation sessions because these had been cancelled. However, there were no significant differences in the eating pattern of these women (p = 0.672). Conclusions: These results suggest the need to implement specific online programs to promote exercise and reduce stress, thus improving the HRQoL in this population, should similar confinements need to occur again for any reason in the future.

scholarly journals Exploring Indonesian mothers' perspective on anemia during pregnancy: A qualitative approach

2020 ◽  
Author(s):  
Darmawati Darmawati ◽  
Tongku Nizwan Siregar ◽  
Hajjul Kamil ◽  
Teuku Tahlil
Keyword(s):  
Pregnant Women ◽  
Cultural Competency ◽  
Health Workers ◽  
Qualitative Approach ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Clinical Indicators ◽  
Beliefs And Values ◽  
Anemia During Pregnancy ◽  
Prevalence Of Anemia

Abstract Background: Anemia is a major problem experienced during pregnancy in Indonesia due to its effect on mothers and babies. Hence, various interventions have been implemented, but a significant reduction in the prevalence of anemia has not been attained. The present study, therefore, aims to investigate the perceptions of anemia among pregnant women in Aceh to design culturally relevant interventions.Methods: This qualitative study collected data from 24 pregnant women in Aceh Besar District, Indonesia, through focus group discussions (FGDs). Data were analyzed using the inductive content analysis (ICA) method.Results: Five themes emerged from the experiences of pregnant women with anemia: (1) anemia during pregnancy is perceived as a woman’s destiny, (2) there is a lack of knowledge related to clinical indicators of anemia, (3) there is a traditional taboo related to anemia, (4) the husband and family provide support related to preventing anemia, and (5) there is a need for cultural and religious-based health counseling.Conclusions: Interventions should be designed to provide health information on anemia in Aceh that considers the local knowledge, beliefs and values, combined with medical elements. This intervention will likely change the perceptions of pregnant women about anemia to ensure that they are able to better maintain their pregnancy. Furthermore, the implementation of programs to support pregnant women with anemia should ensure that health workers are adequately trained in cultural competency and are able to understand the needs of pregnant women.

Effectiveness of Oral Health Promotion by Community Health Workers in Reducing Periodontal Diseases among Pregnant Women

2020 ◽  
Author(s):  
Sania Sania
Keyword(s):  
Health Promotion ◽  
Health Status ◽  
Oral Health ◽  
Pregnant Women ◽  
Oral Hygiene ◽  
Health Workers ◽  
Periodontal Diseases ◽  
Oral Health Status ◽  
Oral Health Promotion ◽  
Health Related

Background: Poor periodontal conditions among pregnant women might be a risk factor for adverse pregnancy outcomes which include preeclampsia, preterm delivery, intrauterine growth restriction, and fetal demise (stillbirth). Aim: To assess the effectiveness of oral health promotion by community health workers in diminishing periodontal diseases among pregnant women in rural areas of Jammu District. Methodology: In this community-based cluster randomized controlled study, Jammu district was divided into 5 administrative provinces with a total of 16 PHCs. In our study baseline assessment of Oral Health-related Knowledge, Attitude and Practices, and Oral health status using Oral Hygiene Index was done among pregnant women. Trained ASHA workers served as a medium to impart oral health education to pregnant females on a regular basis. After 3 months of follow up in the 2nd trimester, again oral health-related knowledge, attitude and practices, and oral health status using Oral Hygiene Index were assessed and oral prophylaxis was done for all pregnant women. After 4-5 months birth outcomes were collected at PHC's. Results: The knowledge about oral health was poor in pregnant women, and it improved after providing health education in pregnant women. Scaling alone as an independent variable did not influence the reduction in the preterm birth week (p= 1.000) and birth weight (p=0.113) at 2ndtrimester of pregnancy. Conclusion: Sociocultural factors, illiteracy, misconception, and the extra burden of work on ASHA workers are the main reasons for the ineffective transfer of knowledge and very little change in oral health behavior in pregnant women.

scholarly journals Results of Pregnancy Control before and during the COVID-19 Pandemic: A Comparison of Two Cohorts

2021 ◽  
Vol 18 (15) ◽  
pp. 8182
Author(s):  
Javier Llorca ◽  
Carolina Lechosa-Muñiz ◽  
Pelayo Frank de Zulueta ◽  
Sonia López-Gómez ◽  
Victoria Orallo ◽  
...  
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
Medical Records ◽  
Preterm Births ◽  
Joint Analysis ◽  
Northern Spain ◽  
Socioeconomic Characteristics ◽  
Low Birth Weight Babies ◽  
Health Related ◽  
Health Related Behaviour

The COVID-19 pandemic placed pregnant women at high risk, but behavioural changes have also led to lower rates of preterm births in high-income countries. The main goal of this article is to study the ongoing impact of the COVID-19 pandemic on pregnancy control and outcomes; this is a joint analysis of two cohorts. The pre-pandemic cohort includes 969 pregnant women recruited in 2018. The pandemic cohort comprises 1168 pregnant women recruited in 2020. Information on demographic and socioeconomic characteristics, reproductive history, characteristics of the current pregnancy and its outcome were obtained from medical records. Birth by Caesarean section was more frequent in the pre-pandemic cohort (adjusted odds ratio (OR) = 0.71, 95% confidence interval (CI): 0.55–0.92). A birth weight lower than 2500 g and higher than 4000 g occurred more frequently in the pre-pandemic cohort (adjusted OR = 0.62, 95% CI: 0.41–0.93 for lower than 2500 g and adjusted OR = 0.30, 95% CI: 0.20–0.46 for higher than 4000 g). Exclusive breastfeeding upon hospital discharge was more frequent in the pandemic cohort than in the pre-pandemic cohort (60% vs. 54%, p = 0.005), with adjusted OR = 0.67, 95% CI: 0.52–0.86 for mixed breastfeeding and infant formula. In conclusion, we report reductions in Caesarean sections and reduced numbers of low birth weight babies during the pandemic in a hospital located in northern Spain. Further analysis will clarify if these reductions are related to changes in health-related behaviour or healthcare operation.

scholarly journals Utilization of iron folic acid tablets among pregnant women in rural Punjab: an interventional study

2020 ◽  
Vol 7 (4) ◽  
pp. 1307
Author(s):  
Geetika Singh ◽  
Mohan Lal ◽  
Saurav Singh
Keyword(s):  
Folic Acid ◽  
Health Education ◽  
Pregnant Women ◽  
Health Workers ◽  
Economic Status ◽  
Public Health Problem ◽  
Before And After ◽  
The Government ◽  
Iron Folic Acid ◽  
Prevalence Of Anemia

Background: Anemia in pregnancy remains a public health problem and is an important indirect cause of maternal mortality accounting for 20% of total maternal deaths in India. However, it is largely preventable and easily treatable. Since, decades, the Government of India has recommended iron folic acid (IFA) supplementation as prophylaxis but adherence to IFA tablets is invariably poor. Health education of antenatal women can be an effective tool for improvement in IFA consumption and compliance. Thus, this study was conducted to assess the problem of anemia and its epidemiological determinants among pregnant women in rural field practice area of Punjab as well as to evaluate the compliance and utilization of IFA tablets before and after the health education intervention.Methods: Author filled in the predesigned and pretested proforma and imparted health education to all the pregnant women who were then followed. Hb was estimated on two different occasions, before and after the intervention.Results: After intervention, 82.88% of pregnant women took IFA tablets out of which 42.31% consumed more than 90 tablets. Factors like education, socio-economic status, type of family and gravidity were found to be significantly associated with anemia. Although the overall prevalence of anemia reduced slightly from 96.4% to 92.67% after intervention, the mean Hb levels got decreased.Conclusions: Despite interventions, the desired outcomes were not obtained. Constant motivation of antenatal women by health workers and IEC activities in the community are thus recommended to improve the IFA compliance rates and combat anemia.

scholarly journals PENGARUH KONSUMSI TABLET KALSIUM TERHADAP PERUBAHAN TEKANAN DARAH PADA IBU HAMIL RESIKO TINGGI HIPERTENSI DALAM KEHAMILAN DI WILAYAH KERJA PUSKESMAS PAYALOMBANG TEBING TINGGI

2020 ◽  
Vol 3 (1) ◽  
pp. 82-88
Author(s):  
Damayanti . ◽  
Fitriani . ◽  
Dwi Handayani ◽  
Diah Evawanna Anuhgera ◽  
Novita Br Ginting Munthe
Keyword(s):  
Blood Pressure ◽  
Pregnant Women ◽  
Health Workers ◽  
Pressure Gauge ◽  
Free Calcium ◽  
Before And After ◽  
History Of ◽  
The Difference ◽  
Twin Pregnancies ◽  
Special Health

Calcium is an important supplement that is useful to supply calcium needs of pregnant women. Calcium is given by midwife special health workers to all pregnant women to support the health of mothers and babies. This free calcium tablet is often forgotten and avoided by health workers whether or not consumed properly by pregnant women. This study aims to see if the influence of calcium tablets on the decrease in blood pressure of pregnant women who have one of the criteria of high risk of hypertension, including primigravida, obesity, pregnancy history with hypertension or family with a history of hypertension, extreme age of pregnant women and twin pregnancies. Research place in Payalombang Public Health Center in Payalombang Subdistrict, Tebing Tinggi City with quasy experiment method and prospective cohort. The study subjects consisted of 19 mothers who were given calcium with help and 20 pregnant women who were not given calcium, according to the inclusion and exclusion criteria. Data characteristics used using a questionnaire. To assess the outcome using an observation sheet and a calibrated blood pressure gauge) get it twice before and after the intervention. Data analysis using, Paired T Test, Independent T-Mann-Whitney U Test. The results of the study address, a sample study of changes in systole (p = 0.032) and diastole (p = 0.015) significant (p> 0.05) value even though it means the difference between before and the difference rates. Conclusion : Calcium tablets have a significant effect on hypertension of pregnant women

scholarly journals An illustrated booklet for reinforcing community health worker knowledge of tuberculosis and facilitating patient counselling

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Ida L.A. Okeyo ◽  
Ros Dowse
Keyword(s):  
Community Health ◽  
Health Workers ◽  
Eastern Cape ◽  
Group Discussions ◽  
Patient Counselling ◽  
Health Care Clinics ◽  
Before And After ◽  
Personal Use ◽  
User Friendly ◽  
The Impact

Background: Community health workers (CHWs) have facilitated the move to decentralise tuberculosis (TB) management, but lack access to information appropriate both for personal use and in patient interaction and education.Aim: To explore the impact of a pictorial-based TB booklet on reinforcing CHW knowledge and facilitating patient counselling.Setting: This study was conducted in local primary health care clinics and the Hospice in Grahamstown, Eastern Cape Province in South Africa.Methods: Quantitative and qualitative methods were used. A simple, 17-page, A5 booklet containing pictograms and simple text was designed in collaboration with CHWs who advised on preferred content. Its influence on knowledge was assessed in 31 CHWs using a 17-item questionnaire in a before-and-after study. The experiences of CHWs using the booklet were qualitatively explored using focus group discussions (FGD) and semi-structured interviews.Results: Overall knowledge increased significantly from 70.6% to 85.3% (p < 0.001) with 8 of 17 questions significantly better answered at follow-up. These addressed meaning of side effects and side effect advice for patients, cause and prevention of TB, action if a dose is forgotten, timing of dose in relation to food intake and the possibility that not all patients are cured.Community health workers reported using the booklet during patient interactions, commenting that it enhanced their confidence in their own TB-related knowledge, improved recall of information and reduced uncertainty. They appreciated the simplicity of the text and its userfriendliness because of the inclusion of pictograms. The booklet was perceived to be valuable as a tool for both patient education as well as improved communication with patients.Conclusion: A simple, user-friendly TB booklet containing pictograms improved CHWknowledge and acted as a valuable tool in patient communication and education.

scholarly journals Analysis of non-respondent pregnant women who were registered in the Japan Environment and Children’s Study: a longitudinal cohort study

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e025562
Author(s):  
Mika Kigawa ◽  
Akiko Tsuchida ◽  
Kayoko Miura ◽  
Mika Ito ◽  
Tomomi Tanaka ◽  
...  
Keyword(s):  
Cohort Study ◽  
Pregnant Women ◽  
Medical History ◽  
Multivariate Logistic Regression Analysis ◽  
Longitudinal Cohort Study ◽  
Secondary Outcome ◽  
Effective Sample Size ◽  
Longitudinal Cohort ◽  
Health Related ◽  
Health Related Behaviour

ObjectivesNon-response to questionnaires in a longitudinal study reduces the effective sample size and introduces bias. We identified the characteristics of non-respondent pregnant women, and compared them with respondents in the Japan Environment and Children’s Study (JECS) during the gestational period.DesignThis was a questionnaire-based, longitudinal cohort study.SettingQuestionnaires were provided by research coordinators to mothers at prenatal examinations (at obstetrics clinics) or by mail. Mothers were measured twice: during the first trimester and during the second/third trimester.ParticipantsData were collected from the 10 129 participating mothers of the 10 288 children surveyed in the 2011 baseline JECS. We excluded responses from mothers who had a miscarriage or stillbirth; therefore, we analysed data from 9649 participants.Primary and secondary outcome measuresData concerning demographics, medical history, health characteristics, health-related behaviour and environmental exposure were collected via self-administered questionnaires. The response status of participants’ partners and contact with their obstetrician were also examined. Multivariate logistic regression analysis was used to examine factors related to non-response.ResultsResponse was associated with living with one’s mother-in-law (ORs: 0.47, 95% CIs: 0.24 to 0.85), positive participation of participants’ partner (OR: 0.25, 95% CI: 0.17 to 0.35) and multiple visits to the obstetrician (OR: 0.02, 95% CI: 0.02 to 0.03). Participants who had a medical history of allergic rhinitis, had body pain or drank alcohol had higher odds of responding (ORs: 0.68, 0.96 and 0.36, 95% CIs: 0.48 to 0.95 and 0.95 to 0.98 and 0.16 to 0.72, respectively); those exposed to secondary smoke had lower odds of responding (OR: 1.59, 95% CI: 1.12 to 2.23).ConclusionsThe non-response rate decreased when participants reported health-related behaviour or characteristics. Obtaining the understanding of people around each participant might help increase response rates.

scholarly journals Anaemia in pregnant women before and after the mandatory fortification of wheat and corn flours with iron

2012 ◽  
Vol 15 (10) ◽  
pp. 1802-1809 ◽  
Author(s):  
Cristina Lúcia da Silva ◽  
Cláudia Saunders ◽  
Sophia Cornbluth Szarfarc ◽  
Elizabeth Fujimori ◽  
Glória Valéria da Veiga
Keyword(s):  
Pregnant Women ◽  
Regression Models ◽  
Protective Factor ◽  
Secondary Data ◽  
Study Groups ◽  
Linear Regression Models ◽  
Nutritional Disorder ◽  
Concentration Data ◽  
Before And After ◽  
Hb Concentration

AbstractObjectiveTo estimate the frequency of anaemia in pregnant women before and after the fortification of flours with Fe.DesignRetrospective study developed from secondary data obtained from medical records.SettingTwo health units in Rio de Janeiro, Brazil.SubjectsSocio-economic, demographic, obstetric and Hb concentration data were collected of 778 pregnant women attending prenatal care. Two study groups were created: the first referred to the period before fortification (G1, n 391), including women whose parturition happened before June 2004; and the second referred to the period after fortification (G2, n 387), including women whose last menstrual cycle happened after June 2005. The Hb cut-off point adopted for anaemia diagnosis was <11·0 g/dl.ResultsIn linear regression models, when Hb concentration was expressed as a dependent variable, women in G2 presented Hb concentration 0·26 g/dl and 0·36 g/dl higher during the second and third trimesters of pregnancy, respectively, compared with G1. In logistic regression models where the dependent variable was anaemia during the second and third trimesters, it was verified that being a member of G2 was a protective factor against anaemia in the third trimester. Regarding the presence of anaemia at any gestational moment, it was verified that being a member of G2 represented a protective factor against anaemia during pregnancy.ConclusionsResults indicate the protective effect of the fortification of flours with Fe in the fight against gestational anaemia, contributing to prevention and control of this nutritional disorder among pregnant women.

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