scholarly journals Obesity and Pregnancy. Guideline of the German Society of Gynecology and Obstetrics (S3-Level, AWMF Registry No. 015-081, June 2019)

2021 ◽  
Vol 81 (03) ◽  
pp. 279-303
Author(s):  
Ute Schaefer-Graf ◽  
Regina Ensenauer ◽  
Ulrich Gembruch ◽  
Tanja Groten ◽  
Maria Flothkötter ◽  
...  
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Negative Impact ◽  
Diagnostic Procedures ◽  
German Society ◽  
Reproductive Age ◽  
Long Term Effects ◽  
Gynecology And Obstetrics ◽  
Prenatal Diagnostic ◽  
Mother And Child

Abstract Aims Obesity is an increasing problem, even in young women of reproductive age. Obesity has a negative impact on conception, the course of pregnancy, and neonatal outcomes. Caring for obese pregnant women is becoming an increasingly important aspect of standard prenatal care. This guideline aims to improve the care offered to obese pregnant women. Methods This S3-guideline was compiled following a systemic search for evidence and a structured process to achieve consensus. Recommendations Evidence-based recommendations for the care of obese pregnant women were developed, which cover such as areas as preconception counselling, identification of risks, special aspects of prenatal care and prenatal diagnostic procedures, intrapartum management, and long-term effects on mother and child.

Knowledge and Attitudes towards Prenatal Diagnostic Procedures among Pregnant Women in Greece

2010 ◽  
Vol 27 (3) ◽  
pp. 149-155 ◽  
Author(s):  
Sofia Kitsiou-Tzeli ◽  
Eleni T. Petridou ◽  
Thomas Karagkiouzis ◽  
Nick Dessypris ◽  
Periklis Makrithanasis ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Diagnostic Procedures ◽  
Knowledge And Attitudes ◽  
Prenatal Diagnostic

scholarly journals Diagnosis and Treatment Before Assisted Reproductive Treatments. Guideline of the DGGG, OEGGG and SGGG (S2k Level, AWMF Register Number 015-085, February 2019) – Part 2, Hemostaseology, Andrology, Genetics and History of Malignant Disease

2019 ◽  
Vol 79 (12) ◽  
pp. 1293-1308 ◽  
Author(s):  
Bettina Toth ◽  
Dunja Maria Baston-Büst ◽  
Hermann M. Behre ◽  
Alexandra Bielfeld ◽  
Michael Bohlmann ◽  
...  
Keyword(s):  
Malignant Disease ◽  
Standard Treatment ◽  
Diagnostic Procedures ◽  
German Society ◽  
Diagnosis And Treatment ◽  
German Language ◽  
Consensus Process ◽  
Gynecology And Obstetrics ◽  
History Of ◽  
Socially Isolated

Abstract Introduction Supporting and counselling couples with fertility issues prior to starting ART is a multidisciplinary diagnostic and therapeutic challenge. The first German-language interdisciplinary S2k guideline on “Diagnosis and Therapy Before Assisted Reproductive Treatments (ART)” was published in February 2019. The guideline was developed in the context of the guidelines program of the German Society of Gynecology and Obstetrics (DGGG) in cooperation with the Swiss Society of Gynecology and Obstetrics (SGGG) and the Austrian Society of Gynecology and Obstetrics (OEGGG). Aim In one third of cases, the cause of involuntary childlessness remains unclear, even if the woman or man have numerous possible risk factors. Because the topic is still very much taboo, couples may be socially isolated and often only present quite late to a fertility center. There is no standard treatment concept for these patients at present, as there are currently no standard multidisciplinary procedures for the diagnostic workup and treatment of infertility. The aim of this guideline is to provide physicians with evidence-based recommendations for counselling, diagnosis and treatment. Methods This S2k guideline was developed on behalf of the Guidelines Commission of the DGGG by representative members from different professional medical organizations and societies using a structured consensus process. Recommendations This second part of the guideline describes the hematological workup for women as well as additional diagnostic procedures which can be used to investigate couples and which are carried out in cooperation with physicians working in other medical fields such as andrologists, geneticists and oncologists.

scholarly journals Knowledge Attitude and Practice Regarding Antenatal Care among Pregnant Women in Rural Area of Lahore

2018 ◽  
Vol 5 (3) ◽  
pp. 155-162
Author(s):  
Shahnaz Akhtar ◽  
Muhammad Hussain ◽  
Iram Majeed ◽  
Muhammad Afzal
Keyword(s):  
Prenatal Care ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Well Being ◽  
Cross Sectional Study ◽  
Early Observation ◽  
Chi Square ◽  
Cross Sectional ◽  
Mother And Child ◽  
Chi Square Test

Background: Prenatal care is medical valuation of mother and fetus, for the duration of gestation used for getting best possible result for the mother and child. Early observation and ongoing care during pregnancy provided more favorable births compared to no prenatal observation. Methodology: The quantitative cross-sectional study design was used with convenient sampling (n=133) from community of Hussain Abad Lahore. Pregnant women between the ages of 20 to 45 years of age. Data was analyzed on SPSS 21 version and application of chi-square test (p=<0.05). Result: The respondents 69.1% (n=94) were identified that pregnant women require to go for their checkup. This study reveals that (n=31) 21.4% participants were agree, (n=98)71.1% participants were disagreed, (n=06)4.4% were neutral that they have Seek antenatal care regularly during pregnancy. 83.1% women believe that antenatal checkup is worthy to monitor mother & fetus’ well-being. Conclusion: 64.7% pregnant women response in yes regarding knowledge about antenatal care. The attitude was shown positive somewhere as 69.6% women were agree and as well as negative, also as 30.1% respondents were disagreed and therefore 61% participants have positive practices towards antenatal care. There was significant association between qualification and knowledge of expectant women about prenatal care, significant association in qualification and attitude and there was insignificant association in qualification and practices. Int. J. Soc. Sc. Manage. Vol. 5, Issue-3: 155-162

scholarly journals The use of the Rogan vaccine during the prenatal in Rh-negative women: knowledge of health professionals

2011 ◽  
Vol 5 (5) ◽  
pp. 1193
Author(s):  
Raquel Trovão de Medeiros ◽  
Renato Galvão Bezerra ◽  
Rejane Maria Paiva de Menezes ◽  
Rejane Marie Barbosa Davim ◽  
Camila Fernandes da Silva Carvalho
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Family Health ◽  
Rio Grande ◽  
Physician Knowledge ◽  
Care Services ◽  
Family Health Program ◽  
Lack Of Information ◽  
The Family ◽  
Mother And Child

ABSTRACTObjective: to identify the nurse and physician knowledge on the importance of using anti-Rh vaccine during the prenatal care of pregnant women with Rh-negative blood types. Method: this is a descriptive and exploratory study, with a quantitative approach, developed along with physicians and nurses who work in prenatal care services in hospitals and in the Family Health Program (FHP) in the towns of Bento Fernandes and Santo Antonio, in the agreste region of the State of Rio Grande do Norte, Brazil. The study was approved by the Committee of Ethics in Research of Universidade Federal do Rio Grande do Norte with a Favorable Recommendation under the Protocol 101/06 CEP-UFRN. Results: there is a need of efforts from all healthcare professionals in order to place a greater emphasis on isoimmunization and potential perinatal hemolytic disease in the prenatal care services, aiming to avoid future complications for the mother and child. Conclusion: one can realize there is not a more effective action provided by the professionals; this is not due to the lack of information on the disease and/or vaccine, but it occurs, especially, because they do not know how to use the vaccine when pregnant women with Rh-negative blood are identified during the prenatal care. Descriptors: nursing; prenatal; pregnancy; Rh isoimmunization; prevention; women’s health.RESUMOObjetivo: identificar o conhecimento do enfermeiro e médico acerca da importância da utilização da vacina anti-Rh durante o pré-natal em gestantes portadoras de Rh negativo. Método: trata-se de um estudo do tipo exploratório descritivo, com abordagem quantitativa, desenvolvido com médicos e enfermeiros que trabalham em serviços de pré-natal em instituições hospitalares e no Programa Saúde da Família (PSF) nos municípios de Bento Fernandes e Santo Antônio, localizados na região agreste do Estado do Rio Grande do Norte. O estudo foi aprovado pelo Comitê de Ética em Pesquisa da Universidade Federal do Rio Grande do Norte com Parecer Favorável e Protocolo n. 101/06 CEP-UFRN. Resultados: é necessário que haja esforços de todos os profissionais da saúde no sentido de dar maior ênfase à isoimunização e possível doença hemolítica perinatal nos serviços de assistência pré-natal, com a finalidade de evitar futuras complicações para mãe e bebê. Conclusão: percebe-se que não há ação mais efetiva por parte dos profissionais, não em função da falta de informações sobre a doença e/ou vacina, mas, principalmente, porque não é do conhecimento a utilização da vacina quando identificam gestantes Rh negativo durante o pré-natal. Descritores: enfermagem; pré-natal; gestação; isoimunização Rh; prevenção; saúde da mulher.RESUMENObjetivo: identificar el conocimiento del enfermero y del médico acerca de la importancia de la utilización de la vacuna anti-Rh durante el prenatal en gestantes portadoras de Rh negativo. Método: se trata de un estudio del tipo exploratorio-descriptivo, con abordaje cuantitativa, desarrollado con médicos y enfermeros que trabajan en el prenatal en institutos hospitalares y en el Programa Salud de la Familia (PSF) en los municipios de Bento Fernandes y Santo Antônio, localizados en la región agreste del Estado do Rio Grande do Norte, Brasil. El estudio fue aprobado por el Comité de Ética en Investigación de la Universidade Federal do Rio Grande do Norte con Parecer Favorable y Protocolo 101/06 CEP-UFRN. Resultados: es necessario que haya esfuerzo de todos los profesionales de la salud para dar más énfasis a la isoimunización y possible enfermedad hemolítica perinatal en los servicios de asistencia prenatal, con la finalidad de evitar futuras complicaciones para la madre y su hijo. Conclusión: se percebe que no hay acción más efectiva por parte de los profesionales, esto no se da por falta de informaciones relativas a la enfermedad y/o vacuna, pero, principalmente, porque ellos no conocen la utilización de la vacuna cuando identifican gestantes Rh negativo durante el prenatal. Descriptores: enfermería; prenatal; gestación; isoimunización Rh; prevención; salud de la mujer.

scholarly journals Systematic Review of Literature on Eating Disorders During Pregnancy—Risk and Consequences for Mother and Child

2021 ◽  
Vol 12 ◽  
Author(s):  
Małgorzata Janas-Kozik ◽  
Anna Żmijowska ◽  
Ida Zasada ◽  
Ireneusz Jelonek ◽  
Lena Cichoń ◽  
...  
Keyword(s):  
Systematic Review ◽  
Eating Disorders ◽  
Pregnant Women ◽  
Previous History ◽  
Reproductive Age ◽  
Cochrane Library ◽  
Negative Consequences ◽  
Review Of Literature ◽  
Mother And Child ◽  
The Creation

Background: Eating disorders (ED) are a diagnostic category that includes several nosological units such as anorexia nervosa (AN), bulimia nervosa (BN), or binge eating disorder (BED). This category most often concerns women, while the peak incidence falls on the reproductive age. Therefore the issue of ED during pregnancy is an interesting topic. Due to the creation of unrealistic ideal of “desired,” slim figure both by the mass media and social media even during and right after gestation, more and more pregnant women introduce behaviours aimed at maintaining the “perfect” appearance. However in some cases it may have serious consequences for the health of both mother and child leading to the creation of the term “pregorexia” by the media to describe this issue.Aim: The aim of this paper was to conduct a systematic review of the literature dealing with eating disorders in pregnant women, with particular emphasis on pregorexia.Method: A systematic review of literature published within the last 5 years (2016–2021) in English or Polish and available through MEDLINE / PubMed, Google Scholar and Cochrane Library databases was conducted based on the previously assumed inclusion and exclusion criteria.Results: Initially, 634 publications were obtained during the review, of which 55 papers were selected in the course of the title analysis. After further evaluation of abstracts, 28 papers were qualified for full text analysis. Ultimately, 10 papers were selected for the final analysis.Conclusions: The issue of ED in pregnant women is a broad topic covering a heterogeneous group of women—both those with a previous history and those with the onset during pregnancy. The occurrence of ED symptoms during this period is associated with a high likelihood of negative consequences for both the mother and the child. The course of pregnancies and deliveries in these patients is more complicated. Therefore, it seems reasonable to develop a multidisciplinary screening strategy and standards of management and supervision over this group of patients.

scholarly journals Tuberculosis in Pregnancy – a Summary

2019 ◽  
Vol 79 (04) ◽  
pp. 358-365 ◽  
Author(s):  
Benjamin Wolf ◽  
Marco Krasselt ◽  
Jonathan de Fallois ◽  
Amrei von Braun ◽  
Holger Stepan
Keyword(s):  
Pregnant Women ◽  
Negative Impact ◽  
Latent Tuberculosis ◽  
Interferon Γ ◽  
Study Data ◽  
Favourable Outcome ◽  
Current Data ◽  
Increased Risk ◽  
Mother And Child ◽  
In Pregnancy

AbstractIn recent years, the incidence of tuberculosis in pregnancy in the industrialised countries has increased. Tuberculosis in pregnancy is associated with an increased risk for the mother and child. Even if no figures are available for Germany, an increase in the number of tuberculosis cases among pregnant women can be assumed due to the migratory flows; current data from the USA, for example, also show an increasing incidence of tuberculosis in pregnant women in recent years. The physiological and immunological changes that occur during pregnancy are likely to have a negative impact on the course of the disease and may make it more difficult to confirm the diagnosis. There are no internationally standardised recommendations for diagnosing latent tuberculosis infections. When screening for TB is performed in specific risk populations, an Interferon-γ Release Assay (IGRA) should preferably be carried out according to the current study data. If corresponding symptoms are present and an IGRA test is positive, further diagnostics are indicated, also in pregnancy. If tuberculosis is confirmed, the fact that a woman is pregnant must not delay the initiation of anti-tuberculosis therapy, as an early start of therapy is associated with a more favourable outcome for both mother and child. The common first-line therapeutic drugs may also be used during pregnancy and are considered safe. The treatment of latent tuberculosis during pregnancy is disputed.

scholarly journals Women’s Depressive Symptoms during the COVID-19 Pandemic: The Role of Pregnancy

2021 ◽  
Vol 18 (8) ◽  
pp. 4298
Author(s):  
Karen Yirmiya ◽  
Noa Yakirevich-Amir ◽  
Heidi Preis ◽  
Amit Lotan ◽  
Shir Atzil ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Pregnant Women ◽  
Online Survey ◽  
Stressful Events ◽  
Reproductive Age ◽  
Long Term Effects ◽  
Healthy Behaviors ◽  
Risk Pregnancy ◽  
Related Stress

The Coronavirus Disease 2019 (COVID-19) pandemic has multiple ramifications for pregnant women. Untreated depression during pregnancy may have long-term effects on the mother and offspring. Therefore, delineating the effects of pregnancy on the mental health of reproductive-age women is crucial. This study aims to determine the risk for depressive symptoms in pregnant and non-pregnant women during COVID-19, and to identify its bio-psycho-social contributors. A total of 1114 pregnant and 256 non-pregnant women were recruited via social media in May 2020 to complete an online survey that included depression and anxiety questionnaires, as well as demographic, obstetric and COVID-19-related questionnaires. Pregnant women also completed the Pandemic-Related Pregnancy Stress Scale (PREPS). Pregnant women reported fewer depressive symptoms and were less concerned that they had COVID-19 than non-pregnant women. Among pregnant women, risk factors for depression included lower income, fewer children, unemployment, thinking that one has COVID-19, high-risk pregnancy, earlier gestational age, and increased pregnancy-related stress. Protective factors included increased partner support, healthy behaviors, and positive appraisal of the pregnancy. Thus, being pregnant is associated with reduced risk for depressive symptoms during the pandemic. Increased social support, engaging in health behaviors and positive appraisal may enhance resilience. Future studies of pregnant versus non-pregnant women could clarify the role of pregnancy during stressful events, and clarify aspects of susceptibility and resilience during pregnancy.

Miscarriage after invasive prenatal diagnostic procedures: how much risk our pregnant women are willing to take?

2009 ◽  
Vol 29 (9) ◽  
pp. 870-874 ◽  
Author(s):  
Yiu Man Chan ◽  
Daljit Singh Sahota ◽  
Oi Ka Chan ◽  
Tak Yeung Leung ◽  
Tze Kin Lau
Keyword(s):  
Pregnant Women ◽  
Diagnostic Procedures ◽  
Prenatal Diagnostic

scholarly journals Determinants of work capacity (predicted VO2max) in non-pregnant women of reproductive age living in rural India

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Loretta DiPietro ◽  
Jeffrey Bingenheimer ◽  
Sameera A. Talegawkar ◽  
Erica Sedlander ◽  
Hagere Yilma ◽  
...  
Keyword(s):  
Physical Activity ◽  
Pregnant Women ◽  
Dietary Diversity ◽  
Negative Impact ◽  
Controlled Trial ◽  
Work Capacity ◽  
Reproductive Age ◽  
Step Test ◽  
Rural India ◽  
Primary Study

Abstract Background The negative impact of anemia on work capacity has been studied extensively in male and female workers; however, the simultaneous contributions of confounding variables such as physical activity, as well as other behavioral and sociodemographic characteristics have not been considered. The purpose of this study was to examine cross-sectionally the multivariable correlates of work capacity in non-pregnant women (n = 330) living in rural India. Methods The Reduction in Anemia through Normative Innovations (RANI) Project is a norms-based, clustered randomized controlled trial to reduce anemia among women (15–49 years) living in Odisha, India between 2018 and 2021. For the larger trial, 89 clusters of villages were randomized into treatment and control groups on a 1:1 basis. Women (2055/group) living in 15 selected clusters (40–41 villages) were then randomly selected for data collection. The sampling design also randomly-generated a subset (n = 375) of non-pregnant participants who performed a modified Queen’s College Step Test (QCST) and who wore an activity monitor for 3 days. Predicted work capacity (VO2max) was determined using the QCST. Levels (h/day) of daily reclining, sitting, standing, walking (steps/day), and energy expenditure (MET∙h/day) were determined using an ActivPAL accelerometer. Hemoglobin concentrations (g/dL) were determined using a HemoCue photometer. Predetermined hierarchical (non-multilevel) regression models tested the independent associations between the primary study variables of interest (physical activity, hemoglobin concentrations) and predicted VO2max, while adjusting for age, body mass index (BMI: kg/m2), education, parity, and dietary diversity score. Results Approximately 61% of the participants had anemia (Hb < 12 g/dL). Age2 (β = − 0.01; 95% CI: − 0.01, 0.00), BMI (β = − 0.19; 95% CI:-0.28, − 0.09), educational attainment (β = − 1.35; 95% CI: − 2.34, − 0.36), and MET∙h/day (β = 0.19; 95% CI: 0.00, 0.38) were significant and independent determinants of work capacity. Hemoglobin concentration was marginally associated with work capacity in the presence of the other covariables (β = 0.22; 95% CI:-0.02, 0.47). Conclusions Our data indicate that factors other than anemia are important correlates of work capacity and should be considered when promoting the health and economic capacity of rural Indian women. Trial registration Clinical Trial Registry- India (CTRI) http://ctri.nic.in/Clinicaltrials/pmaindet2.php?trialid=26285&EncHid=&userName=CTRI/2018/10/016186 on 29 October 2018.

Companion’s participation during prenatal care: challenge for nursing

2011 ◽  
Vol 5 (9) ◽  
pp. 2077
Author(s):  
Maria Tavares Guerreiro Davi ◽  
Lorrainy Da Cruz Solano ◽  
Patrícia Helena De Morais Cruz Martis ◽  
Karla Simões Cartaxo Pedrosa ◽  
Diana Kerley Cabó Maia ◽  
...  
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Exploratory Study ◽  
Labor Relations ◽  
Rio Grande ◽  
Qualitative Approach ◽  
Primary Care Unit ◽  
Mother And Child ◽  
Del Rio ◽  
Work Method

ABSTRACTObjective: identifying the involvement of the companion of pregnant women during low risk prenatal in a primary care unit of a municipality of Rio Grande do Norte, post as a challenge to the nursing work. Method: descriptive, exploratory study with qualitative approach, based on a report of six pregnant women. Data collection was accomplished through interviews with a semi-structured guide with thematic analysis, during the month of September 2010, as approved by the Ethics Commitee in research involving humans, with the protocol: 131/2010 and CAEE:3524.0.000.351-10. Results: it was found that pregnant women consider it very important the accompaniment of someone close to them, therefore they feel more confident and secure. It showed as the main justification for the absence of that companion to the labor relations of their respective partners, expressing as related to the pregnant woman the responsibility for monitoring, eliminating the need to exempt the husband or other relative to accompany her during the consultations. Conclusion: it was perceived that it is of utmost importance to promote the Law 11,108 of 2005 by nurses, as well as considering strategies for inclusion of caregivers during prenatal care, to ensure a humanized assistance to both mother and child as foreseen in the policy of prenatal care and birth humanization. Descritptors: pregnancy; prenatal care; obstetrical nursing.RESUMOObjetivo: identificar a participação do acompanhante da gestante durante o pré-natal de baixo risco em uma unidade básica de saúde de um município do Rio Grande do Norte posto como um desafio para o trabalho do enfermeiro. Método: estudo descritivo, exploratório, de abordagem qualitativa, com base no relato de seis gestantes. A coleta de dados foi por entrevista com roteiro semi-estruturado com análise temática, durante o mês de setembro de 2010, conforme aprovação do Comitê de Ética em pesquisa envolvendo seres humanos, com o protocolo: 131/2010 e CAEE: 3524.0.000.351-10. Resultados: verificou-se que as gestantes consideram muito importante o acompanhamento de alguém que lhe é próximo, pois referem se sentir mais confiantes e seguras. Mostrou como principal justificativa da ausência desse acompanhante às relações de trabalho dos respectivos companheiros expressando ser da mulher grávida a responsabilidade do acompanhamento descartando a necessidade de dispensar o marido ou outro parente para acompanhá-la durante as consultas. Conclusão: percebeu-se que é de suma importância a divulgação da Lei 11.108 de 2005 por parte dos enfermeiros, como também pensar em estratégias de inclusão do acompanhante durante a assistência pré-natal, para garantir uma assistência humanizada ao binômio mãe-filho conforme prevê a política de humanização do pré-natal e nascimento. Descritores: gestantes; cuidado pré-natal; enfermagem obstétrica.RESUMENObjetivo: identificar la participación del acompañante de la gestante durante el prenatal de bajo riesgo en una unidad básica de salud de un municipio del Rio Grande do Norte puesto como un desafío para el trabajo del enfermero. Método: estudio descriptivo, exploratorio, de abordaje cualitativo, basado en el relato de seis gestantes. La colecta de dados fue por encuesta  con un guión pre- estructurado con análisis temático, durante el mes de septiembre de 2010, conforme la aprobación del comité de ética en pesquisa involucrando seres humanos con el protocolo: 131/2010 e CAEE: 3524.0.000.351-10.Resultados: se verificó que las gestantes consideran muy importantes el acompañamiento de alguien que les sean próximos, pues relatan  que  se sienten  más confiadas  y seguras. Demostró como principal justificativa de la ausencia de este acompañante las relaciones de trabajos de los respectivos compañeros expresando ser de la mujer embarazada la responsabilidad del acompañamiento retirando la necesidad de dispensar el esposo u otro familiar para acompañarla durante las consultas. Conclusión: se percibió ser de extrema importancia  la divulgación de la ley 11.108 de 2005 por parte de los enfermeros, bien como pensar en estrategias de inclusión del acompañante durante la asistencia prenatal, para garantizar un auxilio humanizado al binomio madre/hijo como prevé la política de humanización del prenatal y nacimiento. Descriptores: mujeres embarazadas; atención prenatal; enfermería obstétrica.

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