scholarly journals Perinatal Data of Refugee Women from the Gynaecology Department of Charité University Hospital Berlin Compared with German Federal Analysis

2021 ◽  
Author(s):  
Ola Ammoura ◽  
Jalid Sehouli ◽  
Christine Kurmeyer ◽  
Rolf Richter ◽  
Nadja Kutschke ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Congenital Malformations ◽  
University Hospital ◽  
Premature Births ◽  
Living Situation ◽  
Refugee Women ◽  
Younger Age ◽  
History Of ◽  
Perinatal Data ◽  
Psychosomatic Care

Abstract Introduction The aim of this study was to record the perinatal data of refugee women at Charité Hospital, Berlin, and to evaluate possible differences in pre-, peri- and postnatal outcomes compared with indigenous women. Material and Methods All pregnant women who gave birth in the period from 1 January 2014 to 30 September 2017 and were registered at least once in the hospital as “refugee” were included in the analysis. The data recorded from the refugee women were compared with the perinatal data of the German Federal obstetric analysis for the year 2016, which was published by the IQTIG (Institut für Qualitätssicherung und Transparenz im Gesundheitswesen [Institute for Quality Assurance and Transparency in Healthcare]). Results The analysis comprised 907 refugee women and 928 infants (21 twin pregnancies). Pregnant refugee women were significantly younger than the pregnant women from the Federal analysis (birth before the age of 30: 66 vs. 41%, p < 0.001, RR: 1.6, 95% CI: 62.9 – 69.2). They had a history both of more pregnancies (≥ 3 pregnancies: 29.4 vs. 13.4%, p < 0.001, RR: 2.2, 95% CI: 26.4 – 32.5) and of more miscarriages (> 2 miscarriages: 9.7 vs. 5.9%, p < 0.001, RR: 1.6, 95% CI: 7.9 – 11.8) and more often had a history of suffering from psychological stress (11.1 vs. 4.1%, p < 0.001, RR: 2.70, 95% CI: 9.2 – 13.4). There were more premature births (10.3 vs. 3.0%, p < 0.001, RR: 3.36, 95% CI: 8.4 – 12.4), post-term pregnancies (8.5 vs. 0.5%, p < 0.001, RR: 15.4, 95% CI: 6.7 – 10.5), and cases of postpartum anaemia (28.7 vs. 22.0%, p < 0.001, RR: 1.30, 95% CI: 25.7 – 31.7) and puerperal endometritis (1 vs. 0.2%, p = 0.006, RR: 4.3, 95% CI: 0.5 – 1.9) compared with the Federal analysis. The neonatal outcome showed an increased rate of hypotrophy (11 vs. 7%, p < 0.001, RR: 1.6, 95% CI: 9.1 – 13.2), more stillbirths (0.7 vs. 0.2%, p = 0.006, RR: 3, 95% CI: 0.2 – 1.4) and increased congenital malformations (2.8 vs. 0.4%, p < 0.001, RR: 3, 95% CI: 0.2 – 1.4). Conclusion Both refugee women and their infants showed significant differences. Despite the average younger age of the pregnant refugee women, the rates of premature birth and stillbirth and congenital malformations were significantly more frequent. More intensive antenatal screening with differentiated foetal organ diagnostics including psychosomatic care could contribute to early identification and prompt diagnosis. As regards the postpartum anaemia and puerperal endometritis, which occur more often in refugee women, midwife engagement and an improvement in the living situation in homes and accommodation facilities could be of great importance.

Prevalence of prematurity in neonatal unit of internment a hospital school in Recife city, Brazil

2010 ◽  
Vol 4 (4) ◽  
pp. 1681
Author(s):  
Maria Gorete Lucena de Vasconcelos ◽  
Ana Paula de Lima ◽  
Priscilla Barbosa ◽  
Rosielle Costa de Brito
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
University Hospital ◽  
Premature Births ◽  
Quantitative Methodology ◽  
Research Committee ◽  
Factores De Riesgo ◽  
Neonatal Icu ◽  
Las Mujeres ◽  
Mother’S Age

ABSTRACTObjective: to verify the prevalence of premature births between the months of January 2007 to December 2007, in a neonatal ICU at a University Hospital in the city of Recife-PE. Methodology: this is a descriptive study, exploratory and transversal, from quantitative methodology. The sample was taken from 1738 charts of newborns admitted at the neonatal ICU in 2007; of those 364 were premature newborns. The data collection started after authorization by the Ethic and Research Committee of the Health Sciences Center. The data was analyzed by the EPI-INFO 3.3.2 software.  It was used descriptive statistics with simple frequency distribution. Results: The prevalence of prematurity during the studied period was 21%. Mother’s age ranged mainly from 20 to 35 years old (64.3%) and 38.7% of them had 4 to 7 years of study. Of the total of the pregnant women 42.9% went to 4-5 prenatal appointments and most of the neonates were moderate premature with gestational age at birth between 31 and 34 weeks. Conclusion: Premature births represented a high percentage of the total births in the study. We recommend educational activities compatible with the level of instruction and age of the pregnant women to prevent premature births. Descriptors: prenatal care, prenatal care, risk factors, pregnancy high risk, premature birth.RESUMOObjetivo: verificar a prevalência de prematuridade no período de janeiro a dezembro de 2007, em uma Unidade de Internação Neonatal de um hospital-escola do Recife, PE. Metodologia: estudo descritivo, exploratório e transversal, com metodologia quantitativa. A população foi composta por 1738 prontuários de recém-nascidos admitidos na unidade de internação neonatal em 2007, sendo a amostra constituída por 364 prontuários de recém-nascidos pré-termos. A coleta de dados foi iniciada após parecer favorável do Comitê de Ética em Pesquisa do Centro de Ciências da Saúde (ofício 197/2008). Os dados foram analisados no software EPI-INFO versão 3.3.2. Utilizou-se estatística descritiva com distribuições de frequências simples. Resultados: a prevalência de prematuridade no período estudado foi de 21%. A idade materna se concentrou entre 20 e 35 anos (64,3%) e 38,7% tinham de 4-7 anos de estudo. Os achados revelaram que 42,9% das gestantes realizaram de 4-5 consultas pré-natal e a maioria (50,8%) foi de prematuro moderado, com idade gestacional entre 31 a 34 semanas. Conclusão: a ocorrência de partos prematuros mostrou-se elevada, recomendamos atividades de educação em saúde adequadas ao nível instrucional e faixa etária das gestantes para prevenção do parto prematuro. Descritores: assistência perinatal; assistência pré-natal; fatores de risco; gravidez de alto risco; nascimento prematuro. RESUMENObjetivo: determinar la prevalencia de prematuridad en el período de enero a diciembre de 2007 en una unidad neonatal de un hospital escuela - Recife. Métodología: Estudio descriptivo, exploratorio y transversal con el método cuantitativo. La población fué compuesta por 1.738 registros médicos de los neonatos admitidos en la unidad de internamiento neonatal de 2007, y 364 registros médicos de los recién-nacidos precoz formabam la muestra. La recogida de datos se inició después de la aprobación del Comité de Ética en Investigación del Centro de Ciencias de la Salud, CCS / UFPE. Los datos fueron analizados en el software Epi-Info versión 3.3.2. La estadística descriptiva con distribuciones de frecuencia simple fue la utilizada. Resultados: la prevalencia de la prematuridad durante el período de estudio fue de 21%. La edad materna se concentra entre el 20 y 35 años (64,3%) y el 38,7% tenía 04 a 07 años de estúdio. Los resultados revelaron que el 42,9% de las mujeres embarazadas habían hecho 04 a 05 consultas prenatales y la mayoría (50,8%) fueron moderadamente prematuros, con edad gestacional entre 31 a 34 semanas. Conclusión: La incidencia de partos prematuros se mostró elevada, recomendamonos actividades de educación sanitaria adecuada a la edad y nivel de instrucción de las gestantes para la prevención del parto prematuro. Descriptores: atención perinatal; atención prenatal; factores de riesgo; embarazo de alto riesgo; nacimiento prematuro.  

Frequency of Backache and its Management in Pregnant Women Attending IUH OPD

2021 ◽  
Vol 15 (11) ◽  
pp. 3441-3443
Author(s):  
Uzma Parveen ◽  
Zahida Parveen Brohi ◽  
Aneela Sadaf
Keyword(s):  
Pregnant Women ◽  
Treatment Options ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
History Of ◽  
Keywords Pregnancy ◽  
Patient Department

Objective: Frequency of backache and its treatment among pregnant women attending Isra University Hospital (IUH) OPD. Material and methods: This cross-sectional study was conducted at Out patient’s department of obstetrics\Gynaecology Isra hospital Hyderabad from February 2019 to Augusts 2019. A total of 80 pregnant women irrespective of their age, marital and literary status, visiting out-patient department of Isra University were included. All the females were assessed regarding backache and its treatment at gynaecological OPD. All the information was recorded via study proforma. Data was analyzed via SPSS version 20. Results: A total of 180 pregnant women were studied, and most of the women 40% were in age group of 31-40 years. Out of all, 22.2% women were primigravida, 40.6% were multigravidas and 36.7% women were grand multigravidas. The history of backache before pregnancy was among 20% of the females and 62.2% of women had developed backache during pregnancy, while 12.8% women had no complaint of backache. Out of 121 females who had backache during pregnancy, 28.30% had an onset of pain during 1st trimester, in 23.30% during 2nd trimester and in 48.30% during 3rd trimester of pregnancy. Out of all 32.20% women got relieved by taking rest, 63.90% women took analgesics as a treatment measure and 3.3% women took some other treatment options. Conclusion: It was observed that the more than 60% of all pregnant women experienced backache and mostly during 3rd trimester. Most of the females took treatment in the form of analgesics and some women got relieved by taking rest. Keywords: Pregnancy, backache, Management

scholarly journals Preferences of participating in diabetes screening programs for postpartum women with gestational diabetes mellitus in a university hospital in Turkey

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Azime Karakoc Kumsar ◽  
Feride Taskin Yilmaz ◽  
Gulbahtiyar Demirel
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Pregnant Women ◽  
Postpartum Period ◽  
University Hospital ◽  
Individual Identification ◽  
Diabetes Screening ◽  
Content Type ◽  
History Of

PurposeThe aim of this study is to determine the preferences to participate in diabetes screening program of women with gestational diabetes mellitus (GDM) in postpartum period.Design/methodology/approachThe data of retrospective and descriptive study were collected using “Individual Identification Form” and “Information Form for the Screening of Diabetes in the Postpartum Period” from 151 women in referred to obstetrics and gynecology clinic of a university hospital in Turkey.FindingsOnly 21.9% of women had diabetes screening in postpartum period and 21.2% of the participants were diagnosed with type 2 diabetes. It was determined that the participants mostly participated in screening because of the diabetes history in their family (30.3%). Women who had diabetes screening in postpartum period had lower level of education than those who did not and their level of knowledge about the screening in postpartum and the history of abortion were higher (p < 0.01).Originality/valueThe rate of participation in the screening for diabetes in the postpartum period is very low in pregnant women diagnosed with GDM. It was determined that the educational status, history of previous abortion and knowledge level of the women were factors that prevented participation in diabetes screening. This research is original because there are inadequacy of studies examining determining the participation status of pregnant women with GDM to diabetes screening in the literature. This study will contribute to health professionals in order to improve preventive factors and increase the participation of pregnant women with GDM in diabetes screening in the postpartum period.

scholarly journals COVID-19 Pandemic and Psychiatric Symptoms: The Impact on Parkinson's Disease in the Elderly

2020 ◽  
Vol 11 ◽  
Author(s):  
Delfina Janiri ◽  
Martina Petracca ◽  
Lorenzo Moccia ◽  
Luca Tricoli ◽  
Carla Piano ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Psychiatric Symptoms ◽  
Mood Stabilizer ◽  
The Elderly ◽  
University Hospital ◽  
Psychiatric Symptomatology ◽  
Younger Age ◽  
History Of ◽  
The Impact

Background: The coronavirus disease 2019 (COVID-19) pandemic represents a condition of increased vulnerability and frailty for elderly patients with Parkinson's disease (PD). Social isolation may worsen the burden of the disease and specifically exacerbate psychiatric symptoms, often comorbid with PD. This study aimed at identifying risk/protective factors associated with subjective worsening of psychiatric symptomatology during the COVID-19 outbreak in a sample of individuals with PD aged 65 years or older.Methods: Patients with PD routinely followed at the outpatient clinic of Gemelli University Hospital, Rome, were assessed for subjective worsening of psychiatric symptoms through a dedicated telephone survey, after Italy COVID-19 lockdown. Patients' medical records were reviewed to collect sociodemographic and clinical data, including lifetime psychiatric symptoms and pharmacological treatment.Results: Overall, 134 individuals were assessed and 101 (75.4%) reported lifetime psychiatric symptoms. Among those, 23 (22.8%) presented with subjective worsening of psychiatric symptomatology during the COVID-19 outbreak. In this group, the most frequent symptom was depression (82.6%), followed by insomnia (52.2%). Subjective worsening of neurological symptoms (Wald = 24.03, df = 1, p = 0.001) and lifetime irritability (Wald = 6.35, df = 1, p = 0.020), together with younger age (Wald = 5.06, df = 1, p = 0.038) and female sex (Wald = 9.07 df = 1, p = 0.007), resulted as specific risk factors for ingravescence of psychiatric presentation. Lifetime pre-existing delusions, having received antipsychotics, and not having received mood stabilizer were also associated with subjective worsening of psychiatric symptomatology due to the COVID-19 pandemic.Conclusions: Individuals with PD and lifetime history of psychiatric symptoms may be exposed to increased vulnerability to the stressful effect of COVID-19 outbreak. Interventions aimed at reducing irritability and mood instability might have an indirect effect on the health of patients with PD during the COVID-19 pandemic.

Changes of drinking behavior in Korean pregnant women for the last 20 year

2020 ◽  
Author(s):  
Bi-A Seo ◽  
Sung-Gon Kim ◽  
Sung-Young Huh ◽  
Dong-Hyeong Lee ◽  
Hyun-Sook An ◽  
...  
Keyword(s):  
Family History ◽  
Pregnant Women ◽  
Drinking Behavior ◽  
University Hospital ◽  
Obstetrics And Gynecology ◽  
Drinking Status ◽  
History Of

Abstract Background The purpose of this study is to investigate the drinking behavior of Korean pregnant women in 2017 and to compare the changes of drinking status with the results of the research conducted in 1997 and 2008. Methods Pregnant women at one obstetrics and gynecology hospital and one university hospital were the subjects of the study. They were filled out questionnaire. Results The rate of positive responses to CAGE increased 16.0% in 2008 and 16.3% in 2017 compared to 11.8% in 1997 (P = 0.046). Blackout history rate was keep increasing from 1997 to 2017 (8.8% versus 27.7% versus 36.3%, P &lt; 0.001). The rate of family history of alcohol was nearly doubled in 2017 (30.3%) compared to 1997 (17.6%) and 2008 (16.3) (P &lt; 0.001). The rate of pregnant women who drink alcohol during pregnancy decreased from 57.5% in 1997 to 39.5% in 2008 and decreased to 25.6% in 2017 (P &lt; 0.001). The rate of pregnant women who drink alcohol after knowing the pregnancy was decreased in 2017 (6.9%) compared to 2008 (23.5%) (P &lt; 0.001). Conclusion According to the results of the study in 2017, the rate of pregnant women who drink alcohol after pregnancy was decreased compared to 1997 and 2008. However drinking behavior severity has increased in 2017.

scholarly journals Vaginal cervicoisthmic cerclage for cervical incompetence in pregnant women: Fernandez’s technique in 8 steps

2021 ◽  
Vol 5 (2) ◽  
pp. 032-033
Author(s):  
Jegaden Margaux ◽  
Debras Elodie ◽  
Pourcelot Anne-Gaëlle ◽  
Neveu Marie-Emmanuelle ◽  
Capmas Perrine ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Pregnant Women ◽  
University Hospital ◽  
Cervical Incompetence ◽  
Tertiary Center ◽  
Complete Procedure ◽  
History Of ◽  
Video Demonstration

Video objective: To demonstrate that surgical technique of vaginal cervicoisthmic cerclage must be performed in women with history of cervical incompetence with more than two late miscarriages before 24 weeks or premature deliveries before 28 weeks and after prior failure of preventive Mc Donald cerclage. In this video, the authors describe the complete procedure in 8 steps to standardize and facilitate the procedure in a simple and safe way during pregnancy. Design: Step-by-step video demonstration of the surgical technique. Setting: Tertiary Center for University Hospital.

scholarly journals Predominance of fetal malformations among pregnant women: A multi-centric observational study

2021 ◽  
Vol 4 (2) ◽  
pp. 055-059
Author(s):  
Sayed Sayed Mohamed ◽  
Khalifa Ahmed Khedr ◽  
Abd Allah Shehata Nesreen Abd El Fattah ◽  
AM Eweis Mohamed ◽  
M Shawky Sherwet
Keyword(s):  
Observational Study ◽  
Pregnant Women ◽  
Congenital Anomalies ◽  
Prospective Observational Study ◽  
Past History ◽  
University Hospital ◽  
Fetal Anomalies ◽  
Fetal Medicine ◽  
Fetal Malformations ◽  
History Of

Objective: To observe the predominance of fetal anomalies in pregnant women in a multi-centric setting. Methods: This prospective observational study included 20225 pregnant women who came for antenatal care in University Hospital and fetal medicine units from 2016 to 2019. Fetal anatomical scanning was done for all participants. Results: One hundred eighty-three cases had fetal congenital anomalies, yielding a prevalence of around 0.9%. Third of cases had positive consanguinity, this increased in cases of skeletal and thoracic anomalies. The presence of past history of anomalies was evident in 8.2% mostly with skeletal and heart anomalies. History of drug intake was only verified in 1.6% of cases. Sixty-three women out of 183 (34.4%) were diagnosed to have anomalies in fetal nervous system. Conclusion: Prenatal diagnosis are recommended for early detection of congenital anomalies and counselling.

Breastfeeding Training through Role-Play and Effects on Mother-infant Attachment Behaviours: A Randomised Controlled Trial

2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Farokh Saljughi ◽  
Mitra Savabi-Esfahani ◽  
Shahnaz Kohan ◽  
Soheila Ehsanpour
Keyword(s):  
Pregnant Women ◽  
Maternal Employment ◽  
Controlled Trial ◽  
Role Play ◽  
Intervention Group ◽  
Control Group ◽  
Maternal Behaviour ◽  
Infant Attachment ◽  
Significant Difference ◽  
History Of

Mother-infant attachment is an intimate, lasting and satisfying relationship that leads to better cognitive, emotional and social growth of the infant. The aim of this study was to determine the effects of breastfeeding training by role-play on mother-infant attachment behaviours. This research was a randomised clinical trial (parallel design). Inclusion criteria were: no history of mental disorders; ability to read and write the Persian language to complete the questionnaire; no history of drug and tobacco intake in primigravida women. The sample comprised 100 pregnant women (in 2 groups), selected through simple random sampling at healthcare centres. The researcher reviewed prenatal care registries of selected healthcare centres and extracted the names of pregnant women in their early third trimester. The data were imported into randomisation software. The control group received routine breastfeeding training, while the intervention group received routine training together with training through role-play. The data collection tool was the Maternal Behaviour Inventory Questionnaire. Consequently 75 samples were analysed in SPSS16. Independent t-tests and chi-square tests were used to examine the difference between the two groups. Results showed that the mean score of mother-infant attachment one week after delivery was significantly higher in the intervention group in comparison to that in the control group (p<0.001). No significant difference was observed between the two groups in maternal age, age of marriage, neonatal gender, maternal employment and education, number of parity, and number of abortions (P>0.05). Since breastfeeding training through role-play could affect mother-infant attachment, it is suggested that this type of training should be provided for pregnant women to promote mother-infant attachment and exclusive breastfeeding.

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