Utilization of Health Care Services of Pregnant Women Complicated by Preeclampsia in Ontario

2009 ◽  
Vol 28 (1) ◽  
pp. 76-84 ◽  
Author(s):  
Aizhong Liu ◽  
Shi Wu Wen ◽  
Jim Bottomley ◽  
Mark C. Walker ◽  
Graeme Smith
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Health Care Services ◽  
Care Services

Confined to Obscurity: Health Challenges of Pregnant Women in Jail

2020 ◽  
Vol 45 (3) ◽  
pp. 177-185
Author(s):  
Susan J Rose ◽  
Thomas P LeBel
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Substance Use ◽  
Physical Health ◽  
Pregnant Women ◽  
Mental Health Treatment ◽  
Health Care Services ◽  
Background Characteristics ◽  
Policy And Practice ◽  
Care Services

Abstract Research about pregnant women in jail is scant. This exploratory study begins to fill this gap by examining the demographics; background characteristics; and self-reported physical health, mental health, and substance use challenges reported by 27 pregnant women incarcerated in a large midwestern county jail. It further reports on the prenatal care before and during their incarceration, plans of these pregnant women for delivery of their child, caring for their infant after their release from jail, and their expectations of paternal or family support post-release. Among the sample, 66.7 percent reported a physical health care problem, 48.2 percent had received mental health treatment, and 18.5 percent had substance use treatment in the previous year, but only 51.9 percent had seen a health care professional before their incarceration. All women expected the father of their child to provide financial support, but only 76.9 percent expected the father to be involved with the child. The authors also discuss implications of the findings for jail health care services and reintegration policy and practice for pregnant women.

Effectiveness of Health Care Services for Pregnant Women and Infants

1992 ◽  
Vol 2 (2) ◽  
pp. 40 ◽  
Author(s):  
Andrew D. Racine ◽  
Theodore J. Joyce ◽  
Michael Grossman
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Health Care Services ◽  
Care Services

scholarly journals Effect of Weekly versus Daily Iron and Folic Acid Supplementation on the Haematological Status of Pregnant Women

1970 ◽  
Vol 39 (3) ◽  
Author(s):  
N Haque ◽  
A Karim ◽  
AKM Nurul Anwar
Keyword(s):  
Health Care ◽  
Folic Acid ◽  
Pregnant Women ◽  
Health Care Services ◽  
Folic Acid Supplementation ◽  
Haematological Parameters ◽  
Acid Supplementation ◽  
Treatment Groups ◽  
Care Services ◽  
Iron And Folic Acid

In many developing countries including Bangladesh daily iron and folic acid supplement is given to pregnant women through health care services but with limited success. Poor compliance, inefficiency of health care services and poor quality of supplemented tablets have been implicated for such poor outcome. Several studies reported that once or twice weekly instead of daily supplementation were equally effective with reduced gastrointestinal side effects and improved patient compliance. In this study effect of once weekly administration of 120 mg of iron and 0.5 mg of folic acid was compared with same dose of daily iron and folic acid supplementation. 600 anemic pregnant women (Hb level at or below 11.9 g/ dl) at 20 weeks±15 days of pregnancy were randomly selected and allocated to one of the two treatment groups. Haematological parameters (Blood Hb, MCV and MCHC) were measured at baseline and repeated at 28th week, 36th weeks ofpregnancy and at delivery. Because of significant drop out at antenatal visits, only 57 subjects (25 in daily group and 32 in weekly group) could be followed up till delivery at the hospital. At baseline, no significant differences in haematological parameters existed between the two treatment groups except for MCV, suggesting that study participants in both groups had more or less similar haematological status at baseline. With iron and folic acid supplementation from 20th week ±15 days of pregnancy through delivery, there had been significant improvement in both Hb level and MCV in both the groups and the improvement was not significantly different between the two groups, suggesting that both weekly and daily supplementation had similar effects. Significance of this and other findings have been discussed. Further studies with larger samples have been suggested before recommending weekly supplementation for routine use.DOI: http://dx.doi.org/10.3329/bmj.v39i3.9944 BMJ 2010; 39(3)

scholarly journals A protocol study of participatory action research: integrated care pathway for pregnant women with heart disease in Indonesia

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Suryani Yuliyanti ◽  
Adi Utarini ◽  
Laksono Trisnantoro
Keyword(s):  
Health Care ◽  
Heart Disease ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Integrated Care ◽  
Health Care Services ◽  
Heart Diseases ◽  
Service Planning ◽  
Participatory Action ◽  
Care Services

Abstract Background Heart diseases are increasingly identified as an important indirect cause of maternal mortality in several cities in Indonesia. The management of pregnancy with heart diseases requires a multidisciplinary approach, and interprofessional collaboration practice (IPCP) is critical to improving the quality of patient care. To enable the effective implementation of IPCP, integrated care pathways (ICPs) are needed to define the roles and responsibilities of the health professionals involved. This study aims to examine the obstacles and enabling factors of IPCP, to develop and use ICPs in the implementation of IPCP in health care services for pregnant women with heart diseases. Methods A participatory action study consisting of four stages (diagnostic, planning, implementation, and evaluation) will take approximately 2 years after consensus of ICPs are made. The primary data collection process will employ consensus, observations, focus group discussions, and in-depth interviews throughout the four stages, while secondary data from referral documents and medical records will be collected mainly during the diagnostic and evaluation stages. The findings are being analysed and will then be used to develop an ICPs through consensus building at the planning stage to be applied in the implementation stage. Finally, the implementation outcome, including acceptability, adoption, appropriateness, and feasibility of IPCP, will be assessed in the evaluation stage. All qualitative data will be analysed thematically by two coders using NVIVO 12 software. Discussion This research aims to assess the needs of IPCP, develop and use the ICPs in the implementation of IPCP in health care services for pregnant women with heart diseases. Findings from this study will be used for health service planning and policy making to strengthen practice of IPCP during the referral process. As a result, pregnant women with heart disease will have better access to high-quality services at every health care facility to reduce maternal mortality. Trial registration Retrospectively registered in the ISRCTN registry with study ID ISRCTN82300061 on Feb 6, 2019.

scholarly journals Born in Belo Horizonte: the trajectory of parturient women and their reproductive outcomes

2019 ◽  
Vol 53 ◽  
Author(s):  
Torcata Amorim ◽  
Mariana Santos Felisbino-Mendes ◽  
Rafaela Siqueira Costa Schreck ◽  
Sabrina Paiva Ribeiro ◽  
Edna Maria Rezende ◽  
...  
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
Public Healthcare ◽  
Delivery Care ◽  
Reproductive Outcomes ◽  
Cross Sectional ◽  
Care Services ◽  
Belo Horizonte

ABSTRACT Objective: To analyze the trajectory taken by pregnant women for delivery care in Belo Horizonte and its relation with the reproductive outcomes. Method: A cross-sectional study using a database from a study conducted in Belo Horizonte. The studied variables were referent to the trajectory of women seeking delivery care, to their social, demographic and health care characteristics, and to the reproductive outcomes. Odds Ratios were estimated with their 95% confidence intervals to evaluate the factors associated with unfavorable trajectory and outcomes. Results: A total of 1,087 cases were studied, of which 39.3% had an unfavorable trajectory. The chance of having an unfavorable trajectory was higher for women who were not Belo Horizonte residents, with lower education, non-white race/color, and who had undergone prenatal care in public healthcare service. The prevalence of reproductive outcomes was similar regardless of the trajectory status, except for vaginal delivery. Conclusion: An unfavorable trajectory remains high, and shows weaknesses in the health care services network to guarantee timely and qualified access to pregnant women. However, the care received in the health services outweighs the risks of an unfavorable trajectory.

Sign in / Sign up

Export Citation Format

Share Document