Stress perceived by pregnant and decision-making factors of maternal caesarean section request

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Riquet ◽  
C Coste ◽  
M Monguillon ◽  
C Zakarian
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Caesarean Section ◽  
Pregnant Women ◽  
Health Problem ◽  
Prenatal Stress ◽  
Public Health Problem ◽  
Maternal Request ◽  
Decision Making Factors ◽  
Child Public Health

Abstract Background Pregnancy is a time of psychological vulnerability which can generate intense stress. This represents a maternal and child public health problem. Prenatal stress has harmful impacts on the foetus, the newborn and can cause an increased maternal request for caesareans sections, with nonmedical grounds. The perceived level of prenatal stress factors was assessed in women, as well as mothers’ incentives and decision-making factors for a caesarean section on maternal request. Methods A descriptive study on 203 pregnant women, then a comparative study between primiparas (n = 72) and multiparas (n = 131) were carried out with the Antenatal perceived stress inventory. Incentives and decision-making factors for a caesarean on the mother’s demand were studied by in-depth interviews with primiparas mothers (n = 16) who had made this choice. Results The perception of stress level during pregnancy is higher at the first quarter regarding the foetus’ health, medical and obstetric risks and reverses with the perception of projections linked to giving birth at the last quarter. Primiparas are significantly (p < 0.001) more stressed. All the elements of the three assessed factors are very significantly (p < 0.001) correlated for the whole population. Among them, 75% choose a caesarean section on maternal request during the first quarter. This choice is confirmed at the end of the second quarter or during the third one for 50% of them, with a one-month time to think for 58.3% of them. The main incentives are tokophobia (66.7%) and preserving the baby’s health (50%). Conclusions Pregnancy causes important stress, which is pronounced in primiparas. In France, these results speak in favour of screening tokophobia and an earlier start of birth and parenthood preparation classes in order to handle stress from the first quarter of pregnancy, when medical and prenatal exams are initiated. Birth preparation should be taken on at the last quarter. Key messages Investigate stress perceived and identification incentives and decision-making factors of maternal caesarean section request it’s a solution to building bridge for solidarity with tokophobic women. The relation enter stress perceived by pregnant women and decision-making factors of maternal caesarean section request, represents a maternal and child public health problem.

scholarly journals Reproductive and Obstetric Factors Are Key Predictors of Maternal Anemia during Pregnancy in Ethiopia: Evidence from Demographic and Health Survey (2011)

Anemia ◽  
2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Taddese Alemu ◽  
Melaku Umeta
Keyword(s):  
Public Health ◽  
Pregnant Women ◽  
Health Survey ◽  
Health Problem ◽  
Previous History ◽  
Public Health Problem ◽  
Demographic And Health Survey ◽  
Under Five ◽  
History Of ◽  
Anemia During Pregnancy

Anemia is a major public health problem worldwide. In Ethiopia, a nationally representative and consistent evidence is lacking on the prevalence and determinants during pregnancy. We conducted an in-depth analysis of demographic and health survey for the year 2011 which is a representative data collected from all regions in Ethiopia. Considering maternal anemia as an outcome variable, predicting variables from sociodemographic, household, and reproductive/obstetric characteristics were identified for analyses. Logistic regression model was applied to identify predictors atP<0.05. The prevalence of anemia among pregnant women was 23%. Maternal age, region, pregnancy trimester, number of under five children, previous history of abortion (termination of pregnancy), breastfeeding practices, and number of antenatal care visits were key independent predictors of anemia during pregnancy. In conclusion, the level of anemia during pregnancy is a moderate public health problem in Ethiopia. Yet, special preventive measures should be undertaken for pregnant women who are older in age and having too many under five children and previous history of abortion. Further evidence is expected to be generated concerning why pregnant mothers from the eastern part of the country and those with better access to radio disproportionately develop anemia more than their counterparts.

Pornography and Human Trafficking

2021 ◽  
pp. 179-186
Author(s):  
Emily F. Rothman
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Human Trafficking ◽  
Health Problem ◽  
Health Professionals ◽  
Sex Workers ◽  
Public Health Problem ◽  
Informed Decision Making ◽  
Public Health Professionals ◽  
Definition Of

Human trafficking is an insidious public health problem that may be worsened by the constant demand for new pornography, but sex workers’ rights—including the rights of pornography performers—are not always served by anti-trafficking efforts. This chapter provides a definition of human trafficking, reviews three main arguments about how pornography may influence human trafficking, and encourages public health professionals to value anecdotal information from both sex workers’ rights advocates and human trafficking survivors to move toward better science and evidence-informed decision-making.

State of the art in managing nontraumatic intracerebral hemorrhage

2011 ◽  
Vol 30 (6) ◽  
pp. E22 ◽  
Author(s):  
Julie Dubourg ◽  
Mahmoud Messerer
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Intracerebral Hemorrhage ◽  
Health Problem ◽  
State Of The Art ◽  
Public Health Problem ◽  
High Rate ◽  
Management Decision ◽  
Major Public Health Problem ◽  
Management Decision Making

Nontraumatic intracerebral hemorrhage constitutes a major public health problem worldwide. Intracerebral hemorrhage leads to a high rate of morbidity and mortality. To date, no medical or surgical trials have clearly attested to the benefit of a particular therapy. The aim of this review was to summarize the best evidence for management decision-making in intracerebral hemorrhage.

Tetanus in Southeast Asia

1988 ◽  
Vol 2 (3) ◽  
pp. 175-178
Author(s):  
R Kim-Farley ◽  
I Mochny ◽  
A Schnur
Keyword(s):  
Public Health ◽  
Southeast Asia ◽  
Pregnant Women ◽  
Tetanus Toxoid ◽  
Health Problem ◽  
Public Health Problem ◽  
Neonatal Tetanus ◽  
Major Public Health Problem ◽  
Immunisation Coverage

With an estimated 337, 000 cases and 270, 000 deaths due to neonatal tetanus each year, tetanus remains a major public health problem in Southeast Asia. Although immunisation coverage of pregnant women with tetanus toxoid and infants with Diphtheria Pertussis Tetanus (DPT) has increased, it is clear that immunisation activities must be accelerated to meet the 1990 goal of Universal Child Immunisation and eliminate the needless suffering, disability and death from tetanus.

scholarly journals The Incidence and Effects of Alloimmunization in Pregnancy During the Period 2000 – 2013

2017 ◽  
Vol 77 (07) ◽  
pp. 780-785
Author(s):  
Marjana Jerković Raguž ◽  
Darinka Šumanovic Glamuzina ◽  
Jerko Brzica ◽  
Tonći Gruica
Keyword(s):  
Public Health ◽  
Pregnant Women ◽  
21St Century ◽  
Health Problem ◽  
Public Health Problem ◽  
Transfusion Medicine ◽  
Coombs Test ◽  
Hemolytic Disease ◽  
Antibody Specificities ◽  
In Pregnancy

Abstract Introduction The objective of the analysis was to examine the epidemiological aspects of maternal alloimmunization and to determine the most common antibody specificities resulting in hemolytic disease of the newborn (HDN). Materials and Methods The retrospective epidemiological study encompasses all pregnant women who underwent immunohematological screening and the newborn treated for HDN in the period from 2000 to 2013 in the Herzegovina region. Results The indirect Coombs test (ICT) detected antibodies against antigens in 384 (2.4%) pregnant women of the 18 800 who were tested at the Department of Transfusion Medicine. The direct Coombs test (DCT) detected antibodies against antigens in 160 (0.8%) newborn treated for HDN. The results of our 13-year study, in which 60% of the pregnant women had non-RhD antibodies, confirms this finding. Conclusion However, we have reached the 21st century and the burden of alloimmunisation in pregnancy is still on our backs. The problem of immunization and HDN is still present in our region, which is a neonatal and public health problem.

scholarly journals Roles of Interferons in Pregnant Women with Dengue Infection: Protective or Dangerous Factors

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Hao Zhang ◽  
Zhiyi He ◽  
Wenting Zeng ◽  
Hong-Juan Peng
Keyword(s):  
Public Health ◽  
Immune Response ◽  
Pregnant Women ◽  
Virus Replication ◽  
Health Problem ◽  
Dengue Infection ◽  
Public Health Problem ◽  
Inhibit Virus Replication ◽  
Epidemiological Characteristics

Dengue infection is a serious public health problem in tropical and subtropical areas. With the recent outbreaks of Zika disease and its reported correlation with microcephaly, the large number of pregnancies with dengue infection has become a serious concern. This review describes the epidemiological characteristics of pregnancy with dengue and the initial immune response to dengue infection, especially in IFNs production in this group of patients. Dengue is much more prevalent in pregnant women compared with other populations. The severity of dengue is correlated with the level of IFNs, while the serum IFN level must be sufficiently high to maintain the pregnancy and to inhibit virus replication.

Challenges in Managing Pregnancy in Underserved Women with Chronic Kidney Disease

2019 ◽  
Vol 49 (5) ◽  
pp. 386-396 ◽  
Author(s):  
Margarita Ibarra-Hernandez ◽  
Maria de la Luz Alcantar-Vallin ◽  
Angela Soto-Cruz ◽  
Patricia Maria Jimenez-Alvarado ◽  
Francisco Villa-Villagran ◽  
...  
Keyword(s):  
Public Health ◽  
Chronic Kidney Disease ◽  
Glomerular Filtration Rate ◽  
Kidney Disease ◽  
Serum Creatinine ◽  
Pregnant Women ◽  
Health Problem ◽  
Filtration Rate ◽  
Public Health Problem ◽  
Estimate Glomerular Filtration Rate

Background: Chronic kidney disease (CKD) is a global public health problem and is linked to adverse outcomes during pregnancy; the high prevalence of CKD (3–6%) in women of childbearing age is of particular relevance in emerging countries where CKD prevalence is higher and resources are limited. Although CKD is a public health problem in Mexico, there is scant information on outcomes in pregnant CKD women in this country. We report maternal–fetal outcomes in a prospective cohort of poor, CKD pregnant women, and compare results with those of pregnant women without CKD. Methods: A prospective study of pregnant CKD women referred to a public obstetrics/nephrology clinic from July 2013 to December 2017; sociodemographic and clinical data, including complications and perinatal outcomes, were recorded. CKD was defined at referral as per KDIGO guidelines; preeclampsia and superimposed preeclampsia were defined as appearance or worsening of hypertension and proteinuria. Findings were compared to official data for ­Mexico and to a historic control of pregnant women without CKD who delivered at our hospital. Results: Sixty-two pregnancies in CKD patients, age 23.4 ± 5.8 years were observed; 46.8% of patients were primiparous. At referral, serum creatinine was 1.8 (1.1–3.0) mg/dL with an estimate glomerular filtration rate (eGFR) of 38.1 (21.9–68.0) mL/min/1.73 m2. In half of the cases, CKD was diagnosed during pregnancy. Forty-eight pregnant women without CKD, age 27 (22–34) years, who delivered during the study period were selected as controls: 33% were primiparous, serum creatinine was 0.50 (0.4–0.6) mg/dL, and estimate glomerular filtration rate was 135 (112–174) mL/min/1.73 m2. Twenty patients needed dialysis (HD-CKD): 2 were already on dialysis, and 18 began treatment during pregnancy; 42 CKD patients did not require dialysis (non-HD CKD). After delivery, 15 patients remained dialysis dependent while 5 did not. Preeclampsia was more frequent in CKD patients in comparison to controls. In total, 93% of CKD patients and 98% of controls delivered a live baby. Prematurity was more frequent in CKD patients than controls and was higher in HD-CKD than in non-HD CKD. Birth weight was lower in CKD when compared to controls. Logistic regression showed a higher risk of preeclampsia in CKD pregnancies than in controls, but it was not affected by age, parity, CKD stage, or need for dialysis during pregnancy. Conclusions: Underserved CKD Mexican women have a high rate of adverse maternal-fetal outcomes during pregnancy. The risk may be higher in patients needing dialysis during pregnancy, many of whom remained dialysis dependent after delivery.

scholarly journals Syphilis: a fresh look at an old foe

Sexual Health ◽  
2015 ◽  
Vol 12 (2) ◽  
pp. 93 ◽  
Author(s):  
Marcus Y. Chen ◽  
Jeffrey D. Klausner ◽  
Christopher Kit Fairley ◽  
Rebecca Guy ◽  
David Wilson ◽  
...  
Keyword(s):  
Public Health ◽  
Pregnant Women ◽  
Health Problem ◽  
Public Health Problem ◽  
Health Interventions ◽  
Surveillance Data ◽  
Public Health Interventions ◽  
Different Populations ◽  
Sex With Men

Syphilis remains a pressing public health problem globally across different populations including men who have sex with men and pregnant women. It is timely to review what international surveillance data tell us and the evidence behind public health interventions aimed at controlling syphilis. A reinvigorated response to the re-emergence of syphilis is required.

scholarly journals Prevalence of anaemia among pregnant women attending antenatal clinic at St. Francis Referral Hospital Ifakara, Tanzania

2021 ◽  
Vol 3 (1) ◽  
pp. 041-048
Author(s):  
Sylivester W. Mkama
Keyword(s):  
Public Health ◽  
Pregnant Women ◽  
Health Problem ◽  
Public Health Problem ◽  
Developed Countries ◽  
Antenatal Clinic ◽  
Referral Hospital ◽  
Anemia In Pregnancy ◽  
Prevalence Of Anemia ◽  
In Pregnancy

Background: Anemia in pregnancy is a worldwide public health problem affecting both developing and developed countries with significant impact on the health of mothers and fetus. Objective: This study aimed to determine the prevalence of anemia among pregnant women attending antenatal clinic at St. Francis Referral Hospital (SFRH), Ifakara, Tanzania. Methodology: This was a descriptive cross-sectional study conducted from January to March 2021. A total of 116 pregnant women were enrolled in this study. Interviews were conducted followed by determination of haemoglobin level. Results: The results revealed the prevalence of anemia among pregnant women attending antenatal clinic at SFRH to be 52.6%. In this study mild anemia was 34.5%, moderate anemia13.8% and severe anemia 4.3%. Conclusion: Anemia in pregnancy is a public health problem in study setting of St. Francis Referral Hospital, Ifakara, Tanzania.

scholarly journals Dietary Diversity and Its Association with Anemia among Pregnant Women Attending Public Health Facilities in South Ethiopia

1970 ◽  
Vol 28 (5) ◽  
Author(s):  
Romedan Delil ◽  
Dessalegn Tamiru ◽  
Beakal Zinab
Keyword(s):  
Public Health ◽  
Pregnant Women ◽  
Nutrition Education ◽  
Health Problem ◽  
Maternal Education ◽  
Dietary Diversity ◽  
Public Health Problem ◽  
Sampling Procedure ◽  
Major Public Health Problem ◽  
Cross Sectional

BACKGROUND: Anemia is a major public health problem among pregnant women in developing countries like Ethiopia. Nutritional deficiency related to anemia is an important contributor to maternal mortality and poor fetal outcomes.METHODS: Institution based cross-sectional study was conducted among pregnant women to assess the prevalence of anemia and its association with dietary diversity in Hossana Town from March 15 to April 30, 2017. Systematic random sampling procedure was employed to select 314 study subjects. Data were collected using an interviewer administered semi-structured questionnaire supplemented with laboratory tests. Multivariable logistic regression was used to determine the independent predictors of anemia.RESULTS: The prevalence of mild to moderate anemia among pregnant women was 56.6% and 40.8% respectively. The mean dietary diversity and food variety score of study participants were 7 and 22 respectively. Maternal education (AOR=10.5; 95% CI:2.2, 27), occupation of spouse (AOR=9.3; 95% CI:1.6, 53), nutrition education (AOR=2.5; 95% CI:1.5, 6.4) and dietary diversity (AOR=18.6; 95% CI: 4.4, 28) were significantly associated with anemia.CONCLUSION: Anemia was found to be a moderate public health problem in Hossana Town. Therefore, there is a need of nutrition education and promotion awareness on healthy diets to prevent anemia among pregnant women. 

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