scholarly journals The affecting factors of childbirth fear for pregnant women admitted to a health center and university hospital in Turkey

2020 ◽  
Vol 34 (5) ◽  
pp. 389-397
Author(s):  
Didem Kaya ◽  
Funda Evcili
Keyword(s):  
Pregnant Women ◽  
Health Center ◽  
Small Sample ◽  
University Hospital ◽  
Affecting Factors ◽  
Content Type ◽  
Childbirth Fear ◽  
Increased Risk ◽  
Unplanned Pregnancies ◽  
Lack Of Knowledge

PurposeFear of birth may cause perinatal complication, increased risk of intervention and need for analgesia, delayed mother–infant attachment process and deterioration of spouse relationship. The purpose of this study was to determine the affecting factors and childbirth fears of Turkish pregnant women.Design/methodology/approachThis is a descriptive research type. The sample of this study consisted of 78 pregnant women who met the inclusion criteria and agreed to participate in this study. This study was carried out in a family health center and university hospital in a city in Turkey. Data were collected with Personal Information Form and Wijma Expectancy/Experience Scale-A Version (W-DEQ A).FindingsThe mean scores of pregnant women from W-DEQ A version were 75.60 ± 9.48. In 65.4% of pregnant women, fear of severe birth, 20.5% fear of clinical birth and 14.1% of children had a fear of moderate birth. W-DEQ A version, the third trimester, unplanned pregnancies, lack of knowledge of the level of inadequate birth and more than eight pregnancies in pregnancy, the total score of pregnant women was found to be higher (p < 0.05).Research limitations/implicationsThe limitation of this study is its small sample size. Further studies with larger sample sizes are needed.Practical implicationsIt was determined that one-fifth of the sample group experienced birth fear at the clinical level and childbirth fear level is associated with unplanned pregnancies, lack of knowledge. In antenatal period, the pregnant woman should be encouraged to express her feelings and thoughts about the labor and give information about the labor.Social implicationsCognitive and behavioral education programs can be structured to cope with fear of birth for pregnant women at risk.Originality/valueThis research is original. This study presents data on Turkish women. The data can also be used to evaluate intercultural differences.

scholarly journals Association between Pre-pregnant Overweight and Obesity and Periodontal Disease during Pregnancy: A Cross Sectional Study

2017 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Eman Ali Abd El Moaty Sheha ◽  
Hanan Elzeblawy Hassan ◽  
Wafaa Mostafa Ahmed Gamel
Keyword(s):  
Periodontal Disease ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
University Hospital ◽  
Public Health Issue ◽  
Obese Women ◽  
Sectional Study ◽  
Cross Sectional ◽  
Increased Risk

Background: Obesity is considered а noteworthy public health issue in both developed & developing countries. Among the 1.5 billion overweight individuals worldwide, 300 million of them were obese women. In the general, the prevalence of maternal obesity has increased 60% in the previous two decades with nearly 1 in 3 women now entering pregnancy obese. Also, the periodontаl disease has been observed to be prevalent in pregnant women with the prevalence ranging from 20% to more than 50%, especially economically disadvantaged women.Aim: explore the relation between pre-pregnant overweight and obesity with periodontal disease during pregnancy.Subjects & Methods: cross-sectional study among 400 pregnant women were booked in the high-risk obstetric departments and the antenatal outpatient clinics at governmental general hospitals in El-Fayoum City and governmental university hospital in El-Mansoura city.Results: The mean age of pregnant women was 29.9 ± 6.2 with increase the prevalence of periodontal disease in pregnant women (83.5%). Statistically significant correlation was found between prenatal weight and periodontаl disease during pregnancy (p ≤ 0.0001) with increasing the prevalence of periodontal disease in prenatal obese women (53.2%) and over weight (39.7%) were observed in women who were in their 3rd trimester (р = 0.011). Increase prevalence of periodontal with poor oral hygiene and sedentary activity.Conclusion: increased pre-pregnancy obesity & overweight are positively correlated with periodontal disease prevalence among pregnant women, and Pregnancy itself may also be associated with аn increased risk of periodontal disease.Recommendations: Activating the role of the maternity and community health nurse in branches of Obstetrics and antenatal clinics to enhance pregnant women's knowledge regarding oral health risks of obesity & overweight.

Occupational stress and its consequences

2014 ◽  
Vol 27 (3) ◽  
pp. 224-239 ◽  
Author(s):  
Ali Mohammad Mosadeghrad
Keyword(s):  
Occupational Stress ◽  
Turnover Intentions ◽  
Well Being ◽  
Small Sample ◽  
Working Environment ◽  
Future Research ◽  
Content Type ◽  
Hospital Employees ◽  
Validated Questionnaire ◽  
Increased Risk

Purpose – This study aims to identify the status of occupational stress among a sample of hospital employees in Iran. It further intended to reveal the harmful effects of occupational stress on employees’ health and well-being. Design/methodology/approach – The study used a cross-sectional research design. A validated questionnaire was used to collect data from hospital employees. Findings – Job-related, working environment, interpersonal and organisational factors were related to occupational stress. One-fourth of employees rated their occupational stress high. The major sources of occupational stress were inadequate pay, inequality at work, too much work, staff shortage, poor recognition and promotion, time pressure, job insecurity and lack of management support. High levels of occupational stress have been linked to an increased risk of physical injuries, cardiovascular disease, high blood pressure, depression and increases in negative personal behaviours such as anger, anxiety and irritability. Occupational stress was positively associated with employees’ turnover intentions. Research limitations/implications – The findings of this study are not generalisable to the wider population of hospital employees in Iran due to the small sample size. Thus, future research should involve additional samples. Practical implications – The study has practical relevance for designing and implementing strategies to decrease occupational stress among hospital employees. Originality/value – This article contributes to health care theory and practise by identifying factors contributing to employees’ occupational stress and examining the association between occupational stress and two important employee outcomes – health status and turnover intention.

FAKTOR-FAKTOR YANG MEMPENGARUHI TERJADINYA ANEMIA PADA IBU HAMIL TRIMESTER II

2019 ◽  
Vol 5 (2) ◽  
Author(s):  
Syahroni Damanik
Keyword(s):  
Pregnant Women ◽  
Health Center ◽  
Economic Effect ◽  
World Health ◽  
Primary Data ◽  
Bivariate Analysis ◽  
P Value ◽  
Second Trimester ◽  
Affecting Factors ◽  
Cross Sectional

The World Health Organization (WHO) in 2015 is estimated as many as 52.5% of pregnant women in Southeast Asia who experience anemia. 3,4 in various countries, including Indonesia, reported that the incidence of anemia is still high. To prove determine the affecting factors to the occurrence of anemia in trimester II pregnant women at Kutalimbaru Health Center, Deli Serdang District in 2018. Tyfe of research design was an analytical survey with a cross sectional approach. The population of this study was trimester II pregnant women who had not come to Kutalimbaru Health Center in 2018 totaling 33 people (Accidental sampling.). The data used was primary data and secondary data. The instruments used were checklist and questionnaire with 12 questions. The data analysis were univariate, bivariate analysis using Chi-square test. The study found results of the study 33 respondents, there was no effect of knowledge with the occurrence of anemia in pregnant women in second trimester p value = 0.056 <0.05 with OR 5.417 (95% CI), there was an effect of parity with the occurrence of anemia in pregnant women in second trimester obtained p = 0.053 <0.05 with OR 6.286 (95% CI), there was a economic effect with the occurrence of anemia in pregnant women in second trimester obtained p value = 0.006 <0.05 with OR 13,000 (95% CI). There is no effect of knowledge with the occurrence of anemia in pregnant women in second trimester at Kutalimbaru Health Center, parity and economy with the occurrence of anemia in pregnant women in second trimester at Kutalimbaru Health Center.

Risk and other factors associated with toxoplasmosis and toxocariasis in pregnant women from southern Brazil

2016 ◽  
Vol 91 (5) ◽  
pp. 534-538 ◽  
Author(s):  
P.C. Santos ◽  
P.L. Telmo ◽  
L.M. Lehmann ◽  
G.T. Mattos ◽  
G.B. Klafke ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Total Population ◽  
University Hospital ◽  
Risk Of Infection ◽  
Southern Brazil ◽  
Factors Associated ◽  
Modes Of Transmission ◽  
Increased Risk ◽  
Serology Test

AbstractToxoplasmosis causes complications during pregnancy that have serious effects on fetal development. Thus far, toxocariasis has been reported to spread only via vertical transmission. Nonetheless, the population of pregnant women is also exposed to this infection. Co-infection with both Toxoplasma gondii and Toxocara spp. has been reported in children, but there are no reports of co-infection in the population of pregnant women. The aim of this study was to determine the prevalence of co-infection with T. gondii and Toxocara spp. in pregnant women at a university hospital in southern Brazil, and to identify the risk factors associated with infection by both parasites. Two hundred pregnant women were tested for the presence of anti-T. gondii and anti-Toxocara spp. antibodies and were asked to complete an epidemiological questionnaire. In this study, the co-infection rate observed in the total population of pregnant women was 8%. In addition, women with a positive result for a serology test for Toxocara spp. were at increased risk of infection by T. gondii (P = 0.019). Co-infection with both parasites in pregnant women was associated with low birth weights in neonates. The similar modes of transmission of both parasites could explain the co-infection. Only a few previous studies have investigated this phenomenon. The findings of the present study emphasize the importance of serological diagnosis during prenatal care and further research in this area to identify risk factors associated with this co-infection, and the possible implications of this co-infection during pregnancy and on the health of newborns.

Transition from child to adult mental health services: a French retrospective survey

2016 ◽  
Vol 11 (5) ◽  
pp. 286-293 ◽  
Author(s):  
Aurélie Schandrin ◽  
Delphine Capdevielle ◽  
Jean-Philippe Boulenger ◽  
Monique Batlaj-Lovichi ◽  
Frédérick Russet ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Problems ◽  
Care Pathway ◽  
Small Sample ◽  
University Hospital ◽  
Retrospective Survey ◽  
Content Type ◽  
Adult Mental Health

Purpose Adolescents and young adults’ mental health problems are an important health issue. However, the current organisation of the care pathway is not robust enough and transition between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) has been identified as a period of risk. The paper aims to discuss these issues. Design/methodology/approach A retrospective survey was conducted in Montpellier University Hospital concerning transitions organised between CAMHS and AMHS between 2008 and 2009. The aim was to assess if transitions met four criteria identified in literature as warranting an optimal transition. Findings In total, 31 transitions were included. Transition was accepted by AMHS in 90 per cent of cases but its organisation was rarely optimal. Relational continuity and transition planning were absent in 80 per cent of cases. The age boundary of 16 often justified the triggering of the transition regardless of patient’s needs. Discontinuity was observed in 48 per cent of transition cases, with an average gap of three months without care. Psychiatrists reported difficulties in working together. Finally, at the moment of the survey (one to three years later), 55 per cent of patients were lost to follow-up. Research limitations/implications This is a retrospective study on a small sample but it reveals important data about transition in France. Practical implications Transition process should include collaborative working between CAMHS and AMHS, with cross-agency working and periods of parallel care. Social implications Transition-related discontinuity of care is a major socioeconomic and societal challenge for the EU. Originality/value Data related to the collaboration between CAMHS and AMHS services are scarce, especially regarding the transition in France.

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 Population Pharmacokinetics of Artemether, Dihydroartemisinin, and Lumefantrine in Rwandese Pregnant Women Treated for UncomplicatedPlasmodium falciparumMalaria

2018 ◽  
Vol 62 (10) ◽  
Author(s):  
Jesmin Lohy Das ◽  
Stephen Rulisa ◽  
Peter J. de Vries ◽  
Petra F. Mens ◽  
Nadine Kaligirwa ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Population Pharmacokinetics ◽  
Plasma Concentrations ◽  
Target Attainment ◽  
Time Curve ◽  
Content Type ◽  
Mixed Effects Modeling ◽  
Increased Risk ◽  
Dose Combination ◽  
Median Area

ABSTRACTThe artemisinin-based combination therapy artemether-lumefantrine is commonly used in pregnant malaria patients. However, the effect of pregnancy-related changes on exposure is unclear, and pregnancy has been associated with decreased efficacy in previous studies. This study aimed to characterize the population pharmacokinetics of artemether, its active metabolite dihydroartemisinin, and lumefantrine in 22 Rwandese pregnant women in their second (n= 11) or third (n= 11) trimester with uncomplicatedPlasmodium falciparummalaria. These patients were enrolled from Rwamagana district hospital and received the standard fixed oral dose combination of 80 mg of artemether and 480 mg of lumefantrine twice daily for 3 days. Venous plasma concentrations were quantified for all three analytes using liquid chromatography coupled with tandem mass spectroscopy, and data were analyzed using nonlinear mixed-effects modeling. Lumefantrine pharmacokinetics was described by a flexible but highly variable absorption, with a mean absorption time of 4.04 h, followed by a biphasic disposition model. The median area under the concentration-time curve from 0 h to infinity (AUC0–∞) for lumefantrine was 641 h · mg/liter. Model-based simulations indicated that 11.7% of the study population did not attain the target day 7 plasma concentration (280 ng/ml), a threshold associated with increased risk of recrudescence. The pharmacokinetics of artemether was time dependent, and the autoinduction of its clearance was described using an enzyme turnover model. The turnover half-life was predicted to be 30.4 h. The typical oral clearance, which started at 467 liters/h, increased 1.43-fold at the end of treatment. Simulations suggested that lumefantrine pharmacokinetic target attainment appeared to be reassuring in Rwandese pregnant women, particularly compared to target attainment in Southeast Asia. Larger cohorts will be required to confirm this finding.

The role of prospective screening in the diagnosis of dementia in people with Down's syndrome

2014 ◽  
Vol 8 (5) ◽  
pp. 283-291 ◽  
Author(s):  
Hayley Starkey ◽  
Shelley Bevins ◽  
Simon Bonell
Keyword(s):  
Screening Programme ◽  
Down's Syndrome ◽  
Down’S Syndrome ◽  
Small Sample ◽  
Service Development ◽  
Original Research ◽  
Content Type ◽  
Dementia Screening ◽  
Increased Risk ◽  
Diagnosis Of Dementia

Purpose – People with Down's syndrome are at increased risk of developing early onset Alzheimer's disease. It has been recommended that all adults with Down's syndrome receive baseline neuropsychological testing for dementia. In certain areas prospective screening of people with Down's syndrome takes place to ensure the early diagnosis of the condition. However, little has been published on the value of this type of screening. The purpose of this paper is to report on a prospective screening programme and asks whether the programme is effective in identifying dementia-related changes in people with Down's syndrome and whether the current screening intervals are appropriate. Design/methodology/approach – All adults with Down's syndrome in Plymouth (UK) are identified and offered a comprehensive test battery at baseline at the age of 20 and then have testing biennially from 40 to 50 and annually after 50. All individuals diagnosed with dementia between 2001 and 2013 were identified and their case notes examined. The symptoms at the time of diagnosis were identified and whether these symptoms had been identified through the screening programme or by other routes were recorded. Prevalence data and age at diagnosis were also recorded. Findings – In total, 26 people were diagnosed with dementia during the study period. Of these, the diagnosis of dementia followed concerns being identified during the routine screening programme in 54 per cent of cases. In the younger age group (age 40-49) 63 per cent of people were identified through the screening programme. At the time of diagnosis a mean of 5.5 areas of concern were in evidence. Research limitations/implications – Limited by small sample size, however service development not original research. Implications for the use of prospective dementia screening in people with Down's syndrome. Practical implications – Implications for how services choose to run their Down's syndrome and dementia screening programmes, including the frequency of screening. Originality/value – The paper adds to a growing evidence base around the value of prospective dementia screening in people with Down's syndrome. It is also one of a few studies exploring the frequency of screening. Additionally, it adds further data about prevalence of dementia in people with Down's syndrome.

scholarly journals Efficacy of rtsa-byugs vs diclofenac gel in relieving knee pain of patients with osteoarthritis of the knee

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Dorji Nidup ◽  
Somboon Kietinun ◽  
Sunyarn Niempoog ◽  
Kusuma Sriyakul
Keyword(s):  
Quality Of Life ◽  
Knee Pain ◽  
Small Sample ◽  
Life Assessment ◽  
University Hospital ◽  
Osteoarthritis Of The Knee ◽  
Content Type ◽  
Significant Difference ◽  
The Mean

PurposeRtsa-byugs, a massage oil from Bhutan, is a traditional herbal formula known for its anti-inflammatory properties and used in osteoarthritis treatment. This study investigates the efficacy of rtsa-byugs vs diclofenacgel in relieving knee pain in osteoarthritis patients.Design/methodology/approachA single-blind, randomized controlled trial was conducted amongst osteoarthritis knee patients at an orthopedic outpatient department of Thammasat University Hospital. Participants were randomly allocated to the rtsa-byugs (N = 31) or the Diclofenac gel (N = 31) group. Primary outcomes were assessed by the knee injury and osteoarthritis outcome scores (KOOS), visual analog scale (VAS) and goniometer at day 0, 1, 3, 7.Findings62 participants completed the study. The result of the KOOS scores demonstrated a significant improvement of symptoms at the end of the study in both treatment groups. Improvement of symptoms, pain, daily life living, sport and recreational score and quality of life assessment showed a significant difference from baseline (p < 0.001) within both groups. The quality of life score for the rtsa-byugs group increased significantly on day 3 and 7. The VAS score in both groups decreased with a significant difference from baseline to day 7. The mean value of extension of angle measurement was decreased in day 7, and the mean of flexion score increased in both groups when compared with the baseline.Research limitations/implicationsThe duration of the study was very limited and included a small sample consisting of men and women.Originality/valueRtsa-byugs is safe and effective in relieving pain from osteoarthritis of the knee and can be used as an alternative treatment for knee osteoarthritis.

scholarly journals THE KNOWLEDGE OF PREGNANT WOMEN ABOUT PRE-ECLAMPSIA AT THE TAROGONG PUBLIC HEALTH CENTER, GARUT REGENCY

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Rizky Ayu Gardelia ◽  
Tetti Solehati ◽  
Lilis Mamuroh
Keyword(s):  
Pregnant Women ◽  
Health Center ◽  
Univariate Analysis ◽  
Health Centre ◽  
Signs And Symptoms ◽  
Total Sample ◽  
Limited Information ◽  
Increased Risk ◽  
Sample Technique ◽  
Risk Of Preeclampsia

The Maternal Mortality Rate (MMR) in Indonesia is still high, one of the causes is pre-eclampsia. Tarogong Garut is a health center with a high occurrence of preeclampsia and it increases annually, 34% in 2016 increased to 51% in 2017. The knowledge of pregnant women about preeclampsia may be one of the causes to the increased risk of preeclampsia, but there is still limited information available on the knowledge of pregnant women about preeclampsia. This study aimed to discover the knowledge of pregnant women about pre-eclampsia. This type of research was descriptive quantitative with a sample of 83 pregnant women. The sample was selected by the total sample technique. Data analysis used was univariate analysis. The study was conducted at the Tarogong Health Centre in March-July 2018. The instruments used were questionnaires. The results of the study showed that the knowledge of pregnant women about pre-eclampsia is still lacking in all aspects of preeclampsia knowledge, especially in aspects of signs and symptoms. In conclusion, the knowledge of pregnant women about preeclampsia is still lacking. Effective health education programs and methods are needed about preeclampsia for pregnant women, especially in Tarogong Garut.Keywords: Knowledge, Pregnant women, Pre-eclampsia. 

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