scholarly journals Web and mobile-based technologies for monitoring high-risk pregnancies

2019 ◽  
Vol 26 (1) ◽  
pp. e000025 ◽  
Author(s):  
Haleh Ayatollahi ◽  
Malihe Ghalandar Abadi ◽  
Morteza Hemmat
Keyword(s):  
High Risk ◽  
Prenatal Care ◽  
Fetal Loss ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
High Risk Pregnancy ◽  
Teaching Hospitals ◽  
Cross Sectional ◽  
Web Based ◽  
Risk Pregnancy

IntroductionHigh-risk pregnancy is an illness in which there are severe complications and problems that may cause fetal loss and requires continuous care. It seems that using telemedicine technology is helpful to provide wider access to prenatal care. The aim of this study was to compare the feasibility of using web-based and mobile-based technologies in caring for high-risk pregnancy.Materials and methodsThis was a cross-sectional study and the participants included midwives and gynaecologists who worked at teaching hospitals. The data were collected by using two five-point Likert scale questionnaires which were designed based on the literature review. The questionnaires included two main sections: demographic questions and questions related to five aspects of a feasibility study. Face and content validity of the questionnaires were confirmed by the experts and the reliability was checked by using the test-retest method. The data were analysed using descriptive and inferential statistics.ResultsIn this study, 79 questionnaires were completed by 50 midwives (63.29%) and 29 gynaecologists (36.71%). Overall, midwives (p=0.001) and gynaecologists (p=0.003) believed that using mobile-based technologies was more feasible than using web-based technologies in caring for high-risk pregnancies.ConclusionIt seems that planning for the future technological direction and providing mobile-based applications should be taken into account and prioritised to improve the quality of prenatal care and to increase access to healthcare services for high-risk pregnancies.

scholarly journals Risk status of pregnant women in rural areas of Belagavi: a cross sectional study

2019 ◽  
Vol 6 (6) ◽  
pp. 2350
Author(s):  
Katherine J. Bernard ◽  
Sulakshana Baliga
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
High Risk Pregnancy ◽  
Cross Sectional ◽  
Risk Status ◽  
Factors Associated ◽  
Risk Pregnancy ◽  
Status Assessment

Background: ‘High-risk’ pregnancies account for a significant proportion of perinatal morbidity and mortality worldwide. Simple prenatal scoring systems can be used to assess risk status of pregnancy and inform subsequent management. Their use in rural areas and low-resource settings could be of particular benefit. This study employed pregnancy risk status assessment in one such area of rural India. The objectives of the study were to estimate the prevalence of low, moderate and high-risk pregnancy among women in a rural area of Belagavi and to identify factors associated with high-risk pregnancy status.Methods: This community-based cross-sectional study was undertaken among 105 pregnant women of all trimesters presenting to antenatal clinics in the Kinaye area of Belagavi, Karnataka, during July 2018. Information on risk factors and socio-demographic details were collected using a questionnaire, and individual risk scores calculated through a scoring system. This was used to estimate prevalence of low, moderate and high-risk status among participants, and subsequently compared against selected variables to identify factors associated with high risk pregnancy status.Results: Prevalence of high-risk pregnancy among participants was 31.4%, moderate-risk 30.5%, low-risk 29.5% and ‘no risk’ 8.6%. Maternal undernutrition was an important factor associated with high-risk pregnancy.Conclusions: This study highlights the need for early identification and appropriate management of such cases, in order to prevent adverse perinatal outcomes. The prenatal scoring system used in this study offers a simple method for risk status assessment in pregnant women of all trimesters, suited for use in antenatal clinics in rural areas of India.

scholarly journals Prevalence of high risk among pregnant women attending antenatal clinic in rural field practice area of Jawaharlal Nehru Medical College, Belgavi, Karnataka, India

2017 ◽  
Vol 4 (4) ◽  
pp. 1257 ◽  
Author(s):  
Jaideep K. C. ◽  
Prashant D. ◽  
Girija A.
Keyword(s):  
High Risk ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Antenatal Clinic ◽  
Cross Sectional Study ◽  
High Risk Pregnancy ◽  
Risk Category ◽  
Cross Sectional ◽  
Risk Pregnancy ◽  
Socio Demographic Factors

Background: In India about 20-30% pregnancies belong to high risk category, which is responsible for 75% of perinatal morbidity and mortality. Early detection and effective management of high risk pregnancy can contribute substantially to reduction in maternal mortality. Objective was to study the prevalence of high risk among antenatal women and also to know the socio demographic factors associated with high risk. Methods: A cross-sectional study was carried out between Jan. to June 2016. A total of 600 pregnant women attending antenatal clinic in PHC Kinaye were interviewed using predesigned, pretested questionnaire. Results: In present study, prevalence of high risk pregnancy was 30.7% and 59.8 were having bad obstetric history, 4% were having pregnancy induced hypertension, 5.5% were elderly gravida, 3.2% were Rh negative and 22.3% were having other risk factors. Factors such as education status of pregnant women, age at pregnancy and parity of pregnant women were found to be significantly associated with the prevalence of high risk. Conclusions: Prevalence of high risk among pregnant women was found to be 30.7%. Detection of high risk in early stages will help in preventing maternal mortality. 

scholarly journals KNOWLEDGE OF PRE-PREGNANCY CARE AMONG WOMEN WITH HIGH RISK PREGNANCY IN PERAK, MALAYSIA: WHAT ARE THE FACTORS?

2020 ◽  
Vol 20 (3) ◽  
pp. 147-155
Author(s):  
Nazirah Jusoh ◽  
Tengku Alina Tengku Ismail ◽  
Noor Aman A. Hamid
Keyword(s):  
High Risk ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Tertiary Education ◽  
Cross Sectional Study ◽  
High Risk Pregnancy ◽  
Cross Sectional ◽  
Pregnancy Care ◽  
Care Services ◽  
Risk Pregnancy

Pre-pregnancy care is an important approach for maternal and child health. This study aimed to determine the knowledge about pre-pregnancy care and factors associated with good pre-pregnancy care knowledge among women with high risk pregnancy in Kinta, Perak. A cross-sectional study was conducted among women diagnosed as high-risk pregnancy in governmental health clinics in Kinta. Stratified random sampling was applied and interviewer-guided questionnaires were administered. A proforma and the validated Pre-pregnancy Care Knowledge and Practice Questionnaire were used, consisting of 21 items on knowledge. Good pre-pregnancy care knowledge was defined as those with the total score of more than 12. Logistic regression analysis was conducted using SPSS software. Of the 490 women, their mean age was 29.98 (SD 5.51) years. Less than half (48.6%) had good knowledge of pre-pregnancy care. Education level and attended pre-pregnancy care services were significantly associated with good pre-pregnancy care knowledge. Compared to women with secondary and below education, those with tertiary education had two times odds of having good pre-pregnancy care knowledge (Adjusted odds ratio 2.06; 95% CI: 1.41, 3.03; p<0.001). Compared to women who never attended pre-pregnancy care services, those who had attended were almost 2.5 times higher odds of having good pre-pregnancy care knowledge (Adjusted odds ratio 2.46; 95% CI: 1.59, 3.83; p<0.001). The pre-pregnancy care knowledge of women with high risk pregnancy in this study was still unsatisfactory. The area with a lacking of knowledge and the significant factors should be focused to improve pre-pregnancy care knowledge and utilization.

scholarly journals PEMILIHAN KONTRASEPSI BERDASARKAN EFEK SAMPING PADA DUA KELOMPOK USIA REPRODUKSI

2017 ◽  
Vol 6 (3) ◽  
pp. 167
Author(s):  
Erna Setiawati ◽  
Oktia Woro Kasmini Handayani ◽  
Asih Kuswardinah
Keyword(s):  
Side Effects ◽  
High Risk ◽  
Random Sampling ◽  
High Risk Pregnancy ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Whitney Test ◽  
Mann Whitney Test ◽  
Risk Pregnancy

ABSTRACT Kelompok usia reproduksi terbagi dalam tiga fase yaitufase menunda kehamilan (<20 tahun), fase menjarangkan kehamilan (20-30 tahun) dan fase mengakhiri kehamilan (>30 tahun). Cara yang ditempuh yaitu dengan pemakaian kontrasepsi.baik  MKJPmaupunnon MKJP. Tujuan penelitian ini adalah untuk mengetahui ada atau tidak perbedaan pemilihan kontrasepsi MKJP dan non MKJP berdasarkan efek samping pada dua kelompok usia reproduksi. Penelitin ini menggunakan desain cross sectional, pengambilan data dengan kuesioner. Sampel dalam penelitian ini adalah akseptor KB baik MKJP maupun non MKJP pada bulan april sampai juni sebanyak 200 responden, dimana tekhnik pengambilan datanya dengan random sampling dan kuota sampling. Hasil penelitian kemudian diuji dengan mann-whitney test.Hasil penelitian dengan uji mann whitney test diperoleh p = 0.662 dengan kata lain p > α (0.05) yang berarti tidak ada perbedaan pemilihan MKJP dan non MKJP berdasarkan efek samping di Wilayah Kabupaten Semarang.      ABSTRACT Reproductive-age category can be divided into three groups which are the group of delayed interval pregnancy (less than 20 years old), the group of intervalcontrol pregnancy (20 to 30 years old), and the group of high risk pregnancy (more than 30 years old). An alternative to avoid high risk pregnancy is by using contraception tool namely long-term contraception (MKJP) and non long-term contraception (non MKJP).The purpose of this research is to analysedwhether there are differences in choosing MKJP and non –MKJP based on side effects in the two reproductive-age groups.This research was an explanatory research with cross-sectional design. The population were all women of contraception acceptors in Semarang Regency.The samples were 200 respondents, used simple random sampling and quota sampling. This research used quisionaire instrument and analyze used mann whitney test (α=0,05). Theresult showed thatP = 0,662 meaning P > α = 0.05 which means there is no difference in choosing MKJP and non-MKJP based on side effects in the two reproduction-age groups in Semarang regency.

scholarly journals Hubungan Pemeriksaan Kehamilan K4 dengan Kejadian Kehamilan Resiko Tinggi pada Ibu Hamil Trimester III

2019 ◽  
Vol 4 (1) ◽  
pp. 199
Author(s):  
Rosmeri Bukit
Keyword(s):  
High Risk ◽  
Antenatal Care ◽  
Care Service ◽  
High Risk Pregnancy ◽  
P Value ◽  
Third Trimester ◽  
Chi Square ◽  
Cross Sectional ◽  
Risk Pregnancy ◽  
Chi Square Test

<p><em>A high-risk pregnancy is a pathological pregnancy that can affect the general state of the mother and baby. Early detection can be done on antenatal care service is by increasing coverage of antenatal care especially pregnancy examination ≥ 4 times or K4. The purpose of this study is to determine the relationship of pregnancy examination K4 with high risk of third trimester pregnancy at Harapan Raya Pekanbaru Health Center in 2014. The research quantitative type with analytical method, using cross sectional approach. Population of all pregnant women in the third trimester who conducted pregnancy checkup at the Puskesmas Harapan Raya total of 50 people. The sample size was 50 people with Total Sampling and statistical test using Chi square test. The results showed that obtained P value 0.001 where P value ≤ 0.005 Ho in rejection means there is a significant relationship. The conclusion of this study is that there is a relationship between the examination of pregnancy K4 with the incidence of high risk pregnancy trimester III.</em></p><p><em><br /></em></p><p><em>Kehamilan resiko tinggi merupakan kehamilan patologi yang dapat mempengaruhi keadaan umum ibu dan bayi. Cara deteksi dini dapat dilakukan pada pelayanan antenatal care yaitu dengan peningkatan cakupan pelayanan antenatal khususnya pemeriksaan kehamilan ≥4 kali atau K4. Tujuan penelitian ini adalah untuk mengetahui hubungan pemeriksaan kehamilan K4 dengan resiko tinggi kehamilan trimester III di Puskesmas Harapan  Raya Pekanbaru tahun 2014. </em><em>Jenis penelitian kuantitatif dengan metode analitik, menggunakan pendekatan cross sectional. Populasi seluruh ibu hamil trimester III yang  melakukan pemeriksaan kehamilan di Puskesmas Harapan Raya  jumlah 50 orang. Jumlah sampel  50 orang   dengan Total Sampling dan uji statistik menggunakan  uji Chi square. Hasil penelitian menunjukkan bahwa diperoleh P value 0,001 dimana P value ≤ 0,005 Ho di tolak artinya ada hubungan yang signifikan. Simpulan dari penelitian ini yaitu ada hubungan antara pemeriksaan kehamilan K4 dengan  kejadian kehamilan resiko tinggi trimester III.</em></p><p><em><br /></em></p>

scholarly journals Prenatal care counseling and delivery method among women with multiple Cesareans: A cross-sectional study from Democratic Republic of Congo

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0238985
Author(s):  
Raha Maroyi ◽  
Nyakio Ngeleza ◽  
Laura Keyser ◽  
Katenga Bosunga ◽  
Denis Mukwege
Keyword(s):  
High Risk ◽  
Prenatal Care ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Delivery Method ◽  
Cross Sectional ◽  
Republic Of Congo ◽  
Factors Associated

Prenatal care (PNC) and counseling about delivery method is an important strategy to prevent delivery complications among women with multiple prior Cesarean sections (CS). In low income countries, an elective CS is recommended for this population. This cross-sectional study examined factors associated with counseling about delivery method and its influence on the likelihood of an elective CS delivery. A total of 422 women with ≥2 prior CS who delivered across five hospitals in Democratic Republic of Congo (DRC) were interviewed about PNC and counseling. Descriptive statistics and multivariate regression were completed to ascertain factors associated with counseling. Only 33.6% delivered via planned CS; 60.7% required an emergency CS. One-quarter completed four PNC visits; 64.5% received counseling. Number of PNC visits and number of prior CS were significant predictors of receipt of counseling. Women who received ≥2 PNC visits were 2.2 times more likely to have received counseling (p = 0.000). Among women who received counseling, 38.6% had a planned CS compared with 24.7% in the non-counseled group. Counseling was associated with mode of delivery; emergency CS and vaginal delivery were more frequent among women who did not receive counseling (p = 0.008). These findings highlight the importance of counseling during PNC visits. This study also highlights the poor coverage and quality of counseling in this high-risk population and the need for improvements in PNC. Less than 40% of counseled women followed provider recommendations for a planned delivery via CS. The majority labored at home and later delivered emergently. The significant number of women who trial labor without medical supervision despite their high-risk status sheds light on the influence of patient perceptions about CS and acceptance of medical intervention during birth.

LA ORIENTACIÓN FAMILIAR DE LAS ADOLESCENTES DE 12 A 14 AÑOS CON EMBARAZOS DE ALTO RIESGO

2018 ◽  
Vol 3 (5) ◽  
pp. 65
Author(s):  
Maira Verónica Vera Saavedra ◽  
Viviana Septimia Gómez Mieles
Keyword(s):  
Public Health ◽  
High Risk ◽  
Adolescent Pregnancy ◽  
Emotional Abuse ◽  
Public Health Problem ◽  
Family Counseling ◽  
High Risk Pregnancy ◽  
Cross Sectional ◽  
Risk Pregnancy ◽  
Family Orientation

En la provincia de Manabí en el cantón Sucre Bahía de Caráquez, el Embarazo Adolescente es un problema de salud pública ya que por los últimos resultados dados por  el área de Ginecología del Hospital Miguel H. Alcívar y por las repercusiones biológicas y sociales, son pocos los estudios orientados al enfoque de esta situación. En la actualidad el embarazo en adolescentes es cada día más frecuente en el medio social, siendo un problema muy importante relacionado con la salud pública, ya sea en los países en vías de desarrollo como en el mundo desarrollado, debido a sus repercusiones adversas sociales y de salud, tanto para las madres como para los niños. El embarazo precoz de una adolescente implica múltiples causas como: incomprensión, maltrato emocional, carencia de apoyo, carencia de educación sexual, etc. El embarazo y la maternidad tienen un carácter negativo tanto para la joven como para su hijo o hija e incluso para todos los miembros de su familia. Se ha realizado un estudio descriptivo observacional transversal y retrospectivo en el que se pretende fijar el perfil personal y social de las adolescentes embarazadas, mediante charlas que tengan como enfoque la orientación familiar debidamente programada y organizada, para no sucumbir en embarazos no deseados. PALABRAS CLAVE: Orientación familiar; embarazo en la adolescencia; embarazo de alto riesgo.  FAMILY ORIENTATION OF ADOLESCENTS FROM 12 TO 14 YEARS OF AGE WITH HIGH RISK PREGNANCY  ABSTRACT In the province of Manabí in the Sucre Bay of Caráquez, Adolescent Pregnancy is a public health problem because of the recent results given by the Gynecology area of the Hospital Miguel H. Alcívar and because of the biological and social repercussions, few are the studies oriented to the approach of this situation. Currently adolescent pregnancy is becoming more frequent in the social environment, being a very important problem related to public health, either in developing countries or in the developed world, due to its adverse social and economic repercussions. of health, both for mothers and children. The early pregnancy of a teenager implies multiple causes such as: incomprehension, emotional abuse, lack of support, lack of sexual education, etc. Pregnancy and motherhood have a negative character both for the young woman and her son or daughter and even for all the members of her family. A cross-sectional and retrospective observational descriptive study has been carried out in which the personal and social profile of pregnant adolescents is set, through talks that focus on family orientation, duly programmed and organized, so as not to succumb to unwanted pregnancies. KEYWORDS: Family counseling; pregnancy in adolescence; high risk pregnancy

scholarly journals Consumption of medicines in high-risk pregnancy: evaluation of determinants related to the use of prescription drugs and self-medication

2013 ◽  
Vol 49 (3) ◽  
pp. 491-499 ◽  
Author(s):  
Danielle Dayse Araújo ◽  
Marineide Marinho Leal ◽  
Eliane Jucielly Vasconcelos Santos ◽  
Leila Bastos Leal
Keyword(s):  
High Risk ◽  
Prescription Drugs ◽  
High Risk Pregnancy ◽  
Consumption Pattern ◽  
Health Care Education ◽  
Self Medication ◽  
Cross Sectional ◽  
Number Of Children ◽  
Risk Pregnancy ◽  
History Of

The use of drugs during pregnancy still represents a challenge for medicine, since the majority of drugs cross the placental barrier with a potential to cause several congenital problems to the fetus, and most of them have not been clinically tested in pregnant patients. At the same time, the medicalization phenomenon, self-medication, and lack of patient information about the misuse of medicines are additional problems. Thus, the aim of this study was to evaluate the pattern of medicine consumption in high-risk pregnancies and the determinants related to this consumption pattern. In order to do so, a cross-sectional descriptive study was performed with puerperal women who had a history of high-risk pregnancy. Statistically significant associations were found between self-medication and fewer prenatal visits, and cigarette use during pregnancy and a higher number of children. According to these data, the vulnerability of this population to the risks of drug use is evident, demonstrating a gap that requires urgent interventions in health-care education.

scholarly journals Dietary patterns and significance of nutrition for women with low-risk pregnancy

2017 ◽  
Vol 30 (2) ◽  
pp. 219-231 ◽  
Author(s):  
Natália Sales de CARVALHO ◽  
Soraia Pinheiro Machado ARRUDA ◽  
Letícia Maria Rodrigues RAMOS ◽  
Marcia Maria Tavares MACHADO ◽  
Daniela Vasconcelos de AZEVEDO
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Dietary Patterns ◽  
Word Association ◽  
Eating Habits ◽  
Soft Drink ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Significance Level ◽  
Risk Pregnancy

ABSTRACT Objective: To evaluate dietary patterns and significance of diet for pregnant women. Methods: Cross-sectional study carried out in eight health units in Fortaleza, Ceará, Brazil, with 201 pregnant women. The following instruments were used: a socio-economic and health questionnaire, the Free-Word Association Test, and a Food Frequency Questionnaire. Dietary patterns were identified using principal components and factor analysis. Poisson regression with 5% significance level was used. Results: Three dietary patterns were identified: current Brazilian pattern (beans, rice, processed meats, fats, refined grains, pasta and pastries, soft drink, sugar and sweets, cookies and crackers); healthy pattern (fruits and fruit juices, vegetables, whole grains, seafood, dairy products); and energy-rich pattern (salty deep-fried snacks, popcorn, packaged snacks, instant noodles, tubers, and chicken). Women who did not receive nutrition guidance during prenatal care showed less chance of adherence to the current Brazilian dietary pattern (PR=0.87), and therefore their level of consumption of foods commonly present in Brazilian diets was low. For most women, the significance of diet was reported as important and healthy, but it was not associated with any of the diet patterns identified. However, the women who did not consider that during pregnancy diet should be healthy showed greater chance of adherence to the energy-rich pattern (PR=1.18). This finding deserves special attention since excessive weight gain can have a negative effect on pregnancy. Conclusion: Nutrition guidance during prenatal care and the way pregnant women perceive their eating habits can influence their food choices during pregnancy.

scholarly journals RELATIONSHIP BETWEEN CLINICAL, PLACENTARY, OBSTETRIC AND NEONATAL ASPECTS AND INTRAUTERINE GROWTH IN HIGH RISK PREGNANCIES

2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Ana Karina Marques Salge ◽  
Renata Calciolari Rossi e Silva ◽  
Janaína Valadares Guimarães ◽  
Wilzianne Silva Ramalho ◽  
Douglas Reis Abdalla ◽  
...  
Keyword(s):  
High Risk ◽  
Medical Records ◽  
Study Data ◽  
High Risk Pregnancy ◽  
Cross Sectional ◽  
Intrauterine Growth ◽  
Risk Pregnancy ◽  
Uterine Growth ◽  
Normal Gestation

ABSTRACT Objective: to analyze clinical, placental and obstetric aspects of women with and without high-risk pregnancy, and their relationship with intrauterine growth deviations and neonatal aspects. Method: this is a cross-sectional descriptive study. Data collection was based on an analysis of the medical records of women with and without high-risk pregnancy and newborns, and anatomopathological characterization of the placenta. Results: 265 placentas were analyzed, 130 (49.06%) women with high-risk pregnancy and newborns with intrauterine growth deviations. A higher occurrence of placental changes was found in high-risk pregnancy and uterine growth deviations in comparison to cases without high-risk pregnancy (p≤0.001). High-risk pregnancies with intrauterine growth deviations were associated with placental changes (p≤0.001). Intrauterine growth deviations was related to birth weight in cases of high-risk pregnancy compared to normal gestation (p=0.014). Conclusion: a higher occurrence of placental anatomopathological changes was found in maternal and fetal surfaces in cases of high-risk pregnancy and intrauterine growth deviations.

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