scholarly journals Food-insecure pregnant women in South Africa: a cross-sectional exploration of maternal depression as a mediator of violence and trauma risk factors

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e018277
Author(s):  
Whitney Barnett ◽  
Jennifer Pellowski ◽  
Caroline Kuo ◽  
Nastassja Koen ◽  
Kirsten A Donald ◽  
...  
Keyword(s):  
Risk Factors ◽  
South Africa ◽  
Child Health ◽  
Pregnant Women ◽  
Maternal Depression ◽  
Childhood Trauma ◽  
Health Study ◽  
Cross Sectional ◽  
Mediation Analyses ◽  
The Relationship

ObjectivesBetter understanding of psychosocial risk factors for food insecurity (FI) during pregnancy and how they interact is crucial, given long-term health implications for maternal and child health. We investigated the association between maternal childhood trauma as well as intimate partner violence (IPV) and FI among pregnant women in South Africa, in the Drakenstein Child Health Study, and whether maternal depression mediates these relationships.SettingTwo primary care clinics in Paarl, South Africa.Participants992 pregnant women; inclusion criteria were clinic attendance and remaining in area for at least 1 year; women were excluded if a minor.MethodsWe examined psychosocial predictors of FI using multivariate regression. Mediation analyses investigated whether depression mediated the relationship between IPV and FI as well as between childhood trauma and FI, including disaggregation by two study communities. FI was assessed using an adapted US Department of Agriculture food security scale; households were coded as food insecure where 2 of 5 affirmative responses were recorded.ResultsAmong 992 pregnant women, there were high rates of IPV (7%–27%), depression (24%) and childhood trauma (34%). In multivariate cross-sectional analysis, emotional IPV (adjusted OR [aOR] 1.60; 95% CI 1.04 to 2.46), depression (aOR 1.05; 95% CI 1.01 to 1.08) and childhood trauma (aOR 1.52; 95% CI 1.08 to 2.15) predicted FI. In mediation models, depression partially mediated the relationship between emotional IPV and FI as well as physical IPV and FI; depression partially mediated the relationship between childhood trauma and FI. Differing degrees of mediation were found when applied to communities.ConclusionsAntenatal maternal depression, IPV and childhood trauma were highly prevalent and associated with FI. Depression, IPV and trauma screening services should be considered within routine antenatal care and may offer an opportunity to identify and intervene. Community-level differences in risk and in mediation analyses indicate that contextual tailoring of interventions may be important.

scholarly journals Depression and Compliance of Fe Tablet Consumption are Combined Risk Factors for Pregnant Women Constipation at Public Health Center Pedurenan, Tangerang City

2021 ◽  
Vol 2 (1) ◽  
pp. 23
Author(s):  
Putri Ayu Anjani ◽  
Khairizka Citra Palupi ◽  
Mertien Sa’pang ◽  
Dudung Angkasa ◽  
Vitria Melani
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Pregnant Women ◽  
Significant Relationship ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Cross Sectional Design ◽  
Data Collection Technique ◽  
The Relationship

Constipation marked by feces hard one, dry, and difficult issued. About 73.9% pregnant women experience constipation. Increase in the hormone progesterone for pregnant women resulted in drop motility gastrointestinal tract. Constipation affects psychology and causes swelling of the rectum area.To determine the relationship between the level of fiber adequacy, to consumption of Fe tablets and depression and to see the combined risk factors for depression and adherence to consumption of Fe tablets with the incidence of constipation in pregnant women. Design this research is observational analytics with Cross Sectional design. The sample of pregnant women is 55 people with purposive sampling data collection technique. Taking data done with use questionnaire. Statistic test used the chi-square test. 58.2% of pregnant women experienced constipation; 92.7% insufficient fiber sufficiency level; 40.0% adhered to consuming Fe tablets; 55.4% experienced depression; 23.6% of depression was adherent. The results of the chi-square test showed that there was no significant relationship between the level of fiber adequacy and the incidence of constipation in pregnant women (p = 0.298) and a significant relationship with the incidence of constipation in pregnant women, namely consuming Fe tablets (p = 0.039; OR = 4.080), depression (p = 0.026; OR = 4.125), risk factors for the combination of depression and adherence to consumption of Fe tablets (p = 0.005).Compliance with Fe tablet consumption and depression can increase the risk of constipation in pregnant women by 4,080 times and 4,125 times.

Prevalence and risk factors for Trichomonas vaginalis infection in pregnant women in South Africa

2020 ◽  
Vol 31 (4) ◽  
pp. 351-358 ◽  
Author(s):  
Nonkululeko Mabaso ◽  
Camille Naicker ◽  
Makandwe Nyirenda ◽  
Nathlee Abbai
Keyword(s):  
Risk Factors ◽  
South Africa ◽  
Pregnant Women ◽  
Trichomonas Vaginalis ◽  
Laboratory Diagnosis ◽  
Antenatal Clinic ◽  
Cross Sectional Study ◽  
Vaginal Swab ◽  
Transmitted Infection ◽  
Cross Sectional

There are insufficient data on the prevalence of Trichomonas vaginalis infection in pregnant women in South Africa. The present study aims to determine the prevalence of T. vaginalis (TV) in pregnant women and identify the risk factors associated with this infection in pregnancy. This was a cross-sectional study which included 362 pregnant women attending the antenatal clinic at the King Edward VIII Hospital in Durban, South Africa. A self-collected vaginal swab was provided by the enrolled women for laboratory diagnosis by real-time polymerase chain reaction. The protozoan load was determined as the logarithm of gene copies per milliliter. The prevalence of TV infection was 12.9% and 59.6% of the women who tested positive were asymptomatic ( p =  0.011). Women who presented with abnormal vaginal discharge had a 4.6 times likelihood of testing positive for TV infection (odds ratio 4.62; 95% confidence interval 1.83 to 11.70; p =  0.001). TV infection was high amongst pregnant women. Therefore, routine testing for this sexually transmitted infection is encouraged for proper management.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN STUNTING PADA BALITA DI WILAYAH KERJA PUSKESMAS TATAH MAKMUR KABUPATEN BANJAR

2020 ◽  
Vol 4 (1) ◽  
pp. 13
Author(s):  
Nor Isna Tauhidah
Keyword(s):  
Risk Factors ◽  
Infectious Diseases ◽  
Pregnant Women ◽  
Health Center ◽  
Sampling Technique ◽  
Health Centers ◽  
Cross Sectional ◽  
Spearman Rank ◽  
History Of ◽  
The Relationship

ABSTRAK  Stunting merupakan sebuah kondisi di mana tinggi badan anak lebih pendek dibanding tinggi badan anak seusianya. Kejadian anak stunting di Kalimantan Selatan khususnya di Kab Banjar masih berada pada angka kejadian yang sangat tinggi 13.3% dan di Puskesmas Tatah Makmur 38,06%. Penelitian ini bertujuan mengetahui hubungan riwayat penyakit infeksi, riwayat imunisasi dasar, riwayat ASI eksklusif dan pemberian MP-ASI terhadap kejadian stunting pada balita di wilayah kerja Puskesmas Tatah Makmur Kabupaten Banjar.Penelitian ini merupakan survei analitik dengan pendekatan cross sectional. Populasi adalah ibu yang mempunyai balita mengalami stunting di wilayah kerja Puskesmas Tatah Makmur Kecamatan Tatah Makmur Kabupaten Banjar tahun 2018 sebanyak 537 orang. Sampel berjumlah 50 orang dengan teknik pengambilan accidental sampling. Analisis data melalui uji Spearman Rank. Hasil penelitian sebagian besar memiliki riwayat penyakit infeksi sebanyak 26 orang (52%), telah mendapatkan imunisasi lengkap sebanyak 32 orang (64%), pemberian MP-ASI sebagian besar cukup 32 orang (64%), riwayat pemberian ASI parsial 40 orang (80%) dan balita sebagian besar pendek sebanyak 33 orang (66%). Terdapat hubungan riwayat penyakit infeksi, kelengkapan imunisasi, pemberian MP-ASI, riwayat ASI eksklusif dengan kejadian Stunting. Puskesmas hendaknya meningkatkan pemberian informasi kepada ibu hamil tentang faktor yang dapat mempengaruhi terjadinya Stunting sehingga bahwa faktor risiko dapat dikendalikan lebih dini.  Kata Kunci : Imunisasi Dasar, Penyakit Infeksi, Pemberian MP-ASI, ASI eksklusif, Stunting   ABSTRACT   Stunting is a condition in which a person's height turns out to be shorter than the height of another person's age. Stunting in Banjar District by 13.3% and in Tatah Makmur Health Center 38.06%.The purpose of this study was to determine the relationship between infectious diseases and basic immunization against the incidence of stunting in infants in Tatah Makmur Health Center. The study design was an analytic survey with cross sectional approach. The population is mothers who have toddlers stunted in Tatah Makmur Health Center in 2018 as many as 537 people. Samples amounted to 50 people with a purposive sampling technique. Analysis of data through the Spearman Rank.  The results of the study of toddlers mostly have a history of infectious diseases as many as 26 people (52%), have received complete immunization as many as 32 people (64%) and toddlers are mostly short as many as 33 people (66%). There is a relationship between the history of infectious diseases, the completeness of immunization with the incidence of stunting. Health centers should increase the provision of information to pregnant women about factors that influence the occurrence of stunting so that risk factors can be controlled earlier. Keywords: History of Basic Immunization, History of Infectious Diseases, Stunting

scholarly journals Evaluation of the Relationship Between Types of Occupational Risk Factors and Pregnancy Induced Hypertension Among Iranian Employed Pregnant Women

2020 ◽  
Author(s):  
Nazanin Izadi ◽  
Omid Aminian ◽  
Pegah Estakhrian ◽  
Samaneh Akbarpour ◽  
Mahin Ahmadi Pishkuhi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Shift Work ◽  
Gestational Hypertension ◽  
Pregnancy Induced Hypertension ◽  
Related Factors ◽  
Cross Sectional ◽  
Occupational Risk Factors ◽  
Induced Hypertension ◽  
The Relationship

Gestational hypertension or pregnancy-induced hypertension is the emergence of hypertension in a pregnant women after 20 weeks of gestation. This study aimed to evaluate the job-related factors associated with pregnancy-induced hypertension. This cross-sectional study was conducted on 560 pregnant women who referred to the Nursing Clinic of Imam Khomeini Hospital in 2017; of all studied cases, 210 pregnant women with pregnancy-induced hypertension were selected as cases and 350 women without pregnancy-induced hypertension were selected as controls. The data on demographic characteristics, occupational characteristics, and ergonomic dangers were collected by the researchers. Finally, the relationship between job variables and the probability of developing hypertension in pregnant women was measured. The results of the logistic regression analysis showed that the variables of body mass index, fertility, shift work, and service works had a significant relationship with pregnancy-induced hypertension. Women with service work were 2.32 times more likely to develop hypertension than women with other types of jobs (P=0.013). The people who had a shift work were 2.28 times more likely to develop pregnancy-induced hypertension than those who did not have shift work. Based on the results of this study, there was no relationship between ergonomic risks and pregnancy-induced hypertension. It seems that due to the higher frequency of pregnancy-induced hypertension in highly demanding jobs, it is necessary to pay more attention to the assessment of related risk factors, such as psychological variables. © 2019 Tehran University of Medical Sciences. All rights reserved. Acta Med Iran 2019;57(7):430-434.

scholarly journals Herpes simplex virus-2 infections in pregnant women from Durban, South Africa: prevalence, risk factors and co-infection with HIV-1

2018 ◽  
Vol 33 (5) ◽  
Author(s):  
Nathlee S. Abbai ◽  
Shanthie Govender ◽  
Makandwe Nyirenda
Keyword(s):  
Risk Factors ◽  
South Africa ◽  
Herpes Simplex Virus ◽  
Herpes Simplex ◽  
Pregnant Women ◽  
Rapid Test ◽  
Cross Sectional ◽  
Simplex Virus ◽  
Herpes Simplex Virus 2 ◽  
Hiv 1

Currently there is a lack of data on herpes simplex virus-2 (HSV-2) and human immunodeficiency virus-1 (HIV-1) co-infections as well as risk factors for infection in antenatal women from South Africa. The present study attempts to fill this gap. This cross-sectional study was conducted from April to August 2017 at the antenatal clinic of the King Edward VIII hospital in Durban, South Africa. In total 248 pregnant women participated in the study. Data on the women’s demographics, sexual behaviour and clinical information were collected. HIV testing was conducted using a rapid test and the HerpeSelect 2 ELISA was used to test for HSV-2. The prevalence of HSV-2 and HIV-1 was 71% and 50% and coinfection rate was 60%. In adjusted analyses, women who were aged ≥ 35 years (adjusted odds ratio [AOR]: 4.95, p = 0.01), experienced recent symptoms of genital itching/sores/warts (AOR 2.48, p = 0.05) and were HIV-positive (AOR 3.64, p0.01), were more likely to be infected with HSV-2.Older age (30–34 years old) (AOR 6.53, p 0.01) and having ≥ 4 lifetime sex partners (AOR 4.59, p = 0.03) were strongly associated with HSV-2/HIV-1 co-infections. The findings of this study call for continuous risk reduction counselling in this population.

scholarly journals Relationship of Maternal Depression during Pregnancy and Risk of Preeclampsia

2016 ◽  
Vol 4 (3) ◽  
pp. 541
Author(s):  
Sharda Ghoghre ◽  
Tara Singh
Keyword(s):  
Pregnant Women ◽  
Maternal Depression ◽  
Significant Relationship ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Depression Level ◽  
Relationship Of ◽  
The Relationship ◽  
Risk Of Preeclampsia

<div><p><em>Present research paper investigates the relationship of maternal depression during pregnancy and risk of preeclampsia. It is a cross sectional study conducted on 200 pregnant women from different maternity homes in Betul &amp; Bhopal District from Madhya Pradesh. IDAS scale was used to see the depression level among pregnant women having preeclampsia or without preeclampsia. For analysis of data One way analysis of variance was used to show the significant relationship between depression and risk of Preeclampsia among pregnant women having preeclampsia and without preeclampsia. The results of the study show significant relationship of depression among pregnant women having preeclampsia and without preeclampsia.</em></p></div>

scholarly journals Analysis the Age of Pregnant Woman and Stages of Hypertension as Risk Factors of Preeclampsia Eclampsia on Pregnant Women in Dr. Murjani General Hospital Sampit at June Periode 2018

2018 ◽  
Vol 14 (2) ◽  
pp. 91
Author(s):  
Herli Gustiani
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Postnatal Period ◽  
Research Subjects ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
History Of ◽  
The Relationship ◽  
Record Section

Abstract: Preeclampsia is a syndrome characterized by an increase in blood pressure and proteinuria that appears in the second trimester of pregnancy which is always recovered in the postnatal period. Preeclampsia can be influenced by many factors, but the analysis of risk factors for preeclampsia in Dr. Murjani Hospital has never been done, especially in relation to the pregnant women age, history of pregnancy, abortion, and stages of hypertension. Thus, this research needs to be done. This research was analytical study with cross sectional approach, which aims to explain the relationship between the age of pregnant women and the stages of hypertension with preeclampsia. Research subjects were patients who came to Dr. Murjani Hospital on 28 May-9 June 2018. Data were collected from the Medical Record section and analyzed by t-test to compare the average of two groups (normal and preeclampsia). Chi Square test with 95% confidence interval was used to find out the relationship between two variables. The results showed that there was no relationship between the age of pregnant mother with preeclampsia incident in Dr. Murjani Hospital, but the stages of hypertension is related with preeclampsia incident in Dr. Murjani Hospital. Keywords: preeclampsia, stage of hypertension, the age of pregnant women

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