scholarly journals An Email Survey of Physician and Licensed Midwife Vaccination Practices in Washington State in 2011

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Marisa Anne D’Angeli ◽  
Linda O’Neal Eckert
Keyword(s):  
Pregnant Women ◽  
Educational Communication ◽  
Obstetric Care ◽  
Washington State ◽  
Chi Square ◽  
Exact Test ◽  
Immunization Rates ◽  
Department Of Health ◽  
Washington State Department ◽  
Email Survey

Despite proven benefit to mothers and infants, influenza and Tdap vaccination for pregnant women remain suboptimal. We conducted an email survey for physicians (MDs) and licensed midwives (LMs) in Washington to assess vaccination practices. The Washington State Department of Health and University of Washington, Department of Obstetrics and Gynecology, created an electronic survey and sent it to 644 providers. We used chi-square statistic for comparisons, with Fisher’s exact test for cell size smaller than 5. We received responses from 121 (19%), 106 of whom provided prenatal or obstetric care: 81 MDs and 25 LMs. MDs were more likely than LMs to ask whether pregnant patients are current on vaccinations for influenza and pertussis (96% versus 56% and 84% versus 40%, resp., P<0.001) and to recommend influenza and pertussis vaccine during pregnancy (100% versus 20% and 86% versus 24%, resp., P<0.001). Significantly more MDs received influenza vaccine in the most recent season than did LMs (99% versus 20%, P<0.001). In this study, LMs were less likely to inquire about immunization status, recommend influenza and pertussis vaccines, or be vaccinated against influenza than MDs. Enhancing educational communication with LMs deserves further study and may provide an opportunity to improve immunization rates in pregnant women.

scholarly journals COVID-19 Confirmed Case Incidence Age Shift to Young Persons Age 0-19 and 20-39 Years Over Time: Washington State March - April 2020

2020 ◽  
Author(s):  
Judith Malmgren ◽  
Boya Guo ◽  
Henry G. Kaplan
Keyword(s):  
Cohort Analysis ◽  
Age Distribution ◽  
Age Groups ◽  
Washington State ◽  
Chi Square ◽  
Department Of Health ◽  
Children And Young Adults ◽  
Washington State Department ◽  
Age Shift ◽  
Over Time

AbstractBackgroundAs the coronavirus (COVID-19) epidemic passes the peak infection rate in some states and counties a phased re-opening with changes of stay-at-home restrictions and social distancing recommendations may lead to an increase of nonessential work, social activities and gathering, especially among younger persons.MethodsA longitudinal cohort analysis of Washington State Department of Health COVID-19 confirmed case age distribution March 1-April 19 2020 for proportional change over time using chi square tests for significance (N = 13,934).ResultsFrom March 1st to April 19, 2020 age distribution shifted with a 10% decline in cases age 60 years and older and a 20% increase in age 0-19/20-39 years (chi-square = 223.10, p <.001). Number of cases over the eight-week analysis period were 0-19 years n = 515, 20-39 years n = 4078, 40-59 years n =4788, 60-79 years n = 3221, 80+ years n = 1332. New cases increased steadily among 0-19 and 20-39-year olds. After the peak (March 22, 2020), there was no decline among age 0-19 and a lesser decline among age 20-39 than older groups. As incidence declined in older age groups, the combined percentage of cases age 0-19 and 20-39 increased from 20% to 40% of total cases.ConclusionsIncreased COVID-19 infection among children and young adults is not without serious morbidity and mortality risk to them and others they may come in contact with, indicating a targeted approach for awareness and safety measures is advisable to reduce incidence among the supposedly less vulnerable but more mobile young population age 0-19 and 20-39 years.

scholarly journals Fall Prevention Knowledge, Attitude, and Practices of Community Stakeholders and Older Adults

2011 ◽  
Vol 2011 ◽  
pp. 1-9 ◽  
Author(s):  
Sharon S. Laing ◽  
Ilene F. Silver ◽  
Sally York ◽  
Elizabeth A. Phelan
Keyword(s):  
Older Adults ◽  
Fall Prevention ◽  
Medication Management ◽  
Well Being ◽  
Washington State ◽  
Telephone Surveys ◽  
Department Of Health ◽  
Community Stakeholders ◽  
Important Health ◽  
Washington State Department

We assessed knowledge, attitude, and provision of recommended fall prevention (FP) practices by employees of senior-serving organization and participation in FP practices by at-risk elders. The Washington State Department of Health administered structured telephone surveys to 50 employees and 101 elders in Washington State. Only 38% of employees felt “very knowledgeable” about FP, and a majority of their organizations did not regularly offer FP services. Almost half (48%) of seniors sustained a fall within the past 12 months; however, one-third perceived falling to be among their least important health concerns, and most had minimal working knowledge of proven FP practices. Seniors who perceived avoiding falls as important to their well-being were more likely to participate in practices about which they had the least knowledge (risk assessment, medication management). Increased awareness and availability of FP services might help engage older adults in FP practices and reduce the adverse effects of falls.

scholarly journals Evaluation of toxoplasmosis risk on anxiety and perception of cat owner pregnant women

2021 ◽  
Vol 38 (2) ◽  
pp. 154-158
Author(s):  
Nur DOKUZEYLUL GÜNGÖR ◽  
Tuğba GÜRBÜZ ◽  
Selma Bozkurt ZİNCİR ◽  
Banu DOKUZEYLÜL ◽  
Erman OR ◽  
...  
Keyword(s):  
Toxoplasma Gondii ◽  
Pregnant Women ◽  
Health Anxiety ◽  
Anxiety Level ◽  
Fisher Exact Test ◽  
Chi Square ◽  
Exact Test ◽  
Main Host ◽  
The Difference ◽  
At Home

Cats are the main host of Toxoplasma gondii and pregnant women who own cats at home may be at risk. This condition may cause anxiety and stress in pregnant women. The aim of this study is to evaluate toxoplasmosis risk on anxiety and perception of cat owner pregnant women. The study group consisted of 59 pregnant women feeding cats in the home and 369 pregnant women not feeding cats. A Health Anxiety Inventory (HAI-18) was used to measure the anxiety of all participants. Age and anxiety variables were analyzed using a two-sample independent t-test. Gravida, education, and job status were analyzed using chi-square tests, and live to abort ratio & pregnancy number were analyzed using Fisher exact test. Measurement of the anxiety level between the two groups showed that anxiety is significantly higher among the pregnant women who feed cats in their house with an average of 32.03±8.72. The average anxiety level among the pregnant women who don't have cats in their house was 25.94±8.99. The difference between the Health Anxiety Inventory of the two groups was significant (p= 0.0001) It was shown in the literature that pets can reduce anxiety but not studied in pregnant women, yet. Our results showed that pregnant women who own cats at home had more environmental anxiety than women who don’t feed cats at home which is possibly associated with fear of Toxoplasma gondii transmission. This anxiety may also cause unfavorable pregnancy outcomes like eclampsia, preterm birth, low birth weight and high incidence of cesarean delivery.

scholarly journals Personal protective measures of pregnant women against Zika virus infection

2019 ◽  
Vol 53 ◽  
pp. 72
Author(s):  
Vladimir Antonio Dantas Melo ◽  
José Rodrigo Santos Silva ◽  
Roseli La Corte
Keyword(s):  
Pregnant Women ◽  
Urban Area ◽  
Zika Virus ◽  
Rural Areas ◽  
Education Level ◽  
Ministry Of Health ◽  
Chi Square ◽  
Protective Measures ◽  
Exact Test ◽  
Mosquito Nets

OBJECTIVE: To evaluate the adherence of pregnant women to personal protective measures against mosquito bites, recommended by the Ministry of Health, and to investigate the factors associated with the non-adoption of these measures. METHODS: We interviewed 177 pregnant women between November 2016 and February 2017 in the 10 basic health units of the municipality of Propriá, state of Sergipe, two located in the rural area and eight in the urban area, during prenatal appointments, to raise information about the use of preventive measures against the vector transmission of Zika virus. Data were analyzed using descriptive statistical methods, chi-square test or Fisher’s exact test, and the odds ratio was calculated. The independent variables were grouped by the analysis of principal components, and the dependents (the use of repellent, mosquito nets, garments, screens and insecticides) were analyzed using the logistic regression method. RESULTS: Among the measures recommended by the Ministry of Health, mosquito nets were the most used by pregnant women living in rural areas and with low education level, while the repellents were more used by women in the urban area and with higher education level. Women in a vulnerable socio-economic situation presented a risk 2.4 times higher for not using screens in their homes, 1.9 times higher for not changing clothes and 2.5 times higher for not using repellent than pregnant women in better economic conditions. CONCLUSIONS: The socioeconomic status of pregnant women, especially among the less privileged, influenced the use of protective measures against Zika virus, from the purchase of repellent, clothing, insecticides to other resources in the municipality of Propriá, SE.

scholarly journals Knowledge of pregnant women about anemia is related with adherence to iron tablets

2018 ◽  
Vol 26 (1) ◽  
pp. 26
Author(s):  
Baksono Winardi ◽  
Elga Caecaria Grahardika Andani
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
P Value ◽  
Fisher Exact Test ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Exact Test ◽  
Study Population ◽  
Almost All

Objectives: to identify association between knowledge of pregnant women about anemia and the adherence to consume iron tablets in BPM Titik Suharti, Surabaya, IndonesiaMaterials and Methods: Observational analysis cross sectional study. Population consisted of 55 trimester pregnant women in BPM Titik Suharti, Surabaya, in March-April 2017. Samples were recruited using consecutive sampling. The number of sample was 35 respondents. Data were analyzed using chi-square test.Results: This research showed that all of the less knowledgeable women on anemia (100.00%) were non-adherent to consume iron tablets, almost all moderately knowledgeable women (92.9%) were adherent, and all of the fully knowledgeable women (100.00%) were adherent. Fisher exact test in significance level of 0.05 revealed p value equal to 0.0001, indicating association between knowledge about anemia and adherence to consume iron tablets at BPM Titik Suharti, Surabaya, Indonesia.Conclusion: There is an association between knowledge of pregnant women about anemia with adherence to iron tablets.

scholarly journals Comparison of video based learning and lecture based learning in last year medical faculty students

2021 ◽  
Vol 38 (2) ◽  
pp. 150-153
Author(s):  
Tonguç Utku YILMAZ ◽  
Saffet ÇINAR ◽  
Levent ALTINTAŞ ◽  
Sertaç Ata GÜLER ◽  
Zafer UTKAN
Keyword(s):  
Toxoplasma Gondii ◽  
Pregnant Women ◽  
Health Anxiety ◽  
Anxiety Level ◽  
Fisher Exact Test ◽  
Chi Square ◽  
Exact Test ◽  
Main Host ◽  
The Difference ◽  
At Home

Cats are the main host of Toxoplasma gondii and pregnant women who own cats at home may be at risk. This condition may cause anxiety and stress in pregnant women. The aim of this study is to evaluate toxoplasmosis risk on anxiety and perception of cat owner pregnant women. The study group consisted of 59 pregnant women feeding cats in the home and 369 pregnant women not feeding cats. A Health Anxiety Inventory (HAI-18) was used to measure the anxiety of all participants. Age and anxiety variables were analyzed using a two-sample independent t-test. Gravida, education, and job status were analyzed using chi-square tests, and live to abort ratio & pregnancy number were analyzed using Fisher exact test. Measurement of the anxiety level between the two groups showed that anxiety is significantly higher among the pregnant women who feed cats in their house with an average of 32.03±8.72. The average anxiety level among the pregnant women who don't have cats in their house was 25.94±8.99. The difference between the Health Anxiety Inventory of the two groups was significant (p= 0.0001) It was shown in the literature that pets can reduce anxiety but not studied in pregnant women, yet. Our results showed that pregnant women who own cats at home had more environmental anxiety than women who don’t feed cats at home which is possibly associated with fear of Toxoplasma gondii transmission. This anxiety may also cause unfavorable pregnancy outcomes like eclampsia, preterm birth, low birth weight and high incidence of cesarean delivery.

scholarly journals Factors Associated to the Search for Dental Care in High Risk Pregnancy

2020 ◽  
pp. 66-70
Author(s):  
Jessica Galvan ◽  
Danielle Bordin ◽  
Cristina Berger Fadel
Keyword(s):  
High Risk ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Dental Care ◽  
Dental Service ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Factors Associated ◽  
Risk Pregnancy

Introduction: Conducting dental consultations during pregnancy is considered an important challenge in the context of Maternal and Child Health Policies, as it is surrounded by myths rooted among users and health professionals. In this sense, it is important to identify barriers and facilitators to the search for dental assistance in this period, in order to support strategies that make this practice feasible. Objective: To analyze the search for dental care during high-risk pregnancies, according to sociodemographic, gestational and health characteristics. Methods: Observational study with a cross-sectional design, carried out with high-risk pregnant women referred to a teaching hospital in southern Brazil, from January to May 2018. Data collection was performed using an unprecedented structured form and considered as a dependent variable the search for dental care during pregnancy and as independent variables sociodemographic, gestational and dental characteristics. Pearson's chi-square association test and Fisher's exact test were used. Results: To reach the sample of 190 pregnant women at high gestational risk, a total of 230 women considered valid were approached, counting on the following losses: refusal to participate (n=23), no answer to any question (n=10), duplicity in participant approach (n=7). Advanced maternal age (p=0.000) and history of premature birth in previous pregnancies (p=0.047) were factors associated with a lower frequency of seeking dental care in the current pregnancy. On the other hand, the habit of dental consultation prior to the gestational period (p=0.001), the knowledge about the importance of this monitoring (p=0.050), as well as the safety (p=0.000) in performing dental prenatal care, were related positively to the search during pregnancy. Conclusion: Specific incentive strategies and access to dental prenatal care are necessary to neutralize barriers that may compromise the search for oral health services during pregnancy. For this reason, identifying the facilitators and hinders to the dental service is essential for planning effective actions related to prenatal care.

scholarly journals Educational intervention with serial album about pregnant women positioning for spinal anesthesia: randomized clinical trial

2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Sarah de Lima Pinto ◽  
Larissa Alves Sampaio ◽  
Nelson Miguel Galindo Neto ◽  
Paulo César de Almeida ◽  
Mirna Fontenele de Oliveira ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Pregnant Women ◽  
Spinal Anesthesia ◽  
Randomized Clinical Trial ◽  
Educational Intervention ◽  
Intervention Group ◽  
Maternity Hospital ◽  
Control Group ◽  
Chi Square ◽  
Exact Test

ABSTRACT Objective: To evaluate effectiveness of using educational intervention serial album to positioning pregnant women for spinal anesthesia. Method: Randomized clinical trial with 90 women casually assigned to control (CG) and intervention group (IG), in a maternity hospital located in Northeast region of Brazil. The primary endpoint was “achieve correct positioning to perform spinal anesthesia”; and secondary, “how number of spinal cord puncture attempts”. Effectiveness was verified using the chi-square test, Fisher’s exact test and likelihood ratio. Results: The positioning was correct in 37 women in each group. There was an association between women in control group remaining still, relaxing shoulders and flexing the spine; and women in intervention group should remain still and relax the shoulders; furthermore there was a statistical association achieved by correct positioning and the number of attempts to access the lumbar puncture. Conclusion: Educational intervention with serial album was effective and contributed to immobility and positioning of pregnant women. Brazilian Registry of Clinical Trials (RBR-3Z7SRD).

scholarly journals Avaliação da satisfação de puérperas em relação ao parto

2018 ◽  
Vol 12 (11) ◽  
pp. 2986
Author(s):  
Isadora Tavares Riegert ◽  
Mariana De Barros Correia ◽  
Angela Lessa De Andrade ◽  
Flavia Nataly Pereira da Silva Rocha ◽  
Laryssa Grazielle Feitosa Lopes ◽  
...  
Keyword(s):  
Statistical Tests ◽  
Obstetric Care ◽  
Chi Square ◽  
Cross Sectional ◽  
Natural Childbirth ◽  
Exact Test ◽  
Patient’S Satisfaction ◽  
Determinants Of Satisfaction ◽  
Las Mujeres ◽  
Descriptive Statistical Analysis

RESUMO Objetivo: analisar a satisfação acerca do trabalho de parto e parto de mulheres que pariram em uma maternidade de alto risco. Método: trata-se de estudo quantitativo, transversal, com 91 puérperas, realizado em um hospital de alta complexidade. Utilizaram-se um questionário sociodemográfico e um modelo adaptado do Questionário de Experiência e Satisfação com o Parto (QUESP). Realizaram-se a análise estatística descritiva e os testes estatísticos de Qui-quadrado e exato de Fisher apresentados em tabelas. Resultados: constataram-se que 61,67% das mulheres apresentaram baixa expectativa e 44%, baixa satisfação em relação ao Trabalho de Parto (TP) e Parto (P). Constatou-se que houve relação estatística significativa entre a expectativa e a satisfação das mulheres com o parto. Conclusão: sugere-se mais investigação sobre essa temática a fim de identificar as determinantes da satisfação, bem como de reorganização da política de assistência obstétrica. Descritores: Parto Normal; Trabalho de Parto; Satisfação do Paciente; Enfermagem Obstétrica; Parto; Saúde da Mulher.ABSTRACTObjective: to analyze the satisfaction about the labor in childbirth and childbirth by women those gave birth in a high-risk maternity. Method: this is a quantitative study, cross-sectional, with 91 puerperal women, carried out in a hospital of high complexity. It was used a sociodemographic questionnaire and a model adapted from the Questionnaire of Experience and Satisfaction with Childbirth (QUESP). There were performed the descriptive statistical analysis and the statistical tests Chi-square and Fisher’s exact test presented in tables. Results: it was found that 61.67% of women presented low expectation and 44%, low satisfaction in relation to labor in childbirth (TP) and childbirth (P). It was found that there was no statistically significant relationship between the expectation and the satisfaction of women with childbirth. Conclusion: it is suggested more research on this theme, in order to identify the determinants of satisfaction, as well as for the reorganization of the policy of obstetric care. Descriptors: Natural Childbirth; Parturition Labor; Patient’s Satisfaction; Obstetric Nursing; Parturition; Women's Health.RESUMEN Objetivo: analizar la satisfacción acerca del trabajo de parto y el parto por las mujeres que hayan parido en una maternidad de alto riesgo. Método: se trata de un estudio cuantitativo, de corte transversal, con 91 puérperas, realizado en un hospital de alta complejidad. Se utilizó un cuestionario sociodemográfico y un modelo adaptado a partir del Cuestionario de la Experiencia y la Satisfacción con el Nacimiento (QUESP). Realizado un análisis estadístico descriptivo y las pruebas estadísticas de Chi-cuadrado y la prueba exacta de Fisher presentados en tablas. Resultados: se encontró que el 61,77% de las mujeres presentaron baja expectativa y un 44%, baja satisfacción en relación con el trabajo de parto (TP) y el parto (P). Se constató que no había ninguna relación estadísticamente significativa entre las expectativas y la satisfacción de las mujeres con el parto. Conclusión: se sugiere realizar más investigaciones acerca de este tema, con el fin de identificar los factores determinantes de la satisfacción, así como la reorganización de la política de atención obstétrica. Descriptores:  Parto Normal; Trabajo de Parto; Satisfacción del Paciente; Enfermería Obstétrica; Parto; Salud de la Mujer.

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