scholarly journals Association between Helicobacter pylori Infection and Occurrence of Anemia among Pregnant Women Attending Antenatal Care in Kulito Health Center, Halaba Zone, South Ethiopia, 2018

Anemia ◽  
2020 ◽  
Vol 2020 ◽  
pp. 1-10 ◽  
Author(s):  
Bahredin Abdella ◽  
Mohammed Ibrahim ◽  
Iyasu Tadesse ◽  
Kalkidan Hassen ◽  
Mekonnin Tesfa

Background. Anemia in pregnancy is defined as a hemoglobin (Hb) concentration of less than 11 grams (gm)/deciliter (dl) in venous blood. Globally, it affects 1.62 billion people. In developing countries, anemia is a major cause of maternal and child morbidity and mortality. Globally, anemia contributes to 20% of all maternal deaths. Nearly 50% of the world’s population is estimated to be infected with Helicobacter pylori (HP). High prevalence of HP among pregnant women was also reported in developing countries than developed ones. The association between HP infection and occurrence of anemia is not well known in Ethiopia. Therefore, the aim of this study was to determine the association between anemia and Helicobacter pylori infection among pregnant women attending antenatal care follow-up in Kulito Health Center, Halaba Zone, South Ethiopia. Methods. Institution-based cross-sectional study was employed. Systematic random sampling procedure was employed to select 236 pregnant women who attended antenatal care at Kulito Health Center. An interviewer-administered questionnaire supplemented by laboratory tests was used to obtain the data. The collected data were analyzed by using SPSS version 20.0. Results. The prevalence of anemia among antenatal care attendant pregnant women of Kulito Health Center was 27.5% with 36 (15.2%) of mild, 29 (12.3%) of moderate, and no severe cases of anemia. The overall prevalence of HP infection among study participants was found to be 129 (54.7%) (95% CI: 47.9–61.4). Factors significantly associated with anemia were presence of HP infection (AOR = 3.064, 95% CI: 1.336 7.027), low interpregnancy gap (AOR = 2.863, 95% CI: 1.245–6.582), being on the third trimester (AOR = 6.457; 95% CI: 1.276–32.729), and mid-upper arm circumference (MUAC) level <21 cm (AOR = 2.595, 95% CI: 1.044–6.450). Conclusion. This study revealed that anemia and HP infection were highly prevalent among pregnant women attending the antenatal follow-up clinic in Kulito Health Center. HP infection, low interpregnancy gap, being on the third trimester, and MUAC less than 21 cm were the independent factors associated with anemia. Recommendation. Pregnant women should be aware that anemia is a problem that can be prevented by early prevention and treatment of HP infection and undernutrition, using family planning to widen the interpregnancy gap. Further experimental studies are warranted to determine the cause and effect of the association between anemia and HP infection.

2021 ◽  
Vol 37 (5) ◽  
Author(s):  
Maíra Barreto Malta ◽  
Caroline de Barros Gomes ◽  
Aluísio J. D. Barros ◽  
Larissa Gastraldi Baraldi ◽  
Monica Yuri Takito ◽  
...  

Abstract: Interventions during prenatal care can mitigate negative outcomes of a sedentary lifestyle and unhealthy diet during pregnancy. We aimed to evaluate the effectiveness of an intervention that promoted healthy diet and leisure-time walking during antenatal care in a pragmatic, controlled, non-randomized intervention study. Physicians and nurses from all health care units of the Family Health Strategy model of health assistance participated in educational training to promote leisure-time walking and healthy diet during antenatal care visits. Pregnant women who received health care from these professionals constituted the intervention group (n = 181). The control group (n = 172) included pregnant women who received routine antenatal care, in health care units of the traditional model of health assistance. Data were collected in each trimester of pregnancy. Diet was investigated using a food frequency questionnaire adapted from Risk and Protective Factors Surveillance System for Chronic Non-Comunicable Diseases Through Telephone Interview (Vigitel). Leisure-time walking in a typical week was assessed using questions from the Physical Activity in Pregnancy Questionnaire. There were positive effects on leisure-time walking during the second trimester and the third trimester of pregnancy and on the women who achieved 150 minutes per week of walking during the third trimester. The intervention reduced the risk of pregnant women consuming soft drinks and/or commercially prepared cookies in the third trimester. This lifestyle intervention was partially effective, tripling the proportion of pregnant women who achieved the recommended walking time and reducing by half the proportion of women who had a high weekly consumption of soft drinks and industrially processed cookies.


2019 ◽  
Vol 7 (1) ◽  
pp. 11
Author(s):  
Arum Meiranny ◽  
Muliatul Jannah

<p><em>Anxiety in pregnant women when facing labor is different. Midwives have to be able to increase the comfort to reduce anxiety. One of the ways is with OSOC assistance, this is an assistance during pregnancy, childbirth, postpartum, newborns until family planning in order to increase maternal and infant health. The aims of this study are to determine the differences in comfort and anxiety of third trimester pregnant women who were given OSOC assistance and conventional</em> <em>pregnancy care at Kendal District Health Center (Puskesmas Kendal) .This research is a quasi experimental study with non equivalent control group design. Samples in this study were 124 third trimester pregnant women at Kendal District Health Center (Puskesmas Kendal). The research subjects were divided into intervention and control groups. In the intervention group, pregnant women were give intervention by OSOC assistance, and the control groups were given conventional pregnancy care. This research was held on July-September 2018. The analysis design used Chi Square. The results showed that there were significant differences (p &lt;0.05), and the influence of OSOC assistance on comforting pregnant women was 2.357, and there were significant differences between anxiety in the third trimester pregnant women with OSOC assistance and conventional pregnancy care, and the influence of OSOC assistance on anxiety pregnant women was 7,703. The conclusion of this study is that there are significant differences between the comfort and anxiety of the third trimester pregnant women with OSOC assistance and conventional pregnancy care.</em></p>


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ya Chen ◽  
Yun Fang Yan ◽  
Ying Zhang ◽  
Xianming Carroll ◽  
Hui Rong Li ◽  
...  

Abstract Background Spontaneous formation of urinoma is a rare condition, especially for pregnant women. We report a patient in the third trimester of pregnancy with a spontaneous renal rupture who then develops a urinoma from urine leaking into the perinephric space. Case presentation A 23-year-old primagravida was diagnosed with a spontaneous renal rupture and acute left loin pain accompanied by hematuria when she was 35 weeks pregnant. A sub-capsular perinephric cyst then developed to a size of 319 × 175 × 253 mm, and because of discomfort to the patient, we performed Cesarean section. After a healthy male newborn was delivered, fluid was suctioned from a large perirenal cyst that had an estimated size of 300 × 200 × 300 mm. A percutaneous nephrostomy tube was left in the cyst until CT showed no remaining fluid. In the six-month follow-up, the patient showed no perirenal extravasation according to an ultrasound scan, and the urine analysis and renal function tests were normal. Conclusion Close follow-up should be recommended for the patient who has renal rupture after conservative therapy, especially for pregnant woman. CT or MRI should be considered in addition to utilizing ultrasound in the management of pregnant women who present with urinomas. Percutaneous nephrostomy is suggested as an appropriate treatment for large urinomas.


2018 ◽  
Vol 25 (2) ◽  
pp. 41
Author(s):  
Ratna Ernawati ◽  
Bangun Trapsila Purwaka ◽  
Budi Prasetyo

Objectives: to identify correlation between nutritional status (energy, macronutrient and fluid intake) of the third trimester pregnant women and birth weight.Materials and Methods: correlative analytic prospective cohort’s study in Public Health Center Jagir, Surabaya with sample comprising healthy pregnant women aged 20-35 years in the third trimester and their newborns (n=34). Respondents noted fluid intake every day for 7 days (record method) and food for 24 hours (recall method). Adequacy of energy intake, macronutrient and fluid (mean) was assessed based on AKG 2012. LBW when <2500 g. Statistical analysis used Pearson correlation's and Spearman's rho with test with significance level of p<0.05.Results: in third trimester pregnant women energy intake (r: 0.854, p: 0.0001) and carbohydrates (r:0.912, p:0.0001) had strong positive correlation, protein intake had moderate positive correlation (r: 0.519, p: 0.0001), fat intake (r: 0.425p: 0.012) and fluid (r: 0.469 p: 0.005) had positive correlation with birth weight. The prevalence of LBW in Public Health Center Jagir Surabaya was 14.7%.Conclusion: Nutritional status of third trimester pregnant women correlates positively with birth weight.


Author(s):  
Omiati Natalia ◽  
Nurul Hikmah Annisa

Antenatal care is a pregnancy check to optimize the mental and physical health of pregnant women, monitor the progress of pregnancy to ensure the health of the mother and the development of the baby. Recognizing early on any abnormalities or complications that may occur during pregnancy. The purpose of this study was to determine the relationship between the knowledge of third trimester pregnant women about antenatal care to the implementation of K4. The design used in this research is descriptive correlation withapproach cross sectional. Sampling was done by purposive sampling. Data analysis with chi square. From the results of the study the majority of respondents had good knowledge as many as 42 respondents (73.7%), and the majority of respondents did K4 as many as 50 respondents (87.7%). It can be concluded that there is a correlation between the knowledge of pregnant women in the third trimester of antenatal care to the implementation of K4 (value p = 0.000). From the results of this study it is known that with high education, the knowledge that is owned will be better and affect someone in applying it to implementation.  


2020 ◽  
Vol 9 (2) ◽  
pp. 240
Author(s):  
Gustina Gustina ◽  
Nurbaiti Nurbaiti

AbstractDuring pregnancy changes will occur in the entire body system of the mother both physically and psychologically, although physiological but if not understood by the mother and not treated will be able to make discomfort very disturbing during the process of pregnancy, childbirth and the puerperium, Prenatal Care Yoga is expected to help in dealing with discomfort during pregnancy, especially the third trimester of pregnancy Putri Ayu Health Center has provided pregnancy exercise services but has never given prenatal care yoga, due to the absence of trained staff at the Puskesmas, the researchers chose Puskesmas Putri Ayu as a research site. Intervene prenatal care yoga with quasi experimental one group pre-post-test design method. affordable population of 301 people visits K4 pregnant women to the Putri Ayu health center. he sample of purposive sampling was 32 people. The subject was carried out pre test and post test in the form discomfort questionnaire using a comparative scale of pain. Prenatal care yoga 4 times for 4 consecutive weeks Most of the third stage discomfort was pre-test, 21 (65.6%), post-test to 15 (46.9) there was an effect of prenatal care yoga on reducing complaints of discomfort of third trimester pregnant women with a p-value <0,000 (95% CI).


2021 ◽  
Vol 1 (2) ◽  
pp. 87-95
Author(s):  
Aurelia Indah Qurota A'yun ◽  
Astrid Novita ◽  
Ernita Prima Noviyani

Introduction: The behavior of antenatal care visits is the action of pregnant women who carry out pregnancy checks from the first trimester to the third trimester. Objective: To determine the relationship between health service facilities, health promotion, health care support, and the quality of health services on the behavior of antenatal care visits at the Bojongsari Health Center, Depok City in 2021. Methods: This type of research used a quantitative analytic survey using a cross-sectional approach. The population in this study was 141 pregnant women in the third trimester. The sampling technique used was the Lemeshow formula with purposive sampling. The number of respondents was 103 third-trimester pregnant women. The types of data used are primary and secondary data with univariate and bivariate analysis. Results: Pregnant women with poor antenatal care visits were 58 pregnant women (56.3%). Conclusion: There is a relationship between the variables of service facilities (OR = 27.773), health promotion (OR = 19.213), health care support (OR = 22.519), and the quality of health services (OR = 26.057) on the behavior of antenatal care visits at the Bojongsari Health Center, Depok City. 2021.


2021 ◽  
Vol 104 (4) ◽  
pp. 637-644

Background: Rh(D) alloimmunization prophylaxis should be administered to unsensitized Rh(D)-negative pregnant women. A routine antenatal dose and a postpartum dose for women that delivered an Rh(D)-positive neonate are recommended. Due to a very low prevalence of Rh(D)-negative blood type in Thai population, awareness of this specific management may be lacking. Objective: To determine the proportion of unsensitized Rh(D)-negative pregnant women that delivered at Siriraj Hospital who received a complete course of anti-D immunoglobulin and to determine the factors associated with the failure to achieve a complete administration as well as pregnancy and neonatal outcomes. Materials and Methods: Medical records of 133 unsensitized Rh(D)-negative pregnant women were reviewed to determine the proportion of cases receiving a complete anti-D prophylaxis. Possible reasons for missing anti-D administration were postulated. Comparison between cases receiving and not receiving antenatal anti-D prophylaxis was performed in terms of associated factors. Pregnancy and neonatal outcomes were compared between women who received complete prophylaxis and those who did not. Results: A complete anti-D prophylaxis was obtained in 71.4% of the women with antenatal dose given to 78.2%. Late antenatal care (OR 2.6, 95% CI 1.4 to 4.9) and late or no antenatal care at Siriraj Hospital (OR 7.1, 95% CI 2.8 to 17.9) were associated with missing antenatal anti-D administration. Desire for tubal sterilization and positive maternal Rh(D)-antibody in the third trimester appeared to be the causes of postpartum dose omission. Pregnancy and neonatal outcomes were comparable between women receiving and not receiving a complete anti-D prophylaxis. Conclusion: The proportion of unsensitized Rh(D)-negative pregnant women delivering at Siriraj Hospital who received a complete anti-D prophylaxis was 71.4%. Late antenatal care, late or no antenatal care at Siriraj Hospital, desire for tubal sterilization, and positive maternal Rh(D)-antibody in the third trimester were associated with the incomplete Rh(D) alloimmunization prophylaxis. Keywords: Rh(D)-negative, Alloimmunization, Anti-D immunoglobulin, Anti-D prophylaxis, Rh immunoglobulin


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