scholarly journals Reducing Exposure to Environmental Toxicants before Birth: Moving from Risk Perception to Risk Reduction

2009 ◽  
Vol 124 (5) ◽  
pp. 629-641 ◽  
Author(s):  
Holly A. Grason ◽  
Dawn P. Misra
Keyword(s):  
Risk Perception ◽  
Child Health ◽  
Pregnant Women ◽  
Risk Reduction ◽  
Maternal And Child Health ◽  
Perinatal Health ◽  
Environmental Toxicants ◽  
Wide Range ◽  
Policy Strategies ◽  
And Child Health

In this study, we considered approaches to reducing maternal exposure to hazardous environmental toxicants, focusing on risk communication to pregnant women and providers, but also considering identification of environmental toxicants in the community and reduction of environmental toxicants. We addressed the following questions: ( 1) What do pregnant women and their providers know about environmental toxicants and perinatal health? and ( 2) What policy strategies are needed (should be considered) to move forward in risk reduction in this area? We reviewed the literature on knowledge of pregnant women and providers regarding these issues. While there is limited research on what pregnant women and their providers know about environmental toxicants and perinatal health, there is evidence of reproductive and perinatal toxicity. This article describes a wide range of policy strategies that could be implemented to address environmental toxicants in the context of perinatal health. Effective leadership in this area will likely require collaboration of both environmental health and maternal and child health leaders and organizations.

scholarly journals The Effectiveness of Narrative Versus Didactic Information Formats on Pregnant Women’s Knowledge, Risk Perception, Self-Efficacy, and Information Seeking Related to Climate Change Health Risks

2020 ◽  
Vol 17 (19) ◽  
pp. 6969
Author(s):  
Adebanke L. Adebayo ◽  
Rochelle Davidson Mhonde ◽  
Nathaniel DeNicola ◽  
Edward Maibach
Keyword(s):  
Climate Change ◽  
Risk Perception ◽  
Child Health ◽  
Pregnant Women ◽  
Outcome Measures ◽  
Maternal And Child Health ◽  
Information Seeking ◽  
Self Efficacy ◽  
Narrative Format ◽  
And Child Health

Climate change is a global threat that poses significant risks to pregnant women and to their developing fetus and newborn. Educating pregnant women about the risks to their pregnancy may improve maternal and child health outcomes. Prior research suggests that presenting health information in narrative format can be more effective than a didactic format. Hence, the purpose of this study was to test the effectiveness of two brief educational interventions in a diverse group of pregnant women (n = 151). Specifically, using a post-test only randomized experiment, we compared the effectiveness of brief information presented in a narrative format versus a didactic format; both information formats were also compared to a no information control group. Outcome measures included pregnant women’s actual and perceived knowledge, risk perception, affective assessment, self-efficacy, intention to take protective behaviors, and subsequent information seeking behavior. As hypothesized, for all outcome measures, the narrative format was more effective than the didactic format. These results suggest the benefits of a narrative approach (versus a didactic approach) to educating pregnant women about the maternal and child health threats posed by climate change. This study adds to a growing literature on the effectiveness of narrative-based approaches to health communication.

scholarly journals Quality of Maternity Care and Client Satisfaction

2019 ◽  
Vol 2 (1) ◽  
pp. 73-76
Author(s):  
Saraswoti Kumari Gautam Bhattarai ◽  
Kanchan Gautam
Keyword(s):  
Quality Of Care ◽  
Child Health ◽  
Pregnant Women ◽  
Maternal And Child Health ◽  
Maternity Care ◽  
Client Satisfaction ◽  
Care Service ◽  
Postnatal Period ◽  
And Child Health

Health service provided to pregnant women during antenatal, childbirth and postnatal period is essential for maternal and child health. Proper care during pregnancy, childbirth and postnatal period are important for the health of mother and baby. High maternal, infant and child morbidity and mortality demand improved healthcare which does not concern to coverage of health services alone. The health issues of pregnant women, mothers, infants and children need to be addressed with the attention to the quality of care (QoC).  The Nepal Health Sector Strategy (NHSS) also identifies equity and quality of care gaps as areas of concern for achieving the maternal health sustainable development goal (SDG) target. So this review aims to sensitize and draw attention to the quality of maternity care and client satisfaction to improve maternal and child health. For this article, different studies related to the quality of maternity care and satisfaction from care service received on maternity care are reviewed.

Ambient Formaldehyde Levels and Allergic Disorders Among Japanese Pregnant Women: Baseline Data From the Osaka Maternal and Child Health Study

2008 ◽  
Vol 18 (1) ◽  
pp. 78-84 ◽  
Author(s):  
Ichiro Matsunaga ◽  
Yoshihiro Miyake ◽  
Toshiaki Yoshida ◽  
Shoichi Miyamoto ◽  
Yukihiro Ohya ◽  
...  
Keyword(s):  
Child Health ◽  
Pregnant Women ◽  
Maternal And Child Health ◽  
Baseline Data ◽  
Health Study ◽  
Japanese Pregnant Women ◽  
Allergic Disorders ◽  
And Child Health

scholarly journals Roles of Midwives and Indonesian Midwives Association in Reducing Risk Factors for Stunting in Indonesia

2021 ◽  
Vol 9 (G) ◽  
pp. 8-13
Author(s):  
Sumiaty Sumiaty ◽  
Muhammad Nur Ali ◽  
Hasan Muhamad ◽  
Fahmi Hafid
Keyword(s):  
Family Planning ◽  
Child Health ◽  
Pregnant Women ◽  
Maternal And Child Health ◽  
Professional Organization ◽  
Family Planning Services ◽  
Breastfeeding Counseling ◽  
Postpartum Mothers ◽  
And Child Health

Background: Stunting is caused by multi-dimensional factors and the most decisive intervention should be carried out in the first 1,000 days of life. Poor parenting practices, lack of knowledge about health and nutrition before and during pregnancy are some of the contributing factors and 60% of children aged 0-6 months do not receive exclusive breastfeeding. Aim: To assess the role of midwives and the Indonesian Midwives Association Professional Organization in reducing the risk of stunting in Indonesia.   Method: This type of descriptive research uses an exploratory study approach by assessing the role of midwives and the professional organization of the Indonesian Midwives Association (IBI) in reducing the risk of stunting in Central Sulawesi. The data of 288 midwives were collected using google form from 22 July 2020 to 22 August 2020. Data were analyzed by SPSS. Result: In general, midwives have provided maternal and child health books to pregnant women, recorded complete maternal and child health records, conducted antenatal care for pregnant women, provided nutritional food counseling for pregnant women, gave Fe 90 tablets to pregnant women, provided calcium tablets to pregnant women, conducting classes for pregnant women, delaying umbilical cord cutting (>30 minutes), providing vitamin A to postpartum mothers, conducting exclusive breastfeeding counseling, providing family planning services, providing IYCF counseling. However, for the activities of Implementing a special stunting prevention program, implementing postnatal care and initiating early breastfeeding still need improvement. Conclusion: The role of midwives in efforts to prevent stunting in Indonesia with midwives have provided maternal and child health books to pregnant women. Delaying umbilical cord cutting to 30 minutes, giving vitamin A to postpartum mothers, breastfeeding counseling, providing family planning services, providing IYCF counseling

scholarly journals The use of Maternal and Child Health (MCH) handbook improves healthy behavior of pregnant women

2018 ◽  
Vol 25 (2) ◽  
pp. 59 ◽  
Author(s):  
Nur Hidayatul Ainiyah ◽  
M Hakimi ◽  
Anjarwati Anjarwati
Keyword(s):  
Child Health ◽  
Pregnant Women ◽  
Correlation Coefficient ◽  
Maternal And Child Health ◽  
Middle Level ◽  
P Value ◽  
Healthy Behavior ◽  
Correlation Test ◽  
And Child Health ◽  
Non Parametric

Objectives: To investigate correlation between maternal and child health (MCH) handbook utilization and healthy behavior of trimester III pregnant women.Materials and Methods: This study used Spearman-Rho non-parametric correlation test with 95% of the Power of Test.Results: The correlation between MCH utilization and the healthy behavior of trimester III pregnant women showed correlation coefficient (r) of 0.530 and CI 95% 0.163-0.638, indicating middle level of correlation with p-value of 0.01 (p<0.05), showing statistical significance.Conclusion: MCH (maternal and child health) handbook utilization improves healthy behavior of trimester III pregnant women. The higher the utilization of MCH, the healthier the behavior of trimester III pregnant women.

scholarly journals Pelaksanaan Permainan Ular Tangga dalam Kelas Ibu Hamil

2020 ◽  
Vol 1 (1) ◽  
pp. 23-28
Author(s):  
Lisda Widianti Longgupa ◽  
Nurfatimah Nurfatimah ◽  
Nilda Yulita Siregar
Keyword(s):  
Child Health ◽  
Health Services ◽  
Pregnant Women ◽  
Maternal And Child Health ◽  
Health Workers ◽  
Child Health Services ◽  
Flip Chart ◽  
Post Test ◽  
And Child Health

The efforts to reduce maternal and infant mortality can be done by increasing the coverage and quality of maternal and child health services. One effort is made to bring health services closer to the community through the pregnant mothers class program. Pregnant woman class is a study group of pregnant women with gestational age between 4 weeks to 36 weeks with a maximum number of 10 participants. In this class, pregnant women will learn together, discuss and exchange experiences on overal maternal and child health, facilitated by midwives or health workers by using the class package for pregnant women, namely flip chart, guidelines for implementing classes of pregnant women,  class facilitator’s handbook pregnant women, exercise books for pregnant women  and books on maternal and child health (MCH). Based on the results of community service activities with participants of 40 pregnant women there was an increase in correct answers to all participants after participating in class activities for snakes ladderss of pregnant women. From the pre-test result it turns out that most of the results obtained were less than 60. This shows that the knowledge ability of pregnant women is still lacking. However, after holding the snakes ladder pregnant class, there was an increase in the knowledge of pregnant women with an increase in the post-test score point in the range between 21-30 (47.5%).

scholarly journals Potential teratogenecity risk and prescription drug use among pregnant women attending maternal and child health clinic of Kemisse General Hospital, Northeastern, Ethiopia

2019 ◽  
Author(s):  
Belete Kassa Alemu ◽  
Nesredin Nigatu Wolle
Keyword(s):  
Drug Use ◽  
Child Health ◽  
Pregnant Women ◽  
Maternal And Child Health ◽  
Medical Records ◽  
First Trimester ◽  
Health Clinic ◽  
Third Trimester ◽  
Child Health Clinic ◽  
And Child Health

Abstract Background Drug use during pregnancy requires special consideration because both fetus and the mother are affected. Drug teratogenicity is most likely to occur when drugs are taken during first trimester of pregnancy when fetal organs are formed. In addition, drugs at second and third trimester may affect the growth and functional development of the fetus or have toxic effect on fetal tissues. Objective The objective of this study was to assess potential teratogenecity risk and drug use pattern in Kemisse General Hospital. Methods An institution based cross sectional study was conducted by reviewing a one year medical records (from January 1, 2010 to December 31, 2011) of pregnant women attending maternal and child health clinic of the hospital. Systematic random sampling was employed to select a total of 263 pregnant women. Structured data abstraction format was used for collection of data and then data were coded, entered and analyzed by using Statistical Package for Social Sciences version 23. Result A total of 263 medical records of pregnant women were reviewed, of which 234 pregnant women were prescribed with a total of 430 prescription drugs. The average numbers of drugs per pregnant women was found to be 1.84. Most pregnant women 166 (63.2%) were in the third trimester and more than half of them (51.3%) were multigravida. The maximum number of drugs were prescribed in the second trimester 162 (37.67%) followed by third trimester 143(33.26%). Supplemental drugs were the most widely used medications 297 (69.07%) and followed by 82 (19.1%) drugs from category B; 54 (12.6%) drugs from category C; and the rest 7 (1.6%) drugs from category D. There was no any drug from category X. Conclusion Approximately one third of the pregnant women encountered with drugs from category B, C and D. However, there were no FDA category C and D drugs prescribed in first trimester. There was no drug utilized by pregnant women from FDA pregnancy risk category X.

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