Pregnant Women Are Iodine Deficient While Adequate Iodine Status Among School-Aged Children in Sarawak, Malaysia

2021 ◽  
pp. 037957212110020
Author(s):  
Lim Kuang Kuay ◽  
Tan Beng Chin ◽  
Chan Ying Ying ◽  
Husniza Hussain ◽  
Nur Azna Mahmud ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Sampling Technique ◽  
First Trimester ◽  
World Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Iodine Status ◽  
School Aged Children ◽  
Salt Iodization ◽  
Iodine Excretion

Background: A mandatory universal salt iodization (USI) has been implemented in Sarawak since 2008. Objectives: The aim of this study is to assess the current iodine status among school-aged children (SAC) and pregnant women (PW) after 10 years of USI implementation in Sarawak. Methods: This cross-sectional survey among school-aged children and pregnant women was conducted between July and October 2018 in Sarawak. The multistage proportionate to population size sampling technique was used to select 30 schools and 30 maternal and child health care clinics. A total of 1200 children aged 8 to 10 years and 750 first-trimester pregnant women were randomly selected to participate in the study. Iodine excretion level in urine was determined according to the World Health Organization classification. Results: A total of 988 children and 677 PW participated in the study with a response rate of 82.3% and 90.2%, respectively. The overall median UIC level among the children was 126.0 μg/L (interquartile range [IQR], 71.0-200.9 μg/L) and classified as adequate iodine status. The median UIC among PW was 123.9 μg/L (IQR, 56.5-192.1μg/L) indicating inadequate iodine status. Conclusion: The present findings indicate that despite adequate iodine status in children, the majority of PW still showed inadequate iodine status. Thus, comprehensive monitoring of the iodine deficiency disorder problem among PW is warranted.

scholarly journals Determinants of Antenatal Care Attendance among Pregnant Women Living in Endemic Malaria Settings: Experience from the Democratic Republic of Congo

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Célestin Ndosimao Nsibu ◽  
Célestin Manianga ◽  
Serge Kapanga ◽  
Esther Mona ◽  
Philippe Pululu ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Male Partner ◽  
First Trimester ◽  
Reproductive Age ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Republic Of Congo

Background. Antenatal care (ANC) attendance helps pregnant women to benefit from preventive and curative services.Methods. Determinants for ANC attendance were identified through a cross-sectional survey in the Democratic Republic of Congo. Sociocultural bottlenecks were assessed via focus groups discussion of married men and women.Results. In this survey, 28 of the 500 interviewed pregnant women (5.6%) did not attend ANC services and 82.4% booked over the first trimester. The first visit is positively influenced by the reproductive age (OR: 0.52, 95% CI(0.28–0.95),p<0.04), the educational level (OR: 0.41,95% CI(0.17–0.97),p<0.04), the nearby health center (OR: 0.43, 95% CI(0.2–0.92),p<0.03), and the presence of a male partner (OR: 10.48, 95% CI(2.1–52.23),p<0.001). The barriers to early booking were (i) the cost of service; (ii) the appearance or individual income; (iii) the geographical inaccessibility or distance to health facilities; (iv) social and religious prohibitions; (v) the stigmatization from other women when conceiving in the late ages or young or while still lactating (parity); (vi) the time for waiting for services.Conclusion. The early ANC attendance is delayed among poor women with little education and living alone.

scholarly journals Iodine deficiency in pregnant women living in the South East of the UK: the influence of diet and nutritional supplements on iodine status

2014 ◽  
Vol 111 (9) ◽  
pp. 1622-1631 ◽  
Author(s):  
Sarah C. Bath ◽  
Alan Walter ◽  
Andrew Taylor ◽  
John Wright ◽  
Margaret P. Rayman
Keyword(s):  
Pregnant Women ◽  
Iodine Deficiency ◽  
Urinary Iodine ◽  
World Health ◽  
The South ◽  
Childbearing Age ◽  
Iodine Status ◽  
Supplement Use ◽  
Iodine Excretion ◽  
The Uk

Iodine is a key component of the thyroid hormones which are crucial for brain development. Adequate intake of iodine in pregnancy is important as in utero deficiency may have lifelong consequences for the offspring. Data on the iodine status of UK pregnant women are sparse, and there are no such data for pregnant women in the South East of the UK. A total of 100 pregnant women were recruited to a cross-sectional study carried out at the Royal Surrey County Hospital, Guildford, at their first-trimester visit for an ultrasound scan. The participants provided a spot-urine sample (for the measurement of urinary iodine concentration (UIC) and creatinine concentration) and 24 h iodine excretion was estimated from the urinary iodine:creatinine ratio. Women completed a general questionnaire and a FFQ. The median UIC (85·3 μg/l) indicated that the group was iodine deficient by World Health Organisation criteria. The median values of the iodine:creatinine ratio (122·9 μg/g) and of the estimated 24 h iodine excretion (151·2 μg/d) were also suggestive of iodine deficiency. UIC was significantly higher in women taking an iodine-containing prenatal supplement (n 42) than in those not taking such a supplement (P< 0·001). In the adjusted analyses, milk intake, maternal age and iodine-containing prenatal supplement use were positively associated with the estimated 24 h urinary iodine excretion. Our finding of iodine deficiency in these women gives cause for concern. We suggest that women of childbearing age and pregnant women should be given advice on how to improve their iodine status through dietary means. A national survey of iodine status in UK pregnant women is required.

scholarly journals KONSUMSI TABLET FE DAN PENGETAHUAN BERHUBUNGAN DENGAN ANEMIA PADA IBU HAMIL TRIMESTER III

2019 ◽  
Vol 11 (2) ◽  
pp. 17-28
Author(s):  
Eka Ratna Sari ◽  
Lusi Andriani ◽  
PS. Kurniawati
Keyword(s):  
Pregnant Woman ◽  
Pregnant Women ◽  
Health Workers ◽  
Survey Design ◽  
Sampling Technique ◽  
World Health ◽  
Dominant Factor ◽  
Third Trimester ◽  
Cross Sectional ◽  
Significance Level

Anemia in pregnancy is a condition of pregnant woman with hemoglobin (Hb) <11 gr% in the first and third trimesters while in the second trimester hemoglobin level <10,5 gr%. World Health Organization (WHO) in 2012, reported that the prevalence of anemia in pregnant women in the world ranges an average of 14%, in industrialized countries 56% and in developing countries between 35% -75%. This study aims to determined the factors of the occurrence of anemia in third trimester pregnant women in Kampung Melayu sub-district Bengkulu City 2017. This research uses Analytical Survey design with Cross Sectional Approach. Population in this research is third trimester pregnant woman in Kampung Melayu sub-district as many as 106 people, using sample total sampling technique. The analysis used Chi square test with significance level p <0,05.The results of this study indicate that there is a relationship between adherence of Fe (p = 0,000) and knowledge (p = 0,000) with anemia occurrence in third trimester pregnant women, no relationship between age (p = 0,346), parity (p = 0,949) , Education (p = 0.198), occupation (p = 1,000) with anemia and the most dominant factor with anemia was the consumption of Fe tablet (OR = 78,803). Health workers are expected to provide routine counseling on the causes, symptoms, and effects of anemia for pregnant women and screening anemia by checking Hb at least twice during pregnancy.

scholarly journals FAKTOR YANG BERHUBUNGAN TERHADAP CARA MENGATASI MUAL MUNTAH PADA KEHAMILAN TRIMESTER I

2020 ◽  
Vol 4 (2) ◽  
pp. 7-11
Author(s):  
Nelfi Sarlis
Keyword(s):  
Pregnant Women ◽  
Health Center ◽  
Sampling Technique ◽  
First Trimester ◽  
Nausea And Vomiting ◽  
Chi Square ◽  
Cross Sectional ◽  
Knowledge And Attitudes ◽  
Knowledge Variable ◽  
In Pregnancy

Every pregnant woman in the first trimester experiences nausea and vomiting. This situation is natural and often occurs in pregnancy, especially in the first trimester. Nausea usually occurs in the morning, this case can occur almost 50% of pregnant wowen and many occur at 6-12 weeks. The purpose of this study was to determine the relationship between knowledge and attitudes of pregnant women on how to cope with vomiting nausea in pregnancy trimester 1 in the work area of ​​Payung Sekaki health center in Pekanbaru. This study uses a quantitative method with a cross sectional, so that the number of samples obtained was 71 respondents. Sampling used consecutive sampling technique, nominal and ordinal measuring scales, questionnaire research instruments and univariate and bivariate data collection. Based on the results of the chi square test obtained the knowledge variable is related to how to overcome nausea and vomiting with p = 0.008 where the value of α <0.1 then, Ha accepted means there is a relationship between knowledge and attitudes of pregnant women on how to cope with nausea vomiting while the variable obtained p=0,000 where the value of α<0,1 in the working area of ​​payung sekaki health center in Pekanbaru in 2019. Advised to puskesmas payung sekaki pekanbaru to try to increase public knowledge abaout nausea vomiting in pregnancy and the attitude of pregnant women to overcome nause and vomiting. By providing counseling to pregnant women abaout nausea and vomiting in pregnancy.

scholarly journals How COVID-19 is Affecting Apprentices

BioMedica ◽  
2020 ◽  
Vol 36 (2S) ◽  
pp. 265-269
Author(s):  
Shamaila Hassnain ◽  
Naureen Omar
Keyword(s):  
Survey Design ◽  
Demographic Data ◽  
Sampling Technique ◽  
World Health ◽  
Snowball Sampling ◽  
Physical And Mental Health ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
The World

<p><strong>Background and Objective:</strong> Coronavirus induced disease (COVID-19) is affecting people all around the world. The rising number of deaths due to COVID-19 is not only harassing people but also causing strong emotions in adults as well as in children due to anxiety, fear and stress. The objective of this study was to assess the fears, anxiety and stress due to COVID-19 pandemic and related issues among the apprentices at various levels in different parts of world. <strong>Methods: </strong>It was a cross sectional survey design to assess the students/trainee&rsquo;s immediate psychological response during COVID-19 outbreak by using an anonymous online questionnaire. A snowball sampling technique was conducted focusing general public all around the world from 3rd April 2020 till 7th April 2020. A total of N=354 participants filled the form completely. The structured questionnaire collected information on demographic data and psychological aspect of this outbreak, including extreme fear and uncertainty. <strong>Results:</strong> A total of N = 354 participants completed the questionnaire; majority were from the age group of 21&ndash;30 years. Approximately 66.4% were females and 33.6% males. Participants from Asia were 83.6% while 9.9%, 3.4%, 2.8% and 1% from America/Canada, Europe, Africa and Australia respectively. Out of n = 354 participants 59.3% were relying on health professionals for authentic source of information regarding COVID-19 while 16.4%, 15% and 5.4% considered social media, television and World Health Organization (WHO) website respectively as their authentic guide. Out of the (n = 354) participants 80.5% were afraid about health status during COVID-19 most predominantly females (66.3%) (P = 0.000). A total of 65.8% participants felt agitated or irritated in this outbreak. <strong>Conclusion:</strong> COVID-19 lockdowns are affecting both physical and mental health of students and apprentices enrolled at different levels of education. Females are more affected and concerned to their loved ones and themselves. Working norms are being maintained and responsibilities are being fulfilled despite this grave situation.</p>

scholarly journals Perspectives of skilled birth attendants and pregnant women regarding episiotomy: a quantitative approach

2021 ◽  
Vol 21 (3) ◽  
pp. 1355-1361
Author(s):  
Dokuba Tex-Jack ◽  
Chinemerem Eleke
Keyword(s):  
Pregnant Women ◽  
Data Extraction ◽  
Sampling Technique ◽  
Vaginal Birth ◽  
World Health ◽  
Skilled Birth Attendants ◽  
Cross Sectional ◽  
Birth Attendants ◽  
First Time Mothers ◽  
First Time

Background: The World Health Organization recommended less than 10% episiotomy rate for Skilled Birth Attendants (SBAs) and hospitals in 1996. More than two decades afterwards, some health facilities are still grappling with meeting the set target. Objectives: This study assessed the perspectives of SBAs and pregnant women regarding episiotomy in a Nigerian univer- sity teaching hospital. Methods: A cross-sectional design was employed. Census sampling was used to select 19 SBAS and 973 vaginal birth re- cords from 2019, while consecutive sampling technique was used to enrol 134 consenting pregnant women obtaining ante- natal services in the facility. Data was collected using a three part instrument involving a data extraction sheet, episiotomy practice questionnaire for SBAs, and feelings about episiotomy questionnaire for pregnant women. Assembled data were summarised with descriptive statistics. Results: The episiotomy rate was 345(35.5%). About 266 (77.1%) of first time mothers (primips) and 79(22.9%) of non- first time mothers (multips) received episiotomy. Ten (52.6%) of the SBAs were unsure of any evidence supporting routine episiotomy. All the 19(100%) SBAs reported that there was no existing facility-based policy regarding routine episiotomy. Seventy five (56%) of the pregnant women reported feeling generally bad about episiotomy. One hundred and one (82.3%) of them hinted that they will not feel satisfied if they were given episiotomy with the reason that it ensures quick vaginal birth. Conclusion: The rate of episiotomy was higher than global recommended standards and primips are disproportionately af- fected. If organised by professional societies, more scientific conferences on limiting episiotomy might remedy this situation. Keywords: Episiotomy; birth; pregnant women; vagina; Nigeria.

scholarly journals Double burden of malnutrition among school-aged children and adolescents: evidence from a community-based cross-sectional survey in two Nigerian States

2021 ◽  
Vol 4 ◽  
pp. 38
Author(s):  
Adeleye Adeomi ◽  
Adesegun Fatusi ◽  
Kerstin Klipstein-Grobusch
Keyword(s):  
Children And Adolescents ◽  
Sampling Technique ◽  
Family Characteristics ◽  
Prevalence Rates ◽  
Cross Sectional Survey ◽  
Community Based ◽  
Double Burden ◽  
Cross Sectional ◽  
School Aged Children ◽  
Double Burden Of Malnutrition

Background: Double burden of malnutrition (DBM) is the co-existence of overweight/obesity and undernutrition. Rising prevalence rates of childhood overweight/obesity in Nigeria have been reported, whilst undernutrition continues to be prevalent. This study aimed to estimate the prevalence and distribution of underweight, stunting, thinness, overweight/obesity, and DBM among school-aged children and adolescents in two Nigerian States. Methods: This was a community-based cross-sectional study carried out in Osun and Gombe States. A total of 1,200 children aged 6 – 19 years were recruited using multi-stage sampling technique. Weight, height and data on demographic, socio-economic, household/family characteristics of the children were collected using structured interviewer administered questionnaires. Nutritional status was calculated using the WHO 2007 reference values using BMI-for-age (thinness, overweight/obesity), height-for-age (stunting) and weight-for-age (underweight). DBM was described at the population and individual levels. Results: The mean age of the respondents was 11.6 ± 3.8 years. The overall prevalence rate of stunting was 34.9%, underweight was 13.5%, thinness was 10.3% and overweight/obese was 11.4% and 4.0% had individual level DBM, which typifies the DBM at individual and population levels. These rates differed significantly across demographic, socio-economic and household/family characteristics (p < 0.05). Gombe State, which is in the Northern part of Nigeria, had significantly higher burden of stunted, underweight and thin children than Osun State, while Osun State, in the Southern part of Nigeria, had a significantly higher burden of overweight/obesity. Conclusions: The study found evidence of DBM both at population and individual levels. The overall prevalence rates of stunting, underweight, thinness and overweight/obesity in this study were high, and they differed significantly across the demographic, socio-economic and household/family characteristics. There is the need for government and all other stakeholders to design nutritional educational programmes that will target both under- and over-nutrition among older children in the different contexts.

scholarly journals Prevalence and factors associated with late antenatal care visit among pregnant women in Lushoto, Tanzania

2017 ◽  
Vol 19 (3) ◽  
Author(s):  
Flora Njiku ◽  
Herman Wella ◽  
Adellah Sariah ◽  
Joyce Protas
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Health Care Services ◽  
First Trimester ◽  
Antenatal Clinic ◽  
World Health ◽  
P Value ◽  
Cross Sectional ◽  
Factors Associated ◽  
Care Services

Background: Adequate utilization of antenatal health care services is associated with improved maternal and neonatal health outcomes. The World Health Organization recommends pregnant women to attend antenatal care services as early as in the first trimester. However, many women due to various reasons fail to meet the recommendations. The objective of this study was to determine the prevalence and factors associated with late antenatal booking among pregnant women in Lushoto district of north-eastern Tanzania.Methods: This hospital based cross sectional study involved pregnant women and was conducted in August-September 2015. A standardized questionnaire was used to obtain participants demographic characteristics and obstetrics history. Data analysis was done using (SPSS) and relationship between outcome variables and exposure variable was done using Chi-square test. Multivariate logistic regression was used to measure the association.Results: A total of 240 participants were involved in the study.  Out of these, 169 (70.4%) participants booked late for antenatal care (ANC) services. Delayed booking was mainly associated with not being married (AOR=3.08; 95%CI 1.149-8.275; P value=0.025) and unemployment (AOR=4.28; 95% CI 2.11-8.679; p-value=0.000)Conclusion:  Late first antenatal clinic visit was high in Lushoto, and was highly associated with unmarried and unemployment status. Therefore, provision of continuous health education and community sensitization on the importance of timely seeking ANC services should be strengthened.

scholarly journals Iodine status of Turkish pregnant women and their offspring: A national cross-sectional survey

2021 ◽  
Vol 63 ◽  
pp. 126664
Author(s):  
Mehmet Vural ◽  
Esin Koc ◽  
Olcay Evliyaoglu ◽  
Hazal Cansu Acar ◽  
Abdurrahman Fatih Aydin ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Iodine Status

scholarly journals Iodine deficiency among Belgian pregnant women not fully corrected by iodine-containing multivitamins: a national cross-sectional survey

2012 ◽  
Vol 109 (12) ◽  
pp. 2276-2284 ◽  
Author(s):  
Stefanie Vandevijvere ◽  
Sihame Amsalkhir ◽  
Ahmed Bensouda Mourri ◽  
Herman Van Oyen ◽  
Rodrigo Moreno-Reyes
Keyword(s):  
Pregnant Women ◽  
Iodine Deficiency ◽  
Urinary Iodine ◽  
Iodine Intake ◽  
Urinary Iodine Concentration ◽  
Childbearing Age ◽  
Third Trimester ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Iodine Status

Low iodine intake during pregnancy may cause thyroid dysfunction in pregnant women and their newborn. In the present study, iodine status among a nation-wide representative sample of Belgian pregnant women in the first and third trimester of pregnancy was determined, and determinants of iodine status were assessed 1 year after the introduction of bread fortified with iodised salt. The women were selected according to a multistage proportionate-to-size sampling design. Urine samples were collected and a general questionnaire was completed face to face with the study nurse. The median urinary iodine concentration (UIC) among pregnant women (n1311) was 124·1 μg/l and 122·6 μg/g creatinine when corrected for urinary creatinine. The median UIC in the first trimester (118·3 μg/l) was significantly lower than that in the third trimester (131·0 μg/l) but significantly higher than among non-pregnant women (84·8 μg/l). Iodine-containing supplement intake was reported by 60·8 % of the women and 57·4 % of the women took this supplement daily. The risk of iodine deficiency was significantly higher in younger women, in women not taking iodine-containing supplements, with low consumption of milk and dairy drinks and during autumn. Women with a higher BMI had a higher risk of iodine deficiency but the risk was lower in women who reported alcohol consumption. The median UIC during pregnancy indicates iodine deficiency in Belgium and some women are at a higher risk of deficiency. The current low iodine intake in women of childbearing age precludes the correction of iodine deficiency in pregnant women supplemented with multivitamins containing 150 μg iodine as recommended.

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