Administration Rates of the Tdap Vaccine in Obstetric Patients

2018 ◽  
Vol 52 (7) ◽  
pp. 655-661 ◽  
Author(s):  
Jamie Koerner ◽  
Alicia B. Forinash ◽  
Abigail M. Yancey ◽  
Jessica Brinkmeyer ◽  
Spencer Dingman ◽  
...  
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Preterm Labor ◽  
Primary Outcome ◽  
Retrospective Chart Review ◽  
Further Education ◽  
Risk Level ◽  
Cross Sectional ◽  
Tdap Vaccine ◽  
To Receive

Background: Infants younger than 6 months of age are at high risk for contracting pertussis because of not being fully vaccinated. The Advisory Committee on Immunization Practices (ACIP) recommends vaccinating all pregnant women with tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine (Tdap) between 27 and 36 weeks to offer passive immunity to the infant to help protect them until they are able to receive the full pertussis series. Objective: To assess and compare compliance with the 2013 ACIP recommendation of vaccinating pregnant women with Tdap at 27 to 36 weeks’ gestation in 2 obstetric clinics. Methods: This cross-sectional, retrospective chart review evaluated Tdap vaccine compliance in a random sample of obstetric patients from October 2013 to September 2014. The primary outcome evaluated the proportion of patients who received Tdap between 27 and 36 weeks’ gestation. Secondary outcomes included the proportion of patients who received Tdap at any point in pregnancy and within 30 days postpartum. Results: The charts of 573 patients were reviewed, and 237 met inclusion criteria. For the primary outcome, 142 patients (59.9%) received the Tdap vaccine. Overall, 156 patients (65.8%) received Tdap at some point during the pregnancy. Factors associated with receiving the Tdap vaccination were insurance status, prenatal care risk level and site of prenatal care, receipt of the influenza vaccine, and preterm labor in the current pregnancy. Conclusion: The Tdap vaccine rate was 65.8%, with 59.9% of patients receiving the vaccine within the recommended ACIP timeframe. Further education, improvements in documentation, and chart reminders are needed to enhance administration.

scholarly journals Assessing Mobile Phone Access and Willingness for Text-Based mHealth Intervention to Improve Prenatal Care at Primary Care Centers in North West Ethiopia: a Cross-sectional Study (Preprint)

2017 ◽  
Author(s):  
Berhanu F Endehabtu ◽  
Adane N Weldeab ◽  
Martin Were ◽  
RIchard Lester ◽  
Binyam Tilahun
Keyword(s):  
Prenatal Care ◽  
Mobile Phone ◽  
Pregnant Women ◽  
Cross Sectional ◽  
Mobile Phone Use ◽  
North West ◽  
Factors Associated ◽  
Mhealth Intervention ◽  
North West Ethiopia ◽  
To Receive

BACKGROUND Maternal mortality remains high in many low- and middle-income countries (LMIC) where limited access to health services is linked to low antenatal care (ANC) utilization. Effective communication and engagement with care providers is vital for the delivery and receipt of sufficient health care services. There is strong evidence to show that simple text-based interventions can improve prenatal care utilization but most mHealth interventions doesn’t go to scale because of lack of context. OBJECTIVE The aim of this study was to determine access to mobile phones by pregnant women attending ANC, willingness to receive an SMS-based mHealth intervention for ANC services and to identify its associated factors among pregnant women attending ANC clinic in Gondar Town administration, North West Ethiopia. METHODS A cross sectional quantitative study was conducted among 422 pregnant women attending ANC from March 27- April 28, 2017. Data were collected using structured interviewer-administered questionnaires. Data entry and analysis were done using Epi-Info version 7 and SPSS version 20 respectively. Descriptive statistics, bivariable and multivariable logistic regression analysis was done. Odds ratio with 95% confidence interval was used to identify factors associated with willingness to receive SMS based mHealth intervention. RESULTS A total of 416 (98.6 % response rate) respondents were included in the analysis. About 76.7% (319/416) of respondents owned a mobile phone, and 71.2% (296/416) were willing to receive SMS. Factors associated with willingness were: Youth age group (AOR = 2.869, 95 % CI: [1.451-5.651], having Secondary and above education level (AOR = 4.995, 95 % CI: [1.489-14.773] and frequency of mobile phone use (AOR = 0.319, 95 % CI: [0.141-0.718]). CONCLUSIONS A high proportion of pregnant women in an ANC clinic in this remote setting have mobile phone and are willing to receive SMS based mHealth intervention. Age, educational status and frequency of mobile phone use are significantly associated with willingness to receive SMS based mHealth interventions.

HUBUNGAN ANTARA PENDIDIKAN DAN PEKERJAAN IBU HAMIL DENGAN PEMERIKSAAN KEHAMILAN DI PUSKESMAS MARIANA KECAMATAN BANYUASIN I KABUPATEN BANYUASIN TAHUN 2011

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Leny Leny
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Maternal Education ◽  
Statistical Tests ◽  
Univariate Analysis ◽  
World Health ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Health Organization

ABSTRACT Prenatal care is health care by health personnel to care the pregnant according to standards. Worlrd Health Organization (WHO) estimates more than 500.000 women die during pregnancy or childbirth. Maternal mortality in Indonesia is 307 per 100,000 live births. The quantity of pregnant women’s visit in Kabupaten Banyuasin in 2009 of 89.1%. The purpose of this study to determine the relationship between education and occupation with prenatal care at Puskesmas Mariana  Kecamatan Banyuasin I Kabupaten Banyuasin in 2011. This study uses analytic approach survey by Cross Sectional methods, the population are 1.946 pregnant women and the samples as many as 332 people. The results of univariate analysis study of pregnant women who are higher education as much as 45.2%, and  low maternal education as much as 54.8%. In pregnant women who work of 43.4%, and pregnant women who do not work for 56.6%. From the results of bivariate analysis and Chi-Square statistical tests found a significant association between education of pregnant women with prenatal care with P Value = 0.000, and there was a significant association between occupation of pregnant women with prenatal care with P Value = 0.000. Can be concluded that there is a relationship between education and occupation of pregnant women with prenatal care. Expected to health workers to provide counseling on the importance of prenatal care in pregnant women and expected future studies may explore again the factors associated with prenatal care with the different variables.   ABSTRAK Pemeriksaan kehamilan adalah pelayanan kesehatan oleh tenaga kesehatan untuk memeriksakan ibu hamil sesuai standar. World Health Organization (WHO) memperkirakan lebih dari 500.000 ibu pertahunnya meninggal saat hamil atau bersalin. AKI di Indonesia 307 per 100.000 kelahiran hidup. Jumlah kunjungan ibu hamil di Kabupaten Banyuasin tahun 2009 sebesar 89,1%. Tujuan penelitian ini untuk mengetahui hubungan antara pendidikan dan pekerjaan dengan pemeriksaan kehamilan di Puskesmas Mariana Kecamatan Banyuasin I Kabupaten Banyuasin tahun  2011. Penelitian ini menggunakan metode survey analitik dengan pendekatan Cross Sectional, populasi ibu hamil dengan jumlah 1.946 orang dan jumlah sampel sebanyak 332 orang. Hasil penelitian Analisa Univariat adalah ibu hamil yang pendidikan tinggi sebanyak 45,2%, dan pendidikan rendah ibu hamil sebanyak 54,8%. Pada variabel pekerjaan ibu hamil yang bekerja sebesar 43,4%, dan ibu hamil yang tidak bekerja sebesar 56,6%. Dari hasil analisa bivariat dan uji statistik Chi-Square  didapatkan hubungan yang bermakna antara pendidikan ibu hamil dengan pemeriksaan kehamilan dengan  P Value = 0,000, dan ada hubungan yang bermakna antara pekerjaan ibu hamil dengan pemeriksaan kehamilan dengan P Value = 0,000. Dapat disimpulkan bahwa ada hubungan antara pendidikan dan pekerjaan ibu hamil dengan pemeriksaan kehamilan. Diharapkan kepada petugas kesehatan agar dapat memberikan penyuluhan tentang pentingnya pemeriksaan pada ibu hamil dan diharapkan penelitian yang akan datang dapat menggali lagi faktor-faktor yang berhubungan dengan pemeriksaan kehamilan dengan variabel yang berbeda.

scholarly journals The Determinants of Husband Behavior in The Care of Pregnant Women

2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Elviera Gamelia ◽  
Siti Masfiah ◽  
Indah Purnama Sari
Keyword(s):  
Mortality Rate ◽  
Prenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Family Income ◽  
Subjective Norm ◽  
Infant Mortality Rate ◽  
Behavior Control ◽  
Cross Sectional ◽  
Level Of Education

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in Banyumas District are still below The Minimum Service Standard (MSS), especially in Puskesmas (Public Health Center) I Ajibarang. The strategies for reducing maternal mortality are conducted by increasing mothers health status during pregnancy. This study aims at determining the factors of husbands role in womens prenatal care. Cross-sectional method was used. The populations were all of the pregnant women in Puskesmas I Ajibarang. Proportional random sampling was applied to select 90 pregnant women. Logistic regression was used to determine factors. Theory of planned behavior was used to explore the determinants of husbands role. The results show that the level of education, family income, the knowledge, the attitude, and subjective norm are not related to husbands role in mother prenatal care. However, husbands behavior control (p=0.045) and intention (p=0.000) have relation with husbands role in women prenatal care. Variable of intention is the most dominant variable related to husbands role in womens prenatal care.

scholarly journals Transvaginal Ultrasound Assessment of Cervical Length in Threatened Preterm Labor

2020 ◽  
pp. 81-84
Author(s):  
Prasila Ekaputri
Keyword(s):  
Preterm Labor ◽  
Primary Outcome ◽  
Uterine Contraction ◽  
Transvaginal Ultrasound ◽  
Cross Sectional Study ◽  
Cervical Length ◽  
Cross Sectional ◽  
Active Labor ◽  
Ultrasound Assessment ◽  
Threatened Preterm Labor

Objectives: To determine the cut off point of cervical length usingtransvaginal ultrasonography to predict the actual occurrence ofpreterm labor in women with threatened preterm labor. Methods: A cross sectional study with consecutive random samplingmethod. We examined 80 women with singleton pregnancycomplaining of regular, painful uterine contraction and rupturedmembrane at 24-36 weeks of gestation. Women in active labor, definedby the presence of cervical dilatation less than or equal 3 cm, and having complicationwere excluded. When the patient was admitted, a transvaginalscan was performed to measure the cervical length. Parenteralmagnesium sulfate was given as the subsequent management.The primary outcome was delivery within 24 hours of presentation.Results: We found that the optimal cut off values for cervical lengthwas 2.65 cm with sensitivity 94.4 Percent, specificity 65.4Percent, positive predictivevalue 75.4 Percent and negative predictive value 81.8 Percent. In 69cases, the cervical length was more than or 2.65 cm, with 52 patients successfullycontinued their pregnancy until more than 24 hours. In the 11cases with cervical length less than or equal 2.65 cm, delivery within 24 hours occurredin 9 cases (81,8 Percent). Conclusion: The findings of this study suggest that in women withthreatened preterm labor, cervical length more than or equal 2.65 cm may help predictthe actual occurrence of preterm labor. Keywords: cervical length, threatened preterm labor, transvaginalultrasonography

scholarly journals Conhecimento das gestantes assistidas em uma unidade de atendimento obstétrico em relação à toxoplasmose gestacional

2020 ◽  
Vol 1 (52) ◽  
pp. 129
Author(s):  
Steffany Costa Acioli ◽  
Valnizete Bernardo Da Silva Porto ◽  
José Rodrigo Da Silva Ferreira ◽  
Tereza Lúcia Gomes Quirino Maranhão ◽  
Sandra Regina Guimarães Silva ◽  
...  
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Parasitic Infection ◽  
Clinical Importance ◽  
Obstetric Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Seek Health Care ◽  
Factors Associated ◽  
Cooked Meat

<p>Toxoplasmosis is a parasitic infection caused by the protozoan Toxoplasma gondii that has clinical importance in pregnant women due to the risk of congenital infections, which may cause serious consequences to the fetus. Many pregnant women do not take prenatal care or seek health care late, which can also make the control of toxoplasmosis difficult. In this work, we evaluated the knowledge of pregnant women assisted in an obstetric care unit regarding gestational toxoplasmosis. A cross-sectional study of a descriptive character was carried out with pregnant women attended at a Basic Health Unit in Maceió (AL). The research sample was the non-probabilistic for convenience, covering 20 pregnant women undergoing prenatal care. Data was collected through a standardized questionnaire, from August to October 2018. It was observed that the majority of pregnant women were aged between 18 and 23 years old (50%) and had completed elementary school (45%). With regards to the knowledge about toxoplasmosis, most of the pregnant women were unaware of this zoonosis (75%). Regarding the possible factors associated with the occurrence of infection by T. gondii, 85% of pregnant women reported eating well-cooked meat, 55% consuming filtered water, 45% consuming boiled milk and only 20% reported having cats at home.</p>

scholarly journals Analisis Faktor-faktor yang Mempengaruhi Perilaku Ibu untuk Melakukan Kunjungan ANC (K4) di Wilayah Kerja Centro Saúade Comunitaria Letefoho Posto Administrativo Letefoho Municipio Ermera Timor Leste

2019 ◽  
Vol 1 (1) ◽  
pp. 21-30
Author(s):  
Felisbela A. O. Oliveira
Keyword(s):  
Pregnant Women ◽  
Maternal Education ◽  
Health Workers ◽  
Cross Sectional ◽  
Systematic Random Sampling ◽  
Timor Leste ◽  
Husband Support ◽  
First Contact ◽  
To Receive

Antenatal Care (ANC) visit is a visit by pregnant women to health professional in order to receive ANC services. ANC visits are very important for a pregnant woman, to ensure the quality of ANCservices, there needs to be an indicator stating the visit of pregnant women with coverage of K1 and K4, where K1 is the first contact of pregnant women with health workers and K4 is the fourth contact of pregnant women or more with health workers. The purpose of this study was to determine the factors influencing maternal behavior to conduct ANC (K4) visits at Centro Saúde Comunitaria Letefoho. This research method was observational analytic with cross-sectional approach. The sample in this study consisted of 136 mothers and determined by using systematic random sampling techniques. Data were collected by using questionnaires and were analyzed by applying descriptive and bivariate using SPSS version 21. The results showed suggested that maternal education (p = 0.956), mother's knowledge (p = 0.420), mother's attitude (p = 0.817) and social culture (p = 0.618) had no association with ANC visit while the husband support (p = 0.032) and distance to health services (p = 0,000) were found to be correlated to ANC visits.

scholarly journals PERBEDAAN RERATA KADAR IL-6 SERUM MATERNAL BERDASARKAN KEBERHASILAN PEMBERIAN TOKOLITIK PADA PARTUS PREMATURUS IMMINENS

2019 ◽  
Vol 1 (1) ◽  
pp. 15-21
Author(s):  
Joserizal Serudji ◽  
Rika Effendy ◽  
Hafni Bachtiar
Keyword(s):  
Statistical Analysis ◽  
Pregnant Women ◽  
Preterm Labor ◽  
Average Rate ◽  
Serum Levels ◽  
Maternal Serum ◽  
P Value ◽  
Lung Maturation ◽  
Cross Sectional ◽  
Tocolytic Agent

Preterm labor needs to be prevented, one of the prevention methods is by tocolytic administration which could prevent labor thus providing a chance for lung maturation. Preterm Pregnancy is associated with increased concentrations of cytokines such as Interleukin (IL). The increasing concentration of maternal serum IL-6 can be used to predict preterm labor. This research uses the design Cross-Sectional Comparative to determine differences in means of maternal serum levels of IL-6 based on the success of the administration of a tocolytic agent on preterm labor. This study was performed on pregnant women who come to the obstetric emergency room of DR. MA. Hanafiah Batusangkar Hospital within August-November 2015. The total number which was included in statistical analysis was 34 pregnant women which were divided into 2 groups, 17 people in the group of patients who failed in tocolytic agent administration, and 17 people in the group who success in managed with a tocolytic agent. Statistical analysis was performed to analyze the validity using the T-test. There are significant differences in the average rate of maternal serum IL-6 in patients who failed to treat with a tocolytic agent and successful to treat with a tocolytic agent. Seen from the p-value 0.000. Levels of maternal serum IL-6 in patients who failed to treat with a tocolytic agent were higher than successful to treat with a tocolytic agent.Keywords: IL-6, Tocolytic, Preterm labor

scholarly journals Maternal characteristics and type of prenatal care associated with peregrination before childbirth

2019 ◽  
Vol 53 ◽  
pp. 70
Author(s):  
Rosemar Barbosa Mendes ◽  
José Marcos De Jesus Santos ◽  
Daniela Siqueira Prado ◽  
Rosana Queiroz Gurgel ◽  
Felipa Daiana Bezerra ◽  
...  
Keyword(s):  
High Education ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Confidence Intervals ◽  
Education Level ◽  
Maternal Characteristics ◽  
Socioeconomic Characteristics ◽  
Analytical Approaches ◽  
To Receive ◽  
Transversal Study

OBJECTIVE: To analyze the maternal characteristics and type of prenatal care associated with peregrination before childbirth among pregnant women in a northeastern Brazilian state. METHODS: Quantitative and transversal study, with descriptive and analytical approaches, part of the Nascer em Sergipe research held between June 2015 and April 2016. A total of 768 puerperal women proportionally distributed across all maternities of the state (n = 11) were evaluated. Data were collected in interviews and from prenatal records. The associations between antepartum peregrination and the exposure variables were described in absolute and relative frequencies, crude and adjusted odds ratios and their respective confidence intervals. RESULTS: Antepartum peregrination was reported by 29.4% (n = 226) of the interviewees, most of whom sought care in a single service before the current one (87.6%; n = 198). It should be noted that antepartum peregrination was less frequent among women aged ≥ 20 years old (OR = 0.50; 95%CI 0.34–0.71), with high education level (OR = 0.42; 95%CI 0.31–0.59) and a paid job (adjusted OR = 0.59; 95%CI 0.41–0.82), who had been instructed during prenatal care about the referral maternity for childbirth (adjusted OR = 0.88; 95%CI 0.42–0.92), and who used the private service to receive prenatal (adjusted OR = 0.44; 95%CI 0.18–0.86) or childbirth (adjusted OR = 0.96; 95%CI 0.66–0.98) care. No statistical evidence of associations between gestational characteristics and the occurrence of peregrination was observed. CONCLUSIONS: Antepartum peregrination suffers interference from the mother’s socioeconomic characteristics, the type of prenatal care received and the source of funding for childbirth.

scholarly journals Conhecimentos sobre enteroparasitoses entre gestantes atendidas em uma unidade de saúde de Maceió – AL em 2017

2020 ◽  
Vol 1 (50) ◽  
pp. 72
Author(s):  
Janaila Cristina Barbosa Da Silva ◽  
Jéssica Alves Silva Oliveira ◽  
André Limeira Tenório De Albuquerque ◽  
Marcia Marques da Silva ◽  
Thiago José Matos Rocha ◽  
...  
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Fruits And Vegetables ◽  
Parasitic Infection ◽  
Risk Groups ◽  
Parasitic Infections ◽  
Cross Sectional ◽  
Piped Water ◽  
Probabilistic Sample ◽  
Undercooked Meat

Parasitic infections can cause the death of the infected person depending on the degree of pathogenicity, which justifies the investigation of knowledge about these diseases in specific risk groups, such as pregnant women. Thus, this study aimed to assess knowledge about enteroparasitosis among pregnant women seen at a health unit in Maceió – AL. In this sense, a cross-sectional descriptive study was carried out with a non-probabilistic sample for the convenience of 100 pregnant women undergoing prenatal care. The data were collected through a standardized questionnaire, from February to July 2017. The level of education did not influence the knowledge about the evaluated enteroparasitoses. Approximately 54% of pregnant women reported having the habit of always washing their hands before meals and after going to the bathroom. The consumption of fruits and vegetables was prevalent and 37% said they clean them with vinegar or bleach, but 87% said they ate undercooked meat. Approximately 80% received piped water supply and 47% used mineral water for ingestion. Despite the advances in prenatal care in the last decade, the lack of knowledge among pregnant women about parasites is configured as a risk factor for parasitic infection, in this sense, it is necessary to carry out health education activities for this group, clarifying ways of transmission and prevention related to enteroparasitosis.

scholarly journals Alcohol use, pregnancy and associated risk factors: a pilot cross-sectional study of pregnant women attending antenatal care in an urban city

2019 ◽  
Author(s):  
Imelda K Moise
Keyword(s):  
Risk Factors ◽  
Alcohol Use ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Screening Tool ◽  
Demographic Factors ◽  
Continuous Variables ◽  
Cross Sectional ◽  
Urban City ◽  
Associated Risk Factors

Abstract Background Alcohol consumption during pregnancy is associated with adverse pregnancy outcomes such as preventable alcohol-related developmental disability fetal alcohol syndrome. In Zambia, alcohol use and associated risk factors have not been investigated, and screening in prenatal care is nonexistent. This study determined individual correlates and the prevalence of alcohol use in pregnant women attending prenatal care at two health clinics in Lusaka, Zambia. Methods A study adopted a cross-sectional design and recruited 188 pregnant women after seeking their informed consent from July 19 to 31, 2017. Participants aged 18 or over completed the T-ACE (Tolerance, Annoyance, Cut Down and Eye Opener) screening tool and validated alcohol-screening questionnaires on self-reported alcohol use periconceptional and during conception period while at their regular prenatal visit. The T-ACE screening tool assessed the risk of alcohol dependence in four short questions. The questionnaires included demographic questions. Bivariate analyses were performed using the χ2 test for dichotomous variables and the t-test for continuous variables. Mixed-effects linear models were used to evaluate the effect of outcome variables with patient-level variables. Results About 40 (21.2%) pregnant women were identified by the T-ACE as at-risk for problem drinking during pregnancy. Except for regular prenatal care and distance, there was no difference in the demographic factors between pregnant women who scored <2 on the T-ACE and those that scored > 2 points (all p’s > 0.05). A small proportional of women at both clinics reported binge drinking during the periconceptional period (12.7% vs. 3.2%, p=0.003) and beyond periconception period. Excluding employed women, no significant relationships were observed between alcohol use and demographic factors. Conclusion These findings underscore the need for targeted screening and intervention for alcohol use in all pregnant women in Zambia.

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