Influenza vaccination during pregnancy and influencing factors in Korea: A multicenter questionnaire study of pregnant women and obstetrics and gynecology doctors

Abstract Background Although the World Health Organization and health authorities in most countries recommend that pregnant women receive inactivated influenza virus vaccines, coverage remains low. This study aimed to investigate (1) the proportion of pregnant women who received an influenza vaccination and influencing factors and (2) the proportion of obstetrics and gynecology (OBGYN) doctors who routinely recommend influenza vaccination to pregnant women and influencing factors. Methods Two separate, anonymized questionnaires were developed for physicians and pregnant and postpartum women and were distributed to multicenters and clinics in South Korea. The proportions of women who received influenza vaccination during pregnancy and OBGYN doctors who routinely recommend the influenza vaccine to pregnant women were analyzed. Independent influencing factors for both maternal influenza vaccination and OBGYN doctors’ routine recommendations to pregnant women were analyzed using log-binomial regression analysis. Results The proportion of self-reported influenza vaccination during pregnancy among 522 women was 63.2%. Pregnancy-related independent factors influencing maternal influenza vaccination were “(ever) received information about influenza vaccination during pregnancy” (OR 8.9, 95% CI 4.17–19.01), “received vaccine information about from OBGYN doctors” (OR 11.44, 95% CI 5.46–24.00), “information obtained from other sources” (OR 4.38, 95% CI 2.01–9.55), and “second/third trimester” (OR 2.41, 95% CI 1.21–4.82).. Among 372 OBGYN doctors, 76.9% routinely recommended vaccination for pregnant women. Independent factors effecting routine recommendation were “working at a private clinic or hospital” (OR 5.33, 95% CI 2.44–11.65), “awareness of KCDC guidelines” (OR 3.11, 95% CI 1.11–8.73), and “awareness of the 2019 national free influenza vaccination program for pregnant women” (OR 4.88, 95% CI 2.34–10.17). OBGYN doctors most commonly chose ‘guidelines proposed by the government or public health (108, 46%) and academic committees (59, 25%), as a factor which expect to affect the future recommendation Conclusion This study showed that providing information about maternal influenza vaccination, especially by OBGYN doctors, is crucial for increasing vaccination coverage in pregnant women. Closer cooperation between the government and OBGYN academic societies to educate OBGYN doctors might enhance routine recommendations.

Download Full-text

Influenza Vaccination During Pregnancy And Influencing Factors In Korea: A Multicenter Questionnaires Study of Pregnant Women and Obstetrics and Gynecology Doctors.

10.21203/rs.3.rs-76094/v1 ◽

2020 ◽

Author(s):

Byung Soo Kang ◽

San Ha Lee ◽

Woo Jeng Kim ◽

Jeong Ha Wie ◽

In Yang Park ◽

...

Keyword(s):

Influenza Vaccine ◽

Influenza Vaccination ◽

Pregnant Women ◽

Influencing Factors ◽

Multivariate Logistic Regression Analysis ◽

Public Health Care ◽

Vaccination Program ◽

Obstetrics And Gynecology ◽

The Government ◽

Maternal Influenza

Abstract BackgroundOur objective was to investigate: (1) the proportion of influenza vaccination, attitudes, and barriers among pregnant women, (2) the proportion of obstetrics and gynecology (OBGYN) doctors who routinely recommend influenza vaccination in pregnant women, and (3) the influencing factors in Korea, during the flu season of 2019-2020, following the introduction of free influenza vaccination program for pregnant women.MethodsTwo separate anonymized questionnaires were developed for pregnant or postpartum women and physicians, and distributed to public or private healthcare centers and clinics, in South Korea. The proportions of women who received influenza vaccination during pregnancy and OBGYN doctors who routinely recommend influenza vaccine for pregnant women were analyzed. Independent influencing factors of influenza vaccination and OBGYN doctors’ routine recommendation for pregnant women were analyzed using multivariate logistic regression analysis, respectively.Result The self-reported proportion of influenza vaccination during pregnancy among 522 women was 63.2%. Independent factors influencing maternal influenza vaccination were ‘(ever) received information about influenza vaccination during pregnancy’, ‘information obtained from OBGYN doctors’, and ‘2nd/3rd trimester or postpartum period’ (OR 8.988, 95% CI 4.21–19.188, p < 0.001, OR 2.611, 95% CI 1.705-3.998, p < 0.001 and OR 3.082, 95% CI 1.508–6.297, p < 0.001, respectively).In 372 OBGYN doctors, the proportion of doctors with the routine recommendation of influenza vaccine for pregnant women was 76.9%. Independent factors affecting the routine recommendation were: 1) affiliation with private hospital or clinic (OR 4.508, 95% CI 2.225–9.133, p<0.001); 2) awareness of guidelines (OR 3.153, 95% CI 1.118–8.894, p=0.03); (3) awareness of 2019 National free influenza vaccination program for pregnant women (OR 4.955, 95%CI 2.377–10.329, p<0.001). For a future recommendation of influenza vaccine for pregnant women, the guidelines proposed by the government or public health care [108 (46%)] and academic committees [59 (25%)] were most commonly chosen by OBGYN doctors.Conclusion This study demonstrated that providing information about maternal influenza vaccination and the recommendation by OBGYN doctors are crucial for increasing the vaccination coverage in pregnant women.

Download Full-text

Factors associated with the intention to exclusively breastfeed at Siloam Lippo Cikarang Hospital

Paediatrica Indonesiana ◽

10.14238/pi48.3.2008.156-60 ◽

2016 ◽

Vol 48 (3) ◽

pp. 156

Author(s):

Naomi Dewanto ◽

Sudigdo Sastroasmoro ◽

Rulina Suradi ◽

Theresia Santi

Keyword(s):

Multivariate Analysis ◽

Pregnant Women ◽

World Health Organization ◽

Influencing Factors ◽

Exclusive Breastfeeding ◽

Working Women ◽

World Health ◽

Factors Associated ◽

Health Organization ◽

Identity Knowledge

Background World Health Organization (WHO) recommendsbreastfeeding as the appropriate method of infant feeding.Predelivery intentions about breastfeeding are strong predictorsof both initiating and continuing exclusively breastfeedingthrough the post delivery period.Objective To determine the association of age, education,occupation, parity, and information got by pregnant women withthe intention to give exclusive breastfeeding at Siloam LippoCikarang Hospital.Methods Pregnant women were chosen by consecutive samplingfilled in questionnaires contained identity, knowledge, obstacles ofbreastfeeding and intentions to exclusively breastfeed. Pregnantwomen visiting Obstetrics and Gynecologic Department SiloamLippo Cikarang Hospital who were able to read and write inIndonesian were eligible for this study.Result: Most of the 200 respondents were between 20-30 years ofage (69.5%), college graduated (55.5%), working women (50.5%),multiparous (58.5%) and have already got the informationabout breastfeeding (64.5%). The commonly cited source isprinted device (40%). Knowledge about breastfeeding in generalwere good (78%), but respondents who intended to exclusivelybreastfeed were only 58.5%. Multivariate analysis showed thatthe factors significant associated with the intention to exclusivelybreastfeed were age, with OR 0.9 (95%CI 0.84;0.98, P<0.05) andinformation, with OR 0.28 (95%CI 0.143;0.56, P<O.OOl)Conclusions The significant influencing factors to the intentionsto give exclusively breastfeed are age and information.

Download Full-text

Gambaran Kejadian Malaria Pada Ibu Hamil di Rumah Sakit Umum Daerah Kabupaten Boven Digoel Papua

An Idea Health Journal ◽

10.53690/ihj.v1i1.11 ◽

2021 ◽

Vol 1 (1) ◽

Author(s):

Halmina Ilyas ◽

Serly Serly

Keyword(s):

Data Analysis ◽

Pregnant Women ◽

World Health Organization ◽

Malaria Infection ◽

District General Hospital ◽

World Health ◽

Maternal Deaths ◽

The World ◽

The Government ◽

Health Organization

In malaria endemic areas, pregnant women are more susceptible to infection with malaria parasites than non-pregnant women. The World Health Organization (WHO) in 2014 estimated that 10,000 maternal deaths each year were associated with malaria infection during pregnancy. The aim of the study was to describe the incidence of malaria in pregnant women at the Boven Digoel District General Hospital, Papua. Methods This research uses a descriptive type of research. Samples were taken as many as 92 pregnant women who were taken by accidental sampling. Collecting data by using a questionnaire sheet. Data analysis was carried out univariate and bivariate. The results showed that from 78 pregnant women who were positive for malaria, most of them suffered from anemia as many as 51 people (65.4%) and 27 people did not suffer from anemia (34.6%). For the incidence of abortion from 78 pregnant women who were positive for malaria, most of them did not experience an abortion as many as 62 people (79.5%) and 16 people had an abortion (20.5%). For the habit of being out of the house at night, from 78 pregnant women who were positive for malaria, most of them were always outside at night as many as 41 people (52.6%) and 37 people (47 people) were not out of the house at night. ,4%). The conclusion of this study, the description of the incidence of malaria in pregnant women mostly suffer from anemia, do not have abortions and are always outside the house at night. The advice that can be given is that malaria in pregnant women must be eradicated immediately so that the MCH program made by the government can be successful and the health of pregnant women can be maintained

Download Full-text

Traditional Medicine, Biomedicine and Christianity in Modern Zambia

Africa ◽

10.3366/e0001972009000904 ◽

2009 ◽

Vol 79 (3) ◽

pp. 435-454 ◽

Cited By ~ 2

Author(s):

Kaori Sugishita

Keyword(s):

Health Care ◽

Traditional Medicine ◽

National Health ◽

Traditional Healers ◽

World Health ◽

National Health Care ◽

Health Authorities ◽

The Government ◽

The One ◽

Health Organization

The World Health Organization has recognized ‘traditional medicine’ as ade factoand economical substitute for biomedicine in the developing world. Accordingly, the Zambian government aims to integrate ‘traditional healers’, locally known asng'anga, with their biomedical counterparts in a national health care system. Hence, on the one hand,ng'angaelaborate their practice into ‘herbalism’, which could meet scientific standards and fit into the scope of biomedicine. On the other hand, they continue to deal with affliction by positing the existence of occult agents, such as witchcraft and spirits, at the risk of being criticized for exploiting indigenous beliefs. As a result, manyng'angaassociate themselves with Christianity, the national religion of Zambia, which serves as an official domain of the occult where they take refuge from biomedical rationalization. However, conventional churches, the government and health authorities do not approve of the link between Christianity and traditional medicine; henceng'angaas traditional healers are marginalized in modern, Christian Zambia. Being thus dissociated from the national religion,ng'angaare officially confined to the periphery of national health care, where they submit to the primacy of biomedicine and the workings of state power.

Download Full-text

Predicting the evolution of SARS-Covid-2 in Portugal using an adapted SIR Model previously used in South Korea for the MERS outbreak

10.1101/2020.03.18.20038612 ◽

2020 ◽

Cited By ~ 7

Author(s):

Pedro Teles

Keyword(s):

South Korea ◽

Sir Model ◽

World Health ◽

Case Scenario ◽

Protective Measures ◽

European Continent ◽

Health Authorities ◽

First Case ◽

The Government ◽

Health Organization

AbstractThe covid-19 has spread very quickly worldwide, leading the World Health Organization (WHO) to declare a state of pandemic. Moreover, the WHO has announced that the European continent is now the main centre of the pandemic.One of the questions many governments are asking is how the spread is going to evolve in time. In this study, an adapted SIR model previously used in South Korea to model the MERS outbreak was applied to estimate the evolution of the curve of active cases in the case of the Portuguese situation. As some of the parameters were unknown, and the data for Portugal is still scarce, given that the outbreak started later (first case on the 2nd of March) I used Italian data (first reported case in Italy on the 31st of January) to predict them. I then construct five different scenarios for the evolution of covid-19 in Portugal, considering both the effectiveness of the mitigation measurements implemented by the government, and the self-protective measures taken by the population, as explained in the South Korean model.In the out of control scenario, the number of active cases could reach as much as 40,000 people by the beginning of April. In the best-case-scenario considered, the active cases could reach circa 7,000 people. The actual figure probably lies between the interval (7,000-13,000) and the peak will be reached between 9th and the 20th of April 2020.Without control and self-protective measures, this model predicts that the figures of active cases of SARS-covid-2 would reach a staggering 40,000 people It shows the importance of control and self-protecting measure to bring down the number of affected people by following the recommendations of the WHO and health authorities. With the appropriate measures, this number can be brought down to 7,000-13,000 people

Download Full-text

Harmonização orofacial após Covid-19: biossegurança e benefcios

Simmetria Orofacial Harmonization in Science ◽

10.24077/2020;25-98107 ◽

2020 ◽

Vol 2 (5) ◽

pp. 98-107

Author(s):

Ana Karina Fonseca de Carvalho Calderan Correa ◽

Gabriela Araújo Barros Lima e Silva ◽

Leonardo Nogueira Tavares ◽

Ricardo Correa de Araújo Júnior ◽

Antonio Aparecido Celoria

Keyword(s):

Health Promotion ◽

Well Being ◽

World Health ◽

Health Authorities ◽

Concept Of Health ◽

The World ◽

Health Promoting ◽

The Government ◽

Health Organization ◽

The Individual

Orofacial Harmonization (HOF) that has already been recognized as a dental specialty by the Brazilian Federal Council of Dentistry (CFO) through the resolution CFO-198/2019, has been showing considerable advances in health promotion and reestablishment of a complete physical, mental and social well-being of the individual. Also, it makes efforts in an attempt to strengthen and improve the biosafety protocols presented by the World Health Organization (WHO). The undertakings carried out by the government and health authorities are notorious in an attempt to adapt to the new reality presented by this pandemic caused by COVID-19. However, we cannot deny the negligence of these same authorities of not inserting this specialty as part of the essential care for the population, as the HOF is able of providing numerous benefits, as well as the dentist who was left in the gloom in its origin as a health promoting agent. In the present study, updated biosafety protocols will be shown, and also the importance of adding the inherent technologies of HOF and all the knowledge and proficiency of dentistry professionals in an attempt to concretize the real concept of health, benefiting the population that is desolated and terrified in this new post-COVID world.

Download Full-text

Burden, effectiveness and safety of influenza vaccines in elderly, paediatric and pregnant populations

Therapeutic Advances in Vaccines and Immunotherapy ◽

10.1177/2515135519826481 ◽

2019 ◽

Vol 7 ◽

pp. 251513551982648 ◽

Cited By ~ 10

Author(s):

Sheena G. Sullivan ◽

Olivia H. Price ◽

Annette K. Regan

Keyword(s):

Influenza Vaccination ◽

Pregnant Women ◽

World Health Organization ◽

The Elderly ◽

Antigenic Drift ◽

Influenza Vaccines ◽

World Health ◽

Key Populations ◽

The World ◽

Health Organization

Vaccination is the most practical means available for preventing influenza. Influenza vaccines require frequent updates to keep pace with antigenic drift of the virus, and the effectiveness, and sometimes the safety, of the vaccine can therefore vary from season to season. Three key populations that the World Health Organization recommends should be prioritized for influenza vaccination are pregnant women, children younger than 5 years of age and the elderly. This review discusses the burden of influenza and the safety and effectiveness profile of influenza vaccines recommended for these groups.

Download Full-text

Prevalence and Determinants of Readiness of Health Facilities for Quality Antenatal Care Services in Bangladesh

10.21203/rs.3.rs-376595/v1 ◽

2021 ◽

Author(s):

Shahnaz Nilima ◽

Kanchan Kumar Sen ◽

Fatima Tuz Zahura ◽

Wasimul Bari

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Multinomial Logistic Regression ◽

Healthcare Providers ◽

Health Facilities ◽

Public Hospitals ◽

World Health ◽

Chi Square ◽

The Government ◽

Health Organization

Abstract BackgroundThe quality antenatal care (ANC) services can reduce the risk of the pregnancy complications, and hence reduce the maternal and child morbidity and mortality. To ensure the quality ANC services to the pregnant women, it is essential that healthcare providers should be fully prepared with six tracer indicators recommended by World Health Organization. In this study, the prevalence of readiness by selected covariates has been examined. Potential factors responsible for the readiness have also been identified.MethodsUsing data from nationally representative Bangladesh Health Facility Survey (BHFS), 2017, the readiness indices of health facilities providing ANC services have been measured based on the six tracer indicators of the service. The chi-square test has been applied to check the association of selected covariates with the readiness index, and to obtain the adjusted associations of covariates, we have carried out a multinomial logistic regression model. ResultsOnly 4.26% of the facilities is found to provide quality ANC services to the pregnant women. Rural facilities have lower readiness to provide quality services compared to urban facilities [RRR: 0.13, 95% CI: 0.06-0.31; p<0.001]. Community clinics and private hospitals are less likely to have medium or high readiness compared to public hospitals or clinics. The health facilities having specialist or MBBS doctors are more likely to be considered as ready for quality ANC services compared to others facilities. Regional difference exists in readiness for providing the service.ConclusionA huge gap has been found in the facilities of Bangladesh to prove quality ANC services. This is a high time to reduce this gap in achieving sustainable development goals related with maternity and neonatal mortality. The present study recommends that the government of Bangladesh should take necessary initiatives to fully prepared healthcare providers so that quality ANC services can be equally provided to each pregnant woman.

Download Full-text

Coronavirus diseases and pregnancy: COVID-19,SARS, and MERS

Przeglad Epidemiologiczny ◽

10.32394/pe.74.21 ◽

2020 ◽

pp. 276-289

Author(s):

Mobina Fathi ◽

Kimia Vakili ◽

Niloofar Deravi

Keyword(s):

Pregnant Women ◽

Intrauterine Growth Retardation ◽

Negative Impact ◽

World Health ◽

Wuhan City ◽

Intrauterine Growth ◽

Exponential Increase ◽

The World ◽

Health Organization ◽

Respiratory Droplets

Around the end of December 2019, a new beta-coronavirus from Wuhan City, Hubei Province, China began to spread rapidly. The new virus, called SARS-CoV-2, which could be transmitted through respiratory droplets, had a range of mild to severe symptoms, from simple cold in some cases to death in others. The disease caused by SARS-CoV-2 was named COVID-19 by WHO and has so far killed more people than SARS and MERS. Following the widespread global outbreak of COVID-19, with more than 132758 confirmed cases and 4955 deaths worldwide, the World Health Organization declared COVID-19 a pandemic disease in January 2020. Earlier studies on viral pneumonia epidemics has shown that pregnant women are at greater risk than others. During pregnancy, the pregnant woman is more prone to infectious diseases. Research on both SARS-CoV and MERS-CoV, which are pathologically similar to SARS-CoV-2, has shown that being infected with these viruses during pregnancy increases the risk of maternal death, stillbirth, intrauterine growth retardation and, preterm delivery. With the exponential increase in cases of COVID-19 throughout the world, there is a need to understand the effects of SARS-CoV-2 on the health of pregnant women, through extrapolation of earlier studies that have been conducted on pregnant women infected with SARS-CoV, and MERS-CoV. There is an urgent need to understand the chance of vertical transmission of SARS-CoV-2 from mother to fetus and the possibility of the virus crossing the placental barrier. Additionally, since some viral diseases and antiviral drugs may have a negative impact on the mother and fetus, in which case, pregnant women need special attention for the prevention, diagnosis, and treatment of COVID-19.

Download Full-text

HUBUNGAN PENDIDIKAN DAN STATUS EKONOMI DENGAN STATUS GIZI IBU HAMIL TRIMESTER III DI PUSKESMAS SOSIAL PALEMBANG TAHUN 2012

Jurnal Kebidanan : Jurnal Medical Science Ilmu Kesehatan Akademi Kebidanan Budi Mulia Palembang ◽

10.35325/kebidanan.v3i1.38 ◽

2019 ◽

Vol 3 (1) ◽

Author(s):

Tirta Anggraini Tirta Anggraini

Keyword(s):

Nutritional Status ◽

Pregnant Women ◽

Health Center ◽

Economic Status ◽

Social Health ◽

World Health ◽

Third Trimester ◽

Chi Square ◽

Cross Sectional ◽

Health Organization

ABSTRACT According to the World Health Organization (WHO), maternal nutritional status at the time of growth and during pregnancy can affect fetal growth and development. Based on (IDHS) survey of 2007 AKI Indonesia at 228 per 100,000 live births, although this figure is still the highest in Asia. Social health center in Palembang in 2011 the number of pregnant women with good nutritional status of 67 men (97.1%). factors that influence the nutritional status of pregnant women is the temperature of the environment, economic status, habits and views of women to food, age, education, and health status. The purpose of this study is a known relationship education and economic status with nutritional status of pregnant women in the third trimester of Social Health Center Palembang in 2012. This study uses analytic survey with cross sectional approach. The population in this study were all third trimester pregnant women who visit the health center Social Palembang in May 2012, with a sample of 30 respondents. Sampling in this study with non-random methods with techniques Accidental Sampling. Data analysis carried out univariate and bivariate statistics with Chi-Square test with significance level α = 0.05. The results showed than 30 respondents there (73.3%) of respondents that good nutritional status, higher education (76.7%), and high economic status (70.0%). The results of this study showed no significant association education and economic status with nutritional status of pregnant women in the third trimester of Social Health Center Palembang in 2012. From the results of this study, researchers hope to improve the health care workers, especially health services in Antenatal Care services pay more attention to maternal risk of poor nutritional status. ABSTRAK Menurut World Health Organization (WHO), status gizi ibu hamil pada waktu pertumbuhan dan selama hamil dapat mempengaruhi pertumbuhan dan perkembangan janin. Berdasarkan (SDKI) survei terakhir tahun 2007 AKI Indonesia sebesar 228 per 100.000 Kelahiran Hidup, meskipun demikian angka tersebut masih tertinggi di Asia. Di Puskesmas Sosial Palembang tahun 2011 jumlah ibu hamil yang berstatus gizi baik sebesar 67 orang (97,1%). faktor-faktor yang mempengaruhi status gizi ibu hamil adalah suhu lingkungan, status ekonomi, kebiasaan dan pandangan wanita terhadap makanan, usia, pendidikan, dan status kesehatan. Tujuan penelitian ini adalah diketahuinya hubungan pendidikan dan status ekonomi dengan status gizi ibu hamil trimester III di Puskesmas Sosial Palembang tahun 2012. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi pada penelitian ini adalah semua ibu hamil trimester III yang berkunjung di Puskesmas Sosial Palembang pada bulan Mei tahun 2012, dengan jumlah sampel 30 responden. Pengambilan sampel pada penelitian ini dengan metode non random dengan teknik Accidental Sampling. Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian menunjukkan dari 30 responden terdapat (73,3%) responden yang berstatus gizi baik, pendidikan tinggi (76,7%), dan status ekonomi tinggi (70,0%). Hasil penelitian ini menunjukkan ada hubungan yang bermakna pendidikan dan status ekonomi dengan status gizi ibu hamil trimester III di Puskesmas Sosial Palembang tahun 2012. Dari hasil penelitian ini, peneliti berharap petugas pelayanan kesehatan dapat meningkatkan pelayanan kesehatan terutama dalam pelayanan Antenatal Care lebih memperhatikan kehamilan ibu yang berisiko status gizi buruk.

Download Full-text