scholarly journals Impact of the SARS-CoV-2 pandemic and first lockdown on pregnancy monitoring in France: the COVIMATER cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alexandra Doncarli ◽  
Lucia Araujo-Chaveron ◽  
Catherine Crenn-Hebert ◽  
Virginie Demiguel ◽  
Julie Boudet-Berquier ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
Lower Probability ◽  
Medical Monitoring ◽  
Poisson Regression Model ◽  
Sectional Study ◽  
Cross Sectional ◽  
Robust Variance ◽  
The Impact ◽  
Prevalence Ratios

Abstract Background In the context of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, consultations and pregnancy monitoring examinations had to be reorganised urgently. In addition, women themselves may have postponed or cancelled their medical monitoring for organisational reasons, for fear of contracting the disease caused by SARS-CoV-2 (COVID-19) or for other reasons of their own. Delayed care can have deleterious consequences for both the mother and the child. Our objective was therefore to study the impact of the SARS-CoV-2 pandemic and the first lockdown in France on voluntary changes by pregnant women in the medical monitoring of their pregnancy and the associated factors. Methods A cross-sectional study was conducted in July 2020 using a web-questionnaire completed by 500 adult (> 18 years old) pregnant women during the first French lockdown (March–May 2020). A robust variance Poisson regression model was used to estimate adjusted prevalence ratios (aPRs). Results Almost one women of five (23.4%) reported having voluntarily postponed or foregone at least one consultation or pregnancy check-up during the lockdown. Women who were professionally inactive (aPR = 1.98, CI95%[1.24–3.16]), who had experienced serious disputes or violence during the lockdown (1.47, [1.00–2.16]), who felt they received little or no support (1.71, [1.07–2.71]), and those who changed health professionals during the lockdown (1.57, [1.04–2.36]) were all more likely to have voluntarily changed their pregnancy monitoring. Higher level of worry about the pandemic was associated with a lower probability of voluntarily changing pregnancy monitoring (0.66, [0.46–0.96]). Conclusions Our results can guide prevention and support policies for pregnant women in the current and future pandemics.

scholarly journals Impact of the SARS-CoV-2 Pandemic and First Lockdown on Pregnancy Monitoring in France: the COVIMATER Cross-sectional Study

2021 ◽  
Author(s):  
Alexandra Doncarli ◽  
Lucia Araujo ◽  
Catherine Crenn-Hebert ◽  
Virginie Demiguel ◽  
Julie Boudet-Berquier ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
Lower Probability ◽  
Medical Monitoring ◽  
Poisson Regression Model ◽  
Sectional Study ◽  
Cross Sectional ◽  
Robust Variance ◽  
The Impact ◽  
Prevalence Ratios

Abstract BackgroundIn the context of the SARS-CoV-2 pandemic, consultations and pregnancy monitoring examinations had to be reorganised urgently. In addition, women themselves may have postponed or cancelled their medical monitoring for organisational reasons, for fear of contracting the disease caused by SARS-CoV-2 (Covid-19) or for other reasons of their own. Delayed care can have deleterious consequences for both the mother and the child. Our objective was therefore to study the impact of the SARS-CoV-2 pandemic and the first lockdown in France on voluntary changes by pregnant women in the medical monitoring of their pregnancy and the associated factors.MethodsA cross-sectional study was conducted in July 2020 using a web-questionnaire completed by 500 adult (>18 years old) pregnant women during the first French lockdown (March-May 2020). A robust variance Poisson regression model was used to estimate adjusted prevalence ratios (aPRs). ResultsAlmost one women of five (23.4%) reported having voluntarily postponed or foregone at least one consultation or pregnancy check-up during the lockdown. Women who were professionally inactive (aPR=1.98, CI95%[1.24-3.16]), who had experienced serious disputes or violence during the lockdown (1.47, [1.00-2.16]), who felt they received little or no support (1.71, [1.07-2.71]), and those who changed health professionals during the lockdown (1.57, [1.04-2.36]) were all more likely to have voluntarily changed their pregnancy monitoring. Higher level of worry about the pandemic was associated with a lower probability of voluntarily changing pregnancy monitoring (0.66, [0.46 -0.96]).Conclusions Our results can guide prevention and support policies for pregnant women in the current and future pandemics.

scholarly journals O4B.1 The impact of manual patient handling on work ability: a cross-sectional study

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A34.1-A34
Author(s):  
Adriano Dias ◽  
João Marcos Bernardes
Keyword(s):  
Regression Model ◽  
Work Ability ◽  
Poisson Regression ◽  
Healthcare Workers ◽  
Cross Sectional Study ◽  
Poisson Regression Model ◽  
Sectional Study ◽  
Patient Handling ◽  
Cross Sectional ◽  
Robust Variance

This cross-sectional study investigated the level of work ability (WA) and its association with manual patient handling (MPH) in healthcare workers (HCW). Participants were HCWs working at the University Hospital of Botucatu Medical School, who were willing to participate and provided written informed consent. Of the 488 HCWs who were invited, 320 participated for a response rate of 65.6%. Sixteen participants (5%) were subsequently excluded from data analysis due to missing data. Data were collected using a self-administered anonymous paper questionnaire containing seven parts: manual patient handling, low back pain, demographic characteristics, occupational variables, psychosocial work conditions, lifestyle variables and work ability. Work ability was measured by the Brazilian version of the Work Ability Index (WAI). The association between WA and LBP was analyzed using a Poisson regression model. Initially, simple Poisson regression models with robust variance were conducted for each covariate. Those variables with a p value ≤ 0.25 were selected for inclusion in a multiple Poisson regression model with robust variance, and those with p<0.05 were considered statistically significant. Most respondents were female (83.6%), the mean age was 40.35 years (SD 9.74, range 22-66) and the average duration of employment was 10.67 years (SD 9.36, range 1-40). The WAI mean score was 38.03 points (SD 6.15, 95% CI 37.33-38.72), and the prevalence of adequate WA (equal to or above 37 points) was 56.58%. In the multiple Poisson regression model, MPH (PR 1.375, 95% CI 1.038-1.821) was significantly associated with WA, even when adjusted for the covariates. Thus, hospital managers should plan and implement interventions to maintain healthcare workers’ work ability, and these interventions should include the limitation of manual patient handling activities.

scholarly journals Frailty in the elderly: prevalence and associated factors

2017 ◽  
Vol 70 (4) ◽  
pp. 747-752 ◽  
Author(s):  
Jair Almeida Carneiro ◽  
Rafael Rodrigues Cardoso ◽  
Meiriellen Silva Durães ◽  
Maria Clara Araújo Guedes ◽  
Frederico Leão Santos ◽  
...  
Keyword(s):  
The Elderly ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Robust Variance ◽  
The North ◽  
History Of ◽  
Prevalence Ratios ◽  
Use Of Health Services

ABSTRACT Objective: to know the prevalence and factors associated with frailty in elderly assisted by the Centro Mais Vida de Referência em Assistência à Saúde do Idoso (Mais Vida Health Reference Center for the Elderly) in the North of Minas Gerais, Brazil. Method: cross-sectional study, with sampling by convenience. Data collection occurred in 2015. Demographic and socioeconomic variables, morbidities, use of health services and the score of the Edmonton Frail Scale were analyzed. The adjusted prevalence ratios were obtained by multiple analysis of Poisson regression with robust variance. Results: 360 elderly aged 65 or older were evaluated. Frailty prevalence was 47.2%. The variables associated with frailty were the following: advanced age elderly, who live without a partner, have a caregiver, present depressive symptoms, osteoarticular disease, as well as history of hospitalization and falls in the last twelve months. Conclusion: knowledge of factors associated with frailty allows development of health actions aimed at the elderly.

scholarly journals Impact of COVID-19 pandemic on the health-related anxiety and behavioral changes among pregnant women – A cross-sectional study

2021 ◽  
Vol 12 (11) ◽  
pp. 16-21
Author(s):  
Ranita Roy Chowdhury ◽  
Suvobrata Sarkar ◽  
Manidip Pal ◽  
Jayeeta Mukherjee ◽  
Gairik Bera
Keyword(s):  
Pregnant Women ◽  
Well Being ◽  
Cross Sectional Study ◽  
Behavioral Changes ◽  
Sectional Study ◽  
Cross Sectional ◽  
Study Results ◽  
Health Related ◽  
Internal Sources ◽  
The Impact

Background: The outbreak of COVID-19 has been the cause of agony for millions of people worldwide. Anxiety of losing near ones and stress of rearing children besides bearing the bulk of domestic tasks have led to certain behavioral changes in the pregnant women. Aims and Objectives: This study aims to assess anxiety, awareness, and behavioral changes among pregnant women during COVID-19 pandemic. Materials and Methods: A cross-sectional study was conducted in the Department of Obstetrics and Gynaecology, College of Medicine and J.N.M. Hospital, Kalyani, West Bengal, India, from May 1, 2020, to December 31, 2020. All antenatal patients after the second trimester visiting the OPD or maternity ward, satisfying inclusion criteria after formal consent, were considered for the study. Results: Out of a total of 139 patients, mostly primigravida, 122 (87.7%) participants were of 18–33 years age. Observations revealed that 24% more women were worried about their own health after the arrival of pandemic. The overall worry percentage for unborn baby (88%), existing children (76%), and older relatives (38%) remained uniform throughout the study period. Staying at home, stocking of food, and medical equipment showed a downward trend toward the end of the study. Conclusion: The impact of the pandemic has been mammoth, taking a toll on the behavior and anxiety of the pregnant women, which when unnoticed may have a long-term effect on their mental health as well as family life. Physical and mental support from external and internal sources will pave the way to a healthier mental well-being of these antenatal mothers.

scholarly journals STRIA GRAVIDARUM;

2019 ◽  
Vol 26 (01) ◽  
Author(s):  
Uzma Nusrat ◽  
Sadaf Ahmed Asim ◽  
Sahar Soomro ◽  
Mehnaz Nuruddin Gitay ◽  
Sadia Iqbal ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
The Body ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Impact ◽  
Striae Gravidarum

Striae gravidarum (SG) is a physiological skin change that many pregnant women experience during pregnancy. Striae gravidarum seems to be undesirable to many pregnant women but its impact on women’s life is unclear. It is a disfiguring change on the skin of pregnant women presenting atrophic linear scars. They may occur anywhere on the body, though the abdomen, breasts, hips and legs are common. This change has a deep impact on the psychology and quality of life (QoL) of women. The quality of life of pregnant women deteriorates with distressing body image, causing psychological problems.The aim of this study is to evaluate the impact of striae gravidarum on the dermatology-specific quality of life (QOL) of pregnant women. Objectives:To evaluate the impact of Stria gravidarum on the dermatology - specific qualoty of life (QOL) among pregnant women.Method:A multi-disciplinary cross-sectional study was conducted among the pregnant women attending the outpatient department at Dow university hospital for antenatal visits in third trimester. Striae gravidarum was assessed by using Dave’s score. After taking informed consent, Skindex 16 dermatology specific QOL questionnaire was used to evaluate the QOL. Data was analyzed by using SPSS version -16. Using Mann Whitney level of significance <0.05.Study Design:A cross sectional study. Duration of Study: January 2016 till January 2017. Place of Study: Department of Dermatology and department of Gynecology, Dow University Hospital, Dow International Medical College (Ojha Campus), DUHS, Karachi.Result:Among 112 pregnant women striae gravidarum was present in 32(28.6%) in primigravida, and 80(71.4%) in multigravida.Severity of striae gravidarum was assessed by using Davey’s score. Pregnant women with severe striae gravidarum showed significantly higher scores on emotion of Skindex-16 compared with those with absent or mild striae gravidarum. Conclusion:It is concluded that due to Striae gravidarum, pregnant females worry more with greater concern regarding their appearance. Their interaction with others was found to be highly affected due to this disfiguring physical change. The symptoms, emotional well-being and functionality differed significantly when the women with mild SG were compared with those with severe SG, though no difference was observed when primiparae subjects were compared with multipara subjects.The occurrence and severity of striae gravidarum influenced their dermatology-specific QOL and it is important to prevent or reduce the severity of striae gravidarum.

scholarly journals The Potential Impact of COVID-19 Pandemic on the Antenatal Care as Perceived by Non-COVID-19 Pregnant Women: Women’s Experience Research Brief

2021 ◽  
Vol 8 ◽  
pp. 237437352199882
Author(s):  
Malitha Patabendige ◽  
Madhawa M Gamage ◽  
Asanka Jayawardane
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Potential Impact ◽  
The Impact ◽  
Analogue Scales ◽  
Source Of Information

We aimed to study the impact of Coronavirus disease 2019 (COVID-19) pandemic on the basic antenatal care received during the. A facility-based descriptive cross-sectional study was conducted and 62 pregnant women were interviewed. A total of 80.6% of mothers were satisfied with the quality of antenatal care they received, ≥ 7 of 10 on visual analogue scales (VAS). The majority of women were not confident to deliver their baby and 58.1% of women showed ≤ 5 of 10 on VAS. Midwife (90.3%) was the commonest source of information. Internet (1.6%) was a poor source. The impact of the COVID-19 pandemic on the quality of antenatal care was significant, and the findings are useful for the policymakers to plan necessary actions.

The impact of the use of a footrest on the quality of chest compressions. A prospective, randomized, cross-sectional study

2018 ◽  
Vol 31 (3) ◽  
Author(s):  
Jolanta Majer ◽  
Sandra Pyda ◽  
Jerzy Robert Ladny ◽  
Antonio Rodriguez-Nunez ◽  
Lukasz Szarpak
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Chest Compressions ◽  
Cross Sectional ◽  
The Impact

scholarly journals Impact of Community-Led Total Sanitation and Hygiene on Prevalence of Diarrheal Disease and Associated Factors among Under-Five Children: A Comparative Cross-Sectional Study in Selected Woredas of Gamo Gofa Zone, Southern Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Agune Ashole Alto ◽  
Wanzahun Godana ◽  
Genet Gedamu
Keyword(s):  
Drinking Water ◽  
Diarrheal Disease ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Sanitation And Hygiene ◽  
The Impact ◽  
Gamo Gofa

Background. Diarrheal diseases are still one of the major causes of morbidity in under-five children in sub-Saharan Africa. In Ethiopia, diarrhea is responsible for 9% of all deaths and is the major cause of under-five mortality. Objective. To assess the impact of community-led total sanitation and hygiene on the prevalence of diarrheal disease and factors associated among under-five children in Gamo Gofa Zone. Methods. Community-based comparative cross-sectional study design was used to compare the impact of community-led total sanitation and hygiene intervention on under-five diarrheal disease. Multistage sampling method was employed. The data were collected by using pretested structured questionnaires. Data quality was ensured by daily supervision completeness and consistency. The data were coded, entered, and cleaned by using Epi Info version 7 and were analyzed by using SPSS version 20. Bivariate and multivariable analyses were carried out by using binary logistic regression. Significance was declared by using p value of <0.05 and AOR with 95% confidence intervals. Results. The response rate of this study was 93.3%. The overall diarrhea prevalence was 27.5% (CI = (24.06, 30.97)) which was 18.9% (CI = (14.94, 23.2)) in implemented and 36.2%. (CI = (30.41, 41.59)) in nonimplemented woredas. Children whose age was between 12 and 23 months (AOR = 1.6) and greater than 24 months (AOR = 5), availability of handwashing facilities (AOR = 4), disposal of waste in open field (AOR = 9.7), unimproved source of drinking water (AOR = 6.5), using only water for handwashing (AOR = 6), children who started complementary feeding less than 6 months (AOR = 5.6) and greater than 6 months (AOR = 5.2), and utensils used to feed children such as bottle (AOR = 3.9) were the factors positively associated with diarrhea. Conclusion. The overall prevalence of under-five diarrhea was 27.5%. The prevalence was low in CLTSH woredas as compared with non-CLTSH woredas. The study showed that handwashing facility, using only water for handwashing, open refuse disposal, and unimproved source of drinking water among under-five had a statistically significant association with diarrhea occurrence in CLTSH nonimplemented areas. Integrated efforts are needed from the Ministry of Health together with the WASH Project in improving drinking water, handwashing facilities, and solid waste disposal practices.

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