scholarly journals Gestational weight gain and its associated factors in Harari Regional State: Institution based cross-sectional study, Eastern Ethiopia

2016 ◽  
Vol 13 (1) ◽  
Author(s):  
Fekede Asefa ◽  
Dereje Nemomsa
2021 ◽  
Vol 16 ◽  
pp. e58362
Author(s):  
Débora Souza Gigante ◽  
Amanda Rodrigues Amorim Adegboye ◽  
Elisa Maria De Aquino Lacerda ◽  
Cláudia Saunders ◽  
Patrícia Carvalho Padilha ◽  
...  

Objetivo: Verificar a associação entre a adequação da assistência pré-natal e o ganho de peso gestacional (GPG) em puérperas brasileiras de baixa renda. Métodos: Estudo transversal no município de Mesquita-RJ, incluindo 281 mulheres no pós-parto imediato. O GPG foi classificado como adequado, insuficiente e excessivo de acordo com as recomendações do Institute of Medicine (IOM). O número de consultas do pré-natal foi categorizado (1: nenhuma consulta; 2: 1-3 consultas; 3: 4-6 consultas; 4: 7 ou mais consultas) e o início do pré-natal, segundo as semanas gestacionais (SG), foi utilizado como variável contínua. A assistência pré-natal (AP) avaliou as duas dimensões agrupadas do Índice de Kotelchuck: adequado (adequado + mais adequado) ou inadequado (intermediário e inadequado). Modelos de regressão logística multinomial foram utilizados para estimar as associações entre assistência pré-natal inadequada e GPG. Resultados: AP foi iniciada em média com 12,6 (± 6,9) SG; 8,2% das mulheres (n = 23) fizeram ≤ 4 consultas de pré-natal e 38,4% (n = 108) foram classificadas com AP inadequada. Em média, o GPG foi de 12,9 kg (± 6,2) e 36,5%, 31,0% e 32,5% das mulheres apresentaram GPG adequado, insuficiente e excessivo, respectivamente. Após o ajuste, a inadequação da AP (OR = 2,01; IC 95% = 1,03-3,90) foi associada a uma maior probabilidade de GPG abaixo das recomendações do IOM. Conclusão: Observou-se uma associação significativa entre a inadequação da assistência pré-natal e o GPG insuficiente, o que reforça a relevância da adequada AP para monitorar o adequado GPG e intervir precocemente na gestação.


Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1587
Author(s):  
Yasmin Amaral ◽  
Leila Silva ◽  
Fernanda Soares ◽  
Daniele Marano ◽  
Sylvia Nehab ◽  
...  

Background: To evaluate the potential factors associated with the nutritional composition of human milk of puerperal women. Methods: cross-sectional study, conducted between March 2016 and August 2017, with 107 women, selected in a Tertiary Health Care Tertiary Health Facility of the Unified Health System (SUS) in the Municipality of Rio de Janeiro. Data were collected two months after delivery. The dependent variable of the study was the nutritional composition of human milk. We divided the independent variables into hierarchical levels: distal (age, schooling, parity and pregestational nutritional status), intermediate (number of prenatal visits and gestational weight gain) and proximal (alcohol consumption, smoking, diabetes mellitus and hypertension). For data analysis, we applied the multiple linear regression, centered on the hierarchical model. Only the variables associated with the nutritional composition of breast milk remained in the final model at a 5% level of significance. Results: The nutritional composition of human milk yielded by women with pregestational overweight, smokers and hypertensive had higher amounts of lipids and energy. Conversely, women with gestational weight gain below the recommended had lower amounts of these components. Conclusion: The evaluation of factors associated with the nutritional composition of human milk is extremely important to assist post-partum care practices. In this study, we observed that lipid and energy contents were associated to pregestational nutritional status, gestational weight gain, smoking and hypertension.


2021 ◽  
Author(s):  
Legesse Abera Natae ◽  
Abdulahi Aliye ◽  
Kalbesse Tadesse ◽  
Alemu Guta

Abstract Background: Child sexual abuse means any kind of sexual contact with a child under the age of 18 years. It is a common and serious public health problem affecting millions of people each year worldwide. It is the most neglected and least documented form of violence in Ethiopia among school girls. So, this study aimed to assess the magnitude and its associated factors among high school female students in Dire Dawa, Eastern Ethiopia.Methods: An institutional-based, cross-sectional study was conducted, March, 1-23/2021. A stratified multistage sampling technique was used for quantitative data and 794 participants from selected high schools were included. A pre-tested, self-administered questionnaire was used, and data were analyzed using SPSS software version 24. For qualitative data, sixteen in-depth interviews and five focus group discussion were conducted and analyzed thematically. Result: The magnitude of at least one form of sexual abuse were 384 (48.9%), of these, 150 (19.1%) were rape. Students who live alone 4.3 times (AOR=4.30;95 % CI: 1.81-10.24), those who lives with their friends 5 times (AOR=5.02: 95% CI: 2.24-11.24), and those who lives with their single parent 3 times (AOR=3.31: 95% CI: 1.23-8.89) more likely experience life time sexual abuse than those living with their both parents. The odds of experiencing life time sexual abuse among students of rural residence were 2 times higher than their urban counter part (AOR=2.1; 95% CI: 1.79-3.45). Students who don’t drink alcohol were 70% more protective than those who drink alcohol (AOR=0.70: 95% CI: 0.28-0.97).Conclusion: This study revealed that the magnitude of child sexual abuse among female students in Dire Dawa is high. Lack of discussion about sexual issue with parents, living without both parents, drinking alcohol, being rural residence had significant association with child sexual abuse. Unwanted pregnancy, abortion, and STIs were the most common reproductive consequences of sexual abuse. So, community-based comprehensive awareness creation on sexual and reproductive health issues, are recommended especially, at rural area.


2021 ◽  
Author(s):  
Masoomeh Gholizadeh ◽  
Tohid Rouzitalab ◽  
Saeid Ghavamzadeh ◽  
Elnaz Daneshzad

Abstract Background: This study sought to evaluate the association between selected micronutrients (zinc, copper, and magnesium), pre-pregnancy BMI, and weight gain during pregnancy with the risk of gestational diabetes mellitus third-trimester pregnant women Urmia, Iran. Methods: This analytic cross-sectional study included 400 pregnant women. The nutritional, demographic, clinical data, and fasting blood samples (selected micronutrients and blood glucose) were evaluated. The data were analyzed using chi-square, independent t-test, and logistic regression tests. Results: The prevalence of gestational diabetes mellitus (GDM) was 18%. The OR for GDM was (OR: 0.329; 95% CI: 0.156-0.696) in normal-weight compared to mothers who were obese before pregnancy. Normal serum zinc concentration was associated with 0.413-fold lower rates of developing GDM (95% CI: 0.227-0.750). Magnesium supplementation was inversely associated with the risk of GDM (OR: 0.986; 95% CI: 0.979-0.994). Inadequate and excessive gestational weight gain was significantly associated with developing GDM in lean and obese women before pregnancy, respectively (p=0.01, p=0.003). Conclusions: Gestational diabetes is highly prevalent in Urmia, and it is likely related to excessive serum zinc concentrations, elevated pre-pregnancy BMI, and gestational weight gain.


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