Prevalence of vaginal candidiasis and associated factors in pregnant women with diabetes

2021 ◽  
Vol 15 (4) ◽  
pp. 1-9
Author(s):  
Doreen Macherera Mukona ◽  
Maxwell Mhlanga ◽  
Mathilda Zvinavashe

Background/aims Vaginal candidiasis is commonly experienced by women with diabetes, but its prevalence is not well documented in Zimbabwe. This study aimed to assess the prevalence of vaginal candidiasis and factors associated with diabetic treatment adherence in pregnant women with diabetes. Methods This cross-sectional study was conducted on a consecutive sample of 157 participants from a central hospital in Harare, Zimbabwe. A structured questionnaire and physical examination of the perineum were used to collect data. All procedures were conducted in privacy. Diagnosis of vaginal candidiasis was made clinically. Data were analysed using the Chi-squared test, with P<0.05 being significant. Results The prevalence of vaginal candidiasis was 19.7%. There was a significant association between monthly family income (P=0.041), parity (P=0.029) and number of living children (P=0.049) and the presence of vaginal candidiasis. Women with poor adherence to diabetic therapy were 3.95 times more likely to have vaginal candidiasis (P=0.002). Conclusions Individualised health education on glycaemic control and good perineal hygiene remains key in the prevention of vaginal candidiasis among diabetic pregnant women.

1970 ◽  
pp. 22-26 ◽  
Author(s):  
Md Ziaul Islam

This specific analytical cross-sectional study was conducted at the Out Patient Department (OPD) of BIRDEM hospital to estimate and compare disability burden of Diabetes Mellitus (DM) and its complications during the period of January-June 2003. Data was collected by face-to-face interview with a semi-structured questionnaire and a checklist. To estimate disability burden, Years lived with Disability (YLD) was calculated. Out of total 154 patients, 53% were female while 47% were male and their mean age was 47.02 (± 8.42) years. Around 48% patients claimed the onset age of 40-49 years. Average monthly family income of the patients was TK.16,488.27±6042.40 and 27% of them were illiterate. Out of all, 72% patients had diabetes with complications while the rest 28% had diabetes without complications. With regard to disability burden, total 473.43 YLDs was shared by the patients of which only 20.46% YLD was shared by diabetes itself while major part of YLD (79.54%) was shared by its complications and the discrepancy was statistically significant (‘t'(152) =11.34, p < 0.01). It was revealed that the highest YLD was incurred by DM with cardiovascular diseases (37.56%) followed by DM with retinopathy (19.82%) and DM with nephropathy (12.98%). More YLD (52.65%) was shared by the patients with poor compliance with therapy while 34.27% and 13.08% YLD were incurred by the patients with moderate and good compliance with therapy respectively. Older patients shared more YLD than the younger patients and the disparity was statistically significant (‘t'(152)=9.53, p < 0.01). More YLD was shared by the patients with long duration of the disease than the patients with short duration and this divergence was statistically significant (‘t'(152)=8.71, p < 0.01). The study outcome will recommend for reduction of burden of DM by averting its major complications. Key Words: YLD, DM and Complications   doi:10.3329/jom.v10i3.2012 J Medicine 2009; 10 (Supplement 1): 22-26


2017 ◽  
Vol 63 (1) ◽  
pp. 70-77
Author(s):  
Juliana Florinda M. Rêgo ◽  
◽  
Gilberto Lopes ◽  
Rachel P. Riechelmann ◽  
Cinthya Sternberg ◽  
...  

Summary Introduction: Patients who are treating cancer have often used alternative therapies. In the internet era, information can be broadcasted widely, and this happened with phosphoethanolamine in Brazil, where this substance was claimed by the population to be the "cure for cancer." Method: This is a cross-sectional study developed by the Brazilian Society of Clinical Oncology (SBOC). An objectively structured questionnaire was sent by e-mail and SMS to active MDs members of the SBOC. Descriptive statistics was used to evaluate the data. Statistical significance between the variables was tested by Pearson's Chi-squared test (p<0.05 was considered significance). Results: The survey was sent to 1,072 oncologists, and 398 (37.1%) answered at least part of it. One hundred and fifteen (28.9%) had followed patients who had used phosphoethanolamine. Among these, 14 (12.2%) observed adverse events and four (3.5%) attributed clinical benefit to the substance. Most of the oncologists (n=331; 83.2%) believe that it should only be used as part of a clinical trial protocol. Most physicians did not recommend this drug to their patients (n=311; 78.1%). Oncologists in Southeast, South and Midwest Brazil were more likely to have patients taking the drug compared to the Northern and Northeastern regions. Conclusion: This is the first survey to assess the opinion and experience of oncologists about this alternative therapy. Most oncologists in Brazil do not believe that synthetic phosphoethanolamine is active in cancer treatment, do not recommend its use without proper evaluation, and state that it should only be available to patients in the context of clinical trials.


2019 ◽  
Vol 19 (3) ◽  
pp. 661
Author(s):  
Desi Andriani ◽  
Husna Yetti ◽  
Roza Sriyanti

Antenatal care or antenatal care is a planned program that is observation, education and medical treatment for pregnant women, to obtain a safe and satisfying pregnancy and childbirth process. The indicator used to assess the access of pregnant women to antenatal care is K1 direction (first visit) is the contact of pregnant women to health workers and K4 (perspective visit) is 4 or more times contact with health workers. From the data of the Padang City Health Office, it was found that the Air Tawar Puskesmas with this low level was caused by various factors. The purpose of this study was to determine factors related to the use of antenatal services. This type of research is a quantitative study with cross sectional study design with 110 respondents of third trimester pregnant women with purposive sampling technique. Data analysis was performed univariate, bivariate with Chi squre test. From the research results obtained from the five factors studied, it was found that the factors related to the use of antenatal services in freshwater health centers were access or distance with pvalue 0.009 = OR 21.676), service availability factors with a p value of 0.001 = OR 9.293, the role factor midwives with a p value of 0.001 = OR 12.302, while the family income factor, disease complaints obtained results have nothing to do with the use of antenatal services. The author's suggestion is that there is a need for good coordination with the Independent Practice Midwife (BPM), revitalize puskesmas to more strategic places and improve better facilities, improve accessibility that can be minimized, strive to reach pregnant women, especially for accessibility that is less affordable.


2020 ◽  
Vol 7 (1) ◽  
pp. 205510292091407
Author(s):  
Mai Thi Hue ◽  
Nguyen Hang Nguyet Van ◽  
Phung Phuong Nha ◽  
Ngo Tuan Vu ◽  
Pham Minh Duc ◽  
...  

This study aimed to describe the status of antenatal depression and its associated factors among pregnant women in Vietnam. A cross-sectional study was conducted in four obstetric hospitals in Vietnam from January to September 2019. A total of 1260 pregnant women were interviewed using a structured questionnaire. A Tobit regression model was used to determine factors associated with antenatal depression. Results showed that pregnant women were at high risk of antenatal depression (24.5%). Women with fetus abnormalities and higher education were at higher risk of antenatal depression. We highlighted the need for implementing formal screening programs to early detect antenatal depression.


2020 ◽  
Vol 20 (1) ◽  
pp. 64-72
Author(s):  
Liphapang Dimene ◽  
Mutseyekwa Fadzai ◽  
Jephat Chifamba ◽  
Gerald Nyakatawa ◽  
Carol Mahachi ◽  
...  

Background: Traditional medicines are widely used in the rapidly growing health system and are of economic importance. The study aimed at determining the frequency, pattern of use and factors that influence traditional medicines use during pregnancy. Materials and methods: A cross-sectional study was carried out at four district hospitals in Manicaland, Zimbabwe, using questionnaire based convenience sampling. Results: Traditional medicines use was found to be high with 54% (n = 337) of pregnant women using traditional medicines during pregnancy. The major purpose of use of traditional medicine was found to be preparation for delivery; cervical dila- tion in particular. The following factors showed a significant statistical association for use of traditional medicines: previous mode of delivery (p = 0.006), level of education (p = 0.016), family income (p = 0.007), and residential settlement (p = 0.026). Some of the common traditional medicines used during pregnancy include Camellia sinensis, Aloe, Spirostachys Africana, Thumbergia lancifolia, Dalbergiella nyasae, Steganotaenia oraliacea, Stomatostemma monteiroae and Cussonia arborea. Conclusion: A number of pregnant women use traditional medicines as partus preparators (labour aids) throughout the entire pregnancy period. This calls for obstetricians, general practitioners and midwives to inquire about use of traditional medicine in history. Keywords: Traditional medicines; pregnancy; Zimbabwe.


2017 ◽  
Vol 8 (2) ◽  
pp. 18-23
Author(s):  
Sheikh Salahuddin ◽  
Md Humayun Kabir Talukder

This descriptive cross sectional study was conducted to explore the influence of socio-demographic characteristics on academic performance of medical students. The study period was from July 2015 to June 2016. Total 627 final year MBBS students of 11 (6 government and 5 non-government) medical colleges were selected through convenient sampling technique. A self-administered semi structured questionnaire and an interview schedule were used. Study revealed that family income did not have any influence on the academic performance of medical students. Location of parental stay did not show any influence on students' academic performance. Respondents' previous medium of study had little influence on their academic performance. Students who were regular in passing formative assessment also had better performance in professional examinations. Students who failed in professional examinations mostly failed in oral portions (more than 80%). Father's educational qualification did not have any influence on the performance of students but mother's educational qualification had positive relation on it. Performance of those students who were willing to study MBBS were better than unwilling ones. Respondents who were satisfied with the money provided by the parents/guardians were more regular in passing professional examinations. Many of the findings of this study are aligned with findings of the study conducted by Ali S, Haider Z et al.1Bangladesh Journal of Medical Education Vol.8(2) 2017: 18-23


2018 ◽  
Vol 8 (2) ◽  
pp. 46
Author(s):  
Ni Made Rai Widiastuti ◽  
NI KADEK PEMUDI MAHAYANI ◽  
NI KADEK PEMUDI MAHAYANI

<p><strong>Abstract: Suvey Plan of Use of Contraceptive Method After Delivery in Pregnant Woman of Third Semester</strong><strong>. </strong><em>This research is aimed to know the plan of contraseption  after delivery in third trimester pregnant woman at Puskesmas Pembantu Dauh Puri. Cross sectional study was performed on third trimester pregnant women with total number of 63 people and wasconsecutive sampling. Data was collected by interview using structured questionnaire. The results showed that most of 33 respondents (52.4%) did not have plan for the use of postnatal constraseption after delivery</em>.<strong></strong></p><p><em> </em></p><p><strong>Abstrak: Survei Rencana Pemakaian Metode K</strong><strong>B</strong><strong> Pasca Persalinan</strong><strong> </strong><strong>Pada Ibu Hamil Trimester III. </strong>Penelitian ini bertujuan untuk Mengetahui rencana pemakaian KB pasca persalinan pada ibu hamil trimester III di Puskesmas Pembantu Dauh Puri. Penelitian <em>cross sectional</em> dilakukan pada ibu hamil trimester III dengan jumlah sebanyak 63 orang dan dipilih secara <em>consecutive sampling</em>. Data dikumpulkan dengan wawancara menggunakan kuesioner terstruktur. Hasil penelitian menunjukkan sebagian besar yaitu sebanyak 33 responden (52,4%) tidak mempunyai rencana pemakaian metode KB pasca persalinan. </p>


BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e017745 ◽  
Author(s):  
Munas M Muzrif ◽  
Dinusha Perera ◽  
Kumudu Wijewardena ◽  
Berit Schei ◽  
Katarina Swahnberg

ObjectivesThe aims of this study were to assess the regional differences in domestic violence among pregnant women in the capital district and in the tea plantation sector of Sri Lanka, to explore potential contributory factors and to assess whether healthcare workers addressed domestic violence and disclosure among survivors.DesignA cross-sectional study was carried out using interviewer-administered Abuse Assessment Screen.SettingFifty-seven antenatal clinic centres in the capital district and 30 in the tea plantation sector.ParticipantsPregnant women between 6 and 40 weeks of gestational age. In the capital district, 1375 women were recruited from antenatal clinic centres in the urban (n=25) and in the rural areas (n=32), and 800 women from 30 centres in the tea plantation sector. The response rate in the capital district was 95.6% and 96.7% in the tea plantation sector.ResultsAmong the total sample of pregnant women (n=2088), the prevalence of ‘ever abused’ was 38.6%, and the prevalence of ‘currently abused’ was 15.9%. ‘Ever abused’ (31.5% vs 50.8%) and ‘currently abused’ (10% vs 25.8%) were significantly higher (P<0.001) among the women living in the tea plantation sector. ‘Ever abused’ was associated with living in the tea plantation sector, being employed, living far from gender-based violence care centre and of Muslim ethnicity, after adjusting for age, education and family income. Only 38.8% of all participants had been asked by healthcare workers about abuse. Living in the tea plantation sector and lower level of education were associated with not being asked. Among those who reported ‘ever abused’, only 8.7% had disclosed the experience to a healthcare worker.ConclusionDomestic violence was prevalent and highest among women in the tea plantation sector compared with the capital district. The capacity of healthcare workers in addressing domestic violence should be increased.


2016 ◽  
Vol 8 (4) ◽  
Author(s):  
Baran Serdar Kizilyildiz ◽  
Bülent Sönmez ◽  
Kamuran Karaman ◽  
Burhan Beger ◽  
Adnan Mercen ◽  
...  

Malnutrition in childhood is a dramatic indicator of poor socio-economical status worldwide. To recognize and reveal the socio-demographic features is crucial, especially for developing countries. Our aim was to investigate the prevalence and association with sociodemographic variables of malnutrition in 0-5 years old children in Van, Turkey. A total of 702 children are included in this cross-sectional study. Demographic features of subject including age, gender, family characteristics and other data were obtained. Nutritional assessment was done using anthropometric indices including weight-for-age, height-for-age, weight-for-height, head circumference and body mass index-for-age. Multivariate logistic regressions were carried out to assess malnutrition- associated factors. Prevalence of underweight, stunting and wasting were 19.7, 17.7 and 16.2%, respectively. Socio-demographic variables that statistical significantly in association with malnutrition were low monthly family income, educational level and employment status of father, parental consanguinity, number of pregnancies, regular intake of vitamin D and history of prematurity. The prevalence of children with head circumference-z score ≤−2SD and body mass index-for-age ≤−2SD were 9.8 and 16.3%, respectively. Multivariate analysis detected following risk factors for these indices; low monthly family income, history of prematurity, unemployed father and the period between pregnancies (1- 2 years). We found that prevalence of malnutrition in the city of Van, was still higher than more developed regions of Turkey. The associated risk factors of malnutrition should be specifically interpreted by health professionals and also by government authorities that are responsible for making practical politics of public health.


Author(s):  
Mukesh Lekhala ◽  
Rekha Acharya

Background: Anemia in pregnancy is a worldwide problem, but it is most prevalent in the developing world. Anemia during pregnancy affects both mother’s and her child’s health. Globally, the prevalence of anemia is 74% among pregnant women, and in India, it ranges from 19% to 61%. Anemia during pregnancy will lead to consequences such as fetal anemia, low birth weight, preterm delivery, intrauterine growth restriction, and perinatal mortality. Anemia during pregnancy and its consequences can be prevented and treated if diagnosed on time. Methods: A cross-sectional study was conducted at maternity wards of P B M hospital, attached to S P Medical College, Bikaner. The study was conducted for a period of 2 months. Women aged 15-49 yrs. Who had undergone delivery and having ANC record were include in the study after taking informed consent for participation in the study. The data were collected using semi?structured questionnaire. Results: Out of 1090 women 91.3% women were anemic. Prevalence of anemia was higher(95.3%) in women with less than 3 ANC visit as compare to women with 3 or more ANC visit. Conclusion: The prevalence of anemia among pregnant women was high in our study and also seen is various studies in different parts of the country. This continuing high burden of anemia could be mainly due to lack of utilization of the services provided by the government Keywords: Anemia; Hemoglobin Status; Pregnant Women


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