Predictors of health practices among a group of Iranian adolescent pregnant women: a cross-sectional study

Author(s):  
Tahereh Hadian ◽  
Moosavi Sanaz ◽  
Meedya Shahla ◽  
Mohammad-Alizadeh-Charandabi Sakineh ◽  
Mohammadi Eesa ◽  
...  

AbstractIntroductionThe health practices of pregnant women can affect maternal and fetal health, and pregnancy outcomes. Understanding the predictors of health practices in adolescent pregnant women can help improve these practices. The present study aimed to determine the predictors of health practices in adolescent pregnant women.Materials and methodsThis cross-sectional study was conducted on 316 adolescent pregnant women in health centers of Tehran (capital of Iran). The participants were selected through the census method. The data were collected using the socio-demographic, obstetrics and health practices questionnaires and analyzed using Pearson correlation coefficient, independent t-test, one-way ANOVA, and general linear model.ResultsThe mean score of health practice was 135.29 ± 9.08, ranging from 34 to 170. The highest and the lowest mean score pertained to the avoidance of harmful drugs and opiates subscale (29.79) and the balance of rest and exercise subscale (13.15), respectively. The general linear model showed that a lower level of education, a history of abortion, lack of involvement in pre-pregnancy counseling, and delayed attendance for prenatal care, reduced the health practice score. However, high level of emotional support from the spouse increased the health practice score.ConclusionsThe findings highlighted the factors effective on health practices including involvement in pre-pregnancy counseling, early prenatal care and emotional support for the adolescent pregnant woman.

2019 ◽  
Vol 24 (12) ◽  
pp. 4655-4664
Author(s):  
Raúl Andrés Mendoza-Sassi ◽  
Angélica Ozório Linhares ◽  
Franciane Maria Machado Schroeder ◽  
Nathalia Matties Maas ◽  
Seiko Nomiyama ◽  
...  

Abstract This article aims to identify the prevalence and factors associated with influenza vaccination in pregnant women. This is a cross-sectional study conducted in a municipality in the southernmost region of Brazil, which included all women giving birth in 2016. The outcome was having received the vaccine against influenza during pregnancy. Sociodemographic, behavioral and prenatal care characteristics and morbidities were analyzed. The analysis included sample description, the prevalence of vaccination for each independent variable and a multivariate analysis. Two thousand six hundred ninety-four pregnant women were interviewed, of which 53.9% reported having been vaccinated. Factors associated with increased prevalence of vaccination were mother’s higher schooling, prenatal care, tetanus vaccination and prenatal care performed in a public service. On the other hand, prenatal care onset after the first quarter reduced the prevalence of vaccination. The results point to the need to reinforce the importance of vaccination against influenza among pregnant women and among health professionals, regardless of the severity of the current epidemiological setting.


2019 ◽  
Vol 101 (4) ◽  
pp. 761-766
Author(s):  
Kelle Cristhiane Soria Vieira Benedetti ◽  
Anny Danyelly da Costa Ribeiro ◽  
Júlio Henrique Ferreira de Sá Queiroz ◽  
Amanda Barbosa Dias Melo ◽  
Roque Beltrão Batista ◽  
...  

2019 ◽  
Vol 59 (2) ◽  
pp. 154-174
Author(s):  
Alicia M. Helion Belay ◽  
Amare Tariku ◽  
Solomon Assefa Woreta ◽  
Getu Debalkie Demissie ◽  
Geta Asrade

2014 ◽  
Vol 142 (11-12) ◽  
pp. 695-702 ◽  
Author(s):  
Alina Popa ◽  
Raluca Popescu ◽  
Gina Botnariu

Introduction. Prenatal care is considered an important tool for promoting a healthy lifestyle, but has not been studied as a predictor for maternal weight gain during pregnancy, especially in Romania, where evidence about pregnancy and nutrition is scarce. Objective. This study has aimed to explore the relationship between pre-gestational body mass index (BMI), adequacy of prenatal care and weight gain during pregnancy. Methods. We carried a cross-sectional study on a sample of 400 pregnant women admitted at the ?Cuza Voda? Obstetrics and Gynecology Hospital in Iasi. Information regarding demographic characteristics, number of prenatal visits, date of the initial hospital record, nutritional education during pregnancy were registered throughout a questionnaire filled out by means of a direct interview. The anthropometric indicators analyzed were the pre-gestational BMI and the pregnancy weight gain. Data on caloric intake were obtained using a food frequency questionnaire. Results. Weight gain within the limits of the Institute of Medicine recommendations was noticed at 44.35% of the women who declared that they received nutritional advice compared to 40.7% of those who did not receive advice regarding diet during pregnancy. Overweight (53.1%) and obese women (66.7%) had a larger weight gain than those with a normal pre-pregnancy BMI (29.8%) (p<0.001). The variables that were identified with an effect on weight gain in this sample of pregnant women were: inadequate prenatal care, pre-gestational BMI and energy intake. Conclusion. Identifying the pre-gestational BMI and diet changes as predictors of weight gain underline the importance of an individualized prenatal care.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Solmaz Ghanbari Homaie ◽  
Sonia Hasani ◽  
Mojgan Mirghafourvand

Background: Anxiety during pregnancy may affect maternal-fetal attachment (MFA) and the prevalence of pregnancy symptoms. Objectives: The present study aimed to assess the correlation of anxiety with pregnancy symptoms and MFA. Methods: This cross-sectional study was conducted on 220 pregnant women in the health centers of Tabriz, Iran, in 2020. Samples were selected by the cluster sampling method. Data were collected using the socio-demographic questionnaire, Pregnancy-related Anxiety Questionnaire-revised 2 (PRAQ-R2), MFA Scale (MFAS), and Pregnancy Symptoms Inventory (PSI), all of which were completed as self-administered in the second half of pregnancy. The Pearson’s correlation coefficient and adjusted general linear model were used for data analysis. Results: The results of Pearson’s correlation showed no correlation between anxiety during pregnancy and MFA among nulliparous (r = -0.003, P = 0.976) and multiparous (r = -0.003, P = 0.712) pregnant women. However, anxiety and pregnancy symptoms were significantly correlated among nulliparous (r = 0.424, P < 0.001) and multiparous (r = 0.227, P = 0.028) pregnant women. According to the general linear model, after adjusting the socio-demographic variables, a significant correlation was observed between anxiety and pregnancy symptoms (P < 0.001), while no relationship was found between anxiety and MFA (P = 0.705). Conclusions: Given the significant correlation between anxiety and pregnancy symptoms, pregnant women with anxiety symptoms need to be screened and treated by an expert psychological team if their disorder is confirmed.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sanni Yaya ◽  
Olanrewaju Oladimeji ◽  
Kelechi Elizabeth Oladimeji ◽  
Ghose Bishwajit

Author(s):  
Katarzyna Kwiatkowska ◽  
Katarzyna Kosińska-Kaczyńska ◽  
Izabela Walasik ◽  
Agnieszka Osińska ◽  
Iwona Szymusik

Background: No specific physical activity guidelines are available for women in multiple pregnancy. Aim of the study was to assess the knowledge and experience of women regarding physical activity during their latest twin pregnancy. Methods: A cross-sectional study including women after a twin delivery was conducted in Poland. A questionnaire was distributed in 2018 via web pages and Facebook groups designed for pregnant women. Results: 652 women filled out the questionnaire completely. Only 25% of women performed any physical exercises during twin gestation. The frequency of preterm delivery was similar in physically active and non-active participants. 35% of the respondents claimed to have gained information on proper activity from obstetricians during antenatal counselling while 11% claimed to be unable to identify the reliable sources of information. 7% of women admitted to feel discriminated by social opinion on exercising during a twin pregnancy. Conclusions: The population of women with a twin gestation is not sufficiently physically active and is often discouraged from performing exercises during gestation. Therefore, it is crucial to inform obstetricians to recommend active lifestyle during a twin gestation and to provide reliable information on physical activity to pregnant women. Further research on this topic is necessary in order for obstetric providers to counsel women on appropriate exercise with a twin pregnancy.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saran Tenzin Tamang ◽  
Thinley Dorji ◽  
Sonam Yoezer ◽  
Thinley Phuntsho ◽  
Phurb Dorji

Abstract Background The third Sustainable Development Goal for 2030 development agenda aims to reduce maternal and newborn deaths. Pregnant women’s understanding of danger signs is an important factor in seeking timely care during emergencies. We assessed knowledge of obstetric danger signs using both recall and understanding of appropriate action required during obstetric emergencies. Methods This was a cross-sectional study among pregnant women attending antenatal clinic at Bhutan’s largest hospital in Thimphu. Recall was assessed against seven obstetric danger signs outlined in the Mother and Child Health Handbook (7 points). Understanding of danger signs was tested using 13 multiple choice questions (13 points). Knowledge was scored out of 20 points and reported as ‘good’ (≥80%), ‘satisfactory’ (60–79%) and ‘poor’ (< 60%). Correlation between participant characteristics and knowledge score as well as number of danger signs recalled was tested using Pearson’s correlation coefficient. Association between knowledge score and participant characteristics was tested using t-tests (and Kruskal-Wallis test) for numeric variables. Socio-demographic and clinical characteristics associated with the level of knowledge ('good’ versus ‘satisfactory’ and ‘poor’ combined) were assessed with odds ratios using a log-binomial regression model. All results with p < 0.05 were considered significant. Results Four hundred and twenty-two women responded to the survey (response rate = 96.0%). Mean (±SD) knowledge score was 12 (±2.5). Twenty women (4.7%) had ‘good’ knowledge, 245 (58.1%) had ‘satisfactory’ knowledge and 157 (37.2%) had ‘poor’ knowledge. The median number of danger signs recalled was 2 (IQR 1, 3) while 68 women (20.3%) could not recall any danger signs. Most women were knowledgeable about pre-labour rupture of membranes (96.0%) while very few women were knowledgeable about spotting during pregnancy (19.9%). Both knowledge score and number of danger signs recalled had significant correlation with the period of gestation. Women with previous surgery on the reproductive tract had higher odds of having ‘good’ level of knowledge. Conclusions Most pregnant women had ‘satisfactory’ knowledge score with poor explicit recall of danger signs. However, women recognized obstetric emergencies and identified the appropriate action warranted.


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