scholarly journals Documenting Death: Maternal Mortality and the Ethics of Care in Tanzania

2020 ◽  
Author(s):  
Adrienne E. Strong
Keyword(s):  
Maternal Mortality ◽  
Pregnant Women ◽  
Social Relations ◽  
Good Care ◽  
Everyday Ethics ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Development Support ◽  
Care Practices ◽  
Frontline Healthcare Workers

Documenting Death is a gripping ethnographic account of the deaths of pregnant women in a hospital in a low-resource setting in Tanzania. Through an exploration of everyday ethics and care practices on a local maternity ward, anthropologist Adrienne E. Strong untangles the reasons Tanzania has achieved so little sustainable success in reducing maternal mortality rates, despite global development support. Growing administrative pressures to document good care serve to preclude good care in practice while placing frontline healthcare workers in moral and ethical peril. Maternal health emergencies expose the precarity of hospital social relations and accountability systems, which, together, continue to lead to the deaths of pregnant women.

Evaluation of pregnant women with scarred uterus in a low resource setting

2007 ◽  
Vol 33 (5) ◽  
pp. 651-654 ◽  
Author(s):  
Anjoo Agarwal ◽  
Poonam Chowdhary ◽  
Vinita Das ◽  
Aarti Srivastava ◽  
Amita Pandey ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Scarred Uterus

scholarly journals Favorable Pregnancy Outcome in a Patient with Uncorrected Uni-ventricular Heart - A Case Report and Review of Literature

2017 ◽  
Vol 53 (04) ◽  
pp. 230-233
Author(s):  
Charu Sharma ◽  
Anita Yadav ◽  
Shiv Shankar Singh
Keyword(s):  
Case Report ◽  
Maternal Mortality ◽  
Pregnancy Outcome ◽  
Cardiac Anomaly ◽  
Univentricular Heart ◽  
Review Of Literature ◽  
Congenital Cardiac Anomaly ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Fetal Complications

ABSTRACTUniventricular heart or a heart with a double inlet ventricle is a rare congenital cardiac anomaly that poses a great challenge for the clinicians owing to increased maternal and fetal complications. It may even lead to maternal mortality. We here describe a case that was managed efficiently and successfully in a low resource setting.

scholarly journals Pregnant women utilization of dental services: still a challenge in low resource setting

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chidozie Onwuka ◽  
Chidinma Ifechi Onwuka ◽  
Emeka Ifeanyi Iloghalu ◽  
Peter Chukwudi Udealor ◽  
Euzebus Chinonye Ezugwu ◽  
...  
Keyword(s):  
Oral Health ◽  
Pregnant Women ◽  
Pregnancy Outcome ◽  
Antenatal Clinic ◽  
Dental Services ◽  
Health Counseling ◽  
Index Pregnancy ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Nigeria Teaching Hospital

Abstract Background Poor oral health in pregnancy can be associated with poor pregnancy outcome, however, dental consultation among pregnant women appears to be low. Methods This was a questionnaire-based study of 413 women who attended the antenatal clinic of University of Nigeria Teaching Hospital (UNTH), Ituku/Ozalla, Enugu. The information obtained was analyzed using SPSS version 22. A p-value of less than 0.05 was considered statistically significant. Results Only 36 (8.7%) of the respondents had dental consultations in index pregnancy for complaints such as tooth ache and decay (66.7%) and pain as well as swelling of the gum (33.3%). The most common reason given for not visiting a dentist during the index pregnancy was the visit not being relevant to their pregnancy outcome (69.2%). After counseling them, only 249 (60.3%) agreed to have dental consultation during subsequent pregnancies. The relationship between visiting the dentist and place of residence (< 0.001), occupation (0.019) and frequency of brushing/ changing of brush (0.005, < 0.001 respectively) were statistically significant. Conclusion The prevalence of dental consultation during pregnancy is very low. Pregnant women should be encouraged to have routine dental consultation with oral health counseling and check-up incorporated as part of routine antenatal care.

Screening for Syphilis among Third Trimester Pregnant Women in a Low Resource Setting: A Missed Opportunity?

2018 ◽  
Vol 32 (3) ◽  
pp. 1-9
Author(s):  
G. E. Halle-Ekane ◽  
A. R. Ojong ◽  
N. Bechem ◽  
T. E. Obinchemti ◽  
N. M. Halle-Ekane ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Third Trimester ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Missed Opportunity

Predictors of asymptomatic bacteriuria among pregnant women in a low-resource setting

2014 ◽  
Vol 35 (1) ◽  
pp. 25-29 ◽  
Author(s):  
J. O. Awoleke ◽  
A. I. Adanikin ◽  
D. D. Ajayi ◽  
O. S. Ayosanmi
Keyword(s):  
Pregnant Women ◽  
Asymptomatic Bacteriuria ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting

scholarly journals Applying best practices to pregnant women in the obstetric center

2019 ◽  
Vol 72 (suppl 3) ◽  
pp. 191-196
Author(s):  
Bianca da Costa Vieira ◽  
Marli Terezinha Stein Backes ◽  
Lediana Dalla Costa ◽  
Vanessa Martinhago Borges Fernandes ◽  
Heloísa Helena Zimmer Ribas Dias ◽  
...  
Keyword(s):  
Best Practices ◽  
Pregnant Women ◽  
Scientific Evidence ◽  
Public Hospitals ◽  
Good Care ◽  
Good Practices ◽  
Care Practices ◽  
Axial Coding ◽  
Labor Method

ABSTRACT Objective: To identify the meaning attributed by nursing technicians to good care practices based on scientific evidence used with the pregnant women during the dilation stage of labor. Method: A qualitative study, based on Grounded Theory principles. Twelve interviews with nursing technicians attending labor in the obstetric center of two public hospitals, in Florianópolis/SC, were performed, from August of 2016 to March of 2017. Data were analyzed using open, axial coding. Results: The implementation of good practices, for nursing technicians, means adequately performing their activities, providing humanized care to the pregnant woman, respecting her autonomy, promoting pain relief, and a peaceful labor. Final Considerations: An adequate number of technicians must be determined to maintain quality of care, and to complete nursing records in a more detailed and systematized manner.

scholarly journals Thalassemia carrier detection among pregnant women

2020 ◽  
Vol 13 (1) ◽  
pp. e2021003
Author(s):  
Edhyana Sahiratmadja ◽  
Merry M.V. Seu ◽  
Ita M. Nainggolan ◽  
Johanes C. Mose ◽  
Ramdan Panigoro
Keyword(s):  
Pregnant Women ◽  
Dna Analysis ◽  
Screening Program ◽  
Thalassemia Major ◽  
Erythrocyte Indices ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Different Genetic Background ◽  
Catastrophic Disease

Thalassemia major becomes the fifth catastrophic disease in Indonesia, however, national wide screening program is not mandatory. This study aimed to re-assess the validity of the various erythrocyte indices in determining ?-thalalssemia carrier among pregnant women in a low resource setting area. An analytic study was performed, comparing conventional cut-off various erythrocyte indices with new modified cut-offs by Kumar et al. The concordance analysis was calculated with Mentzer Index (MI) as reference. The validity of erythrocyte indices against hemoglobin (Hb) A2 were analysed, confirmed by molecular examination for ?- and common ?-Globin South East Asia population. Of 102 pregnant women, 34% was still anemic after completion of 90 iron pills. The concordance of conventional cut-off Shine & Lal index (<1530) was none to slight in agreement (kappa 0.097) to conventional cut-off MI (<13). The concordance of SLI increased significantly to substantial agreement when both used modified cut-offs (kappa 0.729). However, both SLI and MI had missed most of HbE carriers and ?-thalassemia carriers which seemed to be prevalent in this population as shown by DNA examination. In contrary, simple MCV<80fl and MCH<27pg had covered those carriers. This is the first study from Nusa Tenggara Timur, a low resource area in Indonesia in attempt to mass screen thalassemia carriers in this area where a simple MCV<80 fL and MCH<27pg have been used for preliminary screening rather than other indices. Since the population in eastern part of Indonesia has different genetic background compared to the west, DNA analysis is of great interest to map the spectrum of globin mutations.

scholarly journals Complications of induced abortion: Contribution to maternal mortality in a tertiary center of a low resource setting

2016 ◽  
Vol 5 (1) ◽  
pp. 34 ◽  
Author(s):  
CajethanIfe Emechebe ◽  
CharlesObinna Njoku ◽  
UduakMendie Udofia ◽  
JenkinsTobechukwu Ukaga
Keyword(s):  
Maternal Mortality ◽  
Induced Abortion ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Tertiary Center
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