scholarly journals The work of nurses in high-risk prenatal care from the perspective of basic human needs

2018 ◽  
Vol 71 (suppl 3) ◽  
pp. 1257-1264 ◽  
Author(s):  
Lívia de Souza Pancrácio de Errico ◽  
Paula Gonçalves Bicalho ◽  
Thaize Constância Ferreira Lares de Oliveira ◽  
Eunice Francisca Martins

ABSTRACT Objective: To analyze the work of nurses in high-risk prenatal care in secondary care, considering nursing problems and the basic human needs of pregnant women. Method: Cross-sectional and quantitative study, developed in a high-risk prenatal care clinic. Data were selected in the records of the nursing consultation. The studied variables were related to sociodemographic and obstetric characteristics, in addition to nursing problems. We performed the descriptive analysis of the data and the grouping of nursing problems within the levels of Basic Human Needs (BHN). Results: We evaluated 54 nursing consultations of pregnant women, mostly young, multiparous, and with nine or more years of study. Every pregnant woman reported, on average, 7.4 nursing problems. The psychobiological BHN prevailed in relation to psychosocial ones. Conclusion: In high-risk prenatal care, nurses can use the nursing consultation considering their mastery of light technologies to engage with hard and light-hard technologies.

2020 ◽  
pp. 66-70
Author(s):  
Jessica Galvan ◽  
Danielle Bordin ◽  
Cristina Berger Fadel

Introduction: Conducting dental consultations during pregnancy is considered an important challenge in the context of Maternal and Child Health Policies, as it is surrounded by myths rooted among users and health professionals. In this sense, it is important to identify barriers and facilitators to the search for dental assistance in this period, in order to support strategies that make this practice feasible. Objective: To analyze the search for dental care during high-risk pregnancies, according to sociodemographic, gestational and health characteristics. Methods: Observational study with a cross-sectional design, carried out with high-risk pregnant women referred to a teaching hospital in southern Brazil, from January to May 2018. Data collection was performed using an unprecedented structured form and considered as a dependent variable the search for dental care during pregnancy and as independent variables sociodemographic, gestational and dental characteristics. Pearson's chi-square association test and Fisher's exact test were used. Results: To reach the sample of 190 pregnant women at high gestational risk, a total of 230 women considered valid were approached, counting on the following losses: refusal to participate (n=23), no answer to any question (n=10), duplicity in participant approach (n=7). Advanced maternal age (p=0.000) and history of premature birth in previous pregnancies (p=0.047) were factors associated with a lower frequency of seeking dental care in the current pregnancy. On the other hand, the habit of dental consultation prior to the gestational period (p=0.001), the knowledge about the importance of this monitoring (p=0.050), as well as the safety (p=0.000) in performing dental prenatal care, were related positively to the search during pregnancy. Conclusion: Specific incentive strategies and access to dental prenatal care are necessary to neutralize barriers that may compromise the search for oral health services during pregnancy. For this reason, identifying the facilitators and hinders to the dental service is essential for planning effective actions related to prenatal care.


Author(s):  
Jessica Galvan ◽  
Danielle Bordin ◽  
Cristina Berger Fadel ◽  
Alessandra Martins ◽  
Fabiana Bucholdz Teixeira Alves

Introduction: Conducting dental consultations during pregnancy is considered an important challenge in the context of Maternal and Child Health Policies, as it is surrounded by myths rooted among users and health professionals. In this sense, it is important to identify barriers and facilitators to the search for dental assistance in this period, in order to support strategies that make this practice feasible. Objective: To analyze the search for dental care during high-risk pregnancies, according to sociodemographic, gestational and health characteristics. Methods: Observational study with a cross-sectional design, carried out with high-risk pregnant women referred to a teaching hospital in southern Brazil, from January to May 2018. Data collection was performed using an unprecedented structured form and considered as a dependent variable the search for dental care during pregnancy and as independent variables sociodemographic, gestational and dental characteristics. Pearson's chi-square association test and Fisher's exact test were used. Results: To reach the sample of 190 pregnant women at high gestational risk, a total of 230 women considered valid were approached, counting on the following losses: refusal to participate (n=23), no answer to any question (n=10), duplicity in participant approach (n=7). Advanced maternal age (p=0.000) and history of premature birth in previous pregnancies (p=0.047) were factors associated with a lower frequency of seeking dental care in the current pregnancy. On the other hand, the habit of dental consultation prior to the gestational period (p=0.001), the knowledge about the importance of this monitoring (p=0.050), as well as the safety (p=0.000) in performing dental prenatal care, were related positively to the search during pregnancy. Conclusion: Specific incentive strategies and access to dental prenatal care are necessary to neutralize barriers that may compromise the search for oral health services during pregnancy. For this reason, identifying the facilitators and hinders to the dental service is essential for planning effective actions related to prenatal care.


Author(s):  
Julianna Azevedo Guendler ◽  
Leila Katz ◽  
Maria Eduarda Duarte Mello Flamini ◽  
Andrea Lemos ◽  
Melania Maria Amorim

Objective To determine the prevalence of sexual dysfunction and its associated factors in pregnant women. Methods A descriptive, cross-sectional study including 262 pregnant women aged 18 years or older with gestational age between 10 and 35 weeks. Women with urinary tract infections and conditions of gestational risk were excluded. The Pregnancy Sexual Response Inventory (PSRI) questionnaire was used. We performed a univariate descriptive analysis, and comparisons between the mean values of the sexual function domains were made using the Student t-test. The chi-squared test was used to determine the association between the independent and dependent variables. The prevalence ratios, with their respective 95% confidence intervals, were also estimated, and a multivariate analysis was performed. Results A total of 64.9% of women reported a decrease in the frequency of sexual activity during pregnancy. Slightly more than half of the women (50.8%) were satisfied, and arousal was reported as excellent/good by 30.5% of them. The frequency of sexual difficulties/dysfunctions increased with pregnancy, rising from 5.7% to 58.8%, and pain during sexual intercourse was reported by 45.8% of them. Having higher education degree decreased the chance of being sexually dissatisfied by 50%. The total PSRI score showed a significant decrease from the prepregnancy period (mean score = 89.8, “excellent”) to the pregnancy period (mean score = 59.2, “good”). Conclusion The mean sexual function score during pregnancy was classified as good, although most pregnant women reported at least one type of alteration in the sexual function domains, and the report of dissatisfaction was more frequent in women with lower schooling.


2021 ◽  
Vol 31 (Supplement_2) ◽  
Author(s):  
Ana Saraiva ◽  
Inês Rosendo ◽  
Susana Miguel ◽  
Joana Duarte ◽  
Tiago Marques ◽  
...  

Abstract Background The perinatal period is of big changes and adaptations for pregnant woman, making them more susceptible to depression. Perinatal depression can have huge negative consequences for the pregnant woman, child, family and society. Thus, the objective of this work is to understand the family influence in the appearance of this pathology. Methods This is a cross-sectional observational study of a sample of pregnant women included for convenience, who answered a questionnaire with sociodemographic questions, pathological and physiological background and 4 scales: ERAP, EADS-21, FACES IV and ESSS. A descriptive analysis was carried out and then an inferential statistical analysis between the levels of depression, stress and anxiety and different variables. Results The sample includes 41 pregnant women who agreed to participate in the study. It was found that only the family variables related to ‘Satisfaction with the family’ (P = 0.024) and ‘Intimacy’ (P = 0.006) seem to have significant relationship with the levels of perinatal depression. As possible confounding variables influencing these levels, we have the fact that pregnancy is planned (P = 0.049), ‘Satisfaction with friends’ (P = 0.001) and ‘Social activities’ (P≤0.001). Conclusions It was proven that high levels of satisfaction with family and intimacy are protective factors for the development of perinatal depression. These family-related risk factors can be easily addressed in the context of family’s doctor appointments and help to detect pregnant women at risk of perinatal depression. Deepening this knowledge will make it possible to prevent and intervene earlier in these cases and, consequently, reduce the harmful effects of this pathology.


Rev Rene ◽  
2015 ◽  
Vol 16 (3) ◽  
Author(s):  
Inacia Sátiro Xavier de França ◽  
Joana D’arc Lyra Batista ◽  
Alexsandro Silva Coura ◽  
Cibely Freire de Oliveira ◽  
Andressa Kaline Ferreira Araújo ◽  
...  

Objective: to analyze factors associated to the notification of congenital syphilis. Methods: a cross-sectional documentary,quantitative study, made through the National System of Notifiable Diseases. The study consisted of 113 notified cases. Adata collection form was used and Chi-square and Fisher tests were made. Results: women had prenatal exams (80.2%),serologic testing before six months of pregnancy (46.7%) and after (53.3%). There was an association for the variables race(p = 0.005) and serological test (p = 0.044). The treatment of the pregnant woman was inadequate (64.5%) and the partnerwas not treated (85.7%). Conclusion: it was found that the number of cases is growing, increasing the possibility of childrenwith severe sequelae. So improvements in prenatal care are still needed.


Author(s):  
Leny Leny

ABSTRACT Prenatal care is health care by health personnel to care the pregnant according to standards. Worlrd Health Organization (WHO) estimates more than 500.000 women die during pregnancy or childbirth. Maternal mortality in Indonesia is 307 per 100,000 live births. The quantity of pregnant women’s visit in Kabupaten Banyuasin in 2009 of 89.1%. The purpose of this study to determine the relationship between education and occupation with prenatal care at Puskesmas Mariana  Kecamatan Banyuasin I Kabupaten Banyuasin in 2011. This study uses analytic approach survey by Cross Sectional methods, the population are 1.946 pregnant women and the samples as many as 332 people. The results of univariate analysis study of pregnant women who are higher education as much as 45.2%, and  low maternal education as much as 54.8%. In pregnant women who work of 43.4%, and pregnant women who do not work for 56.6%. From the results of bivariate analysis and Chi-Square statistical tests found a significant association between education of pregnant women with prenatal care with P Value = 0.000, and there was a significant association between occupation of pregnant women with prenatal care with P Value = 0.000. Can be concluded that there is a relationship between education and occupation of pregnant women with prenatal care. Expected to health workers to provide counseling on the importance of prenatal care in pregnant women and expected future studies may explore again the factors associated with prenatal care with the different variables.   ABSTRAK Pemeriksaan kehamilan adalah pelayanan kesehatan oleh tenaga kesehatan untuk memeriksakan ibu hamil sesuai standar. World Health Organization (WHO) memperkirakan lebih dari 500.000 ibu pertahunnya meninggal saat hamil atau bersalin. AKI di Indonesia 307 per 100.000 kelahiran hidup. Jumlah kunjungan ibu hamil di Kabupaten Banyuasin tahun 2009 sebesar 89,1%. Tujuan penelitian ini untuk mengetahui hubungan antara pendidikan dan pekerjaan dengan pemeriksaan kehamilan di Puskesmas Mariana Kecamatan Banyuasin I Kabupaten Banyuasin tahun  2011. Penelitian ini menggunakan metode survey analitik dengan pendekatan Cross Sectional, populasi ibu hamil dengan jumlah 1.946 orang dan jumlah sampel sebanyak 332 orang. Hasil penelitian Analisa Univariat adalah ibu hamil yang pendidikan tinggi sebanyak 45,2%, dan pendidikan rendah ibu hamil sebanyak 54,8%. Pada variabel pekerjaan ibu hamil yang bekerja sebesar 43,4%, dan ibu hamil yang tidak bekerja sebesar 56,6%. Dari hasil analisa bivariat dan uji statistik Chi-Square  didapatkan hubungan yang bermakna antara pendidikan ibu hamil dengan pemeriksaan kehamilan dengan  P Value = 0,000, dan ada hubungan yang bermakna antara pekerjaan ibu hamil dengan pemeriksaan kehamilan dengan P Value = 0,000. Dapat disimpulkan bahwa ada hubungan antara pendidikan dan pekerjaan ibu hamil dengan pemeriksaan kehamilan. Diharapkan kepada petugas kesehatan agar dapat memberikan penyuluhan tentang pentingnya pemeriksaan pada ibu hamil dan diharapkan penelitian yang akan datang dapat menggali lagi faktor-faktor yang berhubungan dengan pemeriksaan kehamilan dengan variabel yang berbeda.


2020 ◽  
Vol 6 (4) ◽  
pp. 104-112
Author(s):  
Sintayehu Assefa ◽  
Dubale Dulla

Background: Voluntary counseling and testing (VCT) is an entry point for the prevention of HIV transmission from mother to child and accessing VCT benefit from PMTCT services. Even though, some pregnant women clearly know the benefits /advantages of PMTCT services, they are not willing to test and access the services. Hence, this study was aimed to assess the willingness of pregnant women attending antenatal care towards VCT/PMTCT at Adare general hospital in southern Ethiopia. Method: An institution-based cross-sectional study was conducted at Hawassa Adare hospital, southern Ethiopia from February to April/2018. A total of 338 randomly selected pregnant women who were attending antenatal care clinic were included. Data was collected using structured and pretested questionnaire; entered and analyzed using SPSS version 20 computer software. Important descriptive and logistic models were used for data analysis assuming statistical significance at p < 0.05. Result: A total of 338 mothers were interviewed with a response rate of 100%. The willingness towards voluntary HIV counseling and testing among study participants was 82.2%. Participants who attended primary and High school and above were 3.9 (AOR= 3.87, 95% CI- 1.705, 8.782) and 9.5 times (AOR 9.53 at 95% CI- 3.155, 28.76); those who had good knowledge about VCT/PMTCT were 3.47 times (AOR=3.47, 95% CI-1.721, 7.003); women who followed two to three ANC visit, were 5.1 times more likely have willingness towards VCT/PMTCT (AOR 5.11 at 95% CI -1.095, 23.81) more likely willing to be tested than their counterparts respectively. Conclusion: Willingness towards voluntary HIV counseling was encouraging however it needs advancement. Since boosted knowledge and awareness promote willingness to VCT/PMTCT uptakes, initiation of community-based information dissemination, increased quality of ANC service, and empowering women to be educated could be effective in order to promote high VCT and PMTCT program uptakes


2021 ◽  
Vol 10 (1) ◽  
pp. 141-148
Author(s):  
Ika Mardiyanti ◽  
Yasi Anggasari

Background: The ability of pregnant women to deal with early response to high risks is still below the average, which is one of the causes of complications that can indicate the welfare of the mother and her fetus. Objectives: The aim of this study was to look at the determinants that influence early detection of high-risk pregnancies. Methods: This study used an analytic design with a cross sectional design. The sample size of 112 from a population of 155 was obtained by simple random sampling. The independent variables are individual factors, interpersonal influence, filial value and commitment, while the dependent variable is the family's ability to detect high risk of pregnancy for 3 months, namely August-October 2020 at PMB Ika Mardiyanti. This study uses a questionnaire. Data collection in the form of a questionnaire. Data analysis using SEM-PLS. Results: The results of the significance test concluded that all the path coefficients and the T statistical value of personal factors on interpersonal (0.453; 6.612), interpersonal on filial values ​​(0.753; 7.267), filial value for commitment (0.851; 17.048), filial value for ability (0.667 ; 4,679), commitment to ability (0.358; 2.356) is significant. Because all have a T-statistic value that is more than the T-table 1.96. Conclusion: The determinant factors that contribute to the ability of families to detect high risk of pregnancy need to be considered so that families are independent and have efforts to maintain the health of pregnant women in their families. In further research, it is necessary to involve other factors to improve family capacity, especially in the ability of families to detect high-risk pregnancies early.   Keywords: Ability, family, high-risk.


Author(s):  
Raditya Angga Pradipta

Logging the forest production is a high risk work. The condition of the forest acreage is difficult, the imbalance between the tools used by condition of the field and the skills of workers can lead to accidents. One of supporting job in the process of logging the forest production is the operation of the chainsaw that has hazards and risks which must be controlled. The main objective of this research was to risk assessment in the operational of the chainsaw in the work to cutting down trees in Perhutani KPH Madiun. This research was an observational research that conducted using cross sectional design and descriptive analysis. Data were used primary data based on interviews, observations and secondary data collected from the company. This research performed based on work activities of operating chainsaw. The result showed that based on idetification of hazards in activities of operating chainsaw in cutting trees, there were18 hazards Risk assessment showed that from 18 pure risks, there were 4 low risks,7 medium risks and 7 high risks. The conclusion from this research is the risk most dominant obtained from the risk assessment is high risk and risks while each one had the amount of 7 danger or 39 % of all the potential here hazards, to at a job should not be continued, work that needs to be set repeated or attempts to control at work to reduce the risk. Control must be reviewed for conformity before work began.Keywords: cut timber, identification hazards, risk assessment


2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Elviera Gamelia ◽  
Siti Masfiah ◽  
Indah Purnama Sari

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in Banyumas District are still below The Minimum Service Standard (MSS), especially in Puskesmas (Public Health Center) I Ajibarang. The strategies for reducing maternal mortality are conducted by increasing mothers health status during pregnancy. This study aims at determining the factors of husbands role in womens prenatal care. Cross-sectional method was used. The populations were all of the pregnant women in Puskesmas I Ajibarang. Proportional random sampling was applied to select 90 pregnant women. Logistic regression was used to determine factors. Theory of planned behavior was used to explore the determinants of husbands role. The results show that the level of education, family income, the knowledge, the attitude, and subjective norm are not related to husbands role in mother prenatal care. However, husbands behavior control (p=0.045) and intention (p=0.000) have relation with husbands role in women prenatal care. Variable of intention is the most dominant variable related to husbands role in womens prenatal care.


Sign in / Sign up

Export Citation Format

Share Document