scholarly journals Epidemiological overview of HIV/AIDS in pregnant women from a state of northeastern Brazil

2018 ◽  
Vol 71 (suppl 1) ◽  
pp. 568-576 ◽  
Author(s):  
Claúdia Mendes da Silva ◽  
Regina de Souza Alves ◽  
Tâmyssa Simões dos Santos ◽  
Gabriela Rodrigues Bragagnollo ◽  
Clodis Maria Tavares ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Arithmetic Mean ◽  
Northeastern Brazil ◽  
Adequate Treatment ◽  
Socioeconomic Vulnerability ◽  
Study Population ◽  
Measures Of Dispersion ◽  
Low Levels ◽  
Epidemiological Characteristics ◽  
Hiv Aids

ABSTRACT Objective: To learn the epidemiological characteristics of HIV infection in pregnant women. Method: Descriptive study with quantitative approach. The study population was composed of pregnant women with HIV/AIDS residing in the state of Alagoas. Data were organized into variables and analyzed according to the measures of dispersion parameter relevant to the arithmetic mean and standard deviation (X ± S). Results: Between 2007 and 2015, 773 cases of HIV/AIDS were recorded in pregnant women in Alagoas. The studied variables identified that most of these pregnant women were young, had low levels of education and faced socioeconomic vulnerability. Conclusion: It is necessary to include actions aimed at increasing the attention paid to women, once the assurance of full care and early diagnosis of HIV are important strategies to promote adequate treatment adherence and reduce the vertical transmission.

What's Pregnancy Got to Do with it? Late Presentation to HIV/AIDS Services in Northeastern Brazil

2014 ◽  
Author(s):  
Ines Dourado ◽  
Sarah MacCarthy ◽  
Carlos Lima ◽  
Maria Amelia Veras ◽  
LLgia Kerr ◽  
...  
Keyword(s):  
Late Presentation ◽  
Northeastern Brazil ◽  
Hiv Aids

scholarly journals Overt and subclinical hypothyroidism among Bangladeshi pregnant women and its effect on fetomaternal outcome

2015 ◽  
Vol 40 (2) ◽  
pp. 52-57 ◽  
Author(s):  
M Sharmeen ◽  
PA Shamsunnahar ◽  
TR Laita ◽  
SB Chowdhury
Keyword(s):  
Adverse Effects ◽  
Pregnant Women ◽  
Subclinical Hypothyroidism ◽  
Thyroid Dysfunction ◽  
Perinatal Outcomes ◽  
Fetal Outcome ◽  
Thyroid Stimulating Hormone ◽  
Overt Hypothyroidism ◽  
Adequate Treatment ◽  
In Pregnancy

Objectives: Thyroid disorders are among the common endocrine problems in pregnant women. It is now well established that not only overt but subclinical thyroid dysfunction also has adverse effects on maternal and fetal outcome. There are few data from Bangladesh about the prevalence of thyroid dysfunction in pregnancy. With this background, this study aims to find out thyroid dysfunction (both overt and subclinical hypothyroidism) in pregnancy and its impact on obstetrical outcome.Methods: We studied the evaluation of 50 admitted pregnancies corresponding to 29 women with subclinical hypothyroidism and rest 21 was overt hypothyroidism. Detailed history and examination were performed. Apart from routine obstetrical investigations, Thyroid Stimulating Hormone (TSH) estimation was done. Their obstetrical and perinatal outcomes were noted.Results: Overt hypothyroidism was significantly (p<0.05) higher in 25 to 44 years age group. However two and three abortions were significantly (p<0.05) higher in overt hypothyroidism patients. In sub clinical hypothyroidism 86.2% conceived firstly within 2 years and 66.7% in overt hypothyroidism patients conceived firstly in between 3 to 5 years after marriage. Overt hypothyroids were prone to have pregnancy-induced hypertension 42.9%, intrauterine growth restriction (P=0.001) and gestational diabetes (38.1%) as compared to subclinical cases. Neonatal complications were significantly more in overt hypothyroidism group. Mean TSH level was significantly (p<0.05) higher in overt hypothyroidism patients but mean FT4 level was almost similar in both groups. Majority of the patient underwent caesarean section in both groups due to associated medical and obstetrical complications. None of the babies showed hypothyroidism by cord blood tests. In this analysis our results showed that overt hypothyroidism among Bangladeshi pregnant women are associated with more maternal complication & adverse parental outcome than subclinical hypothyroidism. The adequate treatment of hypothyroidism during gestation minimizes risks and generally, makes it possible for pregnancies to be carried to term without complications. Significant adverse effects on maternal and fetal outcome were seen emphasizing the importance of routine antenatal thyroid screening.Bangladesh Med Res Counc Bull 2014; 40 (2): 52-57

scholarly journals High Incidence of Zika or Chikungunya Infection among Pregnant Women Hospitalized Due to Obstetrical Complications in Northeastern Brazil—Implications for Laboratory Screening in Arbovirus Endemic Area

Viruses ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 744
Author(s):  
Iracema J. A. A. Jacques ◽  
Leila Katz ◽  
Marília A. Sena ◽  
Ana B. G. Guimarães ◽  
Yasmim L. Silva ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Clinical Data ◽  
Obstetric Complications ◽  
Northeastern Brazil ◽  
Serological Tests ◽  
Pregnancy And Childbirth ◽  
Obstetrical Complications ◽  
Risk Pregnancy ◽  
Endemic Areas ◽  
A Prospective Study

The diagnostic of arbovirus-related obstetric complications in high-risk pregnancy and childbirth care is challenging, especially in endemic areas. We conducted a prospective study to track active or recent Zika (ZIKV), dengue (DENV), or chikungunya (CHIKV) virus infection among hospitalized pregnant women (PW) with obstetric complications in a hospital at the epicenter of Zika outbreak and ZIKV-related microcephaly in Brazil. Clinical data and blood samples were collected at enrollment and 10 days after the admission of study participants, between October 2018 and May 2019. Further clinical data were extracted from medical records. Samples were screened by molecular and serological tests. Out of 780 participants, 93.1% (95% CI: 91.1–94.7%) presented previous DENV exposure (IgG). ZIKV, CHIKV, and/or DENV laboratory markers of recent or active infection were detected in 130 PW, yielding a prevalence of 16.6% (95% CI: 14.2–19.5%); 9.4% (95% CI: 7.4–11.7%), 7.4% (95% CI: 5.7–9.7%), and 0.38% (95% CI: 0.1–1.2%) of CHIKV, ZIKV, and DENV infections, respectively. Most ZIKV infections were detected by molecular assays (89.6%), while CHIKV infections were detected by serology (95.9%). Our findings highlight the need for arbovirus infections screening in PW with obstetrical complications, potentially associated to these infections in endemic areas regardless of the signs or symptoms suggestive of arboviral disease.

scholarly journals Design of a prospective follow-up study on early parenthood and smoking behaviour during pregnancy in Finnish primary healthcare

2021 ◽  
pp. 140349482110224
Author(s):  
Mikael O. Ekblad ◽  
Hanna P. Wallin ◽  
Marjukka Pajulo ◽  
Päivi E. Korhonen
Keyword(s):  
Pregnant Women ◽  
Study Design ◽  
Primary Healthcare ◽  
Routine Data ◽  
Smoking Behaviour ◽  
Self Report ◽  
Health Clinic ◽  
Follow Up Study ◽  
Study Population

Aims: The primary aim of the study is to explore different factors affecting parents’ smoking behaviour, and especially how smoking may be connected with individual differences in the psychological process of becoming a parent. In the current paper, we present the study design together with basic information on the study population. Methods: The Central Satakunta Maternity and Child Health Clinic (KESALATU) Study is an ongoing prospective follow-up study in primary healthcare of the Satakunta region of southwest Finland. Families were recruited during their first maternity clinic visit between 1 September 2016 and 31 December 2019, and participation will continue until the child is 1.5 years of age. The study combines different sources and types of data: e.g. routine data obtained from primary healthcare clinic records, specific parental self-report data and data from a new exhaled carbon monoxide meter indicating maternal smoking. The data are collected using frequently repeated assessments both during pregnancy and postnatally. The methods cover the following areas of interest: family background factors (including smoking and alcohol use), self-reported parental–foetal/infant attachment and mentalization, self-reported stress, depression and quality of life. Results: 589 pregnant women and their partners were asked to participate in the study during the collection time period. The final study population consisted of 248 (42.1%) pregnant women and 160 (27.1%) partners. Conclusions: The new methods and study design have the potential to increase our understanding about the link between early parenting psychology, prenatal psychosocial risk factors and parental health behaviour.

scholarly journals Intra-urban differentials of congenital and acquired syphilis and syphilis in pregnant women in an urban area in northeastern Brazil

2021 ◽  
Author(s):  
Talita Araujo de Souza ◽  
Karen Kaline Teixeira ◽  
Reginaldo Lopes Santana ◽  
Cinthia Barros Penha ◽  
Arthur de Almeida Medeiros ◽  
...  
Keyword(s):  
Relative Risk ◽  
Pregnant Women ◽  
Congenital Syphilis ◽  
Kernel Density ◽  
Poisson Model ◽  
Northeastern Brazil ◽  
Smoothing Function ◽  
Density Estimator ◽  
Epidemic Disease ◽  
Peripheral Areas

Abstract Background Currently syphilis is considered an epidemic disease worldwide. The objective of this study was to identify intra-urban differentials in the occurrence of congenital and acquired syphilis and syphilis in pregnant women in the city of Natal, in northeast Brazil. Methods Cases of syphilis recorded by the municipal surveillance system from 1 January 2011 to 30 December 2018 were analysed. Spatial statistical analyses were performed using the kernel density estimator of the quadratic smoothing function (weighted). SaTScan software was applied for the calculation of risk based on a discrete Poisson model. Results There were 2163 cases of acquired syphilis, 738 cases of syphilis in pregnant women and 1279 cases of congenital syphilis. Kernel density maps showed that the occurrence of cases is more prevalent in peripheral areas and in areas with more precarious urban infrastructure. In 2011–2014 and 2015–2018, seven statistically significant clusters of acquired syphilis were identified. From 2011 to 2014, the most likely cluster had a relative risk of 3.54 (log likelihood ratio [LLR] 38 895; p&lt;0.001) and from 2015 to 2018 the relative risk was 0.54 (LLR 69 955; p&lt;0.001). Conclusions In the municipality of Natal, there was a clustered pattern of spatial distribution of syphilis, with some areas presenting greater risk for the occurrence of new cases.

scholarly journals Statistical models for incorporating data from routine HIV testing of pregnant women at antenatal clinics into HIV/AIDS epidemic estimates

AIDS ◽  
2017 ◽  
Vol 31 ◽  
pp. S87-S94 ◽  
Author(s):  
Ben Sheng ◽  
Kimberly Marsh ◽  
Aleksandra B. Slavkovic ◽  
Simon Gregson ◽  
Jeffrey W. Eaton ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Hiv Testing ◽  
Statistical Models ◽  
Aids Epidemic ◽  
Antenatal Clinics ◽  
Routine Hiv Testing ◽  
Hiv Aids

Epidemiological characteristics of HIV/AIDS in west China

2006 ◽  
Vol 17 (5) ◽  
pp. 324-328 ◽  
Author(s):  
Zhi Hu ◽  
Xia Qin ◽  
Min-Zhen Zhu ◽  
Sen Yang ◽  
Xue-Jun Zhang
Keyword(s):  
Health Care ◽  
Hiv Transmission ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
The West ◽  
Access To Treatment ◽  
Aids Epidemic ◽  
Care Workers ◽  
Epidemiological Characteristics ◽  
Hiv Aids

China is facing a major crisis because of the increasing epidemic of HIV/AIDS, especially in the western areas. The purpose of this paper is to enhance understanding of the crisis by analysing the published literature on the epidemiology, demographic features, routes of infection, and risk factors of HIV/AIDS infection in the 12 provinces in the west of China. HIV/AIDS has increased rapidly in recent years. The situation is urgent and requires comprehensive action. China's health care system is decentralized and under-funded, and access to treatment by the poor is seriously limited. There is a lack of knowledge about HIV/AIDS in the general public and health care workers. The HIV/AIDS epidemic emerged initially in western areas of the country by means of intravenous drug use, but sexual risk behaviour and mother-to-child transmissions in the west of China are becoming important for HIV transmission.

Health Belief Model Approach on the Prevention of HIV/AIDS among Pregnant Women in Madiun, East Java

2020 ◽  
Author(s):  
Wida Rahma Arwiyantasari ◽  
◽  
Budi Laksana ◽  
Keyword(s):  
Pregnant Women ◽  
Health Belief Model ◽  
Health Belief ◽  
Perceived Vulnerability ◽  
Perceived Benefit ◽  
Perceived Seriousness ◽  
Belief Model ◽  
Prevention Of Hiv ◽  
Model Approach ◽  
Hiv Aids

Background: HIV is a virus that attacks the white blood cells (lymphocytes). HIV causing Acquired Immunodeficiency Syndrome (AIDS). HIV/ AIDS has become a global emergency problem. East Java Province is in the top five of the population infected with HIV (8,204) and AIDS (741) and the most dominant are men. This will worsen the situation of women if they are infected pregnant women. This study aimed to analyze the effect of the Health Belief Model approach on the prevention of HIV/ AIDS among pregnant women in Madiun City, East Java. Subjects and Method: This was a cross sectional study conducted in Madiun City, East Java. A total of 80 pregnant women who conducted HIV/ AIDS check was enrolled in this study. The dependent variable was HIV prevention. The independent variables were perceived seriousness, perceived vulnerability, perceived benefit, and perceived barrier. The data were collected using questionnaire and analyzed using multiple logistic regression analysis. Results: There was a positive effect on perceived seriousness (OR = 8.43; 95% CI=1.38 to 51.4; p = 0.021), perceived vulnerability (OR = 8.36; 95% CI=1.06 to 65.9; p = 0.044), perceived benefit (OR = 12.6; 95% CI=1.37 to 115.5; p = 0.025) on the prevention of HIV/ AIDS among pregnant women and it was statistically significant. There was a negative effect on perceived barrier (OR = 0.13; 95% CI=0.02 to 0.86; p = 0.034) and it was statistically significant. Conclusion: Perceived seriousness, perceived vulnerability, perceived benefit, and perceived barrier influence pregnant women in taking HIV/ AIDS prevention. Keywords: health belief model, HIV / AIDS, pregnant women Correspondence: Wida Rahma Arwiyantasari. Academy of Midwifery, Muhammadiyah Madiun. Jl. Lumbung Life No. 2A Ex. Ngegong Kec. Manguharjo, Madiun City. Email: [email protected]. Mobile: 085736709597.

Factors associated with congenital syphilis: A retrospective study in Jiangxi Province, China

2021 ◽  
pp. 095646242110521
Author(s):  
Zhihua Wan ◽  
Yuling Tao ◽  
Huan Zhang ◽  
Yang Hu ◽  
Kuanyong Shu
Keyword(s):  
Regression Analysis ◽  
Retrospective Study ◽  
Pregnant Women ◽  
Congenital Syphilis ◽  
Jiangxi Province ◽  
Multivariable Logistic Regression Analysis ◽  
Syphilis Infection ◽  
Adequate Treatment ◽  
Maternal Characteristics ◽  
Increased Risk

Background There are a lack of studies about factors influencing congenital syphilis (CS) in economically underdeveloped areas, such as Jiangxi Province, China. Methods A retrospective study was conducted based on the information system of prevention of mother-to-child transmission of syphilis management in Jiangxi Province, China. Pregnant women with syphilis infection who delivered ≥28 gestational weeks and registered in this system from 1 January 2013 to 2030 June 2018 were enrolled. Maternal characteristics and treatment regimens associated with CS were evaluated using multivariable regression analysis. Results 1196 syphilis infected mothers and their 1207 infants were included in the analyses, and 116 infants were diagnosed with CS, providing an overall incidence of 9.61% (116/1207). Multivariable logistic regression analysis showed that increasing maternal age was barely associated with the risk of CS (adjusted odds ratio (aOR) = 0.97, 95% CI, 0.93–1.00, p = .047). Women with a high nontreponemal serum test titer (≥1:8) had a 126% increased risk of delivering an infant with CS than those with a low titer (<1:8) (aOR = 2.26, 95% CI, 1.51–3.39, p < .001). The risk for CS decreased significantly in infants born to mothers receiving adequate treatment than those receiving no treatment (aOR = 0.36, 95% CI, 0.21–0.61, p < .001). Conclusions Adequate treatment is critical for the prevention of CS. Further strategies focusing on early diagnosis and adequate treatment among syphilis infected pregnant women, particularly among those with younger age and high nontreponemal titer, should be strengthened to prevent CS.

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