scholarly journals Prevalence and factors associated with unplanned pregnancy in a Brazilian capital in the Northeast

2021 ◽  
Vol 21 (2) ◽  
pp. 461-471
Author(s):  
Ana Cleide Mineu Costa ◽  
Bruno Luciano Carneiro Alves de Oliveira ◽  
Maria Teresa Seabra Soares de Britto e Alves
Keyword(s):  
Skin Color ◽  
Unplanned Pregnancy ◽  
Cross Sectional Study ◽  
Demographic Characteristics ◽  
Age Group ◽  
Cross Sectional ◽  
Factors Associated ◽  
Black Skin ◽  
Planned Pregnancy ◽  
Mother’S Age

Abstract Objectives: to analyze the prevalence and factors associated with unplanned pregnancy in a Brazilian capital in the Northeast. Methods: a cross-sectional study nested to a hospital birth cohort with a probable sample of 5,110 puerperal women. Associated factors were analyzed using a hierarchical theoretical model in three levels: distal (women’s socioeconomic and demographic characteristics), intermediate (reproductive characteristics, maternal habits and BMI), and proximal level (partner's characteristics). Multivariate Poisson regression analysis was performed. Results: the prevalence of unplanned pregnancy was 68.1% (CI95%=66.8-69.4). Multivariate analysis showed association with black skin color/race (PR=1.03; CI95%=1.01- 1.07), mother's age group up to 19 years old (PR=1.09; CI95%=1.06-1.12) and 20 to 24 years old (PR=1.04; CI95%=1.01-1.07), not living with partner (PR=1.09; CI95%=1.07- 1.11), highest number of people in the household: 5 people (PR= 1.10; CI95%=1.08-1.13) and 3 to 4 (PR=1.08; CI95%=1.05-1.10), number of ≥4 children (PR=1.09; CI95%=1.06- 1.13) and 2 or 3 children (PR=1.03; CI95%=1.02-1.05), alcohol consumption (PR=1.03; CI95%=1.01-1.05), malnourished pre-pregnancy BMI (PR=1.03; CI95%=1.01-1.06) and partner’s low schooling (5 to 8 years) (PR=1.03; CI95%=1.01-1.07). Prior abortion was inversely associated with planned pregnancy (PR=0.95; CI95%=0.93-0.97). Conclusions: the prevalence of unplanned pregnancy was high and was associated with socioeconomic and demographic characteristics that reflect on the combination of the complex inequalities that impact women and their partners

scholarly journals Prevalence and factors associated with the consumption of folic acid and iron in pregnant women in the BRISA cohort

2020 ◽  
Vol 20 (3) ◽  
pp. 799-807
Author(s):  
Renata Monteiro Lima ◽  
Elisângela Veruska Nóbrega Crispim Leite ◽  
Danielle França Furtado ◽  
Alcione Miranda dos Santos
Keyword(s):  
Folic Acid ◽  
Skin Color ◽  
Poisson Model ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Preg Nancy ◽  
Planned Pregnancy ◽  
Dependent Variables ◽  
The City

Abstract Objectives: to describe the prevalence and factors associated with the consumption of folic acid and iron among puerperal women in the city of São Luís, Maranhão. Methods: a cross-sectional study with 4,036 puerperal women through a standardized questionnaire. The dependent variables (outcomes) were: the consumption of folic acid during pregnancy, iron and folic acid before pregnancy. The independent variables: age; schooling; skin color; marital status; income; planned pregnancy; place and number of prenatal consultations. Statistical analyzes were performed on STATA 14.0. For the first two outcomes, Poisson model with a robust variance was used. And for the last one, logistic regression. Results: the prevalence of consuming folic acid and iron during pregnancy were, respec-tively, 77.27% and 84.98%. However, only 0.37% reported the consume of folic acid and iron before pregnancy. In the adjusted analysis, the variables associated with the consumption of folic acid during pregnancy were: schooling and income; the consume of iron during preg-nancy, age only; and for those who consumed folic acid before pregnancy, no variable was statistically significant. Conclusions: high percentage of puerperal women who consumed folic acid and iron supplements during pregnancy, however, the recommended consumption of folic acid before pregnancy was low and maternal, social and economic factors influence the consumption of these supplements.

scholarly journals Prevalence of suicidal ideation and associated factors among HIV positive perinatal women on follow-up at Gondar town health institutions, Northwest Ethiopia: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Leul Belachew Zewdu ◽  
Mebratu Mitiku Reta ◽  
Niguse Yigzaw ◽  
Koku Sisay Tamirat
Keyword(s):  
Suicidal Ideation ◽  
Unplanned Pregnancy ◽  
Cross Sectional Study ◽  
Hiv Positive ◽  
Hiv Status ◽  
Cross Sectional ◽  
Factors Associated ◽  
Gondar Town ◽  
Perinatal Women ◽  
Significant Factors

Abstract Background Suicidal behaviors cover a range or continuum of acts from suicidal ideations to a series of actions, commonly known as suicidal attempts or deliberate self-harms. Though different mental disorders related studies were conducted among HIV/AIDS patients, there is a scarcity of information about the magnitude and determinants of suicidal thoughts among perinatal women. Therefore, this study aimed to determine the prevalence of suicidal ideation and associated factors among HIV positive perinatal women in the study setting. Methods An institution-based cross-sectional study was conducted among perinatal women on treatment to the prevention of mother to child transmission of HIV/AIDS at Gondar town health facilities. A total of 422 HIV-positive perinatal women were selected systematically and the data collected through medical record review and interview using a Composite International Diagnostic Interview (CIDI) toolkit. A binary and multivariable logistic regression model was employed to identify factors associated with suicidal ideation. An Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) was computed to see the strength of association between outcome and independent variables. Characteristics having less than 0.05 p-value had been taken as significant factors associated with the outcome of interest. Result The prevalence of suicidal ideation was found to be 8.2% (95% CI; 5.7 to 11.3) and with a standard error of 0.013. Perinatal depression (AOR=4.40, 95%CI: 1.63 11.85), not disclosed HIV status (AOR=3.73, 95%CI: 1.44 9.65), and unplanned pregnancy (AOR=2.75, 95%CI: 1.21 6.21) were significant factors associated with suicidal ideation. Conclusion The magnitude of suicidal ideation among HIV positive perinatal women was found to be low. Perinatal depression, non-disclosed HIV status, and unplanned pregnancy were factors significantly associated with suicidal ideation. This finding suggests the integration of mental health services with maternal and HIV support programs.

The factors associated with the length of the third stage of labour: A descriptive-analytical study

2021 ◽  
Vol 17 ◽  
Author(s):  
Mansoureh Refaei ◽  
Soodabeh Aghababaei ◽  
Mansoureh Yazdkhasti ◽  
Farideh Kazemi ◽  
Fatemeh Farahmandpour
Keyword(s):  
Cross Sectional Study ◽  
Study Data ◽  
Cross Sectional ◽  
Factors Associated ◽  
The Third ◽  
Third Stage ◽  
History Of ◽  
Mother’S Age ◽  
And Gender ◽  
The Relationship

Background: Several risk factors have been identified for postpartum hemorrhage, one of which being the duration of the third stage of labour. This stage refers to the interval between the expulsion of the fetus to the expulsion of the placenta. Some bleeding occurs in this stage due to the separation of the placenta Objective: This study aimed to identify the factors associated with the length of the third stage of labour. Methods: In this cross-sectional study, 300 women hospitalized for vaginal birth were selected via convenience sampling. The study data were collected using a researcher-made questionnaire. Then, the data were analyzed using univariate and multivariate linear regression analyses. Results: The mean (SD) age of the participants was 26.41 (6.26) years. Investigation of the relationship between the study variables and the time of placental separation indicated that a minute increase in the length of membranes rupture caused a 0.003minute decrease in the time of placental separation. However, this time increased by 2.75, 6.68, and 2.86 minutes in the individuals without the history of abortion, those with the history of stillbirth, and those who had not received hyoscine, respectively. The results of multivariate analysis indicated that suffering from preeclampsia or hypertension, history of stillbirth, not receiving hyoscine, and not receiving misoprostol increased the length of the third stage by 4.40, 8.55, 2.38, and 6.04 minutes, respectively. Conclusion: Suffering from preeclampsia and having the history of stillbirth increased and using hyoscine and misoprostol decreased the length of the third stage of labour. However, no significant relationship was found between the length of the third stage of labour and mother’s age, gestational age, parity, mother’s body mass index, mother’s chronic disorders, history of manual placenta removal, length of the first and second stages, membranes rupture, induction, amount of oxytocin after delivery, and infant’s weight and gender.

scholarly journals Food Insecurity and Associated Factors in Brazilian Undergraduates during the COVID-19 Pandemic

Nutrients ◽  
2022 ◽  
Vol 14 (2) ◽  
pp. 358
Author(s):  
Bruna Leal Lima Maciel ◽  
Clélia de Oliveira Lyra ◽  
Jéssica Raissa Carlos Gomes ◽  
Priscilla Moura Rolim ◽  
Bartira Mendes Gorgulho ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Diet Quality ◽  
Skin Color ◽  
Associated Factors ◽  
Mental Distress ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Black Skin ◽  
Logistic Regressions ◽  
Socio Economic Variables

Undergraduates may face challenges to assure food security, related to economic and mental distress, especially during the COVID-19 pandemic. This study aimed to assess food insecurity and its associated factors in undergraduates during the COVID-19 pandemic. An online cross-sectional study was conducted from August 2020 to February 2021 with 4775 undergraduates from all Brazilian regions. The questionnaire contained socio-economic variables, the validated Brazilian food insecurity scale, and the ESQUADA scale to assess diet quality. The median age of the students was 22.0 years, and 48.0% reported income decreasing with the pandemic. Food insecurity was present in 38.6% of the students, 4.5% with severe food insecurity and 7.7% moderate. Logistic regressions showed students with brown and black skin color/race presented the highest OR for food insecurity; both income and weight increase or reduction during the pandemic was also associated with a higher OR for food insecurity, and better diet quality was associated with decreased OR for food insecurity. Our study showed a considerable presence of food insecurity in undergraduates. Policy for this population must be directed to the most vulnerable: those with brown and black skin color/race, who changed income during the pandemic, and those presented with difficulties maintaining weight and with poor diet quality.

scholarly journals Socio-Demographic Characteristics of Teenage Pregnancy: Experience of 50 Cases of Bangladesh

2018 ◽  
Vol 16 (1) ◽  
pp. 3-7
Author(s):  
Rumi Farhad Ara ◽  
Jahangir Alam
Keyword(s):  
Teenage Pregnancy ◽  
Cross Sectional Study ◽  
Demographic Characteristics ◽  
Age Group ◽  
Monthly Income ◽  
Cross Sectional ◽  
Medical College ◽  
Slum Dwellers ◽  
Study Population ◽  
Common Group

Background: Teenage pregnancy is a huge problem in developed as well as developing countries.Objective: The purpose of the present study was to see the socio-demographic characteristics of teenage pregnant mother.Methodology: This cross-sectional study was conducted in the Department of Obstetrics and Gynecology, Dhaka Medical College & Hospital, Dhaka, Bangladesh and Sir Salimullah Medical College & Mitford Hospital, Dhaka, Bangladesh from April to July 1999 for a period of four (4) months. The teenager mothers with the age group of 11 to 19 years who were admitted in the study period was selected as study population. At the time of entry, all relevant parameters like religion, residence, occupation, education and monthly income were recorded in a predesigned data sheet.Result: A total number of 50 teenager mothers were recruited for this study. Majority of the study population were Muslim which was 45(90.0%) cases followed by Hindu which was 3(6.0%) cases. Maximum were non-city dweller which was 26(52.0%) cases followed by city and slum dwellers which were 16(32.0%) cases and 8(16.0%) cases respectively. Majority of the study were housewife which was 49(98.0%) cases. Monthly income was less than 3000 taka in 29(58.0%) cases. Majority of the study population were completed the primary education level which was 26(52.0%) cases. Married was found in 49(98.0%) cases.Conclusion: In conclusion Muslim non-city dwellers housewife were the most common group of teenager motherJournal of Science Foundation 2018;16(1):3-7

scholarly journals Factors associated with the Dubowitz neurological examination in preterm new-borns

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 910
Author(s):  
Ana Clara Daros Massarollo ◽  
Guilherme Welter Wendt ◽  
Lirane Elize Defante Ferreto ◽  
Ana Paula Vieira ◽  
Gisele Arruda ◽  
...  
Keyword(s):  
Neurological Examination ◽  
Developmental Delays ◽  
Outpatient Visit ◽  
Orotracheal Intubation ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Mother’S Age ◽  
Positive Correlations

Background: This article aims to explore the factors associated with Dubowitz neurological examination scores in preterm new-borns.       Methods: This is a cross-sectional study in which forty preterm new-borns were evaluated by using the Dubowitz neurological examination on their first outpatient visit following hospital discharge. A questionnaire was also deployed to explore parental variables.       Results: Preterm new-borns with low scores in the Dubowitz neurological examination were born at an even lower gestational age, required longer hospitalisation, and had more indicators for orotracheal intubation. Positive correlations between the subdomains of the Dubowitz neurological examination with birthweight, mother's age, Apgar score at 5 min, maternal and paternal education, and income were also significant. Linear regression analyses explained 26% of the of the Dubowitz neurological examination global score, retaining birthweight, income, and father’s age as significant predictors. Conclusions: Early, appropriated neurological assessments of preterm infants are critical to detect risk factors that may underpin developmental delays.

scholarly journals The Prevalence of Tobacco and E-Cigarette Use in Poland: A 2019 Nationwide Cross-Sectional Survey

2019 ◽  
Vol 16 (23) ◽  
pp. 4820 ◽  
Author(s):  
Jarosław Pinkas ◽  
Dorota Kaleta ◽  
Wojciech Stefan Zgliczyński ◽  
Aleksandra Lusawa ◽  
Iwona Wrześniewska-Wal ◽  
...  
Keyword(s):  
Tobacco Control ◽  
Tobacco Use ◽  
Cross Sectional Study ◽  
Age Group ◽  
Cigarette Use ◽  
Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
Current Prevalence

Monitoring of tobacco use is one of the key tobacco control activities. This study aimed to assess the current prevalence and patterns of tobacco and e-cigarette in Poland as well as to investigate socioeconomic factors associated with cigarette smoking and e-cigarette use. This cross-sectional study was carried out in 2019, on a representative nationwide sample of 1011 individuals aged 15+ in Poland. Daily tobacco smoking was declared by 21.0% of participants; 1.3% of participants were occasional tobacco smokers, and 10.7% were former tobacco smokers. Heated tobacco was used by 0.4% of participants. Ever e-cigarette use was declared by 4.0% of participants and 1.4% were current e-cigarette users. A higher proportion of daily smokers was observed among men than women (24.4% vs. 18.0%; p < 0.0001). The age group 30 to 49 years, of a lower educational level and living in a medium-sized city (between 20,000 and 500,000 residents), was significantly associated with current daily smoking. This is the most up-to-date study on the prevalence of smoking in Poland. Further tobacco control activities are needed to reduce tobacco use in Poland.

scholarly journals Suicidal Death due to Hanging

2017 ◽  
Vol 5 (2) ◽  
pp. 89-93 ◽  
Author(s):  
Asma Begum ◽  
Nashid Tabasum Khan ◽  
AKM Shafiuzzaman ◽  
Farhana Shahid ◽  
AM Ashraful Anam ◽  
...  
Keyword(s):  
Social Relation ◽  
Cross Sectional Study ◽  
Demographic Characteristics ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Suicidal Death ◽  
Period Data ◽  
Materials Used

Background: Hanging is always suicidal unless otherwise proved. It is a form of violent asphyxial death. It produces painless death for the victims so that it is a widely practiced method of suicide. In Bangladesh hanging is one of the commonest methods of suicide.Objective: The objective of this study was to find out socio-demographic characteristics of victims, common ligature materials used by victims and post-mortem findings.Materials and method: A retrospective cross sectional study was done in Dhaka Medical College Mortuary during the period of January 2009 to January 2010. During this period data were collected from 2133 cases of medicolegal autopsies by purposive sampling.Results: A total of 2133 medicolegal autopsies were analyzed of which 78 (3.65%) were deaths due to hanging. Out of these 78 cases maximum 37 (47.44%) deaths due to hanging were in the age group of 21-30 years. Majority of the cases (48; 61.54%) were observed in females. Majority (32; 41.03%) of victims had used Dopatta (orna) as a ligature material. Cyanosis of fingertips and nail beds was the commonest (75; 96.15%) findings in cases of asphyxial death due to hanging.Conclusion: Suicidal hanging is observed in this study mostly within the young age group ranging from 21-30 yrs. So, awareness at the level of family and community should be raised to improve personal and social relation in every sphere. The factors provoking an individual for an attempt to suicide should also be investigated for its prevention.Delta Med Col J. Jul 2017 5(2): 89-93

scholarly journals Características maternas de partos prematuros

2019 ◽  
Vol 81 (19) ◽  
Author(s):  
Gracimary Alves Teixeira ◽  
Jovanka Bittencourt Leite de Carvalho ◽  
Alessandra Vasconcelos de Sena ◽  
Pamela Cândido de Morais ◽  
Tassia Regine de Morais Alves
Keyword(s):  
Unplanned Pregnancy ◽  
Late Pregnancy ◽  
Cross Sectional Study ◽  
Stressful Events ◽  
Premature Births ◽  
Birth Mothers ◽  
Cross Sectional ◽  
Premature Babies ◽  
Planned Pregnancy ◽  
And Child Health

Objetiva-se dentifi car o perfi l das condições de saúde de mães de partos prematuros. Trata-se de um estudotransversal, desenvolvido em uma maternidade pública da região nordeste, do Brasil. A coleta de dados se deu noperíodo de abril a setembro de 2015, com 109 mães de partos prematuros. Os resultados apontam que 62,96%referem eventos estressantes na gestação; gravidez não planejada em 59,63% e indesejada em 21,10%. Quanto aoestilo de vida apenas 43,12% praticavam alguma atividade física antes de engravidar; durante a gestação 8,26%utilizaram drogas ilícitas, 9,17% fi zeram uso do tabaco e 11,01% de bebidas alcoólicas. Com isso, 42,20% dasmães apresentavam-se obesas no fi nal da gestação e 32,11% com pressão arterial elevada. Conclui-se que asgestações dos bebês prematuros estão ocorrendo em situações de vida desfavoráveis à saúde materno-infantil, poishá carência de gestação planejada, com eventos estressantes, sedentarismo desde antes da gestação, obesidade econsumo de drogas lícitas e ilícitas.Palavras-chave: Gravidez; Prematuro; Enfermagem Materno-Infantil; Cuidado Pré-natal; Estilo de vida. ABsTRAcTThe aim is to identify the profi le of premature birth mothers. This is a cross-sectional study, developed in apublic hospital in the northeast region of Brazil. Data collection occurred from April to September 2015 with109 mothers of premature births. The results showed that 62.96% reported stressful events during pregnancy;unplanned pregnancy in 59.63% and 21.10% in unwanted. Regarding the lifestyle only 43.12% practiced somephysical activity before pregnancy; 8.26% during pregnancy used illegal drugs, 9.17% used tobacco and 11.01%of alcohol. Thus, 42.20% of mothers presented themselves obese in late pregnancy and 32.11% with high bloodpressure. It concludes that pregnancies whose outcomes are premature babies are taking place in unfavorable lifesituations to maternal and child health, because there is a lack of planned pregnancy, stressful events, physicalinactivity since before pregnancy, obesity and consumption of licit and illicit drugs.Keywords: Pregnancy; Premature; Maternal-Child Nursing; Prenatal Care; Life Style.

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