scholarly journals SKIN-TO-SKIN CONTACT FOLLOWED BY BREASTFEEDING IN THE FIRST HOUR OF LIFE: ASSOCIATED FACTORS AND INFLUENCES ON EXCLUSIVE BREASTFEEDING

2019 ◽  
Vol 28 ◽  
Author(s):  
Márcia Carneiro Saco ◽  
Kelly Pereira Coca ◽  
Karla Oliveira Marcacine ◽  
Érika de Sá Vieira Abuchaim ◽  
Ana Cristina Freitas de Vilhena Abrão

ABSTRACT Objective: to verify the factors associated with the practice of skin-to-skin contact with breastfeeding in the first hour of life and its influence on exclusive breastfeeding in the first month. Method: a retrospective cross-sectional study with medical records from a breastfeeding outpatient clinic in São Paulo, Brazil. The sample included all the medical records of the mother-baby dyad who had been consulted by nurses between 2004 and 2010. Data were collected from the medical records between 2014 and 2015. Results: 1,030 medical records were identified, 71 were excluded and the final sample was 959. The prevalence of skin-to-skin contact with breastfeeding in the first hour was 37.2%. The Apgar score between 8 and 10 in the first minute of life and the higher birth weight of the newborn were protective factors of contact with early breastfeeding; lower maternal age and cesarean delivery and forceps were risk factors for this practice. Exclusive breastfeeding was statistically higher in the group of newborns who had contact with breastfeeding in the first hour; however, there was no association with duration of exclusive breastfeeding. Conclusion: good birth conditions were protective factors for breastfeeding followed by skin-to-skin contact in the first hour, while younger maternal age and surgical deliveries proved to be risk factors. Exclusive breastfeeding in the baby´s first month of life was not associated with skin-to-skin contact followed by breastfeeding in the first hour of life.

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Oktaria Denantika ◽  
Joserizal Serudji ◽  
Gusti Revilla

AbstrakPreeklampsia merupakan penyakit dengan angka morbiditas dan mortalitas yang tinggi. Penyebab pasti terjadinya preeklampsia belum diketahui, namun terdapat faktor risiko yang mempengaruhi kejadian preeklampsia. Tujuan penelitian ini adalah untuk mengetahui hubungan status gravida dan usia ibu terhadap kejadian preeklampsia di RSUP Dr. M. Djamil Padang pada tahun 2012-2013. Penelitian ini dilaksanakan pada bulan Januari 2014 sampai Februari 2014 di bagian Rekam Medis dengan menggunakan desain cross sectional study komparatif terhadap 81 pasien preeklampsia dan 81 ibu hamil tidak preeklampsia yang bersalin di RSUP Dr. M. Djamil Padang pada tahun 2012-2013. Hasil penelitian menunjukkan proporsi primigravida yang menderita preeklampsia 1,52 kali lebih banyak daripada primigravida yang tidak preeklampsia. Proporsi ibu yang berusia dalam kategori usia risiko tinggi (< 20 tahun dan > 35 tahun) dan menderita preeklampsia 4,43 kali lebih banyak daripada yang tidak menderita preeklampsia. Setelah dilakukan analisis melalui uji chi square, disimpulkan bahwa terdapat hubungan yang signifikan antara status gravida dan usia ibu dengan kejadian preeklampsia (p < 0,05).Kata kunci: preeklampsia, status gravida, usia ibuAbstractPreeklampsia is a disease with high morbidity and mortality. The exact cause of preeklampsia still unknown, but there are risk factors that affect the preeklampsia’s incident. The objective of this study was to determine the correlation between gravidity and maternal age with preeklampsia’s incident in RSUP Dr. M. Djamil Padang on 2012 – 2013.The research was did in January 2014 to February 2014 at Medical Records department using cross sectional study comparative’s design toward 81 preeclamptic patients and 81 pregnant women who didn’t preeklampsia, which gave birth in RSUP Dr. M. Djamil Padang on 2012 - 2013. The results showed that the proportion of primigravidae who suffer from preeklampsia is 1.52 times more than primigravidae who do not. Proportion of mother who is in the age category of high risk (< 20 years and > 35 years) and suffer from preeklampsia is 4.43 times more than who don’t .After analyzed by chi square test, it is concluded that there are significant correlation between gravidity and maternal age with preeklampsia’s incident in RSUP Dr. M. Djamil Padang on 2012 – 2013 (p < 0.05). Keywords: preeklampsia, gravidity, maternal age


2021 ◽  
pp. 1-7
Author(s):  
Tiffany Field

This narrative review on COVID-19 youth suicidality (ideation, attempts and completed) summarizes research that is primarily on prevalence and risk factors derived from survey and medical records data. The prevalence of suicidality has been highly variable across different countries at different times during the pandemic, although it has been more prevalent after a couple weeks into lockdown periods. Inactivity and excessive time on social media have been risk factors, but loneliness, anxiety and depression were the most frequently reported risk factors for suicidality at all levels. Protective factors have included school closures that were thought to lead to less academic pressure, peer conflict and bullying. The studies are limited by being cross-sectional, not longitudinal, making it difficult to determine causality or directionality of effects.


PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249265
Author(s):  
Mohamed Rishard ◽  
Fathima Fahila Fahmy ◽  
Hemantha Senanayake ◽  
Augustus Keshala Probhodana Ranaweera ◽  
Benedetta Armocida ◽  
...  

Person-centered maternity care (PCMC) is defined as care which is respectful of and responsive to women’s and families’ preferences, needs, and values. In this cross-sectional study we aimed to evaluate the correlations among the degree of PCMC implementation, key indicators of provision of care, and women’s satisfaction with maternity care in Sri Lanka. Degree of PCMC implementation was assessed using a validated questionnaire. Provision of good key practices was measured with the World Health Organization (WHO) Bologna Score, whose items include: 1) companionship in childbirth; 2) use of partogram; 3) absence of labor stimulation; 4) childbirth in non-supine position; 5) skin-to-skin contact. Women’s overall satisfaction was assessed on a 1–10 Likert scale. Among 400 women giving birth vaginally, 207 (51.8%) had at least one clinical risk factor and 52 (13.0%) at least one complication. The PCMC implementation mean score was 42.3 (95%CI 41.3–43.4), out of a maximum score of 90. Overall, while 367 (91.8%) women were monitored with a partogram, and 293 (73.3%) delivered non-supine, only 19 (4.8%) did not receive labour stimulation, only 38 (9.5%) had a companion at childbirth, and 165 (41.3%) had skin-to-skin contact immediately after birth. The median total satisfaction score was 7 (IQR 5–9). PCMC implementation had a moderate correlation with women’s satisfaction (r = 0.58), while Bologna score had a very low correlation both with satisfaction (r = 0.12), and PCMC (r = 0.20). Factors significantly associated with higher PCMC score were number of pregnancies (p = 0.015), ethnicity (p<0.001), presence of a companion at childbirth (p = 0.037); absence of labor stimulation (p = 0.019); delivery in non-supine position (p = 0.016); and skin-to-skin contact (p = 0.005). Study findings indicate evidence of poor-quality care across several domains of mistreatment in childbirth in Sri Lanka. In addition, patient satisfaction as an indicator of quality care is inadequate to inform health systems reform.


2018 ◽  
Vol 1 (2) ◽  
pp. 128
Author(s):  
Laily Yuliatun ◽  
Muladefi Choiriyah ◽  
Yulaily Riza

Introduction. Colostrum contains a large number of protective factors providing passive and active protection to a wide variety of known pathogens. Its production could be stimulated by early skin-to-skin contact between mother and baby. Hence, this study aimed to investigate the effect of early skin-to-skin contact on the onset of colostrum secretion in postpartum mother. Methods. This study was cross sectional. The data were analyzed by Mann–Whitney test. Literate postpartum mothers, underwent pervaginam delivery in >37 weeks of gestational age with clear amniotic fluid, having baby with > 2500 gr of weight, Apgar score 6 – 8, and no congenital defects were included in this study. The onset of colostrum secretion was measured through observation sheet. 26 samples were recruited in this study. Results. The onset of colostrum secretion was faster in mother underwent early skin-to-skin contact (p=0.002). Discussion. Thus, this study suggested that early skin-to-skin contact enhanced the onset of colostrum secretion.  Keywords: Early skin-to-skin contact, Colostrum, Postpartum


2019 ◽  
Vol 21 (6) ◽  
pp. 1-8
Author(s):  
Jenniffer Alejandra Castellanos-Garzon ◽  
Alvaro Daschner ◽  
Maria Pustovrh ◽  
Carmen Cuellar

Objective This study aimed to determine the dietary habits related to fish consumption and the risk factors associated with acquiring an ichthyo-zoonotic disease.Materials and Methods A descriptive, cross-sectional study was carried out by means of a structured survey administered to 150 individuals in the city of Cali, Colombia.Results Epidemiological variables regarding fish consumption and preparation were contrasted with the medical records of the respondents. The median fish consumption in the surveyed population was three times a month, with raw or salted/marinated fish once a month. A positive correlation between fish consumption and allergic conditions was confirmed. There was no infectious or parasitic history associated with the data on fish consumption.Conclusions A relationship between fish consumption and allergies was confirmed. Further research is necessary to establish the possible pathogens associated with hypersensitivity, such as parasites of the Anisakidae family.


Author(s):  
Frédéric Dutheil ◽  
Lenise M. Parreira ◽  
Julia Eismann ◽  
François-Xavier Lesage ◽  
David Balayssac ◽  
...  

Background: We aimed to evaluate the prevalence of burnout among French general practitioners in private practice and to study the risk and protective factors of burnout. Methods: A nationwide cross-sectional study was conducted with French GPs working in a private practice in France who were asked to fulfil an internet questionnaire. We used the secure internet application REDCap®. Exclusion criteria were only working in a hospital, substitute doctors, and internship students. There was a putative sample size of 88,886 GPs. We retrieved the Maslach Burnout Inventory (MBI), occupational characteristics (type of installation, emergency regulated shifts, night shifts, university supervisor, weekly hours worked, seniority), and personal characteristics such as age, gender, marital status, and number of children. Results: We included 1926 GPs among the 2602 retrieved questionnaires. A total of 44.8% of French liberal GPs were experiencing burnout, with 4.8% (95%CI 3.9–5.9%) experiencing severe burnout. The risk factors of severe burnout were male gender (RR = 1.91, 95%CI 1.15–3.16), working in a suburban area (5.23, 2.18–12.58), and having more than 28 appointments per day (1.95, 1.19–3.19). Working more than 50 h weekly showed a tendency to increase the risk of severe burnout (1.55, 0.93–2.59, p = 0.095), with a significant increase in the risk of low and moderate burnout (1.31, 1.02–1.67 and 1.86, 1.34–2.57, respectively). Protective factors were mainly resident training, which decreased the risk of both low, moderate, and severe burnout (0.65, 0.51–0.83; 0.66, 0.48–0.92; and 0.42, 95%CI 0.23–0.76, respectively). Performing home visits decreased the risk of severe burnout (0.25, 0.13–0.47), as did group practice for intermediate level of burnout (0.71, 0.51–0.96). Conclusion: GPs are at a high risk of burnout, with nearly half of them in burnout, with burnout predominantly affecting males and those between the ages of 50 and 60 years old. The main risk factors were a high workload with more than 28 appointments per day or 50 h of work per week, and the main protective factors were related to social cohesion such having a teaching role and working in a group practice with back-office support.


2022 ◽  
Author(s):  
Md. Ziaul Islam ◽  
Baizid KHoorshid Riaz ◽  
Shah Ali Akbar Ashrafi ◽  
Sharmin Farjana ◽  
Syeda Sumaiya Efa ◽  
...  

Background: COVID-19 reinfected patients suffer from diverse health consequences. Information on the severity of COVID-19 reinfection is scarce. The current study aimed to determine the proportion of COVID-19 reinfection and risk factors associated with its severity. Methods: This cross-sectional study targeted all COVID-19 patients reported in May 2021 at the Health Information Unit (HIU) of the Directorate General of Health Services (DGHS) of Bangladesh. We identified 473 (1.14%) reinfected patients out of 41408 diagnosed cases by reviewing their medical records. Considering the selection criteria and informed consent, we enrolled 404 reinfected patients. Data were collected through telephone interviews and reviewing medical records using a semi-structured questionnaire and a checklist. Results: The majority of the reinfected patients were urban residents (98.0%). Around 13.0% of reinfected patients had <90% oxygen saturation, and 64.0% had an interval of 3-6 months between two attacks. The severity of reinfection included asymptomatic (12.9%), mild (8.9%), moderate (66.3%), and severe (11.9%) forms of infection. An interval of 3-6 months between two attacks had less chance of having mild (AOR=0.031, ρ=0.000), moderate (AOR=0.132, ρ=0.017), and severe (AOR=0.059, ρ=0.002) infections. Patients who maintained physical distance had less chance of moderate-intensity reinfection (AOR=0.137, ρ=0.013), while the vaccinated patients had a higher chance of moderate (AOR=16.127, ρ=0.001) and severe (AOR=3.894, ρ=0.047) intensity reinfection. Conclusion: To avert COVID-19 reinfection and its severity, patients should be vigilant about preventive practices even after recovery. The study suggests vibrant interventions aligned with exposure, physical distancing, vaccination, and comorbidities for mitigating reinfection.


2020 ◽  
Author(s):  
helen tkuwab desta ◽  
Kidanemaryam Berhe ◽  
Gebretsadkan Gebremedhin ◽  
Hajira Mohammed ◽  
Abebe Gebremariam ◽  
...  

Abstract Background In Ethiopia, inappropriate feeding including prelacteal feeding is one of the immediate causes of undernutrition. The objective of this study was to assess the magnitude and associated factors of prelacteal feeding practices among mothers of children aged less than one year in Rural Pastoralist Communities of Afar, Ethiopia. Methods A cross-sectional study was conducted in the Afar Region, Ethiopia from May to June 2016. A total of 424 mothers were included in the study. A two-stage cluster sampling technique was used to select sample clusters and households. A pre-tested and structured questionnaire was used as a data collection instrument. SPSS version 25 was used to analyze the data. Model goodness of fitness was assessed using Hosmer and Lemeshow test. Multi-collinearity between independent variables was checked. Binary logistic regression analysis was used to identify the association between the explanatory variables and prelacteal feeding practices. Multivariable logistic regression was also used to determine the independent predictors of prelacteal feeding practices. Result In this study, 75.7% (95% CI 71.1%, 79.7%) of mothers gave prelacteal feeds to their newborns. The odd of prelacteal feeding was 2.32 times higher in mothers whose husbands didn’t attend formal education as compared to their counterpart (AOR = 2.32, 95% CI: 1.18-4.5). The odds of prelacteal feeding was 7 times higher for infants delivered at home compared to infants delivered at a health facility (AOR = 7.52, 95% CI:3.44, 16.45). Fail to have skin to skin contact between the mother and the newborn increases the odds of prelacteal feeding by 5 times than their counterparts (AOR=5.12, 95%CI: 2.14, 12.21). Conclusion Three-fourth of the children in Rural Pastoralist Communities of Afar received prelacteal feeding. Home delivery, husband education and skin to skin contact immediately after birth were found to be independent predictors of prelacteal feeding in the pastoralist communities. Strengthening the behavior change communication on optimal infant and young child feeding, promotion of husband education and institutional delivery and skin to skin contact immediately after birth are the recommendations.


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