Translation, cultural adaptation and validation of "Pregnancy Experience Scale" for Brazilian pregnant

Abstract Introduction: The analysis of maternal psychosocial stress during pregnancy can be an important intervention tool for maternal and infant health. Objective: To translate, culturally adapt and validate the Pregnancy Experience Scale - Brief Version - into Brazilian Portuguese for Brazilian pregnant women. Method: The scale was carried out according to the guidelines recommended by Beaton and his collaborators. Data were collected between January and September of 2016, in hospitals, basic health units, and community. In total, 206 pregnant women with an average age of 25.01 ± 6.44 years and gestational age of 25.5 ± 8.72 pregnancy weeks answered the scale for the process of psychometric analysis and validation. Results: The results indicated a two-dimensional model of the scale with two factors: Positive Experiences and Negative Experiences. The reliability was established through Cronbach’s Alpha Test (α > 0.70). The value found for the positive experiences factor was appropriate, α = 0.77. The same happened to the Negative Experiences factor, α = 0.80. These values provide evidence of the scale reliability. The convergent and concurrent validity of the instrument was established. Conclusion: The result of the psychometric study of the scale pointed out that the Pregnancy Experience Scale is an important intervention tool for the health care of mother and newborn, besides being a useful instrument to assess the experience of the women with the pregnancy, especially, the level of psychosocial stress, contributing to broaden the research in this area and subsidize support strategies for this population and women’s health policies.

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Study on the Impact of Online Courses for Pregnant and Lying-In Women on Maternal and Infant Health during the Epidemic

Journal of Healthcare Engineering ◽

10.1155/2021/4019210 ◽

2021 ◽

Vol 2021 ◽

pp. 1-11

Author(s):

Liangfang Shi ◽

Ling Yuan ◽

Lin Zhou ◽

Shuixian Zhang ◽

Xia Lei

Keyword(s):

Pregnant Women ◽

Infant Health ◽

Online Courses ◽

Age Groups ◽

Learning System ◽

Online Course ◽

Maternal And Infant Health ◽

Cloud Server ◽

The Impact ◽

Economic Income

The sudden outbreak of the new crown pneumonia has brought online learning from a supporting role to the center of the teaching stage in an instant. On the basis of the feasibility analysis and demand analysis of the microcourse learning system, this paper uses Sina cloud server to build the WeChat public platform learning online course and designs and implements the microcourse learning system function based on the microcourse public platform. We completed the recording, editing, publishing, and testing of microclass courses and provided services for teachers and pregnant women's microclass learning in order to achieve better learning results. A total of 151 people regularly participate in maternity school courses, accounting for 30.4%. There are 190 people who have never attended the maternity school course, accounting for 38.2%. There are 156 people who occasionally participate in maternity school courses, accounting for 31.4%. The top five sources of health information during pregnancy are books, maternity schools, experience of elders, the Internet, and television. The results of one-way analysis of variance showed that pregnant women of different ages had statistically different scores in the dimensions of knowledge and ideas ( P < 0.05). There are statistical differences in the scores of pregnant women with different economic incomes in this dimension ( P < 0.05). The women with economic income ≥5000 yuan/month have the highest scores, and those with economic income ≥5000 yuan/month have the lowest scores. The scores of pregnant women who participated in the maternity school were significantly higher than those who did not participate in the maternity school ( P < 0.05). There are statistical differences in the scores of maternal and child health basic skills among pregnant women of different age groups ( P < 0.05). The women aged ≥35 years old have the highest scores, and those aged 20–24 years old have the lowest scores. The differences in the scores of pregnant women with different economic incomes in this dimension are statistically significant ( P ＜0.05). The women with economic income ≥5000 yuan/month have the highest score, and those with economic income<2000 yuan/month have the lowest score. Participation in maternity schools has an impact on the scores of this dimension. Pregnant women who regularly participate in maternity schools have the highest average scores, and those who do not participate in maternity schools have the lowest average scores.

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Food Insecurity is Associated with Additional Severe Maternal Hardships during Pregnancy: Results from the 2012-2014 California Maternal Infant Health Assessment

10.21203/rs.3.rs-712667/v1 ◽

2021 ◽

Author(s):

Barbara Laraia ◽

Ryan Gamb ◽

Carina Saraiva ◽

Melanie Dove ◽

Kristen Marchi ◽

...

Keyword(s):

Food Security ◽

Relative Risk ◽

Food Insecurity ◽

Pregnant Women ◽

Risk Ratio ◽

Infant Health ◽

Health Assessment ◽

Relative Risk Ratio ◽

Food Security Status ◽

Maternal And Infant Health

Abstract Background: Assess the associations between food insecurity and ten additional maternal hardships experienced during pregnancy.Methods: Data on 14,274 low-/middle-income women from the statewide-representative 2010-2012 California Maternal and Infant Health Assessment were used to estimate food security status and prevalence of additional maternal hardships. Multinomial logistic regression was used to assess the associations between food security status—secure, marginal, low and very low—and these hardships. Results: Food insecurity was common (23%) among all pregnant women in California. Among women with incomes at or below 400% of the income to federal poverty guideline ratio, nine of ten hardships were independently associated with food security status; only the respondent or someone close to the respondent having a problem with alcohol or drugs was not independently associated with food security status after adjusting for socioeconomic factors. Husband/partner losing a job, depressive symptoms, not having practical support and intimate partner violence were consistently associated with marginal, low and very low food security status. Each additional severe maternal hardship a woman experienced during pregnancy was associated with a 36% greater risk of reporting marginal food security (Relative Risk Ratio 1.36, 95% CI: 1.27, 1.47), 54% for low food security (Relative Risk Ratio 1.54, 95% CI: 1.44, 1.64), and 99% for very low food security (Relative Risk Ratio 1.99, 95% CI: 1.83, 2.15). Conclusions: Food security status was strongly linked with several serious maternal hardships that could jeopardize maternal and/or infant health. Policy implications: Services—including prenatal care and nutritional assistance—for a large proportion of pregnant women should address a wide range of serious unmet social needs including food insecurity.Significance Statement: During pregnancy, food insecurity is common and is strongly associated with additional severe maternal hardships that could threaten maternal and infant health.

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