scholarly journals Prevalence of hepatitis B and C seropositivity in pregnant women

2014 ◽  
Vol 48 (1) ◽  
pp. 89-96 ◽  
Author(s):  
Carla Natalina da Silva Fernandes ◽  
Michelly de Melo Alves ◽  
Michelly Lorrane de Souza ◽  
Gleyce Alves Machado ◽  
Gleiber Couto ◽  
...  
Keyword(s):  
Data Analysis ◽  
Hepatitis B ◽  
Confidence Interval ◽  
Pregnant Women ◽  
Exploratory Study ◽  
Maternity Hospital ◽  
Hospital Records ◽  
Significance Level

The aim of the study was to identify the prevalence of hepatitis B and C seropositivity in pregnant women attended in a public maternity hospital located in Catalao-GO from 2005 to 2009. Descriptive, exploratory study conducted through patients` hospital records. For data analysis, we used SPSS version 18.0. The confidence interval (CI) was calculated using the Person χ² test, considering a significance level of 5% (p <0.05). The prevalence of HBV was 5.64% and HCV 0.098%, predominantly in young pregnant women aged between 20 and 30 years old, single and in their first pregnancy.

scholarly journals The Project Appropriate Birth and Reduction of Cesarean Section Rates: an analysis using the Robson classification system

2021 ◽  
Author(s):  
Daniela Ferreira D’Agostini Marin ◽  
Amanda Wernke ◽  
Daniela Dannehl ◽  
Dyulie Araujo ◽  
Gustavo Koch ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Classification System ◽  
Phase 1 ◽  
Maternity Hospital ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Robson Classification ◽  
Before And After

OBJECTIVE: The objective of this study was to evaluate C-section rates, before and after the implementation of the Project Appropriate Birth based on the Robson 10-group classification system. DESIGN: An observational, cross-sectional study. SETTING: Maternity hospital in South Brazil. POPULATION: All pregnant women attending, April 2016 through April 2017 (phase 1, pre-implementation of the Project Appropriate Birth) and June 2017 through June 2018 (phase 2, post-implementation of the Project Appropriate Birth). METHODS: Maternal and obstetric characteristics were evaluated, including Robson’s classification, based on the characteristics of pregnancy and childbirth. Chi-square test and crude and adjusted prevalence ratios were used to analyze study variables. The significance level was set at 5%. MAIN OUTCOME MEASURES: C-section rate for each group, their contribution to the overall c-section rate and the differences in these contributions before and after PPA implementation. RESULTS: C-section rates decreased from 62.4% to 55.6%, which represented a 10.9% reduction after the implementation of the Project Appropriate Birth. Pregnant women in Robson classification groups 1 through 4 had the greatest decrease in C-section rates, ranging from 49.1% to 38.6%, which represents a 21.5% reduction. The greatest contributors to the overall C-section rates were group 5 and group 2, accounting for more than 60% of the C-section deliveries. CONCLUSION: The Project Appropriate Birth had an important impact on the reduction of C-section rates, especially in Robson classification groups 1 through 4, which indicates that providing mothers with evidence-based interventions for labor and childbirth assistance will contribute to reduce C-section rates.

scholarly journals Pengaruh Terapi Musik Klasik terhadap Tingkat Kecemasan Pada Ibu Hamil Primigravida Trimester III

2021 ◽  
Vol 2 (1) ◽  
pp. 191-200
Author(s):  
Hijrianti Suharnah ◽  
Fatma Jama ◽  
Suhermi Suhermi
Keyword(s):  
Data Analysis ◽  
Music Therapy ◽  
Pregnant Women ◽  
Research Design ◽  
Classical Music ◽  
Wilcoxon Test ◽  
P Value ◽  
Third Trimester ◽  
Significance Level ◽  
Anxiety Levels

Primigravida pregnancy is a condition that causes physical and psychological changes. One of the psychological aspects that affect pregnancy and can cause anxiety. This study aims to determine the effect of classical music therapy on anxiety levels in third trimester primigravida pregnant women at UPTD Puskesmas Turikale Kab. Maros. The research design used was a quasi experiment. The research design used was "One Group Pretest-Postest Design". The sample determination is done by total sampling technique with a sample size of 23 respondents. The intervention was given for 6 times of intervention for 2 weeks. The data analysis used was the Wilcoxon test data analysis with a significance level of α = 0.05. If the p value <0.05 then Ha is accepted, it means that there is an effect of the independent variable on the dependent variable The research results from statistical analysis using the Wilcoxon test obtained the value of ρ = 0.000, where the value of ρ is smaller than the value of α = 0.05, then Ha is accepted. The results of the study prove that there is an effect of classical music therapy on anxiety levels in Primigravida Trimester III pregnant women. The conclusion of this study is the effect of classical music therapy on the anxiety level of primigravida pregnant women. Before being given classical music therapy, the level of anxiety in the third trimester of primigravida pregnant women was mild anxiety, moderate anxiety and severe anxiety. Meanwhile, after being given classical music therapy intervention, there was a decrease in anxiety levels, namely not anxious, mild anxiety and moderate anxiety.

scholarly journals Serological prevalence of toxoplasmosis in pregnant women in Luanda (Angola): Geospatial distribution and its association with socio-demographic and clinical-obstetric determinants

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241908
Author(s):  
Amélia Nkutxi Vueba ◽  
Clarissa Perez Faria ◽  
Ricardo Almendra ◽  
Paula Santana ◽  
Maria do Céu Sousa
Keyword(s):  
Risk Factors ◽  
Multivariate Analysis ◽  
Hepatitis B ◽  
Pregnant Women ◽  
Dietary Habits ◽  
Congenital Toxoplasmosis ◽  
Maternity Hospital ◽  
Serum Samples ◽  
Increased Risk ◽  
Potential Risk Factors

We report a study on toxoplasmosis in pregnant women in Luanda, Angola, determining the seroprevalence, geospatial distribution and its association with socio-economic features, dietary habits and hygiene and health conditions. Anti-Toxoplasma gondii IgG and IgM were quantified in serum samples of women attended at the Lucrecia Paim Maternity Hospital between May 2016 and August 2017. The IgG avidity test and qPCR assay were used for dating the primary infection. Data were collected by questionnaire after written consent, and spatial distribution was assessed through a Kernel Density Function. The potential risk factors associated with Toxoplasma infection were evaluated using bivariate and multivariate binomial logistic regression analysis. Anti-T. gondii antibodies were quantified in 878 pregnant women, and 346 (39.4%) samples were IgG positive, 2 (0.2%) positive for IgM and IgG, and 530 (60.4%) negative for both immunoglobulins. The longitudinal study showed that none of the seronegative women seroconverted during the survey. Regarding other infections, 226 (25.7%) were positive for hepatitis B, while 118 (13.4%) were HIV-positive. The seroprevalence of toxoplasmosis was similar in most municipalities: 43.8% in Cazenga (28 of 64); 42.5% in Viana (88 of 207); 42.3% in Cacuaco (22 of 52); and 41.1% in Luanda ((179 of 435). In contrast, the seroprevalence in municipality of Belas was lower (25.8%; 31 of 120) and bivariate and multivariate analysis has shown a lower risk for toxoplasmosis in this area (OR 0.479, CI: 0.305–0.737; OR 0.471, CI: 0.299–0.728). The multivariate analysis has shown a significant increased risk for toxoplasmosis in women in the last trimester of pregnancy (OR 1.457, CI: 1.011–2.102), suffering spontaneous abortion (OR 1.863, CI: 1.014–3.465) and having pets at home (OR 1.658, CI: 1.212–2.269). Also, women who tested positive for hepatitis B (OR 1.375, CI: 1.008–1.874) and HIV (OR 1.833, CI: 1.233–2.730) had a significant increased risk for T. gondii infection. In conclusion, our study showed that a large number of pregnant women are not immunized for toxoplasmosis and identified the risk factors for this infection in Luanda. It is crucial to establish the diagnosis of primary maternal infection as well as the diagnosis of congenital toxoplasmosis. Our results underlined the need for diagnostic and clinical follow-up of toxoplasmosis, HIV and hepatitis B during pregnancy.

scholarly journals Seroepidemiological patterns and predictors of hepatitis B, C and HIV viruses among pregnant women attending antenatal care clinic of Atat Hospital, Southern Ethiopia

2020 ◽  
Vol 8 ◽  
pp. 205031211990087 ◽  
Author(s):  
Temesgen Abera Bafa ◽  
Andamlak Dendir Egata
Keyword(s):  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Hepatitis B Virus ◽  
Hepatitis B ◽  
Confidence Interval ◽  
Pregnant Women ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Hiv Infections ◽  
B Virus

Introduction: Viral hepatitis is a serious blood-borne and sexually transmitted systemic communicable disease affecting the liver. Commonly, it is caused by hepatitis B and C viruses. HIV infection has been one of the largest public health challenges that can also be transmitted vertically. Objective: To determine seroepidemiological patterns and predictors of hepatitis B, C and HIV viruses among pregnant women attending antenatal care clinic at Atat Hospital, Southern Ethiopia. Methods: Hospital-based cross-sectional study was conducted among 222 pregnant women from May to July, 2017. A structured questionnaire was used to collect socio-demographic characteristics and predicators of hepatitis B, C and HIV infections through face-to-face interview. Venous blood sample of 5 mL was collected from study participants, and serum was tested for HBsAg, anti-HCV and anti-HIV using rapid test kits and further confirmed by enzyme-linked immunosorbent assay. Logistic regression analysis was used to identify predictors of hepatitis and HIV infections. A p-value less than 0.05 was considered statistically significant. Results: The overall seroprevalence of hepatitis B, C and HIV infections were 4.5%, 1.8% and 2.7%, respectively. In multivariate analysis, the prevalence of hepatitis B virus infections was significantly higher among patients having history of poly-sexual practices (adjusted odds ratio = 11.31; 95% confidence interval = 1.24–28.69, p = 0.003), history of abortion (adjusted odds ratio = 8.64; 95% confidence interval = 5.5–30.36, p = 0.034), home delivery by traditional birth attendants (adjusted odds ratio = 9.06; 95% confidence interval = 2.01–13.36, p = 0.005) and blood transfusion (adjusted odds ratio = 18.1; 95% confidence interval = 2.63–114.24, p = 0.001). HIV co-infection was present in 40% and 100% of hepatitis B virus and hepatitis C virus positive pregnant women, respectively. All hepatitis C virus positive women had a history of ear piercing, abortion and home delivery. Conclusion: Hepatitis B, C and HIV were all uncommon infections in this population, with hepatitis B virus the most common. All hepatitis C virus positive pregnant women were co-infected with HIV. Significant association was found between hepatitis B virus infection and predictors. Therefore, continuous screening of pregnant women for hepatitis B and C infections should be performed.

The role of spiritual health experience with intensity and duration of labor pain while childbearing and postpartum

2021 ◽  
Vol 17 ◽  
Author(s):  
Hanieh Dehestani ◽  
Naeimeh Tayebi ◽  
Zeinab Moshfeghy ◽  
Marzieh Akbarzadeh
Keyword(s):  
Data Analysis ◽  
Pregnant Women ◽  
Psychological Health ◽  
Negative Relationship ◽  
Cross Sectional Study ◽  
Spiritual Health ◽  
Labor Pain ◽  
Cross Sectional ◽  
Significance Level

Background: The birth of a child is one of the most important events in a mother's life. The use of religious beliefs and spirituality is often considered as a constructive coping strategy in improving the psychological health of individuals. Objective: The present study aimed to examine the role of spiritual health experience with intensity and duration of labor pain during childbearing and postpartum. Materials and Methods: In a cross-sectional study, a total of 200 pregnant women who were 37-42 weeks pregnant and referred to Shiraz Medical Hospital for delivery were selected by nonprobability convenience sampling method. Personal and Midwifery Information Questionnaire and Ellison-Paloutzian Spiritual Health Questionnaire were used for data collection. These questionnaires were completed by interviews. Data analysis was performed using Statistical Package for the Social Sciences (SPSS) software. Descriptive test was used for data description and Chi-square test was used for data analysis. The significance level in all testes was set at < 0.05. Results: There is a significant negative relationship between the variable of spiritual health and duration of the admission stage until the full opening of the cervix in primipara and multipara. But there is no significant relationship between the variables of complete opening of the cervix to fetal delivery and fetal delivery to placental delivery and maternal spiritual health. Conclusion: This study increases our knowledge about spiritual health strategies to prevent labor pains and promote mental health in pregnant women. Midwives should be sensitive to the spiritual health of pregnant women and integrate this element into maternal care.

scholarly journals Analisis faktor keikutsertaan screening hepatitis “B” pada ibu hamil

2022 ◽  
Vol 3 (1) ◽  
pp. 51
Author(s):  
Dedi Apriadi
Keyword(s):  
Hepatitis B ◽  
Pregnant Women ◽  
Health Workers ◽  
Screening Program ◽  
Dominant Factor ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Significance Level ◽  
Hepatitis B Screening ◽  
The Impact

Background: Nagan Raya Regency is included in the top 5 districts/cities with the fourth highest number of hepatitis in Aceh Province. The hepatitis B screening program has not been implemented properly. The impact of the low coverage of this program affects public ignorance about the spread of hepatitis B from sufferers to other communities.Objective: This study aims to analyze the participation factors for Hepatitis B screening in pregnant women in the working area of the Ujong Patihah Health Center.Method: This research design is cross sectional study, in 2021. Data were collected using a questionnaire with a sample size of 220 pregnant women. Data collection was carried out by direct interviews with respondents, using a questionnaire instrument. Data analysis used the Cgi-square statistical test with a significance level of 95%, and continued with multivariate analysis using the Binary Logistics Regression test.Results: Bivariate analysis showed that there was a relationship between knowledge (p= 0.022), mother's attitude (p= 0.010), husband's role (p = 0.018), role of health workers (p = 0.028) and participation in hepatitis B screening, while education did not affect participation in hepatitis B screening (p= 0.668). Multivariate results showed that the mother's attitude was the dominant factor for participation in hepatitis B screening (OR= 2.24).Conclusion: Positive attitudes had a 2.24 times relationship to the participation of pregnant women in hepatitis B screening than negative attitudes. 

scholarly journals Prevalence and epidemiological profile of Hepatitis B in pregnant women: a population study in a Brazilian Western Amazon city from 2007 to 2015

2018 ◽  
Vol 18 (4) ◽  
pp. 711-721 ◽  
Author(s):  
Marina Cordeiro Gomes Sanson ◽  
Helena Albuquerque Catão Feitoza ◽  
Valeria Saraceni ◽  
Rosalina Jorge Koifman ◽  
Andrea Ramos da Silva Bessa
Keyword(s):  
Pregnant Woman ◽  
Hepatitis B ◽  
Pregnant Women ◽  
Dental Treatment ◽  
Infection Prevalence ◽  
Cross Sectional ◽  
Significance Level ◽  
Frequency Distributions ◽  
Significant Difference ◽  
Epidemiological Profile

Abstract Objectives: this study aimed to describe the epidemiological profile and prevalence of hepatitis B infection in pregnant women living in Rio Branco, Acre, Brazil. Methods: this was a cross-sectional study concerning the prevalence of Hepatitis B in a cohort of women who gave birth in Rio Branco from 2007 to 2015. Data were obtained through health information systems. Pregnant women presenting one or more serological markers or positive molecular biology examination were considered confirmed cases of infections. Infection prevalence, the odds ratio (5% significance) and sociodemographic, clinical, obstetric and neonatal variable frequency distributions were calculated. The student's t-test and Mann Whitney test were applied, as well as the chi-square test or Fisher's exact test, at a significance level of 5%. Results: a total of 62,100 pregnant women were identified for the study period. The prevalence of Hepatitis B in the group was of 0.38% (206 cases), and only 12,5% were diagnosed during the first gestation trimester. A significant difference (p=0.034) in the mean age of infected women was observed when compared to those without infection. The chance of an infected pregnant woman giving birth to a child with a 1st Apgar minute <7 was of 2.01 (CI95%= 1.09-3.71; p=0.995), higher than observed for healthy pregnant woman. Concerning infected patients, the most reported risk exposure was dental treatment (19.2%). Conclusions: the prevalence of Hepatitis B among pregnant women was lower than reported in other national studies. Low Hepatitis B detection during the first gestation trimester was identified, which reinforces the need to intensify early diagnosis during prenatal follow-up, especially due to the severity of the disease and the possibility of vertical transmission.

Seroprevalence of maternal HIV, hepatitis B, and syphilis in a major maternity hospital in North Kordofan, Sudan

2018 ◽  
Vol 29 (13) ◽  
pp. 1330-1336 ◽  
Author(s):  
Sirelkhatim M Elkheir ◽  
Zahir OE Babiker ◽  
Sabah K Elamin ◽  
Mohammed IA Yassin ◽  
Khidir E Awadalla ◽  
...  
Keyword(s):  
Hepatitis B ◽  
Pregnant Women ◽  
Social Stigma ◽  
Hepatitis B Surface Antigen ◽  
Mode Of Delivery ◽  
Scale Up ◽  
Treponema Pallidum ◽  
Maternity Hospital ◽  
Bivariate Analysis ◽  
Anonymous Testing

Routine infectious diseases screening of Sudanese pregnant women has been patchy due to scarcity of healthcare resources and social stigma. We sought to determine the seroprevalence of HIV, hepatitis B, and syphilis among pregnant women attending antenatal care (ANC) at El Obeid Maternity Hospital in western Sudan. We also explored the association between these infections and a set of socio-demographic and maternal variables. Unlinked anonymous testing for HIV-1/2 antibodies, hepatitis B surface antigen, and Treponema pallidum antibodies was performed on residual blood samples collected during routine ANC (August 2016–March 2017). Seroprevalence of HIV was 1.13% (5/444; 95% CI 0.37–2.61%), hepatitis B 2.93% (13/444; 95% CI 1.57–4.95%), and syphilis 7.43% (33/444; 95% CI 5.17–10.28%). On bivariate analysis, there were no statistically significant associations between hepatitis B, syphilis, or a composite outcome including any of the three infections and age, stage of pregnancy, gravidity, parity, previous mode of delivery, history of blood transfusion, or husband polygamy. Urgent action is needed to scale up routine maternal screening for HIV, hepatitis B, and syphilis on an opt-out basis. Further research into the socio-demographic and behavioural determinants of these infections as well as their clinical outcomes is needed.

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