scholarly journals Care needs of pregnant women with a private health insurance: a comprehensive social phenomenology approach

2007 ◽  
Vol 15 (5) ◽  
pp. 914-921 ◽  
Author(s):  
Miriam Aparecida Barbosa Merighi ◽  
Renata Tavares Franco Rodrigues ◽  
Selisvane Ribeiro da Fonseca Domingos
Keyword(s):  
Qualitative Research ◽  
Health Professional ◽  
Pregnant Women ◽  
Private Health Insurance ◽  
Health Plans ◽  
Private Institutions ◽  
Inclusion Criteria ◽  
Care Needs ◽  
Special Situation ◽  
Social Phenomenology

This study aimed to understand the meanings women who possess health plans hold regarding pregnancy and get to know their care needs in this phase of the vital cycle. It was based on the qualitative research of phenomenological inspiration. The discourses analysis was based on the sociologist and fenomenologist Alfred Schutz's thought. Having health plans and being attended in private institutions were defined as inclusion criteria. The following categories emerged from the discourses: having new responsibilities; experiencing a special situation; experiencing insecurity, anxiety and expectations; feeling limited; trusting the health professional. It was found, through the analysis of categories, that the experience of the pregnant women who participated in the study is similar to those who do not possess health plans. However, in the category "trusting the health professional" it was possible to perceive the importance of possessing health plan, which allows the intersubjectivity between the woman and the health professional.

PENGETAHUAN IBU HAMIL TENTANG POSISI HUBUNGAN SEKSUAL PADA MASA KEHAMILAN

2018 ◽  
Vol 8 (1) ◽  
pp. 46
Author(s):  
Ni Wayan Noviani ◽  
Ni Komang Sari Suindani
Keyword(s):  
Pregnant Women ◽  
Sampling Technique ◽  
Sexual Relationship ◽  
Inclusion Criteria ◽  
Sexual Relations ◽  
Cross Sectional ◽  
Descriptive Research ◽  
Abstract Knowledge ◽  
Medium Education ◽  
Research Type

<p><strong><em>Abstract: Knowledge of Pregnant Women About Sexual Relations Position During Pregnancy</em></strong><em>. The purpose of this study was to determine the knowledge of pregnant women about the position of sexual relations during pregnancy in BPM Wahidah, S.ST Year 2017. This research type is descriptive research with cross sectional approach by using accidental sampling technique. The population of this study were pregnant women who did the examination in BPM Wahidah, S.ST. The number of samples is 50 respondents who meet the inclusion criteria. This research started from 6-21 february 2017. The result showed that pregnant woman's knowledge about the position of sexual relationship during pregnancy was mostly (54%) knowledgeable enough. A small percentage of respondents aged 20-35 years ie 11 people (22%) have enough knowledge, from the work showed that almost half of respondents ie 23 people (46%) who do not work have enough knowledge, from education showed that almost half of respondents or 16 people (32%) who have medium education have enough knowledge, and from parity shows that almost half of respondents are 14 people (28%) who are multiparous have enough knowledge.</em></p><p><strong> </strong></p><p><strong>Abstrak : Pengetahuan Ibu Hamil Tentang Posisi Hubungan Seksual Pada Masa Kehamilan. </strong>Tujuan penelitian ini adalah untuk mengetahui pengetahuan ibu hamil tentang posisi hubungan seksual pada masa kehamilan di BPM Wahidah, S.ST Tahun 2017. Jenis penelitian ini adalah penelitian deskriptif dengan pendekatan <em>cross sectional </em>dengan menggunakan teknik <em>accidental sampling. </em>Populasi penelitian ini adalah ibu hamil yang melakukan pemeriksaan di BPM Wahidah, S.ST.Jumlah sampel sebanyak 50 responden yang memenuhi criteria inklusi.Penelitian ini dimulai dari tanggal 6-21 februari 2017. Hasil penelitian menunjukkan bahwa pengetahuan ibu hamil tentang posisi hubungan seksual pada masa kehamilan sebagian besar (54%) berpengetahuan cukup. sebagian kecil responden umur 20-35 tahun yaitu 11 orang (22%) memiliki pengetahuan cukup, dari pekerjaan menunjukkan bahwa hampir setengahnya responden yaitu 23 orang (46%) yang tidak bekerja memiliki pengetahuan cukup, dari pendidikan menunjukkan bahwa hampir setengahnya responden atau 16 orang (32%) yang berpendidikan menengah mempunyai pengetahuan cukup, dan dari paritas menunjukkan bahwa hampir setengahnya responden yaitu 14 orang (28%) yang multipara memiliki pengetahuan cukup.</p>

scholarly journals Consent in pregnancy - an observational study of ante-natal care in the context of Montgomery: all about risk?

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jacqueline A. Nicholls ◽  
Anna L. David ◽  
Joseph Iskaros ◽  
Dimitrios Siassakos ◽  
Anne Lanceley
Keyword(s):  
Qualitative Research ◽  
Observational Study ◽  
Pregnant Women ◽  
Social Factors ◽  
Healthcare Professionals ◽  
Effective Interaction ◽  
Clinical Decision ◽  
Place Of Birth ◽  
Clinical Risk ◽  
In Pregnancy

Abstract Background How to best support pregnant women in making truly autonomous decisions which accord with current consent law is poorly understood and problematic for them and their healthcare professionals. This observational study examined a range of ante-natal consultations where consent for an intervention took place to determine key themes during the encounter. Methods Qualitative research in a large urban teaching hospital in London. Sixteen consultations between pregnant women and their healthcare professionals (nine obstetricians and three midwives) where ante-natal interventions were discussed and consent was documented were directly observed. Data were collectively analysed to identify key themes characterising the consent process. Results Four themes were identified: 1) Clinical framing - by framing the consultation in terms of the clinical decision to be made HCPs miss the opportunity to assess what really matters to a pregnant woman. For many women the opportunity to feel that their previous experiences had been ‘heard’ was an important but sometimes neglected prelude to the ensuing consultation; 2) Clinical risk dominated narrative - all consultations were dominated by information related to risk; discussion of reasonable alternatives was not always observed and women’s understanding of information was seldom verified making compliance with current law questionable; 3) Parallel narrative - woman-centred experience – for pregnant women social factors such as the place of birth and partner influences were as or more important than considerations of clinical risk yet were often missed by HCPs; 4) Cross cutting narrative - genuine dialogue - we observed variably effective interaction between the clinical (2) and patient (3) narratives influenced by trust and empathy and explicit empowering language by HCPs. Conclusion We found that ante-natal consultations that include consent for interventions are dominated by clinical framing and risk, and explore the woman-centred narrative less well. Current UK law requires consent consultations to include explicit effort to gauge a woman’s preferences and values, yet consultations seem to fail to achieve such understanding. At the very least, consultations may be improved by the addition of opening questions along the lines of ‘what matters to you most?’

Engagement in language learning: A systematic review of 20 years of research methods and definitions

2021 ◽  
pp. 136216882110012
Author(s):  
Phil Hiver ◽  
Ali H. Al-Hoorie ◽  
Joseph P. Vitta ◽  
Janice Wu
Keyword(s):  
Systematic Review ◽  
Qualitative Research ◽  
Second Language Acquisition ◽  
Language Acquisition ◽  
Language Learning ◽  
Applied Linguistics ◽  
Inclusion Criteria ◽  
Learner Engagement ◽  
Quantitative And Qualitative Research ◽  
Active Learner

At the turn of the new millennium, in an article published in Language Teaching Research in 2000, Dörnyei and Kormos proposed that ‘active learner engagement is a key concern’ for all instructed language learning. Since then, language engagement research has increased exponentially. In this article, we present a systematic review of 20 years of language engagement research. To ensure robust coverage, we searched 21 major journals on second language acquisition (SLA) and applied linguistics and identified 112 reports satisfying our inclusion criteria. The results of our analysis of these reports highlighted the adoption of heterogeneous methods and conceptual frameworks in the language engagement literature, as well as indicating a need to refine the definitions and operationalizations of engagement in both quantitative and qualitative research. Based on these findings, we attempted to clarify some lingering ambiguity around fundamental definitions, and to more clearly delineate the scope and target of language engagement research. We also discuss future avenues to further advance understanding of the nature, mechanisms, and outcomes resulting from engagement in language learning.

scholarly journals Factors contributing to the decision by pregnant women to be tested for HIV

2008 ◽  
Vol 13 (4) ◽  
pp. 50-65 ◽  
Author(s):  
Karin Minnie ◽  
Hester Klopper ◽  
Christa Van der Walt
Keyword(s):  
Qualitative Research ◽  
Pregnant Women ◽  
Research Study ◽  
Structured Interviews ◽  
Qualitative Research Study ◽  
Methods Of Analysis ◽  
Combination Of Methods ◽  
Organisational Factors

The objective of this study was to explore and describe the factors that influence the decision by pregnant women to be tested for HIV. This was achieved through a qualitative research study that was exploratory, descriptive and contextual in nature. A sample of 13 pregnant women participated. Data obtained from semi-structured interviews was analysed according to a protocol based on a combination of methods of analysis. The three main themes, namely factors that contribute to the decision by pregnant women to be tested for HIV, factors that contribute to the decision by pregnant women not to be tested for HIV and organisational factors that influence the decision by pregnant women to be tested for HIV, were divided into nine subthemes. Conclusions and recommendations to promote counselling to pregnant women being tested for HIV are provided. Opsomming Die doel van die studie was om die faktore wat die besluit van swanger vroue om vir MIV getoets te word, te verken en beskryf. Dit is gedoen deur middel van verkennende, beskrywende, kontekstuele kwalitatiewe navorsing. ’n Steekproef van 13 swanger vroue het deelgeneem. Inligting is verkry deur middel van semi-gestruktureerde onderhoude. Hierdie inligting is ontleed aan die hand van ’n protokol gebaseer op ’n kombinasie van ontledingsmetodes. Die drie hooftemas, naamlik faktore wat bydra tot swanger vroue se besluit om vir MIV getoets te word, faktore wat bydra tot swanger vroue se besluit om nie vir MIV getoets te word nie en organisatoriese faktore wat swanger vroue se besluit beïnvloed om vir MIV getoets te word, is in nege subtemas onderverdeel. Gevolgtrekkings en aanbevelings ter bevordering van berading van swanger vroue vir MIV-toetsing, word verskaf.

scholarly journals Gambaran Kadar Hemoglobin pada Ibu Hamil Trimester III di Rumah Sakit Robert Wolter Mongisidi Manado

2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Selfesina Sikoway ◽  
Yanti Mewo ◽  
Youla Assa
Keyword(s):  
Pregnant Women ◽  
Descriptive Study ◽  
Hemoglobin Level ◽  
Inclusion Criteria ◽  
Third Trimester ◽  
Cross Sectional ◽  
Abnormal Phenomenon ◽  
Cross Sectional Design ◽  
Obstetric Department ◽  
In Pregnancy

Abstract: Hemoglobin (Hb) is a parameter used to determine anemia prevalence. The average level of normal Hb at the end of pregnancy is around 12.5 g/dL, meanwhile, aproximately 5% of pregnant women have Hb level less than 11.0 g/dL. To date, Hb level below 11.0 g/dL especially at the end of pregnancy should be considered as an abnormal phenomenon and is usually caused by iron deficiency and not by hypervolemia which is commonly found in pregnancy. This study was aimed to determine the hemoglobin level of third semester pregnant women in Robert Wolter Mongisidi Hospital Manado. This was a descriptive study with a cross sectional design. Subjects were 39 third semester pregnant women who visited the Obstetric Department of Robert Wolter Mongisidi Hospital and fulfilled the inclusion criteria. The results showed that 25 subjects (64.1%) had low hemoglobin levels and 14 subjects (35.9%) had normal level of hemoglobin. In conclusion, most third semester pregnant women had low hemoglobin levels.Keywords: hemoglobin rate, third trimester pregnant women, anemia Abstrak: Hemoglobin (Hb) darah merupakan parameter yang digunakan untuk menetapkan prevalensi anemia. Nilai normal Hb pada akhir kehamilan rata-rata 12,5 g/dL, dan sekitar 5% wanita hamil konsentrasinya kurang dari 11,0 g/dL. Nilai Hb dibawah 11,0 g/dL terutama pada akhir kehamilan perlu dianggap abnormal dan biasanya disebabkan oleh defisiensi besi dan bukan karena hipervolemia yang umumnya ditemukan pada kehamilan. Penelitian ini bertujuan untuk mengetahui kadar hemoglobin pada ibu hamil trimester III di Rumah Sakit Robert Wolter Mongisidi Manado. Jenis penelitian ialah deskriptif dengan menggunakan desain potong lintang. Subyek penelitian ialah 39 ibu hamil trimester III yang berkunjung di Poliklinik Kebidanan di Rumah Sakit Robert Wolter Mongisidi Manado yang memenuhi kriteria inklusi. Hasil penelitian menunjukkan 25 subyek (64,1%) memiliki kadar hemoglobin rendah dan 14 subyek (35,9%) memiliki kadar hemoglobin normal. Simpulan penelitian ini ialah sebagian besar ibu hamil trimester III memiliki kadar hemoglobin rendah.Kata kunci: kadar hemoglobin, ibu hamil trimester III, anemia

scholarly journals Antiviral Treatment on Pregnancy with COVID-19 Infection : A Systematic Review

2021 ◽  
Vol 4 (2s) ◽  
pp. 78-85
Author(s):  
Tigor Peniel Simanjuntak ◽  
◽  
Angela Putri Kakerissa ◽  
Grady Ivan Kurniawan
Keyword(s):  
Systematic Review ◽  
Side Effects ◽  
Pregnant Women ◽  
Gestational Age ◽  
Treatment Duration ◽  
Case Reports ◽  
Antiviral Treatment ◽  
Inclusion Criteria ◽  
Duration Of Treatment ◽  
Retrospective Case

Abstract Objective to evaluate antiviral treatment, duration, and side effects on pregnant women based on gestational age and severity of COVID-19 infection. Method: a systematic review of antiviral treatment, duration, and side effects on pregnant women based on gestational age and severity of COVID-19 infection. Systematic review was conducted following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) Statement. Result 948 papers accessed through Pubmed, Scopus, Science Direct, Cohcrane, and other with keywords “Antiviral”, “Pregnancy” “Pregnant” “Coronavirus” “COVID-19” “SARS-CoV-2”. Duplicate papers were excluded (n=302), topics and abstracts that do not meet the criteria (n=612), and 25 papers that did not meet the inclusion criteria. 9 papers that meet the inclusion criteria (case reports and cohort retrospective case study) discussed 20 pregnant women with COVID-19 infection (16 moderate and severe cases received Remdesivir, 3 moderate and mild cases received Lopinavir-ritonavir combination, and 1 moderate case received Arbidol). Conclusion, remdesivir is an antiviral frequently used in pregnancy on trimester II and III with severe COVID-19 infection with a duration of treatment of 5-10 days. Remdesivir should be monitored because some show side effects of increasing liver function. Key word: Antiviral, Pregnant, COVID-19

scholarly journals Pengaruh Penyuluhan Ibu Hamil Terhadap Pemberian ASI Ekslusif

2021 ◽  
Vol 3 (4) ◽  
pp. 656-660
Author(s):  
Melia Puspita Sari ◽  
Febi Ratnasari
Keyword(s):  
Breast Milk ◽  
Literature Review ◽  
Pregnant Women ◽  
Exclusive Breastfeeding ◽  
Analytical Method ◽  
Infant Health ◽  
Strategic Plan ◽  
Health Profile ◽  
Inclusion Criteria

ABSTRACT: THE EFFECT OF COUNSELING PREGNANT WOMEN ON EXCLUSIVE BREASFEEDING Background: Coverage of breastfeeding in Indonesia in 2015 was only 55.7% and when referring to the 2015 strategic plan target of 39%, nationally the scope of exclusive breastfeeding for infants aged less than 0 to 6 months has met the target. The percentage of exclusive breastfeeding in infants aged 0-6 months in Banten Province in 2016 was 61.6%, a slight increase compared to the percentage of exclusive breastfeeding in 2015 which was only 60.7%. The regency / city with the lowest percentage of exclusive breastfeeding was Pandeglang, which was 19.88%, followed by Serang City at 39.77% (Indonesian Health Profile, 2018). As a result of not providing exclusive breast milk will have an impact on infant health including the incidence of diarrhea, infection and malnutrition. Method: the analytical method used is the method of analysis of journal contents. Readable journals must be read and examined to be clear in analyzing these journals. And an analysis is made of the contents obtained from the research objectives and the results of the research. Searching this literature review through an accredited journal site namely google schoolar, PubMed and using literature from 2016-2020. Results: 67 journals were obtained using keywords and filtered again based on inclusion criteria and obtained literature results that met the requirements of 20 journals. Conclusion: Thus it can be concluded that there is an effect of counseling on pregnant women regarding the administration of colostrum breast milk. Keywords: influence of counseling, exclusive breastfeeding and exclusive breastfeeding  INTISARI: PENGARUH PENYULUHAN IBU HAMIL TERHADAP PEMBERIAN ASI EKSLUSIF Latar Belakang: Cakupan pemberian ASI di Indonesia pada tahun 2015 hanya sebesar 55,7% dan jika mengacu pada target renstra di tahun 2015 yang sebesar 39% maka secara nasional cakupan pemberian ASI ekslusif pada bayi usia kurang dari 0 sampai 6 bulan telah memenuhi target. Presentase pemberian ASI Ekslusif pada usia bayi 0-6 bulan di Provinsi Banten pada tahun 2016 sebesar 61,6%, sedikit meningkat jika dibandingkan dengan presentase pemberian ASI ekslusif pada tahun 2015 yaitu hanya sebesar 60,7%. Kabupaten/Kota dengan presentase pemberian ASI ekslusif terendah adalah Kabupaten Pandeglang yaitu 19,88%, diikuti dengan Kota Serang sebesar 39,77%. Akibat dari tidak diberikannya asi ekslusif akan berdampak kepada kesehatan bayi antara lain angka kejadian diare, infeksi dan kekurangan gizi.Metode: metode analisis yang digunakan ialah metode analisis isi jurnal. Jurnal yang dapat dibaca harus dibaca dan dicermati supaya jelas dalam menganalisis jurnal-jurnal tersebut. Dan dibuat analisa mengenai isi yang didapat dari tujuan penelitian dan hasil penelitian tersebut. Penelusuran literatur riview ini melalui situs jurnal yang sudah terakreditasi yaitu google schoolar, PubMed dan menggunakan literatur dari tahun 2016-2020.Hasil: didaptkan 67 jurnal menggunakan kata kunci dan dan disaring lagi berdasarkan kriteria inklusi  dan didapatkan hasil literatur yang memenuhi syarat sebanyak 20 jurnal.Kesimpulan: demikian dapat disimpulkan bahwa ada pengaruh penyuluhan terhadap ibu hamil tentang pemberian asi kolostrum. Kata kunci: pengaruh penyuluhan,asi ekslusif dan exclusive breastfeeding.

scholarly journals Comparison of Nifedipine and Isoxsuprine to Cervical Length in Threatened Preterm Labor

2021 ◽  
Vol 4 (1) ◽  
pp. 56-63
Author(s):  
Triyoga Pramadana ◽  
◽  
Anita Rachmawati ◽  
Dini Pusianawati
Keyword(s):  
Pregnant Women ◽  
General Hospital ◽  
Preterm Labor ◽  
Cervical Length ◽  
P Value ◽  
Inclusion Criteria ◽  
Key Word ◽  
Before And After ◽  
Threatened Preterm Labor ◽  
Length Changes

Objective: This study aimed to determine differences in cervical length changes between administration of nifedipine and isoxsuprine. Method: Subjects of the study were pregnant women who meet the inclusion criteria (n=16). Treatments were given for 48 hours. Parameters measured was the cervical length before and after the administration of nifedipine and isoxsuprine. This study was conducted in Dr. Hasan Sadikin General Hospital from January until April 2020. Result: Less shortening of the cervical length after administration of tocolytic isoxsuprin for 48 hours compared with tocolytic nifedipine and statistically significant with p value of 0.0001 (p<0.05) using Paired T tests. Conclusion: Isoxsuprin is more effective to prevent shortening of the cervical length compared to nifedipine in cases of threatened preterm labor. Key word: Nifedipine, Isoxsuprine, cervical length, threatened preterm labor

scholarly journals Through the Looking Glass Space to New Ways of Knowing: A Personal Research Narrative

2015 ◽  
Author(s):  
Gabrielle Brand
Keyword(s):  
Qualitative Research ◽  
Health Professional ◽  
Health Care Professionals ◽  
Historical Context ◽  
Ways Of Knowing ◽  
Research Process ◽  
Value Systems ◽  
Research Experience ◽  
Looking Glass ◽  
Personal Research

This article describes how writing personal research narratives during my doctoral research journey challenged my role as a health professional and my personal beliefs and values in fundamental ways. In qualitative narrative inquiry, the reflexive account of the research experience is a key element in conducting ethical, rigorous, and meaningful forms of qualitative research. However, as a novice researcher, I was unprepared for the unlearning journey I experienced during the research process. This uncomfortable experience cut to the core of my identity by dismantling unexamined belief and value systems that lay dormant and hidden from my everyday consciousness as a health professional. In the spirit of transparency, reflexivity and “good” qualitative research, this article presents an explicit account of my exquisite and sometimes excruciating reflexive research journey that profoundly changed how I relate and work with people. I believe health care professionals should adopt a narrative view of experience that creates the “looking glass space” to locate their own stories within the broader socio-cultural and historical context of their lives, especially in relation to their health professional identity. Exchanging diminishing dialogue with deeper dialogue honours both the complexities of young peoples’ lives and social worlds and encompasses socially-conscious methodologies of promise and hope.

scholarly journals Overview of Nutritional Status of Pregnant Women with Preeclampsia: Case Study in Aru Islands Regency, Dobo City, Southeast Maluku

2021 ◽  
Vol 5 (3) ◽  
pp. 209-217
Author(s):  
Rifatolistia Tampubolon ◽  
Hapsari Probowati ◽  
Judith Devi Manutilaa
Keyword(s):  
Blood Pressure ◽  
Qualitative Research ◽  
Body Weight ◽  
Nutritional Status ◽  
Pregnant Women ◽  
Quantitative Research ◽  
Quantitative And Qualitative Research ◽  
Risk Increase ◽  
Energy Excess

Background: Preeclampsia is a syndrome in terms of hypertension after 20-week pregnancy referring to a pregnant woman that previously had normal blood pressure, followed by having hypertension, proteinuria, edema and generally occurs in the third trimester of pregnancy. Preeclampsia is one of five main causes of maternal mortality up to 12% in the world as well. Objective: This study was conducted to describe nutritional status of pregnant women with preeclampsia in Aru Islands Regency, Dobo City, Southeast Maluku. Methodology: This study used mix methods, namely, quantitative and qualitative research with Case Study design. Qualitative research was to determine nutritional status of pregnant women with preeclampsia and quantitative research was to record nutrition intake of pregnant women and measure nutritional status of pregnant women with preeclampsia. Results & Discussion: Characteristics of participants with preeclampsia were more than 27 years old, worked as housewife that could be one of stress triggers and had some risk to increase preeclampsia cases because of stress that caused blood pressure increase. Preeclampsia was detected in pregnancy term of participants about 20-30 weeks according to Maternal and Child Health data. Preeclampsia risk was doubly by every increase in body weight (5-7 kg). Participants had body weight increase ranging from 8-25 kg which caused preeclampsia risk increase. Parameters of recommended dietary allowances of pregnant women including energy excess, protein deficit, fat excess, calcium and zinc deficiency were secondary factor of preeclampsia risk increase in Aru Islands Regency, Dobo City, Southeast Maluku.

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