AN EVALUATION OF THE POSTPARTUM SEXUAL LIVES OF PRIMIPAROUS WOMEN

SummaryA panel of haemostatic tests was perfomed on 400 primiparous women at 28 weeks to test whether one or more could predict the development of pregnancy complications. Fifteen women subsequently developed pre-eclampsia with significant proteinuria and 13 delivered growth retarded infants. There were no significant differences between mothers in the pre-eclampsia group and 22 randomly selected controls. A stepwise logistic discriminant analysis of the data did not produce a significant model. In the growth retarded group only beta thromboglobulin levels were significantly lower than in the controls (p <0.05), although in the logistic discriminant analysis the inclusion of both beta thromboglobulin and fibrin degradation products led to a borderline significant improvement in fit of the model. We conclude that the haemostatic variables studied are not significantly changed at 28 weeks nor clinically useful predictors of either pre-eclampsia or fetal growth retardation.

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The Effect of Reflexology on Labor Pain and Length Among Primiparous Women: A Randomized Controlled Trial

International Electronic Journal of Medicine ◽

10.31661/iejm805 ◽

2018 ◽

Vol 7 ◽

Author(s):

Azita Kamjoo

Keyword(s):

Controlled Trial ◽

Intervention Group ◽

Active Phase ◽

Labor Pain ◽

Control Group ◽

Singleton Pregnancy ◽

Group Data ◽

Significant Difference ◽

Labor Length ◽

Primiparous Women

Background: Pain control is considered as the key issue in modern midwifery. Along with medical painkillers, reflexology is viewed as a non-medical and noninvasive method. Hence, we aimed to investigate the effect of reflexology on the intensity of pain and length of labor. Materials and Methods: In this clinical trial, participants included 240 Iranian primiparous women with term and singleton pregnancy. Having a 3-4 cm cervical dilatation once they visited the hospital. Through a convenient sampling method, they were selected and then randomly divided into two groups. In the intervention group, reflexology was performed, and the intensity of pain during the active phase of labor along with the length of labor in the active phase was measured by visual analog scale (VAS) and compared with the control group. Data were analyzed using descriptive statistics, t-test, and Mann-Whitney U-test. Result: Data analysis showed a statistically significant difference between the intensity of pain in the 5-7 and 8-10 cm dilatation in the two groups (P=0.01). Moreover, the labor length in the active phase was found to be significantly shorter in the intervention group (P<0.001). Conclusion: It appears that reflexology can lead to a reduction in the pain and length of labor. Therefore, through instructing this technique, a goal of midwifery, which is reducing labor pain and its length can be achieved. Keywords: Reflexology, Labor Pain, Labor Length, Primiparous Women

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Outcome of two sequential singleton pregnancies and twin pregnancies among primiparous women at advanced age undergoing IVF

Archives of Gynecology and Obstetrics ◽

10.1007/s00404-020-05700-5 ◽

2020 ◽

Vol 302 (5) ◽

pp. 1113-1119

Author(s):

Nizan Mor ◽

Ronit Machtinger ◽

Yoav Yinon ◽

Shlomo Toussia-Cohen ◽

Daphna Amitai Komem ◽

...

Keyword(s):

Advanced Age ◽

Twin Pregnancies ◽

Primiparous Women ◽

Singleton Pregnancies

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The role of prepregnancy pelvic floor dysfunction in postnatal pelvic morbidity in primiparous women

International Urogynecology Journal ◽

10.1007/s00192-014-2381-2 ◽

2014 ◽

Vol 25 (10) ◽

pp. 1363-1374 ◽

Cited By ~ 13

Author(s):

C. M. Durnea ◽

A. S. Khashan ◽

L. C. Kenny ◽

S. S. Tabirca ◽

B. A. O’Reilly

Keyword(s):

Pelvic Floor ◽

Pelvic Floor Dysfunction ◽

Primiparous Women

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OC09.04: Antenatal pelvic floor biometry associated with levator ani muscle injury in primiparous women

Ultrasound in Obstetrics and Gynecology ◽

10.1002/uog.15009 ◽

2015 ◽

Vol 46 ◽

pp. 20-20

Author(s):

S.S. Chan ◽

R. Cheung

Keyword(s):

Pelvic Floor ◽

Muscle Injury ◽

Levator Ani ◽

Levator Ani Muscle ◽

Levator Ani Muscle Injury ◽

Primiparous Women

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Women’s empowerment and elective cesarean section for a single pregnancy: a population-based and multivariate study in Vietnam

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-03482-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Myriam de Loenzien ◽

Quoc Nhu Hung Mac ◽

Alexandre Dumont

Keyword(s):

Cesarean Section ◽

Partner Violence ◽

Negative Impact ◽

Mode Of Delivery ◽

Women's Empowerment ◽

Women’S Empowerment ◽

Elective Cesarean Section ◽

Multiparous Women ◽

Elective Cesarean ◽

Primiparous Women

Abstract Background Women’s empowerment, and maternal and neonatal health are important targets of the Sustainable Development Goals. Our objective is to examine the relationship between women’s empowerment and elective cesarean section (ECS), focusing on Vietnam, a country where the use of CS has increased rapidly in recent decades, which raises public health concerns. Methods We hypothesized that in the context of the developing biomedicalization of childbirth, women’s empowerment increases the use of ECS due to a woman’s enhanced ability to decide her mode of delivery. By using microdata from the 2013–2014 Multiple Indicator Clusters Survey, we conducted a multivariate analysis of the correlates of ECS. We studied a representative sample of 1343 institutional single birth deliveries. Due to higher ECS rates among multiparous (18.4%) than primiparous women (10.1%) and the potential interaction between parity and other correlates, we used separate models for primiparous and multiparous women. Results Among the indicators of women’s external resources, which include a higher level of education, having worked during the previous 12 months, and having one’s own mobile phone, only education differed between primiparous and multiparous women, with a higher level among primiparous women. Among primiparous women, no resource indicator was significantly linked to ECS. However, considering women’s empowerment facilitated the identification of the negative impact of having had fewer than 3 antenatal care visits on the use of ECS. Among multiparous women, disapproval of intimate partner violence (IPV) was associated with a doubled likelihood of undergoing ECS (odds ratio = 2.415), and living in an urban area also doubled the likelihood of ECS. The positive association with living in the richest household quintile was no longer significant when attitude towards IPV was included in the model. In both groups, being aged 35 or older increased the likelihood of undergoing ECS, and this impact was stronger in primiparous women. Conclusions These results underline the multidimensionality of empowerment, its links to other correlates and its contribution to clarifying the influence of these correlates, particularly for distinguishing between medical and sociocultural determinants. The results advocate for the integration of women's empowerment into policies aimed at reducing ECS rates.

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The effect of face-to-face and virtual prenatal care training of spouses on the pregnancy experience and fear of childbirth of primiparous women: A controlled quasi-experimental study

Journal of Telemedicine and Telecare ◽

10.1177/1357633x211024101 ◽

2021 ◽

pp. 1357633X2110241

Author(s):

Zari Doaltabadi ◽

Leila Amiri-Farahani ◽

Seyedeh Batool Hasanpoor-Azghady ◽

Shima Haghani

Keyword(s):

Prenatal Care ◽

Fear Of Childbirth ◽

Virtual Training ◽

Face To Face ◽

Significant Difference ◽

Quasi Experimental ◽

Care Training ◽

The Mean ◽

And Control ◽

Primiparous Women

Introduction The spouse has a special role in promoting the health of mothers and infants during pregnancy, childbirth, and postpartum. Women's health during pregnancy requires the participation and cooperation of their spouses. Therefore, this study was conducted to determine the effect of face-to-face and virtual prenatal care training of spouses on the pregnancy experience and fear of childbirth of primiparous women. Methods This is a quasi-experimental clinical trial that was conducted on primiparous pregnant women referring to three prenatal clinics in Tehran, Iran. Sampling was done by available method and pregnant women were divided into three groups of face-to-face training ( n = 35), virtual training ( n = 35), and control ( n = 33). The content of training program in the virtual and face-to-face groups was similar and included; nutrition during pregnancy, emotional support, fetal growth and development, advantages and disadvantages of vaginal delivery, planning for delivery, infant care, and danger signs for infants, which were presented in four sessions. The samples in the control group did not receive any training. In the 18th and 20th weeks of pregnancy, the demographic information form, pregnancy experience scale, and version A of the Wijma delivery expectancy/experience questionnaires were completed, and once again in the 37th and 38th weeks of pregnancy, the pregnancy experience scale and version A of the Wijma delivery expectancy/experience questionnaires were completed. Results There was a statistically significant difference in the mean score of pregnancy experience after the intervention between the face-to-face training and control groups ( p = 0.001). There was a statistically significant difference in the mean score of uplifts between the two groups of face-to-face training and control ( p = 0.01), and also between virtual training and control groups ( p = 0.02). There was a statistically significant difference between the two groups of face-to-face training and control in terms of and hassles score after the intervention ( p = 0.04). There was a statistically significant difference between the two groups of face-to-face training and control ( p = 0.02) and also between virtual training and control ( p = 0.04) in terms of the mean score of fear of childbirth after the intervention. Conclusion The results of this study showed that teaching prenatal care to spouses of primiparous women by face-to-face and virtual methods can be a useful intervention in improving the pregnancy experience and reducing the fear of childbirth among primiparous women.

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Association between Birth Plan Use and Maternal and Neonatal Outcomes in Southern Spain: A Case-Control Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18020456 ◽

2021 ◽

Vol 18 (2) ◽

pp. 456

Author(s):

Pedro Hidalgo-Lopezosa ◽

Ana María Cubero-Luna ◽

Andrea Jiménez-Ruz ◽

María Hidalgo-Maestre ◽

María Aurora Rodríguez-Borrego ◽

...

Keyword(s):

Pregnant Women ◽

Case Control Study ◽

Neonatal Resuscitation ◽

Case Control ◽

Neonatal Outcomes ◽

Southern Spain ◽

Retrospective Case ◽

Apgar Scores ◽

Primiparous Women ◽

Control Study

Background: Birth plans are used for pregnant women to express their wishes and expectations about childbirth. The aim of this study was to compare obstetric and neonatal outcomes between women with and without birth plans. Methods: A multicentre, retrospective case–control study at tertiary hospitals in southern Spain between 2009 and 2013 was conducted. A total of 457 pregnant women were included, 178 with and 279 without birth plans. Women with low-risk gestation, at full-term and having been in labour were included. Sociodemographic, obstetric and neonatal variables were analysed and comparisons were established. Results: Women with birth plans were older, more educated and more commonly primiparous. Caesarean sections were less common in primiparous women with birth plans (18% vs. 29%, p = 0.027); however, no significant differences were found in instrumented births, 3rd–4th-degree tears or episiotomy rates. Newborns of primiparous women with birth plans obtained better results on 1 min Apgar scores, umbilical cord pH and advanced neonatal resuscitation. No significant differences were found on 5 min Apgar scores or other variables for multiparous women. Conclusions: Birth plans were related to less intervention, a more natural process of birth and better outcomes for mothers and newborns. Birth plans can improve the welfare of the mother and newborn, leading to birth in a more natural way.

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The correlation between maternal age, parity, cardiac diastolic function and occurrence rate of pre-eclampsia

Scientific Reports ◽

10.1038/s41598-021-87953-x ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Dan Zhu ◽

Weiyu Chen ◽

Yuchen Pan ◽

Tingcui Li ◽

Ming Cui ◽

...

Keyword(s):

Pregnant Women ◽

Diastolic Function ◽

Maternal Age ◽

Left Ventricular ◽

Occurrence Rate ◽

Left Ventricular Ejection ◽

Second Trimester ◽

Ventricular Ejection Fraction ◽

Primiparous Women ◽

Effect Of Age

AbstractTo evaluate the effect of age and parity on maternal cardiac diastolic function in second trimester among pregnant women with normal left ventricular ejection fraction. To analyze the correlation between impaired diastolic function and pre-eclampsia. It had been suggested that maternal cardiac adaptations during pregnancy differed between nulliparous and primiparous women and also varied according to age. Impaired cardiac function may precede pre-eclampsia. Therefore, we examined the effects of parity and age on cardiac diastolic function during pregnancy and whether impaired diastolic function during the second trimester correlates with pre-eclampsia. Women with singleton pregnancies at 13 + 0 to 27 + 6 weeks’ gestation and left ventricular ejection fraction (LVEF) ≥ 50% were retrospectively identified. Diastolic function parameters were assessed using transthoracic echocardiography. Pre-eclampsia was identified from medical records. The effect of age and parity on maternal cardiac diastolic function as well as the correlation between impaired diastolic function and occurrence rate of pre-eclampsia were examined. 376 pregnant women were included (median age: 30 years; median gestational age: 14 weeks; 171 primiparous women). LVEF was 66%. Impaired cardiac diastolic function was seen in 7.8% of pregnant women < 35 years compared with 28.6% of those ≥ 35 years (p = 0.000). ROC curve showed women with maternal age over 32 began to have a higher rate of impaired cardiac diastolic function (AUC = 0.704, p = 0.000, sensitivity = 54.5%, specificity = 75.3%). There was no difference in diastolic function indices between maternal women grouped by parity. Higher maternal age was an independent risk factor of declining Em (p < 0.05). Em < 13 cm/s was significantly associated with pre-eclampsia occurrence (HR 8.56; 95% CI 3.40–21.57) after being adjusted for confounders. Maternal age is an independent risk factor for diastolic function decline. There is no difference in cardiac diastolic function between nulliparous women and primiparous women. Pre-eclampsia occurrence is significantly higher in patients with impaired diastolic function at mid-gestation. The application of risk grading using diastolic function at mid-gestation may improve the survival outcomes of pregnant women.

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