scholarly journals Dietary patterns are associated to pre-gestational obesity in pregnant women

2021 ◽  
Vol 14 (3) ◽  
pp. 1-14
Author(s):  
Clarisse Vasconcelos de Azevedo ◽  
Soraia Pinheiro Machado Arruda ◽  
Natalia Sales de Carvalho ◽  
Daniela Vasconcelos de Azevedo ◽  
Anna Carolina Sampaio Leonardo ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Food Consumption ◽  
Prevalence Ratio ◽  
Cross Sectional Study ◽  
The Body ◽  
Eating Patterns ◽  
Cross Sectional ◽  
Risk Pregnancy ◽  
Main Components ◽  
Estimation Of Variance

This study aimed to evaluate the association between the eating patterns and the pre gestational obesity in pregnant women from Fortaleza, Ceará. The method used was a cross-sectional study with 401 pregnant women between 19 and 45 years old, treated in a hospital that is a reference in the care of risk pregnancy and in eight health units in Fortaleza, Ceará. Food consumption was investigated using a validated food frequency questionnaire, and the eating patterns were identified using factor analysis for main components, followed by Varimax orthogonal rotation. Obesity was measured according to the body mass index (BMI). Poisson Regression with robust estimation of variance was used to estimate the prevalence ratio of eating patterns in relation to pre gestational obesity, adjusted by sociodemographic variables. Four main eating patterns were identified: “healthy cearense”, “rich in protein”, “snacks” and “popular”. A higher adherence to the “healthy cearense” pattern was associated to a higher prevalence of pre gestational obesity (PR: 1,33; CI 95% 1,01-1,77), the greater adherence to the “popular” pattern was related to the lower prevalence of pre-pregnancy obesity (PR: 0.69; 95% CI 0.51-0.92). It was concluded that there are four main food consumption patterns in the pregnant women from Fortaleza that were studied and the associations between the “healthy cearense” and “popular” patterns and pre gestational obesity were shown.

scholarly journals Fetomaternal outcome in pregnancies complicated by fibroid

2021 ◽  
Vol 10 (8) ◽  
pp. 3174
Author(s):  
Leimapokpam Roshan Singh ◽  
Kaushik Mahajan ◽  
Nandeibam Balchand Singh ◽  
Wairokpam Prabinkumar Singh ◽  
Kabita Athokpam ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Placenta Previa ◽  
Uterine Fibroids ◽  
Clinical History ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
General Physical Examination ◽  
Obstetrics And Gynaecology ◽  
Risk Pregnancy ◽  
General Physical

Background: Fibromyoma (leiomyoma) is the most common benign tumour of the uterus. Approximately 10% to 30% of women with uterine fibroids developed complications during pregnancy. The aim of the study was planned to ascertain the fetomaternal outcome in pregnancies complicated by fibroid.Methods: A hospital based cross-sectional study was conducted among pregnant women with documented uterine fibroid who was admitted for any complication or delivered in the department of obstetrics and gynaecology, RIMS, Imphal from September 2017 to August, 2019 in the department of obstetrics and gynaecology in collaboration with department of paediatrics, Regional institute of Medical Sciences, Imphal. Detailed clinical history and socio-demographic profile were recorded in pre-designed proforma. General physical examination and systemic examination and obstetrical examination was carried out for the participants.Results: Major proportions was in the age group of 30-39 years (73.9%). Fibroids were more frequent in primigravida (76.1%) followed by P1 (15.2%) and ≥P2 (8.7%). Out of 46 patients 43 (93.5%) delivered by CS (69.76%), NVD (25.58%) and instrumental delivery (4.65%) while 3 patients (6.5%) undergo spontaneous abortions. Most common myoma found in this study was intramural (47.8%) followed by submucous (34.8%) and subserosal (17.4%). Out of 43 deliveries most common complications found was atonic PPH (6.97%) and placenta previa (6.97%) followed by degenerations (2.32%), abruptio placentae (2.32%), malpresentations (2.32%). Out of 43 deliveries 6.9% baby born with low birth weight, IUGR (6.9%), IUFD (4.6%), NICU admission (4.65%) and early neonatal death (2.32%).Conclusions: Pregnancies with fibroids are considered as high-risk pregnancy associated with complications during the antepartum, intrapartum, postpartum period. Pregnant women with myoma can be advised for regular ANC along with TAS for early diagnosis and management of complication.

scholarly journals Overweight and obesity in preschoolers: Prevalence and relation to food consumption

2017 ◽  
Vol 63 (2) ◽  
pp. 124-133 ◽  
Author(s):  
Aretha Matos de Araujo ◽  
Socorro Adriana de Sousa Meneses Brandão ◽  
Marcos Antônio da Mota Araújo ◽  
Karoline de Macêdo Gonçalves Frota ◽  
Regilda Saraiva dos Reis Moreira-Araujo
Keyword(s):  
Food Consumption ◽  
Dairy Products ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
The Body ◽  
Chocolate Milk ◽  
Obesity Prevalence ◽  
Anthropometric Parameters ◽  
Cross Sectional ◽  
Significance Level

Summary Objective: To determine overweight and obesity prevalence in preschool children from public education, and to determine their relation to food consumption. Method: Cross-sectional study with children aged between 2 and 5 years, of both sexes, enrolled at municipal day care centers. Socioeconomic, demographic and anthropometric data were collected, in order to calculate the body mass index (BMI) for age. Data on food consumption were assessed using a Food Frequency Questionnaire. χ2 test, Kruskal-Wallis test, Student's t-test and Pearson's correlation were used at a significance level of 5%. Results: Of 548 children, 52% were male, with mean age of 4.2 years old. Most families had incomes between 1 and 2 minimum wages (59.7%), in addition to 10 years (mothers) of education. Anthropometric parameters did not differ significantly between sexes. According to the BMI-for-age, it was found that most of children were well-nourished (85.2%), 8.2% had the risk of becoming overweight, and 4.2% were overweight. The most consumed foods were: rice (100%), beans (99.4%), bread (98.5%), fruit (98.5%), red meat (97.1%), butter and margarine (95.4%), biscuits, cakes and sweet pies (94.1%), dairy products (94.1%), chocolate milk (91.7%), and soft drinks (90.2%). Consumed foods that were strongly correlated (r > 0.7) to the risk of/excess weight were, as follows: bread; biscuits, cakes, sweet pies; dairy products; chocolate milk; sausages. Conclusion: There was low prevalence of overweight and absence of obesity among the population assessed. The risk of overweight was greater among girls. Data from the study showed deviations in food consumption.

scholarly journals Risk status of pregnant women in rural areas of Belagavi: a cross sectional study

2019 ◽  
Vol 6 (6) ◽  
pp. 2350
Author(s):  
Katherine J. Bernard ◽  
Sulakshana Baliga
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
High Risk Pregnancy ◽  
Cross Sectional ◽  
Risk Status ◽  
Factors Associated ◽  
Risk Pregnancy ◽  
Status Assessment

Background: ‘High-risk’ pregnancies account for a significant proportion of perinatal morbidity and mortality worldwide. Simple prenatal scoring systems can be used to assess risk status of pregnancy and inform subsequent management. Their use in rural areas and low-resource settings could be of particular benefit. This study employed pregnancy risk status assessment in one such area of rural India. The objectives of the study were to estimate the prevalence of low, moderate and high-risk pregnancy among women in a rural area of Belagavi and to identify factors associated with high-risk pregnancy status.Methods: This community-based cross-sectional study was undertaken among 105 pregnant women of all trimesters presenting to antenatal clinics in the Kinaye area of Belagavi, Karnataka, during July 2018. Information on risk factors and socio-demographic details were collected using a questionnaire, and individual risk scores calculated through a scoring system. This was used to estimate prevalence of low, moderate and high-risk status among participants, and subsequently compared against selected variables to identify factors associated with high risk pregnancy status.Results: Prevalence of high-risk pregnancy among participants was 31.4%, moderate-risk 30.5%, low-risk 29.5% and ‘no risk’ 8.6%. Maternal undernutrition was an important factor associated with high-risk pregnancy.Conclusions: This study highlights the need for early identification and appropriate management of such cases, in order to prevent adverse perinatal outcomes. The prenatal scoring system used in this study offers a simple method for risk status assessment in pregnant women of all trimesters, suited for use in antenatal clinics in rural areas of India.

scholarly journals Prevalence of and factors associated with receipt of provider recommendation for influenza vaccination and uptake of influenza vaccination during pregnancy: cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alexandra Brixner ◽  
Susanne Brandstetter ◽  
Merle M. Böhmer ◽  
Birgit Seelbach-Göbel ◽  
Michael Melter ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
Vaccine Uptake ◽  
Health Study ◽  
Health Services Use ◽  
Cross Sectional ◽  
Vaccination Uptake ◽  
Risk Pregnancy ◽  
Vaccination Recommendation

Abstract Background Seasonal influenza vaccination has been recommended for pregnant women in Germany since 2010. The aim of this study was to examine prevalence and determinants of receipt of provider recommendation for influenza vaccination as well as influenza vaccination uptake during pregnancy. Methods We analysed data from the “KUNO Kids Health Study”, a prospective birth cohort. During the study period (5th July 2015 to 27th June 2018) data were collected from participating mothers by interview and questionnaire. According to Andersen’s behavioural model of health services use potential influencing factors describing the circumstances and characteristics of the mothers and their pregnancies which are potentially affecting whether women receive a recommendation for a vaccination or whether they utilize influenza vaccination were classified into three domains: ‘predisposing characteristics’, ‘enabling resources’ and ‘need’. Using multivariable logistic regression models odds ratios (OR) and corresponding 95% confidence intervals (95% CI) were calculated. Results As a combined result across three flu seasons, 368 of 1814 (20.3%) women received an influenza vaccination recommendation during pregnancy. Having had a high-risk pregnancy increased the odds of receiving a vaccination recommendation (OR = 1.3; 95% CI = 1.0–1.6; p = 0.045). In contrast, pregnancy onset in summer (OR = 0.7; 95% CI = 0.5–1.0; p = 0.027), autumn (OR = 0.4; 95% CI = 0.3–0.5; p < =0.001) or winter (OR = 0.5; 95% CI = 0.3–0.6; p < =0.001) (compared to spring) as well as mother’s birthplace outside Germany (OR = 0.6; 95% CI = 0.4–0.9; p = 0.023) reduced the chance of getting a vaccination recommendation. Two hundred forty-two of one thousand eight hundred sixty-five (13%) women were vaccinated against influenza during pregnancy. Having received a vaccination recommendation was strongly associated with vaccination uptake (OR = 37.8; 95% CI = 25.5–55.9; p < =0.001). Higher health literacy status was also associated with a higher chance of vaccination uptake (OR = 1.7; 95% CI = 1.2–2.6; p = 0.008), whereas pregnancy onset in autumn (compared to spring) reduced the chance (OR = 0.5; 95% CI = 0.3–0.8; p = 0.008). Conclusions At 13% the uptake rate of influenza vaccination is low. Having received a recommendation to vaccinate was strongly associated with uptake but only one fifth of all mothers report such a recommendation. Raising awareness in physicians regarding vaccinating during pregnancy seems to be of essential importance to increase vaccine uptake and to prevent influenza-related complications in pregnant women.

scholarly journals Low neutrophil-to-lmphocyte ratio decreases risk of coronavirus disease in pregnant women

2020 ◽  
Vol 39 (2) ◽  
pp. 88
Author(s):  
Nutria Widya Purna Anggraini ◽  
Sri Sulistyowati
Keyword(s):  
Pregnant Women ◽  
Prevalence Ratio ◽  
Cross Sectional Study ◽  
Test Results ◽  
Global Public Health ◽  
Cross Sectional ◽  
Rapid Tests ◽  
Coronavirus Infection ◽  
Polymerase Chain ◽  
The Relationship

<div class="WordSection1">BACKGROUND<br />Coronavirus Infection 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is an emergency condition for global public health. Early detection of COVID-19 in pregnant women is needed. The neutrophil-to-lymphocyte ratio (NLR), as a marker of viral inflammatory response, is used to determine the presence of a viral or bacterial infection, both acute and chronic. The objective of this study was to determine the relationship between NLR and the polymerase chain reaction (PCR) swab test results in pregnant women with suspected coronavirus disease 2019.<br /><br />METHODS<br />A cross-sectional study was conducted on 9 pregnant women with suspected COVID-19. The subjects were inpatients at Moewardi Hospital Surakarta from 19 April-19 May 2020, who had rapid tests, complete blood examinations, and PCR swab tests. The NLR was categorized based on early warning scores according to research developed at Zhejiang University, with cut-off point 5.8. Diagnosis of COVID-19 was confirmed by PCR swab tests. Relation between NLR   and PCR swab results was analyzed by the prevalence ratio.<br /><br />RESULTS<br />Two patients (22.2%) had NLR &gt;5.8, with positive swab results in both (100%). Seven patients with NLR &lt;5.8 had positive swabs in only one (33.3%). The relationship between NLR and PCR swab test results showed a prevalence ratio of 0.143 (95% CI 0.023-0.877).<br /><br />CONCLUSION<br />Pregnant women with NLR &lt; 5.8 had a decreased risk of COVID-19. Routine blood examination is more suitable for finding pregnant women with suspected COVID-19.</div>

scholarly journals Dietary patterns and significance of nutrition for women with low-risk pregnancy

2017 ◽  
Vol 30 (2) ◽  
pp. 219-231 ◽  
Author(s):  
Natália Sales de CARVALHO ◽  
Soraia Pinheiro Machado ARRUDA ◽  
Letícia Maria Rodrigues RAMOS ◽  
Marcia Maria Tavares MACHADO ◽  
Daniela Vasconcelos de AZEVEDO
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Dietary Patterns ◽  
Word Association ◽  
Eating Habits ◽  
Soft Drink ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Significance Level ◽  
Risk Pregnancy

ABSTRACT Objective: To evaluate dietary patterns and significance of diet for pregnant women. Methods: Cross-sectional study carried out in eight health units in Fortaleza, Ceará, Brazil, with 201 pregnant women. The following instruments were used: a socio-economic and health questionnaire, the Free-Word Association Test, and a Food Frequency Questionnaire. Dietary patterns were identified using principal components and factor analysis. Poisson regression with 5% significance level was used. Results: Three dietary patterns were identified: current Brazilian pattern (beans, rice, processed meats, fats, refined grains, pasta and pastries, soft drink, sugar and sweets, cookies and crackers); healthy pattern (fruits and fruit juices, vegetables, whole grains, seafood, dairy products); and energy-rich pattern (salty deep-fried snacks, popcorn, packaged snacks, instant noodles, tubers, and chicken). Women who did not receive nutrition guidance during prenatal care showed less chance of adherence to the current Brazilian dietary pattern (PR=0.87), and therefore their level of consumption of foods commonly present in Brazilian diets was low. For most women, the significance of diet was reported as important and healthy, but it was not associated with any of the diet patterns identified. However, the women who did not consider that during pregnancy diet should be healthy showed greater chance of adherence to the energy-rich pattern (PR=1.18). This finding deserves special attention since excessive weight gain can have a negative effect on pregnancy. Conclusion: Nutrition guidance during prenatal care and the way pregnant women perceive their eating habits can influence their food choices during pregnancy.

scholarly journals High-risk pregnancy: clinical-epidemiological profile of pregnant women attended at the prenatal service of the Public Maternity Hospital of Rio Branco, Acre

2018 ◽  
Vol 18 (3) ◽  
pp. 559-566
Author(s):  
Aline Fernanda Silva Sampaio ◽  
Maria José Francalino da Rocha ◽  
Elaine Azevedo Soares Leal
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Gestational Hypertension ◽  
Maternity Hospital ◽  
Cross Sectional Study ◽  
Chronic Hypertension ◽  
Cross Sectional ◽  
The Public ◽  
Risk Pregnancy ◽  
Epidemiological Profile

Abstract Objectives: to describe the clinical and epidemiological profile of the pregnant women treated at the high-risk prenatal service of the Public Maternity Hospital of Rio Branco, Acre Methods: a cross-sectional study of326pregnant women attended at the Rio Branco high risk prenatal outpatient clinic from April to May 2016. Interviews were conducted with a structured questionnaire. Results: the results showed that the mean age of women was 28 years old, schooling equal to or higher than high school (58.8%), married / stable union (81.7%), unemployed (50%); (26.4%), four or more pregnancies (32.8%), prenatal start with gestational age <12 weeks (69.3%), and 3 to 5 prenatal consultations (58%). The most frequent clinical antecedents were obesity (35%) and chronic hypertension (8%). The most frequent clinical and obstetric complications were urinary tract infection (39.9%), weight gain (30.4%), anemia (14%), threat of abortion (11%) and gestational hypertension (10.4%) Conclusions: knowledge about the clinical-epidemiological profile of high-risk pregnant women helps to create strategic health services instruments and, consequently, to reduce maternal mortality.

scholarly journals High Prevalence of Human Papillomavirus Infection among Brazilian Pregnant Women with and without Human Immunodeficiency Virus Type 1

2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
Emilia Moreira Jalil ◽  
Geraldo Duarte ◽  
Patrícia El Beitune ◽  
Renata Toscano Simões ◽  
Patrícia Pereira dos Santos Melli ◽  
...  
Keyword(s):  
Viral Load ◽  
Pregnant Women ◽  
Prevalence Ratio ◽  
Hpv Infection ◽  
Cross Sectional Study ◽  
Hiv Positive ◽  
Hiv Viral Load ◽  
Cross Sectional ◽  
Hpv Dna ◽  
Hiv Negative

Objective. To estimate HPV prevalence among pregnant women from Ribeirão Preto, Brazil, and the possible influence of HIV-1 infection on this prevalence.Methods. A cross-sectional study with 44 HIV-positive and 53 HIV-negative pregnant women was conducted. Cervicovaginal specimens were obtained from all women during gynecologic exam. HPV DNA, low and high risk HPV types, was detected using conventional PCR. Statistical analysis used Student'st-test, Mann-Whitney test, Fischer's Exact test, and prevalence ratios with 95% confidence interval.Results. HIV-positive pregnant women had higher proportion of HPV infection than HIV-negative pregnant women (79.5% versus 58.5%;P<.05). HPV positivity prevalence ratio for HIV-positive women was 1.36 (95% CI 1.04–1.8;P=.03). There was significant association between HIV viral load levels and HPV positivity (P<.05).Conclusions. Our results demonstrate higher HPV positivity in HIV-infected pregnant women. Higher values of HIV viral load were associated with HPV positivity.

scholarly journals Frequency of "Snacking", Consumption of Junk Food and Screen Time with the Incidence of Overweight in Students

2021 ◽  
Vol 3 (1) ◽  
pp. 193-199
Author(s):  
M. Ikhsan Amar ◽  
Sulistyani Meita Dewi
Keyword(s):  
Food Consumption ◽  
Screen Time ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
The Body ◽  
Junk Food ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

Adolescents who experience nutritional status are more due to the behavior of eating a lot but not doing physical activity so what happens is that the energy that enters the body is not appropriate and far more than the energy used for activity and growth. The purpose of this study was to determine the relationship between Frequency of "Snacking", Consumption of Junk Food, Screen Time with Overweight Incidence in UPN Veteran Jakarta Students. The method in this research was quantitative and used a cross sectional study design. The sample in this study was 38 samples with the simple random sampling technique. The instrument in this study was to use a questionnaire. Based on the results, there were 36.8% of subjects with more nutrition. Based on the results of the chi square test, it shows that there is a relationship between junk food consumption (p = 0,014) and screen time (p = 0,030) with the incidence of overweight. Meanwhile, the frequency of "snacking" there was no relationship with the incidence of overweight (p = 0,093). The conclusion is that there is a relationship between junk food consumption and screen time with the incidence of overweight in adolescents. There is no relationship between the frequencies of "snacking" with the incidence of overweight in adolescents.

scholarly journals An Assessment of the Level of COVID-19 Anxiety among Pregnant Women in Poland: A Cross-Sectional Study

2021 ◽  
Vol 10 (24) ◽  
pp. 5869
Author(s):  
Kinga Janik ◽  
Urszula Cwalina ◽  
Grażyna Iwanowicz-Palus ◽  
Mateusz Cybulski
Keyword(s):  
Anxiety Disorder ◽  
Pregnant Women ◽  
Health Anxiety ◽  
Cross Sectional Study ◽  
The Body ◽  
Future Health ◽  
Cross Sectional ◽  
General Anxiety Disorder ◽  
General Anxiety ◽  
Expectant Mothers

Introduction: The COVID-19 pandemic has caused general anxiety worldwide. Pregnant women are at a much higher risk of developing the infection due to multiple changes that occur in the body during this period. The consequences of the disease can be dramatic not only for the expectant mothers, but also for their unborn children. SARS-CoV-2 infection is generally known to cause serious concerns about future health and life. The data on the severity of COVID-19 pandemic-related anxiety in pregnant women are insufficient. The aim of the study was to assess the level of COVID-19-related anxiety among pregnant women in Poland. Materials and Methods: The study included 173 pregnant women who volunteered for the research. The research was conducted by means of an online diagnostic survey containing an original questionnaire and the following standardized tools: State-Trait Anxiety Inventory (STAI), Short Health Anxiety Inventory (SHAI), and General Anxiety Disorder-7 (GAD-7). Results: Women hospitalised during pregnancy differed statistically significantly in terms of STAI-X1 scores. Primiparas obtained statistically significantly higher SHAI scores than multiparas. Women with higher education had higher SHAI scores. In the GAD-7 scale, 13.3% of respondents obtained a score suggesting a suspected generalised anxiety disorder. Conclusions: Pregnant women are concerned about both developing COVID-19 and the consequences of infection for themselves and their unborn children. The study demonstrated anxiety of varying severity (depending on the tool used). Hospital stay during pregnancy is an additional stressor in expectant women. Further studies are needed to assess the level of COVID-19-related anxiety to assess this phenomenon in Poland in more detail.

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