scholarly journals E. Canton & J. Ingegnieros. Locura del embarazo (Folie gravidiqne). Buenos. Aires. Br. 1903

1907 ◽  
Vol XIV (1) ◽  
pp. 115-117
Author(s):  
I. Skuridin
Keyword(s):  
Mental Disorder ◽  
Pregnant Women ◽  
Buenos Aires ◽  
Postpartum Women ◽  
General Group

Dr. E. Nicoulau, in No. 2 Annales Medico-Psychologiques, 1906, sets out the contents of the pamphlet by prof. E. Canto`a, and Dr J. Ingegnieros in Buenos Aires. The authors point out the serious importance for a woman of the function of childbearing in the development of psychosis. All stages of this function can give rise to the development of various forms of mental disorder that make up the general group of "PUEU-.moral psychosis", this includes, therefore, the insanity of pregnant women, postpartum women, women in labor and breastfeeding, as well as menstrual insanity, since menstruation can be examined like childbirth in miniature.

scholarly journals Identifying Mobile Health Technology Experiences and Preferences of Low-Income Pregnant Women with Diabetes

2021 ◽  
pp. 193229682199317
Author(s):  
Karolina Leziak ◽  
Eleanor Birch ◽  
Jenise Jackson ◽  
Angelina Strohbach ◽  
Charlotte Niznik ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Mobile Health ◽  
Low Income ◽  
Self Regulation ◽  
Health Inequities ◽  
Comparison Method ◽  
Rapid Expansion ◽  
Self Management ◽  
Postpartum Women ◽  
Design Elements

Background: Rapid expansion of mobile technology has resulted in the development of many mobile health (“mHealth”) platforms for health monitoring and support. However, applicability, desirability, and extent of tailoring of these platforms for pregnant women, particularly in populations who experience the greatest health inequities—such as women with diabetes mellitus (DM) and/or those with greater socioeconomic barriers—remains unknown. The objective is to understand low-income pregnant women’s experiences and preferences for mHealth tools to support DM health and improve DM self-management during pregnancy. Methods: Low-income pregnant and postpartum women were included in individual interviews or focus groups; women with type 2 DM, gestational DM, or no DM were included. Analysis was performed with the constant comparison method. Results: In this population of 45 ( N=37 with DM) low-income, largely minority, pregnant and postpartum women, 100% reported access to smartphones and prior experience with apps. Interest in mHealth to support health and engagement during pregnancy was high. Preferences for general mHealth features included education that reduces uncertainty, support communities, visualizing progress, convenient access to information, and support for better management of pregnancy-related tasks. Preferred design elements included personalization, interactive features, and integrated graphics. Women with DM expressed multiple additional DM-specific needs, including support tools for DM self-management and self-regulation tasks. Conclusion: Pregnant and postpartum women, especially those with DM, desire mHealth technology to support engagement and to adapt lifestyle guidelines and treatment requirements for a healthy pregnancy. Further work to develop mHealth interventions tailored for target populations remains a key step in reducing health inequities and promoting access to evidence-based perinatal health interventions.

Abstract WP186: Pregnancy Associated Hemorrhagic Strokes Differ in Mechanisms and Risk Factors Compared with Hemorrhagic Strokes in Non-pregnant Young Women and Men

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Eliza C Miller ◽  
Kathryn M Sundheim ◽  
Joshua Z Willey ◽  
Amelia K Boehme ◽  
Randolph S Marshall
Keyword(s):  
Risk Factors ◽  
Young Adults ◽  
Pregnant Women ◽  
Patient Characteristics ◽  
Postpartum Women ◽  
Stroke Registry ◽  
Good Outcome ◽  
Cerebral Vasoconstriction ◽  
History Of ◽  
Stroke Mechanism

Background: Pregnancy-associated hemorrhagic stroke (HS), while rare, is a significant cause of maternal mortality. Prior studies have suggested that the pathophysiology of HS may differ in pregnant/postpartum women when compared with HS in other young adults. Methods: We conducted a single-center retrospective analysis of a prospectively collected stroke registry, for patients aged 18-45, admitted with HS of any type from 01/2008-03/2015. We reviewed charts for study variables, including patient characteristics, risk factors, stroke mechanisms, and outcomes. Good outcome was defined as modified Rankin score of 0-2 at time of discharge. We compared study variables between three groups: pregnant/postpartum women, non-pregnant/postpartum women, and men. Results: Of 219 young adults with HS during the study period, 93 (42%) were men and 126 (58%) were women, of whom 19 (15.1%) were pregnant/postpartum. Among men, 58 (62.4%) had ICH and 41 (33.3%) had SAH, 31 (75.6%) of which were aneurysmal. Among non-pregnant women, 49 (45.8%) had ICH and 61 (57%) had SAH, 53 (87%) of which were aneurysmal. Among pregnant/postpartum women, 10 had ICH (52.6%) and 11 (57.9%) had SAH, 1 of which was aneurysmal. Compared with men and with non-pregnant women, pregnant/postpartum women had fewer vascular risk factors, were more likely to have history of migraine, and were more likely to have the reversible cerebral vasoconstriction syndrome as stroke mechanism (11/19, 57.9% versus 0/93 men and 2/107 non-pregnant women, p=0.0001). While there were no deaths in the pregnant/postpartum group, there were no significant differences between groups in good outcome (Table). Conclusions: In our analysis, pregnancy-associated hemorrhages were uniquely non-aneurysmal and associated with fewer cerebrovascular risk factors than age-matched men and non-pregnant women, suggesting there is a pregnancy-specific pathophysiology for HS that requires special consideration.

scholarly journals Iodine and iron status of pregnant women in Lubumbashi, Democratic Republic of Congo

2013 ◽  
Vol 16 (8) ◽  
pp. 1362-1370 ◽  
Author(s):  
Laurence Habimana ◽  
Kabange E Twite ◽  
Pierre Wallemacq ◽  
Philippe De Nayer ◽  
Chantal Daumerie ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Urban Area ◽  
Urban Areas ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Iodine Intake ◽  
Postpartum Women ◽  
Urinary Iodine Concentration ◽  
Third Trimester ◽  
Republic Of Congo

AbstractObjectiveAdequate iodine and Fe intakes are imperative during pregnancy to prevent fetal defects, but such data are not available in the Democratic Republic of Congo. We aimed to assess iodine and Fe status in pregnant women from Lubumbashi.DesignCross-sectional study. We measured urinary iodine concentration (UIC) in random urine samples using a modified Sandell–Kolthoff digestion method; the WHO reference medians were used to classify iodine intake as deficient, adequate, more than adequate or excessive. Serum ferritin concentrations were measured by immunoenzymatic assay and considered insufficient when <12 ng/ml.SettingMaternity units from rural, semi-urban and urban areas of Lubumbashi, Democratic Republic of Congo.SubjectsTwo hundred and twenty-five randomly selected pregnant women attending prenatal consultation, seventy-five postpartum women and seventy-five non-pregnant women as controls.ResultsOverall median UIC in pregnant women was 138 (interquartile range: 105–172) μg/l, indicating iodine deficiency, whereas postpartum and non-pregnant women had adequate iodine intake: median UIC = 144 μg/l and 204 μg/l, respectively. Median UIC values were lower in late pregnancy than in early pregnancy: in the first, second and third trimester respectively 255 μg/l, 70 μg/l and 88 μg/l in the rural area; 306 μg/l, 166 μg/l and 68 μg/l in the semi-urban area; and 203 μg/l, 174 μg/l and 99 μg/l in the urban area. Fe was insufficient in 39 % of pregnant women compared with 21 % of non-pregnant and postpartum women. In the third trimester, deficiencies in both iodine and Fe were high: 40 %, 12 % and 18 % in the rural, semi-urban and urban areas, respectively.ConclusionsOur data suggest that pregnant women are at risk of iodine and Fe deficiencies in Lubumbashi. Country policies fighting against iodine and Fe deficiencies during pregnancy should be reinforced.

Prevalence and determinants of Common Mental Disorder among pregnant women In Debre Berhan town: Highland in Central Ethiopia

2020 ◽  
Author(s):  
Kefyalew Dagne Gizachew ◽  
Gashaw Andargie Biks ◽  
Abate Dargie Wubetu
Keyword(s):  
Mental Disorders ◽  
Mental Disorder ◽  
Pregnant Women ◽  
Mental Health Problems ◽  
Common Mental Disorders ◽  
Common Mental Disorder ◽  
Significant Risk ◽  
Medical Illness ◽  
Debre Berhan ◽  
Self Reporting Questionnaire

Abstract Introduction: The high prevalence of antenatal mental disorders in Sub-Saharan African countries is poorly understood. Pregnancy and childbirth are gaining recognition as significant risk factors for the development and exacerbation of mental health problems. In low- and lower-middle income countries about one in six pregnant women are experiencing antenatal common mental disorders (CMD). Objective: To assess prevalence and associated factors of common mental disorders (CMD) among pregnant women in Debre Berhan town, North Showa Zone, Amhara region, Ethiopia, 2016. Methods: Community based cross-sectional study was employed among 569 participants. Data was collected using face-to-face interviews with Amharic version of Self Reporting Questionnaire (SRQ-20) from seven selected kebeles. Kebeles were selected by simple random sampling and individuals were selected using cluster sampling. Crude and adjusted OR was analyzed using bivariate and multivariable logistic regression analysis and the level of significance for association was determined with 95% CI and at P- value < 0.05. Result: A total 557 study participants were completed the interview and the prevalence of antenatal common mental disorder was found to be 45.2%. Loss of loved one (AOR = 1.97; 95% CI: 1.19–3.27), history of chronic medical illness (AOR = 6.57; 95% CI: 2.17–19.94), unwanted pregnancy (AOR = 2.13; 95% CI: 1.15–3.95), nulliparity (AOR = 8.71; 95% CI: 1.58–47.94), one or less ANC consultations (AOR = 0.22; 95% CI: 0.08–0.64), two-three ANC consultations (AOR = 0.30; 95% CI: 0.11–0.83) and current obstetric complications (AOR = 4.45; 95% CI: 2.21–8.99) were important factors significantly associated with antenatal common mental disorder. Conclusion: The prevalence of antenatal common mental disorder (CMD) was high in this study that shows antenatal CMD is significant public health issue that requires a great emphasis. So, early screening and intervention for antenatal CMD should be integrated in primary health care and antenatal care service settings.

scholarly journals Medication-related problems among hospitalized pregnant women in a tertiary teaching hospital in Ethiopia: a prospective observational study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Seid Mussa Ahmed ◽  
Johanne Sundby ◽  
Yesuf Ahmed Aragaw ◽  
Hedvig Nordeng
Keyword(s):  
Pregnant Women ◽  
Clinical Significance ◽  
Iron Supplementation ◽  
Data Extraction ◽  
Postpartum Women ◽  
Tertiary Teaching ◽  
Mother And Child ◽  
Data Extraction Form ◽  
Tertiary Teaching Hospital ◽  
Study Participants

Abstract Background Studies on medication-related problems (MRPs) among pregnant women are scarce, despite the potential consequences for both mother and child. This study aimed to describe the prevalence, clinical significance, and risk factors for MRPs among hospitalized pregnant or postpartum women at Jimma University Medical Centre (JUMC) in Ethiopia. Methods A prospective follow-up and clinical audit of 1117 hospitalized pregnant or postpartum women in the maternity and gynaecology wards at JUMC was carried out between February and June 2017. Patients were followed throughout their stay in the hospital to assess the presence and development of MRPs. Pre-tested data extraction form and an interview-guided structured questionnaire were used to collect data. Descriptive statistics were used to describe MRPs. Logistic regression analysis was used to identify factors associated with MRPs. Results One or more MRPs occurred among 323 (28.9%) study participants, mostly in relation to lack of iron supplementation. A total of 278 (70.6%) of all MRPs were considered to be of moderate to high clinical significance. When excluding MRPs due to iron from the analysis, chronic disease (adjusted OR 1.91; 95% CI 1.02, 3.58), medication use prior to admission (adjusted OR 2.38; 95% CI 1.24, 4.56), nulliparity (adjusted OR 1.99; 95% CI 1.22, 3.24) and multiparity (adjusted OR 1.91; 95% CI 1.17, 3.12) were significantly associated with experiencing an MRP. Conclusions Nearly 3 out of 10 hospitalized pregnant women at JUMC had one or more MRPs. The need for additional iron therapy was by far the most common type of MRP. Improved adherence to guidelines on iron supplementation are required. Multidisciplinary approaches including physicians, nurses, anesthesia professionals and clinical pharmacists in the maternity and gynaecology wards could possibly prevent MRPs and promote patient safety for women and children.

scholarly journals Prevalence of common mental disorder and associated factors among pregnant women in South-East Ethiopia, 2017: a community based cross-sectional study

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Ashenafi Mekonnen Woldetsadik ◽  
Abebaw Nigussie Ayele ◽  
Adem Esmael Roba ◽  
Genet Fikadu Haile ◽  
Khan Mubashir
Keyword(s):  
Mental Disorder ◽  
Pregnant Women ◽  
Emotional Abuse ◽  
Common Mental Disorder ◽  
Obstetric Care ◽  
Cross Sectional Study ◽  
Medical Illness ◽  
Cross Sectional ◽  
History Of ◽  
Main Determinants

Abstract Background Mothers suffering from common mental disorder (CMD), such as anxiety and depression may not be able to function properly, which could adversely affect the mother-infant bond and even result in increased infant morbidity and mortality. The purpose of this study was to assess the prevalence of CMD and its determinants among pregnant women in Southeast Ethiopia. Methods Data was collected from 743 pregnant women via interview-administered, standardised questionnaires during Dec–Jan 2017. The WHO Self-Reported Questionnaire (SRQ) was used to screen CMD. Multivariate logistic regression was conducted and ORs and 95% confidence intervals were calculated. Results The prevalence of CMD during pregnancy was 35.8% (95% CI: 34–38%) and the main determinants of CMD were: illiteracy, presence of health risk, financial instability, physical or emotional abuse, having sexual intercourse without her willingness, family history of psychiatric illness and history of chronic medical illness. Conclusion CMD prevalence during pregnancy was high, indicating a need to regularly screen pregnant women for CMD and its determinants as part of routine obstetric care.

A Simple Genetic Thrombosis Score Of Five Single Nucleotide Polymorphisms Is Associated With Risk Of First Venous Thrombosis In Pregnant Women

Blood ◽  
2013 ◽  
Vol 122 (21) ◽  
pp. 3617-3617
Author(s):  
Lance A. Bare ◽  
Hugoline G. de Haan ◽  
Andre R. Arellano ◽  
Carmen H. Tong ◽  
James J. Devlin ◽  
...  
Keyword(s):  
Single Nucleotide Polymorphisms ◽  
Venous Thrombosis ◽  
Pregnant Women ◽  
Odds Ratio ◽  
Factor V Leiden ◽  
Postpartum Women ◽  
Factor V ◽  
Nucleotide Polymorphisms ◽  
Single Nucleotide ◽  
Unit Increase

Abstract Background Venous thrombosis (VT), a major cause of maternal morbidity and mortality, is increased 4- to 5- fold during pregnancy. A thrombosis score comprising 5 single nucleotide polymorphisms (SNPs) [rs6025 (Factor V Leiden), rs1799963 (Prothrombin 20210 G>A), rs8176719 (ABO 261G>deletion), rs2066865 (FGG 10034 C>T) and rs2036914 (F11 10364T>C)] was previously shown to be associated with VT events in the general population. We asked whether this thrombosis score could predict VT in pregnant and postpartum women in a case-control study on the etiology of thrombosis. Methods We studied women during pregnancy and up to three months postpartum (55 controls, 144 cases) selected from over 5000 female cases and controls of the MEGA (the Multiple Environmental and Genetic Assessment of risk factors for venous thrombosis) study. The thrombosis score was calculated for each individual as a sum of risk alleles weighted by the log of the published odds ratio (de Haan et al, Blood 2012). The VT risk per unit of thrombosis score was calculated as a continuous variable in a logistic regression model that adjusted for age, smoking history and family history of VT. The thrombosis scores ranged from 0 to 1.8 in female participants in MEGA with genotypes for the 5 SNPs (n=3,464). Results In pregnant and postpartum women, the odds ratio per unit increase in thrombosis score was 10.7 (95%CI 3.2 to 36.2). When the thrombosis score was evaluated in a sub study of pregnant and postpartum women who do not carry factor V Leiden—an important contributant to the risk score— the remaining 4-SNP thrombosis score was also associated with VT: the odds ratio per unit increase in thrombosis score was 10.6 (95%CI 2.3-48.3).The American College of Obstetricians and Gynecologists recommends thromboprophylaxis during pregnancy and postpartum periods in women who are compound carriers of both factor V Leiden and prothrombin 20210 G>A; these compound carriers who do not carry other risk variants would have a thrombosis score of 1.02. Compared with women in the bottom quintile of thrombosis scores, women with thrombosis scores equal to or greater than 1.02 had an odds ratio for VT of 12.3 (95%CI 1.5 to 99.9). About 2% of female controls in MEGA had thrombosis scores equal to or greater than 1.02. Conclusions A 5-SNP thrombosis score that combines the VT risk of 5 genetic variants is associated with VT in pregnant women. Disclosures: Bare: Celera: Employment. Arellano:Celera: Employment. Tong:Celera: Employment. Devlin:Celera: Employment.

scholarly journals Pharmacotherapy in pregnant women

2021 ◽  
Vol 4 (2) ◽  
pp. 115-118
Author(s):  
E.A. Sandakova ◽  
◽  
I.G. Zhukovskaya ◽  
M.V. Semenova ◽  
A.F. Vaganova ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Postpartum Women ◽  
Pharmacological Effects ◽  
Second Trimester ◽  
Gestational Period ◽  
Fold Reduction ◽  
Embryotoxic Effects ◽  
Favorable Conditions ◽  
Systemic Antibiotics ◽  
And Child Health

Aim: to analyze the prescription of medications in pregnant women based on outpatient charts of women’s clinics. Patients and Methods: retrospective cohort study was conducted in three women’s clinics of Perm and two women’s clinics of Izhevsk. Data on the prescription of medications in 361 pregnant and postpartum women during pregnancy (2017–2018) were obtained by copying individual medical charts. Additionally, we compared our findings with the results of the Russian Pharmacoepidemiologic Study (2007). Results: pharmacotherapy was prescribed in 100% of women. On average, 12.6 medications were prescribed during gestation. Most medications were prescribed in the second trimester (on average, 5.5 medications). In the first and third trimesters, 2.4 and 4.7 medications were prescribed, respectively. The most prescribed drugs were vitamins and minerals (70.4%), feminine hygiene products (37.1%), progestogens (33.1%), herbal urinary antiseptics (29.8%), and systemic antibiotics (14.2%). Pharmacotherapy defects included medications inconsistent with diagnosis (48.6%), a combination of several drugs with similar pharmacological effects (16.5%), and polypharmacy defined as the use of five or more medications (25.8%). A two-fold reduction in drug aggression as well as an increase in the dotation of vitamin-mineral complexes compared to 2007 were reported. Conclusions: our findings illustrate positive trends for treating pregnant women in the last 9–10 years and increased safety of treatment (the lack of drugs with potential teratogenic or embryotoxic effects) but also indicate the need in the permanent audit and adjustment of prescriptions based on clinical guidelines. Pre-pregnancy preparation is a perspective way to reduce the intensity of drug therapy during pregnancy. As a result, drug burden shifts to a pre-gestational period. Pre-pregnancy preparation provides favorable conditions for developing an embryo and fetus. KEYWORDS: pharmacotherapy, pregnancy, polypharmacy, micronutrients, vaginal hygiene, progestogens, urinary antiseptics. FOR CITATION: Sandakova E.A., Zhukovskaya I.G., Semenova M.V. et al. Pharmacotherapy in pregnant women. Russian Journal of Woman and Child Health. 2021;4(2):115–118. DOI: 10.32364/2618-8430-2021-4-2-115-118.

scholarly journals Motherhood as a Double-Edged Sword: A Phenomenological Exploration Into The Lived Experiences of Incarcerated Pregnant Women

2021 ◽  
Author(s):  
Somayeh Alirezaei ◽  
Robab Latifnejad Roudsari
Keyword(s):  
Pregnant Women ◽  
Lived Experiences ◽  
Phenomenological Approach ◽  
Postpartum Women ◽  
Main Theme ◽  
Interpretive Phenomenology ◽  
Early Postpartum ◽  
Women In Prison ◽  
Women's Role ◽  
The One

Abstract BackgroundThe global number of women in prison has increased in recent years. Some of these incarcerated women experience pregnancy. Pregnancy in prison has a great impact on the experience of mothers and can affect women’s role in motherhood. This study aimed to understand the meaning of motherhood in pregnant prisoners.Methods The present qualitative research was carried out using a descriptive-interpretive phenomenology via interviews with 11 pregnant or early postpartum women in prison. The participants were purposefully selected from incarcerated pregnant women in 2020 in Iran. Six-step Van Manen’s phenomenological approach was used for data analysis.ResultThe main theme of “motherhood, as a double-edged sword"emerged from the analysis, which consisted of two sub-themes, including “Moving in a circle between togetherness and separation” and “Being subject to ambiguous and illusory thoughts”. Based on the findings, motherhood in prison is just like living in a world, which is shaky and chaotic, and mothers are confused between reaching to and separation from the child. Furthermore, they experience the anxiety and worries of motherhood, and cannot be confident regarding the future of themselves and their children.ConclusionThe experience of motherhood in prison for women was like a double-edged sword; on the one hand, they were fully immersed in motherhood feelings and emotions, which enhanced mother’s tolerance in prison, and on the other hand, the presence of child caused the aggravation of stress and anxiety.

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