scholarly journals Ramadan fasting during pregnancy: characteristics and outcomes

2020 ◽  
Vol 9 (10) ◽  
pp. 3936
Author(s):  
Kariman Ghazal ◽  
Janoub Khazaal ◽  
Janoub Khazaal ◽  
Rabih Chahine ◽  
Rabih Chahine ◽  
...  
Keyword(s):  
Adverse Effects ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Muslim Women ◽  
Well Being ◽  
High Rate ◽  
Secondary Outcome ◽  
Valuable Insight ◽  
Maternal Complications ◽  
Ramadan Fasting

Background: The primary aim of this study was to measure the prevalence of pregnant women who fast during Ramadan. The secondary outcome was their beliefs and motivations regarding fasting during Ramadan in addition to the consequences of fasting on maternal and neonatal outcome.Methods: A retrospective review of pregnant patients aged between 18-45 years who presented for antenatal care in the private clinic in Beirut, Lebanon during or after the month of Ramadan between 2010 and 2019 was performed.Results: A total of 502 pregnant patients were included in the study, of which 426 (84.9%) fasted during Ramadan and 76 (15.1%) did not fast at all. Of those who fasted, 148 (34.7%) fasted between 1 and 15 days while 278 (65.3%) fasted more than 15 days. Multiparous and non-Lebanese women had significantly higher rate of fasting compared to primiparous and Lebanese women. Adherence to fasting was associated with the spiritual environment that accompanies the month of Ramadan while non-adherence was mainly related to the fear from adverse effects on the mother and fetus. Fasting was not significantly associated with maternal complications or decreased neonatal birth weight.Conclusions: The present study showed that Ramadan fasting is important to pregnant Muslim women. This was manifested by the relatively high rate of fasting even in summer and spring seasons. Understanding the beliefs and motivations of pregnant women would provide valuable insight to physicians to appropriately advise these women without compromising the maternal or fetal well-being.

Effects of Novel Coronavirus 2019 Infection on Antenatal Hematological Parameters in Pregnant Women

2021 ◽  
Vol 15 (11) ◽  
pp. 3279-3284
Author(s):  
Monika . ◽  
Israt Saba Mari ◽  
Monika Maheshwari ◽  
Shahida Shaikh ◽  
Qararo Shah Syed ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Urban Areas ◽  
Research Evaluation ◽  
Hematological Parameters ◽  
Haematological Parameters ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Group I ◽  
In Pregnancy

Background: Disturbance of haematological parameters is prevalent in pregnancy globally leading to a range of feto-maternal complications. Covid-19 infection has potential to enhance the severity of and complications impending due to anaemia in pregnancy. Objective: To determine the effects of Covid-19 infection on haematological parameters during antenatal care among pregnant women in rural Sindh. Study Design: Cross sectional study. Setting: Shaikh Zaid Institute, Chandka Medical College, Larkana. Duration: From March 1, 2021, and May 31, 2021. Materials and Method: A sample of 110 pregnant women, of 18-50 years of age, presenting in first through third trimester with single alive pregnancy, were included in the study after taking a valid written consent. The Research Evaluation Committee of SMBBMU- Larkana granted approval. Women having any haemoglobinopathy were excluded. Covid-19 test conducted through rt-PCR method. A standard questionnaire was used to collect data of two groups. Analysis was performed through SPSS Version-23. Descriptive and inferential statistics were calculated. Results: Mean ± SD age was 30.3 ± 6.99 (Range: 19 to 45) years. Both groups were identical in age. Mean ± SD gestational age was 28.12 ± 4.66 weeks (Range: 20-38). Covid-19 positive women had lower mean Hb (9.7 ± 2.11) than the covid-19 negative (10.54 ± 2.51; P = 0.158). Other haematological parameters like MCV, serum ferritin, TIBC, TLC & platelets were statistically different between groups. Women of eldest group i-e; in 41-50 years, from urban areas, second trimester (gest. age 13-24 weeks), and nulliparous had been affected more from covid-19 (P = 0.271, 0.748, 0.290 & 0.053). Frequency and severity of anaemia was more among Covid-19 positive women. Conclusion: Covid‐19 demands maternal healthcare to be extra vigilant to the haematological parameters of pregnant women during antenatal care till delivery. Keywords: Antenatal care, pregnancy, anaemia, haemoglobin, Covid‐19.

scholarly journals Malaria Prevalence Investigation among Pregnant Women in Relation to Their Social Well Being: A Case Study of Lugbe and Gosa, Abuja, Nigeria

2020 ◽  
pp. 7-15
Author(s):  
Onyemaechi Ngozi Edith ◽  
Malann Yoila David
Keyword(s):  
Pregnant Women ◽  
Well Being ◽  
Malaria Prevalence ◽  
Living Conditions ◽  
High Rate ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Smear Preparation ◽  
Study Results ◽  
The Impact

Aim: This research aim was to investigate the impact of living conditions (Socio demographic characteristics) of pregnant women on their malarial status. Study Design: In order to achieve the objectives of the study, Cross sectional survey was used. This is because only a subsect of the population was used. Descriptive designs was utilised in the Questionnaire aspect of the study. Place and Duration of Study: The Presidential Malarial initiative PMI/USAID - funded Insectary Laboratory at Nasarawa State University, Keffi/six (6) Months. Methodology: Blood samples were collected from the participating pregnant women by pricking their thumb and the blood droplet was examined using a direct thin and thick blood smear preparation stained with giemsa for the presence of the ring form stages of the parasites in the blood of the individuals in the laboratory. Qualitative data were sourced through Questionnaire administration to 589 pregnant women in Antenatal care clinics (ANC) in the area and their malaria status was also determined. Results: Study results showed a high prevalence rate of malaria in pregnancy (70.5%), the greater number of occurrences being in Lugbe (42.3%) than in Gosa (28.2%). Those living in houses built with wood recorded more positive cases of malaria and are at greater risk of infection (odds = 1.866%). Conclusion: This study has shown an increased rate of malaria infection amongst pregnant women living in wood and mud houses. The result also shows high rate of malaria occurrences due to low living conditions amongst pregnant women domiciled in this area of study. Hence, pregnant women should as a routine be placed on malaria prophylaxis and periodically checked as they can be asymptomatic, only exhibiting symptoms when its already late.

scholarly journals Reinventing the Pregnancy Wheel to Improve Pregnancy Dating and Antenatal Care Visits: A Pilot Randomized Trial in Malawi

2021 ◽  
Vol 10 (1) ◽  
pp. 139-145
Author(s):  
Mary Stokes ◽  
Amber Olson ◽  
Mtisunge Chan'gombe ◽  
Bakari Rajab ◽  
Isabel Janmey ◽  
...  
Keyword(s):  
Global Health ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Randomized Trial ◽  
Gestational Age ◽  
Age Dating ◽  
World Health ◽  
Secondary Outcome ◽  
Time Of Presentation ◽  
Antenatal Visits

Background and Objectives: The purpose of this study was to evaluate the feasibility of a customized, culturally sensitive pregnancy wheel given to pregnant women to improve gestational age dating accuracy at the time of delivery and to improve antenatal care attendance. Methods: This was a pilot randomized trial involving pregnant women presenting to a regional hospital in Lilongwe, Malawi. The primary outcome was accuracy of gestational age at the time of presentation to the hospital in labor. The secondary outcome was the number of antenatal visits. Results: At final analysis, 14 subjects were included in the pregnancy wheel (intervention) arm and 11 in the standard care arm. Fifty percent (n=7) of women in the intervention arm were accurately dated at the time of presentation for delivery, compared to only 9% (n=1) in the standard antenatal care arm (p=0.04). There was not a significant difference in the number of antenatal visits between the two study arms. No patients met the World Health Organization’s recommended eight antenatal care visits for prenatal care. Conclusion and Global Health Implications: The customized pregnancy wheel given to patients could improve gestational age dating accuracy, and as a result, clinical decision making. However, the barriers to greater antenatal care access are more complex and likely require a more complex solution. Significant attrition in this pilot trial limited statistical power, suggesting the need for future larger interventions. Accurate gestational dating requires access to ultrasonography and early antenatal care initiation, both of which are inadequate in Malawi. Although the customized pregnancy wheel did not improve antenatal care attendance, it improved gestational age dating accuracy in a pilot study at a central hospital in Lilongwe, Malawi.   Copyright © 2021 Stokes et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.

scholarly journals Timing of first antenatal care contact, its associated factors and state-level analysis in Nigeria: a cross-sectional assessment of compliance with the WHO guidelines

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e047835
Author(s):  
Adeniyi Francis Fagbamigbe ◽  
Olugbenga Olaseinde ◽  
Omon Stellamaris Fagbamigbe
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Associated Factors ◽  
Healthcare Utilisation ◽  
First Trimester ◽  
Household Wealth ◽  
Secondary Outcome ◽  
Outcome Variable ◽  
Who Guidelines ◽  
Cross Sectional

ObjectivesTo assess the compliance of WHO guidelines on the timeliness of antenatal care (ANC) initiation in Nigeria and its associated factors and to provide subcountry analysis of disparities in the timing of the first ANC in Nigeria.DesignCross-sectional.SettingNationally representative data of most recent pregnancies between 2013 and 2018 in Nigeria.ParticipantsWomen with pregnancies within 5 years before the study.Primary and secondary outcome measuresThe outcome variable was the trimesters of the first ANC contact. Data were analysed using descriptive statistics, bivariable and multivariable multinomial logistic regression at 5% significance level.ResultsOf all the 21 785 respondents, 75% had at least one ANC contact during their most recent pregnancies within the five years preceding the data collection. Among which 24% and 63% started in the first and second trimester, respectively. The proportion who started ANC in the first trimester was highest in Benue (44.5%), Lagos (41.4%) and Nasarawa (39.3%) and lowest in Zamfara (7.6%), Kano (7.4%) and Sokoto (4.8%). Respondents aged 40–49 years were 65% (adjusted relative risk ratio (aRRR: 1.65, 95 % CI: 1.10 to 2.45) more likely to initiate ANC during the first trimester of pregnancy relative to those aged 15–19 years. Although insignificant, women who participate in their healthcare utilisation were 4% (aRRR: 1.04, 95 % CI: 0.90 to 1.20) times more likely to have early initiation of ANC. Other significant factors were respondents’ and spousal educational attainment, household wealth quintiles, region of residence, ethnicity, religion and birth order.ConclusionsOnly a quarter of pregnant women, initiated ANC contact during the first trimester with wider disparities across the states in Nigeria and across the background characteristics of the pregnant women. There are needs to enhance women’s autonomy in healthcare utilisation. Concerted efforts on awareness creation and empowerment for women by all stakeholders in maternal and child healthcare are antidotes for early ANC contact initiation.

scholarly journals Traditional Practices among Rural Women to Relieve Their Common Pregnancy Minor Discomforts: A Descriptive Study

2019 ◽  
Vol 3 (2) ◽  
pp. p56
Author(s):  
Hanan Elzeblawy Hassan ◽  
Soheir Sobhy ◽  
El-Sayed Rakha ◽  
Iman El-Khayat
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Rural Women ◽  
Family Income ◽  
Occupational Status ◽  
Well Being ◽  
Traditional Practices ◽  
Age At Marriage ◽  
Care Services ◽  
In Series

Background: Pregnancy is a normal process that results in ? series of both physiological and psychological changes in women that require adjustment and adaptation on the part of the mother. The observable result of physiological changes is minor discomforts. The most common discomforts are morning sickness, heartburn, constipation, backache, and leg cramps. Although minor discomforts are non-serious, their presences detract from the mother feeling of comfort and well-being in many instances they can be avoid by preventive measures or healthful practices once they do occur. Aim: This study was done to assess the practices adopted by rural pregnant women to relive their common minor discomforts. Subject & Methods: The study was conducted at six maternal and child health centers in El-Mahalla Elkobra. A sample of 300 pregnant women was selected. Data were collected by an interview questionnaire. Results: the mean age of mothers was 27.44±5.36, 61.0% of them had 3 pregnancies or more, 76.7% used antenatal care services during their previous pregnancies, and 74.4% of the study subjects had irregular follow-up visits. The majority of them used harmful measures to overcome their minor discomfort than useful ones. Women’s mothers were the main sources of women’s information about practices to overcome common minor discomforts. Significant statistical relationships were observed between traditional practices to overcome common minor discomforts and some times of women’s characteristics as educational level, occupational status, age at marriage, family income and utilization of antenatal care services by the studied subjects. Conclusion: Most of the rural dwellers used traditional measures to relieve associated pregnancy minor discomforts. Traditional practices among pregnant women to relieve common minor discomfort during pregnancy in the rural area tended to be more harmful than useful ones. Usage of traditional practiced affected by women’s education, occupation, age at marriage, family income, and regular utilization of ANC services. Recommendations: Continuous education and training programs about pregnancy and its accompanied minor discomforts should be conducted for physicians, nurses, midwives, and TBAs to manage minor discomforts. Measures to combat women’s delay in initiation antenatal care services should be taken.

Self-delay for Timely Antenatal Care, Rituals and Heavy-Handed in-laws: Cultural Practices Killing Pregnant Women in Zambia- Lundazi district

2020 ◽  
Vol 8 (4) ◽  
pp. 79-86
Author(s):  
Patricia Mambwe
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Cultural Practices ◽  
Traditional Healers ◽  
Focus Group Discussions ◽  
Maternal Complications ◽  
Group Discussions ◽  
Maternal Deaths ◽  
Traditional Medicines ◽  
Maize Field

This study examined socio-cultural practices surrounding maternal deaths in Lundazi district –Zambia. The practices stealthily affect antenatal care received by antenatal women with subsequent maternal complications and deaths. Four Focus Group Discussions involving 40 members of Small Motherhood Action Groups (SMAGs) were conducted in March 2018.This study found that pregnant women in Lundazi district- Zambia delay to initiate antenatal care until 6th or 7th month of their pregnancy. The reasons given include fear of witchcraft stealing the human embryo for magic. Pregnant women are delayed further as they seek traditional medicines from Traditional Healers for pregnancy protection. Other pregnant women cannot attend antenatal care consistently because their mothers-in-law want them to do what is considered beneficial for a woman traditionally- do house chores or join the team going to the maize field. Late antenatal initiation is a crisis. It is an emergency in waiting for which some pregnant women never recover.

scholarly journals Knowledge Attitude and Practice Regarding Antenatal Care among Pregnant Women in Rural Area of Lahore

2018 ◽  
Vol 5 (3) ◽  
pp. 155-162
Author(s):  
Shahnaz Akhtar ◽  
Muhammad Hussain ◽  
Iram Majeed ◽  
Muhammad Afzal
Keyword(s):  
Prenatal Care ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Well Being ◽  
Cross Sectional Study ◽  
Early Observation ◽  
Chi Square ◽  
Cross Sectional ◽  
Mother And Child ◽  
Chi Square Test

Background: Prenatal care is medical valuation of mother and fetus, for the duration of gestation used for getting best possible result for the mother and child. Early observation and ongoing care during pregnancy provided more favorable births compared to no prenatal observation. Methodology: The quantitative cross-sectional study design was used with convenient sampling (n=133) from community of Hussain Abad Lahore. Pregnant women between the ages of 20 to 45 years of age. Data was analyzed on SPSS 21 version and application of chi-square test (p=<0.05). Result: The respondents 69.1% (n=94) were identified that pregnant women require to go for their checkup. This study reveals that (n=31) 21.4% participants were agree, (n=98)71.1% participants were disagreed, (n=06)4.4% were neutral that they have Seek antenatal care regularly during pregnancy. 83.1% women believe that antenatal checkup is worthy to monitor mother & fetus’ well-being. Conclusion: 64.7% pregnant women response in yes regarding knowledge about antenatal care. The attitude was shown positive somewhere as 69.6% women were agree and as well as negative, also as 30.1% respondents were disagreed and therefore 61% participants have positive practices towards antenatal care. There was significant association between qualification and knowledge of expectant women about prenatal care, significant association in qualification and attitude and there was insignificant association in qualification and practices. Int. J. Soc. Sc. Manage. Vol. 5, Issue-3: 155-162

scholarly journals Anti-Toxoplasma gondii Antibodies: Prevalence and Risk Factors among Pregnant Women Accessing Antenatal Care in Some Primary Health Centers in Jos Metropolis, Nigeria

2021 ◽  
pp. 9-17
Author(s):  
Ocheme Julius Okojokwu ◽  
Innocent Ajegba Onaji ◽  
Entonu Elijah Entonu ◽  
Bashiru Abubakar ◽  
Maryam Adebayo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Toxoplasma Gondii ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Public Health Problem ◽  
High Rate ◽  
Enzyme Linked Immunosorbent Assay ◽  
Blood Samples ◽  
Igm Antibody ◽  
Primary Health

Toxoplasma gondii infection causes high rate of gestational and congenital infection across the globe and is considered a both a public health problem and a neglected disease. The study was carried out to determine the prevalence of anti-Toxoplasma gondii antibodies and the associated risk factors among pregnant women attending antenatal care in some Primary Health Centres in Jos, Plateau State, Nigeria. In this cross-sectional study carried out within 5 months between Jan – May 2019, a total of 182 blood samples were collected from consenting pregnant women. Structured questionnaire was used to obtain data on socio-demography and risk factors. Three millilitres (3 ml) of blood samples were collected from the study participants. Sera were separated from the blood and evaluated for anti-Toxoplasma gondii antibodies (IgG and IgM) using enzyme-linked immunosorbent assay (ELISA). The data collected from the experiment were analysed using Statistical Package for the Social Sciences. Out of the 182 samples examined, 84 (46.2%) had anti-Toxoplasma gondii IgG antibody, 2 (1.1%) had IgM antibody while 98 (53.4%) were neither seropositive for IgG nor IgM. Trimester of pregnancy was significantly associated with prevalence of anti-Toxoplasma IgM antibody. In conclusion, Toxoplasmosis is prevalent in Jos. Eleven out of every 1000 women (i.e. 1.1%) had recent toxoplasmosis and 53.4% were not protected against primary infection thereby underscoring the need for prevention and control during pregnancy through enlightenment.

scholarly journals Regular antenatal care visits were associated with low risk of low birth weight among newborns in Rwanda: Evidence from the 2014/2015 Rwanda Demographic Health Survey (RDHS) Data

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 402
Author(s):  
Emmanuel Biracyaza ◽  
Samuel Habimana ◽  
Donat Rusengamihigo ◽  
Heather Evans
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Survey ◽  
Cross Sectional Study ◽  
Demographic Health Survey ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Maternal Characteristics

Background: Low birth weight (LBW) remains the global unfinished agenda in most countries of the world especially in low- and middle-income countries. LBW subsequently has harmful effects on the lifestyle, psychosocial and physiological development of the child. Although it is known that antenatal care (ANC) visits are important interventions contributing to prediction of newborn birth weight, little has been conducted on effect of ANC visits on birth weight in Rwanda. This study aimed at determining the association between regular ANC visits and risk of LBW among newborns in Rwanda. Methods: A cross-sectional study design was conducted to analyse the effects of ANC on LBW using the 2014/2015 Rwanda Demographic Health Survey. Associations of socio-demographic, socio-economic, and individual factors of the mother with LBW newborns were performed using bivariate and multiple logistic regression analyses. Results: Prevalences of LBW and macrosomia were 5.8% and 17.6%, respectively. Newborns delivered from mothers attending fewer than four ANC visits were at almost three-times greater risk of having LBW [aOR=2.8; 95%CI (1.5–5.4), p=0.002] compared to those whose mothers attending four or more ANC visits. Residing in a rural area for pregnant women was significantly associated with LBW [aOR=1.1; 95%CI (0.7–1.6), p=0.008]. Maternal characteristics, such as anemia, predicted an increase in LBW [aOR=3.5; 95%CI (1.5–5.4), p<0.001]. Those who received no nutritional counseling [aOR=2.5; 95%CI (2–8.5), p<0.001] and who were not told about maternal complications [aOR=3.3; 95%CI (1.5–6.6), p=0.003] were more prone to deliver newborns with LBW than those who received them. Pregnant women who received iron and folic acid were less likely to have LBW newborns [aOR=0.5; 95%CI (0.3–0.9), p=0.015]. Conclusion: ANC visits significantly contributed to reducing the incidence of LBW. This study underscores the need for early, comprehensive, and high-quality ANC services to prevent LBW in Rwanda.

scholarly journals Ramadan Observance during Pregnancy in Germany: a Challenge for Prenatal Care

2018 ◽  
Vol 78 (07) ◽  
pp. 684-689 ◽  
Author(s):  
Birgit Leimer ◽  
Fabienne Pradella ◽  
Anja Fruth ◽  
Annette Queißer ◽  
Reyn van Ewijk
Keyword(s):  
Pregnant Women ◽  
Muslim Women ◽  
Personal Characteristics ◽  
Medical Professionals ◽  
Negative Effects ◽  
Cognitive Health ◽  
Ramadan Fasting ◽  
Significant Difference ◽  
And Behavior

Abstract Introduction Fasting during Ramadan while pregnant has been shown to have long-term negative effects on the offspringʼs physical and cognitive health. Even though most Muslims do not believe pregnant women are obligated to fast during Ramadan, fasting rates of up to 87% have been reported for pregnant women. No data exists to date about Ramadan adherence and behavior in Germany. Methods The Mainz Study of Ramadan and Pregnancy surveyed pregnant Muslims and new Muslim mothers in Mainz between October 2016 and January 2017 and collected information on Ramadan adherence and behavior. We also collected data on personal characteristics and opinions, to identify determinants of fasting using statistical analysis. Results We found that 43% of pregnant Muslim women fasted at least one day during Ramadan 2016. Women who fasted were significantly younger and less educated. There was no significant difference in terms of country of origin between those women who fasted and those who did not. Only 49% of women who fasted and 38% of women who did not fast discussed their Ramadan behavior with their doctor. Less than 2% of women reported being proactively approached by their doctor. Conclusion To ensure that pregnant Muslim women living in Germany can make their fasting decision based on objective information, it is necessary to raise awareness about Ramadan fasting during pregnancy among medical professionals in Germany.

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