scholarly journals Maternal and perinatal outcomes in pregnancy with high BMI in the Jabal Akhdar region of Libya

2020 ◽  
Vol 10 (1) ◽  
pp. 26
Author(s):  
Zahia Elghazal ◽  
Ream Langhe ◽  
Nagat Bettamer ◽  
Karima Hamad
Keyword(s):  
Weight Gain ◽  
Health Care Providers ◽  
Maternal Obesity ◽  
Significant Risk ◽  
Perinatal Outcomes ◽  
Reproductive Age ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
High Weight Gain ◽  
In Pregnancy

Background: Overweight maternal pre-pregnancy, obesity and excessive gestational weight gain are significant risk factors for unfavorable maternal and perinatal outcomes during pregnancy. The association of obesity with maternal and perinatal outcomes is poorly understood in Jabal Akhdar region of Libya. This study was to examine maternal and perinatal outcomes in obese mothers compared to non-obese mothers in Jabal Akhdar region of Libya.Methods: This is a Cross sectional survey design study with internal comparison groups. The study was conducted between May 2015 and May 2016 in Jabal Akhdar region od Libya. A total of 415 women at reproductive age were deemed eligible for this study. BMI categories were defined as; underweight (BMI< 18.5), normal (BMI 18.5 – 24.99), overweight (BMI 25 – 29.99), grade I obesity (BMI 30 – 34.99), grade II obesity (BMI 35 – 39.99) and grade III obesity (BMI 40+). Data obtained in this study was analysed using SPSS, version 17.0 was used in analysis.Results: Of 415 women included in this study, 282 had a BMI <30 kg/m2 and 133 women had a BMI >30 kg/m2. Pregnancy-induced hypertension was more prevalent in obese mothers compared to non-obese women. The rate of operative delivery and caesarean section were also demonstrated between obese and non-obese mothers and these differences were significant.Conclusions: This study demonstrates extent of obstetric risks associated with obesity in pregnancy, though more research is required to fully elucidate the effect that maternal obesity is having on maternal and perinatal outcomes in pregnancy in Libyan populations. Since high weight gain is a modifiable risk factor, pre pregnancy health education awareness of health care providers, good behavioral counseling and weight control program during pregnancy should help to modify this risk.

Determinants of coital frequency and adaptations during pregnancy in a South-western Nigerian town

2015 ◽  
Vol 1 (1) ◽  
pp. 7-13
Author(s):  
JO Sotunsa ◽  
JO Imaralu ◽  
FI Ani ◽  
AO Olaleye
Keyword(s):  
Health Care Providers ◽  
Antenatal Clinic ◽  
University Teaching ◽  
Care Providers ◽  
Coital Frequency ◽  
Cross Sectional Survey ◽  
Southwestern Nigeria ◽  
Cross Sectional ◽  
Stis And Hiv ◽  
In Pregnancy

Objective: To determine the trends in the frequency of coital intercourse in pregnancy, the factors responsible for these changes and adaptations by couples in Sagamu, Southwestern Nigeria. Methods: This cross-sectional survey, examined the determinants of coital sexual frequency and adaptations for coitus in pregnancy among 364 pregnant women attending antenatal clinic at the Olabisi Onabanjo University Teaching Hospital, Sagamu. Results: Decline in coital frequency occurred in 51.3% of respondents; with increasing maternal age (p=0.016, 95% CI=0.013-0.017), monogamous marriage setting (p<0.001), duration of marriage (p<0.001) and lack of awareness of HIV status (p<0.001) having significant deterrent effects. Parity (p=0.355, 95% CI=0.3450.364) and co-habitation with spouse (p=0.094, 95%CI=0.088-0.099), however had no similar effect. Although sexual dysfunction was observed (29.6% of respondents), this decline in frequency was caused mainly by uncomfortable position (51.7%). Consequently, the commonest change noted was a decreased use of the man-on-top position from 83.4% of the participants before pregnancy; to 32.7% during pregnancy. Most of the participants (76.6%) recommended continued coital activity in pregnancy.Conclusion: Coital sexual decline in pregnancy observed in Sagamu is less prevalent than reported and physical discomfort is mainly responsible for this decline. Health care providers can help couples maintain positive sexual behaviour in pregnancy against STIs and HIV .

scholarly journals Implementation of an Online Learning Module for Health Care Providers to Improve Discussions About Weight Gain with Pregnant Women (FS16-01-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Jocelyn Graham ◽  
Rhonda Bell ◽  
Dolly Bondariazadeh ◽  
Terri Miller ◽  
Chloe Burnett
Keyword(s):  
Health Care ◽  
Online Learning ◽  
Weight Gain ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Perinatal Care ◽  
Perinatal Outcomes ◽  
Care Providers ◽  
Learning Module ◽  
Evaluation Survey

Abstract Objectives This study evaluated the uptake, satisfaction and intentions of health care providers (HCP) after completing an accredited online learning module focused on how they can support women in achieving a healthy diet, physical activity and appropriate gestational weight gain (GWG). Methods Alberta Health Services, University of Calgary, and the ENRICH Research team partnered to launch an accredited e-learning module in June 2018, aimed at HCP (MDs, nurses, RDs, others) involved in perinatal care in Alberta. The aim of the module is to improve HCP knowledge and strategies for discussing healthy GWG and related behaviours with pregnant women. Results were obtained in Dec 2018 from an evaluation survey assessing participants’ perceived changes in knowledge, skills (5-point Likert scale) and intentions (open-ended questions) to incorporate new strategies into their practice in the next 3 months as a result of completing the module. Results By Dec 2018, 216 people had registered for the module (70 MDs (40%), 61 RNs (28%), 31 RDs (14%) and 54 others); 80 (38%) had completed the module and 77 (96%) of them submitted the evaluation survey Mean satisfaction rating was 4.42/5. Self-assessment of knowledge and skills also increased after completing the module. Registrants reported that the case scenarios and inclusion of tools and resources were important (mean rating 4.2 and 4.1 respectively) components of the module. The majority of registrants found the module easy to navigate and information was appropriate to their learning needs. Most completers agreed (31/77) or strongly agreed (44/77) that they learned something in the module that they will incorporate into practice. Registrants reported that they intended to: improve their counselling strategies (21; by using empowering, client-centred language), use a tool mentioned in the module (11), improve patient education opportunities (8), and find ways to support a collaborative approach to prenatal care (7). Conclusions The module appears to positively impact self-reported knowledge of healthy pregnancy weight gain concepts and counselling skills. Supporting health care providers to have effective discussions with pregnant women about lifestyle and GWG is an important step towards better compliance with recommendations and improving perinatal outcomes. Funding Sources Funding was provided through a Collaborative Research and Innovation Opportunity (CRIO) Program grant from Alberta Innovates as part of the ENRICH research program.

scholarly journals Prevalence, risk factors and sources of anxiety among Emergency Department healthcare workers in Pakistan during COVID-19 pandemic: A single center survey

2021 ◽  
Vol 2 ◽  
Author(s):  
N. Haroon ◽  
S. S. Owais ◽  
A. S. Khan ◽  
J. Amin
Keyword(s):  
Risk Factors ◽  
Emergency Department ◽  
Health Care Providers ◽  
Healthcare Workers ◽  
Work Performance ◽  
Nonparametric Tests ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Frontline Workers

Summary COVID-19 has challenged the mental health of healthcare workers confronting it world-wide. Our study identifies the prevalence and risk of anxiety among emergency healthcare workers confronting COVID-19 in Pakistan. We conducted a cross-sectional survey in an Emergency Department using the Generalized Anxiety Scale (GAD-7), and questions about sources of anxiety. Of 107 participants, 61.7% were frontline workers. The prevalence of anxiety was 50.5%. Nonparametric tests determined that nurses, younger and inexperienced staff, developed significant anxiety. Multivariate ordinal regression determined independent risk factors for developing anxiety were younger age (OR 2.11, 95% CI 0.89–4.99) and frontline placement (OR 1.34, 95% CI 0.33–1.66). Significant sources of stress were fear of infecting family (P = 0.003), lack of social support when the health care providers were themselves unwell (P = 0.02) and feelings of inadequate work performance (P = 0.05). Our study finds that HCWs’ anxiety is considerable. Appropriate measures for its alleviation and prevention are required.

A survey of Cambodian health-care providers' HIV knowledge, attitudes and intentions to take a sexual history

2009 ◽  
Vol 20 (5) ◽  
pp. 346-350 ◽  
Author(s):  
G Webber ◽  
N Edwards ◽  
I D Graham ◽  
C Amaratunga ◽  
I Gaboury ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Theory Of Planned Behaviour ◽  
Sexual History ◽  
People Living With Hiv ◽  
Care Providers ◽  
Hiv Knowledge ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Planned Behaviour

Cambodia has one of the highest prevalence rates of HIV in Asia and is scaling up HIV testing. We conducted a cross-sectional survey with 358 health care providers in Phnom Penh, Cambodia to assess readiness for voluntary testing and counselling for HIV. We measured HIV knowledge and attitudes, and predictors of intentions to take a sexual history using the Theory of Planned Behaviour. Over 90% of health care providers correctly answered knowledge questions about HIV transmission, but their attitudes were often not positive towards people living with HIV. The Theory of Planned Behaviour constructs explained 56% of the variance in intention to take a sexual history: the control providers perceive they have over taking a sexual history was the strongest contributor (51%), while social pressure explained a further 3%. Attitudes about taking a sexual history did not contribute to intention. Interventions with Cambodian health care providers should focus on improving skills in sexual history-taking.

scholarly journals Prevalence, incidence and bothersomeness of urinary incontinence in pregnancy: a systematic review and meta-analysis

2021 ◽  
Author(s):  
Heidi F. A. Moossdorff-Steinhauser ◽  
Bary C. M. Berghmans ◽  
Marc E. A. Spaanderman ◽  
Esther M. J. Bols
Keyword(s):  
Systematic Review ◽  
Urinary Incontinence ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Meta Analysis ◽  
Care Providers ◽  
Case Definitions ◽  
Monthly Basis ◽  
Policy Makers ◽  
In Pregnancy

Abstract Introduction and hypothesis Urinary incontinence (UI) is a common and embarrassing complaint for pregnant women. Reported prevalence and incidence figures show a large range, due to varying case definitions, recruited population and study methodology. Precise prevalence and incidence figures on (bothersome) UI are of relevance for health care providers, policy makers and researchers. Therefore, we conducted a systematic review and meta-analysis to investigate the prevalence and incidence of UI in pregnancy in the general population for relevant subgroups and assessed experienced bother. Methods All observational studies published between January 1998 and October 2018 reporting on prevalence and/or incidence of UI during pregnancy were included. All women, regardless of weeks of gestation and type of UI presented in all settings, were of interest. A random-effects model was used. Subgroup analyses were conducted by parity, trimester and subtype of UI. Results The mean (weighted) prevalence based on 44 included studies, containing a total of 88.305 women, was 41.0% (range of 9–75%). Stress urinary incontinence (63%) is the most prevalent type of UI; 26% of the women reported daily loss, whereas 40% reported loss on a monthly basis. Bother was experienced as mild to moderate. Conclusions UI is very prevalent and rising with the weeks of gestation in pregnancy. SUI is the most common type and in most cases it was a small amount. Bother for UI is heterogeneously assessed and experienced as mild to moderate by pregnant women.

Nutrition for the Healthy Adult

2018 ◽  
Author(s):  
Marijane G. Staniec
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Weight Gain ◽  
Chronic Diseases ◽  
Health Care Providers ◽  
Primary Care Providers ◽  
Healthy Adults ◽  
Dietary Guidelines ◽  
Care Providers ◽  
Added Sugars

Many of today’s healthy adults will be plagued by chronic diseases, such as obesity, hypertension, heart disease, and diabetes, and be robbed of the quality of life they desire. According to the 2015–2020 Dietary Guidelines for Americans, about half of all American adults have one or more diet-related chronic diseases. The question, “What should healthy adults eat to stay healthy?” may seem simple. However, many primary care providers feel vulnerable answering questions about nutrition. This review serves as a summary of the most up-to-date guidelines about added sugars, sodium, types of fat, and cholesterol for healthy adults and a refresher for health care providers caring for them. Other important related issues, such as the latest recommendations for physical activity, the problem of adult weight gain, the need for adiposity screening, the powerful role of the primary care provider, and suggestions nutrition-focused primary care, are discussed. This review contains 5 Figures, 5 Tables and 137 references Key words: weight gain, cholesterol, Dietary Guidelines, sugar-sweetened beverages, adiposity, added sugar, hydrogenated oils, physical activity, waist-to-height ratio, nutrition-focused, Primary Care

scholarly journals The consequences of obesity and excess weight gain in pregnancy

2011 ◽  
Vol 70 (4) ◽  
pp. 450-456 ◽  
Author(s):  
Jane E. Norman ◽  
Rebecca Reynolds
Keyword(s):  
Insulin Resistance ◽  
Weight Gain ◽  
Gestational Diabetes ◽  
Pregnant Women ◽  
Postpartum Haemorrhage ◽  
Maternal Obesity ◽  
Adverse Pregnancy Outcome ◽  
Operative Delivery ◽  
Adverse Pregnancy ◽  
In Pregnancy

The prevalence of obesity in pregnancy is rising exponentially; about 15–20% of pregnant women now enter pregnancy with a BMI which would define them as obese. This paper provides a review of the strong links between obesity and adverse pregnancy outcome which operate across a range of pregnancy complications. For example, obesity is associated with an increased risk of maternal mortality, gestational diabetes mellitus, thromboembolism, pre-eclampsia and postpartum haemorrhage. Obesity also complicates operative delivery; it makes operative delivery more difficult, increases complications and paradoxically increases the need for operative delivery. The risk of the majority of these complications is amplified by excess weight gain in pregnancy and increases in proportion to the degree of obesity, for example, women with extreme obesity have OR of 7·89 for gestational diabetes and 3·84 for postpartum haemorrhage compared to their lean counterparts. The consequences of maternal obesity do not stop once the baby is born. Maternal obesity programmes a variety of long-term adverse outcomes, including obesity in the offspring at adulthood. Such an effect is mediated at least in part via high birthweight; a recent study has suggested that the odds of adult obesity are two-fold greater in babies weighing more than 4 kg at birth. The mechanism by which obesity causes adverse pregnancy outcome is uncertain. This paper reviews the emerging evidence that hyperglycaemia and insulin resistance may both play a role: the links between hyperglycaemia in pregnancy and both increased birthweight and insulin resistance have been demonstrated in two large studies. Lastly, we discuss the nature and rationale for possible intervention strategies in obese pregnant women.

scholarly journals Community-Based Participatory Research and Drug Utilization Research to improve Childhood Diarrhea Case Management in Ujjain, India: A Cross Sectional Survey

2019 ◽  
Author(s):  
Aditya Mathur ◽  
Devendra Baghel ◽  
Jitendra Jaat ◽  
Vishal Diwan ◽  
Ashish Pathak
Keyword(s):  
Case Management ◽  
Drug Utilization ◽  
Health Care Providers ◽  
Household Waste ◽  
Care Providers ◽  
Childhood Diarrhea ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Utilization Research ◽  
Drug Utilization Research

Childhood diarrhea continues to be a major cause of under-five (U-5) mortality globally and in India. In this study, 1571 U-5 children residing in nine rural villages and four urban slums in Ujjain, India were included with the objective to use community participation and drug utilization research to improve diarrheal case management. The mean age was 2.08 years, with 297 (19%), children living in high diarrheal index households. Most mothers (70%) considered stale food, teething (62%) and hot weather (55%) as causes of diarrhea. Water, sanitation, and hygiene (WASH)-related characteristics revealed that most (93%) households had toilets, but only 23% children used them. The study identified ineffective household water treatment by filtration through cloth by most (93%) households and dumping of household waste on streets (89%). The results revealed low community awareness of correct causes of diarrhea (poor hand hygiene, 21%; littering around the household, 15%) and of correct diarrhea treatment (oral rehydration solution [ORS] and zinc use, 29% and 11%, respectively) and a high antibiotic prescription rate by health care providers (83%). Based on the results of the present study, context-specific house-to-house interventions will be designed and implemented.

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