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 high risk among pregnant women attending antenatal clinic in rural field practice area of Jawaharlal Nehru Medical College, Belgavi, Karnataka, India

2017 ◽  
Vol 4 (4) ◽  
pp. 1257 ◽  
Author(s):  
Jaideep K. C. ◽  
Prashant D. ◽  
Girija A.
Keyword(s):  
High Risk ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Antenatal Clinic ◽  
Cross Sectional Study ◽  
High Risk Pregnancy ◽  
Risk Category ◽  
Cross Sectional ◽  
Risk Pregnancy ◽  
Socio Demographic Factors

Background: In India about 20-30% pregnancies belong to high risk category, which is responsible for 75% of perinatal morbidity and mortality. Early detection and effective management of high risk pregnancy can contribute substantially to reduction in maternal mortality. Objective was to study the prevalence of high risk among antenatal women and also to know the socio demographic factors associated with high risk. Methods: A cross-sectional study was carried out between Jan. to June 2016. A total of 600 pregnant women attending antenatal clinic in PHC Kinaye were interviewed using predesigned, pretested questionnaire. Results: In present study, prevalence of high risk pregnancy was 30.7% and 59.8 were having bad obstetric history, 4% were having pregnancy induced hypertension, 5.5% were elderly gravida, 3.2% were Rh negative and 22.3% were having other risk factors. Factors such as education status of pregnant women, age at pregnancy and parity of pregnant women were found to be significantly associated with the prevalence of high risk. Conclusions: Prevalence of high risk among pregnant women was found to be 30.7%. Detection of high risk in early stages will help in preventing maternal mortality. 

scholarly journals Comparison of Pregnancy Outcome in Non-Risk and High-Risk Antenatal Mothers

JMS SKIMS ◽  
2014 ◽  
Vol 17 (1) ◽  
pp. 16-19
Author(s):  
Chandra Metgud
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Pregnant Women ◽  
Pregnancy Outcome ◽  
Rural Areas ◽  
Risk Group ◽  
Common Factor ◽  
High Risk Pregnancy ◽  
Family Needs ◽  
Risk Pregnancy

Objectives: 1. To know the incidence of high risk pregnancy. 2. To study the pregnancy outcome in Non-risk and High-risk antenatal mothers. Study Design: Longitudinal study. Setting: Shindolli Village of Belgaum District. Participants: All women in this village who were pregnant at the start of the study and who became pregnant during the study period. Sample Size: 125. Statistical Analysis: Percentages and Chi-square Test. Results: The incidence of High risk pregnancy was noted in 51(40.80%) pregnant women. The various risk factors noted were: primigravida 18 years, grand multipara, pre-eclampsia, bad obstetric history, severe anaemia etc. Among 125 pregnancy outcome, 69(93.24%) pregnant women in the non-risk group had good outcome compared to 34(66.67%) in the high risk group. The outcome of the pregnancy was significantly associated with presence of risk factors. Conclusion: The high-risk pregnancies are due to early marriages and child bearing at an early age. In rural areas early marriages are perpetuated by tradition, belief and family needs to reduce expenditures. A high percentage of anaemia in the pregnant women was due to the fact that, majority of them belonged to low social classes which affect their dietary intake and purchasing power adversely. Another common factor noted in rural area was grand multiparity, due to the need for male child. JMS 2014;17(1):16-19

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 Factors Associated to the Search for Dental Care in High Risk Pregnancy

2020 ◽  
pp. 66-70
Author(s):  
Jessica Galvan ◽  
Danielle Bordin ◽  
Cristina Berger Fadel
Keyword(s):  
High Risk ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Dental Care ◽  
Dental Service ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Factors Associated ◽  
Risk Pregnancy

Introduction: Conducting dental consultations during pregnancy is considered an important challenge in the context of Maternal and Child Health Policies, as it is surrounded by myths rooted among users and health professionals. In this sense, it is important to identify barriers and facilitators to the search for dental assistance in this period, in order to support strategies that make this practice feasible. Objective: To analyze the search for dental care during high-risk pregnancies, according to sociodemographic, gestational and health characteristics. Methods: Observational study with a cross-sectional design, carried out with high-risk pregnant women referred to a teaching hospital in southern Brazil, from January to May 2018. Data collection was performed using an unprecedented structured form and considered as a dependent variable the search for dental care during pregnancy and as independent variables sociodemographic, gestational and dental characteristics. Pearson's chi-square association test and Fisher's exact test were used. Results: To reach the sample of 190 pregnant women at high gestational risk, a total of 230 women considered valid were approached, counting on the following losses: refusal to participate (n=23), no answer to any question (n=10), duplicity in participant approach (n=7). Advanced maternal age (p=0.000) and history of premature birth in previous pregnancies (p=0.047) were factors associated with a lower frequency of seeking dental care in the current pregnancy. On the other hand, the habit of dental consultation prior to the gestational period (p=0.001), the knowledge about the importance of this monitoring (p=0.050), as well as the safety (p=0.000) in performing dental prenatal care, were related positively to the search during pregnancy. Conclusion: Specific incentive strategies and access to dental prenatal care are necessary to neutralize barriers that may compromise the search for oral health services during pregnancy. For this reason, identifying the facilitators and hinders to the dental service is essential for planning effective actions related to prenatal care.

scholarly journals Factors Associated to the Search for Dental Care in High Risk Pregnancy

2020 ◽  
pp. 66-70
Author(s):  
Jessica Galvan ◽  
Danielle Bordin ◽  
Cristina Berger Fadel ◽  
Alessandra Martins ◽  
Fabiana Bucholdz Teixeira Alves
Keyword(s):  
High Risk ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Dental Care ◽  
Dental Service ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Factors Associated ◽  
Risk Pregnancy

Introduction: Conducting dental consultations during pregnancy is considered an important challenge in the context of Maternal and Child Health Policies, as it is surrounded by myths rooted among users and health professionals. In this sense, it is important to identify barriers and facilitators to the search for dental assistance in this period, in order to support strategies that make this practice feasible. Objective: To analyze the search for dental care during high-risk pregnancies, according to sociodemographic, gestational and health characteristics. Methods: Observational study with a cross-sectional design, carried out with high-risk pregnant women referred to a teaching hospital in southern Brazil, from January to May 2018. Data collection was performed using an unprecedented structured form and considered as a dependent variable the search for dental care during pregnancy and as independent variables sociodemographic, gestational and dental characteristics. Pearson's chi-square association test and Fisher's exact test were used. Results: To reach the sample of 190 pregnant women at high gestational risk, a total of 230 women considered valid were approached, counting on the following losses: refusal to participate (n=23), no answer to any question (n=10), duplicity in participant approach (n=7). Advanced maternal age (p=0.000) and history of premature birth in previous pregnancies (p=0.047) were factors associated with a lower frequency of seeking dental care in the current pregnancy. On the other hand, the habit of dental consultation prior to the gestational period (p=0.001), the knowledge about the importance of this monitoring (p=0.050), as well as the safety (p=0.000) in performing dental prenatal care, were related positively to the search during pregnancy. Conclusion: Specific incentive strategies and access to dental prenatal care are necessary to neutralize barriers that may compromise the search for oral health services during pregnancy. For this reason, identifying the facilitators and hinders to the dental service is essential for planning effective actions related to prenatal care.

scholarly journals Web and mobile-based technologies for monitoring high-risk pregnancies

2019 ◽  
Vol 26 (1) ◽  
pp. e000025 ◽  
Author(s):  
Haleh Ayatollahi ◽  
Malihe Ghalandar Abadi ◽  
Morteza Hemmat
Keyword(s):  
High Risk ◽  
Prenatal Care ◽  
Fetal Loss ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
High Risk Pregnancy ◽  
Teaching Hospitals ◽  
Cross Sectional ◽  
Web Based ◽  
Risk Pregnancy

IntroductionHigh-risk pregnancy is an illness in which there are severe complications and problems that may cause fetal loss and requires continuous care. It seems that using telemedicine technology is helpful to provide wider access to prenatal care. The aim of this study was to compare the feasibility of using web-based and mobile-based technologies in caring for high-risk pregnancy.Materials and methodsThis was a cross-sectional study and the participants included midwives and gynaecologists who worked at teaching hospitals. The data were collected by using two five-point Likert scale questionnaires which were designed based on the literature review. The questionnaires included two main sections: demographic questions and questions related to five aspects of a feasibility study. Face and content validity of the questionnaires were confirmed by the experts and the reliability was checked by using the test-retest method. The data were analysed using descriptive and inferential statistics.ResultsIn this study, 79 questionnaires were completed by 50 midwives (63.29%) and 29 gynaecologists (36.71%). Overall, midwives (p=0.001) and gynaecologists (p=0.003) believed that using mobile-based technologies was more feasible than using web-based technologies in caring for high-risk pregnancies.ConclusionIt seems that planning for the future technological direction and providing mobile-based applications should be taken into account and prioritised to improve the quality of prenatal care and to increase access to healthcare services for high-risk pregnancies.

HUBUNGAN TINGKAT PENGETAHUAN DENGAN PENERAPAN MODEL DETEKSI DINI KEHAMILAN RESIKO TINGGI OLEH KADER POSYANDU DI DESA JATEN, KARANGANYAR

2021 ◽  
Vol 13 (02) ◽  
pp. 140
Author(s):  
Suwarnisih . ◽  
Eka Novitayanti
Keyword(s):  
High Risk ◽  
Early Detection ◽  
Pregnant Women ◽  
High Risk Pregnancy ◽  
Knowledge Level ◽  
Cross Sectional ◽  
Exact Test ◽  
Detection Model ◽  
Risk Pregnancy ◽  
Level Of Knowledge

ABSTRAKSasaran pembangunan kesehatan yang akan dicapai pada tahun 2025 adalah meningkatnya derajat kesehatan masyarakat yang salah satunya ditunjukkan oleh menurunnya Angka Kematian Ibu dengan  mengenalkan resiko tinggi pada ibu hamil dilakukan dengan skrining/deteksi dini berbagai faktor resiko secara pro aktif terhadap semua ibu hamil. Kader kesehatan memiliki peran yang besar dalam hal deteksi dini risiko tinggi kehamilan dan persalinan yang memerlukan pengetahuan dan penerapan model deteksi. Tujuan penelitian ini adalah  Untuk mengetahui Hubungan Tingkat Pengetahuan Dengan Penerapan Model Deteksi Dini Kehamilan Resiko Tinggi Oleh Kader Posyandu Di Desa Jaten, Karanganyar. Metode penelitian observasional analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah 192 orang kader posyandu di desa Jaten, tehnik sampling yang digunakan adalah “Accidental Sampling” dimana yang mengisi kuesioner  melalui goegle form sejumlah 54 orang. Hasil penelitian Tingkat Pengetahuan Responden Sebagian besar mempunyai Tingkat Pengetahuan Baik yaitu 42 responden (77,8%), penerapan model deteksi dini kehamilan resiko tinggi oleh kader posyandu sebagian besar responden mempunyai penerapan model deteksi dini yang baik yaitu 41 responden (75,8%), hasil analisis cros tabulasi dengan uji  Fisher's Exact Test di dapatkan hasil nya nilai p = 0,001. Kesimpulan : ada hubungan antara tingkat pengetahuan dengan penerapan model deteksi dini kehamilan resiko tinggi oleh kader posyandu desa Jaten, Karanganyar.  Kata Kunci : kader, model deteksi, kehamilan resiko tinggiTHE RELATIONSHIP OF KNOWLEDGE LEVEL WITH THE APPLICATION OF HIGH RISK PREGNANCY EARLY DETECTION MODELS BY POSYANDU CADRES IN JATEN VILLAGE, KARANGANYARABSTRACTThe health development target to be achieved in 2025 is to increase the degree of public health, one of which is indicated by a decrease in the Maternal Mortality Rate by introducing high risk to pregnant women through screening/early detection of various risk factors proactively for all pregnant women. Health cadres have a big role in terms of early detection of high risk pregnancy and childbirth which requires knowledge and application of detection models. The purpose of this study was to determine the relationship between the level of knowledge and the application of the early detection model of high risk pregnancy by Posyandu cadres in Jaten Village, Karanganyar. Analytical observational research method with a cross sectional approach. The population in this study were all posyandu cadres in the village of Jaten, the sampling technique used was "Accidental Sampling" as many as 54 people. The results of the study on the Knowledge Level of Respondents Most of the respondents had a good knowledge level, namely 42 respondents (77.8%), the application of the high risk pregnancy early detection model by posyandu cadres, most of the respondents had a good early detection model application, namely 41 respondents (75.8%) , the results of the cross tabulation analysis with the Fisher's Exact Test, the result is the p value = 0.000. Conclusion; there is a relationship between the level of knowledge and the application of the high-risk pregnancy early detection model by posyandu cadres in Jaten village, Karanganyar. Keywords: Cadre, Detection Model, High Risk Pregnant

scholarly journals Assessment of the Risk Status of Antenatal Mothers Attending Selected Hospital at Mangaluru

2021 ◽  
pp. 472-476
Author(s):  
Rosily Sebastian ◽  
T. Vinaya Kumary
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Nuclear Family ◽  
Survey Design ◽  
Poverty Line ◽  
High Risk Pregnancy ◽  
Research Approach ◽  
Clear Understanding ◽  
Risk Status ◽  
Risk Pregnancy

Background: All pregnancies are at risk even though most of the pregnancies and childbirth worldwide are uneventful. Almost 15% of all the pregnant women can develop potentially life-threatening complications which might require skilled care with some requiring major intervention for survival. Complications can occur anytime during the course of the pregnancy and childbirth, which in turn can affect the health and the overall survival of mother and the fetus. Hence there is a need to identify those high risk pregnancy groups for whom a greater degree of care is required. This study aimed to identify the risk status among antenatal mothers thus enhancing the mother to have a clear understanding about health.  Methods: A quantitative research approach with descriptive survey design was used to assess the risk status of pregnancy among antenatal mothers. The study was conducted among 100 antenatal mothers in a selected hospital, Mangaluru. Results: The present study revealed that maximum number of antenatal mothers (33.7%) were in the age group of 25-30 years and 31-36 years.41.6% antenatal mothers had high school education,24.8% had PUC education.41.6% of antenatal mothers were from nuclear family and 40.6% belongs to second trimester. The maximum number of antenatal mothers (39.6%) belongs to second gravida.75.2% of antenatal mothers belongs to above poverty line. Analysis of the association between risk statuses of pregnancy with selected demographic variables reveals that there is significant association between risk status of pregnancy with age in years and gravida status of antenatal mothers at 0.05 level of significance. In this study 55% of antenatal mothers belong to high risk pregnancy status and remaining 45% were at low risk status. Conclusion: The study reflects that most of the pregnant women are in high risk status of pregnancy. The overall findings of the study clearly showed that there is significant level of risk status of pregnancy among antenatal mothers.

scholarly journals Precede-Procede Analysis of Prenatal Class Plus Model in the Optimization Education of High Risk Pregnancy

2018 ◽  
Vol 14 (1) ◽  
pp. 10-19
Author(s):  
Muhammad Azinar ◽  
Arulita Ika Fibriana ◽  
Anik Setyo Wahyuningsih ◽  
Mahalul Azam
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Rural Areas ◽  
Community Education ◽  
High Risk Pregnancy ◽  
Research Subjects ◽  
Qualitative And Quantitative ◽  
Women Health ◽  
The Past ◽  
Risk Pregnancy

High-risk pregnancies are still common in rural areas. The percentage of high-risk pregnancy in Singorojo sub-district of Kendal District in the last three years has increased significantly. The highest number of cases was in Cening and Singorojo villages. In the past year, 86.88% of pregnancies in Cening village and 55.42% of pregnancies in Singorojo village were categorized as high-risk. The lack in community education limited prevention of high-risk pregnancies. Prenatal Class Plus model is an innovation that was being developed in this study. This is a research and development study with qualitative and quantitative approaches. The “Prenatal Class Plus” model was developed in Cening and Singorojo village. Research subjects were pregnant women, husbands, or families of pregnant women, health cadres, and related stakeholders. Research data were analyzed qualitatively and quantitatively. Prenatal Class Plus model can improve the knowledge, attitude and efforts of pregnant women and their husbands during parturition and prevention of pregnancy complications (P4K).

scholarly journals Mental disorders and obstetric diseases in high risk gestations

2019 ◽  
Vol 59 (3) ◽  
pp. 11-19
Author(s):  
Denyse Sales Veloso Albuquerque ◽  
Eugenio de Moura Campos ◽  
Joao Paulo Lima Santos ◽  
Joao Paulo de Oliveira Rodrigues ◽  
Isadora Wanderley Araujo ◽  
...  
Keyword(s):  
High Risk ◽  
Mental Disorders ◽  
Pregnant Women ◽  
Unwanted Pregnancy ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Screening Tools ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Risk Pregnancy

Objectives: To analyze the prevalence of major depression disorder, anxiety disorders and substance abuse in women with high-risk pregnancy and identify maternal-fetal pathologies and other variables associated with higher prevalence of mental disorders. Methodology: This cross-sectional study included 46 women in the high-risk gestation outpatient clinic of the Maternidade Escola Assis Chateaubriand in Fortaleza - Ceará. A sociodemographic and a clinical data questionnaire were applied, as well as Abuse Assesment Screen, Edinburgh Postpartum Depression Scale, State-Trait Anxiety Inventory and Alcohol Smoking and Substance Screening Test. Mini International Neuropsychiatry Interview (MINI) was applied to women with positive screening in the mentioned scales. Results: Using the screening tools, the prevalence was 30.4% for depression and 52.2% for anxiety; with the MINI the prevalence was 30,4% and 34,8%, respectively. Pregnant women with cardiac diseases had a 66,7% depression prevalence and a 77.8% anxiety prevalence, both higher than those with other pathologies. Depression and anxiety were also associated with unwanted pregnancy and domestic violence during life. Conclusion: The prevalence of depression and anxiety was high in this sample of pregnant women and the associated risk factors need to be understood, so that better interventions in the treatment of pregnant women can be implemented.

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