scholarly journals How well urban families are prepared for child birth and its complications

2020 ◽  
Vol 7 (6) ◽  
pp. 2124
Author(s):  
Pujitha Vallivedu Chennakesavulu ◽  
Cuddapah Gaurav Venkat ◽  
Suddapalli Siva Keerthana ◽  
Harika Govada ◽  
Reddivari Preethi
Keyword(s):  
Reproductive Age ◽  
Research Centre ◽  
Birth Preparedness ◽  
Age Group ◽  
Complication Readiness ◽  
New Born ◽  
Danger Signs ◽  
Pregnancy And Childbirth ◽  
Knowledge Of Danger Signs ◽  
Reproductive Age Group

Background: Globally every day, approximately 830 women die from preventable causes related to pregnancy and childbirth. 99% of all maternal deaths occur in developing countries. Care before during and after childbirth can save the lives of women and new born babies which is also known as birth preparedness and complication readiness (BPACR). The objective of this study aims to assess practice of birth preparedness and complication readiness among families of women in the field practicing area of Kamineni Academy of Medical Sciences and Research Centre, Hyderabad.Methods: Field based descriptive study was done during August 2019 to February 2020 for a period of 6 months in urban field practising area. Sample size was 450 families, which includes, antenatal mothers 450 and their husbands 450, and 220 reproductive age group women.  Results: Awareness of key danger signs during pregnancy (73.8%), labour/childbirth (56.7%) and postpartum (44%) were more among antenatal women whereas knowledge of danger signs of new born was highest among husbands of currently pregnant women. Planning of giving birth with a skilled provider was also high among antenatal women (98%) and in their husbands (97.5%), but saving for the same was very low in reproductive age group study population (20.4%).Conclusions: All these findings conclude Indian husbands of urban were more concerned about problems and safety of their offspring that is new born, than antenatal mother. Awareness of danger signs in the new born was lowest.

scholarly journals Birth preparedness and complication readiness among women of reproductive age in Kenya and Tanzania: a community-based cross-sectional survey

2020 ◽  
Author(s):  
James Orwa ◽  
Samwel Maina Gatimu ◽  
Michaela Mantel ◽  
Stanley Luchters ◽  
Micheal A. Mugerwa ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Reproductive Age ◽  
Birth Preparedness ◽  
Cross Sectional Survey ◽  
Community Based ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Level Of Education ◽  
Factors Associated ◽  
Danger Signs

Abstract Background: Delayed health-seeking continues to contribute to preventable maternal and neonatal deaths in low resource countries. Some of the strategies to avoid the delay include early preparation for the birth and detection of danger signs. We aimed to assess the level of practice and factors associated with birth preparedness and complication readiness (BPCR) in Kenya and Tanzania.Methods: We conducted community-based multi-stage cross-sectional surveys in Kilifi and Kisii counties in Kenya and Mwanza region in Tanzania and included women who delivered two years preceding the survey (2016–2017). A woman who mentioned at least three out of five BPCR components was considered well-prepared. Bivariate and multivariable proportional odds model were used to determine the factors associated with the BPCR. The STROBE guidelines for cross-sectional studies informed the design and reporting of this study.Results: Only 11.4% (59/519) and 7.6% (31/409) of women were well-prepared for birth and its complications in Kenya and Tanzania, respectively, while 39.7% and 30.6% were unprepared, respectively. Level of education (primary: adjusted odds ratio (aOR): 1.59, 95% CI: 1.14–2.20, secondary: aOR: 2.24, 95% CI: 1.39–3.59), delivery within health facility (aOR: 1.63, 95% CI: 1.15–2.29), good knowledge of danger signs during pregnancy (aOR: 1.28, 95% CI: 0.80–2.04), labour and childbirth (aOR: 1.57, 95% CI: 0.93–2.67), postpartum (aOR: 2.69, 95% CI: 1.24–5.79), and antenatal care were associated with BPCR (aOR: 1.42, 95% CI: 1.13–1.78).Conclusion: Overall, most pregnant women were not prepared for birth and its complications in Kilifi, Kisii and Mwanza region. Improving level of education, creating awareness on danger signs during preconception, pregnancy, childbirth, and postpartum period, and encouraging antenatal care and skilled birth care among women and their male partners/families are recommended strategies to promote BPCR practices and contribute to improved pregnancy outcomes in women and newborns.

scholarly journals Birth preparedness and complication readiness among women of reproductive age in Kenya and Tanzania: a community-based cross-sectional survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
James Orwa ◽  
Samwel Maina Gatimu ◽  
Michaela Mantel ◽  
Stanley Luchters ◽  
Michael A. Mugerwa ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Reproductive Age ◽  
Birth Preparedness ◽  
Cross Sectional Survey ◽  
Community Based ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Level Of Education ◽  
Factors Associated ◽  
Danger Signs

Abstract Background Delayed health-seeking continues to contribute to preventable maternal and neonatal deaths in low resource countries. Some of the strategies to avoid the delay include early preparation for the birth and detection of danger signs. We aimed to assess the level of practice and factors associated with birth preparedness and complication readiness (BPCR) in Kenya and Tanzania. Methods We conducted community-based multi-stage cross-sectional surveys in Kilifi and Kisii counties in Kenya and Mwanza region in Tanzania and included women who delivered two years preceding the survey (2016–2017). A woman who mentioned at least three out of five BPCR components was considered well-prepared. Bivariate and multivariable proportional odds model were used to determine the factors associated with the BPCR. The STROBE guidelines for cross-sectional studies informed the design and reporting of this study. Results Only 11.4% (59/519) and 7.6% (31/409) of women were well-prepared for birth and its complications in Kenya and Tanzania, respectively, while 39.7 and 30.6% were unprepared, respectively. Level of education (primary: adjusted odds ratio (aOR): 1.59, 95% CI: 1.14–2.20, secondary: aOR: 2.24, 95% CI: 1.39–3.59), delivery within health facility (aOR: 1.63, 95% CI: 1.15–2.29), good knowledge of danger signs during pregnancy (aOR: 1.28, 95% CI: 0.80–2.04), labour and childbirth (aOR: 1.57, 95% CI: 0.93–2.67), postpartum (aOR: 2.69, 95% CI: 1.24–5.79), and antenatal care were associated with BPCR (aOR: 1.42, 95% CI: 1.13–1.78). Conclusion Overall, most pregnant women were not prepared for birth and its complications in Kilifi, Kisii and Mwanza region. Improving level of education, creating awareness on danger signs during preconception, pregnancy, childbirth, and postpartum period, and encouraging antenatal care and skilled birth care among women and their male partners/families are recommended strategies to promote BPCR practices and contribute to improved pregnancy outcomes in women and newborns.

scholarly journals Comparison of adnexal torsion in different phases of women’s life: a retrospective cohort study

2020 ◽  
Vol 9 (4) ◽  
pp. 1482
Author(s):  
Karthiga Prabhu J. ◽  
Shanmugapriya C. ◽  
Sunita Samal ◽  
Balaji Ramraj
Keyword(s):  
Reproductive Potential ◽  
Premenopausal Women ◽  
Ovarian Torsion ◽  
Reproductive Age ◽  
Research Centre ◽  
Age Group ◽  
Adnexal Torsion ◽  
Polycystic Ovaries ◽  
College Hospital ◽  
Reproductive Age Group

Background: Ovarian torsion is one of the most common causes of emergency surgery in gynecology. Though it is more common in reproductive age group, it can occur in extremes of age group. So, we had analysed the clinical presentation, surgical characteristics, and causes of adnexal torsion among adolescent population, reproductive-age women, and postmenopausal women.Methods: Patients with adnexal torsion who were treated in department of obstetrics and gynecology, SRM Medical College Hospital and Research Centre from October 2016 to March 2019 were retrospectively analyzed.Results: Among the 53 cases of adnexal torsion during the study period, maximum (38, 71.6%) were in the reproductive age group. There were three patients with ovarian torsion during pregnancy. Acute pain abdomen was the significant presenting symptom in adolescent group compared to other two group (100% versus 80.6% versus 40%, p = 0.03). Adnexal pathology was in the ovary in 76% and isolated tubal pathology in 5%. Bilateral salpingo-oophorectomy with or without total abdominal hysterectomy was more commonly performed in postmenopausal patients (100%), as opposed to conservative surgery- detorsion and cystectomy in premenopausal women (56%). In Adolescent patients 62% had polycystic ovaries as intraoperative finding. Histopathology were benign except for a patient in postmenopausal age group who had granulosa cell tumour.Conclusions: An early identification of adnexal torsion is necessary in order to achieve conservative treatment in order to maximize the future reproductive potential in younger patients.

scholarly journals Prevalence of Thyroid Disorder in Residents of Western Region of Nepal

2021 ◽  
Vol 9 (3) ◽  
pp. 169-175
Author(s):  
Preeti Sharma ◽  
Namarata Thapa Magar ◽  
Mahesh BK
Keyword(s):  
Subclinical Hypothyroidism ◽  
College Teaching ◽  
Reproductive Age ◽  
Research Centre ◽  
Enzyme Linked Immunosorbent Assay ◽  
Western Region ◽  
Thyroid Disorder ◽  
Age Group ◽  
Total Study Population ◽  
Reproductive Age Group

Thyroid disorder, such as goiter, hypothyroidism, and hyperthyroidism, are leading health problems in Nepal. Owing to geographical and environmental factors, iodine deficiency is prime cause of thyroid disorder. The objective of study to estimate the prevalence of thyroid disorder in residents of western region of Nepal (Pokhara valley). Materials & Methods: The study design was hospital based retrospective study. The data of T3, T4, TSH was collected from subject visiting Department of Biochemistry at Gandaki Medical College Teaching Hospital and Research Centre, Nepal. The samples was collected, serum was separated and thyroid hormones was assayed by Enzyme linked Immunosorbent assay kit from RFLC (India). Result: The total study population was 2248 cases of which 580 (male) and 1668 (female) were enrolled in the study. The prevalence of thyroid disorder was 22.42 % in western region. Subject with hypothyroidism was 12.41% (279) & subject with hyperthyroidism were 10.41% (234) respectively. Female subject of age (15-44) years had a hypothyroidism, i.e. 52.83% (112). About 73.15% (109 out of 149 subjects) were female cases suffered from subclinical hypothyroidism. The thyroid disorder found most prevalent in reproductive age group in female residents in our study. Conclusion: Hypothyroidism is prevalent in all age group of female residents of western region of Nepal.Our study conclude that hypothyroidism and subclinical hypothyroidism found more prevalent in reproductive age group in residents of western region of Nepal. Int. J. Appl. Sci. Biotechnol. Vol 9(3): 169-175  

scholarly journals Prevalence and socio-demographic determinants of gynecological morbidity among ever married women of reproductive age group in field practice area of Navodaya Medical College Hospital and Research Centre, Raichur

2018 ◽  
Vol 5 (8) ◽  
pp. 3388 ◽  
Author(s):  
Brunda N. K. ◽  
Pavan Kalasker ◽  
Bhaskar Kurre
Keyword(s):  
Married Women ◽  
Reproductive Age ◽  
Research Centre ◽  
Age At Menarche ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
College Hospital ◽  
Field Practice ◽  
Group 15 ◽  
Reproductive Age Group

Background: India has made rapid progress in social, economy and health sectors since independence and simultaneous dramatic changes in lifestyle and social roles for women, mortality rates have shifted, resulting in a decreasing advantage for women. Explaining the consequences of these dynamic changes requires understanding of the various health effects. In the future these changes will have significant impact on women’s health.Methods: A cross-sectional study was conducted among 400 ever married women of reproductive age group (15-49 years) residing in the urban field practice area of NMCH&RC. Study subjects were interviewed about gynecological morbidities experienced in the recent past 6 months. Blood samples were collected and hemoglobin estimation was done.Results: Out of the total 400 ever married women of reproductive age group (15-49 years), 153 women were found to have gynecological morbidity and the prevalence was found to be 38.3%. Statistically significant association was found among the prevalence of gynecological morbidity and variables like literacy status, occupation, age at marriage, age at menarche and type of family of respondents.Conclusions: Due to the traditional and social constrains, socio-cultural factors of study participants, limit their access to the health care and social support services, thereby providing an environment conducive to acquiring and transmitting RTI/STIs. 

scholarly journals Birth preparedness and complication readiness among women of reproductive age in Kenya and Tanzania: a community-based cross-sectional survey

2020 ◽  
Author(s):  
James Orwa ◽  
Samwel Maina Gatimu ◽  
Michaela Mantel ◽  
Stanley Luchters ◽  
Micheal A. Mugerwa ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Reproductive Age ◽  
Birth Preparedness ◽  
Cross Sectional Survey ◽  
Community Based ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Level Of Education ◽  
Factors Associated ◽  
Danger Signs

Abstract Introduction: Delayed health-seeking continues to contribute to preventable maternal and neonatal deaths in low resource countries. Some of the strategies to avoid the delay include early preparation for the birth and detection of danger signs. We aimed to assess the level of practice and factors associated with birth preparedness and complication readiness (BPCR) in Kenya and Tanzania.Methods: We conducted community-based multi-stage cross-sectional surveys in Kilifi and Kisii counties in Kenya and Mwanza region in Tanzania and included women who delivered two years preceding the survey (2016–2017). A woman who mentioned at least three out of five BPCR components was considered well-prepared. Bivariate and multivariable proportional odds model were used to determine the factors associated with the BPCR. The STROBE guidelines for cross-sectional studies informed the design and reporting of this study.Results: Only 11.4% (59/519) and 7.6% (31/409) of women were well-prepared for birth and its complications in Kenya and Tanzania, respectively, while 39.7% and 30.6% were unprepared, respectively. Level of education (primary: adjusted odds ratio (aOR): 1.59, 95% CI: 1.14–2.20, secondary: aOR: 2.24, 95% CI: 1.39–3.59), delivery within health facility (aOR: 1.63, 95% CI: 1.15–2.29), good knowledge of danger signs during pregnancy (aOR: 1.28, 95% CI: 0.80–2.04), labour and childbirth (aOR: 1.57, 95% CI: 0.93–2.67), postpartum (aOR: 2.69, 95% CI: 1.24–5.79), and antenatal care were associated with BPCR (aOR: 1.42, 95% CI: 1.13–1.78).Conclusion: Overall, most pregnant women were not prepared for birth and its complications in Kilifi, Kisii and Mwanza region. Improving level of education, creating awareness on danger signs during preconception, pregnancy, childbirth, and postpartum period, and encouraging antenatal care and skilled birth care among women and their male partners/families are recommended strategies to promote BPCR practices and contribute to improved pregnancy outcomes in women and newborns.

scholarly journals Birth preparedness and Complications Readiness among Women of Reproductive Age in Rural Benue State, Nigeria

2020 ◽  
Vol 18 (2) ◽  
Author(s):  
Joyce Rumun Akpenpuun ◽  
Joy Nguavese Waroh ◽  
Celina Amaechi Eze ◽  
Nguemo Audu
Keyword(s):  
Rural Communities ◽  
Rural Women ◽  
Rational Choice Theory ◽  
Healthcare Services ◽  
Reproductive Age ◽  
Birth Preparedness ◽  
Women Of Reproductive Age ◽  
Maternal Healthcare ◽  
Complication Readiness ◽  
Pregnancy And Childbirth

In many sub-Saharan African countries, including Nigeria, pregnancy and childbirth complications are among the leading causes of mortality and morbidities among women of reproductive age especially in rural communities. This paper examined how women in rural Benue State prepare for births especially as it relates to utilization of maternal healthcare services to avoid potential pregnancy and childbirth related complications. It specifically investigated the factors that hinder rural women from birth preparedness and complication readiness (BPCR). The study which was anchored on Rational Choice Theory utilized intra method triangulation to elicit qualitative data from women of reproductive age (15-49), Woman leaders and community health personnel from 6 rural communities drawn from 3 local government areas in Benue State. Focus Group Discussions (FGDs) and In-depth Interviews (IDIs) were the main instruments used for data collection in order to capture the nuances involved. Findings indicate that utilization of maternal health services in preparation for births among rural women is poor. Cost of transportation, poor knowledge and concerns over cost of service were key barriers to BPCR. The study recommends that policy makers and all stake holders should intensify awareness on the needs and importance of BPCR, and that government should consider complete removal of user-fees on maternal healthcare services in order to improve BPCR.

scholarly journals Birth Preparedness and Complication Readiness Among Women of Reproductive Age in Kenya and Tanzania: A Community-Based Cross-Sectional Survey

2020 ◽  
Author(s):  
James Orwa ◽  
Samwel Maina Gatimu ◽  
Michaela Mantel ◽  
Stanley Luchters ◽  
Micheal A. Mugerwa ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Reproductive Age ◽  
Birth Preparedness ◽  
Cross Sectional Survey ◽  
Community Based ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Level Of Education ◽  
Factors Associated ◽  
Danger Signs

Abstract Introduction: Delayed health seeking continues to contribute to preventable maternal and neonatal deaths in low resource countries. Some of the strategies to avoid the delay includes early preparation for the birth and detection of danger signs. We aimed to assess the level of practice and factors associated with birth preparedness and complication readiness (BPCR) in Kenya and Tanzania.Methods: We conducted community-based multi-stage cross-sectional surveys in Kilifi and Kisii counties in Kenya and Mwanza region in Tanzania and included women who delivered two years preceding the survey (2016-17). A woman who mentioned at least three out of five BPCR components was considered well-prepared. Bivariate and multivariable proportional odds model were used to determine the factors associated with the BPCR. The STROBE guidelines for cross-sectional studies informed the design and reporting of this study.Results: Only 11.4% (59/519) and 7.6% (31/409) of women were well-prepared for birth and its complications in Kenya and Tanzania, respectively, while 39.7% and 30.6% were unprepared, respectively. Level of education (primary: adjusted odds ratio (aOR): 1.59, 95% CI: 1.14–2.20, secondary: aOR: 2.24, 95% CI: 1.39–3.59), delivery within health facility (aOR: 1.63, 95% CI: 1.15–2.29), good knowledge of danger signs during pregnancy (aOR: 1.28, 95% CI: 0.80–2.04), labour and childbirth (aOR: 1.57, 95% CI: 0.93–2.67), postpartum (aOR: 2.69, 95% CI: 1.24–5.79), and antenatal care were associated with BPCR (aOR: 1.42, 95% CI: 1.13–1.78).Conclusion: Overall, most pregnant women were not prepared for birth and its complications in Kilifi, Kisii and Mwanza region. Improving level of education, creating awareness on danger signs during preconception, pregnancy, childbirth, and postpartum period, and encouraging antenatal care and skilled birth care among women and their male partners/families are recommended strategies to promote BPCR practices and contribute to improved pregnancy outcomes in women and newborns.

scholarly journals Birth preparedness and complication readiness among women of reproductive age in Kenya and Tanzania: a community-based cross-sectional survey

2020 ◽  
Author(s):  
James Orwa ◽  
Samwel Maina Gatimu ◽  
Michaela Mantel ◽  
Stanley Luchters ◽  
Micheal A. Mugerwa ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Reproductive Age ◽  
Birth Preparedness ◽  
Cross Sectional Survey ◽  
Community Based ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Level Of Education ◽  
Factors Associated ◽  
Danger Signs

Abstract Introduction: Delayed health-seeking continues to contribute to preventable maternal and neonatal deaths in low resource countries. Some of the strategies to avoid the delay include early preparation for the birth and detection of danger signs. We aimed to assess the level of practice and factors associated with birth preparedness and complication readiness (BPCR) in Kenya and Tanzania.Methods: We conducted community-based multi-stage cross-sectional surveys in Kilifi and Kisii counties in Kenya and Mwanza region in Tanzania and included women who delivered two years preceding the survey (2016–2017). A woman who mentioned at least three out of five BPCR components was considered well-prepared. Bivariate and multivariable proportional odds model were used to determine the factors associated with the BPCR. The STROBE guidelines for cross-sectional studies informed the design and reporting of this study.Results: Only 11.4% (59/519) and 7.6% (31/409) of women were well-prepared for birth and its complications in Kenya and Tanzania, respectively, while 39.7% and 30.6% were unprepared, respectively. Level of education (primary: adjusted odds ratio (aOR): 1.59, 95% CI: 1.14–2.20, secondary: aOR: 2.24, 95% CI: 1.39–3.59), delivery within health facility (aOR: 1.63, 95% CI: 1.15–2.29), good knowledge of danger signs during pregnancy (aOR: 1.28, 95% CI: 0.80–2.04), labour and childbirth (aOR: 1.57, 95% CI: 0.93–2.67), postpartum (aOR: 2.69, 95% CI: 1.24–5.79), and antenatal care were associated with BPCR (aOR: 1.42, 95% CI: 1.13–1.78).Conclusion: Overall, most pregnant women were not prepared for birth and its complications in Kilifi, Kisii and Mwanza region. Improving level of education, creating awareness on danger signs during preconception, pregnancy, childbirth, and postpartum period, and encouraging antenatal care and skilled birth care among women and their male partners/families are recommended strategies to promote BPCR practices and contribute to improved pregnancy outcomes in women and newborns.

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