scholarly journals Early Postpartum Morbidities and the Associated Factors in the Field Practice Area of a Tertiary Care Institution in Andhra Pradesh - A Cross Sectional Study

2021 ◽  
Vol 8 (18) ◽  
pp. 1281-1286
Author(s):  
Sunita Sreegiri ◽  
Phani Madhavi Kajana ◽  
Dhanalakshmi Balaga ◽  
Kesava Lakshmi Prasad Kandipudi ◽  
Devi Madhavi Bhimarasetty
Keyword(s):  
Maternal Health ◽  
Postpartum Period ◽  
Maternal Morbidity ◽  
Post Partum ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Early Postpartum Period ◽  
Early Postpartum ◽  
Field Practice

BACKGROUND The status of maternal health in developing countries is often described in terms of maternal mortality alone. Data on maternal morbidity is inadequate as there is no proper reporting system. Improving maternal health and reducing maternal mortality has been the critical concerns of the international community. So, the present study was undertaken to identify and determine the factors associated with early postpartum morbidity among mothers in the rural field practice area of Rural Health Center (RHC), Simhachalam, Visakhapatnam. METHODS A cross-sectional study was conducted among post-partum mothers in the early postpartum period, registered with Rural Health Centre (RHC), Simhachalam, from March 2019 to November 2019 using a pre-tested semi structured questionnaire. Study was conducted among 335 postnatal mothers. List of antenatal mothers registered in RHC Simhachalam was obtained. Antenatal mothers who had their expected date of delivery (EDD) between April 2019 and Aug 2019 and were available in Simhachalam in the post-partum period were contacted after getting information about their delivery from local Multipurpose Health Worker (MPHW). The mothers were visited and interviewed between day 7 and day 10 at their home and information on morbidity was obtained. RESULTS Most common complaints seen in the early postpartum period among the study participants were easy fatigability [214 (63.7 %)], headache in 140 (41.66 %), pedal oedema [131 (39 %)] and facial oedema [27 (8.0 %)]. Almost 67.85 % of mothers were anaemic. Among the obstetric related complaints, lower abdominal tenderness was the most common [196 (58.3 %)] followed by heavy vaginal bleeding [138 (41.1 %)], episiotomy wound swelling / pain [90 (26.8 %)] and postpartum haemorrhage (PPH) [46 (13.7 %)]. Episiotomy wound infection [24 (7.12 %)] and Caesarean wound infection [12 (3.57 %)] were seen together constituting around 10. 7 % among mothers. CONCLUSIONS The incidence of morbidity in the early postpartum period was high with 82.5 % of the mothers presenting with one or more morbidities. KEYWORDS Maternal Morbidity, Early Postpartum Morbidity, Post-Natal Mothers

scholarly journals Paternal Postpartum Bonding and Its Predictors in the Early Postpartum Period: Cross-Sectional Study in a Polish Cohort

2021 ◽  
Vol 12 ◽  
Author(s):  
Łucja Bieleninik ◽  
Karolina Lutkiewicz ◽  
Paweł Jurek ◽  
Mariola Bidzan
Keyword(s):  
Postpartum Period ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Sectional Study ◽  
Cross Sectional ◽  
Early Postpartum Period ◽  
Early Postpartum ◽  
Paternal Anxiety ◽  
Paternal Stress ◽  
Postpartum Bonding

Introduction: Parental postpartum bonding has been studied by many researchers focusing on maternal bonding. The objective of this study was to examine the psychological and socio-demographic predictors of paternal postpartum bonding in the early postpartum period.Methods: In this cross-sectional study, 131 couples (fathers median age of 32.37 years, SD = 4.59; mothers median age of 30.23 years, SD = 3.90) of newborns from full-term pregnancies were recruited from November 2019 until March 2020. The primary outcome was paternal postpartum bonding as measured by the Postpartum Bonding Questionnaire (PBQ). Secondary outcomes included: maternal and paternal anxiety [with the Generalized Anxiety Disorder (GAD) Assessment]; maternal and paternal stress [with the Parental Stress Scale (PSS)]; maternal depressive symptoms [with the Edinburgh Postpartum Depression Scale (EPDS)]; and maternal and paternal socio-demographic variables as fathers’ presence at childbirth, education level, age, and parental experience.Results: Paternal postpartum bonding was significantly correlated with paternal anxiety (moderate strength), maternal stress (strong correlation), and maternal postpartum bonding. No significant correlations between paternal postpartum bonding, maternal depression symptoms, and maternal anxiety were found. The mediating role of paternal stress in paternal postpartum bonding was proven. Paternal anxiety strengthens paternal stress (b = 0.98). Further, a high level of paternal stress disrupts paternal postpartum bonding (b = 0.41). Results of regression analyses have revelated that maternal infant bonding (p < 0.01) and paternal stress (p < 0.01) are the only predictors of parental postpartum bonding across all included variables. None of investigated socio-demographic variables were associated with paternal postpartum bonding.Conclusion: Notwithstanding limitations, the current findings add to a growing body of literature on paternal postpartum bonding. The results have shown that paternal mental health is related to parental postpartum bonding directly after delivery.Clinical Trial Registration:ClinicalTrials.gov Identifier: NCT04118751.

scholarly journals Contraceptive utilization and associated factors among women in the extended post-partum period in wukro town, Tigray, Ethiopia: a community based cross sectional study

2019 ◽  
Author(s):  
Natnael Etsay Assefa ◽  
Yodit Zewdie Berhe ◽  
Weldu Mammo Werid ◽  
Meresa Berewo Mengesha ◽  
Kidanemariam Berhe Tekola ◽  
...  
Keyword(s):  
Family Planning ◽  
Birth Interval ◽  
Postpartum Period ◽  
Post Partum ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Contraceptive Utilization ◽  
Post Partum Period

Abstract Background: The extended post-partum period is the twelve months after delivery, which is a very critical time for mothers to ensure a safe birth interval. Many women do not realize that they are at risk of pregnancy during the postpartum period and the importance of birth interval. Birth interval more than two years reduces maternal and child mortality and give a better health for the mother and the child. Because of this assessing post-partum contraceptive utilization and the determining factors is crucial. Hence, the study was conducted to determine contraceptive utilization and identify factors which affect post -partum contraceptive utilization Methods: A community based cross sectional study was implemented among 422 women who gave birth one year prior to the study period in wukro town. The total sample size was allocated to the three kebeles proportionally. Systematic random sampling technique was used to select study subjects. Data were collected by interviewer administered structured questionnaire. The data were coded and entered using EpiData version 3.1 and transported to Statistical Package for Social Science version 20 for analysis. Binary and multivariable logistic regressions were fitted. Odds ratio with 95% confidence interval was used to measure strength of association. Results: A total of 422 women were enrolled in this study. Nearly half (48.6%) of the women were using contraceptive. Multivariable logistic regression showed that prenatal counseling [AOR 3.06(95% CI; 1.30, 7.22)], menses returned [AOR 3.99(95% CI; 1.96, 8.11)] and resuming sexual activity [AOR 5.96(95% CI; 2.67, 13.3)] were positively associated with utilization of postpartum contraceptive. Conclusions: Postpartum contraceptive use was low. Strengthening prenatal family planning counseling and improving women’s awareness about the return of their fertility after childbirth are suggested to improve family planning utilization in extended postpartum period.

scholarly journals Assessing the competence of midwives to provide care during labor, childbirth and the immediate postpartum period – A cross sectional study in Tigray region, Ethiopia

PLoS ONE ◽  
2018 ◽  
Vol 13 (10) ◽  
pp. e0206414 ◽  
Author(s):  
Miruts Goshu ◽  
Hagos Godefay ◽  
Fantaw Bihonegn ◽  
Firew Ayalew ◽  
Daniel Haileselassie ◽  
...  
Keyword(s):  
Postpartum Period ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Tigray Region

scholarly journals A cross sectional study of elderly widows residing in urban field practice area of S. N. Medical College, Bagalkot, Karnataka

2018 ◽  
Vol 5 (12) ◽  
pp. 5224
Author(s):  
Gowri Shankar ◽  
Jayaraj M. Ramachandra ◽  
Sarojini S. Hunshikatti
Keyword(s):  
Cause Of Death ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Chronic Obstructive ◽  
Sectional Study ◽  
Cross Sectional ◽  
Sitting Posture ◽  
Demographic Profile ◽  
Medical College ◽  
Field Practice

Background: Widows are the most vulnerable segment among the elderly population in India. Elderly widows face several social, economic, emotional and cultural deprivations due to their gender, widowhood and old age. Hence, this study was done with the objective to know the socio demographic profile and morbidity of elderly widows residing in urban field practice area of S.N. Medical College, Bagalkot.Methods: This cross sectional study was done in 8 Anganwadi areas during 2016 by cluster random sampling. All the elderly widows residing in the areas were included after informed consent. Ethical clearance was obtained from Institutional review board. Data regarding their socio demographic profile, cause of death of husband, the number of years being a widow, health seeking behavior and their chronic morbidities were noted. Height and weight of each elderly widow was measured and body mass index calculated using the formula weight in kilogram divided by height in meter 2 and classified according to South East Asian category. Blood pressure was recorded three times with the widow in a sitting posture in an interval of 3 minutes and the least value was documented according to JNU classification.Results: Out of 140 elderly widows who were residents of the areas, majority (69.29%) were between 60 to 74 years of age followed by 27.86% between 75 to 89 years of age. It was observed that 75% of them were illiterate. The leading cause of death of husband was coronary heart disease (19.29%), chronic obstructive pulmonary disease (12.86%) and alcoholic cirrhosis (10.71%). On examination of the non-hypertensive widows, it was observed that 36.06% were in Stage I and 22.68% were in Stage II of hypertension (JNU classification).Conclusions: Elderly widows are a vulnerable segment of the community. Their health care needs are a priority and regular health check-ups are to be planned.

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