scholarly journals Prevalence and Risk Factors for Hepatitis B Infection among Pregnant Women attending Antenatal Clinic in UM Dafog Area, South Darfur State, Sudan

Author(s):  
Abdalla Hassan Mudardum ◽  
Abbakar Adam Mohammed

Background: Sudan is an endemic country for hepatitis B virus (HBV). Screening for HBV during pregnancy may help in instituting interventions to minimize vertical transmission. HBV in pregnant women in remote areas of Darfur were uncovered by the previous studies in Sudan, Objectives: This study was aimed to determine the seroprevalence of HBV and the possible risk factors for its acquisition among antenatal care attendants in Um Dafog area, South Darfur State, Sudan. Materials and Methods: A cross-sectional study was conducted between July, 2018 to January, 2019 in Um Dafog area. Blood samples were collected from165 (143from Sudan and 22from Central African Republic) pregnant women attending Antenatal Um Dafog Clinic. Serum was separated and tested for HBV marker using rapid HBsAg test. Information on socio-demographic and other pertinent data was collected using a structured questionnaire. Informed consent was obtained and confidentiality of personal data was assured.   Results: HBsAg was detected in 8.5% of study population. Participants from Central African Republic recorded higher prevalence (18.2%) than those from Sudan (7%). However, there was no significant association (P value > 0.05) between prevalence of HBsAg and residence, history of blood transfusion, tattooing, circumcision, surgical procedure, cupping therapy, caesarean section, ear piercing, unsafe injection, and jaundice or liver problems. Conclusion: The study concluded that the prevalence of HBV among pregnant women in Um Dafog area is of high endemicity according to WHO, hence the need for established public health interventions that leading  to reduction of HBV transmission. Keywords: Hepatitis B, pregnant women, Um Dafog, Sudan.

2021 ◽  
Vol 4 (2) ◽  
pp. 71-74
Author(s):  
Ratih Mega Septiasari ◽  
Nurya Viandika

AbstrakWanita hamil adalah salah satu kelompok khusus yang berisiko tinggi tertular virus Covid-19.Faktor risiko terbesar untuk mengalami berbagai tekanan psikologis adalah perempuan dan tenaga kesehatan serta populasi rentan seperti ibu hamil. Ketakutan dan kekhawatiran muncul dari bahaya yang memang ada, tetapi banyak juga yang muncul dari kurangnya pengetahuan dan informasi yang salah. Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan Covid-19 dengan kecemasan ibu hamil pada saat pandemi Covid-19 di Malang Jawa Timur Indonesia. Penelitian dilakukan pada bulan November hingga Desember 2020 dan merupakan penelitian desain cross-sectional dengan menggunakan kuesioner  yang diberikan kepada 52 ibu hamil. Berdasarkan tabel 4 didapatkan p-value 0,029 (sig<0,05) yang menunjukkan bahwa ada hubungan yang signifikan antara pengetahuan dengan kecemasan ibu hamil selama pandemi Covid-19. Sehingga dapat disimpulkan bahwa pengetahuan merupakan factor penting bagi ibu hamil karena dapat mempengaruhi perilaku ibu selama hamil. Sehingga diharapkan edukasi yang optimal dari petugas kesehatan bagi para ibu agar dapat menjalani kehamilan sejahtera serta ibu dan janin tetap sehat selama pandemi Covid-19. Kata kunci: pengetahuan, kecemasan, kehamilan, pandemi covid-19  AbstractPregnant women are one of the special groups that are at high risk for the Covid-19 virus. The biggest risk factors for experiencing various psychological distresses are women and health workers as well as vulnerable populations such as pregnant women. Fear and worry arise from dangers that do exist, but many also arise from lack of knowledge and misinformation. The purpose of this study was to determine the correlation between Covid-19 knowledge and anxiety of pregnant women during the Covid-19 pandemic at Malang, East Java Indonesia. The study was conducted from November to December 2020 and is a cross-sectional design study using a questionnaire given to 52 of pregnant women. Based on the table 4, the p-value is 0.029 (sig <0.05), which indicates that there is a significant correlation between the knowledge and the anxiety of pregnant women during the Covid-19 pandemic. So it can be concluded that knowledge is an important factor for pregnant women because it can affect the behavior of the mother during pregnancy. So it is hoped that optimal education from health workers for mothers to be able to undergo a prosperous pregnancy so that mothers and fetuses remain healthy during the Covid-19 pandemic. Keywords: knowledge, anxiety, pregnancy, covid-19 pandemic


Author(s):  
Puji Astuti Wiratmo ◽  
Lisnadiyanti ◽  
Nurkamilia Sopianah

Introduction: Antenatal Care (ANC) is an effort to detect the occurrence of high risk in pregnant women. However, ANC non-compliance was still found due to several factors. Aim of study: This study aims to determine factors that influence ANC visits to ANC behavior at Puskesmas Pasar Rebo East Jakarta. Method: This study used a descriptive correlation design with a cross-sectional survey. Data analysis used Spearman's rho with 117 respondents. Results and Discussion: The results showed that there are some factors that influence ANC visits to ANC behavior, including age with a correlation value (r = 0.419), a p-value of 0.000; education with a correlation value (r = 0.425), p-value of 0.000; jobs with a correlation value (r = 0.279), p-value of 0.002; income with a correlation value (r = 0.407), p-value of 0.000; knowledge with a correlation value (r = 0.409), p-value of 0.000; husband / family support with a correlation value (r = 0.417), p-value of 0.000; attitude with a correlation value (r = 0.597), p-value of 0.000 (<0.05). Irregularity in carrying out ANC has a bad impact on pregnant women because they are not aware of the risk factors that may occur to the mother and her fetus and can not be detected early on the disease suffered by pregnant women. Conclusion: The conclusion of this study is nurses as health workers need to increase their role as educators and health care provider to pregnant women and their families about the importance of ANC to reduce maternal mortality and monitor the state of the fetus.


2019 ◽  
Vol 2 (2) ◽  
pp. 7-17
Author(s):  
Nur Cahyani Ari Lestari ◽  
Syahrida Wahyu Utami ◽  
Reni Rahayu

Eclampsia is a pregnancy-specific syndrome in the form of decreased organ perfusion due to vasospasm and endothelial activation, characterized by increased blood pressure, proteinuria, with or without edema accompanied by seizures. Eclampsia can harm the mother and fetus. The exact cause of eclampsia is unknown, but eclampsia can be triggered by several risk factors including the age of too young or too young, nulliparous, obesity in pregnancy, chronic hypertension, diabetes and multiple pregnancies. This study aims to determine the relationship between risk factors and the incidence of eclampsia in pregnant women in Ambarawa Hospital. The research method used was descriptive analytic research with a cross-sectional approach. Research variables included age, parity, obesity, chronic hypertension, diabetes, twin pregnancies as risk factors for eclampsia and eclampsia. The study population was all pregnant women in Ambarawa General Hospital in January-June of 896 people. The research sample was taken using the proportionate stratified random sampling technique that was in accordance with the inclusion and exclusion criteria as many as 90 people. The results showed that pregnant women aged between 20-35 years were 49 people (54.4%), the parity of pregnant women was nulliparous as many as 37 people (41.1%), pregnant women were not obese as many as 72 people (80%) and not experiencing chronic hypertension as many as 70 people (77.8%), almost all pregnant women did not suffer from diabetes as many as 86 people (95.6%) and did not experience twin pregnancies as many as 83 people (92.2%). Risk factors associated with pre-eclampsia events included parity (p value 0.033), obesity (p value 0.017), chronic hypertension (p value 0,000) and diabetes (p value 0.041. The most dominant risk factor after multivariate regression analysis logistics is chronic hypertension, it is recommended for health workers and the public to prevent the occurrence of pre-eclampsia, especially for mothers who have risk factors. Keywords: Risk Factors, Incidence of Eclampsia


2019 ◽  
Author(s):  
Getnet Gedefaw ◽  
Fikadu Waltengus ◽  
Almaz Akililu ◽  
Kihinetu Gelaye

Abstract Objective This study aimed to determine the magnitude of serum HBsAg and the risk factors for Hepatitis B virus infection among pregnant women in Bahir Dar. An institution based cross sectional study was implemented from February 1 to May 1, 2018 among 338 pregnant women attending antenatal care clinic at Felegehiwot referral hospital, Bahir Dar, 2018. Systematic random sampling technique was implemented. Blood sample was taken from 338 study participants and serum was tested for Hepatitis B surface antigen (HBsAg) using Enzyme Linked ImmunoSorbent Assay.Results The overall prevalence of hepatitis B virus infection among pregnant women were 16(4.7%) (95% CI= 2.7, 7.7). Having a history of blood transfusion (AOR=5.2; 95% CI=1.2-22.3), having a history of multiple sexual partners (AOR=4.6; 95% CI=1.1-19.6) and having a history tonsillectomy (traditional surgical procedure) AOR=3.4; 95% CI=1.1-10.1) were the significant risk factors for Hepatitis B virus infection.


2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Cintya Andriani ◽  
Nur Indrawati Lipoeto ◽  
Bobby Indra Utama

AbstrakPreeklampsia merupakan penyebab utama kematian maternal selain perdarahan dan infeksi. Penyebab pasti terjadinya preeklampsia belum diketahui, namun terdapat faktor risiko yang mempengaruhi kejadian preeklampsia. Di RSUP Dr. M Djamil Padang terjadi peningkatan kasus preeklampsia setiap tahunnya dari tahun 2008-2012. Tujuan penelitian ini adalah menentukan hubungan antara Indeks Massa Tubuh (IMT) dan kejadian preeklampsia di RSUP Dr. M. Djamil Padang. Penelitian dilakukan di bagian Rekam Medis dengan menggunakan desain cross sectional study komparatif terhadap 46 pasien preeklampsia dan 46 ibu hamil yang tidak preeklampsia yang bersalin di RSUP Dr. M. Djamil Padang dalam kisaran tahun 2011-2013. Hasil analisis univariat menunjukkan nilai rerata IMT sebelum hamil pada pasien preeklampsia dengan nilai 24,15 kg/m2 berada pada kategori overweight, sedangkan ibu hamil yang tidak preeklampsia berada pada kategori normal, dengan nilai rerata IMT 22,3 kg/m2. Berdasarkan analisis bivariat menggunakan Mann Whitney tes diperoleh nilai P: 0,014 (P<0,05). Kesimpulan penelitianini adalah terdapat hubungan yang bermakna antara IMT dengan kejadian preeklampsia di RSUP Dr. M. Djamil Padang.Kata kunci: preeklampsia, faktor risiko, indeks massa tubuh AbstractPreeclampsia is the leading cause of maternal death in addition to bleeding and infection. The exact cause of preeclampsia still unknown, but there are risk factors that affect the preeclampsia’s incident. There was an increase of preeclampsia’s case in RSUP Dr. M. Djamil Padang each year from 2008-2012. The objective of this study was to determine the correlation between Body Mass Indeks (BMI) and preeclampsia’s incident in RSUP Dr. M. Djamil Padang. The research was done at medical records department using cross sectional study comparative’s design toward 46 preeclamptic patients and 46 pregnant women who did not preeclampsia, which gave birth in RSUP Dr. M. Djamil Padang on the range 2011-2013. Results of univariate analysis showed that BMI average value of patients with preeclampsia before pregnant were in overweight category (24,15 kg/m2), whereas pregnant women who did not preeclampsia are in normal category (22,3 kg/m2). Based on bivariate analysis using the Mann Whitney test, p value was obtained 0,014 (P<0,05). The conclusion is there’s significant correlation between BMI with preeclampsia’s incident in RSUP Dr. M. Djamil Padang.Keywords: preeclampsia, risk factors, body mass indeks


Author(s):  
Yuliana, Melyani, Alexander

ABSTRACT Pregnant women were susceptible exposed to Hepatitis B Virus infection due to a decrease activity of Sel T in the immune system. The prevalence of Hepatitis B infection in West borneo (2,53%) was higher than the prevalence in Indonesia (1,9%). HBV infection during pregnancy was caused of vertical transmission from mother to child by uteroplacental circulation with HBsAG and DNA of (HBV) as a medium. The purpose of this research is analyze the determines the risk factors of the incidence Hepatitis B virus infection among pregnancy women in Sungai Durian health center years 2018-2020. The type of research used was case control. The population in this research was 133 as a case, 532 not infected women as a control group was done by simple random sampling. The research instrument uses a check list sheet. Prevalence of Hepatitis B in pregnancy by 2.57%. Related variabels with HBV such as age, parity, size of LILA, anemia and environment with p value < 0,05. Age was dominant variable with Odds Ratio 1.608 caused at risk of becoming infected with HBV through saliva and sperm during sexual intercourse, decreased immunity and medical action  which can be an entry point for HBV. Keywords : Hepatitis B, infection, risk factor, pregnancy women  


2009 ◽  
Vol 25 (3) ◽  
pp. 668-676 ◽  
Author(s):  
Lucia Helena Mello de Lima ◽  
Maria Carmen Viana

Sexually transmitted infections during pregnancy pose a major risk to the fetus due to vertical transmission. The study's objective was to determine the prevalence of HIV, syphilis, hepatitis B and C, and HTLV-I/II infection among low-income postpartum and pregnant women treated in Greater Metropolitan Vitória, Espírito Santo State, Brazil, and the risk factors associated with these infections. A cross-sectional study was conducted from February to October 1999 assessing postpartum and pregnant women from the maternity ward of the Vitória Mercy Hospital and the Carapina Outpatient Referral Unit in the Municipality of Serra, respectively. Patients were systematically interviewed and had blood samples drawn for serological tests (HIV 1&2, VDRL, HbsAg, anti-HCV, and HTLV-I/II). A total of 534 patients (332 postpartum and 202 pregnant women) were assessed. Seroprevalence rates for the target infections in postpartum and pregnant women and the overall sample were as follows, respectively: HIV 0.9%, 0%, and 0.6%; syphilis 2.1%, 3.6%, and 2.7%; HBV 1.2%, 1%, and 1.1%; HCV 1.8%, 0.6%, and 1.4%; and HTLV-I/II 1.7%, 0.6%, and 1.3%. Factors associated with the various infections are presented and analyzed in light of other research findings from the literature.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Reham Elkhateeb ◽  
Ayman Abdelmeged ◽  
Samar Ahmad ◽  
Ahmad Mahran ◽  
Walaa Yehia Abdelzaher ◽  
...  

Abstract Background Domestic violence is a common problem that is related to many serious short-term and long-term health hazards around the world. Methods During obtaining the medical history from the participants, the questions used to assess the abuse were derived from the widely used Abuse Assessment Screen (AAS). Potential risk factors including a variety of socio-demographic and reproductive health-relation indicators were assessed. The influence of violence on the pregnancy outcome was determined by the continuous follow-up till giving birth. Results 513 pregnant women were included. The prevalence of violence among them was 50.8%. The prevalence of physical, sexual, verbal, and emotional abuse was 30.2, 20, 41.7, and 45.4% respectively. Exposure to violence during pregnancy had significant effects on the women and their pregnancy outcome in the form of development of vaginal infection (P-value =0.036), vaginal bleeding (P-value = 0.008), preterm labour (P-value = 0.003), premature rupture of membrane (P-value = 0.001). Conclusion Violence against pregnant women in Minia Governorate, Egypt is common especially emotional violence and it has many adverse effects on the women and their pregnancy outcome. One of the most important risk factors is the fear of the husband which makes violence a continuous vicious circle.


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