scholarly journals ACTIVE SMOKING AND EXPOSURE TO PASSIVE SMOKING AMONG PREGNANT WOMEN ATTENDING A PRIMARY HEALTH CENTRE IN TEMANGGUNG, INDONESIA

2021 ◽  
Vol 16 (1) ◽  
pp. 134
Author(s):  
Herlina Mayangsari ◽  
Mohammad Afzal Mahmood

Smoking during pregnancy threatens the health of mothers and their fetus. There are limited data in Indonesia about risk factors associated with smoking during pregnancy. This study aimed to explore levels of smoking, exposure to second-hand smoke (SHS), and related risk factors among pregnant women. Pregnant women who received antenatal care at the Temanggung Primary Health Centre in Central Java, Indonesia were interviewed face-to-face. They were asked about their smoking status, socio-economic status, pregnancy characteristics, and knowledge about health risks associated with smoking. A total of 80 participants were interviewed, and none of whom reported smoking, but the majority of whom (91.3%) reported exposure to SHS. This is a significant proportion when compared to rates of exposure to SHS recorded in other countries. The age of the mother affected the likelihood of exposure to SHS, with older mothers having a reduced likelihood of SHS exposure (p = 0.013; OR = 0.8; 95% CI = 0.74-0.96). However, the number of pregnancies, ANC visits, level of education, income, and awareness of the health risks associated with smoking were not found to be statistically significant. Although women appeared to be relatively aware of the negative effects associated with smoking and SHS exposure, the high incidence of passive smoking illustrated the challenges encountered by women in avoiding SHS. ANC programme should place greater stress on the dangers of SHS exposure, and also involve the whole family. Additionally, laws should be enacted to restrict or prohibit smoking in public places.Keywords: pregnant women, second-hand smoke, smoking

Author(s):  
Geraldine U. Ndukwu ◽  
Paul O. Dienye

Background: Anaemia, though a common problem in Nigeria, has not been adequately studied amongst pregnant women in primary health care facilities. Objective: This study is aimed at determining the prevalence of anaemia and sociodemographic factors associated with anaemia in pregnancy in a primary health centre in Rivers State, Nigeria.Methodology: This is a cross-sectional study carried out in a primary health centre. Association between variables was analysed using the Chi-square test.Results: Two hundred and twenty-seven pregnant women whose ages ranged from 16 to 40 years with a mean age of 26.8 ± 4.3 years were recruited for the study. The haemoglobin concentration ranged from 6 g/dL – 15 g/dL with a mean of 10.10 ± 1.27g/dL. A total of 142 (62.6%) participants were anaemic. Anaemia was observed to be least prevalent in women within the extremes of reproductive age (≤ 20 years and 36–40 years). There was no statistically significant association between age, educational level and marital status (p > 0.05). The association of anaemia with social class was statistically significant (p = 0.000). Severe anaemia was not a common finding amongst the patients but it was significantly associated with educational status (p = 0.02) and socio-economic status (p = 0.03).Conclusion: The prevalence of anaemia amongst the pregnant participants in the primary health centre was high. Out of all the socio-demographic characteristics, only socio-economic status was significantly associated with anaemia. It is recommended that the socio-economic status of women should be enhanced in line with the Millennium Development Goals to prevent anaemia and to enhance pregnancy outcomes.


2021 ◽  
Vol 14 (3) ◽  
pp. 042-049
Author(s):  
Ndukwu Geraldine ◽  
Dienye Paul ◽  
Adesokun Bolanle

Anaemia has been reported as one of the commonest medical complications associated with pregnancy in the developing countries. It increases maternal, fetal and neonatal morbidity and mortality significantly. In Nigeria, maternal anaemia usually predates the period of pregnancy in the life of most of the mothers. These women succumb to early unprepared marriage, give birth to many children with poor child spacing and due to poverty and ignorance they book late for antenatal. This study determines the obstetric factors associated with anaemia in pregnancy in a primary health centre in Port Harcourt in order to create awareness on maternal anaemia and the need to institute preventive and therapeutic measures. Methods: This is a cross-sectional; hospital- based study. A total of two hundred and twenty-seven pregnant women attending the antenatal clinic were enrolled into the study at booking in a primary health centre. Data was collected by administrating questionnaires. Blood sample was collected for haemoglobin estimation. Means were compared using z-test and statistical significance was set at P<0.05. Results: Out of the 227, 111(48.9%) were primigravida, most of whom were anaemic (65.8%). Majority of the women booked in the second trimester 135 (59.3%) and those that booked at the third trimester were more anaemic (70.9%). Pregnant women with birth interval of <1(66.7) and > 4years (78.6%) were mostly anaemic Conclusion: Anaemia in pregnancy especially for those living in developing countries can be reduced if women are educated on the need for proper nutrition before pregnancy and on early ante-natal booking.


Author(s):  
Muliana Edi ◽  
Yit Chin ◽  
Fui Woon ◽  
Geeta Appannah ◽  
Poh Lim ◽  
...  

Despite the advancement of the healthcare system, low birth weight (LBW) remains as one of the leading causes of under-five mortality. This cross-sectional study aimed to determine the prevalence of LBW and its associated factors among 483 third trimester pregnant women recruited from six selected public health clinics in the Federal Territory of Kuala Lumpur and the state of Selangor, Malaysia. Pregnant women were interviewed for information on socio-demographic characteristics, smoking behaviour, and second-hand smoke (SHS) exposure at home and in the workplace. Information on the obstetrical history and prenatal care visits history were retrieved from the maternal medical records, while infant’s birth outcomes were retrieved from infant medical records. The prevalence of LBW (<2.5 kg) in infants was 10.4%, with a mean birth weight of 3.0 [standard deviation (SD) 0.4] kg. Results from the multivariable logistic regression model showed that inadequate weight gained during pregnancy [odds ratio (OR) = 2.41, 95% confidence interval (CI) = 1.18–4.90] and exposure to SHS at home (OR = 1.92, 95% CI = 1.03–3.55) were significantly associated with LBW. In conclusion, pregnant women should monitor their rate of weight gain throughout pregnancy and avoid SHS exposure at home to reduce the risk of delivering LBW infants.


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