scholarly journals Opportunities and challenges for enhancing of preconception health care among reproductive age groups of women in Mekele, Tigray Ethiopia 2018/9.

2019 ◽  
Author(s):  
abera haftu melkamu ◽  
brhane G/her G/mikael ◽  
hadgay hagos adanu ◽  
mhiret-ab mehari reda ◽  
kahsay zenebe G/selasie ◽  
...  
Keyword(s):  
Preconception Care ◽  
Unplanned Pregnancy ◽  
Age Groups ◽  
Sampling Technique ◽  
Reproductive Age ◽  
Perinatal Complications ◽  
Contributing Factors ◽  
Health Extension Workers ◽  
Future Health ◽  
Care Services

Abstract Background Preconception care involves in preventing and detecting of early disease before pregnancy occurred and has potential benefit both for the mother and her fetus. It prevents plenty of perinatal complications and now a days well organized and systematic preconception care services is mandatory for all reproductive age groups.Objective To explore opportunities and challenges for enhancing preconception care in Mekele, Tigray Ethiopia 2018/9.Method s: Phenomenology study design was employed and sample size was determined by saturation of data. Purposive sampling technique was used to recruit study participants and method of data collection was in-depth interview. Thematic analysis was applied and it was done by atlas ti 7 software. Audios were transcribed first and translated to English version, then after codes and families were given and finally themes were developed.Result In this study a total of ten reproductive age group females were interviewed and their minimum and maximum age were 24&43 years respectively. Opportunities and challenges were explored from the participants’ perception; they explained that health extension workers, previous experience, family planning (condom) and friend’s incident were among contributing factors for enhancing of preconception care and in the counterpart carelessness, less awareness, unplanned pregnancy, unwillingness and poor paternal coordination were the challenges mentioned by the respondents which were recognized as obstacles not to attend preconception care. They explained that again failure to attend preconception care may end up with complicated perinatal outcome like anemia, abortion, hypertension, neural tube defect, preterm labor and low birth weight.Conclusion and recommendation overall the participants had poor awareness and little experience of preconception care. Preconception is overlooked and less attention is given based on the respondents thought, though it has invaluable contribution in future health of both the mother and fetus. The health system should gave emphasis to prevent those maternal and neonatal complication by mobilizing both the community members and health professionals.

scholarly journals Preconception Care in Women with Diabetes

2017 ◽  
Vol 7 (2) ◽  
pp. 164-167
Author(s):  
Faria Afsana
Keyword(s):  
Primary Care ◽  
Preconception Care ◽  
Reproductive Age ◽  
Preconception Counseling ◽  
Women Of Reproductive Age ◽  
Good Glycemic Control ◽  
Attitudes And Behaviors ◽  
Care Services ◽  
Primary Care Services ◽  
Crucial Component

For women of reproductive age preconception care is a crucial component. The main goal of preconception care is to provide screening, detection and management of medical conditions that might affect future pregnancies. Preconception care is defined as a care that aim to identify and modify risks during pregnancy and improves pregnancy outcome through prevention and management. It is not only a single visit to a health-care provider but it will include full facilities of preventive and primary care services for women before a pregnancy or between pregnancies Improved preconception care is also a mandatory component for women with diabetes. Not only for women but men also need improvement of the knowledge, attitudes and behaviors related to reproductive health to maintain an ideal preconception health. For a good pregnancy out come proper preconception counseling, good glycemic control, screening and management of diabetic complications is essential.Birdem Med J 2017; 7(2): 164-167

scholarly journals Perceptions about preconception care among health care providers in Ibadan, southwest Nigeria - A qualitative study

2019 ◽  
Author(s):  
Oludoyinmola Omobolade Ojifinni ◽  
Latifat Ibisomi
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Providers ◽  
Pregnancy Outcomes ◽  
Preconception Care ◽  
Reproductive Age ◽  
Care Providers ◽  
Medical Problems ◽  
Care Services ◽  
Potential Benefits

Abstract Background Preconception care (PCC) is a recognised strategy for optimising maternal health and improving maternal and neonatal outcomes. Research has however shown that preconception care services are not routinely provided as part of maternal health services in Nigeria. This study explored the perceptions about preconception care services among health care workers in Ibadan, Nigeria.Methods This was a qualitative descriptive study involving 25 in-depth interviews among 16 specialist physicians and nine nurses covering 10 specialties: Obstetrics/Gynaecology, Cardiology, Endocrinology among others at the primary, secondary and tertiary health care levels. Interviews were digitally recorded, transcribed verbatim and analysed on MAXQDA using thematic analysis.Results Six main themes were identified from the data – what PCC is, people who require PCC, where PCC services can be provided, acceptability of PCC services, the relevance of PCC to different specialties including gynaecologists, cardiologists, nephrologists, psychiatrists and the possible benefits of PCC. PCC was viewed as care for women, men and couples before pregnancy to optimise health status and ensure positive pregnancy outcomes. Almost all the participants stated that PCC services should be offered at all three levels of health care with referral when needed from the lower to higher levels. The prevailing opinion on the circumstances when PCC is required was that although all people of reproductive age would benefit, those who had medical problems such as hypertension, sickle cell disease, diabetes and infertility would benefit more. Acceptance and use of PCC services could however be hindered by the attitude of potential clients especially for those without any known pre-existing condition who may not use the service even if they were aware of its existence. All specialist physicians identified the relevance of PCC to their practice and identified potential benefits of PCC. The potential benefits outlined included opportunity to plan and prepare for pregnancy to ensure positive pregnancy outcomes.Conclusion Preconception care is important for positive pregnancy outcomes in people with known medical problems and is relevant to different specialities of medical practice. Its uptake will however depend on its acceptability to the people who will benefit from the service.

Knowledge and utilization of preconception care among women in selected community of Kathmandu

2020 ◽  
Vol 7 (2) ◽  
pp. 112-123
Author(s):  
Laxmi Devi Khanal
Keyword(s):  
Educational Level ◽  
Family Income ◽  
Preconception Care ◽  
Sampling Technique ◽  
Structured Interview ◽  
Adverse Outcomes ◽  
Reproductive Age ◽  
Average Level ◽  
Cross Sectional ◽  
Level Of Knowledge

Introduction: Preconception care is a critical component of maternal and child health care services to reduce adverse outcomes of pregnancy and to improve desired health outcomes for women, new-born, and children by focusing on health promotion, screening, and interventions. This study aimed to find out the knowledge and utilization of preconception care among women. Method: A cross-sectional design was carried out among women. Non-probability purposive sampling technique was adopted to select married women of reproductive age in Tokha municipality-10, Kathmandu. Data was collected using face-to-face structured interview. Descriptive and inferential statistics were used to analyze the data. Association among variables was measured by Kruskal–Wallis H test. Result: More than half of the 200 women surveyed, 133 (66.5%) had average level of knowledge and 61 (30.5%) adequate and 6 (3%) inadequate level of knowledge regarding preconception care. Similarly, 196 (98%) had low utilization and 4 (2%) had high utilization level. There was statistically significant association between educational level of respondents with the level of knowledge (p=0.05) and their husband’s educational level (p=0.00). There was no significant association with age, type of family, occupation, monthly family income, number of pregnancy, history of abortion/still birth and age at first pregnancy. Conclusion: This study shows more than half of respondents had an average level of knowledge about preconception care whereas only 2% had high level of utilization of care.

scholarly journals Magnitude of Family Planning Use in Gardi Village Development Committee of Chitwan district

2019 ◽  
Vol 3 (1) ◽  
pp. 40-43
Author(s):  
Dinesh Kumar Malla
Keyword(s):  
Family Planning ◽  
Health Management ◽  
Age Groups ◽  
Sampling Technique ◽  
Educational Status ◽  
Structured Interview ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Development Committee ◽  
Village Development Committee

The estimated contraceptive prevalence rate of Chitwan is based on the data of health management and information system. Therefore, this study aimed to find out the actual magnitude of family planning use among different age groups, castes, educational status, etc. A cross-sectional descriptive study was conducted in Gardi village development committee of Chitwan district from June 15, 2012 to July 5, 2012. A total of 246 married women of reproductive age were studied, who were obtained from 410 households selected from the total households of the village development committee using stratified proportionate random sampling technique. Structured interview was done and data were analyzed using SPSS version 16. Percentages of the variables were calculated and cross-tabulations were done. The percentage of family planning use was 65%, increasing after the age of thirty years- 70% on average in each age group thereafter. More Dalits (76%) used family planning methods than Janajatis (58%). About three quarters of women were met with primary education and 69% of illiterates used family planning, with the least percentage (37%) among those with SLC and above education. Most common method was male sterilization (41%), followed by female sterilization (21%). The reasons for not using family planning were given as: no need of family planning (78%), feared side-effects (17%) and did not know any methods (5%). For an awareness program of family planning, couples with caste Janajati, those having education SLC and above and younger age groups should be given more priority. Key words: Family Planning, Magnitude, Chitwan

scholarly journals Preconception care practices in Nigeria: a descriptive qualitative study

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Oludoyinmola O. Ojifinni ◽  
Latifat Ibisomi
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health System ◽  
Preconception Care ◽  
Reproductive Age ◽  
Child Health Services ◽  
Hiv Education ◽  
Care Services ◽  
Care Practices ◽  
Descriptive Qualitative

Abstract Background Preconception care is a specialized care targeted at women of reproductive age before pregnancy to detect, treat or counsel them about pre-existing medical and social conditions that may militate against safe motherhood and positive pregnancy outcome. In spite of the known need for preconception care in Nigeria, routine preconception care services are not available in the country. This study explores existing preconception care practices in the country in order to encourage building on it and formalising it for inclusion in routine maternal and child health services in the country. Methods Forty-one in-depth interviews and 10 focus group discussions were conducted in this descriptive qualitative study to explore the existing preconception care services from the perspectives of community members (women and men in the reproductive age group), community and religious leaders, health care professionals as well as policy makers. Thematic analysis was carried out using MAXQDA 2018. Results Participants stated that there are no defined preconception care services in the health care system nor are there any structures or guidelines for preconception care in the country. Preconception care services are however provided when health workers perceive a need or when clients demand for it. The services provided include health information, education and counselling, treatment modification, medical check-up and screening. Outside of the health system, there are some traditional, religious and other practices with similar bearing to preconception care which the participants believed could be included as preconception care services. These include premarital counselling services by religious bodies, family life and HIV education within the secondary school system and some screening and outreach services provided by non-governmental and some governmental agencies. Conclusion There is a need to provide structure and guidelines for preconception care services in the country so that the services can be properly streamlined. This structure can also involve practices that are currently not within the health system.

scholarly journals An Insight into Ayurvedic Aspects of Male Reproductive Health with Special Reference to Preconception Care: A Narrative Review

2021 ◽  
pp. 46-56
Author(s):  
Sujatha Atheena ◽  
Krishnarajabhatt Hemavathi Shivapura ◽  
Unnikrishnan Parvathy ◽  
Muraleedharan Anjaly
Keyword(s):  
Reproductive Health ◽  
Special Reference ◽  
Preconception Care ◽  
Age Groups ◽  
Health Assessment ◽  
Code Of Conduct ◽  
Psychosocial Interventions ◽  
Reproductive Age ◽  
Contemporary Science ◽  
Male Reproductive Health

Reproductive health is a universal concern, a central determinant of quality of life. Male reproductive health disorders can evolve at any phase of life, but accountability of males in maintenance of reproductive and sexual health is seemingly low. Preconception care for men discloses a reproductive health plan, health assessment, health promotion, clinical and psychosocial interventions to improve the adolescent and men in reproductive age groups. In Ayurveda the necessity of sound reproductive health for successful conception is explained under dinacharya (daily regimen), ritucharya (seasonal regimen), sadvritta (code of conduct for keeping good and balanced condition of body and mind), panchakarma (purificatory therapies), rasayana (rejuvenation therapy) and vajikarana (aphrodisiac therapy). Research studies paved less limelight to address the need for preserving the same right from an early phase of life. It is the privilege to avail the possibilities from both ayurvedic and contemporary science to upgrade reproductive health, which in turn enhances positive eugenics. This review is intended with an attempt to detail the ayurvedic aspects of male reproductive health with special reference to preconception care.

scholarly journals EFFECT OF MENSTRUATION ON TEAR PRODUCTION AMONG UNDERGRADUATE STUDENTS OF MADONNA UNIVERSITY, ELELE CAMPUS, RIVERS STATE NIGERIA

2021 ◽  
Vol 3 (4) ◽  
pp. 42-51
Author(s):  
Roland A Oboh ◽  
Nnaemeka A Onwukwe ◽  
William A Mube ◽  
Nneoma C Uzoechi
Keyword(s):  
Menstrual Cycle ◽  
Undergraduate Students ◽  
Age Groups ◽  
Sampling Technique ◽  
Test Strip ◽  
Reproductive Age ◽  
Menstrual Flow ◽  
Tear Production ◽  
The Right ◽  
Rivers State

Purpose: The menstrual cycle has been reported to influence many other physiological processes in women. This study ascertained the effect of menstruation on oculovisual status with emphasis on tear production among young female undergraduates of Madonna University, Elele Campus Rivers State Nigeria.   Methodology: The study involved 103 female undergraduates with fairly regular menstrual cycle selected through convenience sampling technique. Their age ranged from 16-30 years with a mean age of 20.82 ± 3.205 years and a median age of 20 years. A well-structured interviewer administered questionnaire was used to elicit oculovisual symptoms associated with the menstrual cycle. Schirmer’s test strip was used to measure tear volume at pre-determined intervals of the menstrual flow period. External and internal eye examinations were also carried out using the Pen torch and ophthalmoscope respectively. Data collected were analysed using the Statistical Package for Social Sciences (SPSS) version 21 and results were expressed using tables and correlation of variables expressed using Dunnett’s multiple comparison test. Findings: There was a significant increase (p ˂ 0.05) in tear production during the first two days of the flow and a slight decrease during the last two days. Comparison of the right and left eyes showed no statistically significant (p ˃ 0.05) difference. Variation in tear production associated with menstruation with respect to age showed statistically significant (p ˂ 0.05) differences for all age groups except for the right eye of subjects within age group 26–30 years. While 52.4% (n=54 ) of the ladies have no oculovisual complaint, the  most common oculovisual complaint was headache 42.7% (n = 44) followed by blurry vision 2.91 % (n = 3) and excessive tearing 1.94% (n = 2). Contribution to Knowledge: The study revealed that physiological changes likely resulting from hormonal variation  during the menstrual flow influences tear volume and may cause visual discomfort among women within the reproductive age and recommended the need for tear volume assessment and detailed case history prior to management of complaints associated with dry eye and dispensing of contact lenses for pre and post-menopausal women.

Nurse’s knowledge and Awareness Regarding Cervical Cancer and its Prevention in Different Hospitals of Quetta, Pakistan

2017 ◽  
Vol 4 (1) ◽  
pp. 436-441
Author(s):  
Saba Haider ◽  
Noman Ul Haq ◽  
Sohail Riaz ◽  
Aqeel Nasim ◽  
Muhammad Saood ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Family History ◽  
Sampling Technique ◽  
Knowledge Score ◽  
Validity And Reliability ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Current Area ◽  
One Year

Objective: This study aimed to assess the knowledge and awareness regarding cervical cancer and its prevention among nurses working in different hospitals of Quetta, Pakistan. Methodology: The cross sectional, descriptive study was conducted by using structured questionnaire in different hospitals of Quetta from January to September 2016. Convenient sampling technique was applied by targeting all the nurses working in different hospitals of Quetta city. Study questionnaire was developed and tested for validity and reliability. Descriptive and inferential statistics (Mann Whitney U test and Kruskal Wallis tests, p<0.05) were used to assess the significance among study variables and were performed by using IBM SPSS v.20. Results: Out of 415 distributed questionnaires 324 were returned (response rate of 78%). The mean Age of respondents was 28.18 ±9.5 years. Majority (n=127, 43.3%) of participants were interns and had no or less than one year of experience (n=128, 43.7%) with negative family history of any cancer (n=275, 93.9%). Mean knowledge score was 18.52±4.84with majority (n=258, 88.1%) had adequate knowledge regarding cervical cancer. Respondent sage, current area of practice, qualification, Institute of degree and past family history were contributing factors (p > 0.05) in adequate knowledge in this study. The results also reviled that not only 68.3% (n=200) and 65.5% (n=192) respondents knew that cervical cancer is vaccine preventable and availability of the vaccine for it. Conclusions: Nurses working in different hospitals of Quetta city had better understanding of the disease cervical cancer and its prevention. Yet many of the respondent are not aware of it vaccine and its availability.

The Incidence of Overactive Bladder (OAB) in KIA Poly Patients at Pauh Health Center in Padang City Using Overactive Bladder Symptoms Score (OABSS)

2019 ◽  
Vol 3 (2) ◽  
pp. 55-62
Author(s):  
Bobby Indra Utama ◽  
Widayat Widayat ◽  
Berriandi Arwan
Keyword(s):  
Urinary Incontinence ◽  
Overactive Bladder ◽  
Health Center ◽  
Sampling Technique ◽  
Reproductive Age ◽  
Exclusion Criteria ◽  
Symptom Scores ◽  
Bladder Symptom ◽  
Bladder Symptoms ◽  
Tract Infections

Objective : This study looked at the incidence of overactive bladder (OAB) in KIA poly patients at Pauh Health Center in Padang City using Overactive Bladder Symptomps Score (OABSS).Method : This research is descriptive. The sampling technique was purposive sampling by considering inclusion and exclusion criteria. The inclusion criteria were women of ideal reproductive age (20-35 years) who had given birth spontaneously, were not pregnant, did not suffer from neurological disorders, diabetes, post bladder surgery and or urinary tract infections and were not treated with Overactive Bladder (OAB), while the exclusion criteria are not willing to take part in the study. The study was carried out at the KIA Poly of Pauh City Health Center in Padang during January 2019. The variable in this study was Overactive Bladder (OAB).Result : In this study, 97.22% of respondents experienced complaints of overactive bladder (OAB), (97.14%) experienced an urgent complaint, and only a small percentage (2.86%) of respondents experienced urinary incontinence. The results of this study indicate that respondents who did not experience complaints of overactive bladder (OAB) were respondents with the smallest parity (parity 1).Conclusion : Most respondents experienced complaints of overactive bladder (OAB) and urgency, and only a small proportion of respondents experienced urinary incontinence. The results of this study indicate that respondents who did not experience complaints of overactive bladder (OAB) were respondents with the smallest parity (parity 1).Keywords : overactive bladder (OAB), Urgensi,inkontinensia urin, Overactive Bladder Symptom Scores (OABSS).

Factor Related With the Anemia Incidence Of Adolescent Girl in Private High School Santa Lusia Medan, 2019

2020 ◽  
Vol 4 (2) ◽  
pp. 33
Author(s):  
Risda Mariana Manik ◽  
Hetty Gustina Simamora
Keyword(s):  
High School ◽  
Adolescent Girl ◽  
Sampling Technique ◽  
Consumption Patterns ◽  
Reproductive Age ◽  
Digital Data ◽  
Deficiency Anemia ◽  
Consumption Pattern ◽  
Cross Sectional ◽  
Private High School

According to data Basic Healt Research (Riskesdas) in 2016, as many as 22,7% women of reproductive age more than 15 years indicate anemia. Anemia that often occurs is iron deficiency anemia, the incidence reaches 50% of the total anemia. There is a significant relationship between nutritional status and incidence of anemia in adolescent.This study was an observational analytic with a cross sectional approach. This study was conducted in private high school Santa Lusia Medan. The population of this study were adolescent girl with a total sample 74 using total sampling technique. The research material in the form scales and height measurements to measure boddy mass index, quesioner for iron consumption patterns and consumption habits of Fe tablet and hemoglobin levels were examined using haemometer digital. Data analysis used chi square test (α=0,005).The results of the research are variabels related to anemia incidence are body mass index (sig=0,019), iron consumption patterns (sig=0,017), Fe tablet consumption habit (sig=0,045). Conclusion this study is factor causing anemia in adolescent girls is the pattern of iron consumption. Adolescent girl who have irreguler iron consumption pattern have an oppurtunity to experience anemia of 4,250 compared to adolescent girl who have reguler iron consumption patterns.

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