scholarly journals  Risk Factors associated with Fetal and Pregnancy Complications in Palestine

2021 ◽  
Author(s):  
Sana ’ Al-Aqqad ◽  
Nihal Al-Natour ◽  
Mariam Al-Tell
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Primary Health Care ◽  
Pregnant Women ◽  
Gestational Age ◽  
Pregnancy Complications ◽  
Health Care Clinics ◽  
Primary Health ◽  
Increased Risk ◽  
Fetal Complications

Abstract Background: Complications observed during pregnancy affect both mother and fetus, and are more commonly observed among pregnant women from developing countries. The study aims to identify the most common pregnancy and fetal complications during pregnancy, and associated risk factors with these complications. Methods: A longitudinal study was conducted from September 2017 to July 2018 among pregnant women attending and registering in primary health care clinics of the Palestinian Ministry of Health in Nablus city. Data were collected through interviews and by reviewing medical records. Women were followed up during their regular visits to the primary health care clinics. Any complication affecting either the fetus or the mother during the pregnancy period was recorded. Binary logistic regression was used to identify independent risk factors for pregnancy and fetal complications. Results: A total of 380 pregnant women were included in the study. The most common complications seen among women during pregnancy were preterm labor (PTL) (11.3%), followed by an equal number of gestational diabetes (GDM) and pregnancies induce hypertension (PIH), i.e. (7.9%). Large for gestational age (LGA) (11.6 %) and small for gestational age (SGA) (10.5%) were the most commonly observed fetal complications. Pregnant women living in camps (O.R 2.35, 95% [CI] 1.02- 5.45), nulliparity (O.R 14.9, 95% [CI] 1.09-202.5) and low parity women (O.R 16.8, 95% [CI] 1.47- 192.5) were at higher risk of having pregnancy complications. However, lower risk was noticed between women with gravida 4 (O.R 0.11, 95% [CI] 0.03-0.47) compared to women having more than 6 pregnancies. Age younger than 41 years was a protective factor against fetal complications, while parity (≤ 6 parities) especially 4 to 6 parities (OR 36.17; 95% CI 4.88-268) and active smoking mothers (OR 1.25; 95% CI 1.0-3.07) were identified as risk factors that are associated with an increased risk of fetal complications. Conclusions: Fetal and pregnancy-related complications are prevalent among Palestinian pregnant women. Increasing the awareness and improving the understanding of the identified risk factors related to these complications among the public, and specifically, females may help to reduce the prevalence of these conditions and the associated risk of these complications.

scholarly journals Risk factors and experiences of prepartum depression among pregnant women in urban- low income in Nairobi Kenya: a mixed-method study

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1495
Author(s):  
Beatrice A. Madeghe ◽  
Wambui Kogi-Makau ◽  
Sophia Ngala ◽  
Manasi Kumar
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Primary Health Care ◽  
Pregnant Women ◽  
Low Income ◽  
Mixed Method ◽  
Health Care Facilities ◽  
Study Objective ◽  
Primary Health ◽  
Prepartum Depression

Background: Prepartum depression is common among pregnant women and has not been studied much in low and middle-income countries. Evidence shows that mental illnesses are more prevalent in urban than in rural areas. The study objective was to determine the magnitude of prepartum depression, risk factors, and real-life experiences of depression among pregnant women. Method: A mixed-method cross-sectional study was conducted. It included 262 pregnant women attending antenatal clinics in two public health facilities in the urban low-income settlement of Nairobi, Kenya. Edinburgh Postnatal Depression Scale (EPDS) with cut-off >13 was used to classify clinical depressive illness. Further, a focus group discussion was conducted with 20 women identified with the depression. Bivariate analysis with Odd's Ratio was used to test associations. Variables with a p<0.05 in multivariate were considered significant. Result: Out of the 262 women, 33.6% were found to have prepartum depression as indicated by an EPDS score of >13. Women's gestational age in the second trimester (87.5%) was statistically significantly associated with prepartum depression (p<0.001). Income levels <10,000 KES (58%) were statistically significantly associated with prepartum depression (p<0.001). Further, thematic analysis of qualitative data indicated that poverty, lack of social support, domestic violence, and unfriendly health care were major contributors to prepartum depression. Conclusion: Significant numbers of pregnant women were found to experience depression. This prevalence rate indicates a high disease burden of women who live with depression, which is not diagnosed because screening of depression is not done in primary health care centers. This study calls for a need and consideration for screening for perinatal depression in primary health care facilities, mainly in resource-poor areas. Interventions targeting means of resolving conflicts in families are highly needed. Such steps would help achieve key sustainable development goals where maternal and child health remains a key priority.

scholarly journals Risk factors and experiences of prepartum depression in urban- low-income settlement Nairobi Kenya: a mixed-method study

F1000Research ◽  
2021 ◽  
Vol 9 ◽  
pp. 1495
Author(s):  
Beatrice A. Madeghe ◽  
Wambui Kogi-Makau ◽  
Sophia Ngala ◽  
Manasi Kumar
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Primary Health Care ◽  
Pregnant Women ◽  
Low Income ◽  
Mixed Method ◽  
Health Care Facilities ◽  
Study Objective ◽  
Primary Health ◽  
Prepartum Depression

Background: Prepartum depression is common among pregnant women and has not been studied much in low and middle-income countries. Evidence shows that mental illnesses are prevalent in urban than in rural areas. The study objective was to determine the magnitude of prepartum depression, risk factors, and real-life experiences of depression among pregnant women. Method: A mixed-method cross-sectional study was conducted. It included 262 pregnant women attending antenatal clinics in two public health facilities in urban low-income settlement Nairobi, Kenya. Edinburgh Postnatal Depression Scale (EPDS) with cut-off >13 was used to classify clinical depressive illness. Further, a focus group discussion was conducted with 20 women identified with depression. Univariable analysis with Odd's Ratio was used to test associations. Variables with a p<0.05 in multivariable regression were considered significant. Result: Out of the 262 women, 33.6% were found to have clinical depression as indicated by EPDS score of >13. Women's gestational age was statistically significantly associated with prepartum depression [OR 4.27 (95% C.I. 2.08 - 8.79), p < 0.001]. Income level ≤ 5000 KES was statistically significantly associated with prepartum depression [OR 3.64 (95% C.I.1.25 -10.60), p=0.018]. Further, thematic analysis of qualitative indicated that poverty, lack of social support, domestic violence, and unfriendly health care were major contributors to prepartum depression. Conclusion: Significant numbers of pregnant women were found to experience depression. This prevalence rate indicates a high disease burden of women who live with depression, which is not diagnosed because screening of depression is not done in primary health care centers. This study calls for a need and consideration for screening for perinatal depression in primary health care facilities, mainly in resource-poor areas. Interventions targeting means of resolving conflicts in families are highly needed. Such steps would help achieve key sustainable development goals where maternal and child health remains key priority.

scholarly journals Parasitic infections and risk factors associated with Amoebiasis among pregnant women attending antenatal clinics in primary health care centres in Lagos Mainland, Lagos, Nigeria

2019 ◽  
Vol 1 ◽  
pp. 52-60
Author(s):  
B Akinsanya ◽  
A Babatunde ◽  
M Olasanmi ◽  
A A Adedotun
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Primary Health Care ◽  
Pregnant Women ◽  
Entamoeba Histolytica ◽  
Mixed Infection ◽  
Ascaris Lumbricoides ◽  
Primary Health ◽  
Histolytica Infection ◽  
Stool Samples

The prevalence of amoebiasis was investigated among pregnant women using a gold standard microscopy method. Stool samples were collected from pregnant women, from two primary health care centers (Iwaya and Ebute-metta). The study involved 203 pregnant women during their visits to the antenatal clinic in Primary health centres at Lagos Mainland from June – October, 2016. Each participant was interviewed using questionnaires to relate prevalence and risk factors to their socio-demographic characteristics. Among these pregnant women, 120 respondents provided their stool samples and this was parasitologically screened with 0.8% prevalence of Entamoeba histolytica infection, 7.5% with Entamoeba Coli, 0.5% with Ascaris lumbricoides, and 0.8% infection with Hookworm. A prevalence of 0.8% for the mixed infection of Ascaris lumbricoides with Entamoeba histolytica, and a prevalence of 1.7% for the mixed infection of Entamoeba coli and Entamoeba histolytica was recorded. Significant association (p<0.05), was established between infection and diarrhoea, and the residence of the pregnantwomen.Socio - demographic factors like age, sex, socio-economic status, type of toilet, source of drinking water (p>0.05) showed no significant association with amoebiasis prevalence. In conclusion, E. histolytica infection is generally low in Lagos state owing to good environmental sanitation within Lagos metropolis. Efforts should therefore be geared towards its elimination by provision of water for Lagos residents.

scholarly journals Risk factors and experiences of prepartum depression in urban- low-income settlement Nairobi Kenya: a mixed-method study

F1000Research ◽  
2021 ◽  
Vol 9 ◽  
pp. 1495
Author(s):  
Beatrice A. Madeghe ◽  
Wambui Kogi-Makau ◽  
Sophia Ngala ◽  
Manasi Kumar
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Primary Health Care ◽  
Pregnant Women ◽  
Low Income ◽  
Mixed Method ◽  
Health Care Facilities ◽  
Study Objective ◽  
Primary Health ◽  
Prepartum Depression

Background: Prepartum depression is common among pregnant women and has not been studied much in low and middle-income countries. Evidence shows that mental illnesses are prevalent in urban than in rural areas. The study objective was to determine the magnitude of prepartum depression, risk factors, and real-life experiences of depression among pregnant women. Method: A mixed-method cross-sectional study was conducted. It included 262 pregnant women attending antenatal clinics in two public health facilities in urban low-income settlement Nairobi, Kenya. Edinburgh Postnatal Depression Scale (EPDS) with cut-off >13 was used to classify clinical depressive illness. Further, a focus group discussion was conducted with 20 women identified with depression. Univariable analysis with Odd's Ratio was used to test associations. Variables with a p<0.05 in multivariable regression were considered significant. Result: Out of the 262 women, 33.6% were found to have prepartum depression as indicated by EPDS score of >13. Women's gestational age was statistically significantly associated with depression [OR 3.37; (95% C.I 1.60 - 7.10); p <0.001] Income levels <10,000 KES was statistically significantly associated with prepartum depression [OR 0.39; (95%; C.I 0.23 – 0.66); p <0.001].  Further, thematic analysis of qualitative indicated that poverty, lack of social support, domestic violence, and unfriendly health care were major contributors to prepartum depression. Conclusion: Significant numbers of pregnant women were found to experience depression. This prevalence rate indicates a high disease burden of women who live with depression, which is not diagnosed because screening of depression is not done in primary health care centers. This study calls for a need and consideration for screening for perinatal depression in primary health care facilities, mainly in resource-poor areas. Interventions targeting means of resolving conflicts in families are highly needed. Such steps would help achieve key sustainable development goals where maternal and child health remains key priority.

scholarly journals A cross sectional study on prescribing pattern for children at primary health care clinics

2020 ◽  
Vol 7 (8) ◽  
pp. 3149
Author(s):  
Archana Jorige ◽  
Lohitha B. ◽  
Lavanya S. L.
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
World Health ◽  
Upper Respiratory Tract ◽  
Prescribing Pattern ◽  
Cross Sectional ◽  
Health Care Clinics ◽  
Primary Health ◽  
Increased Risk ◽  
Tract Infections

Background: Rational prescribing for pediatrics is very essential as there is increased risk from the use of medicines in them due to multiple reasons ranging from altered pharmacokinetics to long-term side effects. Drug related needs of children must be assessed on individual basis to meet appropriate health care out comes. This cross-sectional descriptive study aimed at assessing drug use pattern and rationality in prescribing pattern as per World Health Organization (WHO) core prescribing indicators.Methods: A cross-sectional and prospective study was carried out in private primary health care clinics of Hyderabad, Telangana State. A total number of 300 prescriptions for children were reviewed. Patients' demographic characters, diagnosis, and drugs prescribed were recorded in a pre-structured and validated data collection form.Results: Average number of drugs per prescription is 1.92. Fever and upper respiratory tract infections were found to be common complaints in this age group. Paracetamol is the mostly prescribed medication and among prescribed antibiotics, Fluroquinolones occupied major part. 67.3% of drugs were from the WHO model list of essential medicines for children. The percentage of drugs prescribed with generic names is very less.Conclusions: In this study it was found that the prescription pattern in the selected primary healthcare centers in Hyderabad was in compliance with the WHO prescribing indicators except the generic prescribing practice.

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