The Project Appropriate Birth and Reduction of Cesarean Section Rates: an analysis using the Robson classification system

OBJECTIVE: The objective of this study was to evaluate C-section rates, before and after the implementation of the Project Appropriate Birth based on the Robson 10-group classification system. DESIGN: An observational, cross-sectional study. SETTING: Maternity hospital in South Brazil. POPULATION: All pregnant women attending, April 2016 through April 2017 (phase 1, pre-implementation of the Project Appropriate Birth) and June 2017 through June 2018 (phase 2, post-implementation of the Project Appropriate Birth). METHODS: Maternal and obstetric characteristics were evaluated, including Robson’s classification, based on the characteristics of pregnancy and childbirth. Chi-square test and crude and adjusted prevalence ratios were used to analyze study variables. The significance level was set at 5%. MAIN OUTCOME MEASURES: C-section rate for each group, their contribution to the overall c-section rate and the differences in these contributions before and after PPA implementation. RESULTS: C-section rates decreased from 62.4% to 55.6%, which represented a 10.9% reduction after the implementation of the Project Appropriate Birth. Pregnant women in Robson classification groups 1 through 4 had the greatest decrease in C-section rates, ranging from 49.1% to 38.6%, which represents a 21.5% reduction. The greatest contributors to the overall C-section rates were group 5 and group 2, accounting for more than 60% of the C-section deliveries. CONCLUSION: The Project Appropriate Birth had an important impact on the reduction of C-section rates, especially in Robson classification groups 1 through 4, which indicates that providing mothers with evidence-based interventions for labor and childbirth assistance will contribute to reduce C-section rates.

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Knowledge of pregnant women about anemia is related with adherence to iron tablets

Majalah Obstetri & Ginekologi ◽

10.20473/mog.v26i12018.26-28 ◽

2018 ◽

Vol 26 (1) ◽

pp. 26

Author(s):

Baksono Winardi ◽

Elga Caecaria Grahardika Andani

Keyword(s):

Pregnant Women ◽

Cross Sectional Study ◽

P Value ◽

Fisher Exact Test ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Exact Test ◽

Study Population ◽

Almost All

Objectives: to identify association between knowledge of pregnant women about anemia and the adherence to consume iron tablets in BPM Titik Suharti, Surabaya, IndonesiaMaterials and Methods: Observational analysis cross sectional study. Population consisted of 55 trimester pregnant women in BPM Titik Suharti, Surabaya, in March-April 2017. Samples were recruited using consecutive sampling. The number of sample was 35 respondents. Data were analyzed using chi-square test.Results: This research showed that all of the less knowledgeable women on anemia (100.00%) were non-adherent to consume iron tablets, almost all moderately knowledgeable women (92.9%) were adherent, and all of the fully knowledgeable women (100.00%) were adherent. Fisher exact test in significance level of 0.05 revealed p value equal to 0.0001, indicating association between knowledge about anemia and adherence to consume iron tablets at BPM Titik Suharti, Surabaya, Indonesia.Conclusion: There is an association between knowledge of pregnant women about anemia with adherence to iron tablets.

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Knowledge of pregnant women about anemia is related with adherence to iron tablets

Majalah Obstetri & Ginekologi ◽

10.20473/mog.v1i12018.26-28 ◽

2018 ◽

Vol 26 (1) ◽

pp. 26

Author(s):

Baksono Winardi ◽

Elga Caecaria Grahardika Andani

Keyword(s):

Pregnant Women ◽

Cross Sectional Study ◽

P Value ◽

Fisher Exact Test ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Exact Test ◽

Study Population ◽

Almost All

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KORELASI POLA MAKAN DENGAN KEJADIAN ANEMIA PADA KEHAMILAN DI PUSKESMAS KECAMATAN CIPUTAT TIMUR TANGERANG SELATAN PROVINSI BANTEN

Indonesian Journal of Midwifery (IJM) ◽

10.35473/ijm.v2i2.260 ◽

2019 ◽

Vol 2 (2) ◽

Author(s):

Reni Nofita ◽

Dorsinta Siallagan ◽

Yuliyanti Yuliyanti

Keyword(s):

Pregnant Women ◽

Significant Relationship ◽

Descriptive Analysis ◽

Sampling Technique ◽

Cross Sectional Study ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Before And After ◽

In Pregnancy

Anemia in pregnancy is potentially harmful to the mother and child. Based Riskesdas 2013 the prevalence of anemia among pregnant women in Indonesia amounted to 37.1%, this indicates the incidence of pregnancy anemia in Indonesia is still quite high, this study aims to Know the knowledge before and after getting a health education about the link between diet and the incidence of high risk in pregnancy puskesmass District, Ciputat timur.Metode this research is descriptive analysis with cross sectional study design. Location of the research conducted at the health center subdistrict, Ciputat east, Rengas, Pisangan, Pondok Ranji. Samples in this study were 84 maternal sample is taken by accidental sampling technique. The research instrument used was a questionnaire and book ANC. Data analysis using Chi Square Results of the study of 84 pregnant women, obtained 20.9% experienced anemia There is a significant correlation between regularity of the diet and the incidence of anemia, with p value 0.002. There is a significant relationship between the processing of foodstuffs with anemia, with p value 0,007. There is a significant relationship between the type of food in consumption with anemia, with p value 0.002.Keyword: Diet, Anemia, Pregnancy

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Is there an association between skeletal asymmetry and tooth absence?

Dental Press Journal of Orthodontics ◽

10.1590/2177-6709.21.4.073-079.oar ◽

2016 ◽

Vol 21 (4) ◽

pp. 73-79 ◽

Cited By ~ 3

Author(s):

Guilherme Thiesen ◽

Bruno Frazão Gribel ◽

Keila Cristina Rausch Pereira ◽

Maria Perpetua Mota Freitas

Keyword(s):

Cross Sectional Study ◽

Midsagittal Plane ◽

Chi Square ◽

Cross Sectional ◽

Posterior Teeth ◽

Significance Level ◽

Posterior Tooth ◽

Mandibular Asymmetry ◽

Significant Difference ◽

Skeletal Asymmetry

ABSTRACT Introduction: Facial skeletal asymmetry is commonly found in humans and its main characteristic is menton deviation. The literature suggests that occlusal and masticatory problems arising from tooth absence could be related to the development of such asymmetries. Objective: The aim of this cross-sectional study was to estimate the prevalence of mandibular skeletal asymmetries and to investigate its association with posterior tooth absences. Methods: Tomographic images of 952 individuals aged from 18 to 75 years old were used. Asymmetry was the analyzed outcome, and it was categorized into three groups according to gnathion displacement in relation to the midsagittal plane (relative symmetry, moderate asymmetry, and severe asymmetry). Patients were sorted by the presence of all posterior teeth, unilateral posterior tooth absence, or bilateral posterior tooth absence. Chi-square test with a significance level of 5% was used to verify the association between posterior tooth absence and asymmetry. Results: Results show relative symmetry present in 55.3% of the sample, as well as the prevalence of 27.3% for moderate mandibular asymmetry and 17.4% for severe asymmetry. Moderate and severe mandibular asymmetries occurred in a higher proportion in patients with unilateral posterior tooth absence. However, there was no statistically significant difference between the analyzed groups (p = 0.691). Conclusions: In this study, mandibular asymmetries did not present any association with the absence of teeth on the posterior area of the arch.

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Prevalence of and factors associated with polypharmacy among elderly persons resident in the community

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562017020.160086 ◽

2017 ◽

Vol 20 (1) ◽

pp. 138-148 ◽

Cited By ~ 2

Author(s):

Natália Araujo de Almeida ◽

Annelita Almeida Oliveira Reiners ◽

Rosemeiry Capriata de Souza Azevedo ◽

Ageo Mário Cândido da Silva ◽

Joana Darc Chaves Cardoso ◽

...

Keyword(s):

The Elderly ◽

Cross Sectional Study ◽

Health Condition ◽

Bivariate Analysis ◽

Elderly Persons ◽

Chi Square ◽

Cross Sectional ◽

Mato Grosso ◽

Significance Level ◽

Factors Associated

Abstract Objective: to verify the prevalence of and factors associated with polypharmacy among elderly residents of the city of Cuiabá, in the state of Mato Grosso. Method: a cross-sectional study of 573 people aged 60 and over was performed. Polypharmacy was defined as the use of five or more medications. To investigate the association between polypharmacy and sociodemographic variables, health and access to medication, the Mantel Haenszel chi square test was used in bivariate analysis and Poisson regression was used in multivariate analysis. The significance level adopted was 5%. Result: the prevalence of polypharmacy was 10.30%. Statistically significant associations were found between polypharmacy and living with others, describing suffering from circulatory, endocrine, nutritional and digestive tract diseases, and referring to financial difficulties for the purchase of medicines. Conclusion: some social and health condition factors play an important role in the use of multiple medications among the elderly.

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Relationship Between Hand-washing Habit and Toilet Use with Diarrhea Incidence in Children Under Five Years

Jurnal Berkala Epidemiologi ◽

10.20473/jbe.v5i12017.95-106 ◽

2017 ◽

Vol 5 (1) ◽

pp. 95

Author(s):

Nikmatur Rohmah ◽

Fariani Syahrul

Keyword(s):

Public Health ◽

Public Health Problem ◽

Cross Sectional Study ◽

Hand Washing ◽

Chi Square ◽

Cross Sectional ◽

Exact Test ◽

Children Under Five ◽

Under Five ◽

Before And After

Diarrhea is still a public health problem in the world and the mostly occur in children under five years. At the moment the number of diarrhea-caused mortality was 3.8 per 1000 per year by 3.2 episodes per year in children under five years. This research aims to analyze the association between hand-washing habits and toilet use with the incidence of diarrhea in children under five years. This is an observational analytic with cross sectional study. Population of the research was a children's mother took her children to the public health center of Sekardangan Sidoarjo Subdistrict. The number of samples taken as many as 58 mother of children under five years. Data collection was done with interviews to parents of children and the observations of the toilets. Technique of data analysis using chi-square test or Fisher's exact test. On the results of the research there is a significant association the habit of hand washing (p = 0.006) and toilet use(p = 0.014) with the incidenceof diarrhea in children under five years. Conclusions of the research is the habit of hand washing and toilet use had a significant association with the incidenceof diarrhea in children under five years. Advice that can be given to the mother of a children under five years is to wash the hands before and after defecating and before preparing food for children. Keywords: diarrhea, hand washing, toilet use, observational, children under five years

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Position of lips and tongue in rest in newborns with and without ankyloglossia

CoDAS ◽

10.1590/2317-1782/20202020069 ◽

2021 ◽

Vol 33 (6) ◽

Author(s):

Silvia Márcia Andrade Campanha ◽

Roberta Lopes de Castro Martinelli ◽

Durval Batista Palhares

Keyword(s):

Visual Inspection ◽

Cross Sectional Study ◽

University Hospital ◽

Sectional Study ◽

Hospital Data ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Significant Difference ◽

Chi Square Test

ABSTRACT Purpose Verify the position of lips and tongue at rest in newborns with and without ankyloglossia. Methods Cross-sectional study, carried out with 130 newborns in University Hospital. Data collection was performed by the researcher and speech-language pathologists from the Hospital. Information on gestational age, sex, weight, height and days of life was collected. The position of the lips and tongue at rest was evaluated through visual inspection with the newborns asleep. After the newborns were awakened, Neonatal Screening of the validated Protocol for the evaluation of the lingual frenulum for infants was performed to detect the alteration of the lingual frenulum. The data obtained were described and submitted to statistical analysis using the Chi-Square test to verify the association between the position of the lips with the tongue and to compare the position of the lips and tongue with and without ankyloglossia. The Mann-Whitney test was used to verify the behavior of the variables the differed between newborns with and without ankyloglossia. The significance level of 5% was adopted. Results When comparing the data, a significant difference was found between: weight and height with and without ankyloglossia; position of lips and tongue. An association between the position of the tongue and lips with and without ankyloglossia was also found. Conclusion Newborns without alteration of the lingual frenulum have a tendency to remain with their lips closed and their tongue elevated during rest and newborns with ankyloglossia have a tendency to keep their lips parted and their tongue low during rest.

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Prevalence and Serotype Determination of Streptococcus agalactiae Isolated From Non-Pregnant Women in Tehran, Iran

ACTA MEDICA IRANICA ◽

10.18502/acta.v57i9.2641 ◽

2020 ◽

Author(s):

Leila Goudarzi ◽

Mohammad Bagher Khalili ◽

Mahmood Vakili ◽

Maryam Sadeh

Keyword(s):

Pregnant Women ◽

Streptococcus Agalactiae ◽

Group B Streptococcus ◽

Cross Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Specific Pcr ◽

Pcr Method ◽

Group B ◽

Tehran Area

Consequence of Streptococcus agalactiae, Group B Streptococcus (GBS) relating infant’s diseases are well documented. Although many women carry this bacterium in their vagina, they may transfer to their infant during delivery and may result in different neonatal invasive diseases. The aim of this study was to determine the prevalence of GBS and serotyping the isolated species among un-selective non-pregnant women who attended two gynecology clinics in Tehran. In this cross-sectional study, a total of 560 vaginal samples collected from non-pregnant women. Following inoculation of the specimen on Blood Agar, the standard technology was applied for the final identification of GBS. Detected GBS species were further confirmed using specific PCR directed on dlts gene. Capsular serotyping was done by using the multiplex PCR method. The chi-square method was used for statistical analysis. Fifty (8.9%) out of 560 non-pregnant women were carriers of GBS. The most common types were III (36%), followed by type II (32%), Ia (26%), and Ib (6%), respectively. Results represent that the prevalence rate of GBS in non-pregnant women was reliable and similar to what obtained from pregnant women. In addition, the serotype III was found the most dominant types, as well as other investigations in the Tehran area. Therefore, vaccine designation based on type III is recommended.

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Association between speech and dental occlusion changes in children with cleft lip and palate and time of primary plastic surgeries

Revista CEFAC ◽

10.1590/1982-0216/202123412420 ◽

2021 ◽

Vol 23 (4) ◽

Author(s):

Gabriela Ribeiro Schilling ◽

Maria Cristina de Almeida Freitas Cardoso ◽

Paulo Sérgio Gonçalves da Silva ◽

Marcia Angélica Peter Maahs

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Cross Sectional Study ◽

Dental Occlusion ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Exact Test ◽

Chi Square Test ◽

Incisive Foramen

ABSTRACT Purpose: to describe the changes in speech and dental occlusion in children with cleft lip and palate and verify their association with each other and with the time of primary plastic surgeries. Methods: a cross-sectional study with collected data on the subjects’ identification, age at the time of primary surgeries, and clinical assessment of speech and dental occlusion. The chi-square test, Fisher's exact test, and t-test were used to verify the associations between the variables at the 5% significance level (p < 0.05). Results: the sample comprised 11 children aged 6 to 10 years, most of whom were males, self-reported white, with trans-incisive foramen cleft, predominantly on the left side. The mean age at lip repair surgery was 6 months, and 13 months at palatoplasty. Among the main dental occlusion changes, posterior and anterior crossbite stood out. All the subjects presented changed speech, with a prevalence of cases with dentoalveolar and palatine deformities, followed by passive and active changes. Subjects with anterior crossbite tended to have undergone primary lip repair surgery at a mean of four months earlier than the subjects without anterior crossbite. Conclusions: the associations between speech and dental occlusion changes, and between these and the time of primary plastic surgeries were not statistically significant. Even though it is known that early lip repair surgery is ideal to favor oral functions and aesthetics, the results revealed a tendency towards anterior crossbite, in these subjects.

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Dietary preferences and traditional practices according to the desired gender of the baby among pregnant women in South Eastern Turkey

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20210786 ◽

2021 ◽

Vol 8 (3) ◽

pp. 1091

Author(s):

Semra Akkoz Cevik ◽

Emine Karacan ◽

Aysegul Kılıçlı

Keyword(s):

Pregnant Women ◽

Large Family ◽

Cross Sectional Study ◽

Family Type ◽

Traditional Practices ◽

Traditional Practice ◽

Cross Sectional ◽

Dietary Preferences ◽

Before And After

Background: Superstition and traditional practices regarding pregnancy exist in various cultures around the world and are passed down from generation to generation. As a result of the literature review, it was observed that there weren't prospective and cross-sectional studies involving traditional practices and dietary preferences of pregnant women before and after determining the gender according to the gender of the baby they want. The purpose of this study was to determine dietary preferences, superstitions and traditional practices before and after determining the gender of the baby according to the desired gender of the baby among pregnant women.Methods: The research was a descriptive cross-sectional study and adopted the pretest-posttest research design. As the data collection tool, both investigators-designed questionnaire forms and the non-functional beliefs and practices scale (NFBPS) related to pregnancy to the same pregnant women were applied before and after the determination of baby gender in the first and second trimesters respectively.Results: The study found that 85% of the pregnant women thought that dietary preferences during pregnancy have an impact on the gender of the true baby. The results showed that superstitions and traditional practices were known and practiced by pregnant women at a young age, uneducated, living in the province and having a large family type (p<0.05).Conclusions: Health professionals, should pay attention to less educated, younger pregnant women to reinforce positive cultural health practices, discourage to them from using harmful ones superstition and traditional practice by providing non-critical scientific explanations.

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