scholarly journals FACTORES ASOCIADOS A LA FALTA DE CONTROL PRENATAL EN AMÉRICA LATINA Y SU RELACIÓN CON LAS COMPLICACIONES OBSTÉTRICAS.

Author(s):  
Lourdes Jacqueline Barros Raza ◽  
Evelin Fernanda Velasco Acurio

Introducción: El control prenatal es un conjunto de actividades y procedimientos que el equipo de salud ofrece a la embarazada, para la prevención de complicaciones, por medio del diagnóstico precoz de factores de riesgo en la gestante y enfermedades que puedan afectar el curso normal del embarazo y la salud del recién nacido. Objetivo: Identificar los factores asociados a la falta de control prenatal en América latina y su relación con las complicaciones obstétricas. Métodos: investigación de diseño documental con revisión bibliográfica en las bases de datos: PubMed, BVS, Scielo, Latindex, Lilacs y Google académico, con los descriptores de ciencias de la salud (DeCS) de Bireme y los Medical Subject Headings (MesH) de la National Library of Medicine: atención prenatal, embarazo, complicaciones del embarazo, salud materno-infantil, en idioma español e inglés durante el periodo 2015-2021. Resultados: La búsqueda inicial de información reportó un total de 1718 registros, de los cuales 86 eran elegibles, de estos 56 no fueron relevantes, por lo que quedan incluidos 30 que permitieron dar cumplimiento al objetivo de estudio con los cuales se procedió al meta-análisis. Conclusiones: Los factores asociados a la falta de control prenatal son: el bajo nivel de instrucción, ocupaciones del hogar y crianza, falta de empleo, escasos recursos económicos, ubicación geográfica, falta de afiliación, creencias y costumbres, estos factores se relacionan con complicaciones obstétricas como: infecciones, anemia, preeclampsia, hemorragias, desgarros perineales, alumbramiento incompleto, bajo peso y prematuridad. Palabras claves: atención prenatal, embarazo, complicaciones del embarazo, salud materno-infantil ABSTRACT Introduction: Prenatal control is a set of activities and procedures that the health team offers to the pregnant woman, for the prevention of complications, through the early diagnosis of risk factors in the pregnant woman and diseases that may affect the normal course of pregnancy. and the health of the newborn. Objective: To identify the factors associated with the lack of prenatal control in Latin America and its relationship with obstetric complications. Methods: documentary design research with bibliographic review in databases: PubMed, BVS, Scielo, Latindex, Lilacs and academic Google, with the descriptors of health sciences (DeCS) from Bireme and the Medical Subject Headings (MeSH) from the National Library of Medicine: prenatal care, pregnancy, pregnancy complications, maternal and child health, in Spanish and English during the period 2015-2021. Results: The initial search for information reported a total of 1718 records, of which 86 were eligible, of these 56 were not relevant, so 30 are included that allowed the fulfillment of the study objective with which the goal was carried out. analysis. Conclusions: The factors associated with the lack of prenatal control are: low level of education, home occupations and upbringing, lack of employment, scarce economic resources, geographic location, lack of affiliation, beliefs and customs, these factors are related to complications obstetrics such as: infections, anemia, preeclampsia, hemorrhages, perineal tears, incomplete delivery, low weight and prematurity.Keywords: prenatal care, pregnancy, pregnancy complications, maternal and child health

2018 ◽  
Vol 5 (6) ◽  
Author(s):  
Medeiros Bianca Karenina Brito de ◽  
Cornetta Maria da Conceição ◽  
Crispim Janaína de Oliveira ◽  
Cobucci Ricardo Ney

Afrika Focus ◽  
2015 ◽  
Vol 28 (2) ◽  
Author(s):  
Danielle Yugbare Belemsaga ◽  
Seni Kouanda ◽  
Anne Goujon ◽  
Joel A. Kiendrebeogo ◽  
Els Duysburgh ◽  
...  

Reducing maternal mortality continues to be a major challenge for African countries. We conducted a literature review to identify the factors associated with the utilization of maternal and child healthcare services during the postpartum period and the strategies for strengthening postpartum healthcare in Africa. We carried out an electronic search in several databases of texts published between 1995 and 2012 related to maternal and child health. Seventyfive publications fitted the eligibility criteria. Our analysis shows that to a large extent the socio-economic context was dominant among the factors associated with the quality and utilization of postpartum services. The best interventions were those on immediate postpartum maternal care combining several intervention packages such as community mobilization and provision of services, community outreach services and health training. The integration within health facilities of mother and child clinics was shown to contribute signifiHealthcantly to improving the frequency of mothers’ postpartum visits. Key words: postpartum care, postnatal care, maternal and child health, health interventions, health strategies, sub-Saharan Africa 


2020 ◽  
Vol 10 (3) ◽  
pp. 162-166
Author(s):  
Cynthia Pitter ◽  
Mickelle Emanuel-Frith ◽  
Granville Pitter ◽  
Deborah Adedire Udoudo

The 1994 International Conference on Population and Development (ICPD) plan of action called for the equal participation of women and men in all areas of family and household responsibility, including family planning, child-rearing, and household chores. This plan of action admonished government to promote and facilitate such participation. The emerging trend to include fathers in maternal and child health services motivated low- to middle-income countries including Jamaica to sign on to global initiatives such as the ICPD and the Sustainability Development Goals for maternal and paternal involvement in the reduction of maternal mortality rates. However, lack of proper infrastructure in the public health system in countries like Jamaica does not sufficiently accommodate fathers during antenatal, childbirth, and postnatal services, neither does it has far reaching programs targeting fathers. This oversight in maternity care is partially due to the lack of guidelines to lead the process, limited space at clinics, and inadequate privacy on some delivery suites.Addressing the gaps to involve more fathers in pregnancy and child-rearing is an unexplored opportunity or innovative strategy that could assist Jamaica in meeting its international obligations to reduce infant and maternal mortality rates. This could also lessen the burden of childbearing and child-rearing on women, while changing the narrative of the negative stereotypes of fatherhood to a positive one in Jamaica. Research has also shown that several undesirable situations are preventable if the pregnant woman gets social and psychological backing, not only from excellent maternal and child health care but also by a social system, particularly from the spouse of the pregnant woman (World Health Organization, 2007).


2021 ◽  
Author(s):  
Thamires Soares Bicalho ◽  
Ana Paula Ferreira ◽  
Larissa Azevedo da Hora ◽  
Roberta Lastorina Rios ◽  
Thaís Aparecida de Castro Palermo ◽  
...  

Deaths that occur up to 27 days of life are related to maternal and child health. However, the health of the mother-child binomial is built from the beginning of family planning, the responsibility of prenatal care; the technical conduction of childbirth and postpartum with a sensitive observation of the first hours of life. In professional practice, death is classified as earlyand late depending on the postpartum survival time, with Brazilian indicators revealing 53.2% of occurrences related to the first 6 days of life. Given the negative context, this study aimed to reveal the epidemiological profile of neonatal mortality in the state of Rio de Janeiro and relate the causes that may have corroborated the occurrences. This was a descriptive cross-sectional study with cuts between the years 2008 to 2018 (11 years) which, after the data collected from the federal platform TabNet, were distributed in frequency tables for descriptive statistical analysis using the SPSS software version 24.0. From the data collected, it can be stated that the largest proportion of deaths occurred in the early neonatal stage, especially in the city of Rio de Janeiro, which over the years had the highest number of occurrences of all states, but with a pending period of average investigation of the last triennium of 16%. The majority of deaths occurred in the hospital environment, in premature male babies, born by cesarean delivery, low birth weight, of brown race/color with causes of death from conditions originating from the perinatal period such as pneumonia, born to women aged between 20 to 29 years, with study time of 12 years or more. Maternal and child health is a priority within public health policies, however, the population suffers from the reduction or stagnation of investments that optimize the strengthening of the policy by expanding the network of access to consultations, tests, treatment, andmonitoring of puerperal needs. The overload of health professionals working in the unit can also make it difficult to provide care since there is productivity to be achieved, which can interfere with the quality and time of listening and observation of consultations. Given the detailed work, it is concluded that municipal health policies should use their finances to mitigate risk events from prenatal care, turning their eyes to the quality of access to health that it provides in relation to the physical structure, diagnostic equipment, waiting for time and updating of health professionals.


2020 ◽  
Vol 35 (Supplement_1) ◽  
pp. i19-i29
Author(s):  
Lan Mai Tran ◽  
Phuong Hong Nguyen ◽  
Ruchira Tabassum Naved ◽  
Purnima Menon

Abstract Exposure to intimate partner violence (IPV) can have profound adverse consequences on maternal and child health. This study aimed to: (1) identify factors associated with IPV during pregnancy and postpartum in Bangladesh; and (2) assess the associations between IPV and maternal mental health and breastfeeding practices. We used data from a cross-sectional survey of 2000 mothers with children <6 months in four districts in Bangladesh. We applied multivariable logistic regression models to examine factors associated with IPV and structural equation modelling to assess the inter-relationships between IPV, maternal common mental disorders (CMD, measured by Self-reporting Questionnaire ≥7) and breastfeeding practices. Overall, 49.7% of mothers experienced violence during the last 12 months and 28% of mothers had high levels of CMD. Only 54% of women reported early initiation of breastfeeding and 64% reported exclusive breastfeeding. Women were more likely to experience IPV if living in food-insecure households, being of low socio-economic status, having low autonomy or experiencing inequality in education compared with husbands (OR ranged from 1.6 to 2.8). Women exposed to IPV were 2–2.3 times more likely to suffer from high levels of CMD and 28–34% less likely to breastfeed their babies exclusively. The indirect path (the indirect effects of IPV on breastfeeding through CMD) through maternal CMD accounted for 14% of the relationship between IPV on breastfeeding practice. In conclusion, IPV is pervasive in Bangladesh and is linked to increased risks of CMD and poor breastfeeding practices. Integrating effective interventions to mitigate IPV, along with routine maternal and child health services and involving men in counselling services, could help both to reduce exposure to IPV among women and to contribute to better health outcomes for women and children.


2021 ◽  
pp. 1-19
Author(s):  
Dalia Hyzam ◽  
Mingyang Zou ◽  
Michael Boah ◽  
Huda Basaleem ◽  
Xiaoli Liu ◽  
...  

Abstract Increasing women’s knowledge about maternal health is an important step towards empowering them and making them aware of their rights and health status, allowing them to seek appropriate health care. In Yemen, the ongoing conflict has hampered the delivery of health information to women in public health facilities. This study examined rural women’s knowledge of, and attitude towards, maternal and child health in Yemen and identified the factors associated with good maternal health knowledge. The study was conducted between August and November 2018. A sample of 400 women aged 15–49 years who had delivered in the 6 months prior to the survey were systematically selected from selected public health facilities in Abyan and Lahj. Women were interviewed using a structured questionnaire to gather data on their demographic and economic characteristics, obstetric history and responses to health knowledge and attitude questions. Women’s knowledge level was assessed as poor or good using the mean score as a cut-off. Chi-squared test and multiple logistic regression analysis were used to identify statistically significant factors associated with good maternal health knowledge. The percentage of women who had good knowledge was 44.8% (95% CI: 39.8–49.8). Women’s attitude towards maternal health was negative in the areas of early ANC attendance, managing dietary regime and weight during pregnancy, facility delivery, PNC visits, cord care and mother and child health management. Women with primary education, whose husbands had received no formal education, who had their first ANC visit from the second trimester of pregnancy and who had fewer than four ANC visits were more likely to have poor health knowledge. Conversely, those with higher household income and only one child were more likely to have good maternal health knowledge. Overall, women’s knowledge on maternal and child health care in rural areas of Yemen was low. Strategies are needed to increase rural women’s knowledge on maternal and child health in this conflict-affected setting.


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