Prevalence and Predictors of Gestational Hypertension: a Cross-Sectional Study among Moroccan Pregnant Women

2021 ◽  
Vol 13 (1) ◽  
pp. 1-9
Author(s):  
A. El Kardoudi ◽  
K. Kaoutar ◽  
A. Chetoui ◽  
K. Boutahar ◽  
S. Elmoussaoui ◽  
...  

The objective of this study was to assess the prevalence of gestational hypertension, and to determine its predictors among pregnant women attending primary health care facilities in Beni Mellal city in Morocco. The prevalence of gestational hypertension was 18.7%. The low monthly household income (Adjusted Odds Ratio (AOR) = 7.874; IC 95% = [1.788–34.67]), gestational age less than 37 weeks (AOR = 6.860; IC 95% = [1.285–36.626]), limited knowledge on gestational hypertension (AOR = 12.719; IC 95% = [3.386–47.785]), and primigravidity (AOR = 9.047; IC 95% = [1.595–51.324]), were significantly associated with gestational hypertension.

PLoS ONE ◽  
2018 ◽  
Vol 13 (9) ◽  
pp. e0203617 ◽  
Author(s):  
Abdullah Nurus Salam Khan ◽  
Sk Masum Billah ◽  
Ishtiaq Mannan ◽  
Imteaz Ibne Mannan ◽  
Tahmina Begum ◽  
...  

2021 ◽  
Vol 16 ◽  
Author(s):  
Shing Chyi Loo ◽  
Luqman Nulhakim Said ◽  
Logavinod Nakaswaram ◽  
Lee Yik Hui ◽  
Yii Ee Ming ◽  
...  

Background: Compliance towards the requirements of labelling of dispensed medicine (LDM) among private primary health care facilities ensures appropriate use of medicines. Aim: This study aimed to examine the rate of compliance towards the requirements of LDM among retail pharmacies (RPs) and private medical clinics (PMCs). Methods: A cross-sectional study was conducted from April 2019 to January 2020 across all inspected premises in Sarawak. Publics who attended RPs and PMCs and having medicines dispensed, have their medicine labels examined for compliance towards the requirements of LDM upon exiting the premises. Their verbal consents were obtained and the compliance score were recorded into self-developed data collection forms. Compliance rate was the percentage of requirements on the examined medicine labels that fulfil the requirements under Regulation 12 of Poisons Regulations 1952. Results: A total of 414 LDM were examined, with 135 from RPs and 279 from PMCs. The full compliance towards the requirements of LDM among RPs and PMCs were 23.7% and 41.6%, respectively. The median compliance score of PMCs (0.83) was significantly higher (P<0.001) than RPs (0.67). The requirements of LDM with the lowest compliance was name of medicine (53.1%), followed by name of patient (31.9%) and date of dispensing (25.6%). Conclusion: The full compliance rate on the requirements of LDM among RPs and PMCs were low. More stringent enforcement and public education on their rights for fully compliant medicine labels could improve the compliance.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e046638
Author(s):  
Sk Masum Billah ◽  
Abdullah Nurus Salam Khan ◽  
S M Rokonuzzaman ◽  
Nafisa Lira Huq ◽  
Marufa Aziz Khan ◽  
...  

Study objectiveTo evaluate the competency of trained health workers in detecting and managing hypertensive disorders of pregnancy during routine antenatal check-ups (ANCs) at primary care facilities in Bangladesh.Study design and settingsCross-sectional study; conducted in 26 primary care facilities.Outcome measuresAccurate diagnosis of the hypertensive disorders of pregnancy.MethodIn total 1560 ANC consultations provided by primary health workers, known as Family Welfare Visitors (FWVs), were observed using a structured checklist between October 2017 and February 2018. All consultations were reassessed by study physicians for validation.ResultOf the ‘true’ cases of gestational hypertension (n=32), pre-eclampsia (n=29) and severe pre-eclampsia (n=16), only 3%, 7% and 25%, respectively, were correctly diagnosed by FWVs. Per cent agreement for the diagnosed cases of any hypertensive disorders of pregnancy was 9% and kappa statistics was 0.50 (p value 0.0125). For identification of any hypertensive disorders by FWVs, sensitivity and positive predictive values were 14% and 50%, respectively. There was a moderate positive correlation between the blood pressure measurements taken by FWVs and study physicians. Only 27% of those who had ‘some protein’ in urine were correctly identified by FWVs. Women diagnosed with any of the hypertensive disorders of pregnancy by FWVs were more likely to be counselled on at least one danger sign of pre-eclampsia (severe headache, blurring of vision and upper abdominal pain) than those without any such diagnosis (41% vs 19%, p value 0.008). All four cases of severe pre-eclampsia diagnosed by FWVs were given a loading dose of intramuscular magnesium sulphate and three among them were referred to a higher facility.ConclusionThe FWVs should be appropriately trained on risk assessment of pregnant women with particular emphasis on accurately assessing the diagnostic criteria of hypertensive disorders of pregnancy and its management.


2017 ◽  
Vol 5 (1) ◽  
pp. 64
Author(s):  
Rahul Chopra ◽  
Shivani Mathur ◽  
Vidya Dodwad ◽  
Nikhil Sharma ◽  
Siddharth Tevatia

Purpose: Indiscriminate disposal of bio medical waste poses a serious threat to environment and human health and is currently a burning issue with increasing health care facilities and associated waste generation. Hence this study assesses the awareness levels and attitude regarding biomedical waste disposal among post-graduates, under-graduates & auxiliary staff of a dental college.Materials and Method: This was a cross-sectional study conducted among post-graduates, under-graduates & auxiliary staff using a questionnaire. A total of 120 participants, 40 in each group answered the questionnaire. The answers were analyzed and graded for each group.Results: The results depict satisfactory awareness about biomedical waste disposal among post-graduates and under-graduates. However, the auxiliary staff lacks the awareness about proper biomedical waste disposal.Conclusion: The study reveals that there is a need to increase knowledge among the auxiliary staff regarding biomedical waste management by continuing training program.


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