Descent of Fetal Head into The Pelvic Inlet in Primigravida: Systematic Review

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Imanuel Sihotang ◽  
Makmur Sitepu ◽  
Muhammad Rusda
Keyword(s):  
Systematic Review ◽  
Antenatal Care ◽  
Pelvic Cavity ◽  
Fetal Head ◽  
Pregnancy And Childbirth ◽  
The World ◽  
Pelvic Inlet ◽  
Review Study ◽  
In Pregnancy

 Background: Skilled care before, during and after delivery can save the lives of women and newborns. Antenatal care is useful for detecting problems in pregnancy and childbirth, as well as preparing for labor. It is estimated that labor will begin 2-3 weeks after the entry of the fetal head on pelvic inlet. Objective: This study was conducted to determine the prevalence of descending of the fetal head at the pelvic inlet in the primigravida of 34-36 weeks of gestation. Methods: This study uses a systematic review study method with the data used are the results of research that have been circulating in the world. Results: In Weekes and Flynn's (1975) study, the entry of the fetal head into the pelvic cavity and having passed the pelvic inlet with a sample of 422 primigravidas, the prevalence was 34 weeks (2%), 35 weeks (1%). Of the three studies analyzed at 36 weeks' gestation, a prevalence was 4.22%.

scholarly journals A Systematic Review on Detraining Effects after Balance and Fall Prevention Interventions

2021 ◽  
Vol 10 (20) ◽  
pp. 4656
Author(s):  
Shaghayegh Modaberi ◽  
Esmaeel Saemi ◽  
Peter A. Federolf ◽  
Steven van Andel
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Fall Prevention ◽  
Intervention Programs ◽  
Positive Effects ◽  
Specific Focus ◽  
The World ◽  
Prevention Interventions ◽  
Review Study

Since the COVID-19 pandemic hit, lockdowns have been implemented to fight off infections in countries around the world. Whilst this measure is without a doubt effective against spreading infection, it might also decrease participation in exercise. For older adults, exercise is particularly important in the prevention of falls, and sudden detraining because of a lockdown or due to other causes might have detrimental consequences. This systematic review study aims to assess what is currently known on detraining effects for balance outcomes. Nine studies were included within this review. Results suggest that detraining effects could already be significant as early as 4 weeks after stopping the intervention. Programs that specifically focus on improving balance were more robust against detraining, with most positive effects still being present after 8 weeks. However, even with a specific focus on balance, studies started to show some signs of detraining. The current study is limited by the low number of included studies in the review, indicating a need to further confirm these results.

scholarly journals PERAN PEREMPUAN DALAM PENCEGAHAN STUNTING DI KECAMATAN BUNAKEN KOTA MANADO PROVINSI SULAWESI UTARA

2019 ◽  
Vol 2 (1) ◽  
pp. 8
Author(s):  
Jean Fanny Junita Timban ◽  
Ellen Grace Tangkere ◽  
Jelly Ribka Danaly Lumingkewas
Keyword(s):  
Antenatal Care ◽  
Health Professionals ◽  
Care Delivery ◽  
Child Growth ◽  
World Health ◽  
Educational Activities ◽  
Growth Standards ◽  
Under Five ◽  
The World ◽  
In Pregnancy

Stunting in under-five children is a reduced growth rate primarily caused by chronic undernutrition that leads to a child having height much less than is normal for age. This condition manifests mostly after two years old. The definition of stunting according to the World Health Organization (WHO) is for the "height for age" value to be less than two standard deviations of the WHO Child Growth Standards median. Indonesia has been plagued recently with stunting. In 2015, the World Bank indicates that stunting has cost 3 to 11 percent of the gross domestic product. Previous research works have documented that mothers play an important role in preventing stunting through antenatal care and child nursing. The objective of this study is to explore the role played by the mothers in Bunaken, Manado, in antenatal care and child nursing that prevent stunting. Samples are drawn using purposive sampling and data are analysis descriptively. The results show that the mothers’ roles include taking antenatal check up to four times during pregnancy, daily use of FE 90 pill, participating in pregnancy counseling and care, delivery by health professionals, attending integrated service post (posyandu), visiting health professionals for postnatal care, completing universal immunization on child over 12 months old, and participating in educational activities for under-five nursing and nutritional fulfillment at least once a month. Of these eight recorded roles, however, there are merely 20% mothers indicate they regularly taking part in pregnancy counseling and care. Furthermore, only one percent (n = 3) respondents that report they attending educational activities for under-five nursing and nutritional fulfillment.

scholarly journals Study of family medicine role in breast cancer prevention: A systematic review

2021 ◽  
Vol 6 (2) ◽  
pp. e32-e32
Author(s):  
Zahra Sadr ◽  
Mehrnaz Jamali Moghaddam ◽  
Hamideh Sabet Rouhani ◽  
Nadia Sani’ee ◽  
Maryam Biglari Abhari
Keyword(s):  
Breast Cancer ◽  
Systematic Review ◽  
Cancer Prevention ◽  
Family Physicians ◽  
Breast Cancer Prevention ◽  
The World ◽  
Review Study

Breast cancer is one of the most common cancers and is one of the biggest health threats in women around the world. Since the systematic review study in Iran has not been conducted so far, this study was designed to determine the role of family physicians or first-level care physicians in preventing breast cancer at various levels. In this systematic review, we found family physicians could play a significant role in all levels of breast cancer prevention, including roles in education, risk assessment and early detection of cancer, treatment and follow-up of patients with breast cancer and rehabilitation, and help improve quality of life. Survivors and those treated for breast cancer.

scholarly journals Dental caries in primary and permanent teeth in children’s worldwide, 1995 to 2019: a systematic review and meta-analysis

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Mohsen Kazeminia ◽  
Alireza Abdi ◽  
Shamarina Shohaimi ◽  
Rostam Jalali ◽  
Aliakbar Vaisi-Raygani ◽  
...  
Keyword(s):  
Systematic Review ◽  
Dental Caries ◽  
Sample Size ◽  
Primary Teeth ◽  
Meta Analysis ◽  
Permanent Teeth ◽  
Significant Difference ◽  
The World ◽  
Review Study ◽  
Meta Regression Analysis

Abstract Background Early childhood caries (ECC) is a type of dental caries in the teeth of infants and children that is represented as one of the most prevalent dental problems in this period. Various studies have reported different types of prevalence of dental caries in primary and permanent teeth in children worldwide. However, there has been no comprehensive study to summarize the results of these studies in general, so this study aimed to determine the prevalence of dental caries in primary and permanent teeth in children in different continents of the world during a systematic review and meta-analysis. Methods In this review study, articles were extracted by searching in the national and international databases of SID, MagIran, IranMedex, IranDoc, Cochrane, Embase, ScienceDirect, Scopus, PubMed, and Web of Science (ISI) between 1995 and December 2019. Random effects model was used for analysis and heterogeneity of studies was evaluated by using the I2 index. Data were analyzed by using the Comprehensive Meta-Analysis (Version 2) software. Findings In this study, a total of 164 articles (81 articles on the prevalence of dental caries in primary teeth and 83 articles on the prevalence of dental caries in permanent teeth) were entered the meta-analysis. The prevalence of dental caries in primary teeth in children in the world with a sample size of 80,405 was 46.2% (95% CI: 41.6–50.8%), and the prevalence of dental caries in permanent teeth in children in the world with a sample size of 1,454,871 was 53.8% (95% CI: 50–57.5%). Regarding the heterogeneity on the basis of meta-regression analysis, there was a significant difference in the prevalence of dental caries in primary and permanent teeth in children in different continents of the world. With increasing the sample size and the year of study, dental caries in primary teeth increased and in permanent teeth decreased. Conclusion The results of this study showed that the prevalence of primary and permanent dental caries in children in the world was found to be high. Therefore, appropriate strategies should be implemented to improve the aforementioned situation and to troubleshoot and monitor at all levels by providing feedback to hospitals.

scholarly journals Are antenatal interventions effective in improving multiple health behaviours among pregnant women? A systematic review protocol.

2020 ◽  
Author(s):  
Jenna Hollis ◽  
Emma Doherty ◽  
Julia Dray ◽  
Danika Tremain ◽  
Mandy Hunter ◽  
...  
Keyword(s):  
Systematic Review ◽  
Antenatal Care ◽  
Health Outcomes ◽  
Pregnant Women ◽  
Health Behaviours ◽  
Control Group ◽  
Behavioural Intervention ◽  
Synthesis Methods ◽  
Adverse Pregnancy ◽  
In Pregnancy

Abstract Background: Maternal behaviours in pregnancy associated with adverse pregnancy, birth and health outcomes include tobacco smoking, poor nutrition, alcohol consumption and low physical activity, collectively referred to as the SNAP risk factors. Due to the high prevalence, co-occurrence, and possible interactive health effects of such health behaviours in pregnancy, antenatal interventions that support pregnant women to improve multiple SNAP behaviours have a greater potential impact on the health outcomes of women and their children than interventions addressing single behaviours. The objective of this review is to determine the effectiveness of interventions delivered as part of antenatal care that aim to improve multiple SNAP behaviours among pregnant women.Methods: Seven electronic databases will be searched for potentially eligible studies. Eligible studies will include those where pregnant women are attending antenatal care. Studies that examine the effect of an intervention that addresses multiple SNAP behaviours (≥ two behaviours) during pregnancy and are delivered or instigated through antenatal care in a healthcare service will be included. Systematic reviews of randomised controlled trials (RCTs), RCTs, cluster RCTs, stepped wedge RCTs, and non-randomised control trials will be eligible. Studies that include a no intervention control, wait-list control group, standard/usual care, or another active single behavioural intervention (e.g. addressing one behaviour only) will be considered. Two independent reviewers will conduct study screening, data extraction and risk of bias assessment. Discrepancies will be resolved by consensus or a third reviewer if required. A random effects model will be used to synthesise the results. Alternative synthesis methods will be investigated in instances where a meta-analysis is not appropriate, such as summarising effect estimates, combining P values, vote counting based on direction of effect, or synthesis in narrative form.Discussion: The review will synthesise the evidence on the effect of interventions that address multiple SNAP behaviours in antenatal care, and will help researchers, policy makers, and health services to develop and deliver best practice integrated models of antenatal care that have the potential to impact on both the short and long term health outcomes for women and their children.Systematic review registration: PROSPERO 2018 CRD42018095315

scholarly journals Kepatuhan Kunjungan Antenatal Care Berdasarkan Faktor Maternal

2020 ◽  
Vol 7 (1) ◽  
pp. 29
Author(s):  
Natiqotul Fatkhiyah ◽  
Sri Tanjung Rejeki ◽  
Dwi Atmoko
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Health Centre ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Pregnancy And Childbirth ◽  
Antenatal Care Visit ◽  
Care Visit ◽  
In Pregnancy

ABSTRAK Salah satu penyebab Angka Kematian Ibu (AKI) adalah komplikasi dalam kehamilan maupun persalinan. Komplikasi kehamilan dan persalinan dapat dicegah dengan pemeriksaan antenatal care (ANC) secara teratur. ANC merupakan kunjungan ibu hamil dengan tenaga kesehatan untuk mendapatkan pelayanan kehamilan sesuai dengan standar yang ditetapkan. Data yang diperoleh dari puskesmas Slawi bulan Januari-Juni tahun 2019 untuk cakupan kunjungan K1 sebanyak 82,1% dan cakupan K4 sebanyak 79%.Tujuan penelitian ini untuk mengetahui kepatuhan kunjungan ANC berdasarkan faktor determinan maternal. Penelitian ini menggunakan penelitian kuantitatif dengan pendekatan cross sectional. Sampel pada penelitian sejumlah 30 ibu hamil menggunakan teknik accidental sampling dan analisis data menggunakan uji chi square. Hasil penelitian menunjukan  mayoritas usia ibu reproduktif sebesar 66,67%, status multigravida (kehamilan kedua dan ketiga) sebesar 66.67%, kehamilan normal (60%) dan telah memenuhi standar K1 sebesar 83.33% dan memenuhi standar K4 sebesar  86.67%. Ada hubungan antara usia ibu hamil dengan dengan kepatuhan kunjungan ANC (p value 0,02)  dan ada hubungan status paritas dengan kepatuhan kunjungan ANC (p value 0,04) dan tidak ada hubungan komplikasi kehamilan dengan kepatuhan kunjungan ANC.Kata kunci : ibu hamil; kepatuhan; antenatal care  ANTENATAL CARE VISIT COMPLIANCE BASED ON MATERNAL FACTORS ABSTRACTOne of the causes of maternal mortality is complications in pregnancy and childbirth. Pregnancy and childbirth complications can be prevented by regular antenatal care visit. ANC is a visit of pregnant women with health workers to get health service in accordance with established standards. Data obtained from Slawi Health Centre in January-June 2019 for coverage of Phase 1 visits was 82.1% and phase 4 coverage was 79%. The objevtive of this study was to determine the regularity of ANC based on maternal determinants. This  study was quantitative research with a cross sectional approach. The number of respondents was 30 pregnant women by using accidental sampling technique. The study was conducted in January-March 2020. Bivariate analysis used chi square test. The results showed that pregnant women who did ANC regularly amounted to 86.67%. The results showed that there was a relationship between age with antenatal care visit because the p value was 0.02, there was a relationship between parity with antenatal care visit with p value 0.04, and there was no relationship between pregnancy diagnosis with antenatal care visit because the p value was 0.08. Pregnant women are expected to perform ANC regularly for early detection of complications in pregnancy. Keywords: pregnant women; compliance; antenatal care 

scholarly journals Are antenatal interventions effective in improving multiple health behaviours among pregnant women? A systematic review protocol.

2020 ◽  
Author(s):  
Jenna Hollis ◽  
Emma Doherty ◽  
Julia Dray ◽  
Danika Tremain ◽  
Mandy Hunter ◽  
...  
Keyword(s):  
Systematic Review ◽  
Antenatal Care ◽  
Health Outcomes ◽  
Pregnant Women ◽  
Health Behaviours ◽  
Control Group ◽  
Behavioural Intervention ◽  
Synthesis Methods ◽  
Adverse Pregnancy ◽  
In Pregnancy

Abstract Background: Maternal behaviours in pregnancy associated with adverse pregnancy, birth and health outcomes include tobacco smoking, poor nutrition, alcohol consumption and low physical activity, collectively referred to as the SNAP risk factors. Due to the high prevalence, co-occurrence, and possible interactive health effects of such health behaviours in pregnancy, antenatal interventions that support pregnant women to improve multiple SNAP behaviours have a greater potential impact on the health outcomes of women and their children than interventions addressing single behaviours. The objective of this review is to determine the effectiveness of interventions delivered as part of antenatal care that aim to improve multiple SNAP behaviours among pregnant women. Methods: Seven electronic databases will be searched for potentially eligible studies. Eligible studies will include those where pregnant women are attending antenatal care. Studies that examine the effect of an intervention that addresses multiple SNAP behaviours (≥ two behaviours) during pregnancy and are delivered or instigated through antenatal care in a healthcare service will be included. Systematic reviews of randomised controlled trials (RCTs), RCTs, cluster RCTs, stepped wedge RCTs, and non-randomised control trials will be eligible. Studies that include a no intervention control, wait-list control group, standard/usual care, or another active single behavioural intervention (e.g. addressing one behaviour only) will be considered. Two independent reviewers will conduct study screening, data extraction and risk of bias assessment. Discrepancies will be resolved by consensus or a third reviewer if required. A random effects model will be used to synthesise the results. Alternative synthesis methods will be investigated in instances where a meta-analysis is not appropriate, such as summarising effect estimates, combining P values, vote counting based on direction of effect, or synthesis in narrative form. Discussion: The review will synthesise the evidence on the effect of interventions that address multiple SNAP behaviours in antenatal care, and will help researchers, policy makers, and health services to develop and deliver best practice integrated models of antenatal care that have the potential to impact on both the short and long term health outcomes for women and their children. Systematic review registration: PROSPERO 2018 CRD42018095315

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