scholarly journals Support during pregnancy for women at increased risk of low birthweight babies

2021 ◽  
Author(s):  
Suzanne Fredericks
Keyword(s):  
Social Support ◽  
At Risk ◽  
Pregnant Women ◽  
Emotional Support ◽  
Health Professionals ◽  
Low Birthweight ◽  
Multidisciplinary Teams ◽  
Caesarean Birth ◽  
Additional Support ◽  
Tangible Assistance

Background: Studies consistently show a relationship between social disadvantage and low birthweight. Many countries have programs offering special assistance to women thought to be at risk for giving birth to a low birthweight infant. These programs may include advice and counseling (about nutrition, rest, stress management, alcohol and recreational drug use), tangible assistance (e.g., transportation to clinic appointments, help with household responsibilities), and emotional support. The programs may be delivered by multidisciplinary teams of health professionals, by specially trained lay workers, or by a combination of lay and professional workers. Objectives: The objective of this review was to assess the effects of programs offering additional social support for pregnant women who are believed to be at risk for giving birth to preterm or low birthweight babies. Search methods: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (March 2009). Selection criteria: Randomized trials of additional support during at-risk pregnancy by either a professional (social worker, midwife, or nurse) or specially trained lay person, compared to routine care. Additional support was defined as some form of emotional support (e.g., counseling, reassurance, sympathetic listening) and information or advice or both, either in home visits or during clinic appointments, and could include tangible assistance (e.g., transportation to clinic appointments, assistance with the care of other children at home). Data collection and analysis: We independently assessed trial quality and extracted data. Double data entry was performed. We contacted study authors to request additional information. Results: Eighteen trials, involving 12,658 women, were included. The trials were generally of good to excellent quality, although three used an allocation method likely to introduce bias. Programs offering additional social support for at-risk pregnant women were not associated with improvements in any perinatal outcomes, but there was a reduction in the likelihood of caesarean birth and an increased likelihood of elective termination of pregnancy. Some improvements in immediate maternal psychosocial outcomes were found in individual trials. Authors' conclusions: Pregnant women need the support of caring family members, friends, and health professionals. While programs which offer additional support during pregnancy are unlikely to prevent the pregnancy from resulting in a low birthweight or preterm baby, they may be helpful in reducing the likelihood of caesarean birth.

scholarly journals Support during pregnancy for women at increased risk of low birthweight babies

2021 ◽  
Author(s):  
Suzanne Fredericks
Keyword(s):  
Social Support ◽  
At Risk ◽  
Pregnant Women ◽  
Emotional Support ◽  
Health Professionals ◽  
Low Birthweight ◽  
Multidisciplinary Teams ◽  
Caesarean Birth ◽  
Additional Support ◽  
Tangible Assistance

Background: Studies consistently show a relationship between social disadvantage and low birthweight. Many countries have programs offering special assistance to women thought to be at risk for giving birth to a low birthweight infant. These programs may include advice and counseling (about nutrition, rest, stress management, alcohol and recreational drug use), tangible assistance (e.g., transportation to clinic appointments, help with household responsibilities), and emotional support. The programs may be delivered by multidisciplinary teams of health professionals, by specially trained lay workers, or by a combination of lay and professional workers. Objectives: The objective of this review was to assess the effects of programs offering additional social support for pregnant women who are believed to be at risk for giving birth to preterm or low birthweight babies. Search methods: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (March 2009). Selection criteria: Randomized trials of additional support during at-risk pregnancy by either a professional (social worker, midwife, or nurse) or specially trained lay person, compared to routine care. Additional support was defined as some form of emotional support (e.g., counseling, reassurance, sympathetic listening) and information or advice or both, either in home visits or during clinic appointments, and could include tangible assistance (e.g., transportation to clinic appointments, assistance with the care of other children at home). Data collection and analysis: We independently assessed trial quality and extracted data. Double data entry was performed. We contacted study authors to request additional information. Results: Eighteen trials, involving 12,658 women, were included. The trials were generally of good to excellent quality, although three used an allocation method likely to introduce bias. Programs offering additional social support for at-risk pregnant women were not associated with improvements in any perinatal outcomes, but there was a reduction in the likelihood of caesarean birth and an increased likelihood of elective termination of pregnancy. Some improvements in immediate maternal psychosocial outcomes were found in individual trials. Authors' conclusions: Pregnant women need the support of caring family members, friends, and health professionals. While programs which offer additional support during pregnancy are unlikely to prevent the pregnancy from resulting in a low birthweight or preterm baby, they may be helpful in reducing the likelihood of caesarean birth.

scholarly journals Social support perceived by pregnant and puerperal women with HIV: A cross-sectional study

2021 ◽  
Vol 39 (1) ◽  
pp. 74-83
Author(s):  
Jacqueline Silveira De Quadros ◽  
Tassiane Ferreira Langendorf ◽  
Wendel Mombaque Dos Santos ◽  
Cristiane Cardoso De Paula ◽  
Stela Maris de Mello Padoin
Keyword(s):  
Social Support ◽  
Pregnant Women ◽  
Health Professionals ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Instrumental Social Support ◽  
The Social ◽  
Significant Difference ◽  
Women With Hiv ◽  
Living With Hiv

Objective: To assess whether the social support perceived by pregnant women with HIV is different from that observed by puerperal women also with HIV. Method: The study had a quantitative approach and a cross-sectional design. It was developed from April to November 2014 in southern Brazil with 78 participants. The Social Support Scale for people living with HIV/AIDS was applied. In addition, descriptive analysis, T-test, Fisher’s exact test, and linear logistic regression were performed. Results: There was a significant difference in total and instrumental social support scores, which show that the group of pregnant women report higher social support rates. Puerperal women are 8.8 times more likely to have low total social support (OR: 8.80; IC: 1.01-16.76) and 6.0 times more likely to have low instrumental social support (OR: 6.00; IC: 1.53-10.48). The level of satisfaction with the support from friends in the emotional (p =0.009) and instrumental (p =0.004) dimensions was low. It was evidenced that beingpregnant is a protective factor in comparison with being a puerperal woman. Conclusions: Puerperal women living with HIV are dissatisfied with the social support they perceive, which involves the clinical practice of health professionals. Therefore, health professionals must qualify health care in a way that includes the social dimension of this type of patients.

scholarly journals Dukungan Sosial Orangtua dan Guru dalam Mengembangkan Kemandirian Anak Autisme

2018 ◽  
Vol 11 (2) ◽  
Author(s):  
Melani Aprianti ◽  
Aulia Kirana ◽  
Alita Randiyani
Keyword(s):  
Social Support ◽  
Emotional Support ◽  
Children With Autism ◽  
Autistic Children ◽  
The Social ◽  
Language Behavior ◽  
Teachers And Parents ◽  
The Cost ◽  
Function Language ◽  
Tangible Assistance

Children with autism have difficulties in their cognitive function, language, behavior, and social interaction. Teachers and parents have an important role to educate and take care of autistic children to achieve their independence. One form of environmental role in helping the autonomy of children with autism is social support. In order to improve the child's ability, treatment should be comprehensively between parent, psychologist (counselor), psychiatrist, teacher and therapist. But in reality, the handling of children with autism requires a very expensive cost. Unfortunately, many autistic children are unable to afford those therapies because the cost is too high. This research intends to study the social support of teachers and parents in children with autism who cannot afford any therapies to help the children independently. Therefore the support from teachers and parents become very crucial in developing their independence, because they do not have other resources to train autistic children. This research is qualitative research, with purpose to obtain a complete picture of the respondents’ experiences to the circumstances they experienced. The respondents in this research are parent and teacher. We also interview the child’s relatives, who knows the parent and the teacher, to validate their stories. The results show that with their economic limitation, both parent and teacher try to develop the autistic children to be independent, through tangible assistance, informational support and emotional support.

scholarly journals Prevalence and determinants of low social support during pregnancy among Australian women: a community-based cross-sectional study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Asres Bedaso ◽  
Jon Adams ◽  
Wenbo Peng ◽  
David Sibbritt
Keyword(s):  
Social Support ◽  
At Risk ◽  
Depressive Symptoms ◽  
Pregnant Women ◽  
Mental Health Problems ◽  
Economic Status ◽  
Well Being ◽  
Cross Sectional Study ◽  
Anxiety Symptoms ◽  
Cross Sectional

Abstract Background Pregnancy is a time for women in which the need for social support is crucial. Social support reduces stressors and improves the emotional and physical well-being of pregnant women. Women receiving low social support during pregnancy are at risk of substances use, developing mental illness, and adverse birth outcomes. The current study aims to determine the prevalence and determinants of low social support during pregnancy among Australian women. Methods Data were obtained from the 1973–1978 cohort of Australian Longitudinal Study on Women’s Health (ALSWH) and those who report being pregnant (n = 493) were included in the current analyses. Social support was assessed using Medical Outcomes Study Social Support index (MOSS). A logistic regression model was applied to identify determinants of low social support, separately for each MOSS domain. Result The study found that 7.1% (n = 35) of pregnant women reported low social support. Significant determinants of low emotional support were non-partnered (AOR = 4.4, 95% CI: 1.27, 14.99), difficulty managing on available income (AOR = 3.1, 95% CI: 1.18, 8.32), experiencing depressive symptoms (AOR = 8.5, 95% CI: 3.29, 22.27) and anxiety symptoms (AOR = 2.9, 95% CI: 1.26, 7.03). Significant determinants of low affectionate support were suffering from depressive symptoms (AOR = 5.3, 95% CI: 1.59, 17.99), having anxiety symptoms (AOR: 6.9, 95% CI: 2.21, 22.11) and being moderately/very stressed (AOR: 3, 95% CI: 1.17, 7.89). Significant determinants of low tangible support were difficulty managing available income (AOR = 3, 95% CI: 1.29, 6.95), and being depressed (AOR = 2.8, 95% CI: 1.48, 5.34). Conclusion The study revealed that 7.1% of pregnant women reported low social support. Having a mental health problems, being stressed, being from low socio-economic status and being non-partnered were significant determinants of low social support during pregnancy. Maternal health professionals and policymakers can use this information to screen pregnant women at risk of receiving low social support and improve the level of support being provided.

P2533Prospective randomized study on implanted cardiac rhythm recorders in pregnant women with symptomatic arrhythmia and/or structural heart disease

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
C A Viljoen ◽  
K Sliwa ◽  
F Azibani ◽  
M R Johnson ◽  
J Baard ◽  
...  
Keyword(s):  
At Risk ◽  
Heart Disease ◽  
Pregnant Women ◽  
Standard Care ◽  
Low Birthweight ◽  
Structural Heart Disease ◽  
Holter Monitoring ◽  
Study Groups ◽  
Direct Result ◽  
The Impact

Abstract Background Cardiac arrhythmia is an important cause of maternal morbidity and mortality in pregnancy, but is difficult to diagnose. Purpose The aim of this single-centre, prospective, randomized pilot study was to compare the implantable loop recorder (ILR) with standard assessment of arrhythmia (12-lead ECG; 24-hour Holter ECG) in terms of acceptability, detection of arrhythmias and impact on outcome in pregnant women with symptomatic arrhythmias and/or structural heart disease (SHD). Methods The study recruited 40 consecutive patients from a weekly, dedicated cardiac obstetric clinic. Inclusion criteria: symptoms of arrhythmia and/or having SHD at risk of arrhythmia. Patients were randomized to either standard care (SC) or standard care plus ILR (SC-ILR). ILR recordings were read at the monthly visits and/or when presenting with symptoms. Results There were no demographic differences between the study groups. Seventeen patients consented to ILR insertion, all of whom found the procedure acceptable. No arrhythmias were recorded by the 12-lead ECGs. Holter monitoring detected arrhythmias in 10 of 23 patients (43%) from the SC group. In the SC-ILR group, 8 of 17 patients (47%) had arrhythmias detected by Holter, whereas 13 of 17 patients (76%) patients had arrhythmias detected by ILR (p=0.157). One of 4 patients with supraventricular tachycardia, 2 of 3 patients with premature ventricular complexes and 2 patients with paroxysmal atrial fibrillation (AF) recorded by ILR did not have the arrhythmias detected by Holter monitoring (Figure 1A shows a scatter plot of the variable R-R intervals seen in AF and 1B a rhythm strip of AF with irregular RR intervals and the absence of P waves, both downloaded from the ILR). Four of these 5 patients (80%) had a change in management as a direct result of their ILR recordings. There were no maternal deaths up to 42 days postpartum in either of the study groups. Nine babies were born with a low birthweight (<2500g), 5 stillbirth/neonatal deaths and 1 pregnancy termination occurred (5 in the Holter group and 1 in ILR group, p=0.37). Figure 1 Conclusion(s) This study suggests that an ILR is an acceptable diagnostic modality in pregnant women with a suspected or at risk of arrhythmia. The ILR increased the diagnostic yield to detect arrhythmias that were not detected by routine ECG and Holter monitoring which led to a change in management in the SC-ILR group and was associated with better maternal and neonatal outcomes. The impact of ILR monitoring should be further assessed in larger studies with longer follow up.

scholarly journals What factors are most important for the development of the maternal–fetal relationship? A prospective study among pregnant women in Danish general practice

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Ruth K. Ertmann ◽  
Christine W. Bang ◽  
Margit Kriegbaum ◽  
Mette S. Væver ◽  
Jakob Kragstrup ◽  
...  
Keyword(s):  
Social Support ◽  
At Risk ◽  
General Practice ◽  
Prospective Study ◽  
Pregnant Women ◽  
Well Being ◽  
Relative Importance ◽  
Third Trimester ◽  
Antenatal Attachment ◽  
A Prospective Study

Abstract Background Development of the maternal antenatal attachment (MAA) constitutes an important aspect of the transition into motherhood. Early identification of women at risk of developing a poor MAA provides possibilities for preventive interventions targeting maternal mental health and the emerging mother-infant relationship. In this study, we investigate the relative importance of an extensive set of psychosocial, pregnancy-related, and physiological factors measured in the first trimester of pregnancy for MAA measured in third trimester. Methods A prospective study was conducted among pregnant women in Danish general practice (GP). Data were obtained in the first and the third trimester from pregnancy health records and electronic questionnaires associated with routine GP antenatal care visits. The Maternal Antenatal Attachment Scale (MAAS) was used to assess maternal antenatal attachment. The relative importance of potential determinants of maternal antenatal attachment was assessed by the relative contribution of each factor to the fit (R2) calculated from multivariable regression models. Results The sample consisted of 1328 women. Low antenatal attachment (Total MAAS ≤ 75) was observed for 513 (38.6%) women. Perceived social support (having someone to talk to and having access to practical help when needed) emerged as the most important determinant. Furthermore, scores on the MAAS decreased with worse self-rated health, poor physical fitness, depression, increasing age, having given birth previously, and higher education. Conclusion Pregnant women reporting lack of social support and general low physical and mental well-being early in pregnancy may be at risk for developing a poor MAA. An approach targeting both psychosocial and physiological well-being may positively influence expectant mothers’ successful adaptation to motherhood.

Weight-for-Height as a Measure of Nutritional Status in Filipino Pregnant Women

1988 ◽  
Vol 2 (2) ◽  
pp. 96-104 ◽  
Author(s):  
JA Magbitang ◽  
JBM Tangco ◽  
EO de laCruz ◽  
EG Flores ◽  
FE Guanlao
Keyword(s):  
At Risk ◽  
Pregnant Women ◽  
Low Birthweight ◽  
Preventive Measures ◽  
First Trimester ◽  
Risk Indicator ◽  
Low Birth Weight Babies ◽  
First Trimester Of Pregnancy ◽  
The Subject ◽  
Potential Use

A weight-for-height table by week of pregnancy for Filipinos was developed and its potential use in identifying mothers at risk of delivering low birth-weight babies was tested. The table derived from the weight-for-height table for adult Filipinos developed by de Leon et al assumed the following: 1). Average increase in weight during pregnancy is 20% of pre-pregnant weight, with an increase of 1.7% of pre-pregnant weight in the first trimester of pregnancy and the remaining 18.3% increase achieved during the second and third trimesters. 2). The pre-pregnant weight of the subject equals the standard reference for her height. The derived table was subsequently tested on existing data on 158 urban and rural pregnant women sampled by Magbitang et al2and Baltazar et al.3Results showed that pregnant women whose weight at first visit was below 95% of the proposed standard had twice as much risk of delivering low birthweight babies than those whose weights were greater than or equal to 95% of the proposed standard. The table can be used by barangay level workers as a risk indicator for screening mothers at risk of delivering low birthweight babies so that appropriate and timely preventive measures can be taken.

scholarly journals PERSEPSI IBU HAMIL TRIMESTER III TENTANG DUKUNGAN SUAMI MENJELANG PROSES PERSALINAN DI PUSKESMAS KRETEK

2019 ◽  
Vol 6 (3) ◽  
pp. 239-343
Author(s):  
Iin Setiyani ◽  
Reni Merta Kusuma
Keyword(s):  
Social Support ◽  
Pregnant Women ◽  
Emotional Support ◽  
Primary Data ◽  
Instrumental Support ◽  
Informational Support ◽  
Third Trimester ◽  
Descriptive Research ◽  
The Third ◽  
Research Type

Background: Social support, especially from the husband is a major factor that affects the occurrence of anxiety in the period of pregnancy to childbirth. Anxiety experienced by pregnant women can be prevented by the support of the closest people like mother or mother-in-law, especially the husband because the presence of the closest people will bring peace to the mother’s prespective during pregnancy. Objevtive:The purpose of this study was determine the perception of pregnant women in their third trimester about the support from the husband before the delivery process at Kretek Bantul Public Health Center. Methods: This research method was a descriptive research type. The samples used were 35 pregnant women in their third pregnancy at Puskesmas Kretek by using total sampling. Primary data collection used closed questionnaire then analyzed by using frequency distribution and percentage. Results: The results of the study showed that the perception of pregnant women about the majority of informational support supported as many as 25 respondents (71.4%), the support of majority assessment supported as many as 27 respondents (77.1%), majority support instrumental support as many as 24 respondents (68.6%), and majority emotional support does not support as many as 22 respondents (62.9%). Conclusion: The conclusion of this research is perception of pregnant mother in the third trimester about support from husband before childbirth majority support are 29 respondents (82,9%). Keywords: Husband, social support, pregnancy

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