scholarly journals Antenatal care practice and pregnancy outcome at Kudat area, Sabah, Northern Borneo

2017 ◽  
Vol 3 (1) ◽  
pp. 31-37 ◽  
Author(s):  
Tin Tin Aye ◽  
Datuk Muhammad Yusolf Ibrahim ◽  
Daw Khin Saw Naing ◽  
Than Myint ◽  
Muhammad Hj Jical
Keyword(s):  
Antenatal Care ◽  
Pregnancy Outcome ◽  
Obstetric Care ◽  
Care Practice ◽  
Cross Sectional ◽  
Safe Delivery ◽  
Face To Face ◽  
East Malaysia ◽  
Trained Interviewer ◽  
Care Practices

Women have been fulfilling their reproductive responsibility of propagating human race, many have died and many more faced death in the process of delivering babies, but this can be prevented by taking appropriated antenatal care, clean and safe delivery and essential obstetric care. Antenatal care is the first phase to be encountered once a woman has conceived. The objective of the study was to assess the antenatal (AN) care practice and pregnancy outcome of ever-married women aged 18 to 49 years old having at least one pregnancy experience, residing in kampongs of Kudat area, Sabah, East Malaysia, Northern Borneo from December 2015 to October 2016. Cross–sectional analytical study, non-probability convenient sampling method was used and 300 eligible participants were interviewed face to face by trained interviewer using pretested questionnaire. 99.3% of all the women received AN care, and 97% of the women received AN care practice (AN visit of 4 times and above). Mean AN visit was 9 times. The study revealed that overall knowledge amongst the women with good knowledge was 47.2% and low knowledge was 52.8%. Additionally, there was significant association between education and knowledge, income and knowledge, AN care practices and knowledge. But there was no significant association between AN practice and complication. Despite these results, outcomes were good and all complications were properly and successfully addressed. This may reflect the effectiveness of current national maternal health programs.Asian J. Med. Biol. Res. March 2017, 3(1): 31-37

Self-Care Practices Among Adult Type 2 Diabetes Patients With and Without Peripheral Neuropathy: A Cross-Sectional Study at Tertiary Healthcare Settings in Ethiopia

2021 ◽  
pp. 084456212110206
Author(s):  
Mezgebu Gode ◽  
Fekadu Aga ◽  
Aklil Hailu
Keyword(s):  
Social Support ◽  
Peripheral Neuropathy ◽  
Self Care ◽  
Cross Sectional Study ◽  
Care Practice ◽  
Cross Sectional ◽  
Glucose Testing ◽  
Blood Glucose Testing ◽  
Care Practices

Background Type 2 diabetes mellitus (T2D) has become a global health challenge. Diabetic peripheral neuropathy (DPN) is one of the common comorbidities of T2D that may affect the ability to perform diabetes self-care. Purpose To compare self-care practices between adult T2D patients with and without comorbid DPN and identify factors predicting self-care practices. Methods In this cross-sectional study, conducted at tertiary hospitals in Ethiopia, a total of 216 (108 with DNP and 108 without DNP) participants completed an interviewer-administered questionnaire including measures of diabetes self-care practices, self-evaluated peripheral neuropathy, self-efficacy, diabetes knowledge, and social support. Results Adult T2D patients with comorbid DPN had lower dietary (P< 0.001), exercise (P< 0.001), blood glucose testing (P = 0.001), and foot (P = 0.007) self-care practice than those without DPN. Social support is a significant predictor of dietary self-care in both groups while predicting foot self-care and blood glucose testing in those with comorbid DPN. Moreover, occupation, education, and having a glucometer are significant predictors of diabetes self-care practice in both groups. Conclusion This study found that adult T2D patients with comorbid DPN have poorer diabetes self-care practice than those without comorbid DPN. Interventions should focus on addressing social support and access to a glucometer in order to improve diabetes self-care practices in adult T2D patients with comorbid DPN.

scholarly journals Variability in preventive care practices among US adults with diabetes mellitus

2021 ◽  
Vol 9 (1) ◽  
pp. e001861
Author(s):  
Lorena Baccaglini ◽  
Adams Kusi Appiah ◽  
Mahua Ray ◽  
Fang Yu
Keyword(s):  
Blood Glucose ◽  
Diabetes Care ◽  
Target Population ◽  
Care Practice ◽  
Behavioral Risk ◽  
Cross Sectional ◽  
Complex Sampling ◽  
Patients With Diabetes ◽  
Care Practices ◽  
Diabetic Care

IntroductionPatients with diabetes are advised to follow standard medical care including daily blood glucose and foot checks, eye examinations with pupil dilation, and cholesterol checks to prevent diabetes-related complications. It is unclear how these practices currently vary across different US population subgroups. The objective of this study was to assess variation in overall and individual diabetes care practices and identify specific factors associated with differences in these practices in a representative sample of US diabetic adults.Research design and methodsCross-sectional data were from the 2017 Behavioral Risk Factor Surveillance System. Survey logistic regression was used to account for the complex sampling design.ResultsAmong 30 780 eligible participants, 8957 (equivalent to 28% of the target population) followed all four diabetes care practices. Insulin-dependent participants had higher adjusted odds (adjusted OR=2.95; 95% CI 2.62 to 3.31) of following all four diabetic care practices compared with those who did not. Cost-related variables (having healthcare coverage and/or a personal doctor) were positively associated with diabetes care practices, with the strongest association observed for adherence to more costly practices (annual eye examination and cholesterol check) versus less costly ones (daily blood glucose check, daily foot check).ConclusionsOur findings suggest the need for diabetes care practice-specific and population subgroup-specific public health interventions to encourage early adherence to diabetic care practices and reduce complications.

scholarly journals Intra-natal care practices of staff nurses with compliance to professional protocols

2021 ◽  
Vol 8 (12) ◽  
pp. 6021
Author(s):  
Pooja Chand ◽  
Pratiti Haldar ◽  
Manoj Jangir ◽  
Nagendra Prakash ◽  
Ratna Prakash
Keyword(s):  
Structured Interview ◽  
Staff Nurses ◽  
Interview Schedule ◽  
Cross Sectional ◽  
Safe Delivery ◽  
Care Protocol ◽  
Trained Staff ◽  
Care Practices ◽  
Two Phases ◽  
Natal Care

Background: Intranatal care refers to care given throughout the process of all four stages of labor and is important for both mother and newborn. Safe delivery practice and compliance to intranatal care protocol by trained staff nurses is essential. The objectives were to identify the intra-natal care practices of staff nurses, compare intranatal care practices among the three selected hospitals and explore the barriers to compliance of intranatal care practices by staff nurses.Methods: Cross-sectional observation design was used for the present study. The study was conducted in two phases to fulfil the objectives. Three hospitals were conveniently selected and about 42 delivery events were observed in phase I and 15 staff nurses were interviewed through semi-structured interview schedule to identify the barriers to compliance in phase II.Results: It was found that majority of 8 (57.1%) staff nurses were in the age group of (25-42) years and maximum 13 (86.7%) staff nurses had attended training program related to intranatal care practices. In majority 24 (57.1%) deliveries, sterile technique for vaginal examination was not followed, in 33 (78.6%) deliveries cord pulsation was not assessed and in 39 (92.9%) deliveries baby was not placed on mother’s chest. Lack of required facilities leading to referral and non-cooperation of women during procedures were some identified barriers.Conclusions: The present study findings revealed that the intranatal care practices were inappropriate, they were missing most essential practices that might harm to the mother or baby in future.

scholarly journals Self-care practices, patient education in women with breast cancer-related lymphedema

2021 ◽  
Vol 67 (2) ◽  
pp. 187-195
Author(s):  
Zeynep Deveci ◽  
Özgül Karayurt ◽  
Sibel Eyigör
Keyword(s):  
Breast Cancer ◽  
Patient Education ◽  
Self Care ◽  
Breast Cancer Surgery ◽  
Care Practice ◽  
Clinical Factors ◽  
Cross Sectional ◽  
Significant Difference ◽  
Care Practices ◽  
Breast Cancer Related Lymphedema

Objectives: This study aims to evaluate self-care practices, sociodemographic and clinical factors that affect self-care and patient education among women with breast cancer-related lymphedema (BCRL). Patients and methods: This descriptive, cross-sectional study included a total of 102 women with BCRL (median age: 59 years; range, 35 to 80 years) who received lymphedema (LE) treatment at least once between July 2014 and May 2016. A Sociodemographic and Clinical Characteristics Form and the Lymphedema Self-care Survey were used to collect data via face-to-face interviews. Results: The median LE self-care practices score for women was 10 (range, 5 to 14). A total of 39.1% of the women implemented regular self-care. A statistically significant relationship was found between the score for perceived benefit of LE self-care and the score for self-care practice. No statistically significant difference was found among the self-care scores of the women with LE in terms of sociodemographic and clinical factors, except for education status. A total of 90.2% of the women with LE received self-care education, mostly from a physical therapy specialist and a physiotherapist. There was a statistically significant difference among self-care scores between patients who were educated and uneducated about LE. Conclusion: It is recommended that healthcare professionals should educate patients diagnosed with breast cancer to reduce LE risk and promote the implementation of self-care practices following the breast cancer surgery. Interventions should be made to increase the perceived benefits and reduce the perceived barriers and burden towards self-care behaviors to prevent and manage LE.

scholarly journals Antenatal care in Mozambique: Number of visits and gestational age at the beginning of antenatal care

2021 ◽  
Vol 29 ◽  
Author(s):  
Belarmina Reis-Muleva ◽  
Luciane Simões Duarte ◽  
Carla Marins Silva ◽  
Luciana Magnoni Reberte Gouveia ◽  
Ana Luiza Vilela Borges
Keyword(s):  
Antenatal Care ◽  
Gestational Age ◽  
Cross Sectional Study ◽  
Easy Access ◽  
Postpartum Women ◽  
Sectional Study ◽  
Cross Sectional ◽  
Face To Face ◽  
Late Initiation ◽  
Antenatal Visits

Objective: 1)to assess the gestational age at the beginning of antenatal care and its covariates; 2)to assess the number of antenatal visits and its covariates; and 3)to identify the reasons for the late initiation of antenatal care and for attending less than four visits among postpartum women living in Nampula, Mozambique. Method: cross-sectional study conducted with 393 mothers who answered a structured instrument in face-to-face interviews. Logistic regression was used to analyze the covariates of having initiated antenatal care up to the 16thgestational week, having attended four or more antenatal visits, and reporting both situations simultaneously. Results: all postpartum women underwent antenatal care, but only 39.9% started it until the 16thgestational week, 49.1% attended four or more visits, and 34.1% reported both events. Having concluded high school (ORadj=1.99; 95%CI=1.19-3.31) or college (ORadj=3.87; 95%CI=1.47-10.18) were aspects associated with reporting both situations. The reasons for the late initiation of antenatal care and attending less than four visits were as follows: not finding it important to attend several visits, not having easy access to the health facility, not being aware about pregnancy, and not having a companion for the visits. Conclusion: the gestational age at the beginning of antenatal care and the number of antenatal visits are lower than the current recommendations in the country.

scholarly journals Choice of Delivery Places and Factors which Influence it in the Aceh Besar Regency

2019 ◽  
pp. 251-254
Author(s):  
Moh. Andalas ◽  
Ilham Kosman
Keyword(s):  
Multivariate Analysis ◽  
Antenatal Care ◽  
Travel Time ◽  
Health Facilities ◽  
Influential Factor ◽  
Chi Square ◽  
Design Data ◽  
Cross Sectional ◽  
Safe Delivery ◽  
Aceh Province

Objective: To determine the relationship of maternal delivery and the factors that influence in Aceh Besar regency of Aceh Province. Method: We used a cross-sectional study design. Data were collected in all Community Health Centres in each sub-district in Aceh Besar regency of Aceh province. The total sample size of this study was 80 patient data, with details of 40 maternity patients in health facilities and 40 patients who were delivered to non-health facilities. Data were taken on factors that influence the choice of place of delivery, i.e. travel time from home to health facilities, age, parity, antenatal care, education, and income. Results: The result of chi-square test showed significant relation time (p = 0,000), Education (p = 0,011), parity (p = 0,000), antenatal care (p = 0,025), age (p = 0,003), revenue (p = 0.022) with maternity delivery in Aceh Besar regency. From the result of multivariate analysis found that travel time is the most influential factor in choosing the birth place with (OR = 51,976). Conclusion: The result of multivariate analysis showed that travel time was the most influential factor in choosing the delivery place with 51,976 times. Keywords: health facilities, maternal mortality rate, safe delivery   Abstrak Tujuan: Untuk mengetahui hubungan tempat persalinan ibu dan faktor-faktor yang mempengaruhi di Kabupaten Aceh Besar Provinsi Aceh. Metode: Penelitian ini menggunakan desain potong lintang. Data diambil di seluruh Puskesmas di setiap kecamatan di Kabupaten Aceh Besar Provinsi Aceh. Jumlah total sampel penelitian ini adalah 80 data pasien, dengan rincian 40 pasien yang bersalin di fasilitas kesehatan dan 40 pasien yang bersalin di non fasilitas kesehatan. Data yang diambil mengenai informasi faktor yang mempengaruhi pilihan tempat persalinan, yaitu waktu tempuh dari rumah ke fasilitas kesehatan, usia, paritas, ANC, pendidikan, dan pendapatan. Hasil: Hasil uji chi-square menunjukkan terdapat hubungan secara signifikan waktu tempuh (p=0,000), pendidikan (p=0,011), paritas (p=0,000), ANC (p=0,025), usia (p=0,003), pendapatan (p=0,022) dengan pemilihan tempat persalinan ibu di Kabupaten Aceh Besar. Dari hasil analisis multivariate didapatkan waktu tempuh adalah faktor yang paling berpengaruh dalam memilih tempat persalinan dengan (OR=51,976). Kesimpulan: Berdasarkan hasil analisis regresi logistik, kelompok yang waktu tempuh nya dari rumah ke fasilitas kesehatan < 30 menit 51,976 kali lebih besar kemungkinan memilih tempat persalinan di fasilitas kesehatan. Kata kunci: angka kematian ibu, fasilitas kesehatan, persalinan aman

scholarly journals Patient and professional experiences of virtual antenatal clinics during the COVID-19 pandemic in a UK tertiary obstetric hospital: a questionnaire study (Preprint)

2020 ◽  
Author(s):  
Lauren Marie Quinn ◽  
Oluwafumbi Olajide ◽  
Marsha Green ◽  
Hasam Syed ◽  
Humera Ansar
Keyword(s):  
Antenatal Care ◽  
Health Care Professionals ◽  
Response Rate ◽  
Obstetric Care ◽  
Antenatal Clinic ◽  
Questionnaire Study ◽  
Face To Face ◽  
Professional Experiences ◽  
High Satisfaction ◽  
Antenatal Clinics

BACKGROUND The COVID-19 pandemic required rapid implementation of virtual antenatal care to keep pregnant women safe. This transition from face-to-face usual care had to be embraced by patients and professionals alike. OBJECTIVE We evaluated patient and professional’s experience with virtual antenatal clinic appointments during the COVID-19 pandemic, to determine satisfaction and enquire into the safety and quality of care received. METHODS A total of 148 women who attended a virtual antenatal clinic appointment at our UK tertiary obstetric care centre over a two-week period provided feedback (62% response rate). A further 37 health care professionals (HCP) delivering care in the virtual antenatal clinics participated in another questionnaire study (82% response rate). RESULTS We showed that women were highly satisfied with the virtual clinics, with 86% rating their experience as good/very good, and this was not associated with any statistically significant differences in age, ethnicity, number of previous births or pregnancy loss(es) (p>0.05). Even though, 56% preferred face-to-face appointments, 44% either expressed no preference or preferred virtual, and these preferences were not associated with significant differences in patient demographics (p>0.05). For HCP, 67% rated their experience of virtual clinics as good/very good; 78% described their experience as the same or better than face-to-face clinics; 15% preferred virtual clinics and 44% had no preference. Importantly, 67% found it easy/very easy to adapt to virtual clinics. Over 90% of HCP agreed virtual clinics should be implemented long-term. CONCLUSIONS Our study demonstrates high satisfaction with telephone, antenatal clinics during the pandemic, which supports the transition towards widespread digitalisation of antenatal care, suited to twenty first century patients and professionals. CLINICALTRIAL N/A

scholarly journals Utilization of antenatal care services and factors affecting antenatal care visits in Pokhara sub-metropolitan city

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Sabita Paudel ◽  
Tarun Paudel ◽  
Seshananda Sanjel
Keyword(s):  
Antenatal Care ◽  
Rural Areas ◽  
Nuclear Family ◽  
First Trimester ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Face To Face ◽  
Metropolitan City ◽  
Care Services

Background: In context of Nepal, although pregnant women from city areas contribute to maternal mortality, evidence of the study of utilization of antenatal care services and factors affecting antenatal care visits (ANC) are focused in rural areas where health institutions are not easily available. The objective of this study was to identify ANC services utilization by eligible women in Pokhara sub-metropolitan city. Methods: This was a cross-sectional study conducted applying face to face interviews with 240 eligible women bearing at least one youngest child below the age of two years. A structured and semi-structured questionnaire was used after translating into the Nepali language and pretesting it in the field. Data entered in Microsoft excel were transferred in SPSS (Statistical package for social sciences) version 21 and analysis were carried out. Both descriptive and inferential statistics were computed. The significance was set at the 0.05 level. Results: Approximately 97.0% of women had visited ANC during their recent pregnancy and about 56.0% of women had ≥4 ANC visits. The majority (80.3%) of the women used to seek ANC checkups during their first trimester and nearly half (49.0%) of the respondents belonged to the younger age of 15-19 years. Women’s (99.0%) and her husbands’ (86.0%) educational level significantly impacted ANC visits. Women having fewer numbers of children (98.0%) and the nuclear family (99.0%) had significantly higher ANC visits. Husbands’and mother-in-laws’ encouragement to go for ANC visits was significantly higher. All of the above-mentioned parameters were statistically significant at p< 0.05 level. Conclusions: There was variation in ANC service taking as per the encouragement from the husband and mother-in-law of the woman. Hence, awareness programs targeting husband and mother-in-law regarding the importance of ANC services are suggested. Conduction of detailed study in the future to explore the quality of services is recommended.

scholarly journals Antenatal care practice among Pregnant Women in a selected rural area of Bangladesh

2018 ◽  
Vol 10 (1) ◽  
pp. 339-342
Author(s):  
Nadia Begum ◽  
Nasreen Begum ◽  
Sk. Akbar Hossain ◽  
AFM Ashik Imran ◽  
Mst Laizuman Nahar
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Rural Area ◽  
Economic Status ◽  
Sampling Technique ◽  
Total Sample ◽  
Home Delivery ◽  
Care Practice ◽  
Cross Sectional ◽  
Primary Level

Background : Antenatal care (ANC) is an important determinant of high maternal mortality rate and one of the basic components of maternal care on which the life of mothers and newborn babies depend. Objective : To study the Antenatal care practice among pregnant women in a selected rural area. Methodology : This descriptive cross-sectional study was conducted among pregnant women in a selected rural area from July 2016 to December 2016. Total sample was 121. Purposive sampling technique was followed. Data collection was done by face to face interview by using pretested structured questionnaire. Data was analyzed by SPSS version 17.0. Results : A total of 121 women were interviewed. Sixty nine (57.02%) pregnant women were registered for ANC. Among them 47(68.11%) of respondents completed more than 4ANC visits. For the current pregnancy 56(46.28%) preferred Upazila Health Complex (UHC) and home delivery was preferred by 34(28.09%) respondents. Among the respondent age group 25-30 yrs were 61(50.41%) and educated upto primary level were 59(48.76%). Monthly income between 5000-10000 taka was among 48(39.66%) respondents. Most of their husbands (52.06%) were educated up to primary level and 25.61 % of them were garments worker and 23.96 % were day laborers. Conclusion : ANC practice was not satisfactory. Only half of the pregnant women attended for ANC and completed minimum four visits. Nearly half of the pregnant women preferred UHC. Educated women from lower economic status were found to attend for ANC. Northern International Medical College Journal Vol.10(1) Jul 2018: 339-342

Hospital and Domiciliary Services Outcome: A Cross-Sectional Study on Married Women of Peshawar Khyber Pakhtunkhwa

2020 ◽  
Keyword(s):  
Antenatal Care ◽  
Health Workers ◽  
Cross Sectional Study ◽  
P Value ◽  
Hospital Services ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Domiciliary Care ◽  
Safe Delivery

Background: Antenatal care and effective services are the hallmarks of effective pregnancy outcome. Thus, practices by community care providers throughout labor and childbirth might affect health outcomes of newborns. There is a need for proper antenatal checkups in hospital and domiciliary care by community health workers and importance of antenatal care on pregnancy outcomes. Since, every woman has a right to safe delivery that must include proper labor management protocols. Therefore, the purpose of this study was to compare and assess the antenatal care of hospital based and domiciliary services on the outcome of delivery. Methods: This cross-sectional study was conducted from November 2018-April 2019. A sample size of about 300 married females was selected from different towns of Peshawar through non-probability convenient sampling technique. Data was collected using semi structured questionnaire after taking informed consent from the women. Data were analyzed by using SPSS. Chi square test was applied for associations between hospital and domiciliary services and antenatal outcomes in both setups. p-value < 0.05 was considered significant. Results: The comparison of hospital and domiciliary services on the outcome of newborn and mother, showed better services of hospital. Domiciliary care services showed increased number of complications in females during delivery (p-value<0.05) and in newborn (p-value< 0.05) compared to hospital services. Conclusion: Hospital services provide antenatal care by trained person majority of deliveries were normal, while in cases of domiciliary-based services majority faced complications during pregnancy and delivery. Awareness of community is important step to improve mother and child health. Keywords: Antenatal Care; Domiciliary Service; Hospital Services.

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