scholarly journals Associated Factors of Drinking Prior to Recognising Pregnancy and Risky Drinking among New Zealand Women Aged 18 to 35 Years

2019 ◽  
Vol 16 (10) ◽  
pp. 1822 ◽  
Author(s):  
Sherly Parackal ◽  
Mathew Parackal ◽  
John Harraway
Keyword(s):  
New Zealand ◽  
Pregnant Women ◽  
Western World ◽  
Sexually Active ◽  
Risky Drinking ◽  
Childbearing Age ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
Social Settings

Nearly half of all pregnant women in the Western world drink prior to recognising pregnancy. The current study aimed to investigate the factors associated with drinking prior to recognising pregnancy among pregnant women and factors associated with risky drinking among nonpregnant sexually active women. The study was a cross-sectional survey of a random sample of women aged 18 to 35 years (n = 1062) selected from the New Zealand electoral roll. Pregnant women (currently pregnant: n = 65; previously pregnant: n = 202) who were risky drinkers and who smoked in the year prior to pregnancy had five times the odds (p < 0.01) and women who planned their pregnancy (p = 0.05) and who used a community service card (p = 0.004) had less than half the odds to drink prior to recognising pregnancy than their respective counterparts. Among sexually active nonpregnant women who consumed alcohol, those who smoked in the year prior to the survey and those who drank for social reasons, for mood enhancement or coping reasons had higher odds of being risky drinkers (p < 0.05). Addressing risky drinking, especially in social settings, and smoking among women of peak childbearing age may mitigate the potential risk of drinking prior to recognising pregnancy.

scholarly journals Factors associated with antenatal depression among pregnant women in Vietnam: A multisite cross-sectional survey

2020 ◽  
Vol 7 (1) ◽  
pp. 205510292091407
Author(s):  
Mai Thi Hue ◽  
Nguyen Hang Nguyet Van ◽  
Phung Phuong Nha ◽  
Ngo Tuan Vu ◽  
Pham Minh Duc ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Antenatal Depression ◽  
Cross Sectional Study ◽  
Tobit Regression ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Screening Programs ◽  
Factors Associated ◽  
The Status ◽  
Structured Questionnaire

This study aimed to describe the status of antenatal depression and its associated factors among pregnant women in Vietnam. A cross-sectional study was conducted in four obstetric hospitals in Vietnam from January to September 2019. A total of 1260 pregnant women were interviewed using a structured questionnaire. A Tobit regression model was used to determine factors associated with antenatal depression. Results showed that pregnant women were at high risk of antenatal depression (24.5%). Women with fetus abnormalities and higher education were at higher risk of antenatal depression. We highlighted the need for implementing formal screening programs to early detect antenatal depression.

scholarly journals Iodine deficiency among Belgian pregnant women not fully corrected by iodine-containing multivitamins: a national cross-sectional survey

2012 ◽  
Vol 109 (12) ◽  
pp. 2276-2284 ◽  
Author(s):  
Stefanie Vandevijvere ◽  
Sihame Amsalkhir ◽  
Ahmed Bensouda Mourri ◽  
Herman Van Oyen ◽  
Rodrigo Moreno-Reyes
Keyword(s):  
Pregnant Women ◽  
Iodine Deficiency ◽  
Urinary Iodine ◽  
Iodine Intake ◽  
Urinary Iodine Concentration ◽  
Childbearing Age ◽  
Third Trimester ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Iodine Status

Low iodine intake during pregnancy may cause thyroid dysfunction in pregnant women and their newborn. In the present study, iodine status among a nation-wide representative sample of Belgian pregnant women in the first and third trimester of pregnancy was determined, and determinants of iodine status were assessed 1 year after the introduction of bread fortified with iodised salt. The women were selected according to a multistage proportionate-to-size sampling design. Urine samples were collected and a general questionnaire was completed face to face with the study nurse. The median urinary iodine concentration (UIC) among pregnant women (n1311) was 124·1 μg/l and 122·6 μg/g creatinine when corrected for urinary creatinine. The median UIC in the first trimester (118·3 μg/l) was significantly lower than that in the third trimester (131·0 μg/l) but significantly higher than among non-pregnant women (84·8 μg/l). Iodine-containing supplement intake was reported by 60·8 % of the women and 57·4 % of the women took this supplement daily. The risk of iodine deficiency was significantly higher in younger women, in women not taking iodine-containing supplements, with low consumption of milk and dairy drinks and during autumn. Women with a higher BMI had a higher risk of iodine deficiency but the risk was lower in women who reported alcohol consumption. The median UIC during pregnancy indicates iodine deficiency in Belgium and some women are at a higher risk of deficiency. The current low iodine intake in women of childbearing age precludes the correction of iodine deficiency in pregnant women supplemented with multivitamins containing 150 μg iodine as recommended.

scholarly journals Prevalence of Chlamydia Trachomatis among Pregnant Women, Gynecology Clinic Attendees, and Subfertile Women in Guangdong, China: A Cross-sectional Survey

2021 ◽  
Author(s):  
Changchang Li ◽  
Weiming Tang ◽  
Hung Chak Ho ◽  
Jason J Ong ◽  
Xiaojing Zheng ◽  
...  
Keyword(s):  
Chlamydia Trachomatis ◽  
Pregnant Women ◽  
Chinese Women ◽  
Birth Outcome ◽  
Nucleic Acid Amplification ◽  
Childbearing Age ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
First Sex ◽  
Childbearing Age Women

Abstract Background Chlamydia trachomatis (CT) is a major cause of infertility and adverse birth outcome, but its epidemiology among childbearing-age women remains unclear in China. This study investigated the prevalence of CT and associated factors among Chinese women aged 16-44 years who were either 1) pregnant; 2) attending gynaecology clinics; or 3) subfertile. Methods We conducted a cross-sectional survey and recruited participants from obstetrics, gynaecology, and infertility clinics in Guangdong, between March to December, 2019. We collected information on individuals' socio-demographic characteristics, previous medical conditions, and sexual behaviours. First-pass urine and cervical swabs were tested using nucleic acid amplification testing. We calculated the prevalence in each population and subgroup by age, education, and age at first sex. Multivariable binomial regression models were used to identify factors associated with CT. Results We recruited 881 pregnant women, 595 gynaecology clinic attendees, and 254 subfertile women. The prevalence of CT was 6.7% (95% Confidence Interval (CI): 5.2%-8.5%), 8.2% (95%CI: 6.2%-10.7%), 5.9% (95%CI: 3.5%-9.3%) for the above three populations, respectively. The subgroup-specific prevalence was highest among those who had the first sex before 25 years and older pregnant women (&gt;35 years). The proportion of asymptomatic CT was 84.8%, 40.0%, and 60.0% among pregnant women, gynaecology clinic attendees, and subfertile women, respectively. Age at first sex (&lt;25 years), multipara, and ever having more than one partner increased the risk of CT. Conclusion Childbearing age women in China have a high prevalence of CT. As most women with CT were asymptomatic, more optimum prevention strategies are urgently needed in China.

scholarly journals Faktor Yang Berhubungan Dengan Ketidaklancaran Proses Persalinan Normal

2019 ◽  
Vol 1 (1) ◽  
pp. 1-10
Author(s):  
Veronika Uba Petan ◽  
Maria M. Dwi Wahyuni ◽  
Amelya B. Sir
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Program Planning ◽  
Infant Mortality Rate ◽  
Childbearing Age ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Hospital District ◽  
Factors Associated ◽  
Maternity Hospitals

The result of not fluent parturition will cause infection, bleeding, fatigue, anxiety, premature rupture of membranes, fetal injury and asphyxia in infants that can increase maternal and infant mortality. Health Office Data in NTT 2013 showed that the number of maternal deaths in the district Lembata 3 cases out of 3.075 labors. The infant mortality rate as much 67 cases and as much 32 cases of neonatal mortality.The infant mortality rate in the district Lembata is still quite high enough that ranks 6 of 21 districts in NTT Province. The purpose of this study was to analyze factors associated with disfluencies parturition in a public hospital district Lewoleba-Lembata 2015. This research method is an analytical observation with a cross-sectional survey design by interviewing mothers in maternity hospitals in an obstetrics room of 60 people. Data analysis using the Chi-Square test to determine factors associated with not fluent, then proceed with the contingency coefficient test to determine the relationship variable, if the value of p <0.05. The results showed, there is a significant relationship between maternal age (p=0.002), maternal nutritional status (p=0.034), family support (p=0.047), compliance with antenatal care (p=0.007) with not fluent parturition. Recommended for health care workers to perform program planning relating to the extension to women of childbearing age to prevent risk factors that can cause not fluent parturition.

Alcohol use and its associated factors during pregnancy in Ethiopia: a population-based survey

2020 ◽  
Author(s):  
Nitsu Addis ◽  
Muluken Azage ◽  
Dabere Nigatu ◽  
Kristen Kirksey
Keyword(s):  
Alcohol Use ◽  
Pregnant Women ◽  
Associated Factors ◽  
Population Based ◽  
Cluster Sampling ◽  
Cross Sectional Survey ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Factors Associated ◽  
Population Based Survey

Abstract Background: Alcohol use during pregnancy is a modifiable health behavior that causes a range of health problems in infants, including impaired growth, stillbirth, and fetal alcohol spectrum disorder. However, there is lack of comprehensive information on alcohol use and associated factors during pregnancy using a population-based dataset in Ethiopia. Therefore, this study aimed to assess the prevalence of alcohol use during pregnancy and associated factors using a national, population-based survey.Methods: The study utilized data from the 2011 and 2016 Ethiopian Demographic and Health Survey, a cross-sectional survey conducted on a nationally representative sample. The survey employed a multistage cluster sampling method to generate representative national and sub-national health and health related indicators. A total of 2,341 pregnant women were included in the analysis. Factors associated with alcohol use were identified using multivariable logistic regression model. Adjusted odds ratios (AOR) with 95% confidence interval (CI) were computed to quantify the degree of association between independent variables and alcohol use.Results: In Ethiopia, the prevalence of alcohol use among pregnant women was 30.2% (95% CI: 28.4%-32.2%). The study identified that being employed (AOR: 2.07; 95%CI: 1.55-2.77), ever attempted termination of pregnancy (AOR: 2.21; 95% CI: 1.60-3.05), having two (AOR: 2.56; 95% CI: 1.76-3.72), or three (AOR: 2.98; 95% CI: 1.40-6.35) sexual partners in lifetime and chat chewing (AOR: 8.91; 95% CI: 4.61-17.23) had increased the odds of alcohol use during pregnancy.Conclusion: In this study, the prevalence of alcohol use during pregnancy among Ethiopian mothers was high. Working status, ever used something to terminate the pregnancy, more than one lifetime partner, and chat chewing were factors associated with alcohol use during pregnancy. Thus, prevention interventions and strategies can draw on the identified modifiable health behaviors.

scholarly journals Obstetricians’ perspectives on trial of labor after cesarean (TOLAC) under the two-child policy in China: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhong-chen Luo ◽  
Xu Liu ◽  
Anni Wang ◽  
Jian-qiong Li ◽  
Ze-hong Zheng ◽  
...  
Keyword(s):  
Decision Making ◽  
Pregnant Women ◽  
Selection Criteria ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
Trial Of Labor ◽  
Delivery Outcomes ◽  
Child Policy ◽  
History Of

Abstract Background As the birth policy has been adjusted from one-child-one-couple to universal two-child-one-couple in China, there is an increasing number of women undergoing a second pregnancy after a previous cesarean section (CS). Undertaking an elective repeat CS (ERCS) has been taken for granted and has thus become a major contributor to the increasing CS rate in China. Promoting trial of labor after CS (TOLAC) can reduce the CS rate without compromising delivery outcomes. This study aimed to investigate Chinese obstetricians’ perspectives regarding TOLAC, and the factors associated with their decision-making regarding recommending TOLAC to pregnant women with a history of CS under the two-child policy. Methods A cross-sectional survey was carried out between May and July 2018. Binary logistic regression was used to determine the factors associated with the obstetricians’ intention to recommend TOLAC to pregnant women with a history of CS. The independent variables included sociodemographic factors and perceptions regarding TOLAC (selection criteria for TOLAC, basis underlying the selection criteria for TOLAC, and perceived challenges regarding promoting TOLAC). Results A total of 426 obstetricians were surveyed, with a response rate of ≥83%. The results showed that 31.0% of the obstetricians had no intention to recommend TOLAC to pregnant women with a history of CS. Their decisions were associated with the perceived lack of confidence regarding undergoing TOLAC among pregnant women with a history of CS and their families (odds ratio [OR] = 2.31; 95% CI: 1.38–1.38); obstetricians’ uncertainty about the safety of TOLAC for pregnant women with a history of CS (OR = 0.49; 95% CI: 0.27–0.96), and worries about medical lawsuits due to adverse delivery outcomes (OR = 0.14; 95% CI: 0.07–0.31). The main reported challenges regarding performing TOLAC were lack of clear guidelines for predicting or avoiding the risks associated with TOLAC (83.4%), obstetricians’ uncertainty about the safety of TOLAC for women with a history of CS (81.2%), pregnant women’s unwillingness to accept the risks associated with TOLAC (81.0%) or demand for ERCS (80.7%), and the perceived lack of confidence (77.5%) or understanding (69.7%) regarding undergoing TOLAC among pregnant women and their families. Conclusion A proportion of Chinese obstetricians did not intend to recommend TOLAC to pregnant women with a history of CS. This phenomenon was closely associated with obstetricians’ concerns about TOLAC safety and perceived attitudes of the pregnant women and their families regarding TOLAC. Effective measures are needed to help obstetricians predict and reduce the risks associated with TOLAC, clearly specify the indications for TOLAC, improve labor management, and popularize TOLAC in China. Additionally, public health education on TOLAC is necessary to improve the understanding of TOLAC among pregnant women with a history of CS and their families, and to improve their interactions with their obstetricians regarding shared decision making.

scholarly journals Attitudes Toward COVID-19 Illness and COVID-19 Vaccination among Pregnant Women: A Cross-Sectional Multicenter Study during August–December 2020

2021 ◽  
Author(s):  
Ashley N. Battarbee ◽  
Melissa S. Stockwell ◽  
Michael Varner ◽  
Gabriella Newes-Adeyi ◽  
Michael Daugherty ◽  
...  
Keyword(s):  
Cohort Study ◽  
Influenza Vaccine ◽  
Pregnant Women ◽  
White Women ◽  
Salt Lake ◽  
Ethnic Disparities ◽  
Cross Sectional Survey ◽  
Vaccine Acceptability ◽  
Cross Sectional ◽  
Factors Associated

Objective The aim of the study was to evaluate pregnant women's attitudes toward COVID-19 illness and vaccination and identify factors associated with vaccine acceptability. Study Design This was a cross-sectional survey among pregnant women enrolled in a prospective COVID-19 cohort study in Salt Lake City, UT, Birmingham, AL, and New York, NY, from August 9 to December 10, 2020. Women were eligible if they were 18 to 50 years old and <28 weeks of gestation. Upon enrollment, women completed surveys regarding concerns about COVID-19 illness and likelihood of getting COVID-19 vaccine if one were available during pregnancy. Vaccine acceptability was defined as a response of “very likely” or “somewhat likely” on a 4-point Likert scale. Factors associated with vaccine acceptability were assessed with multivariable logistic regression. Results Of 939 pregnant women eligible for the main cohort study, 915 (97%) consented to participate. Among these 915 women, 39% self-identified as White, 23% Black, 33% Hispanic, and 4% Other. Sixty-two percent received an influenza vaccine last season. Seventy-two percent worried about getting sick with COVID-19. If they were to get sick, 92% worried about harm to their pregnancy and 80% about harm to themselves. Only 41% reported they would get a vaccine. Of women who were unlikely to get vaccinated, the most frequently cited concern was vaccine safety for their pregnancy (82%). Non-Hispanic Black and Hispanic women had lower odds of accepting a vaccine compared with non-Hispanic White women (adjusted odds ratios [aOR] 0.4, 95% CI 0.2–0.6 for both). Receipt of influenza vaccine during the previous season was associated with higher odds of vaccine acceptability (aOR 2.1, 95% CI 1.5–3.0). Conclusion Although most pregnant women worried about COVID-19 illness, <50% were willing to get vaccinated during pregnancy. Racial and ethnic disparities in plans to accept COVID-19 vaccine highlight the need to prioritize strategies to address perceived barriers among groups at high risk for COVID-19. Key Points

scholarly journals Attitudes toward COVID-19 illness and COVID-19 vaccination among pregnant women: a cross-sectional multicenter study during August-December 2020

2021 ◽  
Author(s):  
Ashley Battarbee ◽  
Melissa Stockwell ◽  
Michael Varner ◽  
Gabriella Newes-Adey ◽  
Michael Daugherty ◽  
...  
Keyword(s):  
Cohort Study ◽  
Influenza Vaccine ◽  
Pregnant Women ◽  
White Women ◽  
Salt Lake ◽  
Ethnic Disparities ◽  
Cross Sectional Survey ◽  
Vaccine Acceptability ◽  
Cross Sectional ◽  
Factors Associated

ABSTRACT Objective: Evaluate pregnant women's attitudes toward COVID-19 illness and vaccination and identify factors associated with vaccine acceptability. Study Design: Cross-sectional survey among pregnant women enrolled in a prospective COVID-19 cohort study in Salt Lake City, UT, Birmingham, AL, and New York, NY, August 9-December 10, 2020. Women were eligible if they were 18-50 years old and <28 weeks of gestation. Upon enrollment, women completed surveys regarding concerns about COVID-19 illness and likelihood of getting COVID-19 vaccine if one were available during pregnancy. Vaccine acceptability was defined as a response of "very likely" or "somewhat likely" on a 4-point Likert scale. Factors associated with vaccine acceptability were assessed with multivariable logistic regression. Results: Of 939 pregnant women eligible for the main cohort study, 915 (97%) consented to participate. Among these 915 women, 39% self-identified as White, 23% Black, 33% Hispanic, and 4% Other. Sixty-two percent received an influenza vaccine last season. Seventy-two percent worried about getting sick with COVID-19. If they were to get sick, 92% worried about harm to their pregnancy and 80% about harm to themselves. Only 41% reported they would get a vaccine. Of women who were unlikely to get vaccinated, the most frequently cited concern was vaccine safety for their pregnancy (82%). Non-Hispanic Black and Hispanic women had lower odds of accepting a vaccine compared with non-Hispanic White women (adjusted odds ratios (aOR) 0.4, 95%CI 0.2-0.6 for both). Receipt of influenza vaccine during the previous season was associated with higher odds of vaccine acceptability (aOR 2.1, 95%CI 1.5-3.0). Conclusion: Although most pregnant women worried about COVID-19 illness, <50% were willing to get vaccinated during pregnancy. Racial and ethnic disparities in plans to accept COVID-19 vaccine highlight the need to prioritize strategies to address perceived barriers among groups at high risk for COVID-19.

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