scholarly journals Survey of Skin-to-Skin Contact with Obstetrics and Pediatric Nurses

2022 ◽  
Vol 12 (1) ◽  
pp. 13-21
Author(s):  
Wedad M. Almutairi
Keyword(s):  
Saudi Arabia ◽  
Continuing Education ◽  
World Health ◽  
Cross Sectional ◽  
Language Version ◽  
Skin Contact ◽  
The Mean ◽  
Skin To Skin ◽  
The Impact ◽  
Nurses Knowledge

Skin-to-skin, or chest-to-chest, contact (SSC) between newborns and their mothers is known as kangaroo mother care. The physiological and psychological benefits of SSC for infants and mothers are well established. The World Health Organization (WHO) recommends practicing SSC for term and preterm newborns. However, in Saudi Arabia, SSC is not practiced as widely as recommended. There is insufficient evidence of the nurses’ knowledge and attitudes regarding SSC in Saudi Arabia. The aims of this study were to describe and determine relationships between knowledge, education, beliefs/attitudes, and the implementation of SSC in Jeddah, Saudi Arabia. Thank You for Your Time and Kind Suggestion Methods: Cross-sectional descriptive data were collected from 40 nurses using an English-language version of a knowledge, beliefs/attitudes, education, and implementation questionnaire used by others. Results: The mean age of the nurses was 42.4 years (SD = 3.2), with a mean experience of 12 years (SD = 2.1). The mean total score of SSC knowledge was 13.6 (SD = 2.3), the mean of total score of attitudes/beliefs was 12.3 (SD = 3.1), the SSC education mean score was 17.1 (SD = 3.4), and the SSC implementation mean score was 17.0 (SD = 4.1). In total, 55% of the nurses were not sure of the impact of SSC on brain development in neonates, 45% could not interpret infants’ responses during SSC; 67% disagreed that it was the nurses’ responsibility to facilitate SSC, 37.5% were not aware of SSC guidelines, and 47% of the nurses had not received any continuing education on SSC in their units. Pearson correlations revealed a significant association between SSC implementation and nurses’ knowledge level (r = 0.297, p = 0.031), education (r = 0.85, p = 0.015), and beliefs (r = 0.31, p = 0.024). Conclusions: Once nurses have improved their knowledge, education, and beliefs/attitudes, SSC implementation may concomitantly increase. A continuing education program and clear guidelines are needed to promote SSC adoption in practice.

scholarly journals The impact of coronavirus outbreak on breastfeeding guidelines among Brazilian hospitals and maternity services: a cross-sectional study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Walusa Assad Gonçalves-Ferri ◽  
◽  
Fábia Martins Pereira-Cellini ◽  
Kelly Coca ◽  
Davi Casale Aragon ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
World Health ◽  
Breastfeeding Support ◽  
Cross Sectional ◽  
Maternity Services ◽  
Community Needs ◽  
Care Services ◽  
Skin Contact ◽  
Health Organization ◽  
The Impact

Abstract Background The World Health Organization recognizes exclusive breastfeeding a safe source of nutrition available for children in most humanitarian emergencies, as in the current pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Despite the Brazilian national guideline protecting breastfeeding practices, there are many concerns about protecting infants from their infected mothers. This study aimed to analyze how the Brazilian hospitals and maternity services promote and support mothers suspected or diagnosed with coronavirus disease (COVID-19). Methods This is a descriptive cross-sectional and multicenter study which collected data from 24 Brazilian hospitals and maternity services between March and July 2020. Representatives of the institutions completed a questionnaire based on acts to promote and support breastfeeding, the Baby-Friendly Hospital Initiative, and Brazil’s federal law recommendations. Results The results showed that in delivery rooms, 98.5% of the services prohibited immediate and uninterrupted skin-to-skin contact between mothers and their infants and did not support mothers to initiate breastfeeding in the first hour. On the postnatal ward, 98.5% of the services allowed breastfeeding while implementing respiratory hygiene practices to prevent transmission of COVID-19. Companions for mothers were forbidden in 83.3% of the hospitals. Hospital discharge was mostly between 24 and 28 h (79.1%); discharge guidelines were not individualized. Additionally, a lack of support was noticed from the home environment’s health community network (83.3%). Hospital and home breast pumping were allowed (87.5%), but breast milk donation was not accepted (95.8%). There was a lack of guidance regarding the use of infant comforting strategies. Guidelines specific for vulnerable populations were not covered in the material evaluated. Conclusions In Brazil, hospitals have not followed recommendations to protect, promote, and support breastfeeding during the COVID-19 outbreak. The disagreement between international guidelines has been a major issue. The absence of recommendations on breastfeeding support during the pandemic led to difficulties in developing standards among hospitals in different regions of Brazil and other countries worldwide. The scientific community needs to discuss how to improve maternal and infant care services to protect breastfeeding in the current pandemic.

scholarly journals COVID-19 Pandemic Causing Depression in Different Sociodemographic Groups in Saudi Arabia

2021 ◽  
Vol 18 (13) ◽  
pp. 6955
Author(s):  
Hana Sonbol ◽  
Hadil M. Alahdal ◽  
Rasis A. Alanazi ◽  
Khawla Alsamhary ◽  
Fuad Ameen
Keyword(s):  
Saudi Arabia ◽  
Online Survey ◽  
World Health ◽  
Depression Symptoms ◽  
Elderly Persons ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
The Impact

COVID-19 disease was announced as a global pandemic in March 2020 by the World health organization (WHO). Saudi Arabia was among the first countries to enforce restriction measures such as closing schools, remote working, and a travel ban. We aim to evaluate the impact of the COVID-19 pandemic on people’s depression in Saudi Arabia. A cross-sectional online survey of 1109 participants was conducted during the curfew between 18th of May and 11th of June 2020. An online questionnaire included questions about the commitment to follow the precautionary measures, knowledge on COVID-19, and depression. Depression was assessed with the Impact of Event Scale-Revised method. Females, unmarried individuals, elderly persons, parents of young children, unemployed, and small families were more likely to be depressed. Education level did not explain the differences in depression. However, the more knowledge the participants had about COVID-19 the better they followed the restrictions. A regression analysis revealed that the commitment of a person to follow the restrictions increased his/her depression symptoms. Attention should be paid to different groups of people in future psychiatric planning.

scholarly journals The impact of the COVID-19 pandemic on parents’ behavior toward scheduled pediatric vaccinations in Saudi Arabia

2021 ◽  
Vol 15 (08) ◽  
pp. 1054-1058
Author(s):  
Abdullah Saleh Al-Nafeesah ◽  
Abdullah Saleh Aldamigh ◽  
Basel Abdulrahman Almansoor ◽  
Osama Al-Wutayd ◽  
Ashwaq Ahmed AlE'ed
Keyword(s):  
Logistic Regression ◽  
Saudi Arabia ◽  
Multiple Logistic Regression Analysis ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
World Health ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Increased Risk ◽  
The Impact

Introduction: Coronavirus disease (COVID-19) is caused by a newly discovered coronavirus and has resulted in a global pandemic. The World Health Organization recommended avoiding any delay or disruption of immunization services, as this could result in increases in outbreak-prone vaccine-preventable diseases. This study aimed to determine the impact of the COVID-19 pandemic on parents’ behaviour towards their children’s scheduled vaccinations. Methodology: This web-based cross-sectional study recruited 1,143 parents/guardians of children below six years of age living in Saudi Arabia between May 1 and May 30, 2020 via social media platforms. A self-developed online questionnaire consisting of eight items was used. Simple and multiple binary logistic regression was used to determine the factors associated with vaccine delay during the COVID-19 pandemic. Results: The parents/guardians were aged 20–60 years; 82% were aged between 20 and 39 years. It was found that 26% of parents did not vaccinate their children on time according to the national immunization schedule in regular situations, and 38% of parents reported delaying vaccination due to the COVID-19 pandemic. The multiple logistic regression analysis found that having two or more children, living in Riyadh or the Western region or not vaccinating children during regular situations were associated with an increased risk of vaccine delay during the COVID-19 pandemic. Conclusions: Delaying children’s vaccinations during the COVID-19 pandemic was influenced most by living in regions with high COVID-19 prevalence and having two or more children.

scholarly journals “The Impact of Coronavirus Outbreak on Breastfeeding Guidelines Among Brazilian Hospitals and Maternity Services: A Cross-Sectional Study”

2020 ◽  
Author(s):  
Walusa Assad Gonçalves-Ferri ◽  
Fábia Martins Pereira-Cellini ◽  
Kelly Pereira Coca ◽  
Davi Casale Aragon ◽  
Paulo de Jesus Hartmann Nader ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
World Health ◽  
Cross Sectional ◽  
Maternity Services ◽  
Community Needs ◽  
Care Services ◽  
Hygiene Practices ◽  
Skin Contact ◽  
Health Organization ◽  
The Impact

Abstract BackgroundRecommended by the World Health Organization, exclusive breastfeeding is a safe source of nutrition available for children in humanitarian emergencies, as in the current pandemic caused by the severe acute respiratory syndrome coronavirus 2. Despite the Brazilian Guideline protecting breastfeeding practice, there are many concerns about how to protect babies from their infected mothers. This study aimed to analyze how the Brazilian hospitals and maternity services promote and support mothers suspected or diagnosed with coronavirus disease (COVID-19). MethodsThis is a descriptive cross-sectional and multicenter study collecting data from 24 Brazilian hospitals and maternity services from March to July 2020. Representatives of the institutions completed a questionnaire based on acts to promote and support breastfeeding, Baby-Friendly Hospital Initiative, and Brazil’s law recommendations.ResultsThe results showed that in delivery rooms, 98.5% of the services prohibited immediate and uninterrupted skin-to-skin contact and companions for the mother and did not support mothers to initiate breastfeeding in the first hour. In rooming-in, 98.5% of the services allowed breastfeeding and recommend care for babies following the respiratory hygiene practices to prevent transmission of COVID-19 and whether companions are forbidden (83.3%). Hospital discharge was mostly early (79.1%); the guidelines were not individualized. Additionally, a lack of support was noticed from the health community network in the home environment (83.3%). Hospital and home breast pumping were allowed (87.5%), but breast milk donation was not accepted (95.8%). ConclusionsIn Brazil, the hospitals are not able to approach recommendations to protect, promote, and support breastfeeding properly during the COVID-19 outbreak. The scientific community needs to discuss how to improve maternal and baby care services to protect breastfeeding in the current pandemic.

A Cross Sectional Observational Study to Assess Pharmacists Perspective and General Health Wellbeing During COVID-19 Pandemic in Saudi Arabia

2021 ◽  
Vol 3 (3) ◽  
Author(s):  
Nagwa Ibrahim ◽  
Asma Almuhsin ◽  
Raghad Alkhattabi ◽  
Maryam Almulaifi ◽  
Ali Alrumaih
Keyword(s):  
Saudi Arabia ◽  
Observational Study ◽  
General Health ◽  
Negative Impact ◽  
Eastern Region ◽  
Knowledge Level ◽  
Cross Sectional ◽  
The Mean ◽  
Level Of Experience ◽  
The Impact

Introduction: COVID-19 pandemic impacted all countries negatively. Regulatory bodies in Saudi Arabia and worldwide set a firm policies and guidelines to protect their nationals and residents from the virus. Pharmacists play a major role in health care. This study aims to assess pharmacists prospective and general health wellbeing during COVID-19 pandemic in Saudi Arabia. Methods: We conducted a cross sectional observational study using a quantitative survey-based methodology. Data was collected from May to July 2020. Results: We were able to enrol 381 pharmacists working in different practice settings as governmental hospitals, healthcare centers, private hospitals and community pharmacies. The acceptable knowledge level score is 13 (60%) that has been reached by about 37% of participants. Male and female had similar scores. Level of knowledge among regions was variable, southern region scored the least with a mean score of 12.89 ± 3.91 and eastern region scored the highest level with a mean score of 15.07 ± 2.86. There was a significant correlation between knowledge level, region of residency and level of experience. The maximum total awareness score was 7, the mean score was 5.18 ± 1.65. There was a statistically significant correlation between awareness level and the region of residency variable. The general health questions section included 9 questions. The minimum score was 9, the maximum was 36 and the mean score was 17.51 ± 7.34. The higher the score indicate the worsening of the general health. There is a strong correlation between gender, experience and the general health wellbeing. Men had better general health compared to women p<0.001 and participants with range of experience 6-10 years had a lower level of general health. Conclusion: COVID-19 still has a negative impact worldwide. Maintaining awareness and education is essential to keep the protective measures as possible. In addition, there is a need to address the impact of COVID-19 on pharmacist's mental health to act accordingly.

scholarly journals AB0615 ASSESSMENT OF THE IMPACT OF OBESITY ON BONE LOSS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1342.3-1342
Author(s):  
M. Yasmine ◽  
S. Mariem ◽  
S. Miladi ◽  
A. Fazaa ◽  
E. Frigui ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Vertebral Fracture ◽  
Body Mass ◽  
World Health ◽  
Obese Patients ◽  
Mineral Density ◽  
Cross Sectional ◽  
Tunisian Patients ◽  
The Mean ◽  
The Impact

Background:Most of the available evidence supports a lower risk of vertebral fracture in obese adults. This belief was partially suggested by the positive correlation between bone mineral density (BMD) and body mass index (BMI).Objectives:We aimed to assess the association of BMI with BMD and to explore their relation with age and gender.Methods:This is a cross-sectional study including Tunisian patients referred for an assessment of BMD through dual-energy X-ray absorptiometry (DXA). BMD was measured using standard methods over the lumbar spine L1-L4, the total proximal femur. The results were expressed as T-scores according to the World Health Organization definition. Patients were sub-grouped according to age (≤50 and >50 years). Association between BMD and age as well as BMI was also assessed (G1: obese patients and G2: non-obese patients). The level of significance was fixed for p<0.05Results:The study included 100 patients with a female predominance (sex ratio =10.1). The mean age for women was 61.9 ±13 [18-83] years and the mean age for men was 59.7± 7.5 [47-72] years. The mean body mass index was 29.1± 5 kg/m2 [15-45] for women and 27.6 ±3.6 Kg/m2 [22.8-32.9] for men. Forty percent of all patients were obese with a mean BMI of 32.9 kg/m2 ± 4.3. Osteopenia was diagnosed in half of the men (55.5%) and most of the women (70%). Twenty-nine percent of patients suffered from osteoporosis. BMD of the spine was similar between men and women (p=0.53). Men had higher BMD of the hip than women (p=0,038). The mainstream of the subjects >50 years had more vertebral fractures, suffered more from osteoporosis and had a higher BMI than those < 50 years (95% % vs 5%; p=0.04), (92.3% vs 77 %; p=0.03) and (82.5% vs 17.5%; p=0.05) respectively. There was no correlation between BMD of the spine and higher BMI (0.94 in G1 vs 0.98 in G2, p=0.3). Similarly, there was no correlation between BMD of the hip and higher BMI (0.9 in G1 vs 0.84 in G2, p=0.2). Moreover, Obese patients had less a vertebral fracture but with no statistically significant correlation (21% in G1 vs 25% in G2; p=0.2).Conclusion:Our study showed that obesity was frequent among Tunisian patients but was not associated with a higher BMD. Older age was directly associated with a lower BMD and higher risk for vertebral fracture.Disclosure of Interests:None declared.

scholarly journals “The impact of coronavirus outbreak on breastfeeding guidelines among Brazilian hospitals and maternity services: a cross-sectional study”

2021 ◽  
Author(s):  
Walusa Assad Gonçalves-Ferri ◽  
Fábia Martins Pereira-Cellini ◽  
Kelly Pereira Coca ◽  
Davi Casale Aragon ◽  
Paulo de Jesus Hartmann Nader ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
World Health ◽  
Federal Law ◽  
Cross Sectional ◽  
Maternity Services ◽  
Community Needs ◽  
Care Services ◽  
Skin Contact ◽  
Health Organization ◽  
The Impact

Abstract Background: Recommended by the World Health Organization, exclusive breastfeeding is a safe source of nutrition available for children in most humanitarian emergencies, as in the current pandemic caused by the severe acute respiratory syndrome coronavirus 2. Despite the Brazilian national Guideline protecting breastfeeding practice, there are many concerns about protecting babies from their infected mothers. This study aimed to analyze how the Brazilian hospitals and maternity services promote and support mothers suspected or diagnosed with coronavirus disease (COVID-19). Methods: This is a descriptive cross-sectional and multicenter study collecting data from 24 Brazilian hospitals and maternity services from March to July 2020. Representatives of the institutions completed a questionnaire based on acts to promote and support breastfeeding, Baby-Friendly Hospital Initiative, and Brazil’s federal law recommendations.Results: The results showed that in delivery rooms, 98.5% of the services prohibited immediate and uninterrupted skin-to-skin contact and companions for the mother and did not support mothers to initiate breastfeeding in the first hour. In rooming-in, 98.5% of the services allowed breastfeeding and recommend care for babies following the respiratory hygiene practices to prevent transmission of COVID-19 and whether companions are forbidden (83.3%). Hospital discharge was mostly early (79.1%); the guidelines were not individualized. Additionally, a lack of support was noticed from the health community network in the home environment (83.3%). Hospital and home breast pumping were allowed (87.5%), but breast milk donation was not accepted (95.8%). Conclusions: In Brazil, the hospitals are not able to approach recommendations to protect, promote, and support breastfeeding properly during the COVID-19 outbreak. The scientific community needs to discuss how to improve maternal and baby care services to protect breastfeeding in the current pandemic.

scholarly journals NEWBORN BODY TEMPRATURE;

2017 ◽  
Vol 24 (04) ◽  
pp. 574-579
Author(s):  
Sadia Irum ◽  
Nigar Jabeen ◽  
Raheela Baloch ◽  
Kiran Mawani
Keyword(s):  
Mean Difference ◽  
University Hospital ◽  
Normal Vaginal Delivery ◽  
Cross Sectional ◽  
Skin Contact ◽  
Health Response ◽  
Group A ◽  
Group B ◽  
Skin To Skin ◽  
The Impact

Objectives… To identify comparative study to see the impact on newbornbody temperature after skin contact of mother and newborn v/s conventional method. StudyDesign: Cross sectional, analytical study. Place and Duration: Department of Obstetrics andGynecology (Unit-III) Liaquat University Hospital, Hyderabad Sindh from May 2013 to April2014. Methods: All the laboring women with no any antenatal complication and with cephalicpresentation admitted at term pregnancy for normal vaginal delivery along with new born withApgar score more than 6 were approached by duty doctors. Written as well as verbal consentwas obtained and women have allocated numbers, 1 to 120. The women were divided intwo groups. Group A (baby warmer group 60 patients) and Group B (Skin to skin contact 60patients). Results: 120 patients were recruited and randomly equally divided into two groups.There over all mean age of these patients was 26.7+- 5.0years. In group A the gravida wasfound as between 1 to 6 children in 60% (n=30), Compared with Group B, 64% (n=32). Theoverall mean hospital stay was as 6.6+_ 1.6 hours. Personal health response like was foundin 76% (n =38) patients with group A compared with Group B 86% (n=43). Mother responselike was found in 76% (n=38 patient in group A) compared with group B 76% (n=38). Thereis statically significant mean difference in ◦F after one hour was observed (P=0.001) betweengroup A and group B, no significant mean difference in temperature ◦F after 1 and 5 minuteswere observed ( P > 0.05)compared with in group B 76% (n=38) patients. Conclusion: Skinto skin contact reduces the hypothermia, so it should be encourage and continue. Skin toskin contact is easy, cheap and helps in bonding of mother and baby. With this practice wewill achieve the millennium development goal (MDG) that is to decrease neonatal mortality inPakistan.

scholarly journals COVID-19 Psychological Impact on Health Care Workers in Saudi Arabia

2021 ◽  
Vol 18 (11) ◽  
pp. 6076
Author(s):  
Hasan S. Alamri ◽  
Wesam F. Mousa ◽  
Abdullah Algarni ◽  
Shehata F. Megahid ◽  
Ali Al Bshabshe ◽  
...  
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Health Care Workers ◽  
Psychological Impact ◽  
Psychological Outcomes ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Care Workers ◽  
The Impact

Objective: Little is known about the impact of Coronavirus (COVID-19) among the health care workers in Saudi Arabia. Therefore, the present study aimed to assess the psychological impact of COVID-19 among the health care workers. Methods: A cross-sectional survey was conducted from May till mid-July among 389 health care workers from government and private hospitals in Saudi Arabia. Data was collected using a pre-structured online questionnaire that measured adverse psychological outcomes, including the Patient Health Questionnaire-9 (PHQ-9) scale and the Generalized Anxiety Disorder 7-item (GAD-7) scale. The Pearson chi-square test was used to assess the distribution of depression and anxiety among health care workers. Results: A high level of anxiety was recorded among the health care workers, and 69.3% of health care workers below the age of 40 were found to have depression. There was a significant increase in depression among staff with chronic health problems (72.1% vs. 61.9%; p = 0.048). High anxiety levels were detected among young staff compared to others (68.7% vs. 43.8%; p = 0.001). Moreover, 82.1% of the female staff were anxious, as compared to 55.6% of the males (p = 0.001). Conclusions: We found increased prevalence of adverse psychological outcomes among the health care workers in Saudi Arabia during the outbreak of COVID-19. Therefore, there is a need for proper screening and development of corresponding preventive measures to decrease the adverse psychological outcomes.

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