scholarly journals Knowledge of Zika Virus Transmission and Its Prevention among High-Risk Pregnant Women in Brazil

Viruses ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 242
Author(s):  
Lucas C. Pires ◽  
Luiza R. Dantas ◽  
Steven S. Witkin ◽  
Ana Paula A. P. Bertozzi ◽  
Rita de Cássia A. B. Dezena ◽  
...  
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Zika Virus ◽  
Virus Transmission ◽  
Cross Sectional Study ◽  
Zikv Infection ◽  
Cross Sectional ◽  
Virus Acquisition ◽  
Need To Evaluate ◽  
The City

Recent outbreaks of Zika virus (ZIKV) infection highlight the urgent need to evaluate the efficacy of current public health measures to educate susceptible groups about how to prevent infection, modes of viral transmission, and consequences of infection. We performed a cross-sectional study in the city of Jundiaí, São-Paulo, from March 2016 to August 2017. In 315 high-risk pregnant women we evaluated the rate of ZIKV infection, knowledge of pathways of ZIKV transmission, and the use of protective measures. Data were analyzed and correlated with sociodemographic variables. The rate of ZIKV infection was 10.8%. ZIKV transmission by mosquitoes was the best-known means of virus acquisition, while transmission of ZIKV by sexual intercourse as well as mother–fetus transmission was known by less than half of the women. The use of insect repellent, reported by 53% of participants, was correlated with higher education and personal directives from health professionals. Condom use was reported by 19.5% of subjects. Improved strategies to increase awareness of ZIKV infection and its consequences, designed to appeal to specific, targeted populations, are clearly necessary to more accurately prevent the spread of this infection and diminish adverse consequences in the pregnant population.

scholarly journals Hematological Profile of Pregnant Women with Suspected Zika Virus Infection Followed Up at a Referral Service in Manaus, Brazil

Viruses ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 710
Author(s):  
Anny Beatriz Costa Antony de Andrade ◽  
Maria Jacirema Ferreira Gonçalves ◽  
Elijane de Fátima Redivo ◽  
Maria das Graças Costa Alecrim ◽  
Flor Ernestina Martinez-Espinosa
Keyword(s):  
Pregnant Women ◽  
Zika Virus ◽  
Lymphocyte Count ◽  
Hematological Parameters ◽  
Cross Sectional Study ◽  
Zikv Infection ◽  
Cross Sectional ◽  
Hematological Profile ◽  
Laboratory Confirmation ◽  
Reference Service

The purpose of this paper is to describe the hematological profile of pregnant women with suspected Zika virus (ZIKV) infection followed up at a reference service for infectious diseases in Manaus, Brazil, through a clinical, epidemiological, cross-sectional study of pregnant women with an exanthematic manifestation who looked for care between 2015 and 2017. The participants were 499 pregnant women, classified into four subgroups, according to laboratory confirmation of infections: ZIKV-positive; ZIKV-positive and positive for another infection; positive for another infection but not ZIKV-positive; and not positive for any of the infections investigated. Hematological parameters were analyzed descriptively. The association between maternal infection and the hematological profile, along with the association between the maternal hematological profile and the gestational outcome, were tested. Similar hematic and platelet parameters were observed among pregnant women. However, a significant association was observed between low maternal lymphocyte count and a positive diagnosis for ZIKV (p < 0.001). The increase in maternal platelet count and the occurrence of unfavorable gestational outcome were positively associated. A similar hematic and platelet profile was identified among pregnant women, differing only in the low lymphocyte count among ZIKV-positive pregnant women. Regarding gestational outcomes, in addition to the damage caused by ZIKV infection, altered maternal platelets may lead to unfavorable outcomes, with the need for adequate follow-up during prenatal care.

scholarly journals Social determinants associated with Zika virus infection in pregnant women

2021 ◽  
Vol 15 (7) ◽  
pp. e0009612
Author(s):  
Nivison Nery ◽  
Juan P. Aguilar Ticona ◽  
Claudia Gambrah ◽  
Simon Doss-Gollin ◽  
Adeolu Aromolaran ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Social Determinants ◽  
Zika Virus ◽  
Maternity Hospital ◽  
Cross Sectional Study ◽  
Zikv Infection ◽  
Cross Sectional ◽  
Sociodemographic Determinants ◽  
The Impact ◽  
The Relationship

This study aims to describe the sociodemographic determinants associated with exposure to Zika Virus (ZIKV) in pregnant women during the 2015–2016 epidemic in Salvador, Brazil. Methods We recruited women who gave birth between October 2015 and January 2016 to a cross-sectional study at a referral maternity hospital in Salvador, Brazil. We collected information on their demographic, socioeconomic, and clinical characteristics, and evaluated their ZIKV exposure using a plaque reduction neutralization test. Logistic regression was then used to assess the relationship between these social determinants and ZIKV exposure status. Results We included 469 pregnant women, of whom 61% had a positive ZIKV result. Multivariate analysis found that lower education (adjusted Prevalence Rate [aPR] 1.21; 95%CI 1.04–1.35) and food insecurity (aPR 1.17; 95%CI 1.01–1.30) were positively associated with ZIKV exposure. Additionally, age was negatively associated with the infection risk (aPR 0.99; 95%CI 0.97–0.998). Conclusion Eve after controlling for age, differences in key social determinants, as education and food security, were associated with the risk of ZIKV infection among pregnant women in Brazil. Our findings elucidate risk factors that can be targeted by future interventions to reduce the impact of ZIKV infection in this vulnerable population.

scholarly journals Factors influencing the dental caries in pregnant women: a cross-sectional study

2021 ◽  
Vol 10 (1) ◽  
pp. e32810111226
Author(s):  
Gabriela Bohrer Bolsson ◽  
Jessica Klöckner Knorst ◽  
Marília Cunha Maroneze ◽  
Maísa Casarin ◽  
Patrícia Pasquali Dotto ◽  
...  
Keyword(s):  
Dental Caries ◽  
Pregnant Women ◽  
Basic Research ◽  
Cross Sectional Study ◽  
Mean Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Mean ◽  
The City ◽  
Santa Maria

Objective: To assess factors associated with the average number of dental caries in pregnant women. Method: Basic research design: This cross-sectional study was performed between January 2017 and December 2018 in Santa Maria, Brazil. Clinical setting and participants: Multistage random sampling resulted in the recruitment of 256 pregnant women from public health centers across the city. Clinical exams and semi-structured questionnaires including demographic, socioeconomic and behavioral questions were performed by trained interviewers. Main outcome measure: The experience of dental caries was evaluated through the mean value of the Decay, Missing, and Filled Surface Index (DMFS) by 4 trained and calibrated examiners. Multilevel Poisson regression models were used to evaluate the influence of different variables on the average number of dental caries. Rate ratio (RR) and respective 95% confidence intervals were calculated (CI 95%). Results: The prevalence of untreated dental caries was 62.7% in the sample, while the mean DMFS index was 10.27 (± 10.92). Women who smoked during pregnancy had a higher mean DMFS (RR 1.41; 95% CI 1.25-1.57). Furthermore, pregnant women who had poor self-ratings of oral health had a higher average DMFS (RR 1.21; 95% CI 1.10-1.32). Conclusions: The results showed that older age, ethnicity, fewer years in education and the presence of dental plaque resulted in higher means of DMFS.

scholarly journals Perception of the Zika virus infection and its influence on Zika prevention practices by pregnant women at the Region 5 Health Promotion Center in Thailand

2018 ◽  
Vol 27 (3) ◽  
pp. 201-8
Author(s):  
Issara Siramaneerat
Keyword(s):  
Health Promotion ◽  
Pregnant Women ◽  
Zika Virus ◽  
Smoking Behavior ◽  
Cross Sectional Study ◽  
Survey Method ◽  
Attitudes And Beliefs ◽  
Brain Disorder ◽  
Cross Sectional ◽  
Virus Zika

Background: The Zika virus (ZIKA) infection in pregnant women causes microcephaly, a brain disorder resulting in severe birth defects. The objective of this study was to identify the factors that influence Zika prevention practices by pregnant women at the Region 5 Health Promotion Center in Thailand.Methods: A cross-sectional study applied a survey method to collect data from pregnant women between 18 and 45 years of age. The sampling method used multistage random sampling. The data were analyzed using descriptive statistics and multiple linear regression analysis.Results: The findings indicated that 5 of 12 factors could significantly predict Zika prevention practices of pregnant women at the Health Promotion Center Region 5 in Thailand: education, smoking behavior, check-up status during pregnancy, perception of susceptibility, and perception of benefit.Conclusion: The results show a direct correlation between the perception of susceptibility and benefit and Zika prevention practices. Policies for promoting Zika knowledge and preventive behavior by providing information about Zika should focus on changing the thoughts, attitudes, and beliefs of pregnant women and their families.

scholarly journals Risk status of pregnant women in rural areas of Belagavi: a cross sectional study

2019 ◽  
Vol 6 (6) ◽  
pp. 2350
Author(s):  
Katherine J. Bernard ◽  
Sulakshana Baliga
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
High Risk Pregnancy ◽  
Cross Sectional ◽  
Risk Status ◽  
Factors Associated ◽  
Risk Pregnancy ◽  
Status Assessment

Background: ‘High-risk’ pregnancies account for a significant proportion of perinatal morbidity and mortality worldwide. Simple prenatal scoring systems can be used to assess risk status of pregnancy and inform subsequent management. Their use in rural areas and low-resource settings could be of particular benefit. This study employed pregnancy risk status assessment in one such area of rural India. The objectives of the study were to estimate the prevalence of low, moderate and high-risk pregnancy among women in a rural area of Belagavi and to identify factors associated with high-risk pregnancy status.Methods: This community-based cross-sectional study was undertaken among 105 pregnant women of all trimesters presenting to antenatal clinics in the Kinaye area of Belagavi, Karnataka, during July 2018. Information on risk factors and socio-demographic details were collected using a questionnaire, and individual risk scores calculated through a scoring system. This was used to estimate prevalence of low, moderate and high-risk status among participants, and subsequently compared against selected variables to identify factors associated with high risk pregnancy status.Results: Prevalence of high-risk pregnancy among participants was 31.4%, moderate-risk 30.5%, low-risk 29.5% and ‘no risk’ 8.6%. Maternal undernutrition was an important factor associated with high-risk pregnancy.Conclusions: This study highlights the need for early identification and appropriate management of such cases, in order to prevent adverse perinatal outcomes. The prenatal scoring system used in this study offers a simple method for risk status assessment in pregnant women of all trimesters, suited for use in antenatal clinics in rural areas of India.

scholarly journals Quality of life of high risk pregnant women during prenatal care

2020 ◽  
Vol 73 (suppl 5) ◽  
Author(s):  
Ivyna Pires Gadelha ◽  
Priscila de Souza Aquino ◽  
Marianne Maia Dutra Balsells ◽  
Flaviane Fabrício Diniz ◽  
Ana Karina Bezerra Pinheiro ◽  
...  
Keyword(s):  
Quality Of Life ◽  
High Risk ◽  
Pregnant Women ◽  
Family Relationship ◽  
Maternity Hospital ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Statistical Program

ABSTRACT Objective: to analyze the quality of life of high-risk pregnant women. Methods: an observational and cross-sectional study, carried out in a tertiary maternity hospital located in Fortaleza, with 276 high-risk pregnant women. A questionnaire was applied containing socioddemographic, clinical and obstetric data and The Mother-Generated Index. Descriptive analyzes were performed using the Jamovi statistical program®, version 0.9. Results: most areas were negatively influenced by pregnancy. “Satisfaction with pregnancy”, “family relationship” and “relationship with the partner” obtained the highest means of primary score, while “physical condition/disposition” and “financing” obtained the lowest means. The highest secondary scores were in “satisfaction with pregnancy”, “family relationship” and “relationship with the partner”, while the lowest were in “financing” and “psychological/emotional”. Conclusion: the total primary score mean was 6.03, suggesting a good quality of life. The Mother Generated Index made it possible to identify aspects of life that go beyond pre-formulated assessments of the construct.

scholarly journals Asupan Energi, Zat Gizi Makro dan Pertambahan Berat Badan Ibu Hamil

2021 ◽  
Vol 12 (2) ◽  
pp. 156
Author(s):  
Nurmela Setia Ningsih ◽  
Betty Yosephin Simanjuntak ◽  
Miratul Haya
Keyword(s):  
Weight Gain ◽  
Pregnant Women ◽  
Protein Intake ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Vulnerable Groups ◽  
P Value ◽  
Cross Sectional ◽  
The Relationship ◽  
The City

<p>Pregnant women are one of the vulnerable groups. During pregnancy, there is an increase in the need for nutrients to meet the needs of the mother and fetus as well as preparation for labor. It is very important to pay attention to the recommended weight gain during pregnancy to prevent the occurrence of low birth weight. The purpose of this study was to determine the relationship between energy, carbohydrate, fat, and protein intake on weight gain of pregnant women in the city of Bengkulu. The design of this study was a cross-sectional study with a total sample of 47 pregnant women who had received an education of the first thousand days of life when registering to become a prospective bride at the Religious Affairs Office. As many as 53.2% of mothers had good weight gain and had a relationship between energy intake (p-value 0,032), carbohydrate intake (p-value 0,024), protein intake (p-value 0,039), and fat intake (p-value 0,023). Energy and macronutrients have a relationship with the weight gain of pregnant women in the group of preconception couples who have received education about the first 1000 days of life. It is hoped that pregnant women will be able to control their weight during pregnancy and apply the knowledge that has been obtained through education while preconception age.<strong></strong></p>

scholarly journals Socioeconomic, demographic, and obstetric inequalities in food insecurity in pregnant women

2018 ◽  
Vol 18 (4) ◽  
pp. 815-824
Author(s):  
Renata Cordeiro Fernandes ◽  
Fernanda Manera ◽  
Larissa Boing ◽  
Doroteia Aparecida Höfelmann
Keyword(s):  
Food Insecurity ◽  
Pregnant Women ◽  
Family Health ◽  
Cross Sectional Study ◽  
Measurement Scale ◽  
Short Version ◽  
Cross Sectional ◽  
Black Skin ◽  
High Prevalence ◽  
The City

Abstract Objectives: to estimate the prevalence of Food Insecurity (FI) in pregnant women and to identify its association with demographic, socioeconomic, obstetric, and anthropometric variables in female users of Family Health Units (FHUs) in the city of Colombo, state of Paraná, South Region of Brazil. Methods: a cross-sectional study of a representative sample of pregnant women from 17 FHUs in Colombo. We used the short version of the Brazilian Household Food Insecurity Measurement Scale (EBIA). In addition, we used Poisson Regression Models with robust, crude, and adjusted variance to investigate the association between FI and exposure variables. Results: 316 pregnant women participated in the study. The prevalence of FI was 45.1% (CI95% = 39.6-50.6). Adjusted analysis showed higher prevalence of FI in pregnant women with 30 years of age or older (PR = 1.66; IC95% = 1.02-2.69), with black skin or indigenous background (PR= 1.39; CI95%= 1.08-1.79), with 7 years of education or less (PR = 1.58; CI95% = 1.14-2.19), and with lower income (PR = 2.07; CI95% = 1.36-3.14). Conclusions: There was a high prevalence of FI among pregnant women, particularly among those of older age and with worse socioeconomic conditions, a group that should be considered a priority for actions aimed at promoting food security.

Hypertension and Salt-Restrictive Diet Promotes Low Urinary Iodine Concentration in High-Risk Pregnant Women: Results from a Cross-Sectional Study Conducted After Salt Iodination Reduction in Brazil

2020 ◽  
Vol 197 (2) ◽  
pp. 445-453 ◽  
Author(s):  
Luciana Sant’Ana Leone de Souza ◽  
Renata de Oliveira Campos ◽  
Vitor dos Santos Alves ◽  
Taíse Lima Oliveira Cerqueira ◽  
Thiago Magalhães da Silva ◽  
...  
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Urinary Iodine ◽  
Iodine Concentration ◽  
Cross Sectional Study ◽  
Urinary Iodine Concentration ◽  
Sectional Study ◽  
Cross Sectional ◽  
Restrictive Diet

scholarly journals High-risk pregnancy: clinical-epidemiological profile of pregnant women attended at the prenatal service of the Public Maternity Hospital of Rio Branco, Acre

2018 ◽  
Vol 18 (3) ◽  
pp. 559-566
Author(s):  
Aline Fernanda Silva Sampaio ◽  
Maria José Francalino da Rocha ◽  
Elaine Azevedo Soares Leal
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Gestational Hypertension ◽  
Maternity Hospital ◽  
Cross Sectional Study ◽  
Chronic Hypertension ◽  
Cross Sectional ◽  
The Public ◽  
Risk Pregnancy ◽  
Epidemiological Profile

Abstract Objectives: to describe the clinical and epidemiological profile of the pregnant women treated at the high-risk prenatal service of the Public Maternity Hospital of Rio Branco, Acre Methods: a cross-sectional study of326pregnant women attended at the Rio Branco high risk prenatal outpatient clinic from April to May 2016. Interviews were conducted with a structured questionnaire. Results: the results showed that the mean age of women was 28 years old, schooling equal to or higher than high school (58.8%), married / stable union (81.7%), unemployed (50%); (26.4%), four or more pregnancies (32.8%), prenatal start with gestational age <12 weeks (69.3%), and 3 to 5 prenatal consultations (58%). The most frequent clinical antecedents were obesity (35%) and chronic hypertension (8%). The most frequent clinical and obstetric complications were urinary tract infection (39.9%), weight gain (30.4%), anemia (14%), threat of abortion (11%) and gestational hypertension (10.4%) Conclusions: knowledge about the clinical-epidemiological profile of high-risk pregnant women helps to create strategic health services instruments and, consequently, to reduce maternal mortality.

Sign in / Sign up

Export Citation Format

Share Document