scholarly journals Factores de riesgo asociados a distocias del mecanismo del parto en gestantes primíparas atendidas en el Hospital Dr. Verdi Cevallos Balda

2020 ◽  
Vol 4 (2) ◽  
pp. 1
Author(s):  
Olga Katherine Veintimilla Chinga ◽  
María Alicia Fernanda Ledezma Hurtado ◽  
Dadier Marrero González ◽  
Lizeet López ◽  
Hugo Loor Lino
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Rural Areas ◽  
Overweight And Obesity ◽  
Modifiable Risk Factors ◽  
Maternal Complications ◽  
Factors Associated ◽  
Factores De Riesgo ◽  
Uterine Malformations ◽  
Delivery Mechanism

  Las distocias del mecanismo del parto en gestantes pueden generar consecuencias significativas tanto maternas como fetales y neonatales, existiendo diversos factores de riesgo asociados a dicha condición. La prevalencia de las distocias es variable para cada localidad, presentándose en el 0,3 % a de los casos. En este sentido, el objetivo de este trabajo fue determinar los principales factores de riesgo que se asocian a distocias del mecanismo del parto en gestantes primíparas atendidas en el Hospital Dr. Verdi Cevallos Balda. Se realizó un estudio descriptivo y retrospectivo, con 250 embarazadas atendidas en el periodo de enero 2018 a diciembre 2019. Las distocias de los mecanismos del parto en primíparas en el Hospital Dr. Verdi Cevallos se presentaron con más frecuencia en las edades entre los 20 y 34 años, con grado de instrucción secundaria, y de zonas rurales. Los principales factores de riesgos modificables asociados a distocias fueron los controles prenatales insuficientes, sobrepeso y obesidad de las gestantes; además de ganancia de peso inadecuada durante el embarazo, bajo peso fetal, duración prolongada de la primera fase del trabajo de parto e inducción del mismo. Los factores de riesgos no modificables identificados fueron la presentación de cara, estrechez pélvica, malformaciones uterinas, hipertensión arterial como enfermedad crónica asociada, talla materna menor a 140 cm y parto prolongado de más de 20 horas. Las complicaciones maternas tuvieron una alta incidencia y dentro de ellas, las cesáreas fueron las más frecuentes, mientras que el distress respiratorio fue la complicación neonatal más presentada.   Palabras clave: Distocia, factores de riesgo, peso elevado, malformaciones uterinas, complicaciones.   Abstract Dystocia of the delivery mechanism in pregnant women can generate significant maternal, fetal and neonatal consequences, with various risk factors associated with this condition. The prevalence of dystocia is variable for each locality, occurring in 0.3% of cases. In this sense, the objective of this study was to determine the main risk factors associated with dystocia in the delivery mechanism in primiparous pregnant women treated at the Dr. Verdi Cevallos Balda Hospital. A descriptive and retrospective study was carried out, with 250 pregnant women seen in the period from January 2018 to December 2019. Dystocia of the labor mechanisms in primiparous women at the Dr. Verdi Cevallos Hospital occurred more frequently in the ages between 20 and 34 years old, with a secondary education degree, and from rural areas. The main modifiable risk factors associated with dystocia were insufficient prenatal care, overweight and obesity in pregnant women; as well as inadequate weight gain during pregnancy, low fetal weight, prolonged duration of the first phase of labor and its induction. The non-modifiable risk factors identified were face presentation, pelvic narrowing, uterine malformations, arterial hypertension as an associated chronic disease, maternal height less than 140 cm and prolonged labor of more than 20 hours. Maternal complications had a high incidence and within them, caesarean sections were the most frequent, while respiratory distress was the most common neonatal complication.   Keywords: Dystocia, risk factors, high weight, uterine malformations, complications.

scholarly journals Factores de riesgo asociados al parto pre término en el hospital nacional Guillermo Almenara Irigoyen de enero a junio del 2010.

2019 ◽  
pp. 143-149
Keyword(s):  
Risk Factors ◽  
Preterm Birth ◽  
Pregnant Women ◽  
Preterm Delivery ◽  
Multiple Pregnancy ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
National Hospital ◽  
Factors Associated ◽  
Factores De Riesgo

Factores de riesgo asociados al parto pre término en el hospital nacional Guillermo Almenara Irigoyen de enero a junio del 2010. Risk factors associated with preterm delivery in the Guillermo Almenara Irigoyen National Hospital from January to June 2010 Lizbeth Estefanía Díaz Polo Universidad de San Martin de Porres. Lima 12 DOI: https://doi.org/10.33017/RevECIPeru2011.0036/ RESUMEN El parto pre término ocurre entre las 22 y antes de las 37 semanas. Su etiología es multifactorial y es causa principal de morbilidad y mortalidad perinatal. El objetivo fue determinar los factores de riesgo asociados al parto pre término en gestantes del Hospital Nacional Guillermo Almenara Irigoyen de Enero a Junio del 2010. Se realizó un estudio retrospectivo, caso - control y descriptivo. Las historias clínicas de pacientes casos y controles, fueron revisadas y registradas en fichas y se procesaron con el SPSS versión 15. Los resultados fueron 81 pacientes con diagnóstico de parto pre término, con significancia estadística en las siguientes variables: ausencia de atención prenatal (OR 3.07, P>0.05), pre eclampsia (OR 20.86, P>0.001), ruptura prematura de membranas (OR 4.03, P>0.005), embarazo múltiple (OR 5.64, P>0.01), corioamnionitis (OR 2.02, P>0.1), lugar de nacimiento: sierra (OR 3.88, P>0.05) y nivel socioeconómico D-E (OR12.73, P>0.05). Se evidencio que gestantes más pobres y con menor nivel educativo presentan mayor incidencia de parto pre término [1] [2] [3]. Que el 21% de los partos pre término, estuvo asociado a la ruptura prematura de membranas (OR 4.03) dato que se encuentra dentro del rango de incidencia, ya que Aagaard-Tillery [4] (2005) señala una incidencia de la ruptura prematura de membrana pre término entre 30 y 40% y Fabián (2008) observó 11.67% de ruptura prematura de membranas [5]. Las gestantes con pre eclampsia tuvieron un riesgo 20 veces más de presentar parto pre término. El 34.6% con parto pre término presentó pre eclampsia, de ellas el 42.8% fue pre eclampsia severa, 25% leve y 32.14% síndrome de HELLP; dato similar al observado por Salviz en su estudio en el Hospital Cayetano Heredia, donde encontró un 30 % de parto pre término en pacientes con pre eclampsia; si bien es conocido que la pre eclampsia afecta del 3 al 5% de las gestaciones, no existen estudios sobre la incidencia de la pre eclampsia en el parto pre término [6]. Se concluye que el principal factor de riesgo asociado al parto pre término fue la pre eclampsia. Haber nacido en la sierra, pertenecer a nivel socioeconómico D-E, ausencia de atención prenatal, ruptura prematura de membranas, coriomanionitis y embarazo múltiple fueron también significativos. Descriptores: factores de riesgo, parto pre término, parto a término, pre eclampsia. ABSTRACT Preterm birth occurs between 22 and before 37 weeks. Its etiology is multifactorial and is a major cause of perinatal morbidity and mortality. The objective was to determine the risk factors associated with preterm delivery in pregnant women Guillermo Almenara Irigoyen National Hospital from January to June 2010. We performed a retrospective case - control and descriptive. The case histories of patients and controls were reviewed and recorded in chips and processed with SPSS version 15. The results were 81 patients diagnosed with preterm birth, with statistical significance in the following variables: absence of prenatal care (OR 3.07, P> 0.05), pre-eclampsia (OR 20.86, P <0.001), premature rupture of membranes (OR 4.03, P> 0,005), multiple pregnancy (OR 5.64, P> 0.01), chorioamnionitis (OR 2.02, P> 0.1), place of birth: saw (OR 3.88, P> 0.05) and socioeconomic status (OR12.73, P> 0.05). It was evident that more poor pregnant women with less education have a higher incidence of preterm delivery [1] [2] [3]. That 21% of preterm births was associated with premature rupture of membranes (OR 4.03) data that is within the range of incidence, as Aagaard-Tillery [4] (2005) noted an incidence of premature rupture preterm membrane between 30 and 40% and Fabian (2008) observed 11.67% of premature rupture of membranes [5]. Pregnant women with preeclampsia had a 20 times higher risk of preterm birth present. 34.6% presented with preterm birth pre-eclampsia, of which 42.8% was severe preeclampsia, 25% and 32.14% mild HELLP syndrome; data Salviz similar to that observed in their study in the Cayetano Heredia Hospital, where he found a 30 % of preterm birth in patients with preeclampsia, although it is known that pre-eclampsia affects 3 to 5% of pregnancies, no studies on the incidence of preeclampsia in preterm labor [6]. We conclude that the main risk factor associated with preterm delivery was preeclampsia. Being born in the mountains, belong to socioeconomic status, lack of prenatal care, premature rupture of membranes, coriomanionitis and multiple pregnancy were also significant. Keywords: risk factors, preterm delivery, term delivery, pre-eclampsia.

scholarly journals Factores de riesgo relacionados con la prevalencia de sobrepeso y obesidad en adolescentes

2015 ◽  
Vol 12 (2) ◽  
pp. 72 ◽  
Author(s):  
Gloria Esperanza Zambrano-Plata ◽  
Yasmin Gabriela Otero-Esteban ◽  
Silvia Lisbeth Rodríguez-Berrio
Keyword(s):  
Risk Factors ◽  
Public Schools ◽  
Normal Weight ◽  
Overweight And Obesity ◽  
The Body ◽  
Nutritional State ◽  
Cross Sectional ◽  
Endogenous Factors ◽  
Factors Associated ◽  
Factores De Riesgo

Objetivo: identificar  los factores de riesgo relacionados con la prevalencia de sobrepeso y obesidad en adolescentes entre 10 y 18 años  que pertenecen a los colegios públicos de la ciudad de Cúcuta, durante el primer semestre del 2014. Materiales y Métodos: estudio descriptivo de corte transversal; con una población: 61.172 adolescentes y una muestra de 382 estudiantes matriculados en los colegios públicos de Cúcuta. El instrumento fue diseñado por las investigadoras para valorar las características sociodemográficas, medidas antropométricas, factores endógenos, exógenos y percepción del exceso de peso y de su imagen. Resultados: el exceso de peso presento alta proporción en la adolescencia temprana y en el estrato socioeconómico 2. Predominio de sobrepeso en mujeres y obesidad en hombres. En los factores endógenos asociados con estos trastornos, prevaleció el antecedente familiar de sobrepeso y obesidad, además recibieron otra alimentación y no leche materna durante los primeros seis meses, y como antecedentes personales presentaron ansiedad y parto prematuro. En los factores exógenos la alimentación de los adolescentes con sobrepeso es alta en grasas y en los obesos es alta en azúcares, baja en verduras y fibra. Los estudiantes con déficit y con peso normal, se sienten flacos y sanos; los adolescentes con sobrepeso perciben su silueta mayor, y los obesos la perciben menor a la establecida para su índice de masa corporal. Conclusiones: los adolescentes escolarizados presentan una alta prevalencia de sobrepeso y obesidad, observándose una mayor preponderancia de factores de riesgo endógenos y exógenos. De igual manera, presentan una imagen corporal que no corresponde a su estado nutricional. PALABRAS CLAVE: adolescentes, escolar, estado nutricional,  factores de riesgo. Risk factors associated with the prevalence of overweight and obesity among adolescent  ABSTRACTObjective: to identify risk factors associated with the prevalence of overweight and obesity in adolescents aged 10 to 18 who belong to public schools in Cucuta city, in the first half of 2014. Materials and Methods: a descriptive cross-sectional study; population: 61,172 adolescents as a sample: 382 students enrolled in public schools in Cúcuta. The instrument was designed by the researchers to assess sociodemographic, anthropometric measurements, endogenous factors, exogenous and perception of overweight and image. Results: there was a  high overweight proportion  in early adolescence and socioeconomic level 2: prevalence of overweight in women and obesity in men. According to endogenous factors associated with these disorders, the prevailing factors were: family history of overweight and obesity in addition they didn`t have other food and breast milk for the first six months, and as personal history showed anxiety and prematurity. In the exogenous factors, the adolescent feeding is high in fat and in obese adolescents is high in sugar, low in vegetables and fiber. Students with deficit and normal weight, feel thin and healthy; overweight adolescents perceive their greater size shape, obese students perceive a lower size than the established one for BMI. Conclusions: school teenagers have a high prevalence of overweight and obesity, showing a greater preponderance of endogenous and exogenous risk factors. Similarly, the body image of the adolescents does not correspond to their nutritional state. KEY WORDS: adolescents, school, nutritional state, risk factors. Os fatores de risco associados com a prevalência de sobrepeso e obesidade entre adolescentes                                                                      RESUMO  Objetivo: identificar fatores de risco associados com a prevalência de sobrepeso e obesidade em adolescentes de 10 a 18 anos que pertencem a escolas públicas na cidade de Cucuta, no primeiro semestre de 2014. Materiais e Métodos: um estudo descritivo transversal ; População: 61,172 adolescentes mostra: 382 alunos matriculados em escolas públicas de Cúcuta. O instrumento foi projetado pelos pesquisadores para avaliar sociodemográficas, medidas antropométricas, fatores endógenos, exógeno e percepção de excesso de peso e sua imagem. Resultados: sobrepeso alta proporção presente no início da adolescência e estratos sócio-econômicos 2: prevalência de excesso de peso em mulheres e obesidade em homens. Em fatores endógenos associados a esses distúrbios, a história da família predominante do sobrepeso e obesidade, além recebeu nenhum outro leite alimentos e de mama para os primeiros seis meses e, como história pessoal mostrou ansiedade e prematuridade. Nos factores exógenos alimentação adolescentes com sobrepeso é rico em gordura e obesidade é rico em açúcar, pobre em vegetais e fibras. Estudantes défice e de peso normal, se sentir magra e saudável; adolescentes com sobrepeso percebem sua maior silhueta, obesos e perceber inferiores aos estabelecidos para o IMC. Conclusões: adolescentes escola tem uma alta prevalência de sobrepeso e obesidade, mostrando uma maior preponderância de fatores de risco endógeno e exógeno. Da mesma forma, uma imagem do corpo que não corresponde ao seu estado nutricional é apresentada.PALAVRAS-CHAVE: adolescentes, escolares, estado nutricional, fatores de risco.

scholarly journals Salud electrónica para el autocuidado de pacientes con factores de riesgo asociados al síndrome metabólico

2016 ◽  
Vol 18 (1) ◽  
pp. 170 ◽  
Author(s):  
Consuelo Vélez Álvarez ◽  
José Armando Vidarte Claros ◽  
Rosa Elvira Álvarez Rosero ◽  
Jully Andrea García Navarro
Keyword(s):  
Risk Factors ◽  
Metabolic Syndrome ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Overweight And Obesity ◽  
World Health ◽  
Factors Associated ◽  
The Metabolic Syndrome ◽  
Síndrome Metabólico ◽  
Factores De Riesgo

ResumenEl propósito de esta revisión, es identificar la evidencia científica sobre el uso de estrategias de salud electrónica en las intervenciones dirigidas a mejorar el autocuidado de pacientes con factores de riesgo cardiovascular asociado con la presencia de síndrome metabólico. Los artículos analizados fueron identificados en las bases de datos PubMed, Science Direct, Embase, Elsevier, Scielo, Adicional a esto se revisaron publicaciones estadísticas de la Organización Mundial de la Salud, La Federación Internacional de Diabetes, Guía de Síndrome Metabólico 2009 y ICT Facts and Figures World in 2013. Se tuvieron en cuenta 51 publicaciones realizadas entre los años 2009 y 2015, encontrándose mayor información en la intervención basada en el control del sobrepeso y la obesidad, como principal factor de riesgo para el desarrollo del síndrome metabólico. La evidencia encontrada en la literatura científica muestra la utilidad de la salud electrónica en el manejo de los factores de riesgo cardiovasculares asociados al síndrome metabólico, y el impacto de esta en la calidad de vida cuando son aplicadas con un adecuado protocolo.  AbstractThe purpose of this review is to identify the scientific evidence on the use of electronic health strategies in interventions aimed at improving self-care of patients with cardiovascular risk factors associated with the presence of metabolic syndrome. The articles analyzed were identified in the databases PubMed, Science Direct, Embase, Elsevier and Scielo. In addition, statistical publications from the World Health Organization, the International Diabetes Federation, Metabolic Syndrome Guide 2009 and ICT Facts and Figures World in 2013 were reviewed. 51 publications between the years 2009 and 2015 were considered, where there were more information about the intervention based on the control of overweight and obesity as a major risk factor for the development of the metabolic syndrome. The evidence found in the scientific literature shows the usefulness of e-health in the management of cardiovascular risk factors associated with metabolic syndrome, and its impact on the quality of life when they are applied with a suitable protocol.

scholarly journals Tipping the Scales: Population Estimates and Risk Factors for Severe Thinness, Thinness, Overweight and Obesity Among Pregnant Women and Mothers in India

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 975-975
Author(s):  
Konsam Dinachandra Singh ◽  
Tashi Choedon ◽  
Arti Bhanot ◽  
Naman Kaur ◽  
Mansi Chopra ◽  
...  
Keyword(s):  
Higher Education ◽  
Risk Factors ◽  
Pregnant Women ◽  
Nutrition Education ◽  
Wealth Quintile ◽  
Overweight And Obesity ◽  
Reproductive Age ◽  
Age Group ◽  
Healthy Weight ◽  
Factors Associated

Abstract Objectives Thinness and overweight/obesity are prevalent among women of reproductive age in India but there is limited evidence on the burden and predictors of this during pregnancy and post-partum. We estimated prevalence and risk factors for thinness and overweight among pregnant and recently delivered women (RDW). Methods We used India's National Family Health Survey (2015–2016), including 16,153 pregnant women &lt;20 weeks of gestation and 19,430 RDW of 2–6-month-old infants. All women were classified as severe thin (ST), thin (TH), overweight (OV) or obese (OB) (body mass index, BMI &lt;16, &lt;18.5, ≥23 and ≥25 kg/m2, respectively), using cutoffs for Asian populations. Logistic regression was used to examine associated factors (including socio-demography, hygiene and sanitation, antenatal health services and diet) with those outcomes. Results Barely 40% of women were of normal BMI. ST, TH, OV/OB and OB were seen in 2%, 20%, 25% and 13% respectively among pregnant women, and for RDW, they were 2%, 21%, 24% and 13%. Factors associated with a lower odds of ST and TH among pregnant women and RDW included higher wealth quintile (adjusted odds ratios, AORs ranging from 0.58–0.63 for highest quintile), higher education (AORs: 0.64–0.81), age group ≥25 y (AORs: 0.58–0.83), and improved toilet facility (AOR 0.81). Multiparous pregnant women had higher odds of TH compared to primiparas (AORs: 1.24–1.31). Factors associated with OV and OB among pregnant women and RDW were belonging in higher socio-economic group (AORs: 1.34–1.53), higher wealth quintile (AORs: 1.56–8.49), age group ≥25 y (AORs: 2.73–5.09), urban residence (AOR 1.16–1.36), and having higher education (AORs: 1.44–1.60). Among RDW, receiving supplementary food and health and nutrition education increased odds of TH (AORs: 1.15) and reduced odds of OV and OB (AORs: 0.83–0.87), but this is likely attributable to selection bias in program use. Conclusions TN and OV/OB affect 1 in 5 pregnant women and 1 in 4 RDW in India. Socio-economic factors, sanitation, parity, education and age influence TN and OV/OB. Better diet and physical activity estimates are needed to understand OV and OB in this population. Given the high burden of both forms of malnutrition, a policy focus on healthy weight gain is essential. Funding Sources UNICEF; Bill & Melinda Gates Foundation (via POSHAN).

scholarly journals Socio-demographic and modifiable risk factors of diabetes and hypertension among resource constrained patients from rural areas in Mdantsane Township in South Africa

2020 ◽  
Vol 20 (3) ◽  
pp. 1344-1354
Author(s):  
Lettilia Xhakaza ◽  
Zainonesa Abrahams-October ◽  
Mohammedmekin Mohammedseid Mohammednur ◽  
Brendon Pearce ◽  
Oladele Vincent Adeniyi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
South Africa ◽  
Rural Areas ◽  
Odds Ratio ◽  
Salt Intake ◽  
Overweight And Obesity ◽  
Lifestyle Changes ◽  
Modifiable Risk Factors ◽  
Life Years

Background: Recently, developing countries have shown a dramatic increase in non-communicable diseases (NCDs). The burden of NCDs in South Africa has increased over the past years resulting in an estimated 37% of all- cause mortality and 16% of disability-adjusted life years. Currently, diabetes mellitus (DM) and hypertension (HTN) are the two most prevalent NCDs associated with the rapid increase in mortality. Objective: To demonstrate the socio-demographic and modifiable risk factors of diabetes mellitus (DM) and hypertension (HTN) among South African adults. Methods: A cross-sectional analytical study was conducted in the Cecilia Makiwane Hospital serving the residents of Mdantsane. Relevant socio-demographic data, anthropometric measurements, triplicate blood pressure, fasting blood glu- cose and lipogram analysis were obtained from 265 outpatients. Results: Multivariate anlysis shows that; salt intake, smoking, elevated triglycerides and decreased high-density lipoprotein levels were significantly associated with DM with adjusted odds ratio of 0.18 (p=0.002), 0.26 (p=0.048), 2.19 (p=0.006) and 0.38 (p=0.001), respectively. Overweight and obesity were significantly associated with hypertension with odds ratio of 0.03 (p=0.01) and 0.06 (p=0.006), respectively. Conclusion: The burden of DM and HTN on society can be drastically reduced with simple lifestyle changes, development of preventative strategies, large-scale screening and better disease management in South Africa. Keywords: Diabetes; hypertension; rural areas; Mdantsane Township; South Africa.

scholarly journals Modifiable antenatal risk factors for stillbirth amongst pregnant women in the Omusati region, Namibia

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Desire D. Tshibumbu ◽  
Julia Blitz
Keyword(s):  
Risk Factors ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Modifiable Risk Factors ◽  
Medical Conditions ◽  
Economic Implications ◽  
Maternal Characteristics ◽  
Factors Associated ◽  
District Hospitals

Background: Reduction of stillbirth rates is important because of the social and economic implications. Access to quality antenatal care is important in preventing the risk factors associated with stillbirth.Aim: To determine the prevalence of modifiable antenatal risk factors associated with stillbirth so as to determine possible gaps in their prevention.Setting: The study was conducted at four district hospitals in the Omusati Region of Namibia.Methods: A descriptive study using recorded antenatal data was used. Data were collected from the records of 82 women at the time that they had a stillbirth, during the period October 2013 to December 2014. Data were collected for modifiable risk factors related to maternal characteristics, antenatal care received, medical conditions and obstetric complications.Results: The average prevalence of each category of risk factors was as follows: quality of antenatal care (19.8%), maternal characteristics (11.4%), medical conditions (8.9%) and obstetric complications (6.5%). The most prevalent individual risk factors included: no folate supplementation (30.5%), HIV infection (25.6%), late booking (16.7%), intrauterine foetal growth retardation (13.4%) and alcohol use (12.5%).Conclusion: Amongst the 14 modifiable risk factor included in the present study, 11 (78.6%) were prevalent amongst women who had a stillbirth. Risk factors associated with quality of antenatal care were the most prevalent. Whilst further investigation is needed to determine the causes behind this prevalence, health education on the availability and benefits of antenatal care, pregnancy timing and spacing may contribute to reducing the prevalence of these risk factors.Keywords: Stillbirth; modifiable risk factors; pregnant women; Omusati region; Namibia

scholarly journals Maternal Factors Associated with Levels of Fatty Acids, Specifically n-3 PUFA during Pregnancy: ECLIPSES Study

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 317
Author(s):  
Estefania Aparicio ◽  
Carla Martín-Grau ◽  
Cristina Bedmar ◽  
Núria Serrat Orus ◽  
Josep Basora ◽  
...  
Keyword(s):  
Fatty Acids ◽  
Fatty Acid ◽  
Pregnant Women ◽  
Saturated Fatty Acids ◽  
Overweight And Obesity ◽  
Older Age ◽  
High Educational Level ◽  
Seafood Consumption ◽  
Factors Associated ◽  
High Educational

An optimal fatty acid (FA) profile during pregnancy, especially docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA), is essential for the health of the mother and child. Our aim was to identify the socioeconomic and maternal lifestyle factors associated with serum FA concentration in pregnant women. A longitudinal study was conducted on 479 pregnant women, who were assessed during the first (T1) and third (T3) trimesters of pregnancy. Data on maternal characteristics, food consumption, and lifestyle were collected. Serum FA concentrations were analysed by a gas chromatography–mass spectrometry combination. The multiple linear regression showed that high educational level and older age were significantly associated with higher EPA and DHA concentrations and lower values of n-6/n-3 and arachidonic acid (AA)/EPA in T1 and/or T3. Regarding diet—fish and seafood consumption increased EPA concentration and reduced n-6/n-3 and AA/EPA values in both trimesters, whereas its consumption increased DHA concentration only in T1. Smoking was associated with lower DHA concentration in T1 and higher values of n-6/n-3 ratio in both trimester. Overweight and obesity were associated with higher values of n-6/n-3 ratio and AA/EPA ratio in T1. A statistically non-significant association was observed with saturated fatty acids (SFA) and monounsaturated fatty acids (MUFA). In conclusion, high educational levels, older age, fish, seafood consumption, and/or non-smoking, are factors that influence better omega-3 polyunsaturated fatty acid (n-3 PUFA) profile in both trimesters of pregnancy. Further research is needed to go in-depth into these findings and their health consequences.

scholarly journals Country compliance with WHO-recommended antenatal care guidelines: equity analysis of the 2015–2016 Demography and Health Survey in Myanmar

2020 ◽  
Vol 5 (12) ◽  
pp. e002169
Author(s):  
Ngatho Samuel Mugo ◽  
Kyaw Swa Mya ◽  
Camille Raynes-Greenow
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Adolescent Mothers ◽  
Health Survey ◽  
Rural Areas ◽  
Urban Areas ◽  
Multinomial Logistic Regression ◽  
Wealth Quintile ◽  
Adjusted Risk ◽  
Factors Associated

IntroductionEarly access to adequate antenatal care (ANC) from skilled providers is crucial for detecting and preventing obstetric complications of pregnancy. We aimed to assess factors associated with the utilisation of the new WHO ANC guidelines including the recommended number, on time initiation and adequate components of ANC contacts in Myanmar.MethodsWe examined data from 2943 mothers aged 15–49 years whose most recent birth occurred in the last 5 years prior to the 2015–2016 Myanmar Demographic and Health Survey. Factors associated with utilisation of the new WHO recommended ANC were explored using multinomial logistic regression and multivariate models. We used marginal standardisation methods to estimate the predicted probabilities of the factors significantly associated with the three measures of ANC.ResultsApproximately 18% of mothers met the new WHO recommended number of eight ANC contacts. About 58% of the mothers received adequate ANC components, and 47% initiated ANC within the first trimester of pregnancy. The predicted model shows that Myanmar could achieve 70% coverage of adequate components of ANC if all women were living in urban areas. Similarly, if ANC was through private health facilities, 63% would achieve adequate components of ANC. Pregnant women from urban areas (adjusted risk ratio (aRR): 4.86, 95% CI 2.44 to 9.68) were more than four times more likely to have adequate ANC components compared with women from rural areas. Pregnant women in the highest wealth quintile were three times more likely to receive eight or more ANC contacts (aRR: 3.20, 95% CI 1.61 to 6.36) relative to mothers from the lowest wealth quintile. On time initiation of the first ANC contact was fourfold for mothers aged 30–39 years relative to adolescent mothers (aRR: 4.07, 95% CI 1.53 to 10.84).ConclusionThe 2016 WHO ANC target is not yet being met by the majority of women in Myanmar. Our results highlight the need to address health access inequity for women who are from lower socioeconomic groups, or are younger, and those living in rural areas.

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