scholarly journals Current practice and attitudes towards vaccination during pregnancy: a survey of GPs across England

2020 ◽  
Vol 70 (692) ◽  
pp. e179-e185
Author(s):  
Christopher R Wilcox ◽  
Paul Little ◽  
Christine E Jones
Keyword(s):  
Antenatal Care ◽  
Influenza Vaccination ◽  
Pregnant Women ◽  
Odds Ratio ◽  
Online Survey ◽  
Current Practice ◽  
Optimal Location ◽  
Further Education ◽  
Survey Questionnaire ◽  
Routine Antenatal Care

BackgroundAntenatal vaccines are commonly delivered in primary care, yet the views of GPs regarding these programmes have been neglected in research to date.AimTo establish the attitudes and current practice of GPs towards antenatal vaccination and their views on the optimal location for delivery of this service.Design and settingA multicentre online survey questionnaire.MethodA questionnaire was sent to GPs across England between December 2018 and January 2019.ResultsThe majority of 1586 responders considered antenatal vaccination safe (96% for influenza, 89% pertussis). GPs were significantly less confident in their knowledge of pertussis compared with influenza vaccination (64% versus 80% were confident, P<0.001), and many desired further education (59% versus 48%, P<0.001). Few (37%) discussed vaccination with pregnant women regularly, but most (80%) felt their recommendation would influence decision making. Those with greater confidence in their knowledge of pertussis and influenza vaccination, and who were >2 years since qualifying, discussed vaccination significantly more often (odds ratio [OR] 3.52, P<0.001; OR 2.34, P = 0.001; OR 1.76, P = 0.003, respectively), regardless of whether they routinely saw pregnant women. Most (83%) reported that antenatal vaccination was GP led in their region, yet only 26% thought it should be primarily GP based. GPs expressed disconnect from antenatal care, and many suggested that midwives and/or secondary care should take greater responsibility for the delivery of antenatal vaccination.ConclusionThere is support among GPs to embed vaccination programmes within routine antenatal care. Further educational resources, specifically designed for the needs of GPs, are needed to facilitate opportunistic discussion with pregnant women about vaccination.

scholarly journals Effect of utilizing developed gestational diabetes mellitus guideline on pregnancy and childbirth outcomes

2020 ◽  
Vol 9 (1) ◽  
pp. 15
Author(s):  
Enas Sabry Fathy Elbeltagy ◽  
Nahed Fikry Hassan Khedr ◽  
Nadia Youssef Ahmed Abd-Ella
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Pregnancy Outcomes ◽  
Lifestyle Changes ◽  
Neonatal Complications ◽  
Pregnancy And Childbirth ◽  
Routine Antenatal Care

Background: Gestational Diabetes Mellitus (GDM) is one of the most common medical health problems that may happen during pregnancy and may lead to a range of short and long-term maternal, fetal as well as neonatal complications. However, effective management and education on GDM self-care measures improve pregnancy outcomes for both women and their neonates.Aim: The study was carried out to evaluate the effect of utilizing developed gestational diabetes mellitus guideline on pregnancy and childbirth outcomes.Methods: A quasi-experimental research design was used at Antenatal Clinic of Obstetric and Gynecological Specialty Center at Mansoura University Hospitals, Mansoura city. A purposive sample of 126 pregnant women diagnosed with GDM, assigned to the intervention group (n = 63) who utilized the Gestational Diabetes Mellitus Guideline (GDMG) of care in addition to routine antenatal care and control group (n = 63) who followed routine antenatal care only. Tools: Three tools were used to collect data from participants as A structured interview schedule, maternal assessment record and fetal & neonatal assessment record.Results: The current study findings indicated that, there was a highly statistical significant reduction of body mass index and the mean random blood glucose levels at 34 & 37 weeks’ of pregnancy after intervention in the GDMG group than control groups (p < .001). Also, there was a statistical significant reduction in the occurrence of maternal complications as gestational hypertension, preeclampsia, preterm labor and polyhydramnios in the GDMG group .Similarly, the neonates of the GDMG group had better Apgar scores after birth & lower incidence for developing neonatal complications as prematurity, respiratory distress syndrome and NICU admission.Conclusions and Recommendations: This study showed that, pregnant women with GDM who utilized the GDMG had better maternal & neonatal outcomes than those who did not utilize it. It is recommended to provide a manual GDMG to all pregnant women with GDM for better lifestyle changes & maintaining self-management regimen as well as better pregnancy outcomes.

scholarly journals Knowledge, attitudes and practices on influenza vaccination during pregnancy in Quito, Ecuador

2020 ◽  
Author(s):  
Carlos E. Erazo ◽  
Carlos V. Erazo ◽  
Mario J. Grijalva ◽  
Ana L. Moncayo
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Influenza Vaccination ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Influenza Viruses ◽  
Care Providers ◽  
Factors Associated ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices

Abstract Background: Vaccination is the most effective way to prevent infection and severe outcomes caused by influenza viruses in pregnant women and their children. In Ecuador, the coverage of seasonal influenza vaccination in pregnant women is low. The aim of this study was to assess the knowledge, attitudes, and practices (KAP) of pregnant women toward influenza vaccination in Quito-Ecuador.Methods: A cross-sectional study enrolled 842 women who delivered at three main public gynecological-obstetric units of the Metropolitan District of Quito. A questionnaire regarding demographics, antenatal care, risk conditions and knowledge, attitudes and practices related to influenza vaccination was administered. We examined factors associated with vaccination using log-binomial regression models.Results: A low vaccination rate (36.6%) against influenza was observed among pregnant women. The factors associated with vaccination included the recommendations from health providers (adjusted PR: 15.84; CI 95% 9.62-26.10), belief in the safety of the influenza vaccine (adjusted PR: 1.53; CI 95% 1.03-2.37) and antenatal care (adjusted PR: 1.21; CI 95% 1.01-1.47). The most common reasons for not vaccinating included the lack of recommendation from health care providers (73.9%) and lack of access to vaccine (9.0%).Conclusions: Health educational programs aimed at pregnant women and antenatal care providers have the most potential to increase influenza vaccination rates. Further studies are needed to understand the barriers of health care providers regarding influenza vaccination in Ecuador.

scholarly journals Knowledge, Attitude, and Practices of dentists in offering dental treatment to pregnant women in Jordan: A Cross-Sectional survey

2020 ◽  
Author(s):  
Bara' Abdallah AlShurman ◽  
Yousef Saleh Khader ◽  
Anwar Batieha ◽  
Ola B. Al-Batayneh ◽  
Abd-Albaset Odat ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Online Survey ◽  
Dental Treatment ◽  
Periodontal Diseases ◽  
Further Education ◽  
P Value ◽  
X Rays ◽  
Cross Sectional Survey ◽  
International Guidelines ◽  
Attitudes And Practices

Abstract BackgroundAlthough international guidelines emphasized that pregnant patients should receive proper dental treatment, many dentists are still hesitant to do so. This study aimed to determine the knowledge, attitude, and practices of dentists towards offering dental treatment to pregnant women in Jordan.MethodsAn online survey was distributed to 1000 dentists using social-media applications between August and October, 2019. The survey consisted of three sections; dentists’ knowledge about the association between oral diseases and pregnancy, their participation in training courses, and their practices regarding various dental treatments during pregnancy. Descriptive statistics were obtained and Chi-square tests were used to measure the association between demographic variables and knowledge, attitude, and practices variables. Significance was considered at P-value < 0.05.ResultsA total of 547 (54.7%) responded to the questionnaire. Only (37.5%) agreed that periodontal diseases might increase risk of adverse pregnancy outcomes. Almost (75.9%) did not attend any training program. The 2nd trimester was the most preferable time to do all dental procedures. There was a tendency to perform scaling and fillings especially in the 2nd trimester (82.4%), (86.1%) respectively. The majority of dentists would feel comfortable to do RCT (72.0%) or extraction (60.0%) in the 2nd trimester, whereas greater caution was apparent on 1st and 3rd trimester. A proportion of (32.5%) thought that taking x-rays during pregnancy was contraindicated. About (53.7%) didn’t know about the safety to administer nitrous oxide sedation during pregnancy. Around (75.9%) refused to prescribe non-steroidal anti-inflammatory drugs to pregnant women. By far, paracetamol was the drug of choice (96.9%) to prescribe as an analgesic and amoxicillin as an antibiotic (89.2%).ConclusionLack of knowledge, poor attitude and incorrect practices were observed among surveyed dentists with regards to management of pregnant women. Thus, further education courses about international guidelines are needed to correct the common misconceptions and negative attitudes and practices of dentists in treating pregnant women.

Antenatal care provider's advice is the key determinant of influenza vaccination uptake in pregnant women

2014 ◽  
Vol 55 (2) ◽  
pp. 131-137 ◽  
Author(s):  
Donna B. Mak ◽  
Annette K. Regan ◽  
Sarah Joyce ◽  
Robyn Gibbs ◽  
Paul V. Effler
Keyword(s):  
Antenatal Care ◽  
Influenza Vaccination ◽  
Pregnant Women ◽  
Vaccination Uptake

scholarly journals Knowledge, attitudes and practices on influenza vaccine during pregnancy in Quito, Ecuador

2020 ◽  
Author(s):  
Carlos E. Erazo ◽  
Carlos V. Erazo ◽  
Mario J. Grijalva ◽  
Ana L. Moncayo
Keyword(s):  
Health Care ◽  
Influenza Vaccine ◽  
Antenatal Care ◽  
Influenza Vaccination ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Care Providers ◽  
Factors Associated ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices

Abstract Background: Vaccination is the most effective way to prevent infection and severe outcomes caused by influenza viruses in pregnant women and their children. In Ecuador, the coverage of seasonal influenza vaccination in pregnant women is low. The aim of this study was to assess the knowledge, attitudes and practices of pregnant women toward influenza vaccination in Quito-Ecuador.Methods: A cross-sectional study enrolled 842 women who delivered at three main public gynecological-obstetric units of the Metropolitan District of Quito. A questionnaire regarding demographics, antenatal care, risk conditions and knowledge, attitudes and practices related to influenza vaccination was administered. We examined factors associated with vaccination using log-binomial regression models.Results: A low vaccination rate (36.6%) against influenza was observed among pregnant women. The factors associated with vaccination included the recommendations from health providers (adjusted PR: 15.84; CI 95% 9.62-26.10), belief in the safety of the influenza vaccine (adjusted PR: 1.53; CI 95% 1.03-2.37) and antenatal care (adjusted PR: 1.21; CI 95% 1.01-1.47). The most common reasons for not vaccinating included the lack of recommendation from health care providers (73.9%) and lack of access to vaccine (9.0%).Conclusions: Health educational programs aimed to pregnant women and antenatal care providers have the most potential to increase influenza vaccination rates. Further studies are needed to understand the barriers of health care providers regarding influenza vaccination in Ecuador.

scholarly journals Study of Correlation of Age and Parity of Mothers with Pre-Eclampsia in Pregnant Women in the Working Area of Mangasa Health Center in Makassar City

2019 ◽  
Vol 14 (2) ◽  
pp. 163
Author(s):  
Alfi Syahar Yakub ◽  
Iwan Sain ◽  
Sukma Saeni
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
A Value ◽  
Work Area ◽  
Maternal Parity ◽  
Routine Antenatal Care ◽  
The Relationship

Preeclampsia is the onset of hypertension with proteinuria due to pregnancy, after 20 weeks' gestation or immediately after delivery. These symptoms can occur before 20 weeks if trophoblastic disease occurs. This study aims to determine the relationship between age and maternal parity with the incidence of pre-eclampsia in pregnant women in the work area of the Puskesmas Mangasa, Makassar City. The research design used in this study was descriptive analytic research with a cross sectional study design. Conducted from July to October 2018, with a sample of 70 respondents. In this study showed that there was no relationship between the age of pregnant women and the incidence of preeclampsia with a value of p (1.00)> 0.05 and there was no relationship between parity and the incidence of preeclampsia with a value of p (1.00)> 0.05. It is recommended for health workers to be intensive in detecting the presence of preeclampsia in pregnant women and counseling about the importance of routine antenatal care to as early as possible be aware of the risk of the occurrence of preeclampsia-eclampsia in pregnancy and for further researchers, further research is needed to find factors related to the incidence of preeclampsia so that the results are in accordance with the theory, such as parity, hypertension history and Antenatal Care examination.

scholarly journals Prevalence of premature rupture of membrane and its associated factors among pregnant women in Ethiopia: A systematic review and meta-analysis

2021 ◽  
Vol 9 ◽  
pp. 205031212110539
Author(s):  
Getahun Tiruye ◽  
Kassiye Shiferaw ◽  
Abera Kenay Tura ◽  
Adera Debella ◽  
Abdulbasit Musa
Keyword(s):  
Confidence Interval ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Odds Ratio ◽  
Associated Factors ◽  
Meta Analysis ◽  
Statistical Significance ◽  
Premature Rupture ◽  
History Of ◽  
Tract Infections

Background: Premature rupture of the membrane is a serious public health problem, especially in low- and middle-income countries with significant maternal and perinatal morbidity and mortality. Despite its substantial contributions to feto-maternal complications, the burden of premature rupture of the membrane was not systematically analyzed in Ethiopia. Hence, this review aimed to identify the burden of premature rupture of the membrane and associated factors among pregnant women in Ethiopia. Methods: PubMed/Medline, Scopus, and African journal online databases and Google Scholar were searched for articles published in the English language. Independent review authors selected and screened studies. Appraisal for methodological quality of studies was conducted using the Joanna Briggs Institute assessment checklist. RevMan 5.3 software was used for meta-analysis. The I2 statistical significance and Egger’s test were used to assess heterogeneity and publication bias, respectively. Results: The pooled prevalence of premature rupture of the membrane among pregnant women in Ethiopia was 9.2% (95% confidence interval = 5.0, 16.4). Factors significantly associated with premature rupture of the membrane were no antenatal care visit (odds ratio = 2.87, confidence interval = 1.34, 6.14), history of premature rupture of the membrane (odds ratio = 4.09, 95% confidence interval = 2.82, 5.91), history of abortion (odds ratio = 3.13, confidence interval = 1.63, 6.01), abnormal vaginal discharge (odds ratio = 6.78, confidence interval = 4.11, 11.16), and urinary tract infection (odds ratio = 3.04, confidence interval = 1.21, 7.63). Conclusion: Nearly one in ten pregnancies in Ethiopia encounters premature rupture of the membrane complications. The finding highlights improving antenatal care utilization, thus preventing or treating urinary and reproductive tract infections, and tailored interventions for pregnant women with a history of premature rupture of the membrane or abortion contribute to reduced premature rupture of the membrane.

Sign in / Sign up

Export Citation Format

Share Document