PREVALENCE AND RISK FACTORS FOR STILL BIRTH IN CHENGALPATTU

2021 ◽  
pp. 53-56
Author(s):  
G. Thenmozhi ◽  
Shobana Priya K
Keyword(s):  
High Risk ◽  
Maternal Education ◽  
Positive Impact ◽  
Economic Status ◽  
Medical Conditions ◽  
College Hospital ◽  
Cross Sectional ◽  
Still Birth ◽  
Still Births ◽  
Classi Cation

This study aimed to determine whether maternal age, maternal education , socio-economic status are factors for still births and identify the high risk age group which are likely to get affected , determine the signicant maternal medical conditions which are attributed to stillbirths and signicant obstetrics causes which are attributed to stillbirths. A cross-sectional hospital based study in government medical college hospital, chengalpattu was conducted. Data relating to socio- demographic information , passed obstetric history, associated medical conditions, index pregnancy characteristics where collected . economic classication was based on B.G.prasad's recommendation. medical and obstetric causes classied based on ReCoDe classication. Out of 11023 births from june 2016- may 2017 121 still births incidents were recorded at chengalpattu amounting to 11\1000 still birth incidents. The study showed mothers age between 19 and 21 is high risk group, literacy level has a positive impact in preventing stillbirths, economic status is a inuencing factor for stillbirth and placenta related complications remains a major causative factor of still birth followed by clinical conditions of the mother. The study could not establish any cross dependency on the variables and most of the factors have an independent inuence on the outcome.It is recommended that importance of antenatal care need to be communicated to the society especially to young mothers and practiced efciently

scholarly journals Manuscript title: Prevalence and determinants of undernutrition among under-five children residing in urban slums and rural area, Maharashtra, India: a community-based cross-sectional study

2020 ◽  
Author(s):  
Sujata Kapil Murarkar ◽  
Jayashree Sachin Gothankar ◽  
Prakash Doke ◽  
Prasad Pore ◽  
Sanjay Lalwani ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Breast Feeding ◽  
Rural Areas ◽  
Maternal Education ◽  
Economic Status ◽  
Urban Slums ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Under Five ◽  
Under Five Children

Abstract BackgroundUndernutrition among under five children in India is a major public health problem.Despite India’s growth in the economy, the child mortality rate due to undernutrition is still high in both urban and rural areas.Studies that focus on urban slums are scarce. Hence the present study was carried out to assess the prevalence and determinants of undernutrition in children under five in Maharashtra, India.Methods A community-based cross-sectional study was conducted in 16 randomly selected clusters in two districts of Maharashtra state, India. Data were collected through house to house survey by interviewing mothers of under five children. Total 2929 mothers and their 3,671 under five children were covered. Multivariate logistic regression analysis was carried out to identify the determinants of child nutritional status seperately in urban and rural areas. ResultsThe mean age of the children was 2.38 years (±SD 1.36) and mean age of mothers was 24.25 years (± SD 6.37).Overall prevalence of stunting among children under five was 45.9 %, wasting was 17.1% and 35.4% children were underweight.Prevalence of wasting, stunting and underweight were more seen in an urban slum than a rural area.In the rural areas exclusive breast feeding(p<0.001) and acute diarrhea (p=0.001) were associated with wasting, children with birth order 2 or less than 2 were associated with stunting and exclusive breast feeding (p<0.05) and low maternal education were associated with underweight. Whereas in the urban slums exclusive breast feeding(p<0.05) was associated with wasting, sex of the child (p<0.05) and type of family(p<0.05)were associated with stunting,and low income of the family(p<0.05) was associated with underweight.ConclusionsFactors like sex of the child, birth order,exclusive breast feeding ,economic status of the family, type of family,acute diarrhea and maternal education have influence on nutritional status of the child. Improvement of maternal education will improve the nutritional status of the child. Strategies are needed to improve the economic status of the community.Trial registration-Trial registration number:CTRI/2017/12/010881;Registration date:14/12/2017. Retrospectively registered.

scholarly journals Determinants of minimum acceptable diet among young children in an urban slum: a community-based study

2021 ◽  
Vol 8 (2) ◽  
pp. 638
Author(s):  
Kavita Kunhipurayil ◽  
Manissha Srivastav
Keyword(s):  
Maternal Education ◽  
Nuclear Family ◽  
Dietary Diversity ◽  
Urban Slum ◽  
P Value ◽  
Meal Frequency ◽  
Community Based ◽  
Chi Square ◽  
College Hospital ◽  
Cross Sectional

Background: Child health and growth deteriorate as a result of inadequate quantities and frequencies of complementary feeding.Methods: A community-based cross-sectional study was conducted in urban field practice area of a tertiary medical college hospital among 280 children by systematic random sampling method. Children belonging to 12-23 months were included while sick child, children whose mother/guardian did not give consent were excluded.Results: The proportion of children who met the minimum dietary diversity (MDD) and minimum meal frequency (MMF) were 52.8 % (95% CI) and 52% (95% CI), respectively. Out of 280 children, 90 i.e. (32.1 %) children had achieved the recommended Minimum acceptable diet (MAD). Maternal education (Chi square value=11.2; CI 95%); socioeconomic status (Chi square value=57.4; CI 95%) were positively associated with dietary diversity. Higher percentage of male children (44.8 %) achieved minimum acceptable diet as compared to female children (20.5%); (chi square value=18.8, CI 95%). The percentage of children receiving MDD and MMF was more among children of higher socioeconomic class (p value 0.0001) and from nuclear family (p value=0.45). The birth order of the child was inversely related to the attainment of MAD. (p value=0.0001).Conclusions: Results of the study strongly suggest that poor dietary diversity and meal frequency is associated with numerous factors and their interplay is a multitude of combinations rather than a single cause.  

scholarly journals Determining the Spatial and Risk Heterogeneity in HIV Prevalence among IDUs in India: Analysis Based on the Data from Integrated Biological and Behavioural Surveillance (IBBS), 2014-15

2020 ◽  
Author(s):  
Santhakumar Aridoss ◽  
Joseph David ◽  
Nagaraj Jaganathasamy ◽  
Malathi Mathiyazhakan ◽  
Ganesh Balasubramanian ◽  
...  
Keyword(s):  
High Risk ◽  
Positive Impact ◽  
Risk Profile ◽  
Hiv Prevalence ◽  
Fine Tuning ◽  
Prevention Measures ◽  
Inconsistent Condom ◽  
Cross Sectional ◽  
Indian States ◽  
Behavioural Surveillance

Abstract Background: Spatial and risk-related heterogeneity among high-risk HIV populations marks the prevalence, dynamics, and management of HIV. Identifying the spatial heterogeneity of disease prevalence and risk heterogeneity at a specific location is crucial for fine-tuning the strategic interventions. On this background, we analysed the behavioural data and HIV prevalence of IDUs, in a state-specific manner. Objectives: To structure the IDU population based on their risk of infection and location, and to determine the HIV prevalence for each of the IDU subpopulation based on their spatial distribution and risk profile. Methods: We analysed the behavioural data and HIV prevalence obtained from the National Integrated Biological and Behavioural Surveillance (IBBS), a nationwide cross-sectional community-based study conducted in 2014-2015. We included the data obtained from 19,902 IDUs across 53 domains in 29 states of India for analysis. We grouped the IDUs into different categories, based on their risk profile, and analysed the corresponding HIV prevalence among IDUs in each category for all states. Results: State-specific analysis of HIV prevalence among the IDUs exhibiting safe and high-risk characteristics revealed that the HIV prevalence was the highest in Uttar Pradesh irrespective of the risk-structure of the state. HIV infection was highly prevalent in the Central and most Northern states, and in a few East and North-Eastern Indian states. HIV Prevalence was predominantly higher among those IDUs self-reporting presence of at least one STI symptom, following unsafe injecting practices, IDUs with inconsistent condom usage with sexual partners (other than regular partners), and those with inadequate knowledge of HIV /AIDS. Conclusion: Stratified, region-specific interventions based on geographic risk-structure and combination-approaches are recommended to prevent HIV transmission among IDUs. Implementing measures to generate adequate awareness of STI, HIV, and injecting behaviours, specifically among IDUs in the Central and Northern states of India and advocating safe sexual practises among all IDUS will have a positive impact on HIV prevention measures among IDUs.

scholarly journals Nutritional and socio-economic determinants of cognitive function and educational achievement of Aboriginal schoolchildren in rural Malaysia

2011 ◽  
Vol 106 (7) ◽  
pp. 1100-1106 ◽  
Author(s):  
Hesham M. Al-Mekhlafi ◽  
Mohammed A. Mahdy ◽  
Atiya A. Sallam ◽  
W. A. Ariffin ◽  
Abdulsalam M. Al-Mekhlafi ◽  
...  
Keyword(s):  
Cognitive Function ◽  
Household Income ◽  
Maternal Education ◽  
Educational Achievement ◽  
Economic Status ◽  
Cross Sectional Study ◽  
Multiple Regression Model ◽  
Stepwise Multiple Regression ◽  
Cross Sectional ◽  
Stepwise Multiple Regression Model

A community-based cross-sectional study was carried out among Aboriginal schoolchildren aged 7–12 years living in remote areas in Pos Betau, Pahang, Malaysia to investigate the potential determinants influencing the cognitive function and educational achievement of these children. Cognitive function was measured by intelligence quotient (IQ), while examination scores of selected school subjects were used in assessing educational achievement. Blood samples were collected to assess serum Fe status. All children were screened for soil-transmitted helminthes. Demographic and socio-economic data were collected using pre-tested questionnaires. Almost two-thirds (67·6 %) of the subjects had poor IQ and most of them (72·6 %) had insufficient educational achievement. Output of the stepwise multiple regression model showed that poor IQ was significantly associated with low household income which contributed the most to the regression variance (r2 0·059; P = 0·020). Low maternal education was also identified as a significant predictor of low IQ scores (r2 0·042; P = 0·043). With educational achievement, Fe-deficiency anaemia (IDA) was the only variable to show significant association (r2 0·025; P = 0·015). In conclusion, the cognitive function and educational achievement of Aboriginal schoolchildren are poor and influenced by household income, maternal education and IDA. Thus, effective and integrated measures to improve the nutritional and socio-economic status of rural children would have a pronounced positive effect on their education.

scholarly journals BERAT LAHIR SEBAGAI FAKTOR DOMINAN TERJADINYA STUNTING PADA BALITA (12–59 BULAN) DI SUMATERA (ANALISIS DATA RISKESDAS 2010)

2013 ◽  
Vol 4 (1) ◽  
pp. 77-88
Author(s):  
Fitri
Keyword(s):  
Birth Weight ◽  
Motor Development ◽  
Maternal Education ◽  
Economic Status ◽  
Dominant Factor ◽  
Public Health Issue ◽  
Chi Square ◽  
Cross Sectional ◽  
Increased Risk ◽  
Chi Square Test

Stunting is very short state of body so that the deficit exceeded -2 SD below the median length or height. Stunting is a public health issue because it deals with an increased risk of morbidity and mortality, delayed motor development, and mental growth retardation. The general objective of research is to know the dominant factor related with stunting in infants (12-59 months) in Sumatra in 2010. This study uses cross sectional research design and quantitative method with 3126 toddlers sample. Processing and analyzing data using chi square test (bivariate) and multiple logistic regression (multivariate). The analysis showed that based on the index TB/U, stunting toddlers as much as 37.5% and 62.5% of normal. The results of chi square test showed significant relationship between stunting with birth weight, energy intake, protein intake, sex, maternal education, area of residence and economic status of families. The results of multivariate analysis showed the birth weight variable is the most dominant factor associated with stunting after being controlled with sex, area of residence and economic status of families variables.

scholarly journals Outcome of Teenage Pregnancy Associated with Medical Conditions

2012 ◽  
Vol 1 (2) ◽  
pp. 10-13
Author(s):  
Nigar Sultana ◽  
Syed Rezaul Huq ◽  
Tabassum Parvin ◽  
M Anwar Hussain ◽  
Md Abedur Rahaman
Keyword(s):  
Apgar Score ◽  
Teenage Pregnancy ◽  
Post Partum ◽  
Wound Dehiscence ◽  
Fetal Outcome ◽  
University Hospital ◽  
Medical Conditions ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College

Objective: This study was carried out to evaluate the Maternal and fetal outcome of teenage Pregnancy with different medical conditions during Pregnancy in the selected high risk hospital population of Bangladesh. Methods: This was a cross sectional study. The study was done on 50 (fifty) teenage pregnant adolescent admitted in the Dhaka medical college Hospital and Bangabandhu sheikh Mujib Medical University Hospital during the study period July 2004 to June 2005. Samples were selected randomly from the admitted patients. Results: Seventy five percent of the mother had complication during delivery, of them 21.42% had PPH, 14.28% had inadequate lactation, 10.71% had post partum eclampsia, another 10.71% had wound dehiscence, 7.14% had post spinal headache. Eighty four percent of the babies were alive, of them Forty percent required resuscitation. Ten percent were dead and 6% were still born. Fourty eight percent of the new born had birth weight less than 2.5 kg, 32% had more than 2.5kg. APGAR score at one minute varied between 5-7 in 75% of cases and was 8-9 in 22.5%. Only 2% has <5. APGAR score at five minutes varied between 8-9 in 92.5% of cases. 40% of the babies developed jaundice, 30% babies were birth asphyxiated, IUGR 8%, prematurely 6%, congenital anomalies 4%.Conclusion: Outcome of teenage pregnancy with medical conditions is poor. DOI: http://dx.doi.org/10.3329/jssmc.v1i2.12159 Journal of Shaheed Suhrawardy Medical College Vol.1, No.2, December 2009 p.10-13

scholarly journals Socio-demographic Profile of Abortion Cases attending at a Tertiary Level Hospital

2020 ◽  
Vol 14 (2) ◽  
pp. 200-202
Author(s):  
Feroz Ahmed Sohel ◽  
Sanzida Jahan ◽  
Saifullah Russel ◽  
Farzana Zafreen
Keyword(s):  
Unplanned Pregnancy ◽  
Economic Status ◽  
Armed Forces ◽  
Tertiary Level ◽  
College Hospital ◽  
Cross Sectional ◽  
Demographic Profile ◽  
Medical College ◽  
Number Of Patients ◽  
Level Hospital

Introduction: Abortion in Bangladesh is illegal under most situations, but menstrual regulation is often used as a substitute. Abortion can be legally performed by a physician in a hospital if it is necessary to save the life of the mother. A person, who performs an abortion under any other circumstances, including a woman who self-aborts, can be punished by a fine and imprisonment. Objective: To assess the socio-demographic profile of abortion cases attending a tertiary level hospital of Bangladesh. Materials and Methods: This cross-sectional descriptive type of study was carried out among 80 patients at the Gynae ward and out patient department of Dhaka Medical College Hospital from March 2012 to June 2012. The study population was women attending the selected hospital for an abortion or abortion-related complications. Results: Most of the respondents 35(43.8%) were below 25 years of age and all patients were housewives. The maximum number of patients 63(78.8%) had spontaneous abortion, low socio-economic status and majority were multigravidas. It was also found that patients with abortion were mostly in their second (43.8%) and third (21.3%) decade of life. Conclusion: In this study, the commonest reason for termination of pregnancy was unplanned pregnancy. Creating awareness and timely intervention might decrease the number of abortion cases. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 200-202

scholarly journals Prevalence of Anaemia among Pregnant Women in a Rural Area of Bangladesh: Impact of Socio-economic Factors, Food Intake, and Micronutrient Supplementation

2020 ◽  
pp. 1-7
Keyword(s):  
Pregnant Women ◽  
Formal Education ◽  
Economic Status ◽  
Cross Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Major Health Problem ◽  
Lower Middle Class ◽  
Medical College ◽  
Anaemia In Pregnancy

Anaemia during pregnancy is a major health problem throughout the world. The prevalence of anaemia in pregnancy is 41.8% globally and 46% in Bangladesh. It affects both the mother and the baby simultaneously. Women often become anaemic during pregnancy because the demand for iron is increased due to the physiological need for pregnancy. This cross-sectional study was carried out in Savar Gonoshasthaya Kendra project area in Dhaka district. Ninety-Five pregnant women of different gestational ages were selected purposively. Haemoglobin level was estimated by cyanomeath haemoglobin method in the laboratory of Gonoshasthaya Samaj Vittik Medical College Hospital, Savar. Among 95 pregnant women, 41.1% was in 20-24 years age group. The mean age of the respondents was 23.74 years. In terms of socio-economic status, 54.7% of the respondents came from lower middle-class family. 7.4% of the respondents had no formal education, 54.7% had primary level education and only 6.3% had higher education. Maximum of the respondents (88.4%) were housewife. This study revealed that the prevalence of anaemia among pregnant women was 51.6%. Among 51.6 % of the anaemic respondents, 23.2% were mildly anaemic, 26.3% were moderately anaemic and 2.1% were severely anaemic.

scholarly journals Determinants of child malnutrition in rural and urban Ecuadorian highlands

2013 ◽  
Vol 17 (9) ◽  
pp. 2122-2130 ◽  
Author(s):  
Johana Ortiz ◽  
John Van Camp ◽  
Sylviana Wijaya ◽  
Silvana Donoso ◽  
Lieven Huybregts
Keyword(s):  
Rural Areas ◽  
Maternal Education ◽  
Economic Status ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Nutritional Interventions ◽  
Rural And Urban ◽  
Sociodemographic Determinants ◽  
Urban And Rural Areas ◽  
Maternal Bmi

AbstractObjectiveTo identify and compare the sociodemographic determinants of stunting, wasting and overweight among infants of urban and rural areas in the Ecuadorian highlands.DesignCross-sectional study.SettingNabon (rural) and Cuenca (urban) cantons, Azuay Province, Ecuador.SubjectsA total of 703 children aged 0–24 months and their caregivers (227 rural and 476 urban) recruited during the period from June to September 2008.ResultsStunting prevalence was significantly higher in the rural area (37·4 %v. 17·7 %;P< 0·001) while wasting (7·1 %) and overweight (17·1 %) prevalence were more similar between areas. Determinants of stunting for the pooled sample were male gender (OR = 1·43; 95 % CI 1·06, 1·92;P= 0·02), preterm delivery (OR = 1·65; 95 % CI 1·14, 2·38;P= 0·008), child's age (OR = 1·04; 95 % CI 1·01, 1·07;P= 0·011), maternal education (OR = 0·95; 95 % CI 0·92, 0·99;P= 0·025) and facility-based delivery (OR = 0·57; 95 % CI 0·45, 0·74;P< 0·001). The latter was also a determinant of overweight (OR = 0·39; 95 % CI 0·25, 0·62;P< 0·001). Rural determinants of stunting were maternal height (OR = 0·004; 95 % CI 0·00004, 0·39;P= 0·018), diarrhoea prevalence (OR = 2·18; 95 % CI 1·13, 4·21;P= 0·02), socio-economic status (OR = 0·79; 95 % CI 0·64, 0·98;P= 0·030) and child's age (OR = 1·07; 95 % CI 1·02, 1·11;P= 0·005). Urban determinants were: maternal BMI for stunting (OR = 0·91; 95 % CI 0·84, 0·99;P= 0·027), cough prevalence (OR = 0·57; 95 % CI 0·34, 0·96;P= 0·036) and facility-based delivery (OR = 0·25; 95 % CI 0·09, 0·73;P= 0·011) for overweight, and hygiene for wasting (OR = 0·57; 95 % CI 0·36, 0·89;P= 0·013).ConclusionsInfant malnutrition was associated with different sociodemographic determinants between urban and rural areas in the Ecuadorian highlands, a finding which contributes to prioritize the determinants to be assessed in nutritional interventions.

scholarly journals Mental Health and Well-Being of University Students in Okinawa

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Paul Ratanasiripong ◽  
Takashi China ◽  
Shiho Toyama
Keyword(s):  
Mental Health ◽  
University Students ◽  
Mental Health Problems ◽  
Positive Impact ◽  
Economic Status ◽  
Well Being ◽  
Self Esteem ◽  
Health Issues ◽  
Cross Sectional ◽  
Mental Health Issues

With increasing frequency and severity of mental health issues among university students globally as well as limited studies on the mental health of Japanese university students, this study examined the factors that impact the mental health issues of university students in Okinawa. A total of 441 undergraduate students from 3 universities participated in this cross-sectional study. Average age of participants was 20 (range = 18–46, SD = 2.6). Four factors that significantly predicted depression among university students in Okinawa included self-esteem, family economic status, resiliency, and year in school (R2 = 0.37). Two factors that significantly predicted anxiety included self-esteem and family economic status (R2 = 0.26). Three factors that significantly predicted stress included self-esteem, family economic status, and year in school (R2 = 0.28). This study contributes to the understanding of specific factors that impact depression, anxiety, and stress for this population. University administrators and faculty have an opportunity to implement programs and services to make positive impact that could reduce mental health problems and improve well-being for students on their campuses.

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