Husband’s Perception on Anemia among Pregnant Women based on Cultural Perspective: A Qualitative Study

BACKGROUND: Anemia is one of the most common nutritional problems during pregnancy. Husbands have an important role in supporting their wives in pregnancy to prevent complications. Husband’s culture and beliefs will affect support for the health status of pregnant women. AIM: This study aims to explore husbands’ perceptions regarding anemia and cultural beliefs related to pregnancy. METHODS: This qualitative study was conducted using twelve in-depth interviews (IDIs) with husbands who have pregnant wives who were recruited through a purposive sampling method. Data were collected through IDIs using open-ended questions to gain insight about Husband’s Perception on Anemia among Pregnant Women based on Cultural Perspective. Data analysis was conducted by an inductive content analysis method to evaluate, encode, and analyze the interview’s result. RESULTS: Four themes emerged from interviews: (1) Husbands’ happiness and support to their wives during pregnancy; (2) Husbands’ perceptions and actions related to anemia symptoms; (3) Cultural beliefs during pregnancy believed by Acehnese people; and (4) the importance of local wisdom-based counseling. CONCLUSIONS: Our findings provide new insights into how husbands’ perceptions on anemia during pregnancy, how they support their pregnant wives, and what their believed in cultural views about pregnancy. These findings would assist in developing/adapting more strategic policies to prevent anemia in pregnancy.

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Acehnese Cultural Leaders’ Perspective on Anemia in Pregnant Women: A Qualitative Study

Advances in Public Health ◽

10.1155/2020/8710254 ◽

2020 ◽

Vol 2020 ◽

pp. 1-6

Author(s):

Darmawati Darmawati ◽

Tongku N. Siregar ◽

Hajjul Kamil ◽

Teuku Tahlil

Keyword(s):

Qualitative Study ◽

Group Discussion ◽

Cultural Beliefs ◽

Contributing Factors ◽

Culturally Adapted ◽

Content Analysis Method ◽

Anemia During Pregnancy ◽

Strategic Policy ◽

Cultural Leaders ◽

In Pregnancy

Introduction. Anemia during pregnancy is one of the commonest issues in pregnancy. Cultural belief is among the contributing factors to this problem. This study aims to explore the cultural leaders’ perception on Acehnese culture regarding anemia in pregnancy. Methods. The qualitative study was conducted using three in-depth interviews and a focus group discussion with Acehnese cultural leaders. Data analysis was conducted by the inductive content analysis method. Results. Four themes emerged from interviews and discussion: (1) cultural beliefs about anemia; (2) locally resourced food; (3) husband participation in preventing anemia during pregnancy; (4) do’s and don’ts. Conclusion. Our findings provide insight into how cultural leaders’ perceptions of anemia are in pregnancy and how they are integrated strongly into Acehnese people’s lives. These findings would assist in developing culturally adapted strategic policy to prevent anemia during pregnancy.

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Malaria intermittent preventive treatment in Nigeria: a qualitative study to explore barriers

BMC Infectious Diseases ◽

10.1186/s12879-021-06135-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Fatima Mahmud Muhammad ◽

Saharnaz Nedjat ◽

Haniye Sadat Sajadi ◽

Mahboubeh Parsaeian ◽

Abraham Assan ◽

...

Keyword(s):

Qualitative Study ◽

Pregnant Women ◽

Intermittent Preventive Treatment ◽

Sampling Strategy ◽

Preventive Treatment ◽

Group Discussions ◽

Content Analysis Method ◽

Conventional Content Analysis ◽

Sulphadoxine Pyrimethamine ◽

Selection Of

Abstract Background While the use of sulphadoxine pyrimethamine (SP) is effective in preventing malaria infection during pregnancy, there are challenges limiting its uptake in Nigeria. This study aimed at exploring the barriers to IPTp usage among pregnant women in Kano state - Nigeria. Methods This is a qualitative study. The purposive sampling strategy was used for identification and selection of 14 key informants for interviews. In addition, six focus group discussions (FGDs) were conducted with pregnant women (3 FGDs) and married men (3 FGDs). The conventional content analysis method was used to interpret meaning from the content of the data. MAXQDA 10 software was used for data management and analysis. Results Poor policy implementation, poor antenatal care attendance, inadequate access to intermittent preventive treatment at the community levels, lack of sustainable funding, and poor community engagement emerged as major barriers to IPTp use in Nigeria. Conclusion While the political will to allocate sufficient financial resources could help improve service delivery and IPTp usage among pregnant women, community participation is critical to sustain the gains.

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User Perception Towards mHealth Technologies for Health and Well-being Monitoring in Pregnancy Care: Qualitative Study (Preprint)

10.2196/preprints.28628 ◽

2021 ◽

Author(s):

Jane Li ◽

David Silvera-Tawil ◽

Marlien Varnfield ◽

M Sazzad Hussain ◽

Vanitha Math

Keyword(s):

Qualitative Study ◽

Pregnant Women ◽

Mobile Applications ◽

Data Privacy ◽

Perinatal Care ◽

Well Being ◽

Technical Solution ◽

Pregnancy Care ◽

Health And Well Being ◽

In Pregnancy

BACKGROUND Mobile Health (mHealth) technologies, such as wearable devices and mobile applications have become popular for lifestyle and healthcare support. They have the potential to be beneficial for pregnancy monitoring, in the form of health and well-being tools to facilitate the tracking of health status changes, risks and complications of pregnant women. However, research on understanding clinicians’ and pregnant women’s interests, preferences and requirements for mHealth solutions tailored to pregnancy care is limited. OBJECTIVE This qualitative study aimed to understand clinicians’ and pregnant women’s perceptions on the potential use of mHealth to support the monitoring of health and well-being during pregnancy. METHODS Semi-structured interviews were conducted with four pregnant women, four postnatal women, and thirteen clinicians working in perinatal care. RESULTS Clinicians perceived the potential benefit of mHealth in supporting different levels of health and wellbeing monitoring, risk assessment and care provision in pregnancy care. The majority of women participants were open to the use of wearables and health monitoring devices and were more likely to use these technologies if they knew that clinicians can monitor the data. While some pregnancy-related medical conditions can be suitable for an mHealth model of remote monitoring, there are clinical and technical challenges for introducing mHealth in pregnancy care. Incorporating appropriate health and well-being measures, intelligent detection of abnormalities and tailored information for pregnant women were considered critical. Usability and data privacy were among the concerns of participants. The challenges of getting pregnant women engaged in longitudinal mHealth monitoring, the extra work required for clinicians in monitoring data, and the need for an evidence-based technical solution were highlighted. CONCLUSIONS mHealth technologies, such as wearable sensors, smart health devices and mobile applications capable of supporting the pregnancy journey are emerging. Clinical, technical and practical factors associated with the use of mHealth technologies to monitor health and well-being, as well as strategies for motivating pregnant women and clinicians’ in the use of the technologies need to be carefully considered before the introduction of mHealth pregnancy care routine and practices.

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‘Asking for help’: a qualitative interview study exploring the experiences of interpersonal counselling (IPC) compared to low-intensity cognitive behavioural therapy (CBT) for women with depression during pregnancy

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-04247-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Jenny Ingram ◽

Debbie Johnson ◽

Heather A. O’Mahen ◽

Roslyn Law ◽

Iryna Culpin ◽

...

Keyword(s):

Mental Health ◽

Qualitative Study ◽

Focus Groups ◽

Pregnant Women ◽

Perinatal Period ◽

Behavioural Therapy ◽

Psychological Wellbeing ◽

Low Intensity ◽

Cognitive Behavioural ◽

In Pregnancy

Abstract Background Treating depression early in pregnancy can improve health outcomes for women and their children. Current low-intensity psychological therapy for perinatal depression is a supported self-help approach informed by cognitive behavioural therapy (CBT) principles. Interpersonal counselling (IPC) may be a more appropriate low-intensity talking therapy for addressing the problems experienced by pregnant women with depression. A randomised feasibility trial (ADAGIO) has compared the acceptability of offering IPC for mild-moderate antenatal depression in routine NHS services compared to low-intensity CBT. This paper reports on a nested qualitative study which explored women’s views and expectations of therapy, experiences of receiving IPC, and Psychological Wellbeing Practitioners (PWPs - junior mental health workers) views of delivering the low-intensity therapy. Methods A qualitative study design using in-depth semi-structured interviews and focus groups. Thirty-two pregnant women received talking therapy within the ADAGIO trial; 19 contributed to the interview study from July 2019 to January 2020; 12 who had IPC and seven who had CBT. All six PWPs trained in IPC took part in a focus group or interview. Interviews and focus groups were recorded, transcribed, anonymised, and analysed using thematic methods. Results Pregnant women welcomed being asked about their mental health in pregnancy and having the chance to have support in accessing therapy. The IPC approach helped women to identify triggers for depression and explored relationships using strategies such as ‘promoting self-awareness through mood timelines’, ‘identifying their circles of support’, ‘developing communication skills and reciprocity in relationships’, and ‘asking for help’. PWPs compared how IPC differed from their prior experiences of delivering low-intensity CBT. They reported that IPC included a useful additional emotional component which was relevant to the perinatal period. Conclusions Identifying and treating depression in pregnancy is important for the future health of both mother and child. Low-intensity perinatal-specific talking therapies delivered by psychological wellbeing practitioners in routine NHS primary care services in England are acceptable to pregnant women with mild-moderate depression. The strategies used in IPC to manage depression, including identifying triggers for low mood, and communicating the need for help, may be particularly appropriate for the perinatal period. Trial registration ISRCTN 11513120. 02/05/2019.

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HUBUNGAN KETERATURAN KUNJUNGAN ANC (ANTENATAL CARE) DAN KEPATUHAN KONSUMSI TABLET FE DENGAN KEJADIAN ANEMIA PADA IBU HAMIL TRIMESTER III DI KECAMATAN MARON PROBOLINGGO

Amerta Nutrition ◽

10.20473/amnt.v3i1.2019.46-51 ◽

2019 ◽

Vol 3 (1) ◽

pp. 46

Author(s):

Veny Nurmasari ◽

Sri Sumarmi

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Random Sampling ◽

Sampling Method ◽

Case Control Study ◽

Simple Random Sampling ◽

Third Trimester ◽

Anemia During Pregnancy ◽

The Government ◽

Control Study

Background: Anemia during pregnancy as a risk factor for maternal and fetal health. The government has implemented iron tablet distribution for pregnant women to prevent anemia during pregnancy. Problems arasie due to non-compliance of pregnant women in consuming iron tablets.Objectives: The purpose of the study was to analyze the correlation between regularity of antenatal care visits (ANC), and comlpliance of iron tablets consumption with anemia in third trimester pregnant women.Method: The study used a case control study design. The samples were 30 consists of 15 cases and 15 control taken by simple random sampling method. This study correlated the regularity of ANC visits and compliance to consumption of iron tablets between regularity of antenatal care visits (ANC), and comlpliance of iron tablets consumption with anemia in third trimester pregnant women.The study was conducted in the working area of Maron Health Center Probolinggo in May – August 2018. Data were analyzed using chi square.Results: The results showed that the regularity of antenatal care visits (ANC) (p = 0.001; OR = 4) and compliance of iron tablets consumption (p = 0.001; OR = 3.46) related with anemia. Pregnant women who didn’t regularly visit ANC had 4 times greater risk of anemia, while non-comliance pregnant women consume iron tablets had 3,46 times greater risk of anemia.Conclusion: The regularity of ANC visits and compliance to iron tablet consumption were related to anemia in third trimester pregnant women.ABSTRAKLatar Belakang: Anemia selama kehamilan merupakan faktor risiko bagi kesehatan ibu dan janin. Pemerintah telah menerapkan distribusi tablet Fe untuk ibu hamil sebagai upaya pencegahan anemia selama kehamilan. Masalah timbul akibat ketidakteraturan ANC dan ketidakpatuhan ibu hamil dalam mengonsumsi tablet Fe.Tujuan: Tujuan penelitian untuk menganalisis hubungan keteraturan kunjungan Antenatal Care (ANC) dan kepatuhan konsumsi tablet Fe dengan kejadian anemia pada ibu hamil trimester IIIMetode: Menggunakan desain studi case controldengan besar sampel 30 yang terdiri dari 15 kasus dan 15 kontrol diambil dengan metode simple random sampling. Penelitian ini menghubungkan keteraturan kunjungan Antenatal Care (ANC) dan kepatuhan konsumsi tablet Fe dengan kejadian anemia pada ibu hamil trimester III.Penelitian dilakukan di wilayah kerja Puskesmas Maron Kabupaten Probolinggo pada bulan Mei–Agustus 2018. Analisis data yang digunakan adalah chi- square.Hasil: Hasil penelitian menunjukkan terdapat hubungan antara keteraturan kunjungan Antenatal Care (ANC) (p=0,001; OR=4) dan kepatuhan konsumsi tablet Fe (p=0,001; OR=3,46) dengan kejadian anemia. Ibu hamil yang tidak teratur melakukan kunjungan ANC memiliki risiko 4 kali lebih besar untuk mengalami anemia, sedangkan ibu hamil yang tidak patuh mengonsumsi tablet Fe berisiko 3,46 kali lebih besar untuk mengalami anemia.Kesimpulan: Keteraturan kunjungan ANC dan kepatuhan konsumsi tablet Fe berhubungan dengan kejadian anemia pada ibu hamil trimester III.

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The role of hepcidin in the main iron-deficiency syndromes in pregnancy

I P Pavlov Russian Medical Biological Herald ◽

10.23888/pavlovj2016496-103 ◽

2016 ◽

Vol 24 (4) ◽

pp. 96-103

Author(s):

M Ayari ◽

V G Demikhov ◽

I M Mirov ◽

E N Zinovyeva ◽

O N Zhourina ◽

...

Keyword(s):

Iron Deficiency ◽

Pregnant Women ◽

Therapeutic Option ◽

Deficiency Anemia ◽

Key Factor ◽

Anemia During Pregnancy ◽

Mixed Origin ◽

Main Regulator ◽

In Pregnancy

Currently, there is evidence that hepcidin is the main regulator of iron metabolism in human and pathogenesis key factor for anemia of inflammation. However, the role of hepcidin in multifactorial pathogenesis of anemia in pregnancy is not clear. We presented the results of the laboratory examinations of 78 pregnant women sera in hepcidin, ferritin, erythropoietin during pregnancy, and 116 sera of pregnant women with iron deficiency anemia (IDA) and anemia of mixed origin. The obtained data indicate a statistically significant decrease in the mean hepcidin concentration in pregnants versus non pregnant women. Mean hepcidin level in pregnant women with IDA was decreased, compared with anemia of mixed origin pregnants (p<0.0001). Evaluation of hepcidin concentrations may be useful laboratory test for differential diagnostic of anemia during pregnancy and for determination of optimal therapeutic option between oral iron, parenteral iron or using erythropoiesis -stimulating agents (ESAs) in combination with iron products.

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General Practitioners’ Perceived Indicators of Vulnerability in Pregnancy- A Qualitative Study

10.21203/rs.3.rs-146487/v1 ◽

2021 ◽

Author(s):

Louise Venø ◽

Dorte Jarbøl ◽

Line Pedersen ◽

Jens Søndergaard ◽

Ruth Ertmann

Keyword(s):

Qualitative Study ◽

Pregnant Women ◽

General Practitioners ◽

Social Resources ◽

Focus Group Interviews ◽

Future Studies ◽

Broad Variety ◽

General Practices ◽

Group Interviews ◽

In Pregnancy

Abstract Objective To explore general practitioners’ (GPs’) perceived indicators of vulnerability among pregnant women in primary care. Design A qualitative study with semi-structured in-depth focus group interviews. Setting General practices located in a mixture of urban, semi-urban and rural practices throughout the Region of Southern Denmark Subjects Twenty GPs between 32 and 56 years of age. Main outcome measures Through qualitative analysis and systematic text condensation of the interview data, the following themes emerged: (1) obvious indicators of vulnerability - i.e. somatic or psychological illnesses, or complex social problems and 2) intangible indicators of vulnerability – i.e. identification depended on the GPs’ gut-feeling. From the GPs’ perspective, the concept of vulnerability in pregnancy were perceived as the net result of risk factors and available individual and social resources, with a psychosocial etiology was the dominant framework. Conclusions The GPs demonstrated a broad variety of perceived indicators of vulnerability in pregnancy; most importantly, the GPs were aware of a group of pregnant women with intangible vulnerability. Despite not fitting into the GPs perceived concept of vulnerability, the GPs had a gut feeling that these women might be vulnerable. Misjudging the resources of pregnant women due to their physical appearance could delay the GPs’ identification of vulnerability. Future studies should explore the challenges GPs experiences when assessing vulnerability among pregnant women.

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Insomnia in Pregnancy and Factors Related to Insomnia

The Scientific World JOURNAL ◽

10.1100/2012/197093 ◽

2012 ◽

Vol 2012 ◽

pp. 1-8 ◽

Cited By ~ 42

Author(s):

Aynur Kızılırmak ◽

Sermin Timur ◽

Bahtışen Kartal

Keyword(s):

Pregnant Women ◽

Random Sampling ◽

Sampling Method ◽

Rating Scale ◽

Third Trimester ◽

Cross Sectional ◽

Factors Associated ◽

The Third ◽

Health Initiative ◽

In Pregnancy

This study aims to investigate insomnia experienced by pregnant women and factors associated with it. This study was designed as hospital-based, descriptive, and cross-sectional research. The participants were 486 people chosen with nonprobability random sampling method. The data were collected through Women’s Health Initiative Insomnia Rating Scale, Beck Depression Inventory, and Interview Form. Insomnia prevalence in women participating in this study was found 52.2%. The results of logistic regression analysis showed that the risk of insomnia was 2.03 times higher for those in the third trimester than those in the first and second trimesters, 2.19 times higher for those 20 years old and over than younger ones, and 2.63 times higher for those who had depression syndrome than those who did not. Insomnia in pregnant women who participated in this study was found to be at high rates.

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A QUALITATIVE STUDY ON IMPLEMENTATION OF ORAL AND DENTAL HEALTH SERVICES FOR PREGNANT WOMEN IN PUSKEMAS SUKAMAKMUR BOGOR REGENCY

Jukema (Jurnal Kesehatan Masyarakat Aceh) ◽

10.37598/jukema.v6i1.801 ◽

2020 ◽

Vol 6 (1) ◽

pp. 54-59

Author(s):

Tika Puspa Ryanthi ◽

Evi Martha

Keyword(s):

Qualitative Study ◽

Pregnant Women ◽

Dental Health ◽

Secondary Data ◽

Dental Service ◽

Dental Health Services ◽

Dental Examination ◽

Periodontal Infection ◽

Depth Interviews

Backgraund: Changes in the oral cavity during pregnancy might affect the fetus. If a pregnant woman suffers from a periodontal infection, she is exposed to low birth weight or premature 19.2 times compared to healthy pregnant women. The effects is as big as smoking or alcohol abuse. This study aims to analyze the quality of the oral and dental health service for pregnant women in Puskesmas Sukamakmur according to PMK No 89 of 2015. Method: The design of the research is a qualitative study, by employing RAP in Puskesmas Sukamakmur Bogor Regency in April 2019. Data collection was conducted by in-depth interviews, secondary data and observation. The informants involved in the research were the Head, Dental Clinic Coordinator, KIA Coordinator, midwives, and pregnant women in the working area of Puskesmas Sukamakmur. Result: The research shows that Puskesmas Sukamakmur is supported by adequate human resources and there is no financial and facilities problem. Dental examination are not included in the SOP for ANC there by pregnant women who are referred are only those with dental problems. Conclusion: Based on the analysis of the result, Puskesmas Sukamakmur is not ready yet to perform oral and dental service for pregnant women. Socialization the importance of dental health in pregnant women has not been evenly distributed. Support is needed from Dinas Kesehatan and also Kementrian Kesehatan should include an oral assessment to the guidelines of ANC.

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The lived experiences of pregnant women during COVID-19 pandemic: a descriptive phenomenological study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03691-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Forough Mortazavi ◽

Fatemeh Ghardashi

Keyword(s):

Pregnant Women ◽

Lived Experience ◽

Lived Experiences ◽

Phenomenological Study ◽

Phenomenological Approach ◽

Descriptive Phenomenology ◽

Virtual Training ◽

Pregnancy And Childbirth ◽

Content Analysis Method ◽

Depth Interviews

Abstract Background With the onset of the COVID-19 epidemic, pregnancy and childbirth for women are taking place in unusual circumstances. We explored the lived experiences of pregnant women during the COVID-19 pandemic to better understand their experience of pregnancy so that better support could be provided. Methods We used a descriptive phenomenological approach to understand the lived experience of pregnant women in COVID-19 pandemic. We collected data using a purposive sampling method through in-depth interviews in cyberspace with a semi-structured questionnaire. We used Colaizzi’s seven-step content analysis method to analyze the research data with the help of MAXQDA software version 2020. Results We conducted this descriptive phenomenology study on 19 pregnant women in a period between the 10th to the 20th of May, 2020. The participating women were already pregnant when the first signs of the epidemic appeared in the country and at the time of the interview. We acquired four themes including disruption of the tranquility and regular routines of daily life, new challenges caused by the epidemic, resilience and strength in facing the crisis, and adaptation with new conditions. Conclusions The pregnant women were under intense stress during the COVID-19 outbreak. The general mobilization the health system is necessary for alleviating pregnant women’s difficulties in situations like the COVID-19 epidemic. Virtual training classes and virtual counseling may enhance the peace and tranquility of pregnant women.

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