scholarly journals Antiretroviral initiation of pregnant women and antenatal care booking practices in eThekwini District, KwaZulu-Natal, South Africa

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Nomonde Nozulu ◽  
Bernard M. Gaede
Keyword(s):  
South Africa ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Gestational Age ◽  
Retrospective Chart Review ◽  
Art Initiation ◽  
Kwazulu Natal ◽  
The Mean ◽  
Study Sites ◽  
Mother To Child

Background: The introduction of antiretroviral therapy (ART) in South Africa began as part of the prevention of mother-to-child transmission programme. For significant reduction of vertical transmission, early antenatal care booking and ART initiation are necessary.Aim: This study aimed to evaluate ART initiation and booking practices of women attending antenatal care in eThekwini district during financial years (FY) 2010/2011 and 2013/2014.Methods: An observational study used a retrospective chart review at four eThekwini district community health centres (CHC). From these CHCs, records of women that initiated ART in FY10/11 and FY13/14 were reviewed and compared for ART initiation delays and booking practices.Results: A total of 2749 pregnant women who attended antenatal care (ANC) at the study sites were found eligible for ART; of these, 49% (n = 1334) attended ANC in FY10/11 while 51% (n = 1414) attended in FY13/14. In FY10/11, 46% (n = 610) and 60 % (n = 855) of the womenwere initiated on ART during pregnancy. The mean gestational age at booking for FY10/11 was 20.88 (standard deviation [s.d.] = 5.6) and 18.40 (s.d. = 6.2) in FY13/14. The mean gestational age at ART initiation for women who initiated ART in FY10/11 was 26.30 (s.d. = 6.02) and in FY13/14 it was 19.06 (s.d. = 6.86).Conclusion: In FY13/14 ART initiations occurred within 4 days after booking. ANC booking before 20 weeks was found to have improved between the two years from 39% to 58%;however, on average, in both years women booked during the second trimester.

scholarly journals Timing of antenatal care and ART initiation in HIV-infected pregnant women before and after introduction of NIMART

2014 ◽  
Vol 15 (2) ◽  
pp. 55-56 ◽  
Author(s):  
Coceka Nandipha Mnyani ◽  
E Marinda ◽  
H Struthers ◽  
M Gulley ◽  
R Machepa ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
South African ◽  
Child Transmission ◽  
Community Health Centres ◽  
Art Initiation ◽  
Routinely Collected Data ◽  
Before And After ◽  
Antenatal Clinics ◽  
Mother To Child

In this review of routinely collected data from five community health centres in the Johannesburg Health District, we assess timing of antenatal care and antiretroviral therapy (ART) initiation in HIV-infected pregnant women before and after the introduction of nurse-initiated management of ART in antenatal clinics. There are important lessons to be learnt as we reflect on the South African prevention of mother-to-child transmission of HIV programme.

scholarly journals Resource Utilization and Costs of Care prior to ART Initiation for Pediatric Patients in Zambia

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Hari S. Iyer ◽  
Callie A. Scott ◽  
Deophine Lembela Bwalya ◽  
Gesine Meyer-Rath ◽  
Crispin Moyo ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Blood Chemistry ◽  
Full Blood Count ◽  
National Guidelines ◽  
Art Initiation ◽  
Time To Initiation ◽  
The Mean ◽  
Study Sites ◽  
Cd4 Percentage ◽  
Mean Cost

Objective. We estimated time to initiation, outpatient resource use, and costs of outpatient care during the 6 months prior to ART initiation for HIV-infected pediatric patients in Zambia.Methods. We enrolled 1,102 children who initiated ART at <15 years of age between 2006 and 2011 at 5 study sites. Of these, 832 initiated ART ≤6 months after first presenting to care at the study sites. Data on time in care and resources utilized during the 6 months prior to ART initiation were extracted from patient medical records. Costs were estimated from the provider’s perspective and are reported in 2011 USD.Results. For the patients who initiated ART ≤6 months after presenting to care, median age at presentation to care was 3.9 years; median CD4 percentage was 13%. Median time to ART initiation was 26 days. Patients made, on average, 2.38 clinic visits prior to ART initiation and received 0.81 CD4 tests, 0.74 full blood count tests, and 0.49 blood chemistry tests. The mean cost of pre-ART care was $20 per patient.Conclusions. Zambian pediatric patients initiating ART ≤6 months after presenting to care do so quickly, utilize fewer resources than mandated by national guidelines, and accrue low costs.

scholarly journals Factors influencing the utilisation of prevention of mother-to-child transmission (PMTCT) services by pregnant women in the Eastern Cape, South Africa

2005 ◽  
Vol 10 (1) ◽  
Author(s):  
Karl Peltzer ◽  
Donald Skinner ◽  
Sakhumzi Mfecane ◽  
Olive Shisana ◽  
Ayanda Nqeketo ◽  
...  
Keyword(s):  
South Africa ◽  
Pregnant Women ◽  
Full Text ◽  
Resource Poor Setting ◽  
Eastern Cape ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Factors Influencing ◽  
Resource Poor ◽  
Mother To Child

The aim of the study was to identify factors influencing the utilisation of Prevention of Mother-to-Child Transmission (PMTCT) in a resource poor setting in South Africa. Opsomming Die doel van die studie was om faktore te identifiseer wat die benutting van die Voorkoming van Moeder-tot-Kind Oordrag (VMTKO) beïnvloed in ‘n omgewing in Suid-Afrika wat arm is aan hulpbronne. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

scholarly journals Dietary diversity practice and associated factors among pregnant women attending ANC in Kolfe Keranyo sub city health center, Addis Ababa, Ethiopia.

2020 ◽  
Author(s):  
Tsegahun Worku Brhanie ◽  
Walelgn Tefera ◽  
Mamo Dereje
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Dietary Diversity ◽  
Addis Ababa ◽  
Health Centers ◽  
Nutrition Information ◽  
Monthly Income ◽  
Dietary Diversity Score ◽  
Care Visit ◽  
The Mean

Abstract Background: Adequate and healthy diet during pregnancy is essential for the health of both mother and newborn. Dietary diversity is a proxy indicator of maternal nutrient adequacy. However, little is documented on the prevalence of dietary diversity among pregnant women. This study was aimed to assess the dietary diversity practice and associated factors among pregnant women attending antenatal care in health centers of the coffee keranyo sub city, Addis Ababa, Ethiopia. Methods: Institution based cross-sectional study was conducted on 406 randomly selected pregnant women attending ANC in health centers of the coffee keranyo sub city, Addis Ababa from March 2-April 2/ 2018. Data were collected by using interviewer and 24 H dietary recall method. Data had entered and analyzed using SPSS version 21. Multiple logistic regression was run to assess factors associated with the dependent variable at P<0.05. Results: The mean Dietary Diversity Score of pregnant women was 5. 45+-1. 83. About 60.9% of pregnant women had good dietary diversity practice. Pregnant women who learned collage and above had more dietary diversity practice than the illiterate one [AOR=2.26, 95% CI: (1.066, 4.808)]. Pregnant women with monthly income more than 5,000 ETB had more dietary diversity than income less than 2,000 ETB [AOR=2.33, 95% CI: (1.234, 4.416)]. Pregnant women at second antenatal care visit had more dietary diversity than at the first visit [AOR=2.42, 95% CI: (1.183, 4.952)]. Having nutrition information during pregnancy increases 2 times better dietary diversity practice than none informed ones [AOR=2.10, 95% CI: (1.294, 3.422)].Conclusions: The mean Dietary Diversity Score of pregnant mothers was 5.45. And 60.9% of pregnant women had a good dietary diversity score, whereas 39.1 % of them had a poor diet diversity score. Mothers’ education, monthly income, second and third antenatal care visit and nutrition information had a significantly associated with pregnant mothers’ dietary diversity.

scholarly journals Time of quickening is associated with the placental site and BMI in nulliparous women

2020 ◽  
Author(s):  
Negin Jaafar ◽  
Lars Henning Pedersen ◽  
Olav Bjørn Petersen ◽  
Lone Hvidman
Keyword(s):  
Pregnant Women ◽  
Gestational Age ◽  
Prospective Observational Study ◽  
Nuchal Translucency ◽  
Second Trimester ◽  
Nulliparous Women ◽  
Placental Site ◽  
Fetal Movements ◽  
The Mean ◽  
Important Milestone

AbstractIntroductionQuickening, the first sensation of fetal movements, is an important milestone for pregnant women. Information on the expected gestational age at quickening may reduce anxiety and prevent delayed detection of intrauterine demise but the available data are from the 1980s before the emergence of modern ultrasound techniques.Materials and methodsProspective observational study on nulliparous women blinded for placental location in two hospitals in Denmark. The pregnant women were enrolled at the time of nuchal translucency scan, placental location was determined at time of second trimester scanning.. The women were blinded to placenta location before time of quickening. Time of quickening were reported by 122 women, 65 with an anterior and 57 with a posterior placenta. Thirteen women had a BMI >30 (10.7%).ResultsThe mean gestational age for quickening was 19 + 0 weeks for nulliparous women. The timing depended on placental site; women with an anterior placenta experienced quickening 6.4 days later than the women with a posterior placenta. BMI > 30 was associated with a later time of quickening.ConclusionsAnterior placental location is associated with delay in experience of fetal movements of 6.4 days and this may further be delayed in women with a BMI>30.

The effect of ear acupressure medicine at the “Shen Men” point on the nausea and vomiting during pregnancy

2021 ◽  
Vol 15 (5) ◽  
pp. 1774-1779
Author(s):  
Sanaz Nehbandani ◽  
Hajar Salehi ◽  
Khadije Rezaie Keikhaie ◽  
Hossein Rashki Ghalenow ◽  
Fatemeh Mirzaie ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Gestational Age ◽  
Intervention Group ◽  
Nausea And Vomiting ◽  
Control Group ◽  
Health Clinics ◽  
Significant Difference ◽  
Quasi Experimental ◽  
The Mean ◽  
The Difference

Introduction & Objective: Nausea and vomiting during pregnancy is one of the most common gastrointestinal disorders that more than 85% of pregnant women experience. However, controlling and treating this complication is still one of the most important issues in antenatal care. Therefore, the aim of this study was to investigate the effect of ear acupressure at Shen Men point on relieving nausea, vomiting and retching during pregnancy. Materials and Methods: In this quasi-experimental study, 100 pregnant women with a gestational age of less than 16 weeks attending the health clinics of Zabol city during 2019-2020 were studied in two control and intervention groups (n = 50 in each group). The samples in the intervention group were trained to apply pressure on their ears’ Shen Men point with the thumb for three minutes three times a day (morning, noon, and night), for a duration of one month. At the end of second and fourth weeks, the data were collected using the Rhodes index form and then, were analyzed by SPSS software version 22. Results: According to the results, there was no significant difference between the two groups in terms of age, gestational age, occupation and education. The difference in the mean scores of nausea, vomiting and retching was not statistically significant between the control and intervention groups before the study. But four weeks after the study, a significant difference was observed in the mean scores of vomiting, nausea and retching between the two groups, so that the mean scores of vomiting, nausea and retching were significantly lower in the intervention group than in the control group. Conclusion: The ear acupressure medicine at the Shen men point can be used as a non-invasive, safe and inexpensive method to relieve nausea, vomiting and retching during pregnancy. Keywords: Acupressure medicine, Shen Men, Vomiting, Pregnancy, Nausea, Retching, Rhodosis

scholarly journals The reproductive success of black rhinoceroses in the Hluhluwe–iMfolozi Park, KwaZulu-Natal, South Africa

Koedoe ◽  
2017 ◽  
Vol 59 (1) ◽  
Author(s):  
Zoliswa N. Nhleko ◽  
Dan M. Parker ◽  
Dave J. Druce
Keyword(s):  
South Africa ◽  
Carrying Capacity ◽  
Black Rhinoceros ◽  
Ecological Carrying Capacity ◽  
Diceros Bicornis ◽  
The Poor ◽  
Kwazulu Natal ◽  
Southern Central ◽  
Target Period ◽  
The Mean

Black rhinoceroses (Diceros bicornis) are endangered and the southern-central sub-species (Diceros bicornis minor) is considered critically endangered. We assessed the reproductive lifehistories of black rhinoceroses in Hluhluwe–iMfolozi Park (HiP), KwaZulu-Natal, South Africa, to determine whether this historically important donor sub-population was meeting regional reproductive targets. Detailed life-history information for known individuals (n = 79–120) was used to investigate reproductive parameters between 1998 and 2013. Mean age at sexual maturity was 12 years, which exceeded a target period of 7 years and 5 months. The mean inter-calving interval was 3 years and 8 months – 8 months longer than the recommended 3 years. The poor population performance of the HiP black rhinoceroses could be a result of poor habitat quality, poor animal condition, females losing their first calves, predation of calves or a negative social effect of annual live-harvesting of the population. However, we believe that the estimated ecological carrying capacity of black rhinoceroses at HiP (a figure used to ascertain whether the population can be harvested at all) may be incorrect, leading to the poor reproductive performance. We recommend that the accuracy of the ecological carrying capacity estimate be assessed as a matter of urgency and that a moratorium be placed on the live-harvesting of individuals until the estimate has been refined.Conservation implications: Our results provide key data which can be used to refine black rhinoceros breeding targets in South Africa and the region more broadly

scholarly journals Perceptions of HIV Preexposure Prophylaxis Among Young Pregnant Women from Rural KwaZulu-Natal, South Africa

2019 ◽  
Vol 33 (5) ◽  
pp. 214-219 ◽  
Author(s):  
Laia Vazquez ◽  
Anthony P. Moll ◽  
Alexa Kacin ◽  
Ntombi Euginia Ndlovu ◽  
Sheela V. Shenoi
Keyword(s):  
South Africa ◽  
Pregnant Women ◽  
Preexposure Prophylaxis ◽  
Kwazulu Natal
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