Covariates of Pica among Pregnant Women Attending Antenatal Care at Kawempe Hospital, Kampala, Uganda: A Cross-Sectional Study

Author(s):  
Olivia Nakiyemba ◽  
Susan Obore ◽  
Milton Musaba ◽  
Julius Wandabwa ◽  
Paul Kiondo

Pica is the craving and purposive eating of nonfood items. It is common worldwide and presents among vulnerable populations like children and pregnant women. Its etiology and health consequences are not well understood. The aim of this study was to determine the prevalence and covariates of pica among pregnant women attending antenatal clinic at Kawempe hospital in Uganda. We conducted a cross-sectional study from July 2019 to December 2019. Participants in this study were 307 pregnant women who had come to attend antenatal clinic at the hospital. The prevalence of pica was computed. Bivariate and multivariable analysis was done to establish the factors that were independently associated with pica. The prevalence of pica was 57%. The most common type of pica was geophagia (eating clay and sand) followed by pagophagia (eating ice). Of the women who practiced pica, half consumed the nonfood items daily. Factors independently associated with pica were being in the third trimester (adjusted OR [aOR]: 3.60; 95% CI: 1.36–9.48] and having nausea in pregnancy (aOR: 2.11; 95% CI: 1.20–3.70). At Kawempe hospital, pica is common among women who attend the antenatal clinic and is associated with having nausea in pregnancy and being in the third trimester. Health workers need to counsel pregnant women about the dangers of pica so as to reduce helminth infections and micronutrient deficiency associated with it.

2019 ◽  
Author(s):  
Samson Udho ◽  
Joyce Nankumbi ◽  
Mariam Namutebi ◽  
Grace Ndeezi ◽  
Joshua Epuitai ◽  
...  

Abstract Background Iron deficiency is a leading cause of anemia among pregnant women in Uganda. However, due to the high cost of biochemical tests required to determine iron deficiency, the prevalence and factors associated with iron deficiency remain largely unstudied in our setting. Therefore, this study aimed at determining the prevalence of iron deficiency and its associated factors among pregnant women attending an antenatal clinic, Lira District-Uganda.Methods A cross-sectional study was conducted among 320 pregnant women attending an antenatal clinic at Lira Regional Referral Hospital. Maternal serum ferritin was used as a measure of iron deficiency and was determined using a Cobas 6000 Automated Analyzer. Iron deficiency was based on serum ferritin of <30 μg/L. A semi-structured questionnaire was used to obtain the characteristics of the study participants. Binary and multivariate logistic regression were performed to identify the associated factors.Results The prevalence of iron deficiency was 45%. Non-adherence to iron supplements (AOR: 2.05 95% CI: 1.02-4.12) & third trimester pregnancy (AOR: 1.88 95% CI: 1.20-2.94) were significantly associated with iron deficiency during pregnancy.Conclusion Nearly 5 in 10 of the participants had iron deficiency. Iron deficiency during pregnancy was associated with non-adherence to iron supplements and being in the third trimester of pregnancy. Midwives should encourage pregnant women to adhere to iron supplements during pregnancy especially pregnant women who are in the third trimester.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Najmieh Saadati ◽  
Poorandokht Afshari ◽  
Hatam Boostani ◽  
Maryam Beheshtinasab ◽  
Parvin Abedi ◽  
...  

Abstract Background The COVID-19 pandemic has affected many countries around the world and Iran was no exception. The aim of this study was to evaluate health anxiety of Iranian pregnant women during the COVID-19 pandemic. Methods In this cross-sectional study, 300 pregnant women in different trimesters (n = 100 in each trimester) were recruited. A demographic questionnaire and the Health Anxiety Questionnaire were used to collect data. Scores of < 27, 27–34 and more than 35 were defined as low, moderate and high health anxiety, respectively. Due to nationwide restrictions, data were collected through social media groups. Chi-square tests, ANOVA and multiple linear regression were used to analyze the data. Results Mean (SD) total anxiety scores were 22.3 ± 9.5, 24.6 ± 9.3 and 25.4 ± 10.6 in the first, second and third trimesters of pregnancy, respectively. 9, 13 and 21% of women had severe anxiety in the first, second and third trimesters of pregnancy, respectively. Women in the third trimester had significantly higher health anxiety scores than those in the first trimester (p = 0.045). Conclusion At the time of the COVID-19 pandemic, women in the second and third trimesters of pregnancy were more worried about consequences of disease, but total health anxiety scores were significantly higher among women in the third trimester of pregnancy. Health care providers should pay more attention to the mental health of pregnant women in times of crises such as the COVID-19 pandemic.


2020 ◽  
Author(s):  
Najmieh Saadati ◽  
Poorandokht Afshari ◽  
Hatam Boostani ◽  
Maryam Beheshtinasab ◽  
Parvin Abedi ◽  
...  

Abstract Background: The pandemic of COVID-19 affected many countries around the world and Iran was no exception. The aim of this study was to evaluate the health anxiety of the Iranian pregnant women during the pandemic of the COVID-19. Methods: In this cross-sectional study, 300 pregnant women in different trimesters (n=100 in each trimester) were recruited. A demographic questionnaire and the Health Anxiety questionnaire were used to collect the data. The total score < 27 of means low health anxiety, scores between 27-34 mean moderate health anxiety, and scores more than 35 means high health anxiety. Due to nationwide restrictions, data were collected through social media groups. The chi-square, ANOVA and multiple linear regression were used to analyze the data. Results: The total score of anxiety was 22.3±9.5, 24.6±9.3 and 25.4±10.6 in the first, second and third trimester of pregnancy, respectively. Particularly, 9%, 13% and 21% of the women had severe anxiety or scores≥35 in the first, second and third trimester of pregnancy respectively. Pregnant women in the third trimester had significantly higher health anxiety score and higher scores of “total health anxiety” than did those in the first trimester (p=0.045). Conclusion: At the time of the pandemic of COVID-19, women in the second and third trimester of pregnancy were more worried about consequences of disease, but the total score of health anxiety was significantly higher among women in the third trimester of pregnancy. Health care providers should pay more attention to the mental health of pregnant women in times of crises such as Corona pandemic.


2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Alfie Ardiana Sari ◽  
Dian Puspitasari

Abstract: Yoga in Pregnant, Physical and Psychological Of Preparation. During pregnancy will change physically and psychologically that will be experienced by a mother. These changes may cause discomfort, especially in the third trimester. Therefore pregnant women should receive care in pregnancy to be able to adapt to changes both physical and psychological. The purpose of care during pregnancy to prepare for childbirth which is physiological with the aim of mother and fetus will be born in a healthy state. One of the alternative ways to prepare for the physical and psychological mother in the face of labor is a pregnancy yoga exercises. The design of this study was a quantitative research with a cross-sectional study design. Population in this study were all pregnant women who do yoga exercises in Antepartum Gentle Yoga class at Hotel of Puri Artha Yogyakarta. The population in this study of 24 respondents. the instruments used questionnaires. The data were analyzed by bivariate. There was a significant correlation (p<0.001)between yoga exercise on physical and psychological preparation of pregnant women during labor. Yoga of pregnancy can help pregnant to prepare physically and psychology during labor


2020 ◽  
Vol 5 (2) ◽  
pp. 104-116
Author(s):  
Eva Nurhidayati ◽  
Emdat Suprayitno

Background: K4 is the fourth prenatal check-up visit for health workers to obtain antenatal care according to standards and to detect complications as early as possible during pregnancy. The K4 coverage in Batang-Batang Daya village, the working area of ​​the Batang-Batang Puskesmas is still below the target in 2018. The purpose of this study was to determine the relationship between husband's support and the decision of pregnant women in carrying out K4 examinations. Methods: The design of this study is analytic correlational with a cross-sectional study approach, the population of pregnant women in the third trimester of pregnancy in Batang-Batang Daya Village in 2019 was 27 respondents, using total sampling techniques, husband's support data was collected using a valid and reliable questionnaire. K4 examination data used a checklist in the KIA book, and the statistical test used was Chi-Square with an expected value of less than 5. Result: The results showed that most of the pregnant women received support from their husbands as many as 20 people (74.1). Most of the pregnant women underwent a K4 examination (4th pregnancy visit), as many as 20 people (74.1%). The analysis result from the Chi-Square test shows the value (ρ) = 0.000. Conclusion: It can be concluded that the husband's support is related to the decision by pregnant women to carry out K4 examinations. Husbands should always provide support to their wives to carry out routine checks so that pregnant women are motivated to carry out K4 examinations, and are more confident about carrying out their pregnancy.


Author(s):  
Reza Shekarriz-Foumani ◽  
Fakhrolmolouk Yassaee ◽  
Sara Tarokh ◽  
Mahbobeh Taheri

Background: There is evidence suggesting that the pregnancy outcome may be affected by some medical conditions, such as liver diseases. Objective: The present study aimed to investigate the prevalence of liver disease and its outcomes in pregnant women referred to antenatal clinic in the hospital. Materials and Methods: In this cross-sectional study, all pregnant women with abnormal liver function test attending antenatal clinic affiliated to Shahid Beheshti University of Medical Sciences were recruited from August 2017 to July 2018. All participants were followed-up until delivery with respect to the maternal and neonatal outcome. Results: Of a total of 7,121 pregnant women recruited in the study, 110 (1.58%) women were detected with a liver disease; of these, 105 women were diagnosed with pregnancy-specific liver diseases, including HELLP syndrome (10.9%), preeclampsia (50.98%), partial HELLP (0.9%), eclampsia (0.9%), acute fatty liver (9.1%), intra-hepatic cholestasis 25 (22.7%), and 5 women the non-pregnancy-specific liver disease, including Liver transplantation (2.7%), and Autoimmune hepatitis (1.8%). Prevalence of the premature birth was 64.5% in pregnancy-specific liver disease, but no premature birth was detected in cases with liver transplantation. We found that neonatal mortality was significantly associated with neonatal prematurity (p = 0.013), IUGR (p < 0.001), placental pathology (p = 0.04), we had no maternal mortality. Conclusion: Liver disease is not uncommon in pregnancy. This study demonstrated that pregnancy is safe in women with liver disease. Key words: Liver diseases, Maternal, Outcome, Neonatal, Pregnancy.


2021 ◽  
Author(s):  
Najmieh Saadati ◽  
Poorandokht Afshari ◽  
Hatam Boostani ◽  
Maryam Beheshtinasab ◽  
Parvin Abedi ◽  
...  

Abstract Background: The COVID-19 pandemic has affected many countries around the world and Iran was no exception. The aim of this study was to evaluate health anxiety of Iranian pregnant women during the COVID-19 pandemic. Methods: In this cross-sectional study, 300 pregnant women in different trimesters (n=100 in each trimester) were recruited. A demographic questionnaire and the Health Anxiety Questionnaire were used to collect data. Scores of <27, 27-34 and more than 35 were defined as low, moderate and high health anxiety, respectively. Due to nationwide restrictions, data were collected through social media groups. Chi-square tests, ANOVA and multiple linear regression were used to analyze the data. Results: Mean (SD) total anxiety scores were 22.3±9.5, 24.6±9.3 and 25.4±10.6 in the first, second and third trimesters of pregnancy, respectively. 9%, 13% and 21% of women had severe anxiety in the first, second and third trimesters of pregnancy, respectively. Women in the third trimester had significantly higher health anxiety scores than those in the first trimester (p=0.045). Conclusion: At the time of the COVID-19 pandemic, women in the second and third trimesters of pregnancy were more worried about consequences of disease, but total health anxiety scores were significantly higher among women in the third trimester of pregnancy. Health care providers should pay more attention to the mental health of pregnant women in times of crises such as the COVID-19 pandemic.


2020 ◽  
Author(s):  
Najmieh Saadati ◽  
Poorandokht Afshari ◽  
Hatam Boostani ◽  
Maryam Beheshtinasab ◽  
Parvin Abedi ◽  
...  

Abstract Background: The pandemic of COVID-19 affected many countries as well as Iran. The aim of this study was to evaluate the health anxiety of the Iranian pregnant women in time of the pandemic of the COVID-19. Methods: In this cross-sectional study 300 pregnant women in different trimesters (n=100 in each trimester) were recruited. A demographic questionnaire and the Health Anxiety questionnaire were used to collect data. Because of quarantine data were collected through social media groups. The chi-square, ANOVA and multiple linear regression were used to analyze data. Results: The total score of anxiety was 22.3±9.5, 24.6±9.3 and 25.4±10.6 in the first, second and third trimester of pregnancy. In total, 9%, 13% and 21% of the women had severe anxiety or scores≥35 in the first, second and third trimester of pregnancy respectively. Pregnant women in the third trimester significantly had more health anxiety score and higher scores of “total health anxiety” than the first trimester ones(p=0.045). Conclusion: At the time of the pandemic of COVID-19, women in the second and third trimester of pregnancy were more worry about consequences of disease, but the total score of health anxiety was significantly more in the women in the third trimester of pregnancy. Health care providers should pay more attention to the mental health of pregnant women in times of crises such as Corona pandemic.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saran Tenzin Tamang ◽  
Thinley Dorji ◽  
Sonam Yoezer ◽  
Thinley Phuntsho ◽  
Phurb Dorji

Abstract Background The third Sustainable Development Goal for 2030 development agenda aims to reduce maternal and newborn deaths. Pregnant women’s understanding of danger signs is an important factor in seeking timely care during emergencies. We assessed knowledge of obstetric danger signs using both recall and understanding of appropriate action required during obstetric emergencies. Methods This was a cross-sectional study among pregnant women attending antenatal clinic at Bhutan’s largest hospital in Thimphu. Recall was assessed against seven obstetric danger signs outlined in the Mother and Child Health Handbook (7 points). Understanding of danger signs was tested using 13 multiple choice questions (13 points). Knowledge was scored out of 20 points and reported as ‘good’ (≥80%), ‘satisfactory’ (60–79%) and ‘poor’ (< 60%). Correlation between participant characteristics and knowledge score as well as number of danger signs recalled was tested using Pearson’s correlation coefficient. Association between knowledge score and participant characteristics was tested using t-tests (and Kruskal-Wallis test) for numeric variables. Socio-demographic and clinical characteristics associated with the level of knowledge ('good’ versus ‘satisfactory’ and ‘poor’ combined) were assessed with odds ratios using a log-binomial regression model. All results with p < 0.05 were considered significant. Results Four hundred and twenty-two women responded to the survey (response rate = 96.0%). Mean (±SD) knowledge score was 12 (±2.5). Twenty women (4.7%) had ‘good’ knowledge, 245 (58.1%) had ‘satisfactory’ knowledge and 157 (37.2%) had ‘poor’ knowledge. The median number of danger signs recalled was 2 (IQR 1, 3) while 68 women (20.3%) could not recall any danger signs. Most women were knowledgeable about pre-labour rupture of membranes (96.0%) while very few women were knowledgeable about spotting during pregnancy (19.9%). Both knowledge score and number of danger signs recalled had significant correlation with the period of gestation. Women with previous surgery on the reproductive tract had higher odds of having ‘good’ level of knowledge. Conclusions Most pregnant women had ‘satisfactory’ knowledge score with poor explicit recall of danger signs. However, women recognized obstetric emergencies and identified the appropriate action warranted.


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