scholarly journals Perspectives of skilled birth attendants and pregnant women regarding episiotomy: a quantitative approach

2021 ◽  
Vol 21 (3) ◽  
pp. 1355-1361
Author(s):  
Dokuba Tex-Jack ◽  
Chinemerem Eleke

Background: The World Health Organization recommended less than 10% episiotomy rate for Skilled Birth Attendants (SBAs) and hospitals in 1996. More than two decades afterwards, some health facilities are still grappling with meeting the set target. Objectives: This study assessed the perspectives of SBAs and pregnant women regarding episiotomy in a Nigerian univer- sity teaching hospital. Methods: A cross-sectional design was employed. Census sampling was used to select 19 SBAS and 973 vaginal birth re- cords from 2019, while consecutive sampling technique was used to enrol 134 consenting pregnant women obtaining ante- natal services in the facility. Data was collected using a three part instrument involving a data extraction sheet, episiotomy practice questionnaire for SBAs, and feelings about episiotomy questionnaire for pregnant women. Assembled data were summarised with descriptive statistics. Results: The episiotomy rate was 345(35.5%). About 266 (77.1%) of first time mothers (primips) and 79(22.9%) of non- first time mothers (multips) received episiotomy. Ten (52.6%) of the SBAs were unsure of any evidence supporting routine episiotomy. All the 19(100%) SBAs reported that there was no existing facility-based policy regarding routine episiotomy. Seventy five (56%) of the pregnant women reported feeling generally bad about episiotomy. One hundred and one (82.3%) of them hinted that they will not feel satisfied if they were given episiotomy with the reason that it ensures quick vaginal birth. Conclusion: The rate of episiotomy was higher than global recommended standards and primips are disproportionately af- fected. If organised by professional societies, more scientific conferences on limiting episiotomy might remedy this situation. Keywords: Episiotomy; birth; pregnant women; vagina; Nigeria.

2019 ◽  
Vol 11 (2) ◽  
pp. 17-28
Author(s):  
Eka Ratna Sari ◽  
Lusi Andriani ◽  
PS. Kurniawati

Anemia in pregnancy is a condition of pregnant woman with hemoglobin (Hb) <11 gr% in the first and third trimesters while in the second trimester hemoglobin level <10,5 gr%. World Health Organization (WHO) in 2012, reported that the prevalence of anemia in pregnant women in the world ranges an average of 14%, in industrialized countries 56% and in developing countries between 35% -75%. This study aims to determined the factors of the occurrence of anemia in third trimester pregnant women in Kampung Melayu sub-district Bengkulu City 2017. This research uses Analytical Survey design with Cross Sectional Approach. Population in this research is third trimester pregnant woman in Kampung Melayu sub-district as many as 106 people, using sample total sampling technique. The analysis used Chi square test with significance level p <0,05.The results of this study indicate that there is a relationship between adherence of Fe (p = 0,000) and knowledge (p = 0,000) with anemia occurrence in third trimester pregnant women, no relationship between age (p = 0,346), parity (p = 0,949) , Education (p = 0.198), occupation (p = 1,000) with anemia and the most dominant factor with anemia was the consumption of Fe tablet (OR = 78,803). Health workers are expected to provide routine counseling on the causes, symptoms, and effects of anemia for pregnant women and screening anemia by checking Hb at least twice during pregnancy.


2021 ◽  
pp. 037957212110020
Author(s):  
Lim Kuang Kuay ◽  
Tan Beng Chin ◽  
Chan Ying Ying ◽  
Husniza Hussain ◽  
Nur Azna Mahmud ◽  
...  

Background: A mandatory universal salt iodization (USI) has been implemented in Sarawak since 2008. Objectives: The aim of this study is to assess the current iodine status among school-aged children (SAC) and pregnant women (PW) after 10 years of USI implementation in Sarawak. Methods: This cross-sectional survey among school-aged children and pregnant women was conducted between July and October 2018 in Sarawak. The multistage proportionate to population size sampling technique was used to select 30 schools and 30 maternal and child health care clinics. A total of 1200 children aged 8 to 10 years and 750 first-trimester pregnant women were randomly selected to participate in the study. Iodine excretion level in urine was determined according to the World Health Organization classification. Results: A total of 988 children and 677 PW participated in the study with a response rate of 82.3% and 90.2%, respectively. The overall median UIC level among the children was 126.0 μg/L (interquartile range [IQR], 71.0-200.9 μg/L) and classified as adequate iodine status. The median UIC among PW was 123.9 μg/L (IQR, 56.5-192.1μg/L) indicating inadequate iodine status. Conclusion: The present findings indicate that despite adequate iodine status in children, the majority of PW still showed inadequate iodine status. Thus, comprehensive monitoring of the iodine deficiency disorder problem among PW is warranted.


2021 ◽  
Vol 10 (2) ◽  
pp. 375
Author(s):  
Yenny Aulya ◽  
Vivi Silawati ◽  
Wulan Safitri

Medical record data at the Sepatan Health Center in 2019 showed that the incidence of preeclampsia from 735 deliveries was obtained as many as 93 people (12.65%) pregnant women who underwent examinations in the January-December 2020 period, and increased to 116 people (13.25%) from 875. childbirth, and in January 2021 there were 35 preeclampsia of pregnant women and 81 preeclampsia of pregnant women, out of 875 deliveries. Analyzing factors associated with preeclampsia of pregnant women during the Covid-19 pandemic at the Sepatan Public Health Center, Tangerang Regency in 2021. Methods This type of research is an analytical survey research, with a cross sectional approach. This population is all pregnant women who experience preeclampsia in January 2021 as many as 35 respondents, using a total sampling technique of 35 respondent’s pregnant women with preeclampsia. The results showed that five variables were statistically proven to have a significant relationship with the incidence of preeclampsia, namely age (p = 0.010 <0.05), parity (p = 0.021 <0.05), history of disease (p = 0.004 <0, 05) multiple pregnancy (p = 0.026 <0.05) and nutritional status (p = 0.007 <0.05). There is a significant relationship between age, parity, history of disease, multiple pregnancies and nutritional status on the incidence of preeclampsia of pregnant women at the Puskesmas Sepatan, Tangerang District in 2021.  For midwives to be more observant in examining preeclampsia, especially age (<20 years or> 35 years), mothers who are pregnant for the first time, have a history of disease, pregnancy with multiple fetuses and nutritional status who are overweight in pregnant women


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Fattorini ◽  
G Raguzzoni ◽  
C Cuccaro ◽  
N Nante ◽  
C Quercioli ◽  
...  

Abstract Background Reduction of maternal mortality ratio (MMR), a key indicator contained in the Sustainable Development Goals (SDGs), is strictly related to maternal empowerment and to an increasing access to skilled care in pregnancy, childbirth and postpartum. The WHO recommends to define alternative roles for Traditional Birth Attendants (TBAs) in the transition from birth with TBAs to birth with Skilled Birth Attendants (SBAs), in particular in countries where maternal care services still do not meet recommended standards. Objectives In 2018, the Italian Non-Governmental Organization Doctors with Africa CUAMM and the District Health Department of Ombadja (a 350000 inhabitants district in Cunene province, south of Angola) started a three-year multifaceted project to support and strengthen local health services. Aim of this work is to describe the first six months of an implemented activity involving 120 local TBAs, identified and trained to perform basic educational talks in the district territory regarding topical issues of mother and child health. TBAs were also engaged in the referral of pregnant women to health facilities with SBAs. Results From June to November 2018, TBAs performed 2272 talks about maternal and child health issues: healthy pregnancy (551 talks, 24.3%), nutrition (404, 17.8%) and malaria (370, 16.3%) were the most debated topics. The total of women’s presences during these educational talks was 57504, and 15379 of them (26.7%) were pregnant. TBAs referred to health facilities 226 pregnant women for a delivery assisted by SBAs. Conclusions Angolan estimated MMR in 2015 was 477/100000 live births: therefore, more efforts should be made to contribute to the achievement of 2030 SDGs target of 70/100000 globally. Moreover, the country percentage of deliveries assisted by SBAs is less than 50%. Promoting alternative roles for TBAs into the mother and child health framework could represent an effective way to improve maternal and neonatal outcomes. Key messages According to the World Health Organization, defining alternative roles for traditional birth attendants could represent an effective way to support the health of women and children. Traditional Birth Attendants can play an important role in providing basic health education and in the “referral chain” of pregnant women to health facilities with skilled birth attendants.


2021 ◽  
Vol 15 (3) ◽  
pp. 1-13
Author(s):  
Prisca Kaunda ◽  
Selbada Leshabari ◽  
Charles Masulani Mwale

Background/Aims Malawi has very high maternal and neonatal mortality rates, often resulting from complications during labour and delivery. Complete recording of a partograph during labour monitoring has been associated with a reduction and prompt management of fatal complications. Although the partograph is an essential tool for monitoring women during labour, there is limited evidence on the status of its recording and associated factors among skilled birth attendants in northern Malawi. The aim of this study was to assess partograph recording and explore factors affecting its recording among skilled birth attendants at the Mzuzu Central Hospital in Malawi. Methods The study used a descriptive cross-sectional design with mixed methods. The study involved a retrospective review of 369 patient partographs, using a data extraction sheet to gather quantitative data, which were analysed using descriptive statistics. Qualitative data were collected through individual in-depth interviews with seven skilled birth attendants working at the hospital, using a semi-structured interview guide and analysed by content analysis. Results Of the 369 partographs that were reviewed, recording was complete in only 12.7% of fetal assessments, 13.3% of maternal assessments and 24.7% of sections recording the progress of labour. The most completely recorded parameter was liquor (71.8%), followed by cervical dilatation (70.5%). The least completely recorded parameters were temperature (13.6%) and urine protein (2.2%). Factors that influenced the recording of a partograph included skilled birth attendants' general knowledge on the partograph, the availability of equipment for assessments, supportive supervision, staffing levels, attendance to in-service training and clients' perception of the frequency of assessments. Conclusions Skilled birth attendants at Mzuzu Central Hospital partially complete partographs during labour. Staffing levels, availability of equipment for assessments, in-service training and supportive supervision are all factors that affect complete partograph recording. Therefore, it is essential to implement strategies that can promote complete partograph recording in order to reduce maternal and newborn morbidity and mortality at this health facility.


Author(s):  
Desi Fitria Neti ◽  
Lukman Waris ◽  
Aris Yulianto

Abstrak Kematian ibu dan anak masih menjadi masalah kesehatan. Risiko mengalami kematian ibu atau bayi bagi ibu melahirkan sangat dipengaruhi di mana seorang ibu hamil memilih penolong persalinan. Studi ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi ibu hamil dalam memilih penolong persalinan di wilayah kerja Puskesmas Malakopa Kabupaten Kepulauan Mentawai. Metode penelitian kuantitatif dengan desain potong lintang. Data dikumpulkan pada Puskesmas Malakopa Kabupaten Kepulauan Mentawai Provinsi Sumatrera Barat bulan Maret 2017. Teknik pengambilan sampel secara random sampling, data dianalisis dengan menggunakan SPSS. Pengumpulan data melalui observasi, wawancara, dan telaah dokumen. Hasil penelitian Ibu hamil di wilayah Puskesmas Malakopa yang memilih bersalin dengan tenaga kesehatan sebesar 62,9%, persalinan ditolong oleh tenaga non kesehatan sebesar 37,1%. Uji statistik menunjukkan tidak terdapat hubungan bermakna antara faktor internal dan eksternal pada kelompok ibu hamil terhadap pemilihan penolong persalinan. Untuk itu disarankan dalam meningkatkan cakupan persalinan nakes di wilayah kerja Puskesmas Malakopa Kabupaten Kepulauan Mentawai diperlukan perhatian kusus bagi tenaga kesehatan terhadap faktor yang mempengaruhi ibu hamil dalam memilih penolong persalinan. Kata kunci: Ibu Hamil, Penolong Persalinan Abstract Maternal and child mortality is still becoming health problem. The risk of having a mother or baby’s death for the mother of childbirth is strongly influenced where a pregnant woman chooses a birth attendant. This study aimed to determine the factors that influence pregnant women in choosing birth attendants in the working area of Malakopa Health Center, Mentawai Islands District. This research is quantitative method with cross- sectional design. Data was collected at Malakopa Health Center, Mentawai Islands District, West Sumatera Province, in March 2017. The sampling technique was random sampling. Data was analyzed using SPSS. Collecting data through observation, interviews, and document review. The results of the study of pregnant women in the Malakopa Health Center area who chose to give birth with health workers were 62.9%, deliveries were assisted by non-health workers by 37.1%. The statistic test showed no significant relationship between internal and external factors in the group of pregnant women on the selection of birth attendants. It is recommended that in increasing coverage of health workers in the working area of the Malakopa Health Center, Mentawai District need special attention for health workers on factors that affect pregnant women in choosing birth attendants. Keywords: Pregnant Women, Birth attendants


2020 ◽  
Vol 14 (1) ◽  
pp. 76-81
Author(s):  
Anna Veronica Pont ◽  
Lisnawati Lisnawati

The World Health Organization (WHO) estimates that around 10% of live births experience complications from postpartum bleeding. The most frequent complication of postpartum bleeding is anemia. The purpose of this study was to determine the relationship of compliance of pregnant women consuming Fe tablets with anemia in the Talise Health Center Community in Palu City. This type of research was a cross-sectional design that involved first and second-semester pregnant women, and as many as 209 people. The number of samples was  34 people. Purposive sampling technique. Univariate and bivariate analysis (chi-square test). The results showed 92.3% of respondents' compliance and 7.7% of anemia, while non-compliant respondents took 37.5% of Fe tablets without anemia, and 62.5% of those who were not obedient and had anemia. Chi-square test results p = 0.004 (<0.05), there was an effect of compliance of pregnant women with anemia in Talise Health Center Community, Palu City. In conclusion, there is an influence of compliance of pregnant women with anemia at the Talise Health Center Community in Palu City. It is recommended to actively conduct counseling about the benefits of Fe tablets during the pregnancy.


1970 ◽  
Vol 7 (1) ◽  
pp. 48-53
Author(s):  
Sheh Mureed ◽  
Muhammad Hassan Gandro ◽  
Walid Hassan

Background: Globally, 3.1 million newborn deaths occur every year out of these estimated 400,000 neonatal deaths occur in Pakistan. All neonatal deaths 99% take place in poorest region and countries of the world, usually within hours of birth; mostly the cause of neonatal deaths is hypoxia. To access knowledge and practice of SBAs regarding HBB and to access the availability of equipments required for HBB. Methods: Descriptive Cross-Sectional Study on SBAs as trained in HBB. All 46 SBAs trained on HBB working in Labour room eight rural Health centers, four Taluka, One district Head Quarter Health Facilities and thirteen Mlbcs of the district, were included in the sample for study. All 41 SBAs were trained on HBB participated in the study. Results: Mean age of 30 years. Out of total 41 participants 25 were working in B-EmoNC (61%), 3in C-EmoNC (7.3%) and 13 in mid wife laid birth Centre (MLBC) or birth station (31.7%). About 92.7% of participants said that main purpose of HBB training is to decrease the NMR by improving newborn care. Drying of newborn is 82.7%, hand washing is 95.12% and 85.3% of the study participants said that they gave 30-40 breaths per minutes. Cord clamp and pair of ties was accessible to 85% of participants versus 14.3% who reported it's not accessible. Almost one quarter (34.1%) participants have low knowledge and practice. Knowledge and training had significant effect on the overall practices of the skilled birth attendants for skilled birth deliveries and reduce the neonatal deaths (P <0.001). Conclusion: Tools play a vital role for the implication of the knowledge into practices and tools were available almost to every participant. Although few barriers also identified for the less application of the helping hand babies trainings in the community.


2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Tabeta Seeiso ◽  
Mamutle M. Todd-Maja

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.


Author(s):  
Yuhemy Zurizah Yuhemy Zurizah

  ABSTRACT Maternal Mortality Rate is a barometer of mother health service in a country. At this time maternal mortality rate in Indonesia is still very high. Indonesia Demography Survey on 2007, maternal mortality rate is about 28 per 100.000 of live births. The direct cause of maternal mortality in Indonesia as well as in the other country is hemorraghe (25%), sepsis (15%), eklampsia (12%), abstructed labor (8%). World Health Organization (WHO), 35-37% of pregnant women in developing coutries get anemy. Causing factor’s of anemy on pregnant women is age of pregnant, parity, economi socio, job, education, and nutritional status. Purpose of this research is to know the associated factors with incidence of anemy on pregnant women at the Health Center Talang Ratu Palembang in 2014. This research use analytic survey method with “cross sectional” approach. Population in this research is all of preganant women in medical treatment at Talang Ratu Palembang in 2014. Sample taking in this research with non random samplingmethod and accidental sampling technic. Analysis with univariatly and bivariatlywith Chi Square Statistic test with significant level α 0,05. The result of this research show that from 35 respondent there is (48,6%) respondent with anemy, high–risk age (28,6%), high parity (60,0%) and low economi socio (37,1%). This result show that there is significant relationship between age with incidence of anemy on pregnant women at the health center Talang Ratu Palembang in 2014 with p value0,027, there is significant relationship between parity with incidence of anemy on pregnant women at the health center Talang Ratu Palemabang in 2014 with p value0,023, and there is significant relationship between economi socio with incidence of anemy on pregnant women at the health center Talang Ratu Palembang in 2014 with p value0,026. Of the result, the author hope that health service worker at Talang Ratu health center can improve health service to pregnant women and often giving information about anemy on pregnant and nutritional for pregnant women during pregnancy.     ABSTRAK Angka Kematian Ibu (AKI) merupakan barometer pelayanan kesehatan ibu di suatu negara. Pada saat ini angka kematian ibu di Indonesia masih sangat tinggi. Menurut Survey Demografi dan Kesehatan Indonesia (SDKI) tahun 2007, angka kematian kematian ibu adalah 28 per 100.000 kelahiran hidup. Penyebab langsung kematian ibu di Indonesia seperti halnya Negara lain adalah perdarahan (25%), sepsis (15%), eklampsi (12%), partus lama (8%). Menurut World Health Organization (WHO), 35-37% ibu hamil di negara berkembang dan 18% di negara  maju mengalami anemia. Faktor penyebab terjadinya anemia pada ibu hamil secara tidak langsung adalah umur ibu, paritas, sosial ekonomi, pekerjaan, pendidikan, jarak kehamilan, dan status gizi.Tujuan penelitian ini adalah untuk mengetahui faktor - faktor apa saja yang berhubungan dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014. Penelitian ini menggunakan metode survey analitikdengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil yang berobat di Puskesmas Talang Ratu Palembang Tahun 2014. Pengambilan sampel pada penelitian ini dengan metode non random sampling dengan teknik Accidental sampling. Analisis dilakukan secara univariat dan bivariat. Dengan uji statistik chi square tingkat kemaknaan α 0,05. Hasil penelitian menunjukkan dari 35 responden terdapat (48,6%) responden yang anemia, umur yang beresiko  tinggi (28,6%), paritas tinggi (60,0%), dan sosial ekonomi rendah (37,1%). Hasil penelitian ini menunjukkan ada hubungan yang bermakna antara umur dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan  p value0,027,  ada hubungan bermakna antara paritas dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan p value0,023 dan ada hubungan yang bermakna antara sosial ekonomi dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan p value0,026. Dari hasil penelitian ini penulis berharap petugas kesehatan di Puskesmas Talang Ratu Palembang meningkatkan pelayanan kesehatan pada ibu hamil dan lebih sering melaksanakan penyuluhan anemia pada kehamilan dan nutrisi yang baik bagi ibu hamil.    


Sign in / Sign up

Export Citation Format

Share Document