Knowledge and Hygiene Practices of Pregnant Women Regarding CMV Infection

2021 ◽  
Vol 6 (11) ◽  
pp. 39-42
Author(s):  
Sena Ceren Tatar ◽  
Ayse Filiz Gokmen Karasu ◽  
Sebnem Alanya Tosun

Aim: Cytomegalovirus (CMV) is a herpes virus and a common pathogen responsible for congenital infection in 4-23% of all newborns. The objective of this study was to assess the pregnant women’s knowledge of CMV infection and to investigate their hygienic practices when attending to their young children. Material and Method: This study was carried out at Bezmialem Vakif University Medical Faculty obstetric outpatient clinic. Inclusion criteria were pregnant women 1) who were able to communicate in Turkish, 2) who had at least one child < 5 years of age. We excluded pregnant participants who were health workers. Participants were approached by a medical college student and informed about the study. After giving consent they were asked to fill out a questionnaire which included demographic questions, knowledge questions regarding CMV infection and questions regarding hygienic practices when giving care to their young children. The questionnaires were collected and a total behavioral score was calculated taking into account positive and negative hygienic practices. Results: A total of two hundred and twenty five participants were involved in the survey. Only 86 (38.2%) of the participants in our study had heard of congenital CMV infection. CMV awareness was correlated with having higher education (p:0.02) and employment status (p=0.03). The behavioral score was not correlated with age (p=0.98), educational attainment ( p=0.11), employment status (p=0.9) or number of children, (p=0.87). Conclusion: In this cross sectional study we have shown that CMV infection knowledge of mothers is low and that they do not adhere to adequate sanitation measures. Strategies to raise awareness and initiating education programs are necessary as further action.

Author(s):  
Iftah Tazkiyah ◽  
◽  
Sudarto Ronoatmodjo ◽  

Background: Menopause was the time of life when menstrual cycles cease and are caused by reduced secretion of the ovarian hormones estrogen and progesterone. the proportion of women aged menopause increases with increasing age. This study aimed to find the relationship between employment status, age at first delivery, number of children and smoking status to the incidence of early menopause in women aged 30 to 40 years. Subjects and Method: This was a cross sectional study conducted from secondary data Indonesian Health Data Survey (IDHS), 2017. The inclusion criteria were female respondents 30-40 years old with who are married and use contraceptives. The dependent variable was early menopause. The independent variables were employment status, age at first delivery, number of children and smoking status. The data were analyzed by chi-square and logistic regression. Results: This study found that women aged 30-40 years who had menopause were 10.3%. From the multivariate results, it was found that women who had more than 2 children had a 1.4 times greater risk of early menopause (OR= 1.43, 95% CI= 1.43 to 1.26). Women who have jobs have a 0.5 times greater risk of premature menopause than women who do not work (OR= 0.55, 95% CI= 0.49 to 0.61). The most dominant variable related to the incidence of menopause is the number of children. Conclusion: The family planning program needs to be increased in order to provide counseling on long-term family planning and how to plan to have children and prepare for menopause. Keywords: early menopause, number of children, childbirth age, smoking Correspondence: Iftah Tazkiyah. Master program in Public Health, University of Indonesia. Pondok Cina, Beji district, Depok city, West Java 12345. E-mail: [email protected]. Mobile: 08118002454. DOI: https://doi.org/10.26911/the7thicph.02.12


2019 ◽  
Vol 19 (3) ◽  
pp. 661
Author(s):  
Desi Andriani ◽  
Husna Yetti ◽  
Roza Sriyanti

Antenatal care or antenatal care is a planned program that is observation, education and medical treatment for pregnant women, to obtain a safe and satisfying pregnancy and childbirth process. The indicator used to assess the access of pregnant women to antenatal care is K1 direction (first visit) is the contact of pregnant women to health workers and K4 (perspective visit) is 4 or more times contact with health workers. From the data of the Padang City Health Office, it was found that the Air Tawar Puskesmas with this low level was caused by various factors. The purpose of this study was to determine factors related to the use of antenatal services. This type of research is a quantitative study with cross sectional study design with 110 respondents of third trimester pregnant women with purposive sampling technique. Data analysis was performed univariate, bivariate with Chi squre test. From the research results obtained from the five factors studied, it was found that the factors related to the use of antenatal services in freshwater health centers were access or distance with pvalue 0.009 = OR 21.676), service availability factors with a p value of 0.001 = OR 9.293, the role factor midwives with a p value of 0.001 = OR 12.302, while the family income factor, disease complaints obtained results have nothing to do with the use of antenatal services. The author's suggestion is that there is a need for good coordination with the Independent Practice Midwife (BPM), revitalize puskesmas to more strategic places and improve better facilities, improve accessibility that can be minimized, strive to reach pregnant women, especially for accessibility that is less affordable.


2021 ◽  
Vol 63 (1) ◽  
pp. 31-35
Author(s):  
Hiba Raad Saeed ◽  
Besmah Mohamad Ali ◽  
Jawad K. AL-Diwan

Background: Domestic violence against women is a public health problem that affects more than one third of all women globally. It includes any physical, sexual or emotional abuse imposed upon women within family relationships. Several studies in Iraq demonstrated that domestic violence has been increasing over the past two decades. Objective: Determine the prevalence of domestic violence against pregnant women and factors associated with it. Patients and methods: A total of 345 pregnant women were included in a cross- sectional study conducted during the period from July - November 2018. They were selected through multistage random sampling from four Primary Health Care Centers in Baghdad. An Abuse Assessment Screen was used, with a known validity and reliability. Result: The overall prevalence of domestic violence was 37.1%. It was 9.0% during pregnancy. There were significant associations between domestic violence during pregnancy and the duration of marriage, husband’s age at marriage, husband’s consumption of alcohol and  the number of children. Conclusion: Pregnancy acts as a protective factor against domestic violence


2021 ◽  
Vol 1 (2) ◽  
pp. 116-122
Author(s):  
Mst. Salma Khatun ◽  
Laskhy Rani Roy ◽  
Mst. Raziatul Humayra ◽  
Ashees Kumar Saha ◽  
Rowshan Ara

Adequate knowledge regarding danger signs during pregnancy, child birth and postpartum period plays a vital role in safeguarding mothers as well as child health. This cross sectional study was conducted by purposively selected 262 pregnant women in two hospitals in Bogura district from 1st January to 31st December, 2018 with the aim to assess the knowledge of pregnant women on danger signs related to pregnancy and child birth. Data were collected with a semi-structured questionnaire through face-to-face interview. The mean age of the respondent’s was SD = 23.37 ± 4.47 years. Most of the respondents 61.4%, (n=161) knew about danger signs during pregnancy from health workers and 65.6 % (n=172) had poor knowledge regarding danger signs during pregnancy whereas 34.4% (n=90) respondents had good knowledge. Most of the respondents 61.5%, (n=161) understood danger signs during child birth and 68.7 % (n=180) had poor knowledge regarding danger signs during child birth. Among the respondents 40.5% (n=106) understood dang.er signs after child birth and only 12.2% (n=32) respondents had good knowledge regarding danger signs after child birth. Significant association was found between age of the respondents and level of knowledge regarding danger signs during pregnancy (p=0.0001). Health education on danger signs related to pregnancy and child birth should be imparted to all pregnant women to increase their knowledge regarding this issue.


2020 ◽  

Background: Cytomegalovirus (CMV) can vertically transmit from infected mothers to fetuses and causes congenital infection in newborns. Unfortunately, there have been limited data available on the prevalence of congenital CMV (cCMV) infection among Iranian neonates at higher risk of infection. Objectives: The current study aimed to assess the prevalence of cCMV infection among hospitalized neonates in Tehran, Iran, and investigate the diagnostic values of CMV polymerase chain reaction (PCR) on Guthrie cards in comparison to those reported for urine specimens. Methods: This cross-sectional study was carried out on the hospitalized neonates with 3 weeks of age. The urine specimens and Guthrie cards were taken from each eligible newborn. Total nucleic acid was extracted from the samples and tested by PCR for the presence of CMV deoxyribonucleic acid. The cCMV infection was confirmed in the newborns, and the infected neonates underwent further evaluation. Results: Out of 224 newborns, CMV infection was identified in 11 neonates (4.9%). There were no factors in association with cCMV infection. The sensitivity and specificity of dried blood spot (DBS) samples for the identification of newborns with cCMV infection were 90% and 99%, respectively. Conclusions: A significant number of hospitalized neonates in the present study were infected with cCMV infection. The results of the current study revealed that Guthrie cards had adequate sensitivity for the identification of CMV infection in the hospitalized newborns. Since symptomatic newborns with cCMV infection have a higher chance for the development of early- or late-onset sequelae of infection, it is recommended to diagnose and treat this group of newborns.


2019 ◽  
Vol 10 (2) ◽  
pp. 111-118
Author(s):  
Serawati Dewi ◽  
Yuni Romalita ◽  
Yusriani Yusriani ◽  
Muhammad Khidri Alwi

Latar belakang: Angka Kematian Ibu (AKI) merupakan salah satu indikator pembangunan kesehatan di Indonesia. Upaya percepatan penurunan AKI dapat dilakukan dengan menjamin agar setiap ibu mampu mengakses pelayanan kesehatan ibu hamil yang berkualitas. Apabila antenatal care dimanfaatkan dengan baik maka kesehatan ibu dapat terpantau secara berkesinambungan dari masa kehamilan sampai dengan persalinan. Metode: Desain penelitian adalah kuantitatif dengan rancangan cross sectional study. Populasi pada penelitian ini adalah semua ibu yang memiliki bayi usia 0-11 bulan di Kabupaten Gowa sebanyak 122 orang. Sampel sebanyak 93 orang diambil dengan menggunakan teknik accidental sampling, besar sampel ditentukan dengan menggunakan rumus Slovin Hasil: Persepsi ibu hamil terhadap peran petugas kesehatan dalam pelayanan antenatal berdasarkan pengorbanan moneter tidak menunjukkan korelasi. Ibu hamil yang memiliki persepsi pengorbanan moneter kecil dan mengatakan peran petugas kesehatan kurang dalam pelayanan antenatal sebanyak 90,0%. Ibu hamil yang memiliki persepsi pengorbanan moneter sangat kecil dan mengatakan peran petugas kesehatan kurang sebanyak 83.1%. Sedangkan persepsi pengorbanan waktu menunjukkan adanya korelasi dengan peran petugas kesehatan dalam pelayanan antenatal. Ibu hamil yang memiliki persepsi pengorbanan waktu besar dan mengatakan peran petugas kesehatan kurang dalam pelayanan antenatal sebanyak 100%. Ibu hamil yang memiliki persepsi pengorbanan moneter besar dan mengatakan peran petugas kesehatan kurang dalam pelayanan antenatal sebanyak 90.2%. Kesimpulan: Persepsi ibu hamil terhadap peran petugas kesehatan dalam pelayanan antenatal berdasarkan pengorbanan moneter tidak menunjukkan korelasi sedangkan berdasarkan pengorbanan waktu menunjukkan ada korelasi. Perlu meningkatkan kecepatan proses pelayanan pemeriksaan kehamilan pada ibu hamil oleh tenaga kesehatan. Kata kunci: Pelayanan antenatal, Ibu Hamil, Pengorbanan, Waktu, Moneter   Abstract Background: Maternal Mortality Rate (MMR) is one indicator of health development in Indonesia. Efforts to accelerate the reduction of MMR can be done by ensuring that every mother is able to access quality maternal health services. If antenatal care is utilized properly, maternal health can be monitored continuously from pregnancy to delivery. Methods: The study design was quantitative with a cross sectional study design. The population in this study were all pregnant women who had a gestational age of 7 to 9 months in Gowa Regency as many as 122 people. A sample of 93 people was taken using accidental sampling technique, the sample size was determined using the Slovin formula. Results: Perception of pregnant women towards the role of health workers in antenatal care based on monetary sacrifice did not show a correlation. Pregnant women who have a perception of small monetary sacrifice and say the role of health workers is lacking in antenatal care are 90.0%. Pregnant women who have a perception of monetary sacrifice are very small and say the role of health workers is less as much as 83.1%. While the perception of sacrifice of time shows a correlation with the role of health workers in antenatal care. Pregnant women who have the perception of sacrifice of big time and say the role of health workers lacking in antenatal care as much as 100%. Pregnant women who have a perception of great monetary sacrifice and say the role of health workers is lacking in antenatal care are 90.2%. Conclusion: Perception of pregnant women towards the role of health workers in antenatal care based on monetary sacrifice does not show correlation while based on time sacrifice shows there is correlation. Need to increase the speed of the process of pregnancy examination services for pregnant women by health workers. Keywords: Antenatal care, Pregnant Women, Sacrifice, Time, Monetary


2019 ◽  
Vol 53 (4) ◽  
Author(s):  
Lovella C. Condeza ◽  
Christopher B. Arguelles ◽  
Cris F. Velez ◽  
Glenda M. Labadan ◽  
Emmanuel S. Baja ◽  
...  

Background. The roll-over test is a simple, easily available clinical test using the sphygmomanometer to predict pregnancy-induced hypertension starting at 20 weeks age of gestation (AOG). However, the roll-over test is not part of the standard prenatal care in government health facilities even if health workers can easily perform the test. Objectives. To validate the roll-over test at the 20th weeks of gestation and to determine the risk factors for preeclampsia in 4 health districts of Surigao City, a province in the CARAGA Region of the Philippines. Methods. A total of 190 pregnant women without history of hypertension during their previous pregnancies from 4 health districts in Surigao City, Philippines were consecutively enrolled from May 2014 to October 2014 in a cross-sectional study design. The roll-over test was done using the method described in Williams Obstetrics and the validity of the roll-over test was measured. Bivariate and multivariate analyses were done to determine risk factors for preeclampsia. Results. Seven of the 190 women developed preeclampsia. The sensitivity of the rollover test done at 20 weeks AOG was 43% and the specificity was 81%. Maternal age, history of urinary tract infection (UTI) and a positive rollover test were associated with preeclampsia. Conclusion. Pregnant women whose ages are <20 years or >29 years old, or who had a history of UTI, or a positive roll-over test are more likely to develop preeclampsia. Roll-over test has a low sensitivity at 20 weeks AOG. More studies are warranted to explore the improvement of its predictive value in other AOG.


2019 ◽  
Vol 14 (2) ◽  
pp. 163
Author(s):  
Alfi Syahar Yakub ◽  
Iwan Sain ◽  
Sukma Saeni

Preeclampsia is the onset of hypertension with proteinuria due to pregnancy, after 20 weeks' gestation or immediately after delivery. These symptoms can occur before 20 weeks if trophoblastic disease occurs. This study aims to determine the relationship between age and maternal parity with the incidence of pre-eclampsia in pregnant women in the work area of the Puskesmas Mangasa, Makassar City. The research design used in this study was descriptive analytic research with a cross sectional study design. Conducted from July to October 2018, with a sample of 70 respondents. In this study showed that there was no relationship between the age of pregnant women and the incidence of preeclampsia with a value of p (1.00)> 0.05 and there was no relationship between parity and the incidence of preeclampsia with a value of p (1.00)> 0.05. It is recommended for health workers to be intensive in detecting the presence of preeclampsia in pregnant women and counseling about the importance of routine antenatal care to as early as possible be aware of the risk of the occurrence of preeclampsia-eclampsia in pregnancy and for further researchers, further research is needed to find factors related to the incidence of preeclampsia so that the results are in accordance with the theory, such as parity, hypertension history and Antenatal Care examination.


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.


2017 ◽  
Vol 5 (3) ◽  
pp. 325
Author(s):  
Diah Triratnasari

Tetanus problems are still the cause of neonatal death in Indonesia. Maternal and Neonatal Tetanus Elimination Program is a program to improve maternal and child health and evenly to be free from Tetanus disease by Immunization of Tetanus Diphtheria during pregnancy, its aims to build immunity in the mother and baby to avoid Tetanus infection. Tetanus Neonatorum case in 2014 in Indonesia amounted to 54 cases with the non-immunization status of Tetanus Diphtheria. The number of pregnant women targeted by Tetanus Diphtheria immunization in the work area of Burneh Sub-District Health Center of Bangkalan District is 1073 pregnant women in 2016, but it just covered 585 pregnant women. This research was conducted with a cross sectional design with the number of samples taken by 93 mothers who became the target of Tetanus Diphtheria Immunization and had given birth in 2016 by using simple random sampling. The purpose of this study was to analyze factors related to the participation of pregnant women in the implementation of Tetanus Diphtheria immunization in the work area of Burneh Sub-District Health Center 2016. The results of this study indicate that the age of the respondents is mostly aged 20 years to 30 years, with the number of children owned by respondents mostly amounted to 1. Lower knowledge possessed by respondents about tetanus disease and Tetanus Diphtheria immunization, so that health workers and family roles have an important role to encourage respondents to have awareness to immunize Tetanus Diphtheria during pregnancy.Keywords: husband support, Tetanus Diphtheria Immunization, knowledge, officer attitude


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