scholarly journals KNOWLEDGE OF PREGNANT WOMEN IN THE THIRD TRIMESTER ABOUT CONGENITAL DEAFNESS AND FREQUENCY OF ANTENATAL CARE DURING THE COVID-19 PANDEMIC

Author(s):  
Nicha Karmila Tamtiana ◽  
Nyilo Purnami ◽  
Endyka Erye Frety
2021 ◽  
Vol 37 (5) ◽  
Author(s):  
Maíra Barreto Malta ◽  
Caroline de Barros Gomes ◽  
Aluísio J. D. Barros ◽  
Larissa Gastraldi Baraldi ◽  
Monica Yuri Takito ◽  
...  

Abstract: Interventions during prenatal care can mitigate negative outcomes of a sedentary lifestyle and unhealthy diet during pregnancy. We aimed to evaluate the effectiveness of an intervention that promoted healthy diet and leisure-time walking during antenatal care in a pragmatic, controlled, non-randomized intervention study. Physicians and nurses from all health care units of the Family Health Strategy model of health assistance participated in educational training to promote leisure-time walking and healthy diet during antenatal care visits. Pregnant women who received health care from these professionals constituted the intervention group (n = 181). The control group (n = 172) included pregnant women who received routine antenatal care, in health care units of the traditional model of health assistance. Data were collected in each trimester of pregnancy. Diet was investigated using a food frequency questionnaire adapted from Risk and Protective Factors Surveillance System for Chronic Non-Comunicable Diseases Through Telephone Interview (Vigitel). Leisure-time walking in a typical week was assessed using questions from the Physical Activity in Pregnancy Questionnaire. There were positive effects on leisure-time walking during the second trimester and the third trimester of pregnancy and on the women who achieved 150 minutes per week of walking during the third trimester. The intervention reduced the risk of pregnant women consuming soft drinks and/or commercially prepared cookies in the third trimester. This lifestyle intervention was partially effective, tripling the proportion of pregnant women who achieved the recommended walking time and reducing by half the proportion of women who had a high weekly consumption of soft drinks and industrially processed cookies.


Anemia ◽  
2020 ◽  
Vol 2020 ◽  
pp. 1-10 ◽  
Author(s):  
Bahredin Abdella ◽  
Mohammed Ibrahim ◽  
Iyasu Tadesse ◽  
Kalkidan Hassen ◽  
Mekonnin Tesfa

Background. Anemia in pregnancy is defined as a hemoglobin (Hb) concentration of less than 11 grams (gm)/deciliter (dl) in venous blood. Globally, it affects 1.62 billion people. In developing countries, anemia is a major cause of maternal and child morbidity and mortality. Globally, anemia contributes to 20% of all maternal deaths. Nearly 50% of the world’s population is estimated to be infected with Helicobacter pylori (HP). High prevalence of HP among pregnant women was also reported in developing countries than developed ones. The association between HP infection and occurrence of anemia is not well known in Ethiopia. Therefore, the aim of this study was to determine the association between anemia and Helicobacter pylori infection among pregnant women attending antenatal care follow-up in Kulito Health Center, Halaba Zone, South Ethiopia. Methods. Institution-based cross-sectional study was employed. Systematic random sampling procedure was employed to select 236 pregnant women who attended antenatal care at Kulito Health Center. An interviewer-administered questionnaire supplemented by laboratory tests was used to obtain the data. The collected data were analyzed by using SPSS version 20.0. Results. The prevalence of anemia among antenatal care attendant pregnant women of Kulito Health Center was 27.5% with 36 (15.2%) of mild, 29 (12.3%) of moderate, and no severe cases of anemia. The overall prevalence of HP infection among study participants was found to be 129 (54.7%) (95% CI: 47.9–61.4). Factors significantly associated with anemia were presence of HP infection (AOR = 3.064, 95% CI: 1.336 7.027), low interpregnancy gap (AOR = 2.863, 95% CI: 1.245–6.582), being on the third trimester (AOR = 6.457; 95% CI: 1.276–32.729), and mid-upper arm circumference (MUAC) level <21 cm (AOR = 2.595, 95% CI: 1.044–6.450). Conclusion. This study revealed that anemia and HP infection were highly prevalent among pregnant women attending the antenatal follow-up clinic in Kulito Health Center. HP infection, low interpregnancy gap, being on the third trimester, and MUAC less than 21 cm were the independent factors associated with anemia. Recommendation. Pregnant women should be aware that anemia is a problem that can be prevented by early prevention and treatment of HP infection and undernutrition, using family planning to widen the interpregnancy gap. Further experimental studies are warranted to determine the cause and effect of the association between anemia and HP infection.


Author(s):  
Omiati Natalia ◽  
Nurul Hikmah Annisa

Antenatal care is a pregnancy check to optimize the mental and physical health of pregnant women, monitor the progress of pregnancy to ensure the health of the mother and the development of the baby. Recognizing early on any abnormalities or complications that may occur during pregnancy. The purpose of this study was to determine the relationship between the knowledge of third trimester pregnant women about antenatal care to the implementation of K4. The design used in this research is descriptive correlation withapproach cross sectional. Sampling was done by purposive sampling. Data analysis with chi square. From the results of the study the majority of respondents had good knowledge as many as 42 respondents (73.7%), and the majority of respondents did K4 as many as 50 respondents (87.7%). It can be concluded that there is a correlation between the knowledge of pregnant women in the third trimester of antenatal care to the implementation of K4 (value p = 0.000). From the results of this study it is known that with high education, the knowledge that is owned will be better and affect someone in applying it to implementation.  


2021 ◽  
Vol 1 (2) ◽  
pp. 87-95
Author(s):  
Aurelia Indah Qurota A'yun ◽  
Astrid Novita ◽  
Ernita Prima Noviyani

Introduction: The behavior of antenatal care visits is the action of pregnant women who carry out pregnancy checks from the first trimester to the third trimester. Objective: To determine the relationship between health service facilities, health promotion, health care support, and the quality of health services on the behavior of antenatal care visits at the Bojongsari Health Center, Depok City in 2021. Methods: This type of research used a quantitative analytic survey using a cross-sectional approach. The population in this study was 141 pregnant women in the third trimester. The sampling technique used was the Lemeshow formula with purposive sampling. The number of respondents was 103 third-trimester pregnant women. The types of data used are primary and secondary data with univariate and bivariate analysis. Results: Pregnant women with poor antenatal care visits were 58 pregnant women (56.3%). Conclusion: There is a relationship between the variables of service facilities (OR = 27.773), health promotion (OR = 19.213), health care support (OR = 22.519), and the quality of health services (OR = 26.057) on the behavior of antenatal care visits at the Bojongsari Health Center, Depok City. 2021.


2021 ◽  
Vol 104 (4) ◽  
pp. 637-644

Background: Rh(D) alloimmunization prophylaxis should be administered to unsensitized Rh(D)-negative pregnant women. A routine antenatal dose and a postpartum dose for women that delivered an Rh(D)-positive neonate are recommended. Due to a very low prevalence of Rh(D)-negative blood type in Thai population, awareness of this specific management may be lacking. Objective: To determine the proportion of unsensitized Rh(D)-negative pregnant women that delivered at Siriraj Hospital who received a complete course of anti-D immunoglobulin and to determine the factors associated with the failure to achieve a complete administration as well as pregnancy and neonatal outcomes. Materials and Methods: Medical records of 133 unsensitized Rh(D)-negative pregnant women were reviewed to determine the proportion of cases receiving a complete anti-D prophylaxis. Possible reasons for missing anti-D administration were postulated. Comparison between cases receiving and not receiving antenatal anti-D prophylaxis was performed in terms of associated factors. Pregnancy and neonatal outcomes were compared between women who received complete prophylaxis and those who did not. Results: A complete anti-D prophylaxis was obtained in 71.4% of the women with antenatal dose given to 78.2%. Late antenatal care (OR 2.6, 95% CI 1.4 to 4.9) and late or no antenatal care at Siriraj Hospital (OR 7.1, 95% CI 2.8 to 17.9) were associated with missing antenatal anti-D administration. Desire for tubal sterilization and positive maternal Rh(D)-antibody in the third trimester appeared to be the causes of postpartum dose omission. Pregnancy and neonatal outcomes were comparable between women receiving and not receiving a complete anti-D prophylaxis. Conclusion: The proportion of unsensitized Rh(D)-negative pregnant women delivering at Siriraj Hospital who received a complete anti-D prophylaxis was 71.4%. Late antenatal care, late or no antenatal care at Siriraj Hospital, desire for tubal sterilization, and positive maternal Rh(D)-antibody in the third trimester were associated with the incomplete Rh(D) alloimmunization prophylaxis. Keywords: Rh(D)-negative, Alloimmunization, Anti-D immunoglobulin, Anti-D prophylaxis, Rh immunoglobulin


2014 ◽  
Vol 11 (2) ◽  
pp. 61
Author(s):  
Hana Shafiyyah Zulaidah ◽  
Istiti Kandarina ◽  
Mohammad Hakimi

Background: Anemia causes fetal growth disorders that affect birth weight. Antenatal care (ANC) coverage and provision of high Fe if not followed by a decrease in the incidence of anemia can result indirectly in the risk of low birth weight. Supplementary feeding is expected to resolve the issue.Objective: To assess the effect of supplementary feeding on the third trimester of pregnancy on birth weight.Method: This was a quantitative study with a study design of quasi-experiment and non-equivalent control group. The given intervention was fish-processed feeding for 30 days. The study population was pregnant women in the third trimester in all health centers in the City of Yogyakarta and the samples were 104 pregnant women in some health centers with convenience sampling technique. The subjects were divided into two, namely the treatment group (PMT) and the comparison group (non-PMT). Birth weight was weighed immediately after the baby was born. Statistical analysis used t-test and logistic regression. Results: The mean birth weight of infants in the treatment group and the comparison group was 3248 g and 2974 g, respectively, so that the difference in the mean birth weight of both groups was 274 g (p=0.0002; 95%C:131-416). Thus, supplementary feeding was shown significantly affect the birth weight. The extraneous variables that significantly influenced birth weight were pregnancy interval. Other extraneous variables were age, mid-upper-arm circumference (MUAC), education, occupation, economic status, parity, protein intake, compliance of Fe tablet intake, antenatal care, gestational age at delivery and anemia status were not proven statistically significant to affect birth weight. Conclusion: Supplementary feeding effect on birth weight.


2018 ◽  
Vol 2 (2) ◽  
pp. 104
Author(s):  
Ludmila Ifsilanti Alwan ◽  
Ririn Ratnasari ◽  
Suharti Suharti

AbstractPregnancy is a period where there is a change in a woman's biological condition accompanied by psychological changes. During the period of pregnancy, childbirth, childbirth, newborns to use contraception, women will experience various health problems. So that a comprehensive midwifery care is needed including five continuous examination activities including pregnancy antenatal care (Antenatal Care), childbirth (Intranatal Care), postnatal care, neonatal care and family planning. The care provided is midwifery care in Continuity Of Care given to TM III pregnant women (34-36 weeks), childbirth, postpartum, newborns and family planning. Care provided includes reviewing, preparing midwifery diagnoses, planning midwifery care, implementing midwifery care, evaluating midwifery care, documenting midwifery care through Continuity Of Care. Antenatal Care midwifery care in Mrs. M aged 41 years G4P20012 was done once at 37 weeks 5 days of gestation which was carried out on February 24, 2018. The results of the examination found that the mother complained of low back pain. This is a reasonable complaint because it is one of the inconveniences of pregnant women in the third trimester. On February 26, 2018 at 00:45 WIB, the mother came to the Muryati SST BPM. Keb because you feel tight and remove mucus and blood. Babies are born normal on February 26, 2018 at 02.05 WIB with a weight of 3500 grams, body length of 50 cm, male gender and no congenital abnormalities. On the visit of the second neonate found the baby had grade 1 jaundice, after the assessment turned out to be a breastfed baby because the position of breastfeeding the mother is not right so it is recommended to the mother to breastfeed her baby as often as possible and teach the mother the correct breastfeeding position. Then on the next visit the yellow color of the baby is gone. Good baby growth and development. Mothers breastfeed their babies exclusively. ASI production was smooth and no problems were found. Mother's condition is also very good. Mother said she had menstruated on March 26, 2018. In Family Planning (KB)services, at first my mother chose to use KB condoms, but after counseling again about family planning, she decided to use IUD KB at post partum on day 72.After the Continuity of Care service for Mrs. M started from the third trimester of pregnancy at 37 weeks 5 days of gestation, labor, BBL, postpartum and family planning were found to be some physiological problems not pathological problems. The hope is that the midwife will maintain the quality of midwifery services according to the midwifery profession standard which is carried out in a Continuity Of Care manner so that early detection of emergencies can be identified and handled properly.Keywords: Continuity Of Care, pregnancy, labor, family planning AbstrakKehamilan merupakan periode dimana terjadi perubahan pada kondisi biologis wanita disertai dengan perubahan psikologis. Selama periode kehamilan, persalinan, masa nifas, bayi baru lahir hingga penggunaan kontrasepsi, wanita akan mengalami berbagai masalah kesehatan. Sehingga diperlukan asuhan kebidanan yang komperhensif mencakup lima kegiatan pemeriksaan yang berkesinambungan diantaranya adalah asuhan kebidanan kehamilan (Antenatal Care), persalinan (Intranatal Care), masa nifas (Postnatal Care), bayi baru lahir (Neonatal Care) dan Keluarga Berencana. Asuhan yang diberikan adalah asuhan kebidanan secara Continuity Of Care diberikan pada ibu hamil TM III (34-36 minggu), bersalin, nifas, bayi baru lahir dan KB. Asuhan yang diberikan meliputi pengkajian, menyusun diagnosa kebidanan, merencanakan asuhan kebidanan, pelaksanaaan asuhan kebidanan, melakukan evaluasi asuhan kebidanan, pendokumentasian asuhan kebidanan secara Continuity Of Care. Asuhan kebidanan Antenatal Care pada Ny M usia 41 tahun G4P20012 dilakukan satu kali pada usia kehamilan 37 minggu 5 hari yang dilakukan pada tanggal 24 Februari 2018. Hasil pemeriksaan ditemukan bahwa ibu mengeluh nyeri pinggang. Hal tersebut merupakan keluhan yang wajar karena itu merupakan salah salah satu ketidaknyamanan ibu hamil pada trimester ketiga.  Pada tanggal 26 Februari 2018 pukul 00.45 WIB, ibu datang ke BPM Muryati SST. Keb karena merasakan kenceng-kenceng dan mengeluarkan lendir dan darah. Bayi lahir normal pada tanggal 26 Februari 2018 pukul 02.05 WIB dengan berat 3500 gram, panjang badan 50 cm, jenis kelamin laki laki dan tidak ada kelainan congenital. Pada kunjungan neonatus kedua ditemukan bayi mengalami ikterus derajat 1, setelah dilakukan pengkajian ternyata bayi kurang ASI karena posisi menyusui ibu kurang tepat sehingga dianjurkan kepada ibu untuk menyusui bayinya sesering mungkin serta mengajari ibu posisi menyusui yang benar. Kemudian pada kunjungan selanjutnya warna kuning pada bayi sudah hilang. Pertumbuhan dan perkembangan bayi baik. Ibu menyusui bayinya secara eksklusif. Produksi ASI sudah lancar dan tidak ditemukan masalah.  Kondisi ibu juga sangat baik. Ibu mengatakan sudah menstruasi pada tanggal 26 Maret 2018. Pada pelayanan Keluarga Berencana (KB), pada awalnya ibu memilih menggunakan KB kondom, tetapi setelah dilakukan konseling kembali tentang KB, ibu memutuskan untuk menggunakan KB IUD pada post partum hari ke 72.Setelah dilakukan pelayanan Continuity Of Care pada Ny M yang dimulai dari kehamilan trimester III pada usia kehamilan 37 minggu 5 hari, persalinan, BBL, nifas dan KB ditemukan beberapa masalah yang fisiologis bukan masalah patologis. Harapannya agar bidan tetap menjaga mutu pelayanan kebidanan sesuai standar profesi kebidanan yang dilakukan secara Continuity Of Care sehingga deteksi dini adanya kegawatdaruratan bisa segera teridentifikasi dan tertangani dengan baik.Keywords: Continuity Of Care, kehamilan, persalinan, keluarga berencana


2020 ◽  
Vol 5 (2) ◽  
pp. 242-247
Author(s):  
Farida Linda Sari Siregar Siregar ◽  
Nur Afi Darti ◽  
Evi Indriani Br. Karo ◽  
Nurbaiti

Empowerment of third trimester pregnant women in preparation for lactation during the COVID 19 pandemic is expected to help mothers achieve success in breastfeeding their babies after giving birth. The problem found during the pandemic was that there were restrictions on almost all routine services including maternal and neonatal health services so that pregnant women were reluctant to go to puskesmas or other health service facilities for fear of being infected and there were recommendations to postpone antenatal care and pregnancy classes. The aim of this community service is to empower pregnant women in the third trimester to prepare for lactation during the COVID-19 pandemic, to provide information support to pregnant women so that mothers are confident and confident about breastfeeding, creating a strong intention for mothers to breastfeed their babies exclusively. The service method used is health education, discussions, demonstrations and video screenings. The results of community service activities obtained by most of the knowledge of pregnant women, both about prevention efforts that pregnant women can take during the COVID 19 pandemic, how to care for breasts, how to position breastfeeding and the benefits of breastfeeding.


2020 ◽  
Vol 10 (2) ◽  
pp. 1756-1759
Author(s):  
Anup Shrestha ◽  
Sabina Shrestha

Background: Anemia is one of the commonest health problems faced by pregnant women in both developing and developed countries. Maternal anemia is a potential risk factor for fatal outcomes like low birth weight and preterm delivery. This study intended at comparing the birth weight of the babies who were born to mothers with and without anemia during the third trimesters. Materials and methods: This study is a descriptive, cross-sectional study conducted at Kathmandu Medical College, Teaching Hospital from July 2019 to June 2020. The third-trimester hemoglobin of mothers was recorded along with the birth weight of their respective babies. Mothers with regular antenatal care visits at this hospital were included and the known causes for anemia like renal disorders, twin pregnancies, and others were excluded from the study. The third-trimester hemoglobin level of all pregnant females was correlated with the birth weight of the babies. Results: Out of a total of 2417 pregnant women, 317 (13%) had anemia. The overall prevalence of low birth weight was 12%. Out of 317 anemic mothers, 99 (31%) delivered low birth weight babies. Among those 99 low birth weight babies, 30 (30%) were preterm and 69 (70%) were term babies with the prevalence of low birth weight in anemic mothers being 31%. The correlation between maternal hemoglobin and birth weight was found to be statistically significant. Conclusions: Despite regular antenatal care, maternal anemia still prevails, affecting neonatal birth weight. There was a statistically significant correlation between maternal hemoglobin and birth weight (p-value <0.0001).


2016 ◽  
Vol 3 (3) ◽  
pp. 134
Author(s):  
Fatimah Fatimah ◽  
Susi Ernawati

<p>Anemia is one of the problems in Indonesia that important to examine, especially for pregnant women. This research used quantitative with explanatory design. Population were 44 pregnant women in 3 trimester selected by the total sampling technique. The independent variable were implementation of the antenatal care by midwives and dependent variable is anemia in 3 trimester of pregnancy at Puskesmas Sedayu I Yogyakarta. Data was collected using questionnaire. The analysis used was chi-square. The results of study showed that there was 33 (75%) of antenatal care in good category, with no anemia were 32 (72.7%) respondents, and there was a significant relationship between antenatal care and anemia in the third trimester of pregnancy with p-value=0.004. In conclusion, there was a significant relationship between antenatal care and anemia in the third trimester of pregnancy. Suggestions were needed to maintain and improve the care of midwives in antenatal care to improve the health of pregnant women, especially anemia in pregnancy.</p>


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