scholarly journals Assessment of COP characteristics and force-time changes during walking in the third trimester of pregnancy

2020 ◽  
Vol 13 (2) ◽  
pp. 15-25
Author(s):  
Ondřej Mikeska ◽  
Martin Zvonař ◽  
Marta Gimunová
Keyword(s):  
Pregnant Women ◽  
Center Of Pressure ◽  
Maximum Velocity ◽  
Control Group ◽  
Centre Of Pressure ◽  
Mean Velocity ◽  
Significant Difference ◽  
Time Changes ◽  
Force Time ◽  
Experimental Group

Purpose: The primary aim of this study was to analyse the COP characteristics and force-time changes during walking between weeks 27 and 36 of pregnancy. The secondary objective was to verify the influence of the specific orthopaedic shoes that were given to the experimental group. The experimental group wore patented J Hanák R biomechanical footwear and insoles, which are designed to help with redistribution of forces acting on foot, to support both longitudinal and transverse arches of the foot and to strengthen the foot muscles during movement.Methods: Seventy-three pregnant women participated in this study. This group was random divided into the experimental group (35 pregnant women) wearing specific orthopaedic shoes and the control group (38 pregnant women). The motor task consisted of five gait trials where two foot prints for each leg were always recorded. The participants started barefoot walking 3 m ahead of the pressure platform and finished the trial 1 m after the end of the platform in order to preserve acceleration and deceleration in gait. Participants walked at their own preferred velocity. All pedobarometric parameters were registered by Emed walkway - trademark of novel gmbh in Munich, Germany. Data processing was divided to two scrips. The first script processed data to these variables (COP characteristics): Centre of pressure index (COPI), centre of pressure excursion index (COPEI), distance (D) of COP, maximum velocity (MaV) and mean velocity (MeV) of COP. The second script processed data for ten pre-defined areas of the foot: hindfoot, midfoot, MH1-5 – metatarsal heads, big toe, second toe, toes 3, 4 and 5 with these applied variables (force-time characteristics): Force-time integral (FTI) and contact time (CT).Results: For the experimental group, in comparison between 27th week and the 36th week of gestation, we can find lower COPI for both feet, significantly only for the left foot (p=0.04). Also, significant difference in COPEI (p=0.03, p=0.03) for both feet was found. In comparison pre and post measurement we found higher values of parameters COPI and COPEI and that indicates more lateral weight shifting during the last trimester. We can distinctly register extension of D, especially for the left foot (p=0.04). Changes in velocity of COP indicate that MaV was increased for both feet (p=0.00, p=0.00) and MeV was significantly increased only for the right foot (p=0.00) in the 36 week of pregnancy. For the control group, we found no significant changes in COPI, COPEI or COP. MaV and MeV of COP were significantly increased for both feet in the 36 week of pregnancy (p=0.02, p=0.00, p=0.01, p=0.00). Higher values of MaV and MeV indicate that pregnant women accelerated their walking in the 36 week of pregnancy. Further, force-time characteristics in most cases did not reveal statistically significant changes in the last trimester.Conclusion: Over the last three months of pregnancy, significant observable changes can be found, especially through COP parameters of the experimental and the control group. We found out that the specific orthopaedic shoes given to the experimental group influenced the trajectory of COP, which could have positive health aspects. Further, certain conflicting results of our study in comparison with other similar studies only confirm that individual biomechanic and physiological developments in pregnancy affect the kinematic and kinetic aspects of walking differently.Key Words: Center of pressure, pregnancy, gait, feet

Thyroid Dysfunction in Pregnant Women with Gestational Diabetes Mellitus

2020 ◽  
Vol 16 (8) ◽  
pp. 895-899 ◽  
Author(s):  
Shahin Safian ◽  
Farzaneh Esna-Ashari ◽  
Shiva Borzouei
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Pregnant Women ◽  
Thyroid Dysfunction ◽  
Control Group ◽  
Thyroid Peroxidase ◽  
Free T4 ◽  
Significant Difference ◽  
Experimental Group

Aims: Investigation thyroid dysfunction and autoimmunity in pregnant women with gestational diabetes mellitus. Background: This article was written to evaluate the thyroid function and anti-thyroid peroxidase (anti- TPO) antibodies in pregnant women with gestational diabetes mellitus (GDM). Method: A total of 252 women with GDM and 252 healthy pregnant women were enrolled. Thyroid tests, including TSH, FreeT3, Free T4, and anti-TPO were performed for all women at 24–28 weeks of gestation. Data analysis was then carried out using SPSS ver. 22. Result: There was a significant difference between the experimental group (38.4%) and the control group (14.06%) in terms of the prevalence of subclinical hypothyroidism (p= 0.016). The frequency of anti-TPO was higher in the experimental group than the control group and positive anti-TPO was observed in 18.6% of women with GDM and 10.3% of healthy pregnant women (P= 0.008). Conclusion: Thyroid disorders are observed in pregnant women with GDM more frequently than healthy individuals and it may be thus reasonable to perform thyroid tests routinely.

Investigating the Effect of Positive, Intermediate and Negative Enabling and Training Factors Affecting Physical Activity in Pregnant Women

2021 ◽  
Author(s):  
Leila Kianfard ◽  
Farkhonde Amin SHokravi ◽  
Sakineh Rakhshanderou ◽  
Shamsaddin Niknami
Keyword(s):  
Physical Activity ◽  
Pregnant Women ◽  
Control Group ◽  
Control Groups ◽  
Enabling Factors ◽  
Factors Affecting ◽  
Significant Difference ◽  
E Learning ◽  
And Control ◽  
Experimental Group

Abstract BackgroundPhysical activity during pregnancy period is one of the issues with priority during pregnancy period. Researches show that women reduce their physical activity during this period and are unaware of the benefits on the health of the mother and embryology. Although researchers regarding physical activity during pregnancy have prepared many guidelines; it is not however clear why pregnant women do not perform physical activity and the effectiveness factors that facilitate the desired behavior. MethodsThe research population included all pregnant women aged 18 to 40 years with gestational age of 12-38 weeks referring to the healthcare centers in District 5 of Tehran Municipality, from 22 districts of the city who had eliminated their physical activity during pregnancy. Questionnaires of physical activity assessment questionnaire after educational intervention in pregnant women (PPAQ) and a questionnaire designed based on the results of the needs assessment and the dimensions of the PEN-3 model were used for assessment. This study is a Research Clinical Trial (RCT). Due to the nature, a quasi-experimental research design (pre-test, post-test) with the control group was used in this research. ResultsBased on the obtained results, the intervention based on E-learning has a significant effect of enabling factors to increase physical activity in pregnant women in the experimental group. In addition, the intervention based on E-learning has a significant effect on the training factors in order to increase physical activity in pregnant women in the experimental group. ConclusionBased on the research results, it can be said that there is a statistically significant difference between the experimental and control groups in the scores obtained from training factors in the pretest and the experimental group. Furthermore, it can be said that there is a statistically significant difference between the experimental and control groups in the scores obtained from the enabling factors in the pre-test and the experimental group.

scholarly journals The effect of mindfulness therapy on the pregnant women’s anxiety level in facing childbirth

2019 ◽  
Vol 6 (9) ◽  
pp. 3754
Author(s):  
Apri N. Wulandari ◽  
Brigitta A. D. Susanti
Keyword(s):  
Pregnant Women ◽  
Psychological Health ◽  
Anxiety Level ◽  
Anxiety Score ◽  
Health Improvement ◽  
Control Group ◽  
Significant Difference ◽  
The Mean ◽  
Experimental Group ◽  
Mindfulness Therapy

Background: The health improvement for pregnant women in antenatal phase is not only focused on maintaining physical health, but also the psychological health. One of the factors of maternal psychological health is anxiety. Anxiety is common in pregnant women caused by maternal concerns about complications that accompany the mother and her fetus. The increasing anxiety in pregnant women can have an impact on pregnancy complications. Therefore an intervention is needed to overcome anxiety in pregnant women. The purpose of this study was to determine the effect of mindfulness therapy on the anxiety level of pregnant women in labor.Methods: This study uses a quasi-experimental design with a pre-test and post-test with control group. Implemented in the Public Health Center working area like Sleman in August-September 2018. There were 26 participants selected using purposive sampling, with 13 assigned in experiment and control groups. The questionnaire used is Pregnancy Related Anxiety Questionnaire-Revised 2. Independent sample t-test used for data analysis.Results: There was a significant difference in the mean of anxiety score after the intervention in the experimental group compared to the control group with a value of p=0.017 (p<0.05). The mean of anxiety score after intervention in the control group was 32.00, while the average of anxiety score after intervention in the experimental group was 24.54.Conclusions: Giving mindfulness therapy to pregnant women is able to reduce maternal anxiety levels significantly in facing labor. 

scholarly journals PENGARUH MASSAGE AROMATHERAPHY LAVENDER TERHADAP PERUBAHAN TEKANAN DARAH PADA IBU HAMIL DENGAN PREEKLAMPSIA DI PBM. LILIS SURYAWATI DESA SAMBONG DUKUH KECAMATAN JOMBANG KABUPATEN JOMBANG

2019 ◽  
Vol 5 (2) ◽  
pp. 27-34
Author(s):  
Any Isro'aini
Keyword(s):  
Blood Pressure ◽  
Pregnant Women ◽  
Diastolic Pressure ◽  
Blood Pressure Reduction ◽  
Systolic Pressure ◽  
Pharmacological Therapy ◽  
Control Group ◽  
P Value ◽  
Significant Difference ◽  
Experimental Group

Hypertension in preeclampsia is found in pregnant women with gestational age> 20 weeks. Hypertension is defined where systolic pressure above 140 mmHg and diastolic pressure above 90 mmHg. Handling hypertension in pregnant women up to now is still using pharmacological therapy or drugs by 100%. One nonpharmacological therapy that can lower blood pressure is aromatherapy lavender massage therapy. The purpose of this study was to determine the effect of lavender aromatherapy massage on blood pressure reduction in pregnant women with preeclampsia.The design of this study used the Quasy Experiment Design with the Control Time Series Design research design, where the study used two groups divided into experimental groups and control groups. In this study both groups were pre-tested and after being given treatment in the experimental group a post-test was carried out in both groups. The research sample amounted to 50 respondents, of which 25 respondents became the experimental group and 25 became the control group. This research took place at PBM. Lilis Suryawati, Sambong village, Dukuh, Jombang District, Jombang Regency. This research was conducted from February to April 201.                    The results showed a significant difference between the blood pressure of the experimental group who were treated and the control group that was not treated. The systolic blood pressure of both groups p-value 0.003 and the value of Z -4.007. While diastolic blood pressure in both groups p-value 0,000 and Z value -5,559.                    It is expected that the midwifery profession can provide information about the importance of aromatherapy lavender massage to reduce blood pressure in pregnant women with preeclampsia, so that it can minimize the occurrence of complications in pregnant women with preeclampsia.

scholarly journals The Impact of Maryam Exercise Towards the Stress Level and Cortisol Serum Level among Primiparous Pregnant Women

2020 ◽  
Vol 3 (5) ◽  
pp. 598-607
Author(s):  
Maya Erisna ◽  
Runjati Runjati ◽  
Apoina Kartini ◽  
Mahalul Azam ◽  
Donny Kristanto Mulyantoro
Keyword(s):  
Pregnant Women ◽  
Positive Impact ◽  
Intervention Group ◽  
Serum Levels ◽  
Control Group ◽  
Significant Difference ◽  
Stress Levels ◽  
Before And After ◽  
The Impact ◽  
Experimental Group

Women are more at risk to stress in pregnancy than during the puerperium. One method of coping with stress is through physical exercise. Maryam Exercise can be used as an alternative to the development of pregnancy exercises in Indonesia because it covers the holistic aspects and easy to do. It is a combination of basic pregnancy exercises, Islamic prayer (Salat) movements and dhikr.  The purpose of this study was to examine the impact of Maryam exercise on the stress levels and cortisol serum levels among primiparous pregnant women. This study used a quasi-experimental study design, pre-test and post-test with non-equivalent control group. In the third trimester of 40 primiparous women  were randomly assigned into two groups such the experimental group (n=20) and the control group (n=20). The experimental group received the Maryam exercise while the control group received the standard antenatal exercise. There was a significant difference in stress levels between the intervention group and the control group before and after receiving the intervention (p <0.05). The cortisol levels also showed the significance difference between the intervention group and the control group before and after receiving the intervention (p <0.05). The findings of this study suggest that Maryam Exercise has a positive impact on stress levels and cortisol serum levels of primiparous pregnant women.

scholarly journals Perceptual Factors (Awareness, Attitude) and Positive, Indeterminate and Negative Nurturing Factors Affecting Physical Activity of Pregnant Women Visiting Health-care Centers in Tehran: Examination and Analyses

2021 ◽  
Author(s):  
Leila Kianfard ◽  
Farkhonde Amin SHokravi ◽  
Sakineh Rakhshanderou ◽  
Shamsaddin Niknami
Keyword(s):  
Physical Activity ◽  
Pregnant Women ◽  
Control Group ◽  
Control Groups ◽  
Factors Affecting ◽  
Significant Difference ◽  
E Learning ◽  
And Control ◽  
Experimental Group ◽  
Perceptual Factors

Abstract Background: The purpose of this study was to examine the effect of perceptual factors (awareness, attitude) and positive, intermediate and negative nurturing factors on the physical activity of pregnant women visiting health centers in Tehran. Methods: The present research was an applied study in which a quasi-experimental research design (pre-test-post-test) with a control group was employed. The Pregnancy Physical Activity Questionnaire (PPAQ) and a questionnaire designed based on the results of needs assessment and dimensions of the PEN-3 model were used for this study. This study is a randomized control trial (RCT). Results: The results indicated that the intervention based on E-learning has a statistically significant effect on perceptual factors (awareness, attitude) in increasing physical activity of pregnant women in the experimental group. Furthermore, the e-learning-based intervention has a significant effect on increasing physical activity of pregnant women in the experimental group compared to the control group.Conclusion: Based on the research results, it can be said that there is a statistically significant difference between the experimental and control groups in the scores obtained from perceptual factors (awareness, attitude) in the pre-test and the experimental group. Furthermore, it can be said that there is a statistically significant difference between the experimental and control groups in the scores obtained from perceptual factors (awareness, attitude) in the pre-test and the experimental group.

scholarly journals Efektivitas sempoa organisator hamil, anak dan ibu balita dalam perubahan perilaku pencegahan stunting

2020 ◽  
Vol 9 (2) ◽  
pp. 85
Author(s):  
Lia Mulyanti ◽  
Indri Astuti Purwanti ◽  
Novita Nining Anggraini
Keyword(s):  
Pregnant Women ◽  
Control Group ◽  
P Value ◽  
Central Java ◽  
Community Behavior ◽  
Significant Difference ◽  
Prevention Behavior ◽  
Behavior Based ◽  
The Government ◽  
Experimental Group

In Indonesia, approximately 37% (nearly 9 million) of toddlers are stunted. There are 11 regencies in Central Java, including 100 priority areas for stunting reduction by the government. The 3 districts that had the highest prevalence of stunting were Blora (55.06%), Grobogan (54.97%), and Demak (50.28%). This research uses quasy experiment with a sample of 16 pregnant women in the control group and the experimental group. The results of the study, 92,4% of most pregnant women have good stunting prevention behavior except the behavior of eating animal protein foods. Based on the results of a comparative test of stunting prevention behavior based on tool intervention that shows a significant difference in the behavior of respondents who intervened with an abacus tool (0.003). Conclusion there are differences in community behavior based on intervention with the SEMOHAI tool (p value = 0.003) but there is no significant difference in community behavior based on intervention with conventional tools (p value = 0.083), and there is a significant difference (p value = 0.025) change in behavior based on intervention tools with conventional tools.

scholarly journals Perceptual Factors (Awareness, Attitude) and Positive, Indeterminate and Negative Nurturing Factors Affecting Physical Activity of Pregnant Women Visiting Health-care Centers in Tehran: Examination and Analyses

2021 ◽  
Author(s):  
Leila Kianfard ◽  
Farkhonde Amin SHokravi ◽  
Sakineh Rakhshanderou ◽  
Shamsaddin Niknami
Keyword(s):  
Physical Activity ◽  
Pregnant Women ◽  
Control Group ◽  
Control Groups ◽  
Factors Affecting ◽  
Significant Difference ◽  
E Learning ◽  
And Control ◽  
Experimental Group ◽  
Perceptual Factors

Abstract BackgroundThe purpose of this study was to examine the effect of perceptual factors (awareness, attitude) and positive, intermediate and negative nurturing factors on physical activity of pregnant women visiting health centers in Tehran. MethodsThe present research was an applied study in which a quasi-experimental research design (pre-test-post-test) with a control group was employed. The Pregnancy Physical Activity Questionnaire (PPAQ) and a questionnaire designed based on the results of needs assessment and dimensions of the PEN-3 model were used for the purposes of this study. This study is a randomized control trial (RCT). ResultsThe results indicated that the intervention based on E-learning has a statistically significant effect on perceptual factors (awareness, attitude) in increasing physical activity of pregnant women in the experimental group. Furthermore, E-learning-based intervention has a significant effect on increasing physical activity of pregnant women in the experimental group compared to the control group.ConclusionBased on the research results, it can be said that there is a statistically significant difference between the experimental and control groups in the scores obtained from perceptual factors (awareness, attitude) in the pre-test and the experimental group. Furthermore, it is safe to say that there is a statistically significant difference between the experimental and control groups in the scores obtained from physical activity in the pre-test and the experimental group.

Is perioperative antibiotic necessary in straightforward implant placement procedures?

2020 ◽  
Author(s):  
Elçin Bedeloğlu ◽  
Mustafa Yalçın ◽  
Cenker Zeki Koyuncuoğlu
Keyword(s):  
Clavulanic Acid ◽  
Dental Implant ◽  
Prophylactic Antibiotic ◽  
Antibiotic Use ◽  
Implant Failure ◽  
Control Group ◽  
Implant Placement ◽  
Significant Difference ◽  
Amoxicillin Clavulanic Acid ◽  
Experimental Group

The purpose of this non-random retrospective cohort study was to evaluate the impact of prophylactic antibiotic on early outcomes including postoperative pain, swelling, bleeding and cyanosis in patients undergoing dental implant placement before prosthetic loading. Seventy-five patients (45 males, 30 females) whose dental implant placement were completed, included to the study. Patients used prophylactic antibiotics were defined as the experimental group and those who did not, were defined as the control group. The experimental group received 2 g amoxicillin + clavulanic acid 1 h preoperatively and 1 g amoxicillin + clavulanic acid twice a day for 5 days postoperatively while the control group had received no prophylactic antibiotic therapy perioperatively. Data on pain, swelling, bleeding, cyanosis, flap dehiscence, suppuration and implant failure were analyzed on postoperative days 2, 7, and 14 and week 12. No statistically significant difference was detected between the two groups with regard to pain and swelling on postoperative days 2, 7, and 14 and week 12 ( p &gt;0.05), while the severity of pain and swelling were greater on day 2 compared to day 7 and 14 and week 12 in both groups ( p =0.001 and p &lt;0.05, respectively). Similarly, no significant difference was found between the two groups with regard to postoperative bleeding and cyanosis. Although flap dehiscence was more severe on day 7 in the experimental group, no significant difference was found between the two groups with regard to the percentage of flap dehiscence assessed at other time points. Within limitations of the study, it has been demonstrated that antibiotic use has no effect on implant failure rates in dental implant surgery with a limited number of implants. We conclude that perioperative antibiotic use may not be required in straightforward implant placement procedures. Further randomized control clinical studies with higher numbers of patients and implants are needed to substantiate our findings.

Breastfeeding Training through Role-Play and Effects on Mother-infant Attachment Behaviours: A Randomised Controlled Trial

2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Farokh Saljughi ◽  
Mitra Savabi-Esfahani ◽  
Shahnaz Kohan ◽  
Soheila Ehsanpour
Keyword(s):  
Pregnant Women ◽  
Maternal Employment ◽  
Controlled Trial ◽  
Role Play ◽  
Intervention Group ◽  
Control Group ◽  
Maternal Behaviour ◽  
Infant Attachment ◽  
Significant Difference ◽  
History Of

Mother-infant attachment is an intimate, lasting and satisfying relationship that leads to better cognitive, emotional and social growth of the infant. The aim of this study was to determine the effects of breastfeeding training by role-play on mother-infant attachment behaviours. This research was a randomised clinical trial (parallel design). Inclusion criteria were: no history of mental disorders; ability to read and write the Persian language to complete the questionnaire; no history of drug and tobacco intake in primigravida women. The sample comprised 100 pregnant women (in 2 groups), selected through simple random sampling at healthcare centres. The researcher reviewed prenatal care registries of selected healthcare centres and extracted the names of pregnant women in their early third trimester. The data were imported into randomisation software. The control group received routine breastfeeding training, while the intervention group received routine training together with training through role-play. The data collection tool was the Maternal Behaviour Inventory Questionnaire. Consequently 75 samples were analysed in SPSS16. Independent t-tests and chi-square tests were used to examine the difference between the two groups. Results showed that the mean score of mother-infant attachment one week after delivery was significantly higher in the intervention group in comparison to that in the control group (p<0.001). No significant difference was observed between the two groups in maternal age, age of marriage, neonatal gender, maternal employment and education, number of parity, and number of abortions (P>0.05). Since breastfeeding training through role-play could affect mother-infant attachment, it is suggested that this type of training should be provided for pregnant women to promote mother-infant attachment and exclusive breastfeeding.

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