Reducing Maternal Mortality: Awareness of Danger Signs in Pregnancy

2017 ◽  
Vol 6 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Rosemary Ogu ◽  
Ngozi Orazulike
Keyword(s):  
Maternal Mortality ◽  
Danger Signs ◽  
In Pregnancy

Quantifying Pregnant Women’s Knowledge of Educational Components of Antenatal Care in Lesotho

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Tabeta Seeiso ◽  
Mamutle M. Todd-Maja
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Rural Areas ◽  
Geographic Location ◽  
Sub Saharan Africa ◽  
World Health ◽  
Cross Sectional ◽  
Danger Signs ◽  
In Pregnancy

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.

scholarly journals An Analysis of Maternal Death’ Cause in Bandung City (Epidemiology Study in Efforts to Lower Maternal Mortality Rate in West Java Province)

2020 ◽  
Vol 9 (2) ◽  
pp. 1370-1379
Author(s):  
Hartinah Hartinah ◽  
Innama Sakinah ◽  
Tita Husnitawati Madjid ◽  
Hadi Susiarno ◽  
Sukandar Hadyana ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Epidemiology Study ◽  
Factors Associated ◽  
Danger Signs ◽  
History Of ◽  
Low Levels ◽  
Level Of Understanding ◽  
Late Referral ◽  
In Pregnancy

The results showed that the factors associated with maternal mortality based on the analysis were history of ANC (OR = 37.4; 95% CI: 9.5 - 313.6; p = 0.012), place of death (OR = 21.5; 95% CI: 2.5 - 188.5; p = 0.001), Health Facility (OR = 21.5; 95% CI: 2.5 - 188.5; p = 0.001), Non-referral case (OR = 91.2; 95% CI: 11.1 - 750; p = 0.001), delay in referral (OR = 122.1; 95% CI: 14.7 - 1010.2; p = 0.001). The results of the qualitative study showed that maternal mortality was affected by several factors, such as the low level of understanding of danger signs in pregnancy, labor and childbirth, low levels of late referral by overdue family decisions. 

scholarly journals The Effect of Health Education Danger Signs of Pregnancy Attitudes of Pregnant Women Danger Signs in Pregnancy BPM Ny. FY Penataran Village Nglegok-Blitar

2016 ◽  
Vol 3 (2) ◽  
pp. 095-100
Author(s):  
Lusi Erawati ◽  
Dina Zakiyyatul Fuadah ◽  
Widyasih Sunaringtyas
Keyword(s):  
Health Education ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Wilcoxon Test ◽  
Test Results ◽  
Danger Signs ◽  
Post Test ◽  
Pregnancy Attitudes ◽  
In Pregnancy ◽  
Good Attitude

The dangerous signs of pregnancy is a sign that indicates a hazard that occurs during pregnancyor antenatal period which can cause maternal mortality if ureported or undetected. In order todecrease both mother and fetus mortality can be done by increasing knowledge of mother or family byproviding health education. Objective: The research was to determine the effectiveness of health educationabout the dangerous sign of pregnancy toward pregnant woman’s attitudes on the dangerous signof pregnancy. Methods: The research design was Pre Experimental using one-group pre-post test design.The health education was done by using leaflets and powerpoint. The population was 90 pregnantwomen in BPM of Ny. Fy in Penataran, Nglegok, Blitar and the sample was 30 respondents by purposivesampling technique. Result: Wilcoxon test results obtained ñ value = (0.0001) <á=0.05, which meansH1 was accepted, so that there was an effect of the dangerous sign of pregnancy toward pregnantwoman’s attitudes on the dangerous sign of pregnancy in BPM of Ny. Fy In Penataran, Nglegok, Blitar.Discussion: the successful of health education was determined by age and educational background.Age are in line with the responsibility for good attitude, the more age the more responsibility. The highereducational background, the more good response for stimulus from outside.

scholarly journals ASSESSMENT OF HEALTH CADRES’ KNOWLEDGE ON DANGER SIGNS OF PREGNANCY

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Restuning Widiasih ◽  
Ida Maryati ◽  
Yanti Hermayanti ◽  
Tetti Solehati
Keyword(s):  
Maternal Mortality ◽  
Sustainable Development Goals ◽  
Community Empowerment ◽  
Danger Signs ◽  
Delivery Planning ◽  
Development Goals ◽  
Prolonged Labor ◽  
Quantitative Descriptive ◽  
Knowledge Of Danger Signs ◽  
In Pregnancy

Maternal mortality rates (MMR) in Indonesia have not reached the target of Sustainable Development Goals (SDGs). The Indonesian government has established a Delivery Planning and Complication Prevention program (P4K) that focuses on community empowerment including health cadres. Health cadres have a significant role in preventing of maternal mortality in the maternal periods (pregnancy, childbirth, and postpartum), including early detection of danger signs of pregnancy. However, there is limited research in Indonesia that examines cadre’s knowledge about the danger signs of pregnancy in detail. This study aimed to assess cadres’ knowledge of danger signs in the maternal period especially in pregnancy. This research is a quantitative descriptive study. The study was conducted in Tempuran sub-district, Karawang regency, West Java. 48 cadres were involved in this study. Respondents filled in questionnaires about the danger signs of pregnancy. The results showed that the majority of cadres understood danger signs in pregnancy. Premature rupture of membranes (91.6%) and convulsions (91.6%) were danger signs that best known by cadres. While the signs of vaginal discharge (8%), heartburn (8%), and prolonged labor (4%) were little known by cadres as part of danger signs of pregnancy. The level of cadre knowledge about danger signs of pregnancy is varied. This research is the baselines information that may useful for program developments in relation to increase cadre capacity in preventing maternal mortality in the maternal periods.Keywords: Cadres, knowledge, danger signs of pregnancy

Snakebite during pregnancy

2005 ◽  
Vol 24 (7) ◽  
pp. 341-345 ◽  
Author(s):  
A Sebe ◽  
S Satar ◽  
A Acikalin
Keyword(s):  
Emergency Medicine ◽  
Maternal Mortality ◽  
Successful Treatment ◽  
Fetal Wastage ◽  
Pregnancy Result ◽  
In Pregnancy

Little is known about snakebites during pregnancy and only a few cases have been reported in the literature. The fact that venomous snakebites during pregnancy result in high fetal wastage and may cause maternal mortality makes this an important, albeit, uncommonly encountered entity in emergency medicine. In this paper, we report on the successful treatment of three cases of snakebite in pregnancy.

The Effect of Counselling Intervention during Antenatal Care on the Knowledge and Attitude about Danger Signs in Pregnancy: A Cross-Sectional Study in Takalar Regency -

2020 ◽  
Vol 10 (2) ◽  
pp. 51-55
Author(s):  
Nurhikmah ◽  
Tahir Abdullah ◽  
Stang ◽  
Suriah ◽  
Andi Imam Arundhana ◽  
...  
Keyword(s):  
Health Service ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Community Health ◽  
Health Workers ◽  
Community Health Service ◽  
Cross Sectional ◽  
Danger Signs ◽  
Knowledge And Attitude ◽  
In Pregnancy

Objective: This study was to examine the effects of counselling delivered during antenatal care on the knowledge and attitudes of pregnant women about danger signs in pregnancy.Methods: This was a pre-experimental design using one group pre- and post-test only. This study was conducted in Takalar, specifically within Sanrobone Community Health Service working area. Takalar is located in South Sulawesi Province Indonesia and this area is coastal with the majority of people working as a fisherman. Participants of this study were pregnant women living in the villages which are included in the working area of Sanrobone Community Health Service.Results: The study shows that counselling improved knowledge and attitude of pregnant women about danger signs in pregnancy (p=0.011 and p=0.025, respectively). The number of pregnant women with good knowledge and positive attitude increased after the intervention (43.8% vs 93.8%, 62.5% vs 93.8%, respectively).Conclusions: In can be concluded that intervention by means of counselling can improve the knowledge and attitude of pregnant women about danger signs in pregnancy. Therefore, it is important to implement the counselling program delivered by health workers in Community Health Service in order to mitigate the risk of maternal mortality.

scholarly journals Gesondheidsvoorligting by swanger vroue

Curationis ◽  
1992 ◽  
Vol 15 (2) ◽  
Author(s):  
M.E. Bester
Keyword(s):  
Family Planning ◽  
High Risk ◽  
Health Education ◽  
Danger Signs ◽  
Hospital Patients ◽  
A Priority ◽  
Positive Results ◽  
Antenatal Services ◽  
In Pregnancy ◽  
Masters Degree

Health education and information in pregnancy must be a priority, despite the lack of instruments to evaluate the effectiveness of the education and the fact that positive results cannot be guaranteed. During research done for a Masters degree on the utilization of antenatal services by high risk primigravidae at the Tygerberg hospital, patients were interviewed on various aspects that are important during pregnancy, like family planning, breastfeeding, smoking and danger signs that may occur during pregnancy.

scholarly journals Evaluation of maternal and fetal outcome in pregnancies complicated by jaundice-an observational study

2021 ◽  
Author(s):  
Ruchi Kishore ◽  
Neha Thakur ◽  
Mitali Tuwani
Keyword(s):  
Mortality Rate ◽  
Observational Study ◽  
Maternal Mortality ◽  
Viral Hepatitis ◽  
Hellp Syndrome ◽  
Fetal Outcome ◽  
Maternal Outcome ◽  
Fetal Mortality ◽  
Maternal Mortality Rate ◽  
In Pregnancy

Background: The spectrum of jaundice in pregnancy varies from a benign condition with good maternal and fetal outcome to a severe form resulting in liver failure and maternal and fetal mortality. Jaundice may complicate 3-5% of pregnancies. Present study was aimed to analyze the cause, course and impact of jaundice during pregnancy so as to have better understanding and hence better feto-maternal outcome. The present study aimed to analyze the various causes of hepatic dysfunction in pregnancy, maternal and fetal outcome in pregnancies complicated by jaundice and various hematological and liver function variables for predicting maternal and fetal outcome.Methods: The present study was an observational study conducted in the department of obstetrics and gynecology, Pt. JNM medical college and associated Dr. BRAM hospital, Raipur (CG) over period of 2 year from September 2018 to September 2020.Results: Total 0.72% pregnancies were complicated by jaundice. HELLP syndrome was the commonest cause of jaundice in pregnancy (36.7%), followed by viral hepatitis (32.7%). Hepatitis E was the most common type of viral hepatitis (91.8%). Hemolytic jaundice presented with best maternal outcome (maternal mortality rate 8.6%). Worst maternal outcome was seen in AFLP (maternal mortality rate 100%). Best fetal outcome was seen in viral hepatitis (live birth rate 67.6%), whereas worst noted with AFLP (fetal death rate 66.6%). Higher total serum bilirubin, higher serum AST, anemia and deranged INR had significant correlation with maternal mortality.Conclusions: HELLP syndrome and viral hepatitis are preventable causes of jaundice yet it contributed to significant proportion of maternal deaths in 26.5 and 18.5% cases respectively. AFLP is often under diagnosed and had a fulminant course in pregnancy causing maternal and fetal mortality.

scholarly journals Indicators of Husband's Role in Pregnancy and Maternity Care

2017 ◽  
Vol 6 (2) ◽  
pp. 192
Author(s):  
Apik Indarty Moedjiono ◽  
Kuntoro Kuntoro ◽  
Hari Basuki Notobroto
Keyword(s):  
Maternal Mortality ◽  
Organizational Support ◽  
Maternity Care ◽  
Unplanned Pregnancy ◽  
Health Information System ◽  
Skilled Birth Attendance ◽  
Major Health Problem ◽  
Pregnancy And Childbirth ◽  
Birth Attendance ◽  
In Pregnancy

The maternal mortality rate (MMR) in developing countries is still a major health problem, including in Indonesia. Antenatal Care (ANC), delivery with skilled birth attendance (SBA) at the time of delivery and delivery in institutional are universally considered important for reducing maternal mortality. Husbands can play a crucial role in pregnancy and childbirth. Therefore, the aim of this study was analyze the indicators of husband's role in pregnancy and maternity care which were suspected as one of the determinants of   ANC and SBA use in Polewali Mandar Regency. The population of this prospective cohort study was all married and pregnant woman, before using contraceptives and contraceptive failure or not using contraception and pregnancy is planned, unplanned pregnancy or mistimed pregnancy in Polewali Mandar 2015 (Size of sample = 100). Samples were randomly selected from participants of screening in 12 sub-districts in Polewali Mandar. Data about husband's role in pregnancy and maternity care was obtained through interviews using a structured questionnaire data processing by using SMART-PLS.  The result of data analysis suggested that the coefficient value that has been standardized from each indicator were as follows: accessibility = 0.944 and engagement = 0.954, dan responsibility = 0.968. Indicators of organizational support in implementing Maternal and Child Health Information System at Polewali Mandar Regency, respectively from the most important are: responsibility, engagement, and accessibility.

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