scholarly journals Maternal Morbidity in a Context of Social Vulnerability: The Case of the Province of Essaouira, Morocco

Author(s):  
Abdelmounaim Manoussi ◽  
Abdellatif Baali ◽  
Hakima Amor ◽  
Nadia Ouzennou

Aims: The main aim of this study is to assess the prevalence of maternal morbidity                         among childbearing women and to determine the associated factors in a context of social vulnerability. Study Design: This is a quantitative analytical cross-sectional study. Place and Duration of Study: The study was conducted in 18 health centers in the province of Essaouira, Morocco from January 2020 to January 2021. Methodology: We conducted a structured interview survey. Simple: We included 1184 married women aged 18 to 49. Results: The prevalence of maternal morbidity was 64.8%. The main morbidities were sexually transmitted infections (50.1%) and anemia (45.8%). Multivariate analysis showed that frequency of postnatal visits, socioeconomic level, knowledge of pregnancy risks, and couple literacy, were statistically associated with maternal morbidity. Conclusion: The use of postnatal care, the improvement of the socio-economic level of households, health education programs, and the fight against illiteracy are factors that would reduce maternal morbidity.

2017 ◽  
Vol 26 (1) ◽  
Author(s):  
Elainy Fabrícia Galdino Dantas Malta ◽  
Fabiane do Amaral Gubert ◽  
Camila Teixeira Moreira Vasconcelos ◽  
Emília Soares Chaves ◽  
João Marcos Ferreira de Lima Silva ◽  
...  

ABSTRACT Objective: to identify the factors related to inadequate practice of the Papanicolaou test among women in northeastern Brazil. Method: cross-sectional study using a KNOWLEDGE, ATTITUDE AND PRACTICE inquiry, performed from June to October, 2013, with 240 women aged between 24 and 59 years. Results: inadequacies were observed, particularly in knowledge, because, despite having information about the examination, it was only used to detect sexually transmitted infections. Regarding the issue of practice, it was noted that single women and those up to 29 years of age were more likely to present inadequate practice than the older and married women, increasing the likelihood of developing cervical cancer. The greater difficulty for performing the examination was the lack of materials (68.1%). Conclusion: clarification for women regarding the examination requires effective communication between the users and health professionals, as well as guarantees and support for the continuity of care by managers.


2012 ◽  
Vol 12 (2) ◽  
pp. 154-167
Author(s):  
Claudia Marcela Castaño Castrillón ◽  
José Jaime Castaño Castrillón ◽  
Natalia Dávila Alzate ◽  
Sandra Paola González Londoño ◽  
Luisa fernanda González morcillo ◽  
...  

Objetivo:Caracterizar pacientes diagnosticados con enfermedades de transmisión sexual atendidos en ASSBASALUD ESE en Manizales (Colombia) entre los años 2009 a 2011.Materiales y métodos: Es un estudio de corte transversal, que recolectó información de la base de datos de centros de atención de ASSBASALUD ESE, se analizaron 933 historias clínicas, de las cuales 503 cumplieron los criterios de inclusión. Dentro de las variables estudiadas se encuentran el género, edad de inicio de las relaciones sexuales, uso del preservativo, estado civil y diagnóstico de ETS.Resultados: El año con más frecuencia de ETS fue el 2010 con 55%, mayor proporción en género femenino 87,5%, edad promedio de 28,64 años. El motivo de consulta más frecuente fue el de síntomas inespecíficos en un 34,8%. La patología más frecuente en mujeres fue la candidiasis vulvovaginal con 60,3%, en hombres el herpes genital con 33,3%. Personas con unión no estable fueron quienes presentaron mayorproporción de ETS.Conclusiones: Las ETS se diagnostican con mayor frecuencia en las mujeres, porque son ellas quienes acuden más a los servicios de salud. Aunque el número de pacientes atendidos por ETS disminuyó año tras año, es notorio que se requiere de más y mejores métodos de diagnóstico y tratamiento adecuados para dicha población.Objective: To characterize patients diagnosed with sexually transmitted diseasestreated at ASSBASALUD ESE in Manizales (Colombia) from 2009 to 2011.Materials and Methods: Cross-sectional study, which collected information from thedatabase of health centers from ASSBASALUD ESE, 933 medical records were analyzed,of which 503 met the inclusion criteria. The variables studied include gender,age at first intercourse, condom use, marital status and diagnosis of STDs.Results: The year with greatest prevalence of STD was 2010 by 55%, the female genderwas predominant by 87.5%, average age was found of 28.64 years. The mostfrequent reason for consultation was to non-specific symptoms by 34.8%. Candidiasiswas the most prevalent STD among women by 60,3%, followed by genital herpesamong men by 33.3%. Patients with an unstable union had higher proportion of sexuallytransmitted diseases.Conclusions: Sexually transmitted diseases are diagnosed more frequently in women,because that population consults more frequently the health services of ASSBASALUDESE. Although the prevalence of STD has decreased year after year, it is clear thatmore and better methods of diagnosis and treatment are needed for this population


2020 ◽  
Vol 10 (3) ◽  
pp. 57-60
Author(s):  
Babita Devi Dahal ◽  
Jayalaxmi Shakya

Background: Awareness towards the maternal condition has great potential to reduce occur­rence of life threatening maternal and child illness. Hence, this study aimed to find out the awareness and attitude regarding obstetric fistula among married women. Methods: A descriptive cross-sectional study was used to find out the awareness and attitude re­garding obstetric fistula among 206 married women. Data were collected by using semi structured interview schedule and Likert Scale. Analysis was done by using descriptive statistics. Results: The age range of the respondents was 15-79 years. Among literate 163, 34.4% attended general education, 75% were married at the age of 15-19 years, 50% had their first baby at the age of 15-19 years, 65.0 % had 1-3 babies, 66.0% had home delivery and postnatal visit was 9.5%. In this study 0.9% respondents were found with obstetric fistula and 60.2% had low level of aware­ness. Regarding the level of attitude, 50.0% had positive attitude. Conclusions: The finding concluded that there is low level of awareness and fifty percentages had negative attitude regarding obstetric fistula among married women so there is need of intervn­tional awareness program in community.


Author(s):  
Neethu George ◽  
Sulekha T. ◽  
Adithya Ramachandran ◽  
Andrean Peters ◽  
Pretesh Rohan Kiran

Background: According to the United Nations, India will become the most populated country by 2050.This will lead to further strain in social and economic life. Family planning plays a major role in bridging this rapid population growth. But unmet needs for family planning prevent women from availing this benefit. Aims of the study were to determine the prevalence of unmet needs for family planning and its associated factors among ever married women in selected villages of Anekal taluk, Karnataka.Methods: This was a cross sectional study conducted during a period of two months among ever married women in selected villages of Anekal. A structured interview schedule consisting of questions about unmet needs for family planning and its determinants was administered to 133 ever married women.Results: Of the 133 study participants 127 (95.5%) were aware of at least one contraceptive method. The prevalence of unmet needs for family planning was 11.3%. Younger age (18-24 years), <5 years active years of married life, women having a single live child and who were a sole decision maker had higher unmet needs for family planning. Among the women who had unmet needs for family planning, the major reason reported was family and cultural problems.Conclusions: The unmet need for family planning was found to be 11.3% which is more than the state value of 8.8% (rural Karnataka NFHS 4). So there is a need to create increased awareness among the women in the study area regarding the importance of contraceptive measures in the family and the society.


2021 ◽  
Vol 119 ◽  
pp. 06004
Author(s):  
Abdelmounaim Manoussi ◽  
Abdellatif Baali ◽  
Hakima Amor ◽  
Nadia Ouzennou

Pregnancy-related morbidity is a public health problem. The main aim of this study is to assess the prevalence of maternal morbidity among childbearing women in Essaouira province (Morocco) and to determine the associated factors. A cross-sectional descriptive and analytical study conducted by questionnaire, surveyed 1184 married women aged between 18 to 49 years. The prevalence of pregnancies morbidity is 55.9% (662/1184). The mains determinants identified is sexually transmitted infections (STIs) with 50.1% and anaemia with 45.8%. Also, based on the multinomial logistic regression model, the socio-economic level, antenatal care regularity and precocity, pregnancies risks knowledge, distance from health care facilities and place of residence determine the pregnancies morbidity independently. In conclusion, Morocco must address family living conditions, health education, literacy, and other social determinants of health.


2018 ◽  
Vol 12 (2) ◽  
pp. 173-180 ◽  
Author(s):  
Isabela Thaís Machado de Jesus ◽  
Fabiana de Sousa Orlando ◽  
Marisa Silvana Zazzetta

Abstract Elderly who live in the context of social vulnerability have lower education and socioeconomic status. Objective: To analyze cognitive performance as a factor associated with frailty status in elderly living in contexts of social vulnerability. Methods: An exploratory, comparative, cross-sectional study using a quantitative method was conducted with elderly people registered at Social Assistance Reference Centers. A semi-structured interview, the Edmonton Frail Scale and Montreal Cognitive Assessment were applied. The project was approved by the Research Ethics Committee. To analyze the data, a logistic regression was performed considering two groups (frail and non-frail). Results: 247 elderly individuals participated in the study, with a mean age of 68.52 (±SD =7.28) years and education of 1-4 years (n=133). All the elderly evaluated resided in vulnerable regions. Regarding frailty, 91 (36.8%) showed frailty at some level (mild, moderate or severe) and 216 (87.4%) had cognitive impairment. On the regression analysis, frailty was associated with number of diseases (OR:1.60; 95%CI: 1.28-1.99) and cognition (OR:0.93; 95%CI: 0.89-0.98). Conclusion: Identifying level of frailty and cognition in socially vulnerable elderly reinforces the need for early detection in both these conditions by the public services that provide care for this population with a focus on prevention.


Author(s):  
Neeta D. Rathod ◽  
Charuhas V. Akre

Background: In developing countries reproductive tract infections (RTI) and sexually transmitted infections (STI) continue to present a major public health problem. Women in India had very low knowledge in sexually transmitted infections and HIV/AIDS. It is found that many of the RTI/STI is preventable and curable. The occurrence of STI/RTI among married women is quite high. Hence, this study will be carried out to assess prevalence of STI/RTI in the married women of reproductive age group in an urban slum.Methods: A cross-sectional study was carried out in the general OPD of Urban Health Centre, Mumbai during the period of 1st July 2015 to 31st July 2015. The data of 180 women in the reproductive age group of 15 to 49 years was collected by Pretested, semi structure interview schedule and statistically analyzed.Results: In the present study, the prevalence of STIs/RTIs symptoms was found to be 35.6%. Maximum prevalence of the symptoms among the study subjects found to be higher in the age group of 35 years and above (40.4%), in illiterate women (53.7%), women having one or two children (52.7%), women using IUD (50%) and women having per capita income <Rs. 5000/- (45.2%).Conclusions: There is a need for preventing new STI/RTI cases by educating people about the common symptoms, common methods of transmission, complications and preventive measures.


Author(s):  
Shiren Ali Al Hamzawi

Estimates of Trichomonas vaginalis prevalence in pregnant women are variable with few studies in Iraq.T. vaginalis is a worldwide prevalent sexually transmitted infection,but fortunately,it is very treatable. Researchers believed that pregnancy is one of the effective factors for T. vaginalis infection in women.A cross-sectional study performed in Obstetrics and Gynecology Department at Maternity and Children Teaching Hospital in Al-Diwaniya city on two hundred female pregnant patients between the ages of 16-45 years. These females had no intercourse for 2–3 days,not using drugs (antibiotics,antiprotozoal or steroids) for the last 15 days. Vaginal discharges of any type with or without itching,burning sensation or both were their main complaints. Vaginal swabs were taken from all participating patients for direct wet mount microscopy and culture for the detection of Trichomonas vaginalis infection. The study showed that twelve out of two hundred examined pregnant women (6%) presented with T. vaginalis infection. The infection was more in those with mothers’ age (26-35) years,housewives,low education,higher parity,and of rural residents. Other maternal variables were not significantly associated with T. vaginalis infection. The study showed a prevalence of (6%) of T. vaginalis infection in pregnant female attendees. Infection was more in those with mothers ’age (26-35) years,housewives,low educational level,higher parity,and living in rural areas.


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