scholarly journals Knowledge and Awareness about Obesity Complications in Pregnancy among Reproductive Women

2021 ◽  
pp. 310-317
Author(s):  
S. MiSudharshan ◽  
. Annejohncy
Keyword(s):  
Lifestyle Modification ◽  
Cross Sectional Study ◽  
Noncommunicable Diseases ◽  
Premature Delivery ◽  
Cross Sectional ◽  
Long Run ◽  
Increased Risk ◽  
Almost All ◽  
In Pregnancy ◽  
Structured Questionnaire

Background: obesity in general predisposes expected to various noncommunicable diseases but its awareness in regards to the complications posed by it in reproductive women is underseen. Methods: cross sectional study using an structured questionnaire. Goal: To access the knowledge and awareness about complications of obesity in pregnancy among reproductive women Statistical Analysis Used: Data was entered in excel spreadsheet and analysed using SPSS version 16. Results: Majority of the participants [129 (86%)] knew that obesity affects reproductive health causing problem problems like just gestational diabetes mellitus GDM [ 136 (90.6%)], difficulties during labour, higher Chance of Caesarean [91(60.6)] section, Increased risk for hypertension [120 (80%)] infertility [ 53 (35.3%)], during pregnancy. Almost all of them know That obesity can increase problems in pregnancy for both mother and for the baby. Majority of them we are not sure if obesity causes increased chance of Foetal malformations [75 (50.2%)] Increased bleeding after delivery [103 (68.8%)] Most of them don’t know that obesity can cause increased bleeding after delivery, stillbirth [125 (83.3%)], miscarriage [111(74%)], difficulties in Ultrasound examination of the abdomen [81 (54%) ]Most of them thought that obesity does not cause difficulties in measuring BP [79 (52.6)], delivery of big baby [98 (65.3%) ], premature delivery [56 (37.3%)]. Conclusion: Generating Awareness about obesity and its complications in pregnancy is required to prevent those complications in future and bring behavioural and lifestyle modification for sustainability in the long run.

scholarly journals Prevalence of Anxiety in Pregnancy during COVID 19 pandemic in Shree Birendra Hospital, Chhauni

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Shailaja Khadka ◽  
Sumana Thapa ◽  
Ratna Khatri ◽  
Rosy Malla ◽  
Sumana Thapa ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Low Grade ◽  
Cross Sectional ◽  
Significant Difference ◽  
Ethical Approval ◽  
Almost All ◽  
In Pregnancy

Aim: To determine the prevalence of anxiety in pregnancy during COVID19 pandemic in Shree Birendra Hospital, Chhauni Method: It is a cross sectional study conducted at Shree Birendra Hospital Chhauni from July to October 2020 following the ethical approval from IRC. All the pregnant women from first to last trimester attending outdoor visit were included; they were asked to fill up Beck Anxiety Index form. The level of anxiety was compared with demographic data like age, race, parity, and period of gestation, education and occupation. Data were analyzed by using SPSS 20 software. Results: A total of 385 presumably uninfected pregnant women were surveyed in 20-40 (28.45±3.95) years age group from 4 to 41 (27.15±9.4) weeks of pregnancy and 55.6% were multipara. Low-grade anxiety was found 99.5% (BAI= 3.06±3.66). Conclusions: Low-grade anxiety was found in almost all pregnant women during covid pandemic and there was no significant difference by demographic variables.

scholarly journals Treatment of atherogenic dyslipidaemia in Primary Care in

2021 ◽  
Vol 6 (1) ◽  
pp. 026-038
Author(s):  
Capón Álvarez J ◽  
Díaz Fernández B ◽  
Díaz Rodríguez A ◽  
Crespo García N ◽  
Cuello Estrada C ◽  
...  
Keyword(s):  
Primary Care ◽  
Urban Areas ◽  
Primary Care Physicians ◽  
Lifestyle Modification ◽  
Cross Sectional Study ◽  
Review Of The Literature ◽  
Lifestyle Modifications ◽  
Cross Sectional ◽  
Atherogenic Dyslipidaemia ◽  
Structured Questionnaire

Objective: Describe the treatment of the patient with atherogenic dyslipidaemia (AD) in routine Primary Care clinical practice. Methodology: Observational, descriptive, cross-sectional study based on a structured questionnaire. The content of the questionnaire was based on a review of the literature and was validated by 3 AD experts. It included 23 questions and was addressed to primary care physicians. This sub study will analyze questions related to the treatment of AD. Results: A total of 1,029 Primary Care physicians (67.06% men) participated in the study. Most work in urban areas (55.9%) and attended to a mean of 79.9 (SD: 89.85) patients with AD per month. Most (95.63%) considered that the first step in treatment is lifestyle modification. For the AD approach associated with obesity in primary prevention, 74% of the participants advised lifestyle modifications and in turn evaluated the need for pharmacological treatment. In patients with moderate elevations of LDL-C and DA treated with statins, 90% of doctors associated fibrates. In these patients, 93% agreed or fully agreed that fenofibrate is the most appropriate fibrate for their combination with statins. 19% consider the genfibrocil association. In patients in secondary prevention and AD, treated with statins with LDL-C in therapeutic objectives, the majority of participants (94.46%) added a fibrate and 70% combined statins and fibrates from the start of treatment. Conclusions: Although the level of inculcation of knowledge about the therapeutic management of AD is highly acceptable in some cases, there are parts that need to be modified, especially the poor association of statins with genfibrocil.

scholarly journals Benefits of sexual practice during pregnancy: myth or reality? Comparative study and outcome of childbirth in Douala (Cameroon)

2020 ◽  
Vol 9 (10) ◽  
pp. 3944
Author(s):  
Essome Henri ◽  
Thomas O. Egbe ◽  
Valère K. Mve ◽  
Théophile N. Nana ◽  
Merlin Boten ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Sexual Intercourse ◽  
Target Population ◽  
Cross Sectional Study ◽  
Sexual History ◽  
Sexual Practice ◽  
Cross Sectional ◽  
Perineal Tears ◽  
Increased Risk ◽  
In Pregnancy

Background: Pregnancy is the term used to describe the period in which a foetus develops in the uterus and lasts 40 weeks measured from the last menstrual period. Anatomic and physiologic changes in pregnant women usually make couples to change their emotional and sexual activities that may impact childbirth. There are few studies in our setting that describe the roles of sexual practice during pregnancy and maternal-foetal outcomes of childbirth.Objective of this study aimed at assessing the benefits of sexual practice during pregnancy in a target population and to assess the outcome.Methods: We carried out a comparative cross-sectional study from February 2018 to May 2018, at the maternity of Laquintinie Hospital in Douala. Socio-demographic, obstetric, sexual history in pregnancy, birth and neonatal data were collected using a structured questionnaire. Univariate and multivariate analyses were conducted at a 95% confidence interval.Results: A total of 300 respondents completed study and 69.6% were favourable to sexual intercourse during pregnancy. Induction or augmentation of labour was common in the unfavourable group [OR: 2.52 (1.53-4.15); p=0.004]. Almost one in two participants gave birth by caesarean section and the indications for caesarean section were similar in both groups. Participants without sexual intercourse in pregnancy had a 9-fold increased risk of perineal tears [OR: 8.99 (4.02-10.1); p=0.001] and 5.4-fold risk of cervical tears [OR: 5.44 (2.44-8.73); p=0.0001].Conclusions: Sexual practice in pregnancy appears to be protective against excessive use of oxytocin, perineal and cervical tears.

scholarly journals Disparities in Obesity Prevalence in Iranian Adults: Cross-Sectional Study Using Data from the 2016 STEPS Survey

Obesity Facts ◽  
2021 ◽  
pp. 1-8
Author(s):  
Rozhin Amin ◽  
Ali-Asghar Kolahi ◽  
Mohammad-Reza Sohrabi
Keyword(s):  
Concentration Index ◽  
System Analysis ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
The Body ◽  
Noncommunicable Diseases ◽  
Obesity Prevalence ◽  
Cross Sectional ◽  
Increased Risk ◽  
Steps Survey

<b><i>Introduction:</i></b> This paper outlines the prevalence, disparities, and social determinants of preobesity and obesity in Iranian adults. <b><i>Methods:</i></b> Data on 28,321 adults who participated in the 2016 National Survey of the Risk Factors of Noncommunicable Diseases (STEPS) survey were analyzed. The body mass index (BMI) was calculated from physically measured height and weight. To assess the association between sociodemographic factors and the prevalence of preobesity and obesity, a χ<sup>2</sup> test and a logistic regression model were used. Socioeconomic inequality was quantified by a concentration index. Disparities in provincial mean BMI and concentration indices were shown on the map of Iran using geographic information system analysis. <b><i>Results:</i></b> Overall, 60.3% of the participants were affected by preobesity or obesity. The preobesity prevalence was 39% in men and 35.2% in women. The obesity prevalence was 15.6% in men and 30.4% in women. The mean BMI for the country was 26.5. Higher ranges were observed across the northwestern and central territories. Female individuals in the age group 48–57 years who were married and lived in urban settings had an increased risk of being preobese or obese. The concentration index revealed a prorich inequality, with a greater magnitude among women. <b><i>Conclusion:</i></b> The findings suggest that policies aimed at reducing preobesity and obesity should remain a public health priority in Iran. However, a greater emphasis should be placed on the northwestern and central territories and on higher socioeconomic groups.

scholarly journals Clinical and haematological features of newborns of mothers with hypertensive disorders in pregnancy in Lagos, Nigeria

2020 ◽  
Vol 47 (3) ◽  
pp. 252-257
Author(s):  
O.S. Omoniyi ◽  
I.B. Fajolu ◽  
A. Adediran ◽  
E.O. Temiye ◽  
J.I. Ladele
Keyword(s):  
Birth Weight ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Pregnancy Hypertension ◽  
Hypertensive Disorders ◽  
Increased Risk ◽  
Hypertensive Disorders In Pregnancy ◽  
Key Words Newborn ◽  
Haematological Indices ◽  
In Pregnancy

Background: Newborns of mothers with hypertensive disorders in pregnancy have an increased risk of preterm delivery, low birth weight, perinatalasphyxia and haematological derangements such as polycythaemia, thrombocytopenia and neutropenia. These morbidities are associated with  uteroplacental insufficiency. The haematological derangements however have not been studied in detail in African neonates. Objective: To determine the clinical and haematological features of newborns of hypertensive mothers Methods: Cross-sectional study involving 250 newborns; 125 newborns each of hypertensive mothers (cases), and normotensive mothers (controls). The babies were examined following delivery, their clinical data were recorded, and umbilical cord blood samples were analysed for haematological indices. Results: Preterm deliveries were significantly higher amongst infants of hypertensive mothers (31.2%)compared with controls (12.0%);p = 0.000.  Similarly, the birth weight, length and head circumference of the cases were significantly lower than the controls; p = 0.008, 0.003 and 0.004 respectively. Low fifth minute APGAR scores occurred more frequently in cases (8.0%) than controls (0.8%), p=0.010; whilst the mean haematocrit  was also significantly higher in cases than the controls, p = 0.013. The median absolute neutrophil count and platelet count were significantly lower in cases than controls; p=0.023 and 0.047 respectively. Thrombocytopenia was identified in 40.0% of the cases compared to 27.2% of the controls, p =  0.041 Conclusion: The present study has shown that newborns of hypertensive mothers have an increased risk of neonatal morbidities such as preterm birth, LBW and thrombocytopenia compared to the newborns of mothers with normal blood pressure in pregnancy, hence close attention needs to be paid to them with emphasis on their haematological system. Key words: newborn, pregnancy, hypertension, hypertensive disorders, haematological, clinical 

scholarly journals Impact of COVID-19 on rehabilitation experiences of physiotherapists

Work ◽  
2021 ◽  
pp. 1-9
Author(s):  
Pínar Kaya Ciddi ◽  
Gülay Aras Bayram
Keyword(s):  
Online Survey ◽  
Cross Sectional Study ◽  
Remote Communication ◽  
Cross Sectional ◽  
Face To Face ◽  
Increased Risk ◽  
The Status ◽  
Physical Intimacy ◽  
Treat All ◽  
Almost All

BACKGROUND: As the COVID-19 pandemic progressed, pressures on almost all health sectors in many countries increased, and physiotherapy interventions were canceled for various reasons. OBJECTIVES: The aim of this study was to determine the status of physiotherapists who interrupted their services due to the pandemic and investigate procedures adopted by physiotherapists during face-to-face practice. METHOD: The measuring tool was an online survey administered via Google Forms between January 27 and February 27, 2021. In this descriptive cross-sectional study, the sample consisted of 558 physiotherapists, questions about their clinical experience during the pandemic were answered, and descriptive statistics were examined. RESULTS: Of the physiotherapists, 351 (62.9%) suspended their services due to pandemic, while 207 (37%) of all participants worked without suspending their services since the beginning of the process. Among participants, 303 (54.3%) needed education to use telerehabilitation methods, and 315 (56.5%) monitored their patients with remote communication methods. Hand washing (86.6%), disinfectant (85.3%), gloves (76.5%) and masks (86.6%) were the most common protective measures. CONCLUSIONS: Most physiotherapists had their face-to-face practice interrupted for a short time due to the COVID-19 outbreak, but they continue to treat all disease conditions in spite of inherent physical intimacy and increased risk of infection.

scholarly journals Worry and Perceived Risk of COVID-19 Among Government Employees in Ethiopia

2021 ◽  
Author(s):  
Wakgari Deressa ◽  
Alemayehu Worku ◽  
Sefonias Getachew ◽  
Wondwossen Amogne ◽  
Workeabeba Abebe
Keyword(s):  
Perceived Risk ◽  
Risk Perceptions ◽  
Addis Ababa ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Bachelor's Degree ◽  
Government Employees ◽  
Cross Sectional ◽  
Increased Risk ◽  
Almost All

Abstract Background Worry and perceived risk have been identified as important factors that affect people’s attitude to adopt preventive behaviors against infectious diseases outbreaks and pandemics. However, very few recent studies investigated the worry and perceived risk aspects of the COVID-19 pandemic. This study aimed to assess the level of worry and perceived risk of COVID-19 among government employees working in 46 public institutions in Addis Ababa, Ethiopia. Methods This cross-sectional study used a sample of 1,573 respondents selected by systematic random sampling technique. Data on socio-demographics, worry and perceived risks of COVID-19 were collected using a self-administered questionnaire between 8th and 19th June 2020. Summary statistics were used to summarize the data. Mixed-effects linear regression analyses were performed to identify predictors of COVID-19 worry and perceived risk. Results The mean (± SD) age was 35 (± 8.5) years, with 58.3% aged between 30 to 49 years. About 63% were male and 87% had bachelor’s degree or above. Almost all (98%) respondents were worried about the economic crisis due to COVID-19, followed by worries related to limited access to food supplies (97%), and losing loved one’s (95%). Majority (81%) reported they were being susceptible to coronavirus, and 79% indicated they had a chance of acquiring the virus. About 61% reported their personal health’s increased risk of COVID-19 due to their work characteristics. Predictors of COVID-19 worry were increased year of service (β = 0.09, p = 0.001), being from Oromia (β = 3.93, p < 0.001), younger age (β = -0.07, p < 0.001), having bachelor’s degree (β = -1.58, p = 0.001), and master’s degree or above β = -1.84, p < 0.001). COVID-19 level of worry (β = 0.07, p < 0.001), being men (β = 0.34, p = 0.010) and self-reported chronic illness (β = 0.45, p = 0.047) were significant predictors of perceived risk. Conclusions This study demonstrated higher level of COVID-19 related worry and perceived risk. COVID-19 worry correlated significantly with perceived risk. The findings highlight the importance of considering public reactions such as worry and risk perceptions towards COVID-19 to inform the ongoing public health interventions and health promotion programs.

scholarly journals Coinfection withSchistosoma haematobiumandPlasmodium falciparumand Anaemia Severity among Pregnant Women in Munyenge, Mount Cameroon Area: A Cross-Sectional Study

2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
Judith K. Anchang-Kimbi ◽  
Dillys Mansoh Elad ◽  
Gemain Taiwe Sotoing ◽  
Eric Akum Achidi
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
Severe Anaemia ◽  
Clinic Visit ◽  
Urogenital Schistosomiasis ◽  
Water Contact ◽  
Cross Sectional ◽  
Mount Cameroon ◽  
Increased Risk ◽  
In Pregnancy

Background. Malaria and urogenital schistosomiasis are coendemic in Mount Cameroon Area. This study investigated the prevalence ofS. haematobium,P. falciparum,and coinfections and their effect on anaemia in pregnancy.Methods. Pregnant women reporting for antenatal care (ANC) clinic visit in Munyenge were enrolled.S. haematobiumandP. falciparuminfections were determined by urine filtration and microscopy, respectively. Haemoglobin (Hb) levels were measured using haemoglobinometer. Of 250 women, 46.8%, 39.2%, and 15.2% hadS. haematobium,P. falciparum,and coinfections, respectively. Schistosomes infection was higher in younger women (≤25 years) and those who bathe in and had domestic contact with stream compared with older age (>25 years) women and those who had only domestic contact with stream. Lower infection rate was associated with less water contact (≤2 times/day) compared with more water contact (>2 times/day). Compared with no sulphadoxine-pyrimethamine (SP) usage, malaria parasitaemia was less among women who used SP. Stream usage increased risk of coinfection while less water contact and SP usage decreased its risk. All coinfected cases were anaemic and coinfection accounted for 93.8% of severe anaemia.Conclusion. Coinfection contributes to anaemia severity. Less water contact and SP usage will reduce coinfection in pregnancy in Munyenge.

Services Provided for Lactating Mothers at Lactation Management Clinic in Selected Tertiary Level Hospitals

2020 ◽  
Vol 38 (2) ◽  
pp. 68-73
Author(s):  
Tarannum Tasnim ◽  
ANM Shamsul Islam ◽  
Mehedi Hasan Azad ◽  
Farhana Sharmin
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
Public Awareness ◽  
Cross Sectional Study ◽  
Dietary Advice ◽  
Tertiary Level ◽  
Cross Sectional ◽  
Breast Milk Production ◽  
Lactating Mothers ◽  
Structured Questionnaire

Background: Children are the precious gift from the Almightily Allah and breast milk is an ideal product given to the human being by nature to fulfill all requirements of the offspring until they are matured enough to take adult food. Objective: To assess the services provided for lactating mothers at lactation management centre in selected tertiary level hospitals. Materials and Methods: This cross sectional study was conducted among 100 Lactating mothers who were selected conveniently and were interviewed by pre-tested semi-structured questionnaire and an observational checklist. Collected data were processed and analyzed using SPSS (Statistical Packages for Social Science) software. Results: Lactation management centre (LMC) is supervised by a consultant and separate room is allotted in both out-patient and in-patient departments. Mothers came with lactation problems were more likely in the first month of the baby (73%) and feeling of not enough milk production was common (49%).Highly significant relationship was found between breast problems of lactating mother and age of child (p<0.001). About 84% respondents received practical demonstration on position and attachment of the baby during lactation. About 91% respondents got dietary advice for enough breast milk production, 75% got dietary advice regarding their child’s weaning food chart and69% got health education. Maximum mothers were informed about LMC by doctor & nurse (82%). Conclusion: Information about LMC services should be disseminated across the country. Lactating mothers should be familiarized with LMC and public awareness should be enhanced for effective management of breastfeeding problem to promote, protect and support the breastfeeding. JOPSOM 2019; 38(2): 68-73

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