Realizing a healthy pregnancy through optimizing the participation in pregnant women class

This community service aims to increase knowledge, change attitudes and behavior of mothers to understand pregnancy, body changes, complaints during pregnancy, pregnancy care, childbirth, postpartum care, postnatal family planning, newborn care, and myths to achieve a healthy pregnancy. The method of the community service is health education in the form of pregnant women class and demonstrations of pregnant gymnastics practices which are carried out at the Sumberagung Village Hall, Sukodadi District, Lamongan Regency. The results indicate an increase in knowledge of pregnant women related to information about pregnancy and childbirth. Thus, pregnant women have an awareness of the importance of taking classes for pregnant women and make it a necessity to realize a healthy pregnancy.

Differences in the organisation of early pregnancy units and the effect of senior clinician presence, volume of patients and weekend opening on emergency hospital admissions: Findings from the VESPA Study

Objective To determine whether the participation of consultant gynaecologists in delivering early pregnancy care results in a lower rate of acute hospital admissions. Design Prospective cohort study and emergency hospital care audit; data were collected as part of the national prospective mixed-methods VESPA study on the “Variations in the organization of EPAUs in the UK and their effects on clinical, Service and PAtient-centred outcomes”. Setting 44 Early Pregnancy Assessment Units (EPAUs) across the UK randomly selected in balanced numbers from eight pre-defined mutually exclusive strata. Participants 6606 pregnant women (≥16 years old) with suspected first trimester pregnancy complications attending the participating EPAUs or Emergency Departments (ED) from December 2016 to July 2017. Exposures Planned and actual senior clinician presence, unit size, and weekend opening. Main outcome measures Unplanned admissions to hospital following any visit for investigations or treatment for first trimester complications as a proportion of women attending EPAUs. Results 205/6397 (3.2%; 95% CI 2.8–3.7) women were admitted following their EPAU attendance. The admission rate among 44 units ranged from 0% to 13.7% (median 2.8). Neither planned senior clinician presence (p = 0.874) nor unit volume (p = 0.247) were associated with lower admission rates from EPAU, whilst EPAU opening over the weekend resulted in lower admission rates (p = 0.027). 1445/5464 (26.4%; 95%CI 25.3 to 27.6) women were admitted from ED. There was little evidence of an association with planned senior clinician time (p = 0.280) or unit volume (p = 0.647). Keeping an EPAU open over the weekend for an additional hour was associated with 2.4% (95% CI 0.1% to 4.7%) lower odds of an emergency admission from ED. Conclusions Involvement of senior clinicians in delivering early pregnancy care has no significant impact on emergency hospital admissions for early pregnancy complications. Weekend opening, however, may be an effective way of reducing emergency admissions from ED.

PREGNANCY CARE IN COVID19 THROUGH AYURVEDA

The coronavirus disease 2019 (COVID-19) is a highly transmittable and pathogenic viral infection caused by se- vere acute respiratory syndrome coronavirus 2 (SARS COV-2) and Garbha-Kala is one of the most crucial and responsible stages in women's life. COVID-19 can produce a devastating effect on maternal wellbeing. Ayurveda has mentioned the pandemic situation under the term Janapadodhwamsa which spread through Vayu, Jala, Desha and Kala. The outbreak of Covid-19 is severely affecting the world. It is an infectious disease caused by severe acute respiratory syndrome coronavirus 2. It has mainly respiratory and systemic manifestations. People having diabetes, chronic diseases, pregnant women are more prone to this infection as they are more susceptible to path- ogens and the development of severe conditions like pneumonia. Due to the physiological changes during preg- nancy, pregnant women are the most vulnerable group in this pandemic situation because infection during preg- nancy can result in adverse outcomes. Much research is still in continuation because we are not sure of much evi- dence till now. Many preventive protocols suggested by Ayurveda can prevent the prevalence of disease up to some extent. Keywords: Ayurveda, Covid-19, Janapadodhwamsa, Pandemic, Pregnancy

Compelling Choices: Tensions in the Practice and Experience of Prenatal Screening in New Zealand

<p>Recently there has been a shift in health policy in New Zealand, as internationally, away from prenatal screening for fetal abnormalities targeting specific 'high risk' groups of pregnant women, towards the implementation of population-based screening programmes. As a result, for the majority of pregnant women in Western countries, prenatal screening is now undertaken as part of the standard 'package' of maternity care. This thesis explores the constitution of prenatal screening as a now taken-for-granted aspect of contemporary pregnancy care. It considers tensions between popular and medical understandings of the value and purpose of this practice, in particular examining the contradictory nature of discourses which, on one hand, construct acceptance of prenatal screening as an empowering 'choice' available to pregnant women, and on the other hand, as an institutionally-endorsed, morally appropriate practice of risk management. Recent developments within the New Zealand context are presented as a 'case study' of the representational politics of prenatal screening within contemporary public health policy. The question of informed consent for prenatal screening is a key focus within the research. It examines the extent to which the scope of women's choices and the degree of consent possible are materially shaped and constrained within the context of current clinical practice, and the broader climate of contemporary pregnancy care. Empirically, the research investigates key themes in women's experience of prenatal screening decisions within this climate, and explores the private 'moral work' undertaken by pregnant women as they navigate the contradictory imperatives which circulate in mainstream screening discourse. The findings of the research suggest a need for clinicians and policy makers to recognise prenatal screening as an ethically complex 'special case', qualitatively distinct from other projects of population-based health screening. It is argued that ethical practice in prenatal screening requires an approach which acknowledges the discursive and material factors which problematise liberal conceptions of prenatal screening as an authentic, deliberative 'choice' available to pregnant women.</p>

Compelling Choices: Tensions in the Practice and Experience of Prenatal Screening in New Zealand

<p>Recently there has been a shift in health policy in New Zealand, as internationally, away from prenatal screening for fetal abnormalities targeting specific 'high risk' groups of pregnant women, towards the implementation of population-based screening programmes. As a result, for the majority of pregnant women in Western countries, prenatal screening is now undertaken as part of the standard 'package' of maternity care. This thesis explores the constitution of prenatal screening as a now taken-for-granted aspect of contemporary pregnancy care. It considers tensions between popular and medical understandings of the value and purpose of this practice, in particular examining the contradictory nature of discourses which, on one hand, construct acceptance of prenatal screening as an empowering 'choice' available to pregnant women, and on the other hand, as an institutionally-endorsed, morally appropriate practice of risk management. Recent developments within the New Zealand context are presented as a 'case study' of the representational politics of prenatal screening within contemporary public health policy. The question of informed consent for prenatal screening is a key focus within the research. It examines the extent to which the scope of women's choices and the degree of consent possible are materially shaped and constrained within the context of current clinical practice, and the broader climate of contemporary pregnancy care. Empirically, the research investigates key themes in women's experience of prenatal screening decisions within this climate, and explores the private 'moral work' undertaken by pregnant women as they navigate the contradictory imperatives which circulate in mainstream screening discourse. The findings of the research suggest a need for clinicians and policy makers to recognise prenatal screening as an ethically complex 'special case', qualitatively distinct from other projects of population-based health screening. It is argued that ethical practice in prenatal screening requires an approach which acknowledges the discursive and material factors which problematise liberal conceptions of prenatal screening as an authentic, deliberative 'choice' available to pregnant women.</p>

Review of Prenatal Aneuploidy Screening Uptake Rate and Trends in Iran, and Developed Countries

: Prenatal screening of different anomalies including chromosomal aneuploidies have become a part of routine pregnancy care in most countries around the world. These tests can help pregnant mothers to have informed decisions. In this study we gathered relevant scientific and governmental/official data about uptake rate of these screenings in different developed countries and Iran. We have tried to use the latest articles and reports, and also consider to the global trend of screening and abortion policies in developed countries. Also, some pitfalls when comparing prenatal screening of different countries will be explained. These data can help to have a better insight about Iran’s prenatal screening status when compared with developed countries to improve public health policies.

Anais do VI Congresso de Saúde da Mulher do Cariri - SAÚDE MENTAL / Proceedings of the VI Cariri Women's Health Congress - MENTAL HEALTH

O Congresso de Saúde da Mulher do Cariri (CONSMUC) é organizado anualmente pelo Programa de Atenção à Gestante (ProGest), projeto de extensão vinculado à Faculdade de Medicina da Universidade Federal do Cariri, sob orientação da professora efetiva do curso de medicina Patrícia Maria de Albuquerque Brayner. O congresso aborda temáticas importantes na área de Saúde da Mulher. Esse ano, em sua VI edição, foi realizado nos dias 1 a 3 de Outubro de 2021 em versão on- line, abordando como temática principal a “Saúde Mental”. Palavras-Chave: Saúde da Mulher; Congresso; Saúde MentalAbstract: The Cariri Women's Health Congress (CONSMUC) is organized annually by the Pregnancy Care Program (ProGest), an extension project linked to the Faculty of Medicine of the Federal University of Cariri, under the guidance of the effective professor of the medicine course, Patrícia Maria de Albuquerque Brayner. The congress addresses important themes in the area of Women's Health. This year, in its VI edition, it was held from October 1st to 3rd, 2021 in an online version, addressing as the main theme “Mental Health”.Keywords: Women´s Health; Congress; Mental Health

Decline in prenatal buprenorphine/naloxone fills during the COVID-19 pandemic in the United States

Background and Aims: Pregnancy provides a critical opportunity to engage women with substance use disorder in care. Buprenorphine/naloxone treatment is associated with improved pregnancy and fetal outcomes, but prior to the COVID-19 pandemic, there were multiple barriers to accessing buprenorphine/naloxone during pregnancy. Care disruptions during the pandemic may have further exacerbated these already existing barriers. To quantify these changes, we examined trends in the number of individuals filling prescriptions for prenatal buprenorphine/naloxone prescriptions during the COVID-19 pandemic. Methods: We estimated an interrupted time series model using linked national pharmacy claims and medical claims data from May 2019 to December 2020. We estimated changes in the level and trend in the monthly number of individuals filling prescriptions for prenatal buprenorphine/naloxone during the COVID-19 pandemic. We then stratified our analyses by payer. Results: We identified 2,947 pregnant patients filling buprenorphine/naloxone prescriptions. Before the pandemic, there was positive growth in the monthly number of individuals filling prescriptions for prenatal buprenorphine/naloxone (4.83% (95% confidence interval (CI): 3.40% to 6.26%). During the pandemic, the monthly growth rate in individuals filling prescriptions for prenatal buprenorphine/naloxone declined for both patients on commercial insurance and patients on Medicaid (all payers: -5.53% (95% CI: -7.28% to -3.78%); Medicaid: -7.66% (95% CI: -10.42% to -4.90%); Commercial: -3.59% (95% CI: -5.53% to -1.66%)). Conclusion: The number of pregnant individuals filling buprenorphine/naloxone prescriptions was increasing prior to the pandemic, but this growth has been lost during the pandemic.