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PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262401
Author(s):  
Nurul Mursyidah Shohaimi ◽  
Majidah Mazelan ◽  
Kanesh Ramanathan ◽  
Mai Shahira Meor Hazizi ◽  
Yan Ning Leong ◽  
...  

Background Exclusive breastfeeding rate in Malaysia is low despite its known health benefits. This study aims to determine the prevalence of intention to breastfeed among pregnant mothers, the prevalence of exclusive breastfeeding practice after delivery, and factors associated with exclusive breastfeeding practice. Methods This was a prospective cohort study. All pregnant women at 36 weeks gestation or above from 17 antenatal health clinics in an urban district were invited to participate in the study. A self-administered questionnaire was used, encompassing sociodemographic, breastfeeding knowledge, attitude, and intention towards the practice of breastfeeding. The participants were followed up one month post-natal for their practice of breastfeeding via telephone or during their post-natal follow-up appointment. Results 483 pregnant mothers participated in the study initially. 462 (95.7%) were contactable after one month. 99.4% (459/462) of participants intended to breastfeed. 65.4% (302/462) of participants practiced exclusive breastfeeding. There was no significant association between intention and practice of exclusive breastfeeding. Multiple logistic regression analysis shows, pregnant mothers with high breastfeeding knowledge (AOR = 1.138; 95% CI 1.008–1.284) and Malay ethnicity (AOR = 2.031; 95% CI 1.066–3.868) were more likely to breastfeed their infant exclusively. Conclusions Prevalence of exclusive breastfeeding practice at one month in the studied district was 65.4%. Malay mothers and mothers with high breastfeeding knowledge were more likely to breastfeed exclusively. Thus, we recommend targeted intervention towards non-Malay mothers and increasing breastfeeding knowledge to all pregnant mothers.


2022 ◽  
Author(s):  
Tegegn Tadesse ◽  
Abera Beyamo ◽  
Yilma Markos ◽  
Dawit Sulamo ◽  
Lire Lema ◽  
...  

Abstract Background: Dietary diversity is a good proxy indicator for micronutrient adequacy in pregnant women. Despite some improvements in dietary intake among pregnant mothers, achieving the minimum dietary diversity among them is still a great challenge in Ethiopia. There are no enough studies done on minimum dietary diversity among pregnant women and factors identified were more of local based. Therefore this study determined the prevalence of minimum dietary diversity and its associated factors among pregnant women attending antenatal care in government health facilities of Soro district, Hadiya Zone, Southern Ethiopia.Methods: This is the facility based study conducted in government health facilities of Soro district, Hadiya Zone from Oct. 2020-Jan 2021. Cross sectional study design was undertaken by using systematic sampling on 422 pregnant women attending antenatal care. Both bivariate and multivariable logistic regression analysis were used to assess the association of independent variables with outcome variable.Result: From the total of the 422 study subjects, 416 pregnant women attending antenatal care were participated in the study and making the response rate 98.6 percent. The overall prevalence of pregnant mothers who have met the minimum dietary diversity was only 7.9%. Maternal educational status being grade nine above, eating meal more than three times per day and women being currently not married were factors found to be significantly associated with minimum dietary diversity among pregnant mothers attending antenatal care in government health facilities.Conclusion: The prevalence of the minimum dietary diversity among pregnant women attending ANC in public health facilities of Soro district was very low and far from national and international recommendations to enhance the maternal food diversity. Inter sectoral collaboration is very important to enhance the minimum dietary diversity during pregnancy and should be worked intensively and in an integrated manner.


2022 ◽  
Vol 7 (1) ◽  
pp. 7-14
Author(s):  
Mohammad Nasir Hematian ◽  
Mahnaz Ghiasi ◽  
Somayeh Baharian ◽  
Sedighe Safaie ◽  
Mojgan Rahmanian ◽  
...  

In developing countries, many health workers force pregnant women in private hospitals having baby through cesarean delivery, even though most pregnant mothers are skeptical about the risk of going under such operations. Doctors often encourage pregnant mothers to have a cesarean on the basis of their physical condition and medical reports. Emergency cesarean patient cannot be prepared in advance but on real time, If a system can be developed that can forecast whether a woman need natural or cesarean delivery, then rate of the risk of the pregnant women get reduce. To design such system, we need to know what factors influences the doctors to choose cesarean over normal delivery. We have conducted a systematic review in well-known databases to understand the various factors of pregnant mothers. A total of 19 studies were selected among 2512 studies based on the relevancy to the research objective. The objective of this study is to predict the mode of delivery based on 10 specific parameters identified separately from 180 parameters present in various test reports.


Author(s):  
Wimalajeewa T.M.D.Y.D. ◽  
Hettiaratchi U.P.K.

Introduction: Diabetes Mellitus (GDM) has become an emerging metabolic disorder around the world leading to type 2 diabetes mellitus in two generations, including the mother and the offspring. Complications associated with GDM can be prevented by proper management of the disease. This study aimed to assess knowledge and attitudes on GDM and its associated factors in a selected population of pregnant mothers in Sri Lanka. Methods: A descriptive cross-sectional study was carried out among eight antenatal clinics in the Mathugama Medical Officer of Health (MOH) area, Sri Lanka. Pregnant mothers of less than 20 weeks of gestation (n=150) attending the above clinics were selected by convenience sampling. A pre-tested, interviewer-administered questionnaire was used as the data collection instrument. The SPSS version 23 was used for data analysis. Descriptive statistics, visual binning, independent sample t-test and bivariate correlation were used as statistical tools. Results: Only 4.7% of participants had developed GDM previously. The mean gestational age of the study participants was 12±5 weeks. The mean percentage knowledge score regarding GDM was 36.1±23.3%. Only 20.0% had good knowledge and 35.3% had poor knowledge about GDM. Age (p=0.017), level of education (p=0.024), history of GDM (p=0.033), and family history of diabetes mellitus (p=0.025) had significant associations with the knowledge on GDM. In addition, positive correlations were found between the mean knowledge score for GDM and gestational age (p=0.001), and the gravidity (p=0.018) of the participants (p<0.05). Conclusions: Only a minority of the study group (20.0%) had good knowledge about GDM while, more than 50.0% of the participants showed positive attitude towards the management of GDM. Therefore, taking measures to enhance the pregnant mothers’ knowledge regarding GDM is a timely and important action that ultimately leads to healthy pregnancy outcomes. Keywords: Gestational diabetes mellitus, Pregnant mothers, Knowledge, Attitudes, Associated factors


2021 ◽  
Vol 21 (3) ◽  
pp. 612-624
Author(s):  
Tati Murniati ◽  
Ahmad Muchlis

Ketersediaan nutrisi pada induk baik melalui suplai dari makanan maupun hasil metabolisme induk mempunyai pengaruh sangat luas pada pertumbuhan fetus selama kebuntingan.  Sangat diperlukan upaya perbaikan ketersediaan nutrisi melalui peningkatan sekresi endogen hormon metabolisme dan metabolit penting dan faktor-faktor pertumbuhan lainnya.  Pengetahuan profil metabolik dapat berguna dalam memprediksi masalah metabolik.  Penelitian ini dirancang mengikuti pola factorial  2 x 4 dengan 9 ulangan, sehingga jumlah kambing yang digunakan sebanyak 72 ekor induk kambing, yang terdiri dari kelompok kambing Peranakan Etawa dan kambing Kacang Pemberian pakan selama kebuntingan dibagi dalam 3 perlakuan  induk bunting awal (umur kebuntingan 1 sampai 3 bulan), induk bunting akhir (umur kebuntingan 3 sampai 5 bulan), induk bunting tampa pemberian pakan suplemen dan Induk bunting dengan suplementasi selama kebuntingan.  Pemberian pakan suplemen dapat meningkatkan pertambahan berat badan induk bunting.  Waktu yang optimum pemberian pakan suplemen pada induk bunting memberikan pertambahan berat badan yang tinggi pada umur kebuntingan 1 sampai 3 bulan (awal).  Kandungan glukosa darah dipengaruhi oleh jenis kambing dan umur kebuntingan.  Kandungan glukosa darah tertinggi pada induk yang diberi pakan suplemen selama kebuntingan tetapi tidak berbeda pada kebuntingan awal dan akhir.  Kandungan metabolit darah (urea dan kreatinine) tidak dipengaruhi oleh umur kebuntingan, dan kandungan metabolit darah relatif lebih tinggi pada ternak yang diberi pakan suplemen The availability of nutrients in the mother either through the supply of food or the results of the metabolism of the mother has a very broad influence on the growth of the fetus during pregnancy. It is necessary to improve the availability of nutrients by increasing the endogenous secretion of metabolic hormones and important metabolites and other growth factors. Knowledge of the metabolic profile can be useful in predicting metabolic problems. This study was designed to follow a 2 x 4 factorial pattern with 9 replications, so that the number of goats used were 72 mother goats, consisting of Etawa Peranakan goats and Kacang goats. 3 months), late pregnant women (gestational age 3 to 5 months), pregnant women without supplementation of feed and pregnant women with supplementation during pregnancy. Supplementary feeding can increase the weight gain of pregnant mothers. The optimum time of giving supplementary feed to pregnant mothers gives high weight gain at 1 to 3 months of gestation (early). Blood glucose content is influenced by the type of goat and gestational age. The blood glucose content was highest in broodstock fed supplements during pregnancy but did not differ in early and late pregnancy. The content of blood metabolites (urea and creatinine) was not affected by gestational age, and the content of blood metabolites was relatively higher in livestock fed supplementary diets.


Author(s):  
Jun Chen ◽  
Xinyi Chen ◽  
Chun Loong Ho

Bifidobacterium is a non-spore-forming, Gram-positive, anaerobic probiotic actinobacterium and commonly found in the gut of infants and the uterine region of pregnant mothers. Like all probiotics, Bifidobacteria confer health benefits on the host when administered in adequate amounts, showing multifaceted probiotic effects. Examples include B. bifidum, B. breve, and B. longum, common Bifidobacterium strains employed to prevent and treat gastrointestinal disorders, including intestinal infections and cancers. Herein, we review the latest development in probiotic Bifidobacteria research, including studies on the therapeutic impact of Bifidobacterial species on human health and recent efforts in engineering Bifidobacterium. This review article would provide readers with a wholesome understanding of Bifidobacteria and its potentials to improve human health.


Author(s):  
Sultana Razia ◽  

Background: The proportion of Diabetes is becoming more aggregate around the universe, and it is linked to both genetic and environmental causes. Because of the rising prevalence of type 2 diabetes among young people, the number of pregnancies with this problem has increased. Objectives: The aim of the study was to assess the proportion of Gestational Diabetes Mellitus (GDM) among the pregnant mothers and their socio-demographic characteristics.


2021 ◽  
Vol 13 (02) ◽  
pp. 166
Author(s):  
Rina Harwati ◽  
Wahyuningsih .

ABSTRAKPenurunan jumlah pengunjung ANC sebanyak 67,97% di RB Kinasih yang pada kenyataannya RB tersebut sudah meningkatkan standart mutu pelayanan kebidanan dan rendahnya pemahaman ibu hamil mengenai pelayanan kebidanan yang mempunyai sosial ekonomi yang berbeda-beda. Berdasarkan latar belakang tersebut, maka tujuan dari peneliti melakukan penelitian ini adalah untuk mengetahui hubungan antara sosial ekonomi ibu hamil dengan pemahaman tentang pelayanan kebidanan. Desain penelitian ini adalah diskripsi korelasi dengan pendekatan cross seksional. Dalam pengambilan sampel, peneliti menggunakan tehnik acidental sampling . Data diambil menggunakan kuesioner. Untuk uji validitas dengan rumus Product Moment dan reliabilitas menggunakan Spearman Brown. Hasil penelitian menunjukkan bahwa ada hubungan antara sosial ekonomi dengan pemahaman tentang pelayanan kebidanan, hal ini dibuktikan dengan hasil perhitungan Chi Square yang lebih besar dari tabel Product Moment sebesar 3,784. Sosial ekonomi ibu hamil sangat berpengaruh terhadap pemahamannya dalam menerima pelayanan kebidanan sehingga diharapkan bidan harus lebih memperhatikan karakteristik ibu hamil dalam memberikan pelayanan karena segala informasi dan tindakan yang diberikan sangat tergantung dari karakteristik ibu hamil tersebut.Kata kunci : Sosial Ekonomi, Ibu Hamil, Pemahaman, Pelayanan KebidananSOCIAL ECONOMIC RELATIONSHIP OF PREGNANT MOTHERS IN THE COVID-19 PANDEMIC WITH UNDERSTANDING OF MIDWIFE SERVICES IN RB KINASIH, SIDOHARJO, SRAGEN ABSTRACTThe decrease in the number of ANC such 67,97% visitors at Kinasih RB, which in fact has increased the quality standard of midwifery services and the low understanding of pregnant women about midwifery services that have different socio-economic. Based on this background, the purpose of the researchers conducting this study was to determine the relationship between the socioeconomic status of pregnant women and their understanding of midwifery services. The design of this research is correlation description with cross sectional approach. In taking the sample, the researcher used the accidental sampling technique. Data were taken using a questionnaire. To test the validity with the Product Moment formula and reliability using Spearman Brown. The results of the study indicate that there is a relationship between socio-economic and understanding of midwifery services, this is evidenced by the results of the Chi Square calculation which is greater than the Product Moment table such 3,784. Socio-economic conditions of pregnant women greatly affect their understanding of receiving midwifery services, so it is hoped that midwives should pay more attention to the characteristics of pregnant women in providing services because all information and actions provided depend on the characteristics of the pregnant women.Keywords: Socio-Economic, Pregnant Women, Understanding, Midwifery Services


PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0260691
Author(s):  
Eskedar Demissie Beketie ◽  
HaileMariam Berhe Kahsay ◽  
Fiseha Girma Nigussie ◽  
Wubishet Tesfaye Tafese

Background Depression is a common mental disorder. The burden of antenatal depression is higher in developing countries which is 20% as compared to developed ones 10% to 15%. In Ethiopia around one-fifth of pregnant mothers are depressed. Despite the severity of the problem, only a few studies have been done in Ethiopia, and there is no study done in Arba Minch on the problem. Objective To assess the magnitude and associated factors of antenatal depressive symptoms among pregnant women attending Public Health facilities in Arba Minch town Southern Nations and Nationalities Peoples Region, Ethiopia 2018. Methods Health Institution based, cross-sectional study design was used to assess the magnitude and associated factors of antenatal depression among 323 pregnant mothers who came for antenatal care follow-up in all public health facilities in Arba Minch town. The systematic random sampling technique was applied. Interviewer administered, pretested structured Questionnaire containing Edinburgh postpartum depression scale was utilized. EPI INFO was used to enter data and then the data were analyzed by logistic regression using SPSS. Variables with P-value less than 0.2 in the bivariate logistic regression were inserted in for multivariable analysis to see their independent effect and those with P-value less than 0.05 were used to determine the significant association between dependent and independent variables. Result The magnitude of antenatal depression was 35.4%. Variables that were significantly associated with antenatal depression on multivariate analysis were anxiety (AOR = 5.49, 95%CI: 2.56, 11.77), un-planned pregnancy (AOR = 2.71, 95%CI: 1.21, 6.07), and Primigravida (AOR = 2.96, 95%CI: 1.28, 6.8). Similarly, uneducated mothers and those who attend only elementary school had AOR 4.92, 95% CI 1.36,17.73 and AOR 4.04955CI 1.23, 13.39 respectively. Conclusion The magnitude of antenatal depression, intimate partner violence, and threatening life event in Arba Minch town was high. Anxiety, unplanned pregnancy, educational status, and Primigravida were significantly associated factors with depression. There should be a mechanism for routine screening and management of antenatal depression and intimate partner violence during antenatal care follow-up.


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