Obstetrics and Gynecology International最新文献

{"title":"Determinants of Antenatal Care Service Satisfaction among Women in Ethiopia: A Systematic Review and Meta-Analysis","authors":"Kenbon Seyoum","doi":"10.1155/2022/9527576","DOIUrl":"https://doi.org/10.1155/2022/9527576","url":null,"abstract":"Background Antenatal care service satisfaction is a measure of the degree to which a woman seeking care is happy with the antenatal care service provided to her. Thus, this systematic review and meta-analysis aims to identify factors that determine antenatal care service satisfaction among women in Ethiopia. Methods PubMed, Hinari, and Google Scholar were systematically searched for eligible studies. In addition, national university digital libraries were also searched. The Joanna Briggs Institute's (JBI) critical appraisal tools were used to assess the quality of the included articles. The Cochrane Q-statistics and I2 tests were used to assess heterogeneity among the included studies. Publication bias was assessed using Egger's test. Joanna Briggs Institute Critical Appraisal Checklist for Analytical Cross-Sectional Studies. The extracted data were analyzed using STATA version 14 software and the results were presented using the forest plot. Results Of the 274 articles identified through the systematic search of the literature, 13 studies fulfilling the inclusion criteria were included in this meta-analysis. First antenatal care visit (AOR: 0.62 and 95% CI: 0.40, 0.96), women waited <60 min (AOR: 1.87 and 95% CI: 1.40–2.50), women whose privacy was maintained (AOR: 3.91 and 95% CI: 1.97–7.77), women treated respectfully (AOR: 5.07 and 95% CI: 2.34–10.96), and unplanned pregnancies (AOR = 0.28 and 95% CI: 0.10–0.77) were significantly associated with antenatal care service satisfaction. Conclusion The study assessed the determinants of antenatal care service satisfaction in Ethiopia. First antenatal care visit, waiting time (<60 min) to see the care provider, maintenance of privacy, respectful treatment, and pregnancy unplanned were found to be determinants of antenatal care service satisfaction. Counseling a woman to comply with a minimum required antenatal care visits and compassionate and respectful maternity care will increase maternal satisfaction with the antenatal care services.","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"74 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2021-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77581314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exclusive Breastfeeding and Normative Belief among Rural Mothers in Ethiopia, 2019: A Cross-Sectional Survey Embedded with Qualitative Design.","authors":"Wolde Melese Ayele","doi":"10.1155/2021/5587790","DOIUrl":"https://doi.org/10.1155/2021/5587790","url":null,"abstract":"<p><strong>Background: </strong>Exclusive breastfeeding has an irrepressible benefit to a child. However, the practice is still low with salient factors in Ethiopia. Therefore, this study aimed to assess exclusive breastfeeding practice and normative beliefs among mothers who have children less than two years of age in Ethiopia, 2019.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted with a sample size of 423 in Ethiopia from March 12 to December 18, 2019. An interviewer-administered questionnaire was used to collect the data. Gender-matched six Focus Group Discussions were conducted. Semistructured guiding questions were used to carry out the discussion. The binary logistic regression model was used to determine the association between dependent and independent variables of the quantitative part.</p><p><strong>Results: </strong>The prevalence of exclusive breastfeeding practice was 77.5% (95% CI: 73.5, 81.5%). Married mothers (AOR = 2.57; 95% CI: 1.68, 5.65), mothers with antenatal care follow-up (AOR = 4.11; 95% CI: 2.66, 11.17), mothers who delivered at a health institution (AOR = 4.07; 95% CI: 2.99, 10.72), and mothers counseled during antenatal care (AOR = 1.96; 95% CI: 1.12, 4.73) had a positive association, whereas mothers who were unable to read and write (AOR = 0.11; 95% CI: 0.06, 0.99) and employed mothers (AOR = 0.22; 95% CI: 0.16, 0.56) were the variables that had a negative association with exclusive breastfeeding practice.</p><p><strong>Conclusions: </strong>Although the prevalence of exclusive breastfeeding was good when compared with other studies, rigorous interventions are needed to achieve the WHO recommendation of all infants should exclusively be breastfed. Marital status, educational status, occupation, antenatal care service, place of birth, and counseling of mothers during ANC were factors associated with the exclusive breastfeeding practice.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2021 ","pages":"5587790"},"PeriodicalIF":1.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7987461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10390869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk of Selected Fetal Adverse Pregnancy Outcomes at Advanced Maternal Age: A Retrospective Cohort Study in Debre Markos Referral Hospital, Northwest Ethiopia.","authors":"Bikila Tefera Debelo,&nbsp;Melaku Hunie Asratie,&nbsp;Abayneh Aklilu Solomon","doi":"10.1155/2020/1875683","DOIUrl":"https://doi.org/10.1155/2020/1875683","url":null,"abstract":"<p><strong>Introduction: </strong>Pregnancy at an advanced maternal age is defined as pregnancy at 35 years or older. Today, women postpone pregnancy due to different socioeconomic and personal reasons. However, there was limited evidence on fetal adverse outcomes' association with pregnancy at an advanced maternal age in Ethiopia and particularly in the study area. This study was aimed at assessing the effect of pregnancy at an advanced age on selected neonatal adverse pregnancy outcomes in Debre Markos Referral Hospital, Ethiopia, 2019.</p><p><strong>Methods: </strong>Institution-based retrospective cohort study was conducted on 303 exposed (35 years and older) and 604 nonexposed (20-34 years old) immediate postpartum women who delivered at Debre Markos Referral Hospital after 28 weeks of gestation. All exposed women who fulfilled the inclusion criteria were sampled, and systematic random sampling was employed for those in the nonexposed group. The data were collected from 1st of July to 30th of December, 2019, by face-to-face interview and extraction from maternal chart using a structured questionnaire and data extraction checklist, respectively. Binary logistic regression (bivariate and multivariable) model was fitted, and wealth index was analyzed by principal component analysis. Adjusted relative risk with respect to 95% confidence interval was employed for the strength and directions of association between advanced maternal age and selected adverse pregnancy outcomes, respectively. <i>P</i>-value of <0.05 was used to declare statistical significance.</p><p><strong>Results: </strong>The incidence of adverse neonatal outcomes including stillbirth, preterm birth, and low birth weight in the advanced maternal age group was 13.2%, 19.8%, and 16.5%, respectively. The incidence of stillbirth, preterm birth, and low birth weight in the nonexposed group was 3.1%, 8.4%, and 12.4%, respectively. The advanced maternal age group had three times the risk of stillbirth compared with the nonexposed group (ARR = 3.14 95% CI (1.30-7.00)). The advanced maternal age group had 2.66 times the risk of delivering preterm fetus (ARR = 2.66 95% CI (1.81-3.77)) compared with the younger counterparts. Low birth weight was not significantly associated with pregnancy at an advanced maternal age.</p><p><strong>Conclusion: </strong>Fetal adverse outcomes including stillbirth and preterm birth were significantly associated with pregnancy at an advanced maternal age.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2020 ","pages":"1875683"},"PeriodicalIF":1.9,"publicationDate":"2020-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7775157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39139062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Placenta Creta: A Spectrum of Lesions Associated with Shallow Placental Implantation.","authors":"Jerzy Stanek","doi":"10.1155/2020/4230451","DOIUrl":"https://doi.org/10.1155/2020/4230451","url":null,"abstract":"<p><strong>Background: </strong>On placental histology, placenta creta (PC) ranges from clinical placenta percreta through placenta increta and accreta (clinical and occult) to myometrial fibers with intervening decidua. This retrospective study aimed to investigate the clinicopathologic correlations of these lesions.</p><p><strong>Methods: </strong>A total of 169 recent consecutive cases with PC (group 1) were compared with 1661 cases without PC examined during the same period (group 2). The frequencies of 25 independent clinical and 40 placental phenotypes were statistically compared between the groups using chi-square test or analysis of variance where appropriate.</p><p><strong>Results: </strong>Group 1 placentas, as compared with group 2 placentas, were statistically significantly (<i>p</i> < 0.05) associated with caesarean sections (11.2% vs. 7.5%), antepartum hemorrhage (17.7% vs 11.6.%), gestational hypertension (11.2% vs 4.3%), preeclampsia (11.8% vs 2.6%), complicated third stage of labor (18.9% vs 6.4%), villous infarction (14.2% vs 8.9%), chronic hypoxic patterns of placental injury, particularly the uterine pattern (14.8%, vs 9.6%), massive perivillous fibrin deposition (9.5% vs 5.3%), chorionic disc chorionic microcysts (21.9% vs 15.9%), clusters of maternal floor multinucleate trophoblasts (27.8% vs 21.2%), excessive trophoblasts of chorionic disc (24.3% vs 17.3%), segmental fetal vascular malperfusion (27.8% vs 19.9%), and fetal vascular ectasia (26.2% vs 15.2%).</p><p><strong>Conclusion: </strong>Because of the association of PC with gestational hypertensive diseases, acute and chronic placental hypoxic lesions, increased extravillous trophoblasts in the chorionic disc, chorionic microcysts, and maternal floor trophoblastic giant cells, PC should be regarded as a lesion of abnormal placental implantation and abnormal trophoblast invasion rather than decidual deficiency only.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2020 ","pages":"4230451"},"PeriodicalIF":1.9,"publicationDate":"2020-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/4230451","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38694591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Live Experiences of Adolescent Mothers Attending Mbale Regional Referral Hospital: A Phenomenological Study.","authors":"Violet Chemutai, Julius Nteziyaremye, Gabriel Julius Wandabwa","doi":"10.1155/2020/8897709","DOIUrl":"10.1155/2020/8897709","url":null,"abstract":"<p><strong>Background: </strong>Adolescence is a period of transition from childhood to adulthood, and is a critical stage in ones' development. It is characterized by immense opportunities and risks. By 2016, 16% of the world's population was of adolescents, with 82% residing in developing countries. About 12 million births were in 15-19 year olds. Sub-Saharan Africa, particularly East Africa, has high adolescent pregnancy rates, as high as 35.8% in eastern Uganda. Maternal mortality ratio (MMR) attributable to 15-19 years olds is significant with 17.1% of Uganda's MMR 336/100.000 live births being in this age group. Whereas research is awash with contributing factors to such pregnancies, little is known about lived experiences during early motherhood. This study reports the lived experiences of adolescent mothers attending Mbale Hospital.</p><p><strong>Materials and methods: </strong>A phenomenological study design was used in which adolescent mothers that were attending Young Child Clinic were identified from the register and simple random sampling was used to select participants. We called these mothers by way of phone numbers and asked them to come for focus group discussions that were limited to 9 mothers per group and lasting about 45 minutes-1 hour. Ethical approval was sought and informed written consent obtained from participants. At every focus group discussion, the data which had largely been taken in local languages was transcribed and translated verbatim into English.</p><p><strong>Results: </strong>The research revealed that adolescent mothers go through hard times especially with the changes of pregnancy and fear of unknown during intrapartum and immediate postpartum period and are largely treated negatively by family and other community members in addition to experiencing extreme hardships during parenting. However, these early mothers' stress is alleviated by the joy of seeing their own babies.</p><p><strong>Conclusion: </strong>Adolescent motherhood presents a high risk group and efforts to support them during antenatal care with special adolescent ANC clinics and continuous counseling together with their household should be emphasized to optimize outcome not only during pregnancy but also thereafter. Involving these mothers in technical courses to equip them with skills that can foster self-employment and providing support to enable them pursue further education should be explored.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2020 ","pages":"8897709"},"PeriodicalIF":1.9,"publicationDate":"2020-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/8897709","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38726627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal and Perinatal Outcomes of Singleton Term Breech Vaginal Delivery at a Tertiary Care Center in Nepal: A Retrospective Analysis.","authors":"Tulasa Basnet,&nbsp;Baburam Dixit Thapa,&nbsp;Dipti Das,&nbsp;Ramesh Shrestha,&nbsp;Sarita Sitaula,&nbsp;Anu Thapa","doi":"10.1155/2020/4039140","DOIUrl":"https://doi.org/10.1155/2020/4039140","url":null,"abstract":"<p><strong>Background: </strong>Breech presentation is associated with increased rates of maternal and perinatal morbidity regardless of mode of delivery. After the results of Term Breech Trial, most of the countries adopted the protocol of cesarean section for term breech delivery because of which breech vaginal delivery is becoming rare. The aim of this study is to evaluate short-term maternal and perinatal outcomes of breech vaginal delivery at a tertiary care hospital in Nepal.</p><p><strong>Methods: </strong>A retrospective review of case records of all women who had vaginal breech delivery from April 13, 2016, to April 12, 2018, was conducted, over a period of two years. Available demographic variables, obstetric characteristics, details of labor, postpartum complications, and perinatal complications were recorded and analyzed.</p><p><strong>Results: </strong>Out of 21,768 cases of deliveries during the study period, the incidence of term breech deliveries was 528 (2.4%) among which the mode of only 84 (17.8%) deliveries was vaginal. Most of the deliveries were unplanned and were conducted because emergency cesarean section could not be performed. Three (3.6%) women had postpartum hemorrhage, and four (4.8%) had entrapment of aftercoming head, two of them requiring Dührssen incisions. Adverse perinatal outcomes were seen in 23.8% of such deliveries with <7 APGAR score at 5 minutes in 20.2%, neonatal admission in 17.7%, and perinatal mortality in 8.3%. The perinatal mortality was significantly associated with birthweight less than 2500 grams as compared to birthweight ≥2500 grams (21.1% versus 4.6%; <i>P</i>=0.043).</p><p><strong>Conclusion: </strong>The perinatal outcomes for vaginal breech delivery are grave with our existing health facilities, especially when the deliveries are not well planned.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2020 ","pages":"4039140"},"PeriodicalIF":1.9,"publicationDate":"2020-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/4039140","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38694590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal Deaths due to Obstetric Haemorrhage in Dodoma Regional Referral Hospital, Tanzania.","authors":"Mzee M Nassoro,&nbsp;Enid Chiwanga,&nbsp;Athanase Lilungulu,&nbsp;Deogratius Bintabara","doi":"10.1155/2020/8854498","DOIUrl":"https://doi.org/10.1155/2020/8854498","url":null,"abstract":"<p><strong>Background: </strong>Despite the availability of comprehensive emergency obstetric care at Dodoma Regional Referral Hospital, deaths due to obstetric haemorrhage are still high. This study was carried out to analyse the circumstances that had caused these deaths.</p><p><strong>Methods: </strong>A retrospective review of all files of women who had died of obstetric haemorrhage from January 2018 to December 2019 was made.</p><p><strong>Results: </strong>A total of 18,296 women gave birth at DRRH; out of these, 61 died of pregnancy-related complications of the deceased while 23 (38%) died of haemorrhage, with many of them 10 (44%) between the age of 30 and 34. Many were grand multiparous women 8 (35%) and almost half of them (11 (48%)) had stayed at DRRH for less than 24 hours. More than half (12 (52%)) had delivered by caesarean section followed by laparotomy due to ruptured uterus (8 (35%)). The leading contributing factors to the deaths of these women were late referral (6 (26%)), delays in managing postpartum haemorrhage due to uterine atony (4 (17%)), inadequate preparations in patients with the possibility of developing PPH (4 (17%)), and delay in performing caesarean section (3 (13%)).</p><p><strong>Conclusion: </strong>Maternal mortality due to obstetric haemorrhage is high at Dodoma Regional Referral Hospital where more than one-third of women died between 2018 and 2019. Almost all of these deaths were avoidable. The leading contributing factors were late referral from other health facilities, inadequate skills in managing PPH due to uterine atony, delays in performing caesarean section at DRRH, and inadequate preparation for managing PPH in patients with abruptio placentae and IUFD which are risk factors for the condition. There is a need of conducting supportive supervision, mentorship, and other modes of teaching programmes on the management of obstetric haemorrhage to health care workers of referring facilities as well as those at DRRH. Monitoring of labour by using partograph and identifying pregnant women at risk should also be emphasized in order to avoid uterine rupture.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2020 ","pages":"8854498"},"PeriodicalIF":1.9,"publicationDate":"2020-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/8854498","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38673665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum to \"Severe Life-Threatening Pregnancy Complications, \"Near Miss\" and Maternal Mortality in a Tertiary Hospital in Southern Nigeria: A Retrospective Study\".","authors":"Ubong Bassey Akpan,&nbsp;Udeme Asibong,&nbsp;Ezukwa Omoronyia,&nbsp;Kazeem Arogundade,&nbsp;Thomas Agan,&nbsp;Mabel Ekott","doi":"10.1155/2020/9732648","DOIUrl":"https://doi.org/10.1155/2020/9732648","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1155/2020/3697637.].</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2020 ","pages":"9732648"},"PeriodicalIF":1.9,"publicationDate":"2020-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/9732648","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38711227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fetal Rhesus D Genotyping and Sex Determination from Maternal Plasma of Rhesus D-Negative Antenatal Population: The Usefulness of Conventional Polymerase Chain Reaction in Resource-limited Settings.","authors":"Otchere Addai-Mensah,&nbsp;Edward Y Afriyie,&nbsp;Samuel Asamoah Sakyi,&nbsp;Christian Obirikorang,&nbsp;Max Efui Annani-Akollor,&nbsp;Eddie-Williams Owiredu,&nbsp;Francis A Amponsah,&nbsp;Richard Vikpebah Duneeh,&nbsp;Evans Asamoah Adu","doi":"10.1155/2020/4913793","DOIUrl":"https://doi.org/10.1155/2020/4913793","url":null,"abstract":"<p><strong>Background: </strong>This prospective cohort study evaluated the usefulness of conventional PCR in genotyping fetal Rhesus D (RhD) and sex from the maternal plasma of RhD-negative (RhD-) antenatal population in resource-limited settings.</p><p><strong>Methods: </strong>Thirty apparently healthy RhD- pregnant women with RhD positive (RhD+) partners were included. Blood samples were collected from each participant (in the third trimester of pregnancy) for DNA extraction/purification and fetal RhD genotyping.</p><p><strong>Results: </strong>Out of the 30 samples, 26 (86.7%) were found to be RhD+ while 4 (13.3%) were RhD-. The RhD+ comprised 24 (80.0%) RhD+ based on exons 5, 7, and 10 combined. Exons 5 and 7 were detected in two additional samples but not exon 10. Serological phenotyping of neonatal blood confirmed 26 RhD+ and 4 RhD-. There was a perfect agreement between the fetal RhD genotype and neonatal RhD phenotyping after delivery for exons 5 and 7 (concordance = 100%, <i>κ</i> = 100.0%, diagnostic accuracy = 100%, <i>p</i> < 0.0001) while exon 10 presented with an almost perfect agreement (concordance = 93.3%, <i>κ</i> = 76.2%, diagnostic accuracy = 93.3%, <i>p</i> < 0.0001). Regarding the prenatal test for the SRY gene, 9 (30.0%) were predicted to be males and the remaining 21 (60.0%) were females. All the 9 and 21 anticipated males and females, respectively, were confirmed after delivery (concordance = 100%, <i>κ</i> = 100.0%, diagnostic accuracy = 100%).</p><p><strong>Conclusion: </strong>Our study suggests that conventional PCR using the SRY, RhD exons 5 and 7 could be useful for predicting fetal sex and RhD from maternal peripheral blood in resource-limited settings.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2020 ","pages":"4913793"},"PeriodicalIF":1.9,"publicationDate":"2020-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/4913793","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38551488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Model of Trust within the Mother-Midwife Relationship: A Grounded Theory Approach.","authors":"Firoozeh Mirzaee,&nbsp;Mahlagha Dehghan","doi":"10.1155/2020/9185313","DOIUrl":"https://doi.org/10.1155/2020/9185313","url":null,"abstract":"<p><strong>Introduction: </strong>The mother-midwife relationship is a good experience during childbirth, but there is a lack of evidence about the trustful relationship between mothers and healthcare providers during labor and birth in Iran. The current study aimed to discover how a trustful mother-midwife relationship is formed during a vaginal delivery.</p><p><strong>Methods: </strong>Twenty-nine women who had a vaginal delivery, midwives, and obstetricians participated in this qualitative research with the grounded theory method. Data were collected using semistructured interviews and observations. Open, axial, and selective coding was used for data analysis. <i>Findings</i>. The main category of \"seeking trust in midwife\" and three subcategories of \"effective interaction,\" \"attempt to access to healthcare provider\", and \"playing an active role in birth\" were extracted from the data.</p><p><strong>Conclusion: </strong>According to the findings, mothers tried to gain action/interaction strategies and increase healthcare providers' trusts during vaginal delivery. It is essential to consider the factors that improve or disrupt this relationship.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2020 ","pages":"9185313"},"PeriodicalIF":1.9,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/9185313","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38659104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}