Obstetrics and gynecology research最新文献

{"title":"A Triad Study in South Indian Population of Telangana: On the Association of Cytokine Gene Polymorphisms in the Aetiology of Spontaneous Abortions","authors":"Renjini Devi MR, Shehnaz Sultana, V. M, Rambabu Sp, P. Nallari, Venkateshwari A","doi":"10.26502/ogr071","DOIUrl":"https://doi.org/10.26502/ogr071","url":null,"abstract":"Background: Spontaneous abortion is defined as the loss of two or more consecutive pregnancies before 20 week of gestation. About 50% of the cases are remained with unexplained etiology. Potential immune cell differentiation and cytokine profile is detrimental for fetal-maternal communication and maternal recognition of pregnancy. An imbalance in the immune modulatory profile results in consecutive loss of pregnancies. In view of the above, the present study is taken up to understand the role of immunemodulators and their gene polymorphism in the etiology of spontaneous abortion. Methods: In the present case-control triad study genotyping for IFN γ+874 T/A, IL6-137 G/C, IL18174G/C polymorphisms were done by Amplified Refractory Mutation System polymerase chain reaction method (ARMS-PCR) and statistically analyzed. Result: A retrospective analysis for association of gene polymorphisms in the present study showed that Obstet Gynecol Res 2021; 4 (4): 220-232 DOI: 10.26502/ogr071 Obstetrics and Gynecology Research Vol. 4 No. 4– December 2021. 221 maternal and fetal TT genotype of IFN γ+874 polymorphism showed a twofold increased risk (OR 2.22, 95%CI= 1.29-3.84, p=0.004) whereas in IL 18 174G/C gene polymorphism and their association study, the case mother subjects that represented CC genotypes contributed a onefold increased risk towards the development of spontaneous abortion. (OR -2.17, 95%CI1.250-3.788, p=0.005) Conclusion: The proinflammatory and anti-inflammatory gene polymorphisms may contribute towards the susceptibility for spontaneous abortion.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352315","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":"Twelve-Month outcomes of a Cluster-Randomized Trial of Home-Based Postpartum Contraceptive Delivery in Southwest Trifinio, Guatemala.","authors":"Margo S Harrison,&nbsp;Saskia Bunge-Montes,&nbsp;Claudia Rivera,&nbsp;Andrea Jimenez-Zambrano,&nbsp;Gretchen Heinrichs,&nbsp;Antonio Bolanos,&nbsp;Edwin Asturias,&nbsp;Stephen Berman,&nbsp;Jeanelle Sheeder","doi":"10.26502/ogr057","DOIUrl":"https://doi.org/10.26502/ogr057","url":null,"abstract":"<p><strong>Design: </strong>We executed a cluster-randomized parallel arm pragmatic trial to observe the association of home-based postpartum contraceptive provision, including the contraceptive implant, with three and 12-month contraceptive utilization, satisfaction, and pregnancy rates.</p><p><strong>Methods: </strong>Eight clusters were randomized to receive either the home-based contraceptive delivery (condoms, pills, injection, implant) during the routine 40-day postpartum visit in addition to routine care, or routine care alone, which included comprehensive contraceptive counseling throughout antepartum care.</p><p><strong>Results: </strong>208 women were enrolled in the study, 108 in the intervention clusters and 100 in control clusters. 94 (87.0%) women in the intervention group and 91 (91%) of women in control clusters were evaluated 12 months post-enrollment. Likelihood of using contraception at that time was borderline increased in intervention clusters (RR 1.1 [1.0,1.3], p = 0.05) with an increased likelihood of long-acting contraceptive use (the implant; RR 1.6 [1.3,1.9], p < 0.001). Pregnancy rates were also borderline reduced in the intervention clusters (RR 1.0 [1.0,1.1], p = 0.07). There was no difference in satisfaction of women with contraceptive use between arms with about 95% of women very satisfied or a little satisfied in each arm. Continuation rates at twelve months of contraceptives in the intervention group were 0.0% for condom users, 80.0% for contraceptive pill users, 57% for injectable users, and 83% for implant users. Most women who discontinued their initial method chose a more long-term or permanent method. There was a trend toward a significant association with reduced short interval pregnancy.</p><p><strong>Conclusion: </strong>Our study had a borderline increase in overall use of contraception by 12 months, did have an increased likelihood of long-acting contraceptive use of the implant by 12 months, and resulted in a trend toward reduced short interval pregnancy in the intervention clusters as compared to control clusters.</p>","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8112724/pdf/nihms-1694232.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38981556","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":"Wound Care Education for Caesarean Section Clients: What Do Midwifery Students Know?","authors":"Angelina Abban Ansu","doi":"10.26502/ogr067","DOIUrl":"https://doi.org/10.26502/ogr067","url":null,"abstract":"Background: Complications associated with Caesarean Section (CS) delivery such as surgical site infection (SSIs) are complex. Infection of the CS wound has enormous consequences. A major risk factor associated with CS wound infection is lack of knowledge of CS clients about wound care. The knowledge of trainee midwives is critical if they are to educate CS clients on wound care. Aim: The objective of the study was to explore midwifery students’ knowledge on the education of CS clients on wound care. Materials and methods: This cross-sectional study purposely used 339 final year midwifery students within the Midwifery Training Colleges of Greater Accra Region. Participants answered a questionnaire formulated from relevant literature. Frequencies and percentages analyses were used for the data. Statistical analysis: Stata SE version 13 software. Results: This study revealed that 317 (93.1%), 325 (96%), 320 (94.4%) were knowledgeable about CS, surgical site wound care and education for CS clients on wound care respectively. Again, 286 (84.37%) of the students indicated that their training has equipped them to give education on wound care to CS clients. However, 227 (65.96%), 287 (84.66%), 179 (52.8%) did not have adequate knowledge on aspects of indications for CS delivery, surgical site wound care and education for CS client on wound care, respectively. Conclusions: Majority of the final year midwifery students recorded higher knowledge scores about CS, surgical site wound care and education for CS clients on surgical site wound care. However, quite a number could not respond to aspects of indication for CS delivery and CS wound care.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352307","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":"Frequency and Risk Factors for Depression and Anxiety in Patients with Polycystic Ovary Syndrome Presenting in a Tertiary Care Hospital Karachi, Pakistan","authors":"A. Tariq, Manahil Tariq Malik, H. Tariq, Samina Naseem khattak, T. Yazdani, Rameen Tariq Malik, S. Rauf, T. Malik","doi":"10.26502/ogr068","DOIUrl":"https://doi.org/10.26502/ogr068","url":null,"abstract":"Objective: To determine the frequency and risk factors for depression and anxiety in patients with Poly cystic ovary syndrome (PCOS). Study design: Comparative Analytic Study. Setting and duration: Department of Obstetrics and Gynaecology at a tertiary care hospital in Karachi, Pakistan from July 2020-December 2020. Materials and methods: All females with diagnosed PCOS aged between 15-45yrs were included in the study .A total of 270 females (n=135) formed the study group. Group A (n=135) constituted females diagnosed to have PCOS and group B (n=135) without PCOS. Obstet Gynecol Res 2021; 4 (4): 196-202 DOI: 10.26502/ogr068 Obstetrics and Gynecology Research Vol. 4 No. 4– December 2021. 197 Both groups were compared for anxiety and depression according to Hospital anxiety and Depression Scale (HADS).Demographic features were compared as well (age, qualification, BMI and parity). Results: A total of 270 females were part of this research (n=135).Most 170 (62.9%) of study population was aged between 21-35years.112 (41.5%) were undergraduate .Most 160 (59.2%) of participants had normal BMI <25kg/m .In group A, 38 (28.1%) had depression along with 43(31.9%) having borderline depression versus 12 (8.9%) had borderline depression in group B, p-value 0.000, which is statistically significant .The overall incidence of anxiety in Group A was 116 (85.9%) versus 50 (37%), p value 0.00 which is statistically significant. Conclusion: Depression and anxiety are common in PCOS. There is strong association of depression with young age (21-35), among graduate women and with no children that is subfertility.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352309","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":"Characteristics Associated with Choosing Long-Acting Reversible Contraception in Rural Guatemala: A Secondary Analysis of a Cluster-Randomized Trial.","authors":"Margo S Harrison,&nbsp;Saskia Bunge-Montes,&nbsp;Claudia Rivera,&nbsp;Andrea Jimenez-Zambrano,&nbsp;Gretchen Heinrichs,&nbsp;Antonio Bolanos,&nbsp;Edwin Asturias,&nbsp;Stephen Berman,&nbsp;Jeanelle Sheeder","doi":"10.26502/ogr062","DOIUrl":"https://doi.org/10.26502/ogr062","url":null,"abstract":"<p><strong>Design: </strong>We conducted a secondary analysis of a cluster-randomized trial to observe characteristics associated with women who chose to use long-acting reversible contraceptives (LARC) compared to those who chose a short-acting method 12 months after enrollment.</p><p><strong>Methods: </strong>The trial studied four control and four intervention clusters where the intervention clusters were offered contraception at their 40-day routine postpartum visit; control clusters received standard care, which included comprehensive postpartum contraceptive counseling. Women were followed through twelve months postpartum.</p><p><strong>Results: </strong>The study enrolled 208 women; 94 (87.0%) were in the intervention group and 91 (91.0%) were in the control group. At twelve months, with 130 (70.3%) women using contraception at that time. 94 women (50.8%) were using a short acting method compared to 33 (17.9%) who chose a long-acting method, irrespective of cluster. In mixed effect regression modeling adjusted for cluster, characteristics associated with a reduced likelihood of choosing long-acting contraception in multivariate modeling included age (aRR 0.98 [0.96,0.99], p = 0.008) and any education (compared to no education; aRR 0.76 [0.60,0.95], p = 0.02). Women who were sexually active by their enrollment visit (40 days postpartum) were 30% more likely to opt for a long-acting method (aRR 1.30 [1.03,1.63], p = 0.03).</p><p><strong>Conclusion: </strong>Older and more educated women were less likely to be using LARC a year after enrollment, while women with a history of early postpartum sexual activity were more likely to choose LARC.</p>","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8297978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39223200","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":"Pregnancy outcomes at Mizan-Tepi University Teaching Hospital: A Comparison to the Ethiopian Demographic and Health Surveys.","authors":"Margo Shawn Harrison,&nbsp;Margaret Muldrow,&nbsp;Ephrem Kirub,&nbsp;Tewodros Liyew,&nbsp;Biruk Teshome,&nbsp;Andrea Jimenez-Zambrano,&nbsp;Teklemariam Yarinbab","doi":"10.26502/ogr056","DOIUrl":"https://doi.org/10.26502/ogr056","url":null,"abstract":"<p><strong>Background: </strong>To compare outcomes at Mizan-Tepi University Teaching Hospital to national and regional data and to plan quality improvement and research studies based on the results.</p><p><strong>Methods: </strong>This study was a prospective hospital-based cross-sectional analysis of a convenience sample of 1, 000 women who delivered at Mizan-Tepi University Teaching Hospital.</p><p><strong>Results: </strong>Our convenience sample was young (median age 24 years) with a primarily school level or less of education (68.6%). Only about 5% of women had a history of prior cesarean birth, 2.1% reported they were human immunodeficiency virus seropositive, and the median number of prenatal visits was four. Women were commonly admitted in spontaneous labor (84.5%), transferred from another facility (49.2%; 96.8% of which were referred from a health center), and had their fetal heart rate auscultated on admission (94.7%). Only 5.2% of women did not deliver within twenty-four hours and the cesarean birth prevalence was 23.4%. Many women were delivered by midwives (73.2%; all unassisted vaginal births), 89.2% were term deliveries, and 92.5% of neonatal birthweights were 2500 grams or heavier. Less than five percent of women delivered stillbirths (4.3%) and 5.7% of livebirths experienced neonatal death by the day of discharge. There were no maternal deaths in the cohort.</p><p><strong>Conclusion: </strong>The prevalence of stillbirth and neonatal death were the most notable findings, while there was no maternal death in the cohort.</p>","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8136690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39012086","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":"Role of Endometrial Scratching in Implantation Failures","authors":"K. Banerjee, B. Singla","doi":"10.26502/ogr070","DOIUrl":"https://doi.org/10.26502/ogr070","url":null,"abstract":"Objective: To assess the role of endometrial scratching in implantation failure cases. Design: Retrospective analysis. Materials and Methods: 60 infertile females with at least one IVF failure in the age group of 23 to 35 years were evaluated in a period of 6 months. In the group 1 of 30 females, endometrial scratching was done between Day 21 to 25 of previous periods and in the group 2 of 30 females, endometrial scratching was not done. Controlled ovarian stimulation (COH) was started from day 2 of next period in all subjects with the antagonist protocol. Transvaginal guided oocyte aspiration was done. Day 3 embryo transfer was performed in all subjects. Results: There was no difference between the two groups regarding demographic variables, egg reserve, sperm parameters, number of embryos transferred and embryo quality. The pregnancy rate was 40% (12 out of 30 cases) in the group 1 that was similar to 36.7% in the group 2 (11 out of 30 cases). The clinical pregnancy rate was 36.7% (11 out of 30 cases) in the group 1 that was similar to 33.3% in the group 2 (10 out of 30 cases). Conclusions: The local injury caused by endometrial scratching though result in local inflammation and angiogenic environment in uterus but it does not improve the pregnancy rate. Further studies are needed to prove the efficacy of endometrial scratching with larger sample size. This is one of the few studies done in South Asia that showed scratching has no role in implantation failure.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352312","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":"Use of Postpartum Birth Control in Rural Women in Southwest Guatemala: Analysis of a Quality-Improvement Database.","authors":"Kathryn Feller,&nbsp;Claudia Rivera,&nbsp;Amy S Nacht,&nbsp;Saskia Bunge-Montes,&nbsp;Andrea Jimenez-Zambrano,&nbsp;Molly Lamb,&nbsp;Gretchen Heinrichs,&nbsp;Antonio Bolanos,&nbsp;Edwin Asturias,&nbsp;Sephen Berman,&nbsp;Margo S Harrison","doi":"10.26502/ogr069","DOIUrl":"https://doi.org/10.26502/ogr069","url":null,"abstract":"<p><strong>Objective: </strong>Our objective was to observe the prevalence of postpartum contraceptive use in a population of rural women in Southwest Guatemala by type, and to determine characteristics associated with long-acting reversible contraceptive (LARC) use and sterilization.</p><p><strong>Methods: </strong>We conducted a secondary analysis of prospectively collected quality improvement data from a cohort of postpartum women. We compared women intending to use or already using contraception to those not intending to utilize a method; bivariate comparisons were used to determine if there were differences in characteristics between these groups. If differences occurred (p < 0.2), those covariates were included in multivariable regression analyses to determine characteristics associated with use, and then specifically with LARC use and sterilization.</p><p><strong>Results: </strong>In a cohort of 424 women who were surveyed between 2015-2017, the average age was 23 years old, and the prevalence of use or plan to use postpartum contraception was 87.5%. Women with a parity of 2 - 3 were 10% more likely to use any form of postpartum birth control (RR 1.1, CI [1.01, 1.2]) compared to primiparous women. Women who were married were also more likely to use a postpartum method (RR > 10, CI [>10,>10]). The prevalence of LARC use was low (4.0%), and women were more likely to choose this method if they were employed (RR 3.5 CI [1.1, 11.3]).Regarding sterilization, women with a parity of greater than one compared to primiparous women had an increased likelihood of sterilization (RR 3.6 CI [2.5,4.9]); each year a woman aged was associated with a 10% increased likelihood of postpartum sterilization (RR 1.1 CI [1.01,1.08]). Women were also more likely to choose sterilization if delivered by a skilled birth attendant (RR 1.8 CI [1.1,2.9]) or by cesarean birth (RR 2.1 CI [1.4,3.1]).</p><p><strong>Conclusion: </strong>In this cohort, married women of higher parity were more likely to use postpartum contraception, with employed women more likely to use a LARC method. Older women of higher parity who were delivered by a skilled attendant by cesarean birth were the most likely to pursue sterilization.</p>","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8594879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39887204","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":"Twelve-Month outcomes of a Cluster-Randomized Trial of Home-Based Postpartum Contraceptive Delivery in Southwest Trifinio, Guatemala.","authors":"Margo S. Harrison, S. Bunge-Montes, Claudia Rivera, Andrea Jimenez-Zambrano, Gretchen A. Heinrichs, Antonio Bolaños, E. Asturias, Steven Berman, J. Sheeder","doi":"10.21203/rs.3.rs-132684/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-132684/v1","url":null,"abstract":"Design\u0000We executed a cluster-randomized parallel arm pragmatic trial to observe the association of home-based postpartum contraceptive provision, including the contraceptive implant, with three and 12-month contraceptive utilization, satisfaction, and pregnancy rates.\u0000\u0000\u0000Methods\u0000Eight clusters were randomized to receive either the home-based contraceptive delivery (condoms, pills, injection, implant) during the routine 40-day postpartum visit in addition to routine care, or routine care alone, which included comprehensive contraceptive counseling throughout antepartum care.\u0000\u0000\u0000Results\u0000208 women were enrolled in the study, 108 in the intervention clusters and 100 in control clusters. 94 (87.0%) women in the intervention group and 91 (91%) of women in control clusters were evaluated 12 months post-enrollment. Likelihood of using contraception at that time was borderline increased in intervention clusters (RR 1.1 [1.0,1.3], p = 0.05) with an increased likelihood of long-acting contraceptive use (the implant; RR 1.6 [1.3,1.9], p < 0.001). Pregnancy rates were also borderline reduced in the intervention clusters (RR 1.0 [1.0,1.1], p = 0.07). There was no difference in satisfaction of women with contraceptive use between arms with about 95% of women very satisfied or a little satisfied in each arm. Continuation rates at twelve months of contraceptives in the intervention group were 0.0% for condom users, 80.0% for contraceptive pill users, 57% for injectable users, and 83% for implant users. Most women who discontinued their initial method chose a more long-term or permanent method. There was a trend toward a significant association with reduced short interval pregnancy.\u0000\u0000\u0000Conclusion\u0000Our study had a borderline increase in overall use of contraception by 12 months, did have an increased likelihood of long-acting contraceptive use of the implant by 12 months, and resulted in a trend toward reduced short interval pregnancy in the intervention clusters as compared to control clusters.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45227964","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":"Determinants of Behavioral Risk Factors of Hypertensive Disorders in Pregnancy","authors":"Nkem Ernest Njukang, Tah Aldof Yoah, M. Sama, T. Egbe, J. Kamgno","doi":"10.26502/ogr040","DOIUrl":"https://doi.org/10.26502/ogr040","url":null,"abstract":"Background: Hypertensive disorders in pregnancy (HDP) remain a major public health problem worldwide, and its prevalence varies from country to country and from institution to institutions. Few studies have explored the behavioral risk factors of hypertension (HTN) among pregnant women in Cameroon. Thus, this study aimed at determining the prevalence and socio-demographic predictors of behavioral risk factors of HDP in Mezam division. Methods: A Hospital-based cross-sectional study was conducted in Mezam division. Over 1210 pregnant women were sampled by consecutive sampling. Descriptive statistics, chi-square (χ2) test and multivariate logistic regression were used for analysis. Results: There was poor uptake of behavioural risk factors: alcohol (21.6%), physical inactivity (49.2%), low fruits/vegetables intake (80.7%), high salt intake (12.4%), stress (48.8%) and overweight/obese (65.5%). Sociodemographic predictors: Age was a risk factor for smoking [Adjusted Odd Ratio (AOR), 95%Confidence interval (CI); (25-29 years): 1.6 (1.1-2.4) & (≥35 years): 2.3 (1.4-3.6)], alcohol [(25-29 years): 1.5 (1.1-2.2) & (≥35 years): 2.5 (1.5-4.1)] and over weight/obesity [(25-29 years): 1.6 (1.2-2.2), (30-34 years): 2.6 (1.8-3.9) & (≥35 years): 2.5 (1.5-4.1)]. Education [secondary school: 1.8 (1.3-2.6) & high school: 2.4 (1.6-3.6)] and Occupation [petit traders: 1.8 (1.4-2.8) & business/employed: 1.9 (1.3-2.9)] were predictors of stress. Religion [Pentecostal: 1.8 (1.1-3.1)] was predictor for high salt consumption. Conclusion: There was poor uptake of behavioural risk factors of HDP. Age, education, occupation and Religion were predictors of behavioural factors of HTN. There is need for immediate health promotion interventions such as raising community awareness and appropriate antenatal counseling.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352305","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}