Journal of pregnancy and child health最新文献

{"title":"Recommended Interventions for Enhanced Nutrition in Pregnancy: An Integrated Literature Review","authors":"C. Whiting","doi":"10.4172/2376-127X.1000385","DOIUrl":"https://doi.org/10.4172/2376-127X.1000385","url":null,"abstract":"","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70310781","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":"Predictors of Time to Recovery from a Surgical Repair of Obstetric Fistula at Mekelle Hamlin Fistula Center, Tigray, Ethiopia","authors":"S. Hailu","doi":"10.4172/2376-127X.1000364","DOIUrl":"https://doi.org/10.4172/2376-127X.1000364","url":null,"abstract":"Background: Ethiopia is one of the high fistula burdened countries in the world with an annual occurrence of 3,500 new and existence of 37,500 untreated obstetric fistula cases. Studies conducted in this area focus on determinants of obstetric fistula before surgical repair and researches addressing the associated factors are limited. Objective: To estimate time to recovery from a surgical repair of obstetric fistula and its associated factors among patients treated at Mekelle Hamlin Fistula Center. Methods: The data represent random samples of 306 fistula patients treated at Mekelle Hamlin Fistula Center from February 2006 to December 2014. Patients’ background characteristics, obstetric and perioperative information was collected. Comparison of survival time and selection of candidates among categorical variables were done using Kaplan-Meier curve and log rank test. Variables with p-value ≤ 0.25 in bivariate analysis were included in multivariable analysis. Cox proportional hazard assumption, Confounding, Interaction, Multicollinearity and Model fitness were tested: Tables, figures, hazard ratios and 95% confidence intervals were used to present results. Results: The patients were followed for 6657 person days at risk, the median recovery time was 20 days. The overall recovery rate was 2.5 cases per 100 person days. Multivariable Cox proportional hazard model result showed labor duration of two or more days (AHR=0.73, 95% CI=0.53, 0.99) and post-operative bladder catheterization longer than 14 or more days (AHR=0.45, 95% CI=0.32, 0.62) were factors negatively associated with recovery time from obstetric fistula surgery. Conclusion and recommendations: women who experienced labor of two or more days and post-operative bladder drainage for more than two or more weeks took longer time to recover after the repair. Therefore, Decision makers, Health care professionals, Stakeholders and Researchers should give emphasis on activities that reduce delays’ in decision making, delays’ in giving urgent intervention and delays’ in reaching health institutions that contributes in reducing complications of prolonged labor ultimately obstetric fistula.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70310799","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":"The Risk Factors for Antenatal Bleeding in Pregnancy with Placenta Previa","authors":"Hyun-I Cho","doi":"10.4172/2376-127X.1000362","DOIUrl":"https://doi.org/10.4172/2376-127X.1000362","url":null,"abstract":"Objective: The majority of previa-related bleeding is due to an adhesive placenta. The risk factors are already well known. Although antenatal bleeding in women with placenta previa is another problem, the risk factors have not been identified. Our aim is to investigate the risk factors for antenatal bleeding in women with placenta previa. \u0000Methods: This was a retrospective study of postpartum women who received an ultrasound diagnosis of placenta previa. Included women were divided into two groups based on whether they had antenatal bleeding or not. Sonographic images were reviewed. Parameters assessed included loss of the retroplacental clear zone, irregularity of uterine-bladder interface, number of lacunar spaces, vasa previa and increased vascularity around placenta. We also assessed the type of placenta previa, placenta location, cervical length at third trimester and obstetric histories. Statistical analyses were performed using a t-test, X2 test and logistic regression test. \u0000Results: Of 109 patients included, 55 (50.5%) experienced antenatal bleeding. There was no significant difference in maternal age between the two groups (P=0.903). Obstetric histories, cervical length at third trimester and sonographic findings were not significantly different. \u0000Conclusion: Prediction of antenatal bleeding in placenta previa using obstetrical history and sonographic finding is difficult.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127X.1000362","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47925104","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":"Impact of Sexuality on Full Term Expectant Mothers Labor Induction in Parakou","authors":"Hounkponou Fnm, Ahouingnan Ay, O. Kiki, Kikala Fgmy, S. Gbevo, H. Laourou, M. Aboubakar, O. Aaa, Sidi Ri, M. Vodouhè, T. Ja, K. Salifou, S. Akpona","doi":"10.4172/2376-127X.1000361","DOIUrl":"https://doi.org/10.4172/2376-127X.1000361","url":null,"abstract":"Introduction: The expectant mother’s natural body changes will lead the couple to redefine their emotional and sexual life throughout pregnancy.Objective: Study the influence of sexuality on full term expectant mothers’ labor induction in Parakou.Methods: It was a cross-sectional, descriptive and analytical study conducted from 15th April to 15th August 2017 in Parakou public maternity wards. Prospective data collection was carried out, along with a comprehensive census of full term expectant mothers with no fetal anomaly incompatible with life and able to deliver vaginally.Outcomes: Globally, 141 expectant mothers were enrolled in the study, including 47 practicing sexual abstinence (group A) and 94 sexually active (group B). The frequency of weekly sexual activities ranged from 1 to 7 with 2.4 ± 1.5 as mean value. According to group B expectant mothers practicing intra-vaginal ejaculation, sexual intercourse would facilitate delivery (80.00%, p=0.0006). Group B expectant mothers (87, 92.55%) engaged in sexual fondling, including 82 (94.25%) who practiced nipple stimulation. 23 (28.75%) regularly reached orgasm. Nipple stimulation and orgasm influenced significantly spontaneous labor with p=0.0001 and 0.0006 respectively. Among Group A expectant mothers, there were 9 or 19.15% prolonged pregnancy against 0% for Group B, 15 or 31.91% spontaneous delivery against 05.32% for Group B and 9 or 19.15% cesarean section against 4.25% for group B. There is a statistically significant link between sexuality and the mode of delivery (p=0.0001).Conclusion: Nipple stimulation and orgasm during full term pregnancy facilitate spontaneous labor in childbirth process.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127X.1000361","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45576904","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":"Factors That Moderate or Mediate Pregnancy Complications in Women with Anxiety and Depression","authors":"S. Rasul, A. Bowen, N. Muhajarine","doi":"10.4172/2376-127X.1000360","DOIUrl":"https://doi.org/10.4172/2376-127X.1000360","url":null,"abstract":"Background: Maternal anxiety and depression is noted in approximately 10-20% of pregnant women and can impact pregnancy and neonatal health, however, little is known about the factors. This study explored the roles of specific risk factors such as age, marital status, stress, substance use and ethnicity as either a moderator or a mediator to better understand the relationship between maternal anxiety or depression and major pregnancy complications and birth outcomes. \u0000Methods: A cohort of 646 women were studied longitudinally over three time points in early and late pregnancy and early postpartum. Maternal anxiety and depression were considered primary predictors with pregnancy complications i.e., gestational diabetes, edema and birth outcomes, i.e., low birth weight or preterm birth, as outcome variables. Socio-demographic factors were examined as moderator variables and psychosocial and behavioral factors were considered as mediator variables. For moderating and mediating analyses, a series of logistic regression analyses were performed. \u0000Results: Almost one-quarter of the women reported to have two or more pregnancy complications, 5.7% had a pre-term birth and 7.6% had a low birth weight baby. Stress in late pregnancy showed both a partial and a full mediating pathway between maternal anxiety and depression and pregnancy complications such as gestational diabetes, hypertension and edema. History of sexual abuse, single or divorced marital status, younger maternal age and Aboriginal ancestry had moderating effects in early and late pregnancy for adverse pregnancy and birth outcomes (i.e., low birth weight). \u0000Conclusion: Identifying mothers with stress, history of abuse, unpartnered, younger and of Indigenous ancestry will help clinicians and policy makers target timely interventions for pregnant women with anxiety and depression symptoms.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127X.1000360","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41472416","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":"Prevalence of Pregnancy Termination and Its Associated Factors Among Women of Reproductive Age Group in Ethiopia Using 2011 Ethiopian Demography and Health Survey, 2016","authors":"Birhanu Jikamo Bago, D. T. Hibstu, Samuel Hailu Woldemariam","doi":"10.4172/2376-127X.1000359","DOIUrl":"https://doi.org/10.4172/2376-127X.1000359","url":null,"abstract":"Background: Worldwide 20 million unsafe abortions took place each year as a result of unintended pregnancies, with 95% of these performed in developing countries. Ethiopia ranks fifth in the number of maternal deaths in the world and about two third of these deaths are due to unsafe abortions. The aim of this study was to determine the prevalence of pregnancy termination and associated factors among women of reproductive age group in Ethiopia using 2011 Ethiopian Demography and Health Survey. \u0000Methods: A secondary data was used to determine the prevalence of pregnancy termination and associated factors among women of reproductive age group in Ethiopia. Women in the age group of 15-49 years who had terminated pregnancy five years preceding the survey were included. The data were cleaned, coded and analyzed using Stata version 12. Multiple logistic regressions were used to identify factors associated with termination of pregnancy. Presence of confounders and interaction effects was investigated by computing relative changes on s coefficients at a cutoff point 15%. \u0000Results: The prevalence of termination of pregnancy was 9% among reproductive age group women in Ethiopia. Maternal media exposure (AOR=1.24, 95% CI: 1.06, 1.43), age of women (AOR=3.05, 95% CI: 2.36, 4.05), contraceptive non-user (AOR=1.43, 95% CI: 1.22, 1.67) and occupational status of the husband (AOR=1.77, 95% CI: 1.29, 2.42) were positively associated factors with termination of pregnancy. \u0000Conclusion: Considerable proportion of women practiced termination of pregnancy. Maternal mass media exposure, contraceptive use, women occupation, marital status, age of women and husband occupation were the main factors for pregnancy termination. Emphasis needs to be given on access to family planning, mass media exposure, health education on consequences of early marriage and creating job opportunities.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127X.1000359","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42087742","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":"Adherence and Associated Factors of Prenatal Iron Folic Acid Supplementationamong Pregnant Women Who Attend Ante Natal Care in Health Facility atMizan-Aman Town, Bench Maji Zone, Ethiopia, 2015","authors":"S. Shewasinad, S. Negash","doi":"10.4172/2376-127X.1000335","DOIUrl":"https://doi.org/10.4172/2376-127X.1000335","url":null,"abstract":"Background: Globally, more than 25% of population is highly affected by anaemia. At least half of anaemia worldwide is because of Iron Folic Acid (IFA) deficiency, which is due primarily to a lack of dietary iron bioavailability or increased requirements such as pregnancy. IFA is also responsible for 95% of anaemia during pregnancy. Objective: To assess Adherence And Associated Factors Of Prenatal Iron Folic Acid Supplementation Among Pregnant Women Who Attend Ante Natal Care In Health Facility At Mizan-Aman Town, Bench Maji Zone, Ethiopia, 2015. Methods: A cross sectional facility based quantitative study complemented by in-depth interview of key informants was implemented. A total of 462 pregnant women from Ante natal clinics were studied from May 29, 2015-June 23, 2015. Results: Among 462 pregnant women, the adherence level of IFA supplement was 326 (70.6%). The most reasons for adherence were clinician counselling, 280 (95.6%), believe that adherence increase their blood volume 56 (19%) and fear of illness 53 (18%). Conclusion and recommendation: Adherence rate to iron-folic acid supplementation were medium. Comprehensive counselling should focus on the importance of adherence to iron folic acid supplements and duration of supplement utilization.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45887434","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":"The Effect of Caffeine on Pregnancy-Fact or Myth?","authors":"M. Woldu","doi":"10.4172/2376-127X.1000333","DOIUrl":"https://doi.org/10.4172/2376-127X.1000333","url":null,"abstract":"Caffeine crosses the placenta and causes a number of complications. This study aims to review the effect of caffeine during pregnancy. Because of ion trapping weak bases that are non-ionized and lipophilic like caffeine diffuse across the placental barrier and become ionized in the more acidic fetal blood. A number of studies have reported the effect of caffeine on pregnancy. Some of the effects are diminishing fetal skeleton growth; risk of low birth weight (LBW); retardation of fetal development and/or intrauterine growth retardation (IUGR); adverse offspring childhood body fat distribution; increased risk of obesity; risk of type two diabetes mellitus; and Increased risk abortion. Even though a number of effects of caffeine are reported to be associated with pregnancy there are only a limited data showing causal association. Hence, avoiding the consumption of coffee, chocolate and tea during pregnancy appears prudent until more reliable evidences are emerging.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127X.1000333","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43194606","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":"Late Entry into Antenatal Care in a Southern Rural Area of Vietnam and Related Factors","authors":"Ngo Thi-Thuy-Dung, Nguyen Ha-Duc, Truong Quang-Dinh, Nguyen The-Dung, P. Goyens, A. Robert","doi":"10.4172/2376-127X.1000334","DOIUrl":"https://doi.org/10.4172/2376-127X.1000334","url":null,"abstract":"Aim: The aim of this study were to assess the proportion of pregnant women who attended ANC late in pregnancy and to identify factors associated with late entry in communities in South Vietnam. Background: Antenatal care (ANC) in Vietnam remains a problem suboptimal in Vietnam and there is limited information of on late entry into ANC. A study conducted in 2008 in the North of Vietnam showed 2.8% of late entry into ANC in 2.8% of women in an urban area, against versus 30.9% of women in a rural area. The aims of the present study were to assess the proportion of pregnant women attending ANC late in their pregnancy and to identify factors associated with late entry in ANC in rural communities of South Vietnam in 2014. Methods: This community-based study enrolled 1,448 pregnant women who were identified by 72 village health workers in 17 communities. First initiation to ANC after first trimester of pregnancy was considered as a late entry. Related factors were selected and analysed based on the Andersen Health Seeking Behaviour model. Multivariate logistic regression was used to identify independent factors associated with late ANC. Results: The prevalence of late ANC attendance was 8.2%. Having a poverty certificate (26.9%), having a history of abortion (19.4%), living in an ethnic minority community (17.2%) and being a teenager (15.5%) were the factors associated with late entry into ANC for pregnant women. Conclusion: The proportion of pregnant women entering late into ANC in rural Southern Vietnam remains higher than in urban areas (8.2% vs. 2.8%). Health education on the importance of attending ANC early should focus on poor people, on women who have an abortion history, on ethnic minorities, and on teenagers to promote significant early entry into antenatal care, thus improving maternal and child health.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127X.1000334","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44201425","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":"The Efficiency of Auto Transfusion by Intraoperative Blood Salvage in Ruptured Ectopic Pregnancies with the Tanguieta Funnel","authors":"K. Salifou, O. Aaa, Sambo Te, Aguemon Act, H. Bib, I. Amankaye, Sidi Ir, M. Vodouhè, Hounkponou ahouignan Nmf, Denakpo Jl","doi":"10.4172/2376-127X.1000345","DOIUrl":"https://doi.org/10.4172/2376-127X.1000345","url":null,"abstract":"Introduction: The Tanguieta funnel is a device used for intraoperative blood salvage in the abdomen in order to perform an auto transfusion in the context of ruptured ectopic pregnancies (EP) management. Developed in Saint Jean de Dieu Hospital in Tanguieta, it is the subject of this study whose objective is to describe the efficiency of this method in three pilot hospitals in Benin. Materials and method: It is a retrospective, descriptive and multicenter study which was carried out over a period of 5 years and it took place in three hospitals among which two teaching hospitals and a faith-based one. Results: Out of 38,252 deliveries, 567 cases of EP were identified that is to say 1.48%. Among these EPs, 337 cases were ruptured (59.4%) and among the ruptured EPs, 205 (60.8%) underwent an intraoperative auto transfusion. The rate of intraoperative blood salvage was 25% on average for the three centers. This rate was more than 75% for 28% of patients. Auto transfusion by intraoperative blood salvage was completed by homologous blood transfusion in 5.4% of cases. On admission, 45.9% of patients had a rate less than 7 g/dl as against 5.4% after auto transfusion. Hemoglobin was 6.7 g/dl on average on admission. The average hemoglobin at the 12th, 48th and 72nd post-operative hour was respectively 7.2 g/dl, 8.3 g/dl and 8.5 g/dl. In the post-operative period, 100 cases (48.8%) of anemia, one (1) case of fever, one (1) case of acute pulmonary Edema, one (1) case of state of shock were identified. Two (2) cases of death that is to say 0.97% of patients were mentioned in our study. The average length of hospital stay was five (5) days. Conclusion: The results are reassuring with the use of this autotransfusion technique after blood salvage by filtration and without lavage.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47701808","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}