Elderly Mothers Research Articles

Aging Mother-Adult Daughter Differentiation, Psychological Well-Being, and Parental Status.

Despite the understanding that differentiation is a lifelong process crucial for psychological adaptation, there is limited knowledge regarding how parent-child differentiation in adulthood is associated with the psychological well-being of both parents and adult children. Furthermore, empirical research has yielded inconclusive results regarding whether the parental status of adult children influences the parent-child relationship. Consequently, the current study focuses on the moderating effect of adult daughters' parental status on the association between aging mother-adult daughter differentiation and psychological well-being. The study utilized data from 167 pairs of Korean aging mothers and adult daughters to examine two main aspects: (1) the relationship between aging mother-adult daughter differentiation and psychological well-being; and (2) the moderating role of adult daughters' parental status on the relationship between aging mother-adult daughter differentiation and psychological well-being. The findings revealed that both the differentiation of adult daughters and mothers was positively associated with their respective psychological well-being. However, no significant cross-interactional effects of aging mother-adult daughter differentiation on psychological well-being were observed. Notably, there was a positive moderating effect of the adult daughter's parental status on the association between aging mother-adult daughter differentiation and psychological well-being for aging mothers.

Serological characteristics of ABO blood group and molecular genetic analysis of a Chinese pedigree with cisAB09 subtype

To explore the serological characteristics of ABO blood group and molecular genetic mechanism for a Chinese pedigree with cisAB09 subtype. A pedigree undergoing ABO blood group examination at the Department of Transfusion, Zhongshan Hospital Affiliated to Xiamen University on February 2, 2022 was selected as the study subjects. Serological assay was carried out to determine the ABO blood group of the proband and his family members. Activities of A and B glycosyltransferases in the plasma of the proband and his mother were measured with an enzymatic assay. Expression of A and B antigens on the red blood cells of the proband was analyzed by flow cytometry. Peripheral blood samples of the proband and his family members were collected. Following extraction of genomic DNA, exons 1 to 7 of the ABO gene and their flanking introns were sequenced, and Sanger sequencing of exon 7 was carried out for the proband, his elder daughter and mother. The results of serological assay suggested that the proband and his elder daughter and mother had an A2B phenotype, whilst his wife and younger daughter had an O phenotype. Measurement of plasma A and B glycosyltransferase activity suggested that the titers of B-glycosyltransferase activity were 32 and 256 for the proband and his mother, which were respectively below and above that of A1B phenotype-positive controls (128). Flow cytometry analysis showed that the expression of A antigen on the red blood cell surface of the proband has decreased, whilst the expression of B antigen was normal. Genetic sequencing confirmed that, in addition to an ABO*B.01 allele, the proband, his elder daughter and mother have harbored a c.796A>G variant in exon 7, which has resulted in substitution of the methionine at 266th position of the B-glycosyltransferase by valine and conformed to the characteristics of ABO*cisAB.09 allele. The genotypes of the proband and his elder daughter were determined as ABO*cisAB.09/ABO*O.01.01, his mother was ABO*cisAB.09/ABO*B.01, and his wife and younger daughter were ABO*O.01.01/ABO*O.01.01. The c.796A>G variant of the ABO*B.01 allele has resulted in an amino acid substitution p.Met266Val, which probably underlay the cisAB09 subtype. The ABO*cisA B.09 allele encodes a special glycosyltransferase which can synthesize normal level of B antigen and low level of A antigen on the red blood cells.

Self-Care Practices at Community Centers: Motherhood in Later Life in Urban Taiwan

In current times that emphasize active aging, older adults are often encouraged to participate in interest classes at community centers. Adopting an ethnographic research approach to understand the subjectivities of older mothers, this paper community centers not only as a space for older adults for taking interest classes, but also as an infrastructure that defines relationship values. This paper examines the motivations of older mothers in urban Taiwan who have established a routine at a community center. By emphasizing the public space, that is, the values indoctrinated at the community centers, this paper investigates how community center activities offer self-care practices for older women, and how these women embody motherhood by taking care of themselves. This paper expands the notion of motherhood by investigating the subjectivities of older mothers as well as the effects of the global aging discourse on them. This study of urban Taiwan sheds light on understanding the subjectivity of aging mothers in other East Asian cities. The data of this paper were collected through participant observations at community centers, in-depth interviews, and analysis of newspaper archives.

PENERAPAN RELAKSASI OTOT PROGRESIF SEBAGAI UPAYA PEMENUHAN ISTIRAHAT DAN TIDUR PADA LANSIA DI PUSKESMAS TANJUNG BALAI KARIMUN

Symptoms of insomnia often occur in the elderly (elderly), even almost half of the elderly reported having difficulty starting sleep in maintaining their sleep, as many as 50-70% of all elderly aged > 65 years. Treatment of insomnia can be done with non-pharmacological and pharmacological therapies. Non-pharmacological therapies, especially behavioral therapies, are effective for chronic insomnia in the elderly, which consist of several methods, namely Progressive Muscle Relaxation, sleep restriction, stimulus control, sleep hygiene and cognitive behavioral therapy. The aim of the study is to provide comprehensive and continuous midwifery care for elderly mothers, with management of midwifery care in accordance with midwifery service standards. Midwifery care that is applied is progressive muscle relaxation to meet the sleep needs of the elderly. The research method used in the preparation of practice reports is descriptive research using the case study method. Recommendations that can be given to the elderly are general behavior, especially suggestions about healthy sleep practices

Pregnancies in Elderly Mothers over 40years: What to Expect from the Rising New Age High-Risk Cohort?

Elderly women are believed to experience many risks associated with pregnancy. Literature fails to provide a clear consensus on the age group in which there is a rise in risk and pathophysiology contributing. 'Pregnancies over forty' are increasing in society, owing to changing lifestyles and sensibilities of youth and the advent of assisted reproductive techniques. In India, studies on elderly pregnant women above 40years of age are lacking. The aim of this study is to assess these pregnancies, their course, obstetric and perinatal outcomes in women delivering above 40years. The study group (Group A) comprised of pregnancies in 50 women at age ≥ 40years on the date of delivery. The control group (Group B) had 50 women who delivered subsequent to the study group and age < 40. Various parameters and outcomes including parity, gestational age, number of gestations, co-existing medical illnesses, the incidence of hypertensive diseases of pregnancy (HDP), gestational diabetes mellitus (GDM), pre-term labor, mode of delivery, birth weight and obstetric and neonatal outcomes were compared. Chi-square test and independent T test were used for statistical analysis. While a good number of patients conceived spontaneously and with basic infertility management, i.e., 84% in the elderly gravid group (Group A) and 96% in the control group (Group B), the number of patients who required ART in Group A were statistically significant (Group A 16% and Group B 4%). Incidence of pre-existing medical diseases like hypertension, diabetes mellitus, thyroid dysfunction, other auto-immune diseases and chronic diseases were noted to be high (26%) in Group A (statistically significant difference). Incidence of HDP, GDM and fetal growth restriction were high in Group A. Tendency to have the presence of fibroid uterus was high in patients in Group A, i.e., 24%, compared to only 8% in the control group; difference was statistically significant. Proportion of pre-term deliveries were high in Group A. Cesarean section rate was high in Group A, though it was not statistically significant. Other perinatal observations and neonatal outcomes were comparable in both groups; differences were not statistically significant. The study reveals an association of a high-risk course of pregnancies in women above the age of 40years. Proportions of IVF pregnancies are higher in elderly women. Interestingly, the proportion of women in elderly group who conceived spontaneously and with basic infertility management including IUI was 84% in the present study. Medical comorbidities and incidence of fibroids were high in elderly women. Obstetric and neonatal outcomes of these pregnancies when managed efficiently are favorable.

Spatial Reconstruction and Aesthetic Expression of Feminist Narratives

The movie Song of Spring with beautiful images tells the story of a middle-aged and elderly mother and daughter after encountering sudden changes in their lives. They heal each other in their plight and redeemed each other. Director Yang Li Na uses a new female perspective to look at society, dissolving the male gaze through the female point of view and voice. She uses a beautiful mirror narrative to show the growth and image of women, revealing the historical complexes and cultural psychology of contemporary elderly women and reflecting the richness of the female world; through a dreamlike polyphony narrative, she reconstructs the narrative time and space, with real life time and space interspersed with the ever-present illusory memories, highlighting the plight of women behind the warmth; through the beautiful narrative of "prose poetry" and the poetic metaphors of beautiful romance, a gentle and serene feminist expression is presented. Based on feminist narratology, this research uses documentary and qualitative research methods to analyze the film Song of Spring reconstruction of feminist-themed films by surreal expression techniques and poetic metaphors spanning time and space, exploring the "other" perspective and gender aesthetics of feminist narratives in the film Song of Spring and the reflections on the meaning and value of women’s lives behind it.

Giving Diabetes Gymnastics Education to Elderly Mothers to Improve Health

The elderly gymnastics service activity aims to provide education about diabetes prevention through the socialization of elderly gymnastics to Aisyiyah Kajen's mothers at the Muhammadiyah Kajen Da'wah Building which was carried out by us students of the Physical Education Study Program, totaling 6 people who had been provided from campus. Alhamdulillah, this socialization activity went smoothly. This socialization was carried out on Saturday, June 25, 2022 at 08.00, the place was in the hall of the Muhammadiyah Kajen Da'wah Building. At the time of the activity the student team of 6 people already had their respective duties including being a gymnastics instructor, there was a section that served as an operator, and there was also a photo documentation.In this activity, participants followed closely how the instructor gave diabetes gymnastics movements, starting from counting the pulse, doing breathing movements, and the core movements of diabetes gymnastics.

The plague: a case of delusional infestation with folie à deux

Folie à deux or Shared psychotic disorder (SPD) is a rare condition characterized by shared psychotic symptoms between two or more individuals. Delusional parasitosis (DP) is an uncommon psychiatric illness in that patients believe they are infested by insects, without evidence to support this belief. DP occurs in 5–15% of SPD. We report a case of cutaneous DP with SPD between an elderly mother and a daughter that lived together and withdrew from other social contacts for the last three years. We aim to highlight the relationship between SPD and DP, its prognosis, and clinical implications.

Recurrent RNA edits in human preimplantation potentially enhance maternal mRNA clearance

Posttranscriptional modification plays an important role in key embryonic processes. Adenosine-to-inosine RNA editing, a common example of such modifications, is widespread in human adult tissues and has various functional impacts and clinical consequences. However, whether it persists in a consistent pattern in most human embryos, and whether it supports embryonic development, are poorly understood. To address this problem, we compiled the largest human embryonic editome from 2,071 transcriptomes and identified thousands of recurrent embryonic edits (>=50% chances of occurring in a given stage) for each early developmental stage. We found that these recurrent edits prefer exons consistently across stages, tend to target genes related to DNA replication, and undergo organized loss in abnormal embryos and embryos from elder mothers. In particular, these recurrent edits are likely to enhance maternal mRNA clearance, a possible mechanism of which could be introducing more microRNA binding sites to the 3’-untranslated regions of clearance targets. This study suggests a potentially important, if not indispensable, role of RNA editing in key human embryonic processes such as maternal mRNA clearance; the identified editome can aid further investigations.

Experiences of Elderly Mothers of Prisoners of Kashmir

The consequences of incarceration are not only borne by the imprisoned individual but significantly reverberate in the lives of their family members. Limited research has been conducted on the mothers of prisoners and the profound effects incarceration has on these “unintended”, “forgotten”, and “secondary” victims. With the increase in the incarceration rates in Jammu & Kashmir, there is a dire need to pay attention to the broader social implications of putting a family member in prison, particularly the impact it has on the older mother in the family where the only caregiver or breadwinner is put behind bars. Based on twenty one interviews conducted with the mothers of incarcerated individuals, the researchers documented their understanding of incarceration and the overall experience of having a child behind bars. The study employs a qualitative methodology to understand the experiences of mothers, the ways in which their lives change, and the resilience and coping strategies employed. Future research is needed on the health issues of these women, support sources available, visitation issues, identify prevailing setbacks as well as the health and social service needs of these older women.

Peningkatan Kompetensi Guru TPA LANSIA melalui Metode UMMI dan Metode 10 Jam Belajar Membaca Al-Quran

The difficulty experienced by the board members of the Khoirunnisa Taklim Council in managing the elderly TPA is the low motivation and ability to read Al-Quran in elderly women. They complained that the Iqro method used was considered too serious and monotonous so that the mothers had difficulty and lack of enthusiasm in learning to read the Koran. Thus, this service program aims to introduce the Ummi method and the 10-hour learning method of reading Al-Quran for elderly TPA teachers. This service program method is carried out in four stages, namely planning, implementation, technical assistance, and evaluation of service success. The results of this service program show that; (1) Workshops on the Qur'anic learning method using the Ummi method and the 10-hour method have been able to improve the insight and skills of elderly TPA teachers; (2) The 10-hour Quran reading learning method is more desirable than the UMMI method because it is free and easy to implement. Meanwhile, Ummi's method was considered too procedural and expensive to follow; (3) The 10-hour learning method for reading the Koran is proven to be effective in increasing the motivation of elderly mothers in learning to read the Koran because the material is easily accessible, shared, and practical. The implication of this service for the community is that in learning Al-Quran, it must prioritize the elements of fun, convenience, and according to the age of the students.

Prevalence and associated factors of stunting, wasting and underweight of children below five using quintile regression analysis (PDHS 2017–2018)

The objective of the current study is to identify the risk factors for malnutrition among the age of under-five children’s in Pakistan. This is secondary data analysis for the data taken from Pakistan Demographic and Health Survey (PDHS 2017–18) and was analyzed by implementing quantile regression analysis. The sample size included 12,708 alive children in the study, for which the data collection period was from November 22, 2017, to April 30, 2018. The prevalence of malnutrition among boys is high (51.2%). Older age mother’s children have more prevalence of malnutrition (20.7%). A child born with small body size (underweight: Q0.25: − 0.625; Q0.50: − 0.623; Q0.75: − 0.426 and wasting: Q0.50: − 0.513); having uneducated mother (underweight: Q0.25: − 0.387; Q0.50: − 0.247; Q0.75: − 0.328), belonged to a poor household (underweight: Q0.50: − 0.251),residing in rural areas (underweight: Q0.25: − 0.443), not following properly breastfeeding practices (underweight: Q0.50: − 0.439; Q0.75: − 0.438) have negative effect on different measures of malnutrition and this effect is significantly raises across different quantiles of stunting , wasting and underweight (at p value < 0.01 and < 0.05). Older age mother (stunting: Q0.50: 0.777; Q0.75: 1.078; underweight Q0.20: 0.568; Q0.50: 0.429; Q0.75: 0.524) and higher birth order number (stunting: Q0.50: 0.415; Q0.75: 0.535), have a positive effect on three measures of under-nutrition and this effect is gradual raises at different quantile of stunting, wasting and underweight. Elder and smoker mothers were proved associated risk factors of both stunting and being underweight in Pakistan. Moreover, Proper breastfeeding practices, better economic status, average or above the average birth weight of the child, and milk consumption are found protective factors against stunting, wasting, and underweight children in Pakistan.

Dementia and Mental Health and Economy of Primary Caregivers: A Case Study

Dementia is rapidly a growing challenge for elderly population throughout the globe. Caring for loved one with dementia is a burden and very much stressful for primary caregivers (family members) who are under the home care. It is a serious issue for family which is in lack economic resource. This study examines mental health and economy of a lower middle class family of slum colony of Kolkata metro city of India where has no separate shelter for elderly one and family’s financial condition is in thick and thin position. Elderly mother was about 76 years old. The family had been managing dementia for last 5 years. The study assessed that family members were depressed and their anxiety as well as depression had crossed the limit. Their mental health had been reflected in their daily life and interactional level had been worse affected. So, they were almost isolated from their neighbour. On the other hand, male of this family, only earner (daily wage labour) was unable to go outside for job. This study suggested that government should take effective policy for dementia care and a support to the family with dementia is needed.

Twenty-first-century Galician food femininities in Lorena Conde’s Santa Inés and Oliver Laxe’s O que arde

Food metaphors and symbols are found everywhere in contemporary cultural production in Galicia, where food constitutes a key identity marker. Given the close connections between food and gender, the artistic representation of food is an excellent field to investigate Galician food femininities. This article examines two such examples. The play Santa Inés (), written and directed by Lorena Conde, and produced by A Feroz Teatro, is a feminist response, rich in food symbolism, to the Judeo-Christian metaphor of woman as sacrificial lamb. Drawing on the historical figure St Agnes of Rome (CE 291–304) and the childhood memories visiting a local convent of Inés Salvado, who plays the only characters onstage, the play discusses bodily autonomy and female mysticism. The film O que arde (2019) by Oliver Laxe, a key filmmaker of the Novo Cinema Galego, is a spiritually oriented work about middle-aged Amador who returns home to his elderly mother, Benedicta, after serving an arson sentence for burning a forest down. In the film, food, constantly present but in a subtle way, is both an earthly and a spiritual element that plays a key role in the construction of Benedicta’s gendered ageing identity.

Exploring the Subject of Hindu Widowhood in Koirala and Shah’s Short Stories

Nepali Hindu widows have been discriminated in social, cultural and religious activities that have affected the psyche of the widows. People debilitate widows and consider them vulnerable and insecure. The research paper has explored the portrayal of Nepali Hindu widows’ conditions in B. P. Koirala’s “To the Lowlands” and Prem Shah’s “A Husband” from the viewpoint of new criticism. The conflicts, tensions, symbols and meanings of the lives of the Hindu widows portrayed in the selected texts are analysed from a new critic’s perspective. The study has exploited exploratory qualitative method. Koirala has portrayed a Hindu widow who left the house because of abuses by her brother-in-law and tortured by in-laws. She moved to the plain (tarai) with four men including Gore for happy life. But Gore stole the widow’s gold and money despite her marriage proposal. Shah portrayed a widow Nirmala who was teased and abused by a driver and her sister’s probable husband. She wants to make up her face, but she was frightened with her elder brother, sister and mother because of restrictions imposed upon Hindu widows. Koirala and Shah have depicted miserable widowhood in the Nepali Hindu society. Although sati tradition has been abolished and remarriage of widows are encouraged in the present time, widows are psychologically shattered because of Hindu socio-cultural viewpoints on them, and Hindu widows still sacrifice their lives through psychological sati in Nepali society. The analysis of widowhood in the stories contributes to understanding the condition of widows in Hindu society.

PEMANTAUAN KASUS PENYEBARAN COVID-19 BERBASIS WEBSITE MENGGUNAKAN FRAMEWORK REACT JS DAN API

The world has been attacked by the pandemic of coronavirus, starts from 2019 until this day, 2022. Coronavirus was detected in Indonesia started from 2020, specifically on March, 2020. The coronavirus or severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the virus which attacks human’s respiratory system. It is also known as COVID-19. The virus may cause mild illnesses of human’s respiratory system, severe lung infections, and even death. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is categorized as the new infectious disease to human. The virus attacks anyone, such as elderly, adult, children, toddler, pregnant women, and breastfeeding mothers. Utilization of information technology that continues to develop can be felt in various fields. Such as the fields of education, government, health, social culture and so on. Information about COVID-19 is always needed by the people of Indonesia, even abroad. Utilization of this website-based technology can help the public in obtaining up to date information. Website application built using React JS framework and API. According to the problems experienced now, a website was created to monitor and provide accessible information to the public regarding the spread of COVID-19 virus cases in Indonesia and the entire world as well. People could approach the website called Covices which was created in programming languages, such as React Js and API.

Implication of Mutual Assistance Evacuation Model to Reduce the Volcanic Risk for Vulnerable Society: Insight from Mount Merapi, Indonesia

The successful evacuation of vulnerable people during emergencies is a significant challenge. In the case of a Mount Merapi eruption, limited private vehicles in the community and a lack of evacuation transport and government volunteers led some people to walk to the meeting area. Consequently, low walking speeds by vulnerable persons may increase the risk and delay. Therefore, the mutual assistance strategy is proposed to support vulnerable people by evacuating them with young people. This grouping was simulated using an AnyLogic software with the agent-based model concept. Pedestrians and vehicles played the roles of significant agents in this experiment. Evacuation departure rate, actual walking speed, group size, route, and coordination were crucial agent parameters. Human behavior and agent distribution were investigated using stakeholders and local community interviews. We measured the walking speed directly to find the independent and group speed. Afterward, we developed three scenarios and models for the evacuation process. A traffic approach was used in the simulation. The results revealed that this mutual assistance model is effective for the rapid evacuation and risk reduction of vulnerable communities where successful evacuation rates have improved. The highest arrival rating was obtained by the Model 3, which was assembled and well-coordinated from home. These findings are a novelty in the volcano context and reflect all categories of vulnerable behavior involving the elderly, disabled, children, and pregnant mothers. The model will benefit disaster management studies and authorities’ policies for sustainable evacuation planning and aging population mitigation.

The Effectiveness Of Elderly Exercise In Decreasing The Level Of Insomnia

Background: Aging is not a disease for the elderly and is not an obstacle to being able to maintain productivity and independence in carrying out daily life days. However, entering old age, many experience physical and mental setbacks, which can cause problems with disease, depression, and sleep disturbances. The purpose of this study was to determine the effectiveness of elderly exercise in reducing the level of insomnia in the elderly Methods: The research method used is the Quasy Experimental with the design one-group Pretest-Posttest population is the elderly who experience insomnia in Posbindu Pesona UPT Puskesmas Agel Lahat with a sample of 50 respondents They were taken on the total side. Data were collected from respondents by distributing questionnaires before and after counseling to respondents. Results: The results showed that the initial observation found that 50 41 respondents (82%) had moderate insomnia after being given the elderly exercise technique. 46 respondents (92%) with mild insomnia and four (8%) with moderate insomnia experienced mild insomnia. The results of the Defendant T-Test showed significant results P = 0.00. This shows the effect of the Effectiveness of the Elderly Gymnastics Technique on the reduction of Insomnia Levels. Conclusion: There is a significant difference in the level of insomnia in elderly mothers between before being given the elderly exercise technique and after being given the elderly exercise technique.

Impact of Maternal Age on Obstetric and Neonatal Outcome in Primiparous Women

Background: Pregnancy at extremes of age can be very challenging. The reflex of a woman to pregnancy is influenced by various factors through which woman's age at pregnancy time can be known as the single most important factor that has undeniable effect on pregnancy process and labour. Both adolescent and elderly pregnancy are considered to be high risk as they have unique outcomes. Objective: To assess the effect of maternal age on obstetric and neonatal outcome. Methods: This prospective observational study was conducted on 250 primiparous women who attended at Department of Obstetrics &amp; Gynaecology, 300 Bed Hospital, Narayanganj, Bangladesh from March 2019-February 2020. A detailed history regarding maternal age, period of gestation, development of any signs and symptoms of various comorbidities is taken and antenatal examination is done. Routine antenatal investigations were done and all the cases were followed till delivery. Development of various maternal co-morbidities, mode of delivery and neonatal outcome was assessed. Results: Majority of our study population were in 20-34 years age group (72.0%), teenagers constituted 19.2%, advanced maternal age constituted 8.8%.The number of pre- term births in gestational age between 28 to 36 weeks were similar in teenage mothers (12.5%) and elderly primi (13.6%) where as in normal age group it was only 3.8%. Post term pregnancy where comparatively higher in elderly primi (18.8%) than teenagers (10.4%) Association of gestational age with maternal age is statistically significant (P &lt;0.05). In our study 11% patients had Gestational Hypertension. Association of Hypertension in pregnancy with maternal age is statistically significant (p &lt;0.05). In our study, GDM was present in 7.6%; in teenage mothers 2.1% and in elderly mothers 28.5%. In teenage 12.5% and in elderly mothers it is 31.8%. Association of Hypothyroid and maternal age is statistically significant (p&lt;0.05). In our study anemia was seen in 4.1% of teenagers, 4.5% advanced maternal age, 3.3% in age group 20 to 34 years. In our study, 47.9% of teenage mothers delivered vaginally and 52.1% of them delivered by cesarean section. In age group 20 to 34 years, vaginal delivery was 50.2% and caesarean delivery was 49.7%. Whereas in elderly primis the rate of cesarean delivery was 71.4% and vaginal delivery was 28.5%. Association of mode of delivery with maternal age is statistically significant (p&lt;0.05). In our study teenagers, term babies were 78.7%, pre-term babies were 12.7%, IUGR babies were 6.3% and IUD 2.1%. In advanced maternal age; term babies were 68.1%, pre- term were 13.6%, IUGR were 13.6% and IUD were 4.5%. Association of outcome of baby is statistically significant (p&lt;0.05). In our study the babies which got admitted in NICU were 33.7% in teenage mothers and in elderly is 13.3%. Association of NICU admission among teenage and advanced maternal age is statistically significant. (p&lt;0.05). Conclusion: Teenage pregnancy is an essential public health issue as it is associated with poor maternal and fetal outcome. Teenage and Elderly pregnancy are associated increased maternal and perinatal mortality and morbidity early detection of risk factors and prevention is necessary to reduce the morbidity.

Analysis of Environmental and Social Significant Factors Affecting the Flow of Maternal Patients in Jilin, China.

BackgroundWith the implementation of China's Two-child policy, the number of pregnant women has been increasing year by year in recent years. However, the pregnancy success rate of pregnant women is declining year by year, and it is almost necessary for all the elderly mothers to do pregnancy protection.ObjectiveThe purpose of this study is to analyze the social and environmental factors that affect the patient flow of pregnant women in Jilin area of China, and further utilize the favorable factors to avoid the negative effects of adverse factors, so as to improve the pregnancy success rate and eugenics level.MethodsMonthly patient flow data from 2018 to 2020 were collected in the obstetrics department of the First Hospital of Jilin University. The decompose function in R software was used to decompose the time series data, and the seasonal and trend change rules of the data were obtained; the significant factors influencing patient flow were analyzed by using Poisson regression model, and the prediction model was verified by using assumptions, such as the normal distribution of residuals and the constant difference of residuals.ResultsTemperature in environmental factors (P = 4.00E−08) had a significant impact on the flow of obstetric patient. The flow of patients was also significantly affected by the busy farming (P = 0.0013), entrance (P = 3.51E−10) and festivals (P = 0.00299). The patient flow was accompanied by random flow, but also showed trend change and seasonal change. The trend of change has been increasing year by year. The seasonal variation rule is that the flow of patients presents a trough in February every year, and reaches the peak in July.ConclusionIn this article, Poisson regression model is used to obtain the social and environmental significant factors of obstetric patient flow. According to the significant factors, we should give full play to significant factors to further improve the level of eugenics. By using time series decomposition model, we can obtain the rising trend and seasonal trend of patient flow, and then provide the management with decision support, which is conducive to providing pregnant women with higher level of medical services and more comfortable medical experience.