Care Of Pregnant Women Research Articles

Pregnant Women's Care Needs During Early Labor-A Scoping Review.

Pregnant women face the challenge of managing early labor on their own until they feel the need to seek professional support. However, professional support during such a vulnerable stage of labor may sometimes be insufficient. This study aims to understand pregnant women's care needs during early labor in order to improve the quality of care provided at the onset of labor. A scoping review was conducted following a systematic search strategy in May 2021 and in August 2022 concentrating on pregnant women in early labor with spontaneous onset of labor. A sensitive search strategy was used with five different databases. The articles were screened by two independent researchers. Data were extracted and mapped to answer the research question. 52 articles were included. Major reasons for seeking professional help are to receive reassurance and get advice and information on how to cope with early labor. Furthermore, many women express the need for professional guidance. Several articles demonstrated women's preferences for hospital admission or a continuous care model. While some women want empowerment and empathy from a midwife, others require clear instructions on helpful measures or even clinical interventions within the process. Managing early labor without professional support creates a major challenge for pregnant women and nurtures insecurities and anxiety. Protecting women from unnecessary interventions is a well-intentioned plan, yet a lack of support in early labor may sometimes jeopardize a positive birth experience. New ways need to be elaborated to support women-centred and individualized approaches to providing early labor care.

Analysis of Biological Factors Associated with Preeclampsia in Pregnant Women

Preeclampsia is a serious complication during pregnancy that poses significant health risks to both mother and fetus, potentially leading to death. Early identification of biological factors associated with preeclampsia is crucial for effective prevention. This study aims to analyze the biological factors influencing preeclampsia incidence among pregnant women. A quantitative design with a case-control approach was used, focusing on pregnant women with a history of preeclampsia in the Curug Community Health Center, Karawang Regency. The sample included 10 respondents. The results revealed a significant relationship between parity and preeclampsia incidence (p-value 0.031), BMI (p-value 0.018), diet (p-value 0.041), and history of complications (p-value 0.001). However, no significant association was found between lifestyle activities and preeclampsia (p-value 0.114). These findings suggest that factors like parity, BMI, diet, and complications history are significantly linked to preeclampsia incidence. These results provide a basis for targeted interventions in pregnant women's care. Future studies should expand the sample size and consider additional variables such as employment status, family support, and stress levels for more comprehensive insights into preeclampsia risk factors.

Choline in pregnant women: a systematic review and meta-analysis.

Choline is a critical nutrient. Inadequate choline intake during pregnancy increases the risk of adverse maternal and offspring health. A systematic review and meta-analysis were conducted to examine the current recommendations for choline intake by pregnant women, estimate the overall prevalence of pregnant women with adequate choline intake, and explore associations between maternal choline level and adverse pregnancy outcomes (APOs). Choline recommendations for pregnant women were assessed from eight nutrient guidelines of the United States, United Kingdom, Canada, Australia, Asia, International Federation of Gynecology and Obstetrics, and World Health Organization. Data on the prevalence of pregnant women with adequate choline intake and the association between maternal choline level and APOs were collected from 5 databases up to May 2023. Meta-analyses with random effects and subgroup analyses were performed for the pooled estimate of prevalence and association. Five recent nutrition guidelines from the United States (United States Department of Agriculture), United States (Food and Drug Administration), Canada, Australia, and the International Federation of Gynecology and Obstetrics have emphasized the importance of adequate choline intake for pregnant women. Of 27 publications, 19 articles explored the prevalence and 8 articles explored the association. Meta-analysis of 12 prevalence studies revealed a concerning 11.24% (95% confidence interval, 6.34-17.26) prevalence of pregnant women with adequate choline intake recommendations. A meta-analysis of 6 studies indicated a significant association between high maternal choline levels and a reduced risk of developing APOs, with an odds ratio of 0.51 (95% confidence interval, 0.40-0.65). The existing guidelines highlight the importance of choline in supporting maternal health and fetal development during pregnancy. Furthermore, a high maternal choline level was likely to be associated with a lower risk of APOs. However, 88.76% of pregnant women do not achieve the optimal choline intake. Therefore, specific policies and actions may be necessary to improve choline intake in pregnant women's care and support the well-being of pregnant women. PROSPERO registration no. CDR42023410561.

The Influence of Health Education on Knowledge of Antenatal Care in Pregnant Women in Rural Areas

Background: Maternal health problems are closely related to pregnant women, which contribute a lot to the current maternal mortality rate, maternal mortality can be prevented if pregnant women get good quality antenatal care services. Lack of knowledge of pregnant women about antenatal care results in a lack of care for pregnant women about their own health and the baby in their womb. One of the efforts that can be done is by conducting antenatal care so that it can monitor pregnancy and ensure the health of the mother and fetus. Objective: This study aims to analyze the effect of health education on knowledge of antenatal care for pregnant women in Karangpring Village, Jember Regency. Methods: This type of research is a quasi-experimental design with the one group pre and post-test design. This study was conducted on pregnant women as many as 17 respondents. Results: Shows the value of knowledge before being given health education in the less category of 10 people (58.8%) and the sufficient category of 5 people (29.4%) and after being given health education knowledge in the sufficient category 10 people (58.8%) and good category amounted to 7 people (41.2%). The results of the paired t-test statistic obtained a significant value less than 0.05 (p = 0.000 <0.05). Conclusion: There is an effect of health education on knowledge of antenatal care for pregnant women in Karangpring Village, Jember Regency.

Monitoring of Women with Anti-Ro/SSA and Anti-La/SSB Antibodies in Germany-Status Quo and Intensified Monitoring Concepts.

Background: The fetuses of pregnant women affected by anti-Ro/anti-La antibodies are at risk of developing complete atrioventricular heart block (CAVB) and other potentially life-threatening cardiac affections. CAVB can develop in less than 24 h. Treatment with anti-inflammatory drugs and immunoglobulins (IVIG) can restore the normal rhythm if applied in the transition period. Routine weekly echocardiography, as often recommended, will rarely detect emergent AVB. The surveillance of these pregnancies is controversial. Home-monitoring using a hand-held Doppler is a promising new approach. Methods: To obtain an overview of the current practice in Germany, we developed a web-based survey sent by the DEGUM (German Society of Ultrasound in Medicine) to ultrasound specialists. With the intention to evaluate practicability of home-monitoring, we instructed at-risk pregnant women to use a hand-held Doppler in the vulnerable period between 18 and 26 weeks at our university center. Results: There are trends but no clear consensus on surveillance, prophylaxis, and treatment of anti-Ro/La positive pregnant between specialists in Germany. Currently most experts do not offer home-monitoring but have a positive attitude towards its prospective use. Intensified fetal monitoring using a hand-held Doppler is feasible for pregnant women at risk and does not lead to frequent and unnecessary contact with the center. Conclusion: Evidence-based guidelines are needed to optimize the care of anti-Ro/La-positive pregnant women. Individual risk stratification could help pregnancy care of women at risk and is welcmed by most experts. Hand-held doppler monitoring is accepted by patients and prenatal medicine specialists as an option for intensified monitoring and can be included in an algorithm for surveillance.

Statistical performance review on diagnosis of leukemia, glaucoma and diabetes mellitus using AI.

The growth of artificial intelligence (AI) in the healthcare industry tremendously increases the patient outcomes by reshaping the way we diagnose, treat and monitor patients. AI-based innovation in healthcare include exploration of drugs, personalized medicine, clinical diagnosis investigations, robotic-assisted surgery, verified prescriptions, pregnancy care for women, radiology, and reviewed patient information analytics. However, prediction of AI-based solutions are depends mainly on the implementation of statistical algorithms and input data set. In this article, statistical performance review on various algorithms, Accuracy, Precision, Recall and F1-Score used to predict the diagnosis of leukemia, glaucoma, and diabetes mellitus is presented. Review on statistical algorithms' performance, used for individual disease diagnosis gives a complete picture of various research efforts during the last two decades. At the end of statistical review on each disease diagnosis, we have discussed our inferences that will give future directions for the new researchers on selection of AI statistical algorithm as well as the input data set.

Assessment of Relationship Between Health Literacy and Level of Knowledge on Prenatal Diagnosis and Antenatal Care in Pregnant Women

Assessment of Relationship Between Health Literacy and Level of Knowledge on Prenatal Diagnosis and Antenatal Care in Pregnant Women

Examining The Management and Treatment Approaches for Depression in Pregnant Women

Pregnant women suffering from undiagnosed or inadequately treated depression during their pregnancy face increased postpartum risks and jeopardize the health and safety of both mother and fetus. To understand the management of depression in pregnant women at Gamping II Community Health Centre. This qualitative research employed a case study approach. Informants were selected using heterogeneous purposive sampling, comprising 9 participants: a pregnant woman, a head of the community health centre, a doctor, two midwives, a psychologist, a psychiatric nurse, and two pharmacists. The study reveals that the depression management provided to pregnant women is not comprehensive due to the lack of post-referral care, resulting in inadequate monitoring and evaluation. There is a lack of knowledge about using mental health screening tools, understanding care for depressed mothers, and implementing guidelines for managing depression in pregnant women. These factors hinder the provision of comprehensive care. Pregnancy care for women with depression requires comprehensive health management strategies. Comprehensive care is crucial to mitigate the impact of mental health disorders experienced during pregnancy

Assessment of Quality of Antenatal Care in Pregnant Women Delivered in Ain Shams University Hospitals

Assessment of Quality of Antenatal Care in Pregnant Women Delivered in Ain Shams University Hospitals

Cost-minimization Analysis in Iron-deficiency Anemia Comparing Intravenous Ferric Carboxymaltose to Standard of Care in Pregnant Women in Algeria

Abstract INTRODUCTION: Anemia due to iron deficiency is frequent during pregnancy and increases morbidity and mortality of mothers and infants. The objective of this study was to assess the economic consequences of intravenous ferric carboxymaltose (FCM) in anemic pregnant women in Algeria. METHODS: The economic analysis was a cost-minimization model comparing the strategy for treating pregnant women with intravenous iron sucrose to FCM. The perspective of Algerian health-care providers was adopted to calculate costs savings. Cost related to treatment of iron-deficiency anemia included infusion, iron workup, medical time, iron vials acquisition, and absenteeism. Data were obtained mostly from available scientific literature and public health data and were validated by expert opinion. A budget impact model was also developed for the population of Algerian women needing intravenous iron treatment to evaluate the gross impact on payers’ budget if FCM treatment was prescribed. RESULTS: Treatment of pregnant women with iron-deficiency anemia (mean weight, 65 kg; hemoglobin 7.5 g/dL) needed 7 hospital visits and 14.9 doses for iron sucrose treatment to be compared to 2 hospital visits and 2 doses for FCM treatment. Total cost was Algerian dinar (DZD) 69,222 per patient for iron sucrose and DZD 57,452 for FCM (cost savings per patient: DZD 11,769, i.e., 17%). If all 192,000 pregnant Algerian anemic women eligible for injectable iron treatment received FCM, global cost savings would be DZD 2,259,820,627 per year. CONCLUSION: This economic model suggests that FCM is a cost-saving treatment compared to standard iron sucrose treatment in pregnant women with iron-deficiency anemia in Algeria.

The Use of Telemedicine in the Care of Pregnant Women with Gestational Diabetes

The Use of Telemedicine in the Care of Pregnant Women with Gestational Diabetes

Management and Care of Pregnant Women in Their Third Trimester with COVID-19 at Tangerang Hospital, Indonesia: A Comprehensive Approach

Management and Care of Pregnant Women in Their Third Trimester with COVID-19 at Tangerang Hospital, Indonesia: A Comprehensive Approach

The Impact of Insecurity on the Care of Pregnant Women in the Democratic Republic of the Congo: A Cross-Sectional Study

The Impact of Insecurity on the Care of Pregnant Women in the Democratic Republic of the Congo: A Cross-Sectional Study

HTA75 Cost-Minimization Analysis in Iron-Deficiency Anemia Comparing Intravenous Ferric Carboxymaltose to Standard of Care in Pregnant Women in Algeria

Anemia is frequent during pregnancy and is associated with maternal and neonatal morbidity and mortality. The main cause of anemia in obstetrics is iron deficiency. In a recent survey in Algeria, iron deficiency anemia (IDA) was reported in at least 30% of the patients from different medical settings. In gynecology and obstetrics this rate was estimated > 50%. The aim of this work is to evaluate the economic impact of intravenous (iv) ferric carboxymaltose (FCM) in anemic pregnant women in Algeria.

Assessment of Maternity Nurse’s Knowledge and Performance Regarding Care of Pregnant Women with Systemic lupus

Assessment of Maternity Nurse’s Knowledge and Performance Regarding Care of Pregnant Women with Systemic lupus

Asuhan Kebidanan Ibu Hamil, Bersalin, Nifas Dan Bayi Baru Lahir Normal Pada Ny “J” Dengan G3P1A1

The purpose of this study was to analyze in depth the pattern of Midwifery Care for Pregnant, Maternity, Postpartum and Normal Newborns in Mrs. "J" with G3P1A1 in the work area of ​​RSU Bahagia Makassar. Research Methods: This type of research is descriptive analytic through cross sectional in the form of a case study to explore the problem of Midwifery Care in Pregnant Women, Maternity, Postpartum and Normal Newborns in NY "J" at Happy General Hospital Makassar. Midwifery care was carried out on Date March 24, 2022 to April 03, 2022. Results: After analyzing and interpreting the data, the gestational age was 37 weeks 0 days, 38 weeks 0 days, with the results of ANC I to ANC II proceeding normally. For 2 times ANC never felt excessive complaints. The diagnosis obtained was G3P1A1 Pregnant 38 weeks 4 days with active phase I inpartu, live single fetus with cephalic presentation. Mrs. "J"'s labor duration from stage I to stage IV, namely the first stage lasted 5 hours, the second stage 15 minutes, the third stage 5 minutes, and the fourth stage lasted 2 hours, proceeded normally with no complications. Research implications The results of the ANC, first stage of labor, second stage, second stage, fourth stage did not have complications, while the puerperium did not have bleeding and infection. In newborns the first 6 hours the baby is healthy, cries loudly, and starts looking for and sucking the nipple. From the objective data, weight 2600 grams, PB 49 cm, there were no complications in the baby.

Pregnancy care for women living with inflammatory bowel disease: who, what and when?

Helen Janiszewski and Shellie Radford outline the relationship between inflammatory bowel disease and pregnancy, highlighting that care and information must be personalised

Exploring Perceptions of Health Care Providers in Caring for Pregnant Women With Substance Use Disorder

Pregnant women with substance use disorders (SUDs) may experience stigma and implicit and explicit biases from their health care provider when they seek prenatal care. This study explored the perceptions of providers who care for pregnant women with SUDs and examined changes in their perceptions after an educational intervention.

Determinants Related to Breast Care in Pregnant Women in the Third Trimester to Prepare for Breastfeeding

Health Organization (WHO) urges every mother to give her baby exclusive breastfeeding until the baby is 6 months old. In fact, only 39% of babies under 6 months get exclusive breastfeeding. Many problems arise on the first day of breastfeeding, such as sore nipples, little milk comes out (Hesti, 2013). The research method was carried out using quantitative research methods with a cross sectional approach where the aim was to determine the factors related to breast care in third trimester pregnant women. The population in this study were all pregnant women in the third trimester in Bantarjaya Village as many as 143 people. The sample in this study was third trimester pregnant women in Bantarjaya Village using total sampling technique, the number of samples was 143 people. Data was collected using a questionnaire. Â Data analysis with univariate, bivariate and multivariate. The output produced at this stage is knowing the factors related to breast care in third trimester pregnant women and supporting exclusive breastfeeding in Bantarjaya Village, Pebayuran District, Bekasi Regency. The results showed that there was a relationship between education of pregnant women and breast care for pregnant women with P value = 0.000 and OR = 9.257 (4,135.-20,725). There is a relationship between knowledge of pregnant women and breast care for pregnant women with P = 0.000 and OR = 10.222 (4.721-24.466). There is a relationship between the work of pregnant women and breast care for pregnant women with P = 0.032 and OR = 2.249 (1.104-4.583). There is a relationship between husband's support and breast care for pregnant women with P value = 0.000 and OR = 10.387 (4.566-23.630). The results of the multivariate analysis resulted in the final model equation as follows: Education P value = 0.023 and OR = 4,866 (1,248-18,968), Knowledge P = 0.004 and OR = 7.697 (1,905-31,104), work P = 0.004 and OR = 0.004 (0.022 - 0.485), husband's support value of P = 0.000 and OR = 7.811 (2.682-22.753). Based on these data, it is clear that husband's support is very strong in breast care for pregnant women in the third trimester. There is a need for the role of health workers and the health office to increase the knowledge and motivation of pregnant women in carrying out breast care as early as possible, namely starting during pregnancy, the aim is to prepare for breastfeeding through community empowerment such as cadres, community leaders and religious leaders.

Relationship of Predisposing Factors with Breast Care in Pregnant Women in Sungai Orosan Village Padang Bolak District North Law

Breast care needs to be done by pregnant women to be able to expedite the release of breast milk. Most pregnant women do not do breast care because of lack of knowledge in breast care itself, lack of information about breast care such as not protruding nipples, or flat, because of the condition of the breasts, especially the nipples. The purpose of this study was to determine the relationship between predisposing factors and breast care for pregnant women in Sungai Orosan Village, Padang Bolak District, North Padang Lawas Regency in 2021. The type of research was quantitative with a cross sectional study design. The population in this study were all pregnant women as many as 36 people. The sample in this study was all pregnant as many as 36 people. Data were analyzed by univariate and bivariate using Chi Square test. The results showed that there was a relationship between knowledge factors (p= 0.004), parity (p= 0.004) and employment status (p= 0.003) with breast care in pregnant women. The conclusion is that there is a relationship between knowledge, parity and employment status with breast care in pregnant women. It is hoped that pregnant women can increase their knowledge about breast care.