Future Mothers Research Articles

Dentistry and pregnancy: the importance of dental prenatal care: a literature review

Health begins with the mouth, and pregnancy is a period of physiological changes in the woman's body, including the oral cavity, which justifies the importance of the dental surgeon during pregnancy. The objective of this study was to discuss the importance of dental prenatal care as a health promotion strategy, the knowledge of the main oral alterations during pregnancy, and the multidisciplinary follow-up. Method: This study was conducted from bibliographic searches in the Scielo and Google Scholar databases using complete articles in Portuguese, published in the years 2010 to 2022. Discussion: This article consists of a literature review that addresses the relationship between dentistry and pregnancy, both in aspects related to the oral health of the pregnant woman and the baby, as well as in relation to the importance of dental care during pregnancy. Conclusion: Dental prenatal care is important to prevent oral and systemic pathologies, in addition to guiding the future mother on oral hygiene, maternal oral health directly influences their own health as a whole, but also the health of the baby.

Association of sociodemographic variables with nutritional status among the college girls of Howrah, West Bengal, India

Nutritional status of young adult girls is very essential since they are future mothers, and their nutritional requirements increase tremendously compared to the preceding years of growth. The present study was an endeavour to assess the nutritional status and to find an association between sociodemographic variables and nutritional status among young adult college girls of Howrah, West Bengal. The study included a total of 140 college girls aged between 18 to 20 years. The sociodemographic data were collected by the interview method using a pretested standard structured schedule. The anthropometric data were measured by the standard protocol. For the comparison of anthropometric data, growth charts of the Centre for Disease Control and Prevention (CDC) were used. The anthropometric measures like weight, mid upper arm circumference (MUAC), waist circumference (WC), hip circumference (HC), suprailiac skinfold, body mass index (BMI), waist-hip ratio (WHR) and waistheight ratio (WHtR) show an increasing trend according to age groups. Based on BMI, 25.7% of the young adult college girls were found to be underweight (BMI < 18.5 kg/m2), which includes chronic energy deficiency (CED) grade I (13.6%), chronic energy deficiency (CED) grade II (7.9%) and chronic energy deficiency (CED) grade III (4.3%). BMI for age (< 5th percentile) or thinness showed a significant difference (p < 0.01) according to age. Similarly, stature for age (< 5th percentile) or stunting shows a significant association (p < 0.05) with father’s education, and underweight (BMI < 18.5 kg/m2) shows a significant association (p < 0.05) with monthly family household income. The results of linear regression show that sociodemographic variables and food habits were significant predictors of various anthropometric measures. Monthly family income and frequency of eating fast food per week were significant predictors of BMI and MUAC, and the age of the participant and the education of the mother were significant predictors of WHR, and family income per month and the age of the participant were significant predictors of WHtR. Thus, the present study provides a podium for further studies to combat the effect of undernutrition among future mothers and instigates effective nutritional intervention strategies entailing this vulnerable group.

Methods and appreciations for holistic teaching of the mother tongue: from the expansion of teacher linguistic awareness to the multimodal corpus

The present work investigates perspectives, models and pedagogical and didactic tools applicable to the teaching of the mother tongue, through bibliographic research of comparative and contrasted referents to generate a dialectic between the macro-discourses that Permian the configuration of the linguistic contents. The finding behind these inquiries is the comprehensive description of these trends for future mother tongue teachers, to clarify terminologies and define a few more concepts and models that remain amorphous today.

How do women want to receive information about non-invasive prenatal testing? Evidence from a discrete choice experiment.

Non-invasive prenatal testing (NIPT) identifies the risk of abnormalities in pregnancy, potentially reducing the risk of miscarriage associated with invasive tests. This study aimed to understand the preferences of current and future mothers about the content, format and timing of information provision about NIPT. An online discrete choice experiment was designed comprising four attributes: when in the pregnancy information is provided (4 levels); degree of detail (2 levels); information format (6 levels); cost to women for gathering information (5 levels). Respondents included women identified by an online-panel company in Sweden. The mathematical design was informed by D-efficient criteria. Choice data were analysed using uncorrelated random parameters logit and latent class models. One thousand Swedish women (56% current mothers) aged 18-45years completed the survey. On average, women preferred extensive information provided at/before 9weeks of pregnancy. There was heterogeneity in preferences about the desired format of information provision (website, mobile app or individual discussion with a midwife) in the population. Women had clear preferences about the desired content, format and timing of information provision about NIPT. It is important to tailor information provision to enable informed choices about NIPT.

Music, Noise, and Nature: Energetic Ambiguities in Benedikt Erlingsson's Woman at War

Abstract Unlike most films dealing with the challenges of climate change or globalization, Benedikt Erlingsson's film Woman at War (2018) is full of energetic humor and contradictions. The protagonist's conflicting roles as choir director, eco-warrior, and future adoptive mother undermine expected binaries, as do onscreen musicians in this communication of complexity. In our intermedial and ecocritical analysis, we demonstrate how the film's sound design exploits ambiguities of diegesis, nature and culture, music and noise, and order and revolt to generate a more empowering than merely entertaining plot.

Literasi Kearsipan Keluarga Bagi Siswa-Siswi Sekolah Calon Ayah Ibu

The neatness of family archives is still underestimated by the community. A well-managed family archive can provide convenience in finding the family data needed. Negligence in tidying the archives is due to a lack of knowledge and awareness of the community in family archives. This community service provides literacy training on family archives to school of future father and mother’s students. The debriefing was carried out for one month with two stages of implementation. The first stage uses the workshop method, where the service team provides materials and training on procedures for storing archives manually and digitally. Second, using the mentoring method, where participants carry out practice and are directly accompanied by a service team. Of the 19 students who attended the debriefing, 100% stated that the service was very useful and felt that they had an awareness of the family archive. 63% of participants continued to the mentoring stage and 18% of participants were able to complete manual and digital family file fireplaces properly. The process of tidying up family archives requires sufficient time and knowledge so that in the future participants can be given more time so that they can tidy up archives to the maximum.

Love, Hope and Despair of Pregnant Women Living in the Slum of Sylhet City Corporation: A Study

Pregnancy is a joyous but stressful phase in every woman’s life as it takes a ten-month-long journey. Support and caring attitude from family members and others, along with regular ante-natal treatment during pregnancy, is essential for every woman because it will protect the health of the unborn baby and future mother. However, in Bangladesh, patriarchal social structure and cultural components bring unequal treatment for women even when they feel sick. So, this qualitative study was conducted to explore the experiences of pregnant women living in the slum area of Sylhet city corporation, Bangladesh. Data were collected purposively from pregnant women during gestational weeks 36–38 who came for treatment at the Urban Primary Health Care Service Delivery Center of Shimantik (NGO). Ten in-depth interviews were conducted through a semi-structured interview schedule, and then collected data were thematically analysed. Data were presented under four themes: role of husband and family members during pregnancy, challenging circumstances within and outside of the family, the reason for the adverse social concern arising and the strategies employed to deal with the hostile condition. This study recommends that there should be a professional counsellor in every maternity health clinic, especially for pregnant women, with whom they can share their personal grief and sufferings.

Preparing for Pregnancy in Women with Systemic Lupus Erythematosus-A Multidisciplinary Approach.

Highlights What are the main findings? Unified, practical approach for preconception counselling of SLE women. What is the implication of the main finding? What can be learned by the rheumatologist: the need for early referral for preconception counselling, risk stratification including from obstetrical point of view (preeclampsia (PE), anaesthetic evaluation), in vitro fertilisation, allowed medication during pregnancy (SLE-specific or non-specific), the need to evaluate for other autoimmune conditions includ-ing for thyroid disease.What can be learned by the obstetrician: how to assess activity and damage in SLE including scoring, autoantibody evaluation, and allowed vaccination from the SLE point of view. Pregnancy is one of the most challenging processes the human body is exposed to: the healthy mother can carry to term a genetically different new-born, while her immune system adapts to tolerate this new status and avoids rejection. In autoimmune disorders, motherhood is even more challenging, with additional medical counselling, mother care, and foetus development checks being necessary. While the aspects of supplementary mother care and pregnancy progress tracking are associated with well-established medical procedures and protocols, counselling, be it pre- or post-conception, is still underestimated and scarcely applied. Indeed, over the past decades, medical counselling for this particular population has changed significantly, but from a healthcare’s provider point of view, more is required to ensure a smooth, controllable pregnancy evolution. One of the most frequent autoimmune diseases affecting young females during their fertile years is Systemic Lupus Erythematosus (SLE). Like other heterogenous diseases, it exposes the mother to severe, organ-threatening complications and unpredictable evolution. Both the disease and its treatment can significantly affect the mother’s willingness to engage in a potentially risky pregnancy, as well as the likeliness to carry it to term without any impairments. A good collaboration between the patient’s rheumatologist and obstetrician is therefore mandatory in order to: (a) allow the mother to make an informed decision on pursuing with the pregnancy; (b) ensure a perfect synchronization between pregnancy terms and treatment; and (c) avoid or minimize potential complications. The best approach to achieve these outcomes is pregnancy planning. Moreover, knowing one desired prerequisite for a successful pregnancy evolution in SLE mothers is a stable, inactive, quiescent disease for at least six months prior to conception, planning becomes more than a recommended procedure. One particular aspect that requires attention before conception is the treatment scheme applied before delivery as autoantibodies can influence significantly the course of pregnancy. In this view, future SLE mothers should ideally benefit from preconception counselling within their agreed care pathway. A multidisciplinary team including at least the rheumatologist and obstetrician should be employed throughout the pregnancy, to decide on the appropriate timing of conception and compatible medication with respect to disease activity, as well as to monitor organ involvement and foetus development progress.

Gaining insight from future mothers: A survey of attitudes and perspectives of childbirth

ObjectiveTo determine whether participant characteristics and/or birth preferences of future mothers are associated with a fear of birth. DesignA cross-sectional survey was used to determine if fear of birth could be profiled in specific participant characteristics and birth choices. SettingUrban New Zealand university. ParticipantsA convenience sample of women (final n = 339) who were < 40 years old, attending university, not pregnant nor had been pregnant but wished for at least one child in the future. FindingsMultivariable analysis identified a subset of four variables that were independently associated with the instrument Childbirth Fear Prior to Pregnancy (CFPP) measuring fear of birth (mean CFPP=38.0, SE=10.1). Preferences of birth by caesarean section (n=32, mean CFPP=44.3, SE=1.8, p < 0.0001), use of epidural analgesia (n=255, mean CFPP=45.0, SE=1.1, p < 0.0001), participants born outside of New Zealand (n=123, mean CFPP=42.9, SE=1.4, p < 0.0001), and participants who scored > 20 (‘severe’) for depression on DASS-21 scale (n=11, mean CFPP=44.8, SE=1.7, p < 0.0001) were all positively associated with CFPP. Post-hoc analyses revealed that mean CFPP was higher for those that perceived birth technologies as easier, safer, necessary, and required. ConclusionsWomen born outside of New Zealand and/or suffering ‘severe’ depression were more likely to have a fear of birth. Fear of birth was associated with the participants choices towards medicalised childbirth. Familiarising women with the provision of maternity care in New Zealand and identifying mental health status early could reduce fear of birth and possibly support the vaginal birth intentions of future parents.

Features of Attitudes towards Future Motherhood at a Young Age

This article is devoted to the problem of attitude towards future motherhood at a young age, since the spec­ificity of emotional-personal and value-sense characteristics may act as a predictor of the formation of negative attitudes towards procreation. As a result of the survey of 51 adolescent females, it was revealed that the students with formed reproductive orientation are characterized by a tendency to neurotic reactions to external circumstances. This group showed the most formed value orientations for the future with an understanding of the desired picture of life. But for the female students with identified repro­ductive passivity, the neurotic index does not exceed the normative corridor, and their value orientations are focused on inner self.

ANALISIS FAKTOR RISIKO KEJADIAN STUNTING PADA BALITA USIA 6 BULAN – 23 BULAN DI PUSKESMAS PEKKAE KECAMATAN TANETE RILAU KABUPATEN BARRU TAHUN 2020

Stunting is ashort body condition according to the age which exceed the 2 SD (Standard Deviation) deficit below the median length standard or the height of the age. A toddler with stunting shows the existence of long-term nutritional problems or chronic nutrition that can be affected by the condition of the mother or future mother, fetal period and infancy or toddler period, including the disease suffered during infancy period. The aim of this research was to find out the risk factor of stunting to the child aged 6-23 months in working area of Pekkae health care, Tanete Rilau, Barru Regency. This research was a quantitative research with observational analytic method and crossectional design. Sampling was obtained by using purposive sampling technique. The total of sample were 98 toddlers and their mother as a respondent. The data were analyzed by using the Chi-square p0.05 in the SPSS program. The result of this research showed that there was a significant relationship between the history of complementary feeding (p-value 0.031;1.36), infectious disease (p-value 0.005;1.41), mother’s knowledge of toddler nutrition (p-value 0.031;1.36) and economic factor (p-value 0.000; 2,71) toward the stunting. There was no significant relationship between the history of exclusive breastfeeding, toddler immunization, maternal height and the mother’s last education level toward this stunting with p-value 0.005. The most dominant factor in this research was family economic factor.Keywords : toddler, stunting, history of complementary feeding, history of infectious disease, mother’s education, mother’s knowledge, family economic factor.

Exclusive Breastfeeding for at Least Four Months Is Associated with a Lower Prevalence of Overweight and Obesity in Mothers and Their Children after 2-5 Years from Delivery.

Introduction: Obesity is a current public health concern. Higher body weight is influenced by genetic and environmental parameters, and their interplay and is associated with a greater risk for several chronic diseases. Breastfeeding has been suggested as a preventive measure against obesity, which can further reduce long-term negative health outcomes for both women and children. Aim: The aim of the present study was to evaluate the role of breastfeeding on maternal and childhood overweight and obesity. Materials and Methods: This is a cross-sectional study conducted on 2515 healthy mothers and their children, aged 2–5 years, enrolled from nine different Greek rural and urban regions. Validated, standardized questionnaires were administrated that included anthropometric indices, socio-demographic characteristics of mothers and children, as well as breastfeeding practices. Results: Overall, 68% of participated women exclusively breastfed their children for at least 4 months. Mothers that exclusively breastfed showed a significantly lower prevalence of overweight and obesity after 2–5 years from delivery (p < 0.0001). Children that had exclusively been breastfed showed a significantly lower prevalence of overweight and obesity at the age of 2–5 years (p < 0.0001). Using multivariate regression analysis, exclusive breastfeeding for at least 4 months was associated with a two-fold lower risk for maternal and childhood overweight and obesity after 2–5 years from delivery, independent from maternal age, educational and economic status, and smoking habits (p < 0.0001). Conclusion: Exclusive breastfeeding for at least 4 months had a positive effect on childhood overweight and obesity, also contributing beneficially to post-natal maternal weight control. The beneficial effects of breastfeeding should be communicated to future and new mothers, while supportive actions for all mothers to initiate and continue breastfeeding their offspring should be implemented.

Psychosocial needs of inpatient women with gestational diabetes mellitus: a qualitative study

ABSTRACT Background Gestational diabetes mellitus (GDM) is one of the most common medical complications associated with pregnancy. Its treatment requires multidisciplinary cooperation, and identifying the psychosocial needs of patients is important in the management of their condition. Objective This study investigates the psychosocial needs of inpatient mothers with GDM from the joint perspectives of future mothers and healthcare providers. Methods This qualitative study used a content analysis approach. Semi-structured individual interviews focusing on the psychosocial needs of women with GDM were conducted with twelve women suffering from GDM and eight medical staff. Sampling continued until data saturation. Results According to the findings of this study, the psychosocial needs of these mothers were classified into the following categories: Support for worries related to the consequences of the disease, Interpersonal support, Infrastructural support, educational support. Conclusion The psychosocial needs of inpatient mothers with GDM were identified in this study. Attention to these needs can help enhance the mother’s satisfaction and treatment adherence, and reduce worries and anxiety during hospitalisation. Abbreviations GDM: Gestational Diabetes Mellitus; hPGH: human placental growth hormone; COREQ: Consolidated criteria for reporting qualitative research; WHO: World Health Organization; HCP: healthcare provider.

Literature review: Ubi Jalar Ungu sebagai Bahan Makanan Tambahan Remaja Kurang Energi Kronis

The quality of the nation's next generation is largely determined by adolescent girls who act as future mothers. The physical and psychological maturity of adolescent girls greatly affects a woman's readiness to become a mother in a healthy family. Basic health research data (Riskesdas) in 2018 reported that west Nusa Tenggara (NTB) province had women aged &gt;18 years thin based on BMI as much as 12%, and Mataram city had the second most thin &gt;18 years old women (14.02%) after North Lombok district which was 15.99%. An initial survey conducted on 20 female students at STIKes Yarsi Mataram in February 2021 found that 30% of female students had Lila &lt;23.5 cm. This situation shows that not all female students at STIKes Yarsi Mataram have a good nutritional status. This study aims to identify the nutritional status of STIKes Yarsi Mataram students as an early detection of chronic lack of energy events in the health college environment. This study used an observational descriptive design with a cross-sectional approach. The population of this study is students of the Nursing study program at the D3 level, the midwifery study program at the D3 level and the undergraduate program in semesters 1 and 3 at STIKes Yarsi Mataram. The sample was taken using purposive sampling techniques for 1st and 3rd semester students who used offline learning methods and were not practicing outside the campus with a total of 176 female students. The primary data taken are in the form of BB, TB, and Lila. This research was conducted in September 2021 - January 2022 at STIKes Yarsi Mataram. The results of this study found thata large number of STIKes Yarsi Mataram students had a normal BMI (18.5-25), although there were a small number of female students who had a thin BMI (&lt;18.5) and a fat BMI (&gt;25). Most of the students of STIKes Yarsi Mataram have a normal Lila (&gt;23.5 cm), but the rest have a risk Lila of SEZ (&lt;23.5 cm). It is hoped that there will be an intensive increase in the knowledge, attitudes and behaviors of female students about diet, nutrient intake and body image from lecturers in collaboration with nutritionists.

PENTINGNYA PENGETAHUAN IBU HAMIL TRIMESTER III TENTANG TANDA BAHAYA PADA MASA NIFAS

The puerperium is a period of vulnerability for mothers; approximately 60% of maternal deaths occur after childbirth, and nearly 50% of deaths during the puerperium, including complications, occur within the first 24 hours after delivery. Unknown risks during the postpartum period are the result of postpartum mothers' lack of knowledge. This activity aims to heighten awareness of the importance of recognizing the danger signs of postpartum in the third trimester of pregnancy. This Community Service utilizes online counseling in the form of a Zoom Cloud Meeting to educate third-trimester pregnant women about the dangers of the postpartum period. This activity will include up to fifteen future mothers, postpartum mothers, and breastfeeding mothers. This activity is graded based on whether or not participants can comprehend the presented material and whether or not they are eager to ask questions. Participation in counseling activities from the beginning to the end of the activity resulted in an increase in knowledge and enthusiasm, as well as a form of concern for the participant's mother; based on the post-test results, it was determined that the seven individuals who attended the activity had increased knowledge. The majority of the participants are aged between 21 and 46 with a high school education, and are housewives.

O-056 The duty to do no harm implies that some requests for treatment should be denied

Abstract One unique character of reproductive medicine is the involvement of multiple individuals. Apart from individual(s) who want to become parents, also the interests offspring that is created by reproductive medicine treatments should be considered. This unique character brings unique ethical challenges, as the principle ‘Primum non nocere’ should be applied on all involved, including the children born form fertility treatments. I will present a framework that involves three dimensions, the risks for the mother, risks for the offspring and consequences for society and the public system. First, treatment can be refused as there is uncertainty about the quality of life of the future offspring. I will argue that before the treatment is started, the new individual is not there and cannot claim any rights. The care provider has a responsibility towards the future individual, not only in terms of health, but also from a social perspective. If the future child going to live an abusive family, it might be better of not existing. Second, treatment can be refused because of an unhealthy lifestyle or a health risk for the future mother. Treatment might be refused because a mother has an underlying disease that could severely exacerbate during pregnancy, or because she smokes or is obese. I will argue that in these situations decisions should be made in the context of absolute health risks for the mother and the offspring, as well as success rates of treatments. I will demonstrate that the bar to refuse treatments based on these grounds is high and that in most cases risks are acceptable while success rates are sufficiently high to justify treatment. Third, the risks of treatments should be balanced against the expected success rates of treatments. Risks of treatment are more acceptable if the success rates are higher. This obviously does not count for risks that only occur if the treatment is successful, for example pregnancy risks or risks for the offspring. Finally, treatments without proven effectiveness should preferably be offered in the context of research. Uncertainty about their effectiveness should be shared with the individual(s) who undergo the treatment. While in a private context, where patients pay their own treatment, the issue of cost-effectiveness is less relevant, efficiency is important in a public system, where society pays for treatment. In the latter case, ineffective treatments (for example IVF for older women with success rates of 1 or 2%) can be delayed in favour of less expensive treatments, or even denied. Koning A, Mol BW, Dondorp W. It is not justified to reject fertility treatment based on obesity. Hum Reprod Open. 2017 Jul 28;2017(2):hox009. Braakhekke M, Kamphuis EI, Mol F, Norman RJ, Bhattacharya S, van der Veen F, Mol BW. Hum Reprod. Effectiveness and safety as outcome measures in reproductive medicine. 2015 Oct;30(10):2249-51.

Evaluation of prenatal breastfeeding workshop to inform and support mother with antenatal diagnosis of cleft lip/palate

IntroductionTo support mother with antenatal diagnosis of cleft lip/palate (CL/P), we implement an antenatal breastfeeding workshop to promote breastfeeding and its continuation. The aim of this study was to evaluate patient satisfaction after this workshop and efficiency of this workshop on breastfeeding rates and duration. Materials and methodsWe conducted a prospective study from February 2018 to April 2022. Patients received two surveys after the workshop and after birth, to evaluate their satisfaction. A prospective breastfeeding follow-up were pursued by email, at 1–3–6 and 12 months to determine if the breastfeeding had been continued or stopped. ResultsWe included 124 pregnant women who participated to the workshop. After the workshop, most participants (114/124) answered to the first survey. Amongst the 114 participants who answered to the first survey, 45 participated to a face-to-face workshop; and 69 to a teleworkshop. Participants were globally satisfied or very satisfied from the workshop; and felt more capable to breastfeed their child. 95/124 participants answered to the second survey. Most of the participants considered that the workshop had help them carry on a maternal milk feeding to their child Breastfeeding was pursued 1 month at 90%, 3 months at 62.5%, 6 months at 41.9%, after 6 months at 18.4%. Duration of breastfeeding were not statistically different, depending on the cleft type(p = 0.022). ConclusionThe prenatal information helped the future mothers and met their requests and needs. The satisfaction rate reflected the importance of informing and supporting mothers in their feeding choices for their infants. The rate of breastfeeding at birth of a cleft-infant, whatever its type, for mothers who participated in the breastfeeding workshop, was over 90%.

Penerapan Model Intervensi BROSSING Pada Remaja Putri dalam Upaya Prevensi Generasi Stunting

Adolescent girls are the future mothers and their nutritional needs during adolescence is very important. Poor nutrition during adolescence can have negative effect, both the adolescents themselves and their descendants. Adolescent girls who experience anaemia and chronic energy deficiency will increase the risk of having low birth weight children (LBW). Infants with LBW have a higher risk of stunting than non-LBW infants. Lack of information about the nutritional needs of adolescent girls can be one of the factors that causes stunting problems in their descendants. The intervention effort that can be done is by conducting health education through a variety of media that appeal to adolescent girls. Health education in this activity used the media of education BROSSING (Bermain Monopoli Stop Stunting Itu Penting). BROSSING developed by a community service team to attract the interest of adolescent girls in understanding the importance of nutrition during the first 1000 days of life. The purpose of this community service activity was to build adolescent girls’ awareness on the importance of knowledge in nutritional needs during 1000 days of life. This activity was conducted gradually in SMA Negeri 18 Palembang. The activity started by reviewing the information needs related to nutrition in adolescent girls, then conducted health education which used lecture and simulation game methods with the media BROSSING. From this activity, the adolescent girls’ knowledge has increased and expected it can be the basis for forming healthy life behaviour in adolescent girls, especially in consuming nutritious and balanced food according to their needs.

Understanding the challenges related to breastfeeding education and barriers to curricular change: a systems perspective for transforming health professions education.

ObjectivesA majority of women and families wish that their babies be breastfed. However, too many still receive insufficient or inappropriate initial care from health professionals (HPs) who have limited breastfeeding (BF) competencies. We investigated barriers and potential solutions to improve the undergraduate training programs for various HPs.MethodsFocus groups were carried out in three universities in Quebec and one in Ontario (Canada), with 30 faculty and program directors from medicine, midwifery, nursing, nutrition, and pharmacy. Discussions were subjected to thematic content analysis, before being validated in a strategic planning workshop with 48 participants from the same disciplines, plus dentistry and chiropractic.FindingsSubstantive improvements of undergraduate training programs for BF could be obtained by addressing challenges related to the insufficient, or lack of, (i) interactions among various HPs, (ii) opportunities for practical learning, (iii) specific standards to guide course content, (iv) real-life experience with counselling, and (v) understanding of the influence of attitudes on professional practice. Several potential solutions were proposed and validated. The re-interpretation of the results in light of various literature led to an emerging framework that takes a systems perspective for enhancing the education of HPs on BF.ConclusionsTo improve the education of HPs so as to enable them to provide relevant support for future mothers, mothers and their families, solutions need to be carried out to address challenges in the health system, the education system as well as regarding the curricular change process.

P360 HYPERTENSION DURING PREGNANCY

Abstract Pregnancy is a physiological condition and a delicate period too; that’s why it’s essential to support the woman. It is important to contact the specialists in Gynecology and rely on other specialists to deal with any morbid conditions that arise during gestation. In this regard, heart disease is the main cause of maternal morbidity and mortality in pregnancy. The surveillance of women with cardio–vascular disease must therefore be guided by the so–called “pregnancy heart team”. In particular, arterial hypertension affects 5 to 10% of pregnant women. The cardiovascular risk is continuously increasing. What are the reasons of this? First of all, the increase of the age of the future mothers. Furthermore, the fact that women, like the general population, are increasingly obese, hypertensive and diabetic. Cardiovascular diseases do not represent an absolute contraindication to pregnancy, except in a few cases, in particular, in severe pulmonary hypertension. However, it is essential to follow the patients according to personalized protocols with close collaboration between gynecologist and cardiologist. Our hospital references for the southern area of the province of Modena; in agreement with our gynecologist we saw the opportunity to collaborate even more closely and start a way dedicated to pregnant women. In 2021, about 30 women between 20 and 40 years old were sent to our attention, with predominantly arterial hypertension or notable symptoms. Patients were referred to us and underwent evaluation. We performed 50% EKG and examination, 50% transthoracic echocardiogram, 60% blood pressure Holter, 10% 24 hour Holter EKG. Seventy percent of the patients came from African race and the remaining from Caucasian. There was also a link with the socio–cultural level of the patients, in most cases they were overweight. In the meantime, hygienic–sanitary therapy and, if not sufficient, medical therapy has always been set up. The drug we preferred was Methyldopa under close monitoring for the comforting data from the technical data sheet on its use. To date, there have been no adverse events or complications reported to us. Further studies are needed to evaluate the effectiveness of interventions to reduce both the risk of recurrence of hypertension in future pregnancies and that of long–term cardiovascular complications.