Health Of Pregnant Women Research Articles

PENGETAHUAN DAN SIKAP IBU HAMIL TENTANG SENAM HAMILTAHUN 2022

Pregnant women are expected to have good health by knowing about pregnancy exercise (which is useful for facilitating the birthing process). Good quality of pregnant women's health will reduce maternal mortality. In the birth process there are three factors that cause prolonged labor, namely: energy, birth canal and fetus. One way to control problems such as energy problems is by doing pregnancy exercises. This type of research is descriptive analytical with a cross sectional study design. Sampling was carried out using total sampling, which is a sample determination technique when all members of the population are used as samples with a sample size of 40 people. The research period was April – September 2022. Data was collected from respondents using a questionnaire. The data analysis used was univariate (Frequency Distribution. The research results showed that there were 27 people (67.5%) pregnant women who had good knowledge about pregnancy exercise and there were 23 people (57.5%) pregnant women who had a positive attitude about pregnancy exercise. Conclusion: Description of knowledge and attitudes of pregnant women about pregnancy exercise, namely 67% and 57.5%. Suggestion: Health promotion at the Muliorejo Community Health Center, Deli Serdang Regency regarding pregnancy exercise is further improved with the hope that pregnant women will do pregnancy exercise at their respective homes so that the delivery was smooth.

Importance of Preventive Measures to Reduce the Incidence of Postpartum Depression in Unintended Pregnancies: A Narrative Review

Unintended pregnancies and associated emotional issues can negatively affect expectant mothers, potentially harming both them and their babies. This study focuses on the significance of forgiveness as an intervention for healing emotional wounds, enhancing self-acceptance, and improving overall well-being and relationships among mothers. It assesses forgiveness's impact on the physical, psychological, social, and spiritual health of mothers throughout their lives, bolstering their resilience. A narrative review of evidence on forgiveness in the context of unwanted teenage pregnancies was conducted from January 2016 to January 2019, including PubMed, EMBASE and Cochrane, EBSCO, PubMed, UpToDate, and Clinical Key. Out of 995 studies, 14 articles were selected, primarily emphasizing forgiveness therapy for adolescent bullying and social issues. Although research on forgiveness in unwanted pregnancies was limited and had methodological limitations, early interventions are crucial to safeguard pregnant women's physical and mental health during pregnancy, childbirth, and the postpartum period. Further research with improved methodology is needed to comprehensively understand forgiveness's impact and enhance support for pregnant women

Antenatal Care Services in Sudan Before and During the 2023 War: A Review Article.

Antenatal care (ANC) is provided by skilled healthcare professionals to pregnant women to ensure the best health conditions for both mother and baby during pregnancy. It includes risk identification, prevention, management of pregnancy-related diseases, health education, and health promotion. Antenatal care has a great effect on vital health indicators such as maternal and neonatal mortality by identifying and treating pregnancy-related complications. Political instability and armed conflict have seriously affected the health system, which has catastrophic implications for pregnant women's health. This review aimed to summarize the literature on ANC in Sudan before and during political instability and war by highlighting its effect on maternal mortality, coverage, care providers, quality of care, accessibility, and utilization. Other aspects of this review are the ANC components and service provision during the war. In addition, the author tried to identify the gaps and point out the future research needs in Sudan. A total of 58 articles about ANC in Sudan have been reviewed through PubMed, Google Scholar, ResearchGate databases, and other search tools. The keywords used were "antenatal care", "coverage", "service providers", "service quality", "accessibility and utilization", "components", and "ANC during the war". All the keywords were followed by "Sudan" to confine the search. According to the reviewed data, ANC services in Sudan, even during normal political situations, were not sufficient and of poor quality in most of the reviewed regions. The political instability and armed conflicts worsened the situation, and it became catastrophic. To improve the accessibility and quality of ANC services, we will need the collaboration of all stakeholders to address the health needs of vulnerable groups, people in remote rural areas, and nomadic communities towards providing the required health services in general and ANC in particular. On the other hand, an important aspect of this development is the availability of skilled healthcare providers and the adoption, revision, and updating of working procedure guidelines to match the needs of the local communities. The main shareholders are the local communities; they must be empowered and involved by raising their awareness. Then, effective, punctual, and applicable contingency plans should be ready for any unfortunate crises.

The Relationship between Handling Midwifery Complications and Health Services (K4) with Maternal Mortality Hypertension in East Java

Background: One of the dangers of midwifery or pregnancy is the mortality of pregnant women with hypertension. By managing midwifery difficulties and health services for pregnant women, efforts may be made to prevent and manage the mortality of pregnant women with hypertension (K4). The management of midwifery difficulties and prenatal care services (K4) reduced in East Java Province in 2021. Objectives: The purpose of this study was to map out the disease's spread and explain how maternal mortality is related to hypertension and its causes. Methods: In 38 East Javan regions and cities, maternal mortality was examined. In order to assess the secondary data from the East Java Health Profile in 2019–2021, this study used the Pearson correlation test. Furthermore, SPSS applications were used to analyze the data. Results: There was a relationship between maternal mortality with hypertension in 2021 and the coverage of midwifery complications (p = 0.000), as well as between the coverage of prenatal care services (K4) and the death of pregnant women with hypertension in 2021 (p = 0.000). Conclusion: The treatment of midwifery problems and the availability of prenatal care services (K4) were factors in the deaths of pregnant women with hypertension. A program of interventional actions that must be carried out while paying more attention to pregnant women's health, particularly for those with hypertension, was required.

Mental health status of pregnant women during COVID-19 in healthcare centers of Iran: A cross-sectional study.

The COVID-19 pandemic impacted every single aspect of life. In addition to being a public health emergency, the COVID-19 outbreak impacted the mental health of individuals, especially pregnant women. This study aimed to examine the mental health status of pregnant women and also the effect of sociodemographic factors on their mental health status during COVID-19 in healthcare centers of Iran. This cross-sectional, analytical-descriptive study was conducted among pregnant women referring to healthcare centers in Shoushtar, Iran, in 2021. Multistage cluster sampling was used to select participants. Data were collected using the General Health Questionnaire-28 (GHQ-28). Data were analyzed using SPSS software version 22. The Pearson correlation coefficient was used to examine the association between quantitative variables. A generalized linear model (GLM) was applied to estimate the effect of independent variables on the dependent variable (mental health). A total of 197 participants with a mean ± SD age of 27.85 ± 6.37 years took part in this study. The total mean score of mental health was estimated at 17.47±8.20. The highest mean ± SD score was, respectively, related to social dysfunction (6.63 ± 2.86), anxiety and insomnia (5.28 ± 3.53), and somatic symptoms (4.17 ± 3.27). Mental health disorder was significantly correlated with participants' age (R = .223, P = .00), number of pregnancy (gravida) (R = .272, P = .00), number of births (para) (R = 0.272, P = .00), and number of abortions (R = .172, P = .015). About 80% of pregnant women did not reveal impaired mental health conditions or psychological distress, while 19.3% showed scores that indicate probable mental health conditions. Social dysfunction was the most common mental health problem among pregnant women. It is necessary to pay more attention to the mental health status of pregnant women during a pandemic. Interventions such as practical strategies to promote social support and improve pregnant women's mental health during pregnancy are highly important.

Evaluation of the Ministry of Health's pilot program - A personal pregnancy follow-up service

Abstract Background The Israeli Ministry of Health has developed a unique pregnancy follow-up (PF) service in the Haifa District Infant-Parent Centers, including a fixed nurse attending the necessary examinations and services, supporting and guiding the woman throughout her pregnancy. Aim To examine the differences between the participants who received PF within the pilot program (research group) and those who received standard PF (control group) regarding health behaviors, receiving information and attitudes regarding health behaviors, professional support, and satisfaction with the service. Methods Questionnaires were filled in by 293 mothers to infants- 38% of which belonged to the research group and 62% to the control group. There were no significant differences between the two groups’ characteristics. Findings Significant differences were found between the groups regarding receiving information and support, and some of the attitudes and behaviors, as well as a difference in satisfaction, in favor of the research group; e.g., 95% of the participants in the research group were vaccinated against Pertussis, as compared to 85% of the control group (z = 2.47, p<.001). Process model for parallel mediation revealed that receiving PF in the research group was associated with (1) More positive attitudes (Effect=0.06, SE = 0.04 CI=0.01,0.15) and receiving information (Effect=0.18, SE = 0.08 CI=0.02,0.33), which in turn were associated with more reported health behaviors (Total indirect effect=0.30, SE = 0.09 CI=0.14,0.49); (2) Receiving more support (Effect=0.16, SE = 0.04 CI=0.09,0.26), as well as more information (Effect=0.10, SE = 0.05 CI=0.01, 0.19), which in turn were associated with higher satisfaction with the PF (Total indirect effect=0.25, SE = 0.05 CI=0.16,0.36). Conclusions The findings indicate the pilot program's success in promoting pregnant women's health, among other things, due to the guidance and support provided by a fixed dedicated nurse. Key messages • Personal pregnancy follow-up is efficient for supporting and guiding women during a sensitive period for their fetus’ and their own health, and encourages compliance with health behaviors. • It is recommended to implement the program in additional districts, and to examine the findings among a wider and more diverse sample.

Psychiatric illness and pregnancy: A literature review

BackgroundWomen of reproductive age frequently suffer from psychiatric disorders. The risk of developing anxiety, bipolar, and depressive disorders is especially significant during the perinatal period. ObjectivesThis article aims to identify and discuss the different psychiatric conditions that might affect pregnant women and update the mother's carers about the recent and updated bidirectional relationship between psychiatric disease and adverse pregnancy outcomes, As well as the most updates in diagnostic and management strategies. MethodsA thorough analysis of the literature was conducted using database searches in EMBASE, Science Direct, Google Scholar, Scopus, and PubMed to obtain the objectives and aim of the study. ResultsThe presence of maternal mental illness during pregnancy has been linked to preterm delivery, newborn hypoglycemia, poor neurodevelopmental outcomes, and disturbed attachment. Placental anomalies, small-for-gestational-age foetuses, foetal discomfort, and stillbirth are among more undesirable perinatal outcomes. ConclusionsPregnancy-related psychiatric disorders are frequent. The outcomes for pregnant women, infants, and women's health are all improved by proper diagnosis and treatment of psychiatric problems.

Tracking pregnant women's mental health through social media: an analysis of reddit posts.

Present an artificial intelligence-enabled pipeline for estimating the prevalence of depression and general anxiety among pregnant women using texts from their social media posts. Use said pipeline to analyze mental health trends on subreddits frequented by pregnant women and report on interesting insights that could be helpful for policy-makers, clinicians, etc. We used pretrained transformer-based models to build a natural language processing pipeline that can automatically detect depressed pregnant women on social media and carry out topic modeling to detect their concerns. We detected depressed posts by pregnant women on Reddit and validated the performance of the depression classification model by carrying out topic modeling to reveal that depressive topics were detected. The proportion of potentially depressed surprisingly reduced during the pandemic (2020 and 2021). Queries related to antidepressants, such as Zoloft, and potential ways of managing mental health dominated discourse before the pandemic (2018 and 2019), whereas queries about pelvic pain and associated stress dominated the discourse during the pandemic. Supportive online communities could be a factor in alleviating stress related to the pandemic, hence the reduction in the proportion of depressed users during the pandemic. Stress during the pandemic has been associated with pelvic pain among pregnant women, and this trend is confirmed through topic modeling of depressive posts during the pandemic.

THE CONTINUITY OF CARE FROM PREGNANCY TO NEWBORN FOR MRS. FR AT PUBLIC HEALTH WELAHAN I JEPARA

Background: The acceleration of MMR reduction is carried out by ensuring that every mother is able to access quality maternal health services, such as pregnant women's health services, childbirth.
 Method : Type of descriptive research case study method, place conducted at Puskesmas Welahan I.
 Result : Results Pregnancy care is carried out according to 10 T care standards, physiological pregnancy. The labor process applies normal labor care, proceeds normally.
 Conclution : The results of COC midwifery care are able to deliver mothers and babies in healthy conditions.

Effectiveness of eight or more antenatal contacts on health facility delivery and early postnatal care in low- and middle-income countries: a propensity score matching.

Despite progress in reducing maternal and child mortality, many low- and middle-income countries (LMICs) still experience an unacceptably high level of the problem. The World Health Organization (WHO) recently recommended pregnant women should have at least eight antenatal care visits (ANC8+) with a trained healthcare provider as a key strategy to promote pregnant women's health. Antenatal care is an imperative factor for subsequent maternal healthcare utilization such as health facility delivery and early postnatal care (EPNC). This study aimed to examine the net impact of ANC8+ visits on health facility delivery and EPNC in LMICs using a propensity score matching analysis. We used the recent Demographic and Health Survey (DHS) datasets from 19 LMICs. Women of reproductive age (15-49 years) who had given birth within 1 year preceding the survey were included. A propensity score matching analysis was employed to assess the net impact of eight or more antenatal care visits on health facility delivery and early postnatal care. After matching the covariates, women who attended ANC8+ visits had a 14% (ATT = 0.14) higher chance of having their delivery at health facilities compared with women who attended less than eight ANC visits. This study further revealed that women who had ANC8+ visits were associated with a 10% (ATT = 0.10) higher probability of early PNC compared with their counterparts. This study confirmed that ANC8+ visits significantly increased the likelihood of health facility-based delivery and early PNC utilization in LMICs. These findings call for public health programs to focus on pregnant women attending adequate ANC visits (according to revised WHO recommendation) as our study indicates that ANC8+ visits significantly improved the chances of subsequent care.

Biomonitoring of polycyclic aromatic hydrocarbons in Brazilian pregnant women: Urinary levels and health risk assessment

Over the years, humans have been continuously exposed to several compounds directly generated by industrial processes and/or present in consumed products. Polycyclic aromatic hydrocarbons (PAHs) are legacy pollutants ubiquitous in the environment and represent the main chemical pollutants in urban areas. Worldwide, studies that aim to understand the impacts of exposure to these chemicals have gained increasing prominence due to their potential toxicity profile, mainly concerning genotoxicity and carcinogenicity. Human biomonitoring (HB) is an analytical approach to monitoring population exposure to chemicals; however, these studies are still limited in Brazil. Thus, this work aimed to evaluate the exposure of Brazilian pregnant women to PAHs through HB studies. Besides, the risk characterization of this exposure was performed. For this purpose, urine samples from 358 Brazilian pregnant women were used to evaluate 11 hydroxylated metabolites of PAHs employing gas chromatography coupled to mass spectrometry. The 1OH-naphthol and 2OH-naphthol were detected in 100% of the samples and showed high levels, corresponding to 16.99 and 3.62 μg/g of creatinine, respectively. 2OH-fluorene (8.12 μg/g of creatinine) and 9OH-fluorene (1.26 μg/g of creatinine) were detected in 91% and 66% of the samples, respectively. Benzo(a)pyrene (BaP) metabolites were detected in more than 50% of the samples (0.58–1.26 μg/g of creatinine). A hazard index of 1.4 and a carcinogenic risk above 10−4 were found for BaP metabolites in the risk characterization. Therefore, our findings may indicate that exposure to PAHs poses a potential risk to pregnant women's health and a high probability of carcinogenic risk due to their exposure to BaP. Finally, this work shows the need for more in-depth studies to determine the sources of exposure and the implementation of health protection measures regarding the exposure of the Brazilian population to PAHs.

Healthy Lifestyle Beliefs Scale: Psychometric properties in Portuguese pregnant women.

Healthy lifestyle during pregnancy influences the pregnant woman's and child's physical and mental health, impacting perinatal outcomes. Healthy lifestyle beliefs are predictors of lifestyle behaviors, requiring a valid and reliable instrument to assess them during prenatal care. The 16-item Healthy Lifestyle Belief Scale (HLBS) measures a person's beliefs about their ability to live a healthy lifestyle. This study aimed to examine the psychometric properties of a Portuguese version of the HLBS among pregnant women. A methodological study was developed in two phases: cross-cultural adaptation and evaluation of the psychometric properties of the Portuguese version in a nonprobability sample of 192 Portuguese pregnant women. The exploratory factor analysis suggested three subscales, which explained 53.8% of the total variance. Cronbach's α was 0.83 for the overall scale and for the subscales ranged between 0.71 and 0.81. The HLBS is a reliable and valid instrument to assist health professionals in assessing the ability of Portuguese pregnant women to adopt a healthy lifestyle. Assessing healthy lifestyle beliefs potentially contributes to the development of health behavior interventions in pregnant women and consequently improves perinatal outcomes through evidence-based practices.

Hypnotherapy Intervention Can Reducing Anxiety and Cortisol in Pregnancy

Pregnant women can experience anxiety during pregnancy. To enhance mental health during pregnancy, interventions related to the relation of the mental body are important. The goal of this research was to determine the effect of hypnotherapy on anxiety and cortisol. The present sample consists of 60 primiparous women with single and regular pregnancies, 18-28 weeks gestation, and a randomized control trial. The group consists of the monitoring group (n = 30) and the hypnotherapy group (n = 30). Intervention with hypnotherapy was performed twice for 7 weeks. Assessment of anxiety at baseline and after 7 weeks of intervention by PASS and blood cortisol. Hypnotherapy intervention and quality treatment obtained by the hypnotherapy community; standard care received by the control group. The result show that The hypnosis in pregnancy intervention could significantly decrease anxiety at the lower level than control group (m=21.07 ± SD=11.98 vs m=34.00 ± SD=17.35),. The hypnotherapy in pregnancy intervention could significantly decrease cortisol lower than control groups (m=14.64, ± SD=5.53 vs m=21.51, ± SD=8,83). The conclusion is intervention with hypnotherapy may enhance pregnant women's mental health, as shown by reducing anxiety and cortisol. Hypnotherapy is an intervention that needs to be provided during pregnancy in midwifery programs to improve the health of mothers and babies.

Pregnant Women's Health Study Supports Nanjangudu Taluk's Anganwadi Scheme for Maternal Well-Being

Health support during pregnancy for the Anganwadi scheme to promNutritiontion and health education (NHE) activities under integrated child development services (ICDS) is encouraged to participate Mothers of children younger than six years. Pregnant and lactating women go through the excellent health of government schemes. This study aimed to determine and analyze the role of health support during pregnancy in the Anganwadi scheme with reference to Nanjangudu Taluk. This study used a qualitative method where the researcher prepared a self-generated questionnaire on a Google form to determine various parameters. The sample consisted of 20 female and male representatives from Nanjangudu Taluk. The purposive simple random sampling technique was adopted to select samples from different blocks, and based on the study results revealed that both facility providers are not sensitive to issues related to rural villages/women. Anganwadi plays an essential role in the healthy development of pregnant women in rural areas. Because Anganwadi is a critical factor in successfully implementing programs and schemes and reaching beneficiaries in rural areas, this research has implications for the existence of Anganwadi, can increase access and availability of quality food, teach about heal Nutritiontion Nutritiontion, and can improve the health of mothers and babies.

Prevalence of Sleep Disorders and the Effect of Sleep Health Education on Sleep Quality in Pregnant Women With Sleep Disorders.

Sleep quality affects pregnant women's health and quality of life. The aims of the study were to investigate the prevalence of sleep disorders and the effect of sleep health education on sleep quality in pregnant women with sleep disorders. To examine the frequency of sleep disorders among pregnant women, a cross-sectional study was conducted with an initial enrollment of 370 participants. Subsequently, 162 pregnant women were recruited for a pretest-posttest quasi-experimental design study. The intervention group (n = 82) performed sleep health education for four weeks and the control group (n = 80) received standard care. Sleep quality was assessed with Pittsburgh Sleep Quality. The prevalence of sleep disorder was 61.9 percent (CI 95% 56.85-66.69). It was determined that health education improved some sleep quality subscales including subjective sleep quality, sleep latency, sleep duration and habitual sleep efficiency, and sleep disturbances, daytime dysfunction, and global sleep quality. The difference was still significant after adjusting for the PSQI baseline (η2 = .311, P < .001). These findings provide evidence of a relatively high prevalence of sleep disorders in pregnancy. Therefore, screening for sleep disorders and providing supportive programs and models to improve sleep quality during pregnancy should be considered as part of prenatal care.

The impact of the second COVID-19 lockdown on anxiety and depressive symptoms in pregnant women: A case study of pregnant women in northern Italy

Backgroundthe different lockdown phases due to COVID-19 may have negatively impacted pregnant women's mental health. Concerning antenatal stress, most studies focused more on the effect of pandemic onset than on the impact of the following phases and restrictions. Aimthe present study aimed to assess levels of anxiety and depression in a group of Italian pregnant women during the second COVID-19 phase and possible risk factors. MethodWe recruited 156 pregnant women through our Perinatal Psychology Outpatient Clinic. We divided the sample into women recruited before the pandemic (N = 88) through a face-to-face antenatal class and pregnant women recruited during the second lockdown (Covid-19 study group) (November 2020–April 2021) through the same antenatal class via Skype (N = 68). To investigate depressive and anxiety symptoms, we administered the Edinburgh Postnatal Depression Scale (EPDS) and the State and Trait Anxiety Inventory (STAI-Y) scales; women's medical history and obstetric data were collected. Findingswomen belonging to the Covid-19 study group reported higher depressive and anxious levels than the pre-pandemic group. Moreover, during the second lockdown previous psychopathology and being close to childbirth were related to increased depression; a history of abortion was related to higher levels of trait anxiety instead. Conclusionrecurrent restrictive measures due to COVID-19 negatively affected the antenatal mental well-being of pregnant women, particularly worsening depressive and anxious feelings. Pregnant women during the pandemic represented a vulnerable population to be monitored more closely and timely to prevent psychological problems in the postpartum period and their consequences on the child. Keywordsanxiety, depression, pregnancy, COVID-19, mental health, lockdown.

The comparison of effects of iron supplementation since pre-pregnant and during pregnant period on reducing iron deficiency anemia in pregnant women with mild anemia in Bali

Introduction: Iron deficiency anemia (IDA) is still a problem of pregnant women's health related to its high prevalence and its negative effects on health. Prevention efforts have been carried out through administration of oral iron tablets to women during their pregnancy; however, the expected results have not been satisfied yet. This failure is probably due to the assumption that, especially in developing countries, the iron store in pre-pregnant women is very low or may be empty, so that iron supplementation during pregnancy is not enough to prevent IDA. The aim of study is to know the difference of effect of iron supplementation in treated and control groups in terms of hemoglobin concentration, serum ferritin level and prevalence of IDA. Method: A quasi-experimental study was conducted on 99 non-pregnant new couple women. Iron tablets were administered to the treated group from the beginning of pre-pregnant period, continuing until the first 3 months of pregnancy, while in the control group iron tablets were only given during the first 3 months of pregnancy. IDA was measured by serum ferritin and hemoglobin concentration using WHO’s criteria, the benefit of iron tablet was measured by BCR technique. Result: The administration of an oral iron tablet from the prepregnant period (treated group) could decrease prevalence of IDA higher than the administration of oral iron tablet during pregnancy only (control group) (0% vs 38.46%, p&lt;0.05). A significant difference was also observed on mean serum ferritin concentration at the end of observation (the third month of pregnancy) 33.45±14.12 µg/dL in the treated group, and 19.65±8.99 µg/dL in the control group. This difference was statistically significant (p&lt;0.05). Meanwhile, the hemoglobin concentration was 12.25±1.20 g/dL in the treated group and 10.91±0.67 g/dL in the control group. This difference was also statistically significant (p&lt;0.05). Benefit analysis showed that administration of an oral iron tablet starting from pre-pregnancy is more advantageous (BCR &gt;1) compared to oral administration of iron tablet during the pregnancy period only. There were no significant differences in side effects and compliance of the patient to consume iron pills in both treated and control groups. Conclusion: The administration of oral iron tablets (iron supplementation) to pregnant women starting from pre-pregnant period results in a better effect compared to oral iron supplementation during pregnancy only. This program is feasible to be implemented in a community setting because its compliance is good.

Improving health literacy responsiveness to reduce ethnic and social disparity in stillbirth and infant health: A cluster randomized controlled effectiveness trial of the MAMAACT intervention

ObjectiveThe MAMAACT intervention aims to reduce ethnic and social disparities in stillbirth and infant death by improving communication between pregnant women and midwives regarding warning signs of pregnancy complications. This study evaluates the effect of the intervention on pregnant women's health literacy (two domains from the Health Literacy Questionnaire) and complication management — interpreted as improved health literacy responsiveness among midwives. DesignCluster randomized controlled trial, 2018–2019. Setting19 of 20 Danish maternity wards. ParticipantsCross-sectional survey data were collected using telephone interviews (n = 4150 pregnant women including 670 women with a non-Western immigrant background). InterventionA six-hour training session for midwives in intercultural communication and cultural competence, two follow-up dialog meetings, and health education materials for pregnant women on warning signs of pregnancy complications — in six languages. Main outcome measuresDifferences in mean scores at post-implementation of the domains Active engagement with healthcare providers (Active engagement) and Navigating the healthcare system from the Health Literacy Questionnaire, and differences in the certainty of how to respond to pregnancy complication signs between women in the intervention and control group. ResultsNo difference was observed in women's level of Active engagement or Navigating the healthcare system. Women from the intervention group were more certain of how to respond to complication signs: Redness, swelling, and heat in one leg: 69.4 % vs 59.1 %; aOR 1.57 (95 % CI 1.32–1.88), Severe headache: 75.6 % vs 67.3 %; aOR 1.50 (95 % CI 1.24–1.82), and Vaginal bleeding: 97.3 % vs 95.1 %; aOR 1.67 (95 % CI 1.04–2.66). ConclusionThe intervention improved women's certainty of how to respond to complication signs, but was unable to improve pregnant women's health literacy levels of Active engagement and Navigating the healthcare system, likely due to barriers related to the organization of antenatal care. A reorganization of antenatal care and a care model sensitive to diversity within the entire healthcare system might help reduce disparities in perinatal health. Trial registrationClinicalTrials.gov identifier: NCT03751774.

Determination of Pregnant Women's Health Service Receiving Status and Related Factors

Amaç: Gebelikte sağlık hizmeti alınması ve sağlık hizmetine erişimin sağlanması anne ve bebek için kritik bir öneme sahiptir. Birçok faktör sağlık hizmetlerine ulaşımı ve sağlık hizmetlerinden yararlanmayı etkilemektedir. Bu araştırma gebelerin sağlık bakım hizmeti almasını etkileyen faktörlerin belirlenmesi amacıyla tanımlayıcı-ilişki arayıcı desene sahip olarak planladı.&#x0D; Gereç ve Yöntem: Araştırma İstanbul’daki bir kadın doğum ve çocuk hastalıkları hastanesinin gebe polikliniğinde 05/06/2021- 05/09/2021 tarihleri arasında 322 gebe ile gerçekleştirildi. Olasılıksız örnekleme yöntemi kullanıldı. Veriler Tanıtıcı Bilgi Formu ve Gebelerin Hastanelerden Sağlık Hizmeti Almasını Etkileyen Faktörler Ölçeği kullanılarak toplandı. Verilerin analizinde, SPSS 21.0 istatistik paket programı kullanıldı.&#x0D; Bulgular: Gebelerin Sağlık Hizmeti Almasını Etkileyen Faktörler Ölçeği alt boyut puanları; hizmet kalitesi 24.55±3.92, tutum 33.05±8.17, ekonomi 9.43±2.08, ailesel 19.94±3.12, bireysel 26.57±4.51 ve mahremiyet 9.12±2.70 olarak saptandı. Bu alt boyutlardan mahremiyet alt boyutu hariç diğerlerinin, ölçek ortanca değerinden daha yüksek olduğu belirlendi. Ülkemizin batısında yaşayan gebelerin hizmet kalitesi (KW:13.829, p=0.008), tutum (KW:13.357, p=0.010), ekonomi (KW:10.163, p=0.038) ve bireysel (KW:13.292, p=0.010) boyutlarında istatistiksel olarak anlamlı oranda yüksek olduğu saptandı. &#x0D; Sonuç: Gebelerin sağlık hizmeti almasında hizmet kalitesi, tutum, ekonomi ve bireysel faktörlerin olumlu etki yaptığı belirlendi. Türkiye’nin batısında yaşayan gebelerin sağlık hizmeti alımının daha olumlu olduğu bulundu.

Psychiatric Symptoms in Women with High-risk Pregnancy in the Postpartum Period: A Case-control Study.

Psychiatric symptoms are common mental issues in pregnancy and the postpartum period. There is limited information regarding the psychiatric symptoms of women with high-risk pregnancy in the postpartum period. This study aimed to compare the severity of psychiatric symptoms and psychological distress in women with high-risk and low-risk pregnancies in the postpartum period. This case-control study examined 250 women in the postpartum period in two groups with low-risk (n = 112) and high-risk (n = 138) pregnancies. Women completed the Brief Symptom Inventory-53 (BSI-53) and the Risk Postnatal Psychosocial Depression Risk Questionnaire (PPDRQ). The mean severity of psychiatric symptoms in women with high-risk pregnancies was significantly higher than that in women with low-risk pregnancies (39.34 ± 17.51 vs. 30.26 ± 17.08). Additionally, the frequency of psychological distress in women with high-risk pregnancies was approximately twice higher than that in women with low-risk pregnancies (30.3% vs. 15.2%). Furthermore, the risk factors for depression in women with high-risk pregnancies were almost 1.5 times (59.8% vs. 39.8%) higher than the factors in women with low-risk pregnancies. The results of the logistic analysis indicated that high-risk pregnancies could be twice the odds ratio of developing postpartum psychological distress (ß = 2.14, 95% CI 1.4-6.3, p= 0.036). Psychiatric symptoms and the psychological distress index are higher in postpartum women with high-risk pregnancies than in postpartum women with low-risk pregnancies. The study suggests that obstetricians and pregnant women's health care providers should strongly consider screening of psychiatric symptoms in women with high-risk pregnancies both during pregnancy and after delivery as the women's routine care priorities.