Health Problem In Pregnant Women Research Articles

The effects of pregnancy-related changes in eating attitudes and behaviours on nutritional status.

During pregnancy, the requirements of essential nutrients for the mother and foetus increase. The changes in pregnant women's eating behaviours may vary according to their sociodemographic characteristics. It is important to meet these increased requirements and understand the factors influencing eating habits during pregnancy. This study aimed to determine the effects of changes in pregnant women's eating attitudes and behaviours and their sociodemographic characteristics on their meeting status for nutrient recommendations. Sociodemographic information, eating behaviours, and attitudes of 656 pregnant women were obtained in face-to-face interviews between February and June 2020. Food consumption records were taken with a 24-hour recall method and evaluated according to the estimatedaverage requirementvalue. The average age of pregnant women was 29.0 ± 5.2 years, 28.0% were high school graduates, and 69.2% were non-working. The frequency of intakes below the estimated mean requirement value were iron, folic acid, vitamin B6, niacin, and calcium. It was demonstrated that there was a significant difference in snack consumption based on the working status and nutrition information obtained (P < .05). Getting nutrition information, age, education level, working status, and pre-pregnancy body mass index significantly increased food consumption (P < .05). Inadequate nutrient intake is a common public health problem in pregnant women. It is necessary to identify the sociodemographic characteristics that negatively impact pregnant women's nutritional status and to develop nutrition and health education programs based on these features.

A public health problem in pregnant women: acute toxoplasma infection - a retrospective study of 12 years of data from a training and research hospital in Izmir

Introduction: The aim of this study is to identify the prevalence of acute toxoplasmosis in pregnant patients who are monitored in our hospital and to provide insight into screening and management options by assessing maternal and fetal outcomes. Methods: Pregnants between the ages of 18-49, who were followed up in the Gynecology and Obstetrics Polyclinic/Clinic and Infectious Diseases Polyclinic/Clinic of a Training and Research Hospital between January 1, 2010 and December 31, 2021, were included in this study. T. gondii IgM, IgG and avidity tests which were performed for pregnant women were evaluated retrospectively. Results: The study consisted of 7480 pregnants. Three hundred eighty-six (%5.16) of the pregnant women tested positive. Anti-T. gondii IgM seropositivity was found to be most common in the 18-28 age group (7.82%), and this frequency gradually decreased as age progressed. Two of the 122 patients whose polymerase chain reaction for T. gondii was examined from amniotic fluid at the outer center had congenital toxoplasmosis, and these pregnancies were terminated. Conclusions: Pregnant women continue to have a considerable risk of developing acute toxoplasmosis. For this infestation, which still remains on the agenda as a public health problem, every individual who is planning a pregnancy and has not had a serological test before should be screened before pregnancy. Pregnant women should continue to be informed and educated about this parasite, in our opinion.

The Effects of a Mindfulness-Based Intervention on Mental Health Outcomes in Pregnant Woman: A Systematic Review and Meta-Analysis.

Pregnancy stress, anxiety, and depression increase the risk of short-term and long-term health problems for the mother and fetus. Mindfulness-based intervention (MBI) is one of the most popular, nonpharmacological interventions used to treat mental health problems. The results of prior research indicate MBI has a less consistent effect on mental health problems in pregnant women. The purpose of this systematic review and meta-analysis was to clarify and determine the effect of MBI on mental health outcomes in pregnant women. Six databases, including Embase, Ovid MEDLINE, CINAHL, EBSCOhost, Cochrane Library, and ScienceDirect, were searched from their dates of inception to November 2021. Google Scholar was also used for the literature inquiry. The inclusion criteria followed the PICO (Patient/Problem, Intervention, Comparison, and Outcome) model in terms of only including studies that used mindfulness therapy, reported mental health outcomes, and applied randomized controlled trial and quasi-experimental approaches. The Cochrane risk of bias tool was applied to evaluate the quality of the studies. Review Manager 5 software with random effect with a standardized mean difference (SMD) was used to analyze level of effect. Thirteen studies (10 randomized controlled trials and three quasi-experimental studies) were included. MBI was found to have a small effect on mental health outcomes in pregnant women (p < .0001, SMDs = -0.48, 95% CI [-0.74, -0.22], I2 = 87%). Specifically, MBI had moderate effects on stress and anxiety (SMDs = -0.59, 95% CI [-1.09, -0.09], and SMDs = -0.55, 95% CI [-1.00, -0.10], respectively) and no significant effect on depression (SMDs = -0.33, 95% CI [-0.74, 0.08]). MBIs have a small but notable effect on mental health in pregnant women. The high heterogeneity found in this review may reflect the different types and durations of interventions used. Notably, none of the studies in the review examined intervention effects by trimester. Future research should use larger sample sizes and assess the effects of therapy for each trimester of pregnancy.

Correlation between ABO blood group and gestational hypertensive disorder among pregnant women in Abuja, Nigeria

Gestational hypertensive disorder (GHD) is among the major health problems in pregnant women. In this study, we assessed the relationship between gestational hypertensive disorder and ABO blood groups among women who attended the antenatal clinic at the University of Abuja Teaching Hospital, Abuja, Nigeria. Correlational study design was used on a total of 138 patients with sociodemographic characteristics and clinical data such as blood group, gestational hypertensive disorder status, maternal age at pregnancy, and parity were extracted. Descriptive statistics was carried out on the collected data and chi-square test for the test of association or Fisher’s exact where necessary. The maternal age of the women ranged from fifteen to fifty-one years old with a mean age of 30.7 ± 9.8. Clinical information revealed that 17 (12.3%) primigravida and 121 (87.7%) non-primigravida patients. The patients’ distribution by blood group revealed that 33 (23.9%), 32 (23.2%), 47 (34.1%) and 26 (18.8%) belonged to blood group A, B, AB, and O respectively. Our results showed a relationship between blood pressure and the ABO blood group but not significant with χ2 = 12.31 and p = 0.421 with blood pressure of 150/100–154/104 mmHg ranked highest in frequency among all the blood groups. Also, we observed a non- significant relationship between maternal age and the occurrence of GHD at χ2 =19.81 and p = 0.229 which implies that GHD is not associated with age but that blood pressure increases with gestational age. Interestingly, a significant relationship exists between gestational hypertension and parity at χ2 = 26.71 and p = 0.045. Blood group AB was more susceptible to gestational hypertensive disorder whereas blood groups O, A and B were less susceptible to it. We recommend increased awareness of GHD among pregnant women, all health workers, and the general public about its danger to pregnant mothers and fetuses.

EDUCATION AND DENTAL - ORAL HEALTH EXAMINATIONS FOR PREGNANT WOMEN AT THE KAMPUNG SAWAH HEALTH CENTER, CIPUTAT, SOUTH TANGERANG

Oral health of the pregnant mother affects the condition of the baby it contains. Pregnant women who suffer from periodontal infection are at risk of giving birth to babies with low birth weight and are premature. Early pregnancy usually pregnant women experience lethargy, nausea and sometimes until vomiting. The aim of this community service activity is to gain knowledge about the importance of maintaining dental and oral health in pregnant women as well as increasing public knowledge and awareness about procedures for proper and correct brushing of teeth in the Kampung Sawah Community Health Center area, Ciputat, South Tangerang. This research used the counseling method and used questionnaires on 35 pregnant women, aged 20 - 35 years. The initial outreach activity was carried out by explaining and distributing brochures about the symptoms of caries, causes of caries, tips for preventing caries, simulating the correct way to brush teeth, holding a question-and-answer session regarding dental and oral health problems in pregnant women. The conclusion of this paper is that dental and oral health checks must be carried out regularly, both when you feel sick and when there are no complaints.

Serum iodine concentration and its associations with thyroid function and dietary iodine in pregnant women in the southeast coast of China: a cross-sectional study.

Iodine deficiency is a major public health problem in pregnant women. Serum iodine (SI) may represent a useful biomarker for iodine nutrition evaluation. We aimed to assess the relationship between serum iodine concentration (SIC) and urinary iodine concentration (UIC), dietary iodine, thyroid function, and thyroid diseases in pregnant women in the southeast coast of China, and to provide a normal reference range of SIC for pregnant women. A multistage random sampling method was used to select the study population. We collected urine and blood samples from pregnant women and determined UIC and SIC as well as thyroid function using Arsenic-Cerium Catalytic Spectrophotometry, inductively coupled plasma mass spectrometry, and Beckman Coulter Access2 chemiluminescent immunoanalyzer and kit, respectively, and administered a questionnaire on dietary iodine intake in pregnant women. There was a significant negative correlation between SI and thyroid-stimulating hormone (TSH) (r = -0.141) and a significant positive correlation between SI and free triiodothyronine (FT3) (r = 0.106), free thyroxine (FT4) (r = 0.236), triiodothyronine (TT3) (r = 0.229), total thyroxine (TT4) (r = 0.433), and dietary iodine intake (r = 0.068). There was a significant difference in SI levels of pregnancy between the second (78.13 μg/L) and third trimester (75.37 μg/L) (p = 0.018). SI levels between inadequate intake (74.58 μg/L) and appropriate intake (77.92 μg/L) groups were statistically different (p = 0.036). Low SIC was a risk factor for the development of hypothyroxinemia (adjusted OR = 3.14, 95% confidence interval: 1.75-5.66). The reference range for SIC in normal pregnant women is 45.03-112.44 μg/L. SI may be a composite indicator of iodine nutritional status and thyroid function.

Effects of Education and Guided Imagery Program on Stress Level and Coping Behaviors Among Pregnant Women at Risk of Preterm Birth.

The rate of preterm birth continues to increase worldwide. Pregnant women at risk of preterm birth experience more stress during pregnancy, which directly impacts their mental well-being and preterm birth situation. Stress management can significantly reduce stress and promote appropriate coping behaviors in pregnant women at risk of preterm birth. The purpose of this study was to determine the effects of education and guided imagery program on stress level and coping behaviors among pregnant women at risk of preterm birth. Forty-eight pregnant women who visited the antenatal care unit at Ramathibodi Hospital and were at risk of preterm birth with moderate stress score were included. They were divided into two groups, each comprising 24 participants. The control group received standard nursing care, whereas the experimental group received an education and guided imagery program in addition to standard nursing care. The Perceived Stress Scale-10 and Coping Behavior Questionnaire were used to collect data. The results revealed that the mean stress score in the experimental group after receiving the program was lower than before with statistical significance (t = 7.14, p < 0.001). Moreover, the experimental group had lower stress score (F1,45 = 16.92, p < 0.001) and greater coping behavior score (F1,45 = 7.85, p < 0.01) compared with the control group after receiving the program, and the differences were statistically significant. This research highlights the importance of preventing mental health problems in pregnant women at risk of preterm birth by using an education and guided imagery program to decrease stress and promote appropriate coping behaviors.

Study protocol for improving mental health during pregnancy: a randomized controlled low-intensity m-health intervention by midwives at primary care centers

BackgroundPregnancy-related anxiety and depression has received considerable attention worldwide. Mental health problems in pregnant women already since early weeks of gestation may have important consequences to the fetus. The necessity for more effective health care pathways, including some early interventions that reduce the overall burden of the childbearing situation appears a key factor for a successful birth and care of the baby. The few studies focalized in interventions, are focused on delivery and postpartum, without taking into account the whole maternity process. Current literature recommends the use of interventions based on new technologies for the treatment of mood disorders, already during the prenatal period. There have been scarce well-designed intervention studies that test technological low-intensity interventions by midwives to address pregnant women’s mental health, diminishing anxiety and depression during pregnancy.Methods/designAdult pregnant women (weeks 12–14 of gestation) will be recruited and screened from different primary care centers in Catalonia, Spain. Women who pass the initial mental screening will be randomly allocated to the relaxation virtual reality intervention or control group. The intervention aims to improve mental state of pregnant women during pregnancy, work through breathing, mindfulness and muscle relaxation techniques. Women in the control group will receive standard care offered by the public funded maternity services in Catalonia. The primary outcome measures will include the Edinburg Postnatal Depression (EPDS), State Trait Anxiety Inventory (STAI), Symptom Checklist-90 (SCL-90), and the Cambridge Worry Scale (CWS) instruments. Secondary outcome measures will include the Temperament and Character Inventory-Revised (TCI-R) and the Whooley and Generalized Anxiety Disorder-2 (GAD-2) questions. Routinary pregnancy monitoring measures will be also evaluated.DiscussionThis study aims to test the efficacy of a low-intensity, midwife-led e-health intervention based on new technologies to work on women’s anxiety and depression during pregnancy. We hypothesize that low-intensity mental health intervention during pregnancy, using an e-health (virtual reality) as a support tool, will be effective in reducing of anxiety, depressive symptoms, and improving satisfaction with pregnancy follow-up.Trial registrationClinical Trials ID NCT05756205.

Optimalisasi Kelas Ibu Hamil Sebagai Upaya Deteksi Dini Gangguan Neuromusculoskeletal Ibu Hamil

Indonesia's Maternal Mortality Rate (MMR) has yet to reach the SDGs goal by the end of 2030, which is less than 70% achievement targets. One of the reasons for the high MMR is the mother's inability to make decisions if there are problems during pregnancy. Providing knowledge to pregnant women and their families through pregnant women classes as an early detection effort to reduce MMR. Efforts for early detection are neuromusculoskeletal disorders of pregnant women. The purpose of this community service activity is to carry out early detection and increase the knowledge and skills of pregnant women about neuromusculoskeletal disorders in pregnant women. The method is carried out by conducting examinations for pregnant women, health education, and practical demonstrations on how to deal with neuromusculoskeletal disorders in pregnant women. The target of this activity is pregnant women who are in the working area of the Tirto Health Center, with as many as 51 pregnant women. The results of this community service activity are being able to carry out early detection of pregnant women by conducting health checks and increasing the knowledge of pregnant women about neuromusculoskeletal disorders with an average rating score of 23.06%. Pregnant women can practice how to deal with neuromusculoskeletal disorders in pregnant women. The Health Office can work with the Puskesmas and health workers, especially midwives, to carry out routine activities in conducting early detection of health problems in pregnant women through examinations, health counseling, or practice demonstrations on early detection of health in pregnant women.

Faktor-Faktor yang Berhubungan dengan Perilaku Konsumsi Tablet Tambah Darah Pada Ibu Hamil

Anemia is a health problem in pregnant women. Globally, there was 36,5% anemia in pregnant women (2019). Giving blood-added tablets is one of the important efforts to prevent and control anemia due to iron deficiency. Preliminary studies showed that 5 out of 15 pregnant women did not comply to consumed blood-added tablets (33.3%). The study objective was to determine the factors related to the behaviour of consuming blood-added tablets in third pregnant women at RSIA Avisena in 2022. This study has an 84 sample size and purposive sampling techniques. This study used a cross-sectional study design. The consumption of blood-added tablets is a dependent variable. The knowledge, attitudes, side effects, and husband support are independent variables. Collection data used primary data with questionnaires. Data is analyzed with bivariate analysis (the Chi-Square test). There was a relationship between knowledge (PR=3.32; 95%CI=2.03- 5.43) and there was no relationship between attitudes (PR=1.42; 95%CI=0.80-2.51) side effects (PR=1.21; 95%CI=0.78-1.88), husband support (PR=1.28; 95%CI=0.83-1.97). Hospitals should provide a leaflet explaining the tablet to increase pregnant women's knowledge. The hospital can also utilize WhatsApp groups to educate them about the benefits of Fe tablets and remind them to comply with taking Fe tablets.

Mental health-related telemedicine interventions for pregnant women and new mothers: a systematic literature review

BackgroundPregnancy and the postpartum period are times when women are at increased risk for depression and mental problems. This may also negatively affect the foetus. Thus, there is a need for interventions with low-threshold access and care. Telemedicine interventions are a promising approach to address these issues. This systematic literature review examined the efficacy of telemedicine interventions for pregnant women and/or new mothers to address mental health-related outcomes. The primary objective was to analyse whether telemedicine interventions can reduce mental health problems in pregnant women and new mothers. The secondary aim was to clarify the impact of type of interventions, their frequency and their targets.MethodsInclusion criteria: randomized controlled trials, with participants being pregnant women and/or new mothers (with infants up to twelve months), involving telemedicine interventions of any kind (e.g. websites, apps, chats, telephone), and addressing any mental health-related outcomes like depression, postnatal depression, anxiety, stress and others. Search terms were pregnant women, new mothers, telemedicine, RCT (randomised controlled trials), mental stress as well as numerous synonyms including medical subject headings. The literature search was conducted within the databases PubMed, Cochrane Library, Web of Science and PsycINFO. Screening, inclusion of records and data extraction were performed by two researchers according to the PRISMA guidelines, using the online tool CADIMA.ResultsForty four articles were included. A majority (62%) reported significantly improved mental health-related outcomes for participants receiving telemedicine interventions compared to control. In particular (internet-delivered) Cognitive Behavioural Therapy was successful for depression and stress, and peer support improved outcomes for postnatal depression and anxiety. Interventions with preventive approaches and interventions aimed at symptom reduction were largely successful. For the most part there was no significant improvement in the symptoms of anxiety.ConclusionTelemedicine interventions evaluated within RCTs were mostly successful. However, they need to be designed to specifically target a certain mental health issue because there is no one-size-fits-all approach. Further research should focus on which specific interventions are appropriate for which mental health outcomes in terms of intervention delivery modes, content, target approaches, etc. Further investigation is needed, in particular with regard to anxiety.

Impact of the COVID-19 pandemic on depression during pregnancy: a cross-sectional study.

Uncertainty and restrictions on daily life have increased fear, stress, and depression during the coronavirus disease 2019 (COVID-19) pandemic. Depression is the most common mental health problem in pregnant women. The purpose of this study was to evaluate the levels of fear and stress related to COVID-19 experienced by pregnant women, as well as their levels of depression, and to examine the factors associated with depression during pregnancy. This was a cross-sectional, correlational study conducted among 153 pregnant women who visited a maternity hospital in Busan, South Korea. A self-reported questionnaire was used for data collection from December 18, 2021 to March 8, 2022. Data were analyzed using descriptive statistics, the independent t-test, one-way analysis of variance, Pearson correlation coefficients, and multiple regression. Pregnant women experienced a moderate level of fear related to COVID-19, with an average score of 21.55±4.90. The average score for depression during pregnancy was 14.86±11.10, with 50.3% of the participants experiencing depression (≥13). The factors associated with depression during pregnancy were fear of COVID-19, contact with a confirmed case of COVID-19, being in the third trimester of pregnancy, high stress levels due to difficulties experienced from social distancing measures, and unintended pregnancy. These five statistically significant factors explained 35.0% of variance in depression during pregnancy. Considering the prevalence of depression in pregnant women during the COVID-19 pandemic, it is necessary to develop interventions to reduce anxiety by providing correct information and alleviating the stress of social distancing.

Knowledge of the adverse effects of smoking and related changes in smoking status during pregnancy among female smokers: A survey in Ulaanbaatar, Mongolia

ABSTRACT Smoking during pregnancy causes various health problems in pregnant women and their newborns. We aimed to clarify the association between smoking behavior during pregnancy and knowledge about health risks associated with active and passive smoking during pregnancy among women smokers prior to pregnancy. We conducted a questionnaire survey among women in Ulaanbaatar, Mongolia between October and December 2018. Of the 220 women who received the questionnaire, 200 (90.9%) responded; however, due to incomplete data, 49 participants were excluded. Among the 151 participants included in the study, 80 (53.0%) actively smoked during and 71 (47.0%) quit smoking directly before pregnancy. A significant difference in the knowledge of the health risks associated with active smoking between both groups was found (P < 0.001). The likelihood of smoking cessation during pregnancy was higher in women who were more knowledgeable about the health risks of active smoking than in those who were less knowledgeable (odds ratio, 3.824; 95% confidence interval: 1.594–9.171). The prevalence of smoking during pregnancy was associated with a lack of knowledge of the health risks of active smoking. Therefore, measures should be taken to ensure that women are adequately advised about the maternal and fetal health risks associated with smoking during pregnancy and subsequently promote the well-being of both the mother and infant.

Intimate partner sexual violence during pregnancy and its associated factors in Northwest Ethiopian women.

Violence against women is a global problem. In pregnant women, it is a particular concern as a virtue of the additional risks to the unborn child. Of different acts of violence, sexual violence shares the major contribution that results in short and long-term physical, sexual, reproductive, and mental health problems of pregnant women. Little is known about sexual violence during pregnancy in Ethiopia. this study aimed to assess the proportion and factors associated with intimate partners' sexual violence against pregnant women in Northwest Ethiopia. A cross-sectional study was conducted among 409 pregnant women in Debre Markos town from March to April 2018. The study participants were selected using a systematic random sampling technique. A pre-tested and validated questionnaire was used. Binary logistic regression analyses were done to identify associated factors and the adjusted odds ratio (AOR) with its 95 % confidence interval (CI) at a p-value of <0.05 was used to declare a significant association. Of 409 pregnant women, 19.8% have experienced sexual violence by their intimate partner during their current pregnancy. Accordingly, the major intimate partner sexual violence during pregnancy was having unwanted sexual intercourse due to fear from the partner (13.4%), being forced to do something sexual that is degrading or humiliating (13.0%), and being physically forced to have sexual intercourse (9.8%). Living with her partner/husband (AOR: 3.73, 95% CI: 1.30, 10.69), uneducated educational status of partner (AOR: 2.43, 95% CI: 1.06, 5.56), and frequency of alcohol consumption (AOR: 3.20, 95% CI: 1.24, 8.26) were factors associated with increased occurrence of intimate partner sexual violence during pregnancy. The proportion of sexual violence against pregnant women by their intimate partner(s) was found to be common in our study. Socio-demographic and behavioral-related factors were risk factors for sexual violence. As a result, preventive strategies and interventions centering on the empowerment of those facing the greatest barriers to reproductive freedom require a shift from traditional ways of thinking.

Anaemia among Pregnant Women Visiting Obstetric Department of a Tertiary Care Centre: A Descriptive Cross-sectional Study

Anaemia is one of the common health problems of pregnant women and children in developing countries. Anaemia in pregnancy is related to poor foetal and maternal outcomes contributing to significant morbidity and mortality. Anaemia is a treatable and preventable condition. The objective of this study was to find out the prevalence of anaemia in pregnant women visiting the Obstetric Department of a tertiary care centre. A descriptive cross-sectional study was conducted among the pregnant women visiting the Department of Obstetrics and Gynecology of a tertiary care centre for their antenatal checkup. The study was conducted from 2 November 2022 to 11 November 2022 after obtaining ethical approval from the Institutional Review Committee (Reference number: 11(6-11)E2/079/080). Pregnant women with a history of blood transfusion, anaemia of chronic disease like chronic kidney disease, history of recurrent bleeding, and referral cases from other centres were excluded from the study. Serum haemoglobin was used for diagnosing anaemia according to criteria given by the World Health Organization. Convenience sampling was used. Point estimate and 95% Confidence Interval were calculated. Among 442 pregnant women, the prevalence of anaemia was 24 (5.43%) (3.32-7.54, 95% Confidence Interval). The prevalence of anaemia among pregnant women was lower in comparison to other studies done in similar settings. anemia; maternal-child health services; prevalence.

What is the best treatment for anemia in pregnant women in the third trimester: Ferric carboxymaltose or oral iron therapy?

Objective: Iron deficiency anemia (IDA) is a significant health problem in pregnant women. We aimed to evaluate the effect of gestational IDA and to compare the results of iron therapy in pregnant women. Methods: This retrospective cohort study of pregnant women in the third trimester analyzed the records of 63 women not taking any iron supplements, 70 women receiving intravenous ferric carboxymaltose therapy (FCM), and 73 pregnant women receiving oral iron therapy. It compared maternal and neonatal outcomes of the three groups. Results: The mean age of the 206 pregnant women included in the study was 29.19±4.34 (19-44; min–max). Only 1% of anemic women received a blood transfusion in the postpartum period. There was no difference between the groups' mean age and gestational week. The median values of gravida and parity were the same in all 3 groups (Gravida=2, Parity=1). Maternal hemoglobin (Hb) value of the non-iron group was lower than that of the other groups (p&lt;0.001). Although the mothers' Hb levels at birth were different, the newborns' Hb values were not affected (p=0.547). Neonatal height and weight were lower in the non-iron group than in the FCM and oral iron groups (p=0.048 and p&lt;0.001, respectively). Neonatal head circumference, 1-minute Apgar, and 5-minute Apgar scores were similar in all three groups. Conclusion: FCM is effective in pregnant women with IDA in late pregnancy and women undergoing this treatment deliver healthier newborns.

DENTAL HEALTH COUNSELING USING FLIPCHART MEDIA ON GINGIVITIS KNOWLEDGE IN PREGNANT WOMEN

Title in english. One of the groups prone to dental and oral diseases is pregnant women, pregnancy is a physiological process that causes changes in the female body both psychically and physiologically such as gums / gingiva caused by an increase in female sex hormones, namely extrogen and progesterone hormones, these events cause an increase in vascularity and changes in the walls of the gingival blood vessels, so that they become more permeable and can strengthen the inflammatory process. Some studies state that the effect of hormonal changes will affect the dental and oral health of pregnant women by 30-100% Dental and oral diseases that are commonly encountered by pregnant women are gingivitis and periodontitis. The Indonesian government's efforts in overcoming dental and oral health problems in pregnant women are through health promotion. Purpose: Knowing the influence of dental and oral health counseling using flipchart media on gingivitis knowledge in pregnant women in Pamanukan Sebrang Village, Pamanukan District, Subang Regency. Method: The type of research used in this study is quasi-experimental design with a research design One group pretest posttest design. The sample size in the study was 40 respondents taken by Total Sampling. The analysis used is the paired T-test. Result: There is an influence of dental and oral health counseling through flipchart media on gingivitis knowledge in pregnant women in Pamanukan Sebrang Village, Pamanukan District, Subang Regency, as evidenced by the P-value (&lt; 0.05). Conclusion : The use of flipchart media in health education regarding gingivitis during pregnancy is effective in increasing the knowledge of pregnant women.

The effects of gestational diabetes on lower urinary tract symptoms of pregnant women: a case-control study

Gestational diabetes mellitus (GDM) and lower urinary tract symptoms (LUTS) are common health problems in pregnant women. The aim of this case-control study was to evaluate the effects of GDM on LUTS in pregnant women. This study was conducted with 44 pregnant women diagnosed with GDM and 44 pregnant without GDM. Patients with GDM had significantly lower likelihood of experiencing urgency (7.069-fold lower likelihood); whereas they had significantly greater likelihoods for urinary incontinence (UI) during sexual intercourse (OR: 0.185; 5.4-fold higher), need for clothing change due to UI (OR: 0.268; 3.7-fold higher), and adverse effects on daily life due to UI (OR: 0.338; 2.9-fold higher) compared to women without GDM (p < .05 for all). Although pregnant women with GDM appear to have a lower likelihood of urgency, this may be associated with the adverse effects of GDM since the likelihoods for UI-related outcomes were increased and quality of life was reduced among pregnant women with GDM compared to those without GDM. Impact statement What is already known on this subject? Lower urinary tract symptoms (LUTS) are very common among pregnant women, and negatively affect social, sexual and working life. There are many risk factors that affect the development of LUTS in pregnant women. It is stated that gestational diabetes mellitus (GDM) may be a predisposing factor in the development of LUTS in women. What do the results of this study add? Women with GDM experienced storage symptoms at a lower frequency (especially urgency) compared to the control group. In addition, we determined worse quality of life among women with GDM who experienced a greater frequency of urinary incontinence. What are the implications of these findings for clinical practice and/or further research? It may be beneficial to provide training on the prevention and management of LUTS to all pregnant women, especially women with GDM, and to increase the sensitivity of health professionals on the subject.

Analysis of Causes of Mental Health Disorders in Pregnant Mothers in Developing Countries : Scoping Review

Pregnancy is a time of increased vulnerability to the development of anxiety and depression. Mental health of pregnant women needs attention, because it will have an impact on their physical health. Anxiety and depression in pregnant women have a high risk of abortion, impaired fetal growth and even in serious conditions can be a cause of suicide. Pregnancy depression is associated with negative effects such as low birth weight, prematurity and cognitive or behavioral problems on the child. The role of health workers in maternal and child health services (MCH), so far has still encountered obstacles in knowing for sure the mental health status of pregnant women. So far, the focus of examination of pregnant women at health service centers is still limited to physical health checks, such as blood pressure monitoring, hemoglobin levels, physical complaints of pregnant women, weight gain and monitoring of nutritional intake, while mental health examinations have not become a special concern, especially in developing countries where there are still very few screenings related to mental health examinations during the perinatal period.To analyze the causes of health problems in pregnant women in developing countries. Scoping review With stages, among others: Identifying the research question, Identifying relevant studies,. Study selection, Charting the data, Collating, reporting the results, This review raises four themes that are the most common causes of mental health disorders during pregnancy in developing countries, namely economic factors, sexual partner violence, family support and education level.

Comparison of Vitamin D Levels and Related Factors in Pregnant Women and Neonates Exposed to Second-Hand Smoke.

Introduction: Exposure to second-hand smoke, a significant public health issue today, may lead to various health problems, especially in pregnant women and their infants. Low vitamin D levels during pregnancy may lead to preeclampsia and gestational diabetes in the mother, while it may cause low birth weight and respiratory problems in the infant.Method: The study group consisted of 42 mothers, who smoked regularly, and their infants and 45 mothers (passive smokers), who were regularly exposed to second-hand smoke in their home environment, although they did not smoke, and their infants. Meanwhile, the control group consisted of 46 healthy mothers, who did not smoke and were not exposed to second-hand smoke at home, and their infants with similar gestational age and birth weight. Blood samples were taken as two different samples, from the mother and the baby, and 25-hydroxyvitamin D (25(OH)D) and related blood parameters were studied and compared statistically.Results: 25(OH)D, calcium, and magnesium levels of mothers who smoked were significantly lower than those who were exposed to second-hand smoke and those who did not. Moreover, the vitamin D levels of mothers and babies exposed to second-hand smoke in the non-smoker group were significantly lower than mothers and babies who were not exposed to second-hand smoke. In the babies of these three groups, a significant decrease was observed only in vitamin D levels.Conclusion: The present study shows that pregnant women and their infants exposed to second-hand smoke have lower vitamin D levels. Hence, more emphasis should be put on vitamin D monitoring and supplementation to prevent severe health problems in pregnant women and their infants exposed to tobacco smoke. Further studies are needed to assess the associated risks for maternal and fetal health as well as possible long-term implications for the infant.