Multigravid Women Research Articles

Study of Anemia during Pregnancy in Multigravida Women

Anemia is a prevailing health issue faced by many women during their pregnancy. World Health Organisation has proposed the level of hemoglobin in women during pregnancy to classify anemia. The present work was done on 204 women subjects of Darbhanga district who were pregnant, to study the pattern of anemia specially in multigravida women. Data was collected from different antenatal units. In the present study, we deduced that maximum number of women were anemic, also anemia had a higher prevalence in women with higher parity.

Factors Associated With the Timing of First Antenatal Care by Pregnant Women Attending Specialist Hospital, Sokoto

This study therefore aimed to explore the factors associated with the timing of first antenatal care attendance by pregnant women in specialist hospital, Sokoto, Sokoto state, Nigeria.Three objectives with three corresponding research and questions guided the study. This is a health facility-based cross-sectional study conducted in specialist hospital Sokoto in Sokoto State, North-West Nigeria. Two hundred and seventy nine Pregnant women presenting at the ANC booking clinic were used in this study. Sample size was calculated using Cochran’s formula. A simple random sampling technique was used in selecting respondents using a structured questionnaire. The data analysis was done using SPSS. Pregnant women who initiated ANC early were (42.3%). Majority of the respondents (42.7%) were 25-34 year old. Women with at least secondary level of education were twice likely to commence ANC early compared to those with primary education or no formal education (OR: 2.07, 95% CI: 093-4.58). Nulliparous women were almost twice likely to initiate ANC early compared to primiparous and multiparous women (OR: 1.88, 95% CI: 1.10-1.55). Similarly, Primigravid women were 1.6 times more likely to start ANC early compared to multigravid women (OR: 1.55, 95% CI: 0.93-2.57). Women with planned pregnancy were (6%) more likely to register for ANC early compared to those with unplanned pregnancy (OR: 1.06, 95% CI: 0.59-1.90). Early initiation of ANC was (50%) higher in women from low-income household compared to those from high income household (OR: 1.50, 95% CI: 0.83-2.72). This study shows that less than half of the women commenced ANC early. The WHO ANC model recommendation on early commencement of ANC has not been fully met. Therefore, there is need for Sokoto state government in collaboration with the Federal.

Effect of pelvic floor and abdominal muscle training on diaphragmatic excursion in multigravida women

Background. Several research studies have indicated that the diminished strength of the abdominal and pelvic floor muscles (PFM) affects the diaphragmatic function. Objective. The study aimed to investigate the effect of a 12-week PFM and AbM training on diaphragmatic excursion (DE) in multigravida women. Methods. Ninety multigravida women who were postpartum for at least 6 months after normal vaginal or cesarean delivery and between 30 and 45 years of age were randomly assigned to three groups of equal size (n = 30). Group (A) received abdominal and pelvic floor Kegel training. Group (B) received abdominal training. Group (C) received pelvic floor Kegel training. Ultrasonography was utilized to assess the effects of DE at three different time points: before training, immediately post-training, and at a 12-week follow-up after the end of training. Results. The results showed that DE increased significantly in groups A (P = 0.038) and B (P = 0.009), with no significant differences in group C. Post hoc analysis revealed no significant differences between each group and the others, except for a significant difference between groups A and C (P = 0.001). Conclusion. The concurrent implementation of 12-week AbM and PFM training is more effective in enhancing DE in multigravida women than solely engaging in either AbM or PFM training.

Malaria-specific Type 1 regulatory T cells are more abundant in first pregnancies and associated with placental malaria

Malaria in pregnancy (MIP) causes higher morbidity in primigravid compared to multigravid women; however, the correlates and mechanisms underlying this gravidity-dependent protection remain incompletely understood. We aimed to compare the cellular immune response between primigravid and multigravid women living in a malaria-endemic region and assess for correlates of protection against MIP. We characterised the second trimester cellular immune response among 203 primigravid and multigravid pregnant women enrolled in two clinical trials of chemoprevention in eastern Uganda, utilizing RNA sequencing, flow cytometry, and functional assays. We compared responses across gravidity and determined associations with parasitaemia during pregnancy and placental malaria. Using whole blood RNA sequencing, no significant differentially expressed genes were identified between primigravid (n=12) and multigravid (n=11) women overall (log 2(FC)>2, FDR < 0.1). However, primigravid (n=49) women had higher percentages of malaria-specific, non-naïve CD4+ T cells that co-expressed IL-10 and IFNγ compared with multigravid (n=85) women (p=0.000023), and higher percentages of these CD4+ T cells were associated with greater risks of parasitaemia in pregnancy (Rs=0.49, p=0.001) and placental malaria (p=0.0073). These IL-10 and IFNγ co-producing CD4+ T cells had a genomic signature of Tr1 cells, including expression of transcription factors cMAF and BATF and cell surface makers CTLA4 and LAG-3. Malaria-specific Tr1 cells were highly prevalent in primigravid Ugandan women, and their presence correlated with a higher risk of malaria in pregnancy. Understanding whether suppression of Tr1 cells plays a role in naturally acquired gravidity-dependent immunity may aid the development of new vaccines or treatments for MIP. This work was funded by NIH (PO1 HD059454, U01 AI141308, U19 AI089674, U01 AI155325, U01 AI150741), the March of Dimes (Basil O'Connor award), and the Bill and Melinda Gates Foundation (OPP 1113682).

Complement System Activation Is a Plasma Biomarker Signature during Malaria in Pregnancy.

Malaria in pregnancy (MiP) is a public health problem in malaria-endemic areas, contributing to detrimental outcomes for both mother and fetus. Primigravida and second-time mothers are most affected by severe anemia complications and babies with low birth weight compared to multigravida women. Infected erythrocytes (IE) reach the placenta, activating the immune response by placental monocyte infiltration and inflammation. However, specific markers of MiP result in poor outcomes, such as low birth weight, and intrauterine growth restriction for babies and maternal anemia in women infected with Plasmodium falciparum are limited. In this study, we identified the plasma proteome signature of a mouse model infected with Plasmodium berghei ANKA and pregnant women infected with Plasmodium falciparum infection using quantitative mass spectrometry-based proteomics. A total of 279 and 249 proteins were quantified in murine and human plasma samples, of which 28% and 30% were regulated proteins, respectively. Most of the regulated proteins in both organisms are involved in complement system activation during malaria in pregnancy. CBA anaphylatoxin assay confirmed the complement system activation by the increase in C3a and C4a anaphylatoxins in the infected plasma compared to non-infected plasma. Moreover, correlation analysis showed the association between complement system activation and reduced head circumference in newborns from Pf-infected mothers. The data obtained in this study highlight the correlation between the complement system and immune and newborn outcomes resulting from malaria in pregnancy.

Assessment of the COVID-19 Pandemic's Impact on Physical Intimate Partner Violence Against Pregnant Women in Ankara (Turkey): A Hospital-Based Study.

A significant increase in physical intimate partner violence (IPV) cases has been reported from many countries during the COVID-19 pandemic, and particularly during lockdown periods. The current study's objectives are to define the COVID-19 pandemic's impact on physical IPV against pregnant women in Ankara. During the one-year pre-pandemic and two-year pandemic, records of patients who sent by the judicial authorities to the Obstetrics and Gynecology Emergency Room (ER) at Ankara City Hospital were reviewed, and pregnant women who had been subjected to IPV were identified. Of pregnant women 19.1% in the pre-pandemic period, 29.4% in the first year and 51.5% in the second year of the pandemic period exposed to IPV. The mean age of IPV victims was 28.8 ± 6.5 years. Most ER applications were in the evening hours (48.5%), and majority of assailants were the victim's husband (77.9%). Vast majority of victims were multigravida women (89.7), and most of the traumas were localized in abdomen and genitalia (50%). Three of the women (4.4%) had miscarriage. The increase in cases of IVP against pregnant women during the pandemic was striking, according to the current study. We think that this first study from Turkey on the IPV that pregnant women are exposed to during the pandemic can lead to extensive research focused on measures against IPV during pandemics, such as dissemination of telephone applications for IPV victims, increasing home visits by marriage therapists, and intensifying of education campaigns against violence.

Anti-phosphatidylserine antibody levels are low in multigravid pregnant women in a malaria-endemic area in Nigeria, and do not correlate with anti-VAR2CSA antibodies.

Anemia is a common malaria-associated complication in pregnant women in endemic regions. Phosphatidylserine (PS) is exposed to the immune system during the massive destruction of red blood cells (RBCs) that accompany malaria, and antibodies against PS have been linked to anemia through destruction of uninfected RBCs. We determined levels of anti-PS IgG antibodies in pregnant women in Ibadan, Nigeria and correlated them to parameters of importance in development of anemia and immunity. Anti-PS correlated inversely with Packed Cell Volume (PCV), indicating that the antibodies could contribute to anemia. There was no correlation with anti-VAR2CSA IgG, haptoglobin or parasitemia, indicating that the modulation of anti-PS response is multifactorial in nature. Anti-PS levels were lowest in multigravidae compared to both primigravidae and secundigravidae and correlated inversely with age. In conclusion, lower levels of anti-PS in multigravidae could be beneficial in avoiding anemia.

The assessment of dietary diversity score and associated factors among pregnant women of Batu district, Southern Ethiopia, 2021: a community-based cross-sectional study.

A community-based cross-sectional study was conducted among randomly selected 594 pregnant women. Data were collected with a two-stage sampling technique through face-to-face interviews. The data were coded and entered into Statistical Package for the Social Sciences (SPSS) version 23. Bivariate and multivariable logistic regression analyses were applied to identify independent predictors of dietary diversity. The magnitude of the unmet minimum dietary diversity score among pregnant women was 356 (59.9%). Furthermore, pregnant women with no formal education [adjusted odds ratio (AOR)=3.46; 95% CI: 1.99, 5.66], poor by the wealth index (AOR=2.23, 95% CI: 1.33, 3.73), having five or more children (AOR=1.75, 95% CI: 1.14, 2.71), multigravida (AOR=2.18, 95% CI: 1.34, 3.56), and pregnant women from only male-headed households (AOR=4.46, 95% CI: 2.86, 6.94) were associated with an unmet minimum dietary diversity score among pregnant women. The prevalence of unmet minimum dietary diversity scores among pregnant women was found to be high. Moreover, low dietary diversity was linked to pregnant women with no formal education, multigravida, having more than five family members, male-headed households, and being poor by household wealth. As a result, nutritional diversity education should be prioritized, and health experts should provide guidance on dietary diversity and family planning services.

Day II: Friday, March 24, 2023; 5.30 PM Plumeria 3: Disability, Validation studies, Cancer: AB No: 110 Functional Disability due to Sacroiliac joint pain and Kinesiophobia in Multigravida Women – A Cross-sectional study

Day II: Friday, March 24, 2023; 5.30 PM Plumeria 3: Disability, Validation studies, Cancer: AB No: 110 Functional Disability due to Sacroiliac joint pain and Kinesiophobia in Multigravida Women – A Cross-sectional study

Seroepidemiology of toxoplasmosis in pregnant women and detection of infection acquired during pregnancy in Cotonou, Benin.

Assessing the prevalence of toxoplasmosis in pregnant women and the associated risk factors is the first step in defining policy for the prevention of congenital toxoplasmosis in a given population. An epidemiological study was conducted during prenatal consultations at the CHU-MEL of Cotonou (Benin) between September 2018 and April 2021 and recruited 549 pregnant women to determine the seroprevalence and potential factors associated with Toxoplasma gondii infection. Toxoplasma gondii IgG/IgM antibodies were detected using an enzyme-linked fluorescence assay (ELFA) technique, an IgG avidity test and an IgG/IgM comparative Western blot to diagnose the maternal toxoplasmosis serological status, the possibility of an infection acquired during pregnancy and congenital infection, respectively. Concomitantly, the participants answered a questionnaire investigating potential risk factors. Toxoplasmosis seroprevalence was estimated at 44.4% (95% CI 40.3-48.6) and the factors significantly associated with T. gondii seropositivity were: age over 30years, multigravid women and contact with cats. The possibility of an infection acquired during the periconceptional period or the first trimester of pregnancy concerned six women [1.1% (95% CI 0.5-2.0)]. However, due to the low rate of serological controls in seronegative women, a significant proportion of women first tested during the 3rd trimester of pregnancy, and an insufficient sample size, the incidence of primary infection during pregnancy could not be determined. No cases of congenital transmission occurred in the newborns from the suspected cases of primary infection.

Interpregnancy Interval Effect on Perinatal Outcome- A Prospective Observational Study

Introduction: Spacing of birth is an important parameter affecting maternal and foetal health. Optimal birth spacing provides multiple benefits for both mother and her child. Both short and long Inter-Pregnancy Intervals (IPI) is associated with multiple adverse perinatal outcomes. Therefore, IPI is viewed as a potential modifiable risk factor for adverse foetal-maternal outcome. Aim: To study the association of IPIs with adverse maternal and foetal outcomes. Materials and Methods: This prospective observational study was conducted in R.G. Kar Medical College and Hospital, Kolkata, West Bengal, India for a period of 18 months from January 2019 to June 2020. All multigravida women with atleast three antenatal check-ups were included in the study. The subjects were divided in two groups: group A consisted of 86 subjects, who had &lt;2 year IPI and group B consisted of 87 subjects, who had ≥2 year IPI. These were compared on the basis of following sociodemographic characteristics: maternal age, Body Mass Index (BMI), contraceptive use, socio-economic status. Foetal outcome was assessed by gestational age at delivery, birth weight, Appearance, Pulse, Grimace, Activity and Respiration (APGAR) score, need for Neonatal Intensive Care Unit/Sick Neonatal Care Unit (NICU/SNCU) admission and perinatal morbidity and mortality. Data were collected and statistically analysed using Statistical Package for Social Science (SPSS) version 19.0 (SPSS Inc, Chicago, IL, USA). Chi-square test was used for categorical data and students t-test was used for continuous data. Statistical significance in all evaluations was defined as p-value &lt;0.05. Results: Contraception use were significantly less in women with short IPI (p=0.001). The incidence of anaemia (p=0.026), scar dehiscence in postcaesarean pregnancies (p=0.031) and Post Partum Haemorrhage (PPH) (p=0.041) were also higher in mothers with short IPI. In this group incidence of low-birthweight baby (p=0.039), preterm birth (p=0.041) and need for care of babies in NICU (p=0.043) were also higher and was statistically significant. Conclusion: Lack of contraceptive use significantly increases the risk of short IPI which increases the risk of preterm delivery, maternal anaemia PPH and scar rupture in post-CS pregnancy and therefore, has a serious impact on maternal morbidity. Low birth weight and NICU/SNCU admission being more in group A was a drain on the health expenditure.

Effect of fetal movement count on prenatal attachment among primi- and Multigravida Women

Effect of fetal movement count on prenatal attachment among primi- and Multigravida Women

Impact of Lamaze Breathing on Natural Childbirth: Comparison between Primigravid and Multigravid Women

Impact of Lamaze Breathing on Natural Childbirth: Comparison between Primigravid and Multigravid Women

Factors Involved in Avoidance of Contraceptives

Objective: To determine the frequency of factors involved in avoidance of contraceptive methods in multigravida female. Study Design: Cross sectional survey Place and Duration of Study: This study was conducted at the obstetrics and Gynaecology unit in Bahawal Victoria Hospital Bahawalpur from 16-08-2018 to 10-09-2019. Materials and Methods: 250 Multigravida women not practicing contraception, of Reproductive age, Para 2 or more were included in the study. All those women fulfilling the inclusion/exclusion criteria were included in the study. Software SPSS was used and Chi-Square test was applied. Frequency and percentages were calculated for factors involved in avoidance of contraceptive methods. Results: Factors involved in avoidance of contraceptive methods was recorded which shows that 6.8%(n=17) had age &lt;18 years, 55.6%(n=139) had will of sons and 37.6%(n=94) had religious reasons. Stratification for factors involved in avoidance of contraceptive methods with regards to parity was done, 100% were between 2-5 para, Out of 139 cases having will of sons, 71.94% were between 3-5 gravidas and 28.06% had &gt;5 gravidas and 94 cases for religious reason, 53.19% were between 3-5 gravidas and 46.81% had &gt;5 gravidas. Conclusion: We concluded that age &lt;18 years, will of sons and religious affiliation are the leading factors involved in avoidance of contraceptive methods in multigravida female Keywords: Avoidance of contraception, multigravida females, multiparity factors, Reproductive age &lt;18 years, will of sons, religious reasons in multiparity.

Differences in Immune phenotype in decidual tissue from multigravid women compared to primigravid women.

Women with a previous uncomplicated pregnancy have lower risks of immune-associated pregnancy disorders in a subsequent pregnancy. This could indicate a different maternal immune response in multigravid women compared to primigravid women. In a previous study, we showed persistent higher memory T cell proportions with higher CD69 expression after uncomplicated pregnancies. To our knowledge no studies have reported on immune cells in general, and immune memory cells and macrophages specifically in multigravid and primigravid women. T cells and macrophages were isolated from term decidua parietalis and decidua basalis tissue from healthy primigravid women (n=12) and multigravid women (n=12). Using flow cytometry, different T cell populations including memory T cells and macrophages were analyzed. To analyze whether a different immune phenotype is already present in early pregnancy, decidual tissue from uncomplicated ongoing pregnancies between 9 and 12weeks of gestation from multigravida and primigravid women was investigated using qRT-PCR. Nearly all T cell subsets analyzed in the decidua parietalis had significantly higher CD69+ proportions in multigravid women compared to primigravid women. A higher proportion of decidual (CD50- ) M2-like macrophages was found in the decidua parietalis in multigravid women compared to primigravid women. In first trimester decidual tissue higher FOXP3 mRNA expression was found in multigravid women compared to primigravid women. This study shows that decidual tissue from multigravid women has a more activated and immunoregulatory phenotype compared to decidual tissue from primigravid women in early pregnancy and at term which could suggest a more balanced immune adaptation towards pregnancy after earlier uncomplicated pregnancies.

Utilization of Nutritional Supplementation Services and Their Predictors in Pregnant and Lactating Women Living in an Urban Resettlement Colony of Delhi, India: A Cross-Sectional Study.

Introduction Maternal undernutrition during pregnancy and lactating has adverse health consequences for the mother and her child. The Integrated Child Development Services (ICDS) scheme by the Government of India provides supplementary nutrition services to all pregnant and lactating women but its utilization is suboptimal due to inefficient distribution through the health system and beneficiary concerns regarding its usefulness. This study was conducted with the objective of assessing the utilization of nutrition-related ICDS services by pregnant and lactating women in urban poor settlements of Delhi and the sociodemographic factors associated with non-utilization. Materials and methods This was a community-based cross-sectional survey in an urban resettlement colony and slum area located in the northeast district of Delhi. The data collection was conducted from January to May 2022. Eligible participants included pregnant women in their second or third trimester of pregnancy and lactating mothers in their first six months of the postpartum period who were residents of the study setting.Data were collected using face-to-face interviews using a pre-tested and self-designed questionnaire. The primary outcome was the proportion of women utilizing ICDS take-home rations (THR) in the previous month. Results A total of 365 participants were recruited in this study including 208 pregnant and 157 lactating women having a median (IQR) age of 25 (22-28) years.A total of 211 (57.8%) participants reported a history of utilization of ICDS supplementary nutrition services during their current pregnancy or postpartumwith 154 (42.2%) having received THR in the previous month. Among the currently pregnant women, 84 (40.4%) had utilized ICDS THR while in the currently lactating women, 70 (44.6%) had utilized THR in the previous month.On adjusted analysis, multigravid women were less likely to have utilized ICDS compared to primigravida women. Reasons for non-utilization of the ICDS supplementary nutrition services by the mothers were temporary disruption due to cessation of ICDS services by protesting Anganwadi workers (over demand for increased honorarium), difficult access to Anganwadi center, the poor perceived taste of the food provided as THR, and perception by the mothers that they did not require THR. Most women reported sharing the THR with their family members. All pregnant and lactating women were found to be calorie and protein deficient in this study when applying the recommended intake values. No association was observed between the utilization of ICDS in the previous month and the presence of calorie deficiency in both pregnant (p=0.35) and lactating (p=0.24) women. Conclusions More than four in ten eligible pregnant and lactating women in an urban resettlement colony in Delhidid not utilize ICDS supplementary nutrition services with similar rates of utilization in both pregnant and lactating women. Women living in joint families and consequently larger households were less likely to utilize ICDS services. A majority of pregnant and lactating women were calorie and protein deficient even on applying non-pregnant cut-off requirements. The ICDS scheme needs to strengthen information, education, and communication (IEC) strategies and interventions to improve its acceptability and utilization by this vulnerable population.

The Effect of Effleurage Massage Techniques on Afterpains Pain in Multigravida Postpartum Mothers at the Tanjung Selamat Health Center, Kec. Padang Tualang, Kab. Leaving in 2022

Afterpains pain in multigravida postpartum women is caused by contractions in continuous relaxation of the uterus. Effleurage is a massage technique that is safe, easy to do, doesn't require a lot of tools, doesn't cost money, doesn't have side effects and can be done alone or with the help of others. The purpose of this study was to determine the effect of the Effleurage Massage Technique on Afterpains Pain in Multigravida Postpartum Mothers at UPT Puskesmas Tanjung Selamat, Kec. Padang Tualang, Kab. Langkat. The design of this research is descriptive with a quasi-experimental study approach. The sampling technique used is purposive sampling, namely the technique of determining the sample with certain considerations as desired by the researcher. Samples on postpartum mothers were taken with a percentage of 25% so that the sample in this study was 30 people. The results of the study prior to the Effleurage Massage Technique the majority experienced moderate pain as many as 20 respondents (67%). Meanwhile, after the Effleurage Massage Technique, the majority experienced a decrease in mild pain as many as 30 respondents (67%). The conclusion of this study is that there is an effect of Effleurage Massage Technique on Afterpains Pain in Multigravida Postpartum Mothers at UPT Puskesmas Tanjung Selamat, Kec. Padang Tualang, Kab. Langkat. The results of the statistical test using the t test showed that the p value (0.000 &lt; (0.05) means Ha is accepted, so there is an effect of the Effleurage Massage Technique on Afterpains Pain in Multigravida Postpartum Mothers at UPT Puskesmas Tanjung Selamat, Padang Tualang District, Langkat Regency

Antenatal care utilization and nutrition counseling are strongly associated with infant and young child feeding knowledge among rural/semi-urban women in Harari region, Eastern Ethiopia.

There is a gap in evidence linking antenatal care (ANC) utilization, nutrition counseling, and knowledge of pregnant women about infant and young child feeding (IYCF), particularly in low-income settings. Therefore, this study aimed to identify the association between ANC follow-up and nutrition counseling with IYCF knowledge. A cross-sectional study was conducted among 390 pregnant women in the rural kebeles of the Harari region from January to June 2019. Data were collected using face-to-face interviews on tablet computers. Bivariate and multivariate logistic regression were employed. An adjusted odds ratio (with 95% CI) was used to determine the strength of association between IYCF knowledge with ANC follow-up and nutrition counseling by adjusting for educational status, occupation, gravida, and distance to the nearest health center. Overall, 54.4% [95% CI 49.2, 59.2] of currently pregnant women were knowledgeable about IYCF of which only 20% started ANC follow-up and 24.4% received nutrition counseling. Out of 288 multigravida women, only 51.4% had ANC follow-up during their last pregnancy. In the adjusted model, ANC follow-up during the current pregnancy (AOR 1.85, 95% CI 1.07–3.22), those who received nutrition counseling (AOR 1.92, 95% CI 1.09–3.38), literate in education (AOR 1.71, 95% CI 1.07–2.73), multigravida (AOR 1.96, 95% CI 1.12–3.43), and far from the nearest health center (AOR 0.95, 95% CI 0.93–0.97) were significantly associated with the mothers IYCF knowledge. Thus, health care providers should encourage mothers to attend ANC during pregnancy and provide nutrition counseling about the IYCF.

Interoceptive sensibility and body satisfaction in pregnant and non-pregnant women with and without children

Pregnancy is a time of great physical and psychological change. As well as prominent changes in the external appearance of the body, such as the baby bump, there are also substantial changes taking place within the body. Our awareness of, and attention towards, internal bodily signals (interoception) is thought to have a direct impact on how we feel about our bodies. Therefore, understanding how our experience of these interoceptive signals might change during pregnancy may have important implications for maternal wellbeing. This study examined body satisfaction and interoceptive sensibility (subjective experience of interoception) in pregnant and non-pregnant women with and without children. Feelings towards pregnancy-specific changes in body satisfaction and interoceptive sensibility were also examined in women in their first pregnancy (primigravida) and subsequent pregnancies (multigravida). It was found that pregnancy did not directly impact levels of body satisfaction, instead pregnant and non-pregnant women with children reported less satisfaction with their bodies compared to those without children. Primigravida women were more satisfied with the appearance of pregnancy specific bodily changes compared to multigravida women. Interestingly, these differences in body satisfaction in those with children (pregnant and non-pregnant) were mediated by the extent to which women trusted their bodies (measure of interoceptive sensibility). All other pregnancy related changes in interoceptive sensibility and body satisfaction were either non-significant or had small effect sizes. These results may suggest body trust as an important factor to support during the transition to parenthood in order to improve body satisfaction in mothers.

Gambaran Tingkat Kecemasan Ibu Hamil Pada Trimester III di Wilayah Kerja Puskesmas Banda Sakti

Pregnancy is a physiological process that occurs and experienced by women. During pregnancy there can be various psychological changes, anxiety is a common psychiatric condition and often occurs in pregnancy, especially during third trimester. The purpose of this study is to find out the anxiety level of pregnant women in third trimester at The Banda Sakti Health Center Work Area. The method used is descriptive research with cross sectional study approach. The sample in this study was 106 pregnant women. The sampling technique used is consecutive sampling. The results: majority of respondents were aged 20-35 years as many 74 people (69,8%), had high school as many 44 people (41,5%), unemployed as many as 82 people (77,4%), and majority of gestational age respondents were 28 weeks (43,4%). A total of 36 people (34%) experienced moderate anxiety, mild anxiety as many 31 people (29,2%), severe anxiety as many 16 people (15,1%), did not experience anxiety as many 23 people (21,7%). Based on status of gravida, multigravida as many 64 people (60,4%), primigravida as many 35 people (33%), and grandemultigravida as many 7 people (6,6%). Conclusion: the majority of multigravida pregnant women experience moderate anxiety with high school education level/equivalent, unemployed and gestational age were 28 weeks.