Families Of Pregnant Women Research Articles

Analysis of Qualitative Studies on ANC Services During the Covid 19 Pandemic at PMB Ana Hasanah

Background : In this COVID-19 pandemic situation, there are many restrictions on almost all routine services including maternal and newborn health services. Pregnant women are advised to continue to routinely carry out pregnancy checks during the pandemic even though there are service modifications (social distancing). Purpose of Writing: To obtain in-depth information about ANC services during the Covid-19 pandemic at PMB Ana Hasanah. Research Methods: The research used is a qualitative approach with the type of Rapid Assessment Procedures (RAP) research. The informants of this study consisted of 8 pregnant women who made antenatal care visits at PMB Ana Hasanah. While the key informants were husbands or families of pregnant women and Ana Hasanah PMB officers. Research Results: input components, human resources are sufficient and according to standards. Funds are available and sourced from clinic revenue turnover. SOPs are available which refer to the RI Ministry of Health Guidelines. The facilities and infrastructure are complete. For the process component, midwives' independent practice has carried out the flow of antenatal care services and health protocols according to the guidelines, but level 3 PPE is still limited. For the output component, the scope of ANC services has decreased significantly during the pandemic. For the outcome component, pregnant women are satisfied with antenatal care services, but some pregnant women do not have routine checks. Conclusions and Suggestions: The results of this study are expected to provide information to the Mandiri Midwife Practice as a place for maternal and neonatal health services so that they can provide the best service to pregnant women during the pandemic both online and offline so that monitoring of pregnant women during the COVID-19 pandemic can run well.

Utilization Of Illustated Booklet Educational Methods For Early Detection Of Risk Factors In Pregnancy

Low public knowledge and awareness to check pregnancy to health workers causes many risk factors complications that accompany pregnancy while pregnant women are required to do pregnancy checks during their pregnancy period at least 4 times, namely 1 time trimester I, 1 time trimester II, and 2 times trimester III. This study aims to determine the effect of Intervention Illustrated Booklet Educational Methods On Women's Knowledge Of Prenatal Care on early detection of risk factors in pregnancy. The type of research used in this study is quasi-experimental (pseudo-experiment) with Non Randomized pre-test-post-test control group design. The sampling technique is Exhaustive sampling totaling 60 people. Where there are 2 groups (Intervention and Control) each group totaling 30 respondents. The hypothesis in this study is that there is an effect of the Illustrated Booklet Educational Methods On Women's Knowledge Of Prenatal Care on improving acting situations, increasing motivation for personal autonomy and increasing social support for husbands and families of pregnant women at the Kioko Health Center. The results showed that there were differences and influences of situations acting knowledge (p = 0.046) attitudes (p = 0.014), personal autonomy of knowledge (p = 0.005) while attitudes of personal autonomy (p = 0.059), and social support of husband and family knowledge (p = 1) attitudes (p = 1) there was no difference and influence before and after getting the intervention. The conclusion of this study is that there is an influence of the Illustrated Booklet Educational Methods On Women's Knowledge Of Prenatal Care on improving the situation of acting pregnant women, there is an influence of the Illustrated Booklet Educational Methods On Women's Knowledge Of Prenatal Care on increasing the motivation of personal autonomy of pregnant women and there is no influence of the Illustrated Booklet Educational Methods On Women's Knowledge Of Prenatal Care on the support of husbands and families of pregnant women.

Identifikasi Faktor-Faktor Kejadian Anemia Pada Ibu Hamil Trimester II Di Puskesmas Wilayah Kerja Kabupaten Semarang

Objective: to identify the factors of anemia in pregnant women at the Semarang District Health Center.Methods: This article Descriptive quantitative research method with cross sectional research design. The population in this study were 40 trimester II pregnant women in the working area of Semarang Regency. The sampling technique used purposive sampling. Data collection using a questionnaire, was conducted in February - March 2020. The results of data collection are presented in table form and described.Results: The results show that 85% of pregnant women are not the age group at risk for pregnancy. The latest education for pregnant women is 60%, namely SMA. The occupation of pregnant women is 42.5% as an employee. The economic income of a pregnant woman's family is 40% below the UMR Semarang Regency. The level of knowledge of pregnant women about pregnancy anemia is 60% in the sufficient category. In consuming Fe tablets, pregnant women are categorized as less obedient. Diet of pregnant women who consume less iron-containing foods and often consume tea.Conclusion: The conclusion of this study is that the factors of work, factors of family economic status, factors of knowledge level, factors of compliance with Fe tablets and dietary factors affect the incidence of anemia in pregnant women.

Awareness Mental Health During Pregnancy in Practice Midwife of Bogor, Jawa Barat

Mental health problems in pregnancy still lack the attention of midwives, which is identified in the lowmental health checks of pregnant women during ante natal care. A subsequent research was conducted byIdaiani in Jakarta and Bogor regions 2018 regarding the incidence of Perinatal Depression that reached18.6% in Bogor region.This research was a qualitative research and was conducted January 2019 in Independent Midwifery Practicein Bogor. The subjects of this research were The interview was conducted with 15 informants, they wereone person from the ministry of health, coordinating midwives, chairmen of Indonesian midwives’ branchassociations in Bogor with total of 5 midwives who provided services in independent midwifery practiceand as a key is 3 woman pregnant and three families of pregnant women, data were analyzed by usingtriangulation analysis.Based on result of the research, The Construction Model Mental Health on Mothers during pregnancy inIndependent Midwifery Practice is very important and needs attention. Pregnancy is still considered asa physical change that needs to be intervened because it is easier to be handled and detected. Maternalexamination during pregnancy is carried out by Midwives in the implementation of mental health checksduring pregnancy for pregnant women and this role has not been carried out optimally.This research suggests conducting socialization with midwives as well as across related sectors to getpolitical support in carrying out activities in health facilities and independent practice midwives.

Related Health Service Provider with Mental Health during Pregnancy

BACKGROUND: Mental illness or mental health problems during pregnancy in low- and middle-income countries are very high; the average prevalence reaches 15.6%. Subsequent research was conducted by Indian in the Jakarta and Bogor regions in the period January–June 2018 regarding the incidence of perinatal depression by 23.6% in the Bogor.
 AIM: This study aimed to evaluate the mental illness or mental health problems during pregnancy in low- and middle-income countries.
 METHODS: This research is qualitative research. This research was conducted in January–June 2019 in the Bogor independent practice midwife. Informants in the study came from the East Jakarta Health Office, Chair of the Indonesian Midwives Association, Head of the Health Center, Coordinating Midwives, Pregnant Women and husbands, and families of pregnant women. Data are analyzed by Regression Logistic.
 RESULTS: Construction model mental health of mothers during pregnancy in independent practice midwives is very important and needs attention. Pregnancy is still considered a physical change that needs to be intervened because it is easier to handle and easily detects it. Maternal examination during pregnancy is carried out by midwives, in the implementation of mental health checks during pregnancy for pregnant women, this role has not all been carried out optimally.
 CONCLUSION: This research suggests conducting socialization with midwives as well as across-related sectors to get political support in carrying out activities in health facilities and independent practice midwives.

PENGARUH EDUKASI LAKTASI TERHADAP DUKUNGAN KELUARGA DALAM PEMBERIAN ASI DI KABUPATEN PEKALONGAN

Abstract Family support is needed to help mothers breastfeed their babies, but family knowledge about lactation management is lacking. Sufficient knowledge is needed in the family so that they can help mothers in breastfeeding. This study aims to analyze the effectiveness of lactation management education packages for family support for mothers in breastfeeding. Quasi-experimental research method with a post test control group design. The place of research was in the Buaran and Puskesmas Wonokerto 2 work areas with the 3rd trimester primigravida respondents. Mothers whose milk did not come out and the baby died was excluded. The sampling technique uses multistage sampling. Interventions in the form of lactation management education for mothers and families every month 3 times during pregnancy in the third trimester. Statistical test using independent t test. The results showed an average family support in the control group 61.43 (55-78) and in the intervention group 68.10 (46-76) with a p value of 0.001 in 95% CI. The conclusion is the effect of giving lactation management education to family support for mothers in giving breast milk. Advice for health workers is expected to further improve lactation management education activities in families of pregnant women. Keywords: education, family support, , lactation management.

Management of prenatal nursing care at a Health Center in Angola.

To understand how care management in prenatal care in a Care Center in Angola happens. A qualitative study, which used the Constructivist Grounded Theory (GT) as a methodological framework. The theoretical sample consisted of 22 participants, including nursing professionals, pregnant women and nursing students from Huambo, Angola. The data were collected by interviews and analyzed according to initial and focused coding. Five categories arose: Embracing the pregnant woman for prenatal care; Performing the prenatal consultation; Creating a bond and dialogical relationship with pregnant women; Establishing collaborative working relationships; and Inserting the pregnant woman's family into prenatal care. The management of nursing care in the study setting is effective through complementary and interdependent steps, based on collaborative relationships among professionals and in the effort to establish bonds with pregnant women and their families.

Educational Attainment and Pregnancy Outcomes: A Danish Register-Based Study of the Influence of Childhood Social Disadvantage on Later Socioeconomic Disparities in Induced Abortion, Spontaneous Abortion, Stillbirth and Preterm Delivery.

Objectives Socioeconomic disparities in pregnancy outcomes have been found across times and places, but there is a lack of studies investigating the underlying causes. The present study investigated the influence of child protective services in the pregnant woman's family of origin as a proxy of childhood social disadvantage. Methods The study population comprised all registered pregnancies in Denmark during the period from 2000 to 2009 that resulted in an induced abortion, spontaneous abortion, stillbirth or live birth (N = 786,054). Linear regression was used to analyze the associations between educational attainment and pregnancy outcomes in models with and without adjustment for age, parental educational attainment and child protective services in the family of origin. Further, it was tested whether child protective services in the pregnant woman's family of origin modified the associations between educational attainment and pregnancy outcomes. Results Women with low educational attainment had a higher risk of induced abortion, stillbirth and preterm delivery and a lower risk of spontaneous abortion. These associations were to some extent explained by child protective services in the family of origin. Further, child protective services in the pregnant woman's family of origin modified the association between educational attainment and risk of preterm delivery. Thus, women with high educational attainment were not found to differ in risk of preterm delivery according to child protective services in the family of origin Conclusions for Practice Information on childhood social disadvantage may enrich our understanding of the socioeconomic disparities in pregnancy outcomes.

Precede-Procede Analysis of Prenatal Class Plus Model in the Optimization Education of High Risk Pregnancy

High-risk pregnancies are still common in rural areas. The percentage of high-risk pregnancy in Singorojo sub-district of Kendal District in the last three years has increased significantly. The highest number of cases was in Cening and Singorojo villages. In the past year, 86.88% of pregnancies in Cening village and 55.42% of pregnancies in Singorojo village were categorized as high-risk. The lack in community education limited prevention of high-risk pregnancies. Prenatal Class Plus model is an innovation that was being developed in this study. This is a research and development study with qualitative and quantitative approaches. The “Prenatal Class Plus” model was developed in Cening and Singorojo village. Research subjects were pregnant women, husbands, or families of pregnant women, health cadres, and related stakeholders. Research data were analyzed qualitatively and quantitatively. Prenatal Class Plus model can improve the knowledge, attitude and efforts of pregnant women and their husbands during parturition and prevention of pregnancy complications (P4K).

Investigation on knowledge and attitude of pregnant women's family members' accompany and Doula delivery in a Class III Grade A hospital in Shenzhen

Objective To investigate pregnant women's knowledge and attitudes toward family members' accompany and Doula delivery, so as to provide evidence for making strategies to improve the quality of family member accompany and Doula delivery. Methods From August to September 2017, a total of 270 pregnant women of the obstetrics outpatient clinic in a ClassⅢ Grade A maternity and child healthcare hospital were selected by convenience sampling method, and investigated with a self-organised questionnaire. Results A total of 270 questionnaires were released, and 239 effective questionnaires were collected. 72.38% of the pregnant women investigated had the demands of family members' accompany during predelivery and childbirth, and 83.68% would like the help of Doula during predelivery and childbirth. The average score of pregnant women' knowledge and attitudes towards family members' accompany was (4.05±0.95) , while the average score for Doula's accompany was (4.13±0.79) . Conclusions Family members and Doula's accompany is highly demanded among pregnant women, and the score of knowledge and attitude of family members' accompany was lower than that of Doula delivery. Therefore, hospitals should strengthen the training of qualified personnel of Doula delivery, and strengthen the health education for pregnant women and their families to accompany childbirth related knowledge. Key words: Pregnant women; Knowledge; Attitude; Family accompany; Doula delivery

OP22 Societal Perspective On Cost Drivers For Health Technology Assessment

INTRODUCTION:Understanding cost drivers and estimating societal costs are important challenges for economic evaluation of health technologies in low-and-middle-income countries (LMICs) (1). This study assessed community experiences of health resource utilization and perceived cost drivers from a societal perspective to inform the design of an economic model for the Community Level Interventions for Pre-eclampsia (CLIP) trials (2).METHODS:Qualitative research was undertaken alongside the CLIP trial in two districts of Sindh province, Pakistan. Nine focus groups were conducted with a wide range of stakeholders, including pregnant women, mothers-in-law, husbands, fathers-in-law, healthcare providers at community and health facility-levels, and health decision-/policy-makers at the district-level. The societal perspective included out-of-pocket (OOP), health system, and program implementation costs related to CLIP. Thematic analysis was performed using NVivo software.RESULTS:Most pregnant women and male decision makers reported a large burden of OOP costs for in- and out-patient care, informal care from traditional healers, self-medication, childbirth, newborn care, transport to health facility, and missed wages by caretakers. Many healthcare providers identified health system costs associated with human resources for hypertension risk assessment, transport, and communication about patient referrals. Health decision-/policy-makers recognized program implementation costs (such as the mobile health infrastructure, staff training, and monitoring/supervision) as major investments for the health system.CONCLUSIONS:Our investigation of care-seeking practices revealed financial implications for families of pregnant women, and program implementation costs for the health system. The societal perspective provided comprehensive knowledge of cost drivers to guide an economic appraisal of the CLIP trial in Sindh, Pakistan.

O serviço de psicologia no pré-natal de adolescentes

A adolescência é uma fase transformadora com desenvolvimento biopsicossocial. A gestação carrega consigo características transformadoras, com vivências únicas e subjetivas a cada gestante. É um momento caracterizado por profundos conflitos e emoções, pois afeta diretamente a identidade da mulher. Estar grávida na adolescência é um fator que intensifica a vivência de conflitos emocionais, acarretando sentimentos de impotência, ansiedade, raiva e culpa. Apresentar o trabalho realizado pela psicologia em um Pré-Natal de Adolescentes. O Pré-Natal de Adolescentes (PNA), do Hospital da Mulher - CAISM/UNICAMP é composto por uma equipe multiprofissional e oferece atendimento as gestantes de até 18 anos de idade. Os atendimentos psicológicos ocorrem através de demanda espontânea ou por encaminhamentos dos profissionais da saúde de forma individual e se necessário realizados também com a família e/ou acompanhante da gestante. O auxílio psicológico no PNA mostra-se como uma medida preventiva da saúde mental, de preparo à paciente para uma mudança significativa em sua vida, é necessário um olhar educador e acolhedor da psicologia, que favoreça na adolescente recursos e mecanismos internos para diminuir sentimentos e angustias que podem proporcionar sofrimento. O trabalho da psicologia com as adolescentes gestantes é essencial como auxiliar na ressignificação quanto a este momento de intensas transformações. A escuta ativa e o acolhimento, são formas de fortalecimento do ego materno, por meio da expressão de sentimentos relacionados à gestação e a compreensão da vivência gestacional na adolescência, o que pode facilitar o amadurecimento e o vínculo mãe-bebê.

Assessment of the adequacy of prenatal care according to family income in Aracaju, Sergipe State, Brazil, 2011

to assess the adequacy of prenatal care offered to pregnant health service users in Aracaju, Sergipe State, Brazil, according to family income. this was a cross-sectional study with 322 women living in the city of Aracaju whose children were born in November and December 2011; data were collected using questionnaires, including number of consultations, technical and laboratory procedures recommended by the Brazilian Ministry of Health (MoH); adequacy of prenatal care was assessed according to MoH criteria; chi-square test was used to compare proportions between categorical variables. prenatal care was considered inadequate for 89.1% of women, with no statistical difference for inadequacy of prenatal care according to family income (p=0.323). low adequacy of prenatal care was found when applying MoH parameters, regardless of pregnant women's family income.

Economic evaluation of Community Level Interventions for Pre-eclampsia (CLIP) in South Asian and African countries: a study protocol.

BackgroundGlobally, hypertensive disorders of pregnancy, particularly pre-eclampsia and eclampsia, are the leading cause of maternal and neonatal mortality, and impose substantial burdens on the families of pregnant women, their communities, and healthcare systems. The Community Level Interventions for Pre-eclampsia (CLIP) Trial evaluates a package of care applied at both community and primary health centres to reduce maternal and perinatal disabilities and deaths resulting from the failure to identify and manage pre-eclampsia at the community level. Economic evaluation of health interventions can play a pivotal role in priority setting and inform policy decisions for scale-up. At present, there is a paucity of published literature on the methodology of economic evaluation of large, multi-country, community-based interventions in the area of maternal and perinatal health. This study protocol describes the application of methodology for economic evaluation of the CLIP in South Asia and Africa.MethodsA mixed-design approach i.e. cost-effectiveness analysis (CEA) and qualitative thematic analysis will be used alongside the trial to prospectively evaluate the economic impact of CLIP from a societal perspective. Data on health resource utilization, costs, and pregnancy outcomes will be collected through structured questionnaires embedded into the pregnancy surveillance, cross-sectional survey and budgetary reviews. Qualitative data will be collected through focus groups (FGs) with pregnant women, household male-decision makers, care providers, and district level health decision makers. The incremental cost-effectiveness ratio will be calculated for healthcare system and societal perspectives, taking into account the country-specific model inputs (costs and outcome) from the CLIP Trial. Emerging themes from FGs will inform the design of the model, and help to interpret findings of the CEA.DiscussionThe World Health Organization (WHO) strongly recommends cost-effective interventions as a key aspect of achieving Millennium Development Goal (MDG)-5 (i.e. 75 % reduction in maternal mortality from 1990 levels by 2015). To date, most cost-effectiveness studies in this field have focused specifically on the diagnostic and clinical management of pre-eclampsia, yet rarely on community-based interventions in low-and-middle-income countries (LMICs). This study protocol will be of interest to public health scientists and health economists undertaking community-based trials in the area of maternal and perinatal health, particularly in LMICs.Trial registrationClinicalTrials.gov: NCT01911494

The effect evaluation of group health education mode in obstetrics department

Objective To investigate the implementation effect of group health education mode in the obstetrics department.Methods A teaching team was set up by 15 obstetrics nurses and some families of pregnant women were as a group,the training of knowledge and skills of maternal - child nursing were taught through the combination method of classroom teaching,demonstration of operations and bedside guidance.110 participants were randomly selected to evaluate their familiarity of the knowledge and skill of maternalchild nursing before and after the training.Results A significant difference was detected in the knowledge of newborn feeding,nursing and puerperium before and after the training (P ＜ 0.05).The maternal and child nursing skill three days after birth was significantly improved than before (P ＜ 0.05).Conclusions The group health education mode can not only help pregnant women and families receive knowledge and skills of maternal - child nursing,but also establish healthy behavior and promote maternal and child health. Key words: Obstetrics department; Group mode ; Health education ; Effect evaluation

Characteristics of the social support for pregnant women in Japan--according to concept of four kinds of social support

The qualities of the social support and social network for pregnant women influence their mental and physical states during pregnancy and childcare period. We adopted Cronenwett's conceptual framework and the four kinds of the social support (emotional, material, information and comparison support) based on House's definition to examine the qualities of them. As for support resources, pregnant women's family, friend and husband's family provided most of the social support for pregnant women. Among of them, husband, mother, sisters, and husband's mother were especially important members, providing satisfactory support for pregnant women. The pregnant woman's and her husband's families were the main resources of emotional and material support. Friend was the that of information and comparison support. The pregnant women most perceived emotional support with the largest supportive members. Material support was perceived the most clear and independent kind from other three ones of supports.

The Practice of Traditional Birth Attendants in Zululand

Approximately 60% of births in the Mseleni area of South Africa's Kwa Zulu province were home deliveries in 1984. Home deliveries in the area are generally attended by members of the pregnant woman's family. If difficulties are encountered during labor, the family will call upon a midwife, or Traditional Birth Attendant (TBA) for assistance. 14 TBAs from the Mseleni area were interviewed in 1984, about their technics and beliefs with regard to childbirth, and how they had acquired them. Most of the women reported that they had learned their technics from their mothers, who had also been TBAs. But TBAs from Mseleni District, where the local hospital was situated, had apparently learned from women working at the hospital that eggs and milk were valuable foods for their patients. The traditional beliefs and practices that the TBAs reported varied depending on the particular district they were from. Judged by the standards of modern medicine, some of these traditional practices appeared to be useful, while others seemed counterproductive. All of the interviewers expressed a willingness to participate in a training program at the hospital. It is recommended that such a program be conducted.