Prolonged Labor Research Articles

The association between maternal age and parity with prolonged labor: A literature review

Introduction: Labor and childbirth are essential parts of the human life cycle. When labor extends longer than expected, it’s referred to as prolonged labor, a complication that contributes to over 810 maternal deaths each year worldwide and accounts for over 69,000 cases annually. In fact, prolonged labor is the most frequently reported childbirth complication, occurring in 41% of cases. Past research has shown that a mother's age and the number of children she has (parity) can influence the risk of prolonged labor. More research is needed to understand better how these factors impact prolonged labor. Method: This study is a literature review, drawing from sources in Google Scholar, PUBMED, and Science Direct, focusing on research published between 2019 and 2024. The study included only original research articles in English or Indonesian with all the required components. Result and Discussion: From the literature search, 10 studies met the inclusion criteria. Among these, 7 studies found a strong correlation between maternal age and prolonged labor, while 2 found no correlation. Furthermore, 9 studies indicated a significant relationship between parity and prolonged labor, while 1 study described the characteristics of mothers who experienced prolonged labor. Conclusion: In general, maternal age is related to the risk of prolonged labor, though a few studies showed no link. Parity is also significantly associated with prolonged labor.

The impact of hemoglobin concentration on farrowing duration in sows

Abstract Concerns have been raised about the prevalence of anemia in sows, yet our understanding of its consequences, particularly its impact on the farrowing process, remains limited. This study investigated the relationship between hemoglobin concentration (HbC) and farrowing duration in sows. A total of 101 sows (n = 16 parity 0, 15 parity 1, 24 parity 2, and 46 parity 3 sows) were monitored for blood HbC (Hemocue Hb 201 device) from the ear vein before farrowing (d112 of gestation) and between 40 to 48h after farrowing (d2). Sows were categorized as anemic (HbC < 10 g/dL), or non-anemic (HbC ≥ 10 g/dL) based on their d112 HbC (i.e., pre-farrowing status). Surveillance cameras recorded the farrowing process for each sow, complemented by human observation. Farrowing duration was defined as the time elapsed between the first piglet born and the last piglet born. All piglets were individually weighed within 18h of birth, and stillborn piglets were identified using a lung flotation test conducted within 1h of birth. The correlation between sow HbC, farrowing duration, and stillborn piglets was assessed using the PROC CORR procedure in SAS. Additionally, the effect of HbC category on labor duration was tested using the PROC MIXED procedure, with total piglets born included as a covariate. Anemic sows had a prolonged farrowing (7.2 h ± 0.92 minutes, P < 0.001) compared to non-anemic sows (3.5 h ± 0.88 minutes) and negative correlation was observed between pre-farrow HbC and farrowing duration (r = -0.62, P < 0.001). There was a weak correlation between farrowing duration and stillborn piglets (r = 0.32, P = 0.01). No correlation was observed between farrowing duration and total born (r = 0.22, P = 0.11). There was no difference in total born (16.41 ± 0.7 vs 16.3 ± 0.7) between anemic (<10 g/dL) and non-anemic (≥ 10 g/dL) sows, respectively. Factors such as barn temperature on the day of parturition and feed intake the day prior did not influence the observed differences in labor duration between anemic and non-anemic sows. In conclusion, maintaining HbC above 10 g/dL appears beneficial for sows, as lower concentrations of HbC are associated with prolonged labor and increased removal rates. Blood HbC could serve as a valuable biomarker for identifying at-risk sows, thereby aiding in improving herd management and productivity.

Motivations for and experience with labor induction at 39 weeks in women with obesity-A qualitative study.

Timing of induction of labor (IOL) at term has been investigated in multiple settings. In Denmark, the 'When to INDuce for OverWeight' (WINDOW) study compares IOL at 39 weeks of gestation versus expectant management in low-risk women with obesity. However, knowledge on women's expectations of and experience with IOL is sparse. The aim of this study was to explore women's motivation to join the WINDOW study and their experience when randomized to IOL at 39 gestational weeks. A qualitative interview study of 25 pregnant women with obesity randomized in the WINDOW study to IOL at 39 weeks of gestation was conducted. Participants were recruited from four hospitals in Central Denmark Region and were interviewed four to six weeks after giving birth. A thematic analysis was performed using a phenomenological approach. The analysis resulted in three main themes, (1) Motivation for IOL, (2) The IOL process, and (3) IOL in recollection and in the future. Participants perceived inclusion into the WINDOW study as a "great opportunity," as they hoped to be randomized to IOL at 39 weeks of gestation. Their main motivation for participating was physical discomfort in late pregnancy and a wish for "knowing" the timing of the birth. BMI-related risk factors were mentioned by few as a motivating factor. Some participants described the IOL process as a team effort between the couple and the midwives and were positive towards future IOL. Others associated the IOL process with prolonged labor or described the body as "reluctant" to respond to the induction regime. A desire to experience spontaneous onset of labor in a future pregnancy was mentioned. Physical discomfort and wanting to "control" the onset of labor were main motivations for women's decision to participate in the WINDOW study, hoping they would be allocated for IOL. Comprehensive information and being supported by midwives through the IOL process was crucial for a positive IOL experience. Some participants were positive towards a future IOL. Others speculated if their body was not ready for birth in 39 weeks of gestation and/or associated the IOL process with a challenging labor.

Trend, prevalence, and associated factors of uterine rupture at Nekemte Specialized Hospital, Oromia Regional State, Western Ethiopia

Maternal morbidity and mortality have long been among the world’s most challenging health issues. Uterine rupture is one of the peripartum complications that kills almost one in every thirteen mothers. However, there is limited evidence on uterine rupture trends, proportions, and determinants. Thus, this study assessed the trend, prevalence, and associated factors of uterine rupture at Nekemte Specialized Hospital, Oromia Regional State, Western Ethiopia. An institution-based cross-sectional study was conducted among 2661 clients selected using a systematic random selection technique among the data collected for the project between January 2014 and December 2022 at Nekemte Specialized Hospital. Data were collected through an interview-administered questionnaire and card review from March 2023 to August 2023. The collected data were checked, coded, and entered into Epi info version 7.2 and then exported to SPSS Version 27 for analysis. Logistic regression models were fitted to identify the factors of uterine rupture. Adjusted odds ratio with 95% Confidence Interval was estimated to measure the strength of the association, and statistical significance was declared at a p-value less than 0.05. The trend of uterine rupture declined from 1.54% in 2014 to 0.93% in 2022. The overall prevalence was 3.53% (95%CI: 2.7%, 4.3%). Low household income (Adjusted OR = 3.75, 95%CI: 1.97, 7.13), grandmultiparity (Adjusted OR = 7.78, 95%CI: 4.70, 12.88), having a history of obstetrics complications such as prolonged labor (Adjusted OR = 3.78, 95%CI:2.11, 6.75), a history of cesarean section (Adjusted OR = 2.49, 95%CI:1.42, 4.35), and history of uterine repair (Adjusted OR = 18.01, 95%CI: 6.81, 47.64) were significantly associated with uterine rupture. This finding showed that the trend is declining, and the proportion of uterine rupture is still higher. A more vigilant approach to increase access to lower-income mothers, prevent prolonged and obstructed labor, and maintain antenatal care with complete packages and a referral system are issues to be addressed to minimize the chance of uterine rupture among women.

Influence of socio-economic factors on obstetric morbidity in Eastern India: A study based on NFHS 5

Abstract Background Obstetric morbidity encompasses health issues related to pregnancy or childbirth, excluding accidental causes. The whole process of childbearing is not just a biological phenomenon, rather it is governed by personal, social, cultural, and institutional factors. The entire eastern region of India including the four provinces of Bihar, Jharkhand, Odisha, and West Bengal is susceptible to high maternal mortality and morbidity. It presents a strong background to further envisage the factors responsible for such situation. Thus, the study aims to explore regional variations and socio-economic factors associated with obstetric morbidity among women in eastern India. Methods This study uses data from the 2019-2021 National Family and Health Survey (NFHS 5). The explanatory variable, obstetric morbidity, includes issues during pregnancy and delivery- vision difficulties, bleeding, swelling, convulsions, fever, breech presentation, and prolonged labor. Predictor variables include age, age at marriage and first birth, wealth index, residence, toilet facility, caste, working status, media exposure, religion, birth order, and education level. Bivariate and binary logistic regression analyses have been used as a methodological tool. Results In the eastern region, 53.76% women experience obstetric issues. Women belonging to 15-24 years with higher educational attainment increases the prevalence of obstetric morbidity. The probable reason is, with education, awareness about reproductive morbidity increases and in turn the reporting for morbidity increases. Therefore, the findings showed age, educational attainment, wealth quintile, media exposure, residence, work status, birth order and toilet facilities are highly associated with obstetric morbidity among women. Conclusions Implementing of targeted interventions, and awareness campaigns are crucial to reducing obstetric complications and maternal mortality in the eastern region of India Key messages • Socioeconomic correlates impact obstetric morbidity in eastern India in manifolds especially education, age, and wealth quintile of women in eastern India. • Obstetric morbidity is a growing concern in eastern India, thus implementing targeted interventions and awareness campaigns are much needed.

Maternal health in conflict-affected settings: a case study from a frozen conflict zone

Abstract Background Reproductive, maternal, newborn and child health are negatively impacted in conflict-affected settings, and may be acutely affected in frozen conflicts due to fragile health systems and uncertain geopolitical contexts. To better understand maternal health in a frozen conflict zone, we examined maternal health outcomes in Nagorno-Karabakh during a ceasefire period prior to the forced displacement of the entire population. Methods Multistage cluster sampling was used to sample 1023 households in Nagorno-Karabakh during the summer of 2022. From each household, one woman, age 18 to 49, participated in an interviewer-administered survey. Maternal health outcomes were assessed among all married women who had ever given birth. Women with at least one child under 5 years were also asked about their most recent pregnancy. Results Among all married women, 85.5% had ever given birth, 19.0% ever had a miscarriage, and 2.8% ever had a stillbirth. Of the 299 women with at least one child under 5, 97.7% received antenatal care, of which 90.4% had at least 4 visits. Over half experienced toxicosis (51.8%), 16.4% high blood pressure, 13.0% anemia, and 6.4% hemorrhage during their most recent pregnancy. The most common delivery complications were uterine scarring (19.7%), breached birth (7.0%), prolonged labor (6.4%) and hemorrhage (5.7%). Age was found to be a significant factor, with the odds of toxicosis (p = 0.039) and breached birth (p = 0.009) decreasing, yet the odds of miscarriage (p = 0.001) and hypertension (p = 0.007) increasing with age. Conclusions Almost all women reported adequate antenatal care with birth outcomes comparable to global statistics, demonstrating the ability of Nagorno-Karabakh to provide sufficient maternal healthcare while in a frozen conflict. Fortifying and ensuring access to maternal and reproductive healthcare, particularly antenatal care, is vital for ensuring the health and wellbeing of women and children in conflict-affected settings. Key messages • Women in Nagorno-Karabakh received antenatal care and experienced birth outcomes similar to global rates, demonstrating the value of access to reproductive healthcare in conflict-affected settings. • Future studies should examine the impact of forced displacement on the women of Nagorno-Karabakh to better understand the effect of conflict on reproductive and maternal health.

Magnitude and predictors of obstetric complications during delivery among postpartum women in Ethiopia: evidence from PMA Ethiopia longitudinal survey

IntroductionThe majority of pregnancy-related complications were preventable. However, the magnitude of complications during pregnancy and childbirth was high in sub-Saharan Africa. There was limited evidence on the magnitude of obstetric complications during childbirth and its predictors among postpartum women in Ethiopia.Methods and materialsThe research used secondary data sources based on performance monitoring for action in Ethiopia’s second cohort longitudinal survey. It was a national survey that was conducted in three large, predominantly agrarian regions (Oromia, Amhara, and SNNP) and one urban region (Addis Ababa) of Ethiopia between 2021 and 2023. It was conducted to track pregnant women’s use of essential maternal and newborn health services. It involved the enrollment of pregnant women and tracking them at six weeks, six months, and one year after giving birth. The data collected at the beginning of the survey and six weeks after childbirth were used for the analysis. Sample weights were applied to account for differences in sample allocation and response rates across regions and urban/rural areas. Multi-collinearity and intra-cluster correlation were assessed before fitting the multilevel models to ensure the accuracy of the estimates. A multi-level logistic regression model was used to assess the magnitude and predictors for the occurrence of obstetric complications during delivery. The model fit was evaluated using Akaike’s Information Criterion and Bayesian Information Criterion. Adjusted odds ratio with its 95% confidence interval was used to measure the strength of association for this study.ResultsThe magnitude of obstetric complications during delivery was found to be 33.86% with 95% CI (31.56, 36.24. Among the obstetric complications that occurred during delivery, about 15.73%with 95% CI(14.02, 17.61) of women experienced bleeding, 4.14% with 95% CI (3.30, 5.17) had their membrane rupture but labor did not start within 24 h, 2.29% with 95% CI(1.67, 3.13) had their membrane rupture before 9 months, 3.95% with 95% CI(3.16, 4.93) had faced malpresentation or malposition of the baby, 12.70% with 95% CI (11.18, 14.39) had prolonged labor lasting more than 12 h, and 12.40% with 95% CI (10.83,14.17) had convulsions. The odds of occurrence of obstetric complication during delivery among women from severely food insecure households were 1.88 times [AOR = 1.88; 95% CI (1.22, 2.90)] more likely to occur than women from food secure households. Moreover, the odds of occurrence for obstetric complications during delivery among women who had complications during their pregnancy were 2.39 times [AOR = 2.39; 95% CI (1.81, 3.16)] more likely to occur as compared to those women who had no complication during their pregnancy. On the other hand, women’s who had 1–4 live births given before this delivery were 0.61 times [AOR = 0.61; 95% (0.43, 0.88)] less likely to develop complications as compared to those women’s who had no prior live birth.Conclusion and recommendationDelivery-related obstetric complications during delivery in Ethiopia were high. Approximately one-third of postpartum women in Ethiopia experienced obstetric complications during delivery. Based on this study, women’s from severely food insecure households, those women’s who had no prior live birth, and women’s who had complications during their pregnancy were more likely to develop delivery-related obstetric complications. Thus, policy makers and program implementers who were working on maternal and newborn health should give special attention for women’s from severely food insecure households, women’s who had no prior live births, and those women’s who encountered obstetric complications during their pregnancy to decrease the occurrence of obstetric complications during delivery. In Ethiopia, various governmental organizations, such as the Ministry of Health and the Ministry of Agriculture, are dedicated to addressing food insecurity and improving nutritional access. The country has launched several effective nutritional programs, including the Productive Safety Net Program, the Targeted Supplementary Feeding Program, and the National Nutrition Program, aimed at alleviating food insecurity and enhancing nutrition. Ongoing efforts are crucial to tackle the food insecurity experienced by women, which can help to reduce obstetric related complications of women’s during delivery. It is crucial for everyone involved in maternal and newborn health to prioritize addressing the factors that lead to obstetric complications during delivery in women in order to reach the goal of ending all preventable maternal and newborn deaths by 2030.

Molar Incisor Hypomineralization: Etiology, Correlation with Tooth Number Anomalies and Implications for Comprehensive Management Strategies in Children from Transylvania.

This study investigates the etiology of enamel developmental defects, specifically Molar Incisor Hypomineralization (MIH), and explores correlations between MIH and dental anomalies such as hypodontia to improve interdisciplinary restorative and orthodontic treatments. Additionally, it assesses the influence of stress factors on the development of enamel defects. Conducted from July to September 2024, this study involved 57 patients aged 6 to 11 from an urban setting, divided into two groups: 32 with MIH and 25 controls, selected based on criteria of mixed dentition without systemic pathology or chronic medication. Clinical evaluations, including intraoral photographs and panoramic radiographs, were performed alongside a detailed questionnaire addressed to the mothers covering prenatal, perinatal, and postnatal factors. The average age of children with MIH was 7.5 years, in contrast to 7.04 years in the control group (p = 0.17). Significant differences were noted in maternal age, with MIH mothers older (35.56 years) than controls (29.36, p = 0.0001). The prevalence of MIH was higher in boys (66.7%) compared to girls (38.1%, p = 0.036). Factors such as prolonged labor, medication during birth, and early postnatal medication were significantly linked to MIH. The study shows a strong correlation with hypodontia, with a significantly higher incidence of tooth number anomalies (p = 0.009) in the study group. Overall, the study emphasizes the association of MIH with various maternal and birth-related factors and with hypodontia, highlighting the need for a comprehensive, multidisciplinary approach to diagnosis and treatment. Further research is recommended to investigate the relationship between stress factors and MIH.

The Influence of Prenatal Yoga Exercise on Mother Anxiety Pregnant

Anxiety during pregnancy not only affects the health of pregnant women but can also have an impact on the delivery process such as premature labor, prolonged labour, cesarean delivery, low birth weight. Based on WHO data, there are around 10% of pregnant women with psychological disorders and about 13% of postpartum women worldwide. This incidence is higher in developing countries in pregnant women, namely 15.6% and 19.8% in postpartum women. The purpose of this study is The Effect of Prenatal Yoga Exercise on the Anxiety of Pregnant Women at TPMB Mamah Suhaeriah in 2022. Research method This type of research uses the Pre-Experimental method with a one group pretest-posttest design approach. Sampling using total sampling with a total sample of 20 respondents. The research instrument used was an observation sheet. The data analysis used is the Wilcoxon Sign Rank Test statistical test. Research results based on the results of statistical tests using the Wilcoxon Sign Rank test, the p-value (0.000

Abnormal Uterine Action

The uterus has three distinct layers the endometrium, myometrium, and perimetrium each playing a crucial role in the labour process. The transition from the latent to the active phase of labour is marked by an increase in the intensity and duration of contractions, with shorter intervals between them. Abnormal uterine actions can significantly contribute to dystocia, or difficult labor.T here is two main types of abnormal uterine activity that can lead to complications:  Hypotonic Uterine Activity: This occurs when the resting tone of the uterine muscle is low, resulting in weak or infrequent contractions. This can delay labour progress and may necessitate interventions.  Hypertonic Uterine Activity: In this case, the uterine muscle tone is elevated, leading to frequent but ineffective contractions. This can result in prolonged labour and increased maternal discomfort. Both conditions can confuse the progression of labour and may require careful management to ensure a safe delivery. Effective monitoring and interventions can help address these issues and improve labour outcomes.

Novel risk factors associated with retained placenta after vaginal birth.

To evaluate maternal and obstetric risk factors associated with retained placenta following singleton live vaginal births. We conducted a retrospective cohort study of women diagnosed with retained placenta after singleton live vaginal birth at or after 24 weeks of gestation, compared in a 1:2 ratio with women who had uncomplicated vaginal deliveries. The study and control groups were matched for maternal age, gestational age, and parity. Multivariate regression analysis assessed potential risk factors related to retained placenta. In all, 15,260 women who delivered at our medical center(both vaginal and non-vaginal)between 2015 and 2022, 170 (1.1%) were diagnosed with retained placenta. Ninety-nine women (0.65%) who met the inclusion criteria were matched with 198 controls (1.3%). Multivariate logistic regression identified potential risk factors not previously described for retained placenta, including in vitro fertilization (OR 3.8, 95% CI 1.3-11.7, P = 00.018), large-for-gestational-age fetuses (OR 28.2, 95% CI 5.4-148.5, P = 00.029), and endometriosis (OR 8.2, 95% CI 0.92-20, P = 00.024). Additional risk factors included pre-eclampsia, labor induction, vacuum-assisted delivery, and prolonged second-stage labor. This study identifies critical risk factors for retained placenta, highlighting the importance of early identification to improve maternal and neonatal outcomes.

Tasks and responsibilities of clinical midwives in Dutch hospitals.

The number of Dutch clinical midwives has increased substantially over the last 20 years, but their tasks, responsibilities, and formal positions remain unclear. This study aimed to gain insight into the current tasks and responsibilities of clinical midwives in Dutch hospitals. We also aimed to determine whether these tasks varied among three types of hospitals in the Netherlands: secondary nonteaching hospitals, secondary teaching hospitals, and tertiary hospitals. A cross-sectional national survey in which a questionnaire was sent to 810 clinical midwives from 78 hospitals was conducted. Responses from 412 (51%) clinical midwives from 77 hospitals were included in the analysis. Most respondents (97%) provided care in the delivery wards. They were often involved in the induction of labor (88%), requests for pain relief (87%), cases of meconium-stained fluid (59%), prolonged first-stage labor (56%), and maternal hypertensive disorders (43%). Daily tasks and responsibilities were determined by the type of pathology (60%), caseload in the ward (48%), and years of work experience (28%). The tasks varied according to hospital type, and the majority also conducted non-care-related tasks, such as auditing (83%) and teaching (67%). Dutch clinical midwives play important roles in obstetric care. They provide care for women with a wide range of pathologies they are not always trained for. In addition, they perform non-care-related tasks. Their tasks varied according to hospital type. To ensure that they are both skilled and authorized, compulsory training and formalization of their profession are possible interventions.

Timing of cesarean section for prolonged labor in urban Tanzania: A criterion-based audit

Timing of cesarean section for prolonged labor in urban Tanzania: A criterion-based audit

Pelvic floor status during pregnancy as a predictor of pelvic dysfunction and birth outcome

This literature review presents an analysis of a number of studies that examined the association between pelvic floor health during pregnancy and the development of pelvic dysfunction and birth outcomes. These studies consistently demonstrated that changes in pelvic floor structure and function during pregnancy are associated with an increased risk of developing pelvic disorders such as urinary incontinence and pelvic organ prolapse. Besides, certain pelvic floor characteristics, such as muscle strength, tone, and stretching ability, have been identified as potential predictors of pelvic floor dysfunction during pregnancy and prolonged second-stage labor. The data collected suggest that pelvic floor assessment during pregnancy may provide valuable prognostic information about birth outcomes. Understanding these relationships may lead to improved prenatal care strategies and interventions to optimize pelvic floor function and reduce the incidence of adverse birth outcomes. Further research is required to clarify the specific parameters for evaluating pelvic floor changes that are most indicative of pelvic organ dysfunction and adverse birth outcomes, as well as to assess the efficacy of preventive interventions.

Study Of Incidence And Risk Factors In Surgical Site Infections Post LSCS At Tertiary Care Centre In Western Rajasthan

Background: Surgical site infection post LSCS leads to increasing patient morbidity and increase the duration of patient hospitalization, hospital costs and raise the burden on our healthcare system. The incidence of SSI after caesarean section ranges from 3% to 5%. Objective of current investigation was to study the incidence&risk factors responsible for SSI in LSCS. Methods: This prospective study was done among pregnant women undergoing LSCS who developed SSI at department of Obstetrics and Gynaecology in Umaid Hospital, Jodhpur during June 2023 to August 2023. All patients were following up to 7thpostoperative day.SSI was defined by CDC criteria. Results: The incidence of SSI noted in present study was 2.5%. Almost 30.8% cases had BMI ≥25 kg/m2 , 55% multipara, 67.3% resided in rural area. Anemia, PROM, LSCS in emergency, multiple vaginal examination (>5), prolonged labornoted in participants of SSI was 51.9%, 26.9%, 75, 34.6%, 38.4% respectively. Silk suture material was used in 71% of cases who developed SSI. Conclusions: Incidence of SSI in present is 2.5%. BMI, Anemia, PROM, LSCS in emergency, multiple vaginal examination (>5), prolonged labor, silk suture material were noted higher among the participants who developed SSI. Keywords: Cesarean delivery, Incidence of SSI, Risk factor, Surgical site infection

Evaluating the clinical utility of cervical cultures in postpartum endometritis management.

To evaluate the utility of cervical cultures in the diagnosis and management of postpartum endometritis. A retrospective study was conducted on 1069 cervical cultures collected from postpartum women with suspected endometritis between 2011 and 2021. Patient demographics, obstetric history, clinical parameters, and culture results were analyzed. Microorganisms were categorized into five groups based on species and virulence. Statistical analysis was performed to identify associations between risk factors, pathogens, and disease severity. The positivity rate for distinct microorganisms in cervical cultures was 33.1%. Escherichia coli (10.8%) and Group B Streptococcus (7.5%) were the most common isolates. Prolonged labor duration and prolonged rupture of membranes were associated with Enterobacterales infections. Elevated white blood cell count was linked to Enterobacterales and beta-hemolytic Streptococci, while the former were also associated with higher rate of postpartum clinic visit. No significant differences in disease severity were found between other microorganism groups. The study suggests that while cervical cultures can identify potential pathogens in postpartum endometritis, their clinical utility is questionable due to the polymicrobial nature of the disease and the isolation of commensal microorganisms. The lack of significant differences in disease severity across various microorganism groups raises questions regarding the contribution of distinct bacterial identification in endometritis management.

Factors and consequences of early marriage among women in Jumla

Background: In Nepal, child marriage is seen as a significant obstacle to the country's social and economic growth as well as a significant threat to the health of women. Despite a steady decline in this harmful practice over the past decade, child marriage remains widespread, with approximately one in five girls married in childhood across the globe. The objective of the study was to find out the factors and consequences of early marriage among women in Jumla. Methods: The cross-sectional study was conducted among the residents of Jumla District where 280 married reproductive age group women were taken as subjects. Simple random sampling technique was used. Data was collected by using semi-structured interview schedule. Analysis was done by using descriptive and inferential statistics. Results: Study findings showed that majority (77.9%) of the respondents got early marriage. Early marriage was statistically association with educational status at the time of marriage (p=0.000), occupational status (p=0.000), type of marriage ((p=0.014), educational status of father (p=0.009), occupational status of father (p=0.016), parental income (p=0.000), decision making (p=0.003), husband´s education and occupation (p=0.000). Inadequate education (70.7%) and economic resources (83.9%), customs (66.8%) and unemployment (63.2%) are the main reasons of early marriage. Likewise, increasing responsibility (80.7%), lower abdominal pain (67.5%), uterine prolapse (65.4%), early pregnancy (71.1%), unplanned pregnancy (58.9%) and prolonged labor (51.8%) are the main consequences of early marriage. Therefore, it is concluded that more than three fourth of the respondents were married early which lead to many consequences. Conclusion: The study concluded that more than three fourth of the respondents got early marriage. Early marriage had significant association with educational status at the time of marriage, occupational status, type of marriage, occupational status of father, parental income, decision making at time of marriage, husband´s education and occupation. Inadequate education and economic resources, customs and unemployment are the main reasons of early marriage. Likewise, early pregnancy, unplanned pregnancy, prolonged labor, lower abdominal pain, uterine prolapse, and increasing responsibility are the main consequences of early marriage. Hence, the efforts have to be made to prevent the early marriage through awareness and various educational programs.

The Influence of Prenatal Yoga Exercise on Mother Anxiety Pregnant

Anxiety during pregnancy not only affects the health of pregnant women but can also have an impact on the delivery process such as premature labor, prolonged labour, cesarean delivery, low birth weight. Based on WHO data, there are around 10% of pregnant women with psychological disorders and about 13% of postpartum women worldwide. This incidence is higher in developing countries in pregnant women, namely 15.6% and 19.8% in postpartum women. The purpose of this study is The Effect of Prenatal Yoga Exercise on the Anxiety of Pregnant Women at TPMB Mamah Suhaeriah in 2022. Research method This type of research uses the Pre-Experimental method with a one group pretest-posttest design approach. Sampling using total sampling with a total sample of 20 respondents. The research instrument used was an observation sheet. The data analysis used is the Wilcoxon Sign Rank Test statistical test. Research results based on the results of statistical tests using the Wilcoxon Sign Rank test, the p-value (0.000

Exploring perceptions and attitudes towards pregnancy danger signs among childbearing age women in the Al-Baha Region, Saudi Arabia.

The World Health Organization (WHO) estimates that complications related to pregnancy and childbirth affect approximately 300 million women in developing countries, causing both acute and chronic illnesses. Direct obstetric complications such as hemorrhage, sepsis, hypertensive disorders during pregnancy, obstructed and prolonged labor, and unsafe abortion account for approximately 75% of maternal deaths. This study aimed to assess the perceptions and attitudes towards pregnancy danger signs among women of childbearing age in the Al-Baha Region, Saudi Arabia. A descriptive cross-sectional hospital-based study was conducted using simple random sampling to select 446 pregnant women. After outlining the study's goal and ensuring confidentiality, data were gathered through a pre-tested, well-designed questionnaire. Data were analyzed using Excel and SPSS version 28. The assessment of the study participants about perceptions of pregnancy danger signs revealed that many were aware of signs such as bleeding, abdominal pain, and lack of fetal movement, indicating a comprehensive understanding of potential pregnancy complications. The study participants exhibited good knowledge and relatively positive attitudes towards pregnancy danger signs. However, a significant fraction showed negative attitudes and insufficient knowledge, suggesting room for improvement in maternal health literacy. The study also found a significant relationship between sociodemographic characteristics and knowledge.Most participants had good knowledge and perceptions about pregnancy danger signs, and their attitudes were relatively positive. However, there is a need to increase awareness and improve attitudes towards pregnancy danger signs among women in the Al-Baha Region.

Hubungan Perdarahan dan Partus Lama pada Ibu Post Partum dengan Kejadian Infeksi pada Masa Nifas

Postpartum infection is an infection occurring after childbirth up to 42 days postpartum, characterized by fever, pelvic pain, foul-smelling lochia, and subinvolution of the uterus (delayed return of the uterus to its pre-pregnancy state). The leading causes of maternal mortality in Indonesia include hemorrhage, hypertensive disorders during pregnancy, infections, and metabolic disorders, with 25-50% of maternal deaths related to pregnancy, childbirth, and the postpartum period. This study aims to determine the relationship between hemorrhage and prolonged labor in postpartum mothers with the incidence of postpartum infections. The research used an analytical method with a retrospective approach. The population consisted of all postpartum women with infections, totaling 30 respondents in 2022. The sampling technique used total sampling with 30 respondents. Data analysis was performed using the chi-square test. The results showed a significant relationship between hemorrhage (p=0.03) and prolonged labor (p=0.04) with the incidence of postpartum infections at H. Abdul Manap Hospital, Jambi City, in 2023. The conclusion of this study is that there is a relationship between hemorrhage and prolonged labor with the incidence of postpartum infections at H. Abdul Manap Hospital, Jambi City.