Falls in workers during pregnancy: Risk factors, job hazards, and high risk occupations

2003 ◽  
Vol 44 (6) ◽  
pp. 664-672 ◽  
Author(s):  
Kari Dunning ◽  
Grace LeMasters ◽  
Linda Levin ◽  
Amit Bhattacharya ◽  
Toni Alterman ◽  
...  
2020 ◽  
Vol 1 (2) ◽  
pp. 8-14
Author(s):  
Ketut Suarayasa ◽  
Bertin Ayu Wandira

The purpose of this study was to obtain an overview of pregnancy risk factors in pregnant women accompanied by young doctor from the IKM-KK department of the Faculty of Medicine at Tadulako University during a stase at the Primary Health Care in the city of Palu. The design of this study was descriptive in order to obtain an overview of pregnancy risk factors obtained from the checklist for assisting pregnant women. The population in this study were all pregnant women who received young doctor from the IKM-KK department in the last 2 (two) years, totaling 147 pregnant women. While the sample in this study was 3rd trimester pregnant women whose notes in the accompanying book are complete. The results showed that: 1) Compliance with the lowest Antenatal Care standard in laboratory tests (70%); 2) Pregnant Women with Low Risk Pregnancy (KRR) of 58.2%, High Risk Pregnancy (KRT) of 32.2% and Very High Risk Pregnancy (KRST) of 9.6%; 3) The three highest risk factors for pregnancy are getting pregnant too soon again <2 years (31.3%), had cesarean section (22.9%) and pre-eclampsia (16.7%); and 4) Pregnant women with very high risk pregnancies (KRST) at most (72.7%) were found in urban health centers, including: kamonji (36.3%), Singgani (18.2%) and Talise (18.2%).


2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Ryanne Carolynne Marques Gomes ◽  
Marcos Venícios de Oliveira Lopes ◽  
Jaqueline Galdino Albuquerque Perrelli ◽  
Cleide Maria Pontes ◽  
Francisca Márcia Pereira Linhares ◽  
...  

ABSTRACT Objective: to analyze the NANDA-I taxonomy “maternal-fetal dyad” concept in high-risk pregnancy. Method: an integrative literature review based on the Conceptual Analysis model proposed by Walker and Avant. It was conducted at PUBMED, CINAHL, SCOPUS, LILACS and SciELO, with the descriptors: Complications of pregnancy, Risk Factors, and Pregnancy, High-Risk (from 2008-2020). Result: the sample consisted of 44 articles, which identified two attributes and 21 antecedents of the concept. Conclusion: concept analysis allowed to identify the attributes and antecedents of the “maternal-fetal dyad” concept in high-risk pregnancy, in addition to raising and clarifying ideas. It was possible to identify 12 antecedents that are not included in NANDA-I as well as the need to review the definition of the diagnosis proposed by the taxonomy.


2020 ◽  
Vol 2 (1) ◽  
pp. 16
Author(s):  
Ika Septiana Saputri ◽  
Ika Yudianti

Kecemasan pada ibu bahkan yang mempunyai resiko kehamilan yang tinggi dapat memicu terjadinya rangsangan kontraksi rahim sehingga mampu mengakibatkan preeklampsi dan keguguran, kelahiran Bayi Berat Lahir Rendah dan bayi prematur. Perlunya melakukan pengkajian tingkat kecemasan sehingga tidak mengakibatkan komplikasi dalam kehamilan. Tujuan dari penelitian ini yaitu untuk mengetahui perbedaan tingkat kecemasan ibu hamil trimester III berdasarkan kelompok faktor resiko kehamilan Desain penelitian menggunakan analitik komparasi dengan pendekatan cross-sectional. Penelitian ini menggunakan teknik Purposive sampling. Sampel berjumlah 51 orang yang memenuhi kriteria inklusi yaitu tercatat didalam kohort dengan usia kehamilan 28-37 minggu di Wilayah Kerja Puskesmas Gribig, mengetahui faktor resiko kehamilannya, dapat membaca dan menulis, serta bersedia menjadi responden. Analisis data menggunakan uji Kruskall Wallis. Pengumpulan data menggunakan kuesioner ZSAS yang telah dimodifikasi. Hasil uji statistik p value (0,000) < α = (0,05) maka Ho ditolak yang berarti terdapat perbedaan antara Tingkat Kecemasan Ibu Hamil Trimester III berdasarkan Kelompok Faktor Resiko Kehamilan di Wilayah Kerja Puskesmas Gribig Kecamatan Kedungkandang Kota Malang. Mayoritas responden yang termasuk kelompok resiko rendah (88,9%) mengalami tingkat kecemasan ringan, kelompok resiko tinggi (86,7%) mengalami tingkat kecemasan sedang, dan kelompok resiko sangat tinggi (66,7%) mengalami tingkat kecemasan berat. Dari hasil penelitian tersebut, menunjukkan bahwa semakin tinggi faktor resiko yang dialami akan semakin tinggi pula tingkat kecemasan. Sehingga diharapkan bidan dapat memberikan KIE tentang hasil skrinning kelompok faktor resiko kehamilan, serta meningkatkan perhatian dan empati pada ibu hamil yang sangat membutuhkan infomasi lebih mengenai kehamilan guna dapat mengatasi kecemasan yang terjadi. Anxiety in mothers even who have a high risk of pregnancy can trigger stimulation of uterine contractions so that it can lead to preeclampsia and miscarriage, low birth weight birth (LBW) and premature babies. The need to assess anxiety levels so that they do not cause complications in pregnancy. The purpose of this study is to determine differences in anxiety levels of third trimester pregnant women based on pregnancy risk factor groups. The study design uses comparative analytics with cross-sectional approaches. This research uses purposive sampling technique. A sample of 51 people who met the inclusion criteria was recorded in a cohort with 28-37 weeks' gestation in the Gribig Community Health Center Work Area, knew the risk factors for pregnancy, could read and write, and was willing to be respondents. Data analysis using the Kruskall Wallis test. Data collection uses a modified ZSAS questionnaire. Statistical test results p value (0,000) <α = (0.05) then Ho is rejected, which means there is a difference between the Anxiety Levels of Trimester III Pregnancy based on Pregnancy Risk Factors in Gribig Puskesmas Work Area in Kedungkandang District, Malang. The majority of respondents who belong to the low risk group (88.9%) experienced mild anxiety levels, the high risk group (86.7%) experienced moderate anxiety levels, and the very high risk group (66.7%) experienced severe anxiety levels. From the results of the study, showed that the higher the risk factors experienced the higher the level of anxiety. It is hoped that midwives can provide IEC about the screening results of pregnancy risk factor groups, and increase the attention and empathy of pregnant women who really need more information about pregnancy in order to overcome the anxiety that occurs.


2009 ◽  
Vol 99 (6) ◽  
pp. 1053-1061 ◽  
Author(s):  
Jill G. Joseph ◽  
Ayman A. E. El-Mohandes ◽  
Michele Kiely ◽  
M. Nabil El-Khorazaty ◽  
Marie G. Gantz ◽  
...  

2018 ◽  
Vol 11 (2) ◽  
pp. 95-104
Author(s):  
Ivan D. Ivanov ◽  
Stefan A. Buzalov ◽  
Nadezhda H. Hinkova

Summary Preterm birth (PTB) is a worldwide problem with great social significance because it is a leading cause of perinatal complications and perinatal mortality. PTB is responsible for more than a half of neonatal deaths. The rate of preterm delivery varies between 5-18% worldwide and has not decreased in recent years, regardless of the development of medical science. One of the leading causes for that is the failure to identify the high-risk group in prenatal care. PTB is a heterogeneous syndrome in which many different factors interfere at different levels of the pathogenesis of the initiation of delivery, finally resulting in delivery before 37 weeks of gestation (wg). The various specificities of risk factors and the unclear mechanism of initiation of labour make it difficult to elaborate standard, unified and effective screening to diagnose pregnant women at high-risk for PTB correctly. Furthermore, they make primary and secondary prophylaxis less effective and render diagnostic and therapeutic measures ineffective and inappropriate. Reliable and accessible screening methods are necessary for antenatal care, and risk factors for PTB should be studied and clarified in search of useful tools to solve issues of risk pregnancies to decrease PTB rates and associated complications.


2017 ◽  
pp. 53-58
Author(s):  
Lam Huong Le

Objectives: Molar pregnancy is the gestational trophoblastic disease and impact on the women’s health. It has several complications such as toxicity, infection, bleeding. Molar pregnancy also has high risk of choriocarcinoma which can be dead. Aim: To assess the risks of molar pregnancy. Materials and Methods: The case control study included 76 molar pregnancies and 228 pregnancies in control group at Hue Central Hospital. Results: The average age was 32.7 ± 6.7, the miximum age was 17 years old and the maximum was 46 years old. The history of abortion, miscarriage in molar group and control group acounted for 10.5% and 3.9% respectively, with the risk was higher 2.8 times; 95% CI = 1.1-7.7 (p<0.05). The history of molar pregnancy in molar pregnancy group was 9.2% and the molar pregnancy risk was 11.4 times higher than control group (95% CI = 2.3-56.4). The women having ≥ 4 times births accounted for 7.9% in molar group and 2.2% in control group, with the risk was higher 3.8 times, 95% CI= 1.1-12.9 (p<0.05). The molar risk of women < 20 and >40 years old in molar groups had 2.4 times higher than (95% CI = 1.1 to 5.2)h than control group. Low living standard was 7.9% in molar group and 1.3% in the control group with OR= 6.2; 95% CI= 1.5-25.6. Curettage twice accounted for 87.5%, there were 16 case need to curettage three times. There was no case of uterine perforation and infection after curettage. Conclusion: The high risk molar pregnancy women need a better management. Pregnant women should be antenatal cared regularly to dectect early molar pregnancy. It is nessecery to monitor and avoid the dangerous complications occuring during the pregnancy. Key words: Molar pregnancy, pregnancy women


Author(s):  
Phillip M. Kleespies ◽  
Justin M. Hill

This chapter illustrates the mental health clinician’s relationship with behavioral emergencies. The chapter begins by distinguishing the terms behavioral emergency and behavioral crisis, and underlying themes among all behavioral emergencies are identified. Given that most clinicians will face a behavioral emergency in their careers, the importance of enhancing the process of educating and training practitioners for such situations far beyond the minimal training that currently exists is highlighted. The chapter continues by exploring various aspects of evaluating and managing high-risk patients (i.e., those who exhibit violent tendencies toward themselves or others, and those at risk for victimization). It includes a discussion of the benefits and limitations to estimating life-threatening risk factors and specific protective factors. The chapter concludes by discussing the emotional impact that working with high-risk patients has on clinicians, and an emphasis is placed on the importance of creating a supportive work environment.


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