Appraisal of the Preparedness of Midwives and Nurses in Bahrain to Conduct Early Screening for Zika Virus Infection in Pregnant Women

2017 ◽  
Vol 12 (1) ◽  
pp. 7-13
Author(s):  
Asokan G. V. ◽  
Mariam Mohammed Baqer Nama ◽  
Feryal Juma Salman ◽  
Zainab Habib Ali AlGhareeb ◽  
Ali Moosa Almoosawi ◽  
...  
Keyword(s):  
Public Health ◽  
Pregnant Women ◽  
Zika Virus ◽  
Night Shift ◽  
Knowledge Score ◽  
Modern Technology ◽  
Health Care Facilities ◽  
Early Screening ◽  
Zikv Infection ◽  
Cross Sectional

ABSTRACTObjectiveTo appraise the awareness and knowledge levels of midwives and nurses concerning early screening for Zika virus (ZIKV) infection among pregnant women attending health care facilities in Bahrain.MethodsThis was a cross-sectional, purposely chosen study of Bahraini and expatriate midwives, nurses, and supervisors employed in gynecology/obstetrics and labor wards of Salmanya hospital, a maternity hospital, 4 private hospitals, and health centers in Bahrain. The chosen individuals were invited to participate in a survey on awareness and knowledge of early screening for ZIKV infection.ResultsOf 266 midwives and nurses employed in the study sites, 170 (64%) consented to participate in the study. Of those who agreed to participate, 76 were midwives and 94 were nurses. Admittedly, 39% of midwives and nurses were unaware of ZIKV infection. The grand mean knowledge score in the study was 39%. Expatriate midwives and nurses scored better than did Bahrainis (P<0.001). The grand mean knowledge scores of evening and night shift duty participants were significantly higher than those of the day duty participants.ConclusionsThe awareness and knowledge scores of midwives and nurses concerning ZIKV infection were inadequate, which supported our hypothesis. By harnessing modern technology and support systems, lifelong learning can be used as a means to enhance preparedness for public health crises such as ZIKV. (Disaster Med Public Health Preparedness. 2018;12:7–13)

scholarly journals Knowledge of Zika Virus Transmission and Its Prevention among High-Risk Pregnant Women in Brazil

Viruses ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 242
Author(s):  
Lucas C. Pires ◽  
Luiza R. Dantas ◽  
Steven S. Witkin ◽  
Ana Paula A. P. Bertozzi ◽  
Rita de Cássia A. B. Dezena ◽  
...  
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Zika Virus ◽  
Virus Transmission ◽  
Cross Sectional Study ◽  
Zikv Infection ◽  
Cross Sectional ◽  
Virus Acquisition ◽  
Need To Evaluate ◽  
The City

Recent outbreaks of Zika virus (ZIKV) infection highlight the urgent need to evaluate the efficacy of current public health measures to educate susceptible groups about how to prevent infection, modes of viral transmission, and consequences of infection. We performed a cross-sectional study in the city of Jundiaí, São-Paulo, from March 2016 to August 2017. In 315 high-risk pregnant women we evaluated the rate of ZIKV infection, knowledge of pathways of ZIKV transmission, and the use of protective measures. Data were analyzed and correlated with sociodemographic variables. The rate of ZIKV infection was 10.8%. ZIKV transmission by mosquitoes was the best-known means of virus acquisition, while transmission of ZIKV by sexual intercourse as well as mother–fetus transmission was known by less than half of the women. The use of insect repellent, reported by 53% of participants, was correlated with higher education and personal directives from health professionals. Condom use was reported by 19.5% of subjects. Improved strategies to increase awareness of ZIKV infection and its consequences, designed to appeal to specific, targeted populations, are clearly necessary to more accurately prevent the spread of this infection and diminish adverse consequences in the pregnant population.

scholarly journals An Evaluation of The Syphilis Screening Program Among Pregnant Women In Gaborone Clinics, Botswana: A Five Year Retrospective Analysis

2017 ◽  
Vol 10 (1) ◽  
pp. 117-125
Author(s):  
A.B. Ganiyu ◽  
L. Mason ◽  
L.H. Mabuza
Keyword(s):  
Public Health ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Screening Program ◽  
Public Health Problem ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Cross Sectional ◽  
Care Facilities ◽  
Syphilis Screening

Background: Syphilis in pregnancy is a public health problem mainly in developing countries. If untreated, it can lead to pregnancy and fetal complications. Nation-wide screening at antenatal care is an important intervention for early detection and treatment to prevent complications. Objective: The aim was to evaluate the proportions and trends in the syphilis screening program of pregnant women who were attending the 15 public health care facilities in Gaborone Botswana during the period 2004 and 2008. Method: We conducted a cross-sectional study in the antenatal care facilities in Gaborone. Data was obtained from the antenatal registers from 7th to 25th September 2009 using a structured data collection sheet. We recorded the number of pregnant women registered for antenatal care, those screened and those not screened for syphilis. The SPSS 14.0 for windows software was used for data analysis. Results: The overall trends in the proportions of pregnant women screened for syphilis from 2004 to 2005 increased from 87.2% (95% CI, 86.4-88.0) to 89.7% (95% CI, 89.0-90.4), compared to the 2005 to 2006 estimates that showed a declined from 89.7% (95% CI, 89.0-90.4) to 79.0% (95% CI, 77.9-80.1). Seventy five percent of the clinics showed rising trends in the proportions of pregnant women screened for syphilis from 2004-2008. Conclusion: There were marked variations in the trends among pregnant women screened and those not screened for syphilis in the clinics around Gaborone. The overall trend was an increase screening coverage in the years 2004-2008. There is a need to investigate the factors associated with these variations.

scholarly journals Hematological Profile of Pregnant Women with Suspected Zika Virus Infection Followed Up at a Referral Service in Manaus, Brazil

Viruses ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 710
Author(s):  
Anny Beatriz Costa Antony de Andrade ◽  
Maria Jacirema Ferreira Gonçalves ◽  
Elijane de Fátima Redivo ◽  
Maria das Graças Costa Alecrim ◽  
Flor Ernestina Martinez-Espinosa
Keyword(s):  
Pregnant Women ◽  
Zika Virus ◽  
Lymphocyte Count ◽  
Hematological Parameters ◽  
Cross Sectional Study ◽  
Zikv Infection ◽  
Cross Sectional ◽  
Hematological Profile ◽  
Laboratory Confirmation ◽  
Reference Service

The purpose of this paper is to describe the hematological profile of pregnant women with suspected Zika virus (ZIKV) infection followed up at a reference service for infectious diseases in Manaus, Brazil, through a clinical, epidemiological, cross-sectional study of pregnant women with an exanthematic manifestation who looked for care between 2015 and 2017. The participants were 499 pregnant women, classified into four subgroups, according to laboratory confirmation of infections: ZIKV-positive; ZIKV-positive and positive for another infection; positive for another infection but not ZIKV-positive; and not positive for any of the infections investigated. Hematological parameters were analyzed descriptively. The association between maternal infection and the hematological profile, along with the association between the maternal hematological profile and the gestational outcome, were tested. Similar hematic and platelet parameters were observed among pregnant women. However, a significant association was observed between low maternal lymphocyte count and a positive diagnosis for ZIKV (p < 0.001). The increase in maternal platelet count and the occurrence of unfavorable gestational outcome were positively associated. A similar hematic and platelet profile was identified among pregnant women, differing only in the low lymphocyte count among ZIKV-positive pregnant women. Regarding gestational outcomes, in addition to the damage caused by ZIKV infection, altered maternal platelets may lead to unfavorable outcomes, with the need for adequate follow-up during prenatal care.

scholarly journals Social determinants associated with Zika virus infection in pregnant women

2021 ◽  
Vol 15 (7) ◽  
pp. e0009612
Author(s):  
Nivison Nery ◽  
Juan P. Aguilar Ticona ◽  
Claudia Gambrah ◽  
Simon Doss-Gollin ◽  
Adeolu Aromolaran ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Social Determinants ◽  
Zika Virus ◽  
Maternity Hospital ◽  
Cross Sectional Study ◽  
Zikv Infection ◽  
Cross Sectional ◽  
Sociodemographic Determinants ◽  
The Impact ◽  
The Relationship

This study aims to describe the sociodemographic determinants associated with exposure to Zika Virus (ZIKV) in pregnant women during the 2015–2016 epidemic in Salvador, Brazil. Methods We recruited women who gave birth between October 2015 and January 2016 to a cross-sectional study at a referral maternity hospital in Salvador, Brazil. We collected information on their demographic, socioeconomic, and clinical characteristics, and evaluated their ZIKV exposure using a plaque reduction neutralization test. Logistic regression was then used to assess the relationship between these social determinants and ZIKV exposure status. Results We included 469 pregnant women, of whom 61% had a positive ZIKV result. Multivariate analysis found that lower education (adjusted Prevalence Rate [aPR] 1.21; 95%CI 1.04–1.35) and food insecurity (aPR 1.17; 95%CI 1.01–1.30) were positively associated with ZIKV exposure. Additionally, age was negatively associated with the infection risk (aPR 0.99; 95%CI 0.97–0.998). Conclusion Eve after controlling for age, differences in key social determinants, as education and food security, were associated with the risk of ZIKV infection among pregnant women in Brazil. Our findings elucidate risk factors that can be targeted by future interventions to reduce the impact of ZIKV infection in this vulnerable population.

scholarly journals Knowledge and understanding of obstetric danger signs among pregnant women attending the antenatal clinic at the National Referral Hospital in Thimphu, Bhutan: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saran Tenzin Tamang ◽  
Thinley Dorji ◽  
Sonam Yoezer ◽  
Thinley Phuntsho ◽  
Phurb Dorji
Keyword(s):  
Pregnant Women ◽  
Knowledge Score ◽  
Antenatal Clinic ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Obstetric Danger Signs ◽  
Danger Signs ◽  
Obstetric Emergencies ◽  
Level Of Knowledge

Abstract Background The third Sustainable Development Goal for 2030 development agenda aims to reduce maternal and newborn deaths. Pregnant women’s understanding of danger signs is an important factor in seeking timely care during emergencies. We assessed knowledge of obstetric danger signs using both recall and understanding of appropriate action required during obstetric emergencies. Methods This was a cross-sectional study among pregnant women attending antenatal clinic at Bhutan’s largest hospital in Thimphu. Recall was assessed against seven obstetric danger signs outlined in the Mother and Child Health Handbook (7 points). Understanding of danger signs was tested using 13 multiple choice questions (13 points). Knowledge was scored out of 20 points and reported as ‘good’ (≥80%), ‘satisfactory’ (60–79%) and ‘poor’ (< 60%). Correlation between participant characteristics and knowledge score as well as number of danger signs recalled was tested using Pearson’s correlation coefficient. Association between knowledge score and participant characteristics was tested using t-tests (and Kruskal-Wallis test) for numeric variables. Socio-demographic and clinical characteristics associated with the level of knowledge ('good’ versus ‘satisfactory’ and ‘poor’ combined) were assessed with odds ratios using a log-binomial regression model. All results with p < 0.05 were considered significant. Results Four hundred and twenty-two women responded to the survey (response rate = 96.0%). Mean (±SD) knowledge score was 12 (±2.5). Twenty women (4.7%) had ‘good’ knowledge, 245 (58.1%) had ‘satisfactory’ knowledge and 157 (37.2%) had ‘poor’ knowledge. The median number of danger signs recalled was 2 (IQR 1, 3) while 68 women (20.3%) could not recall any danger signs. Most women were knowledgeable about pre-labour rupture of membranes (96.0%) while very few women were knowledgeable about spotting during pregnancy (19.9%). Both knowledge score and number of danger signs recalled had significant correlation with the period of gestation. Women with previous surgery on the reproductive tract had higher odds of having ‘good’ level of knowledge. Conclusions Most pregnant women had ‘satisfactory’ knowledge score with poor explicit recall of danger signs. However, women recognized obstetric emergencies and identified the appropriate action warranted.

scholarly journals TINGKAT KECEMASAN IBU HAMIL TERHADAP KUNJUNGAN ANTENATAL CARE DI MASA PANDEMI COVID-19

2021 ◽  
Vol 13 (01) ◽  
pp. 96
Author(s):  
Nining Sulistyowati ◽  
Yeti Trisnawati
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Personality Inventory ◽  
Health Care Facilities ◽  
Chi Square ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Pregnancy Anxiety ◽  
Care Facilities

ABSTRAKLatar belakang: Pandemi Covid-19 menyebabkan banyak pembatasan hampir ke semua layanan rutin termasuk pelayanan kesehatan maternal dan neonatal. Ibu hamil menjadi enggan ke puskesmas atau fasiltas pelayanan kesehatan karena takut tertular, adanya anjuran menunda pemeriksaan kehamilan dan kelas ibu hamil Kurangnya kunjungan ANC ini bisa menyebabkan bahaya bagi ibu maupun janin seperti terjadinya perdarahan saat masa kehamilan karena tidak terdeteksinya tanda bahaya. Tujuan penelitian: Untuk menganalisis kecemasan ibu hamil terhadap kunjungan antenatal care di masa pandemic covid-19. Metode: Penelitian analitik dengan rancangan cross sectional. Penelitian dilakukan di Praktik Mandiri Bidan di Kota Tanjungpinang dari bulan Januari – Februari 2021. Populasi seluruh ibu hamil TM III yang terdata di Praktik Mandiri Bidan di Kota Tanjungpinang dengan sampel sebanyak 32 responden. Teknik purposive sampling dengan kriteria antara lain ibu hamil dengan usia kehamilan trimester III, mampu mengungkapkan perasaan dan kecemasannya, mempunyai handphone dan nomor whatsapp, memiliki Buku KIA serta skor L-MMPI (Lie-Score Minnesota Multiphase Personality Inventory) <10. Hasil penelitian: Hasil uji statistik chi square diperoleh nilai p 0,016 (p<0,05) disimpulkan ada hubungan antara tingkat kecemasan ibu hamil dengan kunjungan antenatal care ke fasilitas pelayanan kesehatan di masa pandemi Covid-19. Simpulan: Hasil penelitian menunjukkan bahwa kunjungan ANC ibu hamil ke fasilitas pelayanan kesehatan pada masa pandemi covid-19 sebagian besar melakukan kunjungan ANC teratur 22 ibu hamil (68,8%), ibu hamil tidak mengalami kecemasan 9 (28,1%). Ibu hamil yang mengalami kecemasan dan tidak teratur melakukan kunjungan ANC sebanyak 12 ibu hamil (37,5%). Ibu hamil yang tidak mengalami cemas seluruhnya melakukan kunjungan ANC secara teratur yaitu 9 responden.Kata kunci: umur, Pendidikan, pekerjaan, kehamilan, kecemasan, frekuensi antenatal carePREGNANT MOTHER'S ANXIETY LEVELS ON ANTENATAL CARE VISITS DURING THE COVID-19 PANDEMICABSTRACTBackground: The Covid-19 pandemic has caused many restrictions on almost all routine services, including maternal and neonatal health services. Pregnant women are reluctant to go to the puskesmas or health service facilities for fear of contracting it, there are recommendations to postpone pregnancy checks and classes for pregnant women. This lack of ANC visits can cause danger to the mother and fetus, such as bleeding during pregnancy because no danger signs are detected. The purpose of the study: To analyze the anxiety of pregnant women regarding antenatal care visits during the covid-19 pandemic. Methods: Analytical research with cross sectional design. The study was conducted at the Independent Midwife Practice in Tanjungpinang City from January - February 2021. The population of all TM III pregnant women recorded at the Midwife Independent Practice in Tanjungpinang City with a sample of 32 respondents. Purposive sampling technique with criteria including pregnant women with the third trimester of pregnancy, being able to express their feelings and anxieties, having a cellphone and whatsapp number, having a KIA Book and an L-MMPI (Lie-Score Minnesota Multiphase Personality Inventory) score <10. Research results: The results of the chi square statistical test obtained a p value of 0.016 (p <0.05) it was concluded that there was a relationship between the level of anxiety of pregnant women and antenatal care visits to health care facilities during the Covid-19 pandemic. Conclusion: The results showed that ANC visits of pregnant women to health care facilities during the covid-19 pandemic mostly carried out regular ANC visits 22 pregnant women (68.8%), pregnant women did not experience anxiety 9 (28.1%). Pregnant women who experience anxiety and do not regularly visit ANC as many as 12 pregnant women (37.5%). Pregnant women who do not experience anxiety all make regular ANC visits, namely 9 respondents.Keywords: age, education, occupation, pregnancy, anxiety, antenatal care frequency.

scholarly journals Concern and Attitudes Toward Zika Virus in Jarabacoa, Dominican Republic: A Cross-Sectional Study

2018 ◽  
Vol 10 (12) ◽  
pp. 1
Author(s):  
Gregory Black ◽  
Eric Hasenkamp ◽  
Nicholas Johnson ◽  
Rosanna Ianiro ◽  
Ricardo Izurieta ◽  
...  
Keyword(s):  
Public Health ◽  
Health Education ◽  
Dominican Republic ◽  
Zika Virus ◽  
Public Health Education ◽  
Medical Provider ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Contraception Use ◽  
Vector Borne

BACKGROUND &amp; OBJECTIVES: The Zika virus, a member of the flavivirus genus, is an emerging threat to many tropical regions of the world. This study was designed to assess the level of knowledge, attitudes and concern in regards to the Zika virus in the community of Jarabacoa, Dominican Republic, with the hopes of guiding future efforts toward public education and prevention of future public health threats. METHODS: A cross-sectional survey was conducted in the rural communities of Jarabacoa during October 2016 and October 2017. Individuals completed a 14-point survey evaluating: level of concern towards Zika (1=no concern, 3=neutral, 5=extremely concerned), knowledge level of the disease, use of personal protection against the virus, how people initially heard about the disease and contraception use. RESULTS: Overall, women were more concerned than men about contracting the virus (p&lt;.001, CI -2.510, -0.826). Of the respondents (N=138), 66% learned about Zika from the TV/news and 24.6% from their medical provider. 5% knew Zika was contracted from blood and 2% from pregnancy, and only 17% of respondents knew that it was contracted through sex. For protection from Zika, only 8% used condoms. Of the women trying to get pregnant, none knew Zika could be transmitted through sex. CONCLUSION: This study revealed that women were more concerned about the Zika virus than men and that knowledge about the virus was limited. In general, people are protecting themselves against vector borne transmission but not non-vector borne modes of transmission such as sexual intercourse. Also, public health education is lacking. Further studies are needed with more male participants, focus on contraception and social media&rsquo;s effect on public health education.

Prevalence and Predictors of Gestational Hypertension: a Cross-Sectional Study among Moroccan Pregnant Women

2021 ◽  
Vol 13 (1) ◽  
pp. 1-9
Author(s):  
A. El Kardoudi ◽  
K. Kaoutar ◽  
A. Chetoui ◽  
K. Boutahar ◽  
S. Elmoussaoui ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Household Income ◽  
Gestational Hypertension ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

The objective of this study was to assess the prevalence of gestational hypertension, and to determine its predictors among pregnant women attending primary health care facilities in Beni Mellal city in Morocco. The prevalence of gestational hypertension was 18.7%. The low monthly household income (Adjusted Odds Ratio (AOR) = 7.874; IC 95% = [1.788–34.67]), gestational age less than 37 weeks (AOR = 6.860; IC 95% = [1.285–36.626]), limited knowledge on gestational hypertension (AOR = 12.719; IC 95% = [3.386–47.785]), and primigravidity (AOR = 9.047; IC 95% = [1.595–51.324]), were significantly associated with gestational hypertension.

scholarly journals Knowledge of preeclampsia and its associated factors among pregnant women: a possible link to reduce related adverse outcomes

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Linda A. Fondjo ◽  
Vivian E. Boamah ◽  
Adelaide Fierti ◽  
Dorcas Gyesi ◽  
Eddie-Williams Owiredu
Keyword(s):  
Logistic Regression ◽  
Pregnant Women ◽  
Multivariate Logistic Regression Analysis ◽  
Knowledge Score ◽  
Cross Sectional Study ◽  
Adverse Outcomes ◽  
University Hospital ◽  
Cross Sectional ◽  
Level Of Education ◽  
Adequate Knowledge

Abstract Background Pre-eclampsia (PE) is one of the leading causes of maternal morbidity and mortality globally. Adequate knowledge about a disorder contributes greatly to its prevention, control and management. This study assessed the level of knowledge of PE and evaluated the factors associated with knowledge adequacy among pregnant women attending antenatal care at a University Hospital in Kumasi-Ghana. Methods This cross-sectional study was conducted at the University Hospital in Kumasi, Ghana. A validated closed-ended questionnaire was used to collect socio-demographic information and history of PE. Knowledge of PE was assessed based on a series of questions regarding the awareness, signs/symptoms, risk factors and complications of PE. Responses were scored percentage-wise and grouped into low (< 60%), moderate (60–80%) and high (80–100%). Knowledge score was then re-stratified into adequate (% score of ≥60%) and inadequate knowledge of PE (% score of < 60%). Results The prevalence of inadequate and adequate knowledge of PE was 88.6% (mean score = 55.5 ± 4.3%) and 11.4% (mean score = 76.3 ± 5.9%), respectively. For participants with adequate knowledge of PE, 9.1% (mean score = 67.4 ± 6.9%) and 2.3% (mean score = 85.2 ± 5.1%) had moderate and high knowledge, respectively. Using univariate logistic regression models, being older (> 35 years old) [cOR = 3.09, 95%CI (0.88–10.88), p = 0.049] and having a higher level of education (> SHS education) [cOR = 4.45, 95%CI (2.18–9.10), p < 0.0001] were significantly associated with greater odds of having adequate knowledge of PE. After controlling for potential confounders in multivariate logistic regression analysis, we found higher level of education to be independently associated with adequate knowledge of PE [aOR = 2.87, 95%CI (1.31–6.30), p = 0.008]. Conclusion The knowledge of PE among pregnant women in Ghana is low. The prominent factor that facilitates adequacy of knowledge of PE is higher level of education.

scholarly journals Autophagy in Zika Virus Infection: A Possible Therapeutic Target to Counteract Viral Replication

2019 ◽  
Vol 20 (5) ◽  
pp. 1048 ◽  
Author(s):  
Rossella Gratton ◽  
Almerinda Agrelli ◽  
Paola Tricarico ◽  
Lucas Brandão ◽  
Sergio Crovella
Keyword(s):  
Public Health ◽  
Viral Replication ◽  
Zika Virus ◽  
Health Concern ◽  
Mtor Signaling Pathway ◽  
Catabolic Pathway ◽  
Public Health Concern ◽  
Zikv Infection ◽  
Fundamental Process

Zika virus (ZIKV) still constitutes a public health concern, however, no vaccines or therapies are currently approved for treatment. A fundamental process involved in ZIKV infection is autophagy, a cellular catabolic pathway delivering cytoplasmic cargo to the lysosome for degradation—considered as a primordial form of innate immunity against invading microorganisms. ZIKV is thought to inhibit the Akt-mTOR signaling pathway, which causes aberrant activation of autophagy promoting viral replication and propagation. It is therefore appealing to study the role of autophagic molecular effectors during viral infection to identify potential targets for anti-ZIKV therapeutic intervention.

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