scholarly journals Reasons for use and non-use of the pertussis vaccine during pregnancy: an interview study

2016 ◽  
Vol 8 (4) ◽  
pp. 344 ◽  
Author(s):  
Natalie J. Gauld ◽  
Crystal S. Braganza ◽  
Ola O Babalola ◽  
Tung T Huynh ◽  
Sarah M Hook
Keyword(s):  
New Zealand ◽  
Pregnant Women ◽  
Pertussis Vaccine ◽  
Health Professionals ◽  
Structured Interview ◽  
Interview Study ◽  
Sources Of Information ◽  
The Public ◽  
Framework Approach ◽  
Reasons For Use

ABSTRACT INTRODUCTION In New Zealand, pertussis vaccination is recommended and government-funded during every pregnancy to protect the infant after birth. However, uptake is low and needs to be increased. AIM To investigate enablers and barriers for uptake of the pertussis vaccination by pregnant women in New Zealand, and explore the acceptability of provision in pharmacies. METHODS Women with infants were recruited in selected pharmacies and interviewed using abrief structured interview. Transcripts were analysed using a framework approach. RESULTS Thirty-seven women aged 18–43 years provided data for analysis. Seventeen women reported receiving a pertussis vaccination during their pregnancy. Information from health professionals appeared important to encourage vaccination, but other sources of information (eg antenatal groups and media) were also cited. Non-vaccination arose from being unaware of the need for pertussis vaccination during pregnancy, concerns about safety, and misinformation. Participants supported pertussis vaccination in pharmacies to help access or increase the opportunity for health professionals to inform women. DISCUSSION The information received by participants affected their uptake of the pertussis vaccine during pregnancy. Education of the public and health professionals about the pertussis vaccine during pregnancy is necessary.

Daily decision-making about food during pregnancy: a New Zealand study

2018 ◽  
Vol 34 (3) ◽  
pp. 469-478 ◽  
Author(s):  
Susan Pullon ◽  
Angela Ballantyne ◽  
Lindsay Macdonald ◽  
Christine Barthow ◽  
Kristin Wickens ◽  
...  
Keyword(s):  
Decision Making ◽  
New Zealand ◽  
Pregnant Women ◽  
Health Professionals ◽  
Controlled Trial ◽  
Food Selection ◽  
Double Blind ◽  
Lifestyle Behaviours ◽  
Qualitative Interview Study ◽  
Food And Drink

Summary Pregnancy has always been a life-changing event for women and their families, but societal concern about pregnancy and motherhood has become intense in the digital age. The role of health promotion agencies and others supplying health-related resources about lifestyle behaviours is both important and in need of scrutiny. Ever increasing advice for pregnant women, their families and health professionals, abounds. This study of decision making during pregnancy investigated how women made everyday decisions during pregnancy about food and drink, as well as dietary supplements and medications, alcohol and recreational drugs. This qualitative interview study was a side-arm to a double-blind randomized, placebo-controlled trial conducted with pregnant women in Wellington New Zealand, 2013–2016. Data from interviews with 20 women were analysed using inductive thematic analysis. In relation to decision-making about lifestyle behaviours, five themes emerged—Information about food; Wanted and unwanted advice; Worry, anxiety and indecision; Making daily decisions about food; Changes in decision making over time. Participating women talked more about food selection and restriction advice than any other lifestyle topic. Analysis demonstrated concern about information accuracy and overload from multiple, diverse sources. Women described learning how to assess resource credibility, how to develop decision-making skills, and who to trust. The study raises important questions about how the health information environment, despite best intentions, can be confusing or potentially harmful. The study underlines the continued importance of the role health professionals have in not only interpreting information to discuss individualized advice, but also in empowering pregnant women to develop lifestyle-related decision-making skills.

scholarly journals Involvement of perinatal health professionals to reduce the exposure of pregnant women to chemicals

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Sauvant-Rochat ◽  
L Bernard ◽  
M Pelissier ◽  
C Marie ◽  
D Lémery ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Health Professionals ◽  
Univariate Analysis ◽  
Occupational Status ◽  
Environmental Risks ◽  
Perinatal Health ◽  
Sources Of Information ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Cleaning Products

Abstract Background During pregnancy, reducing exposure to chemicals is obvious to many pregnant women (PW), and also perinatal health professionals (PHP), but few of them are aware that these substances are present in everyday products (cleaning products, DIY products, gardening products, personal health care products, cosmetics, food plastic wrappers etc.). AIM This study aimed to estimate the perception of risks related to chemicals by PW, and also to describe the advice provided by PHP to PW. Methods A cross-sectional survey was performed among French PW. Interviewers, using a standardized questionnaire, collected data anonymously. Data focused on socio-demographic and occupational characteristics, perception of environmental risks, identification of chemicals by PW, and preventive advices performed by PHP. Statistical analysis (univariate analysis - logistic regression) were done with Modalisa® 8.0 software (Kynos, Paris). Results 300 PW (29.5 +/- 5 years old) were included. They report a relatively high level of sensitivity to environmental issues (SE Score = 6.3 ± 1.7, on a Likert 0-10 scale). When asked about the level of risk associated with 15 environmental risks, pregnant women placed exposure to chemicals in only twelfth position. Two thirds of PW were interested by the composition of everyday products, and looked at the ingredients mentioned on the labels, but most of them declared that the information present on the labels were not comprehensible. An interest for organic products was noted. These behaviors were related to the age, socio-occupational status, perception of environmental risks. For most of PW, the main sources of information on chemicals were the Internet and medias. Only 5% PW identified PHP as potential interlocutors on this topic. Conclusions For most PW, everyday products were not identified as health risk products. To date, it is important to strengthen the information provided to PW by PHP on the risks linked o chemicals during pregnancy. Key messages Exposures to chemicals present in everyday products (DIY, cleaning products, cosmetics, food plastic wrappers etc.) are not well identified by pregnant women and by perinatal health professionals. Exposure to chemicals must be reduced during pregnancy and health promotion messages must integrate this advice to promote healthy behaviors.

What to do about depression? Help-seeking and treatment recommendations of the public

2011 ◽  
Vol 20 (2) ◽  
pp. 163-169 ◽  
Author(s):  
A. Holzinger ◽  
H. Matschinger ◽  
M.C. Angermeyer
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Help Seeking ◽  
Treatment Options ◽  
Antidepressant Medication ◽  
Structured Interview ◽  
First Century ◽  
The Public ◽  
Treatment Of Depression

Aims.Several population studies on beliefs about depression carried out in western countries during the 1990s have shown that the public clearly favors psychotherapy over antidepressant medication. The present study examines whether this phenomenon still exists at the end of the first decade of the twenty-first century.Materials and Methods.In 2009, a telephone survey was conducted among the population of Vienna aged 16 years and older (n = 1205). A fully structured interview was administered which began with the presentation of a vignette depicting a case of depression fulfilling the diagnostic criteria of DSM-IV for a moderate depressive episode.Results.Psychotherapists were most frequently endorsed as source of professional help. Antidepressant medication still was more frequently advised against than recommended. Respondents familiar with the treatment of depression tended to be more ready to recommend to seek help from mental health professionals and to endorse various treatment options, particularly medication.Conclusion.At the end of the first decade of this century, there still exists a large gap between the public's beliefs and what mental health professionals consider appropriate for the treatment of depression. Therefore, further effort to improve the public's mental health literacy seems necessary.

scholarly journals Modification of maternal late pregnancy sleep position: a survey evaluation of a New Zealand public health campaign

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e047681
Author(s):  
Robin S Cronin ◽  
John M D Thompson ◽  
Rennae S Taylor ◽  
Jessica Wilson ◽  
Karen F Falloon ◽  
...  
Keyword(s):  
Public Health ◽  
New Zealand ◽  
Pregnant Women ◽  
Supine Position ◽  
Health Professionals ◽  
Primary Outcome ◽  
Late Pregnancy ◽  
Sleep Position ◽  
Public Health Campaign ◽  
Health Campaign

IntroductionA ‘Sleep-On-Side When Baby’s Inside’ public health campaign was initiated in New Zealand in 2018. This was in response to evidence that maternal supine going-to-sleep position was an independent risk factor for stillbirth from 28 weeks’ gestation. We evaluated the success of the campaign on awareness and modification of late pregnancy going-to-sleep position through nationwide surveys.Methods and analysisTwo web-based cross-sectional surveys were conducted over 12 weeks in 2019–2020 in a sample of (1) pregnant women ≥28 weeks, primary outcome of going-to-sleep position; and (2) health professionals providing pregnancy care, primary outcome of knowledge of going-to-sleep position and late stillbirth risk. Univariable logistic regression was performed to identify factors associated with supine going-to-sleep position.DiscussionThe survey of pregnant women comprised 1633 eligible participants. Going-to-sleep position last night was supine (30, 1.8%), non-supine (1597, 97.2%) and no recall (16, 1.0%). Supine position had decreased from 3.9% in our previous New Zealand-wide study (2012–2015). Most women (1412, 86.5%) had received sleep-on-side advice with no major resultant worry (1276, 90.4%). Two-thirds (918, 65.0%) had changed their going-to-sleep position based on advice, with most (611 of 918, 66.5%) reporting little difficulty. Supine position was associated with Māori (OR 5.05, 95% CI 2.10 to 12.1) and Asian-non-Indian (OR 4.20, 95% CI 1.27 to 13.90) ethnicity; single (OR 10.98, 95% CI 4.25 to 28.42) and cohabitating relationship status (OR 2.69, 95% CI 1.09 to 6.61); hospital-based maternity provider (OR 2.55, 95% CI 1.07 to 6.10); education overseas (OR 3.92, 95% CI 1.09 to 14.09) and primary-secondary level (OR 2.80, 95% CI 1.32 to 6.08); and not receiving sleep-on-side advice (OR 6.70, 95% CI 3.23 to 13.92). The majority of health professionals (709 eligible participants) reported awareness of supine going-to-sleep position and late stillbirth risk (543, 76.6%).ConclusionMost pregnant women had received and implemented sleep-on-side advice without major difficulty or concern. Some groups of women may need a tailored approach to acquisition of going-to-sleep position information.

scholarly journals Contextual Influences on the Perception of Bullying Behaviours for Youth in New Zealand

2021 ◽  
Author(s):  
◽  
Jennifer Sian Jeffrey
Keyword(s):  
New Zealand ◽  
Young People ◽  
Structured Interview ◽  
Future Research ◽  
Contextual Influences ◽  
The Public ◽  
Different Types ◽  
Short And Long Term

<p>Bullying has gained a lot of attention in the public and academic spheres over the past two decades (Carrera, DePalma, & Lameiras, 2011; Monks et al., 2009) and is considered to be a very serious international issue (Due et al., 2005; Mullis, Martin, Foy, & Arora, 2012). There is extensive research based on the experiences of bullying, which has examined prevalence rates (Green, Harcourt, Mattioni, & Prior, 2013), distinctions between different types of bullying (Rivers & Smith, 1994; Smokowski & Kopasz, 2005) as well as the short and long term impacts (Coggan, Bennett, Hooper, & Dickinson, 2003). Through this, a strong research based understanding of bullying has been developed and a consistent definition established (Canty, Stubbe, Steers, & Collings, 2014; Carroll-Lind, 2009). However, previous research has primarily focused on the experiences of bullying, and few studies have examined how bullying is understood from the perspectives of young people. The present study aimed to bridge this gap by exploring young people’s understanding of bullying behaviour in New Zealand. Twenty participants completed a short questionnaire and structured interview, where they discussed four hypothetical scenarios, each describing a different type of bullying in a different setting. Results demonstrated that young people maintain a much broader conception of bullying than what is currently defined by academia. The academic criteria of intention to harm, repetition and an imbalance of power were not central to young people’s definitions of bullying. Rather, factors such as, the reaction of the victim, how public the behaviour was and the role of friendship were more instrumental in shaping young people’s bullying perceptions and definitions. Furthermore, it was found that the perceived relationship between bullies, victims and bystanders as well as gender differences, also influenced participants’ understanding of bullying behaviours. These findings yield important implications for the development and efficacy of intervention programs. Limitations and avenues of future research are also discussed.</p>

scholarly journals Personal Use of Handheld Fetal Doppler Monitors by Women in New Zealand

2021 ◽  
Author(s):  
Lyndal Honeyman
Keyword(s):  
New Zealand ◽  
Pregnant Women ◽  
Health Professionals ◽  
Neonatal Morbidity ◽  
Fetal Life ◽  
Online Forums ◽  
Structured Interviews ◽  
Fetal Doppler ◽  
Personal Use ◽  
Qualitative Descriptive

<div>This qualitative descriptive study explores what factors are driving women in New Zealand to use handheld fetal Doppler monitors during their pregnancy. This is a little explored phenomenon in the literature, and consensus among health professional bodies is that pregnant women should be discouraged from using a handheld fetal Doppler. One concern health professionals hold is that a pregnant woman may be falsely reassured about the condition of her unborn baby and would delay presentation to her lead maternity carer, culminating in stillbirth or neonatal morbidity and mortality that potentially could have been avoided.</div><div><br></div><div>Six women from a major New Zealand city who were between 20- and 39-weeks’ gestation participated in semi-structured interviews. Thematic analysis, as described by Braun and Clarke, was used to generate five main themes and six subthemes. Control was a strong overarching</div><div>theme with subthemes of Fertility and Pregnancy Loss, Ultrasound and Doppler anxieties. Fetal feedback with the subtheme of Bonding was another strong theme. The third and fourth themes were Peer-to-peer education and support and Lay knowledge versus professional knowledge with a</div><div>subtheme of Lack of research. The final theme was the Woman-Midwife relationship with a subtheme of More support.</div><div><br></div><div>Women’s reasons for using a handheld fetal Doppler is for control of their response to the potential of miscarriage. This response is largely one of anxiety, particularly prior to the quickening of the fetus when there is little feedback to prove ongoing fetal life outside of symptoms such as morning sickness. Whilst women gain their information to underpin use of a handheld fetal Doppler via their peer groups in online forums and other internet-based repositories, they are</div><div>wanting to enact partnership and shared decision-making with their lead maternity carer (LMC) regarding their use of handheld fetal Doppler monitors in pregnancy.</div><div><br></div><div>As technologies advance and become more available to non-health professionals, further exploration of use of handheld fetal Doppler monitors by pregnant women is needed in order to better inform women and midwives around the potential benefits and risks.</div>

scholarly journals Personal Use of Handheld Fetal Doppler Monitors by Women in New Zealand

2021 ◽  
Author(s):  
Lyndal Honeyman
Keyword(s):  
New Zealand ◽  
Pregnant Women ◽  
Health Professionals ◽  
Neonatal Morbidity ◽  
Fetal Life ◽  
Online Forums ◽  
Structured Interviews ◽  
Fetal Doppler ◽  
Personal Use ◽  
Qualitative Descriptive

<div>This qualitative descriptive study explores what factors are driving women in New Zealand to use handheld fetal Doppler monitors during their pregnancy. This is a little explored phenomenon in the literature, and consensus among health professional bodies is that pregnant women should be discouraged from using a handheld fetal Doppler. One concern health professionals hold is that a pregnant woman may be falsely reassured about the condition of her unborn baby and would delay presentation to her lead maternity carer, culminating in stillbirth or neonatal morbidity and mortality that potentially could have been avoided.</div><div><br></div><div>Six women from a major New Zealand city who were between 20- and 39-weeks’ gestation participated in semi-structured interviews. Thematic analysis, as described by Braun and Clarke, was used to generate five main themes and six subthemes. Control was a strong overarching</div><div>theme with subthemes of Fertility and Pregnancy Loss, Ultrasound and Doppler anxieties. Fetal feedback with the subtheme of Bonding was another strong theme. The third and fourth themes were Peer-to-peer education and support and Lay knowledge versus professional knowledge with a</div><div>subtheme of Lack of research. The final theme was the Woman-Midwife relationship with a subtheme of More support.</div><div><br></div><div>Women’s reasons for using a handheld fetal Doppler is for control of their response to the potential of miscarriage. This response is largely one of anxiety, particularly prior to the quickening of the fetus when there is little feedback to prove ongoing fetal life outside of symptoms such as morning sickness. Whilst women gain their information to underpin use of a handheld fetal Doppler via their peer groups in online forums and other internet-based repositories, they are</div><div>wanting to enact partnership and shared decision-making with their lead maternity carer (LMC) regarding their use of handheld fetal Doppler monitors in pregnancy.</div><div><br></div><div>As technologies advance and become more available to non-health professionals, further exploration of use of handheld fetal Doppler monitors by pregnant women is needed in order to better inform women and midwives around the potential benefits and risks.</div>

scholarly journals Knowledge of Pregnant Women regarding HIV/AIDS

2013 ◽  
Vol 3 (3) ◽  
pp. 18-21 ◽  
Author(s):  
N Pandey
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Risk Group ◽  
Antenatal Clinic ◽  
Structured Interview ◽  
High Risk Group ◽  
People Living With Hiv ◽  
Sources Of Information ◽  
The Relationship ◽  
Hiv Aids

A descriptive study was conducted with the purpose of assessing the knowledge of HIV/AIDS among the pregnant women in antenatal clinic of Bir Hospital, Kathmandu. Sixty pregnant women were selected using non- probability purposive sampling technique. A pretested Nepali version semi-structured interview schedule was used to collect the data from them. Ethical consideration was maintained throughout the study. The obtained data was analyzed using descriptive statistics. The data are presented in different tables. Findings related to socio-demographic characteristics revealed that half (50%) percent of the respondents belonged to the age of 20-24years. Majority (88.3%) of the respondents were literate and (85%) of them belonged to Hindu religion. Findings showed that (90%) of respondents have heard about HIV/AIDS. The most common sources of information of HIV/AIDS were Television (77.8%), Radio (75%) and newspapers (66.7%). Regarding transmis­sion of HIV/AIDS, majority (88.9%) knew that HIV/AIDS is transmitted from sexual contact with infected person (81.5%) knew from infected blood transfusion and (70.4%) said from infected mother to child. More than (80%) of respondents said that commercial sex worker and having multiple sex workers were the high risk group for HIV/AIDS. Majority (77.8%) said by avoiding multiple sex partners and (72.2%) being faithful to the partner was the preventive measures of HIV/AIDS. Majority (61%) of respondents did not know the relationship between STI and HIV/AIDS. Majority (68.5%) of respon­dents did not know that there is available of drugs which lengthen the living years of life of people living with HIV/AIDS. Majority 51(98.1%) knew the use of condom is to prevent pregnancy, 44(84.6%) said prevent HIV/AIDS, 29(55.8%) said control STI. Although majority of the respondents had knowledge regarding the high risk group, mode of transmission and prevention of HIV/AIDS, some lacking areas has been identified that majority of the respondents were not aware about the the relationship between STI and HIV/AIDS. They also lacked awareness that use of condom controls STI and about avail­ability of drug which prevents progression of HIV infection. On the basis of finding, it is concluded that health education and awareness programme should be planned to women attending the antenatal clinic to enhance their knowledge on HIV/AIDS prevention and management. DOI: http://dx.doi.org/10.3126/jcmc.v3i3.8632 Journal of Chitwan Medical College 2013; 3(3): 18-21

Vaccine Education During Pregnancy and Timeliness of Infant Immunization

2018 ◽  
pp. 111-120
Author(s):  
Priya Veerasingam ◽  
Cameron C. Grant ◽  
Carol Chelimo ◽  
Kathryn Philipson ◽  
Catherine A. Gilchrist ◽  
...  
Keyword(s):  
New Zealand ◽  
Pregnant Women ◽  
Confidence Intervals ◽  
Information Sources ◽  
Sources Of Information ◽  
Odds Ratios ◽  
National Immunization

OBJECTIVES Pregnant women routinely receive information in support of or opposing infant immunization. We aimed to describe immunization information sources of future mothers’ and determine if receiving immunization information is associated with infant immunization timeliness. METHODS We analyzed data from a child cohort born 2009–2010 in New Zealand. Pregnant women (N = 6822) at a median gestation of 39 weeks described sources of information encouraging or discouraging infant immunization. Immunizations received by cohort infants were determined through linkage with the National Immunization Register (n = 6682 of 6853 [98%]). Independent associations of immunization information received with immunization timeliness were described by using adjusted odds ratios (ORs) and 95% confidence intervals (CIs). RESULTS Immunization information sources were described by 6182 of 6822 (91%) women. Of these, 2416 (39%) received information encouraging immunization, 846 (14%) received discouraging information, and 565 (9%) received both encouraging and discouraging information. Compared with infants of women who received no immunization information (71% immunized on-time), infants of women who received discouraging information only (57% immunized on time, OR = 0.49, 95% CI 0.38–0.64) or encouraging and discouraging information (61% immunized on time, OR = 0.51, 95% CI 0.42–0.63) were at decreased odds of receiving all immunizations on time. Receipt of encouraging information only was not associated with infant immunization timeliness (73% immunized on time, OR = 1.00, 95% CI 0.87–1.15). CONCLUSIONS Receipt, during pregnancy, of information against immunization was associated with delayed infant immunization regardless of receipt of information supporting immunization. In contrast, receipt of encouraging information is not associated with infant immunization timeliness.

scholarly journals Cosmetics and pregnancy: perception of health risk by health professionals and pregnant women

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Sauvant-Rochat ◽  
N G L Kouamé ◽  
M R Fradet ◽  
C Marie ◽  
L Bernard ◽  
...  
Keyword(s):  
Health Risk ◽  
Pregnant Women ◽  
Health Professionals ◽  
Sources Of Information ◽  
Structured Interviews ◽  
Qualitative Survey ◽  
Interview Guide ◽  
Organic Products ◽  
Body Care ◽  
Perception Of Health

Abstract Contex During pregnancy, the International Federation of Gyneco-Obstetrics (FIGO) advocates limiting exposure to chemicals present in everyday products, including cosmetics. However, both pregnant women (PW) and perinatal health professionals (PHP) know still poorly this source of exposure. AIMS: The PERICOS-Quali Study aims to identify the perception of the risk associated with the use of cosmetics during pregnancy by PHP and PW. Methodology A qualitative survey was conducted among PHP and PW in Auvergne (France). The data were collected by semi-structured interviews with the PHP and by focus group with the PW, until saturation of the speeches, by an experienced investigator, with an interview guide. The interviews were recorded, the verbatim was transcribed and subjected to a thematic analysis with the N-VIVO v11 software. Results 12 PHP (5 midwives, 2 general practitioners and 5 obstetricians) and 24 PW were interviewed. PHP and PW considered cosmetics as wellness and body-care products. Furthermore PHP noted that during pregnancy women used more often organic products, moisturizers or anti-stretch marks, and reduced the use of perfumes, deodorants. In the absence of recommandations based on Evidence-Based Medecine, PHP and PW considered the risk related to cosmetics as not major. The PHP (especially midwives) reported giving advice to comfort the pregnant women; their positioning was not to prohibit the use of cosmetics during pregnancy. PW did not identify PHP as reliable sources of information about cosmetics. Conclusions PHP are seeking for tools to help them to better advice PW. And PW would like also to have pertinent advices about cosmetics to make a reasoned choice. Key messages Health education about use of cosmetics during pregnancy is necessary. Pregnant women and health professionals don’t perceive health risk linked to cosmetics.

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