Effectiveness of individual face‐to‐face exercise counselling in changing exercise behaviours to relieve symptom distress in pregnant women

2020 ◽  
Vol 26 (4) ◽  
Author(s):  
Ching‐Fang Lee ◽  
Yao‐Chung Huang ◽  
Fur‐Hsing Wen ◽  
Chen‐Ju Lin ◽  
Li‐Kang Chi ◽  
...  
Author(s):  
Ching-Fang Lee ◽  
Fur-Hsing Wen ◽  
Yvonne Hsiung ◽  
Jian-Pei Huang ◽  
Chun-Wei Chang ◽  
...  

During pregnancy, a woman’s enlarged uterus and the developing fetus lead to symptom distress; in turn, physical and psychological aspects of symptom distress are often associated with adverse prenatal and birth outcomes. This study aimed to identify the trends in the trajectory of these symptoms. This longitudinal study recruited 95 pregnant women, with a mean age of 32 years, from the prenatal wards of two teaching hospitals in northern Taiwan. Symptom distress was measured by a 22-item scale related to pregnancy-induced symptoms. The follow-up measurements began during the first trimester and were taken every two to four weeks until childbirth. More than half of the pregnant women experienced symptom distress manifested in a pattern depicted to be “Decreased then Increased” (56.8%). Other noticeable patterns were “Continuously Increased” (28.4%), “Increased then Decreased” (10.5%) and “Continuously Decreased” (4.2%), respectively. It is worth noting that most pregnant women recorded a transit and increase in their symptom distress, revealed by their total scores, at the second trimester (mean 22.02 weeks) of pregnancy. The participants’ major pregnancy-related distress symptoms were physical and included fatigue, frequent urination, lower back pain, and difficulty sleeping. The mean scores for individual symptoms ranged from 2.32 to 3.61 and were below the “moderately distressful” level. This study provides evidence that could be used to predict women’s pregnancy-related symptom distress and help healthcare providers implement timely interventions to improve prenatal care.


2021 ◽  
pp. 1-19
Author(s):  
Tao Han ◽  
Jingwen Dong ◽  
Jiangtao Zhang ◽  
Chenxiao Zhang ◽  
Yuxuan Wang ◽  
...  

Abstract Objective: To clarify nutrient supplementation usage and primary source of information among pregnant women in China. Design: This cross-sectional study used information on nutrient supplementation and primary source of information collected via face-to-face interviews. Data on the usage of folic acid, calcium/vitamin D, iron, vitamins, docosahexaenoic acid, and other dietary supplements were collected. Primary source of information were categorized as family/relatives, friends/co-workers, the Internet, books/magazines, television/radio, doctors, other people, and oneself. Setting: Maternal and Child Health Hospital in Chengdu, China. Participants: 1081 Chinese pregnant women aged ≥ 20 years with singleton pregnancies. Results: In all three trimesters of pregnancy, usage was highest and most stable for folic acid (81.7%), followed by vitamins (vitamin A, B-group vitamins, vitamin C, and multivitamins; 75.0%), whereas calcium/vitamin D (51.4%) and iron (18.1%) usage was low, potentially indicating a deficiency risk. All supplementation usage percentages increased with pregnancy duration (p < 0.05). Notably, approximately 10% of the pregnant women in our study did not use any nutrient supplementation, and this was especially common in early pregnancy. More than 50% of the women reported getting information on nutrient supplementation from family members, and about 30% reported getting this information from doctors. Conclusions: Among pregnant women in China, awareness about nutrient supplementation increases as the pregnancy progresses, but some types of nutrient supplementation (such as calcium/vitamin D and iron) remain at low levels. It is necessary to pay more attention to the health education of pregnant women in China, and the influence of family members should be emphasized.


2021 ◽  
Vol 9 (E) ◽  
pp. 224-228
Author(s):  
Elvyrah Faisal ◽  
Fahmi Hafid ◽  
Dwi Erma Kusumawati ◽  
Nasrul Nasrul ◽  
Jurana Jurana

BACKGROUND: Counseling is an important part of successful infant and young child feeding (IYCF). Optimal IYCF is a key area for improving child survival and promoting healthy growth and development. AIM: The purpose of this study is to determine the characteristics and to provide an overview of the input, process, and output components of IYCF counseling in the Central Sulawesi stunting area. MATERIALS AND METHODS: This type of research is a semi-quantitative study which describes the knowledge and abilities of counselors. The population in this study were nutrition officers, midwives, and cadres who had received IYCF training and had followed the orientation of the IYCF module for at least 30 h in stunting focus locations. The sample in the study was counselors who received training in three subdistricts of Central of Sulawesi. RESULTS: The informants were 14 IYCF counselors. All respondents were female, aged 22–48 years. The method of counseling is by the counselor visiting pregnant women/mothers of toddlers/caregivers directly and face to face. In general, inadequate counseling room facilities are the barrier faced by counselors. Training was only limited to orientation and there was no post-training monitoring. The activities carried out by the counselor are in the range of 70–86%. Benefit of giving counseling for IYCF is that mothers will know nutritional status of their children. IYCF increases knowledge about breastfeeding better than milk formulas, the right type and age of feeding. The training has referred to the module referring to the WHO/UNICEF module which is presented in 37 h of field lessons. CONCLUSIONS: Counseling is an important part of successful IYCF. The method of counseling is by the counselor visiting pregnant women/mothers of toddlers/caregivers directly and face to face. Benefit of giving counseling for IYCF is that mothers will know nutritional status of their children.


2020 ◽  
Author(s):  
Mahboubeh Shirzad ◽  
Elham Shakibazadeh ◽  
Abbas Rahimi Foroushani ◽  
Mehrandokht Abedini ◽  
Hamid Poursharifi

Abstract Background: Cesarean section is an important surgical procedure to save mothers and/or babies’ lives. Current trends show that the rate of Cesarean section is increasing dramatically over the years. The aims of this study were to compare the effects of "motivational interviewing" and "information, motivation and behavioral skills” model on choosing mode of delivery among pregnant women.Methods: In a four-armed, parallel-design randomized controlled trial, 120 women were randomly assigned to three brief interventions and one control groups. We recruited pregnant women referring to Ebnesina hospital, Tehran- Iran from 2019-2020. The intervention groups included: 1) motivational interviewing; 2) face-to-face information, motivation and behavioural skills model; and 3) information, motivation and behavioural skills model provided using a mobile application. The inclusion criteria were being literate, gestational age 24 to 32 weeks, being able to speak Persian, having no complications in the current pregnancy, having no indications for CS, and having enough time to participate in the study. The most important outcomes of the study included women’s intentions to undergo any mode of delivery, women’s self-efficacy in choosing the mode of delivery, and mode of delivery. Data were analyzed using descriptive statistics (mean, frequency and standard deviation), inferential statistics including independent t-test, paired t-test, Chi-squared and One-way ANOVA tests and logistic regression.Results: Following the interventions, significant differences were found in the mode of delivery (P < 0.05) and women’s self-efficacy and intention (P < 0.05). Women who had used the mobile application had more improvements in the self-efficacy and intention than the face-to-face intervention groups.Conclusions: Our study showed positive significant effects of various types of brief interventions to reduce unnecessary Cesarean section rate among the participant women. Providing the intervention using mobile application showed even better results. Our findings may contribute to a rise in normal vaginal delivery; and these simple, non-expensive, tailored to women, and culture-oriented brief interventions can be considered as appropriate strategies to reduce Cesarean section rate in local, national, and/or regional levels.Trial registration: This study has been registered in Iran Randomized Clinical Trial Center (IRCT20151208025431N7). Registered October 07, 2018.


2018 ◽  
Vol 12 (1) ◽  
pp. 32-35 ◽  
Author(s):  
Mohan Chandra Regmi ◽  
Laxmi Subedi ◽  
Ramesh Shrestha ◽  
Baburam Dixit ◽  
Neha Shrestha

Aims: To find out the prevalence of domestic violence in pregnant women attending Antenatal clinics (ANC) of B. P. Koirala Institute of Health Sciences, a tertiary centre in eastern Nepal.Methods: It was a hospital based cross-sectional study done at antenatal clinics of BPKIHS from 14th March 2015 to 30th August 2015. The total number of recruited antenatal patients was 470. Data were collected by face to face interview via pre-tested semi-structured questionnaire. Descriptive and inferential statistics were used for data analysis.Results: The prevalence of domestic violence among pregnant women was 53.2% of which prevalence of physical domestic violence was 9.6%. The most common person inflicting the domestic violence was husband (23.6%). Emotional abuse was the most common form of domestic violence experienced by the pregnant women (26.8%) and threatening for remarriage was most common emotional violence faced (43.2%). As the age of the pregnant women increases, they tend to have more domestic violence.Conclusions: The prevalence of Domestic Violence among pregnant women seemed alarmingly high in our society. Awareness to the family members and strengthening the women empowerment at community level might play a major role for reducing such violence. Pregnancy-related violence is a serious public health issue.


Author(s):  
Thuraya A. Abuhlega ◽  
Huria M Maamar

Fish and fish products are important sources of nutritional elements, especially iodine and unsaturated fatty acids (omega-3). These are essential for pregnant women and their embryos during a pregnancy period. However, women and their embryos may be exposed to chemical pollutants when they consume fish. Therefore, this study aimed to assess the consumption pattern of fish during pre-pregnancy, pregnancy and post-pregnancy periods, and explore the awareness on the chemical pollutants in fish among the women who recently gave birth in Tripoli city, Libya. This study targeted 370 women randomly in Tripoli city and collected data through a face to face questionnaire. The questionnaire consisted of three parts: characteristics of new mothers; consumption of fish, crustaceans, mollusks and canned fish; and knowledge on the importance and risks of eating fish and fish products. The results showed that eating fish, crustaceans, and mollusks once a month was the highest proportion in the three periods with a percentage of 38, 38 and 41%, respectively. Sardine, sea bream and mackerel were the most fish common consumed by new mothers during the three periods. More than half of the mothers did not change the pattern of their consumption of fish, crustaceans and/or mollusks during pregnancy as compared to the pre-pregnancy period and after the birth of their children as compared to the pregnancy period. The canned tuna was the most canned fish consumed by respondents (93%). More than half of mothers realized that eating fish is important for health in general and for pregnant women with a percentage of 58 and 59%, respectively. The results of this study showed that there was a great need to raise the awareness of new mothers about chemical pollutants in fish. Furthermore, effective programs should be adopted by the competent authorities to educate mothers about what types and amounts of fish they should consume during pregnancy and the types that should be avoided.


2020 ◽  
Vol 23 (1) ◽  
pp. 39-43
Author(s):  
Sadia Zahin Tasfia ◽  
Md Alamgir Kabir ◽  
Muhammad Rashedul Islam ◽  
Md Elias Al Mamun

Physiological problems due to deficiency of minerals and vitamins level in Bangladeshi female population are on the rise. The primary goal of this study was to find out the intake of nutritional supplements among urban female population. A survey on nutritional supplements was designed for females in some selected area of Dhaka city. One hundred fifty females were recruited, segmented under two sections (non-pregnant / pregnant) and most of them were interviewed face-to-face systematically. 10.7% of the sample was pregnant women and the rest (89.3%) was the non-pregnant category. Participants were asked questions about their prescription drug patterns and intake of nutritional supplements. The study revealed that 53.0% of the female patients were not aware of the value of daily intake of nutritional foods. So, we also found that nutritional supplements were given to the patients continuously (34.48%), occasionally (18.39%) and at first (28.74%). Calcium supplement (36.90%), zinc supplement (14.10 %) and iron supplement (19.90 %) were prescribed most. Bangladesh Pharmaceutical Journal 23(1): 39-43, 2020


Nutrients ◽  
2019 ◽  
Vol 11 (4) ◽  
pp. 883 ◽  
Author(s):  
Therese A. O’Sullivan ◽  
Joy Cooke ◽  
Chris McCafferty ◽  
Roslyn Giglia

The use of antenatal colostrum expression in the weeks prior to birth may help improve long-term breastfeeding, but few large-scale studies exist. Typically, antenatal colostrum expression instruction relies on face-to-face education, making large interventions costly. We aimed to determine whether an expert online instructional video can improve knowledge and confidence around antenatal colostrum expressing. Pregnant women were asked to complete a questionnaire pre- and post-watching the instructional video online. Ninety five pregnant women completed both pre- and post-questionnaires. Total antenatal colostrum expression knowledge scores improved after watching the video, from a mean of 3.05 ± 1.70 correct out of a maximum of 7, to 6.32 ± 0.76 (p < 0.001). Self-reported confidence around hand expressing in pregnancy also improved from an average ranking of not confident (2.56 ± 1.17, out of a possible 5) to confident (4.32 ± 0.80, p < 0.001). Almost all women (98%) reported that they would recommend the video to a friend or family member if antenatal colostrum expression was suggested by their healthcare provider. Findings suggest that the use of an online expert video is an acceptable and effective way to educate pregnant women in antenatal colostrum expression.


2020 ◽  
Vol 11 (4) ◽  
pp. 587-598
Author(s):  
Zsuzsanna Veroszta ◽  
Krisztina Kopcsó ◽  
Julianna Boros ◽  
Balázs Kapitány ◽  
Laura Szabó ◽  
...  

Cohort ’18 Growing Up in Hungary is a longitudinal birth cohort study run by the Hungarian Demographic Research Institute that will follow the lives of more than 8,000 children from before birth. The purpose of this countrywide representative study is to provide an overview of child development in Hungary and the factors influencing it. The main areas of data collection comprise demographics, social background, health and development. The observation began in 2018, among pregnant women in the 28th to 31st week of pregnancy. Within the first financially covered period of the research programme, this prenatal wave is followed by four further data collection waves: when the child is 6 months, 18 months, 27–30 months and 3 years old. During each of the waves, mothers, as primary caregivers, are interviewed either face to face or by telephone. There is also a computer-assisted telephone interview with the father, when the child is 18 months old. The primary data collection is supplemented by the integration of data from administrative systems. So far, two waves of Cohort ’18 have taken place (prenatal and six-month). The first resulted in a database of 8,287 pregnant women (8,409 foetuses). Following the next waves (which will cover children up to the age of three years), plans are in hand for further financial periods of the research programme – right up until the children are grown up. This study profile introduces readers to Cohort ’18 by providing a brief overview of its origins, objectives, design and potential.


Author(s):  
Siti Rochimatul Lailiyah

Interpersonal education in pregnancy program is a means to learn together about maternal health in the form of face to face in a group that aims to improve the knowledge and skills of mothers in pregnancy,childbirth, postpartum and newborn care. 8 of 10 mothers have not been able breastfeeding correctly when they have Interpersonal education in pregnancy program. Aim of this study is to identify a picture of the participants, facilitators, facilities and infrastructureclass of pregnant women in the region work of Puskesmas Sukolilo. This research uses descriptive quantitative research with a case study approach. The variables used were input component class pregnant women, participants, facilitators, facilities and infrastructure. The study population is all classes of existing maternal health center working area Sukoliloas many as 13 classes for pregnant women. The data are collected by using questionnaires,observation, and interviews. The results showed that the majority of class participants mom Pregnant aged 21-25 years is 78 respondents (77%). In which The majority of participantsprimary and junior education level that is 84 respondents (83%) and mostly participants as housewife is 67 respondents (66%). Meanwhile the knowledge of participants almost half less that 49 respondents (48%), and class facilitators pregnant women as many as two respondents, both aged > 35 years, educated DIII of midwifery, and trained in facilitating classroom pregnant women. In addition, pregnant mothers-class facilities are available but incomplete and also there are less infrastructure. It is expected that the participants in a class of pregnant women can be group ed according to the level of education and age of pregnancy in order to get the right things, then the facilitator in pregnant mother class should be carried out by midwives in the local area, as well as the means and infrastructure needs to be more completed in order to support class implementation pregnant women to be more optimal and effective.


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