scholarly journals Validation of maternal report of nutrition‐related interventions and counselling during antenatal care in southern Nepal

2021 ◽  
Author(s):  
Emily Bryce ◽  
Joanne Katz ◽  
Rebecca Heidkamp ◽  
Tsering Pema Lama ◽  
Subarna K. Khatry ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Maternal Report

scholarly journals Validation of Maternal Recall of Iron Folic Supplementation During Antenatal Care in Rural Southern Nepal

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 722-722
Author(s):  
Emily Bryce ◽  
Joanne Katz ◽  
Melinda K Munos ◽  
Tsering Lama ◽  
Subarna Khatry ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Receiver Operating Curve ◽  
Folate Supplementation ◽  
Individual Level ◽  
Factors Associated ◽  
Maternal Report ◽  
Maternal Recall ◽  
Inflation Factor ◽  
Random Guess ◽  
Survey Measure

Abstract Objectives This study's primary objective is to examine the validity of maternal recall of iron folate supplementation during antenatal care and factors associated with accuracy of maternal recall. Methods A longitudinal cohort design was employed for the validation study. The direct observation of all iron folate supplementation (IFA) received during all antenatal care visits at the five study health posts served as the “gold standard” to the maternal report of IFA received collected during a postpartum interview. Individual-level validity was assessed by calculating indicator sensitivity, specificity and area under the receiver operating curve (AUC). The inflation factor (IF) measured population-level bias, comparing the true coverage to the survey measure (maternal report) coverage of IFA. A multivariable log-binomial model was used to assess factors associated with accurate recall. Results The majority (95.8%) of women were observed receiving IFA during pregnancy. Women overreported the number IFA tablets received compared to what was observed during ANC visits. On average the reported number of tablets received was 45 tablets greater than the number observed. Individual-level accuracy of maternal report of any IFA receipt was moderate (AUC = 0.60) and population bias was low (IF = 1.01). However, the individual-level validity was poor across the seven IFA tablet count categories; the AUC for categories ranged from 0.47 to 0.58, indicating a performance that at best was slightly better than a random guess and at worst, misleading. Driven by the trend of maternal overreport, the inflation factor indicated that the survey measure drastically underestimated the prevalence of lower tablet categories and overestimated the prevalence of higher tablet counts. Accuracy of maternal report was not associated with months since last ANC observation nor any maternal characteristics. Conclusions Maternal report of the amount IFA supplementation received during pregnancy produced extremely biased population prevalence and performed comparably to or worse than a random guess for individual level validity. It's imperative to improve this indicator for future use, as it is included in global frameworks, initiatives and national program planning. Funding Sources This research was funded by the Bill and Melinda Gates Foundation.

MANAJEMEN ASUHAN KEBIDANAN PADA NY L G1P00000 DENGAN SESAK NAFAS DI PMB SUPRIHATIN, SAMBIT, PONOROGO

2020 ◽  
Vol 4 (2) ◽  
pp. 75
Author(s):  
Rani Diah Ningsih ◽  
Ririn Ratnasari ◽  
Nur Hidayati
Keyword(s):  
Antenatal Care

Pelayanan Antenatal Care sangat penting dilakukan sehingga dapat mempertahankan mutu pelayanan yang berkualitas sesuai standar pelayanan minimal kebidanan, sehingga kegawatdaruratan secara obstetri dan neonatologi dapat tertangani dengan baik, serta ibu mendapatkan pelayanan secara optimal dan komperhensif guna menurunkan AKI dan AKB. Dalam kehamilan sering ditemukan berbagai masalah kesehatan, salah satunya adalah sesak nafas dalam kehamilan. Sistem pernafasan yang lancar menjadi faktor penting bagi tumbuh kembang janin di dalam kandungan, karena ketika didalam kandungan janin mendapatkan suplai oksigen dari ibu. Maka dari itu penulis bertujuan untuk memberikan asuhan kebidanan kepada ibu hamil khususnya pada trimester III. Penelitian yang dilakukan menggunakan metode kualitatif yang berjenis deskriptif dengan pendekatan studi kasus. Dalam melakukan penelitian, pendokumentasian dilakukan dalam bentuk SOAPIE yang terdiri dari pengkajian data, merumuskan diagnosa, merencanakan asuhan kebidanan, dan evaluasi. Pemberian asuhan kebidanan diberikan kepada Ny “L” G1P00000 usia kehamilan 36 minggu, dilakukan sebanyak 2x pada kehamilan trimester III pada tanggal 14 dan 21 Maret 2020. Ny “L” termasuk ke dalam kelompok ibu hamil risiko rendah dengan skor 2 yang merupakan skor awal ibu hamil. Pada kunjungan pertama ibu memiliki masalah sesak nafas saat tidur yang telah ditangani dengan baik, sedangkan pada kunjungan berikutnya ibu tidak memiliki keluhan serta masalah pada kunjungan sebelumnya sudah berkurang. Selama pendampingan keadaan ibu terpantau baik, bayi yang di kandung juga mengalami tumbuh kembang sesuai masa kehamilan..

Quantifying Pregnant Women’s Knowledge of Educational Components of Antenatal Care in Lesotho

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Tabeta Seeiso ◽  
Mamutle M. Todd-Maja
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Rural Areas ◽  
Geographic Location ◽  
Sub Saharan Africa ◽  
World Health ◽  
Cross Sectional ◽  
Danger Signs ◽  
In Pregnancy

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.

Adequacy of Antenatal Care and Childbirth Outcomes among ROKA Military Women

2020 ◽  
Vol 38 (2) ◽  
pp. 1-17
Author(s):  
Seoyoung Baek ◽  
Gwang Suk Kim ◽  
Sue Kim ◽  
Seunyoung Joe
Keyword(s):  
Antenatal Care ◽  
Military Women

EFFECTIVENESS OF USING MCH BOOKS AND MONSCA APPLICATIONS IN THE IMPLEMENTATION OF 14 T ANTENATAL SERVICE STANDARDS

2020 ◽  
Vol 12 (1) ◽  
pp. 68-73
Author(s):  
Rahmawati Rahmawati ◽  
Syarif Syafruddin ◽  
Nontji Wena
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Continuity Of Care ◽  
Control Design ◽  
Sampling Technique ◽  
Limited Time ◽  
Control Groups ◽  
Post Test ◽  
Service Standards

The component of antenatal care received by pregnant women is classified as incomplete because the implementation of standard pregnancy services is still using conventional methods. There are obstacles faced by midwives, such as the limited time in a recording, which has an impact on the declining quality of antenatal care standards. This research aims to compare the effectiveness of the use of KIA books and MONSCA applications in midwives in the application of the standard Antenatal service 14 T. This research was conducted in Puskesmas Tanete and Puskesmas Bontobangun Bulukumba District. The method used in the study is experimental quasi (pre-test post-test nonequivalent control design). Using a sample of midwives in this study, as many as 36 people were divided into two groups (18 intervention groups and 18 control groups). The sampling technique in this study used purposive sampling. Data were analyzed using the Mann-Whitney Test. The results showed that there was a difference in the effectiveness of using KIA books with MONSCA applications, MOSCA's applications were easier to use, faster, safer, and more accurate than KIA books. It can be concluded that the MONSCA application is more effective than KIA books. Key words: Effectiveness, Android-based Smart Continuity of Care application, KIA book, Antenatal service 14 T

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