scholarly journals Ngaa-bi-nya-nhumi-nya (to Test First): Piloting the Feasibility of Using the Growth and Empowerment Measure with Aboriginal Pregnant Women Who Smoke

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Michelle Bovill ◽  
Yael Bar-Zeev ◽  
Billie Bonevski ◽  
Jennifer Reath ◽  
Christopher Oldmeadow ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Qualitative Interviews ◽  
Well Being ◽  
Measurement Tool ◽  
Nonsignificant Trend ◽  
Social And Emotional ◽  
Aboriginal Women ◽  
Service Staff ◽  
Smoking Behaviours ◽  
In Pregnancy

Introduction. Aboriginal pregnant women who smoke experience barriers to quitting, including challenges to social and emotional well-being, but these are infrequently quantified. Finding an appropriate measurement tool in this setting is crucial to increase knowledge for holistic smoking cessation interventions. Aims. To pilot the Growth and Empowerment Measure (GEM) with a sample of pregnant Aboriginal women who smoke. Methods. Aboriginal women participating in the step-wedge ICAN QUIT in Pregnancy pilot study completed the GEM comprised of 14-item Emotional Empowerment Scale (EES14), 12 Scenarios (12S), and K6 items at baseline, 4 weeks, and 12 weeks. Qualitative interviews with service staff were held at the end of the study to assess feasibility. Results. 15 pregnant Aboriginal women took part between November 2016 and July 2017. At 12 weeks, n = 8 / 12 (67%) of women reported an increase in both the EES14 and 12S scores. Total 12S scores were significantly higher at 12 weeks ( p = 0.0186 ). Total K6 had a nonsignificant trend for reduction ( p = 0.0547 ). Staff reported that the length of the survey presents challenges in this setting. Conclusions. A shortened, modified GEM is recommended in this setting. We recommend the GEM to be tested in a larger study, powered to assess its associations with smoking behaviours.

User Perception Towards mHealth Technologies for Health and Well-being Monitoring in Pregnancy Care: Qualitative Study (Preprint)

2021 ◽  
Author(s):  
Jane Li ◽  
David Silvera-Tawil ◽  
Marlien Varnfield ◽  
M Sazzad Hussain ◽  
Vanitha Math
Keyword(s):  
Qualitative Study ◽  
Pregnant Women ◽  
Mobile Applications ◽  
Data Privacy ◽  
Perinatal Care ◽  
Well Being ◽  
Technical Solution ◽  
Pregnancy Care ◽  
Health And Well Being ◽  
In Pregnancy

BACKGROUND Mobile Health (mHealth) technologies, such as wearable devices and mobile applications have become popular for lifestyle and healthcare support. They have the potential to be beneficial for pregnancy monitoring, in the form of health and well-being tools to facilitate the tracking of health status changes, risks and complications of pregnant women. However, research on understanding clinicians’ and pregnant women’s interests, preferences and requirements for mHealth solutions tailored to pregnancy care is limited. OBJECTIVE This qualitative study aimed to understand clinicians’ and pregnant women’s perceptions on the potential use of mHealth to support the monitoring of health and well-being during pregnancy. METHODS Semi-structured interviews were conducted with four pregnant women, four postnatal women, and thirteen clinicians working in perinatal care. RESULTS Clinicians perceived the potential benefit of mHealth in supporting different levels of health and wellbeing monitoring, risk assessment and care provision in pregnancy care. The majority of women participants were open to the use of wearables and health monitoring devices and were more likely to use these technologies if they knew that clinicians can monitor the data. While some pregnancy-related medical conditions can be suitable for an mHealth model of remote monitoring, there are clinical and technical challenges for introducing mHealth in pregnancy care. Incorporating appropriate health and well-being measures, intelligent detection of abnormalities and tailored information for pregnant women were considered critical. Usability and data privacy were among the concerns of participants. The challenges of getting pregnant women engaged in longitudinal mHealth monitoring, the extra work required for clinicians in monitoring data, and the need for an evidence-based technical solution were highlighted. CONCLUSIONS mHealth technologies, such as wearable sensors, smart health devices and mobile applications capable of supporting the pregnancy journey are emerging. Clinical, technical and practical factors associated with the use of mHealth technologies to monitor health and well-being, as well as strategies for motivating pregnant women and clinicians’ in the use of the technologies need to be carefully considered before the introduction of mHealth pregnancy care routine and practices.

scholarly journals Pregnancy-Related Low Back Pain and The Quality of Life among Pregnant Women : A Narrative Literature Review

2021 ◽  
Vol 4 (3) ◽  
pp. 108-116
Author(s):  
Tiara Fatmarizka ◽  
Raudhatus Shofy Ramadanty ◽  
Dini Afriani Khasanah
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Pregnant Women ◽  
Well Being ◽  
Low Back ◽  
Cross Sectional ◽  
Cross Sectional Studies ◽  
In Pregnancy

Introduction: Around 50-70% of pregnant women have reported pregnancy-related back pain during the second and third trimesters of pregnancy. Physical and physiological aspects during pregnancy might affect the quality of life (QoL) of pregnant women, and the problems due to the alteration can be seen in how they run their daily activities. The effect of LBP in pregnancy on the QoL among pregnant women must be known to avoid the pain that affects pregnant women’s activities and well-being. The aim of this study is to review the relationship between low back pain and the QoL during pregnancy.Methods: Using the search terms via PubMed and Google Scholar, seven cross-sectional studies have met the inclusion criteria and included for further analysis. The appraisal tool for Cross-Sectional Studies (AXIS) is used to assess the quality of the included studies including the risk of bias.Results: The findings show that LBP in pregnancy affects the level of quality of life such as sleep quality and sexual activity, limits the activities and productivities, and even make physical disability among pregnant women. The 75-90% was of the range score obtained from the AXIS critical appraisal.Conclusions: This review mentioned those pregnant women with PRBP had decreased QoL during and after childbirth, so the awareness of health professionals needs to be improved. 

scholarly journals Malaria in Pregnancy in Nigeria: A Literature Review

2020 ◽  
Vol 3 (11) ◽  
pp. 346-348
Author(s):  
Joseph Omang ◽  
Antor O Ndep ◽  
Dominic Offiong ◽  
Fidelis Otu ◽  
Kenneth Onyejose
Keyword(s):  
Pregnant Women ◽  
Malaria Infection ◽  
Well Being ◽  
Malaria In Pregnancy ◽  
Sub Saharan Africa ◽  
Infected Mosquito ◽  
Insecticide Treated Nets ◽  
Health Seeking ◽  
Systematic Analysis ◽  
In Pregnancy

Malaria is caused by the parasite plasmodium which can be spread to humans through the bite of an infected mosquito. Of the five types of plasmodium (P. Falciparium, P.Ovale, P. Malaria, P. Vivax and P. Knowlesi), the plasmodium falciparium is the deadliest and affects the lives of almost  40 per cent of the world’s population with pregnant women and children  under-five years of age being the most affected. This mini-review involved the collation of findings from recent studies in regards to the prevalence of malaria infection among pregnant women and infants. A systematic analysis of recent literature on the  prevalence of malaria in pregnancy from many authors was carried out and the facts synthesized to make an easy read. From the analysis of literature, Ten Thousand women and 200,000 babies were reported to be dying annually from complications of malaria in pregnancy which recorded a prevalence of 85 per cent in sub-Saharan Africa. More so, Fifty per cent of pregnant women  were discovered to be carrying plasmodium falciparium in their placenta without even experiencing malaria signs/ symptoms, and this development was reported to have been responsible for Twenty per cent of stillbirths and 11 per cent of all maternal deaths. Malaria infection is considered a major threat to the lives and well-being of pregnant women and infants. Therefore, stakeholders should ensure that every clinical diagnosis of malaria in pregnancy is confirmed with a laboratory plasmodium falciparium-based diagnosis before the administration of antimalarial drugs. Furthermore there should be a  stepping –up on the distribution of insecticide treated nets alongside enlightenment of pregnant women on ways of preventing mosquito bite. Instituting the aforementioned approaches is key to improving the health- seeking behaviour of pregnant women in particular and the wider population in general thus enabling them to stay malaria free throughout the period of pregnancy and infancy.

scholarly journals Editorial

2017 ◽  
Vol 10 (1) ◽  
pp. 1
Author(s):  
Aileen Moreton-Robinson ◽  
Mark McMillan ◽  
David Singh
Keyword(s):  
Indigenous Peoples ◽  
Indigenous Rights ◽  
Well Being ◽  
Indigenous Studies ◽  
Extractive Industries ◽  
Interpretive Phenomenology ◽  
Social And Emotional ◽  
Aboriginal Women ◽  
The Social ◽  
United Nations Declaration

The articles in this edition again attest to the broad range of scholarly concerns that signify the growing disciplinary maturity of critical Indigenous studies. The first article, by Mary Goslett and Vanessa Beavan, draws on empirical research concerning improving the social and emotional well being (SEWB) of Aboriginal women through listening to their experiences of identity and culture. Deploying interpretive phenomenology in their analysis of the women's accounts, they discerned interdependent themes that captured their experiences. They conclude by reiterating the need for decolonising approaches to SEWB, informed by the very people whose experiences are being canvassed in our efforts at amelioration. The second article, by Valmaine Toki, notes the optimism that greeted the United Nations Declaration on the Rights of Indigenous Peoples. However, Toki further illuminates the routine violations and breaches that followed, particularly those by extractive industries and business activity generally. The article examines the fraught relationship between Indigenous rights, the state and business imperatives.

Holistic Conceptualizations of Health by Incarcerated Aboriginal Women in New South Wales, Australia

2019 ◽  
Vol 29 (11) ◽  
pp. 1549-1565 ◽  
Author(s):  
Sacha Kendall ◽  
Stacey Lighton ◽  
Juanita Sherwood ◽  
Eileen Baldry ◽  
Elizabeth Sullivan
Keyword(s):  
Health Care ◽  
New South ◽  
New South Wales ◽  
Well Being ◽  
Indigenous Research ◽  
Social And Emotional ◽  
Aboriginal Women ◽  
Health Care Experiences ◽  
South Wales ◽  
Women In Prison

While there has been extensive research on the health and social and emotional well-being (SEWB) of Aboriginal women in prison, there are few qualitative studies where incarcerated Aboriginal women have been directly asked about their health, SEWB, and health care experiences. Using an Indigenous research methodology and SEWB framework, this article presents the findings of 43 interviews with incarcerated Aboriginal women in New South Wales, Australia. Drawing on the interviews, we found that Aboriginal women have holistic conceptualizations of their health and SEWB that intersect with the SEWB of family and community. Women experience clusters of health problems that intersect with intergenerational trauma, perpetuated and compounded by ongoing colonial trauma including removal of children. Women are pro-active about their health but encounter numerous challenges in accessing appropriate health care. These rarely explored perspectives can inform a reframing of health and social support needs of incarcerated Aboriginal women establishing pathways for healing.

The role of proper maternal nutrition during pregnancy for caries prevention in both mother and child. Opinion of the working group of the Polish Alliance for a Cavity-Free Future on dental prophylaxis in pregnant women

2018 ◽  
Vol 23 (2) ◽  
Author(s):  
Renata Chałas ◽  
Angelika Kobylińska ◽  
Magdalena Kukurba-Setkowicz ◽  
Anna Szulik ◽  
Elżbieta Pels
Keyword(s):  
Pregnant Women ◽  
Maternal Nutrition ◽  
Well Being ◽  
Caries Prevention ◽  
World Health ◽  
Dental Prophylaxis ◽  
Mother And Child ◽  
Health Organization ◽  
In Pregnancy

Introduction. Proper nutrition in pregnancy has effects on the health and well-being of the mother as well as is a key factor responsible for foetal growth and development, which are initiated at conception and last throughout pregnancy. Aim. The aim of the paper was to present relevant data on the role of prenatal maternal nutrition for caries prevention in both mother and child. Material and methods. Pubmed, EMBASE, MEDLINE, guidelines of dental associations and World Health Organization were searched using the following keywords: “diet”, “dentition”, “pregnancy”, “oral health in pregnancy”. Results. The diet of a pregnant woman should be well-balanced and rich in proteins, calcium, phosphorus, fluorine and vitamins (A, C and D). Women should avoid sneaks between meals or at night to avoid dental plaque accumulation and oral pH decrease. Balanced nutrition influences the development of future nutritional habits of the child as taste receptors begin to develop already at month 4 of pregnancy. High maternal consumption of confectionery in this period may in the future increase the child’s tendency to consume sweet food products. Conclusions. There is a need to intensify dental prophylaxis among pregnant women through introduction and promotion of proper nutrition in dental offices, up-dating teaching programs for dental hygienists and education in birth schools.

A Meta-Analysis on the Effectiveness of Prenatal Yoga in Reducing Cortisol Hormone in Pregnancy

2020 ◽  
Author(s):  
Shiva Aflahiyah ◽  
◽  
Didik Gunawan Tamtomo ◽  
Hanung Prasetya ◽  
◽  
...  
Keyword(s):  
Pregnant Women ◽  
Cortisol Level ◽  
Controlled Trial ◽  
Meta Analysis ◽  
Random Effect ◽  
Random Effect Model ◽  
Well Being ◽  
The Body ◽  
Inclusion Criteria ◽  
In Pregnancy

ABSTRACT Backgrund: A growing body of evidence suggests that activity of the stress-responsive hypothalamic-pituitary-adrenal axis and its end-product cortisol also may be associated with perinatal emotional well-being. A number of preventive interventions, such as Yoga, targeting psychosocial and physiological risk factors for perinatal depression have utilized mind-body practices, which embody the idea that the mind interacts with the body to influence physical functioning, improve symptoms, and promote health. This study aimed to investigate effectiveness of prenatal yoga in reducing cortisol hormone in pregnancy Subjects and Method: This was a meta-analysis and systematic review. This study collected published articles during 2000 to 2020 from PubMed, Science Direct, Springer, Proquest, and Chocrane electronic databases. The inclusion criteria were full text, randomized controlled trial, and prenatal yoga intervention. The study subjects were pregnant women who received prenatal yoga for 8 to 20 weeks. Outcome was cortisol hormone reduction during pregnancy. The selected articles were analyzed by PRISMA flow chart and RevMan 5.3. Results: 5 articles from America and Asia were met the inclusion criteria. This study had high heterogeneity (I2=88%; p<0.001). Therefore, this study used random effect model (REM). Prenatal yoga reduced cortisol level 0.59 times in pregnancy (Mean Difference= -0.59; 95% CI= 1.18 to 0.01; p= 0.050). Conclusion: Prenatal yoga is effective to reduce cortisol level in pregnant women. Keywords: prenatal yoga, cortisol hormone, pregnant women Correspondence: Shiva Aflahiyah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: [email protected]. DOI: https://doi.org/10.26911/the7thicph.05.47

Co-developing a multi-behavioural mobile phone app to enhance Social and Emotional Wellbeing and reduce health risks among Aboriginal and Torres Strait Islander women during pre-conception and pregnancy: development and usability study. (Preprint)

2020 ◽  
Author(s):  
Michelle Bovill ◽  
Ratika Kumar ◽  
Nicole Ryan ◽  
Jessica Bennett ◽  
Gina La Hera Fuentes ◽  
...  
Keyword(s):  
Mobile Phone ◽  
Qualitative Interviews ◽  
Emotional Wellbeing ◽  
Community Members ◽  
Phase 3 ◽  
Aboriginal Community ◽  
Social And Emotional ◽  
Health And Wellbeing ◽  
Aboriginal Women ◽  
Social And Emotional Wellbeing

BACKGROUND Improving the health and wellbeing of Aboriginal women and their babies is a primary focus to address health inequity in Australia. Interventions must be contextualised by the impacts on health that are a direct result of historical oppression, dispossession and ongoing racism since colonisation. Aboriginal women experience compromised social and emotional wellbeing including mental, cultural, spiritual wellbeing. Addressing social and emotional wellbeing coupled with behavioural risk factors would have a high potential to improve the health and wellbeing of mother and child. mHealth has been trialled in Aboriginal communities and appears to be a favourable method of intervention. Building on the requests from Aboriginal women we designed a multi-behavioural mobile phone app. OBJECTIVE This paper describes the development and pre-test of a prototype multi-behavioural change app MAMA-EMPOWER with Aboriginal women and communities in New South Wales, Australia. METHODS Mixed methods study design using the Center for eHealth Research and Disease Management Roadmap for designing eHealth technology’s three phases; phase one-contextual enquiry included stakeholder engagement and qualitative interviews with Aboriginal women, phase two- value specification included user-workshop with an Aboriginal researcher, community members and experts phase 3 co-design with Aboriginal researchers and community members, followed by a pre-test of the app with Aboriginal women, and feedback from qualitative interviews and the user-MARS survey tool. RESULTS Phase 1 conducted informal market interviews to establish community need. Engagement with stakeholders refined digital considerations and behaviour change wheel factors to embed in the app. Interviews with 8 Aboriginal women revealed 3 themes; current app use, desired app characteristics and implementation. Phase 2 workshop with 6 Aboriginal women raised 3 themes; engagement, caution with wording and visual content. Phase 3 engaged 16 Aboriginal women to trial the app on their phones, all content areas were accessed, u-MARS was completed by 5 women, the highest ratings were for information (mean score of 3.80 out of 5, SD=0.77) and aesthetics (mean score of 3.87 with SD of 0.74), while functionality, engagement and subjective quality had lower scores. Qualitative interviews revealed the acceptability of the app, however functionality was problematic. CONCLUSIONS Developing a mobile phone app, particularly in an Aboriginal community setting, requires extensive consultation, negotiation and design work. Using a strong theoretical foundation of behaviour change technique’s coupled with the consultative approach has added rigour to this process. The use of mobile phone apps to implement behavioural interventions in Aboriginal community settings is still a new area for investigation. In the next iteration of the app we aim to find better ways to personalise the content to women’s needs, then ensure full functionality before conducting a larger trial. We predict the process of development will be of interest to other health researchers and practitioners.

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