scholarly journals Evaluation of renal functions tests among Sudanese healthy pregnant women attending antenatal care (ANC) at The National Ribat University Hospital in Khartoum State in 2019

2021 ◽  
Vol 4 (4) ◽  
pp. 24-28
Author(s):  
Ibrahim Abdelrhim Ali ◽  
Elham Bourai Hassan ◽  
Khalid S. Elhassan

Pregnancy involves remarkable physiological changes and the functional impact of pregnancy on the kidney physiology is widespread involving practically all aspects of kidney functions. The aim of this study was to evaluate the renal functions in Sudanese healthy pregnant ladies during different trimesters. A cross sectional study was carried out during July to October 2019 on Sudanese healthy pregnant ladies attending antenatal care at the National Ribat University Hospital in Khartoum State. The study covered 60 healthy pregnant ladies (20 for each trimester). The purpose of the study was explained to all participants and they were assessed after taking their consent. Blood pressure (BP) and body mass index (BMI) were measured by standard techniques. A sample of five ml venous blood was taken in a suitable blood container for measurement of urea and creatinine using a fully automated Mindray BS-300 Chemistry Analyzer (Mindray Bio-Medical Electronics Co., Ltd., Shenzhen, China). The data was analyzed using SPSS version 25 (IBM SPSS Inc.,Chicago, IL, USA), t-test was used to compare the statistical significant (p value ≤ 0.05 was considered statistical significant). The mean age of participants was 26.6±5.3 years with the range of 18-37 years. The mean BMI was 25.7±3.6 with the range of 18-31. The mean urea in the first, second and third trimester was 13.4, 13.9 and 13.2 mg/dl respectively with no statistically significant variation. The mean creatinine in the first, second and third trimester was 0.6, 0.6 and 0.5 mg/dl respectively with no statistically significant variation. To conclude, there was no significant variation of serum urea and creatinine during three trimesters of pregnancy in healthy pregnant women.

2019 ◽  
Vol 19 (3) ◽  
pp. 661
Author(s):  
Desi Andriani ◽  
Husna Yetti ◽  
Roza Sriyanti

Antenatal care or antenatal care is a planned program that is observation, education and medical treatment for pregnant women, to obtain a safe and satisfying pregnancy and childbirth process. The indicator used to assess the access of pregnant women to antenatal care is K1 direction (first visit) is the contact of pregnant women to health workers and K4 (perspective visit) is 4 or more times contact with health workers. From the data of the Padang City Health Office, it was found that the Air Tawar Puskesmas with this low level was caused by various factors. The purpose of this study was to determine factors related to the use of antenatal services. This type of research is a quantitative study with cross sectional study design with 110 respondents of third trimester pregnant women with purposive sampling technique. Data analysis was performed univariate, bivariate with Chi squre test. From the research results obtained from the five factors studied, it was found that the factors related to the use of antenatal services in freshwater health centers were access or distance with pvalue 0.009 = OR 21.676), service availability factors with a p value of 0.001 = OR 9.293, the role factor midwives with a p value of 0.001 = OR 12.302, while the family income factor, disease complaints obtained results have nothing to do with the use of antenatal services. The author's suggestion is that there is a need for good coordination with the Independent Practice Midwife (BPM), revitalize puskesmas to more strategic places and improve better facilities, improve accessibility that can be minimized, strive to reach pregnant women, especially for accessibility that is less affordable.


2020 ◽  
Vol 15 (2) ◽  
pp. 158
Author(s):  
Ulfah Ilyas ◽  
Maria Sonda ◽  
Hidayati Hidayati

Results of a preliminary study conducted by the author on 28 November 2018 in Kassi-Kassi Health Center Public City of Makassar were interviews with 11 third trimester pregnant women who visited antenatal check, 8 (70%) of pregnant women have not planned where labor, labor companion, potential blood donors and the sticker affixed on the door P4K yet home mom for not knowing the importance of the decal and never be explained by health workers at the first checkups. While 7 (60%) of pregnant mother's husband has not determined the place of labor, labor companion, potential blood donors and did not accompany the mother when the checkups. This study aims to determine the relationship of husband support, knowledge of third trimester pregnant women at health centers with the implementation P4K-Kassi Kassi Makassar.This research uses analytic survey with cross sectional approach, the population in this study is the third trimester pregnant women, using the formula Lameshow obtained sample 85 subjects with a sampling technique is purposive sampling.Statistical analysis showed the Chi-square test obtained significant value p value 0,000 (p<0,05) husband's support with coefficient value (Phi= 0,493), knowledge of third trimester pregnant women p value of 0,001 (p <0,05) with coefficient value (Phi= 0,357). So it can be concluded that there is a relationship of husband support, knowledge of third trimester pregnant women with P4K implementation. Therefore, the husband is expected to support the implementation of the plan P4K safe delivery and is able to prevent pregnancy complications. And for health workers can improve IEC counseling and evaluation of the execution P4K, in particular blood donor candidates planning and sticking stickers P4K at home pregnant women.


2020 ◽  
Vol 2 (2) ◽  
pp. 69
Author(s):  
Ni Made Dwi Purnamayanti ◽  
Gusti Ayu Eka Utarini

Nyeri pinggang dan panggul merupakan keluhan yang umum dirasakan oleh wanita hamil terutama pada akhir kehamilan. Olah raga termasuk yoga prenatal merupakan strategi yang efektif dan disarankan untuk mengatasi nyeri pinggang dan panggul. Penelitian ini bertujuan untuk mendapatkan gambaran intensitas nyeri pinggang dan panggul pada ibu hamil trimester III yang melaksanakan yoga prenatal di Kota Denpasar. Penelitian ini merupakan penelitian deskriptif observasional dengan pendekatan cross sectional terhadap 96 ibu hamil trimester III yang melaksanakan yoga prenatal di kota Denpasar. Didapatkan hasil rerata intensitas nyeri pinggang dan panggul yang dirasakan adalah 1.88 (SD ±2.202). Sebagian besar responden (41.7%) merasakan nyeri pada area tulang belakang disekitar lumbal hingga diatas sacrum.Intensitas nyeri pinggang dan pelvis pada ibu hamil trimester III di Kota Denpasar yang melaksanakan yoga prenatal tergolong nyeri intensitas ringan.Lumbopelvic pain are common complaints felt by pregnant women. Exercise, including prenatal yoga, is an effective strategy and is recommended for treating pregnancy-related lumbopelvic pain. The purpose of the syudi is to know the intensity of pregnancy-related lumbopelvic painamong woman who performe prenatal yoga in Denpasar. This study was an observational descriptive study with a cross sectional approach. The subjeck study was 96 third trimester pregnant women who performed prenatal yoga in Denpasar. The mean pain intensity was 1.88 (SD ± 2.202). Most respondents (41.7%) felt pain in the spinal area around the lumbar to above the sacrum. The intensity of pregnancy-related lumbopelvic pain among third trimester pregnant women in Denpasar who performe prenatal yoga is mild pain.


Author(s):  
Mohammad Zulkarnain ◽  
Rizka Muliani ◽  
Rico Januar Sitorus ◽  
Nurlaili Nurlaili

Pregnant women are at risk for iron deficiency anemia especially pregnant women in malaria-endemic areas. This study aimed to analyze the profile of iron in the third trimester pregnant women with iron deficiency anemia in co-endemic area of Bengkulu city. This study was cross-sectional study with a total sample of 66 pregnant women who met the inclusion criteria. Examination profile of iron in pregnant women is done by taking blood specimen through the vena cubity. Profile iron includes examination sTfR levels, hepcidin, transferrin were examined by ELISA. Determination of iron deficiency anemia is based on the results of Hb, serum iron and TIBC. The results showed 39.4% of pregnant women experience iron deficiency anemia. There is an average difference between hepcidin levels with the incidence of iron deficiency anemia (p-value 0.031). Based on binary logistic regression analysis profile iron with irondeficiency anemia in pregnant women, hepcidin levels are predictors factors on the incidence of iron deficiency anemia (p-value 0.000, 95% CI .296-.709).


2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Haile Zewdu Tsegaw ◽  
Endeshaw Admassu Cherkos ◽  
Marta Berta Badi ◽  
Muhabaw Shumye Mihret

Background. Maternal mortality remains unacceptably high in developing countries. One key strategy to reduce such mortality is utilization of birth preparedness and complication readiness (BP/CR) and creating awareness of BP/CR is an important step for pregnant women, their families, and the community. However, there was limited to no evidence regarding the community’s awareness on BP/CR in the study area. Therefore, this study aimed to assess knowledge on BP/CR and associated factors among pregnant women in Debremarkos town, Northwest Ethiopia, 2017. Methods. A Community based cross-sectional study was conducted from July 1 to 30/2017. A total of 441 pregnant women were included in the study. Structured and pretested questionnaire was administered through face to face interview to collect the data. Simple random sampling technique was used to select the study participants. The data were entered in to Epinfo version 7.0 and then exported to SPSS version 20.0 for analysis. Both bivariate and multivariable logistic regression model were fitted. Crude and adjusted odds ratio with 95 % confidence interval have been computed and variables with p-value < 0.05 were considered statistically significance. Results. The proportion of pregnant women having good knowledge on birth preparedness and complication readiness was found to be 45.2 with 95%CI (40.4, 50.0). In the multivariable analysis, having history of childbirth (AOR=2.17;95%CI:1.18,4.00), having intended pregnancy (AOR=2.13;95%CI: 1.16, 3.90), being governmental employee ( AOR=6.50; 95%CI: 2.50, 16.87), and having Antenatal care visits (AOR=5.50; 95%CI:2.2,13.70) were factors which were independently and significantly associated with good knowledge on birth preparedness and complication readiness. Conclusion. Proportion of pregnant women having good knowledge on birth preparedness and complication readiness was low. Putting emphasis on intended pregnancy and antenatal care visit was recommended.


Author(s):  
Evi Wahyuntari ◽  
Ika Puspitasari

Maternal Fetal Attachment and fetal growth are strongly influenced by the emotional state or anxiety of the mother, this can be seen from the psychological condition of the mother before giving birth.  The psychological condition of the mother will have an impact on the health and development of the fetus. In Indonesia, there are about 28.7% of pregnant women who experience anxiety in the third trimester. The research objective was to determine the relationship between anxiety and maternal fetal attachment. Cross sectional study. With a population of pregnant women in the third trimester aged 20-35 years as many as 42 respondents. The sampling technique used non probability sampling with a total sampling of 42 pregnant women in the third trimester. The anxiety measurement tool uses the Zung self-rating anxiety scale (ZSAS) questionnaire and the MFA uses the Prenatal attachment inventory (PAI) questionnaire. Pearson analysis (product moment). The p value is 0.023 with a correlation coefficient of -0.350. The conclusion is that there is a relationship between anxiety and maternal fetal attachment at Gamping II Public Health Center with weak relationship closeness, it means that the lower the anxiety score received, the higher the maternal fetal attachment score. Suggestions for pregnant women in the third trimester to be more active in seeking information, both electronic print media, health workers and others about maternal-fetal attachment since pregnancy.


2020 ◽  
Vol 28 (2) ◽  
pp. 156
Author(s):  
Liilis Sumardiani

Preeclampsia and eclampsia is a pregnancy complication caused directly by pregnancy itself. Successful handling of preeclampsia is determined by the compliance of pregnant women in antenatal care. Pregnant women who do not checkups cause no detection of high risk factors experienced during pregnancy. This is because women do not obey the doctor's orders to carry out checks ANC, diet and adequate rest.This study aims to identify and analyze the effect of maternal adherence (Antenatal Care, diet and rest) to the successful treatment of preeclampsia in Batam Elisabeth Hospital in 2014. The method used is explanatory survey with cross sectional design. The study population is the entire third trimester pregnant women. The research sample that is the entire third trimester pregnant women who checkups at Saint Elisabeth Hospital Batam as many as 47 people. Data were analyzed by multiple logistic regression.The results showed that there was influence compliance in the rest of the successful handling of preeclampsia (p = 0.002), whereas compliance in Antenatal care (p = 0.076) and compliance in the diet (p = 0.631) did not affect the success of treatment of preeclampsia.It is advisable for pregnant women to reduce the routine activities and undertake light activity in an effort to prevent preeclampsia, and it is expected that health professionals, in order to provide counseling for pregnant women who perform health checks, on the benefits of antenatal care, follow the diet and rest in improving maternal health during pregnancy.


Author(s):  
Puji Astuti Wiratmo ◽  
Lisnadiyanti ◽  
Nurkamilia Sopianah

Introduction: Antenatal Care (ANC) is an effort to detect the occurrence of high risk in pregnant women. However, ANC non-compliance was still found due to several factors. Aim of study: This study aims to determine factors that influence ANC visits to ANC behavior at Puskesmas Pasar Rebo East Jakarta. Method: This study used a descriptive correlation design with a cross-sectional survey. Data analysis used Spearman's rho with 117 respondents. Results and Discussion: The results showed that there are some factors that influence ANC visits to ANC behavior, including age with a correlation value (r = 0.419), a p-value of 0.000; education with a correlation value (r = 0.425), p-value of 0.000; jobs with a correlation value (r = 0.279), p-value of 0.002; income with a correlation value (r = 0.407), p-value of 0.000; knowledge with a correlation value (r = 0.409), p-value of 0.000; husband / family support with a correlation value (r = 0.417), p-value of 0.000; attitude with a correlation value (r = 0.597), p-value of 0.000 (<0.05). Irregularity in carrying out ANC has a bad impact on pregnant women because they are not aware of the risk factors that may occur to the mother and her fetus and can not be detected early on the disease suffered by pregnant women. Conclusion: The conclusion of this study is nurses as health workers need to increase their role as educators and health care provider to pregnant women and their families about the importance of ANC to reduce maternal mortality and monitor the state of the fetus.


2021 ◽  
Author(s):  
Henry Sembatya ◽  
Justine Namuli ◽  
Judith Ajeani ◽  
Sam Ononge

Abstract Background: Psychological distress (PD) among pregnant women has a bearing both on the mother and the outcome of the pregnancy and is thus a public health problem. It is a precursor for other severe mental health conditions that include anxiety, depression, bipolar disorder and so if screened and diagnosed early it can prevent progress to severe mental illness. PD has however not been screened among pregnant women and thus no available data in Uganda. The objective of this study was to determine the prevalence and factors associated with PD among pregnant women at Kawempe hospital Uganda.Methods: A cross sectional study was conducted among 530 pregnant women attending antenatal care at Kawempe hospital Uganda. The SRQ-20 tool was used to screen for PD and data on socio-demographic and clinical factors was collected using a. socio-demographic questionnaire and medical records respectively. Descriptive statistics were applied to determine the prevalence of PD and multivariable logistic regression analysis was used to assess for factors associated with PD among pregnant women.Results: The prevalence of PD was 19.1% , while having a fair/bad relationship with the spouse (P-value =0.007), a low monthly income (p-value = 0.013), and having less than two meals a day (P-value =0.022). were independently associated with PDConclusion: Approximately one in five pregnant women receiving ANC at Kawempe hospital has PD. This study therefore supports the need for integration of mental health assessment into the antenatal care package of women at Kawempe hospital and Uganda at large


2020 ◽  
Vol 5 (1) ◽  
pp. 1-6
Author(s):  
Ayu Puteri Nur Perdani

Antenatal care is one form of health services for pregnant women which if done regularly can reduce both maternal and infant mortality rates, by conducting regular antenatal care it is expected that pregnant women and fetuses can be monitored for their development by health workers. This study aims to determine the relationship of regular antenatal care in third trimester pregnant women with the incidence of Pre-eclampsia in Banjarsengon Health Center, Jember Regency. This study uses a quantitative research design with a cross-sectional approach. Respondents in this study were 20 people with purposive sampling data collection techniques. Data were analyzed using exact fisher. The results of this study found that there is a relationship between regular Antenatal care in Trimester III pregnant women with the incidence of Pre-Eclampsia.


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