scholarly journals Patterns of antenatal care in low-versus high-risk pregnancies in Lebanon

2004 ◽  
Vol 10 (3) ◽  
pp. 268-276
Author(s):  
F. El Kak ◽  
M. Chaaya ◽  
O. Campbell ◽  
A. Kaddour
Keyword(s):  
High Risk ◽  
Antenatal Care ◽  
Laboratory Tests ◽  
Risk Groups ◽  
First Trimester ◽  
Pregnancy Risk ◽  
High Risk Women ◽  
Special Diets ◽  
Number Of Visits ◽  
Antenatal Visits

Westudied patterns of antenatal care in low- versus high-risk pregnancies in Lebanon comparing 538 women after delivery in urban Beirut with rural Baka’a. Most women had 9 antenatal care visits with an obstetrician, starting in the first trimester. Care for high-risk and low-risk pregnancies was similar in terms of type of provider, number of visits and timing of first visit. More high-risk women had advice about special diets, supplements and laboratory tests. Maternal and fetal outcomes showed that, controlling for area and pregnancy risk, more antenatal visits were associated with fewer preterm deliveries, more caesarean sections and fewer cases of postpartum depression. Overall, differences between risk groups were small

scholarly journals Why do ‘high risk’ women book late or not at all for antenatal care?

2015 ◽  
Vol 65 (640) ◽  
pp. 574.1-574 ◽  
Author(s):  
Caroline Anne Mitchell ◽  
Georgina Jones ◽  
Dilly OC Anumba
Keyword(s):  
High Risk ◽  
Antenatal Care ◽  
High Risk Women

Identifying high-risk subgroups for alcohol consumption among younger and older pregnant women

2015 ◽  
Vol 43 (1) ◽  
Author(s):  
Panagiota Kitsantas ◽  
Kathleen F. Gaffney ◽  
Huichuan Wu
Keyword(s):  
High Risk ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Maternal Age ◽  
Age Groups ◽  
Risk Groups ◽  
Obese Women ◽  
Drinking Alcohol ◽  
Pregnancy Risk ◽  
Cart Analysis

AbstractRecent studies indicate that older women are more likely to consume alcohol during pregnancy, but subgroups at highest risk within the context of maternal age have not been identified. This study identifies subgroups at risk for alcohol use during pregnancy among three age categories using classification and regression trees (CART) analysis.Using the 2002–2009 Pregnancy Risk Assessment Monitoring System (PRAMS) dataset (311,428 records of U.S. women), logistic regression and classification trees were constructed separately for age groups, ≤24, 25–29, and ≥30 years.Overall, 6.5% of women reported drinking alcohol during the last trimester of pregnancy. Alcohol consumption by age group was: 3.7% for ≤24, 5.7% for 25–29, and 10.1% for ≥30 years of age. Women ≤24 years were at greater risk of consuming alcohol if they also smoked (5.8%). Among nonsmokers, higher levels of education and being Hispanic were associated with a 35% increase in alcohol use. Distinct high-risk subgroups emerged for the 25–29-year-old group. Specifically, 12.8% of non-obese women who reported having experienced abuse during pregnancy also reported drinking alcohol in the last trimester. About 16% of women ≥30 years with at least 16 years of education, White or Hispanic with normal or underweight BMI, drank alcohol during their last trimester.Given limited health care resources for prevention and treatment, the early identification of high-risk groups for prenatal alcohol use is critical. This study provides evidence that risk factors contributing to alcohol consumption during pregnancy may differ by maternal age.

scholarly journals Sero-epidemiology of human immunodeficiency virus (HIV) in Plateau State, Nigeria

2012 ◽  
Vol 6 (12) ◽  
pp. 860-869 ◽  
Author(s):  
Nenfort Edward Gomwalk ◽  
Lohya Nimzing ◽  
John Danjuma Mawak ◽  
Nimzing G. Ladep ◽  
Stephen B. Dapiap ◽  
...  
Keyword(s):  
High Risk ◽  
Local Government ◽  
Antenatal Care ◽  
Previous History ◽  
Risk Groups ◽  
Multiple Sexual Partners ◽  
Men 2 ◽  
History Of ◽  
Plateau State ◽  
Sex With Men

Introduction: Previous sentinel surveys of HIV in Nigeria studied pregnant women attending antenatal care, thereby omitting other important high-risk groups. We therefore investigated the prevalence of HIV/AIDS in low- and high-risk populations in the state of Plateau, Nigeria. Methodology: Blood samples were collected by venepuncture from 5,021 adults aged ≥15 years between August and October 2008. At least one major town and one rural community were selected in each Local Government Area (LGA). Samples were initially screened with a rapid HIV testing kit; reactive samples were further tested using Stat Pak.  Discordant samples were confirmed using Genie-II. Results: Of 5,021 subjects screened, 245 (4.88%) were seropositive. Local Government prevalence ranged from 0.68% in Bassa to 16.07% in Jos North. On average, LGAs in the Southern Senatorial Zone had higher rates. Most (over 80%) positive cases were younger than 40 years. Females had a significantly higher (6.85%) prevalence than males (2.72%). Age-specific prevalence was higher among females aged 25 to 29 years (2.09%). Risk factors identified  for acquisition of HIV infection were previous history of STDs (6, 16.28%); men having sex with men (2, 11.76%); having multiple sexual partners (97; 10.49%); intravenous drug use (10, 7.58%); sharing of sharp objects (20, 4.82%); and history of blood transfusion (21, 3.65%). Conclusion: The seemingly higher prevalence recorded in this survey could be attributed to the  inclusion of high- and low-risk groups in the general population, unlike previous reports which studied only antenatal care attendees. This survey provides useful baseline information for further studies.

scholarly journals Effects of Electronic Technology Antenatal Care (E-ANC) on Midwives and Pregnant Women during the COVID-19 Period

2020 ◽  
Vol 8 (T1) ◽  
pp. 115-121
Author(s):  
Rosmala Nur ◽  
St. Radiah ◽  
Ulfa Aulia ◽  
Rahma Rahma Dwilarasati ◽  
Nurhaya S. Patui ◽  
...  
Keyword(s):  
High Risk ◽  
Reproductive Health ◽  
Early Detection ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Sampling Technique ◽  
Health Problems ◽  
Electronic Technology ◽  
The Impact ◽  
Antenatal Visits

BACKGROUND: Pregnant women are considered as a risk group for exposure to COVID-19. Changes in their hormones and immune systems possibly influence their rate of infection by several viruses, including the coronavirus. This stresses the need to observe necessary precautions, by maintaining social distancing, avoiding crowds, and staying at home. Furthermore, the condition also influences the scope of pregnant women’s antenatal visits. AIM: The study aims to determine the effect of COVID-19 on antenatal visits by pregnant women. Furthermore, it seeks to ascertain the effect of electronic technology antenatal care (e-ANC) on the enhanced participation of midwives and pregnant women in antenatal care (ANC) (i.e., counseling, high-risk early detection on pregnancy, and monitoring of Hb and Fe tablets). Therefore, the impact COVID-19 on women’s reproductive health during the pandemic is also evaluated. METHODS: This research involved pre- and post-test experiments on 30 pregnant women and 20 midwives at areas around the Public Health Centers in Tinggiede and Marawola. A purposive sampling technique was adopted, and the results were analyzed using a paired t-test. RESULTS: The study showed discrepancies in the ANC visits of pregnant women before and after the COVID-19 lockdown period, with p < 0.00. Furthermore, there were also differences in midwife participation in counseling by p < 0.00, high-risk early detection on pregnancy by p < 0.001, Hb monitoring by p < 0.002, and provision of Fe tablets by p < 0.003 during the pandemic. Moreover, the pregnant women showed variations in the frequency of counseling by p < 0.00, high-risk early detection on pregnancy by p < 0.00, Hb monitoring by p < 0.002, and the provision of Fe tablets by p < 0.003. The e-ANC instigated a decline in reproductive health problems before (73.4%) and after (10.0%) the intervention. CONCLUSION: The lockdown period influences the low antenatal visits of pregnant women. However, e-ANC for midwives and pregnant women is developed as an alternative solution to improve ANC (i.e., counseling, high-risk early detection, and monitoring Hb and Fe tablets). This consequently has an effect on the reduced reproductive health problems of pregnant women during the pandemic.

Thromboprophylaxis with Low Molecular Weight Heparin (Fragmin) in High Risk Pregnancies

1997 ◽  
Vol 77 (01) ◽  
pp. 039-043 ◽  
Author(s):  
Beverley J Hunt ◽  
Heidi-Ann Doughty ◽  
G Majumdar ◽  
Adrian Copplestone ◽  
Sian Kerslake ◽  
...  
Keyword(s):  
Molecular Weight ◽  
High Risk ◽  
Post Partum ◽  
Osteoporotic Fractures ◽  
First Trimester ◽  
Thromboembolic Disease ◽  
Low Molecular Weight ◽  
Optimal Dosage ◽  
High Risk Women ◽  
Osteoporotic Vertebral Collapse

SummaryVenous thromboembolic disease remains the commonest cause of maternal death. The management of thromboprophylaxis in high risk women during pregnancy is contentious. Low molecular weight heparins (LMW) have theoretical advantages compared with unfractionated heparin and warfarin but have been poorly studied in pregnancy. We report on the use of LMW heparin (Fragmin) as thromboprophylaxis in thirty four high risk pregnancies.All the women had a previous thrombosis or a thrombosis in their current pregnancy +/- a recognised thrombophilic state (eleven had the antiphospholipid syndrome).Fragmin was given subcutaneously to maintain trough anti-Xa activity of 0.15-0.2 U/ml and 2 h post injection levels of 0.4-0.6 U/ml. The levels were checked monthly during pregnancy. Most women required 5,000U Fragmin once daily during the first trimester unless they were greater than 100 kg at the start of pregnancy. The mean time for dosage increase was 20.5 week (S.D. 8.2). 26/34 pregnancies (76%) required twice daily at the end of pregnancy. Epidural anaesthesia was managed by omitting Fragmin dose or inserting the needle 6 hours after the previous Fragmin injection. There were no thromboembolic events, thrombocytopenias or excessive haemorrhage. One woman had osteoporotic vertebral collapse post partum, she had no other risk factors for osteoporosis.LWM heparin (Fragmin) appears to be efficacious in preventing recurrent thromboembolic disease in pregnant women at high risk, but it is notable that osteoporotic fractures occurred post partum in one woman. Further trials are required to determine optimal dosage and safety.

Antenatal Care Description and Pregnancy Risk of Pregnancy in Pregnant Mother in Palu City 2019: Study of Co-Ass Assistance for IKM-KK Faculty of Medicine, Tadulako University

2020 ◽  
Vol 1 (2) ◽  
pp. 8-14
Author(s):  
Ketut Suarayasa ◽  
Bertin Ayu Wandira
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Antenatal Care ◽  
Pregnant Women ◽  
High Risk Pregnancy ◽  
Young Doctor ◽  
Pregnancy Risk ◽  
Risk Pregnancy ◽  
Low Risk Pregnancy ◽  
Very High

The purpose of this study was to obtain an overview of pregnancy risk factors in pregnant women accompanied by young doctor from the IKM-KK department of the Faculty of Medicine at Tadulako University during a stase at the Primary Health Care in the city of Palu. The design of this study was descriptive in order to obtain an overview of pregnancy risk factors obtained from the checklist for assisting pregnant women. The population in this study were all pregnant women who received young doctor from the IKM-KK department in the last 2 (two) years, totaling 147 pregnant women. While the sample in this study was 3rd trimester pregnant women whose notes in the accompanying book are complete. The results showed that: 1) Compliance with the lowest Antenatal Care standard in laboratory tests (70%); 2) Pregnant Women with Low Risk Pregnancy (KRR) of 58.2%, High Risk Pregnancy (KRT) of 32.2% and Very High Risk Pregnancy (KRST) of 9.6%; 3) The three highest risk factors for pregnancy are getting pregnant too soon again <2 years (31.3%), had cesarean section (22.9%) and pre-eclampsia (16.7%); and 4) Pregnant women with very high risk pregnancies (KRST) at most (72.7%) were found in urban health centers, including: kamonji (36.3%), Singgani (18.2%) and Talise (18.2%).

scholarly journals First‐trimester detection of abnormally invasive placenta in high‐risk women: systematic review and meta‐analysis

2018 ◽  
Vol 51 (2) ◽  
pp. 176-183 ◽  
Author(s):  
F. D'Antonio ◽  
I. E. Timor‐Tritsch ◽  
J. Palacios‐Jaraquemada ◽  
A. Monteagudo ◽  
D. Buca ◽  
...  
Keyword(s):  
Systematic Review ◽  
High Risk ◽  
Meta Analysis ◽  
First Trimester ◽  
High Risk Women ◽  
Invasive Placenta ◽  
Abnormally Invasive Placenta
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