Mapping the Informing Relationship: Pregnant Women’s Representations of Midwives as Information Sources

Author(s):  
Pamela J. McKenzie

Caring relationships are recognized as important resources for information seekers. I consider how nine pregnant women map their relationships with their midwives as they evaluate them as information sources. Data come from interviews. Women described the relationship as a trajectory, beginning with the “idea” of a midwife. As women get to know their midwife, they are able to draw on a set of resources, including the relationship itself, as informative. These resources are not static but are re-negotiated on an ongoing basis. A single encounter therefore maps both to the trajectory of the relationship and to a broader discursive community.Les relations bienveillantes sont reconnues comme ressources importantes pour ceux qui cherchent de l'information. En analysant les données de neuf entrevues, je tenterai de déterminer comment neuf femmes enceintes se représentent leur relation avec leur sage-femme vue comme source d'information. Les femmes décrivent leur relation comme une trajectoire qui s'appuie sur « l'idée » qu'elles se font d'une sage-femme. Au fur et à mesure que la relation avec leur sage-femme évolue, les femmes peuvent se prévaloir d'un ensemble de ressources informatives, y compris la relation elle-même. Ces ressources ne se veulent pas statiques, mais bien renégociées de façon continue. Une rencontre unique représente alors la trajectoire d'une relation ainsi que d'une communauté discursive. 

Viruses ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 853
Author(s):  
Sara Cruz Melguizo ◽  
María Luisa de la Cruz Conty ◽  
Paola Carmona Payán ◽  
Alejandra Abascal-Saiz ◽  
Pilar Pintando Recarte ◽  
...  

Pregnant women who are infected with SARS-CoV-2 are at an increased risk of adverse perinatal outcomes. With this study, we aimed to better understand the relationship between maternal infection and perinatal outcomes, especially preterm births, and the underlying medical and interventionist factors. This was a prospective observational study carried out in 78 centers (Spanish Obstetric Emergency Group) with a cohort of 1347 SARS-CoV-2 PCR-positive pregnant women registered consecutively between 26 February and 5 November 2020, and a concurrent sample of PCR-negative mothers. The patients’ information was collected from their medical records, and the association of SARS-CoV-2 and perinatal outcomes was evaluated by univariable and multivariate analyses. The data from 1347 SARS-CoV-2-positive pregnancies were compared with those from 1607 SARS-CoV-2-negative pregnancies. Differences were observed between both groups in premature rupture of membranes (15.5% vs. 11.1%, p < 0.001); venous thrombotic events (1.5% vs. 0.2%, p < 0.001); and severe pre-eclampsia incidence (40.6 vs. 15.6%, p = 0.001), which could have been overestimated in the infected cohort due to the shared analytical signs between this hypertensive disorder and COVID-19. In addition, more preterm deliveries were observed in infected patients (11.1% vs. 5.8%, p < 0.001) mainly due to an increase in iatrogenic preterm births. The prematurity in SARS-CoV-2-affected pregnancies results from a predisposition to end the pregnancy because of maternal disease (pneumonia and pre-eclampsia, with or without COVID-19 symptoms).


Author(s):  
Ekwebene OC ◽  
◽  
Obidile VC ◽  
Nnamani CP ◽  
Eleje GU ◽  
...  

The effect of global change on the incidence of vector borne diseases including malaria is of great importance. Malaria has been regarded as one of the most sensitive disease that responds fast to climate change. Pregnant women tend to have reduced immunity are more vulnerable to vector borne diseases such as malaria especially with climate change like flooding where these vectors borne diseases are endemic. To measure malaria parasitaemia in gravid women pre and post flooding and also to determine the relationship between malaria and seasonal flooding in South east Nigeria. This was a hospital-based cross-sectional study involving pregnant women aged 15- 45 years attending the antenatal clinics of two maternity centres in a rural community South east Nigeria. Malaria was determined using the thick and thick blood films. Plasmodium falciparum species was examined in this study. Chi-square was used to assess the relationship between malaria and seasonal flooding. One Hundred and fifty pregnant women were recruited for the study. The prevalence of malaria in the gravid women pre and post flooding were 60.00% and 65.30% respectively. Malaria parasite was highest in the gravid women aged 28-31 years and the primigravids. There was no statistical difference between malaria and parity. The mean parasite density in the gravid women was significantly higher post flooding than pre flooding with p-value of 0.001. There was no significant relationship between malaria parasite in gravid women and the periods of investigation. The prevalence of malaria parasite among gravid women in the study area is high regardless of the seasonal flooding. Hence, the need for adherence to malaria prophylaxis protocol by the health care professionals and increase on community health education on malaria preventive strategies.


2019 ◽  
Vol 25 (2) ◽  
pp. 38
Author(s):  
Khaeriya Megauleng ◽  
Mustamin Mustamin ◽  
Sunarto Sunarto

Education influences a changes in knowledge, attitudes, and lifestyle patterns in the selection of the type and amount of food consumed. The health of a pregnant women affects the fetus in her womb. Nutrient content consumed by the mother will be absorbed by the fetus which is important for the growth of the fetus itself. This study aims to determine the relationship of education level, energy intake and protein nutritional status of pregnant women in the Bungoro Health Center Work Area of Bungoro District, Pangkep Regency. This research is an analytical study with cross-sectional design. Samples were pregnant women, amount to 40 people. The level of education is obtained through a questionnaire. Energy and protein intake was obtained through 2x24 hours recall and then processed using menu A software. To find out the relationship between variables of education level, energy and protein intake with nutritional status, Chi-Square was tested using the SPSS program. Data is presented in the form of tables and narratives. The results showed that 77.5% of the sample education level was high. Sample energy intake was classified as less than 82.5% and 17.5% classified as good. Sample protein intake of 95% classified as poor and 5% classified as good. Nutritional status of pregnant women is 70% experiencing KEK and 30% normal. Statistical test results show that there is no relationship between education level, energy and protein intake and nutritional status of pregnant women in the Bungoro Health Center Work Area, Bungoro District, Pangkep Regency.


Author(s):  
Aslihan Dilara Demir ◽  
Pervin Karli ◽  
Durmus Ayan

<p><strong>Objective:</strong> Obesity is a very common and important health problem and it has become widespread all over the world. Fat tissue is one of the major endocrine organs. Subcutaneous adipose tissue is associated with many diseases such as coronary artery disease, metabolic syndrome, diabetes, impaired lipid profile. Pregnancy is a special condition with metabolic changes involving all systems. We aimed to investigate the relationship and correlation between abdominal fat and HbA1c because of the specific metabolic conditions in pregnancy.</p><p><strong>Study Design:</strong> This is a retrospective study. Ninety-nine (n=99) pregnant women between the ages of 20 and 40 were included in the present study. They have not any other chronic diseases. Ultrasonography was performed between 16.-28. weeks. Abdominal subcutaneous fat tissue was measured during 16-28 weeks of pregnancy. Routine biochemical parameters and HbA1c were evaluated.</p><p><strong>Results:</strong> Subcutaneous fat tissue had a positive correlation with metabolic parameters such as weight and BMI, and a negative correlation with vitamin D level. There is a positive strong correlation with HbA1c level. There was not any correlation between HbA1c and metabolic parameters like triglyceride, LDL, HDL, and cholesterol.</p><p><strong>Conclusion:</strong> There was a strong positive correlation between abdominal subcutaneous fat tissue thickness and HbA1c. However, we didn’t find any correlation between infant weight and metabolic parameters.</p>


2019 ◽  
Vol 6 (1) ◽  
pp. 22-27
Author(s):  
Semiha Aydın Özkan ◽  
Gülay Rathfisch ◽  
Özlem Karabulut ◽  
Türkan Karaca

2021 ◽  
Author(s):  
Clovis Cechinel ◽  
◽  
Joao Alberto Martins Rodrigues

Review question / Objective: What is the relationship between delirium and frailty in hospitalized elderly people? The objective of this research is to analyze the association between frailty and delirium in hospitalized elderly people, through a systematic literature review. Condition being studied: Frailty and delirium in hospitalized aged. Information sources: A specific search strategy for the language of each database was developed using, initially, the Medical Subject Headings (MEsH) descriptor and later translated to specific descriptors (Descriptors in Health Sciences (DeCS) and Embase Subject Headings (Emtree)). The search strategy will be applied by the researchers in the MEDLINE databases through the Pubmed Portal; Scielo; VHL; EMBASE, CINAHL, Scopus and Web of Science through the CAPES Journal Portal; CENTRAL via Cochrane.


REVISTA PLURI ◽  
2019 ◽  
Vol 1 (2) ◽  
pp. 241
Author(s):  
Veridiana Canezin Guimarães ◽  
Regiane Ribeiro ◽  
Tuanne Sousa ◽  
Audinéia Pereira

O presente estudo tem como objetivo pesquisar o consumo excessivo de álcool pelas gestantes e o comportamento dos bebês recém-nascidos, abordando consequências fisiológicas e psicológicas, visando também o tratamento e a prevenção. Trata-se de uma pesquisa de cunho bibliográfico, que investigou a relação entre o consumo de álcool pelas gestantes e a saúde física e psicológica dos bebês, tendo como referência teórica estudos psicanalíticos da relação mãe-bebê.Palavras-Chave: Abuso de álcool. Gravidez. PsicanáliseAbstractThe present study aims to investigate the excessive consumption of alcohol by pregnant women and the behavior of newborn babies, addressing physiological and psychological consequences, as well as treatment and prevention. This is a bibliographical research that will investigate the relationship between alcohol consumption by pregnant women and the physical and psychological health of the babies, having as theoretical reference psychoanalytic studies of the mother-baby relationship.Keywords: Alcohol abuse. Pregnancy. Psychoanalysis.


Author(s):  
Ebru Ersoy ◽  
Halil Özcan ◽  
Ali Özgür Ersoy ◽  
Aytekin Tokmak ◽  
Esra Yaşar Çelik ◽  
...  

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