Using dyadic observation to explore equitable learning opportunities in classroom instruction

Because of poverty, many children do not receive adequate prenatal care, nutrition, or early childhood education. These inequities combine to ensure that many students enter school with considerably less academic content knowledge and skills for learning than their peers. Teachers and schools did not create these gaps, but they must address them. The impact of schools in reducing gaps has been explored for decades only to yield inconsistent findings. One possible reason for these contradictory results is because these studies ignore classroom process. We argue for the inclusion of process in research on opportunity and achievement gaps to better articulate if schools provide inequitable learning opportunities. Further, we argue for dyadic (teacher to individual student) measurement of classroom process because commonly-used observation instruments only measure teachers’ interactions with the whole class. These instruments obscure differential teacher treatment that may exist in some classrooms. To improve policy and practice, we call for supplementing extant measures of teachers’ whole-class interactions (process) and student outcome (product) measures with those that measure dyadic interactions to learn how opportunities to learn in classrooms and schools are distributed among students to reduce, sustain, or enhance learning gaps.

UTILIZATION OF ANTENATAL HEALTH SERVICES & HEALTH SEEKING BEHAVIOUR AMONG POSTNATAL WOMEN OF GWALIOR CITY: A CROSS SECTIONAL STUDY

Background: given to pregnant women in order Antenatal care (ANC) is one of the main components of maternal health to have a safe pregnancy. Delay in identication of pregnancy and lack of related health seeking behavior is the major causes of maternal morbidities and deaths. The study was conducted with the Aim: aim to evaluate the health-seeking behaviour for antenatal care services among the antenatal and postnatal mothers in a urban area of Gwalior city of Madhya Pradesh. Materials and Methods: Community based Descriptive cross-sectional research design was used to conduct. A total of 350 mothers who delivered in last one year were selected for study. 88% of the study participants had received adequate antenat Results: al care (minimum 4 antenatal checkups) but out of only 41.4% had knowledge regarding the danger signs of pregnancy and the major determinants were maternal literacy and adequate prenatal care. Regarding the health-seeking behaviour, 30.3% of them preferred district hospital as preferred place of delivery. Adequate prenatal care was found to have statistically signicant association with adequate gestational weight gain, exclusive breastfeeding, proper weaning practices and consumption of iron and folic acid supplements. , the study Conclusion: Even though there is reasonable good utilization rate of antenatal service shows the need to provide health education regarding the danger signs of pregnancy and importance of adequate prenatal care to all pregnant women and expectant mothers, to make them aware of when and how to seek medical care, which in turn could reduce the overall maternal morbidity and mortality.

Does women’s place of birth affect their opportunity for an informed choice about Down syndrome screening? A population-based study in France

Background To examine disparities by maternal place of birth in the opportunity to make an informed choice about Down syndrome screening, in France, where the national guidelines recommend that physicians offer it to all pregnant women. Methods We used population-based data from the nationally representative French Perinatal Surveys in 2010 and 2016 (N=24,644 women) to analyze the opportunity for an informed choice for prenatal screening, measured by a composite indicator. Results Among the 24 644 women in the study, 20 612 (83.6%) were born in France, 861 (3.5%) elsewhere in Europe, 1550 (6.3%) in North Africa, and 960 (3.9%) in sub-Saharan Africa. The probability of screening was lower for women born outside France. After adjustment for survey year, maternal age, parity, education level, and the maternity unit’s level of perinatal care, women born outside France had the opportunity to make an informed choice less often than women born in France. This association remained essentially the same even after excluding women without adequate prenatal care. Conclusions Women born outside France, including those with adequate prenatal care, had less opportunity than women born in France to make an informed choice about prenatal screening for Down syndrome.

Adequacy of prenatal care services and associated factors in Southern Ethiopia

Background Prenatal care is an important component for the continuum of care in maternal and child health services. Despite increased attention on prenatal care service coverage, the adequacy of service provision has not been well addressed in Ethiopia. Therefore, this study aimed to describe the status of the adequacy of prenatal care and its associated factors in Southern Ethiopia. Method A longitudinal study done by the Performance care Monitoring and Accountability (PMA2020) project was used. The study was conducted from August 2016 to January 2017 in Southern Ethiopia. A multistage stratified cluster design in which all enumeration areas were randomly selected using probability proportional to size and all households were screened to identify 324 pregnant women of six or more months. Questions regarding early attendance of prenatal care, enough visits, and sufficient services were asked to measure the adequacy of prenatal care. Finally, an ordered logistic regression analysis was employed to assess factors associated with the adequacy of prenatal care services. Results Of the total pregnant women 44.21 % attended enough visits, 84.10 % had early visits, and 42.03 % received sufficient services. The women residing in urban areas had 2.35 odds of having adequate prenatal care in reference to rural areas (adjusted odds ratio (aOR) 2.35 [95 % CI 1.05–5.31]). Women who attended primary and secondary education had 2.42(aOR 2.42 [95 % C.I. 1.04, 5.65]), and 4.18 (aOR 4.18 [95 % CI 1.32, 13.29]) odds of adequate prenatal care in reference with those who never attended education respectively. The women participating in one to five networks have 2.18 odds of adequate prenatal care in reference to their counterparts (aOR 2.78 [95 % CI 1.01, 7.71]). Conclusions The adequacy of prenatal care services in Southern Ethiopia is very low. The Ethiopian health care system should strengthen one to five networks to discuss on family health issues. Further research, should validate the tools and measure the adequacy of the services in different contexts of Ethiopia using a mixed method study for an in-depth understanding of the problem.

Prevention of vertical transmission in the “Syphilis No!” Project: a study on the specificities of the investigation committees/space in the North Region of Brazil

Introduction: Committees for investigation of vertical transmission (CIVTs) are strategic for the prevention of vertical transmission of syphilis (PVTS) and represent one of the fundamental actions of the project “Syphilis No!". This is mainly because of their role in the analysis of opportunities that were missed by the network of surveillance and care, and their potential to identify failures/difficulties in responding to syphilis and because they are configured as a space for recommending intervention to qualify the health service network. Objective: To describe and analyze a situation of CIVT/syphilis investigation spaces as strategic for PVTS from the implementation of the Syphilis No! project in priority municipalities in the North region of Brazil. Methods: Exploratory-descriptive study, with a qualitative case study approach. The data collection was carried out online, using the necessary questionnaires through the project at Plataforma LUES/FormLUES, from July 2019 to December 2020, and reports, minutes of meetings and reports of experiences, among other documents registered by project actors. Content analysis and bibliographic/documentary review were used. Results: The North region has eight priority municipalities for Syphilis No!, all with some CIVT strategy for syphilis. After the project implementation, five priority municipalities and three states in the region started to rely on CIVTs in their initial training for PVTS. Among the difficulties in the establishment and strengthening of CIVTs was the lack of human resources. Strategic actors and players in the North region pointed out advances/improvements in the service network since the committees' establishment, such as organization of the investigative space, an investigation by home visit/medical records, and expansion of the network. As for the missed opportunities in PVTS, we found a relationship between absences/failures in access to adequate prenatal care. Conclusion: CIVT strategies are important spaces in PVTS, and their maintenance as a prevention axis in the Syphilis No! project is essential for the reduction of congenital syphilis and, consequently, infant mortality.

Does women’s place of birth affect their opportunity for an informed choice about Down syndrome screening? A population-based study in France.

Background To examine disparities in the opportunity to make an informed choice about Down syndrome screening by maternal place of birth, in France, where the French national authority for health (HAS) recommends that physicians offer it to all. We used population-based data from the nationally representative French Perinatal Surveys in 2010 and 2016 (N=24,644 women) to analyze the opportunity for an informed choice for prenatal screening, measured by a composite indicator. Results Among the 24 644 women in the study, 20 612 (83.6%) were born in France, 861 (3.5%) elsewhere in Europe, 1550 (6.3%) in North Africa, and 960 (3.9%) in Sub-Saharan Africa. The probability of screening was lower for women born outside France. After adjustment for survey year, maternal age, parity, education level, and level of perinatal care of the maternity, women born outside France had less often the opportunity to make an informed choice as compared with women born in France. This association remained essentially the same even after excluding women without adequate prenatal care. Conclusions Women born outside France, including those with adequate prenatal care, had less opportunity than women born in France to make an informed choice about prenatal screening for Down syndrome.

Profile of Patients with Placental Abruption in Ultrasonography

Objective: The objective of this study was to evaluate the incidence of placental abruption (PA) among nulliparous and multiparous women in the city of Dourados-MS Brazil. Materials and methods: Retrospective single-center cross-sectional study. 240 examinations of patients submitted to ultrasonography (USG) with medical indications for investigating PA were evaluated. Results: The average age was 28.6 ± 6.38, minimum 15 and maximum 43 years. The patients’ weeks of pregnancy showed an average of 7.8 ± 3.1 minimum 4 and maximum 27 weeks. PA occurred in 66 (27.7%) of the patients out of the 240 evaluated patients. Conclusion: The occurrence of PA in the studied population was high. There was no correlation between the occurrence of PA and the age of the patients. The relevance of family planning and adequate prenatal care in the early identification of risk factors for PA, as both contribute to reducing the incidence of unfavorable pregnancy outcomes.

Congenital hyperextension deformity of the knees due to arthrogryposis multiplex congenita? Case report

Introduction: Arthrogryposis multiplex congenita is a disorder characterized by non-progressive joint contractures. It has an estimated prevalence of 1 in every 3 000-5 000 live births, with the same male-to-female ratio.Case presentation: This is the case of a male newborn with adequate prenatal care checkup appointments, who presented with a congenital deformity of the lower limbs. On physical examination, he had hyperextension of the knees (passive flexion of 20° in the left leg and 30° in the right leg), and painful active movement. On admission, peripheral pulses had good intensity, and adequate distal perfusion was found. Barlow and Ortolani maneuvers were negative, and no midline lesions were observed in the spine. The patient was diagnosed with arthrogryposis multiplex congenita and received multidisciplinary treatment to avoid early morbidity and mortality.Conclusion: To attain satisfactory clinical development in patients with arthrogryposis, it is essential to have a high level of antenatal suspicion, as well as appropriate prenatal checkups. All this allows for proper management, minimizing diagnostic errors, avoiding unnecessary procedures, and performing effective and timely treatment with outstanding results.

Gambaran Pengetahuan Dan Sikap Ibu Hamil Tentang Tanda Bahaya Selama Kehamilan Di Klinik Romauli

The risk of maternal death is higher due to the delay factor, which is an indirect cause of maternal mortality. There are three risks of delay, namely being late in making decisions to be referred to (including being late in recognizing danger signs during pregnancy), being late to the health facilities during an emergency and being late in getting adequate services by health workers. The main causes of maternal deaths in Indonesia are bleeding (28%), eclampsia (24%), and infection (11%). The cause of maternal death can be prevented by adequate prenatal care. This study aims to describe the knowledge of attitudes of pregnant women about danger signs during pregnancy at Romauli ClinicMethod. This type of research is descriptive analytic with cross sectional approach. The total populations are all pregnant women who did the examination at Romauli Clinic from April to May are 120 pregnant women. The number of samples taken is a portion of the population, namely 25 pregnant women who are determined accidentally. The measuring instruments used are questionnaires and questionnaires. Data analysis uses 2x2 chi square test.Result. The results of this study indicate that there is an overview between knowledge and attitudes of pregnant women about danger signs duringElisabteh Health Journal : Jurnal Kesehatan, Vol. V No. 01 (Juni, 2020) : V-01 E-ISSN 2541-4992pregnancy by observing the results of statistical tests obtainead p = 0.003 <α 0.05. Because the significance value is smaller than the real level of 0.05,Duscussion. it can be concluded that there is an overview between the knowledge of the attitudes of pregnant women about danger signs during pregnancy at Romauli Clinic Marelan District Medan City.

Does women’s place of birth affect their opportunity for an informed choice about Down syndrome screening? A population-based study in France

Objectives To examine disparities in the opportunity to make an informed choice about Down syndrome screening by maternal place of birth, in France, where the French national authority for health (HAS) recommends that physicians offer it to all. Material and methods We used population-based data from the nationally representative French Perinatal Surveys in 2010 and 2016 (N = 24,644 women) to analyse the opportunity for an informed choice for prenatal screening, measured by a composite indicator. Results Among the 24 644 women in the study, 20 612 (83.6%) were born in France, 861 (3.5%) elsewhere in Europe, 1550 (6.3%) in North Africa, and 960 (3.9%) in Sub-Saharan Africa. The probability of screening was lower for women born outside France. After adjustment for survey year, maternal age, parity, education level, and level of perinatal care of the maternity, women born outside France had less often the opportunity to make an informed choice as compared with women born in France. This association remained essentially the same even after excluding women without adequate prenatal care. Conclusion Women born outside France, including those with adequate prenatal care, had less opportunity than women born in France to make an informed choice about prenatal screening for Down syndrome.