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1.
Rev. enferm. UERJ ; 29: e56113, jan.-dez. 2021.
Artículo en Inglés, Portugués | LILACS | ID: biblio-1224567

RESUMEN

Objetivo: descrever a escolha do parto domiciliar planejado acompanhado por enfermeira obstétrica em um centro urbano de grande porte, na perspectiva de mulheres brasileiras. Métodos: estudo qualitativo guiado pela Grounded Theory. Foram entrevistadas dez mulheres com idade entre 20 e 41 anos que tiveram parto domiciliar planejado acompanhadas por enfermeiras obstétricas. As participantes foram recrutadas por meio de rede social, acessando um grupo de mulheres que escreveram sobre seu parto domiciliar. Resultados: Emergiram duas categorias: Não vendo possibilidade de parir naturalmente no ambiente hospitalar e Pensando na segurança do parto domiciliar planejado. O hospital representou vários aspectos desfavoráveis como intervenções desnecessárias e solidão. As mulheres consideravam o lar um lugar seguro para parir, conectado aos cuidados de enfermeiras obstétricas. Conclusão: há mulheres que não desejam parir no hospital, preferindo parir em casa e do ponto de vista dos direitos humanos e dos cuidados desmedicalizados, as enfermeiras obstétricas devem apoiar as mulheres nessa sua decisão.


Objective: to describe the choice of planned homebirth attended by a nurse midwife in a large urban centre, from the perspective of Brazilian women. Methods: in this Grounded Theory study, ten women aged 20 to 41 years, who had a planned homebirth accompanied by a nurse midwife, were interviewed. Participants were recruited through a social network by accessing a group of women who wrote about their homebirth. Results: two categories emerged: seeing no possibility of giving birth naturally in the hospital environment; and thinking about the safety of a planned homebirth. Hospital represented several unfavourable aspects, such as unnecessary interventions and loneliness. Women thought of home as a safe place to give birth, connected with nurse midwife care. Conclusion: there are women who do not wish to give birth in hospital, but prefer to give birth at home and, from the point of view of human rights and de-medicalized care, nurse midwives should support women in their decision.


Objetivo: describir la elección del parto domiciliario planificado con enfermera obstétrica en un gran centro urbano, desde la perspectiva de mujeres brasileñas. Métodos: estudio cualitativo guiado por la Grounded Theory. Se entrevistó a diez mujeres entre 20 y 41 años que tuvieron parto domiciliario planificado, siendo acompañadas de enfermeras obstétricas. Las participantes fueron reclutadas a través de red social, accediendo a un grupo de mujeres que escribieron sobre su parto en domicilio. Resultados: surgieron dos categorías: las que no veían posibilidad de dar a luz naturalmente en el hospital y las que pensaron en la seguridad del parto domiciliario planificado. El hospital representó varios aspectos desfavorables como intervenciones innecesarias y soledad. Las mujeres consideraban que el hogar era un ambiente seguro para dar a luz, vinculado al cuidado de enfermeras obstétricas. Conclusión: hay mujeres que no desean dar a luz en el hospital, prefieren hacerlo en casa y, desde el punto de vista de los derechos humanos y de los cuidados sin la intervención de un médico, las enfermeras obstétricas deben apoyarlas en esa decisión.


Asunto(s)
Humanos , Femenino , Embarazo , Adulto , Parto Domiciliario/enfermería , Parto Normal/enfermería , Enfermeras Obstetrices , Mujeres Embarazadas/psicología , Seguridad del Paciente , Parto Domiciliario/psicología , Parto Normal/psicología
2.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-48465

RESUMEN

Milhares de mulheres que vivem um dos momentos mais especiais da vida já se vacinaram contra a Covid-19 e garantiram a proteção durante a gravidez.


Asunto(s)
Mujeres Embarazadas , Vacunas contra la COVID-19 , Vacunación
3.
BMC Health Serv Res ; 21(1): 1056, 2021 Oct 06.
Artículo en Inglés | MEDLINE | ID: mdl-34610842

RESUMEN

INTRODUCTION: Malaria interventions including use of Sulfadoxine-Pyrimethamine as Intermittent Preventive Treatment (IPTp-SP) and distribution of Insecticide Treated Nets (ITNs) have been implemented through ante-natal clinic (ANC) services in Ghana. Yet, the high ANC attendance is not commensurate with the uptake of these interventions, with missed opportunities to deliver the interventions. This study sought to assess the health system factors affecting access and delivery of IPTp-SP and ITN as defined by the Ghana Malaria Policy Guideline to eligible pregnant women attending ANC clinic sessions. METHODS: A quantitative cross-sectional study was conducted in the Volta Region of Ghana, with data collected across three levels of health care delivery facilities, including hospitals, health centres and Community-Based Health Planning Service (CHPS) compounds. Data collection included structured observation checklists to document the communication and interaction between the ANC health staff and pregnant women. Additionally, structured questionnaires were used to elicit information on cadre, trainings attended, knowledge and delivery practices of health workers on IPTp-SP and ITN. Stata 16 was used for data analysis, and a defined delivery algorithm was used to compute appropriate and inappropriate delivery practices, using the Ghana policy directive as a guide. Predictors of appropriate delivery were determined using logistic regression analysis. RESULTS: Approximately 97% of the 680 ANC observations had complete information for analysis. Of these, 78% (511/657) were eligible for IPTp-SP after excluding women who have less than 16 weeks of gestation, G6PD deficient, malaria positive and have taken 5 doses of IPTp-SP prior to day of observation. Appropriate delivery of IPTp-SP was 76% (390/511). Despite the availability of SP, 15% (75/511) of all eligible women were not offered the medication and 37% (44/119) of inappropriate delivery was recorded during periods of stock out. ITNs were appropriately delivered to 59% (139) out of 237 eligible women. Thirty-two percent (77/237) of eligible women, mostly continuing ANC clients, were not given ITN despite stock availability. CONCLUSIONS: IPTp-SP was appropriately delivered to most of the eligible pregnant women compared to ITN. While stock out of both intervention could account for inappropriate delivery, despite stock availability, IPTp-SP and ITN were not delivered to some eligible women.


Asunto(s)
Antimaláricos , Malaria , Antimaláricos/uso terapéutico , Estudios Transversales , Femenino , Ghana/epidemiología , Humanos , Malaria/tratamiento farmacológico , Malaria/epidemiología , Malaria/prevención & control , Embarazo , Mujeres Embarazadas , Estados Unidos
4.
BMC Pregnancy Childbirth ; 21(1): 667, 2021 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-34598709

RESUMEN

BACKGROUND: Women across the world value choice and control throughout their maternity care experiences. In response to this health policy and frameworks are adapting and developing. The concepts of choice and control are extrinsically complex and open to interpretation by healthcare professionals and service users, with the two not necessarily aligning. Depending on a number of factors, women's experiences of choice and control within the same maternity care system may be very different. This study aimed to investigate the factors influencing women's perceptions of choice and control during pregnancy and birth in Ireland. METHODS: We conducted a cross-sectional study using an adapted version of the UK national maternity experience survey (National Perinatal Epidemiology Unit). During March - July 2017, a sample of 1277 women were recruited from the postnatal wards of three maternity units and a tertiary maternity hospital. Poisson regression was used to assess the association between twelve factors and a series of measures of the women's perception of choice and control. RESULTS: Most women reported not having choice in the model or location of their maternity care but most reported being involved enough in decision-making, especially during birth. Women who availed of private maternity care reported higher levels of choice and control than those who availed of public maternity care. This factor was the most influential factor on almost all choice and control measures. CONCLUSION: Most women experiencing maternity care in Ireland report not having choice in the model and location of care. These are core elements of the Irish maternity strategy and significant investment will be required if improved choice is to be provided. Availing of private maternity care has the strongest influence on a woman's perceived choice and control but many women cannot afford this type of care, nor may they want this model of care.


Asunto(s)
Toma de Decisiones , Maternidades , Servicios de Salud Materna , Atención Posnatal/psicología , Mujeres Embarazadas/psicología , Atención Prenatal/psicología , Adulto , Estudios Transversales , Femenino , Humanos , Irlanda , Embarazo
5.
Ann Parasitol ; 67(2): 321-328, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34598404

RESUMEN

Epidemiological studies of vaginalis trichomonosis, especially in pregnant women are rare in Africa due to the lack of screening programs. The present study aimed to assess the prevalence of T. vaginalis infection and its associated factors in pregnant women who attended the antenatal care clinics in three primary health centers of Bobo-Dioulasso. We carried out a cross-sectional study for descriptive and analytical purposes from February to April 2015 in pregnant women seen in prenatal consultations. The study took place in 3 primary public health centers: Guimbi (Central Urban), Bolomakoté (Peri-urban) and Yéguérésso (rural). The trophozoites of Trichomonas vaginalis was carried out by microscopy on vaginal swabs and urine samples. Sociodemographic, obstetric and biological variables were also collected. A total of 315 pregnant women were included in the study. The overall prevalence of urogenital trichomonosis was 3.2%. It was 1.9% in Guimbi, 2.9% in Bolomakoté, and 4.7% in Yéguérésso. The prevalence of HIV infection was 2.2%. Married women were less exposed to T. vaginalis infection than single women (p=0.03). The prevalence of urogenital trichomonosis obtained was considered lower compared to the previously reported from Burkina Faso. Thus, it is essential to extend this study to the whole country periodically by integrating other STIs not subject to a surveillance system and by integrating molecular epidemiology tools.


Asunto(s)
Infecciones por VIH , Trichomonas vaginalis , Burkina Faso/epidemiología , Estudios Transversales , Femenino , Humanos , Embarazo , Mujeres Embarazadas , Prevalencia
6.
J Nepal Health Res Counc ; 19(2): 431-433, 2021 Sep 06.
Artículo en Inglés | MEDLINE | ID: mdl-34601546

RESUMEN

Ovarian cancer during pregnancy is a rare event. Little is known about the treatment of this condition due to the lack of randomized trials and cohort studies. A case of 28 years female, from Kathmandu, visited Out-Patients Department with complaint of amenorrhea for 8 weeks associated with nausea and occasional pain abdomen. Dating scan was done which showed a single live intrauterine pregnancy corresponding to 8 weeks 4 days of gestation with incidental finding of adnexal cysts in both adnexa, measuring 3.6 x 3.6 cm on right and on left 3.2 x 3.6 cm. The cysts did not show any septations. At 38 weeks, she underwent caesarean section and delivered a healthy baby girl. Intra-operatively, bilateral ovarian cysts were identified, both 2x2 cm simple-looking cysts. Enucleation of bilateral ovarian cysts was done. The specimen was sent for histopathology which showed serous carcinoma of low grade in bilateral ovaries. Staging surgery was then carried out after 6 weeks. Histopathology report showed serous carcinoma of low grade in both ovaries. We present here the case of ovarian cancer during pregnancy. Keywords: Ovarian cancer; pregnancy.


Asunto(s)
Carcinoma , Neoplasias Ováricas , Cesárea , Femenino , Humanos , Lactante , Nepal , Neoplasias Ováricas/cirugía , Embarazo , Mujeres Embarazadas
7.
Rev Esc Enferm USP ; 55: e20200544, 2021.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-34605531

RESUMEN

OBJECTIVE: To analyze immunization errors in pregnant women from Minas Gerais, according to the absence and presence of Adverse Events Following Immunization. METHODS: This is a cross-sectional study, carried out with data on immunization errors in pregnant women, between 2015 and 2019, registered in the Information System for the Surveillance of Adverse Events, in Minas Gerais. The trend of the incidence rate of immunization error per 100,000 doses applied was checked using Prais-Winsten models. RESULTS: Of all notifications, 3.72% were vaccination errors with adverse events following immunization. The highest proportion of immunization errors with no adverse events (32.40%) was in the macro-region Centro and, with adverse events (27.78%), in Triângulo do Sul, both with a stationary trend in the period. Regarding the incidence rate, the macro-region with the highest immunization errors with no adverse events was Vale do Aço and the macro-region with the highest incidence rate of immunization errors with adverse events was Triângulo do Sul. CONCLUSION: In this study, the notifications of Adverse Events Following Immunization resulting from vaccination errors with and without adverse events occurred with no significant trend within the years of the study.


Asunto(s)
Inmunización , Mujeres Embarazadas , Estudios Transversales , Femenino , Humanos , Inmunización/efectos adversos , Incidencia , Embarazo , Vacunación/efectos adversos
8.
BMC Pregnancy Childbirth ; 21(1): 664, 2021 Sep 30.
Artículo en Inglés | MEDLINE | ID: mdl-34592953

RESUMEN

BACKGROUND: The outbreak of the COVID-19 pandemic caused great uncertainty about causes, treatment and mortality of the new virus. Constant updates of recommendations and restrictions from national authorities may have caused great concern for pregnant women. Reports suggested an increased number of pregnant women choosing to give birth at home, some even unassisted ('freebirth') due to concerns of transmission in hospital or reduction in birthplace options. During April and May 2020, we aimed to investigate i) the level of concern about coronavirus transmission in Danish pregnant women, ii) the level of concern related to changes in maternity services due to the pandemic, and iii) implications for choice of place of birth. METHODS: We conducted a nationwide cross-sectional online survey study, inviting all registered pregnant women in Denmark (n = 30,009) in April and May 2020. RESULTS: The response rate was 60% (n = 17,995). Concerns of transmission during pregnancy and birth were considerable; 63% worried about getting severely ill whilst pregnant, and 55% worried that virus would be transmitted to their child. Thirtyeight percent worried about contracting the virus at the hospital. The most predominant concern related to changes in maternity services during the pandemic was restrictions on partners' attendance at birth (81%). Especially nulliparous women were concerned about whether cancelled antenatal classes or fewer physical midwifery consultations would affect their ability to give birth or care for their child postpartum.. The proportion of women who considered a home birth was equivalent to pre-pandemic home birth rates in Denmark (3%). During the temporary discontinue of public home birth services, 18% of this group considered a home birth assisted by a private midwife (n = 125), and 6% considered a home birth with no midwifery assistance at all (n = 41). CONCLUSION: Danish pregnant womens' concerns about virus transmission to the unborn child and worries about contracting the virus during hospital appointments were considerable during the early pandemic. Home birth rates may not be affected by the pandemic, but restrictions in home birth services may impose decisions to freebirth for a small proportion of the population.


Asunto(s)
Ansiedad/psicología , Entorno del Parto , COVID-19/psicología , Servicios de Salud Materna , Parto/psicología , Mujeres Embarazadas/psicología , Adulto , COVID-19/transmisión , Estudios Transversales , Dinamarca/epidemiología , Femenino , Humanos , Partería , Embarazo , SARS-CoV-2 , Esposos , Encuestas y Cuestionarios
9.
Washington, D.C.; OPS; 2021-10-01. (OPS/CDE/VT/21-0012).
No convencional en Español | PAHO-IRIS | ID: phr-54946

RESUMEN

El Grupo Asesor de la OMS sobre la desparasitación en adolescentes y mujeres en edad reproductiva convocó una reunión de expertos internacionales en el Centro de la Fundación Rockefeller de Bellagio (Italia) en junio del 2017. Los objetivos generales de la reunión fueron examinar la evidencia actual sobre la presencia y las repercusiones en la salud de las geohelmintiasis en las adolescentes y mujeres en edad reproductiva y determinar las brechas en la investigación; plantear las estrategias operativas para controlar las geohelmintiasis en cada uno de los diferentes subgrupos de adolescentes y mujeres en edad reproductiva (adolescentes, mujeres embarazadas, mujeres en lactancia y mujeres no embarazadas ni en lactancia); y definir un plan de acción para promover un mayor control de las geohelmintiasis en las adolescentes y mujeres en edad reproductiva. En este informe se describen esos objetivos, que se desagregaron en 12 subobjetivos y se abordaron en las cinco sesiones siguientes: introducción y orientación; evidencia; enseñanzas extraídas en el terreno; cómo avanzar; y recomendaciones y próximos pasos. Además, se incluye la Declaración de Bellagio, que se aprobó por unanimidad con motivo de la reunión.


Asunto(s)
Helmintiasis , Parásitos , Nutrición, Alimentación y Dieta , Salud Reproductiva , Mujeres Embarazadas , Alimentos para Embarazadas y Nodrizas , Salud del Lactante , Atención Perinatal , Salud de la Mujer
10.
Pan Afr Med J ; 39: 229, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34630841

RESUMEN

Introduction: pregnancy is a stressful condition during which women require family and in-laws´ support. This study was aimed to explore the women´s perceptions regarding their husband and in-law´s support during pregnancy. Methods: by using qualitative exploratory design ten pregnant women in third trimester of pregnancy and living in joint family system were recruited through purposive sampling technique from a village of district Nowshehra, Khyber Pakhtunkhwa, Pakistan. Approval for conducting this study was obtained from Ethics Review Committee of Khyber Medical University. Data were collected from the recruited participants through face to face in-depth interviews. Data were analyzed through thematic analysis. One hundred open codes were generated from the data. Through axial coding, extra and unnecessary codes were omitted and then eleven categories were identified from open codes. Results: the identified categories were kept under three salient themes of lack of comprehensive support mechanism, physical and mental strain, and barriers to antenatal services. Perceived support of husbands and in-laws, needs and barriers to maternal and child health were discussed by the participants. Conclusion: the study findings suggest that family relationship quality might not be improved by taking interventions i.e. making policies only but the incorporation of health professionals´ support with family member´s behavior can improve maternal health.


Asunto(s)
Relaciones Familiares/psicología , Mujeres Embarazadas/psicología , Apoyo Social , Esposos/psicología , Familia/psicología , Femenino , Humanos , Entrevistas como Asunto , Pakistán , Embarazo
11.
Clin Nutr ESPEN ; 45: 404-411, 2021 10.
Artículo en Inglés | MEDLINE | ID: mdl-34620347

RESUMEN

BACKGROUND/AIMS: A self-reported online survey was performed to investigate the immediate effect of COVID-19 lockdown restrictions in New Zealand on dietary intake, and lifestyle behaviours among pregnant women with diabetes. PARTICIPANTS/METHODS: The survey was sent to 82 pregnant women who had Type 1, Type 2 Diabetes, or Gestational Diabetes and attended the Diabetes in Pregnancy Clinic in Wellington, New Zealand in May 2020, while the most restrictive COVID-19 lockdown measures were in place. All women received standard pregnancy nutrition advice provided by a dietitian, were monitoring blood glucose levels with nursing support, and seeing specialist endocrinologists and obstetricians for their pregnancy care. RESULTS: Fifty women (61%) responded to the survey. There was no evidence of differences in dietary intake during the restrictions, compared to before, for most food items. During the restriction's women consumed more bread (Odds Ratio (95% CI): 0.39 (0.18-0.83) p = 0.02); less battered fish: 3.11 (1.20-8.05) p = 0.02; and less hot chips/fries: 6.32 (2.67-14.93) p < 0.0001. During the restriction's women consumed more meals at home: 0.05 (0.14-0.15) p < 0.0001; less takeaways: 3.63 (1.54-7.34) p = 0.003; and less restaurant and café meals: 15.05 (6.03-37.59) p < 0.0001, when the services reopened. CONCLUSIONS: The nutrition of pregnant women with diabetes was not compromised during a brief COVID-19 lockdown restriction. This finding is reassuring, with countries worldwide adopting brief intermittent lockdown periods to restrict the spread of the COVID-19 virus.


Asunto(s)
COVID-19 , Diabetes Mellitus Tipo 2 , Animales , Control de Enfermedades Transmisibles , Dieta , Femenino , Humanos , Estilo de Vida , Embarazo , Mujeres Embarazadas , SARS-CoV-2
12.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-48433

RESUMEN

A Organização Mundial da Saúde (OMS) está convocando gestores, líderes e profissionais de saúde de unidades de saúde em todo o mundo a adotar um conjunto de cinco metas para o Dia Mundial da Segurança do Paciente de 2021 com o objetivo de melhorar a segurança materna e neonatal nos pontos de atendimento, especialmente em torno do parto e nascimento. As metas serão lançadas em uma Conferência Global Virtual “Together for safe and respectful maternal and newborn care”, no Dia Mundial da Segurança do Paciente (17 de setembro), com o tema “Safe maternal and newborn care” (“Cuidados maternos e neonatais seguros”, em tradução livre ao português).


Asunto(s)
Seguridad del Paciente/normas , Mujeres Embarazadas , Recién Nacido
13.
Recurso de Internet en Español, Francés, Portugués | LIS - Localizador de Información en Salud | ID: lis-48430

RESUMEN

Alertando que a COVID-19 representa um sério risco para mulheres grávidas na América Latina e no Caribe, a diretora da Organização Pan-Americana da Saúde (OPAS), Carissa F. Etienne, pediu aos países que priorizem gestantes e lactantes na vacinação contra a doença.


Asunto(s)
COVID-19/prevención & control , Vacunas contra la COVID-19 , Mujeres Embarazadas , Lactante , América Latina
14.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-48425

RESUMEN

Parecer da Associação de Obstetrícia e Ginecologia de São Paulo – SOGESP sobre a vacinação contra covid-19 para gestantes e puérperas que tomaram a primeira dose de vacina Astrazeneca/Oxford.


Asunto(s)
Vacunas contra la COVID-19 , Vacunación , Periodo Posparto , Mujeres Embarazadas
15.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-48426

RESUMEN

O Canal Saúde Mulher mantido pela Associação de Obstetrícia e Ginecologia de São Paulo – SOGESP, fornece informações para a saúde da mulher. Principais seções disponibilizadas pelo website: Blog da Mulher; Revista Mulher SOGESP; vídeos; lives e podcasts da Associação.


Asunto(s)
Salud Materna , Salud de la Mujer , Mujeres Embarazadas , Periodo Posparto
16.
Rev Esc Enferm USP ; 55: e20200517, 2021.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-34498661

RESUMEN

OBJECTIVE: To analyze the reliability of information available on popular websites about vaccination of pregnant women according to the recommendations of the Brazilian Ministry of Health. METHOD: Descriptive and comparative study. For data collection, a checklist composed of information on recommended, contraindicated, and indicated vaccines in special situations during pregnancy, according to the Ministry of Health, was elaborated. RESULTS: None of the analyzed websites presented all the recommended information. Contraindications, most common adverse events, simultaneous administration of vaccines, information on the DT vaccine, and recommended vaccines in special situations were presented by a minority of websites. CONCLUSION: Information available on websites about the vaccination of pregnant women is not always based on the recommendations and misinformation may interfere with the acceptance of this practice. The importance of the professionals of the multidisciplinary team as information mediators, particularly the nurse, is emphasized, as is the need for regulating the production and dissemination of information on the internet.


Asunto(s)
Mujeres Embarazadas , Vacunación , Brasil , Comunicación , Femenino , Humanos , Internet , Embarazo , Reproducibilidad de los Resultados
17.
Rev Med Chil ; 149(3): 348-356, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-34479313

RESUMEN

BACKGROUND: National rates of HIV, gonorrhoeae and syphilis have increased in Chile in recent years, but it is not known if syphilis among pregnant women (PW) is also escalating. AIM: To explore syphilis rates among PW in a southern Chilean region and to describe clinical features of mothers and offspring. PATIENTS AND METHODS: We selected PW with positive VDRL or T. pallidum micro-he-magglutination (MHA-TP) reactive tests, referred to a high-risk obstetrical pathology center between 2011 and 2019. Clinical information of mothers and their offspring was obtained from their medical records. RESULTS: Syphilis rates among PW increased from 0.4 to 7.2 per 1,000 live births in the reference center from 2013 to 2019, along with a national and regional increase in both sexes. Twenty-nine cases of PW with syphilis were identified with a median age of 28 years (interquartile range 23-32). Seventeen percent had a history of drug abuse, and 14% had previous sexually transmitted diseases. In seven cases (24%), the diagnosis occurred at delivery. Three percent of patients had a primary syphilis, 14% a secondary syphilis, 24% an early latent syphilis, and 59% a latent syphilis. All cases except one case were treated with benzathine penicillin G and the remaining with erythromycin due to allergy suspicion. Penicillin desensitization was required in two cases (7%). Treatment timing was inadequate in 10 cases (34.5%). Of 19 patients with available serological follow-up, 10 (53%) showed a significant decrease in VDRL titers (≥ 2 dilutions) and two cases had re-infection. Two patients (7%) had an abortion, two had congenital syphilis (7%), and six had premature births (21%), totaling 35% of adverse-pregnancy outcomes. CONCLUSIONS: Resurgence of syphilis among pregnant women is happening in southern Chile and is associated to adverse-pregnancy outcomes.


Asunto(s)
Complicaciones Infecciosas del Embarazo , Sífilis Congénita , Sífilis , Adulto , Chile/epidemiología , Femenino , Humanos , Masculino , Penicilina G Benzatina , Embarazo , Complicaciones Infecciosas del Embarazo/epidemiología , Mujeres Embarazadas , Sífilis/epidemiología , Sífilis Congénita/epidemiología
18.
Ethiop J Health Sci ; 31(3): 645-652, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-34483622

RESUMEN

Background: The emergence and spread of antimicrobial resistance (AMR) among uropathogens is increasing, especially in resource limited settings due to a number of reasons. The production of Extended Spectrum ß-Lactamase (ESBL) by some strains of E. coli and methicillin resistant Staphylococcus species, limits the choice of antimicrobials in the treatment of urinary tract infection (UTI) globally. However, little is known about the type of uropathogenes and their current AMR profile among pregnant women in Hargeisa, Somaliland. Methods: Clean-catch mid-stream urine samples were collected and processed for bacteriological culture and antimicrobial sensitivity testing (AST). Ceftazidime (30µg) and Cefotaxime (30µg) disks were used for ESBL screening as per CLSI guideline and each ESBL screening positive isolate were phenotypically confirmed by a combination disk test. Results: Among 376 study participants, 79 (21.0%) had significant bacteriuria (SBU). Majority at 58(73.4%) of the isolates were Gram-negative. The most predominant isolate was E.coli, 36(45.6%) followed by K. pneumonea 16(20.3%) and S. aureus at 9(11.4 %). The proportion of ESBL producing isolates was 25(32.9%). Gram-negatives showed high level resistance to ampicillin, amoxicillin, cefotaxime, and cephalexin at 87%, 85%, 57%, and 52%, respectively. Previous history of UTI, monthly income, educational status and having dysuria were significantly associated with SBU (p<0.05). Conclusion: Relatively high prevalence of uropathogens and an increased level of drug resistance were documented. Therefore, continued surveillance on the type of uropathogens and their AMR pattern is needed to ensure appropriate recommendations for the rational empirical treatment of UTI and for policy input.


Asunto(s)
Staphylococcus aureus Resistente a Meticilina , Infecciones Urinarias , Antibacterianos/farmacología , Antibacterianos/uso terapéutico , Farmacorresistencia Bacteriana , Escherichia coli , Femenino , Hospitales , Humanos , Pruebas de Sensibilidad Microbiana , Embarazo , Mujeres Embarazadas , Staphylococcus aureus , Infecciones Urinarias/tratamiento farmacológico , beta-Lactamasas
19.
Zhonghua Yi Xue Yi Chuan Xue Za Zhi ; 38(9): 895-899, 2021 Sep 10.
Artículo en Chino | MEDLINE | ID: mdl-34487540

RESUMEN

OBJECTIVE: To explore whether it is necessary to choose NIPT-plus for the prenatal screening of pregnant women. METHODS: The results of NIPT and NIPT-plus sequencing data, fetal DNA concentration, prenatal diagnosis and pregnancy outcome of 50 pregnant women were compared. RESULTS: Compared with NIPT, NIPT-plus attained similar fetal DNA concentration and a 4.4-fold increase in sequencing data. NIPT was able to detect 4 cases of 21-trisomy, 2 cases of 18-trisomy, and 9 cases of sex chromosome aneuploidies (SCAs) signaled by NIPT-plus, but missed one 18-trisomy, and failed to detect rare chromosome aneuploidies (RCAs) and microdeletion/microduplication syndromes (MMS). The PPVs of NIPT-plus for 21-trisomy, 18-trisomy, SCAs, MMS and RCAs were 100%, 100%, 44.4%, 30.4% and 0%, respectively. And those of NIPT for 21-trisomy, 18-trisomy, and SCAs were 100%, 100%, and 44.4%, respectively. CONCLUSION: It is necessary for pregnant women to select NIPT-plus to improve the detection rate of common trisomies, SCAs and disease-specific MMS, therefore reduce the occurrene of birth defect.


Asunto(s)
Aneuploidia , Mujeres Embarazadas , Femenino , Humanos , Embarazo , Diagnóstico Prenatal , Trisomía , Síndrome de la Trisomía 13 , Síndrome de la Trisomía 18
20.
Ann Palliat Med ; 10(8): 8881-8888, 2021 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-34488375

RESUMEN

BACKGROUND: Vaginitis is one of the most common gynecological diseases in women and may severely affect the quality of life in patients. However, very few studies have investigated aerobic vaginitis (AV) in pregnant women, and our study was designed to identify the pathogen profile, clinical importance, and risk factors of AV in pregnancy. METHODS: This was a retrospective cohort study enrolling 685 women who attended our hospital between July 2018 and June 2020. Based on the incidence of AV, enrolled women were divided into an AV group and healthy control group, and demographic and clinical characteristics were retrospectively collected by two independent investigators. Some pathogens of AV were tested using quantitative real-time polymerase chain reaction for higher accuracy. Pregnancy outcomes were also retrospectively collected. Univariable and multivariable logistic regression analysis was used to determine the risk factors of AV incidence and adverse pregnant outcomes. RESULTS: Enrolled women were divided into an AV group of 182 women and healthy control group of 503 women. The proportions of women with a history of cesarean delivery and history of vaginal infection differed between the groups (P=0.002 and <0.001, respectively). The mean gestational week at diagnosis of AV was 22.3±8.6 weeks, and the most common pathogen of AV was Escherichia coli (28.6%). After adjustment using multivariable logistic regression, a history of vaginal infection acted as an important risk factor of AV incidence, while a history of cesarean delivery, college education or above, and being employed could protect pregnant women from AV. In addition, the incidences of preterm birth, premature rupture of membranes, neonatal jaundice, and neonatal infection were much higher in the AV group than in the control group, showing significant difference (P<0.001, <0.001, =0.007, and =0.025). After adjustment using multivariable logistic regression, the incidence of AV and older age were important risk factors of premature rupture of membranes and neonatal infection. CONCLUSIONS: Compared with healthy pregnant women, the presence of AV may increase the incidence of adverse outcomes. More attention should be paid to pregnant women with a history of vaginal infection.


Asunto(s)
Complicaciones Infecciosas del Embarazo , Nacimiento Prematuro , Vaginitis , Vaginosis Bacteriana , Anciano , Femenino , Humanos , Recién Nacido , Embarazo , Complicaciones Infecciosas del Embarazo/epidemiología , Resultado del Embarazo , Mujeres Embarazadas , Calidad de Vida , Estudios Retrospectivos , Factores de Riesgo
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