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1.
PLoS One ; 19(7): e0305738, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38959192

RESUMO

BACKGROUND: The perinatal period is known as time of transition and anticipation. For women with social risk factors, child protection services may become involved during the perinatal period and this might complicate their interactions with healthcare providers. AIM: To systematically review and synthesise the existing qualitative evidence of healthcare experiences of women and healthcare professionals during the perinatal period while facing child protection involvement. METHODS: A systematic search of databases (Web of Science, MEDLINE, EMBASE, PsychINFO, CINAHL, ASSIA, MIDIRS, Social Policy and Practice and Global Health) was carried out in January 2023, and updated in February 2024. Quality of studies was assessed using the Critical Appraisal Skills Programme. A Critical Interpretative Synthesis was used alongside the PRISMA reporting guideline. RESULTS: A total of 41 studies were included in this qualitative evidence synthesis. We identified three types of healthcare interactions: Relational care, Surveillance and Avoidance. Healthcare interactions can fluctuate between these types, and elements of different types can coexist simultaneously, indicating the complexity and reciprocal nature of healthcare interactions during the perinatal period when child protection processes are at play. CONCLUSIONS: Our findings provide a novel interpretation of the reciprocal interactions in healthcare encounters when child protection agencies are involved. Trust and transparency are key to facilitate relational care. Secure and appropriate information-sharing between agencies and professionals is required to strengthen healthcare systems. Healthcare professionals should have access to relevant training and supervision in order to confidently yet sensitively safeguard women and babies, while upholding principles of trauma-informed care. In addition, systemic racism in child protection processes exacerbate healthcare inequalities and has to be urgently addressed. Providing a clear framework of mutual expectations between families and healthcare professionals can increase engagement, trust and accountability and advance equity.


Assuntos
Pessoal de Saúde , Humanos , Feminino , Gravidez , Pessoal de Saúde/psicologia , Serviços de Proteção Infantil , Assistência Perinatal , Gestantes/psicologia , Criança
2.
BMC Pregnancy Childbirth ; 24(1): 452, 2024 Jun 29.
Artigo em Inglês | MEDLINE | ID: mdl-38951777

RESUMO

BACKGROUND: The negative impact of adverse perinatal mental health extends beyond the mother and child; therefore, it is essential to make an early intervention for the management of mental illness during pregnancy. Resilience-building interventions are demonstrated to reduce depression and anxiety among expectant mothers, yet research in this field is limited. This study aims to examine the effect of the 'Safe Motherhood-Accessible Resilience Training (SM-ART)' on resilience, marital adjustment, depression, and pregnancy-related anxiety in a sample of pregnant women in Karachi, Pakistan. METHOD: In this single-blinded block randomized controlled study, 200 pregnant women were recruited and randomly assigned to either an intervention or a control group using computer-generated randomization and opaque sealed envelopes. The intervention group received the SM-ART intervention consisting of six, weekly sessions ranging from 60 to 90 min. Outcomes (Resilience, depression, pregnancy-related anxiety and marital harmony) were assessed through validated instruments at baseline and after six weeks of both intervention and control groups. RESULTS: The results revealed a significant increase in mean resilience scores (Difference:6.91, Effect size: 0.48, p-value < 0.05) and a decrease in depressive symptoms (Difference: -2.12, Effect size: 0.21, p-value < 0.05) in the intervention group compared to the control group. However, no significant change was observed in anxiety and marital adjustment scores. CONCLUSION: The SM-ART intervention has the potential to boost resilience scores and decrease depressive symptoms in pregnant women and offers a promising intervention to improve maternal psychological health. TRIAL REGISTRATION: NCT04694261, Date of first trial registration: 05/01/2021.


Assuntos
Ansiedade , Depressão , Resiliência Psicológica , Humanos , Feminino , Paquistão , Gravidez , Adulto , Ansiedade/prevenção & controle , Ansiedade/psicologia , Depressão/psicologia , Depressão/prevenção & controle , Método Simples-Cego , Gestantes/psicologia , Saúde Mental , Complicações na Gravidez/psicologia , Complicações na Gravidez/prevenção & controle , Adulto Jovem , Casamento/psicologia , Mães/psicologia , Mães/educação
3.
J Psychosom Obstet Gynaecol ; 45(1): 2356212, 2024 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38949115

RESUMO

AIM: Comparing the anxiety and depression severity and their impact on subsequent birth outcomes in pregnant women before and during Omicron wave in Shanghai in 2022. METHODS: The depression-anxiety symptoms networks were compared between the pregnant women during the outbreak period (outbreak group; n = 783) and a matched control group of pregnant women before the outbreak (pre-outbreak group; n = 783). The impact of baseline mental state on follow-up pregnancy and neonatal outcomes was also explored by logistic regression. FINDINGS: Levels of depression and anxiety between the two groups were not significant different. Network analysis showed that central symptom "trouble relaxing" and bridge symptom "depressed mood" shared by both groups. Different symptom associations in different periods of the pandemic. Total scores and sub-symptom scores of prenatal depressive and anxious severities increased the odds ratios of maternal and neonatal syndromes. The influence of mental state on gestational and neonatal outcomes differed across different pandemic periods. CONCLUSION: The Omicron wave did not have a significant negative impact on the depressive and anxious mood in pregnant women. Targeting central and bridge symptoms intervention may be effective in reducing their adverse effects on co-occurring of anxious and depressive mood and birth outcomes.


Assuntos
Ansiedade , COVID-19 , Depressão , Complicações na Gravidez , Resultado da Gravidez , Humanos , Feminino , Gravidez , COVID-19/psicologia , COVID-19/epidemiologia , Adulto , Estudos de Casos e Controles , Depressão/epidemiologia , Depressão/psicologia , Ansiedade/epidemiologia , Ansiedade/psicologia , Resultado da Gravidez/epidemiologia , Estudos Prospectivos , China/epidemiologia , Complicações na Gravidez/epidemiologia , Complicações na Gravidez/psicologia , SARS-CoV-2 , Índice de Gravidade de Doença , Recém-Nascido , Gestantes/psicologia
4.
J Psychosom Obstet Gynaecol ; 45(1): 2362653, 2024 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38950574

RESUMO

In the Netherlands adverse perinatal outcomes are also associated with non-medical factors which vary across geographical locations. This study analyses the presence of non-medical vulnerabilities in pregnant women in two regions with high numbers of psychosocial adversity using the same definition for vulnerability in both regions. A register study was performed in 2 regions. Files from women in midwife-led care were analyzed using a standardized case report form addressing non-medical vulnerability based on the Rotterdam definition for vulnerability: measurement A in Groningen (n = 500), measurement B in South-Limburg (n = 538). Only in South-Limburg a second measurement was done after implementing an identification tool for vulnerability (C (n = 375)). In both regions about 10% of pregnant women had one or more urgent vulnerabilities and almost all of these women had an accumulation of several urgent and non-urgent vulnerabilities. Another 10% of women had an accumulation of three or more non-urgent vulnerabilities. This study showed that by using the Rotterdam definition of vulnerability in both regions about 20% of pregnant women seem to live in such a vulnerable situation that they may need psychosocial support. The definition seems a good tool to determine vulnerability. However, without considering protective factors it is difficult to establish precisely women's vulnerability. Research should reveal whether relevant women receive support and whether this approach contributes to better perinatal and child outcomes.


Assuntos
Gestantes , Sistema de Registros , Populações Vulneráveis , Humanos , Feminino , Gravidez , Países Baixos/epidemiologia , Adulto , Populações Vulneráveis/psicologia , Populações Vulneráveis/estatística & dados numéricos , Gestantes/psicologia
5.
J Matern Fetal Neonatal Med ; 37(1): 2374438, 2024 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38973016

RESUMO

BACKGROUND: To clarify the psychological experience and coping strategies in patients with acute pancreatitis in pregnancy (APIP) and propose interventional measures to improve pregnancy outcomes in these women. With an increasing trend of pregnant women in advanced ages and multiparous women, the incidence of APIP has significantly increased. Pregnancy accompanied by concurrent pancreatitis may subject these women to notable psychological stress, which is a factor that has been infrequently reported in previous studies. METHODS: APIP patients were interviewed from December 2020 to June 2021. Data were collected through semi-structured interviews based on an outline, including six questions. The interviews were recorded and analyzed using qualitative content analysis until data saturation was reached. RESULTS: Ten APIP patients were interviewed and four themes were identified, including excessive psychological burden, uncomfortable experience, urgent requirement for adequate medical resources, and importance of social support. CONCLUSION: Patients with APIP suffer from significant psychological stress due to their medical conditions and management. They desired adequate medical resources and social support. The local health department, hospital administrators, and medical staff should understand the psychological requirements and provide adequate healthcare and education that are easily accessible to these APIP patients. In addition, family support should also be encouraged to promote APIP patients' recovery.


Assuntos
Adaptação Psicológica , Pancreatite , Complicações na Gravidez , Pesquisa Qualitativa , Apoio Social , Estresse Psicológico , Humanos , Feminino , Gravidez , Adulto , Pancreatite/psicologia , Pancreatite/terapia , Complicações na Gravidez/psicologia , Complicações na Gravidez/terapia , Estresse Psicológico/psicologia , Gestantes/psicologia , Capacidades de Enfrentamento
6.
Sci Rep ; 14(1): 16143, 2024 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-38997441

RESUMO

The Pilates exercise method is applied online to various population groups. This study aimed to determine the effect of online Pilates exercises on depression, anxiety, and fear of childbirth in pregnant women. Our randomized controlled study divided participants into the online pilates group (OPG) and the control group (CG). Pilates exercises were applied to the OPG according to the American College of Obstetricians and Gynecologists guidelines, while the CG was given a home program. Assessments were made before and after the training. All measurements improved after Online Pilates (p < 0.05), while there was no change in the control group (p > 0.05). While initial measurement values were similar in both groups (p > 0.05), a statistical difference was observed in favor of OPG with a moderate effect percentage in all results after training (p < 0.05). These results revealed that eight weeks of online Pilates training could effectively reduce depression, anxiety, and fear of childbirth.Trial registration:Clinical trial registry: NCT05305716.


Assuntos
Técnicas de Exercício e de Movimento , Medo , Parto , Humanos , Feminino , Gravidez , Medo/psicologia , Adulto , Técnicas de Exercício e de Movimento/métodos , Parto/psicologia , Ansiedade/prevenção & controle , Ansiedade/psicologia , Gestantes/psicologia , Depressão/prevenção & controle , Depressão/psicologia , Afeto/fisiologia , Internet
7.
Nutrients ; 16(13)2024 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-38999864

RESUMO

Breastfeeding education, across all disciplines, is often inconsistent and lacking in expertise and confidence. However, recommendations from health professionals, the sociocultural environment, and previous knowledge and experiences significantly influence women's decision to breastfeed. This study aimed to identify factors that promote the assignment of greater importance to breastfeeding and associated practical benefits. This retrospective cross-sectional study included 276 participants who completed a self-administered questionnaire. Descriptive and bivariate analyses were performed, and multivariate linear models were applied to identify factors influencing the importance assigned to breastfeeding. Most participants were married or in a relationship, were native Spaniards, had secondary or higher education, and had an average age of 32.6 years. Seventy percent met the physical activity recommendations, and 91% felt comfortable with their body image during pregnancy. The importance assigned to breastfeeding was high across various aspects, except for postpartum weight loss and body image. Group prenatal care was only significantly associated with the importance assigned to the breastfeeding technique (how to breastfeed). The obesogenic environment and the importance assigned to nutritional aspects and physical activity also turned out to be predictors, although not for all models. In our region, the educational strategy of antenatal care groups could contain gaps regarding the mother's health, which should be addressed in the future to improve results regarding the initiation and continuation of breastfeeding.


Assuntos
Aleitamento Materno , Humanos , Feminino , Aleitamento Materno/psicologia , Adulto , Gravidez , Estudos Transversais , Espanha , Estudos Retrospectivos , Inquéritos e Questionários , Gestantes/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Exercício Físico , Cuidado Pré-Natal/métodos , Adulto Jovem , Análise Multivariada , Imagem Corporal/psicologia , Modelos Lineares
8.
PLoS One ; 19(7): e0304498, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38990846

RESUMO

BACKGROUND: Intimate Partner Violence (IPV) is a major public health problem worldwide. In developing nations, including Ethiopia, the problem is under-reported and under-estimated. Therefore, this study attempts to assess intimate partner violence and its associated factors among pregnant women receiving antenatal care at public hospitals in Amhara region, Ethiopia. METHODS: A health facility-based cross-sectional study design was employed. A sample of 418 pregnant women was selected using random sampling technique from 1st May to 1st June 2021. IPV was measured using the World Health Organization (WHO) Multi-country study of violence against women assessment tool. Data were entered into Epi-data 3.1 and exported into Stata 17 for further analysis. A Bayesian multivariable logistic regression analysis was carried out from the posterior distribution, and an adjusted odds ratio (AOR) with a 95% credible interval (CrI) was used to declare statistically significant variables. RESULTS: The prevalence of any IPV among pregnant women was 31.3% [95% CrI 26.6%, 36.1%]. After adjusting a range of covariates, IPV during pregnancy was more likely among women whose husbands used substances [AOR = 4.33: 95% CrI 1.68, 8.95] and household decisions made by husbands only [AOR = 6.45: 95% CI 3.01, 12.64]. Conversely, pregnant women who attended primary [AOR = 0.47: 95% CrI 0.24, 0.81] and secondary [AOR = 0.64: 95% CrI 0.41, 0.92] educational levels, women who had four or more ANC visits antenatal care visits [AOR = 0.43: 95% CrI 0.25, 0.68], and women with no prior history of adverse birth outcomes [AOR = 0.48: 95% CI 0.27, 0.80] were less likely to experience IPV during pregnancy. CONCLUSION: The study revealed a relatively high prevalence of any IPV among pregnant women, with factors such as substance use by husbands and limited decision-making autonomy associated with increased IPV likelihood. Conversely, women with higher education levels, four and above antenatal care attendance, and no history of adverse birth outcomes showed a reduced likelihood of experiencing IPV during pregnancy. Therefore, targeted interventions to address substance use, empower women in decision-making, and promote education and healthcare access to mitigate IPV risk during pregnancy are recommended.


Assuntos
Teorema de Bayes , Violência por Parceiro Íntimo , Gestantes , Cuidado Pré-Natal , Humanos , Feminino , Gravidez , Cuidado Pré-Natal/estatística & dados numéricos , Adulto , Violência por Parceiro Íntimo/estatística & dados numéricos , Estudos Transversais , Etiópia/epidemiologia , Adulto Jovem , Gestantes/psicologia , Prevalência , Adolescente , Fatores de Risco
9.
PLoS One ; 19(7): e0304955, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38990936

RESUMO

This paper has as its theme the autonomy of pregnant women in relation to choosing the method of birth for their child. The objective was to carry out a scoping review to study the literature and evidence of how autonomy is being offered to parturient women. Study design and location: In October 2023, a search was carried out using the terms "pregnant women" AND "delivery" AND "autonomy" in the following databases: PubMed, Web of Science, Scopus, Scielo and LILACS. The search included articles from 2016 to 2023. Of the 179 articles found, 15 met the criteria and were selected for this review. Results: the pregnant woman's autonomy in choosing the method of childbirth is influenced by several factors, such as the obstetrician's recommendation, the medical team, and negative and positive experiences. Thus, when this autonomy is shared with the obstetrician, the obstetrician recommends cesarean section as the safest route, but does not explain the benefits and harms of both routes (vaginal and cesarean section), causing the woman to accept the cesarean section. Midwives recommend vaginal birth because they believe it to be natural and safe and explain the benefits and harms of both methods, respecting the pregnant woman's choice of the method she prefers. Conclusion: women have the fundamental right to choose their method of birth and must be properly guided throughout prenatal care, whether by an obstetrician or a midwife, about the options, risks and benefits of each method of childbirth, respecting the ethical principle of beneficence.


Assuntos
Cesárea , Parto Obstétrico , Parto , Autonomia Pessoal , Gestantes , Humanos , Feminino , Gravidez , Gestantes/psicologia , Parto Obstétrico/métodos , Comportamento de Escolha
10.
Women Birth ; 37(4): 101632, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38971136

RESUMO

PROBLEM: Although social media can be an accessible option for women to receive support, there is increasing awareness of the negative mental health impacts of social media use during the postpartum period. Idealistic portrayals on social media have been shown to lead to body dissatisfaction and low mood. BACKGROUND: The beginning of a child's life is a period of significant physical, mental and social adjustment for a mother. Women often resort to online sources of information to navigate this time period. AIM: This study explored the content featured in prominent health and exercise Instagram account posts targeting pregnant and postpartum women. METHODS: Popular individual health and exercise focused accounts targeting pregnant and post-partum women were identified on Instagram. Data about the account holder and content of posts were extracted. Data were analysed using inductive content analysis. FINDINGS: Most included accounts belonged to American women aged 35-44 who were slim. Content analysis of 317 posts from 43 Instagram accounts unveiled six themes: reasons to exercise, weight management, guidance on doing exercise, eating well or not so well, fitting it all in, and comparison of body image. DISCUSSION /CONCLUSION: Content analysed was not representative of the general population. Included posts could shape beliefs that may lead to intrapersonal weight stigma. Consideration must be given to actions that could promote individuals of all body sizes being represented in the media relating to pregnancy and the postpartum period.


Assuntos
Exercício Físico , Período Pós-Parto , Mídias Sociais , Humanos , Feminino , Gravidez , Período Pós-Parto/psicologia , Exercício Físico/psicologia , Adulto , Imagem Corporal/psicologia , Gestantes/psicologia , Mães/psicologia
11.
BMC Pregnancy Childbirth ; 24(1): 471, 2024 Jul 11.
Artigo em Inglês | MEDLINE | ID: mdl-38992618

RESUMO

BACKGROUND: Poor oral and dental health due to oral dysbiosis during pregnancy increases the risk for negative pregnancy outcomes. Communicating the importance of oral health is therefore essential in reducing the risk of adverse pregnancy outcomes. Professional guidance could substantially support women's positive perception of their own competence. Information on oral health should be provided by healthcare professionals such as midwives, obstetricians and dentists. The aim of this study was to assess the needs, wishes and preferences of pregnant women in Germany, regarding interprofessional collaboration and guidance on oral health during pregnancy. METHODS: Sources of information, preferences regarding information supply as well as the need for interprofessional collaboration of involved healthcare professions were investigated in six online focus groups with pregnant women. In addition, three expert interviews with a midwife, an obstetrician and a dentist were conducted. The focus groups and interviews were analysed using qualitative content analysis according to Kuckartz. RESULTS: 25 pregnant women participated in focus groups. Pregnant women in all trimesters, aged 23 to 38 years, were included. Many women did not receive any or received insufficient information on oral health during pregnancy and wished for more consistent and written information from all involved healthcare providers. The extent of oral health counselling women received, heavily relied on their personal initiative and many would have appreciated learning about the scientific connection between oral health and pregnancy outcomes. An overall uncertainty about the timing and safety of a dental visit during pregnancy was identified. Interviews with experts provided additional insights into the working conditions of the involved healthcare professionals in counselling and emphasised the need for improved training on oral health during pregnancy in their respective professional education as well as thematic billing options in relation to this topic. CONCLUSION: Guidance of women on oral health during pregnancy appears to be insufficient. Providing information adapted to the needs, wishes and preferences of women during pregnancy as well as the implementation of this topic in the education of involved healthcare professionals could contribute to an improved prenatal care for pregnant women and subsequently a reduced risk of negative pregnancy outcomes.


Assuntos
Grupos Focais , Saúde Bucal , Pesquisa Qualitativa , Humanos , Feminino , Gravidez , Adulto , Alemanha , Adulto Jovem , Cuidado Pré-Natal/métodos , Relações Interprofissionais , Preferência do Paciente , Avaliação das Necessidades , Odontólogos/psicologia , Obstetrícia , Gestantes/psicologia , Tocologia/métodos , Aconselhamento/métodos
12.
BMC Pregnancy Childbirth ; 24(1): 470, 2024 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-38987713

RESUMO

BACKGROUND: Labor pain is uniquely experienced and described by the woman giving birth, and it is often considered one of the most excruciating experiences for many women. This study aimed to evaluate factors associated with the willingness to receive labor analgesia among women attending the antenatal clinic at Dr. Bogalech Gebre Memorial General Hospital Central Ethiopia in 2022. METHODS: An institution-based, cross-sectional study was conducted from January to March 2022. Data were collected using semi-structured questionnaires by a convenience sampling technique. Data was entered in EpiData 4.2 and exported to SPSS version 20 for analysis. Both Bivariable and multivariable logistic regressions were conducted to determine factors associated with pregnant women's willingness to choose labor analgesia. Crude odds ratio (COR) and adjusted odds ratio (AOR) were computed to assess the association between variables. RESULTS: A total of 398 pregnant women have participated in the study with a response rate of 94%. Nearly 30%, (29.4%) of the pregnant women had a willingness to practice labor pain management. Being a housewife (AOR: 8.35, 95% CI: 2.07, 33.63). Women who live in urban (AOR: 2.60, 95% CI: 1.29, 5.29). Having had awareness about labor analgesia (AOR: 1.70, 95% CI: 1.00, 2.60) and the short duration of labor time (AOR: 1.84, 95% CI: 1.15, 2.96) were statistically significant with a willingness to practice labor analgesia. CONCLUSION: We conclude that the willingness of pregnant mothers' toward obstetric analgesia practice was low in the study area. Being a housewife, urban residence, awareness about labor analgesia, and short duration of labor were statistically significant with the willingness of the mothers to practice labor analgesia. To increase willingness to use labor analgesia, authorities should prioritize delivering health education on pain management choices to address concerns and promote effective methods and practices.


Assuntos
Analgesia Obstétrica , Dor do Parto , Cuidado Pré-Natal , Humanos , Feminino , Gravidez , Etiópia , Estudos Transversais , Adulto , Analgesia Obstétrica/psicologia , Analgesia Obstétrica/estatística & dados numéricos , Adulto Jovem , Cuidado Pré-Natal/psicologia , Dor do Parto/psicologia , Dor do Parto/terapia , Hospitais Gerais , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Inquéritos e Questionários , Gestantes/psicologia , Adolescente
13.
Reprod Health ; 21(1): 106, 2024 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-38997718

RESUMO

BACKGROUND: The World Health Organization recognizes childbirth preparation as an essential component of antenatal care, as it plays a crucial role in reducing maternal mortality and improving women's childbirth experience. Countries worldwide have implemented various interventions to assist women in preparing for childbirth, based on their own resources. This study was conducted with the aim of exploring the perspectives of pregnant and postpartum women on childbirth preparation and the facilitating and inhibiting factors, in Tabriz, Iran. METHODS: This qualitative study was conducted with 25 participants, selected purposively among pregnant women in weeks 37 to 40 of gestation and postpartum women within 10 days to 6 weeks after childbirth. Data collection was done through semi-structured, in-depth individual interviews using an interview guide. The data was analyzed using content analysis method with conventional approach. RESULTS: The perspectives of pregnant and postpartum women regarding childbirth preparation revealed that factors such as maternal health during pregnancy, having an antenatal care plan, improving health literacy, and developing a birth plan were identified as crucial elements for effective childbirth preparation. Additionally, mental and emotional preparation, support, financial planning, participation in preparation classes, and awareness of childbirth methods were recognized as facilitators. On the other hand, insufficient mental and emotional preparedness, inadequate support, weak antenatal care, information deficiencies, insufficient physical activity, and a lack of a birth plan were identified as barriers. CONCLUSION: The findings highlight the multifaceted nature of childbirth preparedness, necessitating the involvement of families, the healthcare system, and the entire community. Utilizing the study results in strategic planning for pre-pregnancy, during pregnancy, and inter-pregnancy care can enhance childbirth preparedness and contribute to achieving Iran's population rejuvenation policy goals.


Assuntos
Parto , Período Pós-Parto , Gestantes , Cuidado Pré-Natal , Pesquisa Qualitativa , Humanos , Feminino , Gravidez , Adulto , Irã (Geográfico) , Parto/psicologia , Gestantes/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Adulto Jovem , Parto Obstétrico/psicologia
14.
J Law Med Ethics ; 52(S1): 13-16, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38995256

RESUMO

The new federal Pregnant Workers Fairness Act advances important protections for pregnant workers, but leaves behind agricultural workers, who are overrepresented in hazardous occupational environments. This article highlights the connection between workplace pregnancy discrimination and health inequities. It concludes with a discussion of immigrant-led advocacy efforts to eliminate health inequities and advance health justice.


Assuntos
Fazendeiros , Humanos , Feminino , Gravidez , Estados Unidos , Fazendeiros/legislação & jurisprudência , Justiça Social/legislação & jurisprudência , Local de Trabalho/legislação & jurisprudência , Gestantes
15.
Curationis ; 47(1): e1-e9, 2024 Jun 28.
Artigo em Inglês | MEDLINE | ID: mdl-38949424

RESUMO

BACKGROUND:  HIV-positive and pregnancy diagnosis is a traumatic, shocking, and distressing experience for women. Adoption of routine HIV counselling and testing in the antenatal programme aimed to increase the uptake and the early diagnosis of HIV among pregnant women to prevent maternal HIV transmission to unborn babies and neonates. OBJECTIVES:  The study aimed to explore the psychological reaction of women coincidentally discovering their HIV-positive status and pregnancy while seeking medical care in primary healthcare facilities in the Tshwane district. METHOD:  Descriptive phenomenology involving a semi-structured in-depth interview was used to collect data. The sample was purposively selected. Twenty-eight women participated in the research project. Face-to-face in-depth audio recorded interviews were used to gain a full understanding of the experiences and feelings of the participants. RESULTS:  Reason for the uptake of pregnancy and HIV testing, reactions upon discovering HIV and pregnancy-positive status, emotions arising from the pregnancy and HIV-positive diagnosis, understanding HIV infection in pregnancy, and transitions to acceptance and coping with the HIV-positive diagnosis were themes that emerged from this study. CONCLUSION:  It is crucial that responsible healthcare workers consider this psychological imbalance during their offering of antenatal and postnatal care services so that the pregnant women living with HIV can accept and cope with the situation.Contribution: This study accounts to support other studies that offer intense counselling for women coincidentally discovering their positive HIV status and pregnancy. It is important to remedy the acceptance of the situation and to promote HIV prevention and family planning for women of childbearing age.


Assuntos
Infecções por HIV , Complicações Infecciosas na Gravidez , Atenção Primária à Saúde , Pesquisa Qualitativa , Humanos , Feminino , Gravidez , Adulto , Infecções por HIV/psicologia , Atenção Primária à Saúde/estatística & dados numéricos , Complicações Infecciosas na Gravidez/psicologia , África do Sul , Entrevistas como Assunto/métodos , Transmissão Vertical de Doenças Infecciosas/prevenção & controle , Gestantes/psicologia
16.
BMC Pregnancy Childbirth ; 24(1): 480, 2024 Jul 16.
Artigo em Inglês | MEDLINE | ID: mdl-39014317

RESUMO

BACKGROUND: Antenatal depression is a significant public health issue affecting pregnant women both globally and in China. Using data from a mobile app-based screening programme, this study explored the prevalence and factors associated with antenatal depressive symptoms across different trimesters in Shenzhen. METHODS: A retrospective cross-sectional study was conducted on pregnant women who gave birth in any hospital in Shenzhen between July 2021 and May 2022 and underwent depression screening using an official maternal and infant health mobile app at least once during pregnancy. Depressive symptoms were evaluated using the 9-item Patient Health Questionnaire (PHQ-9), with cut-off scores of 5 and 10 for mild and high level of symptoms, respectively. The prevalence for each trimester was determined by calculating the proportion of women scoring 5 or higher. A variety of sociodemographic, obstetric, psychological, and lifestyle factors were assessed for their association with depressive symptoms. Chi-square test and multivariate logistic regression were performed to identify significant predictors. RESULTS: A total of 110,584 pregnant women were included in the study, with an overall prevalence of depressive symptoms of 18.0% and a prevalence of high-level symptoms of 4.2%. Depressive symptoms were most prevalent in the first trimester (10.9%) and decreased in the second (6.2%) and third trimesters (6.3%). Only a small proportion (0.4%) of women showed persistent depressive symptoms across all trimesters. Anxiety symptoms in early pregnancy emerged as the most significant predictor of depressive symptoms. Other factors linked to an increased risk throughout pregnancy include lower marital satisfaction, living with parents-in-law, experience of negative life events, as well as drinking before and during pregnancy. Factors associated with a reduced risk throughout pregnancy include multiparity and daily physical activity. CONCLUSIONS: This large-scale study provides valuable insights into the prevalence and factors associated with antenatal depressive symptoms in Shenzhen. The findings underscore the need for targeted interventions for high-risk groups and the integration of mental health care into routine antenatal services. Continuous, dynamic monitoring of depressive symptoms for pregnant women and ensuring at-risk women receive comprehensive follow-up and appropriate psychological or psychiatric care are crucial for effectively addressing antenatal depression and improving maternal and infant health outcomes.


Assuntos
Depressão , Aplicativos Móveis , Complicações na Gravidez , Trimestres da Gravidez , Humanos , Feminino , Gravidez , China/epidemiologia , Adulto , Depressão/epidemiologia , Depressão/diagnóstico , Estudos Transversais , Prevalência , Estudos Retrospectivos , Complicações na Gravidez/epidemiologia , Complicações na Gravidez/psicologia , Trimestres da Gravidez/psicologia , Programas de Rastreamento/métodos , Gestantes/psicologia , Fatores de Risco , Adulto Jovem
17.
PLoS One ; 19(6): e0305314, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38861556

RESUMO

BACKGROUND: Despite the advantages of vaccination in preventing maternal and fetal problems, there were many concerns in the medical community regarding vaccine safety for pregnant women, and this has put obstetricians in a challenging situation when it comes to advising their pregnant patients on whether to obtain the vaccine. AIM: This study was performed to define the level of acceptance of COVID-19 vaccination and assess the impact of COVID-19 attitudes and knowledge on vaccine acceptance between pregnant and lactating Syrian women who are seeking prenatal care services at the clinics in Azraq refugee camp in Jordan. METHOD: A quantitative, cross-sectional study utilizing a non-probability convenience sample. A validated and reliable self-administered questionnaire consisting of four sections was used. RESULTS: A total of 412 pregnant/lactating women was recruited The acceptance rate of the COVID-19 vaccine among participants was 86.5%. There was a significant positive moderate association between respondents' attitudes and knowledge around the COVID-19 vaccine and their acceptance of the vaccine (r = .468, p < .001, r = .357, p < .001), respectively. CONCLUSION: To effectively mitigate the COVID-19 pandemic and achieve collective protection, decision-makers must intensify the efforts in promoting the importance of maternal vaccination, especially in vulnerable communities that suffer the most from pandemic outcomes.


Assuntos
Vacinas contra COVID-19 , COVID-19 , Conhecimentos, Atitudes e Prática em Saúde , Aceitação pelo Paciente de Cuidados de Saúde , Campos de Refugiados , Humanos , Feminino , Vacinas contra COVID-19/administração & dosagem , Adulto , Jordânia , Gravidez , COVID-19/prevenção & controle , COVID-19/epidemiologia , Estudos Transversais , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Inquéritos e Questionários , Adulto Jovem , SARS-CoV-2 , Lactação , Vacinação/psicologia , Refugiados , Cuidado Pré-Natal , Gestantes/psicologia , Serviços de Saúde Materna , Adolescente
18.
Int J Prison Health (2024) ; ahead-of-print(ahead-of-print)2024 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-38845153

RESUMO

PURPOSE: Imprisonment impacts women's childbearing and mothering experiences. Using sociological concepts of total institutions, pains of imprisonment and gendered pains of imprisonment, this study aims to explore the childbearing experiences of 18 Filipino incarcerated women. DESIGN/METHODOLOGY/APPROACH: A qualitative, inductive approach was undertaken to explore imprisoned women's pregnancy experiences. This research project used reflexive thematic analysis to examine the data from semi-structured interviews with 18 Filipino pregnant prisoners. FINDINGS: The participants' experiences of childbearing in prison were reflected in three overarching themes: lack of autonomy over pregnancy; reduced capacity to manage discomforts and needs; and coping with prison deprivations. These themes embody women's experiences of how imprisonment disrupts Filipino women's childbearing and mothering experiences. Furthermore, the results illustrated how the women navigated the prison regime to address their needs and cope with the pains of imprisonment. ORIGINALITY/VALUE: Although there is a small but growing body of research specifically focusing on mothering and imprisonment, little consideration has been given to analyzing Filipino women's pregnancy experiences in custody. This paper highlights an urgent need to reform correctional policies and practices to address incarcerated women's distinct needs.


Assuntos
Prisioneiros , Pesquisa Qualitativa , Humanos , Feminino , Filipinas/etnologia , Gravidez , Adulto , Prisioneiros/psicologia , Adaptação Psicológica , Prisões , Adulto Jovem , Entrevistas como Assunto , Gestantes/psicologia , Gestantes/etnologia , Autonomia Pessoal
19.
Artigo em Inglês | MEDLINE | ID: mdl-38928956

RESUMO

INTRODUCTION: Food insecurity (FI) experienced during pregnancy represents a relevant public health problem, as it negatively affects maternal and child health. OBJECTIVE: To investigate the prevalence of FI among pregnant women during the COVID-19 pandemic and determine associated factors. METHODS: A cross-sectional study was carried out in the period from 2021 to 2022, with a representative sample of 423 women resulting from a sample calculation based on the average (2912 births) that occurred in the years 2016 to 2020 in the only maternity hospital in the municipality. After analyzing the medical records, interviews were carried out with the postpartum women using a standardized questionnaire and the Brazilian Food Insecurity Scale. Poisson regression with robust variance was used to calculate prevalence ratios and 95% confidence intervals to measure associations. RESULTS: FI was observed in 57.0% of cases and was associated with age under 20 years (PR = 1.52; 95% CI 1.29; 1.79), receipt of government assistance (PR = 1.31; 95% CI 1.10; 1.55), loss of family employment (PR = 1.40; 95% CI 1.20; 1.64), greater number of residents (PR = 1.17; 95% CI 1.00; 1.37), and prenatal care in a public institution (PR = 1.53; 95% CI 1.04; 2.26). CONCLUSION: There was a high prevalence of FI cases, associated with socioeconomic, demographic, and prenatal care characteristics during the COVID-19 pandemic.


Assuntos
COVID-19 , Insegurança Alimentar , Humanos , Feminino , COVID-19/epidemiologia , Brasil/epidemiologia , Gravidez , Adulto , Estudos Transversais , Adulto Jovem , Gestantes/psicologia , Prevalência , SARS-CoV-2 , Cidades/epidemiologia , Adolescente , Pandemias
20.
Artigo em Inglês | MEDLINE | ID: mdl-38928965

RESUMO

INTRODUCTION: The onset of the COVID-19 pandemic brought about global uncertainties and fears, escalating the dissemination of fake news. This study aims to analyze the impact of fake news on COVID-19 vaccine adherence among pregnant women, providing crucial insights for effective communication strategies during the pandemic. METHODS: A cross-sectional, exploratory study was conducted with 113 pregnant women under care at a Women's Health Reference Center. Data analysis included relative frequency and odds ratio to assess the relationship between sociodemographic and behavioral variables regarding vaccination. RESULTS: In the behavioral context of vaccination, internet access shows a significant association with decision-making, influencing vaccine refusal due to online information. Nuances in the odds ratios results highlight the complexity of vaccine hesitancy, emphasizing the importance of information quality. Pre-vaccination sentiments include stress (87.61%), fear (50.44%), and anxiety (40.7%), indicating the need for sensitive communication strategies. DISCUSSION: Results revealed that pregnant women with higher education tend to adhere more to vaccination. Exposure to news about vaccine inefficacy had a subtle association with hesitancy, while finding secure sources was negatively associated with hesitancy. The behavioral complexity in the relationship between online information access and vaccination decision underscores the need for effective communication strategies. CONCLUSIONS: In the face of this challenging scenario, proactive strategies, such as developing specific campaigns for pregnant women, are essential. These should provide clear information, debunk myths, and address doubts. A user-centered approach, understanding their needs, is crucial. Furthermore, ensuring information quality and promoting secure sources are fundamental measures to strengthen trust in vaccination and enhance long-term public health.


Assuntos
Vacinas contra COVID-19 , COVID-19 , Internet , Gestantes , Humanos , Feminino , Gravidez , Adulto , Estudos Transversais , COVID-19/prevenção & controle , COVID-19/psicologia , Gestantes/psicologia , Adulto Jovem , Emoções , Hesitação Vacinal/psicologia , Hesitação Vacinal/estatística & dados numéricos , Vacinação/psicologia , Vacinação/estatística & dados numéricos
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