Assessment of maternal healthcare services among the women of reproductive age in the rural municipality of Nepal: a cross-sectional study

BMJ Public Health, Journal Year: 2025, Volume and Issue: 3(1), P. e000916 - e000916

Published: Feb. 1, 2025

Background Maternal Mortality Ratio is one of the crucial indicators Sustainable Development Goal-3, which to be achieved below 70 per 100 000 live births by 2030. It essential assess current status antenatal care (ANC), uptake skilled birth attendants (SBAs), and postnatal (PNC) improve health a mother child in developing countries like Nepal. This study assesses utilisation factors associated with maternal healthcare services among reproductive-aged women Shubhakalika Rural municipality Methods A cross-sectional using proportionate simple random sampling was performed select 180 participants. Nepali-translated tool based on Andersen’s Behaviour Model service used collect data. ANC services, SBAs, PNC continuum were dependent variables while independent categorised into predisposing, enabling need factors. Bivariate multivariable regression analysis Statistical Package Social Sciences V.20 determine association between variables. All tests set at CI 95%. Results included participants mean (±SD) age 24.3±4.9 years. Women whose husbands completed formal schooling more likely have four visits (adjusted OR (AOR)=3.2, CI=1.0–10.3). planned pregnancy significantly use (AOR=10.3, CI=3.5–30.3), institutional delivery (AOR=3.2, CI=1.1–9.3) (AOR=7.4, CI=1.4–37.8). Ethnicity (AOR=2.4, CI=1.1–5.4), education (AOR=2.7, CI=1.0–7.7), having problems receiving (AOR=4.5, CI=1.5–15.2) distance nearest facilities less than 30 minutes CI=1.0–5.7) delivery. Similarly, who 18 years or above time marriage attend least CI=1.5–6.5) under 18. Meanwhile, insurance visit (AOR=0.3, CI=0.1–0.6) compared those without insurance. Conclusion pregnancies, higher access comprehensive including ANC, PNC. demonstrated proximity facilities, lower ethnic groups deprived services. These results emphasise address socio-demographic disparities accessibility. Since, programmes facilitate efforts should focus expanding coverage reach target population effectively, such as newly married couples.

Language: Английский

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Unplanned pregnancy in the extreme South of Brazil: prevalence, trends, and associated factors

Ciência & Saúde Coletiva, Journal Year: 2024, Volume and Issue: 29(5)

Published: Jan. 1, 2024

Abstract The study aims to estimate the proportion of puerperae with an unplanned pregnancy, evaluate trends and identify factors associated its occurrence in Rio Grande-RS, Brazil. Trained interviewers applied a single, standardized questionnaire all residing municipality 2007, 2010, 2013, 2016 2019. chi-square test compared proportions Poisson regression robust variance adjustment multivariate analysis. prevalence ratio (PR) was effect measure employed. includes 12,415 (98% total). pregnancy rate 63.3% (95%CI: 62.5%-64.1%). After adjusting, highest PR for not planning were observed among younger, black women, living without partner, more significant household agglomeration, lower schooling, income, multiparous smokers. is high stable, higher propensity women those risk unfavorable events during childbirth. Reaching these schools, companies, services health professionals, addition mass media, can be strategies prevent pregnancy.

Language: Английский

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Iron and folic acid supplementation compliance during pregnancy and its effect on post-pregnancy anaemia among reproductive-age women in East Africa

Women s Health, Journal Year: 2025, Volume and Issue: 21

Published: Jan. 1, 2025

Background: Despite the government’s effort to reduce prevalence of anaemia among reproductive-age women globally, it continues as a significant public health issue, especially in low- and middle-income countries. Iron–folic acid (IFA) supplementation is widely used intervention prevent anaemia, but compliance remains major challenge. There lack literature examining IFA during pregnancy its impact on preventing controlling post-pregnancy East Africa region. Objective: This study aims investigate with Africa. Design: was designed cross-sectional survey. Methods: data from 43,200 2015 2022 demographic survey datasets. We multilevel mixed-effect logistic regression analysis identify associated factors pregnancy. Furthermore, propensity score matching (PSM) determine effect after women. Results: The level 31.33% (95% confidence interval (CI): 30.89, 31.77), whereas 32.08% CI: 31.64, 32.52). Maternal education, timing antenatal care (ANC) visits, wanted index (last pregnancy), wealth status, healthcare access, mass media exposure ANC services skilled providers were significantly pregnant PSM indicated positive association between prevention women, an average treatment treated (ATT) 25.55% (ATT = −0.2555, 95% −0.3440, −0.1669, p < 0.0001). Conclusion: universal supplementation, prevalent African countries due low supplementation. Targeting individual socio-economic promotion helps Further research recommended gain deeper insights.

Language: Английский

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The effects of unintended pregnancy on maternal bonding impairment among Japanese mothers: a longitudinal study from pregnancy to one month postpartum

BMC Pregnancy and Childbirth, Journal Year: 2025, Volume and Issue: 25(1)

Published: May 6, 2025

Language: Английский

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BRAIN CARE BUNDLES APPLIED OVER EACH AND SUCCESSIVE GENERATIONS

Seminars in Fetal and Neonatal Medicine, Journal Year: 2024, Volume and Issue: unknown, P. 101558 - 101558

Published: Nov. 1, 2024

Language: Английский

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Compare Health Practices and Depression in Planned and Unplanned Pregnancies

Ankara sağlık bilimleri dergisi, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 23, 2024

Aim: The aim of this study was to compare health practices and depression in planned unplanned pregnancies. Subjects Method: descriptive. research sample consist a total 230 pregnant women with pregnancy. population descriptive comprised attending the obstetrics clinics public hospital. consisted calculated g-power program (115 pregnancies 115 correspondingly selected pregnancies). data were collected using Descriptive Information Form, Health Practices Pregnancy Questionnaire (HPQ-II), Beck Depression Scale. Results: mean age 29.06±5.71 (min: 18, max: 42). HPQ-II scores 127.10±12.03 for 124.06±12.00 Women received 9.97±8.56 from Scale, those 10.83±7.75. No significant difference found between (p=0.058) Scale (p=0.425) depending on pregnancy planning status. Conclusion: When evaluated separately, there negative relationship BECK scores. In maintaining maternal fetal health; It is an important factor determine status during starting preconceptional period, plan pregnancies, question behaviors.

Language: Английский

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Pregnancy intention in relation to maternal and neonatal outcomes in women with versus without psychiatric diagnoses

Acta Psychiatrica Scandinavica, Journal Year: 2023, Volume and Issue: 149(2), P. 110 - 123

Published: Nov. 7, 2023

Abstract Background Studies have identified adverse maternal and neonatal outcomes for women with psychiatric disorders. Additionally, disorders may pose an increased risk unintended pregnancies (UPs) which in turn also impact negatively on outcomes. The present study aims to compare the incidence of UPs versus without current/past diagnoses investigates whether history modifies relation between delivery UPs. Methods A retrospective cohort was compiled who gave birth a large hospital Amsterdam, Netherlands. Women ≥18 years old singleton registrations electronic patient file during January 1, 2015 March 2020 were included. Patient characteristics (including pregnancy intention history), (gestational diabetes, mode delivery) (e.g., gestational age [GA], birthweight Apgar scores) registered by health care providers charts. Incidence compared diagnoses. Maternal linear or logistic regression models adjusted relevant confounders interaction term UP Results We included 1219 1093 Current/past significantly associated after adjustment (39.0% vs. 29.6%, OR 1.56, CI 1.23–2.00, p < 0.001). In sub‐analyses, depressive (OR 1.67, 1.24–2.26, = 0.001), personality 2.64, 1.38–5.11, 0.004) substance‐related addictive 4.29, 1.90–10.03, 0.001) had higher odds Amongst UPs, did not modify outcomes, except GA at as both diagnosis 2.21‐day mean than reference group ( ‐value Conclusions are odd our sample, comparable these results similar diagnoses, delivery. Although is limited several factors, we found that irrespective planning status, do more Increased efforts needed ensure psychoeducation conversations about available

Language: Английский

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Pregnancy planning and neonatal outcome - a retrospective cohort study

BMC Pregnancy and Childbirth, Journal Year: 2024, Volume and Issue: 24(1)

Published: March 16, 2024

Abstract Background Unplanned pregnancy is common, and although some research indicates adverse outcomes for the neonate, such as death, low birth weight, preterm birth, results are inconsistent. The purpose of present study was to investigate associated neonatal an unplanned in a Swedish setting. Methods We conducted retrospective cohort which data from 2953 women were retrieved Pregnancy Planning Study, covering ten counties September 2012 through July 2013. intention measured using London Measurement Pregnancy. Women with pregnancies ambivalent combined referred unplanned. Data on outcomes: small gestational age, Apgar score < 7 at 5 min, severe outcome defined death or need resuscitation Medical Birth Register. Results prevalence 30.4%. Compared who had planned pregnancies, those more likely give neonates age: 3.6% vs. 1.7% (aOR 2.1, 95% CI 1.2–3.7). There no significant differences outcome. Conclusions In setting, might increase risk infant age.

Language: Английский

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Knowledge of emergency contraception and acceptability of unplanned pregnancy among married women in reproductive age in Beni-Suef

Deleted Journal, Journal Year: 2024, Volume and Issue: 15(1), P. 1603 - 1618

Published: March 1, 2024

Background: Approximately 25% of pregnancies and births in Egypt are unintended. Emergency contraception (ECC) is a critical tool to reduce unwanted pregnancy after unprotected intercourse. Aim: aimed assess the knowledge attitude married women reproductive age regarding emergency their acceptability unplanned pregnancy. Design: using cross-sectional descriptive design.Subjects; on sample 300 age. Setting: The study was conducted Elhadary Health Care Center Ehnasia village, Beni-Suef governorate Methods: A structured interview questionnaire form used measure contraceptive, related attitudes Results: Women's median 30.0 years, mostly gravida 2-3 (52.3%), 27.0% had previous pregnancies. Only 52.7% satisfactory with ECC 56.0% positive attitude, 92.3% them unplanned. scores correlated positively planned (r=0.140 r=0.682 respectively). Women husbands' higher education good obstetric history predicted knowledge, Conclusion: suboptimal, high rate Recommendations: Promotion women's recommended through counseling educational programs. Advance proposed examine effect programs utilization reduction

Language: Английский

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Gravidez não planejada no extremo Sul do Brasil: prevalência, tendência e fatores associados

Ciência & Saúde Coletiva, Journal Year: 2024, Volume and Issue: 29(5)

Published: Jan. 1, 2024

Resumo Este estudo estimou a proporção de puérperas que não planejaram gravidez, avaliou tendência e identificou fatores associados à sua ocorrência no município Rio Grande-RS. Entre 01/01 31/12 2007, 2010, 2013, 2016 2019 entrevistadoras treinadas aplicaram questionário único padronizado todas as residentes neste município. Utilizou-se teste qui-quadrado para comparar proporções regressão Poisson com ajuste da variância robusta na análise multivariável. A medida efeito utilizada foi razão prevalências (RP). O incluiu 12.415 (98% do total). prevalência planejamento 63,3% (IC95%: 62,5%-64,1%). Após ajuste, maiores RP gravidez foram observadas entre mulheres menor idade, cor pele preta, companheiro, maior aglomeração domiciliar, pior escolaridade renda familiar, paridade tabagistas. Houve pequeno aumento final período principalmente àquelas riscos eventos desfavoráveis gestação parto. Alcançar estas nas escolas ensino médio, empresas, serviços profissionais saúde, além meios comunicação massa, pode auxiliar prevenção desse tipo gravidez.

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