Determinants of birthweight in rural Sri Lanka; a cohort study

BMC Pediatrics, Journal Year: 2023, Volume and Issue: 23(1)

Published: Jan. 23, 2023

Identifying determinants of birthweight among disadvantaged communities is critical to further reducing the inequitable burden perinatal health issues in low-and-middle income settings. Therefore, we adopted a bio-psycho-social approach identify mother-infant cohort from rural setting Sri Lanka, lower-middle-income country.All third-trimester pregnant women with singleton pregnancy registered for national antenatal care programme at Ipalogama division 2017 were invited prospective study. Data was collected using self-completed questionnaire and data extraction records. The followed up until one month after delivery. A principal component analysis performed economic, social, psychological variables, two composite variables achieved. Care husband household members, perceived wellbeing, frequency abuse, affect during third trimester strongly loaded variable 'psychosocial wellbeing'. Monthly income, husband's education level, use biomass fuel 'socioeconomic status'. Hierarchical logistic regression used predict factors associated birthweight. Maternal age, parity, baby's sex, gestational period registration entered first step. BMI, psychosocial socioeconomic status, hypertensive disorders, gestational/chronic diabetes step two. Preterm birth three.532 recruited, 495 retained postpartum follow-up. 421 (74.8%) had reported being abused least once preceding month. Birthweight approximately normally distributed (mean 2912 g, SD 456.6 g). Low present 72 (14.6%, 95% CI 11.7,17.9), 46 (9.3%, 7.0,12.1) birthweights > 3500 g. model explained 13.2% variance birth, maternal mid-pregnancy wellbeing could explain 6.9%(p < 0.001), 3.9(p 1.2%(p = 0.02) unique variance, respectively.In where large proportion suffer 'abuse' their homes, an important determinant babies. Expanding routine services, especially primary cater would help reduce inequities health.

Language: Английский

---

What Women Want: Mental Health in the Context of Violence Against Women in Sri Lanka—A Qualitative Study of Priorities and Capacities for Care

Violence Against Women, Journal Year: 2024, Volume and Issue: unknown

Published: Feb. 23, 2024

Insufficient evidence guides mental health service development for survivors of violence against women in Sri Lanka. Provider and survivor perspectives on (1) what constitutes health, (2) quality care, (3) priority areas stakeholders intervention were identified through framework analysis 53 in-depth interviews. Desired care is chiefly psychosocial—not psychological—prioritizing socioeconomic, parenting, safe environment needs non-clinical community settings. Our points strongly to the need strengthen non-mental community-based providers as “first contacts” reassessment system-centric interventions which neglect preferred responses more holistic approaches accounting women's full circumstances.

Language: Английский

---

Self-harm thoughts among postpartum women - associated factors

Journal of Reproductive and Infant Psychology, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 14

Published: Feb. 6, 2024

Background Even though in many countries suicide is the leading cause of maternal deaths during postpartum period, prevalence thoughts self-harm (SHTs), an important risk factor for attempts, still not well documented.

Language: Английский

---

The prevalence of suicidal behavior and ideation during pregnancy and postpartum period, its variation in the COVID-19 pandemic, and the related factors: A systematic review and meta-analysis of observational studies

The European Journal of Psychiatry, Journal Year: 2024, Volume and Issue: 38(2), P. 100248 - 100248

Published: Feb. 12, 2024

Language: Английский

---

“Prevalence and Associated Factors of Perinatal Suicide Risk in Spanish Women”

Archives of Suicide Research, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 16

Published: May 15, 2024

Suicide is one of the leading causes death worldwide, and in perinatal period, trend increasing, even up to 100 times US. No studies have been carried out with validated instruments despite abundant recommendations do so. This study aims determine prevalence suicide risk Spanish women, as well factors associated it. A cross-sectional was 908 women stage. Sociodemographic obstetric variables, anxiety level (GAD-7), social support (DUKE-UNC), intimate violence (WAST), suicidal ideation (Paykel) were collected. Crude (OR) adjusted odds ratios (aOR) calculated using logistic regression for main ideation. The 19.3% (175), attempt 2.4% (22). In stage, [aOR 1.08 (95% CI: 1.04-1.31)], experiencing a possible situation partner 1.59 1.04-2.43)], PPD 3.00 1.86-4.81)]. Perceived appears protective factor 0.97 0.95-0.99)], along skin-to-skin contact baby during childbirth 0.50 0.28-0.88)]. Conclusions: Presenting or depression, little support, living are greater

Language: Английский

---

Prevalence of and sociodemographic factors associated with antenatal depression among women in Limpopo Province, South Africa

South African Journal of Obstetrics and Gynaecology, Journal Year: 2022, Volume and Issue: unknown, P. 52 - 56

Published: Dec. 14, 2022

Background. Pregnancy-related depression is a common psychiatric disorder and major public health concern in both developed developing countries, but the receives little attention few resources, particularly countries.Objectives. To assess prevalence of antenatal its sociodemographic risk factors among pregnant women Limpopo Province, South Africa.Methods. This was cross-sectional descriptive study conducted district hospital from 8 March to 12 April 2021. Consecutive attending care services during data collection period were included study. The Edinburgh Postnatal Depression Scale used symptoms.Results. 31% (95% confidence interval 26.1 - 36.3). Being unmarried, being smoker, without financial support partner, having violent partner less-educated significant predictors these women.Conclusion. Nearly one-third our had depressive symptoms. important antenataldepression smoking, lack intimate violence lesseducated partner. These findings may help healthcare workers identify at early, so that can be offered pregnancy childbirth.

Language: Английский

---

Alcohol use, self-harm and suicide: a scoping review of its portrayal in the Sri Lankan literature

Heliyon, Journal Year: 2023, Volume and Issue: 9(7), P. e17566 - e17566

Published: June 25, 2023

BackgroundSuicide is a global public health problem. Compared to other middle-income countries, much literature has been generated on the topic of self-harm and suicide in Sri Lanka. Harmful use alcohol well-known risk factor suicide, however connection needed further exploration.AimThe aim was investigate alcohol's role Lanka inform policy prevention programs future research priorities.MethodsWe performed scoping review exploring how association between use, presented scientific from August 1, 2008 December 31, 2022. Thematic analysis used explore emerging themes.ResultsAltogether 116 peer-reviewed articles were included. Three themes emerged: (i) gendered, inter-relational explanations self-harm, (ii) hospital management patients who co-ingested pesticides, (iii) proposed interventions targeting alcohol, suicide. The articles' recommendations for policy, priorities included: Family- community-based reduction interventions; viewing as window opportunity personnel intervene families affected by harmful consumption; introduction increased access treatment disorder at individual level.ConclusionSuggestions primarily targeted community, though this might also reflect limited treatment, mental support available country. Future should test context-appropriate integrating treatment.

Language: Английский

---

Suicide Ideation within and outside the Perinatal Period: An Exploration of Interpersonal Factors from a Maternal Cohort in Rural Pakistan to Improve Intervention Targeting

Archives of Suicide Research, Journal Year: 2022, Volume and Issue: 28(1), P. 231 - 249

Published: Dec. 19, 2022

Suicide accounts for substantial mortality in low-resourced settings and contributes to nearly 20% of maternal deaths. In Asia, interpersonal conflict is a salient factor that suicidal thoughts actions, yet limited research has been done explore the type timing such conflicts woman's accompanying social support. Identifying risk factors can inform improved efforts identify who target psychosocial interventions.

Language: Английский

---

Prevalence and Associated Risk Factors of Suicidal Ideation Among Brazilian Pregnant Women: A Population-Based Study

Frontiers in Psychiatry, Journal Year: 2022, Volume and Issue: 13

Published: March 22, 2022

Suicide is a leading cause of death during the perinatal period in high-income countries (HIC). There remains lack population-based studies about suicidal ideation (SI) pregnancy among low and middle income (LMIC).Using case Brazil, we aim to estimate prevalence SI its association with antenatal depression (AD) sociodemographic factors LMIC.We used data from Brazilian National Survey (PNS-2019), study, complex probabilistic sampling method. Of 27,136 women reproductive age (15 49 years old) who participated PNS, total 769 reported being pregnant at time interview. All PNS participants answered Patient Health Questionnaire-9 (PHQ-9) questionnaire data. was defined as any answer PHQ-9 item 9 other than 0 (not all). Logistic regression models were performed obtain crude adjusted odds ratios (aOR) 95% confidence intervals (95% CI) for between explanatory variables pregnancy.Among women, 33 (3.9%, CI: 3.0-5.1%) pregnancy. In analysis, higher associated 20 34 old (aOR:0.24, 0.08-0.74) or 35 (aOR:0.15; 0.04-0.50), having 11 education (aOR 0.23, 0.61-0.86), acheiving highest family category (aOR:0.08, 0.01-0.58), not living South/Southeast regions Brazil (aOR:5.52, 2.36-12.9), probable mild AD (aOR:10.5 2.3-47.9) moderate (aOR:241.3, 58.4-996.7).In affects almost 4% vulnerability. Clinically, symptoms may also experience These findings are important designing effective mental health interventions LMICs.

Language: Английский

---

Understanding Healthcare Professionals’ Knowledge on Perinatal Depression among Women in a Tertiary Hospital in Ghana: A Qualitative Study

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(23), P. 15960 - 15960

Published: Nov. 30, 2022

Health conditions affecting women in the perinatal period still account for a major contribution to disease burden Sub-Saharan Africa, yet there is dearth of empirical research understanding health professionals’ perspective on their experiences and how they care depression. We used qualitative exploratory descriptive approach through face- face-interview explore knowledge 11 professionals Komfo Anokye Teaching Hospital, Kumasi- Ghana. Interviews were taped recorded transcribed verbatim. The study adopted Haase’s modification Colaizzi’s method analysis. Four main themes emerged: ineffective communication (Referral lapses among providers, long waiting time, lack confidentiality), workload (Inefficient staff meet women’s need, no screening tools time constraints), Reaction patients symptoms (Identifying patient’s symptoms, assessment centeredness Education counselling). Our results emerged that constraints, stigmatization awareness delayed management depression healthcare hospital setting. There need improve it imperative administrators invest continuous training professional development professionals.

Language: Английский

---