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Background: Antenatal care (ANC) plays a crucial role in reducing maternal fatalities and morbidities through early detection and management of pregnancy-related complications and ensures the proper referral in the level of care. Various variables facilitate a pregnant woman's ability to schedule enough ANC visits. This research sought to identify factors contributing to Tanzanian pregnant women receiving adequate antenatal care., Methods: The study used data from the 2015-16 TDHS-MIS. We analysed a total of 6924 included in the analysis. The outcome variable was adequate ANC, and we assessed different predictors on how they influence good antenatal care attendance. Bivariate (chi-square) and multivariate logistic regression were conducted at the statistical significance of p < 0.05., Results: 3438 (49.7%) had inadequate ANC visits. Determinants for antenatal attendance included giving birth outside health facility (aOR = 0.77, 95%CI = 0.62-0.95, p-value = 0.02) are less likely to complete all the ANC, mothers who book early for ANC (aOR = 5.79, 95%CI = 4.56-7.35, p-value < 0.001) were more likely to achieve the recommended visits, parity of 2 to 4 (aOR = 0.63, 95%CI = 0.48-0.81, p-value < 0.001), and five and above (aOR = 0.48, 95%CI = 0.35-0.68, p-value < 0.001) showed a decreased odd to complete adequate ANC, the use of the Internet (aOR = 1.62, 95%CI = 1.08-2.42, p-value = 0.02) were two times more likely to attend the required visits, pregnant mothers who experienced sexual violence from partners (aOR = 0.70, 95%CI = 0.52-0.94, p-value = 0.02) were less likely to complete the adequate visit, and the use of the mobile telephone for health-related issues (aOR = 1.476, 95%CI = 1.02-2.14, p-value = 0.04) slightly increase the chance of attending adequate visits., Conclusion: This study identified determinants influencing ANC visits. ANC booking, using the Internet, and mobile phones enhance the likelihood of completing recommended ANC visits while higher parity and experiencing partner-related sexual violence decrease these chances. These findings show a need for addressing wealth inequality, geographical barriers, the impact of intimate partner violence, encouraging internet access for health information, and health promotion for early ANC booking to improve the uptake of ANC services., Competing Interests: Declarations. Ethics approval and consent to analyse: The existing public domain survey (2015–16 TDHS–HMIS) datasets that are openly accessible online and stripped of all identifying information served as the study’s foundation. The National Institute of Medical Research Ethics Committee in Tanzania and the ICF Macro Ethics Committee in Calverton, New York, approved the initial survey. Therefore, we obtained permission to use DHS data. Participants’ informed consent was requested and received before the interview. All methods were carried out following the relevant guidelines and regulations. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests., (© 2024. The Author(s).)

Problem: Research so far has evaluated the effect of antenatal classes, but few studies have investigated its usefulness from the perspective of mothers after birth., Background: Antenatal classes evolved from pain management to a mother-centred approach, including birth plans and parenting education. Evaluating the perception of the usefulness of these classes is important to meet mother's needs. However, so far, research on the mothers' perception of the usefulness of these classes is sparse, particularly when measured after childbirth. Given that antenatal classes are considered as adult education, it is necessary to carry out this evaluation after mothers have had an opportunity to apply some of the competences they acquired during the antenatal classes during their childbirth., Aim: This study investigated mothers' satisfaction and perceived usefulness of antenatal classes provided within a university hospital in Switzerland, as assessed in the postpartum period., Methods: Primiparous mothers who gave birth at a Swiss university hospital from January 2018 to September 2020 were contacted. Those who had attended the hospital's antenatal classes were invited to complete a questionnaire consisting of a quantitative and qualitative part about usefulness and satisfaction about antenatal classes. Quantitative data were analysed using both descriptive and inferential statistics. Qualitative data were analysed using thematic analysis., Findings: Among the 259 mothers who answered, 61% (n = 158) were globally satisfied with the antenatal classes and 56.2% (n = 145) found the sessions useful in general. However, looking at the utility score of each theme, none of them achieved a score of usefulness above 44%. The timing of some of these sessions was questioned. Some mothers regretted the lack of accurate information, especially on labour complications and postnatal care., Discussion: Antenatal classes were valued for their peer support. However, in their salutogenic vision of empowerment, they did not address the complications of childbirth, even though this was what some mothers needed. Furthermore, these classes could also be more oriented towards the postpartum period, as requested by some mothers., Conclusion: Revising antenatal classes to fit mothers' needs could lead to greater satisfaction and thus a better impact on the well-being of mothers and their families., (© 2023. BioMed Central Ltd., part of Springer Nature.)

Introduction: coronavirus is a communicable disease that produces severe morbidity and mortality in the globe and more than three million people died due to COVID-19. Pregnant mothers are at higher risk of COVID-19 viral infection, with great morbidity and mortality. Thus, the purpose of this research is to assess the level of COVID-19 vaccine acceptability, determinants, and hesitancy among pregnant mothers attending antenatal care at Debre Markos town, public health institutions, Debre Markos, Northwest Ethiopia., Methods: a mixed study was conducted among 350 pregnant mothers attending antenatal care at Debre Markos town health institutions and the participants were selected by consecutive sampling techniques. The collected data were entered into EPI Info version 7 and then exported to SPSS version 25 for data cleaning and analysis. The level of COVID-19 vaccine acceptability was determined through descriptive statistics, whereas its determinants were identified by binary logistic regression analyses. Variables with p-value < 0.05 in multivariable were considered as significantly associated factors. The qualitative data were collected by an unstructured interviewer guide using in-depth interview data collection methods. Study participants were selected purposively until the required data was saturated. The data was analysed under selected themes based on the guide and summarized manually., Results: sixty-five (18.5%) of the respondents accept the COVID-19 vaccine [95% CI: 13, 23]. Maternal age [AOR: 3.281 (95% CI: 1.184, 9.092)], chronic medical illness [AOR: 0.170 (95% CI: 0.051, .562)], information about COVID-19 vaccine [AOR: 4.063 (95% CI: 1.462, 11.293)], pregnancy-induced medical conditions [AOR: 4.131 (95% CI: 1.055, 16.183) were identified as significant determinants of COVID-19 vaccine acceptability. From the quantitative wing. The qualitative finding implied that misconception, fear of medical complications, lack of trust in its effectiveness, and religious constraints were the common reasons for vaccine hesitancy., Conclusion: COVID-19 vaccine acceptability by pregnant mothers attending ANC at Debre Markos town public health institutions is very low. The health care providers and health extension workers shall create information about the COVID-19 vaccine on its importance and side effects., Competing Interests: The authors declare no competing interests., (Copyright: Bewket Yeserah Aynalem et al.)

Introduction: Physiological changes in pregnancy increase the vulnerability of antenatal women to develop obstructive sleep apnoea (OSA). It is a known cause of several adverse health outcomes in pregnancy., Objectives: To assess the risk status of OSA in pregnant women and to study its association with adverse maternal outcomes, fatigability, and daytime sleepiness., Material and Methods: Pregnant women were interviewed to assess for the risk of OSA, fatigability, and daytime sleepiness. STOP BANG, the fatigue severity scale, and the Epworth sleepiness scale were used to assess these parameters., Results: The mean age of the 214 participants was 27.2 ± 4.7 years. 7 (3.3%) participants had a history of snoring louder than the volume of normal talking, or of being loud enough to be heard past closed doors. A moderate risk status of OSA was present among 3 (1.4%) participants. 45 (21.0%) pregnancies were high risk in nature. The risk status of OSA was associated with a high risk status of pregnancies among the participants (p = 0.0088). 41 (19.2%) participants had a history of significant fatigue over the previous week of the study. 7 (3.3%) participants reported mild to severe excessive daytime sleepiness. A history of snoring loudly (p = 0.0179) and a OSA risk status (p = 0.0027) was associated with excessive daytime sleepiness., Conclusions: A risk status for OSA was associated with a high risk pregnancy status and excessive daytime sleepiness among pregnant women in the current setting. Therefore, pregnant women with these conditions need to be evaluated for OSA. They also need to be suitably managed to ensure the healthy well-being of the mother and the baby.

Background: The World Health Organization (WHO) defines health as a state of complete physical, mental, and social well-being, not just the absence of illness or disability, allowing individuals to lead socially and economically productive lives. A WHO expert panel has suggested that anaemia should be diagnosed when haemoglobin levels fall below 13g/dl in adult men, 12g/dl in non-pregnant adult women, and below 11g/dl in pregnant women. Anaemia during pregnancy is typically due to iron deficiency. WHO estimates that two billion people worldwide are affected by anaemia, with around 50% of cases caused by iron deficiency. Anaemia is linked to several maternal and foetal complications, including reducing a woman's ability to cope with blood loss during or after childbirth. It is also associated with low birth weight, premature delivery, intrauterine growth retardation, and higher perinatal mortality. Aim: To assess the association of various socioeconomic and demographic factors on anaemia and the degree of anaemia found in pregnant mothers at RHC. Objectives: 1. To assess the influence of social and economic status and factors influencing anaemia in pregnant mothers using B.G. Prasad classification. 2. To assess the influence of demographic factors like parity, education, occupation, etc. on anaemia in pregnant mothers. 3. To assess the utilization of various ANC services being provided at RHC especially the use of iron and folic acid tablets. Materials and Methods: This is a longitudinal prospective observational study conducted in a field practice area. The study was undertaken at a RHTC under Tertiary Care Teaching Hospital. All the pregnant women who were anaemic i.e. whose Hb levels were less than 11g/dl (according to WHO classification) and who had no other comorbidities who visited the RHTC for the first time were included in the study. All pregnant women whose Hb levels were below 11g/dl and who visited the RHTC for the first time for various antenatal services during the study period were included in the study. All anaemic pregnant women in any trimester of pregnancy were included in the study. Results: Table shows the level of anaemia among the 178 subjects included in the study divided according to the WHO classification of anaemia in pregnancy. It shows that 61 participants (34.26%) had mild anaemia, 98(55.05%) mothers had moderate anaemia whereas 19(10.6%) had severe type of anaemia. According to table 7 of the 178 pregnant anaemic mothers, 39(21.91%) were taking iron and folic acid tablets regularly, 66(37.07%) were taking iron and folic acid tablets irregularly whereas 73(41.01%) were not taking any iron and folic acid tablets. Of the 178 participating anaemic pregnant mothers, 123(69.10%) visited ANC units 1-2 times and 55(30.89%) visited ANC units 3 or more times. As seen in table 8, of the 123 pregnant mothers with anaemia who visited the ANC unit 1-2 times in the present pregnancy, 41(33.33%) had mild anaemia, 67(54.47%) had moderate anaemia and 15(12.19%) had severe anaemia. Of the 55 pregnant mothers with anaemia who visited the ANC unit 3 or more times in the present pregnancy, 20(36.36%) had mild anaemia, 31(56.36%) had moderate anaemia and 4(7.27%) had severe anaemia. Conclusion: Most of the anaemic pregnant women were in middle socioeconomic class i.e. class 3 with majority having completed primary education and were Hindu housewives with mixed diets living in a joint family. Even with the low levels of Hb most of the women were not taking any IFA tablets and the birth spacing was not 3 years in majority of the cases. [ABSTRACT FROM AUTHOR]

Background: Self-medication is a common practice among pregnant mothers in many developing countries Uganda inclusive. Despite its adverse effects to the pregnant mother and the developing fetus, limited efforts are in place to reduce the practice. This study was conducted to assess the practices and knowledge of the dangers of self-medication among pregnant mothers attending antenatal care in Iganga district, Uganda. Methods: A cross sectional approach was employed using convenient sampling technique among 181 pregnant mothers at the antenatal clinic. An interviewer administered questionnaire was used to collect data that was analyzed descriptively using SPSS software. Results: Out of the 181 respondents, 119 (65.75%) self-medicated during their current pregnancy obtaining drugs from pharmacies 42 (23.20%). Majority of the mothers 129 (71.27%) had good knowledge concerning the dangers of self-medication with 66.85% reporting that it was a bad practice. Regarding the dangers of self-medication, 23.76% reported fetal death while 24.86% stated miscarriages. There was a significant association between self-medication practice and occupation (P-value = 0.04; OR = 1.21 at 95% CI). Conclusion: Self-medication remains a common practice among pregnant mothers in Iganga district despite the fact that a large proportion of them have good knowledge regarding the dangers of self-medication. Therefore, further investigations into the associated factors and strict measures to combat the risks of self-medication during pregnancy should be embarked on. [ABSTRACT FROM AUTHOR]

BACKGROUND: Women face many challenges from conception to postpartum, and fear of childbirth is one of the challenges the women encounter during pregnancy. This could have resulted from different perspectives and it could in turn lead to various pregnancy and childbirth problems. Thus, understanding childbirth fear and factors associated with this is of paramount importance and this study was aimed at addressing this issue. METHODOLOGY: A facility-based cross-sectional study was done on 423 pregnant mothers who came for antenatal care services at Jinka hospital and Jinka health center. The study was conducted from June 1to 30, 2018. The sample size was calculated using the single population proportion formula and samples were taken after proportional allocation was done for the hospital and health center using the proportion allocation formula. Individual participants were selected with a systematic sampling technique using k -value of 2 for both the hospital and health center and the first participant was selected by the lottery method from the first two samples. Data were entered into epi-data version 3.1.1. and exported into statistical packages for social sciences version 21.0 for cleaning and further analysis. The level of significance was declared at a p value of less than 0.05 in multivariable logistic regression model. Narratives, figures, and tables were used to put the result. RESULT: From 423 samples, two of the questionnaires were incomplete and thus 421 were used for analysis giving a response rate of 99.5%. Around a quarter of 102 (24.2%) mothers had fear of childbirth and the remaining 319 (75.8%) had no fear of childbirth. From the factors under consideration, history of previous pregnancy complications, previous history of labor and delivery complications, educational status, and depression status were significantly associated with a mother's fear of childbirth. CONCLUSION: Even though it is physiological to have some fear of childbirth, the figure obtained is relatively higher. Factors found to have a significant effect on childbirth fear are those which could be tackled through improved health literacy and integrated maternal health services. [ABSTRACT FROM AUTHOR]

Background: The maternal morbidity and mortality related to preeclampsia are increasing in developing countries; figures have been estimated to be between 1.8% and 16.7%, including in Ethiopia. However, there is limited research regarding the determinants of preeclampsia in Gedeo Zone. Objective: The aim of the study was to determine the predictors of preeclampsia among pregnant mothers attending ANC and delivery services in southern Ethiopia. Methods: A facility-based unmatched case-control study was conducted in Gedeo Zone. Pregnant mothers attending ANC and delivery service were selected consecutively until the allotted 243 (162 controls and 81 cases) sample size was fulfilled. The collected data were checked for completeness and entered into Epi-data software version 3.1, and exported to statistical package for social science (SPSS) version 20 for analysis. Multivariable logistic regression was employed and a P-value of less than 0.05 with a 95% confidence interval was used to declare the significant association of the independent variables and the outcome variable. Results: A total of 240 mothers, 80 (33.3%) of cases and 160 (66.70%) of controls, responded, with a response rate of 98.76%. The mean age of the participants among both groups was 27.40 with a standard deviation of ± 5.02. Attending education [adjusted odd ratio (AOR) = 0.49; 95% CI (0.006, 0.398)], being a house wife [AOR = 13; 95% CI (1.260, 140.15)], an age range of 20– 34 years [AOR = 0.071; 95% CI (0.015, 0.32)], a family history of diabetes mellitus [AOR = 0.28.2; 95% CI (0.081, 0.985)], a family history of hypertension [AOR = 0.124; 95% CI (0.047, 0.325)], did not eat fruit during pregnancy [AOR = 3.355; 95% CI (1.112, 10.126)], and a maternal history of preeclampsia [AOR = 0.162; 95% CI (0.041, 0.640)] were found to be variables significantly associated among mothers with preeclampsia. Conclusion: The determinant factors for preeclampsia were being a housewife, having a history of hypertension, diabetes mellitus, and preeclampsia among family members. Strengthening early detection and prevention of predictors, improvement of protective factors, and further follow-up study were recommended. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Univesity of Thi-Qar is the property of Republic of Iraq Ministry of Higher Education & Scientific Research (MOHESR) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Latinoamericana de Hipertension is the property of Revista Latinoamericana de Hipertension and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Tuberculosis is the most prevalent disease for women during their childbearing age 15-44 years. Despite the implementation of Basic Antenatal Care (BANC) world-wide, mothers still present late at Antenatal Care (ANC) facility. Using descriptive research design, this study described the socio-cultural factors and knowledge about TB associated with late presentation at ANC among pregnant mothers. A representative sample of pregnant and breast feeding mothers diagnosed with Tuberculosis were selected from ten hospitals in Limpopo Province. Data were analysed using Tech's method. The findings revealed that TB stigma, link of Tuberculosis with HIV, poverty, poor support, use of THs/TBAs, religion and limited knowledge were associated with late presentation at antenatal care. There is a need for urgent health education campaign to convince the general population that TB is curable. [ABSTRACT FROM AUTHOR]