Journal of Preventive Medicine and Public Health

Brief Report

How Well Do U.S. Primary Care and Obstetrics and Gynecology Clinicians Screen for Pregnancy Complications at Well Woman Visits? A Retrospective Cohort Study: Eli D. Medvescek, Sorana Raiciulescu, Andrew S. Thagard, Katerina Shvartsman; J Prev Med Public Health. 2023;56(2):190-195. Published online March 15, 2023; DOI: https://doi.org/10.3961/jpmph.22.492

1,380 View
58 Download

Abstract PDF: Objectives
Pregnancy complications, including pre-eclampsia, gestational diabetes (GDM), and perinatal mood and anxiety disorders (PMADs), impact long-term health. We compared the frequency of screening documentation for pregnancy complications versus a general medical history at well woman visits between providers in primary care and obstetrics and gynecology.
Methods
We conducted a retrospective cohort study of subjects with at least 1 prior birth who presented for a well woman visit in 2019-2020. Charts were reviewed for documentation of a general medical history (hypertension, diabetes, and mood disorders) versus screening for comparable obstetric complications (pre-eclampsia, GDM, and PMADs). The results were compared using the McNemar and chi-square tests as appropriate.
Results
In total, 472 encounters were identified, and 137 met the inclusion criteria. Across specialties, clinicians were significantly more likely to document general medical conditions than pregnancy complications, including hypertensive disorders (odds ratio [OR], 2.45; 95% confidence interval [CI], 1.18 to 5.48), diabetes (OR, 7.67; 95% CI, 3.27 to 22.0), and mood disorders (OR, 10.5; 95% CI, 3.81 to 40.3). Obstetrics and gynecology providers were more likely to document any pregnancy history (OR, 4.50; 95% CI, 1.24 to 16.27); however, they were not significantly more likely to screen for relevant obstetric complications (OR, 2.49; 95% CI, 0.90 to 6.89). Overall, the rate of pregnancy complication documentation was low in primary care and obstetrics and gynecology clinics (8.8 and 19.0%, respectively).
Conclusions
Obstetrics and gynecology providers more frequently documented a pregnancy history than those in primary care; however, the rate was low across specialties, and providers reported screening for clinically relevant complications less frequently than for general medical conditions.; Summary

Original Articles

Adverse Birth Outcomes Among Pregnant Women With and Without COVID-19: A Comparative Study From Bangladesh: Sumaya Binte Masud, Faiza Zebeen, Dil Ware Alam, Mosharap Hossian, Sanjana Zaman, Rowshan Ara Begum, Mohammad Hayatun Nabi, Mohammad Delwer Hossain Hawlader; J Prev Med Public Health. 2021;54(6):422-430. Published online October 21, 2021; DOI: https://doi.org/10.3961/jpmph.21.432

7,189 View
253 Download
6 Web of Science
6 Crossref

Objectives
Pregnant women are especially vulnerable to respiratory infections such as coronavirus disease 2019 (COVID-19), but insufficient research has investigated pregnancy and its outcomes in women with COVID-19. This cross-sectional study compared birth outcomes related to COVID-19 between Bangladeshi pregnant women with and without COVID-19.
Methods
The study was conducted at 3 tertiary referral hospitals in Dhaka, Bangladesh, from March to August 2020. Pregnant women admitted for delivery at these hospitals with laboratory results (reverse-transcription polymerase chain reaction) were analyzed. Using convenience sampling, we included 70 COVID-19-positive and 140 COVID-19-negative pregnant women. Trained and experienced midwives conducted the interviews. Data were analyzed using the t-test, the chi-square test, and univariate and multivariable linear and logistic regression.
Results
Pregnant women with COVID-19 were more likely to give birth to a preterm baby (adjusted odds ratio [aOR], 2.15; 95% confidence interval [CI], 1.06 to 4.37) and undergo a cesarean section (aOR, 3.27; 95% CI, 1.51 to 7.07). There were no significant differences in birth weight, premature rupture of membranes, and the Apgar score at 1 minute or 5 minutes post-delivery between women with and without COVID-19. All the newborn babies who were born to COVID-19-positive women were COVID-19-negative.
Conclusions
Our study suggests that pregnant women with COVID-19 were more likely to give birth to a preterm baby and undergo a cesarean section. For this reason, physicians should be particularly cautious to minimize adverse birth outcomes among pregnant women with COVID-19 and their newborn babies.

Summary

Citations

Citations to this article as recorded by

SARS-CoV-2 infection by trimester of pregnancy and adverse perinatal outcomes: a Mexican retrospective cohort study
Rakesh Ghosh, Juan Pablo Gutierrez, Iván de Jesús Ascencio-Montiel, Arturo Juárez-Flores, Stefano M Bertozzi
BMJ Open.2024; 14(4): e075928. CrossRef
COVID-19 vaccine decision-making among pregnant and lactating women in Bangladesh
Rupali J. Limaye, Prachi Singh, Alicia Paul, Berhaun Fesshaye, Clarice Lee, Eleonor Zavala, Sydney Wade, Hasmot Ali, Hafizur Rahman, Shirina Akter, Ruth Karron, Towfida Jahan Siddiqua
Vaccine.2023; 41(26): 3885. CrossRef
The coronavirus disease 2019 infection in pregnancy and adverse pregnancy outcomes: a systematic review and meta-analysis
Yeonsong Jeong, Min-A Kim
Obstetrics & Gynecology Science.2023; 66(4): 270. CrossRef
Sources of COVID-19 Vaccine Promotion for Pregnant and Lactating Women in Bangladesh
Berhaun Fesshaye, Sydney A. Wade, Clarice Lee, Prachi Singh, Eleonor Zavala, Hasmot Ali, Hafizur Rahman, Towfida Jahan Siddiqua, Shirina Atker, Ruth A. Karron, Rupali J. Limaye
Vaccines.2023; 11(8): 1387. CrossRef
Impact of SARS-CoV-2 infection in pregnant women and their babies: clinical and epidemiological features
María José Vidal, Èrica Martínez-Solanas, Sergi Mendoza, Núria Sala, Mireia Jané, Jacobo Mendioroz, Pilar Ciruela
Gaceta Sanitaria.2023; 37: 102332. CrossRef
An outbreak of infection due to severe acute respiratory corona virus-2 in a neonatal unit from a low and middle income setting
Firdose Lambey Nakwa, Reenu Thomas, Alison van Kwawegen, Nandi Ntuli, Karabo Seake, Samantha Jane Kesting, Noela Holo Bertha Kamanga, Dikeledi Maureen Kgwadi, Neema Chami, Tshiamo Mogajane, Claude Ondongo-Ezhet, Thulisile Nelly Maphosa, Stephanie Jones, V
Frontiers in Pediatrics.2022;[Epub] CrossRef

Daytime Napping and Nighttime Sleep During Pregnancy and Preterm Birth in Iran: Farnaz Shaliha, Maryam Mozaffari, Faeze Ramezani, Hamideh Hajnasiri, Farnoosh Moafi; J Prev Med Public Health. 2021;54(3):182-189. Published online March 31, 2021; DOI: https://doi.org/10.3961/jpmph.20.372

4,619 View
155 Download
3 Web of Science
2 Crossref

Abstract PDF

Objectives
This study investigated the relationship between sleep quality during pregnancy and preterm birth.
Methods
This longitudinal study was conducted between August 2018 and May 2019. The participants were 150 pregnant women who had been referred to 7 healthcare centers in the city of Qazvin, Iran and met the inclusion criteria. The Petersburg Sleep Quality Index, the Epworth Sleepiness Scale, and 2 questions about daytime sleep status and a demographic questionnaire were administered at 14-18 weeks and 28-32 weeks of gestation. Data were analyzed using the Mann-Whitney test, the Fisher exact test, and univariate and multivariable logistic regression.
Results
In the present study, poor sleep quality affected 84.7% of the participants at 14-18 weeks and 93.3% at 28-32 weeks of gestation. The final model for preterm birth prediction incorporated age and the Petersburg Sleep Quality Index score in the second and third trimesters. Preterm birth increased by 14% with each unit increase in age. With each unit increase in the Petersburg Sleep Quality Index score in the second and third trimesters, preterm birth increased by 42% and 28%, respectively, but the p-values of these factors were not significant.
Conclusions
Although a significant percentage of pregnant women had poor sleep quality, no significant relationship was found between sleep quality during pregnancy and preterm birth.

Summary

Citations

Citations to this article as recorded by

Development, validation, and reliability of the Chrononutrition Profile Questionnaire-Pregnancy (CPQ-P)
Ee Yin Kok, Satvinder Kaur, Nurul Husna Mohd Shukri, Nurliyana Abdul Razak, Masaki Takahashi
BMC Pregnancy and Childbirth.2024;[Epub] CrossRef
Managing Maternal Fatigue During Childbirth: A Systematic Review
Kunnikar Chaisitsanguan, Puangpaka Kongwattananon, Dawn Hawthrone
Current Women s Health Reviews.2023;[Epub] CrossRef

Factors Associated With Stillbirth Among Pregnant Women in Nepal: Mahesh Bhusal, Nirmal Gautam, Apiradee Lim, Phattrawan Tongkumchum; J Prev Med Public Health. 2019;52(3):154-160. Published online April 24, 2019; DOI: https://doi.org/10.3961/jpmph.18.270

5,881 View
258 Download
10 Crossref

Abstract PDF

Objectives
Stillbirth is a common adverse pregnancy outcome that represents a distressing and traumatic event for women and their partners. The aim of this study was to identify factors associated with stillbirth in ever-pregnant women in Nepal.
Methods
This study utilized the individual women’s dataset from the Nepal Demographic and Health Survey, conducted in 2016. The dependent variable of interest was whether women had at least 1 stillbirth during their lifetime. The associations between independent variables and the dependent variable of the study were analyzed using a multiple logistic regression model.
Results
Among 8918 ever-pregnant women aged 15-49 years, 488 had experienced at least 1 stillbirth during their lifetime, representing 5.5% of the total. After adjusting each factor for the confounding effects of other factors, maternal age, maternal education, place of residence, and sub-region remained significantly associated with having experienced stillbirth.
Conclusions
Stillbirth continues to be a major problem among women, especially those with higher maternal age, those who are illiterate, and residents of certain geographical regions. To minimize stillbirth in Nepal, plans and policies should be focused on women with low education levels and residents of rural areas, especially in the western mountain and far-western hill regions.

Summary

Citations

Citations to this article as recorded by

The application of the ICD-10 for antepartum stillbirth patients in a referral centre of Eastern China: a retrospective study from 2015 to 2022
Chuan-Shou Feng, Shu-Fen Li, Hui-Hui Ju
BMC Pregnancy and Childbirth.2024;[Epub] CrossRef
Investigation of Factors Related to Stillbirth
Mohammad Torkashvand Moradabadi, Nahid Ardian, Seyed Saeed Mazloomy-Mahmoodabad, Tahmineh Farajkhoda, Nooshin Yoshani, Seyed Alireza Afshani, Deepak Paliwal
INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2024;[Epub] CrossRef
Trends and risk factors of stillbirth among women of reproductive age in Pakistan: A multivariate decomposition analysis
Abeera Shakeel, Asifa Kamal, Muhammad Ijaz, Maryam Siddiqa, Getayeneh Antehunegn Tesema, Tahani Abushal
Frontiers in Public Health.2023;[Epub] CrossRef
Potential Factors Associated with Stillbirth among Babies Born in Hospitals of North Shoa, Oromia, Ethiopia, 2021 Based on Cross-sectional Study Design
Mogos Beya, Adugna Alemu, Dejene Edosa, Mathewos Mekonnen
The Open Public Health Journal.2023;[Epub] CrossRef
Timing of perinatal death; causes, circumstances, and regional variations among reviewed deaths in Ethiopia
Neamin Tesfay, Rozina Tariku, Alemu Zenebe, Girmay Hailu, Muse Taddese, Fitsum Woldeyohannes, Melkamu Merid Mengesha
PLOS ONE.2023; 18(5): e0285465. CrossRef
Socioeconomic status and health behavior in children and adolescents: a systematic literature review
Nirmal Gautam, Getenet Dessie, Mohammad Mafizur Rahman, Rasheda Khanam
Frontiers in Public Health.2023;[Epub] CrossRef
Assessing the Role of Socioeconomic Factors and Place of Residence on the Burden of Stillbirth in India: A Comprehensive Review
Shardhanjali Sinha, Prakash Ranjan Mondal, Vipin Gupta
The Open Public Health Journal.2022;[Epub] CrossRef
Incidence and sociodemographic, living environment and maternal health associations with stillbirth in a tertiary healthcare setting in Kano, Northern Nigeria
Rebecca Milton, F. Modibbo, D. Gillespie, F. I. Alkali, A. S. Mukaddas, A. Kassim, F. H. Sa’ad, F. M. Tukur, R. Y. Khalid, M. Y. Muhammad, M. Bello, C. P. Edwin, E. Ogudo, K. C. Iregbu, L. Jones, K. Hood, P. Ghazal, J. Sanders, B. Hassan, F. J. Belga, T.
BMC Pregnancy and Childbirth.2022;[Epub] CrossRef
Prevalence of stillbirth and its associated factors in East Africa: generalized linear mixed modeling
Getayeneh Antehunegn Tesema, Zemenu Tadesse Tessema, Koku Sisay Tamirat, Achamyeleh Birhanu Teshale
BMC Pregnancy and Childbirth.2021;[Epub] CrossRef
Determinants of stillbirth in Felege-Hiwot comprehensive specialized referral hospital, North-west, Ethiopia, 2019
Daniel Tarekegn Worede, Gizachew Worku Dagnew
BMC Research Notes.2019;[Epub] CrossRef

Maternal Working Conditions on Adverse Pregnancy Outcomes: A Prospective Cohort Study.: Jung Jin Cho, Ji Yong Kim, Jin Joo Chung, Kyung Sim Ko; Korean J Prev Med. 2002;35(3):197-204.

46,861 View
51 Download

Abstract PDF: OBJECTIVES
To evaluate the association between working conditions and adverse pregnancy outcomes in Korea. METHODS: We obtained data on health history, lifestyle, housework and working conditions, such as shift work, hours standing, working time, job demand, lifting at work and at home, between August and September 2000, from self-reported questionnaires. A group of 344, occupationally active, pregnant women from 51 industries were studied. Of the women studied, 328 women were further interviewed by telephone between November 2000 and September 2001. Result : Compared with daytime work, shift work increased the risk for preterm birth (an adjusted risk ratio of 2.74, 95% CI=1.02-2.62) and low birth weight (an adjusted risk ratio of 2.74, 95% CI=1.02-2.62). A significantly increased risk was found for prolonged standing, with an adjusted risk ratio of preterm births of 6.80 (95% CI=2.01-23.0). There were no significant differences in the incidence of spontaneous abortion between the occupational working conditions, with the exception of a previous history of spontaneous abortion. CONCLUSION: These findings suggest that maternal working conditions, such as shift work and prolonged standing, contribute significantly to preterm birth and low birth weight.; Summary

The Seroprevalence of Toxoplasma gondii Infection in Teachers of Child-bearing Age in Cheju Island.: Jong Myon Bae, Hyun Jong Yang, Seong Chul Hong; Korean J Prev Med. 2001;34(4):444-446.

2,024 View
25 Download

Abstract PDF: OBJECTIVES
Toxoplasmosis is a member of the zoonosis group and may cause congenital infection. Antibody positive rates of toxoplasmosis were examined in high school students in Cheju, Korea to facilitate the study aim of examining the seroprevalence of Toxoplasma gondii in school teachers of child-bearing age in Cheju Island. METHODS: The study population comprised teachers of child-bearing age in primary, middle and high schools, aged 35 years and younger, who wished to be tested for Toxoplasma gondii antibodies (IgG) by the indirect latex agglutination test (ILA) and the enzyme-linked immunosorbent assay (ELISA) method. RESULTS: The overall antibody positive rate was 3.8% in the study subjects (n=314), a rate which showed no significant difference due to birth place, history of bringing up pets, or history of contacting a cat. CONCLUSION: We confirmed that the seroprevalence of Toxoplasma gondii in a population of child-bearing teachers in Cheju Island was the same as that previously reported in other parts of Korea.; Summary

A Survey on Status of Pregnancy and Delivery at a Rural Village, Napal(Dolakha Bazar Area).: Young Woo Ahn, Yune Sik Kang, Sin Kam, Jong Young Lee; Korean J Prev Med. 1996;29(4):721-732.

1,870 View
24 Download

Abstract PDF: This study was conducted to investigate the status of pregnancy and delivery and relationship among knowledge, attitude and practice about pregnancy and delivery in poor country, Nepal. A questionnaire survey by interviewer was conducted to examine the general characteristics, knowledge about pregnancy and delivery, attitude about pregnancy and delivery, the rate of prenatal care and delivery condition of women who had an experience of delivery during last year(1994. 4. 13~1995. 4. 12) at a rural area, nepal(Dolakha Bazar Area). The major findings are as follows; Among respondents, 87.5 percentage never had health education and the degree of knowledge about pregnancy and delivery was low. Among respondents, 56.6 percentage had the attitude that they didn't want antenatal care, 42.8% of respondents answered that they wouldn't visit hospital or health center when vaginal bleeding occurred and 82.9% thought that the delivery itself was dirty. The proportion of women who experienced antenatal care was 28.3%, the proportion of health facilities delivery was 5.3%, which was very low and 82.6% of home delivery case didn't sanitate the tool to cut the umbilical cord. The women who had positive attitude about antenatal care and health facility utilization experienced more antenatal care and health facilities delivery. On consideration of above findings, health education for pregnancy and delivery is required to improve mother-child health status in poor country. To make efficient health education, the target population group, such as the uneducated, inhabitants far from health center or medical facility, must be chosen. To help the poor countries in medical field, the study on health status and its related factors on these countries like this article would be required.; Summary

A study on the Values of Total Serum Cholesterol in Healthy Non-Pregnant and Pregnant Women.: Cheol In Rhyu, Don Kyoun Kim; Korean J Prev Med. 1990;23(2):167-177.

1,901 View
18 Download

Abstract PDF: The author investigated the values of total serum cholesterol and its correlation with the physical factors to have potential as a line in the chain of basic investigation to establish maternal health program. The study group was composed of 167 healthy non-pregnant and 209 pregnant women in the age of 20-39 residing in Pusan area. The obtained results were as follows: 1. No significant differences were found in height and systolic and diastolic blood pressure in both groups except for the elevation of Broca's index by gaining the weight in pregnant women. 2. There were significant differences in the total serum cholesterol level of the healthy and pregnant women as 165.9 and 212.6 mg/dl, respectively, not showing the differences in the age. Total serum cholesterol values in both group followed approximately normal distrubution curve. 3. The significant correlation to the values of total serum cholesterol were found between weight and Broca's index in healthy women and between weight, Broca's index and duration of pregnancy in pregnant women. 4. The values of total serum cholesterol in pregnant women showed increasing tendency with the duration of pregnancy as 168.1 in 12 weeks and below, 209.6 mg/dl in 13-26 weeks and 235.4 mg/dl in 27 weeks and above group. Total serum cholesterol values by duration of pregnancy followed normal distribution curve.; Summary

Cohort Infant Mortality Rate of Gunwee and Hapchun Counties and an MCH Center in Taegu.: Jung Han Park, Min Hae Yeh, Byung Yeol Chun, Sung Euk Cho, Hyun Kim, Han Jin Chung, Jae Yeon Cho, Jung Hub Song, Gui Yeon Kim, Jang Rak Kim; Korean J Prev Med. 1990;23(1):87-97.

1,880 View
22 Download

Abstract PDF: No abstract available.; Summary

A Follow-up Study of Fertility and Pregnancy Wastage of Women in Rural Area.: Jung Han Park, Sin Hyang Kim, Byung Yeol Chun, Gui Yeon Kim, Min Hae Yeh, Seong Eok Cho, Jae Yeon Cho; Korean J Prev Med. 1988;21(1):21-30.

1,964 View
23 Download

Abstract PDF: To measure the fertility rate and pregnancy wastage of women in rural area, 3,780 married women under 50 years old who were not sterilized either woman or husband in Gunwee county were followed up for 2 years. Seventeen Myun health workers visited these women periodically to check the status of their family planning practice and menstruation. Pregnant women were interviewed for their past obstetric history and followed up to the time of delivery. Family planning was practiced in 51.6% of the 6,826 women-years observed during the period from April 1, 1985 to March 31, 1987. Pregnancy, abortion and delivery covered 7.6% of the observed women years and family planning was not practiced in 36.5% of the women-years. When sterilized women at the beginning of the study were included, the family planning practice rate was 72.1% which was slightly higher than the national family planning practice rate. However, 28% of the women of 30-39 years old had not practiced family planning although they had 2-3 children and they used more such less effective methods as safe-period method and condom than the women of 20-29 years old. Overall pregnancy rate was 14.3 per 100 woman-years. Women of 25-29 years old had the highest pregnancy rate of 27.4 per 100 woman-years. Pregnancy wastage including spontaneous and induced abortions and still births was 22.0% of all pregnancies and it increased with the age of women; 15.8% in women less than 30 years old and 43.7% in women of 30 years and over. Women who terminated the pregnancy with induced abortion had more pregnancies, more previous induced and spontaneous abortions and shorter pregnancy interval than those women who terminated with live birth. Pregnant women terminated with a live birth had received 4.2 prenatal cares on the average. Eighty-five percent of deliveries occurred at a medical facility and 15% at home which was substantially lower home delivery rate than the other rural area of Korea. This may be due to the effects of the demonstration project for the primary health care in 1970s in Gunwee county. These findings suggest that family planning service in rural area should be strengthened by promoting the use of more effective contraceptive method among women over 30 years of age.; Summary

First
Prev
Page of 1
Next
Last

Search