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Pinchman EV, Lende MN, Feustel P, Lynch T. Evaluating the Association between Prenatal Care Visits and Adverse Perinatal Outcome in Pregnancies Complicated by Opioid Use Disorder. Am J Perinatol 2024; 41:e2225-e2229. [PMID: 37286184 DOI: 10.1055/a-2107-1834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
OBJECTIVE This study aimed to evaluate the association between number of prenatal care visits and adverse perinatal outcome among pregnant individuals with opioid use disorder (OUD). STUDY DESIGN This is a retrospective cohort of singleton, nonanomalous pregnancies complicated by OUD that delivered from January 2015 to July 2020 at our academic medical center. Primary outcome was the presence of composite adverse perinatal outcome, defined as one or more of the following: stillbirth, placental abruption, perinatal death, neonatal respiratory distress syndrome, need for morphine treatment, and hyperbilirubinemia. Logistic and linear regression estimated the association between the number of prenatal care visits and the presence of adverse perinatal outcome. A Mann-Whitney U test evaluated the association between number of prenatal care visits and length of hospital stay for the neonate. RESULTS A total of 185 patients were identified, of which 35 neonates required morphine treatment for neonatal opioid withdrawal syndrome. During pregnancy, most individuals were treated with buprenorphine 107 (57.8%), whereas 64 (34.6%) received methadone, 13 (7.0%) received no treatment, and 1 (0.5%) received naltrexone. The median number of prenatal care visits was 8 (interquartile range: 4-10). With each additional visit per 10 weeks of gestational age, the risk of adverse perinatal outcome decreased by 38% (95% confidence interval [CI]: 0.451-0.854). The need for neonatal intensive care and hyperbilirubinemia also significantly decreased with additional prenatal visits. Neonatal hospital stay decreased by a median of 2 days (95% CI: 1-4) for individuals who received more than the median of eight prenatal care visits. CONCLUSION Pregnant individuals with OUD who attend fewer prenatal care visits experience more adverse perinatal outcome. Future research should focus on barriers to prenatal care and interventions to improve access in this high-risk population. KEY POINTS · Use of prenatal care affects newborn outcomes.. · More prenatal care shortens neonatal hospital stay.. · Prenatal care reduces certain adverse outcomes..
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Affiliation(s)
| | - Michelle N Lende
- Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Albany Medical Center, Albany, New York
| | - Paul Feustel
- Department of Neuroscience, Albany Medical College, Albany, New York
| | - Tara Lynch
- Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Albany Medical Center, Albany, New York
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Salahshurian E, Moore TA. Integrative Review of Black Birthing People's Interactions With Clinicians During the Perinatal Period. West J Nurs Res 2023; 45:1063-1071. [PMID: 37772363 DOI: 10.1177/01939459231202493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/30/2023]
Abstract
Maternal morbidity and mortality disproportionately affect Black birthing people. Multiple factors contribute to these disparities, including variations in quality health care, structural racism, and implicit bias. Interactions between Black patients and perinatal clinicians could further affect perinatal care use and subsequent perinatal outcomes. This integrative review aims to synthesize quantitative and qualitative literature published in peer-reviewed journals in English within the past 10 years that address patient-clinician interactions during the perinatal period for Black birthing people in the United States. A systematic search of CINAHL, PubMed, PsycINFO, MEDLINE, and Embase recovered 24 articles that met the eligibility criteria for inclusion in this review. The following themes emerged from synthesizing Black patients' interactions with perinatal clinicians: Care Quality, Communication, Power Dynamic, and Established Relationships. Mutual respect, effective communication, and shared decision-making may be key modifiable factors to address through clinician education to improve perinatal care for many Black persons.
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Affiliation(s)
- Erin Salahshurian
- College of Nursing, University of Nebraska Medical Center, Omaha, NE, USA
| | - Tiffany A Moore
- College of Nursing, University of Nebraska Medical Center, Omaha, NE, USA
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Syed G, Sims J, House SH, Bruno B, Boulware A, Tang K, Curenton SM. Innovations and Opportunities in Care for Black Mothers and Birthing People. FAMILY & COMMUNITY HEALTH 2023; 46:87-94. [PMID: 36799941 DOI: 10.1097/fch.0000000000000361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
In recent years, there has been increased attention given to how racism fuels health inequities, including the inadequacy of prenatal care (PNC) that Black women and Black birthing people receive. This increase of attention has brought notable advancements in research, practice, and policy that intend to better understand and address these systemic inequities within the health care system. This review aims to provide an overview of promising developments in the study of Black mothers' and birthing people's experiences in PNC and delivery, to detail current research surrounding interventions to improve quality and mitigate bias in obstetric care, and to offer ways in which legislation can support such strategies targeting the root causes of inequities in care.
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Affiliation(s)
- Gullnar Syed
- SRI International, Arlington, Virginia (Ms Syed); Wheelock College of Education & Human Development, Boston University, Boston, Massachusetts (Mss Syed, Bruno, and Tang and Drs Sims and Curenton); Center for Youth, Family, and Community Partnerships, Durham County Cooperative Extension, North Carolina State University (Dr House); and Comparative Human Development, University of Chicago, Chicago, Illinois (Dr Boulware)
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Jones TH, Crump WJ, Foster SM, Mullins SJ, Farris AN. Group Prenatal Care vs. Traditional Prenatal Care: A Parity-Matched Comparison of Perinatal Outcomes in a Rural Community. Matern Child Health J 2023; 27:575-581. [PMID: 36862261 DOI: 10.1007/s10995-023-03600-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/18/2023] [Indexed: 03/03/2023]
Abstract
PURPOSE Prenatal care is important for positive outcomes for both mother and infant. The traditional one-on-one method remains the most common. This study aimed to compare perinatal outcomes of patients attending group prenatal care with traditional prenatal care. Most previously published comparisons did not match for parity, a key predictor of perinatal outcome. DESCRIPTION We collected perinatal outcome data for 137 group prenatal care patients and 137 traditional prenatal care patients, matched for contemporaneous delivery and parity, who delivered at our small rural hospital during 2015-2016. We included key public health variables, including the initiation of breastfeeding, and smoking at the time of delivery. ASSESSMENT There was no difference between the two groups for maternal age or infant ethnicity, induced or augmented labor, preterm deliveries, APGAR scores less than 7, low birth weight, NICU admissions, or cesarean deliveries. Group care patients had more prenatal visits and were more likely to initiate breastfeeding and were less likely to report smoking at the time of delivery. CONCLUSION In our rural population matched for contemporaneous delivery and parity, we found no difference in traditional perinatal outcome measures and that group care was positively associated with the key public health variables of not smoking and initiating breastfeeding. If future studies in other populations have similar findings, it may be wise to provide group care more widely to rural populations.
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Affiliation(s)
- Talitha H Jones
- University of Louisville School of Medicine Trover Campus at Baptist Health Madisonville, 200 Clinic Drive, 3rd North, 42431, Madisonville, KY, USA
| | - William J Crump
- University of Louisville School of Medicine Trover Campus at Baptist Health Madisonville, 200 Clinic Drive, 3rd North, 42431, Madisonville, KY, USA.
| | - Shannon M Foster
- University of Tennessee Nashville Family Medicine Residency, 1020 N. Highland Ave Murfreesboro, Murfreesboro, TN, 37130, USA
| | - Samantha J Mullins
- University of Tennessee Nashville Family Medicine Residency, 1020 N. Highland Ave Murfreesboro, Murfreesboro, TN, 37130, USA
| | - Alicia N Farris
- Memorial Health Obstetrics and Gynecology Residency, 4700 Waters Avenue, Savannah, GA, 31404, USA
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Community health workers as change agents in improving equity in birth outcomes in Detroit. PLoS One 2023; 18:e0281450. [PMID: 36787290 PMCID: PMC9928129 DOI: 10.1371/journal.pone.0281450] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Accepted: 01/23/2023] [Indexed: 02/15/2023] Open
Abstract
We examined whether pairing pregnant women with community health workers improved pregnancy outcomes among 254 Black women with singleton pregnancies participating in the Women-Inspired Neighborhood (WIN) Network: Detroit using a case-control design. A subset (N = 63) of women were recontacted and asked about program satisfaction, opportunities, and health behaviors. Michigan Vital Statistics records were used to ascertain controls (N = 12,030) and pregnancy and infant health outcomes. Logistic and linear regression were used to examine the association between WIN Network participation and pregnancy and infant health outcomes. The WIN Network participants were less likely than controls to be admitted to the neonatal intensive care unit (odds ratio = 0.55, 95% CI 0.33-0.93) and had a longer gestational length (mean difference = 0.42, 95% CI 0.02-0.81). Community health workers also shaped participants' view of opportunities to thrive. This study demonstrates that community health workers can improve pregnancy outcomes for Black women.
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DeYoung SE, Jackson V, Callands TA. Maternal stress and social support during Hurricane Florence. Health Care Women Int 2023; 44:198-215. [PMID: 35616344 DOI: 10.1080/07399332.2022.2046750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
In theoretical research on disaster vulnerability, access to resources is critical for optimal outcomes. Studying the impact of a hurricane on maternal stress can expand theories of disaster vulnerability. This is a cross-sectional mixed-methods prospective study of maternal stress during Hurricane Florence in the United States. Results from chi-squares compared the proportion of respondents who reported having support for a financial emergency were significant, specifically that higher income respondents indicated the ability to rely on someone in case of an emergency. A regression analysis indicated that social support was significant and negatively related to stress as a dependent variable, while evacuation status and pregnancy status were not significant predictors of stress. Five themes emerged from the overall qualitative data: concerns about infant feeding, evacuation logistics, general stress, family roles, and 'other' issues.
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Collins C, Bai R, Brown P, Bronson CL, Farmer C. Black women's experiences with professional accompaniment at prenatal appointments. ETHNICITY & HEALTH 2023; 28:61-77. [PMID: 35067127 DOI: 10.1080/13557858.2022.2027880] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/26/2021] [Accepted: 01/05/2022] [Indexed: 06/14/2023]
Abstract
UNLABELLED U.S. public health statistics report dismal Black infant and maternal mortality rates. Prenatal care alone, while essential, does not reduce such disparities. OBJECTIVES The purpose of the study was to explore Black women's experiences when a perinatal support professional (PSP) accompanies them to prenatal medical appointments. DESIGN This research used a phenomenological approach, using data from in-depth individual interviews to explore the essence of 25 Black women's experiences. RESULTS We identified three major themes from the data that together, show that PSPs served as communication bridges for their clients. Clients said their PSPs helped them to understand and feel seen and heard by their medical providers during their prenatal appointments. The third theme was the deep level of trust the clients developed for their PSPs which made the first two themes possible. PSPs' intervention resulted in reduced stress and uncertainty in medical interactions and increased women's trust in their providers' recommendations. CONCLUSIONS Including a trusted, knowledgeable advocate like a PSP may be an important intervention in improving Black women's prenatal care experiences, reducing stress associated with medical interactions, and ultimately reducing pregnancy-related health disparities.
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Affiliation(s)
- Cyleste Collins
- Cleveland State University, School of Social Work, Cleveland, OH, USA
| | - Rong Bai
- Jack, Joseph, and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH, USA
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Lamadah SM, Ibrahim HAF, Elgzar WT, El-Sayed HA, Sayed SH, El-Houfey A. Gestational Diabetes Self-Care Behavior: An Empowerment Educational Intervention Based on BASNEF Model. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2022; 27:538-546. [PMID: 36712311 PMCID: PMC9881553 DOI: 10.4103/ijnmr.ijnmr_46_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/28/2021] [Revised: 09/29/2021] [Accepted: 06/13/2022] [Indexed: 01/31/2023]
Abstract
Background Gestational diabetes is a widespread pregnancy-related health problem. Its associated complications can be minimized by empowering women to enhance their self-care behavior. This study aimed to evaluate the effect of an educational intervention using the Beliefs, Attitudes, Subjective Norms, and Enabling Factors (BASNEF) model on Gestational Diabetes Self-Care Behaviors (GD-SCB) among gestational diabetic woman. Materials and Methods A randomized controlled clinical trial was performed at the outpatient clinic, El-Shatby hospital, Alexandria, Egypt, on 180 gestational diabetic women (91 intervention and 89 control groups). Data were collected from April to November 2019 using an interviewing schedule involving sociodemographic characteristics and obstetrics/medical history, BASNEF model questionnaire, and gestational diabetes self-care behavior scale. Results The findings revealed that an absence of statistically significant differences in sociodemographic characteristics and obstetrics/medical history between the intervention and control groups. Two months post-intervention, all BASNEF model subcontracts and total GD-SCB showed significant improvement in the intervention than the control group; knowledge (F1 = 173.92, p < 0.001), personal beliefs (F1 = 286.54, p < 0.001), subjective norms (F1 = 248.82, p < 0.001), behavioral intention (F1 = 235.43, p < 0.001), enabling factors (F1 = 59.71, p < 0.001), and total GD-SCB (F1 = 775.10, p < 0.001). The effect size showed that 48.60% of the improvement within the intervention group total GD-SCB was due to the intervention. Conclusions Empowerment through education using the BASNEF model for enhancing GD-SCB was effective and beneficial. Therefore, it can serve as a basic framework for constructing and executing educational programs in the field.
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Affiliation(s)
- Sahar Mansour Lamadah
- Department of Obstetrics and Gynecologic Nursing, Faculty of Nursing, Alexandria University, Egypt
| | - Heba Abdel-Fatah Ibrahim
- Department of Obstetrics and Woman Health Nursing, Nursing College, Benha University, Egypt,Department of Maternity and Childhood Nursing, Nursing College, Najran University, KSA,Address for correspondence: Dr. Heba Abdel-Fatah Ibrahim, Department of Maternity and Childhood Nursing, Nursing College, Najran University, KSA. E-mail:
| | - Wafaa Taha Elgzar
- Department of Maternity and Childhood Nursing, Nursing College, Najran University, KSA,Department of Obstetrics and Gynecology Nursing, Nursing College, Damanhour University, Egypt
| | - Hanan Abdelwahab El-Sayed
- Department of Community Health Nursing, Benha University, Benha, Egypt,Applied College, Tabuk University, KSA
| | - Samiha Hamdi Sayed
- Department of Community Health Nursing, Faculty of Nursing, Damanhour University, Egypt,Department of Public Health, College of Health Sciences, Saudi Electronic University, Egypt
| | - Amira El-Houfey
- Department of Community Health Nursing, Faculty of Nursing, Assiut University, Egypt,Department of Nursing, Jizan University, KSA
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Rodrigues KMD, Zoldan C, Silva CBDO, Santana EFM, Araujo Júnior E, Peixoto AB. Relationship between the number of prenatal care visits and the occurrence of adverse perinatal outcomes. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2022; 68:256-260. [PMID: 35239892 DOI: 10.1590/1806-9282.20211239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/03/2021] [Accepted: 12/05/2021] [Indexed: 11/22/2022]
Abstract
OBJECTIVE The objective of this study was to analyze the relationship between the number of prenatal care visits and the occurrence of adverse perinatal outcomes in an average city in the state of Minas Gerais, Brazil. METHODS This was a prospective and observational study. The variables analyzed were obtained through a questionnaire administered to postpartum women (between 1 and 48 h postpartum) and information contained in prenatal cards. The pregnant women were classified into three groups: Group I, <3 prenatal care visits; Group II, 3-5 prenatal care visits; and Group III, ≥6 prenatal care visits. RESULTS Group I had a lower median weight (57.0 vs. 64.0 kg, p<0.001), body mass index (22.1 vs. 24.3 kg/m2, p<0.001), and weight gain (9.0 vs. 12 kg, p=0.002) than Group III. The prevalence of admission to the neonatal intensive care unit (11.6 vs. 4.2%, p=0.02) and the newborn mortality rate within the first 72 h of life (2.3 vs. 0%, p<0.001) were higher in Group I than in Group III. Group II had a higher prevalence of admission to the adult intensive care unit (5.7 vs. 0.6%, p<0.001) and a higher newborn mortality rate within the first 72 h of life (1.6% vs. 0%, p<0.001) than Group III. CONCLUSIONS Having ≥6 prenatal care visits was associated with lower rates of admission to the neonatal and adult intensive care unit, as well as a lower newborn mortality rate within the first 72 h of life.
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Affiliation(s)
| | - Camila Zoldan
- Universidade de Uberaba, Mario Palmério University Hospital, Gynecology and Obstetrics Service - Uberaba (MG), Brazil
| | | | | | - Edward Araujo Júnior
- Universidade Federal de São Paulo, Paulista School of Medicine, Department of Obstetrics - São Paulo (SP), Brazil
| | - Alberto Borges Peixoto
- Universidade de Uberaba, Mario Palmério University Hospital, Gynecology and Obstetrics Service - Uberaba (MG), Brazil.,Universidade Federal de Triângulo Mineiro, Department of Obstetrics and Gynecology - Uberaba (MG), Brazil
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Al-Jawaldeh A, Taktouk M, Doggui R, Abdollahi Z, Achakzai B, Aguenaou H, Al-Halaika M, Almamary S, Barham R, Coulibaly-Zerbo F, Ammari LE, Elati J, Nishtar NA, Omidvar N, Shams MQ, Qureshi AB, Nasreddine L. Are Countries of the Eastern Mediterranean Region on Track towards Meeting the World Health Assembly Target for Anemia? A Review of Evidence. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18052449. [PMID: 33801513 PMCID: PMC7967583 DOI: 10.3390/ijerph18052449] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/28/2021] [Revised: 02/19/2021] [Accepted: 02/21/2021] [Indexed: 11/16/2022]
Abstract
Anemia is a multifactorial condition, with a complex etiology that involves nutritional and non-nutritional factors. The misconception that iron deficiency is equivalent to anemia may mask the need to address other potential causative factors. This review paper aims to (1) assess the burden of anemia vs. iron deficiency anemia (IDA) amongst women of reproductive age (WRA), pregnant women (PW), and children under five years old (underfive children, U5C) in the Eastern Mediterranean region (EMR); (2) evaluate trends in anemia prevalence and whether countries are on track towards meeting the World Health Assembly (WHA) target for 2025; and (3) characterize anemia reduction efforts and provide a road map for future programs. A search of pertinent literature and databases was conducted. Anemia prevalence in the EMR ranged between 22.6% and 63% amongst PW, 27% and 69.6% amongst WRA, and 23.8% and 83.5% amongst U5C. Data showed that the EMR is not on course towards meeting the WHA target. The contribution of IDA to anemia was found to be less than half. Other potential contributors to anemia in the region were identified, including micronutrient deficiencies, parasitic infestations, and poor sanitation. A framework of action was proposed as a roadmap to meet the targets set by the WHA.
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Affiliation(s)
- Ayoub Al-Jawaldeh
- Regional Office for the Eastern Mediterranean (EMRO), World Health Organization (WHO), Cairo 7608, Egypt;
| | - Mandy Taktouk
- Nutrition and Food Sciences Department, Faculty of Agriculture and Food Sciences, American University of Beirut, Beirut 11-0236, Lebanon;
| | - Radhouene Doggui
- Family Medicine Department, Université de Sherbrooke, Sherbrooke, QC J1K 2R1, Canada;
- Medical Research Department, Centre de Formation Médicale du Nouveau-Brunswick, Moncton, NB E1A 7R1, Canada
| | - Zahra Abdollahi
- General of Nutrition Department, Ministry of Health and Medical Education, Tehran 15655-415, Iran;
| | - Baseer Achakzai
- Nutrition/Regulations, Ministry of Health, Islamabad 56000, Pakistan;
| | - Hassan Aguenaou
- Joint Research Unit in Nutrition and Food, RDC-Nutrition AFRA/IAEA, Ibn Tofaïl University-CNESTEN, Rabat-Kénitra, Rabat-Kénitra 242, Morocco;
| | | | | | - Rawhieh Barham
- Nutrition Department, Ministry of Health, Amman 11118, Jordan;
| | | | - Laila El Ammari
- Nutrition Department, Ministry of Health, Rabat 335, Morocco;
| | - Jalila Elati
- SURVEN (Nutrition Surveillance and Epidemiology in Tunisia) Research Laboratory, INNTA (National Institute of Nutrition and Food Technology), Tunis 1007, Tunisia;
| | | | - Nasrin Omidvar
- Community Nutrition Department, National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran 19395-4741, Iran;
| | - Mohammad Qasem Shams
- Nutrition Department, World Health Organization (WHO), Kabul, Jalalabad Road Pul-e-Charkhi Kabul, Afghanistan;
| | | | - Lara Nasreddine
- Nutrition and Food Sciences Department, Faculty of Agriculture and Food Sciences, American University of Beirut, Beirut 11-0236, Lebanon;
- Correspondence: ; Tel.: +961-1-350000 (ext. 4547)
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Golmakani N, Rahmati R, Shaghaghi F, Safinejad H, Kamali Z, Mohebbi-Dehnavi Z. Investigating the relationship between social support and self-compassion by improving the adequacy of prenatal care. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2020; 9:340. [PMID: 33575376 PMCID: PMC7871918 DOI: 10.4103/jehp.jehp_308_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/04/2020] [Accepted: 06/27/2020] [Indexed: 06/09/2023]
Abstract
INTRODUCTION Getting pregnant care is different due to the psychological problems of pregnant mothers. Self-compassion and social support are the important components of mental health. Women with higher self-compassion and social support can take full care of their pregnancies. The aim of this study was to determine the relationship between social support and self-compassion with adequate prenatal care. METHODS The present study is a cross-sectional descriptive study that was performed in 2018 using the available sampling method on 500 pregnant mothers referred to Isfahan health centers. Individuals entered the study if they had entry criteria and no exit criteria, and completed social support, self-compassion, and adequacy of pregnancy care questionnaires. The data were coded and analyzed by SPSS software version 22 and Pearson's correlation statistical test. RESULTS The results of data analysis with Pearson's correlation test showed a positive and statistically significant relationship with pregnancy care between the overall score of social support (P < 0.001) and the dimensions of social support such as family support (P < 0.002), support of friends (P < 0.004), and the support of other people (P < 0.001). The results also showed a positive and statistically significant relationship between self-compassion and prenatal care (P < 0.001). There was a significant positive relationship between the subscales of the self-empathy questionnaire, including kindness to oneself, human commonalities, mindfulness and increasing replication, and pregnancy care, but there was a significant negative relationship between subscales of isolation and self-judgment with pregnancy care. CONCLUSION According to the results of the present study, social support and self-compassion as two components of mental health can affect the quality of services during pregnancy. For this reason, it is recommended that health-care providers pay attention to these two issues in order to increase the level of care during pregnancy and thus ensure maternal health during pregnancy and childbirth and the health of the fetus and baby.
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Affiliation(s)
- Nahid Golmakani
- Assistant Professor of Midwifery, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Raziyeh Rahmati
- MSc of Midwifery, School of Nursing, Larestan University of Medical Sciences, larestan, Iran
| | - Fatemeh Shaghaghi
- Department of Midwifery, Faculty of Medicine, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
| | - Hadise Safinejad
- Midwifery Faculty, Kerman Branch, Islamic Azad University, Kerman, Iran
| | - Zahra Kamali
- Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Neyshabour University of Medical Sciences, Mashhad, Iran
| | - Zahra Mohebbi-Dehnavi
- PhD Candidate in Reproductive Health, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
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Coleman T. Anti-Racism in Nursing Education: Recommendations for Racial Justice Praxis. J Nurs Educ 2020; 59:642-645. [DOI: 10.3928/01484834-20201020-08] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2020] [Accepted: 09/01/2020] [Indexed: 11/20/2022]
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Ali E, Letourneau N, Benzies K, Ntanda H, Dewey D, Campbell T, Giesbrecht G. Maternal Prenatal Anxiety and Children’s Externalizing and Internalizing Behavioral Problems: The Moderating Roles of Maternal-Child Attachment Security and Child Sex. Can J Nurs Res 2019; 52:88-99. [DOI: 10.1177/0844562119894184] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
Background Prenatal anxiety is associated with child behavioral problems. Prenatal anxiety is predictive of postnatal anxiety which can interfere with the security of maternal-child attachment and further raise the risk of child behavior problems. Secure maternal-child attachment is essential for optimal emotional health. Sex influences the type of behavior problem experienced. There is a gap in understanding whether attachment security and the sex of the child can moderate association between prenatal anxiety and children’s behavioral problems. Purpose To examine the association between prenatal anxiety and child behavioral problems and to test the moderating effects of attachment security and child sex on the association between prenatal anxiety and child behavioral problems. Methods Secondary analysis of data from 182 mothers and their children, enrolled in the Alberta Pregnancy Outcomes and Nutrition Study using Hayes' (2013) conditional process modeling. Results Prenatal anxiety was associated with both externalizing ( b = −0.53; standard error ( SE) = 0.20; p = 0.009) and internalizing ( b = −0.32; SE = 0.13; p = 0.01) behaviors only in children with an insecure style of attachment. Child sex did not moderate the association between prenatal anxiety and children's behavioral problems. Conclusions Attachment security moderated the association between prenatal anxiety and children’s externalizing and internalizing behavioral problems.
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Affiliation(s)
- Elena Ali
- Faculty of Nursing, University of Calgary, Calgary, AB, Canada
| | - Nicole Letourneau
- Faculty of Nursing, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
| | - Karen Benzies
- Faculty of Nursing, University of Calgary, Calgary, AB, Canada
| | - Henry Ntanda
- Faculty of Nursing, University of Calgary, Calgary, AB, Canada
| | - Deborah Dewey
- Faculty of Medicine, University of Calgary, Calgary, AB, Canada
| | - Tavis Campbell
- Faculty of Arts, University of Calgary, Calgary, AB, Canada
| | - Gerry Giesbrecht
- Faculty of Pediatrics, University of Calgary, Calgary, AB, Canada
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Ishaq SL, Rapp M, Byerly R, McClellan LS, O'Boyle MR, Nykanen A, Fuller PJ, Aas C, Stone JM, Killpatrick S, Uptegrove MM, Vischer A, Wolf H, Smallman F, Eymann H, Narode S, Stapleton E, Cioffi CC, Tavalire HF. Framing the discussion of microorganisms as a facet of social equity in human health. PLoS Biol 2019; 17:e3000536. [PMID: 31770370 PMCID: PMC6879114 DOI: 10.1371/journal.pbio.3000536] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
What do “microbes” have to do with social equity? These microorganisms are integral to our health, that of our natural environment, and even the “health” of the environments we build. The loss, gain, and retention of microorganisms—their flow between humans and the environment—can greatly impact our health. It is well-known that inequalities in access to perinatal care, healthy foods, quality housing, and the natural environment can create and arise from social inequality. Here, we focus on the argument that access to beneficial microorganisms is a facet of public health, and health inequality may be compounded by inequitable microbial exposure. What do microbes have to do with social equity? This Essay explores the argument that access to beneficial microorganisms is a facet of public health, and that health inequality may be compounded by inequitable microbial exposure.
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Affiliation(s)
- Suzanne L Ishaq
- Biology and the Built Environment Center, University of Oregon, Eugene, Oregon, United States of America.,Robert D. Clark Honors College, University of Oregon, Eugene, Oregon, United States of America
| | - Maurisa Rapp
- Robert D. Clark Honors College, University of Oregon, Eugene, Oregon, United States of America.,Department of Human Physiology, University of Oregon, Eugene, Oregon, United States of America
| | - Risa Byerly
- Robert D. Clark Honors College, University of Oregon, Eugene, Oregon, United States of America.,Department of Human Physiology, University of Oregon, Eugene, Oregon, United States of America
| | - Loretta S McClellan
- Robert D. Clark Honors College, University of Oregon, Eugene, Oregon, United States of America
| | - Maya R O'Boyle
- Robert D. Clark Honors College, University of Oregon, Eugene, Oregon, United States of America
| | - Anika Nykanen
- Robert D. Clark Honors College, University of Oregon, Eugene, Oregon, United States of America
| | - Patrick J Fuller
- Robert D. Clark Honors College, University of Oregon, Eugene, Oregon, United States of America.,Charles H. Lundquist College of Business, University of Oregon, Eugene, Oregon, United States of America
| | - Calvin Aas
- Robert D. Clark Honors College, University of Oregon, Eugene, Oregon, United States of America
| | - Jude M Stone
- Robert D. Clark Honors College, University of Oregon, Eugene, Oregon, United States of America
| | - Sean Killpatrick
- Robert D. Clark Honors College, University of Oregon, Eugene, Oregon, United States of America.,Charles H. Lundquist College of Business, University of Oregon, Eugene, Oregon, United States of America
| | - Manami M Uptegrove
- Robert D. Clark Honors College, University of Oregon, Eugene, Oregon, United States of America
| | - Alex Vischer
- Robert D. Clark Honors College, University of Oregon, Eugene, Oregon, United States of America
| | - Hannah Wolf
- Robert D. Clark Honors College, University of Oregon, Eugene, Oregon, United States of America
| | - Fiona Smallman
- Robert D. Clark Honors College, University of Oregon, Eugene, Oregon, United States of America
| | - Houston Eymann
- Robert D. Clark Honors College, University of Oregon, Eugene, Oregon, United States of America.,School of Journalism and Communication, University of Oregon, Eugene, Oregon, United States of America
| | - Simon Narode
- Robert D. Clark Honors College, University of Oregon, Eugene, Oregon, United States of America
| | - Ellee Stapleton
- Department of Landscape Architecture, University of Oregon, Eugene, Oregon, United States of America
| | - Camille C Cioffi
- Counselling Psychology and Human Services, College of Education, University of Oregon, Eugene, Oregon, United States of America
| | - Hannah F Tavalire
- Institute of Ecology and Evolution, University of Oregon, Eugene, Eugene, Oregon, United States of America
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Effects of customer self-audit on the quality of maternity care in Tabriz: A cluster-randomized controlled trial. PLoS One 2018; 13:e0203255. [PMID: 30307957 PMCID: PMC6181295 DOI: 10.1371/journal.pone.0203255] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2016] [Accepted: 08/16/2018] [Indexed: 11/19/2022] Open
Abstract
Objective To study the effects of customer self-audit on the service quality (SQ) and customer quality (CQ) of maternity care. Design A community-based cluster-randomized controlled trial. Setting Twenty-one health centres and health posts in Tabriz, Iran. Participants Of 21 health centres/health posts, 10 were randomly assigned to the intervention group and 11 randomly assigned to the control group. Participants were 185 pregnant women selected from health centre/post registration lists (intervention group: n = 92; control group: n = 93). Interventions The intervention was a customer self-audit based on the CenteringPregnancy® model of prenatal group care. The intervention group attended group support sessions focused on participants’ opinions, questions, and self-management concerns. They also received sessions on experiential learning, coping, problem-solving, and goal-setting by a family health expert, a midwife, and a doctor. Control group participants continued to receive individual care. Primary outcome measures SQ and CQ were assessed using questionnaires. Patients rated the importance and performance of non-health quality dimensions. SQ was calculated as: SQ = 10 − (Importance × Performance). Results Total mean SQ scores were 7.63 (0.91) and 8.91 (0.76) for the control and intervention groups, respectively, a statistically significant difference (p<0.001). Compared with the control group, the intervention group scored higher on the SQ aspects confidentiality, communication, autonomy, availability of support group, dignity, safety, prevention, and accessibility. Total mean CQ scores for the control and intervention groups were 82.63(7.21) and 87.47 (6.75), respectively, a statistically significant difference (p<0.001). After intervention, 82.6% of intervention group participants and 50.5% of control group participants reached the highest stage of self-management, showing an ability to take care of themselves under stress and financial constraints. Conclusions The group prenatal care customer self-audit improved the SQ and CQ of maternity care by increased involvement of participants and giving them active roles in the care process.
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16
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Larsson Å, Wärnå-Furu C, Näsman Y. The meaning of caring in prenatal care from Swedish women's perspectives. Scand J Caring Sci 2016; 31:702-709. [PMID: 27859526 DOI: 10.1111/scs.12383] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2016] [Accepted: 07/19/2016] [Indexed: 11/30/2022]
Abstract
AIM To deepen understanding of the meaning of caring in prenatal care from Swedish women's perspectives. METHOD Ten women, who had given birth between 1 and 2 months previously, were interviewed. The women have taken part in the routine programme that constitutes maternity care Sweden. A hermeneutic approach inspired by Gadamer was used to analyse the data and gain a deeper understanding of the women's experiences. FINDINGS Three themes were identified in the hermeneutical analysis. The themes highlight an existential and ontological aspect for caring as experienced of the women in the study: invitation and caring promise, witnessing and confirmation, and caring emerges in vulnerability. CONCLUSION The life-changing gravidity and vulnerability motivates caritative care during pregnancy. Reception of caring is not just a superficial feeling, but gives a new understanding of life on an ontological level. In a genuine caring relationship, the pregnant woman not only receives something but also a power and an opportunity to go further and find her own inner strength.
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Affiliation(s)
- Åsa Larsson
- Faculty of Education and Welfare Studies, Åbo Akademi University, Vasa, Finland
| | - Carola Wärnå-Furu
- Faculty of Education and Welfare Studies, Åbo Akademi University, Vasa, Finland
| | - Yvonne Näsman
- Faculty of Education and Welfare Studies, Åbo Akademi University, Vasa, Finland
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