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Insufficient weight management in pregnant women with gestational diabetes mellitus
Kyunghee Han, Dong Wook Kwak, Hyun Mee Ryu, Hyun-Young Park
Osong Public Health Res Perspect. 2022;13(4):242-251.   Published online August 31, 2022
DOI: https://doi.org/10.24171/j.phrp.2022.0182
  • 1,051 View
  • 61 Download
Graphical AbstractGraphical Abstract AbstractAbstract PDF
Objectives
This study investigated whether weight was managed appropriately in pregnant women with gestational diabetes mellitus (GDM) and examined the association between insufficient gestational weight gain (GWG) and adverse pregnancy outcomes.
Methods
The study included 235 pregnant women with GDM from the Korean Pregnancy Outcome Study. GWG from the second to the third trimester (kg/wk) and total GWG (kg) were classified as insufficient, appropriate, or excessive according to the 2009 Institute of Medicine guidelines. Adverse pregnancy outcomes included maternal (hypertensive disorders of pregnancy, preterm birth, cesarean delivery, and delivery complications) and infant (low birth weight, high birth weight, neonatal intensive care unit admission, and congenital anomalies) outcomes.
Results
The proportion of pregnant women with GDM who had insufficient GWG from the second to the third trimester was 52.3%, and that of participants with total insufficient GWG was 48.1%. There were no significant associations between insufficient GWG from the second to the third trimester and adverse pregnancy outcomes. Participants with total insufficient GWG had a significantly lower risk of preterm birth (odds ratio [OR], 0.17; 95% confidence interval [CI], 0.05–0.60) and high birth weight (OR, 0.23; 95% CI, 0.07–0.80).
Conclusion
Our findings suggest the importance of appropriate weight management and the need for GWG guidelines for pregnant women with GDM.
Use, Awareness, Knowledge and Beliefs of Medication During Pregnancy in Malaysia
Ahmad Habeeb Hattab Dala Ali Alani, Bassam Abdul Rasool Hassan, Azyyati Mohd Suhaimi, Ali Haider Mohammed
Osong Public Health Res Perspect. 2020;11(6):373-379.   Published online December 22, 2020
DOI: https://doi.org/10.24171/j.phrp.2020.11.6.05
  • 5,067 View
  • 175 Download
  • 3 Citations
AbstractAbstract PDFSupplementary Material
Objectives

This study aimed to assess medication use in pregnant women in Malaysia by measuring use, knowledge, awareness, and beliefs about medications.

Methods

This was an observational, cross-sectional study involving a total of 447 pregnant women who attended the Obstetrics and Gynecology Clinic, Hospital Kuala Lumpur (HKL), Malaysia. A validated, self-administered questionnaire was used to collect participant data.

Results

Most of pregnant women had taken medication during pregnancy and more than half of them (52.8%) showed a poor level of knowledge about the medication use during pregnancy. Eighty-three percent had a poor level of awareness and 56.5% had negative beliefs. Age and education level were significantly associated with the level of knowledge regarding medication use during pregnancy. Multiparous pregnant women, and pregnant women from rural areas were observed to have a higher level of awareness compared with those who lived in urban areas. Use of medication during pregnancy was determined to be significantly associated with education level, and race.

Conclusion

Although there was prevalent use of medication among pregnant women, many had negative beliefs, and insufficient knowledge and awareness about the risks of taking medication during pregnancy. Several sociodemographic characteristics were significantly associated with the use (race and education level), level of knowledge (age and education level), awareness (parity and place of residence), and beliefs (race, education level, and occupation status) towards medication use during pregnancy.

Citations

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  • Knowledge, Attitude, and Beliefs of Medication Use in Pregnancy in an Urban Tertiary Care Center
    Jamil Kazma, Tarek Araji, Aneka Khilnani, John van den Anker, Homa K. Ahmadzia
    The Journal of Clinical Pharmacology.2022;[Epub]     CrossRef
  • Intervention Effects in Using an Application Compared with a Module with Pictures on Knowledge, Attitude, and Practice of the Pregnant Women in North Sumatra, Indonesia
    Herna Rinayanti Manurung, Heru Santoso, Kintoko Rochadi, Juanita Juanita
    Open Access Macedonian Journal of Medical Sciences.2022; 10(E): 121.     CrossRef
  • Modern drug self-medication and associated factors among pregnant women at Settat city, Morocco
    Samia Chergaoui, Omaima Changuiti, Abdelghafour Marfak, Elmadani Saad, Abderraouf Hilali, Ibtissam Youlyouz Marfak
    Frontiers in Pharmacology.2022;[Epub]     CrossRef
Immunological Profile and Bacterial Drug Resistance in Pregnant Women: A Cross Sectional Study
Ornella JT Ngalani, Wiliane JT Marbou, Armelle Tsafack Mbaveng, Victor Kuete
Osong Public Health Res Perspect. 2020;11(5):319-326.   Published online October 22, 2020
DOI: https://doi.org/10.24171/j.phrp.2020.11.5.08
  • 4,467 View
  • 75 Download
  • 2 Citations
AbstractAbstract PDFSupplementary Material
Objectives

This study aimed to investigate the immunological and bacterial profiles in pregnant women of Bafang-Cameroon.

Methods

Stool and midstream urine were cultured using specific culture media. The disk diffusion method was used for the antimicrobial susceptibility test. T-cell lymphocyte counts (CD3, CD4 and CD8), white blood cell counts, sensitive C-reactive protein, and interleukin-6, were measured by flow cytometry, optical detection, and the enzyme-linked immunosorbent assay solid phase direct sandwich method.

Results

Out of 700 participants, 71.43% were pregnant, and 28.57% were non-pregnant women. The mean age was 29.40 ± 8.27 and 27.41 ± 6.55 years in non-pregnant and pregnant women, respectively. CD4 T-cells were not significantly lower in pregnant women compared with non-pregnant women. There were 43.65% and 56.35% bacteria isolates obtained from urine and stool samples, respectively. Bacteria were mostly isolated in patients with a CD4 T-cell count between 461 and 806 cells/μL. Isolates of Klebsiella pneumoniae and Enterobacter aerogenes showed 100% resistance in non-pregnant women, however all isolated bacteria were shown to be multidrug resistant in pregnant women. Salmonella sp. (24.3%) and Escherichia coli (21.51%) showed an increase in multidrug resistant phenotypes in pregnant women.

Conclusion

This study demonstrated that routine bacteriological analysis during pregnancy is necessary for their follow-up care.

Citations

Citations to this article as recorded by  
  • Methanol extract from the seeds of Persea americana displays antibacterial and wound healing activities in rat model
    Steve E. Ekom, Jean-De-Dieu Tamokou, Victor Kuete
    Journal of Ethnopharmacology.2022; 282: 114573.     CrossRef
  • Antibacterial and Therapeutic Potentials of the Capsicum annuum Extract against Infected Wound in a Rat Model with Its Mechanisms of Antibacterial Action
    Steve Endeguele Ekom, Jean-De-Dieu Tamokou, Victor Kuete, Dorota Formanowicz
    BioMed Research International.2021; 2021: 1.     CrossRef
Prenatal Secondhand Smoke Exposure: Correlation Between Nicotine in Umbilical Cord Blood and Neonatal Anthropometry
Mery Ramadani, Budi Utomo, Endang L Achadi, Hartono Gunardi
Osong Public Health Res Perspect. 2019;10(4):234-239.   Published online August 31, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.4.06
  • 3,991 View
  • 88 Download
  • 4 Citations
AbstractAbstract PDF
Objectives

Nicotine narrows uterine blood vessels reducing the flow of oxygen and nutrients to the developing fetus. This study examined the effects of fetal exposure to secondhand smoke on neonatal anthropometry.

Methods

This cross sectional study recruited 128 pregnant women in the third trimester of single pregnancies who had no chronic illness, were not active or ex-smokers, and who were willing to participate in the study. Pregnant women who were exposed to secondhand smoke had umbilical cord blood nicotine concentrations of ≥ 1 ng/mL. Neonatal anthropometry was assessed according to the newborn birth weight and length. The independent t-test was used to determine the neonatal difference in mean birth weight and length between the women who were exposed to secondhand smoke, and those who were not exposed. A multiple linear regression analysis was employed to assess the effect of secondhand smoke exposure on birth weight and birth length, controlling for potential confounding variables (weight gain during pregnancy, body mass index, parity, maternal age, and maternal hemoglobin).

Results

There were 35 women exposed to secondhand smoke (nicotine ≥ 1 ng/mL). Neonate birth weight and birth length were lower among mothers who were exposed to secondhand smoke. However, only neonate birth weight was significantly reduced by exposure to secondhand smoke (p = 0.005). The mean birth weight of these neonates was 2,916.5 g ± 327.3 g which was 205.6 g less than in unexposed fetuses.

Conclusion

Exposure of mothers to secondhand smoke during pregnancy reduces fetal development and neonatal weight.

Citations

Citations to this article as recorded by  
  • Sex differences and heritability of adrenal steroidogenesis in offspring rats induced by prenatal nicotine exposure
    Yawen Chen, Fangfang Duan, Lian Liu, Guanghui Chen, Zheng He, Hegui Huang, Hui Wang
    The Journal of Steroid Biochemistry and Molecular .2022; 221: 106102.     CrossRef
  • Improving the Healthy Family Index to Prevent Stunting among Children aged 0–59 Months in Indonesia
    Kadar Ramadhan, Nurfatimah Nurfatimah, Fahmi Hafid, Rudy Hartono, Zakaria Zakaria, Bohari Bohari
    Open Access Macedonian Journal of Medical Sciences.2022; 10(E): 752.     CrossRef
  • Cigarette smoke exposure and increased risks of stunting among under-five children
    Dyah Dwi Astuti, Tri Widyastuti Handayani, Duwi Pudji Astuti
    Clinical Epidemiology and Global Health.2020; 8(3): 943.     CrossRef
  • Nicotine and Its Downstream Metabolites in Maternal and Cord Sera: Biomarkers of Prenatal Smoking Exposure Associated with Offspring DNA Methylation
    Parnian Kheirkhah Rahimabad, Thilani M. Anthony, A. Daniel Jones, Shakiba Eslamimehr, Nandini Mukherjee, Susan Ewart, John W. Holloway, Hasan Arshad, Sarah Commodore, Wilfried Karmaus
    International Journal of Environmental Research an.2020; 17(24): 9552.     CrossRef
Perceived Psychological Traumatic Childbirth in Iranian Mothers: Diagnostic Value of Coping Strategies
Sedigheh Abdollahpour, Seyed Abbas Mousavi, Habibollah Esmaily, Ahmad Khosrav
Osong Public Health Res Perspect. 2019;10(2):72-77.   Published online April 30, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.2.05
  • 20,555 View
  • 37 Download
  • 2 Citations
AbstractAbstract PDF
Objectives

The aim of this study was to investigate the diagnostic value of a stress coping scale for predicting perceived psychological traumatic childbirth in mothers.

Methods

This cross-sectional study was performed on 400 new mothers (within 48 hours of childbirth). Psychological traumatic childbirth was evaluated using the 4 diagnostic criteria of Diagnostic and Statistical Manual of Mental Disorders. Coping was measured using Moss and Billings’ Stress Coping Strategies Scale.

Results

The overall mean score of stress coping was 29 ± 14.2. There were 193 (43.8%) mothers that had experienced a psychological traumatic childbirth. A stress coping score ≤ 30, with a sensitivity of 90.16 (95% CI = 85.1–94.0), and a specificity of 87.44 (95% CI = 82.1–91.6), was determined as a predictor of psychological traumatic childbirth. So that among mothers with stress coping scores ≤ 30, 87% had experienced a psychological traumatic childbirth.

Conclusion

Investigating the degree of coping with stress can be used as an accurate diagnostic tool for psychological traumatic childbirth. It is recommended that during pregnancy, problem-solving and stress management training programs be used as psychological interventions for mothers with low levels of stress control. This will ensure that they can better cope with traumatic childbirth and post-traumatic stress in the postpartum stage.

Citations

Citations to this article as recorded by  
  • The Effect of Labor Dance on Traumatic Childbirth Perception and Comfort: A Randomized Controlled Study
    Bihter Akin, Hülya Yurteri Türkmen, Hacer Yalnız Dilcen, Ebru Sert
    Clinical Nursing Research.2022; 31(5): 909.     CrossRef
  • The relationship of psychosocial well‐being and social support with pregnant women's perceptions of traumatic childbirth
    Hacer Yalnız Dilcen, Filiz Aslantekin, Naciye Aktaş
    Scandinavian Journal of Caring Sciences.2021; 35(2): 650.     CrossRef
Factors Associated with Cesarean Section in Tehran, Iran using Multilevel Logistic Regression Model
Payam Amini, Maryam Mohammadi, Reza Omani-Samani, Amir Almasi-Hashiani, Saman Maroufizadeh
Osong Public Health Res Perspect. 2018;9(2):86-92.   Published online April 30, 2018
DOI: https://doi.org/10.24171/j.phrp.2018.9.2.08
  • 4,086 View
  • 59 Download
  • 9 Citations
AbstractAbstract PDF
Objectives

Over the past few decades, the prevalence of cesarean sections (CS) have risen dramatically worldwide, particularly in Iran. The aim of this study was to determine the prevalence of CS in Tehran, and to examine the associated risk factors.

Methods

A cross-sectional study of 4,308 pregnant women with singleton live-births in Tehran, Iran, between July 6–21, 2015 was performed. Multilevel logistic regression analysis was performed using demographic and obstetrical variables at the first level, and hospitals as a variable at the second level.

Results

The incidence of CS was 72.0%. Multivariate analysis showed a significant relationship between CS and the mother’s age, socioeconomic status, body mass index, parity, type of pregnancy, preeclampsia, infant height, and baby’s head circumference. The intra-class correlation using the second level variable, the hospital was 0.292, indicating approximately 29.2% of the total variation in the response variable accounted for by the hospital.

Conclusion

The incidence of CS was substantially higher than other countries. Therefore, educational and psychological interventions are necessary to reduce CS rates amongst pregnant Iranian women.

Citations

Citations to this article as recorded by  
  • The double burden of maternal overweight and short stature and the likelihood of cesarean deliveries in South Asia: An analysis of national datasets from Bangladesh, India, Maldives, Nepal, and Pakistan
    Mosiur Rahman, Syed Emdadul Haque, Md. Jahirul Islam, Nguyen Huu Chau, Izzeldin Fadl Adam, Md. Nuruzzaman Haque
    Birth.2022; 49(4): 661.     CrossRef
  • Geospatial analysis of cesarean section in Iran (2016–2020): exploring clustered patterns and measuring spatial interactions of available health services
    Alireza Mohammadi, Elahe Pishgar, Zahra Salari, Behzad Kiani
    BMC Pregnancy and Childbirth.2022;[Epub]     CrossRef
  • Factors associated with cesarean delivery in Bangladesh: A multilevel modeling
    Md. Akhtarul Islam, Mst. Tanmin Nahar, Md. Ashfikur Rahman, Sutapa Dey Barna, S.M. Farhad Ibn Anik
    Sexual & Reproductive Healthcare.2022; 34: 100792.     CrossRef
  • The Birth Satisfaction Scale-Revised Indicator (BSS-RI): a validation study in Iranian mothers
    Reza Omani-Samani, Caroline J. Hollins Martin, Colin R. Martin, Saman Maroufizadeh, Azadeh Ghaheri, Behnaz Navid
    The Journal of Maternal-Fetal & Neonatal Medicine.2021; 34(11): 1827.     CrossRef
  • The effect of familiarization with preoperative care on anxiety and vital signs in the patient’s cesarean section: A randomized controlled trial
    Mehrnush Mostafayi, Behzad Imani, Shirdel Zandi, Faeze Jongi
    European Journal of Midwifery.2021; 5(June): 1.     CrossRef
  • Dynamic prediction of liver cirrhosis risk in chronic hepatitis B patients using longitudinal clinical data
    Ying Wang, Xiang-Yong Li, Li-Li Wu, Xiao-Yan Zheng, Yu Deng, Meng-Jie Li, Xu You, Yu-Tian Chong, Yuan-Tao Hao
    European Journal of Gastroenterology & Hepatology.2020; 32(1): 120.     CrossRef
  • Factors Contributing to Iranian Pregnant Women’s Tendency to Choice Cesarean Section
    Soraya Nouraei Motlagh, Zahra Asadi-piri, Razyeh Bajoulvand, Fatemeh Seyed Mohseni, Katayoun Bakhtiar, Mehdi Birjandi, Maryam Mansouri
    Medical - Surgical Nursing Journal.2020;[Epub]     CrossRef
  • Trends and correlates of cesarean section rates over two decades in Nepal
    Aliza K. C. Bhandari, Bibha Dhungel, Mahbubur Rahman
    BMC Pregnancy and Childbirth.2020;[Epub]     CrossRef
  • Symptoms of Discomfort and Problems Associated with Mode of Delivery During the Puerperium: An Observational Study
    Martínez-Galiano, Delgado-Rodríguez, Rodríguez-Almagro, Hernández-Martínez
    International Journal of Environmental Research an.2019; 16(22): 4564.     CrossRef
A Case–control Study on the Relationship between Mycoplasma genitalium Infection in Women with Normal Pregnancy and Spontaneous Abortion using Polymerase Chain Reaction
Rashid Ramazanzadeh, Mazaher Khodabandehloo, Fariba Farhadifar, Samaneh Rouhi, Amjad Ahmadi, Shaho Menbari, Fariba Fallahi, Reza Mirnejad
Osong Public Health Res Perspect. 2016;7(5):334-338.   Published online October 31, 2016
DOI: https://doi.org/10.1016/j.phrp.2016.07.001
  • 1,977 View
  • 21 Download
  • 10 Citations
AbstractAbstract PDF
Objectives
Mycoplasma genitalium infections are suggested as causes of a number of pathological outcomes in pregnant women. The aim of this study was to evaluate the frequency of M. genitalium infections among pregnant women and its association with spontaneous abortion.
Methods
In this case–control study we included 109 women with spontaneous abortion with a gestational age of 10–20 weeks (patients), and 109 women with normal pregnancy with a gestational age of 20–37 weeks (controls) in Sanandaj, Iran. Using specific primers and extracted DNA from endocervical swabs, a polymerase chain reaction was conducted for the detection of M. genitalium infection in both groups.
Results
The frequency of M. genitalium infection in patient and control groups was one (0.91%) and three (2.75%), respectively. In both control and patient groups using Fisher test, no association between mycoplasma infection and spontaneous abortion was seen.
Conclusion
M. genitalium may be positive in the genital tract of some pregnant women but was not associated with spontaneous abortion. Further powerful studies with larger sample sizes are needed for the determination of a possible role of M. genitalium in pregnancy outcomes and spontaneous abortion.

Citations

Citations to this article as recorded by  
  • The association between genital mycoplasma infection and spontaneous abortion: A systematic review and meta-analysis
    Wei Chen, Shimin Xiong, Xubo Shen, Ting Qiu, Caidie He, Songlin An, Yuanzhong Zhou
    Reproductive Toxicology.2023; 116: 108334.     CrossRef
  • Latest Advances in Laboratory Detection of Mycoplasma genitalium
    Ken B. Waites, Donna M. Crabb, Amy E. Ratliff, William M. Geisler, T. Prescott Atkinson, Li Xiao, Romney M. Humphries
    Journal of Clinical Microbiology.2023;[Epub]     CrossRef
  • Weighing Potential Benefits and Harms of Mycoplasma genitalium Testing and Treatment Approaches
    Lisa E. Manhart, William M. Geisler, Catriona S. Bradshaw, Jørgen S. Jensen, David H. Martin
    Emerging Infectious Diseases.2022;[Epub]     CrossRef
  • The Associations of Genital Mycoplasmas with Female Infertility and Adverse Pregnancy Outcomes: a Systematic Review and Meta-analysis
    Caifeng Ma, Jikun Du, Yuhong Dou, Rui Chen, Yuxia Li, Lijun Zhao, Helu Liu, Kebin Zhang
    Reproductive Sciences.2021; 28(11): 3013.     CrossRef
  • Mollicutes antibiotic resistance profile and presence of genital abnormalities in couples attending an infertility clinic
    Brenda Maldonado-Arriaga, Noé Escobar-Escamilla, Juan Carlos Pérez-Razo, Sofia Lizeth Alcaráz-Estrada, Ignacio Flores-Sánchez, Daniel Moreno-García, Rebeca Pérez-Cabeza de Vaca, Paul Mondragón-Terán, Jonathan Shaw, Cecilia Hernandez-Cortez, Graciela Castr
    Journal of International Medical Research.2020; 48(1): 030006051982894.     CrossRef
  • Association of spontaneous abortion and Ureaplasma parvum detected in placental tissue
    C. N. T. Oliveira, M. T. S. Oliveira, H. B. M. Oliveira, L. S. C. Silva, R. S. Freire, M. N. Santos Júnior, M. V. Oliveira, J. Timenetsky, G. B. Campos, L. M. Marques
    Epidemiology and Infection.2020;[Epub]     CrossRef
  • Epidemiology of genital infections caused by Mycoplasma hominis, M. genitalium and Ureaplasma urealyticum in Iran; a systematic review and meta-analysis study (2000–2019)
    Khadijeh Moridi, Mohammad Hemmaty, Amir Azimian, Mohammad Hosein Fallah, Hamid Khaneghahi Abyaneh, Kiarash Ghazvini
    BMC Public Health.2020;[Epub]     CrossRef
  • Prevalence and incidence of Mycoplasma genitalium in a cohort of HIV-infected and HIV-uninfected pregnant women in Cape Town, South Africa
    Carolyn P Smullin, Hunter Green, Remco Peters, Dorothy Nyemba, Yamkela Qayiya, Landon Myer, Jeffrey Klausner, Dvora Joseph Davey
    Sexually Transmitted Infections.2020; 96(7): 501.     CrossRef
  • Frequency of Chlamydia trachomatis, Mycoplasma genitalium, and Ureaplasma urealyticum Isolated From Vaginal Samples of Women in Kerman, Iran
    Zahra Zahirnia, Shahla Mansouri, Fereshteh Saffari, Ghazal Mansouri
    Archives of Clinical Infectious Diseases.2018;[Epub]     CrossRef
  • High Prevalence of Leptotrichia amnionii, Atopobium vaginae, Sneathia sanguinegens, and Factor 1 Microbes and Association of Spontaneous Abortion among Korean Women
    Sang Soo Seo, Selvaraj Arokiyaraj, Mi Kyung Kim, Hea Young Oh, Minji Kwon, Ji Sook Kong, Moon Kyung Shin, Ye Lee Yu, Jae Kwan Lee
    BioMed Research International.2017; 2017: 1.     CrossRef
Development of Financial Support Program for High Risk Pregnant Women
Ihnsook Jeong, Jiyun Kim, Sook Bin Im
Osong Public Health Res Perspect. 2016;7(3):141-148.   Published online June 30, 2016
DOI: https://doi.org/10.1016/j.phrp.2016.02.003
  • 1,945 View
  • 23 Download
AbstractAbstract PDF
Objectives
The purpose of this study was to develop a financial support program for high-risk pregnant women based on opinions obtained using a questionnaire survey.
Methods
The program development involved two steps: (1) developing a questionnaire through reviewing previous financial support programs for maternal care and then validating it via professional consultation; and (2) drafting a financial support program. Sixty professionals, 26 high-risk pregnant women, and 100 program implementers completed the questionnaire between August 2014 and October 2014.
Results
Based on the obtained professional consultation and survey investigation, the framework of the financial support program was constructed. The suggested recipients were mothers with early labor pains, mothers who have been hospitalized for > 3 weeks, and mothers who used uterine stimulant Pitocin during hospitalization. All hospitalization, medication, and examination costs needed to be supported considering the income level of the recipient.
Conclusion
A basic policy for financially supporting high-risk pregnant women has been developed. The efficacy and feasibility of the policy needs to be carefully examined in future studies.

PHRP : Osong Public Health and Research Perspectives