Showing 5 results for Pregnant Women
Seyedeh Tahereh Mirmolaei, Fatemeh Khalili, Mohammad Ali Besharat, Anoshirvan Kazemnejad,
Volume 6, Issue 1 (1-2020)
Abstract
Background: Pregnancy is considered a period of emotional crisis. However, attention to the mental status of a pregnant mother is often neglected by health care providers. This study was conducted to determine the effect of narrative writing on the depression, anxiety, and stress of pregnant women referring to the pregnancy care clinics in the south health centers affiliated with Tehran University of Medical Sciences in Tehran, Iran.
Methods: The research was a quasi-experimental field trial. A total of 120 eligible pregnant women referring to the south health centers of Tehran University of Medical Sciences were recruited by convenience sampling method. The health records of pregnant women were assessed at each center and the eligible subjects were identified. The sampling was performed during one week for the experimental group and during the next week for the control group. Mothers in the experimental group were asked to write a narrative about their deep thoughts and feelings, twice a week for two months according to the given instructions. The mothers in the control group received routine care. At first, both groups completed the Beck depression inventory and depression, anxiety, and stress scale 21 before the intervention. Then, at 4 and 8 weeks after the intervention, both groups just completed depression, anxiety, and stress scale 21. The obtained data were analyzed by the Mann-Whitney test, Chi-squared test, two-sample Kolmogorov-Smirnov test, and repeated measures ANOVA in SPSS V. 22. The significance level was set as 0.5 or less.
Results: Pre-intervention levels of anxiety, stress, and depression were similar in both groups. Four weeks after the intervention, the variables of depression (P=0.014) and anxiety (P=0.004) were significantly reduced in the experimental group, but no statistically significant difference was found for the stress variable in this time interval. Finally, a significant decrease was observed in all three variables as the intervention continued for 8 weeks (P<0.001).
Conclusion: According to the results, the narrative writing could be used as a simple and low-cost method for reducing anxiety, stress, and depression in pregnant women.
Enny Susilawati, Yuli Suryanti, Lia Artika Sar, Herinawati , Ika Murtiyarini,
Volume 7, Issue 3 (8-2021)
Abstract
Background: Monitoring the adherence of pregnant women to taking iron supplements indicates controlling the appropriateness of taking a certain number of supplements. This increases the odds of effective iron absorption; a process that occurs by consuming at least 30 iron pills a month to prevent gestational anemia. This study aimed to determine the effects of monitoring pregnant women’s compliance in taking up iron supplements through an Android application in Jambi City, Indonesia.
Methods: This was a quasi-experimental single group study with a pre-test-post-test design. The study subjects included a convenient sample of women in their third trimester referring to 3 maternity Hospitals in Jambi City, Indonesia, in 2020. Initial data were obtained through Hemoglobin (Hb) measurements before being given a monitoring application and subsequent Hb level checks after giving the application. The obtained data were analyzed by t-test and Mann-Whitney U test in SPSS 16. A significance level of 5% was considered.
Results: The results obtained in the initial examination indicated that the minimum Hb level was equal to 7.3 g/dL and the maximum level was measured as 11.2 g/dL. After the intervention, the Hb level increased to a minimum of 7.6 g/dL and a maximum of 12.2 g/dL. The Mann-Whitney U test data suggested a significant difference in the degree of compliance of pregnant women with iron supplementation (P=0.010).
Conclusion: Monitoring through the Android application increased pregnant women’s compliance with taking iron supplements and presented a linear impact on increasing their Hb level.
Katayon Ahmadi, Leila Amiri-Farahani,
Volume 7, Issue 4 (11-2021)
Abstract
Background: Despite all the positive effects of physical activity on maternal and fetal health, its level is low among pregnant women. Various barriers seem to prevent physical activity during pregnancy. The aim of this study was to investigate and determine the barriers to physical activity during pregnancy based on a review of available literature.
Methods: To review the available literature, the authors searched Persian databases, such as Iran Medex, Magiran, MedLib, and SID, and also English databases, including Scopus, PubMed, Elsevier, ScienceDirect, Web of Science, and ProQuest using the keywords of pregnant woman, physical activity, exercise, barriers, pregnancy, constraints, and attitudes individually or in combination between 2000 and 2020 and finally, 10 articles that met the inclusion criteria were reviewed. An ecological model was used to classify the reported barriers.
Results: Seven quantitative articles and three qualitative articles were included in the study. Obstacles related to the intrapersonal level of the ecological model were the most reported in these studies and were classified into five areas, including pregnancy symptoms and limitations, time constraints, misunderstanding the adequacy of daily activities, lack of motivation, and maternal and fetus safety concerns. Barriers at the interpersonal level included lack of consultation and information and lack of social support and at the environmental, organizational, and political levels, climate and lack of resources were the most reported barriers.
Conclusion: The present study outlined the perceived barriers to physical activity among pregnant women and highlighted the important factors that should be considered when planning interventions to increase the level of physical activity during pregnancy. Further studies are recommended to provide solutions to overcome these barriers and increase the activity of pregnant women.
Tan Taty Nurti, Asj Asni Johari, Mna M. Naswir, Her Herlambang Herlambang,
Volume 8, Issue 2 (4-2022)
Abstract
Background: The models or guidelines that make it possible for pregnant mothers to diagnose high-risk pregnancy signs and symptoms are not clearly stated. This systematic review was conducted to answer the question: what models/guidelines have contributed to women’s knowledge/performance regarding the detection of a high-risk pregnancy?
Methods: This systematic review used the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) statement. The electronic databases used were PubMed, Cochrane, ProQuest, and Google Scholar from 2010 to 2021. The main inclusion criteria were English interventional educational studies on high-risk pregnant women in the antenatal period using models or guidelines with more than 20 subjects. Review articles, editorials, comments, not full texts, case reports, and meta-analytical or systematic review articles were excluded. National Institute of Health (NIH) study quality assessment tool was used to assess the quality rating of the articles. The risk of bias was assessed by two authors independently using the Cochrane Collaboration revised tool. The studies were analyzed qualitatively by collecting the main findings, the design, and the applied interventions.
Results: A total of 1,173 articles were obtained from the four databases used. After eliminating duplicates, thesis/dissertation, proceedings, book chapters, those with no inclusion criteria, no discussion of the high-risk pregnancy, and low quality based on the NIH for interventional studies, the remaining five articles were entered into the review process. Based on articles that met the inclusion criteria, it was found that the models used included the Health Belief Model, Bandura’s self-efficacy theory, the World Food Program flip-chart, the Dietary Guidelines for Americans, and the Effectiveness-Based Guidelines for the Prevention of Cardiovascular Disease in Women, with educational class and counseling approaches for women with high-risk pregnancies.
Conclusion: This systematic review showed a generally positive effect of various models and guidelines for educating high-risk pregnancy detection by pregnant women. Approaches to the application of the models included educational classes and counseling for these women. These models and guidelines have a significant effect on the ability of pregnant women to recognize the symptoms of a high-risk pregnancy.
Mrs Romina Fili, Mrs Sana Nazmi, Dr Fereshteh Behmanesh, Dr Atefeh Omrani, Dr Hossein-Ali Nikbakht, Dr Leila Amiri Farahani,
Volume 10, Issue 3 (8-2024)
Abstract
Background: Gaining insight into the obstacles holding women from engaging in physical activity during pregnancy is crucial for planning future interventions to enhance their physical activity during this period. This research aims to identify barriers to physical activity among pregnant women using an explanatory sequential mixed-methods approach. The study protocol is explained in this article.
Methods: This research employs an explanatory sequential mixed-methods design. The project will be implemented in two separate phases. In the first phase, a quantitative cross-sectional study will be conducted on 358 eligible pregnant women aged 18-45 years living in Babol City, Iran. Quantitative data collection will involve using the barriers to physical activity during pregnancy scale (BPAPS) and questionnaires gathering demographic and obstetric data. The qualitative investigation will employ individual semi-structured interviews utilizing a content analysis approach. Ultimately, incorporating qualitative data will inform the interpretation of quantitative findings.
Results: The results will be presented in alignment with the study objectives. Initially, the mean score of BPAPS and its subscales, along with the correlation between demographic and obstetric variables, will be reported. Subsequently, the qualitative phase will encompass the reporting of categories and the main themes. Finally, the quantitative phase findings will be interpreted, incorporating insights gained from the qualitative phase.
Conclusion: Since regular physical activity during pregnancy has many benefits for maternal and fetal health, the study’s findings after its implementation can play a vital role in strategic planning to address women’s false beliefs and misconceptions regarding physical activity during pregnancy. In addition, this study will contribute to designing interventions to remove barriers to physical activity and encourage it in pregnant women, hence improving their overall health and well-being during pregnancy.
