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Socio-Demographic and Maternal Determinants of Birth Preparedness among Pregnant Women Seeking Skilled Birth Services at a Rural General Hospital, Mid Western Uganda

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Open Journal of Nursing 2019年第1期9卷 68-77页

作者： Munguiko Clement Masereka Enos Mirembe Twesigye Deus bahizi archbald Department of Nursing and Midwifery Mountains of the Moon University Fort Portal Uganda Uganda Blood Transfusion Services Ministry of Health Kampala Uganda

Background: Although the practice of preparing for childbirth among pregnant women is associated with 24.0% and 53.0% reduction in neonatal and maternal mortality respectively in low income countries, it remains inadequately practiced in Uganda. This study sought to assess socio-demographic and maternal determinants of birth preparedness among pregnant women at one of the rural hospitals in Uganda. Methods: This was a descriptive cross sectional study conducted among 332 pregnant women in first stage of normal labour between April and May 2017 at Kagadi hospital, mid western Uganda. In order to understand socio-demographic and maternal determinants of birth preparedness, we considered overall level of birth preparedness as our dependent variable and determined it using five elements. Data were collected using a researcher administered questionnaire. We used descriptive statistics to understand characteristics of respondents and multivariable logistic regression model to determine factors associated with birth preparedness. Results: Only 94 (28.3%) of the 332 pregnant women who were included in the study were prepared for childbirth. We found that male partners having secondary level of education (aOR 1.86, CI 1.107 - 3.243, p 0.02), discussing birth plan with spouse (aOR 1.97, CI 1.06 - 3.490, p 0.03), monthly income of at least eighty three dollars (aOR 2.98, CI 1.847 - 5.981, p 0.002), being escorted by the spouse during ANC visit (aOR 1.73, CI 1.010 - 2.964, p 0.04), intention to conceive (aOR 1.99, CI 1.087 - 3.65, p 0.026) and being health educated about birth preparedness during antenatal visit (aOR 1.90, CI 1.006 - 3.59, p 0.048) were associated with birth preparedness. Conclusion and Recommendations: We observed that the level of birth preparedness among respondents was associated with many socio-demographic and maternal factors. To scale up birth preparedness in rural settings, we recommend improving household financial income, reducing contraceptive unmet

关键词： Magnitude Birth Preparedness Rural Skilled Birth Services

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Survey of <i>C. difficile</i>-Specific Infection Control Policies in Local Long-Term Care Facilities

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International Journal of Clinical Medicine 2014年第7期5卷 414-419页

作者： Laurie archbald-Pannone Department of Internal Medicine Division of General Medicine Geriatrics and Palliative Care Division of Infectious Diseases and International Health University of Virginia Charlottesville USA

Introduction: The incidence and severity of Clostridium difficile infection (CDI) has been increasing and long-term care facility (LTCF) residents are at high risk given their age, co-morbidities, and high antibiotic exposure. Infection control policies are crucial for controlling CDI, but there are currently no regulatory guidelines in the United States. Therefore, we evaluated infection control policies in local LTCFs to define the CDI-specific policies and the administrative and staff understanding of CDI, so as to identify perceived barriers for compliance. Methods: IRB approval was sought and exemption granted, all 8 local LTCFs were asked to participate. Each facility was visited by study personnel who interviewed the administrative Infection Control Practitioner (ICP) and 3-4 Licensed Practical Nurses (LPNs) with distinct survey format. Infection control policies were then compared to the SHEA recommendations for CDI in LTCFs. Results: Of the eligible facilities, 75% (n = 6) participated. ICP (n = 6) and LPNs (n = 21) were interviewed. All facilities accept residents with active CDI and 2 had written CDI-specific infection control policies. All facilities had hand hygiene or glove use policies and 2 had policies for the use of sporicidal environmental cleaning. No facility restricted antibiotic use. Each facility has a policy to instruct their staff through in-services, either annually or upon new hire, but 33% (n = 7) LPNs reported no facility-based CDI training. While 80% (n = 17) of LPNs felt comfortable with the facility CDI policies, only 11 accurately restated it. ICPs felt the most relevant barrier to staff compliance was time constraints (n = 4, 67%), however, LPNs felt it was limited knowledge (n = 10, 48%) and poor communication (n = 2, 10%). Discussion and Conclusions: With the increasing incidence and severity of CDI in LCTF, few of the facilities surveyed had CDI-specific policies. Despite CDI-specific training, there is a perceived knowledge and

关键词： Clostridium difficile Infection Infection Control Policies Long-Term Care Facilities

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奶牛产后卵巢功能异常的发生率和治疗

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国外兽医学（畜禽疾病） 1991年第2期12卷 20-23页

作者： L.F.archbald 李颂孙

本研究对一大奶牛场的1356头高产奶牛作试验。目的是确定:(1)产后卵巢功能异常的发生率,(2)GnRH的疗效。结果表明产后卵巢功能异常发生率为37.2％;与GnRH治疗组,产后23天发情周期正常牛、产后43天自然恢复卵巢功能牛相比,未经治疗的产... 详细信息

本研究对一大奶牛场的1356头高产奶牛作试验。目的是确定:(1)产后卵巢功能异常的发生率,(2)GnRH的疗效。结果表明产后卵巢功能异常发生率为37.2％;与GnRH治疗组,产后23天发情周期正常牛、产后43天自然恢复卵巢功能牛相比,未经治疗的产后卵巢功能异常牛空怀天数较长,每个妊娠需要配种次数较多。

关键词：奶牛卵巢功能异常发病率

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