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Pregnancy,childbirth and neonatal outcomes associated with adolescent pregnancy

Gynecology and Obstetrics Clinical Medicine 2023年第2期3卷 100-105页

作者： Amene Ranjbar Maliheh Shirzadfard Jahromi Banafsheh Boujarzade Nasibeh Roozbeh Vahid Mehrnoush Fatemeh Darsareh Fertility and Infertility Research Center Hormozgan University of Medical SciencesBandar AbbasIran Mother and Child Welfare Research Center Hormozgan University of Medical SciencesBandar AbbasIran Urology Department Northern Ontario School of MedicineThunder BayOntarioCanada

Objective:To assess the obstetric and neonatal outcomes associated with adolescent pregnancy in Iran.Methods:We retrospectively assessed women who gave birth between January 1st,2020,and January 1st,2022.These pregnant women were separated into two groups:(1)women aged 19 and younger;(2)women aged 20-34 years.Main outcome measures include preterm birth,maternal comorbidities,preeclampsia,eclampsia,low birth weight(LBW),intrauterine growth restriction(IUGR),placenta abnormalities,placenta abruption,cho-rioamnionitis,meconium fluid,fetal distress,methods of delivery,rate of cesarean section(CS),perineal lacer-ations,postpartum hemorrhage,childbirth trauma,shoulder dystocia,congenital malformation,and unfavorable maternal and neonatal outcome.Logistic regression models were used to determine the influence of teenage pregnancy on adverse pregnancy and childbirth outcomes.Results:Of 7033 deliveries,92.4%of women were adults,and 7.6%were adolescents.Adolescents residing in rural districts were more common than adults(42.3%vs.33.7%).However,access to prenatal facility care was the same as the majority of women had 6-10 prenatal care visits during their pregnancy.There was no difference in the risk of preeclampsia,placenta abruption,placenta previa,fetal distress,preterm labor,shoulder dystocia,perineal lacerations,childbirth trauma,congenital malformation,postpartum hemorrhage,intensive care unit admission,maternal death,and unfavorable neonatal outcome including stillbirth,neonatal intensive care unit admission,neonatal death in adolescent pregnancies compared to adults.Adolescents had a significantly higher risk of LBW(OR:1.47,95%CI:1.01-2.73),IUGR(OR:1.96,95%CI:1.31-2.45),and meconium fluid(OR:1.74,95%CI:1.41-2.32),however,there was no statistically significant difference after adjusting the confounding factors.Compared with adults,adolescents had a significantly lower risk of CS(aRR:0.67,95%CI:0.51-0.77)and a lower risk of gestational diabetes(aRR:0.78,95%CI:0.51-0.95).Conclusions:Although we found no serious conseq

关键词： Adolescents Pregnancy childbirth Perinatal outcome Neonatal outcomes

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Influence of cultural factors on choice of childbirth place among women in Oyigbo Local Government Area,Rivers State,Nigeria

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Journal of Integrative Nursing 2023年第1期5卷 37-42页

作者： Ngozi Afulenu OBIKA-NDIRI Chizoma Millicent NDIKOM Ogochukwu Immaculate OBIKA Omineokuma Tubonemi ASEMINASO African Centre of Excellence for Public Health and Toxicological Research(Ace-Putor) University of Port-HarcourtPort-HarcourtRivers StateNigeria Department of Nursing College of MedicineUniversity of IbadanIbadanOyo StateNigeria Department of Pharmacognosy College of MedicineUniversity of LagosLagosNigeria

Objectives:This study aims to ascertain if cultural factors influence the childbirth place choice of women in Oyigbo.Materials and Methods:The study used a cross‑sectional study design using a self‑structured questionnaire as the instrument to collect data from 384 volunteers through simple random sampling,and these data were analyzed using frequency and percentage for descriptive statistics while Chi‑square was used for inferential statistics at 0.05 level of significance.Results:The influence of cultural factors such as family traditions(χ^(2)=12.56,P=0.006),beliefs(χ^(2)=70.66,P=0.000),lack of confidence in health facilities(χ^(2)=367.83,P=0.000),and the presence of male skilled birth attendants(χ^(2)=50.85,P=0.000)were statistically significant to the choice of childbirth place,while patriarchal system(χ^(2)=2.99,P=0.393)was not statistically significant to the choices of childbirth places of women in Oyigbo.Religion had a statistically significant influence on childbirth place(χ^(2)=125.46,P=0.000).Conclusion:This study shows that religious and cultural factors have a significant influence on the childbirth place choices of women in Oyigbo Local Government Area of Rivers State.

关键词： Birthplace childbirth cultural factors maternal mortality Oyigbo women’s health

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Work-Life Balance Issues of Women in Returning to Work due to childbirth——Using TEM Analysis

Work-Life Balance Issues of Women in Returning to Work due t...

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作者： Yaguang Yan Graduate School of Business Administration Ritsumeikan University

This study attempted to chart a series of events,including the difficulties women face in the workplace,the causes of problems,and the solutions to problems,using the perspective of work-life balance,which is the balance between work and life,when returning to work after a leave of absence due to childbirth.It is also wanted to identify differences by nationality and the following questions were asked:1) "What problems did female employees face when returning to work? How were they able to overcome the difficulties?"and 2) "Do different nationalities have different factors that cause the problems that women face when returning to work?" A total of two research questions were built.The qualitative research method TEM was used,which allows the analysis of background factors in choosing methods and means to solve difficulties.Semi-structured interviews were conducted with eight people,four Japanese women and four Chinese women,and TEM diagrams were created for all participants.Based on those data,common TEM diagrams were able to draw for a total of 5 time periods,from the period before they all joined the company to the period after the return problem was solved.Furthermore,common return-to-work problems were found,such as "unfamiliarity with work after returning to work","difficulties in work-life balance",and "inability to work overtime".We also found differences in factors such as timing of return to work" and "the role played by other members of the family",depending on participants’ nationality.Finally,the limited number of participants and nationality setting in this study are research limitations,and future research will clarify the generalization of the factors found and compare them in a more multinational context.Likewise,a possible future research direction is to promote initiatives that take advantage of the "understanding of supervisors and work colleagues" and "use of childbirth experience" that made it easier for women to return to work,both of which were found in this study.

关键词： Work-Life Balance Difficulty in Returning to Work TEM childbirth

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Birthing Systems, Bio-medicine and Gender-Based PowerRelationships: Patrilinearity and childbirth in Amed(Est Bali, Indonesia)

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Cultural and Religious Studies 2020年第1期8卷 45-52页

作者： Annalisa Garzonio University of Insubria VareseItaly

This article offers an anthropological overview about birth processes in a small village in Bali.I would like to investigate how the naturalization of this event is often used to justify control over the physical and social body of women,their descendants and social group.Central focus of the analysis will be the consideration of how women’s position within society is determined by a complex system of rules,values,and medical practices deeply conditioning childbirth sphere that legitimates hierarchical divisions and gender inequality.

关键词： anthropology of childbirth patriarchal system gender-based power relationship biomedicine

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Childbearing or Working?——Impact of childbirth on Rural Women's Interruption of Off-farm Employment

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Asian Agricultural Research 2018年第4期10卷 8-15页

作者： Biying ZHOU Institute of Geographic Sciences and Natural Resources Research University of Chinese Academy of Sciences

To assess the work interruption information and examine the correlation between childbirth and the off-farm employment interruption of rural women,this article collected 3 820 women's childbirth and employment information over the past 18 years( 1998-2015),using multivariate regression to explore the impact of female individual,family and employment characteristics on probability of employment interruption and duration of interruption. Results indicated that overall,40% of women got interrupted after childbirth in rural areas and the average duration of interruption was about four years. Human capital factors,such as their work experience,first childbirth age and education experience,influence the probability of employment interruption,but these factors do not extend the duration of interruption for women who got interrupted.It is concluded that increasing the human capital of rural women is helpful to increasing their labor force participation rate after childbirth.

关键词： Interruption of employment childbirth Off-farm employment

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Does Antenatal Fear of childbirth Predict Postnatal Fear of childbirth? A Study of Japanese Women

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Open Journal of Nursing 2015年第2期5卷 144-152页

作者： Mizuki Takegata Megumi Haruna Masayo Matsuzaki Mie Shiraishi Tadaharu Okano Elisabeth Severinsson Department of Midwifery and Women’s Health Division of Health Sciences & Nursing Graduate School of Medicine The University of Tokyo Tokyo Japan Center of Physical and Mental Health Mie University Tsu City Japan Centre for Women’s Family & Child Health Department of Nursing Science Faculty of Health Sciences Buskerud & Vestfold University College Kongsberg Norway

The study aimed to determine whether antenatal fear of childbirth (expectation) could predict postnatal fear of childbirth (experience) by taking account of other antenatal psychological variables (anxiety and depression) as well as birth outcomes in Japanese women. A longitudinal observational study was conducted at a clinic in Tokyo, Japan, in 2011. Self-report questionnaires were distributed to 240 Japanese women at 37 gestational weeks (Time 1) and on the second day after delivery (Time 2). Regression analyses by means of structural equation modelling were conducted in both the primiparous and the multiparous group. The models exhibited good fit (chisquare value/degree of freedom = 1.10 - 1.62, comparative fit index = 0.92 - 0.99 and root mean square error of approximation = 0.03 - 0.07). Antenatal fear of childbirth was the most predictive variable of postnatal fear of childbirth in both the primiparous (β = 0.58, p = 0.002) and the multiparous group (β = 0.62, p childbirth was a significant predictor of postnatal fear of childbirth when other antenatal psychological variables and birth outcomes were taken into account. Pregnant women who are strongly afraid of childbirth need special attention before and after delivery.

关键词： Antenatal Fear of childbirth Japanese Women Postnatal Fear of childbirth Relationship

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Psycho-Social Predictors of childbirth Fear in Pregnant Women: An Australian Study

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Open Journal of Obstetrics and Gynecology 2014年第9期4卷 531-543页

作者： Jocelyn Toohill Jennifer Fenwick Jenny Gamble Debra K. Creedy Anne Buist Elsa Lena Ryding Griffith Health Institute School of Nursing & Midwifery Griffith University Brisbane Australia Karolinska Institute Stockholm Sweden University of Melbourne Melbourne Australia

Background: Around 20% of birthing women report high levels of childbirth fear. Fear potentially impacts women’s emotional health, preparation for birth, and birth outcomes. Evidence suggests that personal and external factors contribute to childbirth fear, however results vary. Aim: To identify pyscho-social factors associated with childbirth fear and possible antenatal predictors of childbirth fear according to women’s parity. Method: 1410 women in second trimester and attending one of three public hospitals in south-east Queensland were screened for childbirth fear using the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ). Other measures included the Edinburgh Depression Scale (EPDS), Decisional Conflict Scale (DCS) and items from the EuroQol (EQ-5D) targeting Anxiety/Depression and Pain/Discomfort. In addition items measuring a previous mental health condition, social support and knowledge were used. Preferred mode of birth was also collected. Psycho-social factors were analysed to determine associations with childbirth fear. Multivariate analysis was used to determine predictors of fear. Results: Thirty-one percent (n = 190/604) of nulliparous and 18% (n = 143/782) of multiparous women reported high fear levels. Having a mental health history, desiring a caesarean section, reporting moderate to high pain during pregnancy, having a non-supportive partner and perceiving less childbirth knowledge than peers, were associated with childbirth fear. Standard multiple regression analyses by parity determined that depression, decisional conflict, low social support and less perceived knowledge predicted levels of childbirth fear. The model explained 32.4% of variance in childbirth fear for nulliparous and 29.4% for multiparous women. Conclusion: Psychosocial factors are significantly associated with childbirth fear. The identification of predictive psychosocial factors for childbirth fear indicates the importance of observing, assessing, and developing support strategies for women. Such strategies are requ

关键词： childbirth Fear Predictors Pain Decisional Conflict Depression Social Support

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Assessment of the Socio-Demographic Factors Associated with the Satisfaction Related to the childbirth Experience

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Open Journal of Obstetrics and Gynecology 2014年第10期4卷 585-611页

作者： Elie Al Ahmar Samir Tarraf Faculty of Medicine and Medical Sciences Holy Spirit University of Kaslik Mount Lebanon Lebanon

Assessment of the socio-demographic factors associated with the satisfaction is related to the childbirth experience. Objective: A mother’s satisfaction with the childbirth experience may have instant and lasting effects on her wellbeing, and on the bonding with her infant. The main aim of the study was to assess which socio-demographic factors are associated with this satisfaction. Most factors that authors agree on are: Pain intensity, personal control, self-efficacy, length of labor, method of delivery and numerous other demographic factors. Design: A cross-sectional study. Data was collected using a self-reported survey. Settings: The sample consisted of 100 women, selected from St Georges Hospital and CHU-NDS, who had to speak Arabic and had given birth in the past three days prior to interview. Methods: The multiple linear regressions and the mean test were used to assess which factors were associated with a positive childbirth experience. The Mackey childbirth satisfaction scale, three items from the Wijma delivery Expectancy/Experience questionnaire, a seven item mastery scale developed by Pearlin and Schooler and a background questionnaire were filled by women. Findings: Factors that were linked to a positive birth experience were: Higher age, multiparous women, higher education, high monthly income, unemployment, childbirth preparation, high personal control and self-efficacy, high childbirth and labor pain, fulfilled expectations, shorter period of labor and instrumented delivery. Conclusion: This study demonstrates that satisfaction with the childbirth experience is multi-dimensional with diverse factors foreseeing diverse dimensions of satisfaction.

关键词： childbirth Experience Satisfaction Personal Control Self-Efficacy Mother

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Professional’s skills in assessment of perineal tears after childbirth—A systematic review

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Open Journal of Obstetrics and Gynecology 2013年第4期3卷 7-15页

作者： Ann Morris Marie Berg Anna Dencker Centre for Person-Centred Care Institute of Health and Care Sciences Sahlgrenska Academy University of Gothenburg Gothenburg Sweden

Perineal tears are one of the most common complications of vaginal births and may cause discomfort and pain long time after childbirth. Visual and digital examination of perineal tears is the most common way to assess and classify a perineal tear. Recent research indicates that many tears diagnosed are misclassified. The aim of this systematic literature review was to outline research that investigates healthcare professionals’ clinical knowledge in assessment and classification of perineal tears in connection with childbirth. Searches were performed in PubMed and CINAHL. Six studies on the topic were identified and ?used to collect data for questionnaires. An integrative review was used in the analysis. Poor knowledge in perineal anatomy and lack of training in clinical assessment and classification of perineal trauma was evident among both physicians and midwives. These findings indicate that healthcare providers lack adequate knowledge and that they make incorrect assessments and errors in classification of perineal tears. The training in assessment and classification is crucial. Midwives are in a unique position to improve the standard of care in this field since they are often the first and many times the only to assess the injury.

关键词： Perineum Injuries Perineal Tears Obstetrics/Midwifery Education Clinical Competence Review childbirth

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Pregnancy, childbirth, and Childcare during the COVID-19 Pandemic for Parents Raising a 4-Month-Old Child

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Health 2023年第5期15卷 413-435页

作者： Sachi Chikazawa Ayako Sasaki Akemi Take Tomotaro Dote Masahide Ohmichi Faculty of Nursing Osaka Medical and Pharmaceutical University Osaka Japan Faculty of Medicine Osaka Medical and Pharmaceutical University Osaka Japan

This study examined the situation of raising a four-month-old baby after pregnancy and childbirth during the COVID-19 pandemic. A fact-finding survey was conducted using an anonymous self-administered questionnaire for mothers and their husbands (hereinafter referred to as fathers) who came to A City, Osaka Prefecture, for health checkups of their four-month-old infants. The questionnaire was distributed to 733 mothers (252 responses). Valid responses were received from 247 participants (33.7%). The questionnaire was distributed to 733 fathers (191 responses). Valid responses were received from 184 participants (25.1%). Most participants belonged to nuclear family households. Sixty percent parents were primiparous. More than 90% parents did not participate in online parenting classes or attend childbirth. In addition, more than 80% mothers did not participate in face-to-face or online maternity classes, postpartum face-to-face visits from grandparents in the hospital, online home visits, telephone conversations, or support from non-relatives. Parents could not obtain information about childcare due to COVID-19. There were restrictions on prenatal checkups, visits, and use of facilities. Most of them resolved these problems via social media platforms, cooperating and communicating with their respective partners and relatives, and devising ways to play with their child. Health of nearly 30% mothers was affected by childcare stress and the pandemic, and they were either depressed or despondent. Approximately 70% experienced positive changes in family relationships and mindsets, such as time spent with family and cooperation received in childcare. During the COVID-19 pandemic, parents coped with various changes and problems they experienced during pregnancy, childbirth, and childcare by devising solutions based on their personal perspectives.

关键词： COVID-19 Pregnancy childbirth Childcare

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