Beliefs and taboos related to the care after delivery: their meaning for a women group

Stefanello, Juliana; Nakano, Ana Márcia Spanó; Gomes, Flávia Azevedo

doi:10.1590/s0103-21002008000200007

Cited by 16 publications

(13 citation statements)

References 3 publications

(6 reference statements)

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“…This study also reinforced the risk factors mentioned in previous studies and antenatal care is one of them. Antenatal Care (ANC) helps women to promote healthy home practices, health seeking behaviors and identifies complications related to pregnancy (15,16). Women are more likely to give birth with a skilled birth attendant if they have had at least one ANC visit (17).…”

Section: Discussionmentioning

confidence: 99%

Risk factors for postpartum sepsis: A nested case control study

Bakhtawar

Sheikh²,

Qureshi

et al. 2020

Preprint

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Background: Majority (99%) of maternal deaths occur in low and middle income countries. The three most important causes of maternal deaths in these regions are postpartum hemorrhage, pre-eclampsia and puerperal sepsis. There are several diagnostic criteria used to identify sepsis and one of the commonly used criterion is systematic inflammatory response syndrome (SIRS). However, these criteria require laboratory investigations which may not be feasible in resource constrained settings. Therefore, this study aimed to develop a model based on risk factors and clinical signs and symptoms that can identify sepsis early among postpartum women.Methods: A case control study was nested in an ongoing cohort of 4000 postpartum women who delivered or were admitted in study hospital. According to standard criteria of SIRS, 100 women with sepsis (cases) and 498 women without sepsis (controls) were recruited from January to July 2017. Information related to socio-demographic status, antenatal care and maternal life styles were obtained via interview while pregnancy and delivery related information, comorbid and clinical sign and symptoms were retrieved from ongoing cohort. Multivariable logistic regression was performed and discriminative performance of the model was assessed using area under the curve (AUC) of the receiver operating characteristic (ROC).Results: Multivariable analysis revealed that 1-4 antenatal visits (95% CI 0.01 - 0.62), 3 or more vaginal examinations (95% CI 1.21 - 3.65), home delivery (95% CI 1.72-50.02), preterm delivery, diabetes in pregnancy (95% CI 1.93-20.23), lower abdominal pain (95% CI 1.15 - 3.42)) vaginal discharge (95% CI 2.97-20.21), SpO2 <93% (95% CI 4.80-37.10) and blood glucose were significantly associated with sepsis. AUC was 0.84 (95% C.I 0.80-0.89) which indicated that risk factors and clinical sign and symptoms based model has adequate ability to discriminate women with and without sepsis.Conclusion: This study developed a non-invasive tool which can identify postpartum women with sepsis as accurately as SIRS criteria with good discriminative ability. Once validated, this tool has a potential to be scaled up for community use by frontline health care workers.

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Section: Discussionmentioning

confidence: 99%

Risk factors for postpartum sepsis: A nested case control study

Bakhtawar

Sheikh²,

Qureshi

et al. 2020

Preprint

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“…The study assessed the diagnostic accuracy of SNAP II tool which includes lowest mean arterial pressure, worst PaO2/FiO2 ratio, lowest temperature, lowest serum, urine output less than 1ml/Kg/hr and presence of seizures. Based on the mentioned indicators severity of illness categorized into mild (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20), moderate (21-40) and severe (>40). SNAP II helps to identify neonates who were at high risk of mortality (12).…”

Section: Discussionmentioning

confidence: 99%

Risk factors for postpartum sepsis: A nested case-control study

Bakhtawar

Sheikh

Qureshi

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: The Majority (99%) of maternal deaths occur in low and middle-income countries. The three most important causes of maternal deaths in these regions are postpartum hemorrhage, pre-eclampsia and puerperal sepsis. There are several diagnostic criteria used to identify sepsis and one of the commonly used criteria is systematic inflammatory response syndrome (SIRS). However, these criteria require laboratory investigations that may not be feasible in resource-constrained settings. Therefore, this study aimed to develop a model based on risk factors and clinical signs and symptoms that can identify sepsis early among postpartum women. Methods: A case-control study was nested in an ongoing cohort of 4000 postpartum women who delivered or were admitted to the study hospital. According to standard criteria of SIRS, 100 women with sepsis (cases) and 498 women without sepsis (controls) were recruited from January to July 2017. Information related to the socio-demographic status, antenatal care and use of tobacco were obtained via interview while pregnancy and delivery related information, comorbid and clinical sign and symptoms were retrieved from the ongoing cohort. Multivariable logistic regression was performed and discriminative performance of the model was assessed using area under the curve (AUC) of the receiver operating characteristic (ROC). Results: Multivariable analysis revealed that 1-4 antenatal visits (95% CI 0.01 - 0.62) , 3 or more vaginal examinations (95% CI 1.21 - 3.65), home delivery (95% CI 1.72-50.02), preterm delivery, diabetes in pregnancy (95% CI 1.93-20.23), lower abdominal pain (95% CI 1.15 - 3.42)) vaginal discharge (95% CI 2.97-20.21), SpO2 <93% (95% CI 4.80-37.10) and blood glucose were significantly associated with sepsis. AUC was 0.84 (95% C.I 0.80-0.89) which indicated that risk factors and clinical sign and symptoms-based model has adequate ability to discriminate women with and without sepsis. Conclusion: This study developed a non-invasive tool that can identify postpartum women with sepsis as accurately as SIRS criteria with good discriminative ability. Once validated, this tool has the potential to be scaled up for community use by frontline health care workers.

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“…While all families value the physical co-presence of grandparents, the mothering the mother childcare arrangements refer to the traditional postpartum beliefs, rituals and practices still prevalent in many contemporary societies. In certain of these, including some in North Africa (Gélard 2003) and Brazil (Stefanello et al 2008), it is common for a female relative to support the mother after childbirth for a period of up to 40 days (Dennis et al 2007;Selin and Stone 2009). EU migrant women, however, prefer to rely on the medical follow-up services and regard childbirth as a crucial moment in the construction of their 'own nuclear family'; they therefore tend to look upon it as a more intimate, personal experience.…”

Section: A Multi-level Analysis Of Transnational Grandparenting and Zmentioning

confidence: 99%

Grandparents on the move: a multilevel framework analysis to understand diversity in zero‐generation care arrangements in Switzerland

Wyss

Nedelcu

2019

Global Networks

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Among the various forms of transnational grandparenting is the engagement of the so‐called zero generation – the transnationally mobile parents of adult migrants – in caring for their grandchildren abroad. It constitutes a distinct kind of intergenerational solidarity within transnational families. By taking migrant families in Switzerland as a case in point, in this article we attempt to broaden the existing research by adopting a comparative, qualitative approach towards understanding the commonalities and differences of childcare organization involving grandparental support in European and non‐European transnational families. By taking into account the main objective and the temporality of grandparents' visits in Switzerland, we identify six different types of childcare arrangements. While these arrangements are shaped by the discriminatory Swiss migration regime, several other institutional, familial, and individual factors help to promote or impede them, or to change their dynamics. Thus, we introduce an innovative, multi‐level, analytical approach towards studying the various ways in which the parents of adult migrants of different nationalities take part in the transnational circulation of care.

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Beliefs and taboos related to the care after delivery: their meaning for a women group

Cited by 16 publications

References 3 publications

Risk factors for postpartum sepsis: A nested case control study

Risk factors for postpartum sepsis: A nested case control study

Risk factors for postpartum sepsis: A nested case-control study

Grandparents on the move: a multilevel framework analysis to understand diversity in zero‐generation care arrangements in Switzerland

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