Connaissances et comportements au regard de la santé reproductive: enquête chez les marocains en zone rurale

Sebbani, Majda; Adarmouch, Latifa; Azzahiri, Isam; Quiddi, Wafa; Cherkaoui, Mohamed; Amine, Mohamed

doi:10.11604/pamj.2016.25.186.9940

Cited by 5 publications

(3 citation statements)

References 12 publications

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“…The goal of early detection of preeclampsia is to be able to introduce effective preventative treatment during pregnancy to avoid eclamptic seizures and their subsequent complications. Indeed, prenatal care has been shown to play an important role in the incidence of eclampsia and other complications of pregnancy,and the lack of proper prenatal care for pregnant women is a major public health concern both in Morocco, as well as other developing countries, where management of high-risk patients is limited, making it challenging to detect early warning signs and act on modifiable risk factors (21,22,23,24) . In our work, 89.9% of the patients with eclampsia and 75.7% of the control group were not properly followed prior to admission, conveying a 9 times increased risk of developing eclampsia.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for eclampsia in pregnant women with preeclampsia and positive neurosensory signs

Rebahi

Still

Faouzi

et al. 2018

tjod

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Objective:In Morocco, eclampsia remains the second major cause of maternal mortality. Conventionally, patients with preeclampsia and neurosensory signs (NSS) (e.g., headaches and hyperreflexia) are considered at high risk of worsening and progressing to eclampsia. However, this specific population is heterogeneous in terms of eclampsia occurrence. We aimed to identify the risk factors for the development of eclampsia in women with preeclampsia presenting with NSS at admission.Materials and Methods:We performed a single-center, retrospective case-control study of patients with preeclampsia with positive NSS from January 1st, 2012 through December 31st, 2015, to investigate predictive factors for eclamptic seizures. The case patients were pregnant women with severe preeclampsia who had NSS before developing eclampsia. Control subjects were those with positive NSS without the development of seizures during their hospital stay. One hundred-thirty eight patients with eclampsia and 272 control patients were enrolled.Results:Univariate analysis revealed that eclampsia was more likely to develop in patients with the following risk factors: maternal age ≤25 years (χ2=9.58, p=0.002), primiparity (χ2=6.38, p=0.011), inadequate prenatal care (χ2=11.62, p=0.001), systolic hypertension ≥160 mmHg (χ2=15.31, p<0.001), diastolic hypertension ≥110 mmHg (χ2=5.7, p=0.017), generalized acute edema (χ2=14.66, p<0.001), hematocrit <35% (χ2=11.16, p=0.001), serum creatinine >100 μmol/L (χ2=13.46, p<0.001), asparate aminotransferase (AST) >70 IU/L (χ2=10.15, p=0.001), and thrombocytopenia (χ2=22.73, p<0.001). Additionally, independent predictive factors for eclampsia in multivariate analysis included inadequate prenatal care [odds ratio (OR), 8.96 [95% confidence interval (CI): 3.9-20.5], p<0.001), systolic blood pressure ≥160 mmHg (OR, 3.130 [95% CI: 1.342-7.305], p=0.008), thrombocytopenia with a platelet count <50.000 (OR, 13.106 [95% CI: 1.344-127.823], p=0.027), AST ≥70 IU (OR, 3.575 [95% CI: 1.313-9.736], p=0.007), and elevated liver enzymes level, and low platelet count (ELLP) syndrome, which is an incomplete variant of HELLP syndrome (H for hemolysis) (OR, 5.83 [95% CI: 2.43- 13.9], p<0.001).Conclusion:This work highlights two major risk factors in this patient population, inadequate prenatal care and ELLP syndrome, which can help in the early identification of patients at highest risk of developing eclampsia and guide preventive measures.

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Section: Discussionmentioning

confidence: 99%

Risk factors for eclampsia in pregnant women with preeclampsia and positive neurosensory signs

Rebahi

Still

Faouzi

et al. 2018

tjod

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“…Among women-centered approaches, studies considered women’s mental health, household finances, geography, workload, patient experiences and values, the family context, use of traditional medicine, and complex decision-making as patients and parents. Innovative research designs included a feminist identification of women physician-researchers with patients as breastfeeding mothers [ 70 , 71 ], community-based “action research,” [ 72 ] and “appreciative inquiry” [ 64 ].…”

Section: Discussionmentioning

confidence: 99%

Mapping maternal and infant health in Morocco: A global scoping review of themes, gaps, and the "unseen" in the published health research literature, 2000–2022

Amster,

Jessani,

Gupta

et al. 2024

PLOS Glob Public Health

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Global efforts to reduce Maternal Mortality Rates (MMR) have been significant, but researchers are exploring new approaches to address stalled progress and enduring health inequities. This scoping review offers an analytic synthesis of maternal and infant health (MIH) research in the low-middle income North African Islamic country of Morocco over 22 years, a mapping of the themes, research gaps, geographies, and methodologies, 2000–2022. Morocco is an official MIH success story with excellent health indicators, yet indicators do not address local contexts, gender issues, or health disparities. To understand how medical research has reflected social reality over the past 22 years, we explored not just what is known, but how it is known, where it is known, what remained unseen, and why. Four databases were searched: OVID: MEDLINE, Embase, APA PsycINFO, and EBSCO: CINAHL. 4590 abstracts were identified, 3131 abstracts screened, and 402 full MIH articles and 128 sub-group articles identified and subject to data extraction. The 402 full MIH articles were subject to qualitative thematic analysis, classified by 34 primary research themes and explored especially for gender, health equity, and methodology. Findings included significant geographic research disparities; four regions were the location of 75% of research and many regions remained virtually “unseen” by research. The best-equipped urban public hospitals in higher-income regions produced the most research, creating an urban, hospital-based research perspective. Maternal health articles predominated, often >50% more than articles published about infant health. Infants studied were mostly neonates. Socially marginalized women were often invisible to research, as were private healthcare, NGO care (non-governmental civic organizations), and healthcare in community. In articles, researchers recommended new policies, new laws, health system reform, and government actions to advocate for patients. Three solutions emerged to broaden the research perspective: increase geographic breadth, address missing topics and populations, and embrace interdisciplinary methods.

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“…Similarly, Zaouaq (2017) pointed out that low levels of education among women, their lack of awareness regarding the postpartum period, and the burden of the patriarchal culture and social structure have fundamental implications for the extent to which they seek out reproductive health services. Sebbani et al (2016), in turn, highlight ignorance of possible complications as a key factor in mothers' avoidance of postpartum consultations. The precarious social and community support offered to postpartum women in Sokoura is an additional obstacle preventing them from receiving postpartum consultations.…”

Section: Sociological Context Of the Factors Affecting Postpartum Consultation Attendance At The Sokoura Maternitymentioning

confidence: 98%

Postpartum consultation attendance at the maternity ward in Sokoura, Cte dIvoire

Anoua¹,

Kouadio²,

Signo³

et al. 2021

Int. J. Sociol. Anthropol.

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This study investigates why postpartum women cannot or will not receive postpartum consultations at the maternity ward in Sokoura, Côte d'Ivoire. It aims to present the sociocultural, economic, infrastructural and organisational factors limiting new mothers' access to postpartum care and to suggest ways to encourage them to seek out such care. A qualitative approach was adopted and data was collected from individual interviews with new mothers and midwives. The results have elucidated the factors hindering postpartum consultations at the maternity ward in Sokoura and the broader sociological context in which they need to be assessed. The relevant factors are deficient knowledge about the post-partum period, new mothers' professional obligations, their spouses' limited financial means, the distance of the maternity ward, unfavourable transport conditions, tensions between new mothers and midwives, and inadequate organisation and management of the postpartum consultation services at the maternity ward. These obstacles to postpartum care can be broadly categorised as insufficient education, scarce social support and unfavourable environmental and medical conditions. To remedy these issues, it is necessary to foster community action targeting new mothers and their spouses, to develop midwives' cross-cultural skills, notably their capacity for anthropological observation, and to involve public authorities in the changes.

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Connaissances et comportements au regard de la santé reproductive: enquête chez les marocains en zone rurale

Cited by 5 publications

References 12 publications

Risk factors for eclampsia in pregnant women with preeclampsia and positive neurosensory signs

Risk factors for eclampsia in pregnant women with preeclampsia and positive neurosensory signs

Mapping maternal and infant health in Morocco: A global scoping review of themes, gaps, and the "unseen" in the published health research literature, 2000–2022

Postpartum consultation attendance at the maternity ward in Sokoura, Cte dIvoire

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