The adherence adequacy to antenatal care in alleviating the adverse maternal and neonatal outcomes of Iranian pregnant women: a retrospective-prospective study

Yousefi, Masoumeh; Khedmat, Leila; Akbari, Nahid; Kashanian, Maryam; Moradi‐Lakeh, Maziar

doi:10.36129/jog.32.02.03

Cited by 5 publications

(5 citation statements)

References 22 publications

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“…Zarean et al [39] stressed taking the ratio of middle cerebral artery parameters to the umbilical artery to gain better results. However, Akolekar et al [40] disagree with their result. Additionally, they discussed how maternal factors like ethnicity, parity, BMI, and gestational age affected the values of PI obtained through Doppler studies.…”

Section: F O R P U B L I C a T I O Nmentioning

confidence: 82%

Three-dimensional modeling of the umbilical artery Doppler and its applications in preeclampsia assessment: a case-control study

Akram,

Nori,

Zghair

2024

Ital J Gynaecol Obstet

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Ultrasound and Doppler indices were implemented to screen high-risk pregnancies as preeclampsia, a unique pregnancy syndrome that imposes many challenges on the mother and her unborn child. Since there is currently no conscience of what parameter is best for screening, this study was designed to examine if a 3-dimensional re-modeling of a 2-dimensional Doppler wave will perform better in PE screening and evaluating its severity.A case-control study enrolled 90 eligible primigravida's age and body mass index-matched screened and followed till 34 weeks, where they were re-grouped into controls; and preeclampsia (PE) cases (45/90) each. Demographic, biochemical, and hematological parameters were tested; followed by ultrasonic parameters [amniotic fluid index, estimated fetal weight, resistance, and pulsatility index (RI and PI)].From Doppler strip, 5 heights were taken from a heartbeat for every patient to measure the volume under the surface (VUS) of 3 dimensional modeled Doppler.VUS was significantly low among PE cases, with strong significant associations; (P < 0.001) with biochemical, hematological, and ultrasonic parameters that define PE onset and severity. M a n u s c r i p t a c c e p t e d f o r p u b l i c a t i o nFurthermore, VUS discriminated PE cases at a cut-off value of < 66 unit 3 , associated with 93.3%,92%, and P-value<0.001 sensitivity and specificity, respectively. VUS's strong relations and high discrimination power regarding PE onset and severity make it a recommendable parameter. It is simple and has an easy technique, without extra charge. We recommend incorporating it into anti-natal care services. More studies are warranted to unveil prognostic and other diagnostic applications in practice.

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Section: F O R P U B L I C a T I O Nmentioning

confidence: 82%

Three-dimensional modeling of the umbilical artery Doppler and its applications in preeclampsia assessment: a case-control study

Akram,

Nori,

Zghair

2024

Ital J Gynaecol Obstet

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“…Women who had more than 3 antenatal visits had their odds of taking any calcium supplements during pregnancy significantly increased by 6 folds compared with their counterparts with a lesser number of antenatal visits (p-value = 0.000). A higher number of antenatal visits has been associated with better obstetric outcomes [ 28 , 29 ]. The number of antenatal care visits is likely to have increased the probability of better antenatal health education [ 30 ] and probable prescription of calcium by health personnel.…”

Section: Discussionmentioning

confidence: 99%

Calcium supplementation in pregnancy: An analysis of potential determinants in an under-resourced setting

Ajong,

Kenfack,

Ali

et al. 2023

PLoS ONE

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Introduction Despite the evidence that calcium supplementation in pregnancy improves maternofoetal outcomes, many women still do not take calcium supplements during pregnancy in Cameroon. This study identifies factors that influence calcium supplementation during pregnancy in a low resource setting. Methods We conducted a cross-sectional hospital-based study (from November 2020 to September 2021) targeting 1074 healthy women in late pregnancy at the maternities of four major health facilities in the Nkongsamba Health District, Cameroon. Data were collected using an interview-administered semi-structured questionnaire and analysed using Epi Info version 7.2.4.0, and the statistical threshold for significance set at p-value = 0.05. Results The mean age of the participants was 28.20±6.08 years, with a range of 15–47 years. The proportion of women who reported taking any calcium supplements in pregnancy was 72.62 [69.85–75.22]%. Only 12% of calcium-supplemented women took calcium supplements throughout pregnancy, while a majority (50%) took calcium supplements just for 4–5 months. Women believe that taking calcium supplements is more for foetal growth and development (37.12%) and prevention of cramps (38.86%), than for the prevention of hypertensive diseases in pregnancy (2.84%). About all pregnant women (97.65%) took iron and folic acid supplements during pregnancy, and 99.24% took these supplements at least once every two days. Upon control for multiple confounders, the onset of antenatal care before 4 months of pregnancy (AOR = 2.64 [1.84–3.78], p-value = 0.000), having had more than 3 antenatal care visits (AOR = 6.01 [3.84–9.34], p-value = 0.000) and support/reminder from a partner on the necessity to take supplements in pregnancy (AOR = 2.00 [1.34–2.99], p-value = 0.001) were significantly associated with higher odds of taking any calcium supplements in pregnancy. Conclusion Calcium supplementation practices in pregnancy remain poor in this population and far from WHO recommendations. Early initiation of antenatal care, a high number of antenatal visits and reminders or support from the partner on supplement intake significantly increase the odds of taking any calcium supplements in pregnancy. In line with WHO recommendations, women of childbearing age should be sensitised to initiate antenatal care earlier and attain as many visits as possible. Male involvement in prenatal care might also boost the likelihood of these women taking calcium supplements.

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“…Another systematic review by OuYang H et al, also indicated a significant association between the depression and GDM among pregnant woman [31]. Antenatal and perinatal care is very important and the studies are evident for a better neonatal and maternal outcomes among those who are adhering to the antenatal care interventions [32]. Successful interventions should be planned to control the depression among the pregnant woman.…”

Section: Table 3: Effect Of Depression On Maternal Outcomesmentioning

confidence: 99%

Factors affecting the depression and impact of depression on maternal outcomes: a prospective observational study from a rural tertiary care South Indian hospital

Venkataraman¹,

Yadav²,

Pukale³

2023

It Journ Gyn Obs

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Objective. There is a dearth of evidence from lower income countries on impact of depression and mental health issues on pregnancy outcomes. This study aimed to examine the factors affecting the depression and its effect on maternal outcomes in a rural South Indian tertiary care hospital. Materials and Methods.A 9-month prospective observational study was carried out among the pregnant women in a tertiary care facility in south India. The pregnant woman aged 18 years or above were included in the study. The participants with a history of depressive symptoms and not willing to provide the informed consent were excluded from the study. The depression was measured using The Edinburgh Postnatal Depression Scale and a score of ≤13 and >13 were considered to be no abnormality and possible depression. The effect of various demographics on depression and effect of depression on maternal outcomes is assessed using the chi-square and regression analysis, respectively. A p-value <0.05 considered to be significant. Results.A total of 150 patients were included in the study and 48% (n=72) had the possible depression. The factors such as being obese (p=0.020), and being a housewife (p=0.000) were significantly associated with depression. Depression was significantly associated with the gestational diabetes (p=0.036), but not with gestational hypertension and pre-eclampsia. M a n u s c r i p t a c c e p t e d f o r p u b l i c a t i o nConclusions. Among pregnant women, being obese, and housewife was significantly associated with depression. The depression was significantly associated with gestational diabetes.

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The adherence adequacy to antenatal care in alleviating the adverse maternal and neonatal outcomes of Iranian pregnant women: a retrospective-prospective study

Cited by 5 publications

References 22 publications

Three-dimensional modeling of the umbilical artery Doppler and its applications in preeclampsia assessment: a case-control study

Three-dimensional modeling of the umbilical artery Doppler and its applications in preeclampsia assessment: a case-control study

Calcium supplementation in pregnancy: An analysis of potential determinants in an under-resourced setting

Factors affecting the depression and impact of depression on maternal outcomes: a prospective observational study from a rural tertiary care South Indian hospital

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