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unplanned pregnancy

Andrew Self, Samuel Chipokosa, Amos Misomali, Tricia Aung, Steven A Harvey, Mercy Chimchere, James Chilembwe, Lois Park, Chrissie Chalimba, Edson Monjeza, Fannie Kachale, Jameson Ndawala, Melissa A Marx
BACKGROUND: Malawi has made progress in increasing its overall modern contraceptive prevalence rate since 2000, resulting in a dramatic reduction in its total fertility rate. However, youth, 15-24 years, have not had the same successes. Teenage pregnancies are on the rise and little progress has been made in reducing unmet need for family planning among youth. With two-thirds of the population under the age of 25 and with Malawi's rapid population growth, reducing unmet need for family planning among youth remains a priority for the government's reproductive health agenda...
June 19, 2018: Reproductive Health
Aaron Plant, Jorge A Montoya, Emerald G Snow, Karin Coyle, Cornelis Rietmeijer
Older adolescent African American and Latina females have disproportionately high rates of unintended pregnancies and sexually transmitted infections (STIs). This article describes the development of a new video intervention for this population, modeled on Safe in the City (SITC), an evidence-based STI prevention video. Plan A was created from 2015 to 2016, using a systematic process similar to SITC. This included forming a project team with reproductive health experts, hiring a video production company and screenwriter, conducting a clinic staff survey (n = 8), and soliciting priority population input using three focus groups (n = 41) followed by a review panel (n = 9)...
June 1, 2018: Health Promotion Practice
Priyadarshani Galappatthy, Chiranthi Kongala Liyanage, Marianne Nishani Lucas, Dilini T L M Jayasekara, Sachith Aloka Abhayaratna, Chamari Weeraratne, Kusum De Abrew, Padma Sriyani Gunaratne, Ranjani Gamage, Chandrika N Wijeyaratne
BACKGROUND: Management of epilepsy during pregnancy in a resource-limited setting (RLS) is challenging. This study aimed to assess obstetric outcomes and effects on babies of women with epilepsy (WWE) exposed to Anti-epileptic drugs (AEDs) compared to non-exposed controls in a RLS. METHODS: Pregnant WWE were recruited from antenatal and neurology clinics of a tertiary care hospitals in Sri Lanka. Patients were reviewed in each trimester and post-partum. Medication adherence, adverse effects, seizure control and carbamazepine blood levels were monitored...
June 14, 2018: BMC Pregnancy and Childbirth
Ernesto González-Mesa, Kamile Kabukcuoglu, Oznur Körükcü, Marta Blasco, Nadia Ibrahim, Türker Kavas
BACKGROUND: Depression is the most frequent mental disorder during pregnancy, and its prevalence is at least as high as that of postnatal depression. Differences between Western and Eastern countries may exist according to cultural and educational factors. OBJECTIVE: to determine the influence of social and cultural factors on the mood state of a multicultural sample of 514 Turkish and Spanish pregnant women at the beginning of the pregnancy. METHODS: Between October and December 2017 250 Turkish and 264 Spanish pregnant women attending their first pregnancy medical check-up between 10 and 12 weeks of pregnancy were recruited (264 in Málaga, 102 in Istanbul and 148 in Antalya)...
June 2, 2018: Journal of Affective Disorders
Yunha Noh, Dongwon Yoon, Inmyung Song, Han Eol Jeong, Ji Hwan Bae, Ju-Young Shin
OBJECTIVE: To compare the evidence-of-risk and recommendation levels of new drugs' label information in pregnancy among US, UK, Japan, and Korea. Despite the importance of drug labels in guiding decisions, officially approved prescribing information in drug labels is often inconsistent across countries and contains misleading content. Women are unintentionally exposed to drugs during early stages of unplanned or unrecognized pregnancies when treated for medical conditions. METHODS: We selected 81 drugs approved in all 4 countries mentioned above from 2008 to 2016...
June 7, 2018: Journal of Women's Health
Joanne Simone, Mary Jo Hoyt, Deborah S Storm, Sarah Finocchario-Kessler
Preconception care can improve maternal and infant outcomes by identifying and modifying health risks before pregnancy and reducing unplanned pregnancies. However, information about how preconception care is provided to persons living with HIV (PLWH) is lacking. This study uses qualitative interviews with HIV care providers to describe current models of preconception care and explore factors influencing services. Single, anonymous, telephone interviews were conducted with 92 purposively selected HIV healthcare providers in Atlanta, Baltimore, Houston, Kansas City, Newark, Philadelphia, and San Francisco in 2013-2014...
June 5, 2018: AIDS Patient Care and STDs
Ashley L White, Emily S Mann, Fiona Larkan
BACKGROUND: While the adverse health outcomes and broader economic and social factors associated with adolescent motherhood are well documented globally, limited research on unplanned pregnancy and birth among young women in Pacific Island nations exists. The study addresses this gap in the literature by examining the social and contextual factors that inform contraceptive knowledge, attitudes, and use among young women in the Cook Islands. METHODS: Individual, in-depth interviews were conducted with ten women who became mothers before age twenty...
June 2018: Sexual & Reproductive Healthcare: Official Journal of the Swedish Association of Midwives
Elisabeth Woodhams, Heather Sipsma, Brandon J Hill, Melissa Gilliam
Poor reproductive health outcomes, including unplanned pregnancies and sexually transmitted infections, continue to disproportionately affect African American teenaged populations. Interventions largely focus on young women, yet young men may play an important role in mitigating these reproductive health outcomes. This study aims to understand African American male teenagers' views on pregnancy prevention responsibility by qualitatively exploring their attitudes around contraception and condom responsibility...
June 2018: Sexual & Reproductive Healthcare: Official Journal of the Swedish Association of Midwives
Elvia de la Vara-Salazar, Leticia Suárez-López, Leonor Rivera, Eduardo Lazcano-Ponce
OBJECTIVES: Family planning (FP) counseling is an essential activity to prevent unplanned pregnancies and allow a fulfilling sex life. We defined adequate counseling in FP as the counseling given to women and men of reproductive age that provided complete information about use, application, effectiveness, side effects, and contraindications. Two objectives are proposed in this study. First, we seek to analyze geographic and institutional factors associated with FP counseling in primary and secondary healthcare facilities in Mexico...
June 2018: Sexual & Reproductive Healthcare: Official Journal of the Swedish Association of Midwives
Melinda Morrison, Christel Hendrieckx, Alison Nankervis, Ralph Audehm, Kaye Farrell, Effie Houvardas, Renza Scibilia, Glynis P Ross
AIMS: To describe factors associated with the uptake of diabetes-specific pre-pregnancy care (PPC), determine the perceived helpfulness of attending, reasons for non-attendance and intention to seek PPC in the future. METHODS: A cross-sectional 66-item survey was administered to Australian women with type 1 or type 2 diabetes mellitus (DM) aged 18-50 years. RESULTS: Of 429 eligible women, 54% reported having attended PPC. In multivariable logistic regression analysis, having Type 1 DM [adjusted OR 1...
May 23, 2018: Diabetes Research and Clinical Practice
Damian J Damian, Johnston M George, Erick Martin, Beatrice Temba, Sia E Msuya
Background: Mother-to-Child-Transmission (MTCT) of HIV is still a public health problem in sub-Saharan Africa. The region has a high unmet need for family planning and high unplanned pregnancy rates among HIV-positive women. Most efforts to prevent MTCT of HIV have focused on the third prong, a strategy which offers antiretroviral (ARV) drugs to HIV-infected pregnant women and their exposed infants. However, the effective use of contraceptives to prevent unplanned pregnancies among women living with HIV is more effective in reducing HIV MTCT...
2018: Contraception and Reproductive Medicine
Michele L Okun, Louise M O'Brien
OBJECTIVES: Pregnant women report disturbed sleep, including habitual snoring and insomnia. The co-occurrence among non-pregnant cohorts is 30%-50% with increased risk for adverse health outcomes. To date, no study has examined the comorbid status or impact in pregnant women. METHODS: The prevalence of insomnia (INS) and habitual snoring (HS) were examined in 439 women in the third trimester (34.1 ± 3.7 weeks). Habitual snoring (snoring ≥3 times/week) was self-reported...
June 2018: Sleep Medicine
Madeline Y Sutton, Wen Zhou, Emma L Frazier
Among 230,360 women with diagnosed HIV in the United States (U.S.), ~ 8,500 give birth annually, and unplanned pregnancies (as with HIV-negative women) are prevalent. However, unplanned pregnancies and contraceptive use among HIV-positive women have been understudied. To examine unplanned pregnancies and contraceptive use among HIV-positive women, we used 2013-2014 data from the Medical Monitoring Project (MMP), an HIV surveillance system that produces national estimates for HIV-positive adults in care in the U...
2018: PloS One
Alexa R Yakubovich, Heidi Stöckl, Joseph Murray, G J Melendez-Torres, Janina I Steinert, Calla E Y Glavin, David K Humphreys
BACKGROUND: The estimated lifetime prevalence of physical or sexual intimate partner violence (IPV) is 30% among women worldwide. Understanding risk and protective factors is essential for designing effective prevention strategies. OBJECTIVES: To quantify the associations between prospective-longitudinal risk and protective factors and IPV and identify evidence gaps. SEARCH METHODS: We conducted systematic searches in 16 databases including MEDLINE and PsycINFO from inception to June 2016...
May 17, 2018: American Journal of Public Health
Noor Ani Ahmad, Umi Adzlin Silim, Azriman Rosman, Majdah Mohamed, Ying Ying Chan, Noraida Mohd Kasim, Muslimah Yusof, Mohamad Aznuddin Abd Razak, Maisarah Omar, Fazly Azry Abdul Aziz, Rasidah Jamaluddin, Fatanah Ismail, Nurashikin Ibrahim, Tahir Aris
INTRODUCTION: An estimated 13% of women in the postnatal period suffer from postnatal depression (PND) worldwide. In addition to underprivileged women, women who are exposed to violence are at higher risk of PND. This study aimed to investigate the relationship between intimate partner violence (IPV) and PND in Malaysia. METHODS: This survey was conducted as a nationwide cross-sectional study using a cluster sampling design. Probable PND was assessed using a self-administered Edinburgh Postnatal Depression Scale (EPDS)...
May 14, 2018: BMJ Open
Katherine LeMasters, Anne Baber Wallis, Razvan Chereches, Margaret Gichane, Ciprian Tehei, Andreea Varga, Katherine Tumlinson
Women in rural Romania face significant health disadvantages. This qualitative pilot study describes the structural disadvantage experienced during pregnancy by women in rural Romania, focusing on the lived experiences of Roma women. We explore how women in rural communities experience pregnancy, their interactions with the healthcare system, and the role that ethnic and social factors play in pregnancy and childbearing. We conducted 42 semi-structured interviews with health and other professionals, seven narrative interviews with Roma and non-Roma women and a focus group with Roma women...
May 15, 2018: Culture, Health & Sexuality
Maureen K Baldwin, Kyle D Hart, Maria I Rodriguez
OBJECTIVE: To identify risk factors for failure to attend postpartum follow-up within three months of delivery, including social support, intrinsic motivation, insurance type, and prenatal care attendance. STUDY DESIGN: This planned secondary analysis is derived from a randomized controlled trial of patients intending intrauterine device (IUD) use following their delivery (n=197). Subjects were postpartum from a vaginal or cesarean birth at≥32weeks gestation. We obtained baseline demographics and certainty about their plan to receive a postpartum IUD...
May 8, 2018: Contraception
Alexandrina Maria Ramos Cardoso, Heimar de Fátima Marín
OBJECTIVES: assess mothers' parenting knowledge and skills associated with the parental competence health promotion and monitoring for newborns and infants aged up to six months and determine the key characteristics of mothers who are better prepared for parenting. METHOD: cross-sectional study conducted in three health centers belonging to a Local Health Unit in the Northern Region of Portugal. Data was collected using clinical interviews conducted with pregnant women or mothers with a child aged up to six months...
2018: Revista Latino-americana de Enfermagem
Anthony Idowu Ajayi, Oladele Vincent Adeniyi, Wilson Akpan
BACKGROUND: Contraceptive use has numerous health benefits such as preventing unplanned pregnancies, ensuring optimum spacing between births, reducing maternal and child mortality, and improving the lives of women and children in general. This study examines the level of contraceptive use, its determinants, reasons for non-use of contraception among women in the reproductive age group (18-49 years) in two southwestern Nigerian states. METHODS: The study adopted an interviewer-administered questionnaire to collect data from 809 participants selected using a 3-stage cluster random sampling technique...
May 9, 2018: BMC Public Health
Maritza Maldonado-Cisneros, Oswaldo Sinoe Medina-Gómez
Introducción: La atención prenatal garantiza resultados favorables para la salud materno-fetal, para ello es necesario que se realice de forma precoz, periódica, completa y con alta cobertura. Objetivo: Conocer los determinantes sociales para la atención prenatal en mujeres derechohabientes del Instituto Mexicano del Seguro Social durante 2014. Método: Estudio transversal en el que se analizó la asociación de condiciones sociales, apoyo social y funcionalidad familiar con atención prenatal inadecuada...
2018: Gaceta Médica de México
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