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1.
Article | IMSEAR | ID: sea-220841

ABSTRACT

Introduction :Birth weight is one of the most important criteria for determining neonatal and infant survival and is considered a sensitive index of the nation's health and development. The World Health Organization (WHO) defines low birth weight (LBW) as “Birth weight less than 2500 grams” regardless of gestational age, the measurement being taken preferably within the first hour of life. 1)ToObjectives : estimate the prevalence of LBW among sample population at tertiary care hospital. 2)To study the distribution of newborns, according to socio-demographic characteristics of the mother and its association with LBW. A hospital based cross-sectional study was carried out among 500 newborns betweenMethod: December 2020 and November 2021. Participants were selected by systematic random sampling technique. The data were collected from the case file and face-to-face interview. Both descriptive and inferential statistics were used in the analysis. Prevalence of low birth weight was 29.2%. Majority 271Results: (54.2%) of newborn mothers' age group was between 21 to 25 years. More than half 272 (54.4%) newborns were from mothers who studied up to primary level education and more than three forth 389 (77.8%) were from mothers who were housewives. Majority 293 (58.6%) of newborns were from the urban area, around three forth 382 (76.4%) newborns were Hindu and nearly two fifth 194 (38.8%) newborns belonged to lower middle class. Prevalence of low birth weight was significantly higher in mothers aged >35 andyears ?20 , who were illiterate, doing labour work and belonging to lower socio-economic class.years Conclusion: The prevalence of Low Birth Weight was 29.2% among sample population. Socio-demographic variables like maternal age >35 years 20 years, illiteracy, labour work and lower socio-economic class, ? had shown significant risk for delivering Low Birth Weight babies.

2.
Article | IMSEAR | ID: sea-220830

ABSTRACT

Introduction: increased during recent decades. Medical students are more prone for obesity, due to, their sedentary lifestyle, lack of exercise, disordered eating habits, increased stress. To find the proportion ofObjective: overweight/obesity among medical students and identify the contributing/associated factors. AMethod: cross-sectional study was done among 435 medical students aged 18-23 years. Height and weight were measured. Body Mass Index (BMI) cut off was taken as Asian cut-off. Dietary habits like vegetarian/mix vegetarian, frequency of consumption of fast foods were assessed. Along with-it Physical activity and positive family history of obesity and overweight were also assessed. Approval was taken from the Institutional Ethics Committee. Data was analysed using Microsoft Excel and SPSS. Proportion of overweight 14.25%Results: and obesity 8.73% was obtained among medical students. There was statistically not significant association between proportion of generalized obesity noted in males compared to females. There is statistically significant higher chance of being overweight/obese when sedentary time is >2 hours and with increasing junk food frequency. Medical students have a high proportion of obesity and are thus more proneConclusion: for obesity-related risks. The present study will help in enhancing self-awareness among the medical students for practising healthy life style.

3.
Article | IMSEAR | ID: sea-201239

ABSTRACT

Background: Yoga and meditation hold promise as a non-pharmacological management of hypertension as they have shown to lower blood pressure. This study aimed at (1) assessing the awareness about benefits of yoga and meditation in hypertension among patients and finding its socio-demographic correlates, (2) estimating the practice of yoga and meditation in hypertensives, its pattern and impact on blood pressure control.Methods: This cross-sectional study was conducted on 400 hypertensive patients. Statistical association was tested with chi square and independent t tests.Results: It was observed that only 9% respondents were aware of the benefits of yoga and meditation in hypertension while 12.8% practised the same. On probing it was found that these 3.8% practised yoga and meditation only because their physician had advised them to do so without even knowing their benefits. This points out the importance of physician advice which can be even more effective if pros and cons are properly explained. People who were aware of the benefits were 51.9 times more likely to practise them (p<0.001). Highly significant association was observed between awareness regarding lifestyle modifications like yoga and meditation and gender, socioeconomic status, education and locality (urban non-slum/urban slum/rural).Conclusions: The complementary use of non-pharmacological treatment or lifestyle modifications like yoga and meditation can go a long way to lower blood pressure and such options need to be provided by the health care providers and the gap in awareness elicited in our study needs to be addressed.

4.
Article | IMSEAR | ID: sea-191814

ABSTRACT

For each maternal mortality, there are number of various morbidities, which directly or indirectly affects health of women. For every woman who dies of pregnancy-related causes, an estimated 20 women experience acute or chronic morbidity, often with tragic consequences. Objectives: To assess maternal morbidity pattern, prevalence of maternal morbidity & its associated factors. Material and Methods: A community based cross- sectional study was conducted among 450 women of reproductive age group women of Jamnagar district. Study subjects were selected by multistage sampling. Data collected in proforma consist of sociodemographic profile, past obstetric profile & any antenatal, Intranatal, & postnatal morbidities. Results: Prevalence of maternal morbidity was about 80% with, highest morbidity found during antenatal period in 36% subjects, followed by 26% in postnatal period. There were also associated medical problems during pregnancy. Conclusion: There is 80% prevalence of morbidity related to pregnancy which adds on to ill health of women. It was also observed that statistical significance between few of the important variables like educational status, parity & place of delivery, which could be independent risk factors & occurrence of maternal morbidity.

5.
Article | IMSEAR | ID: sea-189812

ABSTRACT

Introduction :Non-communicable Disease, are on rise in our country and mean age of incidence is comparative-10 to 20 years lower in India as against western countries. Same holds true for Hypertension. Despite decades of public health education, hypertension awareness remains problematic, with only about two-thirds of adults and the elderly aware of their hypertension status and known differences between men and women. Aims & objectives :To assess prevalence of Hypertension and associated factors. Method :A community based cross-sectional study was conducted among 450 women of reproductive age group women of Jamnagar district. Results :There was even distribution in almost all Age groups of reproductive age group women except for 15-19 years and 40-44 years. Mean systolic Blood pressure was 124.84±13.616 mm of Hg with range of 98- 162 mm of Hg. On diastolic blood pressure measurements, mean value was 77.14±9.574 mm of hg with range of 52- 98 mm of Hg. Conclusion : The prevalence of HT in present study was 20.44%. 55.33% fallen on in pre hypertensive stage. There was significant association between various risk factors & occurrence of HT

6.
Article in English | IMSEAR | ID: sea-166797

ABSTRACT

Background: India contributes to 25% of the over 6.9 million under-five deaths occurring worldwide every year with nearly half of them in neonatal period .This study is related indirectly with the causes of U5MR (e.g. Neonatal sepsis, prematurity-LBW) through focusing on service utilization related to perinatal events & incorrect practices of essential Newborn care (e.g. initiation of breast feeding and exclusive breastfeeding). Objectives: (1) Assess utilization of child health services related to perinatal events (2) Assess incorrect practices related to perinatal events (3) Assess effect of demographic variables on service utilization and association of these variables with practices. Methods: A cross-sectional study of 400 children (12 to 59 months) was done using multistage sampling technique in Jamnagar district. 120 children were selected from urban and 280 from rural areas as urban: rural ratio is 3:7 in India. Results: 93.55% children having umbilical infection. Birth weights were taken in majority of children (95.75%), 15.83% of those weighed were having low birth weight (LBW). Application on umbilical cord after birth was seen in 10.25% & prelacteal feed in about 1/3rd children. Breastfeeding immediately or within 4 hours after birth was seen in 3/4th, exclusive breastfeeding in 2/3rd children. Conclusions: Children having umbilical infection were treated indicating better utilization of curative services. Taking of birth weights in majority of children indicating good functioning of healthcare professionals but some of those weighed were having low birth weight (LBW) indicating underutilization of preventive-antenatal services indirectly affecting child health. Incorrect practices like application on umbilical cord after birth and prelacteal feed were seen in children. Recommended practices like breastfeeding immediately or within 4 hours after birth, exclusive breastfeeding were seen in children. Colostrum giving was more prevalent and low birth weight was less prevalent in rural areas compared to urban areas which indicated better health care utilization in rural areas.

7.
Article in English | IMSEAR | ID: sea-152945

ABSTRACT

Background: Provision of good quality care is the crux of the RCH Programme. Good quality of care ensures satisfied clients, who in turn come back for services and become advocates for others. Quality has not been given adequate attention in Government Health Care facilities, because of which there is underutilization of RCH services. Aims & Objective: The present study is an attempt to assess the perception of clients (women who delivered in last one year) regarding various aspects of maternal and child health care delivery components. Material and Methods: It was a community based cross sectional study carried out in ten primary health centre areas. Study subjects were the women delivered in last one year. Sample size was calculated considering the proportion of pregnant women who received at least three antenatal check-ups in district level household survey – 3. One hundred fifty such women were interviewed using pretested proforma from subcenter of each randomly selected PHC area. Data were entered and analyzed in epi info software version 3.3.2. Results: Majority of the women (80%) opined that the behaviour of health care providers was good while 21% of women felt that the communication skills of attending doctor / FHW were not good. Only two third of the women were satisfied with the quality of services provided to them at health facility. RCH indicators were better among the women who were satisfied with the behaviour and communication skills of the health care providers. Conclusion: Present study revealed that women’s perception about various indicators of quality of care, behaviour and communication skills of the health care providers affect the overall satisfaction of the women and in turn it significantly affects utilization of RCH services.

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