ABSTRACT
Background: Worldwide, approximately 830 women died every single day due to complications during pregnancy or childbirth in 2015. Many researchers revealed that the quality of health care delivery in a system can be identified by studies on maternal deaths. In recent years, women who survived the critical events during pregnancy and childbirth, called as maternal near miss cases, are explored as an adjunct to maternal death inquiries, as these cases occur more frequently than maternal deaths and can identify problems that had to be overcome for the provision of better healthcare services. This study aims at evaluating determinants of such maternal near miss events among postnatal women admitted in KIMS Hospital, Hubli. Methods: A case-control study was done on postnatal women admitted in the KIMS Hospital. A structured pre-tested questionnaire was administered to 82 participants (27 cases and 55 controls). Information about biodata, sociodemographic characteristics, medical illnesses, previous pregnancies and the current pregnancy with its outcomes and complications was collected. Results: Most women were satisfying the criterion for admission to ICU followed by hypertensive complications and severe anemia, to be considered as cases. The study showed height, type of family, religion, presence of danger signs during pregnancy as significant determinants of maternal near miss events. Conclusions: The factors showing significance in our study are non-modifiable risk factors of maternal near miss events. With early identification of such cases and appropriate antenatal care, such events can be prevented and reduced.
ABSTRACT
La autorregulación se refiere a la capacidad del niño/a para modificar su conducta según las demandas del entorno. Esta presenta una gran influencia en el desarrollo infantil, especialmente en el ámbito social. Desde una mirada evolutiva, la autorregulación, como característica temperamental, depende de factores tanto biológicos como contextuales, donde las figuras parentales juegan un rol determinante. En el siguiente estudio se analizó la relación entre la sensibilidad de la madre cuando el niño/a tenía 12 meses y la autorregulación de este tanto a los 12 como a los 30 meses de edad, para examinar si la sensibilidad materna predice la autorregulación infantil a los 30 meses. Además se incluyeron variables del contexto familiar, como tipo de familia, tipo de hijo/a y NSE. La muestra incluyó 72 diadas madre-hijo/a, con un diseño descriptivo, longitudinal, comparativo y correlacional. Se aplicó la Escala de Sensibilidad del Adulto (E.S.A.), un cuestionario sociodemográfico y los cuestionarios de temperamento IBQ-R-VSF y ECBQ-VSF. Los resultados muestran una relación significativa entre la autorregulación de los infantes a los 12 meses, con el tipo de hijo/a que son, y la interacción entre NSE y sensibilidad de las madres. A los 30 meses, en cambio, además de la autorregulación a los 12 meses, solo resulta ser un predictor significativo el tipo de hijo/a. Se discuten las implicancias de los resultados.
Self-regulation refers to the capacity of a child to modify his or her behavior according to environmental demands. It strongly influences child's development, especially in the social sphere. From an evolutionary point of view, self-regulation, viewed as a temperamental characteristic, depends on biological and environmental factors, where the parental figures of the child play a crucial role. In the following study, an analysis of the relationship between mother's sensitivity when her child was 12 months old and the child's self-regulation at 12 months and 30 months of age was made. This was done to analyze if mother's sensitivity predicts child's self-regulation at 30 months of age. Also variables related to the family context were included, considering type of family, type of child and SES. The sample included 72 mother-child dyads, with a descriptive, longitudinal, comparative and correlational design. The Adult Sensitivity Scale, a socio-demographic questionnaire and the temperament questionnaires IBQ-R-VSF and ECBQ-VSF were used to obtain the data. The results show that there is a significant relationship between infants' self-regulation at 12 months, the type of child, and the interaction between SES and maternal sensitivity. At 30 months of age instead, additionally to the self-regulation at 12 months, only the type of child is a significant predictor. Further implications of these results are discussed