Pregnant woman awareness of obstetric danger signs in developing country: systematic review.

BACKGROUND: Mother's awareness of obstetric danger signs is the degree of a pregnant woman to fully utilize her knowledge of the signs and symptoms of complications of pregnancy, which helps the mother and family to seek medical help immediately. High maternal and infant mortality rates in developing countries are due to a combination of a lack of quality, resources and access to health services coupled with mother's lack of awareness. The purpose of this study was to collect current empirical studies to describe the pregnant women awareness about the obstetric danger sign in developing country. METHOD: This review employed the Prisma-ScR checklist. The articles searched in four electronic databases (Scopus, CINAHL, Science Direct, Google Scholar). Variables that used to search the articles (pregnant woman, knowledge, awareness, danger signs pregnancy). The Framework used to review is PICOS. RESULT: The results of the article found 20 studies which met inclusion criteria. The determinants were high educational status, more pregnancy experience, more ANC visit, and labour in the health facility. CONCLUSION: The level of awareness is low to medium, only some have fair awareness, in which related to determinant. The recommended effective strategy is to improve the ANC program by assess the risk of obstetric danger sign promptly, assess the barrier of health seeking related to the family support, i.e. the husband and the elderly. Additionally, use MCH handbook or mobile application to record the ANC visit and communicate with the family.

Factors associated with hypertension in women of childbearing age.

Objectives: To investigate factors associated with hypertension in women of childbearing age. Method: The correlational, cross-sectional study was done in Madiun, East Java, Indonesia, in August 2021 after approval from the Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia. The sample comprised women of childbearing age who were married and not pregnant. Data was collected using questionnaires, while blood pressure, height and weight of the subjects were measured and noted. Data were analysed using Spearman Rho test. RESULTS: Of the 311 subjects with mean age 32.06±7.10 years, 184(59.2%) were housewives; 153(49.2%) had studied up to the Senior High School level; 166(53.38%) were overweight; 157(50.48%) had family history of hypertension; 99 (31.83%) were exposed to cigarette 1-2 hours a day; 141(45.34%) were using hormonal contraception for >2 years; 94(30.23%) had low physical activity; 148 (47.59%) had high sodium consumption; and 139(44.69%) consumed coffee 2-3 cup/day. Hypertension prevalence was 123(39.55%). BMI (r=0.750), family history (r=0.763), exposure to cigarette smoke (r=0.755), physical activity level (r=-0.806), and sodium (r=0.505) were significantly associated with hypertension (p<0.05). Hormonal contraception (r=0.271) and coffee consumption (r= 0.127) had a weak association with hypertension incidence (p>0.05). CONCLUSIONS: Risk of hypertension in women increased for those with high body mass index, family history, high exposure to cigarette smoke, and high sodium intake.

Factors associated with complementary feeding practices among children aged 6-23 months in Indonesia.

BACKGROUND: Complementary foods with breastfeeding are foods or drinks given to children aged 6-23 months to meet their nutritional needs. The non-optimal provision of complementary feeding influences malnutrition in children of this age. AIMS: To analyze the factors associated with complementary feeding practices among children aged 6-23 months in Indonesia. METHODS: A cross-sectional design was employed using data from the 2017 Indonesia Demographic and Health Survey. A total of 502,800 mothers with children aged 6-23 months were recruited through multistage cluster sampling. Data were analyzed using a logistic regression test to determine the correlation between predisposing, enabling, and reinforcing factors and complementary feeding practices. RESULTS: A prevalence values of analysis showed that approximately 71.14%, 53.95%, and 28.13% of the children met MMF, MMD, and MAD, respectively. The probability of achieving minimum dietary diversity (MDD) was high in the following: children aged 18-23 months (odds ratio [OR] = 9.58; 95% confidence interval [CI] = 7.29-12.58), children of mothers with higher education (OR = 5.95; 95% CI = 2.17-16.34), children from households with upper wealth index (OR = 2.53; 95% CI = 1.85-3.48), children of mothers who received childbirth assistance by professionals (OR = 1.63; 95% CI = 1.20-2.20), and children of mothers who had access to the Internet (OR = 1.26; 95% CI = 1.06-1.50). Moreover, children from households with the upper wealth index (OR = 1.40; 95% CI = 1.03-1.91), children whose mothers were employed (OR = 1.19; 95% CI = 1.02-1.39) living in urban areas (OR = 1.28; 95% CI = 1.06-1.54) and children of mothers who received childbirth assistance by professionals (OR = 1.33; 95% CI = 0.98-1.82) were more likely to meet Minimum Meal Frequency (MMF). Finally, children aged 18-23 months (OR = 2.40; 95% CI = 1.81-3.17), of mothers with higher education (OR = 3.15; 95% CI = 0.94-10.60), from households with upper wealth index (OR = 1.41; 95% CI = 1.05-2.90) and born with professional childbirth assistance (OR = 1.82; 95% CI = 1.21-2.75) were significantly associated with minimum acceptable diet (MAD). CONCLUSIONS: The findings revealed that the prevalence of MDD and MAD in Indonesia was low. Strategies such as improving health services, economic conditions, and education level of mothers are needed to improve infant and young child feeding in Indonesia.

Socio-Economic and Demographic Factors Associated with Knowledge and Attitude of HIV/AIDS among Women Aged 15-49 Years Old in Indonesia.

Women's susceptibility to HIV/AIDS infection is related to socio-economic and demographic factors. This study sought to analyze socio-economic and demographic factors related to knowledge and attitude of HIV/AIDS among women aged 15-49 years old in Indonesia. We conducted a secondary data analysis using the 2017 Indonesian Demographic and Health Survey (IDHS). Among 49,627 women, our study analyzed 25,895 women aged 15-49 years familiar with HIV terminology. Multiple logistic regression was utilized to analyze associations between socio-economic and demographic factors with knowledge and attitudes toward HIV/AIDS. Women's age, education level, wealth quintile, residential area and region, access to information, owning cell phones and autonomy were significantly associated with positive knowledge and attitudes toward HIV/AIDS. These findings revealed that several demographical and social factors contribute to knowledge and attitudes toward HIV/AIDS among women aged 15-49 years in Indonesia.

Husband's knowledge related to their role in caring wives with preeclampsia risk

OBJECTIVE: Around the world, preeclampsia still become a problem. It is affected nearly eight percent of total pregnancies and resulted in women's morbidity and mortality. Pregnant women who are at risk for preeclampsia certainly need support from the family, especially their husband. Some studies suggest that the expecting fathers was less involved in pregnancy. Other studies also suggested that men have less knowledge about pregnancy complication. The purpose of this study was to analyze the correlation between husband's knowledge and their role in caring wives with preeclampsia risk. METHOD: The design in this study was cross-sectional with purposive sampling. There were 93 husbands involved in the study. Data collection used questionnaires and analyzed by Spearman's rho test (α≤0.01). The independent variable was husband's knowledge and the dependent variable was their role in caring wives with preeclampsia risk. RESULT: More than 60% participant had less knowledge about preeclampsia especially the signs and the risk factors. The majority of husband performed moderate role in caring their wives. Their role included attends antenatal visit, motivates their wives to reduce salt intake and limit tiring activity. Only less than 20% always avoid smoking while at home, helps with house chores, and seeking information related preeclampsia. The results showed that there was a correlation between husband's knowledge and their role in caring wife with preeclampsia risk (p = 0.000; r=0.440). CONCLUSION: Husbands with more knowledge about preeclampsia performed better role in caring wives with preeclampsia risk

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The relationship of parents' communication patterns and peer-group interaction with sexual risk behavior in adolescents.

INTRODUCTION: Sexual risk behavior in adolescents is a serious problem and is increasing in Indonesia. This study aimed to explain the relationship of parents' communication patterns and peer-group interaction with sexual risk behavior in adolescents in Surabaya. METHOD: This study used a cross-sectional design. The sample of 106 adolescents was obtained by cluster random sampling. The inclusion criteria were 15-18 years of age and those living with parents. Data were collected using parents' communication pattern questionnaire, peer-group interaction questionnaire and sexual risk behavior questionnaire, and were then analyzed using Spearman's rho statistical test. RESULTS: There was a relationship between parents' communication patterns (p = 0.000; r = -0.586) and peer-group interaction (p = 0.000; r = -0.565) with sexual risk behavior in adolescents. CONCLUSION: Open and two-way communication between parents and adolescents needs to be developed so that adolescents can develop good behavior. The development of a program to prevent sexual risk behavior needs to be done especially in adolescents' peer groups to prevent the negative impact of peers in the spread of sexual content in adolescents in their groups.