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- Abdel Ghani, Rania Mahmoud, et al.
(författare)
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A structured evidence-based approach to decrease cardiovascular complications among pregnant women with reumatic disease : a pilot randomized controlled trial
- 2010
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Ingår i: Journal of Medicine and Biomedical Science. - 2078-0273. ; :1, s. 8-15
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Tidskriftsartikel (refereegranskat)abstract
- Background: Recent reports from the developing world have documented rheumatic fever (RE) incidence rates as high as 206/100 000 and Rheumatic Heart Disease (RHD) prevalence rates as high as 18.6/1000. The high frequency of RHD in the developing world necessitates aggressive prevention and control measures. Aim: The aim of the study was to examine the effect of intensive antenatal follow up program on decreasing cardiovascular complications among rheumatic pregnant woman. Design: Randomized controlled trial. Setting: This study was conducted at El Kasr-EL Aini, maternity hospital- Cairo- University Hospitals. Sample: A total of 100 rheumatic pregnant women that attended the antenatal clinic at El Kasr-EL Aini, maternity hospital who could read and write, had functional class I and II cardiac disease, primigravida, nullipara with single fetus were recruited to this study and assigned randomly into two groups. Procedure: Women who met the inclusion criteria were interviewed and baseline assessment was done. Theintervention was an intensive antenatal follow up program for decreasing cardiovascular complications among rheumatic pregnant woman. Patients in the study group (SG) were offered an intervention at three levels, basic, intermediate and comprehensive. Evaluation of the program was carried out in term of assessment of maternal and neonatal outcome. Results: There were several significant differences between the study group (SG) and control group (CG). In the SG, antepartum complications was less common, gestational age at birth was higher, postnatal hospital stay shorter, birth weight higher, more had vaginal deliveries with episiotomy, fewer had caesarean section, forceps deliveries and termination of pregnancy, and cardiac class was better at follow up as compared to the CG. Conclusion: The difficult issues in pregnancy complications by cardiac disease are best managed through a team approach. Establishing a pre-pregnancy plan will foster a better therapeutic relationship between all parties and allow for better understanding of the patient’s beliefs regarding pregnancy, her disease and attitude towards medications.
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| 3. |
- Abdel Ghani, Rania Mahmoud, et al.
(författare)
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Parturient needs during labor : Egyptian women’s perspective toward childbirth experience, a step toward an excellence in clinical practice
- 2011
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Ingår i: Journal of Basic and Applied Scientific Research. - 2090-4304. ; 1:12, s. 2935-2943
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Tidskriftsartikel (refereegranskat)abstract
- Background: Every woman giving birth has expectations. Identifying women’s expectations, wishes, needs and fears enable the health care provider(s) to work toward a common goal of safe and positive childbirth experience. Aim: The aim was to determine women’s preferences and needs during labor. Design: Analytic- cross sectional study. Setting: El Kasr- Aini, - Cairo- University Maternity Hospitals. Sample: A random sample of 400 women were recruited in the present study with the following criteria; age ranged between 20-30 years old, can read and write, primigravida, nulliparous woman with singleton low risk pregnancies, in the third trimester, up to 37 weeks of gestational age, no previous abortion and free from any medical complains. Procedure: Data collection took place in the antenatal clinic, each interview administrated questionnaire took a time between 10-15 minutes. Mothers completed the questionnaire in the antenatal clinics during their waiting for medical examination. Results: Twenty two need requirements emerged from the women's perspective. The highest ranked needs for parturient women during labor are; maintaining privacy through all procedures of 86.5%, accessibility of nurses demonstrate empathy of 67.5%, availability to ventilate and expressing fear and anxiety of 57.5%, quick response to request of 67.5%, frequent monitoring of 52.8%, accessibility of caring medical staff of 47.2% and short delivery of 52.8%. Conclusion: Despite good general coverage of labor care among women, there were clear variations in the type of management given to them or needed by them. This study confirms that different factors predict the multidimensionality of childbirth satisfaction.
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| 4. |
- Alkhaldi, Sireen M, et al.
(författare)
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Knowledge and Attitudes Toward Mandatory Premarital Screening Among University Students in North Jordan.
- 2016
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Ingår i: Hemoglobin. - : Informa UK Limited. - 1532-432X .- 0363-0269. ; 40:2, s. 118-124
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Tidskriftsartikel (refereegranskat)abstract
- A mandatory National Premarital Thalassemia Screening Program was implemented in Jordan in 2004. This cross-sectional study aimed to assess the knowledge and attitudes of university students in North Jordan toward this program. Data was collected from 542 students from four universities (two public and two private universities) located in North Jordan, using a structured questionnaire. Results of t-test and analysis of variance (ANOVA) showed that while respondents had adequate knowledge of and positive attitudes toward the premarital screening program, there was still a lack of knowledge about the disease itself. Nearly half the respondents were under the impression that β-thalassemia (β-thal) is a disease that can be treated simply. One-third of the respondents believed that if both partners were carriers of β-thal they should proceed with marriage. Negative attitude was revealed when many respondents believed that diagnosing a family member as a carrier affects other family members' future marriage opportunities. Significant associations were detected between the knowledge scores and gender, urban/rural residence, and the university where the students were enrolled. Students in private universities showed significantly lower attitude scores. Consideration of prenatal diagnostic services as part of a β-thal prevention program is necessary. It would also be helpful to include information about β-thal as a preventable inherited illness with a severe debilitating impact on the family in the high school curriculum. There is also a need for social marketing of the program.
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| 5. |
- Aronsen-Torp, Jenny, et al.
(författare)
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Somali Women's Experiences of Cooking and Meals after Immigration to Sweden
- 2013
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Ingår i: Journal of Occupational Science. - Melbourne : Taylor & Francis. - 1442-7591 .- 2158-1576. ; 20:2, s. 146-159
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Tidskriftsartikel (refereegranskat)abstract
- This article elucidates Somali women's experiences of cooking and meals after immigration to Sweden. Six Somali women participated in repeated focus group interviews. Content analysis of the interviews resulted in four themes: change in routines and content of the daily meals, changed experiences related to cooking and shopping for groceries, the social dimensions in food-related occupations, and change of identity and roles. According to the women, variety of factors related to their life in Sweden had led to changes in their food occupations and meals: environmental changes, societal factors and the fact that the women secured employment. Although their new focus on employment led to altered responsibility and time for the cooking, foodrelated occupations remained important for the creation of identity and the maintenance of the family. This study may inform the development of strategies to restrict the negative impacts of immigration on Somali women's health. Future research will increase understandings of the relationships between food-related occupations and women's roles, identity and health. © 2013 The Journal of Occupational Science Incorporated.
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| 6. |
- Aronsen Torp, Jenny, et al.
(författare)
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Weight status among Somali immigrants in Sweden in relation to socio-demographic characteristics, dietary habits and physical activity
- 2015
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Ingår i: Open Public Health Journal. - : Bentham Science Publishers B.V.. - 1874-9445. ; 8, s. 10-16
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Background: Immigrants are considered globally to be a vulnerable subpopulation. Vulnerable population groups have a higher prevalence of obesity than the general population. Despite increased immigration of people from Somalia to Sweden in recent years, little research has been undertaken about obesity and obesity-related health risks among Somali immigrants. The present study aimed to investigate the prevalence of overweight and obesity, as well as possible relationships between weight status and socio-demographic characteristics, dietary habits and physical activity (PA) among Somali immigrants in Sweden. Methods:This quantitative cross-sectional study included 114 respondents. Data were collected by means of a questionnaire covering socio-demographic factors, PA and dietary habits. Weight and height were also measured. Results:Of the 114 respondents, 50.9% had a body mass index (BMI) of 25 or above.In bi-variate analysis, there were no statistically significant differences between those with a BMI below25 and those with a BMI of 25 or more regarding PA or dietary habits. Multiple logistic regression analysis showed that female gender and being married were associated with having a BMI of 25 or above. Conclusion: Socio-demographic factors may be more strongly associated with high BMI than PA or dietary habits among the targeted group and should be taken into account as an issue affecting Somali immigrants in Sweden that warrants further research.
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| 8. |
- Berggren, Vanja, et al.
(författare)
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An explorative study of Sudanese midwives' motives, perceptions and experiences of re-infibulation after birth
- 2004
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Ingår i: Midwifery. - : Churchill Livingstone. - 0266-6138 .- 1532-3099. ; 20:4, s. 299-311
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: to explore Sudanese midwives' motives for and perceptions and experiences of re-infibulation after birth and to elucidate its context and determinants. DESIGN: triangulation of methods, using observational techniques and open-ended interviews. SETTING AND PARTICIPANTS: two government hospitals in Khartoum/Omdurman, Sudan, for the observations and in-depth interviews with 17 midwives. FINDINGS: midwives are among the major stakeholders in the performance of primary female genital cutting (FGC) as well as re-infibulation. Focusing on re-infibulation after birth, midwives were trying to satisfy differing, and sometimes contradictory, perspectives. The practice of re-infibulation (El Adel) represented a considerable source of income for the midwives. The midwives integrated the practice of re-infibulation into a greater whole of doing well for the woman, through an endeavour to increase her value by helping her to maintain her marriage as well as striving for beautification and completion. They were also trying to meet socio-cultural requests, dealing with pressure from the family while balancing on the edge of the law. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: the findings confirm that midwives are important stakeholders in perpetuating re-infibulation, and indicate that the motives are more complex than being only economic. The constant balancing between demands from others puts the midwives in a difficult position. Midwives' potential role to influence views in the preventative work against FGC and re-infibulation should be acknowledged in further abolition efforts.
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| 9. |
- Berggren, Vanja, et al.
(författare)
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Being different and vulnerable: experiences of immigrant African women who have been circumcised and sought maternity care in Sweden
- 2006
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Ingår i: Journal of Transcultural Nursing. - : SAGE Publications. - 1552-7832 .- 1043-6596. ; 17:1, s. 50-57
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of the study was to explore the encounters with the health care system in Sweden of women from Somalia, Eritrea, and Sudan who have been genitally cut. A qualitative study was performed through interviews with 22 women originally from Somalia, Sudan, and Eritrea who were living in Sweden. The women experienced being different and vulnerable, suffering from being abandoned and mutilated, and they felt exposed in the encounter with the Swedish health care personnel and tried to adapt to a new cultural context. The results of this study indicate a need for more individualized, culturally adjusted care and support and a need for systematic education about female genital cutting for Swedish health care workers.
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| 10. |
- Berggren, Vanja
(författare)
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Female genital mutilation : studies on primary and repeat female genital cutting
- 2005
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background: Worldwide at least 130 million now living women and girls have undergone female genital mutilation (FGM), also called female genital cutting (FGC). Reinfibulation (RI) is a secondary form, mainly performed after delivery. In spite of documented complications, the procedures continue, and it seems essential to further reveal the underlying motives in order to increase the understanding of its persistency and to elucidate the encounter in maternity care after migration. Objectives: To explore FGC and RI in a country of origin, Sudan, and after immigration to Sweden. More specifically the objectives were: (I) to describe the perceptions and practice of FGC among rural Sudanese women and men's views; (II) to describe the prevalence of RI in hospital settings; (III) to elucidate knowledge, attitude and practice of FGC and RI in a rural setting in Sudan; (IV) to explore the experiences and perceptions of RI after delivery among Sudanese midwives; (V) to investigate the experiences of FGC and RI among Sudanese women and men; and (VI) to explore the experiences of FGC and the encounter with Swedish maternity care among women immigrants from Sudan, Somalia and Eritrea. Methods: These studies were conducted in El Gezira and in Khartoum State, Sudan, and in Sweden after immigration. The studies employed both qualitative and quantitative methods: (I) interview-administered questionnaires to 120 villagers; (II) participant observations and digital examination at 100 deliveries; (III) interview-administered questionnaires; (IV) nonparticipant observations and open-ended interviews; (V) focus groups and open-ended interviews; (VI) openended interviews. Results: (I) A high prevalence of FGC (100%) was stated among the respondents. Tradition and social importance were the main motives. The younger generation stated a change in practice, preferring the least severe form of FGC for their daughters. (II) 61% of the women included had undergone tightening vulvar operations after delivery, at the delivery wards, including women who had not been subjected to primary FGC. (III) Reinfibulation after delivery was widely practised and the main motives were social reason/tradition and alleged male sexual satisfaction. The younger generation of women described the midwife and older female relatives as being behind the decision. (IV) The midwives' motives for RI were to respond to the social requests and to benefit the women by increasing their beauty and value. (V) Women and men explained both negative health implications and perceived benefits of the practices. Both men and women were seen as victims of the consequences of the practices and blamed each other and the midwives for its persistence. (VI) The immigrant women's experienced suffering from being abandoned and mutilated, feeling vulnerable in the encounter with Swedish healthcare personnel, which led them to avoid seeking maternity care. Conclusion: This thesis indicates high prevalence of FGC and RI in settings in Sudan and health complications associated with the practices. The motives are not only social, sexual, traditional and economic, but also embrace normality, identity and power relations related to paternalism, maternalism and patriarchy. Deficient communication was demonstrated between women and men in Sudan and between women and midwives, both in Sudan and in Sweden. This thesis also shows that there is still a need of increased practical skills related to FGC among Swedish healthcare personnel and continuous training to meet culturally specific health needs.
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