5 research outputs found
Resumption of intercourse after childbirth in southwest Nigeria
No full textOBJECTIVE:To determine the history of resumption of intercourse after childbirth and associated contraceptive practices among women in the southwest region of Nigeria.METHODS:A cohort of 181 women with live births was followed up for 6 months after delivery. Enquiry about the time of first intercourse after childbirth, associated dyspareunia, use of contraception, etc was made during the postnatal clinic visits and/or by telephone contact.RESULTS:Fifty (27.6%) had coitus within six weeks of childbirth, it increased to 115 (63.3%) at three months and 127 (70.2%) by six months post-delivery. Prevalence of dyspareunia was 36.2%. Eighty three (65.4%) of sexually active women practiced contraception which was predominantly use of male condom and withdrawal method. Co-habitation with husband (adjusted OR: 6.30; 95% CI: 2.56-17.01; p = 0.001) and mode of delivery (adjusted OR: 2.45; 95% CI: 1.30-4.73; p = 0.006) were strong predictors of commencement of sexual intercourse within six months postpartum. Significantly fewer women who had Caesarean section resumed coitus within six months when compared with those who had vaginal deliveries (59.2% versus 78.4%). Perineal injury did not predict resumption of coitus or experience of dyspareunia.CONCLUSION:In contrast to the norm, more women in southwest Nigeria are resuming coitus soon after childbirth. It is imperative to scale up counselling on postpartum sexuality and contraception within the maternal health services in this region
Role of second‐trimester uterine artery Doppler indices in the prediction of adverse pregnancy outcomes in a low‐risk population
No full textPrevalence of and risk factors for gestational diabetes using 1999, 2013 WHO and IADPSG criteria upon implementation of a universal one-step screening and diagnostic strategy in a sub-Saharan African population
No full textEducational and civic competency strategies for strengthening health skills in users with non-communicable chronic diseases such as hypertension and diabetes mellitus
No full textLas competencias ciudadanas son cruciales en el abordaje de las Enfermedades Crónicas no Transmisibles (ECNT), como la hipertensión arterial y la diabetes mellitus. Estas competencias incluyen la capacidad para comprender la importancia de un estilo de vida saludable, tomar decisiones informadas sobre la propia salud y utilizar adecuadamente los recursos comunitarios para la prevención y el manejo de estas enfermedades. Las estrategias educativas efectivas son fundamentales para empoderar a los pacientes y promover cambios positivos en su estilo de vida, previniendo así las complicaciones asociadas a estas condiciones.
Las ECNT, que abarcan enfermedades cardiovasculares, diabetes y otras, representan un desafío global para la salud pública, siendo las principales causas de mortalidad en muchos países. En Colombia, estas enfermedades son una preocupación particular, siendo las enfermedades cardiovasculares la principal causa de muerte en el país. El aumento de la prevalencia de estas enfermedades conlleva una carga significativa para los sistemas de salud y una necesidad de enfoques integrales para su prevención y manejo.
Dada la importancia de las competencias ciudadanas en el manejo efectivo de las ECNT, se requiere abordar los vacíos identificados en el manejo de enfermedades como la hipertensión arterial y la diabetes mellitus. La investigación se enfoca en identificar y analizar las diferentes estrategias de educación y competencias ciudadanas implementadas para fortalecer las habilidades en salud de los usuarios con estas enfermedades. Se busca comprender estas estrategias y sus efectos en la promoción de estilos de vida saludables y el manejo de las condiciones crónicas, identificando brechas en el conocimiento y acceso a la atención médica.
Este estudio se basa en una revisión de alcance utilizando la guía PRISMA-ScR. Se analizan diversas fuentes de literatura para comprender las estrategias educativas implemeLas competencias ciudadanas son cruciales en el abordaje de las Enfermedades Crónicas no Transmisibles (ECNT), como la hipertensión arterial y la diabetes mellitus. Estas competencias incluyen la capacidad para comprender la importancia de un estilo de vida saludable, tomar decisiones informadas sobre la propia salud y utilizar adecuadamente los recursos comunitarios para la prevención y el manejo de estas enfermedades. Las estrategias educativas efectivas son fundamentales para empoderar a los pacientes y promover cambios positivos en su estilo de vida, previniendo así las complicaciones asociadas a estas condiciones.
Las ECNT, que abarcan enfermedades cardiovasculares, diabetes y otras, representan un desafío global para la salud pública, siendo las principales causas de mortalidad en muchos países. En Colombia, estas enfermedades son una preocupación particular, siendo las enfermedades cardiovasculares la principal causa de muerte en el país. El aumento de la prevalencia de estas enfermedades conlleva una carga significativa para los sistemas de salud y una necesidad de enfoques integrales para su prevención y manejo.
Dada la importancia de las competencias ciudadanas en el manejo efectivo de las ECNT, se requiere abordar los vacíos identificados en el manejo de enfermedades como la hipertensión arterial y la diabetes mellitus. La investigación se enfoca en identificar y analizar las diferentes estrategias de educación y competencias ciudadanas implementadas para fortalecer las habilidades en salud de los usuarios con estas enfermedades. Se busca comprender estas estrategias y sus efectos en la promoción de estilos de vida saludables y el manejo de las condiciones crónicas, identificando brechas en el conocimiento y acceso a la atención médica.
Este estudio se basa en una revisión de alcance utilizando la guía PRISMA-ScR. Se analizan diversas fuentes de literatura para comprender las estrategias educativas implementadas y su impacto en el manejo de la hipertensión arterial y la diabetes mellitus. Se evidencia en las diferentes fuentes consultadas que las estrategias educativas deben centrarse en mejorar la comunicación entre pacientes y proveedores de salud, así como en reducir el estrés. La capacitación de los profesionales de la salud y la ampliación de estrategias de educación en salud pública son esenciales para abordar factores predictores de ECNT tales como la edad, educación y ocupación. La participación de trabajadores de salud comunitarios y la educación grupal en centros de salud son estrategias efectivas para mejorar los resultados clínicos y empoderar a los pacientes. La educación continua a pacientes demuestra mejoras significativas en habilidades y bienestar emocional a largo plazo, destacando la importancia de intervenciones educativas sostenidas para mejorar el autocuidado y la calidad de vida de los pacientes.
ntadas y su impacto en el manejo de la hipertensión arterial y la diabetes mellitus. Se evidencia en las diferentes fuentes consultadas que las estrategias educativas deben centrarse en mejorar la comunicación entre pacientes y proveedores de salud, así como en reducir el estrés. La capacitación de los profesionales de la salud y la ampliación de estrategias de educación en salud pública son esenciales para abordar factores predictores de ECNT tales como la edad, educación y ocupación. La participación de trabajadores de salud comunitarios y la educación grupal en centros de salud son estrategias efectivas para mejorar los resultados clínicos y empoderar a los pacientes. La educación continua a pacientes demuestra mejoras significativas en habilidades y bienestar emocional a largo plazo, destacando la importancia de intervenciones educativas sostenidas para mejorar el autocuidado y la calidad de vida de los pacientes.Especialista en Docencia UniversitariaEspecializaciónCivic competencies are crucial in addressing Non-Communicable Chronic Diseases (NCDs) such as hypertension and diabetes mellitus. These competencies include the ability to understand the importance of a healthy lifestyle, make informed decisions about one's own health, and appropriately use community resources for the prevention and management of these diseases. Effective educational strategies are fundamental to empower patients and promote positive lifestyle changes, thereby preventing complications associated with these conditions.
NCDs, which include cardiovascular diseases, diabetes, and others, represent a global public health challenge, being the leading causes of mortality in many countries. In Colombia, these diseases are a particular concern, with cardiovascular diseases being the leading cause of death in the country. The increasing prevalence of these diseases imposes a significant burden on health systems and necessitates comprehensive approaches for their prevention and management.
Given the importance of civic competencies in the effective management of NCDs, it is necessary to address the identified gaps in the management of diseases such as hypertension and diabetes mellitus. The research focuses on identifying and analyzing the different educational and civic competency strategies implemented to strengthen the health skills of users with these diseases. The aim is to understand these strategies and their effects on promoting healthy lifestyles and managing chronic conditions, identifying gaps in knowledge and access to medical care.
This study is based on a scoping review using the PRISMA-ScR guideline. Various literature sources are analyzed to understand the educational strategies implemented and their impact on managing hypertension and diabetes mellitus. The different sources consulted highlight that educational strategies should focus on improving communication between patients and healthcare providers, as well as reducing stress. Training healthcare professionals and expanding public health education strategies are essential to address predictors of NCDs such as age, education, and occupation. The involvement of community health workers and group education in health centers are effective strategies to improve clinical outcomes and empower patients. Continuous patient education shows significant long-term improvements in skills and emotional well-being, emphasizing the importance of sustained educational interventions to enhance self-care and quality of life for patients
Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial.
No full textBACKGROUND: Post-partum haemorrhage is the leading cause of maternal death worldwide. Early administration of tranexamic acid reduces deaths due to bleeding in trauma patients. We aimed to assess the effects of early administration of tranexamic acid on death, hysterectomy, and other relevant outcomes in women with post-partum haemorrhage. METHODS: In this randomised, double-blind, placebo-controlled trial, we recruited women aged 16 years and older with a clinical diagnosis of post-partum haemorrhage after a vaginal birth or caesarean section from 193 hospitals in 21 countries. We randomly assigned women to receive either 1 g intravenous tranexamic acid or matching placebo in addition to usual care. If bleeding continued after 30 min, or stopped and restarted within 24 h of the first dose, a second dose of 1 g of tranexamic acid or placebo could be given. Patients were assigned by selection of a numbered treatment pack from a box containing eight numbered packs that were identical apart from the pack number. Participants, care givers, and those assessing outcomes were masked to allocation. We originally planned to enrol 15 000 women with a composite primary endpoint of death from all-causes or hysterectomy within 42 days of giving birth. However, during the trial it became apparent that the decision to conduct a hysterectomy was often made at the same time as randomisation. Although tranexamic acid could influence the risk of death in these cases, it could not affect the risk of hysterectomy. We therefore increased the sample size from 15 000 to 20 000 women in order to estimate the effect of tranexamic acid on the risk of death from post-partum haemorrhage. All analyses were done on an intention-to-treat basis. This trial is registered with ISRCTN76912190 (Dec 8, 2008); ClinicalTrials.gov, number NCT00872469; and PACTR201007000192283. FINDINGS: Between March, 2010, and April, 2016, 20 060 women were enrolled and randomly assigned to receive tranexamic acid (n=10 051) or placebo (n=10 009), of whom 10 036 and 9985, respectively, were included in the analysis. Death due to bleeding was significantly reduced in women given tranexamic acid (155 [1·5%] of 10 036 patients vs 191 [1·9%] of 9985 in the placebo group, risk ratio [RR] 0·81, 95% CI 0·65-1·00; p=0·045), especially in women given treatment within 3 h of giving birth (89 [1·2%] in the tranexamic acid group vs 127 [1·7%] in the placebo group, RR 0·69, 95% CI 0·52-0·91; p=0·008). All other causes of death did not differ significantly by group. Hysterectomy was not reduced with tranexamic acid (358 [3·6%] patients in the tranexamic acid group vs 351 [3·5%] in the placebo group, RR 1·02, 95% CI 0·88-1·07; p=0·84). The composite primary endpoint of death from all causes or hysterectomy was not reduced with tranexamic acid (534 [5·3%] deaths or hysterectomies in the tranexamic acid group vs 546 [5·5%] in the placebo group, RR 0·97, 95% CI 0·87-1·09; p=0·65). Adverse events (including thromboembolic events) did not differ significantly in the tranexamic acid versus placebo group. INTERPRETATION: Tranexamic acid reduces death due to bleeding in women with post-partum haemorrhage with no adverse effects. When used as a treatment for postpartum haemorrhage, tranexamic acid should be given as soon as possible after bleeding onset. FUNDING: London School of Hygiene & Tropical Medicine, Pfizer, UK Department of Health, Wellcome Trust, and Bill & Melinda Gates Foundation
