Day 1 :
Keynote Forum
Duangkamol Viroonudomphol
Siam University, Thailand
Keynote: Self-care behaviors among adolescent pregnancy in Samut Sakhon province, Thailand
Time : 11:00-11:45
Biography:
Abstract:
Pregnant women’ health during pregnancy can be maintained by self-care practices. Self-care behavior can prevent health
problems during pregnancy and childbirth. Adolescent pregnancy had higher risk complications during pregnancy than
pregnant adults. Th e self-care behaviors are important and necessary for pregnancy among teenagers. Th is study aimed to study
the level of self-care behavior, knowledge of self-care, belief in self-effi cacy, maternal role acceptance, social support from close
relatives and social support from medical personnel among the adolescent pregnancy, to compare the pregnant teenagers’ selfcare
behaviors and to determine predictors of pregnant teenagers’ self-care behaviors. Th e samples of 231 pregnant teenagers
attending ANC clinics of two government hospitals in Samut Sakhon Province of Th ailand and were derived by Stratifi ed
Random Sampling Technique. Data collection was questionnaires constructed by the researcher. Th e data were analyzed by
using descriptive and inferential statistics. Th e results revealed that the teenagers’ knowledge of self-care, belief in self-effi cacy,
maternal role acceptance and social support from close relatives were found at the moderate level, the social support from
medical personnel and self-care behavior were found at the high level. Th e pregnant teenagers’ self-care behaviors was classifi ed
by age, marital status, educational level, occupation, family’s monthly income, and order of off spring were diff erent statistic
signifi cant at p<0.05. Th e pregnant teenagers’ knowledge of self-care, maternal role acceptance, social support from close
relatives and social support from medical personal predicted the pregnant teenagers’ self-care behavior at the percentage of 63.8
with statistic signifi cant at p=0.001.
- Biology of Breast Cancer | Screening, Detecting and Diagnosing Breast Cancer | Breast Cancer on Pregnancy | Gynecology and Obstetrics | Women’s Pregnancy | Menstrual Cycle | Effects of Drugs on Pregnancy | Adolescent Pregnancy | Contraceptive Adherence | Reproductive Health | Pharmaceutical sciences
Location: Holiday Inn Warwick Farm
Session Introduction
John Palacio-Cardona
Universidad Santiago De Cali, Colombia
Title: The treatment of acne as a strategy to improve contraceptive adherence in Colombian young women
Biography:
John Palacio-Cardona is working as a Professor at the Santiago de Cali University. He currently coordinates the University Health Service from where he designs and implements health promotion strategies focused on young people. He is a Member of the research group Health Care, in the same institution.
Abstract:
Colombia is a country with great natural resources. In recent years, great economic and political eff orts have been made to achieve change and emerge from underdevelopment. In public health, strategies have been designed to reduce teenage pregnancies, given that this phenomenon generates low schooling and an uncertain future. Despite the achievement of results, there is still a long way to go. One of the problems detected in teenage pregnancies is the low adherence to modern contraceptive therapies. As a way to encourage greater adherence to contraception, one of the initiatives of the Program of Health Promotion in Santiago de Cali University, was to highlight the benefi cial eff ect of some hormonal contraceptive therapies on acne. Th e aim of this study was to determine the clinical eff ect of facial acne management with ethinylestradiol 20 μg/dienogest 2 mg in a cohort of Colombian adult women. A cohort of 120 female university students was followed during 12 months. Th ese participants were enrolled in the sexual and reproductive health program of the Santiago de Cali University. Monthly monitoring of facial acne lesion count was performed. Relative changes in facial lesion count were identified. At the end of follow-up, the percentage of reduction of lesions was 94% and 23% of women had a 100% reduction in acne lesions. In conclusion, the continued use of the ethinylestradiol 20 μg/dienogest 2 mg COCPs reduced infl ammatory and non-infl ammatory acne lesions in reproductiveage women between 18 and 30 years of age with no severe acne.
Shaohua Yin
Peking University Health Science Center, China
Title: Associations of gestational weight gain with maternal anemia during pregnancy and postpartum in Chinese nulliparous women: A prospective cohort analysis
Biography:
Shaohua Yin completed his master degree in 2017 and is currently pursuing his PhD in Peking University. He has received a postgraduate national scholarship and several academic scholarships. He currently focuses on maternal and child health, and participates in several large-scale projects related to perinatal epidemiology. He has published 2 papers in international journals.
Abstract:
Background & Aim: Inappropriate Gestational Weight Gain (GWG) may reduce the iron content and increase the risk of maternal anemia during pregnancy or postpartum. However, this notion has not been comprehensively studied. Th e study aims to prospectively examine the associations of GWG with maternal anemia during pregnancy and postpartum.
Method: A prospective cohort analysis was performed using data from a trial of prenatal supplementation in China during 2006-2009. GWG was maternal weight right before delivery minus that at enrollment and GWG rate is then calculated as GWG divided by gestational weeks between the two measurements. GWG rate was categorized into quintiles (highest, higher, middle (reference), lower and lowest) according to stratifi ed maternal BMI group. Maternal anemia during early (<20 gestational weeks)
or mid-pregnancy (24-28 gestational weeks) were defi ned as Hb <110 g/L and postpartum anemia (4-8 weeks aft er delivery) as Hb <120 g/L.
Result: Among the 14110 included women, 750 (5.2%) were anemic during early pregnancy, 842 (6.0%) during mid-pregnancy and 3760 (26.7%) postpartum. Adjusted ORs (95% CI) for anemia during early pregnancy in the fi ve ascending GWG rate categories were 1.02, 0.92, 1.00, 0.96 and 1.31 (1.05-1.64); 1.05, 0.99, 1.00, 1.34 and 1.91 (1.53-2.37) for anemia during midpregnancy and 1.26 (1.12-1.42), 1.22, 1.00, 1.11 and 1.31 (1.16-1.48) for postpartum anemia. Similar results persisted in maternal BMI-stratifi ed analyses, corroborating the reliability of the fi ndings.
Conclusion: Excessive GWG increased the risk of anemia occurring both during pregnancy and postpartum, while inadequate
GWG increased postpartum anemia risk.
Samikshya Neupane
Kathmandu Medical College, Nepal
Title: Early marriage and its consequences on reproductive health: A cross-sectional study in Nepal
Biography:
Samikshya Neupane is a Resident at Department of Community Medicine, Kathmandu Medical College, Nepal.
Abstract:
Introduction: Early marriage (<18 years) is a global public health problem, has been deep-rooted in Nepal for centuries. It has severe consequences on maternal/child health.
Method: A community-based cross-sectional explorative study was carried out in Panauti-Municipality, Kavrepalanchowk-District. Fecund (15-49 years) women (n=430) were confidentially interviewed with informed-consent utilizing subject-specific questionnaires. Data analysis was performed by SPSS, Chi-square and logistic regression. Odds ratio and 95% confi dence
interval was calculated by EPIINFO, considering P<0.05 for statistical signifi cance.
Result: Prevalence of early and very early marriages (<15 years) was detected 48.6% and 12.8%, respectively. Sociodemographics, mass-media exposure and women's autonomy have been revealed as crucial players for early marriage. Women with early marriage were less likely (COR: 22.77, 95% CI: 11.93-43.45) to access complete ANC services compared to women with normal marriage. In comparison to normal marriage, the greater likelihood (COR: 19.04) of home-delivery was revealed in early marriage. More than 6 times higher risks of adverse pregnancy outcomes (abortion, stillbirth and neonatal death) were observed in early marriage. Statistical signifi cant 27.68 and 15.12 times higher risk of neonatal death was observed in very early and early marriage than normal marriage. Early married respondents had >3 times higher risks of post-delivery danger signs in themselves and their babies.
Conclusion: Women who marry early-age are prone to early child-bearing, lower access to maternal-healthcare, experience higher pregnancy morbidities, post-delivery danger signs and poor health bearing excessive fi nancial burden on health expenditure. This study alarms policy-makers to intervene existing system, implement improved eff orts to end early marriage
and its consequences.
Samikshya Neupane
Kathmandu Medical College, Nepal
Title: Early marriage and its consequences on reproductive health: A cross-sectional study in Nepal
Biography:
Samikshya Neupane is a Resident at Department of Community Medicine, Kathmandu Medical College, Nepal.
Abstract:
Introduction: Early marriage (<18 years) is a global public health problem, has been deep-rooted in Nepal for centuries. It has severe consequences on maternal/child health.
Method: A community-based cross-sectional explorative study was carried out in Panauti-Municipality, Kavrepalanchowk-District. Fecund (15-49 years) women (n=430) were confidentially interviewed with informed-consent utilizing subject-specific questionnaires. Data analysis was performed by SPSS, Chi-square and logistic regression. Odds ratio and 95% confi dence
interval was calculated by EPIINFO, considering P<0.05 for statistical signifi cance.
Result: Prevalence of early and very early marriages (<15 years) was detected 48.6% and 12.8%, respectively. Sociodemographics, mass-media exposure and women's autonomy have been revealed as crucial players for early marriage. Women with early marriage were less likely (COR: 22.77, 95% CI: 11.93-43.45) to access complete ANC services compared to women with normal marriage. In comparison to normal marriage, the greater likelihood (COR: 19.04) of home-delivery was revealed in early marriage. More than 6 times higher risks of adverse pregnancy outcomes (abortion, stillbirth and neonatal death) were observed in early marriage. Statistical signifi cant 27.68 and 15.12 times higher risk of neonatal death was observed in very early and early marriage than normal marriage. Early married respondents had >3 times higher risks of post-delivery danger signs in themselves and their babies.
Conclusion: Women who marry early-age are prone to early child-bearing, lower access to maternal-healthcare, experience higher pregnancy morbidities, post-delivery danger signs and poor health bearing excessive fi nancial burden on health expenditure. This study alarms policy-makers to intervene existing system, implement improved eff orts to end early marriage
and its consequences.