1.Factors affecting the acceptability of HIV testing among pregnant women consulting in a rural government tertiary hospital: A validation-reliability testing of formulated questionnaire; A qualitative cross-sectional survey study.
Gabor Rebecca Ann V ; Sahagun Rojannah T ; Mercado Alberto R
Philippine Journal of Obstetrics and Gynecology 2014;38(1):9-32
BACKGROUND: In consideration of the prevention of maternal to child transmission, it has been essential to consider once HIV status. HIV testing has been in existence for a long time. In essence, there is a dilemma to consider the factors affecting as well as enhancing its acceptability among pregnant women.
OBJECTIVE: To determine the factors based on the generated domains which may affect the acceptability of HIV testing among pregnant women consulting in our institution.
METHODS: A qualitative descriptive study design in the form of a survey employing validated questionnaires will be given to elicit responses among 246 pregnant women consulting the Out-Patient Department of our institution. Eligibility criteria were determined. The study was divided into pre-validation, validation and administration of questionnaire phases. Statistical analysis utilized were descriptive statistics, t-test, Chi-square test of association.
RESULTS: The age ranged was 14 to 46 years old with a mean age of 27.43 years. 41.4 % had a knowledge about HIV testing whereas, 48.4% did not have knowledge on HIV testing. 37.4% were willing to voluntarily submit themselves for the test. Majority of our respondents (85.4%) were knowledgeable about maternal to child transmission. Split and heterogenous responses were elicited to validated questionnaires. However, 71.5% believed and preferred pre-natal HIV test counselling. 59.8% believed that it had to be done routinely. The over-all acceptability was 37%.
CONCLUSION: The knowledge on HIV testing was 41%. Its acceptability was 37%. Hence, we conclude that it had a low acceptability rate, therefore we must consider the various responses elicited by the survey in order to improve and enhance its acceptability among pregnant women.
Human ; Female ; Adult ; Young Adult ; Adolescent ; Pregnancy ; Child ; Outpatients ; Counseling ; Pregnant Women ; Mass Screening ; Hiv Infections
2.The effectiveness of utilizing the Zhang's criteria compared to Friedman's criteria in increasing the rate of successful vaginal delivery among primigravid parturient in a tertiary hospital
Khristine Rosemarie R. Bunda ; Alberto R. Mercado
Philippine Journal of Obstetrics and Gynecology 2019;43(6):8-15
Objective:
To determine the effectiveness of utilizing the Zhang's criteria as compared to Friedman's criteria in increasing the rate of successful vaginal delivery among primigravid parturient in a tertiary government hospital.
Material and Methods:
This is a prospective cohort study conducted in a tertiary hospital. The population consisting of primigravid parturient of any age admitted at term pregnancy with a gestational age between 37 and 42 weeks. Included were singleton pregnancy, with no co-morbidities, vertex position on admission, with intact amniotic membranes, and in active phase of labor (either 4cm or 6cm cervical dilatation), who consulted at the emergency room of the institution. Multigravid patients, those with multiple pregnancy and ruptured membranes were excluded from the study. Two groups of cohorts were recruited based on the internal examination of the principal investigator upon admission. Cohort A is composed of pregnant women admitted at 6cm cervical dilatation fulfilling the Zhang's criteria whereas Cohort B is composed of pregnant women admitted at 4cm cervical dilatation fulfilling the Friedman's criteria. Socio-demographic characteristics were recorded. Their course of labor was monitored; contractions were augmented accordingly if needed. The mode of delivery was noted such as spontaneous vaginal delivery or cesarean section. The neonatal outcome was recorded as to apgar scores obtained for both groups.
Results:
A greater proportion of parturients were young, single and with normal body mass index. A higher proportion of those under Friedman's group was augmented with oxytocin (100% vs. 53.4%). A greater proportion of those in Zhang's group had successful vaginal delivery (98.2% vs. 81.8%) (p=0.011, OR=18.167, 95% CI: 1.943, 169.867). Parturients under Zhang's group had achieved less hours of active labor.
Conclusion
The rate of successful vaginal delivery is significantly different between the two groups. A greater proportion of pregnant women under Zhang's group achieved successful vaginal delivery as compared to Friedman's group.
Pregnancy
;
Pregnant Women
3.The prevalence of soil-transmitted helminthiasis among Filipino pregnant women determined by fecalysis.
Martin Antonio B. MEDINA ; Rojannah T. SAHAGUN ; Alberto R. MERCADO
Philippine Journal of Obstetrics and Gynecology 2019;43(5):17-27
Background:
The Philippines is endemic to soil-transmitted helminthiasis, a neglected tropical disease which is inadequately diagnosed and treated especially in the pregnant and lactating population. It is important that the prevalence of STH is monitored routinely to assess the effectiveness of control programs and the provision of adequate treatment, hence decreasing its associated adverse outcomes.
Objective:
To determine the prevalence of STH among pregnant patients consulting for antenatal care in a tertiary provincial hospital using microscopic stool analysis.
Methods:
This is a cross-sectional study performed on 270 patients attending antenatal care from a tertiary provincial hospital. Microscopic stool analysis using the Kato-Katz technique was the diagnostic tool used to identify presence of intestinal parasites. Data were analyzed using Stata 15. Chi Square and Mann U Whitney Tests were utilized to determine statistical significance. Variables under the adverse perinatal outcomes were subjected to odds ratio to determine correlation among those tested positive for STH.
Conclusion
The cumulative prevalence rate of STH is 20.7% and the most common organism identified is A. lumbricoides. Factors related to a high suspicion of STH are: older individuals; higher obstetric score; greater number of living children; increased maternal weight; anemic; underweight; lived in a family with higher number of household members; lived in a family with member treated with antihelminthics; lived in houses without water and toilet; lived in the areas of Maragondon, Mendez, Bailen, Cavite City, Noveleta and Bacoor. Moreover, preterm labor and small for gestational age fetus are the adverse perinatal outcomes identified suggestively related to STH.
Human
;
Female
;
Adverse Perinatal Outcomes
;
Sth
4.Association between family dynamics and the length of screen time of preschool children in Quezon City: A cross-sectional study
Dione Gale B. Naval ; Natalie Roxanne B. Nisce ; Pamela Grace P. Nifas ; Jerard Iane R. Monge ; Monica Marie V. Mercado ; Kyla Dawn C. Mina ; Jan Robin D. Narvaez ; Maybelle Colyn U. Najera ; Myr Patricia F. Montiveros ; Davy Martin R. Mojica ; Carlos Alberto Gerardo J. Monfort ; Ray Alfonso M. Mendoza ; Leopoldo Jr. P. Sison
Health Sciences Journal 2020;9(1):1-5
INTRODUCTION:
Excessive screen time has been found to be detrimental to a child’s development. Despite
its prevalence, there is a dearth of studies relating family dynamics and screen time. This study aimed
to determine the association between family dynamics and the length of screen time among preschool
children.
METHODS:
Participants were selected through convenience sampling and interviewed using the Family
APGAR questionnaire. Families were classified as functional or dysfunctional. The adult respondents
estimated the total screen time and this was classified as low-level or excessive. The association between screen time and APGAR classification was determined using prevalence rate ratio.
RESULTS:
Majority of 115 families had an APGAR classification of highly functional, with the children
having an average screen time of five hours. Children from dysfunctional families were 1.23 times more
likely to have an excessive amount of screen time than those with highly functional families and the
difference was significant (p = 0.041).
CONCLUSION
Majority of the families in this study were highly functional and the average screen time of the children included in the study was five hours. Children from dysfunctional families were 1.23 times more likely to have an excessive amount of screen time than those with highly functional families.
child, preschool
;
child
;
Child development
;
screen time
;
family relations
;