RESUMEN
PURPOSE: This study was designed to investigate medication use among Jordanian pregnant women, and to evaluate their level of awareness about safety of medication use during pregnancy. MATERIALS AND METHODS: Pregnant women who attended the Obstetrics and Gynecology Clinics at the largest hospital in North of Jordan area were interviewed using a questionnaire. The questionnaire included questions about demographics, medication use during pregnancy, and resources of information regarding medication use in pregnancy. RESULTS: Two hundred and forty pregnant women agreed to participate in the study and were interviewed with a response rate of 94.5%. Folic acid (93.8%) was the most frequently used medication during pregnancy followed by multivitamins (57.9%), iron supplements (55.8%), and paracetamol (41.7%). The majority (82.1%) considered first trimester to be the most critical period in which drugs ingestion can cause harm to the fetus. The great majority relied on physicians (90.4%) to be their main source of information followed by pharmacists (15.4%). CONCLUSIONS: Folic acid was the most frequently used medication during pregnancy and the majority of participants took medications based on physician's recommendations. However, there were also cases of self-medication.
Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Acetaminofén/uso terapéutico , Adulto , Analgésicos no Narcóticos/uso terapéutico , Suplementos Dietéticos , Femenino , Ácido Fólico/uso terapéutico , Humanos , Hierro/uso terapéutico , Jordania , Farmacéuticos , Relaciones Médico-Paciente , Embarazo , Encuestas y Cuestionarios , Complejo Vitamínico B/uso terapéutico , Vitaminas/uso terapéuticoRESUMEN
OBJECTIVE: To assess the knowledge and attitudes of Jordanian obstetricians and gynecologists toward human papillomavirus (HPV) infection and its vaccine. MATERIALS AND METHODS: A self-administered, anonymous questionnaire was distributed to 400 participants attending scientific meetings. The survey focused on three areas: knowledge of HPV infection, vaccine, and attitude toward vaccination of female adolescents. RESULTS: Survey response rate was of 72.3%. The vast majority knew most of the statements related to knowledge of HPV infection, 66% thought that conventional screening Pap test have a sensitivity of > 75%, and only 44% of them knew that there are 13 to 17 HPV types that cause cervical cancer. The majority of the respondents (79%) knew that the vaccine would lead to long lasting immunity and 45% of the respondents thought that the vaccination would eliminate the need for regular Pap test. The majority (78%) indicated that the vaccine should be given to girls before the beginning of sexually active life. Overall, 67.5% of respondents intend to prescribe HPV vaccines and 79.6% of the respondents intend to recommend the vaccine if it is publicly funded. CONCLUSION: Most of the gynecologists in Jordan have the intention to recommend HPV vaccine, the deficit in their knowledge of HPV infection and vaccine must be corrected to assure acceptability of the vaccine.
Asunto(s)
Actitud del Personal de Salud , Competencia Clínica , Ginecología/normas , Obstetricia/normas , Infecciones por Papillomavirus/prevención & control , Vacunas contra Papillomavirus/uso terapéutico , Neoplasias del Cuello Uterino/prevención & control , Detección Precoz del Cáncer , Femenino , Humanos , Jordania , Prueba de Papanicolaou , Infecciones por Papillomavirus/diagnóstico , Encuestas y Cuestionarios , Neoplasias del Cuello Uterino/diagnóstico , Frotis VaginalRESUMEN
The objective of this study was to describe normative values of complete blood counts, kidney and liver function tests for Jordanian women. A prospective study of 797 healthy pregnant women, seen at the antenatal clinics of the Jordan University of Science and Technology, in Irbid, north Jordan, was conducted between January 2005 and December 2009. Differences by trimester were analysed using one-way ANOVA. The mean age of the women was 31.0 years. The mean gestational age at delivery was 38.2 weeks. It was concluded that complete blood counts, kidney and liver function values by trimester, of healthy pregnant population of Jordanian women, were consistent with data reported for other populations.
Asunto(s)
Recuento de Células Sanguíneas , Pruebas de Función Renal , Pruebas de Función Hepática , Adolescente , Adulto , Peso al Nacer , Recuento de Células Sanguíneas/estadística & datos numéricos , Femenino , Edad Gestacional , Humanos , Jordania , Persona de Mediana Edad , Proyectos Piloto , Embarazo , Estudios Prospectivos , Valores de ReferenciaRESUMEN
We set out to investigate the effect of date fruit (Phoenix dactylifera) consumption on labour parameters and delivery outcomes. Between 1 February 2007 and 31 January 2008 at Jordan University of Science and Technology, a prospective study was carried out on 69 women who consumed six date fruits per day for 4 weeks prior to their estimated date of delivery, compared with 45 women who consumed none. There was no significant difference in gestational age, age and parity between the two groups. The women who consumed date fruit had significantly higher mean cervical dilatation upon admission compared with the non-date fruit consumers (3.52 cm vs 2.02 cm, pâ<â0.0005), and a significantly higher proportion of intact membranes (83% vs 60%, pâ=â0.007). Spontaneous labour occurred in 96% of those who consumed dates, compared with 79% women in the non-date fruit consumers (pâ=â0.024). Use of prostin/oxytocin was significantly lower in women who consumed dates (28%), compared with the non-date fruit consumers (47%) (pâ=â0.036). The mean latent phase of the first stage of labour was shorter in women who consumed date fruit compared with the non-date fruit consumers (510 min vs 906 min, pâ=â0.044). It is concluded that the consumption of date fruit in the last 4 weeks before labour significantly reduced the need for induction and augmentation of labour, and produced a more favourable, but non-significant, delivery outcome. The results warrant a randomised controlled trial.
Asunto(s)
Arecaceae , Frutas , Primer Periodo del Trabajo de Parto , Tercer Trimestre del Embarazo , Fenómenos Fisiologicos de la Nutrición Prenatal , Adulto , Amnios , Conducta Alimentaria , Femenino , Edad Gestacional , Humanos , Embarazo , Estudios ProspectivosRESUMEN
The objective of this retrospective study was to investigate the indications, interventions and clinical outcome of pregnant and newly delivered women admitted to the multidisciplinary intensive care unit at the King Abdullah University Hospital in Jordan over a 7-year period from January 2002 to December 2008. The collected data included demographic characteristics of the patients, mode of delivery, pre-existing medical conditions, reason for admission, specific intervention, length of stay and maternal outcome. A total of 43 women required admission to the intensive care unit (ICU), which represented 0.37% of all deliveries. The majority (95.3%) of patients were admitted to the ICU postpartum. The most common reasons for admissions were (pre)eclampsia (48.8%) and obstetric haemorrhage (37.2). The remainder included adult respiratory distress syndrome (6.9%), pulmonary embolism (2.3%) and neurological disorders (4.6%). Mechanical ventilation was required to support 18.6% of patients and transfusion of red blood cells was needed for 48.8% of patients. There were three maternal deaths (6.9%). A multidisciplinary team approach is essential to improve the management of hypertensive disorders and postpartum haemorrhage to achieve significant improvements in maternal outcome. A large, prospective study to know which women are at high risk of admission to the intensive care units and to prevent serious maternal morbidity and mortality is warranted.
Asunto(s)
Unidades de Cuidados Intensivos/estadística & datos numéricos , Complicaciones del Trabajo de Parto/mortalidad , Adulto , Femenino , Humanos , Jordania/epidemiología , Persona de Mediana Edad , Complicaciones del Trabajo de Parto/terapia , Admisión del Paciente , Embarazo , Estudios Retrospectivos , Adulto JovenRESUMEN
The objective of this retrospective longitudinal study was to investigate the incidence and severity of urinary and faecal incontinence in women after either total abdominal hysterectomy or comparable abdominal surgery. Age-matched and postoperative time-matched control groups were drawn from women attending for operation at a Scottish District General Hospital, during the early 1990s (59 women in the hysterectomy group and 33 women in the control group, with a mean preoperative age 40.4 years and 38.1 years, respectively). Within-group and between-group analyses were conducted using t and Fisher's exact tests. Within each group, changes in all urinary and faecal variables during the 10-year period were extremely significant (p < 0003). With the exception of urinary urgency (p = 0.028), there was no statistical difference between the groups.