Health Behaviors in Postpartum Women

Summaryobjective To identify the determinants of skilled and unskilled birth attendance. method Population-based survey in a rural area in Cambodia, of women aged 15-49 years who had delivered during the previous 3-month period. An analytical framework based on Andersen's behavioural model served to identify determinants according to delivery place (facility vs. non-facility), birth attendant at home births (skilled vs. unskilled), and change of birth attendant during delivery (changed vs. unchanged). We used logistic regression to analyse the data.results Of 980 women included in the analyses, 19.8% had skilled attendants present during delivery. The determinants of facility delivery were different from those for having skilled attendants assisting in home births. In case of facility deliveries, previous contact with a skilled attendant through antenatal care was a significant determinant. In case of home births, the type of birth attendant (i.e. skilled or unskilled) at the preceding delivery was a significant determinant.conclusion Community-based programmes need to reach primiparas, because once a woman has delivered with the aid of an unskilled attendant, she is five to seven times less likely to seek skilled help than a primipara.keywords skilled attendant, birth attendant, health seeking behaviour, maternal health, maternal mortality, antenatal care

show abstract

“…1998; Van den Heuvel et al. 1999; Gennaro & Fehder 2000; Kasem et al. 2001; Adamu & Salihu 2002; Gennaro et al.…”

Section: Methodsmentioning

confidence: 99%

“…1993; Kasem et al. 2001; Adamu & Salihu 2002) and postnatal health behaviour (Gennaro & Fehder 2000; Hyman & Dussault 2000; York et al. 2000).…”

Section: Introductionmentioning

confidence: 99%

Determinants of skilled birth attendance in rural Cambodia

Yanagisawa

Oum

Wakai

2006

Tropical Med Int Health

131

View full text Add to dashboard Cite

show abstract

“…Our research extends previous findings by showing that such associations extend into old age. It has been found that the diets of parents contain more saturated fat than non-parents (14, 28, 29) and an increased intake of sugar sweetened beverages and total energy (28). Physical activity has also been identified as being lower in parents compared to non-parents (28–32).…”

Section: Discussionmentioning

confidence: 99%

Number of children and body composition in later life among men and women: Results from a British birth cohort study

Staatz

Hardy

2018

Preprint

View full text Add to dashboard Cite

Background Although research has found associations between increasing number of children and higher body mass index (BMI), there has been limited research investigating the association with body composition despite abdominal fat being associated with cardiovascular and metabolic risk independently of general adiposity. Most existing research has focussed on women, but investigating the relationship in men can help distinguish biological effects of pregnancy from social pathways related to parenthood. Methods Using the MRC National Survey of Health and Development (NSHD) multiple regression models were applied to test associations between number of children and body composition at age 60-64 (N=2229) and body mass index (BMI) and waist circumference (WC) at ages 60-64 and 69 (N=2149). Results In adjusted models, associations were observed between increasing numbers of children and increasing fat-adjusted lean mass index in women (p=0.06). Among men, those with children had 0.59kg (95% CI: 0.15 to 1.02) greater lean mass index than those without and fat:lean mass ratio was greater in those with 4+ children because of their slightly higher mean fat mass. Weak evidence of a higher android:gynoid mass ratio in women with children (0.03, 95% CI: 0.00,0.06, p=0.1) was observed with no associations with fat mass index or android or gynoid fat mass. Increasing BMI was observed with increasing parity in women at 60-64 and more strongly at 69 years where associations among men were also observed more clearly. Conclusion There was little evidence of a consistent association between number of children and body composition in early old age. The strongest associations are observed for lean, rather than fat mass, and in men rather than women, suggesting little evidence of biological effects of pregnancy in women. The results indicate social pathways associated with parenthood are the likely underlying mechanisms, with suggestion there may be selection into parenthood among men.

show abstract

“…Reports of weight retention after childbirth reveal retention levels of 6·6–15·4 pounds (3–7 kg) at 2 weeks postpartum (Walker et al. 2005), 6–11 pounds (2·7–5 kg) at 4 months (Gennaro & Fehder 2000), and up to 8 pounds (3·6 kg.) at 1 year (Öhlin & Rossner 1994, Walker et al.…”

Section: Introductionmentioning

confidence: 99%

Testing the Integrated Theory of Health Behaviour Change for postpartum weight management

Ryan

Weiss

Traxel

et al. 2011

Journal of Advanced Nursing

View full text Add to dashboard Cite

Aim This is a report of a correlational study to test the Integrated Theory of Health Behaviour Change within the context of postpartum weight self-management including the impact of race/ethnicity and weight classification. Background Women experiencing childbirth face increasing challenges to manage their weight postpartum. Little is known about women’s weight self-management during the complex physiological and psychosocial transition of the postpartum period. Methods Data were collected during the birth hospitalization and 4 months postbirth during 2005 and 2006. A quota sample of 250 postpartum women using two strata, race/ethnicity and prepregnant weight classification, were enrolled; 179 women completed the follow-up survey. A survey questionnaire measured concepts from the Integrated Theory of Health Behaviour Change concepts, including knowledge and beliefs (self-efficacy, outcome expectancy and goal congruence), self-regulation skills and abilities, and social facilitation (social support and social influence) and the proximal outcome of weight retention. Factor analysis identified 5 factors consistent with the theoretical concepts that accounted for 47·1% of total survey variance. Results Model testing using path analysis explored the relationship among factors. The final model explained 25·7% of the variance in self regulation at 4 months, but did not explain weight retention. The contribution of select concepts to total variance was different for Caucasian and African American women, but not by weight classification. Conclusions Findings support use of theoretical concepts and relationships to understand postpartum weight self-management. The different relationships among concepts in Caucasian and African American women should be considered in planning targeted postpartum weight self-management interventions.

show abstract

Health Behaviors in Postpartum Women

Cited by 23 publications

References 38 publications

Determinants of skilled birth attendance in rural Cambodia

Determinants of skilled birth attendance in rural Cambodia

Number of children and body composition in later life among men and women: Results from a British birth cohort study

Testing the Integrated Theory of Health Behaviour Change for postpartum weight management

Contact Info

Product

Resources

About