Seatbelt use by pregnant women: a survey of knowledge and practice in Hong Kong

Lam, Wc; To, William W. K.; Sk, E

doi:10.12809/hkmj164853

Cited by 8 publications

(7 citation statements)

References 12 publications

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“…13 Episiotomy in Asian countries is often justified as "it is thought that the perineum is smaller and tighter in Asians and that routine episiotomy may decrease the risk of perineal tear during delivery". 8 Our episiotomy rates were broadly consistent with those of other low-and middle-income countries.…”

Section: Discussionsupporting

confidence: 85%

“…In low‐ and middle‐income countries, the overall rates of birth‐related perineal trauma were 46% (95% CI 36%–55%), 24% (95% CI 17%–32%), and 1.4% (95% CI 1.2%–1.7%) for episiotomies, second‐degree tears, and obstetrical anal sphincter injury, respectively, and were relatively high for episiotomy compared with high‐income settings 13 . Episiotomy in Asian countries is often justified as “it is thought that the perineum is smaller and tighter in Asians and that routine episiotomy may decrease the risk of perineal tear during delivery” 8 . Our episiotomy rates were broadly consistent with those of other low‐ and middle‐income countries.…”

Section: Discussionmentioning

confidence: 99%

“…For our nulliparous population where the episiotomy rate was also high in our center, we assumed a 90% 8 perineal suturing rate with standard care and a reduction to 70% 9 with MassComp. Using χ 2 test, applying α of 0.05, power of 80%, and 1:1 ratio, 62 participants were required in each arm.…”

Section: Methodsmentioning

confidence: 99%

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Combined massage and warm compress to the perineum during active second stage of labor in nulliparas: A randomized trial

Goh

Tan

Hong

et al. 2021

Intl J Gynecology & Obste

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Objective: To evaluate the combined effect of massage and warm compress to the perineum (MassComp) compared with standard "hands-off" in the second stage of labor. Methods:A randomized trial was conducted in a University hospital in Malaysia.Nulliparous women at term who were about to start pushing were randomized to massage during pushing and warm compress to the perineum in between pushes or to standard "hands-off" care. Primary outcome was suturing for perineal injury (episiotomy or tear).Results: A total of 156 participants were analyzed based on intention to treat. Perineal repair rates were 53/79 (67%) for MassComp versus 70/77 (91%) for control (relative risk [RR] 0.72, 95% confidence interval [CI] 0.61-0.98, number needed to treat for an additional beneficial outcome [NNT b ] 5, 95% CI 2.83-8.62, P < 0.001). Of the secondary outcomes, participants' satisfaction with care (visual numerical rating scale 0-10; 8.3 ± 1.2 vs 7.8 ± 1.2, P = 0.014), major perineal injury (second degree or higher) rates 34/79 (43%) versus 51/77 (66%) (RR 0.72, 95% CI 0.58-0.97, NNT b 5, 95% CI 2.61-12.56, P = 0.004), episiotomy rates 28/79 (37%) versus 40/77 (53%) (RR 0.72, 95% CI 0.52-0.98, NNT b 8, 95% CI 3.63-36.46, P = 0.043), intervention to delivery intervals 29.5 ± 13.6 versus 27.9 ± 13.8 minutes (P = 0.472) and spontaneous vaginal delivery rates 63/79 (79.7%) versus 56/77 (72.7%) (RR 1.11, 95% CI 0.92-1.34, P = 0.306) for MassComp versus control, respectively. Conclusion:Massage and warm compress during pushing decreased the perineal suturing, major perineal injury, and episiotomy rates and improved maternal satisfaction.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

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Combined massage and warm compress to the perineum during active second stage of labor in nulliparas: A randomized trial

Goh

Tan

Hong

et al. 2021

Intl J Gynecology & Obste

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“…For example, studies have found that pregnant women are significantly more likely to use seat belts if they have acquired knowledge on how to wear them correctly during pregnancy. 14,15 In 2007, Japan passed the Road Traffic Act, which, beginning in 2008, required people in both the front and back seats of a car to wear seat belts. 16 Previous studies have found such legislation to be effective: people are more likely to use rear seatbelts if there are laws enforcing the practice.…”

Section: Introductionmentioning

confidence: 99%

Exposure to Information and Seat Belt Use among Pregnant Women:

et al. 2020

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Background & Aim: Wearing seat belt is an effective tool to protect both pregnant women and their unborn babies. Pregnant women are more likely to use seat belt if they have acquired knowledge on how to wear seat belt correctly during pregnancy. This study aims to examine the association between exposure to information on seat belts and usual seat belt use in daily life during pregnancy. Methods: We employed a descriptive analysis of cross-sectional survey data collected through self-administered questionnaires at seven obstetric facilities in Maebashi City, a provincial city in Japan. Between October and December 2013, 1,278 pregnant women completed questionnaires, containing items such as the frequency of rear seat belt use and the sources from which they had received information on the issue. Results: We found that 444 participants (34.7%) received information on seat belt use during pregnancy mainly from magazines or administrative bodies, while 834 (65.3%) did not. We also found that pregnant women who received more information from more sources were more likely to wear seat belts while sitting in the rear seat. Conclusions: These findings suggest that increased information on the correct method of wearing seat belts during pregnancy may increase the number of pregnant women who wear seat belts. Our study has implications for protecting the safety of both pregnant women and their children.

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“…Nevertheless, the current study did not evaluate whether the pregnant women had driving licenses. A similar study conducted in Hong Kong reveals that pregnant women with primary or secondary education had low knowledge about the use of seat belts when compared with women with tertiary education, and hence could not identify the information needs regarding their safety when travelling with their cars or public transport (Lam, To, and Ma 2016). The low desire for knowledge on seat belt usage shows the necessity for nurses to educate pregnant women on the importance of wearing seat belts when in motor vehicles.…”

mentioning

confidence: 97%

Health Education Needs of First Visit Pregnant Women in Antenatal Clinics in Khayelitsha, South Africa

Noncungu

Chipps

2020

AJNM

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Health education is a key component of first antenatal visits. The aim of this study was to describe the health education needs of pregnant women on their first visit to antenatal clinics in Khayelitsha, South Africa. A quantitative descriptive survey was conducted, to investigate the lifestyle, pregnancy-related, psycho-social health education needs and predictors of health education needs during pregnant women’s first antenatal clinic visit. The research was conducted at two purposively selected antenatal clinics in Khayelitsha, a low-income suburb in Cape Town, South Africa. The respondents were considered eligible for the study if they were Xhosa speaking, pregnant, older than 18 years, making a first visit to antenatal care, and able to complete their consent form or provide consent from parents or relatives. Respondents were eligible for the study regardless of the number of pregnancies they had previously had, their age and previous medical conditions. There were a total of 240 (92%) respondents. Overall pregnancy-related health education needs were rated the highest (m=4.0, [95%CI3.95–4.09]), with information on how the baby grows and develops during pregnancy (m=4.6, [95%CI4.5–4.7]) the highest. The lowest rated health information needs were testing for HIV and prevention thereof (m=3.5, [95%CI3.3–3.7]) and how to use seat belts during pregnancy (m=3.2, [95%CI3.0–3.4]). A lack of awareness of the duration of pregnancy predicted significantly higher overall health education needs and lifestyle education needs. The study recommends that pregnant women should be provided with prioritised health information during their first antenatal visit, especially given the high risk of late bookings for first antenatal visits.

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Seatbelt use by pregnant women: a survey of knowledge and practice in Hong Kong

Cited by 8 publications

References 12 publications

Combined massage and warm compress to the perineum during active second stage of labor in nulliparas: A randomized trial

Combined massage and warm compress to the perineum during active second stage of labor in nulliparas: A randomized trial

Exposure to Information and Seat Belt Use among Pregnant Women:

Health Education Needs of First Visit Pregnant Women in Antenatal Clinics in Khayelitsha, South Africa

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