MyMedR

Fulltext Perinatal mortality: selected data from a survey

Zulkifli SN, Yusof K

Med J Malaysia, 1986 Dec;41(4):292-9.

This paper describes the findings of a survey on perinatal cases in Kuala Lumpur. Information on the deceased infants and their deliveries were documented as well as selected social, demographic and anthropometric data on the mothers. This includes quality of the home environment in terms of presence of basic amenities. It was evident that the lower classes were better represented in the sample.
This paper also highlights a major problem in retrospective studies, that of successfully tracing eligible respondents. There were also cases of non-cooperation. Another problem which emerged, and one common to many developing countries, was the incompleteness of birth weight records.

Matched MeSH terms: Pregnancy

Fulltext Ecological basis of malnutrition among the Muruts of Sabah

Chen PCY

Med J Malaysia, 1983 Mar;38(1):9-14.

PMID: 6633346

A recent anthropometric study of Sabah reported that 37.1 percent of children were nutritional dwarfs, 12.5 percent were acutely malnourished and 9.4 percent were stunted and wasted. It was also noted that Muruts were among the top five most malnourished ethnic groups in Sabah. The present study looks at the ecological basis of malnutrition among Muruts and concludes that a variety of interrelated factors, including the lack of education, climatic and soil conditions, poverty, food habits and taboos as well as diseases from poor sanitation and malaria contribute to the presence of malnutrition among rural Muruts. It is recommended that a multidisciplinary approach be taken to control and prevent malnutrition among the Muruts and that the single most important measure aside from malaria control is education of the people and the development of marketable skills.

Matched MeSH terms: Pregnancy

Fulltext Establishment of a cynomolgus monkey (Macaca fascicularis) breeding colony in Malaysia: a feasibility study

Werner RM, Montrey RD, Roberts CR, Tsoy AC, Huxsoll DL

Lab. Anim. Sci., 1980 Jun;30(3):571-4.

PMID: 7431858

A breeding colony utilizing a harem mating system was established to study the feasibility of breeding cynomoglus monkeys, Macaca fascicularis, in Malaysia. Two groups consisting of 10 females and one male each were evaluated over a 3 period. Forty births were recorded; one was stillborn, 11 died while nursing, and 28 were weaned. The average time to wean offspring was 230 days with an average weight at weaning of 0.858 kg. The average time for conception to take place after weaning was 50 days. Of the 20 breeder females, six produced three offspring each, nine produced two offspring each, four produced one offspring each and one remained barren throughout the project. Three different weaning systems were evaluated. The best method was caging the mother-infant pair within or adjacent to the breeding room followed by a two-part cage system which allowed the infant to continue nursing and also obtain solid food inaccessible to the mother.

Matched MeSH terms: Pregnancy

Continuing fertility transitions in a plural society: ethnic trends and differentials in Peninsular Malaysia

Lim LL, Jones GW, Hirschman C

J Biosoc Sci, 1987 Oct;19(4):405-25.

PMID: 3680319

Matched MeSH terms: Pregnancy

Fulltext Maternal and cord folate and vit.B12 levels in Malaysians at parturition

Ali J, Hassan K, Arshat H

Med J Malaysia, 1982 Jun;37(2):160-4.

PMID: 6890140

Folate and vitamin B 12 status in pregnancy was studied in a group of 190 Malaysian mothers belonging to the three major ethnic origins. Cord blood was also analysed for the same vitamins. Ethnic variations with regard to deficiency in these two vitamins was determined. About 58.5 percent of the pregnant mothers suffered from lowered serum folate levels and 32.4 percent had lowered RBC folate levels. In contrast vitamin B 12 levels were within normal limits. Cord blood levels of these vitamins were significantly higher than. the corresponding levels in the maternal blood, suggesting the possible involvement of an active process in the transfer of folates and vitamin B 12 to the fetus.

Matched MeSH terms: Pregnancy

Fulltext Caesarean section rates in government hospitals in Malaysia, 2000-2001

Ravindran J

Med J Malaysia, 2003 Jun;58(2):294-5.

PMID: 14569754

Matched MeSH terms: Pregnancy

Abortions-government hospitals Peninsular Malaysia 1960-1972

Thambu JA

Med J Malaysia, 1975 Jun;29(4):258-62.

PMID: 1196174

Matched MeSH terms: Pregnancy

A simple technique of intra-uterine transfusion of foetus in University Hospital, Kuala Lumpur

Kwi NK, Hing NK

Med J Malaysia, 1974 Jun;28(4):287-9.

PMID: 4278824

Matched MeSH terms: Pregnancy

Termination of pregnancy by single large dose injection of prostaglandins E2 and F2 transcervically into the extra-amniotic space

Ng AY, Cheng M, Ratnam SS

Med J Malaysia, 1973 Dec;28(2):120-2.

PMID: 4276228

Matched MeSH terms: Pregnancy

Dystocia caused by congenital hydronephrosis

Ng KH, Sivanesan S

Med J Malaysia, 1973 Dec;28(2):118-9.

PMID: 4276267

Matched MeSH terms: Pregnancy

Use-effectivness of the copper-7 intrauterine device in a Malaysian family planning clinic

Heng GT

Med J Malaysia, 1979 Jun;33(4):352-4.

PMID: 522748

Matched MeSH terms: Pregnancy

Choriocarcinoma--an unusual case

Khoo KE

Med J Malaysia, 1978 Dec;33(2):156-7.

PMID: 755169

Matched MeSH terms: Pregnancy

Cervicograms of normal labour in Malaysian women

Peng WW, Aun LM, Sinnathuray TA, Lin WM

Med J Malaysia, 1976 Jun;30(4):261-3.

PMID: 979726

Matched MeSH terms: Pregnancy

Inhibition of post-partum lactation with quinestrol

Chuan OK, Ping WW, Fook CW

Med J Malaysia, 1976 Jun;30(4):296-8.

PMID: 790111

Matched MeSH terms: Pregnancy

Algaphan in obstetrics

Thambu JA

Med J Malaya, 1971 Mar;25(3):234-6.

PMID: 4253256

Matched MeSH terms: Pregnancy

Fulltext Severe epistaxis in pregnancy due to nasal pyogenic granuloma: A case report

Mohd Yusof J, Abd Halim A, Wan Hamizan AK

J Taibah Univ Med Sci, 2020 Aug;15(4):334-337.

PMID: 32982639 DOI: 10.1016/j.jtumed.2020.06.007

Mild to severe epistaxis is common in pregnancy and often results from increased vascularity of the nasal mucosa and hormonal changes. Symptoms may occur in the absence of an obvious local cause or any systemic disorder; however, thorough otolaryngological (i.e., "ENT") evaluation is always warranted. Pyogenic granuloma or lobular capillary haemangioma is a benign fibrovascular proliferative tumour that is commonly found on the face, fingers, lips, and nasal mucosa. Pregnancy-induced pyogenic granuloma is not an uncommon entity and may result in torrential epistaxis if untreated. Managing a case of severe epistaxis during pregnancy usually requires multidisciplinary management. The authors present a case of severe epistaxis in pregnancy that necessitated examination of the nasal cavity under general anaesthesia. Intraoperative findings showed a bluish-red mass occupying the patient's right maxillary sinus. Bleeding was arrested and complete haemostasis was achieved. The nasal pyogenic granuloma completely resolved in the post-partum period.

Matched MeSH terms: Pregnancy

Fulltext Social support in physical activity among pregnant women: does it really help?

Nazatul Yusrina Mohamad Yuso, Nor Afiah Mohd Zulkefli, Rosliza Abd Manaf

Malaysian Journal of Medicine and Health Sciences, 2019;15(104):91-91.

MyJurnal

Introduction: Antenatal period is the best time to promote physical activity among women. However, this oppor-tunity is usually missed due to various factors such perceived harm to the baby, tiredness, difficulty to perform the activities, pelvic and back pain, lack of information, as well as low social support. This study determined the associ-ation of social support with the level of physical activity among pregnant women in the district of Seremban, Negeri Sembilan. Methods: A total of 936 antenatal women met the eligibility criteria and were enrolled in a cross-sectional study using proportionate stratified random sampling. Data on social support from the spouse, family and friend were obtained using a 5-point Likert scale while physical activity was assessed using a short version of the Interna-tional Physical Activity Questionnaire (IPAQ). Statistical analysis was conducted using chi-square test to evaluate the association between the study variables. Results: A total of 880 respondents completed the questionnaire. Out of that, 64.2% were physically inactive. Significant associations were found between social support from the spouse (p < 0.001), family (p = 0.001) and friends (p = 0.004) with the level of physical activity among the respondents. Conclusion: Social support plays a pivotal role in motivating antenatal women to perform physical activity. Thus, health intervention on physical activity among these women should involve the spouse, family members and friends to ensure the success of the program.

Matched MeSH terms: Pregnancy

Fulltext Mode of delivery, order of birth, parental age gap and autism spectrum disorder among Malaysian children: A case-control study

Andoy Galvan JA, Ramalingam PN, Patil SS, Bin Shobri MAS, Chinna K, Sahrir MS, et al.

Heliyon, 2020 Oct;6(10):e05068.

PMID: 33083595 DOI: 10.1016/j.heliyon.2020.e05068

Rising prevalence of autism spectrum disorders (ASD) in the last decades has led research to focus on the diagnosis and identification of factors associated with ASD. This paper sought for possible factors that put children at risk for ASD. In this study, we investigated the association between ASD and parental ages, parental age gaps, birth order and birth delivery method in Malaysian population. In this school-based case control study, 465 children with ASD 464 controls participated. Questionnaires were distributed to the parents of the selected children through the respective principals. Among the tested variables, Caesarean section (OR = 1.63, 95% CI 1.20, 2.20), earlier order of birth in the family (OR = 0.68, 95% CI 0.59, 0.77) and increasing gap in parental ages (OR = 1.04, 95% CI 1.001, 1.07) were significantly associated with ASD. This study concludes that Caesarean section, earlier order of birth in the family and increasing gap in parental age are independent risk factors for developing autism among Malaysian children.

Matched MeSH terms: Pregnancy

Perceptions of nurses on inter-shift handover: A descriptive study in Hospital Kuala Lumpur, Malaysia

Chong DWQ, Iqbal AR, Kaur Jaj B, Zainab A, Nordin A, Abd Majid ND, et al.

Med J Malaysia, 2020 11;75(6):691-697.

PMID: 33219179

INTRODUCTION: The quality of information and efficiency in the practice and care environments are important aspects of nursing care. The use of a reliable and valid scale can monitor the quality of handover and provide information for continuous improvement of practice. This study aims to describe the perception of nurses, on the domains of quality of information, efficiency, interaction and support and patient involvement.

METHOD: A cross-sectional descriptive study was conducted among 450 nurses from 37 wards in Hospital Kuala Lumpur. Nurses on shift duty were recruited by convenience sampling from the Medical, Surgery, Obstetrics & Gynaecology, Orthopaedic and Paediatric wards. Using a validated questionnaire (Handover Evaluation Scale), nurses self-rated their perceptions using a 7-point scale and provided open-ended responses to the strengths and challenges that they faced. Descriptive and inferential analyses were done while open-ended questions were summarised based on key themes.

RESULTS: A total of 414 nurses completed the survey (92.0% response rate). Nurses had an overall mean (SD) perception score of 5.01 (SD 0.56). They perceived good interaction and support during handover and on the quality of information that they received, with mean scores of 5.54 (SD 0.79) and 5.19 (SD 0.69), respectively. There was an association between the departments where the nurses worked and their overall perceptions on nursing handover (p<0.001). Interruptions being the most common theme emerged from the open-ended section.

CONCLUSION: Despite having substantial interaction and support amongst nurses, opportunities for improvements were noted. Improvements in the quality of handover information and reducing interruptions should be the main emphases as these were perceived to be essential in the current handover practices by nurses.

Matched MeSH terms: Pregnancy

Fulltext An Illustration of Interpersonal Psychotherapy for Perinatal Depression

Tan HJR

Case Rep Psychiatry, 2020;2020:8820849.

PMID: 33110667 DOI: 10.1155/2020/8820849

This is a case of a 38-year-old married woman presenting with major depressive disorder one month after the birth of her third child. The depressive episode began in the context of interpersonal difficulties with her husband. In addition, she was also battling an internal conflict of continuing to pursue her career dream as an obstetrician and fulfilling her responsibility as a wife and a mother. Interpersonal psychotherapy (IPT) was selected as the treatment choice as an evidence-based peripartum treatment that could specifically address the two presenting problem areas, i.e., marital interpersonal dispute and role transition. This paper provides an illustration of IPT sessions conducted with verbatim selections of the sessions.

Matched MeSH terms: Pregnancy

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