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Objectives: To evaluate the percentage of pregnant women who read the maternal and child health handbook (MCHH) at Srinagarind hospital, associated factors, attitudes toward the MCHH and to compare maternal knowledge between handbook readers and non-readers.Materials and Methods: This was a cross-sectional study conducted from September 2016 to March 2017. All primigravida pregnant women who had been given the MCHH at least for one month previously were included. A questionnaire-based interview was conducted for evaluating the percentage of participants who read the MCHH and associated factors. “Read” meant the participants had read more than 50% of the MCHH’s contents and at least four of the eight topics.Results: Out of 317 pregnant women, 206 (65%) read the MCHH. The most read item was dietary recommendations (78.2 %). The two least read items were iodine deficiency disease and prevention of mother to child transmission of HIV (49.5 %). The participants who read the MCHH were 2.5 times more likely to pass the exam than who did not. The most influential factor affected the reading of the MCHH was “reading prior current pregnancy”. The top two reasons for not reading the MCHH were choosing to receive the information from other sources and the style of the handbook not being attractive.Conclusion: The percentage of participants who read the MCHH in Srinagarind Hospital was 65%. The factor that affected the reading of the MCHH was “reading prior current pregnancy”. Moreover, women who read the MCHH had a more knowledge about pregnancy compared with those who did not.

Objective:To assess whether work as nurses and nursing assistants during pregnancy increases the risk of adverse pregnancy outcomes.Materials and methods: This study was prospectively carried out between June 2013 and August 2014. All nurses and nursing assistants who worked at Srinagarind Hospital during the study time frame were approached for recruitment. Data were collected by a self-administered questionnaire. Detailed information elicited from participants included baseline characteristics and underlying disease, occupational characteristics during pregnancy, and pregnancy outcomes. Logistic regression was used as a multivariate analysis to estimate an adjusted odds ratio (OR) and 95% confidence interval (CI) of factors associated with preterm delivery. Results: This study included 572 pregnancies occurring in 361 participants. Mean age at pregnancy was 29.1 years. Approximately 19.0% of pregnancies had underlying disease. Cesarean section rate was 29.3%. Preterm delivery was reported in 121 pregnancies, accounting for the rate of 21.1%. Pregnancies those complicated with underlying diseases and had rotating shift work carried a higher rate of preterm delivery (30.6% and 22.7%, respectively). Conclusion: The rate of self-reported preterm delivery among nurses and nursing assistants in this was approximately 20%. Preterm delivery trended to be more common among pregnancies those complicated by underlying diseases and had rotating shift work.

Objectives: The primary objective was to assess the knowledge and attitude of pregnant women at risk for having a fetus with severe thalassemia after receiving genetic counseling from Maternal and Fetal Medicine Staffs at Srinagarind Hospital and the secondary objective was to analyze the factors associated with decision of prenatal diagnosis and termination of pregnancy.Materials and Methods: Descriptive study recruited 105 pregnant women who were at risk for having a fetus with severe thalassemia after genetic counseling during September 1, 2010 to January 31, 2011. The questionnaire consisted of four parts demographic characteristics, knowledge of thalassemia, attitude towards thalassemia and factors associated with decision of prenatal diagnosis and termination of pregnancy after genetic counseling. Data analysis was done by using descriptive statistics, chi-square test and odds ratio.Results: More than half of the participants (57.1%) had adequate knowledge of thalassemia. The three significant contributing factors of thalassemia knowledge were education level (bachelor degree) (OR 33.4, 95% CI 3.6-310.3), family income (more than 20,000 Baht/month) (OR 6.4, 95% CI 1.5-27.1) and desire to have children (unplanned pregnancy) (OR 0.3, 95% CI 0.13-0.82), (p

Objective: To evaluate the results of second trimester amniocentesis for prenatal diagnosis of chromosomal abnormalities at Khon Kaen University.Material and Method: A review of data from 2,825 genetic amniocenteses between January 1, 1993 and December 31, 2006 at Srinagarind Hospital,Faculty of Medicine,Khon Kaen University. Data reviewed included medical records, amniocentesis record forms and questionnaires sent by mail that inquired about complications and pregnancy outcomes. The mail out questionnaires response rate was 75.5%.Main outcome measure: Fetal loss rate after amniocentesis within 2 weeks.Results: The most common indication for genetic amniocentesis was advanced maternal age (90.7%). Chromosomal abnormalities were found 3.1%. The most common chromosomal abnormality was trisomy 21 (0.91%). The procedure failed in only one case (0.03%). Additional tapping was required in 1.29% of them. The culture failure rate was 2.01%. The fetal loss rate after amniocentesis was 0.6%.There were no significant differences in the factors affecting fetal loss that included maternal age, gestational age, placental puncture, operator, number of tappings, myoma uteri and color of amniotic fluid. Pregnancy outcome of the fetus with normal chromosomes included fetal death (0.3%) and preterm delivery (5.1%). Conclusion: Second trimester genetic amniocentesis at Khon Kaen University was a safe procedure in prenatal diagnosis of chromosomal abnormalities.

Objective:To construct normal reference chart of amniotic fluid volume by using the amniotic fluid index (AFI) method from 20 to 40 weeks of gestation in northeastern Thailand.Study design: A cross-sectional prospective descriptive study.Setting: Antenatal care clinic, Srinagarind Hospital, Khon Kaen University, Khon Kaen.Material and methods: All recruited 381 pregnant women with an uncomplicated singleton pregnancy from 20 to 40 weeks of gestation in northeastern Thailand from March 1, 2013 to June 30, 2014 enrolled in this study. All of them had an abdominal ultrasonography for amniotic fluid measurement using AFI method. Stat software was used to analyse the data and mean of the AFI was used in each gestational age.Main outcome measures: Normal reference chart of AFI for normal pregnancy women from 20 to 40 weeks of gestation in northeastern Thailand.Result: Mean AFI in study is 13.85 (± 3.61) cm. AFI trends to increase from GA 20 weeks to GA 29 weeks. The highest mean AFI is 15.38 cm at GA 29 weeks. Then the AFI trends to decline until GA 40 weeks. The normal reference chart of AFI was then established in this study.Conclusion: The author established normal reference chart of AFI for northeastern Thai pregnant women that can be implemented in the population of this region. The result from this study can be used to develop reference standard criteria for oligohydramnios and polyhydramnios in Thailand.