Insomnia is a health problem for many pregnant women at all stages in pregnancy. The ISQ had high specificity (most > 85%), but sensitivity, PPV, NPV, and LRs varied according to which sleep measure was used as the validating criterion. Good reliability was established with Cronbach α = 0.86. The ISQ identified 12.6% of the sample as meeting a case definition of insomnia, consistent with established diagnostic criteria. The internal consistency and criterion validity of the dichotomized ISQ were compared to traditional measures of sleep from sleep diaries, actigraphy, and the Pittsburgh Sleep Quality Index using indices of sensitivity, specificity, positive and negative predictive value (PPV, NPV), and likelihood ratio (LR) tests. The ISQ was evaluated in 143 pregnant women at 12 weeks gestation. The goal of this paper is to provide additional psychometric evaluation and validation of the Insomnia Symptom Questionnaire (ISQ) and to establish prevalence rates of insomnia among a cohort of pregnant women during early gestation. Identification of insomnia in pregnancy is vital given the strong connection between insomnia and the incidence of depression, cardiovascular disease, or immune dysregulation. Okun, Michele L Buysse, Daniel J Hall, Martica HĪlthough a substantial number of pregnant women report symptoms of insomnia, few studies have used a validated instrument to determine the prevalence in early gestation. Identifying Insomnia in Early Pregnancy: Validation of the Insomnia Symptoms Questionnaire (ISQ) in Pregnant Women.
A simple 'Risk Assessment Questionnaire' can help us in identifying women who need HIV screening. All positive (8) women were referred to PPTCT centre for further management. Spouses of 5 out of 6 had history of working abroad and extramarital sexual relationships. During the study period, in addition to 2 pregnant women diagnosed as HIV positive through ANC risk screening, 6 confirmed HIV positive women, found pregnant were referred from 'HIV Treatment Centre', Pakistan Institute of Medical Sciences (PIMS) to Prevention of Parent to Child Transmission (PPTCT) centre for obstetric care. Second women had history of blood transfusion. Husbands of both women were tested and one found positive (migrant from Dubai). Two out of 3 women were confirmed positive (0.2%) on ELISA. Three women (0.3%) were found positive (reactive) on screening. HIV screening test was done in 779 (99%), and 6 women refused testing. During the study period (March 2007-May 2008), out of 5263 antenatal bookings 785 (14%) women were identified with a risk factor. Positive (reactive) results on screening test were confirmed with ELISA. Women identified with a risk factor were offered HIV Rapid screening test (Capillus HIV1/2). All pregnant women attending antenatal booking clinic were assessed via a pre-designed 'Risk assessment questionnaire'. Objectives of this study were to determine the prevalence of HIV in pregnant women identified with a high risk factor/behaviour at a tertiary care hospital. HIV/AIDS in Pakistan is slowly gaining recognition as a public health issue of great importance. Since we are living in a global village where human interactions has become fast and frequent, diseases like HIV are no more alien to us. HIV is an epidemic quite unlike any other, combining the problems of a lifelong medical disease with immense social, psychological, economic and public health consequences. Prevalence of HIV in pregnant women identified with a risk factor at a tertiary care hospital. Women completed an in-person interview regarding violence, sociodemo-graphic factors, health status, and drug use. The article describes characteristics of pregnant women presenting to the Emergency Department (ED) who are experiencing current violence and presented a screening tool to identify pregnant women experiencing violence. Identifying Pregnant Women Experiencing Domestic Violence in an Urban Emergency DepartmentĮRIC Educational Resources Information Centerĭatner, Elizabeth M.
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