This paper presents global evidence derived from a systematic review of the literature on the issues of D/deaf pregnant women and antenatal care. A comprehensive search through four bibliographic databases identified a dataset of 10,375 academic papers, from which six papers met the inclusion criteria for in-depth analysis related to D/deaf pregnant women’s use of antenatal care/clinics. Findings from the analysis revealed four major concerns for D/deaf pregnant women who attended antenatal clinics for care. These concerns were communication difficulties, satisfaction with antenatal care services, attendance at antenatal clinics, and associated health outcomes. Based on the identified issues and concerns, it is recommended that pre- and in-service healthcare workers should be trained on how to communicate through sign language with their D/deaf patients. In addition, there is a need to rapidly expand the body of knowledge on the issues concerning antenatal care for D/deaf pregnant women vis-à-vis their relationship with healthcare workers in antenatal facilities.

To assess the feasibility of Diabetic Foot Care Group (DFCG), a social media-based self-management education and support intervention, for people with diabetes (PWD) empowerment in diabetes-related foot ulceration prevention. A partially randomized preference trial was conducted among 32 PWD. DFCG was implemented through Facebook. Participants in the intervention group joined the DFCG in addition to their usual care, while the control group received usual care. Data were collected online using questionnaires on participants' DFCG acceptance, engagement and preliminary efficacy on nine diabetes foot care-related outcomes at baseline, one, and three months post-intervention. The participants' study intervention acceptability and engagement rates were 84.2% and 55.2%, respectively. DFCG efficacy rate compared to usual care was 88.9% to 22.2%. Three diabetes foot care-related outcomes increased significantly in the intervention group three-month post-intervention: foot self-care adherence (p = 0.001, η_p² = 0.35), preventive foot self-care practice (p = 0.002, η_p² = 0.33), and physical health status (p < 0.02, η_p² = 0.23). DFCG is feasible and could effectively improve diabetes foot care-related outcomes. Social media is an innovative approach healthcare professionals could utilize to virtually support PWD in ongoing learning and engagement in optimal foot self-care activities. ClinicalTrials.gov, Identifier: NCT04395521

Introduction: The increasing prevalence of diabetes is a global public health concern, with foot ulcer prevention techniques, low self-care knowledge, and a lack of confidence contributing to complications like foot ulcers. Methods: This cross-sectional study, conducted between January and December 2022, evaluated foot self-care knowledge, self-efficacy, and self-care behaviors among individuals with diabetes attending public tertiary hospitals in Abeokuta, Nigeria. Data from randomly selected 120 out-patients was collected using a multidimensional questionnaire, and multiple regression analysis was used to assess associations between variables. Results: It was found that participants’ mean age was 44.8±14.65 years. Majority (58.3%) of them did not attend foot self-care education classes and had received a type-2 diabetes diagnosis within the previous 24 months. Many of the patients had low knowledge of foot self-care (55%), low self-care efficacy (55%) and poor self-care behavior (55%). Poor self-care behavior was predicted by low efficaciousness (p<0.0001) and low knowledge of foot self-care (p<0.0001). Conclusion: The study concluded that the extent of knowledge significantly influenced self-care behaviors and the efficacy of foot self-care in averting diabetic foot ulcers. Improving these behaviors requires teaching appropriate knowledge through hands-on self-care treatments and gaining support from policymakers for its sustainability.

Climate change (CC) poses risks to mental health, with pregnant women highly vulnerable due to unique physiological, emotional, and social changes. This study explored the relationship between cognitive appraisal of CC, emotional responses (e.g. eco-anxiety and solastalgia), and pro-environmental actions and mental well-being in 27 pregnant women in Canada. We used validated online surveys including measures of depressive symptoms and generalized and pregnancy-related anxiety (PRA). Results indicate that cognitive appraisal of CC showed a significant direct effect on anxiety severity when adjusted for all covariates. Eco-anxiety was significantly associated with all mental health measures, while solastalgia was significantly associated with P-RA. Pro-environmental actions showed no significant association. Contextual factors did not modify these relationships. These findings highlight that emotional responses to CC, rather than cognitive appraisal or actions, are important predictors of mental health during pregnancy, warranting further research in larger, diverse populations, particularly in regions severely affected by CC.