Conference Papers

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This collection contains abstracts of conference papers, presented at local and international conferences by the staff of the Faculty of Medicine

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2005 - 200912010 - 20151

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Author: search.filters.author.Jayawardana, P.Has files: No

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    Energy expenditure and pregnancy outcome
    (Sri Lanka College of Obstetricians and Gynaecologists, 2005) Abeysena, C.; Jayawardana, P.; Seneviratne, R.
    OBJECTIVE: To determine the effect of energy expenditure on pregnancy outcome. Methodology: A prospective cohort study was carried out at Ragama and Ja-ela MOH areas. Eight hundred and seventy five pregnant mothers were recruited at 16 weeks of gestation (POA). Daily energy expenditure was assessed based on the activities indicated by the pregnant mothers in the Activity Record1 on two occasions during 20 (371 subjects) and 32weeks of POA (271 subjects) at home by housewives and both at home and at work by working mothers. On each occasion activities related to 3 different days were recorded. Average energy expenditure was calculated and >2550 kcal/day was considered as the cut off. Information on potential confounding factors was gathered on average at 12th, 28s11 and 36 POA. Pregnancy outcome was assessed in terms of maternal complications (MC) such as pre-eclampsia, ante-partum haemorrhage and gestational diabetes, pre-term birth , low birth weight (LEW), small for gestational age <10dl (SGA<1O) and <5th (SGA<5) centiles. Logistic regression analysis was applied and the results are expressed as odds ratios (OR) and 95% confidence intervals (95%CI). Results: Univarite analysis revealed that >2550 kcal/day energy expenditure during 20 weeks of POA was significantly associated with subsequent development of MC (OR6.86, 95% CP=2.38-19.76) and with MC (OR=1 1.03, 95%CFI.36-89.24), LBW (OR=O.05, 95% CI-O.006-0.36) and SGA<5 (OR=O.29, 95% CIO.10-0.87) during 32" xveek of POA. On multivariate analysis subsequent development of MC (OR=6.305 95% CI 21.94} and SGA<5 (OR=0.29, 95% CI = 0.09-O.96), remained significantly associated with high energy expenditure during 20 ' week of POA and 32"d week of POA respectively. CONCLUSION: High energy expenditure was a risk factor for maternal complications and a protective factor against the birth of a small for gestational age infant.
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    Effectiveness of an educational and technical skill development intervention on improving menstrual hygiene management among grade ten school girls in the district of Kalutara, Sri Lanka
    (Sri Lanka Medical Association, 2015) Fernando, W.M.P.A.; Jayawardana, P.
    INTRODUCTION AND OBJECTIVES: To determine effectiveness of an educational and technical skill development intervention, to improve knowledge, attitudes and practices towards menstruation and menstrual hygiene (MH) among adolescent school girls in Kalutara district, Sri Lanka. Method: Quasi experimental study was conducted with non-randomfy selected Intervention (IG) and Control (CG) groups. Six schools in each arm were selected purposively based on presence of supportive environments. Computed sample size was 300 from twenty clusters (classes). Each cluster comprised 15 purposively selected students. Those in IG were trained on four modules regarding knowledge and one on preparation of detachable sanitary towel holder (DSTH) by 20 trained teachers. A 'hand book' on MH and preparation of DSTH -was also given. Effectiveness was assessed five months later, by administering a self administered questionnaire at pre and post intervention stages. Chi square test/ Mann Whitney's U test for independent and Me Nemar's test/Wilcoxon Signed Rank test for within group comparisons were used. RESULTS: When comparing IG and CG at post intervention, significant improvement in knowledge on all four sub components, overall knowledge (P<0.001), overall attitudes (P<0.001), 10 among 16 variables on practices (P<0.05) and all eight under activities affected during menstruation (P<0.0001) were observed. When comparing IG between pre and post intervention stages significant (P<0.001) improvement in all above and 11 among 16 variables on practices (P<0.05) were observed. Ninety three percent (n=275) of IG students had prepared DSTH. CONCLUSION: Intervention to promote MH was proven effective with a significant positive impact on knowledge, attitudes, practices and activities affected during menstruation.