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BMC Pregnancy and Childbirth

Pasi Huuskonen, Leea Keski-Nisula, Seppo Heinonen, Sari Voutilainen, Tomi-Pekka Tuomainen, Juha Pekkanen, Jussi Lampi, Soili M Lehto, Hannariikka Haaparanta, Antti-Pekka Elomaa, Raimo Voutilainen, Katri Backman, Hannu Kokki, Kirsti Kumpulainen, Jussi Paananen, Kirsi Vähäkangas, Markku Pasanen
BACKGROUND: A Finnish joint research effort Kuopio Birth Cohort (KuBiCo) seeks to evaluate the effects of genetics, epigenetics and different risk factors (medication, nutrition, lifestyle factors and environmental aspects) during pregnancy on the somatic and psychological health status of the mother and the child. METHODS: KuBiCo will ultimately include information on 10,000 mother-child pairs who have given their informed consent to participate in this cohort...
September 21, 2018: BMC Pregnancy and Childbirth
Joep C Kortekaas, Anke C Scheuer, Esteriek de Miranda, Aimée E van Dijk, Judit K J Keulen, Aafke Bruinsma, Ben W J Mol, Frank P H A Vandenbussche, Jeroen van Dillen
BACKGROUND: Late- and postterm pregnancy are associated with adverse perinatal outcomes, like perinatal death. We evaluated causes of death and substandard care factors (SSFs) in term and postterm perinatal death. METHODS: We used data from the Perinatal Audit Registry of the Netherlands (PARS). Women with a term perinatal death registered in PARS were stratified by gestational age into early-/full-term (37.0-40.6) and late-/postterm (≥41.0 weeks) death. Cause of death and SSFs ≥41 weeks were scored and classified by the local perinatal audit teams...
September 20, 2018: BMC Pregnancy and Childbirth
Kai Yu, Yong Xue, Wenzhi Zhao, Ai Zhao, Wenjun Li, Yumei Zhang, Peiyu Wang
BACKGROUND: Lactating women need to consume a high-quality diet to replete nutrient stores depleted during pregnancy and to ensure sufficient nutrition for breastfeeding. However, several studies reported suboptimal dietary quality and nutrient intake of lactating mothers in China. The objectives of this study was to apply dietary modeling method to develop individualized optimal diets, which meet the nutrient requirements for lactating women in urban China. METHODS: Data were collected from a sample of 576 lactating women from 0 to 240 days postpartum during the Maternal Infant Nutrition Growth study conducted between 2011 and 2012 in three cities including Beijing, Guangzhou, and Suzhou...
September 18, 2018: BMC Pregnancy and Childbirth
Emma Molyneaux, Shahina Begum, Annette L Briley, Paul T Seed, Louise M Howard, Lucilla Poston
BACKGROUND: Lifestyle interventions for obese pregnant women have been widely researched but little is known about predictors of low adherence or poor outcomes. This study evaluated the prospective associations between elevated symptoms of antenatal depression and gestational diabetes, adherence and gestational weight gain in a large RCT of a behavioural intervention for obese pregnant women. The effect of the intervention on symptoms of depression at follow-up was also examined. METHODS: The UPBEAT RCT randomised 1555 obese pregnant women to receive a dietary and physical activity lifestyle intervention or standard care...
September 18, 2018: BMC Pregnancy and Childbirth
Abinath Yogi, Prakash K C, Subas Neupane
BACKGROUND: Abortion is one of the leading causes of maternal death in low- and middle-income countries. In Nepal, abortion is reported to be the third leading cause of maternal death. We aimed to investigate the prevalence and factors associated with abortion and unsafe abortion in Nepal. METHODS: This study is based on a nationally representative sample of the Nepal Demographic and Health Survey 2011. Women who had ever had a terminated pregnancy (n = 2395) were studied...
September 17, 2018: BMC Pregnancy and Childbirth
Sunita Panda, Deirdre Daly, Cecily Begley, Annika Karlström, Birgitta Larsson, Lena Bäck, Ingegerd Hildingsson
BACKGROUND: Rising rates of caesarean section (CS) are a concern in many countries, yet Sweden has managed to maintain low CS rates. Exploring the multifactorial and complex reasons behind the rising trend in CS has become an important goal for health professionals. The aim of the study was to explore Swedish obstetricians' and midwives' perceptions of the factors influencing decision-making for CS in nulliparous women in Sweden. METHODS: A qualitative design was chosen to gain in-depth understanding of the factors influencing the decision-making process for CS...
September 17, 2018: BMC Pregnancy and Childbirth
Michael W Seward, Denise Simon, Martha Richardson, Emily Oken, Matthew W Gillman, Marie-France Hivert
BACKGROUND: Excessive gestational weight gain (GWG) is associated with adverse health outcomes in both the mother and child. Many previous lifestyle interventions in women with excess weight during pregnancy encouraging appropriate GWG have been unsuccessful, and there remains no consensus about the content, format, or theoretical framework of GWG interventions. We assessed the feasibility and acceptability of a remote health coach intervention to promote healthful lifestyle behaviors and appropriate GWG among overweight pregnant women...
September 17, 2018: BMC Pregnancy and Childbirth
Yitbarek Kidane Woldetensay, Tefera Belachew, Hans Konrad Biesalski, Shibani Ghosh, Maria Elena Lacruz, Veronika Scherbaum, Eva Johanna Kantelhardt
BACKGROUND: Depression during pregnancy has far-reaching adverse consequences on mothers, children and the whole family. The magnitude and determinants of prenatal depressive symptoms in low-resource countries are not well established. This study aims to describe the prevalence of prenatal depressive symptoms and whether it is associated with maternal nutrition, intimate partner violence and social support among pregnant women in rural Ethiopia. METHODS: This study is based on the baseline data from a large prospective, community-based, birth cohort study conducted in the South Western part of Ethiopia from March 2014 to March 2016...
September 15, 2018: BMC Pregnancy and Childbirth
Tahmina Begum, Cathryn Ellis, Malabika Sarker, Jean-Francois Rostoker, Aminur Rahman, Iqbal Anwar, Laura Reichenbach
BACKGROUND: Caesarean section is a lifesaving surgical intervention for women and their newborns, though overutilization is a public health concern. The caesarean rate in Bangladesh is approximately 23% overall, and in private facilities it is over 70%. It is essential to know both the supply side (obstetricians) and demand side (parturient women) views on caesarean birth in order to formulate specific interventions to address the escalating rate of caesareans. METHODS: This qualitative study took place in Matlab, a rural sub-district in Bangladesh...
September 12, 2018: BMC Pregnancy and Childbirth
Krystle Perez, Jacquelyn Patterson, Jessica Hinshaw, Carlos Escobar, David Parajon, Laura Parajon, Carl Bose
BACKGROUND: Neonatal mortality comprises an increasing proportion of childhood deaths in the developing world. Essential newborn care practices as recommended by the WHO may improve neonatal outcomes in resource limited settings. Our objective was to pilot a Helping Babies Breathe and Essential Care for Every Baby (HBB and ECEB) implementation package using HBB-ECEB training combined with supportive supervision in rural Nicaragua. METHODS: We employed an HBB-ECEB implementation package in El Ayote and Santo Domingo, two rural municipalities in Nicaragua and used a pre- and post- data collection design for comparison...
September 12, 2018: BMC Pregnancy and Childbirth
Giridhara R Babu, Maithili Karthik, Deepa Ravi, Yamuna Ana, Prafulla Shriyan, Kiran Kumar Hasige, Keerti Deshpande, Lokesh Bangalore Siddlingaiah, Sanjay Kinra, Gudlavalleti Venkata Satyanarayana Murthy
BACKGROUND: Cohort studies have public health importance as they effectively provide evidence on determinants of health from a life course perspective. Researchers often confront the poor follow-up rates as a major challenge in the successful conduct of cohort studies. We are currently recruiting in a birth cohort study, titled as "Maternal Antecedents of Adiposity and Studying the Transgenerational role of Hyperglycemia and Insulin" (MAASTHI) in a public hospital; with the aim of assessing maternal glycemic levels on the risk of adverse fetal outcomes...
September 12, 2018: BMC Pregnancy and Childbirth
Vinayak Smith, Senthuran Arunthavanathan, Amrish Nair, Diane Ansermet, Fabricio da Silva Costa, Euan Morrison Wallace
BACKGROUND: Non-invasive fetal electrocardiogram (NIFECG) is an evolving technology in fetal surveillance which is attracting increasing research interest. There is however, only limited data outlining the reference ranges for normal cardiac time intervals (CTIs). The objective of our group was to carry out a systematic review to outline normal fetal CTIs using NIFECG. METHODS: A systematic review of peer reviewed literature was performed, searching PUBMED,Ovid MEDLINE and EMBASE...
September 12, 2018: BMC Pregnancy and Childbirth
Grzegorz Domanski, Anja Erika Lange, Till Ittermann, Heike Allenberg, Robert Andreas Spoo, Marek Zygmunt, Matthias Heckmann
BACKGROUND: Gestational diabetes mellitus (GDM) is the most frequent complication during pregnancy. Untreated GDM is a severe threat to maternal and neonatal health. Based on recent evidence, up to 15% of all pregnancies may be affected by GDM. We hypothesized that in a rural birth cohort, higher maternal BMI and adverse socioeconomic conditions would promote GDM, which in turn would lead to adverse effects on pregnancy outcomes. METHODS: The current study is a part of a population-based cohort study examining the health and socioeconomic information from 5801 mothers and their children...
September 10, 2018: BMC Pregnancy and Childbirth
Fen-Fang Chung, Gwo-Hwa Wan, Su-Chen Kuo, Kuan-Chia Lin, Hsueh-Erh Liu
BACKGROUND: For first-time mothers, not knowing how to interact with newborn infants increases anxiety and decreases the quality of the parent-infant interactions. A substantial lack of interactional knowledge can ultimately limit the adjustments necessary for a stable transition into motherhood. This study investigated how postpartum parenting education influenced first-time mothers' mother-infant interaction quality and parenting sense of competence. METHODS: Eighty-one healthy first-time-mother and infant dyads were recruited...
September 6, 2018: BMC Pregnancy and Childbirth
Johanna Dahlberg, Marie Nelson, Madeleine Abrandt Dahlgren, Marie Blomberg
BACKGROUND: To assess the impact of 10 years of simulation-based shoulder dystocia training on clinical outcomes, staff confidence, management, and to scrutinize the characteristics of the pedagogical practice of the simulation training. METHODS: In 2008, a simulation-based team-training program (PROBE) was introduced at a medium sized delivery unit in Linköping, Sweden. Data concerning maternal characteristics, management, and obstetric outcomes was compared between three groups; prePROBE (before PROBE was introduced, 2004-2007), early postPROBE (2008-2011) and late postPROBE (2012-2015)...
September 5, 2018: BMC Pregnancy and Childbirth
Heidi Preis, Yael Benyamini, Malin Eberhard-Gran, Susan Garthus-Niegel
BACKGROUND: Fear of childbirth (FOC) could have significant impact on women's childbearing choices and experience. Culture affects the way women conceptualize childbirth, influencing the fears and expectations they may hold in relation to it. In the current study, we examined differences in childbirth preferences of cesarean section and use of epidural analgesia between Norwegian and Israeli pregnant women. Later, we used the Norwegian six-factor solution of the widely-used Wijma Delivery Expectancy Questionnaire (W-DEQ-A) to compare levels of the different FOC factors...
September 5, 2018: BMC Pregnancy and Childbirth
Jennifer Wesson, Ndapewa Hamunime, Claire Viadro, Martha Carlough, Puumue Katjiuanjo, Pamela McQuide, Pearl Kalimugogo
BACKGROUND: Disrespectful and abusive maternity care is a complex phenomenon. In Namibia, HIV and high maternal mortality ratios make it vital to understand factors affecting maternity care quality. We report on two studies commissioned by Namibia's Ministry of Health and Social Services. A health worker study examined cultural and structural factors that influence maternity care workers' attitudes and practices, and a maternal and neonatal mortality study explored community perceptions about maternity care...
September 5, 2018: BMC Pregnancy and Childbirth
Chee Wai Ku, John C Allen, Sze Min Lek, Ming Li Chia, Nguan Soon Tan, Thiam Chye Tan
BACKGROUND: Progesterone is a critical hormone in early pregnancy. A low level of serum progesterone is associated with threatened miscarriage. We aim to establish the distribution of maternal serum progesterone in normal pregnancies compared to pregnancies complicated by threatened miscarriage from 5 to 13 weeks gestation. METHODS: This is a single centre, prospective cohort study of 929 patients. Women from the Normal Pregnancy [NP] cohort were recruited from antenatal clinics, and those in the Threatened Miscarriage [TM] cohort were recruited from emergency walk-in clinics...
September 5, 2018: BMC Pregnancy and Childbirth
Miranda L Davies-Tuck, Euan M Wallace, Mary-Ann Davey, Vickie Veitch, Jeremy Oats
BACKGROUND: The outcomes for planned homebirth in Victoria are unknown. We aimed to compare the rates of outcomes for high risk and low risk women who planned to birth at home compared to those who planned to birth in hospital. METHODS: We undertook a population based cohort study of all births in Victoria, Australia 2000-2015. Women were defined as being of low or high risk of adverse pregnancy outcomes according to the eligibility criteria for homebirth and either planning to birth at home or in a hospital setting at the at the onset of labour...
September 4, 2018: BMC Pregnancy and Childbirth
Manon Vouga, David Baud, Eugénie Jolivet, Fatiha Najioullah, Alice Monthieux, Bruno Schaub
BACKGROUND: Zika virus (ZIKV) has recently emerged as a teratogenic infectious agent associated with severe fetal cerebral anomalies. Other microorganisms (TORCH agents) as well as genetic disorders and toxic agents may lead to similar anomalies. In case of fetal anomalies, the exact etiology might be difficult to establish, especially in ZIKV endemic countries. As the risks associated with maternal infection remain unclear adequate parental counseling is difficult. CASE PRESENTATION: We present two cases of severe fetal pathologies managed in our multidisciplinary center during the ZIKV outbreak in Martinique, a French Caribbean Island...
September 3, 2018: BMC Pregnancy and Childbirth
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