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BMC Pregnancy and Childbirth

Dawud Muhammed Ahmed, Tesfaye Setegn Mengistu, Aemiro Getu Endalamaw
BACKGROUND: Maternal mortality is a major public health challenge in Ethiopia. Uterine rupture is an obstetrical emergency with serious undesired complications for laboring mothers resulting in fatal maternal and neonatal outcomes. Uterine rupture has been contributing to high maternal morbidity and mortality. However, there is limited research on the factors and management outcomes of women with uterine rupture. Understanding the factors and management outcomes might delineate strategies to support survivors...
November 16, 2018: BMC Pregnancy and Childbirth
Emina Nazifovic, Heinrich Husslein, Ioana Lakovschek, Florian Heinzl, Elisabeth Wenzel-Schwarz, Philipp Klaritsch, Ekrem Kilic, Sarah Hoesel, Rudolf Bind, Magdalena Pabinger, Harald Zeisler, Lorenz Kuessel
BACKGROUND: International guidelines recommend that tocolytic therapy be restricted to a single 48-h application. However, multiple cycles of tocolytic therapy and maintenance therapy that exceeds 48 h appear to play a role in daily clinical practice. We aimed to evaluate current trends in clinical practice with respect to treatment with tocolytic agents and to identify differences between evidence-based recommendations and daily clinical practice in Austria. METHODS: A prospective multicenter registry study was conducted from October 2013 through April 2015 in ten obstetrical departments in Austria...
November 16, 2018: BMC Pregnancy and Childbirth
Alicia T Dennis, Liesel Hardy, Liz Leeton
BACKGROUND: The prone position is rarely used in medical settings in pregnancy. There is no published information about the prone position in women with preeclampsia. This study examined the feasibility and acceptability of the prone position in pregnant women, and the short-term effect of the prone position on blood pressure (BP) in term healthy pregnant women and in women with preeclampsia. METHODS: After ethics approval, written consent and trial registration (ACTRN:12615000160538 registered 18/02/2015, date of first participant enrolled 03/03/2015), 50 healthy term pregnant women and 15 women with preeclampsia had BP, heart rate (HR), oxygen saturation (SpO2), respiratory rate (RR), fetal heart rate (FHR) and comfort levels measured in two positions: left lateral, and prone...
November 16, 2018: BMC Pregnancy and Childbirth
Wei Sun, Shaowei Yin, Qiuju Wei, Ying Zhang, Zeyu Yang, Ailu Cai, Yu Wang, Wenjia Lei
BACKGROUND: Monochorionic diamniotic (MCDA) twin pregnancies are at higher risk of adverse outcomes and complications, which are attributed to the influence of placental morphology in MCDA twins. Monitoring of placental function is an important index for clinical decisions. The aim of our study was to evaluate the placental blood flow estimated using three-dimensional power Doppler (3D-PD) ultrasound and the vascular indices distribution with gestational age (GA) in normal MCDA twin pregnancies...
November 14, 2018: BMC Pregnancy and Childbirth
Tigistu Toru, Fantaye Chemir, Susan Anand
BACKGROUND: The first 12 months after childbirth may represent a high-risk time for depression. In Ethiopia there is a paucity of evidence about its magnitude and associated factors during that period. So, the aim of this study was to assess the magnitude of depression and associated factors among postpartum women in Mizan Aman town, Bench Maji Zone, Southwest Ethiopia 2017. METHODS: A community based cross- sectional study design was employed from March 15 to April 15, 2017...
November 14, 2018: BMC Pregnancy and Childbirth
Mary McCauley, Valentina Actis Danna, Dorah Mrema, Nynke van den Broek
BACKGROUND: Most women experience pain during labour and after childbirth. There are various options, both pharmacological and non-pharmacological, available to help women cope with and relieve pain during labour and after childbirth. In low resource settings, women often do not have access to effective pain relief. Healthcare providers have a duty of care to support women and improve quality of care. We investigated the knowledge and attitudes of healthcare providers regarding the provision of pain relief options in a hospital in Moshi, Tanzania...
November 14, 2018: BMC Pregnancy and Childbirth
Melania Elena Pop-Tudose, Dana Popescu-Spineni, Petru Armean, Ioan Victor Pop
BACKGROUND: Down Syndrome screening test is a bridge between knowledge and uncertainty, safety and risk, unpredictability and desire to know in order to gain control. It may be accepted either not to have a baby with Down syndrome, or to prepare to have a baby with this condition. Every woman should understand that it is an option and should be encouraged to make their own decisions based on information and personal values. The implications and possible subsequent scenarios differentiate this type of test from the common biochemical tests performed during pregnancy, of paramount importance being the right to make informed choices...
November 12, 2018: BMC Pregnancy and Childbirth
Wai-Kit Ming, Wenjing Ding, Casper J P Zhang, Lieqiang Zhong, Yuhang Long, Zhuyu Li, Cong Sun, Yanxin Wu, Hanqing Chen, Haitian Chen, Zilian Wang
BACKGROUND: Gestational diabetes mellitus (GDM) is one of the most common complications during pregnancy, and it has both short- and long-term adverse effects on the health of mothers and fetuses. To investigate the effect of exercise during pregnancy on the occurrence of GDM among normal-weight pregnant women. METHODS: We searched for studies published between January 1994 and June 2017 that appeared in the Web of Science, Scopus, or Cochrane library databases...
November 12, 2018: BMC Pregnancy and Childbirth
Samuel Ginja, Jane Coad, Elizabeth Bailey, Sally Kendall, Trudy Goodenough, Samantha Nightingale, Jane Smiddy, Crispin Day, Toity Deave, Raghu Lingam
BACKGROUND: Information and communication technologies are used increasingly to facilitate social networks and support women during the perinatal period. This paper presents data on how technology use affects the association between women's social support and, (i) mental wellbeing and, (ii) self-efficacy in the antenatal period. METHODS: Data were collected as part of an ongoing study - the BaBBLeS study - exploring the effect of a pregnancy and maternity software application (app) on maternal wellbeing and self-efficacy...
November 12, 2018: BMC Pregnancy and Childbirth
Bola Lukman Solanke, Semiu Adebayo Rahman
BACKGROUND: Studies have observed rural-urban inequity in the use of skilled delivery in Nigeria. A number of studies have explicitly examined associated factors of assistance during delivery in rural areas. However, the studies so far conducted in rural Nigeria have investigated mainly individual-level characteristics with near exclusion of community-level characteristics. Also, most of the studies that have investigated community-level influence on use of maternal healthcare services in Nigeria did not isolate rural areas for specific research attention...
November 8, 2018: BMC Pregnancy and Childbirth
Xiaotong Sun, Tao Qu, Xiyan He, Xueping Yang, Nan Guo, Yan Mao, Xianghong Xu, Xiaodong Sun, Xuehong Zhang, Weihua Wang
BACKGROUND: Previous studies have revealed that women with gestational diabetes mellitus (GDM) have an increased risk of developing preeclampsia (PE). The possible reason is the abnormal lipid metabolism caused by GDM that leads to dysfunction of vascular endothelial cells and atherosclerosis, resulting in the onset of PE. However, studies focusing on the pathogenesis of PE in syncytiotrophoblast of GDM patients are lacking. This study aimed to compare differentially expressed proteins from syncytiotrophoblast between women with GDM and women with GDM with subsequently developed PE...
November 7, 2018: BMC Pregnancy and Childbirth
Dewi Anggraini, Mali Abdollahian, Kaye Marion
BACKGROUND: Birth weight is one of the most important indicators of neonatal survival. A reliable estimate of foetal weight at different stages of pregnancy would facilitate intervention plans for medical practitioners to prevent the risk of low birth weight delivery. This study has developed reliable models to more accurately predict estimated foetal weight at a given gestation age in the absence of ultrasound facilities. METHODS: A primary health care centre was involved in collecting retrospective non-identified Indonesian data...
November 6, 2018: BMC Pregnancy and Childbirth
Pingping Tang, Jiangshan Wang, Yingna Song
BACKGROUND: Pneumonia during pregnancy has been proven to be associated with increased maternal and fetal morbidity and mortality. The management of severe pneumonia in gravid patients is even more challenging. Thus, we summarized the characteristics and pregnancy outcomes of these patients and explored the probable risk factors and predictive factors for pneumonia during pregnancy and the appropriate timing of delivery in severe pneumonia patients. METHODS: A retrospective cohort study was conducted with 12 patients who were diagnosed with severe pneumonia complicating pregnancy at Peking Union Medical College Hospital between January 2010 and June 2017...
November 3, 2018: BMC Pregnancy and Childbirth
Philip Hepp, Carsten Hagenbeck, Julius Gilles, Oliver T Wolf, Wolfram Goertz, Wolfgang Janni, Percy Balan, Markus Fleisch, Tanja Fehm, Nora K Schaal
BACKGROUND: Stress and anxiety during pregnancy and childbirth have negative consequences for both mother and child. There are indications that music has a positive effect in this situation. The present study investigates the influence of music during the caesarean on anxiety and stress of the expectant mother. METHODS: The SAMBA study is a single-centre, controlled, randomized study including 304 patients. Women in the intervention group heard music via loudspeakers from one of four self-selected genres...
November 3, 2018: BMC Pregnancy and Childbirth
Maureen I Heaman, Patricia J Martens, Marni D Brownell, Mariette J Chartier, Kellie R Thiessen, Shelley A Derksen, Michael E Helewa
BACKGROUND: Ensuring high quality and equitable maternity services is important to promote positive pregnancy outcomes. Despite a universal health care system, previous research shows neighborhood-level inequities in utilization of prenatal care in Manitoba, Canada. The purpose of this population-based retrospective cohort study was to describe prenatal care utilization among women giving birth in Manitoba, and to determine individual-level factors associated with inadequate prenatal care...
November 1, 2018: BMC Pregnancy and Childbirth
Teklit Grum, Ermyas Brhane, Solomon Hintsa, Gizienesh Kahsay
INTRODUCTION: Anemia is defined as a low blood hemoglobin concentration (< 11 mg/dl). It is a global public health problem especially in pregnant women and is associated with higher risk for both maternal and perinatal mortality and morbidity. In developing countries, like Ethiopia where anemia is common, determining the magnitude and identifying factors that are associated with anemia is necessary to control it. METHODS: Facility based cross sectional study design were conducted among 638 pregnant women attending antenatal care in public health centers in central zone of Tigray region, Northern Ethiopia from November 1/2017 to January 30/2018 using stratified multi stage sampling method...
November 1, 2018: BMC Pregnancy and Childbirth
Sophie Hickey, Yvette Roe, Yu Gao, Carmel Nelson, Adrian Carson, Jody Currie, Maree Reynolds, Kay Wilson, Sue Kruske, Renee Blackman, Megan Passey, Anton Clifford, Sally Tracy, Roianne West, Daniel Williamson, Machellee Kosiak, Shannon Watego, Joan Webster, Sue Kildea
BACKGROUND: With persisting maternal and infant health disparities, new models of maternity care are needed to meet the needs of Aboriginal and Torres Strait Islander people in Australia. To date, there is limited evidence of successful and sustainable programs. Birthing on Country is a term used to describe an emerging evidence-based and community-led model of maternity care for Indigenous families; its impact requires evaluation. METHODS: Mixed-methods prospective birth cohort study comparing different models of care for women having Aboriginal and Torres Strait Islander babies at two major maternity hospitals in urban South East Queensland (2015-2019)...
November 1, 2018: BMC Pregnancy and Childbirth
Rebecca Delafield, Catherine M Pirkle, Alexandre Dumont
BACKGROUND: The purpose of this study was to investigate predictors of uterine rupture in a large sample of sub-Saharan African women. Uterine rupture is rare in high-income countries, but it is more common in low-income settings where health systems are often under-resourced. However, understanding of risk factors contributing to uterine rupture in such settings is limited due to small sample sizes and research rarely considers system and individual-level factors concomitantly. METHODS: Cross-sectional data analysis from the pre-intervention period (Oct...
November 1, 2018: BMC Pregnancy and Childbirth
Dagne Addisu, Azezu Asres, Getnet Gedefaw, Simegnew Asmer
BACKGROUND: Meconium stained amniotic fluid is one of the risk factors to increase the rate of perinatal morbidity and mortality both in developed and developing countries. Due to a multitude of factors associated with socioeconomic and quality of service, the ill effect of meconium stained amniotic fluid is even worse in developing countries. But very little information is known about the situation in Ethiopia, particularly the study area to design appropriate prevention strategies. Hence, this study aimed to determine the prevalence of meconium-stained amniotic fluid and its associated factors among women who gave birth at term in Felege Hiwot Referral Hospital, North West Ethiopia...
October 30, 2018: BMC Pregnancy and Childbirth
Stefan Kohler, Kristi Sidney Annerstedt, Vishal Diwan, Lars Lindholm, Bharat Randive, Kranti Vora, Ayesha De Costa
BACKGROUND: There has been little evaluation of the postpartum quality of life (QOL) of women in India and its association with the mode of birth. This study piloted the use of the generic EQ-5D-5L questionnaire to assess postpartum QOL experienced by rural Indian women. METHODS: A convenience sample of rural women who gave birth in a health facility in Gujarat or Madhya Pradesh was recruited into this pilot study. QOL was measured during three interviews within 30 days of birth using the EQ-5D-5L questionnaire...
October 29, 2018: BMC Pregnancy and Childbirth
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