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Maternal Health, Neonatology and Perinatology

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https://www.readbyqxmd.com/read/28331630/factors-affecting-deliveries-attended-by-skilled-birth-attendants-in-bangladesh
#1
Gulam Muhammed Al Kibria, Swagata Ghosh, Shakir Hossen, Rifath Ara Alam Barsha, Atia Sharmeen, S M Iftekhar Uddin
BACKGROUND: The presence of skilled birth attendants (SBAs) is crucial in childbirth to reduce the maternal mortality ratio (MMR) and to achieve the maternal mortality target of the United Nations' Sustainable Development Goals (SDGs). The aim of this study was to investigate the factors related to childbirths attended by SBAs in Bangladesh. METHODS: Data from the Bangladesh Demographic and Health Survey (2014 BDHS) were analyzed. Logistic regression was applied to calculate crude odds ratios (CORs), adjusted odds ratios (AORs), 95% confidence intervals (CIs), and p-values...
2017: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/28331629/congenital-diaphragmatic-hernia-a-review
#2
REVIEW
Praveen Kumar Chandrasekharan, Munmun Rawat, Rajeshwari Madappa, David H Rothstein, Satyan Lakshminrusimha
Congenital Diaphragmatic hernia (CDH) is a condition characterized by a defect in the diaphragm leading to protrusion of abdominal contents into the thoracic cavity interfering with normal development of the lungs. The defect may range from a small aperture in the posterior muscle rim to complete absence of diaphragm. The pathophysiology of CDH is a combination of lung hypoplasia and immaturity associated with persistent pulmonary hypertension of newborn (PPHN) and cardiac dysfunction. Prenatal assessment of lung to head ratio (LHR) and position of the liver by ultrasound are used to diagnose and predict outcomes...
2017: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/28228969/prevention-and-treatment-of-neonatal-nosocomial-infections
#3
REVIEW
Jayashree Ramasethu
Nosocomial or hospital acquired infections threaten the survival and neurodevelopmental outcomes of infants admitted to the neonatal intensive care unit, and increase cost of care. Premature infants are particularly vulnerable since they often undergo invasive procedures and are dependent on central catheters to deliver nutrition and on ventilators for respiratory support. Prevention of nosocomial infection is a critical patient safety imperative, and invariably requires a multidisciplinary approach. There are no short cuts...
2017: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/28203387/an-overview-of-available-drugs-for-management-of-opioid-abuse-during-pregnancy
#4
REVIEW
Jillian Laslo, Jon-Michael Brunner, Daniel Burns, Emily Butler, Autumn Cunningham, Ryan Killpack, Courtney Pyeritz, Kimberly Rinard, Jennifer Childers, Joseph Horzempa
The prevalence of opioid abuse in the United States has been steadily increasing over the last several years among many major demographics, including pregnant women. Rise in prenatal opioid abuse has resulted in subsequent escalation of neonatal abstinence syndrome incidence, prompting the US Congress to pass the Protecting Our Infants Act of 2015. This act specifically calls for a critical review of current treatment options for prenatal opioid abuse which may ultimately lead to the development of better therapies and a decreased incidence of neonatal abstinence syndrome...
2017: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/28116114/introducing-ehealth-strategies-to-enhance-maternal-and-perinatal-health-care-in-rural-tanzania
#5
Angelo Nyamtema, Nguke Mwakatundu, Sunday Dominico, Mkambu Kasanga, Fadhili Jamadini, Kelvin Maokola, Donald Mawala, Zabron Abel, Richard Rumanyika, Calist Nzabuhakwa, Jos van Roosmalen
BACKGROUND: Globally, eHealth has attracted considerable attention as a means of supporting maternal and perinatal health care. This article describes best practices, gains and challenges of implementing eHealth for maternal and perinatal health care in extremely remote and rural Tanzania. METHODS: Teleconsultation for obstetric emergency care, audio teleconferences and online eLearning systems were installed in ten upgraded rural health centres, four rural district hospitals and one regional hospital in Tanzania...
2017: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/28116113/early-onset-fetal-growth-restriction
#6
REVIEW
Andrea Dall'Asta, Valentina Brunelli, Federico Prefumo, Tiziana Frusca, Christoph C Lees
Fetal growth restriction (FGR) diagnosed before 32 weeks is identified by fetal smallness associated with Doppler abnormalities and is associated with significant perinatal morbidity and mortality and maternal complications. Recent studies have provided new insights into pathophysiology, management options and postnatal outcomes of FGR. In this paper we review the available evidence regarding diagnosis, management and prognosis of fetuses diagnosed with FGR before 32 weeks of gestation.
2017: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/28101373/optimizing-maternal-and-neonatal-outcomes-with-postpartum-contraception-impact-on-breastfeeding-and-birth-spacing
#7
REVIEW
Aparna Sridhar, Jennifer Salcedo
Postpartum contraception is important to prevent unintended pregnancies. Assisting women in achieving recommended inter-pregnancy intervals is a significant maternal-child health concern. Short inter-pregnancy intervals are associated with negative perinatal, neonatal, infant, and maternal health outcomes. More than 30% of women experience inter-pregnancy intervals of less than 18 months in the United States. Provision of any contraceptive method after giving birth is associated with improved inter-pregnancy intervals...
2017: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/27795833/timing-and-cause-of-perinatal-mortality-for-small-for-gestational-age-babies-in-south-africa-critical-periods-and-challenges-with-detection
#8
Tina Lavin, David B Preen, Robert Pattinson
BACKGROUND: Little information exists on timing and cause of death for small-for-gestational-age (SGA) babies in low-and-middle-income-countries (LMICs), despite evidence from high-income countries suggesting critical periods for SGA babies. This study explored the timing and cause of stillbirth and early neonatal mortality (END, <7 days) by small-for-gestational age in three provinces in South Africa. In South Africa, the largest category of perinatal deaths is unexplained stillbirth, of which up to one-quarter have intra-uterine growth restriction...
2016: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/27660718/logistic-regression-analysis-on-the-determinants-of-stillbirth-in-ethiopia
#9
Kidanemariam Alem Berhie, Habtamu Gebremariam Gebresilassie
BACKGROUND: Stillbirth is often defined as fetal death after 24 weeks of gestation, but a fetus greater than any combination of 16, 20, 22, 24, or 28 weeks gestational age and 350 g, 400 g, 500 g, or 1000 g birth weight may be considered stillborn depending on local law. Once the fetus has died, the mother may or may not have contractions and undergo childbirth or in some cases, a Caesarean section. Most stillbirths occur in full-term pregnancies. METHODS: This study has intended to model determinants of experiencing stillbirth among women in child bearing age group of Ethiopia using the Ethiopian demographic and health Survey data (EDHS, 2011)...
2016: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/27595008/circadian-changes-and-sex-related-differences-in-fetal-heart-rate-parameters
#10
Habiba Kapaya, Fiona Broughton Pipkin, Barrie Hayes-Gill, Pamela V Loughna
BACKGROUND: Previous researchers have studied circadian changes in the fetal heart rate (FHR) on small sample sizes and in a strictly controlled environment. This study was undertaken to investigate these changes during the late second and third trimesters, using a portable fetal electrocardiogram recording device (Monica AN24) in pregnant women in home and hospital environments with unrestricted mobility. METHODS: This was a prospective cohort study of 54 pregnant women with uncomplicated singleton pregnancies between 25 and 40 weeks gestation...
2016: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/27536380/maternal-diet-quality-and-nutrient-intake-in-the-gestational-period-results-from-the-delta-healthy-sprouts-comparative-impact-trial
#11
Lisa M Tussing-Humphreys, Jessica L Thomson, Melissa H Goodman, Sarah Olender
BACKGROUND: A woman's diet while pregnant can play an important role in her reproductive health as well as the health of her unborn child. Diet quality and nutrient intake amongst pregnant women residing in the rural Lower Mississippi Delta (LMD) region of the United States is inadequate. The Delta Healthy Sprouts Project was designed to test the comparative impact of two home visiting programs on weight status, dietary intake, and health behaviors of women and their infants residing in the LMD region...
2016: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/27437118/neonatal-mortality-and-causes-of-death-in-kersa-health-and-demographic-surveillance-system-kersa-hdss-ethiopia-2008-2013
#12
Nega Assefa, Yihune Lakew, Betelhem Belay, Haji Kedir, Desalew Zelalem, Negga Baraki, Melake Damena, Lemessa Oljira, Wondimye Ashenafi, Melkamu Dedefo
BACKGROUND: In the world, Neonatal mortality accounts for 40 % of death of children under the age of 5 years. Majority of neonatal deaths occur in developing countries outside of formal health system, among which death in the first hour of first day of their life constitute the huge bulk. This analysis is intended to estimate neonatal mortality rates and identify the leading causes of death based on the surveillance data over 6 years period in Kersa health and demographic surveillance system (Kersa HDSS) site, Eastern Ethiopia...
2016: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/27398224/cesarean-section-in-sub-saharan-africa
#13
REVIEW
Margo S Harrison, Robert L Goldenberg
Cesarean section is an essential maternal healthcare service. Its role in labor and delivery care in low- and middle-income countries is complex; in many low-resource settings it is underutilized in the most needy of populations and overused by the less needy, without clear methods to ensure that universal access is available. Additionally, even if universal access were available, it is not evident that these countries would have the capacity or the finances to appropriate meet demand for the procedure, or that patients would want to utilize the care...
2016: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/27375852/motherside-care-of-the-term-neonate-at-birth
#14
REVIEW
David Hutchon, Nick Bettles
The rationale for keeping the mother and her newborn together even when neonatal resuscitation is required is presented. The development of a customised mobile resuscitation trolley is detailed explaining how the resuscitation team can be provided with all the facilities of a standard resuscitation trolley to resuscitate the neonate at the mother's side with an intact cord. Alternative low tech solutions which may be appropriate in low resource setting and with a low risk population are also described.
2016: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/27298730/the-timing-of-umbilical-cord-clamping-at-birth-physiological-considerations
#15
REVIEW
Stuart B Hooper, Corinna Binder-Heschl, Graeme R Polglase, Andrew W Gill, Martin Kluckow, Euan M Wallace, Douglas Blank, Arjan B Te Pas
While it is now recognized that umbilical cord clamping (UCC) at birth is not necessarily an innocuous act, there is still much confusion concerning the potential benefits and harms of this common procedure. It is most commonly assumed that delaying UCC will automatically result in a time-dependent net placental-to-infant blood transfusion, irrespective of the infant's physiological state. Whether or not this occurs, will likely depend on the infant's physiological state and not on the amount of time that has elapsed between birth and umbilical cord clamping (UCC)...
2016: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/27168942/new-approaches-to-management-of-neonatal-hypoglycemia
#16
REVIEW
Paul J Rozance, William W Hay
Despite being a very common problem after birth, consensus on how to manage low glucose concentrations in the first 48 h of life has been difficult to establish and remains a debated issue. One of the reasons for this is that few studies have provided the type of data needed to establish a definitive approach agreed upon by all. However, some recent publications have provided much needed primary data to inform this debate. These publications have focused on aspects of managing low blood glucose concentrations in the patients most at-risk for asymptomatic hypoglycemia-those born late-preterm, large for gestational age, small for gestational age, or growth restricted, and those born following a pregnancy complicated by diabetes mellitus...
2016: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/27114825/knowledge-and-attitudes-of-midwives-on-the-use-of-the-partogram-a-study-among-midwives-in-the-tamale-metropolis
#17
Kennedy Diema Konlan, Joseph M Kombat, Mary Gifty Wuffele, Milicent Aarah-Bapuah
BACKGROUND: The partogram is the most effective tool to use to monitor the progress of labour and complications associated with labour. The main objective of this study was to assess the knowledge level of midwives on the effective use of the partogram in monitoring the progress of labour in the Tamale Metropolis of Ghana. METHODS: This study was a cross-sectional descriptive study conducted on 140 midwives selected using random sampling technique from March to July, 2011...
2016: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/27057345/maternal-health-neonatology-and-perinatology-reviewer-acknowledgement-2015
#18
Tonse Nk Raju
The editor of Maternal Health, Neonatology, and Perinatology would like to thank all of the reviewers who have contributed to the journal in Volume 1 (2015).
2016: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/27057344/neuroprotective-potential-of-erythropoietin-in-neonates-design-of-a-randomized-trial
#19
REVIEW
Sandra E Juul, Dennis E Mayock, Bryan A Comstock, Patrick J Heagerty
BACKGROUND: In 2013, nearly four million babies were born in the U.S., among whom 447,875 were born preterm. Approximately 30,000 of these infants were born before 28 weeks of gestation. These infants, termed Extremely Low Gestational Age Neonates (ELGANs), experience high morbidity and mortality despite modern therapies: approximately 20 % of ELGANs admitted to an NICU die before discharge, 20 % of survivors have severe, and 20 % moderate neurodevelopmental impairment (NDI). New approaches are needed to improve neonatal outcomes...
2015: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/27057343/fetal-lower-urinary-tract-obstruction-luto-a-practical-review-for-providers
#20
REVIEW
Sina Haeri
Fetal lower urinary tract obstruction (LUTO) is a serious condition, which commonly results in marked perinatal morbidity and mortality. The characteristic prenatal presentation of LUTO includes an enlarged bladder with bilateral obstructive uropathy. While mild forms of the disease result in minimal clinical sequelae, the more severe forms commonly lead to oligohydramnios, dysplastic changes in the fetal kidneys, and ultimately result in secondary pulmonary hypoplasia. The aim of this review is to provide practitioners with a practical and concise overview of the presentation, evaluation, and treatment of LUTO...
2015: Maternal Health, Neonatology and Perinatology
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