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https://www.readbyqxmd.com/read/29775993/postnatal-psychosocial-assessment-and-clinical-decision-making-a-descriptive-study
#1
Deborah Sims, Cathrine Fowler
AIM: The aim of this study is to describe experienced child and family health nurses' clinical decision-making during a postnatal psychosocial assessment. BACKGROUND: Maternal emotional wellbeing in the postnatal year optimises parenting and promotes infant development. Psychosocial assessment potentially enables early intervention and reduces the risk of a mental disorder occurring during this time of change. Assessment accuracy, and the interventions used are determined by the standard of nursing decision-making...
May 18, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29774708/-communicating-data-of-the-italian-ninfea-birth-cohort
#2
Lorenzo Richiardi, Maja Popovic, Daniela Zugna, Franca Rusconi, Franco Merletti, Costanza Pizzi
"In March 2016, the website of the NINFEA project (an Internet-based cohort set up to investigate the effects of exposures acting early in life) was enriched with the section «Data», which reports aggregated data for selected variables of the cohort. This article discusses the rationale for this new section, available data and their possible uses are described, and some results are compared with figures accessible from surveillance studies. The Italian birth cohort NINFEA includes 7,500 pregnant women, recruited through the Internet from 2005 to June 2016, and of their children, followed up with repeated questionnaires...
March 2018: Epidemiologia e Prevenzione
https://www.readbyqxmd.com/read/29774380/-thyroid-and-pregnancy
#3
REVIEW
K A Iwen, H Lehnert
During pregnancy thyroid hormones have profound effects on embryonal/fetal development and maternal health. Therefore, thyroid gland disorders should be immediately diagnosed and adequately treated. Pregnancy-specific physiological alterations during pregnancy cause changes in the reference interval for thyroid-stimulating hormone levels and trimester-specific thresholds must be taken into account. This article summarizes the most important diagnostic and therapeutic aspects before, during and after pregnancy...
May 17, 2018: Der Internist
https://www.readbyqxmd.com/read/29774270/lack-of-association-between-receiving-art-treatment-and-parental-psychological-distress-during-pregnancy-preliminary-findings-of-the-japan-environment-and-children-s-study
#4
Kouichi Yoshimasu, Akiko Sato, Naoko Miyauchi, Kanami Tsuno, Hidekazu Nishigori, Kunihiko Nakai, Takahiro Arima
In a nationwide population-based birth cohort study in Japan, pregnant women and their partners were evaluated for psychological distress as part of the first and second/third trimester health checks. Participants were divided into three groups: an infertility group receiving assisted reproductive technology (ART) treatment (239 mothers and 151 fathers); an infertility group receiving non-ART treatment (350 mothers and 215 fathers); and a spontaneous pregnancy group (8514 mothers and 5110 fathers). Data on maternal and child health as well as basic characteristics were collected via medical records and self-administered questionnaires...
April 2018: Reproductive Biomedicine & Society Online
https://www.readbyqxmd.com/read/29773807/risk-factors-associated-with-htlv-1-vertical-transmission-in-brazil-longer-breastfeeding-higher-maternal-proviral-load-and-previous-htlv-1-infected-offspring
#5
Arthur M Paiva, Tatiane Assone, Michel E J Haziot, Jerusa Smid, Luiz Augusto M Fonseca, Olinda do Carmo Luiz, Augusto Cesar Penalva de Oliveira, Jorge Casseb
HTLV-1 is transmitted primarily either through sexual intercourse or from mother to child. The mother/child pairs were classified as seroconcordant or serodiscordant. We analyzed mother to child transmission (MTCT) according to sociodemographic, clinical and epidemiological characteristics of the mother, child's gender and duration of breastfeeding. Between June 2006 and August 2016 we followed 192 mothers with HTLV-1 infection (mean age 41 years old), resulting in 499 exposed offspring, 288 (57.7%) of whom were tested for HTLV-1, making up the final sample for the study, along with their 134 respective mothers...
May 17, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29773219/an-open-trial-of-bedtime-fading-for-sleep-disturbances-in-preschool-children-a-parent-group-education-approach
#6
Michele R Cooney, Michelle A Short, Michael Gradisar
STUDY OBJECTIVES: To evaluate the efficacy of bedtime fading to reduce sleep disturbances in preschool aged children by using a group parent education format. DESIGN: A repeated-measures design (pretreatment, treatment, post-treatment and two year follow-up). SETTING: Flinders University Child and Adolescent Sleep Clinic, Adelaide, South Australia. PARTICIPANTS: Participants comprised 21 children (M age = 3.0 ± 0...
June 2018: Sleep Medicine
https://www.readbyqxmd.com/read/29773207/poor-sleep-during-early-pregnancy-increases-subsequent-risk-of-gestational-diabetes-mellitus
#7
Chunrong Zhong, Renjuan Chen, Xuezhen Zhou, Shangzhi Xu, Qian Li, Wenli Cui, Weiye Wang, Xiating Li, Jiangyue Wu, Chaoqun Liu, Mei Xiao, Guoqiang Sun, Xuefeng Yang, Liping Hao, Nianhong Yang
OBJECTIVES: To examine the relationship between poor sleep quality during pregnancy and the risk of gestational diabetes mellitus (GDM). METHODS: A total of 4066 singleton pregnant women from the Tongji Maternal and Child Health Cohort (TMCHC) without overt diabetes before pregnancy were analyzed. Sleep quality and duration during early pregnancy were self-reported by enrolled women at their first antenatal care visit before 16 weeks of gestation. Gestational diabetes mellitus (GDM) was assessed with a 75-g, 2-h oral glucose tolerance test at 24-28 weeks of gestation...
June 2018: Sleep Medicine
https://www.readbyqxmd.com/read/29772082/child-symptoms-parent-behaviors-and-family-strain-in-long-term-survivors-of-childhood-acute-lymphoblastic-leukemia
#8
I-Chan Huang, Tara M Brinkman, Larry Mullins, Ching-Hon Pui, Leslie L Robison, Melissa M Hudson, Kevin R Krull
BACKGROUND: How family environment and parental factors affect health status and symptoms in childhood cancer survivors is understudied. We examined the influence of family cohesion, parent distress, and overprotection on child symptom burden and health-related quality of life (HRQOL) and family strain in survivors of childhood acute lymphoblastic leukemia (ALL). METHODS: Parents of 213 children treated with chemotherapy-only completed a survey when survivors were at least five-years post-diagnosis...
May 17, 2018: Psycho-oncology
https://www.readbyqxmd.com/read/29771224/discipline-specific-competency-based-curricula-for-leadership-learning-in-medical-specialty-training
#9
Sandra Turner, Ming-Ka Chan, Judy McKimm, Graham Dickson, Timothy Shaw
Purpose Doctors play a central role in leading improvements to healthcare systems. Leadership knowledge and skills are not inherent, however, and need to be learned. General frameworks for medical leadership guide curriculum development in this area. Explicit discipline-linked competency sets and programmes provide context for learning and likely enhance specialty trainees' capability for leadership at all levels. The aim of this review was to summarise the scholarly literature available around medical specialty-specific competency-based curricula for leadership in the post-graduate training space...
May 8, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/29770998/maternal-depressive-symptoms-are-negatively-associated-with-child-growth-and-development-evidence-from-rural-india
#10
Phuong Hong Nguyen, Jed Friedman, Mohini Kak, Purnima Menon, Harold Alderman
Maternal depression has been suggested as a risk factor for both poor child growth and development in many low- and middle-income countries, but the validity of many studies is hindered by small sample sizes, varying cut-offs used in depression diagnostics, and incomplete control of confounding factors. This study examines the association between maternal depressive symptoms (MDSs) and child physical growth and cognitive development in Madhya Pradesh, India, where poverty, malnutrition, and poor mental health coexist...
May 17, 2018: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/29770760/adherence-to-the-new-nordic-diet-during-pregnancy-and-subsequent-maternal-weight-development-a-study-conducted-in-the-norwegian-mother-and-child-cohort-study-moba
#11
Marianne Skreden, Elisabet R Hillesund, Andrew K Wills, Anne Lise Brantsæter, Elling Bere, Nina C Øverby
The rising prevalence of overweight and obesity is a worldwide public health challenge. Pregnancy and beyond is a potentially important window for future weight gain in women. We investigated associations between maternal adherence to the New Nordic diet (NND) during pregnancy and maternal BMI trajectories from delivery to 8 years post delivery. Data are from the Norwegian Mother and Child Cohort. Pregnant women from all of Norway were recruited between 1999 and 2008, and 55 056 are included in the present analysis...
June 2018: British Journal of Nutrition
https://www.readbyqxmd.com/read/29770565/a-review-of-child-stunting-determinants-in-indonesia
#12
REVIEW
Ty Beal, Alison Tumilowicz, Aang Sutrisna, Doddy Izwardy, Lynnette M Neufeld
Child stunting reduction is the first of 6 goals in the Global Nutrition Targets for 2025 and a key indicator in the second Sustainable Development Goal of Zero Hunger. The prevalence of child stunting in Indonesia has remained high over the past decade, and at the national level is approximately 37%. It is unclear whether current approaches to reduce child stunting align with the scientific evidence in Indonesia. We use the World Health Organization conceptual framework on child stunting to review the available literature and identify what has been studied and can be concluded about the determinants of child stunting in Indonesia and where data gaps remain...
May 17, 2018: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/29769775/primary-gingival-tuberculosis-in-pregnancy-a-rare-combination
#13
Shweta Sharma, Abdul Ahad, Narinder Dev Gupta, Vivek Kumar Sharma
Tuberculosis (TB), a common chronic-specific granulomatous disease, has become rare in the developed countries. However, it is still a common cause of morbidity and mortality in India. Although it commonly involves the lungs, its presentation in the oral cavity is quite uncommon. The very rare incidence of primary gingival TB, particularly in the absence of active pulmonary involvement often leads to misdiagnosis. Clinical features of oral lesions may include ulceration, nodules, granulomas, and fissures. TB in pregnant women is a major cause of obstetric complications and increased risk of maternal and child mortality...
March 2018: Journal of Indian Society of Periodontology
https://www.readbyqxmd.com/read/29769663/endogenous-testosterone-and-exogenous-oxytocin-influence-the-response-to-baby-schema-in-the-female-brain
#14
Sarah K C Holtfrerich, Roland Pfister, Alexander T El Gammal, Eugen Bellon, Esther K Diekhof
Nurturing behavior may be critically influenced by the interplay of different hormones. The neuropeptide oxytocin is known to promote maternal behavior and its reduction has been associated with postpartum depression risk and child neglect. Contrariwise, the observed decrease in testosterone level during early parenthood may benefit caretaking behavior, whereas increased testosterone may reduce attention to infants. Here we used functional magnetic resonance imaging to investigate the interactive influence of testosterone and oxytocin on selective attention to and neural processing of the baby schema (BS)...
May 16, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29769052/association-between-skilled-maternal-healthcare-and-postpartum-contraceptive-use-in-ethiopia
#15
Gizachew Assefa Tessema, Tensae Tadesse Mekonnen, Zelalem Birhanu Mengesha, Katherine Tumlinson
BACKGROUND: The postpartum period provides an important opportunity to address unmet need for contraception and reduce short birth intervals. This study aims to assess the association between skilled maternal healthcare and postpartum contraceptive use in Ethiopia. METHODS: Data for this analysis come from the 2011 to 2016 Ethiopian Demographic and Health Surveys (EDHS) and include nearly 5000 married women of reproductive age with a recent birth. Multivariate logistic regression was conducted to investigate the relationship between skilled maternal healthcare and postpartum contraceptive use...
May 16, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29769047/uptake-of-skilled-attendance-along-the-continuum-of-care-in-rural-western-kenya-selected-analysis-from-global-health-initiative-survey-2012
#16
Winfred Mwangi, Onesmus Gachuno, Meghna Desai, David Obor, Vincent Were, Frank Odhiambo, Amek Nyaguara, Kayla F Laserson
BACKGROUND: Examining skilled attendance throughout pregnancy, delivery and immediate postnatal period is proxy indicator on the progress towards reduction of maternal and neonatal mortality in developing countries. METHODS: We conducted a cross-sectional baseline survey of households of mothers with at least 1 child under-5 years in 2012 within the KEMRI/CDC health and demographic surveillance system (HDSS) area in rural western Kenya. RESULTS: Out of 8260 mother-child pairs, data on antenatal care (ANC) in the most recent pregnancy was obtained for 89% (n = 8260); 97% (n = 7387) reported attendance...
May 16, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29768616/associating-socioeconomic-position-and-maternal-depression-with-the-health-of-children-an-evaluation-of-the-2008-brazilian-household-survey
#17
Pedro Henrique Soares Leivas, Cesar Augusto Oviedo Tejada, Andréa Dâmaso Bertoldi, Anderson Moreira Aristides Dos Santos, Paulo de Andrade Jacinto
The study analyzed the association between socioeconomic position (income), maternal depression and the health of children in Brazil, using information from the 2008 National Household Survey (PNAD/IBGE). The analysis considered the sampling design for the research and included 46,874 individuals up to the age of nine. The Poisson models were estimated for three health outcomes for children: health as reported by the parents or the responsible person, restrictions on habitual activities for health reasons and periods when they were confined to bed two weeks before the interviews in the study...
May 2018: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29767917/puerperae-bonding-with-their-children-and-labor-experiences
#18
Lara Helk Souza, Zaida Aurora Sperli Geraldes Soler, Maria de Lourdes Sperli Geraldes Santos, Natália Sperli Geraldes Marin Dos Santos Sasaki
OBJECTIVES: To analyze the degree of bonding of puerperae with their babies, both in isolation and associated with experiences during and after labor. METHODS: A cross-sectional study carried out among 200 puerperae in São José do Rio Preto, Brazil. To evaluate the mother-child bond, we used the Mother-to-Infant Bonding Scale (MIBS). RESULTS: The mean age of puerperae was 26.4 years; most women were white (60.0%), were married (87.5%), and had an elementary education (51...
October 2017: Investigación y Educación en Enfermería
https://www.readbyqxmd.com/read/29767745/preconception-maternal-iodine-status-is-positively-associated-with-iq-but-not-with-measures-of-executive-function-in-childhood
#19
Sian M Robinson, Sarah R Crozier, Elizabeth A Miles, Catharine R Gale, Philip C Calder, Cyrus Cooper, Hazel M Inskip, Keith M Godfrey
Background: Adverse effects of severe maternal iodine deficiency in pregnancy on fetal brain development are well-established, but the effects of milder deficiency are uncertain. Most studies examine iodine status in pregnancy; less is known about iodine nutrition before conception. Objective: We examined relations between maternal preconception iodine status and offspring cognitive function, within a prospective mother-offspring cohort. Methods: Maternal iodine status was assessed through the use of the ratio of iodine:creatinine concentrations (I/Cr) in spot urine samples [median (IQR) period before conception 3...
May 15, 2018: Journal of Nutrition
https://www.readbyqxmd.com/read/29767725/advancing-the-health-of-women-and-newborns-predictors-of-patient-satisfaction-among-women-attending-antenatal-and-maternity-care-in-rural-rwanda
#20
Christine Mutaganzwa, Leah Wibecan, Hari S Iyer, Evrard Nahimana, Anatole Manzi, Francois Biziyaremye, Merab Nyishime, Fulgence Nkikabahizi, Lisa R Hirschhorn, Hema Magge
Objective: Identify predictors of patient satisfaction with antenatal care (ANC) and maternity services in rural Rwanda. Design: Cross-sectional. Setting: Twenty-six health facilities in Southern Kayonza (SK) and Kirehe districts. Participants: Sample of women ≥ 16 years old receiving antenatal and delivery care between November and December 2013. Intervention: Survey of patient satisfaction with antenatal and delivery care to inform quality improvement (QI) initiatives aimed at reducing neonatal mortality...
May 15, 2018: International Journal for Quality in Health Care
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