Read by QxMD icon Read

family practice obstetrics

Jennifer Pearson, Ruth Westra
BACKGROUND AND OBJECTIVES: The Department of Family Medicine and Community Health Duluth has offered the Obstetrical Longitudinal Course (OBLC) as an elective for first-year medical students since 1999. The objective of the OBLC Impact Survey was to assess the effectiveness of the course over the past 15 years. METHODS: A Qualtrics survey was emailed to participants enrolled in the course from 1999-2014. Data was compiled for the respondent group as a whole as well as four cohorts based on current level of training/practice...
October 2016: Family Medicine
Katherine Rhoades, Sarah Telliard, Tiffany Stanfill Thomas, Jennifer L Barkin
OBJECTIVE: We examined 1) women's perceptions regarding self-care, 2) applications of self-care, and 3) barriers to practicing effective self-care. METHODS: Four focus groups were conducted in a low-income, pregnant population. Focus group recruitment and discussions took place at a large medical center in a medically underserved area of central Georgia. Thirty-two adult pregnant women attending a high-risk obstetric clinic were included. Data related to holistic self-care were identified and grouped into one of three categories: women's valuations of self-care, applications of self-care, and barriers to self-care...
September 30, 2016: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
Élise Thellier, Dan Benhamou
Caesarean delivery was performed in 20% of all deliveries in France in 2010 and this rate has remained unchanged during the last 10 years. Indications to perform this procedure are well defined, especially in case of scarred uterus, twin pregnancies, macrosomia or breech presentation. Surgical (haemorrhage, urinary or intestinal tract injury) and anaesthetic (hypotension after regional anaesthesia, difficult intubation and aspiration after general anaesthesia) complications may occur during the procedure. Complications may also be encountered in the early postoperative period (haemorrhage, infection, venous thromboembolism) but also on the long-term, such as placenta accreta or uterine rupture which may significantly impact obstetric outcomes...
June 2016: La Revue du Praticien
Sanjay Chawla, Elizabeth E Foglia, Vishal Kapadia, Myra H Wyckoff
The Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network (NRN) has examined the effects of various obstetrical perinatal interventions and neonatal delivery room practices on the newborn with particular focus on those born preterm. Studies exploring the effects and safety of various antepartum maternal medications and the effects of the route and timing of delivery are examined. The NRN has contributed key studies to the evidence base for the International Liaison Committee on Resuscitation neonatal resuscitation guidelines...
October 2016: Seminars in Perinatology
Jeannette T Crenshaw, Ellise D Adams, Debby Amis
The perinatal trends presented in this article are based on recent topics from conferences, journals, the media, as well as from input from perinatal nurses. Trends in patient care are influenced by evidence known for decades, new research, emerging and innovative concepts in healthcare, patient and family preferences, and the media. Trends discussed in this article are rethinking the due date, birth outside the hospital setting, obstetric hospitalists as birth attendants, nitrous oxide for pain in childbirth, hydrotherapy and waterbirth in the hospital setting, delayed cord clamping, disrupters of an optimal infant microbiome, skin-to-skin care during cesarean surgery, and breast-sleeping and the breast-feeding dyad...
July 2016: Journal of Perinatal & Neonatal Nursing
A Bajracharya
Background Failure to plan a pregnancy can adversely affect the health of the family as a whole. High parity is related to increased maternal, perinatal and infant deaths and is associated with nutritional problems of both mother and child. Hence, good knowledge, attitude and practice of family planning among women are important. This study is aimed to determine the knowledge, attitude and practice of contraception among the postpartum women attending Kathmandu Medical College Teaching Hospital. Objective To determine the knowledge, attitude and the practice of various contraceptive methods among the postpartum women...
October 2015: Kathmandu University Medical Journal (KUMJ)
Agathe Delanoë, Johanie Lépine, Maria Esther Leiva Portocarrero, Hubert Robitaille, Stéphane Turcotte, Isabelle Lévesque, Brenda J Wilson, Anik M C Giguère, France Légaré
BACKGROUND: It has been suggested that health literacy may impact the use of decision aids (DAs) among patients facing difficult decisions. Embedded in the pilot test of a questionnaire, this study aimed to measure the association between health literacy and pregnant women's intention to use a DA to decide about prenatal screening. We recruited a convenience sample of 45 pregnant women in three clinical sites (family practice teaching unit, birthing center and obstetrical ambulatory care clinic)...
2016: BMC Research Notes
Marilyn M Schapira, Brian L Sprague, Carrie N Klabunde, Anna N A Tosteson, Asaf Bitton, Jane S Chen, Elisabeth F Beaber, Tracy Onega, Charles D MacLean, Kimberly Harris, Kathleen Howe, Loretta Pearson, Sarah Feldman, Phyllis Brawarsky, Jennifer S Haas
BACKGROUND: Despite substantial resources devoted to cancer screening nationally, the availability of clinical practice-based systems to support screening guidelines is not known. OBJECTIVE: To characterize the prevalence and correlates of practice-based systems to support breast and cervical cancer screening, with a focus on the patient-centered medical home (PCMH). DESIGN: Web and mail survey of primary care providers conducted in 2014. The survey assessed provider (gender, training) and facility (size, specialty training, physician report of National Committee for Quality Assurance (NCQA) PCMH recognition, and practice affiliation) characteristics...
October 2016: Journal of General Internal Medicine
Xavier Deffieux, Bertrand de Rochambeau, Gautier Chene, Tristan Gauthier, Samantha Huet, Géry Lamblin, Aubert Agostini, Maxime Marcelli, François Golfier
OBJECTIVE: The objective of the study was to draw up French College of Obstetrics and Gynecology (CNGOF) clinical practice guidelines based on the best available evidence concerning hysterectomy for benign disease. METHODS: Each recommendation for practice was allocated a grade, which depends on the level of evidence (clinical practice guidelines). RESULTS: Hysterectomy should be performed by a high-volume surgeon (>10 hysterectomy procedures per year) (gradeC)...
July 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Elif Yılmaz, Zehra Yılmaz, Hatice Isık, Ismaıl Burak Gultekın, Hakan Timur, Fadıl Kara, Tuncay Kucukozkan
OBJECTIVE: This study aimed to determine the early initiation time of breastfeeding and exclusive breastfeeding (EBF) rates during the first 6 months and the main factors affecting EBF practice in Turkish adolescent mothers. STUDY DESIGN AND METHODS: A cross-sectional study was conducted with 200 adolescent mothers who were raising 6 to 24 month-old children. A face-to-face interview was conducted for sociodemographic characteristics, obstetric history, information about the baby, information about breastfeeding, and the factors affecting breastfeeding...
May 16, 2016: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
Ismael Jiménez-Ruiz, Pilar Almansa Martínez, María Del Mar Pastor Bravo
OBJECTIVE: To explore men's knowledge of the negative consequences of female genital mutilation (FGM) to women's health in countries where this practice is performed. METHODS: A qualitative methodology was used with an ethnomethodological approach. Both individual and group semi-structured interviews concerning FGM were conducted with 25 men, selected by triple sampling. A study presentation letter was provided to participants, together with an informed consent declaration...
July 2016: Gaceta Sanitaria
Emily F Gregory, Matthew A Goldshore, Janice L Henderson, Robert D Weatherford, Nakiya N Showell
BACKGROUND: Obesity is widespread and treatment strategies have demonstrated limited success. Changes to obstetrical practice in response to obesity may support obesity prevention by influencing offspring growth trajectories. METHODS: This retrospective cohort study examined growth among infants born to obese mothers who participated in Nutrition in Pregnancy (NIP), a prenatal nutrition intervention at one urban hospital. NIP participants had Medicaid insurance and BMIs of 30 kg/m(2) or greater...
June 2016: Childhood Obesity
Allison T Chamberlain, Katherine Seib, Kevin A Ault, Eli S Rosenberg, Paula M Frew, Marielysse Cortes, Ellen A S Whitney, Ruth L Berkelman, Walter A Orenstein, Saad B Omer
OBJECTIVE: Understanding whether interventions designed to improve antenatal vaccine uptake also change women's knowledge about vaccination is critical for improving vaccine coverage. This exploratory study evaluates the effectiveness of a multi-component influenza and tetanus, diphtheria, and acellular pertussis (Tdap) vaccine promotion package on improving women's knowledge, attitudes and beliefs toward antenatal vaccination. STUDY DESIGN: In 2012/2013 a cluster-randomized trial was conducted to test the effectiveness of a vaccine promotion package on improving antenatal vaccine coverage...
April 15, 2016: Human Vaccines & Immunotherapeutics
Lorena Binfa, Loreto Pantoja, Jovita Ortiz, Marcela Gurovich, Gabriel Cavada, Jennifer Foster
OBJECTIVE: in 2010, a pilot study was conducted among women who were attended by midwives in the public sector in Santiago, Chile. The purpose of that study was to evaluate the implementation of the 'Model of Integrated and Humanized Health Services', and the Clinical Guide for Humanized Attention during Labour and Childbirth. Results of that study indicated 92.7% of women had medically augmented labours (artificial rupture of the membranes, oxytocin and epidural analgesia). One third of the women reported discontent with the care they received...
April 2016: Midwifery
Laura Ferreira Cortes, Stela Maris de Mello Padoin, Letícia Becker Vieira, Maria Celeste Landerdahl, Jaqueline Arboit
OBJECTIVES: To study the care of women victims of violence provided by nurses in emergency services and to analyse the practices that target the empowerment of women and gender equity. METHODS: A qualitative, descriptive study conducted by means of interviews with 10 nurses of an emergency and obstetrics unit of a university hospital and local emergency service of a city in southern Brazil from January to April 2013. We used thematic content analysis and defined gender as the analytical category...
2015: Revista Gaúcha de Enfermagem
Ashlyn Tom, Hali Robinett, Lee Buenconsejo-Lum, Reni Soon, Michael Hamilton, Pia Francisco-Natanauan, May Rose Dela Cruz, Ronald Balajadia, Brenda Y Hernandez
Despite the availability of HPV prophylactic vaccines, uptake has been suboptimal in the US. In the state of Hawaii, HPV vaccine coverage has decreased among females and remains low among males aged 13-17. The reasons for low uptake are unknown and may indicate the existence of critical barriers to HPV vaccination. The purpose of this investigation was to identify policy, system and environmental barriers and promoters of pediatric HPV vaccination in Hawaii. An online 86-item survey addressing knowledge, attitudes, beliefs, practices, and barriers to HPV vaccination was distributed to practicing physicians in Hawaii specializing in Pediatrics, Family Medicine, and Obstetrics-Gynecology...
October 2016: Journal of Community Health
Susan Hellerstein, Sarah Feldman, Tao Duan
BACKGROUND: China has one of the highest cesarean delivery rates in the world, with most cesareans done without indication. METHODS: Observation of how perinatal care is delivered in a range of Shanghai hospitals was done to gain insight into the 50 percent cesarean delivery rate. A mixed methods approach combined a descriptive structured survey of obstetric services with standardized interview with obstetricians and qualitative observation of obstetric services in six different Shanghai obstetric facilities...
September 2016: Birth
Dylan Supina, Barry K Herman, Carla B Frye, Alicia C Shillington
OBJECTIVES: Binge eating disorder (BED)--now a designated disorder in the DSM-5--is the most prevalent eating disorder (ED), affecting 2-3% of the US population. This survey of US physicians assesses how BED is diagnosed, treated and referred. METHODS: Internists, family practitioners, obstetrics/gynecologist (OB/GYNs) and psychiatrists were randomly selected from a nationally-representative panel. Participants completed an online survey and reviewed case vignettes consistent with DSM-5-defined BED, then answered questions to elicit whether they would assess for psychiatric conditions including EDs...
2016: Postgraduate Medicine
Jo-Anne Hammond
OBJECTIVE: To compare patient outcomes and complications before and after involvement of family medicine residents in intrapartum care. DESIGN: Secondary data analysis. SETTING: London, Ont. PARTICIPANTS: Obstetric patients of a family physician with a special interest in obstetrics. MAIN OUTCOME MEASURES: Total number of births attended and births missed, as well as rates of inductions, augmentations for dystocia, augmentations for prelabour ruptured membranes, types of births (ie, normal vaginal, vacuum-assisted, low and outlet forceps deliveries; cesarean sections; and obstetrician-assisted vaginal births), and perineal outcomes (ie, intact; first-, second-, third-, or fourth-degree tears; episiotomies; and episiotomies with third-or fourth-degree extensions)...
November 2015: Canadian Family Physician Médecin de Famille Canadien
Fang Wang, Jian-Cheng Dong, Jian-Rong Chen, Hui-Qun Wu, Man-Hua Liu, Li-Ly Xue, Xiang-Hua Zhu, Jian Wang
OBJECTIVE: To independently research and develop an electronic information system for safety administration of newborns in the rooming-in care, and to investigate the effects of its clinical application. METHODS: By VS 2010 SQL SERVER 2005 database and adopting Microsoft visual programming tool, an interactive mobile information system was established, with integrating data, information and knowledge with using information structures, information processes and information technology...
2015: International Journal of Clinical and Experimental Medicine
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"