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Nutrition Obstetrics

Regina Wierzejska, Mirosław Jarosz, Barbara Wojda, Magdalena Siuba-Strzelińska
Background: Docosahexaenoic acid (DHA) is indispensable to ensure proper development of the fetal central nervous system and pregnancy duration. Daily intake of DHA should be at least 100 mg higher as compared to the pre-pregnancy values. Objectives: The aim of the study was to evaluate DHA intake during pregnancy and compare it to the current recommendations. Material and methods: A total of 100 pregnant women presenting for labor at the Department of Obstetrics, Gynecology and Oncology, Medical University of Warsaw, were included in the study...
2018: Roczniki Państwowego Zakładu Higieny
Serawit Lakew, Alaso Ankala, Fozia Jemal
BACKGROUND: Patient satisfaction to Antenatal care services has traditionally been linked to the quality of services given and the extent to which specific needs are met. Even though data in this area was limited in Ethiopia, improving quality of care was one of the strategies in health sector development program IV. This study, therefore, attempted to assess client satisfaction to skilled antenatal care services in the study area. METHODS AND MATERIALS: A cross-sectional facility based survey was conducted among women who were attending antenatal care clinic, using quantitative method triangulated with qualitative data collection...
December 6, 2018: BMC Pregnancy and Childbirth
Luciane Morelis de Abreu, Rosângela Filipini, Beatriz da Costa Aguiar Alves, Gláucia Luciano da Veiga, Fernando Luiz Affonso Fonseca
Purpose: To evaluate the perception of breastfeeding self-efficacy in puerperal women and to verify the association between Breastfeeding Self-Efficacy Scale-Brazilian Version (BSES-VB) scores and sociodemographic and obstetric variables. The practice of breastfeeding is of extreme importance, not only because of its affective value but also because the nutritional composition of human milk is essential nutrients for the adequate growth and development of the newborn. Design and methods: This is a quantitative and cross-sectional study...
October 2018: Heliyon
Antonia P Francis, Michelle Chang, Cara D Dolin, Judith Chervenak, Elyce Cardonick
Hepatobiliary malignancies during pregnancy are extremely rare and portend a poor prognosis. There are only seven published cases of cholangiocarcinoma in an obstetrical patient, all are cases of primary cholangiocarcinoma (1-7). Herein, we describe the first case of recurrent cholangiocarcinoma during pregnancy. The patient did not receive chemotherapy during pregnancy and required prolonged hospitalizations for nutritional and intensive medical support. She delivered preterm, at 30 2/7 weeks gestation, after developing pre-eclampsia with severe features...
October 2018: American Journal of Perinatology Reports
Liang Kun Ma, Yong Xue, Ting Chao He, Yu Mei Zhang
Objective To investigate the associations of socioeconomic factors,nutrients intake,and gut microbiota of healthy pregnant women in the third trimester with gestational weight gain (GWG).Methods We recruited 98 pregnant women in the third trimester who had received antenatal care in the Department of Obstetrics Gynecology,Peking Union Medical College Hospital from October,2015 to May,2016. We collected socioeconomic information through a structured questionnaire covering age,ethnicity,height,pre-pregnancy weight,and education...
October 30, 2018: Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae
Jonathan C K Wells, Rasmus Wibaek, Marios Poullas
Background: Among contemporary human populations, rates of cesarean delivery vary substantially, making it difficult to know if the procedure is inadequately available, or used excessively relative to medical need. A much-cited evolutionary hypothesis attributed birth complications to an "obstetric dilemma," resulting from antagonistic selective pressures acting on maternal pelvic dimensions and fetal brain growth during hominin evolution. However, the childbirth challenges experienced by living humans may not be representative of those in the past, and may vary in association with trends in ecological conditions...
2018: Frontiers in Public Health
Kaori Kiuchi, Kiyoshi Hasegawa, Shoko Ochiai, Emi Motegi, Tatsuya Kuno, Nobuaki Kosaka, Ichio Fukasawa
Recently, neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR) or prognostic nutritional index (PNI) have been investigated as prognostic parameters in various malignancies. Herein, we detail how we have investigated the prognostic significance of NLR, PLR and PNI together with the other clinicopathological factors for International Federation of Gynaecology and Obstetrics stage IVB endometrial carcinoma. Thirty-two patients with clinical stage IVB disease were enrolled. The relationship between clinicopathological factors, NLR, PLR or PNI and overall survival (OS) rates was investigated...
October 27, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
Ozlem Akalpler, Hulya Okumus
Objective: To determine the effect of gum chewing on bowel function postoperatively in women after cesarean delivery under spinal anesthesia. Methods: This semi-experimental study was conducted at Near East University Hospital Obstetrics and Gynecology Clinic in Turkish Republic of Northern Cyprus with 45 women in both the +experimental and control groups, between October 2016 and June 2017. The women in the experimental group chewed gum two hours after surgery until gut sounds were heard and nutrition was given orally...
September 2018: Pakistan Journal of Medical Sciences Quarterly
Yi Liu, Jianrong Yao, Xinghui Liu, Biru Luo, Xiufang Zhao
BACKGROUND: Breast milk is the most important nutrition for premature babies, but mothers of premature infants have difficulty in initiating and sustaining lactation. Breastfeeding infants who are separated with mothers have decreased morbidity. Nevertheless, such decrease is limited due to insufficient milk supply resulting from mother-baby separation during lac. OBJECTIVE: To evaluate the effect of intervention methods based on the health belief model on promoting the secretion of milk among mothers who were separated with their babies...
October 2018: Medicine (Baltimore)
Wenhao Chen, Changyi Yang, Hanqiang Chen, Baoquan Zhang
The present study aims to analyze the risk factors for metabolic bone disease (MBD) of prematurity.A total of 238 preterm infants who were born at <34 weeks of gestation and were hospitalized for at least 6 weeks in the Department of Neonatology, Fujian Maternity and Children Hospital between January 1, 2011 and November 30, 2015 were enrolled in the study. Sixteen preterm infants diagnosed with MBD were selected as the case group, and 32 non-MBD preterm infants were matched 2:1 at admission into the study...
October 2018: Medicine (Baltimore)
Regina Wierzejska, Mirosław Jarosz, Michał Bachanek, Włodzimierz Sawicki
INTRODUCTION: Vitamin D plays a crucial role in the development of healthy fetal bone tissue. Analysis of fetal bone parameters versus maternal vitamin D status is necessary to shed some light on the matter. The aim of the study was to investigate the relationship between maternal and cord vitamin D concentrations and other factors which might affect fetal bone development and femur length. MATERIAL AND METHODS: The study included 94 term pregnancies, delivered at the Department of Obstetrics, Gynecology and Oncology, Medical University of Warsaw...
October 12, 2018: Journal of Maternal-fetal & Neonatal Medicine
Michelle A Kominiarek, Linda C O'Dwyer, Melissa A Simon, Beth A Plunkett
BACKGROUND: Providers need to be comfortable addressing obesity and gestational weight gain so they may give appropriate care; however, health care providers lack guidelines for the most effective educational strategies to assist in providing optimal care. OBJECTIVE: To identify studies that involved the obstetric provider in interventions for either the perinatal management of obesity and/or gestational weight gain in a systematic review. SEARCH STRATEGY: A keyword search of databases was performed up to April 2017...
2018: PloS One
Teklit Grum, Solomon Hintsa, Gebremedhin Hagos
OBJECTIVE: Preeclampsia or eclampsia, which is one of the direct obstetric complication, results in maternal and child morbidity and mortality. The factors associated with it remains unclear. So, the aim of the study was to assess the dietary factors associated with preeclampsia or eclampsia among women in delivery care services in Addis Ababa, Ethiopia. RESULTS: Factors which were investigated as protective for preeclampsia or eclampsia were: Fruit intake during pregnancy (AOR: 0...
October 1, 2018: BMC Research Notes
Loisa Drozdoff, Evelyn Klein, Marion Kiechle, Daniela Paepke
BACKGROUND: Biologically-based complementary medicines (BB-CAM) including herbs and nutritional supplements are frequently taken by breast- and gynecological cancer patients undergoing systemic therapy. The aim of this study was to analyze the use of these natural CAM methods under systemic therapy. METHODS: From September 2014 to December 2014 and February 2017 to May 2017 all patients (n= 717) undergoing systemic therapy at the day care unit, Department of Gynecology and Obstetrics, Technical University Munich, Germany, with breast- and/or gynecological cancer were included in this survey...
September 24, 2018: BMC Complementary and Alternative Medicine
Abdurrahman Hamdi Inan, Emrah Beyan, Adnan Budak, Ahkam Goksel Kanmaz
Objectives: To evaluate the intra- and postoperative gastrointestinal complications following abdominal sacrocolpopexy and determine the possible causes. Methods: A total of 86 patients who underwent abdominal sacrocolpopexy due to symptomatic pelvic organ prolapse between January 2014 and January 2016 at İzmir Tepecik Training and Research Hospital Obstetrics and Gynecology Clinic were retrospectively reviewed using the hospital information system. Patients were divided into two groups: those with and without prolonged length of hospital stay...
July 2018: Pakistan Journal of Medical Sciences Quarterly
Ünal Turkay, Ümit Aydın, Ebru Çalışkan, Mehmet Salıcı, Hasan Terzi, Bahar Astepe
Adolescence is the transition period from childhood to adulthood; the World Health Organization has defined it as the ages between 10 and 19. Approximately 11% of all births in the world are by adolescent mothers. Pregnant adolescent refugees who have been forced to emigrate due to civil wars raging on in their native countries often face difficult social life conditions, have little or no access to hospitals, and experience language barriers and poor nutritional status have been found to experience poor maternal and obstetric outcomes...
September 25, 2018: Journal of Maternal-fetal & Neonatal Medicine
Gabriella Pinto Belfort, Marta Maria Antonieta de Souza Santos, Lidiane da Silva Pessoa, Juliana Rebelo Dias, Sonaly Petronilho Heidelmann, Cláudia Saunders
This study aimed to identify the determinants of low birth weight (LBW) amongst children of adolescent mothers through a hierarchical approach in a cross-sectional study of 751 adolescents attended at a public hospital in Rio de Janeiro. Sociodemographic data, prenatal care, and biological and maternal obstetric conditions were analyzed. Possible determinants of LBW were identified in the bivariate analysis and then hierarchical logistic regression models were tested, considering as taggered hierarchy of distal, intermediate, and proximal levels...
August 2018: Ciência & Saúde Coletiva
Kathryn Beck, Angelique Mukantaganda, Scheilla Bayitondere, Richard Ndikuriyo, Almaque Dushimirimana, Vianney Bihibindi, Souzane Nyiranganji, Michel Habiyaremye, Jennifer Werdenberg
In low-resource settings, inpatient case fatality for severe acute malnutrition (SAM) remains high despite evidenced-based protocols and resources to treat SAM. Key reasons include a combination of insufficiently trained staff, poor teamwork and inadequate compliance to WHO treatment guidelines which are proven to reduce mortality. Checklists have been used in surgery and obstetrics to ameliorate similarly complicated yet repetitive work processes and may be a key strategy to improving inpatient SAM protocol adherence and reducing unnecessary death...
2018: Global Health Action
Elizabeth A Symington, Jeannine Baumgartner, Linda Malan, Lizelle Zandberg, Cristian Ricci, Cornelius M Smuts
BACKGROUND: Adequate nutrition during pregnancy is important to ensure optimal birth outcomes, maternal health and offspring development. However, little is known about the dietary intake and nutritional status of pregnant women residing in urban South Africa. Therefore, the Nutrition during Pregnancy and Early Development (NuPED) cohort study was initiated to assess early nutrition-related exposures predictive of early childhood development in urban South Africa. METHODS: The aims of this prospective cohort study are: 1) to assess dietary intake and nutritional status of urban pregnant women in Johannesburg, South Africa, and 2) to determine associations with birth outcomes, measures of maternal health, as well as measures of offspring health and development...
July 24, 2018: BMC Pregnancy and Childbirth
Vidya Seshan, Esra Alkhasawneh, Salam Al Kindi, Fayez Abdel-Majid Al Simadi, Judie Arulappan
Objectives: We conducted this study to assess the risk factors of gestational anemia and evaluate the effectiveness of a culturally-tailored nutrition educational intervention on hemoglobin (Hb) status among pregnant Omani women. Newborn birthweight was used as a birth outcome. Methods: The study was conducted in two phases. The first phase investigated the risk factors associated with gestational anemia in 206 Omani women who were 3 20 years old and had at least completed 12 weeks of gestation...
July 2018: Oman Medical Journal
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