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Nutrition Obstetrics

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
Carina Andriatta Blume, Brenda Moretto Machado, Raíssa Ramos da Rosa, Maisa Dos Santos Rigoni, Daniela Schaan Casagrande, Cláudio Corá Mottin, Beatriz D Schaan
PURPOSE: The purpose of the study is to assess whether Roux-en-Y gastric bypass (RYGB) prior to pregnancy is associated with fluid intelligence in offspring. Additionally, perinatal and obstetric outcomes, and children nutritional status were evaluated. MATERIAL AND METHODS: Singleton births of women who underwent RYGB between 2000 and 2010 (BS) were matched to two control births by maternal age, delivery year, and gender. Control group 1 (CG1) and control group 2 (CG2) included women with a pre-pregnancy body mass index (BMI) < 35 kg/m2 and ≥ 35 kg/m2 , respectively, who had never undergone bariatric surgery...
July 20, 2018: Obesity Surgery
Fui Chee Woon, Yit Siew Chin, Intan Hakimah Ismail, Yoke Mun Chan, Marijka Batterham, Amir Hamzah Abdul Latiff, Wan Ying Gan, Geeta Appannah
BACKGROUND: Nutrition and environmental factors are essential for the education of the neonatal immune system. Epidemiological evidence has shown that malnutrition and allergic diseases that occur during early childhood share similar protective and risk factors. This paper describes the protocol of the Mother and Infant Cohort Study (MICOS), which aims to determine the contribution of early nutrition to the development of malnutrition and allergic diseases in infants' first year of life...
July 18, 2018: BMC Pediatrics
Yi-Ling Chiou, Chich-Hsiu Hung, Hsiu-Yun Liao
BACKGROUND: Gestational diabetes mellitus (GDM), an obstetric disease that affects the health of pregnant women, is one of the key factors associated with perinatal mortality or disease. AIMS: To explore the impact of prepregnancy body mass index (BMI) and gestational weight gain (GWG) on perinatal outcomes for women with GDM. METHODS: With a retrospective study design, women were recruited who received prenatal checkups, gave birth at two teaching hospitals in southern Taiwan from 1995 to 2011, and received a diagnosis of GDM by an obstetrician...
August 2018: Worldviews on Evidence-based Nursing
L Pimenta, V G P Dutra, A L B de Castro, R M Guimarães
OBJECTIVE: To analyze trends in expansion of coverage of the family health strategy and hospitalization for conditions sensitive to primary care (CSPC) in a successful experience of primary healthcare expansion in Brazil. STUDY DESIGN: Ecological study with data from the Brazilian National Health Information System. METHODS: CSPC were analyzed between 1998 and 2015 in Rio de Janeiro, Brazil, by cause groups. Trends, variation, and correlation between indicators in the period were evaluated...
September 2018: Public Health
Shivanand C Mastiholi, Manjunath S Somannavar, Sunil S Vernekar, S Yogesh Kumar, Sangappa M Dhaded, Veena R Herekar, Rebecca L Lander, Michael K Hambidge, Nancy F Krebs, Shivaprasad S Goudar
BACKGROUND: As per the World Health Organization, the nutritional status of women of reproductive age is important, as effects of undernutrition are propagated to future generations. More than one-third of Indian women in the reproductive age group are in a state of chronic nutritional deficiency during the preconception period leading to poor health and likely resulting in low birth weight babies. This study was aimed to assess the food insecurity and nutritional status of preconception women in a rural population of north Karnataka...
June 22, 2018: Reproductive Health
Nikolas Schürger, Evelyn Klein, Alexander Hapfelmeier, Marion Kiechle, Daniela Paepke
BACKGROUND: Although integrative medicine is gaining increasing attention and is claiming more and more its place in modern health care, it still plays a marginal role in conventional maternity care. The present study aims to examine the patterns of Complementary and Alternative Medicine (CAM) use and the demand for integrative therapies, including CAM, relaxation therapies, nutritional counseling, and psychological assistance, among women in pregnancy and childbed. METHODS: The survey was conducted from April 2017 to July 2017 by means of a pseudo-anonymous 38-item questionnaire at the Department of Gynecology and Obstetrics, Klinikum rechts der Isar, Technical University of Munich...
June 15, 2018: BMC Complementary and Alternative Medicine
Xia He, Jian-Pei Li, Xiao-Hua Liu, Jing-Ping Zhang, Qiu-Yao Zeng, Hao Chen, Shu-Lin Chen
Background: Many studies have shown the prognostic value of inflammation based factors in different cancers. This work aimed to explore the prognostic value of pretreatment C-reactive protein/albumin (CRP/Alb) ratio in patients with cervical cancer, and compared to other inflammatory prognostic factors, such as neutrophil/lymphocyte ratio(NLR), Glasgow prognostic score (mGPS), prognostic index (PI), platelet/lymphocyte ratio (PLR), prognostic nutritional index (PNI), clinicopathological parameter and squamous cell carcinoma antigen (SCC-Ag)...
2018: Journal of Cancer
Mathilde Louvigne, Stephanie Rouleau, Emmanuelle Caldagues, Isabelle Souto, Yanis Montcho, Audrey Migraine Bouvagnet, Olivier Baud, Jean Claude Carel, Geraldine Gascoin, Regis Coutant
OBJECTIVE: The objective was to determine whether maternal nutritional factors are associated with transient neonatal hyperinsulinism (HI). DESIGN AND SETTING: Case control study in 4 French tertiary Obstetrics and Neonatology Departments between 2008 and 2015. METHODS: Sixty-seven mothers of neonates diagnosed with transient hyperinsulinism and 113 mothers of controls were included. The screening for hyperinsulinemic hypoglycemia in neonates was performed because of clinical symptoms suggestive of hypoglycemia or in the presence of conventional risk factors (small-for-gestational-age, prematurity, anoxo-ischemia, hypothermia, macrosomia, gestational diabetes)...
2018: PloS One
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