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Postnatal care

Basma Emad Aboulhoda, Sherif S Hassan
BACKGROUND AND AIM: The adverse neurological effects of tramadol have recently raised attention. The literature pertaining to studying postnatal cerebellar changes induced by prenatal tramadol is very scanty, thus the current study has been designed to improve understanding of the cerebellar oxidative stress-related alterations associated with tramadol administration during pregnancy in this critical period of neuronal differentiation and synaptic development, thereby highlighting the importance of controlling prenatal prescription of opioids and optimizing care for opioid-dependent pregnant women and their infants...
October 17, 2018: Journal of Chemical Neuroanatomy
Kristina Nadine Heye, Valentin Rousson, Walter Knirsch, Ingrid Beck, Rabia Liamlahi, Vera Bernet, Hitendu Dave, Beatrice Latal
OBJECTIVE: To determine growth and its relationship to IQ in children with congenital heart disease (CHD) undergoing cardiopulmonary bypass surgery within the first year of life. STUDY DESIGN: Prospective single-center cohort study on 143 children (91 males) with different types of CHD (29 univentricular). Children with recognized genetic disorders were excluded. Growth (weight, height, and head circumference [HC]) was assessed at birth, before surgery, and at 1, 4, and 6 years and compared with Swiss growth charts...
October 16, 2018: Journal of Pediatrics
Charles H Zeanah
Unusual social behaviors have been central to our notions of autism spectrum disorders since their original descriptions. We have come to recognize that such behaviors are broadly distributed beyond the classic phenotype and may be induced by postnatal experiences involving insufficient care. Sex differences have also been noted, and a paper in the current issue by Mandy and colleagues, demonstrates different longitudinal trajectories in boys and girls in autistic social traits from middle childhood to mid-adolescence...
November 2018: Journal of Child Psychology and Psychiatry, and Allied Disciplines
Alfonso Gutierrez-Zotes, David Gallardo-Pujol, Javier Labad, Rocío Martín-Santos, Luisa García-Esteve, Estel Gelabert, Manuel Jover, Roser Guillamat, Fermín Mayoral, Isolde Gornemann, Francesca Canellas, Mónica Gratacós, Miriam Guitart, Miguel Roca, Javier Costas, Jose Luis Ivorra, Ricard Navinés, Yolanda de Diego, Elisabet Vilella, Julio Sanjuan
INTRODUCTION: The Edinburgh Postnatal Depression Scale (EPDS) is considered the gold standard in screening for postpartum depression. Although the Spanish version has been widely used, its factorial structure has not yet been studied . METHODS: A total of 1,204 women completed the EPDS 32 weeks after delivery. To avoid multiple testing, we split the sample into two halves, randomly drawing two subsamples of 602 participants each. We conducted exploratory factor analysis (EFA), followed by an oblimin rotation with the first sub-sample...
September 2018: Actas Españolas de Psiquiatría
Tzu Tsun Luk, Man Ping Wang, Yi Nam Suen, David Soo-Quee Koh, Tai Hing Lam, Sophia Siu-Chee Chan
Evidence on behavioural abnormalities in children exposed to secondhand smoke is limited. This study examined the relation between infant/ toddler cotinine concentration, a biomarker of secondhand smoke exposure, and behavioural problems in preschoolers who were unexposed to maternal smoking during gestation. A prospective cohort of 301 non-smoking mothers with their young children aged ≤18 months visiting postnatal primary care clinics in Hong Kong was enrolled in 2012 and followed by telephone survey 3 years afterwards...
October 18, 2018: Scientific Reports
Ilona C Narayen, Arjan B Te Pas, Nico A Blom, M Elske van den Akker-van Marle
Pulse oximetry (PO) screening is used to screen newborns for critical congenital heart defects (CCHD). Analyses performed in hospital settings suggest that PO screening is cost-effective. We assessed the costs and cost-effectiveness of PO screening in the Dutch perinatal care setting, with home births and early postnatal discharge, compared to a situation without PO screening. Data from a prospective accuracy study with 23,959 infants in the Netherlands were combined with a time and motion study and supplemented data...
October 17, 2018: European Journal of Pediatrics
Edward Ivimey-Cook, Jacob Moorad
Maternal effect senescence has attracted much recent scientific interest. However, the age-related effects of pre- and postnatal maternal age are often conflated, as these naturally originate from the same individual. Additionally, many maternal effect senescence studies fail to account for potential biases associated with selective disappearance. Here we use a cross-fostered laboratory population of a burying beetle, Nicrophorus vespilloides, to examine both the effects of female pre- and postnatal maternal age on offspring life-history traits and the postcare outcomes of mothers while accounting for selective disappearance of postnatal caregivers...
November 2018: American Naturalist
Tjitte Verbeek, Loes Quittner, Paul de Cock, Nynke de Groot, Claudi L H Bockting, Huibert Burger
BACKGROUND: Although personality as well as anxiety and depression are recognized as predictors for breastfeeding initiation, evidence of an association of these factors with 6 months' exclusive breastfeeding as recommended by the World Health Organization (WHO) is sparse. PURPOSE: The purpose of this study was to investigate the associations of personality and symptoms of anxiety and depression during and after pregnancy with meeting the WHO recommendation of 6 months' exclusive breastfeeding...
October 15, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
Alva Tang, Natalie Slopen, Charles A Nelson, Charles H Zeanah, Michael K Georgieff, Nathan A Fox
BACKGROUND: Reduced prenatal growth followed by rapid postnatal weight gain are risk factors for developing metabolic and cardiovascular disease. Children reared in institutions experience a similar pattern of growth restriction followed by catch-up growth after removal. We explored whether patterns of catch-up growth affect metabolic and cardiovascular outcomes in previously institutionalized adolescents. METHOD: A longitudinal study of institutionalized infants randomized to care as usual (n = 68) or foster care intervention (n = 68), and never institutionalized controls (n = 127)...
October 1, 2018: Pediatric Research
Martin Kluckow, Hazel Carlisle, Margaret Broom, Patricia Woods, Michele Jeffery, Deepa Desai, Nick Evans
OBJECTIVE: To explore the efficacy and risks of oral paracetamol in later (>2 weeks old) treatment of patent ductus arteriosus (PDA). STUDY DESIGN: A multicentre double-blind placebo-controlled randomised pilot trial in three neonatal intensive care units in Australia. Infants born <33 weeks with haemodynamically significant PDA were treated with a 5-day course of oral paracetamol or placebo. Cardiac ultrasounds were used to document haemodynamic parameters...
October 15, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
Alexandra Castillo-Ruiz, Morgan Mosley, Andrew J Jacobs, Yarely C Hoffiz, Nancy G Forger
Labor and a vaginal delivery trigger changes in peripheral organs that prepare the mammalian fetus to survive ex utero. Surprisingly little attention has been given to whether birth also influences the brain, and to how alterations in birth mode affect neonatal brain development. These are important questions, given the high rates of cesarean section (C-section) delivery worldwide, many of which are elective. We examined the effect of birth mode on neuronal cell death, a widespread developmental process that occurs primarily during the first postnatal week in mice...
October 15, 2018: Proceedings of the National Academy of Sciences of the United States of America
Rosa M A Martins, Joana R A Oliveira, Catarina C G Salgado, Bárbara L S Marques, Lia C F Oliveira, Graça R Oliveira, Teresa S Rodrigues, Rosário T Ferreira
OBJECTIVE: Sleep disturbances are frequent in infants. Early development of sleep routines has a positive effect on sleep quality. The objective of this study was to assess the impact of maternal education on the development of infants' sleep habits (SHs). METHODS: This was an experimental, longitudinal study. Postnatal mothers were allocated into two groups: to receive (intervention group, IG), or not receive (control group, CG) information on sleep hygiene. Individual 15-min sessions were provided and a leaflet was handed to the IG...
September 18, 2018: Sleep Medicine
Aakash Pandita, Astha Panghal, Girish Gupta, Anup Verma, Anish Pillai, Anita Singh, Kirti Naranje
BACKGROUND: Childhood vaccination is a common procedure and a part of routine medical care during infancy. Although vaccination is the cornerstone for prevention of many infectious diseases, it is associated with significant pain, which is often ignored. Non pharmacological interventions such as breast feeding and kangaroo mother care (KMC) have been used to decrease this procedural pain. However there is paucity of published data on effective use of KMC in term neonates and infants beyond the neonatal age...
October 12, 2018: Early Human Development
Hannah L Nathan, Nicola Vousden, Elodie Lawley, Annemarie de Greeff, Natasha L Hezelgrave, Nicola Sloan, Nina Tanna, Shivaprasad S Goudar, Muchabayiwa F Gidiri, Jane Sandall, Lucy C Chappell, Andrew H Shennan
Objectives: Haemorrhage, hypertension, sepsis and abortion complications (often from haemorrhage or sepsis) contribute to 60% of all maternal deaths. Each is associated with vital signs (blood pressure (BP) and pulse) abnormalities, and the majority of deaths are preventable through simple and timely intervention. This paper presents the development and evaluation of the CRADLE Vital Signs Alert (VSA), an accurate, low-cost and easy-to-use device measuring BP and pulse with an integrated traffic light early warning system...
October 2018: BMJ Innovations
Alison M Taylor, Edwin van Teijlingen, Jo Alexander, Kath M Ryan
BACKGROUND: Despite breastfeeding providing maximum health benefits to mother and baby, many women in the United Kingdom do not breastfeed, or do so briefly. PURPOSE: Using tenets of ethnography, this study aimed to explore the everyday experiences of first time breastfeeding mothers in the early weeks following birth. METHODS: Using a camcorder, five mothers in the United Kingdom captured their real-time experiences in a video diary, until they perceived their infant feeding was established...
October 11, 2018: Women and Birth: Journal of the Australian College of Midwives
Mizuki Takegata, Megumi Haruna, Miharu Morikawa, Kaori Yonezawa, Mariko Komada, Elisabeth Severinsson
Antenatal fear of childbirth (FOC) is associated with negative effects, such as postnatal traumatic symptoms. As the birth-related culture of East Asian countries differs from that in Western countries, the aim of the present qualitative, descriptive study was to explore FOC, perceptions for Caesarean section (CS), and obstetric analgesia (OA) among Japanese primiparas. The qualitative, descriptive study included focus group interviews with 11 primiparous women, which were conducted in a birth house and a maternity hospital in a metropolitan area of Japan in 2013...
September 2018: Nursing & Health Sciences
Ann-Beth Moller, Holly Newby, Claudia Hanson, Alison Morgan, Shams El Arifeen, Doris Chou, Theresa Diaz, Lale Say, Ian Askew, Allisyn C Moran
BACKGROUND: A variety of global-level monitoring initiatives have recommended indicators for tracking progress in maternal and newborn health. As a first step supporting the work of WHO's Mother and Newborn Information for Tracking Outcomes and Results (MoNITOR) Technical Advisory Group, we aimed to compile and synthesize recommended indicators in order to document the landscape of maternal and newborn measurement and monitoring. METHODS: We conducted a scoping review of indicators proposed by global multi-stakeholder groups to suggest next steps to further support maternal and newborn measurement and monitoring...
2018: PloS One
Kelsee L Shepherd, Stephanie R Yiallourou, Alexsandria Odoi, Nadine Brew, Emma Yeomans, Stacey Willis, Rosemary S C Horne, Flora Y Wong
OBJECTIVE: To determine the effect of prone sleeping on cerebral oxygenation in preterm infants in the neonatal intensive care unit. STUDY DESIGN: Preterm infants, divided into extremely preterm (gestational age 24-28 weeks; n = 23) and very preterm (gestational age 29-34 weeks; n = 33) groups, were studied weekly until discharge in prone and supine positions during active and quiet sleep. Cerebral tissue oxygenation index (TOI) and arterial oxygen saturation (SaO2 ) were recorded...
October 5, 2018: Journal of Pediatrics
Suraiya Begum, Sanjoy K Dey, Kanij Fatema
Background: Diabetes is a common medical complication during pregnancy that results in significant neonatal morbidities. In infants of diabetic mothers (IDMs), hypoglycemia is a common complication. Objective: To study the neonatal hypoglycemia in IDMs in a tertiary care hospital. Settings and Design: A cross-sectional study was done in postnatal ward in Bangladesh Institute of Research and Rehabilitation in Diabetic, Endocrine and Metabolic Disorders from January to December 2009...
September 2018: Indian Journal of Endocrinology and Metabolism
Paraskevi Kazakou, Marianna Theodora, Christina Kanaka-Gantenbein, Evangelia Zapanti, Helen Bouza, Chrysa Petropoulou, George Daskalakis, Stavroula A Paschou, Eleni Anastasiou
A 33-year-old Caucasian woman was referred at 24 + 3 weeks of gestation due to fetal tachycardia and hydrops. She had an uncomplicated pregnancy 16 years previously and was on levothyroxine after total thyroidectomy for Graves' disease 6 years previously, when she developed moderate exophthalmos. Laboratory evaluation revealed appropriate thyroid function for this time of gestation: thyroid stimulating hormone (TSH) 1.7 μU/ml (1-3), fT4 18.53 pmol/l (12-22), with positive antibodies: anti-TPO 157 U/ml (<35), TSH receptor antibodies (TRAb) 171...
October 2018: Case Reports in Women's Health
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