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Postnatal care

Gezahegn Tesfaye, Catherine Chojenta, Roger Smith, Deborah Loxton
BACKGROUND: Postnatal care is critical to detect and manage postpartum complications in the early stages as well as to prevent potentially life-threatening health conditions that lead to maternal death. However, postnatal care utilization is persistently low in Ethiopia. The aim of this study is to assess the magnitude and correlates of postnatal care utilization among reproductiveaged women in Kersa district, in eastern Ethiopia. METHODS: A community based cross-sectional study was conducted in ten randomly selected sub-districts in Kersa district...
December 4, 2018: Midwifery
Jesse W Young, Kathryn Jankord, Marnie M Saunders, Timothy D Smith
Functional studies of skeletal anatomy are predicated on the fundamental assumption that form will follow function. For instance, previous studies have shown that the femora of specialized leaping primates are more robust than those of more generalized primate quadrupeds. Are such differences solely a plastic response to differential loading patterns during postnatal life, or might they also reflect more canalized developmental mechanisms present at birth? Here, we show that perinatal Lemur catta, an arboreal/terrestrial quadruped, have absolutely and relatively weaker femora than perinatal Propithecus coquereli, a closely-related species specialized for vertical clinging and leaping (a highly unusual locomotor mode in which the hindlimbs are used to launch the animal between vertical tree trunks)...
December 8, 2018: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology
Dasavanh Manivong, Mosiur Rahman, Keiko Nakamura, Kaoruko Seino
Objective: Evidence from developing countries on the association between women's endorsement of attitudes justifying partner abuse and their use of reproductive health services is suggestive but inconclusive. This study uses a nationally representative dataset from Lao PDR to provide strong evidence for the relationship between women's endorsement of attitudes justifying partner abuse and use of reproductive health services. Methods: This study used data from the 2011-2012 Lao Social Indicator survey (LSIS)...
November 2018: Journal of Rural Medicine: JRM
Nithya Sukumar, Helen Dallosso, Ponnusamy Saravanan, Tom Yates, Carol Telling, Karen Shorthose, Alison Northern, Sally Schreder, Christopher Brough, Laura J Gray, Melanie J Davies, Kamlesh Khunti
BACKGROUND: A diagnosis of gestational diabetes (GDM) is associated with an over sevenfold increase in the risk of developing type 2 diabetes (T2D), while among parous women with T2D, up to 30% have a history of GDM. Lifestyle interventions have been shown to reduce the risk of incident T2D in adults with impaired glucose tolerance, including in women with a history of GDM. The aim of this study is to establish whether a group self-management education programme, supported by a mobile web application, can improve levels of physical activity at 12 months in women who have had GDM...
December 12, 2018: Trials
R L'e Brennen, C L MacRae, H Irving, B J Zeman, S L Lorentzen
Background: There are unique life-stage and psychosocial barriers to attendance for women referred for postnatal and continence physiotherapy. These barriers affect access to care, clinic utilization and patient waiting lists. In a patient-focused bookings system, the patient is invited to contact the health service to book their appointment at a time and day that suits them, increasing patient choice and engagement in the booking process. Methods: A patient-focussed bookings approach was implemented in outpatient women's health and continence physiotherapy clinics across four sites of a public health service in Australia...
December 12, 2018: Journal of Public Health
Moazzam Ali, Madeline Farron, Syed Khurram Azmat, Waqas Hameed
Background: The purpose of health care vouchers or coupons is to receive a health service in exchange which is fully or partially subsidized, such as any treatment offered for communicable disease; for immunization; antenatal care-/postnatal care-related maternal health services; a family planning (FP) service; or to get a health commodity like a medicine. Vouchers are targeted for a group of people who can benefit the most such as on the basis of poverty ranking, marginalized or living in rural areas...
2018: Journal of Multidisciplinary Healthcare
Alyaa AlRefai, James Drake, Abhaya V Kulkarni, Kristin L Connor, Patrick Shannon, Ants Toi, David Chitayat, Susan Blaser, Paige T Church, Nimrah Abbasi, Greg Ryan, Tim Van Mieghem
OBJECTIVE: Fetal myelomeningocele (fMMC) surgery improves infant outcomes when compared with postnatal surgery. Surgical selection criteria and the option of pregnancy termination, however, limit the number of cases that are eligible for prenatal surgery. We aimed to quantify what proportion of cases could ultimately benefit from fetal therapy. METHODS: We retrospectively reviewed all cases of fMMC referred to a large tertiary care center over a 10-year period and assessed their eligibility for fetal surgery, pregnancy termination rates, and actual uptake of the surgery...
December 10, 2018: Prenatal Diagnosis
Pradeep Alur, Harithsa Asuri, Jane Cirelli, Ankita Patel, Theodore Bell, Jonathan Liss, Naveed Hussain
Since fluid and nutrition needs and delivery in ELBW infants are calculated based on their body weights, there could be a measurable difference in fluid, nutrition, and protein intake calculations based on birth weight (BW) or current weight of the infant, especially in the first two weeks of life. Theoretically, the use of current daily weight (CW) for calculations may result in decreased fluid, nutrition, and protein delivery as well as a cumulative protein deficit (cPD) over the first two weeks of life until the infant regains birth weight...
2018: International Journal of Pediatrics
Abera Mersha, Nega Assefa, Kedir Teji, Shitaye Shibiru, Rasha Darghawth, Agegnehu Bante
INTRODUCTION: Components of essential newborn care and neonatal resuscitation are proven interventions for reducing neonatal mortality rate and stillbirth rates. Various studies have been conducted, but they failed in assessing health workers that delivered essential newborn care, facets of the health care system, and different traditional beliefs. As such, the primary aim of this study is to fill the gaps of the aforementioned previous studies, assess mothers' current practice of essential newborn care and identify factors affecting newborn care practices in Chencha District, Southern Ethiopia...
2018: PloS One
Kari Wagner, Scott Wagner, Apryl Susi, Gregory Gorman, Elizabeth Hisle-Gorman
OBJECTIVE: To evaluate the impact of prematurity on fracture by age 5, controlling for medications and comorbidities of prematurity. STUDY DESIGN: We performed a retrospective cohort study of infants born in Military Treatment Facilities in 2009-2010 with ≥5 years of follow-up care. Gestational age, low birth weight, comorbidities of prematurity (osteopenia, necrotizing enterocolitis, chronic lung disease, and cholestasis) and fractures were identified by International Classification of Disease, 9th Edition, codes...
December 7, 2018: Journal of Pediatrics
Rita C Silveira, Renato Soibelmann Procianoy
OBJECTIVES: There are several factors that influence the postnatal growth of preterm infants. It is crucial to define how to evaluate the growth rate of each preterm child and its individual trajectory, the type of growth curve, either with parameters of prescriptive curves for healthy preterm infants with no morbidities or, in the case of preterm infants and their "bundle of vulnerabilities", growth curves that may represent how they are actually growing, with the aim of directing appropriate nutritional care to each gestational age range...
December 3, 2018: Jornal de Pediatria
Maggie Redshaw, Jane Henderson
BACKGROUND: The death of a newborn baby is devastating. While clinical issues may be a primary concern, interpersonal aspects can impact significantly. Mothers in this situation are not easy to access for research and little quantitative evidence is available. In this study we aimed to describe their experience of care, emphasising associations with infant gestational age. METHODS: Secondary analysis of population-based survey data collected through the Office for National Statistics following neonatal death in England in 2012-13...
2018: PloS One
Mami Shiraishi, Katsuaki Mishima, Hirotsugu Umeda
BACKGROUND: Russell-Silver syndrome (RSS) is characterized by intrauterine growth retardation, short stature without postnatal catch-up growth, and an inverted triangular face with relative macrocephaly. There have been few case reports of RSS with cleft palate, in which perioperative problems such as difficult intubation due to trismus and impossibility to wear a mouth gag due to growth failure of the mandible were described. The case of a female RSS patient with cleft palate who underwent palatoplasty is reported...
December 4, 2018: Oral and Maxillofacial Surgery
Marisja Scheerhagen, Erwin Birnie, Arie Franx, Henk F van Stel, Gouke J Bonsel
Background: When clients' experiences with maternity care are measured for quality improvement, surveys are administered once, usually six weeks or more after childbirth. Most surveys conveniently cover pregnancy, childbirth and postnatal care all in one. However, the validity of measuring the experiences during pregnancy (antenatal experiences) after childbirth is unknown. We explored the relation between the measurement of antenatal experiences late in pregnancy but prior to childbirth ('test' or gold standard) and its retrospective measurement after childbirth (retrospective test)...
2018: PeerJ
Jennifer Werdenberg, Francois Biziyaremye, Merab Nyishime, Evrard Nahimana, Christine Mutaganzwa, David Tugizimana, Anatole Manzi, Shalini Navale, Lisa R Hirschhorn, Hema Magge
BACKGROUND: Globally, neonatal mortality remains high despite interventions known to reduce neonatal deaths. The All Babies Count (ABC) initiative was a comprehensive health systems strengthening intervention designed by Partners In Health in collaboration with the Rwanda Ministry of Health to improve neonatal care in rural public facilities. ABC included provision of training, essential equipment, and a quality improvement (QI) initiative which combined clinical and QI mentorship within a learning collaborative...
December 4, 2018: BMC Health Services Research
Corrine W Ruktanonchai, Kristine Nilsen, Victor A Alegana, Claudio Bosco, Rogers Ayiko, Andrew C Seven Kajeguka, Zöe Matthews, Andrew J Tatem
BACKGROUND: Sub-Saharan Africa continues to account for the highest regional maternal mortality ratio (MMR) in the world, at just under 550 maternal deaths per 100,000 live births in 2015, compared to a global rate of 216 deaths. Spatial inequalities in access to life-saving maternal and newborn health (MNH) services persist within sub-Saharan Africa, however, with varied improvement over the past two decades. While previous research within the East African Community (EAC) region has examined utilisation of MNH care as an emergent property of geographic accessibility, no research has examined how these spatial inequalities have evolved over time at similar spatial scales...
December 4, 2018: BMC Public Health
Maria L Giannì, Elena Bezze, Lorenzo Colombo, Camilla Rossetti, Nicola Pesenti, Paola Roggero, Patrizio Sannino, Salvatore Muscolo, Laura Plevani, Fabio Mosca
Limited data are available on complementary feeding in preterm infants, who show increased nutritional needs and are at risk of altered postnatal growth. The aim of this study was to investigate the timing and content of complementary feeding in a cohort of late preterm infants. We conducted a prospective, observational study, including mothers who had given birth to infants admitted to level I or II of care with a gestational age between 34 and 36 weeks. Mothers were contacted at 3, 6 and 12 months after delivery by phone calls and were asked about their infant's mode of feeding and the timing and schedule of the introduction of different solid foods types...
December 2, 2018: Nutrients
Alva Wallas, Sandra Ekström, Anna Bergström, Charlotta Eriksson, Olena Gruzieva, Mattias Sjöström, Andrei Pyko, Mikael Ögren, Matteo Bottai, Göran Pershagen
BACKGROUND: There is growing evidence that traffic noise exposure is associated with adiposity among adults but data in children are limited. OBJECTIVE: This longitudinal study examined whether pre- and postnatal noise exposure is associated with body mass index (BMI) between birth and adolescence or with adverse birth outcomes. METHODS: The study was conducted using data from the BAMSE birth cohort, which included 4089 children born in Stockholm County, Sweden...
November 27, 2018: Environmental Research
N C Momen, A Ernst, L H Arendt, J Olsen, J Li, M Gissler, C H Ramlau-Hansen
OBJECTIVE: Maternal cancer may be associated with offspring mental and behavioural disorders through various biological pathways. When postnatally diagnosed, it may cause stress and changes in care, potentially influencing mental health. Prenatally diagnosed cancer could lead to maternal stress and treatment, or influence fetal neural development. This study investigates associations between prenatally or postnatally diagnosed maternal cancers, and mental and behavioural disorders in children...
December 4, 2018: Psycho-oncology
Therese Werner-Bierwisch, Christiane Pinkert, Karin Niessen, Sabine Metzing, Claudia Hellmers
BACKGROUND: From the individual perspective, security, which is essential to life quality, is characterised as an elementary human need that requires fulfilment. During the transition to parenthood, mothers and fathers are confronted with changes in physical and psychosocial processes that are accompanied by uncertainty and insecurity. Feelings of insecurity may have consequences affecting their pregnancy and childbirth experiences as well as their adaption to the parental role in the first weeks following childbirth...
December 4, 2018: BMC Pregnancy and Childbirth
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