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Postnatal care

Fovzieh Sanaati, Sakineh Mohammad-Alizadeh Charandabi, Hamidreza Farrokh Eslamlo, Mojgan Mirghafourvand
This randomized controlled trial was conducted on 189 pregnant women to determine the effect of lifestyle-based training for women and their husbands on post-partum anxiety (PPA) and depression (PPD). Follow-ups were continued up for 6 weeks after childbirth. Participants were allocated to three groups using block randomization. In the first intervention group, both the women and their husbands, and in the second intervention group only the women received the lifestyle-based education. In the control group, women received only routine care...
August 9, 2018: Health Education Research
Stephanie Brown, Deanna Stuart-Butler, Cathy Leane, Karen Glover, Amanda Mitchell, Janiene Deverix, Theresa Francis, Jackie Ah Kit, Donna Weetra, Deirdre Gartland, Jane Yelland
BACKGROUND: Benefits of breastfeeding are well-established. Few studies have examined initiation and duration of breastfeeding of Aboriginal infants. METHODS: Population-based study of women giving birth to an Aboriginal infant in South Australia, July 2011-June 2013. FINDINGS: 344 women took part. Participants were representative in relation to maternal age, infant birthweight and gestation. Eighty-six percent initiated breastfeeding, declining to 54% at 12 weeks postpartum...
August 10, 2018: Women and Birth: Journal of the Australian College of Midwives
Shubha Kamana Mandal, Leesa Hooker, Hassan Vally, Angela Taft
Intimate-partner violence and poor mental health are common, harmful issues for women of childbearing age. Although the prevalence and correlates of postpartum depression are well established, far less is known about postpartum anxiety. We aimed to investigate the association between postnatal depression and anxiety, and intimate-partner violence among women attending Victorian Maternal and Child Health services, using data from a randomised control trial: Improving Maternal and Child Health care for Vulnerable Mothers (MOVE)...
August 14, 2018: Australian Journal of Primary Health
Takele Teshome Teka, Tesfaye Regassa Feyissa, Alemu Sufa Melka, Firew Tekle Bobo
OBJECTIVE: Little has been known about the magnitude and predictors of contraceptive use in extended postpartum period in Ethiopia. Thus, this study aims to assess the magnitude and determinants of contraception utilization in extended postpartum period. A community based cross-sectional survey was conducted in Gida Ayana district, Oromia regional state, Ethiopia in February 2015. Six hundred and three postpartum women were included using a multistage sampling technique. Descriptive statistics were used to summarize the data and logistic regressions were used to assess the predictors of modern family planning use at 95% confidence interval...
August 13, 2018: BMC Research Notes
Jenny Hall, Vanora Hundley, Bethan Collins, Jillian Ireland
BACKGROUND: Despite the increasing number of women with disability globally becoming pregnant, there is currently limited research about their experiences. A national survey of women's experience of dignity and respect during pregnancy and childbirth raised concerns about the possibility of women with disability having unequal care with overall less choice and control. To address this further we conducted a study to explore the experiences of dignity and respect in childbirth of women with disability...
August 13, 2018: BMC Pregnancy and Childbirth
Ruth Martis, Caroline A Crowther, Emily Shepherd, Jane Alsweiler, Michelle R Downie, Julie Brown
BACKGROUND: Successful treatments for gestational diabetes mellitus (GDM) have the potential to improve health outcomes for women with GDM and their babies. OBJECTIVES: To provide a comprehensive synthesis of evidence from Cochrane systematic reviews of the benefits and harms associated with interventions for treating GDM on women and their babies. METHODS: We searched the Cochrane Database of Systematic Reviews (5 January 2018) for reviews of treatment/management for women with GDM...
August 14, 2018: Cochrane Database of Systematic Reviews
Elizabeth M Camacho, Gemma E Shields
OBJECTIVES: Anxiety and/or depression during pregnancy or year after childbirth is the most common complication of childbearing. Economic evaluations of interventions for the prevention or treatment of perinatal anxiety and/or depression (PAD) were systematically reviewed with the aim of guiding researchers and commissioners of perinatal mental health services towards potentially cost-effective strategies. METHODS: Electronic searches were conducted on the MEDLINE, PsycINFO and NHS Economic Evaluation and Health Technology Assessment databases in September 2017 to identify relevant economic evaluations published since January 2000...
August 10, 2018: BMJ Open
Nilam Shakeel, Line Sletner, Ragnhild Sørum Falk, Kari Slinning, Egil W Martinsen, Anne Karen Jenum, Malin Eberhard-Gran
BACKGROUND: Postpartum depression (PPD) may have adverse effects on both mother and child. The aims were to determine the prevalence of postpartum depressive symptoms, PPDS, identify associations with ethnicity and with the level of social integration. METHOD: Population-based, prospective cohort study of 643 pregnant women (58% ethnic minorities) attending primary antenatal care in Oslo. Questionnaires regarding demographics and health issues were collected through interviews...
July 24, 2018: Journal of Affective Disorders
Vasiliki Panagopoulou, Athina Kalokairinou, Foteini Tzavella, Styliani Tziaferi
Background: The research described in this paper is a cross-sectional study which surveys women who delivered their babies in a regional hospital in Greece to investigate their satisfaction with their postnatal care. This is the first published study which measures satisfaction of postnatal services in Greece. The aim of this study is to determine which factors most influence postnatal satisfaction, which areas are lacking and therefore identify specific areas which should be targeted to improve the performance of health services...
2018: AIMS Public Health
Avita Rose Johnson, Meera George, B Ramakrishna Goud, T Sulekha
Introduction: Antepartum anxiety and depression are two of the most common risk factors for the development of postpartum depression. Women are at a higher risk of developing depression and suffering from mental disorders during pregnancy and the postnatal period. Psychopathological symptoms during pregnancy have physiological consequences for the fetus, such as impaired blood flow leading to low birth weight, as well as cognitive delay and behavioral problems. Objectives: To screen antenatal women for common mental health disorders and to determine the factors associated with mental health disorders during pregnancy...
July 2018: Indian Journal of Psychological Medicine
Marion E Rice, Romeo R Galang, Nicole M Roth, Sascha R Ellington, Cynthia A Moore, Miguel Valencia-Prado, Esther M Ellis, Aifili John Tufa, Livinson A Taulung, Julia M Alfred, Janice Pérez-Padilla, Camille A Delgado-López, Sherif R Zaki, Sarah Reagan-Steiner, Julu Bhatnagar, John F Nahabedian, Megan R Reynolds, Marshalyn Yeargin-Allsopp, Laura J Viens, Samantha M Olson, Abbey M Jones, Madelyn A Baez-Santiago, Philip Oppong-Twene, Kelley VanMaldeghem, Elizabeth L Simon, Jazmyn T Moore, Kara D Polen, Braeanna Hillman, Ruta Ropeti, Leishla Nieves-Ferrer, Mariam Marcano-Huertas, Carolee A Masao, Edlen J Anzures, Ransen L Hansen, Stephany I Pérez-Gonzalez, Carla P Espinet-Crespo, Mildred Luciano-Román, Carrie K Shapiro-Mendoza, Suzanne M Gilboa, Margaret A Honein
INTRODUCTION: Zika virus infection during pregnancy causes serious birth defects and might be associated with neurodevelopmental abnormalities in children. Early identification of and intervention for neurodevelopmental problems can improve cognitive, social, and behavioral functioning. METHODS: Pregnancies with laboratory evidence of confirmed or possible Zika virus infection and infants resulting from these pregnancies are included in the U.S. Zika Pregnancy and Infant Registry (USZPIR) and followed through active surveillance methods...
August 10, 2018: MMWR. Morbidity and Mortality Weekly Report
Terusha Chetty, H Manisha N Yapa, Carina Herbst, Pascal Geldsetzer, Kevindra K Naidu, Jan-Walter De Neve, Kobus Herbst, Philippa Matthews, Deenan Pillay, Sally Wyke, Till Bärnighausen
BACKGROUND: Gaps in maternal and child health services can slow progress towards achieving the Sustainable Development Goals. The Management and Optimization of Nutrition, Antenatal, Reproductive, Child Health & HIV Care (MONARCH) study will evaluate a Continuous Quality Improvement (CQI) intervention targeted at improving antenatal and postnatal health service outcomes in rural South Africa where HIV prevalence among pregnant women is extremely high. Specifically, it will establish the effectiveness of CQI on viral load (VL) testing in pregnant women who are HIV-positive and repeat HIV testing in pregnant women who are HIV-negative...
August 8, 2018: BMC Health Services Research
Peter Austin Morton Ntenda, Edward Tisungane Mwenyenkulu, Nuntiput Putthanachote, Owen Nkoka, Thomas Gabriel Mhone, Mfundi President Sebenele Motsa, Tinashe Tizifa
Objectives: The purpose of this study was to examine the uptake and predictors of monovalent human rotavirus and pneumococcal conjugate vaccines among children of age 12-35 months in Malawi. Methods: This study used cross-sectional data obtained from the 2015-16 Malawi Demographic and Health Survey. Multivariate logistic regression was used to identify the factors related to uptake of pneumococcal and rotavirus vaccination. Results: The uptake of rotavirus and pneumococcal vaccines was 90...
August 3, 2018: Journal of Tropical Pediatrics
Masahiro Kinoshita, Sachiko Iwata, Hisayoshi Okamura, Kennosuke Tsuda, Mamoru Saikusa, Eimei Harada, Yushiro Yamashita, Shinji Saitoh, Osuke Iwata
Context: Understanding the biological rhythms and stress response in sick newborns is important to minimise the negative effects of intensive care. Salivary cortisol has been used as a non-invasive surrogate marker of adrenal function; however, understanding of its control variables is insufficient. Objective: This study aimed to investigate the presence of feeding-induced cortisol response and its control variables in newborns. Design, Setting and Patients: Fifty-three newborn infants, who were between 30 and 40 weeks' corrected age and were on 3-hourly regular oral/enteral feeding were recruited between January 2013 and June 2014...
August 3, 2018: Journal of Clinical Endocrinology and Metabolism
Agnieszka Duczkowska, Anna Olwert, Marek Duczkowski, Monika Bekiesińska-Figatowska
OBJECTIVES: The role of magnetic resonance imaging, similarly to ultrasound, in the evaluation of foetal anomalies is in-disputable. This gives rise to a question, whether prenatal diagnostics can replace postnatal one. To assess the diagnostic accuracy of foetal MRI in children with congenital anomalies by using postnatal MRI, X-ray/US and surgery (histopathol-ogy/autopsy) results as a reference standard. MATERIAL AND METHODS: 110 children were included in the analysis...
2018: Ginekologia Polska
Samson Gebremedhin
BACKGROUND: In developing countries lacking functional vital registration system, statistical models are being increasingly used for estimating maternal mortality ratio (MMR). Yet, most of the models have limited applicability at sub-country level. This paper introduces a new model for estimating MMR at national and sub-national levels based on maternal health-related indicators. Further, it applies the model for explaining sub-national variations of MMR in Ethiopia. METHODS: Country level data on MMR and other nine potential predictors of maternal death were extracted from 248 national Demographic and Health Surveys and other related surveys conducted in 80 low- and middle-income countries since 1990...
2018: PloS One
Tim Hundscheid, Wes Onland, Bart van Overmeire, Peter Dijk, Anton H L C van Kaam, Koen P Dijkman, Elisabeth M W Kooi, Eduardo Villamor, André A Kroon, Remco Visser, Daniel C Vijlbrief, Susanne M de Tollenaer, Filip Cools, David van Laere, Anne-Britt Johansson, Catheline Hocq, Alexandra Zecic, Eddy Adang, Rogier Donders, Willem de Vries, Arno F J van Heijst, Willem P de Boode
BACKGROUND: Much controversy exists about the optimal management of a patent ductus arteriosus (PDA) in preterm infants, especially in those born at a gestational age (GA) less than 28 weeks. No causal relationship has been proven between a (haemodynamically significant) PDA and neonatal complications related to pulmonary hyperperfusion and/or systemic hypoperfusion. Although studies show conflicting results, a common understanding is that medical or surgical treatment of a PDA does not seem to reduce the risk of major neonatal morbidities and mortality...
August 4, 2018: BMC Pediatrics
Anna Sharapova, Betty Goguikian Ratcliff
The aims of this paper are (1) to assess the role of sociodemographic and psychosocial risk factors on antenatal anxiety (AA) and antenatal depression (AD) in first-generation migrant women in Geneva, as compared to a control group of native Swiss women, and (2) to examine the role of acculturation and other sociocultural factors in the development of antenatal distress in migrant women. A sample of 43 migrant and 41 Swiss pregnant women were recruited during the third trimester of pregnancy. AA was assessed by using the State Trait Anxiety Inventory, and AD by using the Edinburgh Postnatal Depression Scale...
2018: Frontiers in Psychology
Alena Viktorinova
The review article discusses current knowledge of iron-mediated oxidative cell death (ferroptosis) and its potential role in the pathogenesis of neuronal dysfunction induced by neonatal hemolytic hyperbilirubinemia. The connection between metabolic conditions related to hemolysis (iron and bilirubin overload) and iron-induced lipid peroxidation is highlighted. Neurotoxicity of iron and bilirubin is associated with their release from destructed erythrocytes in response to hemolytic disease. Iron overload initiates lipid peroxidation through the reactive oxygen species production resulting to oxidative damage to cells...
July 27, 2018: Archives of Biochemistry and Biophysics
Douglas Myhre, Olga Szafran, Shirley Schipper, James Dickinson, Fred Janke
INTRODUCTION: In Canada, rural-based family medicine residency programs were established largely in response to a shortage of rural physicians and the perception that urban-based training programs were not meeting the needs of rural populations. Examinations of practice patterns of physicians trained in rural and urban programs are lacking. The purpose of this study was to compare the scope of practice of family medicine graduates who completed a rural versus an urban residency program, by practice location...
July 2018: Rural and Remote Health
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