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https://www.readbyqxmd.com/read/27933489/patients-understanding-and-use-of-analgesia-for-postnatal-pain-following-hospital-discharge
#1
Antonia M W Wong, Syed Tabish R Zaidi
Background Postnatal pain is one of the limiting factors in the recovery of women from child birth. Despite the routine prescribing of analgesics for postnatal pain, limited research is available on the use of analgesics by the women in postnatal period. Objective To measure the utilisation and effectiveness of prescribed oral analgesics, the incidence and severity of pain, and factors associated with poor pain control on the fifth-day post-hospital discharge in postnatal women. Setting A tertiary referral women's hospital of Western Australia...
December 9, 2016: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/27932619/ontogeny-of-cd4-t-lymphocytes-with-phenotypic-susceptibility-to-hiv-1-during-exclusive-and-non-exclusive-breastfeeding-in-hiv-1-exposed-ugandan-infants
#2
Elizabeth J McFarland, Tina M Powell, Carolyne Onyango-Makumbi, Weiming Zhang, Kelsey Melander, Prossy Naluyima, Samuel Okurut, Michael A Eller, Mary Glenn Fowler, Edward N Janoff
BACKGROUND: Among HIV-1-exposed infants, mixed breastfeeding is associated with higher postnatal HIV-1 transmission than exclusive breastfeeding, but the mechanisms of this differential risk are uncertain. METHODS: HIV-1-exposed, Ugandan infants were prospectively assessed over the first year of life for feeding practices and T cell maturation, intestinal homing (β7(hi)), activation, and HIV-1 co-receptor (CCR5) expression in peripheral blood. Infants receiving only breast milk and those with introduction of other foods prior to 6 months, categorized as exclusive and non-exclusive, respectively...
December 8, 2016: Journal of Infectious Diseases
https://www.readbyqxmd.com/read/27932018/the-determinants-of-essential-newborn-care-for-home-births-in-bangladesh
#3
T Akter, A Dawson, D Sibbritt
OBJECTIVES: To examine the association of sociodemographic, antenatal and delivery care factors with the essential newborn care (ENC) practices of neonates born at home in Bangladesh. STUDY DESIGN: This study analyzed data of a cross-sectional survey-the Bangladesh Demographic and Health Survey, 2011. METHODS: This analysis considered 3190 most recent live-born infants who were delivered at home within three years of the survey. Logistic regression models were used to identify the factors affecting the implementation of six ENC practices, namely using disinfected instruments to cut the umbilical cord, avoidance of application of any substances to the umbilical cord stump, immediate drying and wrapping of newborns, delayed bathing of newborns, and immediate initiation of breastfeeding...
December 2016: Public Health
https://www.readbyqxmd.com/read/27932010/bottleneck-analysis-approach-to-accelerate-newborn-care-services-in-two-regions-in-ghana-implications-for-national-newborn-care
#4
A E Yawson, J K Awoonor-Williams, I Sagoe-Moses, P K Aboagye, A O Yawson, L K Senaya, G Bonsu, J B Eleeza, E E A Agongo, H K Banskota
OBJECTIVE: The aim of this work is to describe application of a data-driven approach (bottleneck analysis [BNA] approach process) to accelerate newborn care services in two regions and what effect it had on national-level newborn care interventions in Ghana. STUDY DESIGN: A mixed-method approach was used for the study. The BNA tool generated quantitative data and group discussions provided phenomenological explanations to identified service gaps. METHODS: Regional newborn care health service assessments were conducted in November 2013 through desk reviews, field and health facility visits and coaching/mentorship...
December 2016: Public Health
https://www.readbyqxmd.com/read/27931228/internal-living-environment-and-respiratory-disease-in-children-findings-from-the-growing-up-in-new-zealand-longitudinal-child-cohort-study
#5
Sandar Tin Tin, Alistair Woodward, Rajneeta Saraf, Sarah Berry, Polly Atatoa Carr, Susan M B Morton, Cameron C Grant
BACKGROUND: The incidence of early childhood acute respiratory infections (ARIs) has been associated with aspects of the indoor environment. In recent years, public awareness about some of these environmental issues has increased, including new laws and subsequent changes in occupant behaviours. This New Zealand study investigated current exposures to specific risk factors in the home during the first five years of life and provided updated evidence on the links between the home environment and childhood ARI hospitalisation...
December 8, 2016: Environmental Health: a Global Access Science Source
https://www.readbyqxmd.com/read/27929757/predisposing-enabling-and-need-factors-associated-with-utilization-of-institutional-delivery-services-a-community-based-cross-sectional-study-in-far-western-nepal
#6
Leila Freidoony, Chhabi Lal Ranabhat, Chhun Bae Kim, Chang Soo Kim, Dong Won Ahn, Young Ah Doh
Use of institutional delivery services can be effective in reducing maternal and infant mortality. In Nepal, however, the majority of women deliver at home. Using Andersen's behavioral model of use of health care services, this cross-sectional study aimed to identify factors associated with use of institutional delivery services in four villages and one municipality in Kailali district, Nepal. Mothers (N = 500) who had given birth in the 5 years preceding the survey (conducted between January and February 2015) were randomly selected by cluster sampling and interviewed using a semi-structured questionnaire...
December 8, 2016: Women & Health
https://www.readbyqxmd.com/read/27927217/an-assessment-of-the-effect-of-user-fee-policy-reform-on-facility-based-deliveries-in-rural-zambia
#7
Chitalu Miriam Chama-Chiliba, Steven Fredric Koch
BACKGROUND: Improving maternal health outcomes by reducing barriers to accessing maternal health services is a key goal for most developing countries. This paper analyses the effect of user fee removal, which was announced for rural areas of Zambia in April 2006, on the use of public health facilities for childbirth. METHODS: Data from the 2007 Zambia Demographic and Health Survey, including birth histories for the five years preceding the survey, is linked to administrative data and geo-referenced health facility census data...
December 7, 2016: BMC Research Notes
https://www.readbyqxmd.com/read/27924109/care-of-newborn-in-the-community-and-at-home
#8
REVIEW
S B Neogi, J Sharma, M Chauhan, R Khanna, M Chokshi, R Srivastava, P K Prabhakar, A Khera, R Kumar, S Zodpey, V K Paul
India has contributed immensely toward generating evidence on two key domains of newborn care: Home Based Newborn Care (HBNC) and community mobilization. In a model developed in Gadchiroli (Maharashtra) in the 1990s, a package of Interventions delivered by community health workers during home visits led to a marked decline in neonatal deaths. On the basis of this experience, the national HBNC program centered around Accredited Social Health Activists (ASHAs) was introduced in 2011, and is now the main community-level program in newborn health...
December 2016: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/27923247/patterns-of-empiric-antibiotic-administration-for-presumed-early-onset-neonatal-sepsis-in-neonatal-intensive-care-units-in-the-united-states
#9
Emily A Oliver, Patricia B Reagan, Jonathan L Slaughter, Catalin S Buhimschi, Irina A Buhimschi
Objective To evaluate current patterns in empiric antibiotic use for early-onset neonatal sepsis (EONS). Study Design Retrospective population-based cohort study of newborns admitted on postnatal day 0 to 1 and discharged from NICUs participating in the Pediatric Health Information System (PHIS 2006-2013). Analyses included frequency of antibiotic initiation within 3 days of birth, duration of first course, and variation among hospitals. Results Of 158,907 newborns, 118,624 (74.7%) received antibiotics on or before postnatal day 3...
December 6, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27910128/predictors-of-developmental-surveillance-completion-at-six-months-of-age-in-south-western-sydney
#10
B J Overs, S Woolfenden, K Williams, B Jalaludin, E L Axelsson, C Dissanayake, J Descallar, S Harvey, D Beasley, E Murphy, V Eapen
BACKGROUND: While developmental surveillance programs promote early identification of child developmental problems, evidence has indicated suboptimal uptake. This study aimed to identify predictors of developmental surveillance completion at 6 months postpartum. METHODS: Questionnaires were administered to the parents of 510 infants who were born in south western Sydney, Australia over a 22-month period. Attendance for developmental screening and completion of the Parents' Evaluation of Developmental Status (PEDS) at 6 months postpartum were modelled separately using multivariable logistic regression...
December 1, 2016: Child: Care, Health and Development
https://www.readbyqxmd.com/read/27907899/reducing-the-number-of-fetuses-in-a-pregnancy-providers-and-patients-views-of-challenges
#11
Robert L Klitzman
STUDY QUESTION: How do patients and providers perceive and make decisions about possible reductions of multi-fetal pregnancies? SUMMARY ANSWER: Physicians may be transferring additional embryos, assuming that patients will later undergo reduction if need be; but decisions to reduce pregnancies are difficult for patients, who may agree to undergo the procedure in advance and later renege. WHAT IS ALREADY KNOWN: Implanting more than one embryo increases the likelihood that at least one embryo will successfully lead to a child but also that the patient may end up with twins or higher-order multiple births...
November 2016: Human Reproduction
https://www.readbyqxmd.com/read/27890047/a-clear-urban-rural-gradient-of-allergic-rhinitis-in-a-population-based-study-in-northern-europe
#12
Stine Holmegaard Christensen, Signe Timm, Christer Janson, Bryndis Benediktsdóttir, Bertil Forsberg, Mathias Holm, Rain Jogi, Ane Johannessen, Ernst Omenaas, Torben Sigsgaard, Cecilie Svanes, Vivi Schlünssen
BACKGROUND: The protective effect of farm upbringing on allergic rhinitis is well known, but how upbringing in other environments influences the development of allergic rhinitis is scarcely investigated. The aim of this study was to investigate the association between place of upbringing and pet keeping in childhood and allergic rhinitis and nasal symptoms in adulthood. METHODS: The population-based Respiratory Health in Northern Europe study includes subjects from Denmark, Norway, Sweden, Iceland, and Estonia born in 1945-1973...
2016: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/27889681/change-over-time-in-women-s-views-and-experiences-of-maternity-care-in-england-1995-2014-a-comparison-using-survey-data
#13
Jane Henderson, Maggie Redshaw
BACKGROUND: there have been changes in maternity care policy over the last 20 years and women's experience, continuity and satisfaction with care have become more prominent. However there has been no research examining changes over time in women's reported experience. METHODS: this study used secondary analysis of data collected in four postal surveys of maternity care experiences in 1995, 2006, 2010 and 2014. In each case women who had delivered in a specified time period in England were randomly sampled and sent a questionnaire three months after the birth...
November 18, 2016: Midwifery
https://www.readbyqxmd.com/read/27886436/factors-that-hinder-or-enable-maternal-health-strategies-to-reduce-delays-in-rural-and-pastoralist-areas-in-ethiopia
#14
Ruth Jackson, Fisaha Haile Tesfay, Tesfay Gebregzabher Gebrehiwot, Hagos Godefay
OBJECTIVES: To document factors that hinder or enable strategies to reduce the first and second delays of the Three Delays in rural and pastoralist areas in Ethiopia. METHODS: A key informant study was conducted with 44 Health Extension Workers in Afar Region, Kafa Zone (Southern Nation, Nationalities and Peoples' Region), and Adwa Woreda (Tigray Region). Health Extension Workers were trained to interview women and ask for stories about their recent experiences of birth...
November 25, 2016: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/27886371/why-babies-die-in-unplanned-out-of-institution-births-an-enquiry-into-perinatal-deaths-in-norway-1999-2013
#15
Björn Gunnarsson, Sigurd Fasting, Eirik Skogvoll, Alexander Kr Smárason, Kjell Å Salvesen
INTRODUCTION: The aims were to describe causes of death associated with unplanned out-of-institution births, and to study if they could be prevented. MATERIAL AND METHODS: Retrospective population-based observational study based on data from the Medical Birth Registry of Norway and medical records. Between 1 January 1999 and 31 December 2013, 69 perinatal deaths among 6027 unplanned out-of-institution births, whether unplanned at home, during transportation, or unspecified, were selected for enquiry...
November 25, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27884953/postpartum-domestic-violence-in-homes-with-young-children-the-role-of-maternal-and-paternal-drinking
#16
Elizabeth A Mumford, Weiwei Liu, Hannah Joseph
There has been limited investigation of mothers' drinking patterns and their experience of domestic abuse while parenting young children, especially in the context of co-resident fathers' drinking. Using data representative of the 2001 U.S. birth cohort, the authors conducted longitudinal latent class analyses of maternal drinking over four perinatal time points as predictors of maternal victimization at 2 years postpartum due to intimate partner violence. Women classified as higher risk drinkers over the study period faced significantly increased risk of physical abuse while parenting a 2-year-old child...
November 23, 2016: Violence Against Women
https://www.readbyqxmd.com/read/27884505/the-truly-disadvantaged-midlife-outcome-dynamics-of-individuals-with-experiences-of-out-of-home-care
#17
Lars Brännström, Hilma Forsman, Bo Vinnerljung, Ylva B Almquist
Little is known about developmental outcomes in midlife of persons who were placed in out-of-home care (OHC) in childhood. Utilizing longitudinal Swedish data from a cohort of more than 14,000 individuals who we can follow from birth (1953) to the age of 55 (2008), this study examines midlife trajectories of social, economic, and health-related disadvantages with a specific focus on the complexity, timing, and duration of disadvantage in individuals with and without childhood experience of OHC. Roughly half of the OHC alumni did not have disadvantaged outcomes in midlife...
November 21, 2016: Child Abuse & Neglect
https://www.readbyqxmd.com/read/27884029/-preclinical-birth-of-an-extremely-premature-infant-a-case-report
#18
Tobias Pöhlmann, Armin Schmidt, Wolfgang Pohl
Obstetrical emergencies requiring emergency medical service are very rare. An extremely premature birth in a preclinical setting is certainly exceptional. In the following case report, the emergency medical team was unexpectedly faced with the home birth of a fetus at the 23(rd) week of gestation. Prematurity at the edge of viability poses a challenge to first care, equipment, infrastructure, expertise and clinical ethics. To the authors' knowledge, there is no comparable case report published so far.
November 2016: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/27879980/theory-based-interventions-for-contraception
#19
REVIEW
Laureen M Lopez, Thomas W Grey, Mario Chen, Elizabeth E Tolley, Laurie L Stockton
BACKGROUND: The explicit use of theory in research helps expand the knowledge base. Theories and models have been used extensively in HIV-prevention research and in interventions for preventing sexually transmitted infections (STIs). The health behavior field uses many theories or models of change. However, many educational interventions addressing contraception have no explicit theoretical base. OBJECTIVES: To review randomized controlled trials (RCTs) that tested a theoretical approach to inform contraceptive choice and encourage or improve contraceptive use...
November 23, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27879500/implications-of-preterm-birth-for-maternal-mental-health-and-infant-development
#20
Cheryl Anderson, Priscila Cacola
Preterm birth remains a major contributor to infant mortality and morbidity including neurodevelopmental delay and childhood disability. Mothers experiencing a preterm birth are at risk for maternal mental health issues, inclusive of depression and posttraumatic stress disorder (PTSD), which may affect mother-infant attachment and infant development. Depression and PTSD, frequently comorbid, following preterm birth and relationships between these symptoms, maternal-infant attachment, and infant development are reviewed...
November 22, 2016: MCN. the American Journal of Maternal Child Nursing
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