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Frédéric Debellut, Nathaniel Hendrix, Justin R Ortiz, Philipp Lambach, Kathleen M Neuzil, Niranjan Bhat, Clint Pecenka
Immunization of pregnant women against seasonal influenza remains limited in low- and lower-middle-income countries despite being recommended by the World Health Organization (WHO). The WHO/PATH Maternal Influenza Immunization Project was created to identify and address obstacles to delivering influenza vaccines to pregnant women in low resource setting. To gain a better understanding of potential demand from this target group, we developed a model simulating pregnant women populations eligible for vaccination during antenatal care (ANC) services in all low- and lower-middle-income countries...
2018: PloS One
Ahmad Abdul Aziz, Sumesh Thomas, David Lautner, Essa Hamadan Al Awad
Scimitar syndrome is characterized by partial or total anomalous pulmonary venous return from the right lung along with pulmonary hypoplasia. We present a case of a 37 weeks' gestation male infant with antenatal ultrasound findings of suspected partial anomalous pulmonary venous return (PAPVR) and coarctation of the aorta. The newborn presented with respiratory distress, a chest X-ray and chest computed tomography (CT) angiogram confirmed the diagnosis of scimitar syndrome. The combination of scimitar syndrome with aortic coarctation is extremely rare with only a few cases previously reported...
April 2018: American Journal of Perinatology Reports
Katherine Grove, Andrew J Lewis, Megan Galbally
CONTEXT: There is increasing use of antidepressants in pregnancy and hence children exposed in utero. Contradictory studies exist in the literature in which researchers report on the potential impact of antenatal antidepressant exposure on subsequent child motor development. OBJECTIVE: Our objective in this systematic review and meta-analysis was to determine whether antenatal antidepressant exposure increases the risk of impaired motor development in children. DATA SOURCES: We searched PsychINFO, Embase, Medline, PubMed, and Scopus up to July 24, 2017...
June 21, 2018: Pediatrics
Stacey J Ellery, Meredith Kelleher, Peta Grigsby, Irina Burd, Jan B Derks, Jon Hirst, Suzanne L Miller, Larry S Sherman, Mary Tolcos, David Walker
No abstract text is available yet for this article.
June 21, 2018: Journal of Physiology
Shanta Pandey
BACKGROUND AND PURPOSE: Home deliveries increase the risk of maternal and child mortality. To increase institutional deliveries, South Asian countries have introduced various forms of Conditional Cash Transfer (CCT) schemes that offer women cash if they come to deliver at a health facility. In 2005, Nepal introduced its Safe Delivery Incentive Programme (SDIP)-a cash incentive program nationwide to boost the rate of institutional delivery and care from health professionals at childbirth...
2018: PloS One
Fayiz F El-Shamy, Sanad S El-Kholy, Mahmoud Labib, Ahmed M Kabel
Background and aim Gestational diabetes mellitus (GDM) poses a threat to the mother and child. The aim of this study was to examine the effect of acupressure on the glycemic control and insulin requirement of GDM females. Materials and methods Thirty GDM female patients were randomized to either the study group (SG; n=15), which was treated with acupressure and the standard antenatal care, or the control group (CG; n=15), which was treated with the standard antenatal care. Fasting and 2-h post-prandial blood glucose levels, requirement for insulin and insulin resistance were measured at 24 and 36 weeks' gestation (WG)...
June 21, 2018: Journal of Complementary & Integrative Medicine
Deborah L Jones, Violeta J Rodriguez, Lissa N Mandell, Tae Kyoung Lee, Stephen M Weiss, Karl Peltzer
South African guidelines for prevention-of-mother-to-child-transmission (PMTCT) of HIV emphasize exclusive breastfeeding (EBF). This study examined the impact of a PMTCT intervention and male involvement on EBF. In a two-phase cluster-randomized trial, rural South African community health centers were randomized to offer HIV-infected pregnant women PMTCT standard of care plus either: a behavioral PMTCT intervention, or a time-equivalent attention-control condition. Phase 1 women had non-participating male partners; Phase 2 women had participating partners...
June 20, 2018: AIDS and Behavior
Anna D Gage, Hannah H Leslie, Asaf Bitton, J Gregory Jerome, Jean Paul Joseph, Roody Thermidor, Margaret E Kruk
BACKGROUND: Expanding coverage of primary healthcare services such as antenatal care and vaccinations is a global health priority; however, many Haitians do not utilize these services. One reason may be that the population avoids low quality health facilities. We examined how facility infrastructure and the quality of primary health care service delivery were associated with community utilization of primary health care services in Haiti. METHODS: We constructed two composite measures of quality for all Haitian facilities using the 2013 Service Provision Assessment survey...
June 20, 2018: Globalization and Health
Wondimagegnehu Sisay Woldeyes, Dejene Asefa, Geremew Muleta
BACKGROUND: Investigating cases of severe maternal morbidity (SMM) and severe maternal outcome (SMO) and the quality of maternal health care using near-miss approach has become popular over recent years. The aim of this study was to determine facility based incidence and the determinants of severe maternal outcome (SMO) using this approach. METHODS: Prospective cross-sectional study among all mothers who presented to study facility while pregnant, during child birth and/or within 42 days after termination of pregnancy seeking care and found to have SMM and SMO during the study period was carried out...
June 20, 2018: BMC Pregnancy and Childbirth
Kathleen Szegda, Elizabeth R Bertone-Johnson, Penelope Pekow, Sally Powers, Glenn Markenson, Nancy Dole, Lisa Chasan-Taber
BACKGROUND: Latina women are at increased risk for antenatal depressive disorders, which are common during pregnancy and are associated with elevated risk for poor maternal health and birth outcomes. Physical activity is a potential mechanism to reduce the likelihood of depressive symptoms. The purpose of the study was to assess whether total and domain-specific physical activity in early pregnancy reduced risk for elevated antenatal depressive symptoms in mid-late pregnancy in a population of Latina women at high-risk for depression...
June 20, 2018: BMC Pregnancy and Childbirth
Jennifer Unger, Keshet Ronen, Trevor Perrier, Brian DeRenzi, Jennifer Slyker, Alison Drake, Dyphna Mogaka, John Kinuthia, Grace John-Stewart
OBJECTIVE: To assess the effect of short message service (SMS) communication on facility delivery, exclusive breastfeeding (EBF) and contraceptive use. DESIGN: MOBILE WACH WAS A 3-ARM UNBLINDED INDIVIDUALLY RANDOMISED CONTROLLED TRIAL: SETTING: A public sector maternal child health (MCH) clinic in Nairobi, Kenya. POPULATION: Three hundred women attending antenatal care were randomised, 100 to each arm, and followed for 24 weeks postpartum...
June 20, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
D Lanz, P Moore, J Daru
Debates about emergency research consent are especially pertinent to the obstetric setting. While there is an opportunity to approach women antenatally, this is not always appropriate: advance consent for conditions with an incidence of less than 1 in 10 is seen as potentially inducing unnecessary anxiety (RCOG Clinical Governance Advice 6a, February 2016). In our experience of patient and public involvement work (Moss et al, BJOG 2016;124:362-365) and of recruitment processes in the SALVO trial (Khan et al...
June 20, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
Karen M Clements, Monika Mitra, Jianying Zhang
BACKGROUND: Little is known about the effect of potentially disabling health conditions on healthcare utilization during pregnancy. Using hospital discharge data, we identified women at risk for disability and evaluated antenatal hospital utilization, including emergency department (ED), observational stay (OS), and inpatient (IP) visits, by underlying health condition. MATERIALS AND METHODS: Massachusetts Pregnancy to Early Life Longitudinal data system linked 2007-2009 birth certificates to 2006-2009 discharges...
June 20, 2018: Journal of Women's Health
Francesca Maria Russo, Anne-Gael Cordier, Luc De Catte, Julien Saada, Alexandra Benachi, Jan Deprest
Congenital diaphragmatic hernia is a rare disease associated with high mortality and morbidity. Antenatal ultrasound screening identifies more than 70% of cases, providing the opportunity for in-utero referral to a tertiary care center for expert assessment and perinatal management. Additional genetic and morphologic assessment may be used to rule out associated anomalies. In isolated cases, the outcome may be predicted prenatally by medical imaging. The combination of lung size and liver herniation is a widely accepted method to stratify fetuses into groups with an increasing degree of pulmonary hypoplasia and corresponding mortality rates...
June 20, 2018: Prenatal Diagnosis
Filippo Lechthaler, Mahamat Fayiz Abakar, Esther Schelling, Jan Hattendorf, Boukari Ouedrago, Daugla Doumagoum Moto, Jakob Zinsstag
OBJECTIVE: To assess antenatal care (ANC) coverage and analyse constraining factors for service delivery to rural settled and mobile populations in two districts in Chad. METHOD: Data from cross-sectional household and health facility surveys in the two Chadian rural health districts were analysed. First, contact coverage of ANC services in the study area was estimated from household data as the proportion of women who visited health facilities to obtain ANC during their last pregnancy...
June 20, 2018: Tropical Medicine & International Health: TM & IH
Bhavna Sangal, Pradeep Kumar, Neeraj Dhingra
We aim to describe trends in antenatal HIV prevalence in India, at a national and regional level from consistent sentinel surveillance sites (2003-2015) among Antenatal Clinic (ANC) attendees. Data were analyzed from a total of 1,885,207 ANC attendees recruited at ANC sites. The consistent sites were grouped by years of initiation (Group 1: 2003-2005 and Group 2: 2006-2008) and according to six regions. Chi-square test for linear trend was applied to test the statistical significance of the trend. Nationally, at Group 1 sites, HIV prevalence was 0...
April 2018: Indian Journal of Public Health
Poonam Trivedi, Deepak Saxena, Tapasvi Puwar, Shital Savaliya, Parthasarathi Ganguly
Background: Prematurity is one of the leading causes of neonatal and under-five mortalities globally and also in India. It is an important determinant of short- and long-term morbidities in infants and children. Unfortunately, risk factors of majority of preterm births (PTBs) remain unexplained which calls for appropriate action. There is a dearth of community-based research on PTB and its risk factors, especially in high burden countries like India. Objectives: The objective of the study was to explore different risk factors for PTB...
April 2018: Indian Journal of Public Health
Ipsa Mohapatra, Adrija Roy
INTRODUCTION: Breast milk provides nutritional, immunological, behavioral, and economic benefits and helps to build mother-infant bonding. Antenatal mothers need to be sufficiently aware about the benefits of breastfeeding. OBJECTIVES: The aim of this study is to assess the awareness and perception of breastfeeding among antenatal mothers and to find out any association between sociodemographic factors and breastfeeding awareness. METHODOLOGY: A cross-sectional study was conducted among 250 antenatal women residing in the urban slums of field-practice area of urban health and training center; using a predesigned, pretested, semi-structured interview schedule...
2018: Journal of Education and Health Promotion
Roger J Hart, Hanne Frederiksen, Dorota A Doherty, Jeffrey A Keelan, Niels E Skakkebaek, Noviani S Minaee, Robert McLachlan, John P Newnham, Jan E Dickinson, Craig E Pennell, Robert J Norman, Katharina M Main
Phthalates are ubiquitous environmental endocrine-disrupting chemicals suspected to interfere with developmental androgen action leading to adverse effects on male reproductive function. Prenatal exposure studies in rodents show cryptorchidism, hypospadias and reduced testicular volume (TV), testosterone and anogenital distance in males. It is postulated that there is a developmental window in utero when phthalate exposure has the most potent adverse effects. Some human studies show associations between prenatal phthalate exposure and reduced calculated "free" serum testosterone in infant boys and shorter anogenital distance...
2018: Frontiers in Endocrinology
Angela Lupattelli, Michael J Twigg, Ksenia Zagorodnikova, Myla E Moretti, Mariola Drozd, Alice Panchaud, Andre Rieutord, Romana Gjergja Juraski, Marina Odalovic, Debra Kennedy, Gorazd Rudolf, Herbert Juch, Hedvig Nordeng
Purpose: This study aimed at exploring the prevalence of self-reported antenatal and postnatal depressive symptoms by severity across multiple countries and the association between antidepressant treatment in pregnancy and postnatal symptom severity. Materials and methods: This was a multinational web-based study conducted across 12 European countries (n=8069). Uniform data collection was ensured via an electronic questionnaire. Pregnant women at any gestational week and mothers of children with <1 year of age could participate...
2018: Clinical Epidemiology
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