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Canada and maternal mortality

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https://www.readbyqxmd.com/read/27806041/barriers-facilitators-and-priorities-for-implementation-of-who-maternal-and-perinatal-health-guidelines-in-four-lower-income-countries-a-great-network-research-activity
#1
Joshua P Vogel, Julia E Moore, Caitlyn Timmings, Sobia Khan, Dina N Khan, Atkure Defar, Azmach Hadush, Marta Minwyelet Terefe, Luwam Teshome, Katherine Ba-Thike, Kyu Kyu Than, Ahmad Makuwani, Godfrey Mbaruku, Mwifadhi Mrisho, Kidza Yvonne Mugerwa, Lisa M Puchalski Ritchie, Shusmita Rashid, Sharon E Straus, A Metin Gülmezoglu
BACKGROUND: Health systems often fail to use evidence in clinical practice. In maternal and perinatal health, the majority of maternal, fetal and newborn mortality is preventable through implementing effective interventions. To meet this challenge, WHO's Department of Reproductive Health and Research partnered with the Knowledge Translation Program at St. Michael's Hospital (SMH), University of Toronto, Canada to establish a collaboration on knowledge translation (KT) in maternal and perinatal health, called the GREAT Network (Guideline-driven, Research priorities, Evidence synthesis, Application of evidence, and Transfer of knowledge)...
2016: PloS One
https://www.readbyqxmd.com/read/27720100/ultrasound-evaluation-of-first-trimester-complications-of-pregnancy
#2
Lucie Morin, Yvonne M Cargill, Phyllis Glanc
OBJECTIVE: OUTCOMES:: EVIDENCE: A MEDLINE search and review of bibliographies identified articles was conducted. VALUES: The evidence collected was reviewed by the Diagnostic Imaging Committee of the Society of Obstetricians and Gynaecologists of Canada. The recommendations were made according to the guidelines developed by The Canadian Task Force on Preventive Health Care (Table 1). BENEFITS, HARMS, AND COSTS: Women presenting with first trimester bleeding may be incorrectly diagnosed with a missed abortion, may have an ectopic pregnancy overlooked, or may be inappropriately reassured about viability...
October 2016: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/27672220/maternal-morbidity-and-perinatal-outcomes-among-women-in-rural-versus-urban-areas
#3
Sarka Lisonkova, Matthew D Haslam, Leanne Dahlgren, Innie Chen, Anne R Synnes, Kenneth I Lim
BACKGROUND: Most studies examining geographic barriers to maternity care in industrialized countries have focused solely on fetal and neonatal outcomes. We examined the association between rural residence and severe maternal morbidity, in addition to perinatal mortality and morbidity. METHODS: We conducted a retrospective population-based cohort study of all women who gave birth in British Columbia, Canada, between Jan. 1, 2005, and Dec. 31, 2010. We compared maternal mortality and severe morbidity (e...
December 6, 2016: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/27663370/circulating-strains-of-variant-infectious-bursal-disease-virus-may-pose-a-challenge-for-antibiotic-free-chicken-farming-in-canada
#4
Shanika Kurukulsuriya, Khawaja Ashfaque Ahmed, Davor Ojkic, Thushari Gunawardana, Ashish Gupta, Kalhari Goonewardene, Ruwani Karunaratne, Shelly Popowich, Philip Willson, Suresh K Tikoo, Susantha Gomis
Antibiotic-free and safe animal products are most desirable among consumers. However, ensuring safe poultry products is a challenging task when the chicken immune system is compromised. Infectious bursal disease virus (IBDV) causes immunosuppression and predisposes chickens to secondary infections. Breeder vaccination against IBDV is routinely practiced for producing chicks with maternally-derived antibody (MAb) to prevent infection in newly hatched chicks. The majority of IBDV circulating in Canadian farms are variant strains (vIBDV)...
October 2016: Research in Veterinary Science
https://www.readbyqxmd.com/read/27582637/infant-mortality-among-the-canadian-born-offspring-of-immigrants-and-non-immigrants-in-canada-a-population-based-study
#5
Zoua M Vang
BACKGROUND: Adult immigrants in Canada have a survival advantage over their Canadian-born counterparts. It is unknown whether migrants are able to transmit their survival advantage to their Canadian-born children. METHODS: Neonatal and postneonatal mortality between the Canadian-born population and 12 immigrant subgroups were compared using 1990-2005 linked birth-infant death records. Age-at-death specific mortality rates and rate differences were calculated by nativity status and maternal birthplace...
2016: Population Health Metrics
https://www.readbyqxmd.com/read/27443376/hypertensive-disorders-of-pregnancy
#6
Ana Sjaus, Dolores M McKeen, Ronald B George
PURPOSE: In this continuing professional development module, we review recent Society of Obstetricians and Gynaecologists of Canada (SOGC) guidelines for the classification and diagnosis of hypertensive disorders of pregnancy (HDP) as well as review the clinical features, laboratory investigations, and outcomes of HDP. We explore the evidence for anesthetic management and prevention of end-organ damage in women with HDP and describe the role and contribution of anesthesiologists as part of a multidisciplinary care team...
September 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/27348112/spatial-variability-of-gastroschisis-in-canada-2006-2011-an-exploratory-analysis
#7
Kate L Bassil, Junmin Yang, Laura Arbour, Rahim Moineddin, Mary E Brindle, Emily Hazell, Erik D Skarsgard
OBJECTIVES: Gastroschisis is a serious birth defect of the abdominal wall that is associated with mortality and significant morbidity. Our understanding of the factors causing this defect is limited. The objective of this paper is to describe the geographic variation in incidence of gastroschisis and characterize the spatial pattern of all gastroschisis cases in Canada between 2006 and 2011. Specifically, we aimed to ascertain the differences in spatial patterns between geographic regions and identify significant clusters and their location...
2016: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/27343303/paternal-education-and-adverse-birth-outcomes-in-canada
#8
Gabriel D Shapiro, Tracey Bushnik, Amanda J Sheppard, Michael S Kramer, Jay S Kaufman, Seungmi Yang
BACKGROUND: Research on predictors of adverse birth outcomes has focused on maternal characteristics. Much less is known about the role of paternal factors. Paternal education is an important socioeconomic marker that may predict birth outcomes over and above maternal socioeconomic indicators. METHODS: Using data from the 2006 Canadian Birth-Census Cohort, we estimated the associations between paternal education and preterm birth, small-for-gestational-age (SGA) birth, stillbirth and infant mortality in Canada, controlling for maternal characteristics...
June 24, 2016: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/27198844/achieving-maternal-and-child-health-gains-in-afghanistan-a-countdown-to-2015-country-case-study
#9
Nadia Akseer, Ahmad S Salehi, S M Moazzem Hossain, M Taufiq Mashal, M Hafiz Rasooly, Zaid Bhatti, Arjumand Rizvi, Zulfiqar A Bhutta
BACKGROUND: After the fall of the Taliban in 2001, Afghanistan experienced a tumultuous period of democracy overshadowed by conflict, widespread insurgency, and an inflow of development assistance. Although there have been several cross-sectional assessments of health gains over the last decade, there has been no systematic analysis of progress and factors influencing maternal and child health in Afghanistan. METHODS: We undertook a comprehensive, systematic assessment of reproductive, maternal, newborn, and child health in Afghanistan over the last decade...
June 2016: Lancet Global Health
https://www.readbyqxmd.com/read/27105635/views-on-the-ethical-struggle-for-universal-high-quality-affordable-health-care-and-its-relevance-for-gerontology
#10
George M Martin
The US pays about twice as much per capita for health care than any other developed country, yet its health metrics rank among the lowest among peer nations - for example, the US has 12.2 maternal mortality deaths per 100,000 compared to 4.8 in Canada which, like other developed nations, has a single payer health care program. The leading cause of bankruptcies in the US is attributable to medical expenses. Despite recently introduced legislation (the Affordable Care Act) many millions of Americans remain uninsured or underinsured...
April 19, 2016: Experimental Gerontology
https://www.readbyqxmd.com/read/26947535/secular-trends-in-preeclampsia-incidence-and-outcomes-in-a-large-canada-database-a-longitudinal-study-over-24-years
#11
Nathalie Auger, Zhong-Cheng Luo, Anne Monique Nuyt, Jay S Kaufman, Ashley I Naimi, Robert W Platt, William D Fraser
BACKGROUND: The incidence of preeclampsia is increasing, but effects on women and infants are unclear. We measured the incidence of preeclampsia over time in a large Canadian population, and assessed trends in maternal and infant morbidity and mortality. METHODS: We carried out a population-based study of 1,901,376 linked hospital discharge abstracts for all deliveries in the province of Quebec, Canada from 1989 through 2012. We computed the annual incidence of preeclampsia, and used log binomial models to determine associations with severe morbidity and mortality for preeclamptic vs nonpreeclamptic pregnancies...
August 2016: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/26788721/the-2006-canadian-birth-census-cohort
#12
Tracey Bushnik, Seungmi Yang, Michael S Kramer, Jay S Kaufman, Amanda J Sheppard, Russell Wilkins
BACKGROUND: Evidence on socioeconomic and ethnocultural disparities in perinatal health in Canada tends to be limited to analyses by neighbourhood or for selected provinces. In 2010, the Canadian Institutes of Health Research awarded funding for a project on perinatal outcomes. This article describes the resulting 2006 Canadian Birth-Census Cohort Database. DATA AND METHODS: From the Canadian Live Birth, Infant Death and Stillbirth Database, 687,340 records of children born in Canada from May 16, 2004 through May 15, 2006 to mothers whose usual place of residence was Canada were selected as in-scope births...
January 20, 2016: Health Reports
https://www.readbyqxmd.com/read/26510780/under-5-mortality-in-2851-chinese-counties-1996-2012-a-subnational-assessment-of-achieving-mdg-4-goals-in-china
#13
Yanping Wang, Xiaohong Li, Maigeng Zhou, Shusheng Luo, Juan Liang, Chelsea A Liddell, Matthew M Coates, Yanqiu Gao, Linhong Wang, Chunhua He, Chuyun Kang, Shiwei Liu, Li Dai, Austin E Schumacher, Maya S Fraser, Timothy M Wolock, Amanda Pain, Carly E Levitz, Lavanya Singh, Megan Coggeshall, Margaret Lind, Yichong Li, Qi Li, Kui Deng, Yi Mu, Changfei Deng, Ling Yi, Zheng Liu, Xia Ma, Hongtian Li, Dezhi Mu, Jun Zhu, Christopher J L Murray, Haidong Wang
BACKGROUND: In the past two decades, the under-5 mortality rate in China has fallen substantially, but progress with regards to the Millennium Development Goal (MDG) 4 at the subnational level has not been quantified. We aimed to estimate under-5 mortality rates in mainland China for the years 1970 to 2012. METHODS: We estimated the under-5 mortality rate for 31 provinces in mainland China between 1970 and 2013 with data from censuses, surveys, surveillance sites, and disease surveillance points...
January 16, 2016: Lancet
https://www.readbyqxmd.com/read/26340994/differences-in-perinatal-and-infant-mortality-in-high-income-countries-artifacts-of-birth-registration-or-evidence-of-true-differences
#14
Paromita Deb-Rinker, Juan Andrés León, Nicolas L Gilbert, Jocelyn Rouleau, Anne-Marie Nybo Andersen, Ragnheiður I Bjarnadóttir, Mika Gissler, Laust H Mortensen, Rolv Skjærven, Stein Emil Vollset, Xun Zhang, Prakesh S Shah, Reg S Sauve, Michael S Kramer, K S Joseph
BACKGROUND: Variation in birth registration criteria may compromise international comparisons of fetal and infant mortality. We examined the effect of birth registration practices on fetal and infant mortality rates to determine whether observed differences in perinatal and infant mortality rates were artifacts of birth registration or reflected true differences in health status. METHODS: A retrospective population-based cohort study was done using data from Canada, United States, Denmark, Finland, Iceland, Norway, and Sweden from 1995-2005...
2015: BMC Pediatrics
https://www.readbyqxmd.com/read/26313059/how-much-surgery-is-enough-aligning-surgical-delivery-with-best-performing-health-systems
#15
Mark G Shrime, Kimberly M Daniels, John G Meara
BACKGROUND: Surgical delivery varies 150-fold across countries. However, no direct correlation exists between surgical delivery and health outcomes, making it difficult to pinpoint a goal for surgical scale-up. We attempted to determine the amount of surgery that would be delivered worldwide, if the world aligned itself with countries providing the best health outcomes. METHODS: The number of cases performed annually has previously been published for 55 countries, which we stratified by World Bank income group...
April 27, 2015: Lancet
https://www.readbyqxmd.com/read/26283454/prognosis-after-maternal-placental-events-and-revascularization-pamper-study
#16
Joel G Ray, Gillian L Booth, David A Alter, Marian J Vermeulen
BACKGROUND: Middle-aged women are at higher risk than men of death after coronary artery revascularization. Maternal placental syndromes (gestational hypertension, preeclampsia, placental abruption, and placental infarction) are associated with premature coronary artery disease, but their influence on survival after coronary artery revascularization is unknown. OBJECTIVE: The purpose of this study was to determine whether a history of maternal placental syndromes alters the risk of death after coronary artery revascularization in middle-aged women...
January 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26175368/hepatitis-e-infection-during-pregnancy
#17
Shahnaz A Chaudhry, Natasha Verma, Gideon Koren
QUESTION: Many of my patients are from Southeast Asia where hepatitis E virus (HEV) infection is quite common. What precautions can I suggest they take before traveling to these areas and what is the risk of contracting HEV during pregnancy? ANSWER: Hepatitis E is a water-borne pathogen transmitted by the fecal-oral route. To reduce the risk of contracting HEV while traveling to endemic areas, it is important to maintain hygienic practices such as hand washing with safe water, particularly before handling food, avoiding drinking water or using ice cubes of unknown purity, and avoiding eating unpeeled fruits and vegetables...
July 2015: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/26087986/tanzania-s-countdown-to-2015-an-analysis-of-two-decades-of-progress-and-gaps-for-reproductive-maternal-newborn-and-child-health-to-inform-priorities-for-post-2015
#18
Hoviyeh Afnan-Holmes, Moke Magoma, Theopista John, Francis Levira, Georgina Msemo, Corinne E Armstrong, Melisa Martínez-Álvarez, Kate Kerber, Clement Kihinga, Ahmad Makuwani, Neema Rusibamayila, Asia Hussein, Joy E Lawn
BACKGROUND: Tanzania is on track to meet Millennium Development Goal (MDG) 4 for child survival, but is making insufficient progress for newborn survival and maternal health (MDG 5) and family planning. To understand this mixed progress and to identify priorities for the post-2015 era, Tanzania was selected as a Countdown to 2015 case study. METHODS: We analysed progress made in Tanzania between 1990 and 2014 in maternal, newborn, and child mortality, and unmet need for family planning, in which we used a health systems evaluation framework to assess coverage and equity of interventions along the continuum of care, health systems, policies and investments, while also considering contextual change (eg, economic and educational)...
July 2015: Lancet Global Health
https://www.readbyqxmd.com/read/26063042/adverse-childhood-experiences-are-associated-with-spontaneous-preterm-birth-a-case-control-study
#19
Inge Christiaens, Kathleen Hegadoren, David M Olson
BACKGROUND: More than 1 in 10 infants are born prematurely worldwide, making preterm birth the leading cause of neonatal mortality and morbidity. Chronic maternal stress is increasingly recognized as one of the contributing risk factors for preterm birth, yet its specific role remains largely unknown. Examining the exposure to stressors over a mother's life course might provide more perspective on the role of maternal stress in preterm birth. Our aim was therefore to retrospectively explore the associations between chronic, lifelong stressors and protective factors and spontaneous preterm birth...
2015: BMC Medicine
https://www.readbyqxmd.com/read/26018653/an-international-contrast-of-rates-of-placental-abruption-an-age-period-cohort-analysis
#20
Cande V Ananth, Katherine M Keyes, Ava Hamilton, Mika Gissler, Chunsen Wu, Shiliang Liu, Miguel Angel Luque-Fernandez, Rolv Skjærven, Michelle A Williams, Minna Tikkanen, Sven Cnattingius
BACKGROUND: Although rare, placental abruption is implicated in disproportionately high rates of perinatal morbidity and mortality. Understanding geographic and temporal variations may provide insights into possible amenable factors of abruption. We examined abruption frequencies by maternal age, delivery year, and maternal birth cohorts over three decades across seven countries. METHODS: Women that delivered in the US (n = 863,879; 1979-10), Canada (4 provinces, n = 5,407,463; 1982-11), Sweden (n = 3,266,742; 1978-10), Denmark (n = 1,773,895; 1978-08), Norway (n = 1,780,271, 1978-09), Finland (n = 1,411,867; 1987-10), and Spain (n = 6,151,508; 1999-12) were analyzed...
2015: PloS One
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