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Clinical problems during pregnancy

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https://www.readbyqxmd.com/read/29329526/definitions-measurements-and-prevalence-of-fear-of-childbirth-a-systematic-review
#1
C Nilsson, E Hessman, H Sjöblom, A Dencker, E Jangsten, M Mollberg, H Patel, C Sparud-Lundin, H Wigert, C Begley
BACKGROUND: Fear of Childbirth (FOC) is a common problem affecting women's health and wellbeing, and a common reason for requesting caesarean section. The aims of this review were to summarise published research on prevalence of FOC in childbearing women and how it is defined and measured during pregnancy and postpartum, and to search for useful measures of FOC, for research as well as for clinical settings. METHODS: Five bibliographic databases in March 2015 were searched for published research on FOC, using a protocol agreed a priori...
January 12, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29327094/association-between-secondhand-smoke-exposure-and-quality-of-life-in-pregnant-women-and-postpartum-women-and-the-consequences-on-the-newborns
#2
Rasmon Kalayasiri, Waranya Supcharoen, Pichanan Ouiyanukoon
PURPOSE: Secondhand smoke (SHS) exposure is prevalent and could damage the health of non-smokers, especially that of pregnant women (PW) and postpartum women (PPW). Nevertheless, there is no study on the impact of SHS during pregnancy on the quality of life (QOL) of PW and PPW. The study's purpose is to study the effects of exposure to SHS on the QOL of pregnant and postpartum women and health of the newborns. METHODS: Self-reports and urine tests for cotinine were used to obtain data on SSH exposure in 296 women in the second trimester of pregnancy and 106 women in the postpartum period at the Obstetrics & Gynecology Clinic located in a university hospital...
January 11, 2018: Quality of Life Research
https://www.readbyqxmd.com/read/29297377/ethical-considerations-in-developing-an-evidence-base-for-pre-exposure-prophylaxis-in-pregnant-women
#3
Kristen A Sullivan, Anne D Lyerly
Though many women in need of access to HIV preventive regimes are pregnant, there is a dearth of data to guide these care decisions. While oral pre-exposure prophylaxis (PrEP) has been shown to prevent HIV infection in numerous high-risk populations, pregnant women have been excluded from all major prospective trials. We propose for ethical examination a theoretical trial-a prospective, observational study of PrEP for pregnant women at risk for HIV in sub-Saharan Africa-highlighting an ethical tradeoff that characterizes issues faced for advancing research in pregnancy...
December 14, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29286012/hepatitis-a-b-c-and-hiv-seroprevalence-among-syrian-refugee-children-admitted-to-outpatient-clinics
#4
Şükran Köse, Ilker Ödemiş, Didem Çelik, Bengü Gireniz Tatar, Ilkay Akbulut, Dilek Yilmaz Çiftdoğan
Viral hepatitis is the most common cause of serious health problems such as liver cirrhosis and hepatocellular carcinoma (HCC). Leading to immunodeficiency disorders through different mechanisms, Human Immunodeficiency Virus (HIV) causes the development of severe secondary infections. Hepatitis A (HAV) is thought to spread by the faecal-oral route, while Hepatitis B (HBV), Hepatitis C (HCV) and HIV are mostly transmitted vertically during childhood. In our study, we aimed to determine the seroprevalence of HAV, HBV, HCV and HIV among Syrian refugee children who were admitted to outpatient clinics...
December 1, 2017: Le Infezioni in Medicina
https://www.readbyqxmd.com/read/29278627/what-do-pregnant-women-know-about-harmful-effects-of-medication-and-herbal-remedies-use-during-pregnancy
#5
Tatjana Barišić, Ana Pecirep, Ruža Milićević, Anja Vasilj, Dejan Tirić
BACKGROUND: The objective of this study was assasment of women's knowledge and awareness on medication and herbal remedies use during pregnancy. SUBJECTS AND METHODS: Cross-sectional study was conducted in Department of Obstetrics and Gynaecology University Clinical Hospital Mostar. The study included 230 parturients (primipara) and 20 pharmacists who work in pharmacies of Mostar. Collected and analyzed data was based on a questionnaire of 25 questions. RESULTS: Out of total number of respondents (N =230), 159 of them (69...
December 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/29277063/effect-of-the-2015-nepal-earthquakes-on-symptoms-of-common-mental-disorders-among-women-who-are-pregnant
#6
Goma Kumari Khatri, Thach Duc Tran, Sushil Baral, Jane Fisher
BACKGROUND: Antenatal mental health problems are of concern globally not only because of the burden and limits to participation experienced by women but also because of risks for foetal neurocognitive development and adverse birth outcomes. The aim was to describe the indicative prevalence of and risk and protective factors for clinically-significant symptoms of antenatal common mental disorders (CMDs) among women who experienced the 2015 Nepal earthquakes during pregnancy. METHODS: A population-based cross-sectional study in Bhaktapur, one of 14 districts highly affected by the 2015 Nepal earthquakes...
December 9, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29248827/effect-of-dietary-counseling-on-preventing-excessive-weight-gain-during-pregnancy
#7
S B Abdel-Aziz, I S Hegazy, D A Mohamed, M M A Abu El Kasem, S S Hagag
OBJECTIVES: Excessive gestational weight gain (EGWG) is associated with short- and long-term health problems among mothers and their offspring. The aim of this study was to assess the effect of dietary counseling on EGWG. STUDY DESIGN: Randomized controlled intervention trial. METHODS: The study was conducted at the antenatal care (ANC) clinic, Center for Social and Preventive Medicine, Pediatrics Hospital, Cairo University, during the period from July 2015 to April 2016...
January 2018: Public Health
https://www.readbyqxmd.com/read/29231186/-psychometric-properties-of-postpartum-depression-predictors-inventory-revised-prenatal-version-in-a-sample-of-spanish-pregnant-women
#8
María de la Fe Rodríguez-Muñoz, Laura Vallejo Slocker, María Eugenia Olivares Crespo, Nuria Izquierdo Méndez, Cristina Soto, Huynh-Nhu Le
OBJECTIVE: Prenatal depression is a major public health problem, therefore predicting and preventing it is a relevant objective for public health agendas. Consequently, it is important to have adequate screening tools to detect risk factors associated with prenatal depression. The aim of this study was to evaluate the psychometric properties reliability and factor structure of the Spanish version of the Postpartum Depression Predictors Inventory- Revised- Prenatal Version (PDI-R) in pregnant women who attend prenatal care in an urban hospital in Spain...
December 4, 2017: Revista Española de Salud Pública
https://www.readbyqxmd.com/read/29227133/prevalence-of-intimate-partner-violence-and-associated-factors-amongst-women-attending-antenatal-care-at-outapi-clinic-namibia-a-descriptive-survey
#9
Leonard T Bikinesi, Robert Mash, Kate Joyner
BACKGROUND: Intimate partner violence (IPV) is a significant and largely hidden public health problem for all women and, during pregnancy, can have significant effects on the health of both mother and the unborn baby. Previous Namibian studies suggest rates of IPV as high as 36%, although few studies have been conducted in primary care. AIM: To determine the prevalence of IPV amongst women attending antenatal care. SETTING: Outapi primary care clinic, Namibia...
December 6, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29215133/a-five-year-retrospective-study-on-syphilis-in-the-sexual-transmitted-disease-centre-stdc-of-the-teaching-hospital-umberto-i-in-rome
#10
S Pala, C Conti, P Goldoni, D Silvaggio, M Nicolai, E Schiariti, G B Orsi
OBJECTIVES: A retrospective study describing syphilis epidemiological and clinical features in patients referring to an infectious diseases centre in Rome, Italy. METHODS: Between January 2011 and December 2015 demographic, behavioral and clinical data were collected from all adult patients attending the Sexually Transmitted Diseases Centre of the Teaching Hospital Umberto I in Rome. RESULTS: Overall 723 patients, 495 males and 228 females, with syphilis infection diagnosis were included...
January 2018: Annali di Igiene: Medicina Preventiva e di Comunità
https://www.readbyqxmd.com/read/29213169/clinical-profile-of-neural-tube-defects-in-sudanese-children-is-malaria-a-risk-factor
#11
Basma Sadik, Haydar E Babikir, Mohammed A R Arbab
Neural tube defects (NTDs) are one of the most common structural malformations in human kind. It is a public health problem with great impact on the child, parents and the community at large. The aim is to study the epidemiological profile and patterns of NTDs in under five-year of age Sudanese children who attended the neurosurgical clinic at the National Centre of Neurological Sciences (NCNS), Khartoum during the period from March 2014 to December 2014. This was a prospective cross-sectional study conducted at the neurosurgery clinic in NCNS, Khartoum...
2017: Sudanese Journal of Paediatrics
https://www.readbyqxmd.com/read/29199913/elimination-of-mother-to-child-transmission-of-syphilis-is-it-a-reality-in-nigeria-by-2020
#12
Daniel A Adeyinka, Babayemi O Olakunde, Chamberline E Ozigbu, Emmanuel A Agogo, Mercy Morka, Temitope Atoba, Chris Obanubi, Gideon Okorie, Abiola Davies, Olanrewaju Oladimeji
BACKGROUND: Congenital syphilis is a global health problem, yet it has received little attention in recent years. Despite cost-effective syphilis screening and treatment, it continues to contribute hugely to perinatal morbidity and mortality worldwide. AIMS: To determine the prevalence and treatment coverage trend for syphilis among pregnant women in the national prevention of mother-to-child transmission programme in Nigeria and to evaluate progress towards the elimination of congenital syphilis in the country...
December 1, 2017: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/29191934/management-of-endocrine-disease-fertility-pregnancy-and-lactation-in-women-with-adrenal-insufficiency
#13
Gurpreet Anand, Felix Beuschlein
With the introduction of hormonal substitution therapy in the 1950s, adrenal insufficiency has been turned into a manageable disease in pregnant women. In fact, in the light of glucocorticoid replacement therapy and improved obstetric care, it is realistic to expect good maternal and fetal outcome in patients with adrenal insufficiency. However, there are still a number of challenges such as establishing the diagnosis of adrenal insufficiency in pregnant women and optimizing the treatment of adrenal insufficiency and related comorbidities prior as well as during pregnancy...
November 30, 2017: European Journal of Endocrinology
https://www.readbyqxmd.com/read/29173930/birth-outcomes-in-relation-to-intimate-partner-violence
#14
Ping-Hsin Chen, Sue Rovi, Marielos L Vega, Theodore Barrett, Ko-Yu Pan, Mark S Johnson
OBJECTIVES: Intimate partner violence (IPV)during pregnancy is a significant public health problem. Approximately 324,000 IPV victimizations occur during pregnancy each year. However, research on the impact of IPV on birth outcomes yields conflicting findings. This study examines the association of IPV with birth outcomes among pregnant women. STUDY DESIGN: We used a retrospective cohort study design to analyze data from chart reviews of a random sample of 1542 pregnant women...
January 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/29169855/hypertensive-complications-of-pregnancy-a-clinical-overview
#15
C Antza, R Cifkova, V Kotsis
Hypertensive disorders in pregnancy are a worldwide health problem for women and their infants complicating up to 10% of pregnancies and associated with increased maternal and neonatal morbidity and mortality. In Europe, 2.3-3% of pregnancies are complicated by preeclampsia. Gestational diabetes, obesity, no previous or multiple births, maternal age less than 20 or greater than 35 years old and thrombophilia can be some of the possible factors related to increased risk for hypertension in pregnancy. Complications of hypertension during pregnancy affect both mothers and their infants...
November 20, 2017: Metabolism: Clinical and Experimental
https://www.readbyqxmd.com/read/29162041/does-anthracycline-based-chemotherapy-in-pregnant-women-with-cancer-offer-safe-cardiac-and-neurodevelopmental-outcomes-for-the-developing-fetus
#16
Marialuisa Framarino-Dei-Malatesta, Paolo Sammartino, Angela Napoli
BACKGROUND: Cancer treatment during pregnancy is a growing problem especially now that women delay childbearing. Systemic treatment of these malignancies during pregnancy centers mainly on the anticancer drugs anthracyclines, widely used in treating hematological and breast cancer during pregnancy and sometimes associated with early and late toxicity for the fetus. Owing to concern about their cardiac and neurodevelopmental toxicity more information is needed on which anthracycline to prefer and whether they can safely guarantee a cardiotoxicity-free outcome in the fetus...
November 21, 2017: BMC Cancer
https://www.readbyqxmd.com/read/29148566/factors-that-influence-the-provision-of-intrapartum-and-postnatal-care-by-skilled-birth-attendants-in-low-and-middle-income-countries-a-qualitative-evidence-synthesis
#17
REVIEW
Susan Munabi-Babigumira, Claire Glenton, Simon Lewin, Atle Fretheim, Harriet Nabudere
BACKGROUND: In many low- and middle-income countries women are encouraged to give birth in clinics and hospitals so that they can receive care from skilled birth attendants. A skilled birth attendant (SBA) is a health worker such as a midwife, doctor, or nurse who is trained to manage normal pregnancy and childbirth. (S)he is also trained to identify, manage, and refer any health problems that arise for mother and baby. The skills, attitudes and behaviour of SBAs, and the extent to which they work in an enabling working environment, impact on the quality of care provided...
November 17, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29145299/prophylactic-temporary-abdominal-aorta-balloon-occlusion-in-women-with-placenta-previa-accretism-during-late-gestation
#18
Zhongyuan Qiu, Jifen Hu, Jianbo Wu, Lihong Chen
BACKGROUND: To evaluate the clinical efficacy of prophylactic temporary balloon occlusion of the abdominal aorta in patients with placenta previa accretism during cesarean section. METHODS: Twenty-three consecutive patients, prenatally confirmed with placenta previa accretism were retrospectively analyzed in our center from August 2012 to October 2014. All 23 subjects underwent cesarean section with prophylactic balloon occlusion of the abdominal aorta. RESULTS: All of the 23 subjects experienced singleton pregnancies leading to the birth of live infants...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29133176/effect-of-zonisamide-on-refractory-epilepsy-during-pregnancy-in-lamotrigine-resistant-kindled-rats
#19
Reza Narenji Sani, Keivan Keramati, Niloufar Saberi, Melika Moezifar, Ali Mahdavi
Drug-resistant epilepsy with uncontrolled severe seizures despite state-of-the-art medical treatment continues to be a major clinical problem. Pregnancy is a state where drug pharmacokinetic changes are more pronounced and more rapid than any other period of life. The current study investigated the effect of zonisamide (ZNS) on refractory epilepsy during pregnancy in lamotrigine-resistant kindled rats. Fifty-six lamotrigine (LTG)-resistant kindled Wistar rats were divided into five experimental (four pregnant and one non-pregnant) and 2 positive controls (pregnant and non-pregnant) groups and eight intact Wistar rats were put in the negative pregnant control group...
November 11, 2017: Neuroscience Letters
https://www.readbyqxmd.com/read/29126794/interventions-for-reducing-fear-of-childbirth-a-systematic-review-and-meta-analysis-of-clinical-trials
#20
Vahideh MoghaddamHosseini, Milad Nazarzadeh, Shayesteh Jahanfar
INTRODUCTION: Fear of childbirth is a problematic mental health issue during pregnancy. But, effective interventions to reduce this problem are not well understood. OBJECTIVES: To examine effective interventions for reducing fear of childbirth. MATERIAL AND METHODS: The Cochrane Central Register of Controlled Trials, PubMed, Embase and PsycINFO were searched since inception till September 2017 without any restriction. Randomised controlled trials and quasi-randomised controlled trials comparing interventions for treatment of fear of childbirth were included...
November 7, 2017: Women and Birth: Journal of the Australian College of Midwives
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