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Prenatal care

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https://www.readbyqxmd.com/read/29912954/impact-of-smartphone-assisted-prenatal-home-visits-on-women-s-use-of-facility-delivery-results-from-a-cluster-randomized-trial-in-rural-tanzania
#1
Kristy Hackett, Curtis Lafleur, Peter Nyella, Ophira Ginsburg, Wendy Lou, Daniel Sellen
BACKGROUND: About half of births in rural Tanzania are assisted by skilled providers. Point-of-care mobile phone applications hold promise in boosting job support for community health workers aiming to ensure safe motherhood through increased facility delivery awareness, access and uptake. We conducted a controlled comparison to evaluate a smartphone-based application designed to assist community health workers with data collection, education delivery, gestational danger sign identification, and referrals...
2018: PloS One
https://www.readbyqxmd.com/read/29912478/associations-between-state-level-policies-regarding-alcohol-use-among-pregnant-women-adverse-birth-outcomes-and-prenatal-care-utilization-results-from-1972-2013-vital-statistics
#2
Meenakshi S Subbaraman, Sue Thomas, Ryan Treffers, Kevin Delucchi, William C Kerr, Priscilla Martinez, Sarah C M Roberts
BACKGROUND: Policies regarding alcohol use during pregnancy continue to be enacted and debated in the United States. However, no study to date has examined whether these policies are related to birth outcomes, the outcomes they ultimately aim to improve. Here we assessed whether state-level policies targeting alcohol use during pregnancy are related to birth outcomes, which has not been done comprehensively before. METHODS: Secondary analyses of birth certificate data from N=148,048,208 United States singleton births between 1972-2013...
June 18, 2018: Alcoholism, Clinical and Experimental Research
https://www.readbyqxmd.com/read/29911521/integrated-perinatal-mental-health-care-a-national-model-of-perinatal-primary-care-in-vulnerable-populations
#3
Kimberly C Lomonaco-Haycraft, Jennifer Hyer, Britney Tibbits, Jennifer Grote, Kelly Stainback-Tracy, Claire Ulrickson, Alison Lieberman, Lies van Bekkum, M Camille Hoffman
IntroductionPerinatal mood and anxiety disorders (PMADs) are the most common complication of pregnancy and have been found to have long-term implications for both mother and child. In vulnerable patient populations such as those served at Denver Health, a federally qualified health center the prevalence of PMADs is nearly double the nationally reported rate of 15-20%. Nearly 17% of women will be diagnosed with major depression at some point in their lives and those numbers are twice as high in women who live in poverty...
June 18, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29909595/disability-experiences-and-perspectives-regarding-reproductive-decisions-parenting-and-the-utility-of-genetic-services-a-qualitative-study
#4
C Roadhouse, C Shuman, K Anstey, K Sappleton, D Chitayat, E Ignagni
Genetic counselors adopt seemingly contradictory roles: advocating for individuals with genetic conditions while offering prenatal diagnosis and the option of selective termination to prevent the birth of a child with a disability. This duality contributes to the tension between the disability and clinical genetics communities. Varying opinions exist amongst the disability community: some value genetic services while others are opposed. However, there is limited research exploring the opinions of individuals with a disability regarding issues related to reproduction and genetic services in the context of personal experience...
June 16, 2018: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/29909266/perinatal-mortality-or-severe-neonatal-encephalopathy-among-normally-formed-singleton-pregnancies-according-to-obstetric-risk-status-is-low-risk-the-new-high-risk-a-population-based-cohort-study
#5
Niamh M Joyce, Elizabeth Tully, Colin Kirkham, Patrick Dicker, Fionnuala M Breathnach
OBJECTIVE: To evaluate the capacity of the current system of obstetric risk stratification at the outset of pregnancy to predict severe adverse perinatal outcome. STUDY DESIGN: This retrospective cohort study of singleton pregnancies over a five year period (2009-2013) was performed at the Rotunda Hospital, Dublin, Ireland. High-risk or low-risk status was assigned retrospectively to a large consecutive cohort of women with a normally-formed singleton pregnancy on the basis of factors analyzed at the first prenatal hospital visit...
June 5, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29907928/trends-in-the-incidence-of-retinopathy-of-prematurity-over-a-10-year-period
#6
Prudence P C Chow, Wilson W K Yip, Mary Ho, Julie Y C Lok, Henry H W Lau, Alvin L Young
AIM: To describe and evaluate the trends in the incidence of retinopathy of prematurity over a 10-year period in a tertiary hospital in Hong Kong. METHODS: A retrospective review was performed on all preterm infants screened and/or treated for retinopathy of prematurity from January 2006 to December 2015 at Prince of Wales Hospital, Hong Kong. Preterm infants with incomplete records or transferred-in from other hospitals/region solely for treatment of ROP were excluded...
June 16, 2018: International Ophthalmology
https://www.readbyqxmd.com/read/29907484/patient-attitudes-toward-influenza-and-tetanus-diphtheria-and-acellular-pertussis-vaccination-in-pregnancy
#7
Emmie R Strassberg, Michael Power, Jay Schulkin, Lauren M Stark, A Dhanya Mackeen, Katie L Murtough, Michael J Paglia
BACKGROUND: Routine influenza and tetanus, diphtheria and acellular pertussis (Tdap) vaccination of pregnant women to prevent poor maternal, fetal and neonatal outcomes is recommended practice; however, actual rates of influenza vaccine acceptance are typically well below the (Healthy People 2020, 2015) goal of 80%. OBJECTIVE: We sought to identify barriers to accepting either vaccination. MATERIALS AND METHODS: From December 2014 to April 2015 women were given a questionnaire eliciting their experiences, attitudes and history of influenza and Tdap vaccination in pregnancy during their routine prenatal care appointments at a tertiary care center...
June 12, 2018: Vaccine
https://www.readbyqxmd.com/read/29903031/what-s-new-in-pontocerebellar-hypoplasia-an-update-on-genes-and-subtypes
#8
REVIEW
Tessa van Dijk, Frank Baas, Peter G Barth, Bwee Tien Poll-The
BACKGROUND: Pontocerebellar hypoplasia (PCH) describes a rare, heterogeneous group of neurodegenerative disorders mainly with a prenatal onset. Patients have severe hypoplasia or atrophy of cerebellum and pons, with variable involvement of supratentorial structures, motor and cognitive impairments. Based on distinct clinical features and genetic causes, current classification comprises 11 types of PCH. MAIN TEXT: In this review we describe the clinical, neuroradiological and genetic characteristics of the different PCH subtypes, summarize the differential diagnosis and reflect on potential disease mechanisms in PCH...
June 15, 2018: Orphanet Journal of Rare Diseases
https://www.readbyqxmd.com/read/29902989/adversities-and-mental-health-needs-of-pregnant-adolescents-in-kenya-identifying-interpersonal-practical-and-cultural-barriers-to-care
#9
Judith Osok, Pius Kigamwa, Keng-Yen Huang, Nancy Grote, Manasi Kumar
BACKGROUND: Adolescent pregnancies present a great public health burden in Kenya and Sub-Saharan Africa (UNFPA, Motherhood in Childhood: Facing the challenge of Adolescent Pregnancy, 2013). The disenfranchisement from public institutions and services is further compounded by cultural stigma and gender inequality creating emotional, psychosocial, health, and educational problems in the lives of vulnerable pregnant adolescents (Int J Adolesc Med Health 15(4):321-9, 2003; BMC Public Health 8:83, 2008)...
June 15, 2018: BMC Women's Health
https://www.readbyqxmd.com/read/29899373/isochromosome-21q-is-overrepresented-among-false-negative-cell-free-dna-prenatal-screening-results-involving-down-syndrome
#10
Karin Huijsdens-van Amsterdam, Lieve Page-Christiaens, Nicola Flowers, Michael D Bonifacio, Katie M Battese Ellis, Ida Vogel, Else Marie Vestergaard, Javier Miguelez, Mario Henrique Burlacchini de Carvalho, Erik A Sistermans, Mark D Pertile
False-negative cell-free DNA (cfDNA) screening results involving Down syndrome are rare, but have high clinical impact on patients and their healthcare providers. Understanding the biology behind these results may allow for improved diagnostic follow-up and counseling. In 5 different centers offering cfDNA prenatal screening, 9 false-negative results were documented in 646 confirmed cases of trisomy 21; a false-negative rate of 1.4% (95% CI, 0.7-2.6). False-negative results included 4 cases of classical trisomy 21 and 5 cases with a de novo 21q;21q rearrangement...
June 13, 2018: European Journal of Human Genetics: EJHG
https://www.readbyqxmd.com/read/29896725/-preliminary-analysis-of-the-cause-for-the-failure-of-non-invasive-prenatal-testing-using-cell-free-fetal-dna-derived-from-peripheral-maternal-blood
#11
Bin Zhang, Cong Shen, Huiyan Wang, Zhengmao Cai, Beiyi Lu, Xiaoqing Zhang, Bin Yu, Ting Wang
OBJECTIVE: To explore the cause of failure of non-invasive prenatal testing (NIPT) using cell-free fetal DNA from peripheral maternal blood. METHODS: A total of 31 832 cases of NIPT were retrospectively analyzed. The clinical data of pregnant women were analyzed and the outcome of pregnancy was followed up. RESULTS: Among the 31 832 cases, 200 patients have failed for the first NIPT test. Second test has succeeded in 171 (85.9%) of 199 cases, while 28 cases (14...
June 10, 2018: Zhonghua Yi Xue Yi Chuan Xue za Zhi, Zhonghua Yixue Yichuanxue Zazhi, Chinese Journal of Medical Genetics
https://www.readbyqxmd.com/read/29893994/predictive-factors-for-successful-cervical-ripening-using-a-double-balloon-catheter-after-previous-cesarean-delivery
#12
Mathilde Vital, Joséphine Grange, Aurélie Le Thuaut, Jérôme Dimet, Guillaume Ducarme
OBJECTIVE: To identify predictors of successful cervical ripening using double-balloon catheter (DBC) for labor induction among women with previous cesarean delivery (PCD) and unfavorable cervix at term. METHODS: The present prospective observational study was conducted among women who underwent cervical ripening with DBC at a French tertiary care hospital between January 1, 2014, and December 31, 2017. Inclusion criteria were PCD; singleton term fetus; cephalic presentation; and unfavorable cervix (Bishop score <6)...
June 12, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29892940/the-impact-of-modifiable-risk-factor-reduction-on-childhood-asthma-development
#13
REVIEW
Andrew Abreo, Tebeb Gebretsadik, Cosby A Stone, Tina V Hartert
Childhood asthma is responsible for significant morbidity and health care expenditures in the United States. The incidence of asthma is greatest in early childhood, and the prevalence is projected to continue rising in the absence of prevention and intervention measures. The prevention of asthma will likely require a multifaceted intervention strategy; however, few randomized controlled trials have assessed such approaches. The purpose of this review was to use previous meta-analyses to identify the most impactful risk factors for asthma development and evaluate the effect of risk factor reduction on future childhood asthma prevalence...
June 11, 2018: Clinical and Translational Medicine
https://www.readbyqxmd.com/read/29888487/the-impact-of-expanded-health-insurance-coverage-for-unauthorized-pregnant-women-on-prenatal-care-utilization
#14
Danielle N Atkins, Mary L Held, Lisa C Lindley
OBJECTIVE: The objective of this study was to investigate the effect of expanding Medicaid health insurance coverage for unauthorized women on prenatal care utilization. DESIGN AND SAMPLE: A natural experiment design was used. We examined the prenatal care utilization of 20,876 unauthorized women from Nebraska, which expanded Medicaid coverage for unauthorized women, and South Carolina, which has never expanded coverage. MEASURES: Measurements of prenatal care utilization included adequate prenatal care using the Kotelchuck Index and the number of prenatal care visits...
June 10, 2018: Public Health Nursing
https://www.readbyqxmd.com/read/29886805/psychosocial-and-biological-paternal-role-in-pregnancy-outcomes
#15
Maryam Kashanian, Masoomeh Faghankhani, Hasti Hadizadeh, MMasoud Salehi, Masoomeh YousefzadehRoshan, Mohammad EhsaniPour, Ladan Sayyah, Narges Sheikhansari
BACKGROUND: Pregnancy outcomes are affected by many different factors. One of the influential factors on pregnancy outcomes is the male partner as an important person to mother's wellbeing. OBJECTIVE: The aim of the present study was to investigate the effects of male partner's role including socioeconomic support, emotional support, accompanying pregnant women during prenatal care visits (PNC) and labor, and the level of pregnant women's satisfaction from their partners' support and involvement during pregnancy on pregnancy outcomes...
June 10, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29884421/the-pregnancy-recovery-center-a-women-centered-treatment-program-for-pregnant-and-postpartum-women-with-opioid-use-disorder
#16
Elizabeth E Krans, Stephanie Bobby, Michael England, Robert H Gedekoh, Judy C Chang, Bawn Maguire, Patty Genday, Dennis H English
OBJECTIVE: To evaluate the impact of women-centered substance abuse treatment programming on outcomes among pregnant women with opioid use disorder (OUD). METHODS: We compared two retrospective cohorts of pregnant women with OUD on buprenorphine maintenance therapy who delivered an infant at the University of Pittsburgh from 2014 to 2016. Cohort 1 was composed of pregnant women who received women-centered OUD treatment services through the Pregnancy Recovery Program (PRC) and Cohort 2 was composed of pregnant women who received buprenorphine at OUD programs without women-centered services (non-PRC)...
May 24, 2018: Addictive Behaviors
https://www.readbyqxmd.com/read/29884169/pregnant-women-s-views-on-how-to-promote-the-use-of-a-decision-aid-for-down-syndrome-prenatal-screening-a-theory-informed-qualitative-study
#17
Titilayo Tatiana Agbadjé, Matthew Menear, Michèle Dugas, Marie-Pierre Gagnon, Samira Abbasgholizadeh Rahimi, Hubert Robitaille, Anik M C Giguère, François Rousseau, Brenda J Wilson, France Légaré
BACKGROUND: For pregnant women and their partners, the decision to undergo Down syndrome prenatal screening is difficult. Patient decision aids (PtDA) can help them make an informed decision. We aimed to identify behaviour change techniques (BCTs) that would be useful in an intervention to promote the use of a PtDA for Down syndrome prenatal screening, and to identify which of these BCTs pregnant women found relevant and acceptable. METHODS: Using the Behaviour Change Wheel and the Theoretical Domains Framework, we conducted a qualitative descriptive study...
June 8, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29882308/increased-susceptibility-to-cardiovascular-disease-in-offspring-born-from-dams-of-advanced-maternal-age
#18
Christy-Lynn M Cooke, Amin Shah, Raven D Kirschenman, Anita L Quon, Jude S Morton, Alison S Care, Sandra T Davidge
Exposure to prenatal stressors, including hypoxia, micro- and macro-nutrient deficiency, and maternal stress, increases the risk of cardiovascular disease in adulthood. It is unclear whether being born from a mother of advanced maternal age (≥ 35 years old) may also constitute a prenatal stress with cardiovascular consequences in adulthood. We previously demonstrated growth restriction in fetuses from a rat model of advanced maternal age, suggesting exposure to a compromised in utero environment. Thus, we hypothesized that male and female offspring from aged dams would exhibit impaired cardiovascular function as adults...
June 7, 2018: Journal of Physiology
https://www.readbyqxmd.com/read/29880692/noninvasive-blood-tests-for-fetal-development-predict-gestational-age-and-preterm-delivery
#19
Thuy T M Ngo, Mira N Moufarrej, Marie-Louise H Rasmussen, Joan Camunas-Soler, Wenying Pan, Jennifer Okamoto, Norma F Neff, Keli Liu, Ronald J Wong, Katheryne Downes, Robert Tibshirani, Gary M Shaw, Line Skotte, David K Stevenson, Joseph R Biggio, Michal A Elovitz, Mads Melbye, Stephen R Quake
Noninvasive blood tests that provide information about fetal development and gestational age could potentially improve prenatal care. Ultrasound, the current gold standard, is not always affordable in low-resource settings and does not predict spontaneous preterm birth, a leading cause of infant death. In a pilot study of 31 healthy pregnant women, we found that measurement of nine cell-free RNA (cfRNA) transcripts in maternal blood predicted gestational age with comparable accuracy to ultrasound but at substantially lower cost...
June 8, 2018: Science
https://www.readbyqxmd.com/read/29877592/fetal-mri-in-management-of-complicated-meconium-ileus-prenatal-and-surgical-imaging
#20
Peter F R Gunderman, Lindsey A G Shea, Brian W Gray, Brandon P Brown
OBJECTIVE: To review fetal MRI cases surgically proven to have MI and obstruction, describe the common fetal MRI findings that distinguish cases of complicated MI, and to compare these findings with surgical images and perinatal outcomes. METHOD: We performed a retrospective review of all fetal MRI examinations and the corresponding medical record from our tertiary care children's hospital over an 18 month period. Postnatal management and outcomes were reviewed for these patients, and those patients with surgical or postmortem diagnosis of complicated MI were included in the study...
June 7, 2018: Prenatal Diagnosis
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