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https://www.readbyqxmd.com/read/28724194/paving-the-way-for-improved-management-of-severe-itp-in-pregnancy
#1
Andra H James
Those of us who take care of women with blood disorders have few data on which to base our management of thrombocytopenia in pregnancy, particularly immune thrombocytopenia purpura (ITP). We extrapolate from the management of ITP in nonpregnant individuals and try to raise platelet counts in an attempt to meet the bleeding challenges of childbirth. Thirty years ago we believed that ITP conferred fetal risks similar to those conferred by alloimmune thrombocytopenia. This article is protected by copyright. All rights reserved...
July 19, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28722747/acute-care-hospitalization-of-aboriginal-children-and-youth
#2
Anne Guèvremont, Gisèle Carrière, Evelyne Bougie, Dafna Kohen
BACKGROUND: Research that has examined Aboriginal children's hospitalization rates at the national level has been limited to analyses of areas with large percentages of Aboriginal residents, rather than of Aboriginal individuals. This study uses linked census and administrative data to describe hospitalization patterns among children and youth aged 0 to 19, by Aboriginal identity, for all provinces and territories except Quebec. DATA AND METHODS: The 2006 Census was linked to the 2006/2007-to-2008/2009 Discharge Abstract Database, which contains hospital records from all acute care facilities (except Quebec)...
July 19, 2017: Health Reports
https://www.readbyqxmd.com/read/28721056/onset-of-chronic-myeloid-leukemia-with-complex-karyotype-in-a-pregnant-patient-case-report-and-revision-of-literature
#3
Nicola Sgherza, Elisabetta Abruzzese, Gianni Perla, Maria Marta Minervini, Vincenzo Chiello, Natale Sciannamè, Nicola Cascavilla
Approximately 10%-12% of patients in chronic-phase chronic myeloid leukemia (CP-CML) have additional chromosomal aberrations at diagnosis; moreover, CML occurs in up to 10% of pregnancy-associated leukemias, with an annual incidence of 1 per 100,000 pregnancies. In this report we describe the case of a 36-year-old female with CP-CML diagnosed in the 18th week of pregnancy and with a new complex variant translocation t(4;9;22;21)(q24;q34;q11;q22) and an additional chromosomal aberration t(1;20)(p36;p11). In consideration of her pregnancy, the patient strictly monitored her blood cell count without any specific treatment...
2017: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/28718492/-hiv-and-syphilis-coinfection-in-pregnancy-and-vertical-hiv-transmission-a-study-based-on-epidemiological-surveillance-data
#4
Lisiane M W Acosta, Tonantzin Ribeiro Gonçalves, Nêmora Tregnago Barcellos
Objective: To estimate the rate of HIV and syphilis coinfection among pregnant women living in Porto Alegre, Brazil, as well as the association of coinfection with vertical HIV transmission and socioeconomic variables. Method: This analytical retrospective cross-sectional study employed data from the regular epidemiological surveillance system for the period from 2010 to 2013. Data were obtained regarding pregnant women with HIV and exposed children, syphilis in pregnancy, and congenital syphilis...
December 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28714769/effects-of-meridian-acupressure-massage-on-body-composition-edema-stress-and-fatigue-in-postpartum-women
#5
Geum-Sook Jung, In-Ryoung Choi, Hee-Young Kang, Eun-Young Choi
OBJECTIVES: This study aims to investigate the effects of meridian acupressure massage on body composition, edema, stress, and fatigue in postpartum women. DESIGN: A quasi-experimental design with a nonequivalent control group was utilized. SETTINGS/LOCATION: The Postpartum Care Center of Women's Hospital in Gwangju City, Republic of Korea. SUBJECTS: The study group consisted of 39 postpartum women, 19 in the experimental group and 20 in the control group, recruited from the postpartum care center of Women's Hospital in Gwangju city, South Korea...
July 17, 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/28714330/-the-role-of-environmental-factors-in-managing-labour-stress
#6
Melinda Rados, Judit Mészáros
INTRODUCTION: Emotional, cognitive and behavioural aspects of birth and labour stress are strongly associated with the underlying physiological processes. AIM: To study the factors of physical security and social support, the administration of synthetic oxytocin, and how they relate to perceived stress during childbirth. METHOD: Women's experienced physical security, social support and oxytocin administration was measured with targeted questions, and their perceived stress with the short and modified version of the Perceived Stress Scale...
July 2017: Orvosi Hetilap
https://www.readbyqxmd.com/read/28713685/understanding-the-pathophysiology-of-postpartum-psychosis-challenges-and-new-approaches
#7
REVIEW
William Davies
Postpartum psychosis is a severe psychiatric condition which affects 1-2 of every 1000 mothers shortly after childbirth. Whilst there is convincing evidence that the condition is precipitated by a complex combination of biological and environmental factors, as yet the pathophysiological mechanisms remain extremely poorly defined. Here, I critically review approaches that have been, or are being, employed to identify and characterise such mechanisms; I also review a recent animal model approach, and describe a novel biological risk model that it suggests...
June 22, 2017: World Journal of Psychiatry
https://www.readbyqxmd.com/read/28711398/comprehensive-maternity-support-and-shared-care-in-switzerland-comparison-of-levels-of-satisfaction
#8
Lucia Floris, Olivier Irion, Jocelyne Bonnet, Maria-Pia Politis Mercier, Claire de Labrusse
BACKGROUND: According to the woman-centred care model, continuous care by a midwife has a positive impact on satisfaction. Comprehensive support is a model of team midwifery care implemented in the large Geneva University Hospitals in Switzerland, which has organised shared care according to the biomedical model of practice. This model of care insures a follow up by a specific group of midwives, during perinatal period. AIM: The goal of this study was to evaluate the satisfaction and outcomes of the obstetric and neonatal care of women who received comprehensive support during pregnancy, childbirth and the postpartum period, and compare them to women who received shared care...
July 12, 2017: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/28711397/birth-stories-from-south-africa-voices-unheard
#9
Marie Hastings-Tolsma, Anna G W Nolte, Annie Temane
BACKGROUND: The manner that birth events unfold can have a lasting impact on women. Giving voice to women's experiences is key in the creation of care that embodies humanistic, family-centred service. AIM: The aim of this research was to describe the experiences of women receiving care during childbirth. METHODS: The design was qualitative and descriptive using thematic analysis to analyse women's birth stories. A purposive sample of women (N=12) who had recently given birth in South Africa was selected...
July 12, 2017: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/28709777/fear-of-childbirth-in-primiparous-italian-pregnant-women-the-role-of-anxiety-depression-and-couple-adjustment
#10
Sara Molgora, Valentina Fenaroli, Laura Elvira Prino, Luca Rollè, Cristina Sechi, Annamaria Trovato, Laura Vismara, Barbara Volpi, Piera Brustia, Loredana Lucarelli, Renata Tambelli, Emanuela Saita
BACKGROUND: The prevalence of fear of childbirth in pregnant women is described to be about 20-25%, while 6-10% of expectant mothers report a severe fear that impairs their daily activities as well as their ability to cope with labour and childbirth. Research on fear of childbirth risk factors has produced heterogeneous results while being mostly done with expectant mothers from northern Europe, northern America, and Australia. AIMS: The present research investigates whether fear of childbirth can be predicted by socio-demographic variables, distressing experiences before pregnancy, medical-obstetric factors and psychological variables with a sample of 426 Italian primiparous pregnant women...
July 11, 2017: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/28707099/maternal-health-care-utilization-among-syrian-refugees-in-lebanon-and-jordan
#11
Hannah Tappis, Emily Lyles, Ann Burton, Shannon Doocy
Purpose The influx of Syrian refugees into Jordan and Lebanon over the last 5 years presents an immense burden to national health systems. This study was undertaken to assess utilization of maternal health services among Syrian refugees in both countries. Description A cross-sectional survey of Syrian refugees living in urban and rural (non-camp) settings was conducted using a two-stage cluster survey design with probability proportional to size sampling in 2014-2015. Eighty-six percent of surveyed households in Lebanon and 88% of surveyed households in Jordan included women with a live birth in the last year...
July 13, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28706547/factors-related-to-women-s-childbirth-satisfaction-in-physiologic-and-routine-childbirth-groups
#12
Elham Jafari, Parvin Mohebbi, Saeideh Mazloomzadeh
BACKGROUND: Women's satisfaction with childbirth is an important measure of the quality of maternity care services. This study aims to address factors related to women's childbirth satisfaction in physiological and routine childbirth groups. MATERIALS AND METHODS: This descriptive-analytical study was conducted among 340 women in physiological and routine childbirth groups in 2012. Women were selected through convenience sampling method in the routine group and by census in the physiological group...
May 2017: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/28705350/trajectories-of-relationship-supportiveness-after-childbirth-does-marriage-matter
#13
Marcia J Carlson, Alicia G VanOrman
Relationship quality for married couples typically declines after the birth of a (first) child, as parenthood brings new identities, stresses, and responsibilities for mothers and fathers. Yet, it is less clear whether nonmarital relationship quality follows a similar trajectory, particularly given the greater selectivity of nonmarital relationships that persist over time. This paper uses data from the Fragile Families and Child Wellbeing Study (N = 3,459) with latent growth curve models to examine relationship quality (measured by mothers' perceived supportiveness about fathers) for married and unmarried couples over nine years after a child's birth...
August 2017: Social Science Research
https://www.readbyqxmd.com/read/28705188/home-delivery-among-antenatal-care-booked-women-in-their-last-pregnancy-and-associated-factors-community-based-cross-sectional-study-in-debremarkos-town-north-west-ethiopia-january-2016
#14
Habtamu Kebebe Kasaye, Zerfu Mulaw Endale, Temesgen Worku Gudayu, Melese Siyoum Desta
BACKGROUND: In Ethiopia, nearly half of the mothers who were booked for antenatal care, who supposed to have institutional delivery, gave home delivery nationally. Home delivery accounts majority while few of childbirth were attended by the skilled provider in Amhara regional state. This study aimed to determine the proportion of home delivery and associated factors among antenatal care booked women who gave childbirth in the past 1 year in Debremarkos Town, Northwest Ethiopia. METHODS: A community-based Cross sectional study was conducted from January 1st- 25th 2016...
July 14, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28705158/-no-patient-should-die-of-pph-just-for-the-lack-of-training-experiences-from-multi-professional-simulation-training-on-postpartum-hemorrhage-in-northern-tanzania-a-qualitative-study
#15
Signe Egenberg, Bjørg Karlsen, Deodatus Massay, Happiness Kimaro, Lars Edvin Bru
BACKGROUND: Postpartum hemorrhage (PPH) is a major cause of maternal morbidity and mortality. In Tanzania, PPH causes 25% of maternal deaths. Skilled attendance is crucial to saving the lives of mothers and their newborns during childbirth. This study is a follow-up after multi-professional simulation training on PPH in northern Tanzania. The purpose was to enhance understanding and gain knowledge of important learning features and outcomes related to multi-professional simulation training on PPH...
July 14, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28703927/reducing-the-primary-cesarean-birth-rate-a-quality-improvement-project
#16
Julie A Javernick, Amy Dempsey
INTRODUCTION: Research continues to support vaginal birth as the safest mode of childbirth, but despite this, cesarean birth has become the most common surgical procedure performed on women. The rate has increased 500% since the 1970s without a corresponding improvement in maternal or neonatal outcomes. A Colorado community hospital recognized that its primary cesarean birth rate was higher than national and state benchmark levels. To reduce this rate, the hospital collaborated with its largest maternity care provider group to implement a select number of physiologic birth practices and measure improvement in outcomes...
July 13, 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28703897/media-representations-of-breech-birth-a-prospective-analysis-of-web-based-news-reports
#17
Karolina Petrovska, Athena Sheehan, Caroline S E Homer
INTRODUCTION: Recent research has demonstrated that the media presentation of childbirth is highly medicalized, often portraying birth as risky and dramatic. Media representation of breech presentation and birth is unexplored in this context. This study aimed to explore the content and tone of news media reports relating to breech presentation and breech birth. METHODS: Google alerts were created using the terms breech and breech birth in online English-language news sites over a 3-year period from January 1, 2013, to December 31, 2015...
July 13, 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28702922/public-expenditure-and-healthcare-utilization-the-case-of-reproductive-health-care-in-india
#18
Dhiman Das
An important reason for public intervention in health in developing countries is to address the issue of accessibility. However, numerous studies have found inconclusive evidence of the effect of public expenditure on health outcomes. Here, I revisit the debate by examining the effect of public expenditure on the use of health services, which is an important link between expenditure and outcomes. I use data from two recent waves of the National Family Health Survey of India to study the role of public expenditure on the use of healthcare services during pregnancy and childbirth...
July 12, 2017: International Journal of Health Economics and Management
https://www.readbyqxmd.com/read/28702863/walking-together-towards-a-collaborative-model-for-maternal-health-care-in-pastoralist-communities-of-laikipia-and-samburu-kenya
#19
Michelle Kermode, Alison Morgan, Josephat Nyagero, Florence Nderitu, Tanya Caulfield, Matthew Reeve, John Nduba
Purpose In 2009 the Kenyan Government introduced health system reforms to address persistently high maternal and newborn mortality including deployment of skilled birth attendants (SBAs) to health facilities in remote areas, and proscription of births attended by traditional birth attendants (TBAs). Despite these initiatives, uptake of SBA services remains low and inequitably distributed. This paper describes the development of an SBA/TBA collaborative model of maternal health care for pastoralist communities in Laikipia and Samburu...
July 12, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28700807/association-of-antidepressant-medication-use-during-pregnancy-with-intellectual-disability-in-offspring
#20
Alexander Viktorin, Rudolf Uher, Alexander Kolevzon, Abraham Reichenberg, Stephen Z Levine, Sven Sandin
Importance: Maternal antidepressant medication use during pregnancy has previously been associated with adverse outcomes in offspring, but to our knowledge, the association with intellectual disability (ID) has not been investigated. Objectives: To examine the association of maternal antidepressant medication use during pregnancy with ID in offspring and investigate the importance of parental mental illness for such an association. Design, Setting, and Participants: A population-based cohort study of 179 007 children born from January 1, 2006, through December 31, 2007, with complete parental information from national registers who were followed up from birth throughout 2014...
July 12, 2017: JAMA Psychiatry
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