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Rosario Valdez Santiago, Luz Arenas Monreal, Anabel Rojas Carmona, Mario Sánchez Domínguez
BACKGROUND: Structural and gender violence in Mexico take on various forms, obstetric violence among them. The objective of our study consisted in analyzing experiences of structural and gender discrimination against women during childbirth care at two public hospitals in Mexico. METHODS: We conducted a cross-sectional mixed methods study including a survey of closed questions administered to all women who received health care for vaginal or cesarean childbirth at two public hospitals from May 7 to June 7, 2012 (N = 512)...
June 18, 2018: BMC Pregnancy and Childbirth
Ahmed Ehsanur Rahman, Janet Perkins, Sajia Islam, Abu Bakkar Siddique, Md Moinuddin, Mohammed Rashidul Anwar, Tapas Mazumder, Adnan Ansar, Mohammad Masudur Rahman, Shahreen Raihana, Cecilia Capello, Carlo Santarelli, Shams El Arifeen, Dewan Md Emdadul Hoque
BACKGROUND: Access to skilled health services during pregnancy, childbirth and postnatal period for obstetric care is one of the strongest determinants of maternal and newborn health (MNH) outcomes. In many countries, husbands are key decision-makers in households, effectively determining women's access to health services. We examined husbands' knowledge and involvement regarding MNH issues in rural Bangladesh, and how their involvement is related to women receiving MNH services from trained providers...
June 18, 2018: BMC Pregnancy and Childbirth
Jennie Gamlin, Seth Holmes
BACKGROUND: Preventable maternal and infant mortality continues to be significantly higher in Latin American indigenous regions compared to non-indigenous, with inequalities of race, gender and poverty exacerbated by deficiencies in service provision. Standard programmes aimed at improving perinatal health have had a limited impact on mortality rates in these populations, and state and national statistical data and evaluations of services are of little relevance to the environments that most indigenous ethnicities inhabit...
June 18, 2018: BMC Pregnancy and Childbirth
Christina Lumbantoruan, Michelle Kermode, Aloisius Giyai, Agnes Ang, Margaret Kelaher
BACKGROUND: Despite a more proactive approach to reducing new HIV infections in infants through lifelong treatment (Option B+ policy) for infected pregnant women, prevention of mother-to-child transmission of HIV (PMTCT) has not been fully effective in Papua, Indonesia. Mother-to-child transmission (MTCT) is the second greatest risk factor for HIV infection in the community, and an elimination target of <1% MTCT has not yet been achieved. The purpose of this study was to improve understanding of the implementation of Option B+ for PMTCT in Papua through investigation of facilitators and barriers to women's uptake and adherence to antiretroviral therapy (ART) in the program...
2018: PloS One
Katy B Kozhimannil, Amy J Graves, Alexandra M Ecklund, Neel Shah, Reena Aggarwal, Jonathan M Snowden
BACKGROUND: Nearly half of US births are financed by Medicaid, and one-third of births occur by cesarean delivery, at double the cost of vaginal delivery. With the goal of reducing unnecessary cesarean use and improving value, in 2009 Minnesota's Medicaid program introduced a blended payment rate for uncomplicated births (ie, a single facility or professional services payment regardless of delivery mode). OBJECTIVE: We evaluated the effect of the blended payment policy on cesarean use and costs for Medicaid fee-for-service births...
June 15, 2018: Medical Care
Gillian Houghton, Carol Kingdon, Michelle Dower, Haleema Shakur-Still, Zarko Alfirevic
OBJECTIVE: The WOMAN Trial was the first in the UK to use the option of waiver of informed consent at the time of an obstetric emergency. This qualitative study aimed to investigate participants' views of the acceptability of the recruitment methods used. DESIGN: Qualitative study using in-depth interviews with women who did and did not give consent at the time of their recruitment to the WOMAN Trial. SETTING: Highest UK recruitment site for the WOMAN Trial (129/569)...
June 17, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
Viviana Mucci, Josephine M Canceri, Rachael Brown, Mingjia Dai, Sergei B Yakushin, Shaun Watson, Angelique Van Ombergen, Yves Jacquemyn, Paul Fahey, Paul H Van de Heyning, Floris Wuyts, Cherylea J Browne
Introduction: Mal de Debarquement Syndrome (MdDS) is a condition characterized by a persistent perception of self-motion, in most cases triggered from exposure to passive motion (e.g., boat travel, a car ride, flights). Patients whose onset was triggered in this way are categorized as Motion-Triggered (MT) subtype or onset group. However, the same syndrome can occur spontaneously or after non-motion events, such as childbirth, high stress, surgery, etc. Patients who were triggered in this way are categorized as being of the Spontaneous/Other (SO) subtype or onset group...
2018: Frontiers in Neurology
Fatemeh Ahadi Yulghunlu, Fahimeh Sehhatie Shafaie, Mojgan Mirghafourvand, Hamideh Mohaddesi
BACKGROUND AND OBJECTIVES: Childbirth consists of a three stage period beginning with uterine contractions and ending in the expulsion of the placenta. The present study was conducted to compare the effects of Ringer's solution, dextrose solution 5% and oral intake on the duration of total labor and labor stages (primary outcome) and the frequency of oxytocin administration and prolonged labor (secondary outcome) in nulliparous women with spontaneous vaginal delivery. MATERIALS AND METHODS: The present randomized clinical trial was conducted on 201 nulliparous women in labor assigned with a randomized block design to three groups, each receiving either Ringer's solution plus oral fluids, dextrose solution 5% solution plus oral fluids or oral fluids alone...
June 18, 2018: Journal of Maternal-fetal & Neonatal Medicine
Lisa Cutajar, Allan M Cyna
The language structures used by antenatal educators have not been previously researched in the context of antenatal childbirth classes. Epidural analgesia for labour is a common, and a frequently asked about, component of antenatal education for parents in hospitals providing maternity care. AIM OF THE STUDY: We aimed to identify the way information is described and presented by childbirth educators to assess content and determine which language structures such as metaphor, suggestion, information and storytelling are utilized...
May 7, 2018: Midwifery
Ellie A McDonald, Deirdre Gartland, Hannah Woolhouse, Stephanie J Brown
BACKGROUND: Few longitudinal studies have examined women's experiences of sex after childbirth. Much of the advice given to couples about what to expect in relation to sex after childbirth is based on cross-sectional studies. OBJECTIVE: To investigate timing of resumption of sex after a second birth and assess associations with obstetric factors (method of birth and perineal trauma) and time interval between first and second births. METHOD: Prospective cohort of 1507 nulliparous women recruited before 25 weeks' gestation in Melbourne, Australia followed up at 3, 6, 9, and 12 months after first births, and 6 and 12 months after second births...
June 15, 2018: Birth
Barbara Mazurkiewicz, Małgorzata Stefaniak, Ewa Dmoch-Gajzlerska
BACKGROUND: As estimated from the number of published studies, in Poland the research into the perinatal care experiences of women with low vision or total blindness remains limited. OBJECTIVES: The purpose of the study was to fill this gap by investigating satisfaction with perinatal care received by women with visual impairment in four city hospitals in Warsaw, Poland, and to recommend, if required, modifications in midwives' education and care standards based on the women's perceptions and expectations...
June 12, 2018: Disability and Health Journal
Youngjo Im, Tyler J Vanderweele
Drawing on economic models of child development and attachment relationship perspectives, this study examined the effect of maternal employment in the first year after childbirth on subsequent behavioral and cognitive development in low-income children. Analyses of data from the Project on Human Development in Chicago Neighborhoods (N = 411) revealed that despite the accompanying family income gains, maternal employment in the first year after childbirth adversely affected caregiver-reported internalizing and externalizing behavior problems of Hispanic, Black, and White children at ages 3 and 5 years...
June 15, 2018: Infant Mental Health Journal
Zahra Khazaeipour, Alireza Nikbakht-Nasrabadi, Nooredin Mohammadi, Alireza Salehi-Nejad, Maryam Shabany
STUDY DESIGN: This was a qualitative study conducted using an interpretative phenomenological approach. OBJECTIVES: This study investigated the experience of pregnancy and childbirth in women with spinal cord injury (SCI). SETTING: Brain and Spinal Cord Injury Research Center, Tehran University of Medical Sciences, Tehran, Iran. METHODS: The data were collected using telecommunication and face-to-face semi-structured interviews with eight women with SCI...
June 14, 2018: Spinal Cord
Emily N B Myer, Jennifer L Roem, David A Lovejoy, Melinda G Abernethy, Joan L Blomquist, Victoria L Handa
BACKGROUND: There is limited knowledge of the effects of time on change in pelvic floor muscle strength after childbirth. OBJECTIVE: The objectives of this study were to estimate the change in pelvic floor muscle strength in parous women over time and to identify maternal and obstetric characteristics associated with the rate of change. STUDY DESIGN: This is an IRB approved prospective cohort study of parous women. Participants were recruited 5-10 years after first delivery and followed annually...
June 11, 2018: American Journal of Obstetrics and Gynecology
Helen Spiby, Mary Ann Faucher, Gina Sands, Julie Roberts, Holly Powell Kennedy
BACKGROUND: Decisions made in early labor influence the outcomes of childbirth for women and infants. Telephone assessment during labor, the current norm in many settings, has been found to be a source of dissatisfaction for women and can present challenges for midwives. The aim of this qualitative study was to explore midwives' views on the potential of video-calling as a method for assessing women in early labor. METHODS: A series of 8 midwife focus groups (n = 45) and interviews (n = 4) in the Midlands region of England and the mid-South and Northeast regions of the United States were completed...
June 14, 2018: Birth
Anthony Lathrop, Carrie F Bonsack, David M Haas
BACKGROUND: Water birth has become an increasingly popular childbirth option, but has also come under scrutiny because of its possible risks and benefits. The primary objective of this study was to explore potential benefits of water birth by comparing the experiences of women who gave birth in water versus conventionally. We also compared maternal and newborn outcomes. METHODS: We performed a prospective study of 66 women who had water births and 132 who had conventional births...
June 13, 2018: Birth
Debby P Utama, Caroline A Crowther
BACKGROUND: Despite major advances in medical technology, the incidence of preterm birth remains high. The use of antenatal corticosteroid administered transplacentally, by intramuscular injection to women at risk of preterm birth, has reduced the incidence of respiratory distress syndrome and increased the survival rates of preterm infants. However, this intervention also comes with its own risks and side effects. Animal studies and early studies in pregnant women at risk of preterm birth have reported the use of an alternative route of administration, by direct intramuscular injection of corticosteroid into the fetus under ultrasound guidance, in an attempt to minimise the side-effect profile...
June 14, 2018: Cochrane Database of Systematic Reviews
Rahmatollah Moradzadeh, Parvaneh Golmohammadi, Mohammad Hassan Kazemi-Galougahi, Majid Sartipi, Hooshmand Sharfi, Mohammad Ahmadpour
The aim of this study is evaluation of breast cancer risk factors distribution in two groups of healthy people referral to cancer registry and Shahid Mottahari center in Iran. This study is cross-sectional study which is part of the study to estimate Gene-Environment Interaction in women with breast cancer with case-control studies in Shiraz. In this study, two control groups have been used. The sample size of 300 was specified for each group. Selection sources of groups include Cancer Registry Center and referred people to surgical and internal ward of Shahid Mottahari Clinic...
August 2018: Data in Brief
Alireza Jabbari, Mohammad Hossein Yarmohamadian, Marziye Hadian
Background: The 7th package of health reform in Iran has been implemented in May 15, 1393, is concerned with the "promotion of natural childbirth." It has been focusing on reducing cesarean section (CS) and promoting normal vaginal delivery (NVD) as broadly as possible. This study evaluated the changes in the vaginal delivery and cesarean before and after implementation of the 7th package of health reform in public and private hospitals of Isfahan Province in 2014. Methods: This was a quasi-experimental research...
2018: International Journal of Preventive Medicine
Muhammad Iftikhar Ul Husnain, Mudassar Rashid, Usman Shakoor
BACKGROUND: Pakistan ranks 149th in the maternal mortality ratio (MMR) and has failed to keep pace with other countries in the region, except Afghanistan, with respect to health indicators. Home deliveries are linked to a higher risk of maternal death; therefore, discouraging home deliveries is imperative to improve maternal health. This study provides a holistic view and analyses factors affecting home birth decisions within the context of maternal socio-demographic characteristics in Pakistan...
June 14, 2018: BMC Pregnancy and Childbirth
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