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Prenatal educator

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https://www.readbyqxmd.com/read/29677556/prenatal-exposure-to-polychlorinated-biphenyls-and-fetal-growth-in-british-girls
#1
Jill F Patel, Terryl J Hartman, Andreas Sjodin, Kate Northstone, Ethel V Taylor
Polychlorinated biphenyls (PCBs) are synthetic chemicals that bioaccumulate in the food chain. PCBs were used primarily for industrial applications due to their insulating and fire retardant properties, but were banned in the 1970s in the United States and in the 1980s in the United Kingdom, as adverse health effects following exposure were identified. Previous studies of populations with high PCB exposure have reported inverse associations with birth weight and gestational length. Birth weight is a powerful predictor of infant survival, and low birth weight can predispose infants to chronic conditions in adult life such as diabetes and cardiovascular diseases...
April 17, 2018: Environment International
https://www.readbyqxmd.com/read/29672762/socio-demographic-determinants-of-women-s-satisfaction-with-prenatal-and-delivery-care-services-in-italy
#2
Valentina Tocchioni, Chiara Seghieri, Gustavo De Santis, Sabina Nuti
Objective: The aim of this study was to examine the extent to which socio-demographic variables affect women's satisfaction regarding antenatal and perinatal care. Design: To take into account the role of the context in shaping women's satisfaction, we used multilevel models, with women at the lower level, and the health districts of residence, or the hospitals in which the delivery took place, at the higher level. Setting: Tuscany (Italy)...
April 17, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29670384/screening-and-management-of-gestational-diabetes-in-mexico-results-from-a-survey-of-multilocation-multi-health-care-institution-practitioners
#3
Livia Dainelli, Alberto Prieto-Patron, Irma Silva-Zolezzi, Sandra G Sosa-Rubi, Salvador Espino Y Sosa, Enrique Reyes-Muñoz, Ruy Lopez-Ridaura, Patrick Detzel
Purpose: To identify the most common practices implemented for the screening and treatment of gestational diabetes mellitus (GDM) and to estimate the GDM clinician-reported proportion as a proxy of the incidence in Mexico. Materials and methods: Three hundred fifty-seven physicians in four major cities were asked about their practices regarding GDM screening, treatment, clinical exams, and health care staff involved in case of GDM diagnosis, as well as the percentage of women with GDM they care for...
2018: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy
https://www.readbyqxmd.com/read/29668689/association-between-particulate-air-pollution-exposure-during-pregnancy-and-postpartum-maternal-psychological-functioning
#4
Perry E Sheffield, Rosa Speranza, Yueh-Hsiu Mathilda Chiu, Hsiao-Hsien Leon Hsu, Paul C Curtin, Stefano Renzetti, Ashley Pajak, Brent Coull, Joel Schwartz, Itai Kloog, Rosalind J Wright
METHODS: We studied associations between prenatal exposure to particulate matter with diameter ≤ 2.5 μm (PM2.5) and postpartum psychological functioning in a lower income, ethnically mixed sample of urban US women enrolled in a pregnancy cohort study. Analyses included 557 mothers who delivered at ≥37 weeks gestation. Daily estimates of residential PM2.5 over gestation were derived using a satellite-based spatio-temporally resolved model. Outcomes included the Edinburgh Postnatal Depression Scale (EPDS) score from 6 or 12 months postpartum and subscale scores for anhedonia, depressive and anxiety symptoms...
2018: PloS One
https://www.readbyqxmd.com/read/29667711/the-impact-of-the-legalisation-of-abortion-on-birth-outcomes-in-uruguay
#5
José-Ignacio Antón, Zuleika Ferre, Patricia Triunfo
This study investigates the short-term impact on the quantity and quality of births of an abortion reform in Uruguay that legalised termination of pregnancy until the 12th week of pregnancy in the short run. We employ a differences-in-differences approach, comprehensive administrative records of births, and a novel identification strategy based on the planned or unplanned nature of pregnancies that came to term. Our results suggest that this policy change has led to an 8% decline in the number of births from unplanned pregnancies, driven by the group of mothers aged between 20 and 34 years old who have secondary education...
April 18, 2018: Health Economics
https://www.readbyqxmd.com/read/29649001/trends-in-characteristics-of-women-choosing-contraindicated-home-births
#6
Kelly B Zafman, Joanne L Stone, Stephanie H Factor
OBJECTIVE: To characterize the American College of Obstetricians and Gynecologists (ACOG) contraindicated home births and the women who are receiving these births in hopes of identifying venues for intervention. METHODS: The National Center for Health Statistics (NCHS) birth certificate records from 1990 to 2015 were used. "Planned home births" were defined as those births in which birthplace was coded as "residence" and birth attendant was coded as "certified nurse midwife (CNM)" or "other midwife"...
April 12, 2018: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/29628953/internet-usage-among-pregnant-women-for-seeking-health-information-a-review-article
#7
REVIEW
Marzieh Javanmardi, Mahnaz Noroozi, Firoozeh Mostafavi, Hasan Ashrafi-Rizi
Background: In recent years, the Internet has become one of the most popular sources of health information for users, and pregnant women are no exception. This study aimed to investigate Internet usage among pregnant women for achieving health information on the finding of related studies. Materials and Methods: This review study was conducted by searching databases such as IranMedex, Magiran, Scientific Information Database, Irandoc, PubMed, Science Direct, Cochrane, Google Scholar, and Scopus in December 2016...
March 2018: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/29628052/promoting-best-practice-for-perinatal-care-of-deaf-women
#8
REVIEW
Lori J Hubbard, Elizabeth D'Andrea, Luke A Carman
To evaluate perinatal nursing care for Deaf women, we conducted a pilot, descriptive study exploring women's prenatal, labor, and postpartum experiences. We used the Quality and Safety Education for Nurses (QSEN) framework to analyze women's responses and to explore implications for practice. Themes and women's stories are presented within the QSEN structure to promote informed and individualized perinatal nursing care for Deaf families. It is essential for nurses to stay abreast of resources and technological advances and to use culturally competent principles of communication...
April 2018: Nursing for Women's Health
https://www.readbyqxmd.com/read/29627409/marijuana-use-during-and-after-pregnancy-and-association-of-prenatal-use-on-birth-outcomes-a-population-based-study
#9
Jean Y Ko, Van T Tong, Jennifer M Bombard, Donald K Hayes, John Davy, Katherine A Perham-Hester
BACKGROUND: We sought to describe the correlates of marijuana use during and after pregnancy, and to examine the independent relationship between prenatal marijuana use and infant outcomes. STUDY DESIGN: We used state-specific data from the Pregnancy Risk Assessment Monitoring System (N = 9013) to describe correlates of self-reported prenatal and postpartum marijuana use. We estimated differences in mean infant birth weight and gestational age among prenatal marijuana users and nonusers, controlling for relevant covariates (i...
March 29, 2018: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/29614971/paradox-lost-on-the-u-s-mexico-border-u-s-latinas-and-cesarean-rates
#10
Theresa Morris, Amanda Gomez, Miriam Naiman-Sessions, Christine H Morton
BACKGROUND: We apply Intersectional Theory to examine how compounded disadvantage affects the odds of women having a cesarean in U.S.-Mexico border hospitals and in non-border hospitals. We define U.S. Latinas with compounded disadvantage as those who have neither a college education nor private health insurance. RESULTS: Analyzing quantitative and qualitative data from Childbirth Connection's Listening to Mothers III Survey, we find that, consistent with the notion of the Latinx Health Paradox, compounded disadvantage serves as a protective buffer and decreases the odds of cesarean among women in non-border hospitals...
April 3, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29608246/the-global-landscape-of-nursing-and-genomics
#11
Kathleen A Calzone, Maggie Kirk, Emma Tonkin, Laurie Badzek, Caroline Benjamin, Anna Middleton
PURPOSE: Nurses have a pivotal role in bringing the benefits of genomics and precision medicine to everyday health care, but a concerted global effort is needed to transform nursing policy and practice to address widely acknowledged deficits in nurses' genomic literacy. The purpose was to conduct a global country and organization review of nursing engagement with genomics, informing a landscape analysis to assess readiness for integration of genomics into nursing. DESIGN: Global nursing leaders and nursing organizations were recruited using a purposive sampling strategy to complete an online survey that assessed the scope of genomic integration in practice and education, challenges and barriers, and priorities for action...
April 2, 2018: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/29605394/cannabis-use-during-the-perinatal-period-in-a-state-with-legalized-recreational-and-medical-marijuana-the-association-between-maternal-characteristics-breastfeeding-patterns-and-neonatal-outcomes
#12
Tessa L Crume, Ashley L Juhl, Ashley Brooks-Russell, Katelyn E Hall, Erica Wymore, Laura M Borgelt
OBJECTIVES: To evaluate state-level prevalence estimates of prenatal and early postnatal cannabis use in a state with legalized medical and recreational marijuana and the association with adverse neonatal outcomes. STUDY DESIGN: We conducted a cross-sectional study on 3,207 respondents from the 2014-2015 Colorado Pregnancy Risk Assessment Monitoring System with state-developed questions on cannabis use. Differences in perinatal cannabis use were evaluated according to maternal characteristics, breastfeeding patterns, and pregnancy intendedness...
March 28, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29603338/association-between-prenatal-psychological-stress-and-oxidative-stress-during-pregnancy
#13
Stephanie M Eick, Emily S Barrett, Thomas J van 't Erve, Ruby H N Nguyen, Nicole R Bush, Ginger Milne, Shanna H Swan, Kelly K Ferguson
BACKGROUND: Prenatal psychological stress during pregnancy has been associated with adverse reproductive outcomes. A growing animal literature supports an association between psychological stress and oxidative stress. We assessed this relationship in pregnant women, hypothesising that psychological stress is associated with higher concentrations of oxidative stress biomarkers during pregnancy. METHODS: Psychosocial status and stressful life events (SLE) were self-reported...
March 30, 2018: Paediatric and Perinatal Epidemiology
https://www.readbyqxmd.com/read/29590280/the-emerging-clinical-neuroscience-of-autism-spectrum-disorder-a-review
#14
Rebecca A Muhle, Hannah E Reed, Katharine A Stratigos, Jeremy Veenstra-VanderWeele
Importance: Autism spectrum disorder (ASD) is a highly prevalent disorder, and community psychiatrists are likely to treat many individuals with ASD during their clinical practice. This clinical case challenge describes a routine evaluation of irritability and self-injury in a preschool-aged child who meets the criteria for ASD. The case also illustrates the importance of known risk factors for ASD, such as chromosomal deletion and prematurity. This clinical neuroscience article seeks to educate the clinician of current avenues of research that can inform and may already affect clinical practice for this patient, while providing a preview of research that may yield biological treatments for ASD within the next decade...
March 28, 2018: JAMA Psychiatry
https://www.readbyqxmd.com/read/29588116/use-and-risk-perception-of-electronic-nicotine-delivery-systems-and-tobacco-in-pregnancy
#15
Naleen Raj Bhandari, Kanesha D Day, Nalin Payakachat, Amy M Franks, Keith R McCain, Denise Ragland
INTRODUCTION: Given the rapid rise in availability and use, understanding the perception of electronic nicotine delivery systems (ENDS) products in pregnant women is vital. As more women of reproductive age use these products, it is likely that their use during pregnancy is also increasing. This study investigated the use of ENDS and tobacco cigarettes, along with knowledge and perceptions of associated health risks in pregnant women. METHODS: A cross-sectional survey was conducted at a university-based obstetrical clinic...
March 24, 2018: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/29587578/maternal-sensitivity-in-mother-infant-interactions-in-rio-de-janeiro-brazil
#16
Ana Carla Lima Ribeiro-Accioly, Maria Lucia Seidl-De-Moura, Deise Maria Leal Fernandes Mendes, Judi Mesman
This article reports on a study of maternal sensitivity in 22 primiparous women and their infants from Rio de Janeiro, Brazil. Two semi-structured interviews were conducted, as well as videotaped naturalistic home observations of the dyads. A K-means cluster analysis was performed to examine patterns of risk in relation to maternal sensitivity. The results reveal that compared to the 15 mothers with higher sensitivity scores, the 7 mothers with lower sensitivity scores were characterized by lower educational levels, lower income, lower age, living in a slum, unplanned and unwanted pregnancies, and later onset of prenatal care...
March 28, 2018: Attachment & Human Development
https://www.readbyqxmd.com/read/29587567/exploring-moral-problems-and-moral-competences-in-midwifery-a-qualitative-study
#17
Stephan Oelhafen, Settimio Monteverde, Eva Cignacco
BACKGROUND: Most undergraduate midwifery curricula comprise ethics courses to strengthen the moral competences of future midwives. By contrast, surprisingly little is known about the specific moral competences considered to be relevant for midwifery practice. Describing these competences not only depends on generic assumptions about the moral nature of midwifery practice but also reflects which issues practitioners themselves classify as moral. OBJECTIVE: The goal of this study was to gain insight into the ethical issues midwives encounter in their daily work, the key competences and resources they consider indispensable to understand and deal with them, and to assess phenomena linked to moral distress...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29575943/prevalence-of-prenatal-and-postpartum-depression-and-associated-factors-among-hiv-infected-women-in-public-primary-care-in-rural-south-africa-a-longitudinal-study
#18
Karl Peltzer, Violeta J Rodriguez, Tae Kyoung Lee, Deborah Jones
This study aimed to assess the longitudinal prevalence of prenatal and postnatal depression and associated factors among HIV-infected women in rural South Africa. In a longitudinal, cluster-randomized, prevention of mother to child transmission (PMTCT) intervention trial, 681 HIV-infected prenatal women in 12 community health centres in Mpumalanga province, South Africa, were recruited in 2015 by consecutive sampling at 8-24 weeks pregnancy and followed up at 32 weeks prenatally, and 6 and 12 months postpartum (retention rate = 59...
March 25, 2018: AIDS Care
https://www.readbyqxmd.com/read/29569052/managing-couple-conflict-during-prenatal-counseling-sessions-an-investigation-of-genetic-counselor-experiences-and-perceptions
#19
Kara Schoeffel, Patricia McCarthy Veach, Karol Rubin, Bonnie LeRoy
Research shows couple conflict occurring during prenatal genetic counseling sessions may be challenging for some genetic counselors. Yet, no study has explored couple conflict in depth. The current study investigated genetic counselors' experiences and perceptions of the nature and context of couple conflict in prenatal sessions and counselor conflict management strategies. Sixteen prenatal genetic counselors recruited through the National Society of Genetic Counselors participated in semi-structured phone interviews asking about how they recognize couple conflict; topics that trigger conflict and when it occurs; individual, cultural, and situational factors associated with conflict; conflict management strategies; and specific examples from their practice...
March 22, 2018: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/29564951/healthcare-provider-advice-on-gestational-weight-gain-uncovering-a-need-for-more-effective-weight-counselling
#20
Rebecca L Emery, Maria Tina Benno, Rachel H Salk, Rachel P Kolko, Michele D Levine
Limited research has examined the factors related to knowledge of gestational weight gain (GWG) recommendations and the receipt of advice from healthcare providers regarding GWG recommendations among women with pre-pregnancy overweight/obesity. Women with pre-pregnancy overweight/obesity (N = 191) reported the amount of gestational weight they believed they should gain and that healthcare providers advised them to gain. Only 24% (n = 46) of women had a correct knowledge of GWG recommendations. Women were less likely to have a correct knowledge of GWG recommendations if they had pre-pregnancy obesity, were of a minority race, or were socioeconomically disadvantaged...
March 22, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
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