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Prenatal educator

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
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
Wawrzyniec Rieder, Scott White, George McGillivray, Lisa Hui
Cell-free DNA screening has quickly become established in Australia as an accurate - albeit costly - prenatal screening test for trisomy 21, 18 and 13. It is also commonly used for the detection of sex chromosome abnormalities. The increasing number of prenatal screening pathways available to women has increased the complexity of pretest counselling. Concurrent advances in diagnostic testing with the widespread use of chromosomal microarrays create further challenges for the continuing education of clinicians and health consumers...
June 13, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
Marly Javorski, Andreyna Javorski Rodrigues, Regina Cláudia Melo Dodt, Paulo César de Almeida, Luciana Pedrosa Leal, Lorena Barbosa Ximenes
OBJECTIVE: To evaluate the effects of using a flipchart (serial album) on maternal self-efficacy in breastfeeding and its effects on exclusive breastfeeding (EBF) in children's first two months of life. METHOD: Clinical trial in Recife, Northeastern Brazil, with 112 women in the third trimester of gestation, randomly distributed in intervention group (IG) and control group (CG). The intervention was the use of the flipchart in IG. Data collection was performed through interviews in the prenatal period, and telephone contact at second, fourth and eighth weeks postpartum...
June 11, 2018: Revista da Escola de Enfermagem da U S P
Carmen Messerlian, Paige L Williams, Jennifer B Ford, Jorge E Chavarro, Lidia Mínguez-Alarcón, Ramace Dadd, Joseph M Braun, Audrey J Gaskins, John D Meeker, Tamarra James-Todd, Yu-Han Chiu, Feiby L Nassan, Irene Souter, John Petrozza, Myra Keller, Thomas L Toth, Antonia M Calafat, Russ Hauser
Background: The Environment and Reproductive Health (EARTH) Study is an ongoing prospective preconception cohort designed to investigate the impact of environmental, nutritional, and lifestyle factors among both women and men on fertility and pregnancy outcomes. Methods: The EARTH Study recruits women 18 to 45 years and men 18 to 55 years seeking fertility evaluation and treatment at the Massachusetts General Hospital (MGH) Fertility Center, Boston, USA. Women and men are eligible to join either independently or as a couple...
February 2018: Human reproduction open
Michelle J K Osterman, Joyce A Martin
This report describes prenatal care utilization in the United States for 2016, based on the trimester of pregnancy in which prenatal care began and the Adequacy of Prenatal Care Utilization (APNCU) Index, by selected maternal characteristics. Data are from the 2016 national birth file and are based on 100% of births registered to residents of the 50 states and the District of Columbia. All data are based on the 2003 revision of the U.S. Standard Certificate of Live Birth. The APNCU is based on the month prenatal care began and the number of visits adjusted for gestational age; categories are inadequate, intermediate, adequate, and adequate plus...
May 2018: National Vital Statistics Reports
Anna E Austin, Jared W Parrish, Meghan E Shanahan
We examined preconception and prenatal predictors of time to first child protective services (CPS) contact among Alaska children. Data were from the Alaska Longitudinal Child Abuse and Neglect Linkage (ALCANLink) project, a population-representative data source linking 2009-2011 Alaska Pregnancy Risk Assessment Monitoring System (PRAMS) data with administrative data sources through 2015. We examined the incidence CPS contact using the Kaplan-Meier method and predictors of CPS contact using Cox proportional hazards regression...
June 2, 2018: Child Abuse & Neglect
German Tapia, Ketil Størdal, Karl Mårild, Christian R Kahrs, Torild Skrivarhaug, Pål R Njølstad, Geir Joner, Lars C Stene
Background: Infections in early life have been linked to type 1 diabetes (T1D) risk, but no previous study has comprehensively analysed exposure to antibiotics, acetaminophen and infections during pregnancy and early childhood in relation to offspring risk of T1D. Methods: Participants in the Norwegian Mother and Child Cohort Study (n = 114 215 children, of whom 403 children were diagnosed with T1D) reported infections and medication use through repeated questionnaires from pregnancy until the children were 18 months old...
June 1, 2018: International Journal of Epidemiology
Yukiko Washio, Katrina Mark, Mishka Terplan
INTRODUCTION: The current study examined distinct characteristics of yearly trend, sociodemographic, and treatment-related variables of prenatal cannabis use as the primary drug of choice among pregnant women admitted to substance use treatment for the first time. METHODS: The Treatment Episode Data Set-Admission between 1992 and 2015 was used for a cross-sectional study focused on prenatal cannabis use reported at treatment admission. RESULTS: Among pregnant women admitted to substance use treatment for the first time (n = 489,796), 40...
June 1, 2018: Journal of Addiction Medicine
Masumeh Heidari, Farkhondeh Aminshokravi, Farid Zayeri, Seyed Ali Azin
Background: The aim of this study was to evaluate the impact of husbands' participation in sexual education on sexual function during pregnancy. Methods: This quasi experimental study was conducted on 123 couples who were divided in two intervention (A: couples, B: pregnant women) and one control (C) groups. Group A couples received sex education, Group B women received sex education without their spouses, and Group C women received routine prenatal care without sex education...
January 2018: Journal of Reproduction & Infertility
Kheirolnesa Mojahed, Ali Navidian
Hookah smoking during pregnancy is a health concern which requires effective interventions. Thus, the authors have aimed to evaluate the effect of motivational interviewing on craving and dependence on hookah in pregnant women (n = 140) addicted to hookah who reside in the outskirts of Zahedan, a city in southeast of Iran. The subjects were selected using the convenience sampling and randomly divided into either the control or intervention group. The intervention group received five motivational interviewing group sessions about hookah smoking withdrawal, whereas the control group was given the conventional recommendations for quitting hookah...
May 30, 2018: Issues in Mental Health Nursing
Ana María Mora, Leonel Córdoba, Juan Camilo Cano, David Hernandez-Bonilla, Larissa Pardo, Lourdes Schnaas, Donald R Smith, José A Menezes-Filho, Donna Mergler, Christian H Lindh, Brenda Eskenazi, Berna van Wendel de Joode
BACKGROUND: Although growing evidence suggests that early-life excess manganese (Mn) impairs neurodevelopment, data on the neurodevelopmental effects of mancozeb, a fungicide containing Mn, and its main metabolite ethylenethiourea (ETU) are limited. OBJECTIVE: We examined whether prenatal mancozeb exposure and excess Mn were associated with neurodevelopment in 355 1-y-old infants living near banana plantations with frequent aerial mancozeb spraying in Costa Rica...
May 2018: Environmental Health Perspectives
Larissa Pereira Falavina, Rosana Rosseto de Oliveira, Emiliana Cristina Melo, Patrícia Louise Rodrigues Varela, Thais Aidar de Freitas Mathias
Objective To analyze the occurrence, profile and main causes of hospitalization during pregnancy according to the type of childbirth financial coverage. Method A cross-sectional population-based study carried out with puerperal women through a stratified sample, calculated according to the hospital and the type of childbirth financial coverage source: public sector (SUS) or private (not SUS). The sociodemographic profile, the rate of obstetric complications and the causes of hospitalization were analyzed, coded according to International Classification of Diseases...
2018: Revista da Escola de Enfermagem da U S P
Daniela Regina Molini-Avejonas, Silmara Rondon-Melo, Estela Ramos Batista, Amanda Calsolari de Souza, Daniela Cardilli Dias, Alessandra Gianella Samelli
Purpose Characterize infants at risk of neurodevelopmental disorders according to sociodemographic and health profiles and describe their monitoring in Basic Health Units (UBS) under different management models. Methods Data were collected from medical records of infants at risk of neurodevelopmental disorders in the west region of the city of Sao Paulo from August 2013 to February 2014 (phase 1 - characterization; phase 2 - monitoring). Results Of the 225 individuals assessed in the first phase of the study, 51...
2018: CoDAS
Thiago Nascimento do Prado, Deborah Bain Brickley, Nancy K Hills, Eliana Zandonade, Sandra Fagundes Moreira-Silva, Angélica Espinosa Miranda
Mother-to-child transmission (MTCT) is the main mode of HIV-1 acquisition among young children worldwide. The goals of this study were to estimate the proportion of HIV MTCT and to identify factors associated with transmission. We reviewed data for HIV-infected pregnant women that had been reported to the National Information on Reportable Diseases System (SINAN) in Espírito Santo state, Brazil, between January 2007 and December 2012. HIV cases in children were followed until age 18 months. The proportion of women who transmitted HIV to their babies was 14% (95% CI 11-17%)...
May 29, 2018: AIDS and Behavior
Geneviève Roch, Roxane Borgès Da Silva, Francine de Montigny, Holly O Witteman, Tamarha Pierce, Sonia Semenic, Julie Poissant, André-Anne Parent, Deena White, Nils Chaillet, Carl-Ardy Dubois, Mathieu Ouimet, Geneviève Lapointe, Stéphane Turcotte, Alexandre Prud'homme, Geneviève Painchaud Guérard, Marie-Pierre Gagnon
BACKGROUND: Prenatal education is a core component of perinatal care and services provided by health institutions. Whereas group prenatal education is the most common educational model, some health institutions have opted to implement online prenatal education to address accessibility issues as well as the evolving needs of future parents. Various studies have shown that prenatal education can be effective in acquisition of knowledge on labour and delivery, reducing psychological distress and maximising father's involvement...
May 29, 2018: BMC Health Services Research
Chloé Cartier, Charline Warembourg, Christine Monfort, Florence Rouget, Gwendolina Limon, Gaël Durand, Sylvaine Cordier, Dave Saint-Amour, Cécile Chevrier
Human exposure to organophosphate pesticides (OP) is widespread. Several studies suggest that OP prenatal exposure alters the development of cognitive and behavioural functions in children, but the effects of OP prenatal exposure on child sensory functions are largely unknown. The aim of the study was to evaluate the association between OP prenatal exposure and visual processing in school-aged children from the mother-child PELAGIE cohort (France). OP biomarkers of exposure were measured in maternal urine samples at the beginning of pregnancy...
May 24, 2018: Neurotoxicology
Rita Ismail, Joachim G Voss, Nancy Fugate Woods, Grace John-Stewart, Celia Lowe, Elly Nurachmah, Sri Yona, Toha Muhaimin, Doris Boutain
Few international studies document the concerns of women living with HIV (WLWH) who were infected by their intravenous drug-using husbands. Our content analysis described the concerns of this population by analyzing 12 interviews with WLWH. Three main concerns were discussed by the women: dealing with anger and being a dedicated wife, going home to one's parents as the only place to go, and being strong and staying alive for the children. Dealing with their own emotional responses to the HIV diagnosis, lacking financial resources after the husband's death, and remaining focused on staying healthy were major issues in their stories...
May 2, 2018: Journal of the Association of Nurses in AIDS Care: JANAC
Rym El Rafei, Lilian Ghandour, Georges Assaf, Lama Charafeddine, Ayah Al Bizri, Mona Alameh, Khalid Yunis
PURPOSE: Much less is known about the effect of advanced paternal age (APA) (≥40 years) than advanced maternal age on neonatal morbidity. More specifically, the correlation with low birth weight remains inconsistent. This study aims to determine whether APA among mothers aged 20-29 years is associated with a higher risk of low birth weight and other neonatal outcomes. METHODS: Data from 2004 to 2008 database of the National Collaborative Perinatal Neonatal Network were used...
June 2018: Annals of Epidemiology
Michelle Bosquet Enlow, Valentina Bollati, Georgios Sideridis, Julie D Flom, Mirjam Hoxha, Michele R Hacker, Rosalind J Wright
Little research has examined determinants of newborn telomere length, a potential biomarker of lifetime disease risk impacted by prenatal exposures. No study has examined whether maternal exposures in childhood influence newborn telomere length or whether there are sex differences in the maternal factors that influence newborn telomere length. We tested whether a range of maternal risk and protective factors in childhood and pregnancy were associated with newborn telomere length among 151 sociodemographically diverse mother-infant dyads...
May 17, 2018: Psychoneuroendocrinology
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