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Unwanted pregnancies

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https://www.readbyqxmd.com/read/29767781/adolescent-condom-use-and-connectivity-in-the-social-planful-brain
#1
Justin D Caouette, Karen A Hudson, Angela D Bryan, Sarah W Feldstein Ewing
Objective: To reduce rates of sexually transmitted infections (STIs) and unwanted pregnancy among adolescents, it is critical to investigate brain connectivity that may underlie adolescents' sexual health decision-making in the context of intercourse. This study explored relationships between adolescent condom use frequency and the brain's resting-state functional connectivity, to identify differential patterns of social-affective processing among sexually active youth. Methods: In this study, N = 143 sexually active adolescents (68...
May 14, 2018: Journal of Pediatric Psychology
https://www.readbyqxmd.com/read/29751095/psychosocial-correlates-of-marijuana-use-among-pregnant-and-non-pregnant-adolescent-girls
#2
Golfo Tzilos Wernette, Erin E Bonar, Frederic C Blow, Maureen A Walton
STUDY OBJECTIVE: Pregnant and non-pregnant populations in the US report marijuana as the most commonly used illicit drug. Patterns of marijuana use and psychosocial correlates are unclear among non-treatment seeking teenage girls. DESIGN, SETTING AND PARTICIPANTS: The objective of this study was to use cross-sectional data to examine the psychosocial correlates of recent marijuana use among a sample of 646 pregnant and non-pregnant adolescent girls presenting to urban primary care clinics (mean age = 15...
May 8, 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29747681/weighted-log-linear-models-for-service-delivery-points-in-ethiopia-a-case-of-modern-contraceptive-users-at-health-facilities
#3
Demeke Lakew Workie, Dereje Tesfaye Zike, Haile Mekonnen Fenta, Mulusew Admasu Mekonnen
BACKGROUND: Ethiopia is among countries with low contraceptive usage prevalence rate and resulted in high total fertility rate and unwanted pregnancy which intern affects the maternal and child health status. This study aimed to investigate the major factors that affect the number of modern contraceptive users at service delivery point in Ethiopia. METHODS: The Performance Monitoring and Accountability2020/Ethiopia data collected between March and April 2016 at round-4 from 461 eligible service delivery points were in this study...
May 10, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29729405/efficient-sirna-transfer-to-knockdown-a-placenta-specific-lncrna-using-rgd-modified-nano-liposome-a-new-preeclampsia-like-mouse-model
#4
Qianwen Yu, Yue Qiu, Xuhui Wang, Jiajing Tang, Yayuan Liu, Ling Mei, Man Li, Ming Yang, Li Tang, Huile Gao, Zhirong Zhang, Wenming Xu, Qin He
Preeclampsia is one of the most serious pregnancy complications. Many animal models have already been developed by researchers to study the pathogenesis and treatment of preeclampsia. However, most of these animal models were established by systemic administration or by surgery in the uterine cavity, which could lead to unwanted systemic toxicity or operative wounds and affect the accuracy of the results. Because of the high expression level of integrin αvβ3 on the placenta, arginine-glycine-aspartic acid peptide (RGD) modified PEGylated cationic liposome (RGD-Lip) was designed as a novel gene delivery system to target the placenta safely and efficiently, and a new animal model of preeclampsia was established through targeting of long noncoding RNA (lncRNA)...
May 2, 2018: International Journal of Pharmaceutics
https://www.readbyqxmd.com/read/29727877/-painful-procedures-in-small-ruminants-castration-of-rams-and-bucks-an-overview
#5
Benjamin Bauer, Regina Hannemann, Christine Lendl, Heinz Strobel, Martin Ganter
The castration of farm animals is practiced routinely throughout the world and the procedure is subject to different levels of regulation in different countries. In Germany, painful procedures in animals are regulated by the animal welfare act. However, the indications for acceptable methods of lamb and kid castration are still under discussion. There are distinct differences between the theoretical requirements of this legislation and experiences in practice. When male lambs are kept for many months with their dams, or with ewe lambs, castration is essential to avoid unwanted pregnancies and the slaughter of pregnant females...
April 2018: Tierärztliche Praxis. Ausgabe G, Grosstiere/Nutztiere
https://www.readbyqxmd.com/read/29706030/preconception-management-of-thyroid-dysfunction
#6
Onyebuchi E Okosieme, Ishrat Khan, Peter N Taylor
Uncorrected thyroid dysfunction in pregnancy has well recognised deleterious effects on fetal and maternal health. The early gestation period is one of critical fetal vulnerability during which maternal thyroid dysfunction may have lasting repercussions. Accordingly, a pragmatic preconception strategy is key for ensuring optimal thyroid disease outcomes in pregnancy. Preconception planning in women with hypothyroidism should pre-empt and mirror the adaptive changes of the thyroid gland by careful levothyroxine dose adjustments to ensure adequate fetal thyroid hormone delivery in pregnancy...
April 29, 2018: Clinical Endocrinology
https://www.readbyqxmd.com/read/29693507/status-of-postpartum-depression-in-turkey-a-meta-analysis
#7
Zekiye Karaçam, Ayden Çoban, Burcu Akbaş, Erdem Karabulut
We determined the prevalence of postpartum depression and related risk factors in Turkey based on relevant research. This study is a systematic review and meta-analysis and was conducted by performing a scan of the Turkish and English literature over the period January-February 2016. Most of the research included in this systematic compilation made use of the Edinburgh Postpartum Depression Scale. The scans executed indicated that 4740 women out of 18780 were at risk for postpartum depression. In the computations made based on these data, it was found that the consolidated prevalence of postpartum depression was 24% (21%-27% at a confidence interval of 95%) and that this rate varied between 9% and 51%...
April 25, 2018: Health Care for Women International
https://www.readbyqxmd.com/read/29667518/reproductive-consequences-of-unwanted-sexual-debut-among-young-adult-women-from-metro-cebu-philippines
#8
Melissa Wiles, Sonny Agustin, Subasri Narasimhan, Jessica D Gipson
The circumstances surrounding sexual debut influence subsequent sexual and reproductive outcomes. We analysed longitudinal data from 397 women who participated in the Cebu Longitudinal Health and Nutrition Survey in Cebu, Philippines to examine associations between unwanted first sex and number of pregnancies, unintended pregnancy, and use of modern contraception. 72% of women reported unwanted first sex. Women whose first sex was unwanted had increased odds of unintended pregnancy compared to women whose first sex was wanted (aOR = 2...
April 18, 2018: Health Care for Women International
https://www.readbyqxmd.com/read/29651926/nine-months-a-slave-when-pregnancy-is-involuntary-servitude-to-a-foetus
#9
Kiva Diamond Allotey-Reidpath, Pascale Allotey, Daniel D Reidpath
Recent globally compiled evidence suggests that one-quarter of pregnancies end in abortions. However, abortions remain illegal in many countries, resulting in unsafe practices. Debates have largely stalled with the pro-life, pro-choice epithets. To provide further arguments in support of legalising abortion services, we argue that the state cannot demand of a woman that she maintains an unwanted pregnancy because that demand places her in a state of involuntary servitude. Involuntary servitude would put states in breach of international human rights law (Article 8 of International Covenant on Civil and Political Rights)...
December 2018: Reproductive Health Matters
https://www.readbyqxmd.com/read/29609567/community-influences-on-modern-contraceptive-use-among-young-women-in-low-and-middle-income-countries-a-cross-sectional-multi-country-analysis
#10
Massy Mutumba, Eliud Wekesa, Rob Stephenson
BACKGROUND: Despite investment in family planning programs and education, unmet need for family planning remains high among young women (aged 15-24) in low and middle-income countries, increasing the risk for unwanted pregnancies and adverse social and reproductive health outcomes. There is a dearth of cross-national research that identifies the differential impact of community level factors among youth in low and middle-income countries (LMICs), which is imperative for the design of structural level interventions aimed at increasing family planning use...
April 2, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29587578/maternal-sensitivity-in-mother-infant-interactions-in-rio-de-janeiro-brazil
#11
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/29562754/pregnancy-planning-timing-happiness-and-depressive-symptoms-among-low-income-women-living-with-and-without-hiv
#12
Marcia Polansky, Hardeep Singh, Yang Gao, Erika Aaron
OBJECTIVE: This study assessed associations of sociodemographic factors and pregnancy intent and wantedness with pregnancy happiness and prenatal depressive symptoms and the relationship between prenatal depressive symptoms and pregnancy happiness. BACKGROUND: Depression is the leading cause of disability world-wide and more so for women. Women are most likely to experience depression in their child bearing years, including during pregnancy. Untreated prenatal depression, associated with unwanted pregnancies endangers the health and wellbeing of the mother and her child...
March 21, 2018: Journal of Reproductive and Infant Psychology
https://www.readbyqxmd.com/read/29555319/fertility-and-infertility-definition-and-epidemiology
#13
REVIEW
Mélodie Vander Borght, Christine Wyns
Infertility is a disease characterized by the failure to establish a clinical pregnancy after 12 months of regular and unprotected sexual intercourse. It is estimated to affect between 8 and 12% of reproductive-aged couples worldwide. Males are found to be solely responsible for 20-30% of infertility cases but contribute to 50% of cases overall. Secondary infertility is the most common form of female infertility around the globe, often due to reproductive tract infections. The three major factors influencing the spontaneous probability of conception are the time of unwanted non-conception, the age of the female partner and the disease-related infertility...
March 16, 2018: Clinical Biochemistry
https://www.readbyqxmd.com/read/29551429/adolescent-contraception-use-after-pregnancy-an-opportunity-for-improvement
#14
S Haider, C Stoffel, A M Dude
STUDY OBJECTIVE: To describe contraceptive method use by adolescent women in the six months following any pregnancy. DESIGN: We conducted a secondary analysis of the 2011-13 and 2013-15 cycles of the National Survey of Family Growth. SETTING: This survey is a nationally - representative population - based survey of reproductive aged women in the United States. PARTICIPANTS: The sample included respondents who had at least one pregnancy that ended both within the contraceptive calendar period and before the month of the respondent's twentieth birthday...
March 15, 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29550455/developing-strategies-to-address-contraceptive-needs-of-adolescents-exploring-patterns-of-use-among-sexually-active-adolescents-in-46-low-and-middle-income-countries
#15
Amanda M Kalamar, Özge Tunçalp, Michelle J Hindin
OBJECTIVE: We explore the patterns of adolescents' need for contraception in 46 low- and middle-income countries. METHODS: Using data from the Demographic and Health Surveys, we estimate the prevalence of never-use, ever-use and current contraceptive use of sexually active adolescent girls, ages 15-19. We use weighted fixed effects meta-analytic techniques to estimate summary measures. Finally, we highlight country profiles of adolescent contraceptive use. RESULTS: More than half (54...
March 14, 2018: Contraception
https://www.readbyqxmd.com/read/29537654/the-cost-effectiveness-of-multi-purpose-hiv-and-pregnancy-prevention-technologies-in-south-africa
#16
Matthew Quaife, Fern Terris-Prestholt, Robyn Eakle, Maria A Cabrera Escobar, Maggie Kilbourne-Brook, Mercy Mvundura, Gesine Meyer-Rath, Sinead Delany-Moretlwe, Peter Vickerman
INTRODUCTION: A number of antiretroviral HIV prevention products are efficacious in preventing HIV infection. However, the sexual and reproductive health needs of many women extend beyond HIV prevention, and research is ongoing to develop multi-purpose prevention technologies (MPTs) that offer dual HIV and pregnancy protection. We do not yet know if these products will be an efficient use of constrained health resources. In this paper, we estimate the cost-effectiveness of combinations of candidate multi-purpose prevention technologies (MPTs), in South Africa among general population women and female sex workers (FSWs)...
March 2018: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/29537321/risk-factors-and-the-choice-of-long-acting-reversible-contraception-following-medical-abortion-effect-on-subsequent-induced-abortion-and-unwanted-pregnancy
#17
Riina Korjamo, Oskari Heikinheimo, Maarit Mentula
OBJECTIVE: To analyse the post-abortion effect of long-acting reversible contraception (LARC) plans and initiation on the risk of subsequent unwanted pregnancy and abortion. MATERIALS AND METHODS: retrospective cohort study of 666 women who underwent medical abortion between January-May 2013 at Helsinki University Hospital, Finland. Altogether 159 (23.8%) women planning post-abortion use of levonorgestrel-releasing intrauterine system (LNG-IUS) participated in a randomized study and had an opportunity to receive the LNG-IUS free-of-charge from the hospital...
April 2018: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/29531205/catching-an-ectopic-caesarean-scar-pregnancy-radiological-perspective
#18
S C Seah, S A L Laili, A Hairiah, A G Ab Rahim
Caesarean scar implantation is one of the rarest form of ectopic pregnancies and most unwanted complication of caesarean scar. However, with the increasing numbers of caesarean section performed, caesarean scar pregnancy (CSP) may be on the rise. The diagnosis is often difficult, but establishing an accurate diagnosis of CSP in the early first trimester is utmost important to prevent its detrimental consequences of uterine rupture and fatal haemorrhage. Hence, we present a case to highlight the role of imaging in diagnosing and managing this condition to prevent its associated high morbidity and mortality...
February 2018: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/29524773/antidepressants-during-pregnancy-guideline-adherence-and-current-practice-amongst-dutch-gynaecologists-and-midwives
#19
Nina M Molenaar, Marlies E Brouwer, Johannes J Duvekot, Huibert Burger, Esther M Knijff, Witte J Hoogendijk, Claudi L H Bockting, G S de Wolf, Mijke P Lambregtse-van den Berg
BACKGROUND AND OBJECTIVES: prescription rates of antidepressants during pregnancy range from 2-3% in The Netherlands to 6.2% in the USA. Inconclusive evidence about harms and benefits of antidepressants during pregnancy leads to variation in advice given by gynaecologists and midwives. The objective was to investigate familiarity with, and adherence to the Dutch multidisciplinary guideline on Selective Serotonin Reuptake Inhibitor (SSRI) use during pregnancy by gynaecologists and midwives in the Netherlands...
June 2018: Midwifery
https://www.readbyqxmd.com/read/29523901/association-between-spousal-emotional-abuse-and-reproductive-outcomes-of-women-in-india-findings-from-cross-sectional-analysis-of-the-2005-2006-national-family-health-survey
#20
Sucheta Tiwari, Ron Gray, Crispin Jenkinson, Claire Carson
PURPOSE: Spousal violence against women is a global public health problem. In India, approximately 40% of women report spousal violence. Like physical and sexual violence, emotional violence may be a determinant of women's health. This study explores the association between exposure to spousal emotional abuse and poor reproductive outcomes in Indian women. METHODS: Data on 60,350 women, collected in the Third Indian National Family Health Survey were analysed to assess the impact of spousal emotional abuse on seven reproductive outcomes: age at first birth, number of children, terminated pregnancies, unwanted pregnancies, access to prenatal and skilled delivery care, and breastfeeding...
May 2018: Social Psychiatry and Psychiatric Epidemiology
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