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Pregnancy health

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https://www.readbyqxmd.com/read/29679820/joy-guilt-and-disappointment-an-interpretative-phenomenological-analysis-of-the-experiences-of-women-transferred-from-midwifery-led-to-consultant-led-care
#1
Patricia Larkin
BACKGROUND: Irish maternity services are predominantly medicalised and consultant led, therefore women who choose midwifery led care (MLC) do so in the context of limited birth choices. Transfers to consultant led unit (CLU) for consultant led care (CLC) can be unpredictable and can affect women's birth experiences. This study provides an in-depth exploration of women's experiences of transfer fromMLC to CLC during late pregnancy or labour. METHODS: Transfer experiences are explored through qualitative explorative in-depth interviews using interpretative phenomenological analysis (IPA)...
April 11, 2018: Midwifery
https://www.readbyqxmd.com/read/29679653/effects-of-selective-serotonin-reuptake-inhibitors-ssris-on-human-villous-trophoblasts-syncytialization
#2
Hélène Clabault, Denis Flipo, Jean Guibourdenche, Thierry Fournier, Thomas Sanderson, Cathy Vaillancourt
Selective serotonin-reuptake inhibitors (SSRIs) are the most commonly prescribed antidepressants during pregnancy. The human placenta is a highly specialized organ supporting normal growth and development of the fetus. Therefore, this study aims to analyze the effects of SSRIs on villous cytotrophoblasts cells, using BeWo cells and human placental trophoblast cells in primary culture. The SSRIs fluoxetine and its metabolite norfluoxetine, sertraline and venlafaxine did not affect BeWo cell proliferation and viability, nor the percentage of M30-positive (apoptotic) primary trophoblast cells...
April 18, 2018: Toxicology and Applied Pharmacology
https://www.readbyqxmd.com/read/29679624/perspectives-on-diagnostic-strategies-for-hyperglycemia-in-pregnancy-dealing-with-the-barriers-and-challenges-in-china
#3
Yumei Wei, Huixia Yang
Hyperglycemia is one of the most common medical conditions women encounter during pregnancy. Hyperglycemia in pregnancy (HIP) is an issue of increasing concern to both obstetricians and administrators and it brings health issues for both mothers and offspring, not only early complications, but also long-term effects. HIP may either have been pre-gestational diabetes mellitus (pGDM), or gestational diabetes mellitus (GDM). After two-child policy fully carried out in China, the incidence of HIP would be increased further...
April 18, 2018: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/29679621/the-global-burden-of-hyperglycemia-in-pregnancy-trends-from-studies-in-the-last-decade
#4
REVIEW
Bhuvan Martin, David A Sacks
Concurrent with the rise in obesity, global rates of diabetes are increasing at alarming rates in both developed and developing nations. As these conditions become more prevalent among women of reproductive age, rates of hyperglycemia in pregnancy (HIP) are also increasing. HIP is associated with many immediate perinatal complications which affect both maternal and fetal/neonatal health, as well as with more long term complications. Long term complications include an increase in chronic non-communicable diseases in both mother and offspring, therefore affecting future generations...
April 18, 2018: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/29679598/sleep-in-women-across-the-lifespan
#5
REVIEW
Martino Pengo, Christine Won, Ghada Bourjeily
There are many ways in which women experience sleep differently than men. Women contend with distinct sleep challenges, respond differently to sleep disorders, sleep deprivation and deficiency, and face particular health outcomes as a result of poor sleep. Idiosyncrasies - including changes that occur with the biological life cycles of menstruation, pregnancy, and menopause- make the understanding of sleep in women an important topic to study. Each phase of a woman's life, from childhood to menopause, increases the risk of sleep disturbance in unique ways that may require distinct management...
April 18, 2018: Chest
https://www.readbyqxmd.com/read/29679591/the-intrauterine-device-as-emergency-contraception-how-much-do-young-women-know
#6
Suzan R Goodman, Alison M El Ayadi, Corinne H Rocca, Julia E Kohn, Courtney E Benedict, Jessica R Dieseldorff, Cynthia C Harper
BACKGROUND: Unprotected intercourse is common, especially among teens and young women. Access to intrauterine device (IUD) as emergency contraception (EC) can help interested patients more effectively prevent unintended pregnancy and can also offer ongoing contraception. This study evaluated young women's awareness of IUD as EC and interest in case of need. STUDY DESIGN: We conducted a secondary analysis of data from young women, ages 18-25years, not desiring pregnancy within 12months, and receiving contraceptive counseling within a cluster-randomized trial in 40U...
April 18, 2018: Contraception
https://www.readbyqxmd.com/read/29678802/lessons-from-the-dot-contraceptive-efficacy-study-analysis-of-the-use-of-agile-development-to-improve-recruitment-and-enrollment-for-mhealth-research
#7
Dominick Shattuck, Liya T Haile, Rebecca G Simmons
BACKGROUND: Smartphone apps that provide women with information about their daily fertility status during their menstrual cycles can contribute to the contraceptive method mix. However, if these apps claim to help a user prevent pregnancy, they must undergo similar rigorous research required for other contraceptive methods. Georgetown University's Institute for Reproductive Health is conducting a prospective longitudinal efficacy trial on Dot (Dynamic Optimal Timing), an algorithm-based fertility app designed to help women prevent pregnancy...
April 20, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29678412/awareness-of-listeriosis-and-methylmercury-toxicity-public-health-recommendations-and-diet-during-pregnancy
#8
Shao Jia Zhou, Rebecca L Greco, Rosalie Grivell, Jennie Louise, Andrea Deussen, Jodie Dodd, Lisa J Moran
BACKGROUND: Awareness of Listeriosis and Methylmercury toxicity recommendations are associated with decreased intake of high-risk foods. Whether awareness of the recommendations affect dietary quality of pregnant women in Australian is unknown. AIM: To evaluate awareness of Listeriosis and Methylmercury toxicity recommendations during pregnancy and its impact on dietary quality. METHODS: Pregnant women (n=81) were recruited from antenatal clinics...
April 17, 2018: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/29678366/advance-provision-of-emergency-contraception-to-young-men-an-exploratory-study-in-a-clinic-setting
#9
S Garbers, D L Bell, K Ogaye, A V Marcell, C L Westhoff, S L Rosenthal
PURPOSE: To explore the acceptability of advance provision of emergency contraceptive pills (ECPs) to young men seeking health care. METHODS: For this exploratory study in a clinic setting, we approached young men aged 16-35 to participate in a survey eliciting socio-demographics, sexual and contraceptive history, and knowledge about ECPs. We offered young men advance provision of ECPs and compared characteristics of 126 young men who did and did not accept the ECPs...
April 17, 2018: Contraception
https://www.readbyqxmd.com/read/29678184/perceptions-on-male-involvement-in-pregnancy-and-childbirth-in-masasi-district-tanzania-a-qualitative-study
#10
Stephen Oswald Maluka, Apollonia Kasege Peneza
BACKGROUND: Despite the efforts to promote male involvement in maternal and child health, studies in low and middle income countries have reported that male participation is still low. While factors that hinder male partners from participating in maternal and child healthcare are well documented, there is dearth of studies on local perceptions about male involvement in pregnancy and delivery care. The main objective of this study was to explore local perceptions about male involvement in pregnancy and childbirth in Tanzania...
April 20, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29678157/psycho-social-impact-of-stillbirths-on-women-and-their-families-in-tamil-nadu-india-a-qualitative-study
#11
Vijayaprasad Gopichandran, Sudharshini Subramaniam, Maria Jusler Kalsingh
BACKGROUND: Stillbirth has serious psycho-social consequences on the parents and on the family. The psychological impact of stillbirth is strongly influenced by the social and cultural context. There is very scarce information on this from the Indian context. This qualitative study was conducted to understand the psycho-social impact, aggravating factors, coping styles and health system response to stillbirths. METHODS: A qualitative study was conducted using in-depth interviews with mothers who experienced stillbirth in the past 1 year and their families...
April 20, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29678150/uptake-of-intermittent-preventive-treatment-for-malaria-during-pregnancy-with-sulphadoxine-pyrimethamine-iptp-sp-among-postpartum-women-in-zomba-district-malawi-a-cross-sectional-study
#12
Steven Chifundo Azizi, Gershom Chongwe, Helen Chipukuma, Choolwe Jacobs, Jessy Zgambo, Charles Michelo
BACKGROUND: Malaria in pregnancy causes adverse birth outcomes. Intermittent preventive treatment of malaria during pregnancy with sulphadoxine-pyrimethamine (IPTp-SP) is recommended as a chemoprevention therapy. Zomba district IPTp uptake falls far below the national average. The study was conducted to assess determinants of IPTp-SP uptake during pregnancy among postpartum women in Zomba district after adoption of new IPTp-SP policy in 2014. METHODS: This was a cross-sectional survey...
April 20, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29678002/midlevel-maternity-providers-preferences-of-a-childbirth-monitoring-tool-in-low-income-health-units-in-uganda
#13
Michael S Balikuddembe, Peter K Wakholi, Nazarius M Tumwesigye, Thorkild Tylleskär
A third of women in childbirth are inadequately monitored, partly due to the tools used. Some stakeholders assert that the current labour monitoring tools are not efficient and need improvement to become more relevant to childbirth attendants. The study objective was to explore the expectations of maternity service providers for a mobile childbirth monitoring tool in maternity facilities in a low-income country like Uganda. Semi-structured interviews of purposively selected midwives and doctors in rural-urban childbirth facilities in Uganda were conducted before thematic data analysis...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29677923/profiling-databases-to-facilitate-comparison-of-child-health-systems-across-europe-using-standardised-quality-markers
#14
Harshana Liyanage, Stacy Shinneman, Uy Hoang, Filipa Ferreira, Denise Alexander, Michael Rigby, Mitch Blair, Simon de Lusignan
Models of child primary health care vary across Europe. There are three categories, primary care paediatricians, general practitioner based, or mixed. This paper describes the metadata schema used in the profiling process of candidate data sources for appraisal for the Models of Child Health Appraised (MOCHA) project using the MOCHA International Research Opportunity Instrument (MIROI). The ten clinical indicators included: asthma, antibiotic stewardship, immunisation, rickets, diarrhea, epilepsy, depression, ADHD, enuresis and care of women during pregnancy...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29677556/prenatal-exposure-to-polychlorinated-biphenyls-and-fetal-growth-in-british-girls
#15
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/29677112/iodine-deficiency-in-a-study-population-of-norwegian-pregnant-women-results-from-the-little-in-norway-study-lin
#16
Lisbeth Dahl, Maria Wik Markhus, Perla Vanessa Roldan Sanchez, Vibeke Moe, Lars Smith, Helle Margrete Meltzer, Marian Kjellevold
Iodine sufficiency is particularly important in pregnancy, where median urinary iodine concentration (UIC) in the range of 150⁻250 µg/L indicates adequate iodine status. The aims of this study were to determine UIC and assess if dietary and maternal characteristics influence the iodine status in pregnant Norwegian women. The study comprises a cross-sectional population-based prospective cohort of pregnant women (Little in Norway (LiN)). Median UIC in 954 urine samples was 85 µg/L and 78...
April 20, 2018: Nutrients
https://www.readbyqxmd.com/read/29676801/prolonged-prenatal-hypoxia-selectively-disrupts-collecting-duct-patterning-and-postnatal-function-in-male-mouse-offspring
#17
Sarah L Walton, Reetu R Singh, Melissa H Little, Josephine Bowles, Joan Li, Karen M Moritz
KEY POINTS SUMMARY: In this study we investigated whether hypoxia during late pregnancy impairs kidney development in mouse offspring, and also whether this has long-lasting consequences affecting kidney function in adulthood. Hypoxia disrupted growth of the kidney, particularly the collecting duct network, in juvenile male offspring. By mid-late adulthood, these mice developed early signs of kidney disease, notably a compromised response to water deprivation. Female offspring showed no obvious signs of impaired kidney development and did not develop kidney disease, suggesting a underlying protection mechanism from the hypoxia insult...
April 20, 2018: Journal of Physiology
https://www.readbyqxmd.com/read/29676755/drinking-water-disinfection-by-products-exposure-and-health-effects-on-pregnancy-outcomes-a-systematic-review
#18
Funanani Mashau, Esper Jacobeth Ncube, Kuku Voyi
Epidemiological studies have found that maternal exposure to disinfection by-products (DBPs) may lead to adverse pregnancy outcomes although the findings tend to be inconsistent. The objective of this study was to systematically review the evidence in associated with drinking water DBP exposure in relation to adverse pregnancy outcomes. Peer-reviewed articles were identified using electronic databases searched for studies published in the English language. Studies selected for review were evaluated for exposure assessment, confounders, and analyses risks of bias in the selection, outcomes assessment, and attrition...
April 2018: Journal of Water and Health
https://www.readbyqxmd.com/read/29676634/impact-of-seasonal-winter-air-pollution-on-health-across-the-lifespan-in-mongolia-and-some-putative-solutions
#19
David Warburton, Nicole Warburton, Clarence Wigfall, Ochir Chimedsuren, Delgerzul Lodoisamba, Sereeter Lodoysamba, Badarch Jargalsaikhan
Environmental pollution of the air, water, and soil comprise an increasingly urgent challenge to global health, well-being, and productivity. The impact of environmental pollution arguably has its greatest impact across the lifespan on children, women of childbearing age, and pregnant women and their unborn children, not only because of their vulnerability during development, but also because of their subsequent longevity. Ulaanbaatar, Mongolia, is a highly instructive, perhaps extreme, example of what happens with recent, rapid urbanization...
April 2018: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/29676341/the-prevalence-and-risk-factors-for-trichomonas-vaginalis-infection-amongst-human-immunodeficiency-virus-infected-pregnant-women-attending-the-antenatal-clinics-of-a-university-teaching-hospital-in-lagos-south-western-nigeria
#20
Olaolopin Ijasan, Kehinde Sharafadeen Okunade, Ayodeji Ayotunde Oluwole
Background: Trichomonas vaginalis infection is the most prevalent non-viral sexually transmitted infection worldwide. Interactions between this infection and human immunodeficiency virus (HIV) may cause adverse pregnancy outcomes such as preterm labour, premature rupture of membranes, chorioamnionitis, low birth weight and post-abortal sepsis. Aims: This study was aimed to determine the prevalence and risk factors of T. vaginalis infection amongst HIV-positive pregnant women attending antenatal care at the Lagos University Teaching Hospital (LUTH), Lagos, Nigeria...
January 2018: Nigerian Postgraduate Medical Journal
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