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https://www.readbyqxmd.com/read/28808658/trends-and-inequalities-in-use-of-maternal-health-care-services-in-nepal-strategy-in-the-search-for-improvements
#1
Suresh Mehata, Yuba Raj Paudel, Maureen Dariang, Krishna Kumar Aryal, Bibek Kumar Lal, Mukti Nath Khanal, Deborah Thomas
BACKGROUND: Nepal has made significant progress against the Millennium Development Goals for maternal and child health over the past two decades. However, disparities in use of maternal health services persist along geographic, economic, and sociocultural lines. METHODS: Trends and inequalities in the use of maternal health services in Nepal between 1994 and 2011 were examined using four Nepal Demographic and Health Surveys (NDHS), nationally representative cross-sectional surveys conducted by interviewing women who gave birth 3-5 years prior to the survey...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28776105/improving-help-seeking-for-postnatal-depression-and-anxiety-a-cluster-randomised-controlled-trial-of-motivational-interviewing
#2
Charlene Holt, Jeannette Milgrom, Alan W Gemmill
Low uptake of treatment by women with symptoms of postnatal depression and anxiety is consistently reported. This study examined whether a brief motivational interviewing (MI) intervention delivered by Maternal and Child Health Nurses (MCHNs) during routine emotional health assessments improves help-seeking following childbirth. In this parallel two-group cluster randomised controlled trial, MCHNs delivered a MI intervention ('PRIMER', n = 20) or Routine Care (n = 20) at women's (n = 541) postnatal consultations...
August 3, 2017: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/28766091/maximizing-opportunities-family-planning-and-maternal-infant-and-young-child-nutrition-integration-in-bondo-sub-county-kenya
#3
Chelsea M Cooper, Angella Ogutu, Everlyn Matiri, Hannah Tappis, Devon Mackenzie, Anne Pfitzer, Rae Galloway
Purpose This article shares learning from an innovative demonstration program integrating maternal, infant, and young child nutrition (MIYCN) and family planning (FP) services in western Kenya, providing recommendations for future work to expand MIYCN and FP integration. Description Six health facilities reorganized to integrate MIYCN and FP services and community health volunteers (CHVs) promoted MIYCN and FP in adjacent communities in Bondo Sub-County over a 1-year period. At the facility level, each provider was directed to provide both sets of services in a single room during FP, antenatal care, postnatal care, or child consultation visits (a "one stop shop" approach)...
August 1, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28764602/improved-maternity-care-if-midwives-learn-to-perform-ultrasound-a-qualitative-study-of-rwandan-midwives-experiences-and-views-of-obstetric-ultrasound
#4
Sophia Holmlund, Joseph Ntaganira, Kristina Edvardsson, Pham Thi Lan, Jean Paul Semasaka Sengoma, Annika Åhman, Rhonda Small, Ingrid Mogren
BACKGROUND: Obstetric ultrasound has become an indispensable part of antenatal care worldwide. Although the use of ultrasound has shown benefits in the reduction of maternal and foetal morbidity and mortality, it has also raised many ethical challenges. Because of insufficient numbers of midwives in Rwanda, uncomplicated pregnancy care is usually provided by nurses in local health centres. Obstetric ultrasound is generally performed by physicians at higher levels of healthcare, where midwives are also more likely to be employed...
2017: Global Health Action
https://www.readbyqxmd.com/read/28763925/-the-situation-of-social-support-and-its-relationship-with-antenatal-depression-among-1-075-zhejiang-primiparas-in-their-third-trimesters
#5
B D Zhang, Y C Shan, L W Xu, H Chen, X N Zhang, C Y Tong, Y L Mao, C Zhou
Objective: To investigate the situation of social support (SS), and explore its relationship with antenatal depression (AD) among Zhejiang primiparas in their third trimesters. Methods: From March to August 2016, a cross-sectional study was conducted and the questionnaire was used at the outpatient consulting room of one maternity hospital in Hangzhou. Inclusion criteria includes the primiparas over 18 years old, gestation from 30 to 36 weeks, been able to understand and complete the questionnaires independently, no family history and history of mental disorders and no use of psychotropic drugs, without serious illness and so on...
August 6, 2017: Zhonghua Yu Fang Yi Xue za Zhi [Chinese Journal of Preventive Medicine]
https://www.readbyqxmd.com/read/28709079/breastfeeding-initiation-duration-and-exclusivity-in-mothers-with-epilepsy-from-south-west-china
#6
Nanya Hao, Han Jiang, Mengqian Wu, Tianying Pan, Bo Yan, Jie Liu, Jie Mu, Wenyu Liu, Jinmei Li, Terence J O'Brien, Zhibin Chen, Frank Vajda, Dong Zhou
PURPOSES: 1) To study the breastfeeding initiation, duration and exclusivity rates, and common reasons for early weaning in Chinese mothers with epilepsy (MWE); 2) To identify potential perinatal breastfeeding correlations with selected sociodemographic and clinical factors. METHODS: A semi-structured questionnaire was administered to 281 MWE attending hospitals in South-west China from February 2014 to July 2015. Data about breastfeeding behaviors, sociodemographic, obstetric, and epileptic variables were collected...
June 30, 2017: Epilepsy Research
https://www.readbyqxmd.com/read/28702863/walking-together-towards-a-collaborative-model-for-maternal-health-care-in-pastoralist-communities-of-laikipia-and-samburu-kenya
#7
Michelle Kermode, Alison Morgan, Josephat Nyagero, Florence Nderitu, Tanya Caulfield, Matthew Reeve, John Nduba
Purpose In 2009 the Kenyan Government introduced health system reforms to address persistently high maternal and newborn mortality including deployment of skilled birth attendants (SBAs) to health facilities in remote areas, and proscription of births attended by traditional birth attendants (TBAs). Despite these initiatives, uptake of SBA services remains low and inequitably distributed. This paper describes the development of an SBA/TBA collaborative model of maternal health care for pastoralist communities in Laikipia and Samburu...
July 12, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28700118/factors-associated-with-attrition-rate-in-a-supportive-care-service-for-substance-using-pregnant-women-in-brazil
#8
Rosa Marina Avilla, Juliana Surjan, Maria de Fátima Ratto Padin, Martha Canfield, Ronaldo Ramos Laranjeira, SandroSendin Mitsuhiro
BACKGROUND AND OBJECTIVES: Retaining substance using women in antenatal care remains a major challenge. This study explored factors associated with attrition rate among women with substance use problems attending a supportive care service during pregnancy and soon after the birth of the infant. METHODS: Records of 166 women's antenatal consultations were analyzed. RESULTS: Attrition rate was high (75/166, 45.2%), and was associated with women having no schooling/primary schooling only, no family contact, having child(ren), crack-cocaine use, poly drug use, and substance use problems by the expected child's father...
July 12, 2017: American Journal on Addictions
https://www.readbyqxmd.com/read/28667879/process-evaluation-of-the-implementation-of-scorecard-based-antenatal-risk-assessment-care-pathways-and-interdisciplinary-consultation-the-healthy-pregnancy-4-all-study
#9
A A Vos, S F van Voorst, A G Posthumus, A J M Waelput, S Denktaş, E A P Steegers
OBJECTIVE: To evaluate the implementation of a complex intervention in the antenatal healthcare field in 14 Dutch municipalities. The intervention consisted of the implementation of a systematic scorecard-based risk assessment in pregnancy, subsequent patient-tailored care pathways, and consultations of professionals from different medical and social disciplines. METHODS: Saunders's seven-step method was used for the development of a programme implementation monitoring plan, with specific attention to the setting and context of the programme...
June 28, 2017: Public Health
https://www.readbyqxmd.com/read/28629247/obstetric-practice-patterns-in-pregnancies-complicated-by-fetal-trisomy-13-or-18
#10
Sarah K Dotters-Katz, Marcela C Smid, Cora Mcelwain, Jeffrey A Kuller, Jay Schulkin
PURPOSE: Describe practice patterns among obstetrician/gynecologists (OB/GYNs) when caring for women with pregnancy complicated by fetal trisomy 13(T13) or 18(T18), and compare these between maternal-fetal-medicine (MFM) and non-MFM providers. MATERIALS AND METHODS: We conducted an electronic survey using the American College of Obstetricians and Gynecologists database. Using simple statistics, we describe demographics and practice patterns among respondents, and compare those of MFM practitioners with non-MFM providers...
June 19, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28606185/non-malarial-infectious-diseases-of-antenatal-care-in-pregnant-women-in-franceville-gabon
#11
Irene Pegha Moukandja, Edgard Brice Ngoungou, Guy Joseph Lemamy, Ulrick Bisvigou, Antoine Gessain, Fousseyni S Toure Ndouo, Mirdad Kazanji, Jean Bernard Lekana-Douki
BACKGROUND: In sub-tropical countries, infectious diseases remain one of the main causes of mortality. Because of their lack of active immunity, pregnant women and their unborn children represent the most susceptible people. In Gabon, data on infectious diseases of pregnant women such as syphilis and rubella are either scarce or very old. Few studies have assessed T. gondii infection during pregnancy in the country. Here, we evaluate seroprevalence of HIV, HTVL-1, syphilis and T. gondii and rubella infection during antenatal care among women living in Franceville, Gabon...
June 12, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28599396/five-years-experience-in-an-anesthesiology-antenatal-clinic-for-high-risk-patients
#12
Daniel Shatalin, Yaacov Gozal, Sorina Grisaru-Granovsky, Alexander Ioscovich
INTRODUCTION: The aim, of this study is to describe our approach and outcomes in an outpatient anesthesia/analgesia antepartum clinic among ambulatory high-risk obstetric patients. METHODS: This was a retrospective evaluation of the activity of the anesthesiology antenatal clinic from its inception in 2010 until 2016 (a 5-year period). The clinic works in collaboration with the Department of Obstetrics and Gynecology. The catchment area of the study University Affiliated Hospital attends a multiethnic population characterized by high parity...
May 24, 2017: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/28589256/treatment-of-congenital-pulmonary-airway-malformations-a-systematic-review-from-the-apsa-outcomes-and-evidence-based-practice-committee
#13
Cynthia D Downard, Casey M Calkins, Regan F Williams, Elizabeth J Renaud, Tim Jancelewicz, Julia Grabowski, Roshni Dasgupta, Milissa McKee, Robert Baird, Mary T Austin, Meghan A Arnold, Adam B Goldin, Julia Shelton, Saleem Islam
PURPOSE: Variation in management characterizes treatment of infants with a congenital pulmonary airway malformation (CPAM). This review addresses six clinically applicable questions using available evidence to provide recommendations for the treatment of these patients. METHODS: Questions regarding the management of a pediatric patient with a CPAM were generated. English language articles published between 1960 and 2014 were compiled after searching Medline and OvidSP...
June 6, 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/28588124/antenatal-consultations-for-preterm-labour-how-are-future-mothers-reassured
#14
Nathalie Gaucher, Sophie Nadeau, Alexandre Barbier, Antoine Payot
OBJECTIVE: To evaluate whether the antenatal consultation for preterm labour worries or reassures women, and to identify factors contributing to these feelings. DESIGN: This is a prospective survey study from April 2012 to September 2013. This mixed-methodology tool was co-constructed with patients and first tested in a single-centre pilot study. SETTING: Three university-affiliated, tertiary care, high-risk obstetrics inpatient units in Quebec, Canada...
June 6, 2017: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://www.readbyqxmd.com/read/28588110/clinicians-perspectives-of-parental-decision-making-following-diagnosis-of-a-severe-congenital-anomaly-a-qualitative-study
#15
Robyn Lotto, Lucy K Smith, Natalie Armstrong
OBJECTIVE: To explore clinicians' perspectives on supporting parents' decision-making following diagnosis of a severe congenital anomaly, and how this is shaped by current policy. METHODS: This paper reports data collated as part of a larger project examining parents' decision-making following antenatal diagnosis. The focus of this paper is the data arising from semistructured interviews conducted with 18 clinicians, with findings further supported by data generated from consultations between clinicians and parents...
June 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/28545540/assessment-of-coverage-of-preventive-treatment-and-insecticide-treated-mosquito-nets-in-pregnant-women-attending-antenatal-care-services-in-11-districts-in-mozambique-in-2011-the-critical-role-of-supply-chain
#16
Cristolde Salomão, Jahit Sacarlal, Eduardo Samo Gudo
BACKGROUND: Malaria during pregnancy is associated with poor maternal and pregnancy outcome and the World Health Organization recommends the administration of intermittent preventive treatment in pregnancy (IPTp) with sulfadoxine-pyrimethamine (SP) and distribution of insecticide-treated mosquito nets (ITNs) to all pregnant women attending antenatal care (ANC) services. This study was conducted with the aim to assess the uptake of IPTp and ITNs in pregnant women attending ANC services and correlate with ANC attendance and frequency of stock-outs in 22 health facilities Mozambique...
May 25, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28545476/prenatal-diagnosis-and-prevention-of-toxoplasmosis-in-pregnant-women-in-northern-vietnam-study-protocol
#17
G Suzanne A Smit, Thi Lam Binh Vu, Trung Dung Do, Niko Speybroeck, Brecht Devleesschauwer, Elizaveta Padalko, Ellen Roets, Pierre Dorny
BACKGROUND: In Vietnam, no systematic prenatal toxoplasmosis screening is in place, and only few studies have assessed the prevalence and importance of this zoonotic parasite infection. In addition, no studies have been conducted to assess the risk factors associated with toxoplasmosis. This study protocol was developed to determine the seroprevalence of toxoplasmosis in pregnant women in Hanoi and Thai Binh, Northern Vietnam, and to evaluate the association with risk factors and congenital toxoplasmosis...
May 25, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28542530/quality-of-nutrition-services-in-primary-health-care-facilities-implications-for-integrating-nutrition-into-the-health-system-in-bangladesh
#18
Sk Masum Billah, Kuntal Kumar Saha, Abdullah Nurus Salam Khan, Ashfaqul Haq Chowdhury, Sarah P Garnett, Shams El Arifeen, Purnima Menon
BACKGROUND: In 2011, the Bangladesh Government introduced the National Nutrition Services (NNS) by leveraging the existing health infrastructure to deliver nutrition services to pregnant woman and children. This study examined the quality of nutrition services provided during antenatal care (ANC) and management of sick children younger than five years. METHODS: Service delivery quality was assessed across three dimensions; structural readiness, process and outcome...
2017: PloS One
https://www.readbyqxmd.com/read/28532407/socioeconomic-inequalities-in-the-uptake-of-maternal-healthcare-services-in-ethiopia
#19
Markos Mezmur, Kannan Navaneetham, Gobopamang Letamo, Hadgu Bariagaber
BACKGROUND: The progress in coverage of maternal health services in Ethiopia has been rather slow over the past decade and consequently the maternal mortality ratio was very high (673 per 100,000 live births) among the countries in Sub-Saharan Africa and remained constant during 2005-11 period. Earlier studies have mostly focused on determinants of maternal health seeking behavior in Ethiopia. However, little is known about the inequality aspects. This study intends to examine socioeconomic inequalities in the uptake of maternal health services and to identify factors that contribute to such inequalities...
May 22, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28464725/the-development-and-application-of-a-protocol-for-the-writing-assessing-and-validating-of-a-corpus-of-relationship-focused-text-messages-for-new-and-expecting-fathers
#20
Chris D May, Richard Fletcher
In developed countries, antenatal education aims to reduce difficulties that mothers and fathers experience during transition to parenthood. However, fathers are often distracted from preparing themselves by the attention given to preparing and supporting mothers. Developments in digital communication present alternative means of supporting fathers at this time. Studies, across a range of health concerns, have reported successful outcomes from text-based interventions. Text messaging, focusing on the issues that cause paternal distress at this time, could provide timely, targeted, and effective support to fathers in their transition to parenthood...
May 1, 2017: Health Informatics Journal
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