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https://www.readbyqxmd.com/read/29791501/stillbirths-in-urban-guinea-bissau-a-hospital-and-community-based-study
#1
Morten Bjerregaard-Andersen, Najaaraq Lund, Anne Sofie Pinstrup Joergensen, Frida Starup Jepsen, Holger Werner Unger, Mama Mane, Amabelia Rodrigues, Staffan Bergström, Christine Stabell Benn
BACKGROUND: Stillbirth rates remain high in many low-income settings, with fresh (intrapartum) stillbirths accounting for a large part due to limited obstetrical care. We aimed to determine the stillbirth rate and identify potentially modifiable factors associated with stillbirth in urban Guinea-Bissau. METHODS: The study was carried out by the Bandim Health Project (BHP), a Health and Demographic Surveillance System site in the capital Bissau. We assessed stillbirth rates in a hospital cohort consisting of all deliveries at the maternity ward at the National Hospital Simão Mendes (HNSM), and in a community cohort, which only included women from the BHP area...
2018: PloS One
https://www.readbyqxmd.com/read/29747597/physical-activity-for-antenatal-and-postnatal-depression-in-women-attempting-to-quit-smoking-randomised-controlled-trial
#2
Amanda Daley, Muhammad Riaz, Sarah Lewis, Paul Aveyard, Tim Coleman, Isaac Manyonda, Robert West, Beth Lewis, Bess Marcus, Adrian Taylor, Judith Ibison, Andrew Kent, Michael Ussher
BACKGROUND: Antenatal depression is associated with harmful consequences for both the mother and child. One intervention that might be effective is participation in regular physical activity although data on this question in pregnant smokers is currently lacking. METHODS: Women were randomised to six-weekly sessions of smoking cessation behavioural-support, or to the same support plus 14 sessions combining treadmill exercise and physical activity consultations. RESULTS: Among 784 participants (mean gestation 16-weeks), EPDS was significantly higher in the physical activity group versus usual care at end-of-pregnancy (mean group difference (95% confidence intervals (CIs)): 0...
May 10, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29739351/expectant-fathers-participation-in-antenatal-care-services-in-papua-new-guinea-a-qualitative-inquiry
#3
Jessica Davis, Cathy Vaughan, Justine Nankinga, Lisa Davidson, Hellen Kigodi, Eileen Alalo, Liz Comrie-Thomson, Stanley Luchters
BACKGROUND: The importance of engaging men in maternal and child health programs is well recognised internationally. In Papua New Guinea (PNG), men's involvement in maternal and child health services remains limited and barriers and enablers to involving fathers in antenatal care have not been well studied. The purpose of this paper is to explore attitudes to expectant fathers participating in antenatal care, and to identify barriers and enablers to men's participation in antenatal care with their pregnant partner in PNG...
May 8, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29695231/malaria-related-ideational-factors-and-other-correlates-associated-with-intermittent-preventive-treatment-among-pregnant-women-in-madagascar
#4
Grace N Awantang, Stella O Babalola, Hannah Koenker, Kathleen A Fox, Michael Toso, Nan Lewicky
BACKGROUND: The Malagasy Ministry of Health aimed to achieve 80% coverage of intermittent preventive treatment of malaria among pregnant women (IPTp) in targeted districts by 2015. However, IPTp coverage rates of have remained fairly static over the past few years. METHODS: During a cross-sectional household survey, mothers of children under the age of 2 years were asked about their most recent pregnancy. The primary outcome of interest was a mother receiving two or more doses of sulfadoxine-pyrimethamine (SP) (IPTp2) during their last pregnancy, at least one of which was obtained from a health provider...
April 25, 2018: Malaria Journal
https://www.readbyqxmd.com/read/29625956/video-outpatient-consultations-a-case-study-of-real-world-implementation-at-macro-meso-and-micro-level
#5
Trish Greenhalgh, Sara Shaw, Joseph Wherton, Shanti Vijayaraghavan, Joanne Morris, Satya Bhattacharya, Philippa Hanson, Desirée Campbell-Richards, Seendy Ramoutar, Anna Collard, Isabel Hodkinson
BACKGROUND: There is much interest in virtual consultations using video technology. Randomized controlled trials have shown video consultations to be acceptable, safe, and effective in selected conditions and circumstances. But this model has rarely been mainstreamed and sustained in real-world settings. OBJECTIVE: The study sought to (1) define good practice and inform implementation of video outpatient consultations and (2) generate transferable knowledge about challenges to scaling up and routinizing this service model...
February 19, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29623297/provision-of-mental-health-care-within-primary-care-in-peru-a-qualitative-study-exploring-the-perspectives-of-psychologists-primary-health-care-providers-and-patients
#6
Victoria Cavero, Francisco Diez-Canseco, Mauricio Toyama, Gustavo Flórez Salcedo, Alessandra Ipince, Ricardo Araya, J Jaime Miranda
Background: This study aimed to understand the offer of mental health care at the primary care level, collecting the views of psychologists, primary health care providers (PHCPs), and patients, with a focus on health services in which patients attend regularly and who present a higher prevalence of mental disorders. Methods: A qualitative study was conducted in antenatal care, tuberculosis, HIV/AIDS, and chronic diseases services from six primary health care centers. Semi-structured interviews were conducted with psychologists, PHCPs, and patients working in or attending the selected facilities...
2018: Wellcome Open Research
https://www.readbyqxmd.com/read/29605891/antenatal-non-medical-risk-assessment-and-care-pathways-to-improve-pregnancy-outcomes-a-cluster-randomised-controlled-trial
#7
Jacqueline Lagendijk, Amber A Vos, Loes C M Bertens, Semiha Denktas, Gouke J Bonsel, Ewout W Steyerberg, Jasper V Been, Eric A P Steegers
Social deprivation negatively affects health outcomes but receives little attention in obstetric risk selection. We investigated whether a combination of (1) risk assessment focused on non-medical risk factors, lifestyle factors, and medical risk factors, with (2) subsequent institution of risk-specific care pathways, and (3) multidisciplinary consultation between care providers from the curative and the public health sector reduced adverse pregnancy outcomes among women in selected urban areas in the Netherlands...
March 31, 2018: European Journal of Epidemiology
https://www.readbyqxmd.com/read/29588272/integration-of-a-technology-based-mental-health-screening-program-into-routine-practices-of-primary-health-care-services-in-peru-the-allillanchu-project-development-and-implementation
#8
Francisco Diez-Canseco, Mauricio Toyama, Alessandra Ipince, Silvana Perez-Leon, Victoria Cavero, Ricardo Araya, J Jaime Miranda
BACKGROUND: Despite their high prevalence and significant burden, mental disorders such as depression remain largely underdiagnosed and undertreated. OBJECTIVE: The aim of the Allillanchu Project was to design, develop, and test an intervention to promote early detection, opportune referral, and access to treatment of patients with mental disorders attending public primary health care (PHC) services in Lima, Peru. METHODS: The project had a multiphase design: formative study, development of intervention components, and implementation...
March 15, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29554885/antenatal-care-satisfaction-in-a-developing-country-a-cross-sectional-study-from-nigeria
#9
Dumbiri J Onyeajam, Sudha Xirasagar, Mahmud M Khan, James W Hardin, Oluwole Odutolu
BACKGROUND: Utilization of Antenatal Care (ANC) is very low in Nigeria. Self-reported patient satisfaction may be useful to identify provider- and facility-specific factors that can be improved to increase ANC satisfaction and utilization. METHODS: Exit interview data collected from ANC users and facility assessment survey data from 534 systematically selected facilities in four northern Nigerian states were used. Associations between patient satisfaction (satisfied, not-satisfied) and patient ratings of the provider's interactions, care processes, out-of-pocket costs, and quality of facility infrastructure were studied...
March 20, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29551095/concurrent-medical-conditions-among-pregnant-women-ignore-at-their-peril-report-from-an-antenatal-anesthesia-clinic
#10
Carolyn F Weiniger, Sharon Einav, Uriel Elchalal, Vladislav Ozerski, Daniel Shatalin, Alexander Ioscovich, Yehuda Ginosar
BACKGROUND: Care of pregnant women with concurrent medical conditions can be optimized by multidisciplinary antenatal management. In the current study we describe women with concurrent medical conditions who attended our antenatal anesthesia clinic over a 14-year period, 2002-2015 and, based on the findings, we suggest new policies, strategies and practices to improve antenatal care. METHODS: In 2002, an antenatal anesthesia clinic was established in Hadassah Medical Center...
March 19, 2018: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29538549/factors-associated-with-adherence-to-the-exclusive-breastfeeding
#11
Hellen Lívia Oliveira Catunda Ferreira, Mirna Fontenele de Oliveira, Elizian Braga Rodrigues Bernardo, Paulo César de Almeida, Priscila de Souza Aquino, Ana Karina Bezerra Pinheiro
This correlational study aimed to verify the association between maternal variables and exclusive breastfeeding in a specialized outpatient clinic in the state of Ceará, Brazil. The practice of exclusive breastfeeding was observed, showing a decrease during the first six months of a child's life. Most women were young, with partners, with a good level of schooling, multigravidas and had six or fewer antenatal consultations in health centers. There was a significant association between multiparity and exclusive breastfeeding variables, showing up as a protective variable for this practice...
March 2018: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29530042/the-impact-of-a-human-papillomavirus-hpv-vaccination-campaign-on-routine-primary-health-service-provision-and-health-workers-in-tanzania-a-controlled-before-and-after-study
#12
Katherine E Gallagher, Tusajigwe Erio, Kathy Baisley, Shelley Lees, Deborah Watson-Jones
BACKGROUND: The burden of cervical cancer and shortage of screening services in Tanzania confers an urgent need for human papillomavirus (HPV) vaccination. However, the sustainability and impact of another new vaccine campaign in an under-resourced health system requires consideration. We aimed to determine the impact of the government's school-based HPV vaccine campaign in Kilimanjaro region on the provision of routine primary health services and staff workload. METHODS: Data on daily numbers of consultations were collected from health facility register books in 63 dispensaries and health centres in North-West Tanzania for 20 weeks in 2014...
March 12, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29520727/constructing-a-culturally-informed-spanish-decision-aid-to-counsel-latino-parents-facing-imminent-extreme-premature-delivery
#13
Matthew J Drago, Ursula Guillén, Maria Schiaratura, Jennifer Batza, Annette Zygmunt, Anja Mowes, David Munson, John M Lorenz, Christiana Farkouh-Karoleski, Haresh Kirpalani
Objective How Latino parents perceive and understand antenatal counseling for extreme prematurity, < 26 weeks of gestational age (GA), is not clear. We aim to characterize Latino parental perceptions of antenatal counseling in order to construct and validate a Spanish decision-aid (SDA) to improve parental knowledge of prematurity after antenatal consults. Methods This is a three-phased, prospective, multicenter study. First, interviews of 22 Latino parents with a history of birth < 26 weeks GA were conducted...
March 8, 2018: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/29511017/-just-an-extra-pair-of-hands-a-qualitative-study-of-obstetric-service-users-and-professionals-views-towards-24-7-consultant-presence-on-a-single-uk-tertiary-maternity-unit
#14
Holly E Reid, Anja Wittkowski, Sarah Vause, Alexander E P Heazell
OBJECTIVES: To explore the views of maternity service users and professionals towards obstetric consultant presence 24 hours a day, 7 days a week. DESIGN: Semistructured interviews conducted face to face with maternity service users and professionals in March and April 2016. All responses were analysed together (ie, both service users' and professionals' responses) using an inductive thematic analysis. SETTING: A large tertiary maternity unit in the North West of England that has implemented 24/7 obstetric consultant presence...
March 6, 2018: BMJ Open
https://www.readbyqxmd.com/read/29433668/effect-of-a-mass-radio-campaign-on-family-behaviours-and-child-survival-in-burkina-faso-a-repeated-cross-sectional-cluster-randomised-trial
#15
Sophie Sarrassat, Nicolas Meda, Hermann Badolo, Moctar Ouedraogo, Henri Some, Robert Bambara, Joanna Murray, Pieter Remes, Matthiew Lavoie, Simon Cousens, Roy Head
BACKGROUND: Media campaigns can potentially reach a large audience at relatively low cost but, to our knowledge, no randomised controlled trials have assessed their effect on a health outcome in a low-income country. We aimed to assess the effect of a radio campaign addressing family behaviours on all-cause post-neonatal under-5 child mortality in rural Burkina Faso. METHODS: In this repeated cross-sectional, cluster randomised trial, clusters (distinct geographical areas in rural Burkina Faso with at least 40 000 inhabitants) were selected by Development Media International based on their high radio listenership (>60% of women listening to the radio in the past week) and minimum distances between radio stations to exclude population-level contamination...
March 2018: Lancet Global Health
https://www.readbyqxmd.com/read/29426317/barriers-and-enablers-to-skin-to-skin-contact-at-birth-in-healthy-neonates-a-qualitative-study
#16
Amala James Alenchery, Joanne Thoppil, Carl Denis Britto, Jimena Villar de Onis, Lavina Fernandez, P N Suman Rao
BACKGROUND: Skin to skin contact (SSC) at birth is the standard of care for newborns without risk factors. However, implementation of SSC at birth has been far from optimal. A qualitative study was undertaken to determine the barriers, enablers and potential solutions to implementation of SSC at birth in healthy newborn infants in a level III neonatal-care facility in Bangalore, India. METHODS: Consultants and residents/postgraduates (PG) from the departments of Obstetrics (n = 19) and Pediatrics (n = 14) and nurses (n = 8) in the labor room (LR) participated in the study...
February 9, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/29420598/antenatal-care-service-quality-increases-the-odds-of-utilizing-institutional-delivery-in-bahir-dar-city-administration-north-western-ethiopia-a-prospective-follow-up-study
#17
Tadese Ejigu Tafere, Mesganaw Fanthahun Afework, Alemayehu Worku Yalew
BACKGROUND: In Ethiopia, more than 62% of pregnant women attend antenatal care at least once, yet only about one in four women give birth at health facility. This gap has fueled the need to investigate on the quality of ANC services at public health facilities and its link with the use of institutional delivery. OBJECTIVE: To assess the linkage between ANC quality and the use of institutional delivery among pregnant women attending ANC at public health facilities of BDR City Administration...
2018: PloS One
https://www.readbyqxmd.com/read/29398459/the-importance-of-involving-midwives-before-and-during-the-implementation-of-an-antenatal-pertussis-vaccination-program-in-new-south-wales-australia
#18
Sonya Nicholl, Holly Seale, Nathan Saul, Sue Campbell-Lloyd
PROBLEM: Typically there is limited opportunity for stakeholder engagement to determine service delivery gaps when implementing an outbreak or supplementary vaccination program. BACKGROUND: In response to increasing pertussis notifications in NSW, Australia, an antenatal pertussis vaccination program was introduced offering pertussis containing vaccine to all pregnant women in the third trimester. AIM: To explore the effectiveness of consulting with midwives prior to and during a new state-wide vaccination program...
February 1, 2018: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/29377741/the-effect-of-a-local-promotional-campaign-on-preconceptional-lifestyle-changes-and-the-use-of-preconception-care
#19
Marjolein Poels, Henk F van Stel, Arie Franx, Maria P H Koster
PURPOSE: The objective of this study was to investigate the effect of a local promotional campaign on preconceptional lifestyle changes and the use of preconception care (PCC). MATERIAL AND METHODS: This quasi-comparative study was carried out between February 2015 and February 2016 at a community midwifery practice in the Netherlands. The intervention consisted of a dual track approach (i) a promotional campaign for couples who wish to conceive and (ii) a PCC pathway for health care providers...
February 2018: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/29341048/intrapartum-care-working-patterns-of-midwives-the-long-road-to-models-of-care-in-germany
#20
Mechthild M Gross, Claire Michelsen, Bernhard Vaske, Sonja Helbig
INTRODUCTION: Midwifery models of care help to enhance perinatal health outcomes, women's satisfaction, and continuity of care. Despite the ubiquitous presence of certified midwives at births in Germany, no research has investigated the diversity of midwives' practice patterns. Describing the variety of working patterns through which midwives provide intrapartum care may contribute to improving the organisation of midwifery services. METHODS: This cross-sectional survey took place in the region of Hannover and Hildesheim, Germany...
January 16, 2018: Zeitschrift Für Geburtshilfe und Neonatologie
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