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Preconception health

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https://www.readbyqxmd.com/read/28078529/rethinking-preconception-care-a-critical-women-s-health-perspective
#1
Erika L Thompson, Coralia Vázquez-Otero, Cheryl A Vamos, Stephanie L Marhefka, Nolan S Kline, Ellen M Daley
Objectives Preconception care aims to provide care to reproductive aged individuals in order to improve pregnancy and birth outcomes. Given that preconception care is a public health priority, it is important to evaluate the evolution of this health paradigm and the promotion of preconception messages that are obtained by the public. We identified online preconception health messages, which were critically assessed through a women's health perspective. Methods We searched for "preconception care" on three major search engines...
January 11, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28070262/experiences-of-women-regarding-gaps-in-preconception-care-services-in-the-iranian-reproductive-health-care-system-a-qualitative-study
#2
Roghieh Bayrami, Robab Latifnejad Roudsari, Hamid Allahverdipour, Mojgan Javadnoori, Habibollah Esmaily
INTRODUCTION: Despite the beginnings of preconception care (PCC) delivery around a decade ago in Iran, there are still significant gaps in its service delivery. The purpose of this study was to explore the perceptions and experiences of women as well as midwives toward gaps in PCC delivery in the Iranian reproductive health care system. METHODS: In this exploratory qualitative study, 27 married women and 13 midwives were recruited using purposive sampling from five health centers in Mashhad, Northeast of Iran...
November 2016: Electronic Physician
https://www.readbyqxmd.com/read/28056865/why-women-do-not-ask-for-information-on-preconception-health-a-qualitative-study
#3
Renata Bortolus, Nadia C Oprandi, Francesca Rech Morassutti, Luca Marchetto, Francesca Filippini, Eleonora Agricola, Alberto E Tozzi, Carlo Castellani, Faustina Lalatta, Bruno Rusticali, Pierpaolo Mastroiacovo
BACKGROUND: Preconception care involves health promotion to reduce risk factors that might affect women and couples of childbearing age. The risk factors of adverse reproductive outcomes include recognized genetic diseases in the family or the individual, previous congenital diseases, miscarriage, prematurity, fetal growth restriction, infertility, chronic maternal diseases, lifestyle, and occupational or environmental factors. Effective preconception care involves a range of preventive, therapeutic and behavioural interventions...
January 5, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28056690/2016-guidelines-of-the-american-thyroid-association-for-the-diagnosis-and-management-of-thyroid-disease-during-pregnancy-and-the-postpartum
#4
Erik K Alexander, Elizabeth N Pearce, Gregory A Brent, Rosalind S Brown, Herbert Chen, Chrysoula Dosiou, William Grobman, Peter Laurberg, John H Lazarus, Susan J Mandel, Robin Peeters, Scott Sullivan
BACKGROUND: Thyroid disease in pregnancy is a common clinical problem. Since the American Thyroid Association's (ATA's) guidelines for the management of these disorders were first published in 2011, significant clinical and scientific advances have occurred in the field. The aim of these guidelines is to inform clinicians, patients, researchers, and health policy makers on published evidence relating to the diagnosis and management of thyroid disease in women during pregnancy, preconception and the postpartum period...
January 6, 2017: Thyroid: Official Journal of the American Thyroid Association
https://www.readbyqxmd.com/read/28048569/tu-h-204-03-ncrp-pac-4-radiation-protection-in-medicine
#5
D Miller
: Since 1928, the International Commission on Radiological Protection (ICRP) has developed, maintained, and elaborated the International System of Radiological Protection used world-wide as the common basis for radiological protection standards, legislation, guidelines, programs, and practice. ICRP provides and periodically revises radiation and tissue weighing factors, provides and updates recommended dose limits for occupational and public exposures, recommends dose levels for termination of pregnancy, and estimates threshold doses for tissue reactions (deterministic effects)...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048448/su-f-e-10-student-driven-exploration-of-radiographic-material-properties-phantom-construction-and-clinical-workflows-or-the-extraordinary-life-of-candy-man
#6
R N Mahon, M J Riblett, G D Hugo
PURPOSE: To develop a hands-on learning experience that explores the radiological and structural properties of everyday items and applies this knowledge to design a simple phantom for radiotherapy exercises. METHODS: Students were asked to compile a list of readily available materials thought to have radiation attenuation properties similar to tissues within the human torso. Participants scanned samples of suggested materials and regions of interest (ROIs) were used to characterize bulk attenuation properties...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047838/tu-h-204-00-work-of-icrp-ncrp-and-others-and-how-they-impact-on-medical-physicists
#7
Madan Rehani
: Since 1928, the International Commission on Radiological Protection (ICRP) has developed, maintained, and elaborated the International System of Radiological Protection used world-wide as the common basis for radiological protection standards, legislation, guidelines, programs, and practice. ICRP provides and periodically revises radiation and tissue weighing factors, provides and updates recommended dose limits for occupational and public exposures, recommends dose levels for termination of pregnancy, and estimates threshold doses for tissue reactions (deterministic effects)...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047179/tu-h-204-01-work-of-icrp-in-relation-to-activities-of-medical-physicists
#8
M Rehani
: Since 1928, the International Commission on Radiological Protection (ICRP) has developed, maintained, and elaborated the International System of Radiological Protection used world-wide as the common basis for radiological protection standards, legislation, guidelines, programs, and practice. ICRP provides and periodically revises radiation and tissue weighing factors, provides and updates recommended dose limits for occupational and public exposures, recommends dose levels for termination of pregnancy, and estimates threshold doses for tissue reactions (deterministic effects)...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046511/tu-h-204-02-work-of-nrc-states-and-of-re-evaluating-dose-limits-by-ncrp
#9
L Dauer
: Since 1928, the International Commission on Radiological Protection (ICRP) has developed, maintained, and elaborated the International System of Radiological Protection used world-wide as the common basis for radiological protection standards, legislation, guidelines, programs, and practice. ICRP provides and periodically revises radiation and tissue weighing factors, provides and updates recommended dose limits for occupational and public exposures, recommends dose levels for termination of pregnancy, and estimates threshold doses for tissue reactions (deterministic effects)...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28039828/exposure-to-multiple-chemicals-in-a-cohort-of-reproductive-aged-danish-women
#10
Anna Rosofsky, Patricia Janulewicz, Kristina A Thayer, Michael McClean, Lauren A Wise, Antonia M Calafat, Ellen M Mikkelsen, Kyla W Taylor, Elizabeth E Hatch
BACKGROUND: Current exposure assessment research does not sufficiently address multi-pollutant exposure and their correlations in human media. Understanding the extent of chemical exposure in reproductive-aged women is of particular concern due to the potential for in utero exposure and fetal susceptibility. OBJECTIVES: The objectives of this study were to characterize concentrations of chemical biomarkers during preconception and examine correlations between and within chemical classes...
December 28, 2016: Environmental Research
https://www.readbyqxmd.com/read/28031048/china-s-community-based-strategy-of-universal-preconception-care-in-rural-areas-at-a-population-level-using-a-novel-risk-classification-system-for-stratifying-couples%C3%A2-preconception-health-status
#11
Qiongjie Zhou, Shikun Zhang, Qiaomei Wang, Haiping Shen, Weidong Tian, Jingqi Chen, Ganesh Acharya, Xiaotian Li
BACKGROUND: Preconception care (PCC) is recommended for optimizing a woman's health prior to pregnancy to minimize the risk of adverse pregnancy and birth outcomes. We aimed to evaluate the impact of strategy and a novel risk classification model of China´s "National Preconception Health Care Project" (NPHCP) in identifying risk factors and stratifying couples' preconception health status. METHODS: We performed a secondary analysis of data collected by NPHCP during April 2010 to December 2012 in 220 selected counties in China...
December 28, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27968954/childhood-leukemia-and-primary-prevention
#12
Todd P Whitehead, Catherine Metayer, Joseph L Wiemels, Amanda W Singer, Mark D Miller
Leukemia is the most common pediatric cancer, affecting 3800 children per year in the United States. Its annual incidence has increased over the last decades, especially among Latinos. Although most children diagnosed with leukemia are now cured, many suffer long-term complications, and primary prevention efforts are urgently needed. The early onset of leukemia-usually before 5 years of age-and the presence at birth of "pre-leukemic" genetic signatures indicate that pre- and postnatal events are critical to the development of the disease...
October 2016: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/27968911/folic-acid-supplementation-birth-defects-and-adverse-pregnancy-outcomes-in-chinese-women-a-population-based-mega-cohort-study
#13
Yuan He, An Pan, Frank B Hu, Xu Ma
BACKGROUND: Periconceptional folic acid use has been widely recommended to reduce risk of neural tube defects. However, the effect on other birth defects and adverse pregnancy outcomes, as well as the time window of folic acid use, needs further investigation. Our study aimed to comprehensively assess the effect of periconceptional folic acid use on pregnancy outcomes in a mega-cohort of women of reproductive age. METHODS: The China National Free Preconception Health Examination Project (NFPHEP) was established in 2010 to assess couples who planned to get pregnant within 4-6 months for pre-pregnancy risk factors for birth defects, and was a national project for all couples in 31 provinces...
October 2016: Lancet
https://www.readbyqxmd.com/read/27940977/childhood-leukemia-a-preventable-disease
#14
Catherine Metayer, Gary Dahl, Joe Wiemels, Mark Miller
In contrast to most pediatric cancers, there is a growing body of literature, nationally and internationally, that has implicated the role of several environmental indoor and outdoor hazards in the etiology of childhood leukemia. For example, exposures to solvents, traffic, pesticides, and tobacco smoke have consistently demonstrated positive associations with the risk of developing childhood leukemia. Intake of vitamins and folate supplementation during the preconception period or pregnancy has been demonstrated to have a protective effect...
November 2016: Pediatrics
https://www.readbyqxmd.com/read/27940690/developmental-outcomes-of-preterm-infants-with-neonatal-hypoglycemia
#15
Rachel H Goode, Mallikarjuna Rettiganti, Jingyun Li, Robert E Lyle, Leanne Whiteside-Mansell, Kathleen W Barrett, Patrick H Casey
BACKGROUND AND OBJECTIVES: Neonatal hypoglycemia has been associated with abnormalities on brain imaging and a spectrum of developmental delays, although historical and recent studies show conflicting results. We compared the cognitive, academic, and behavioral outcomes of preterm infants with neonatal hypoglycemia with those of normoglycemic controls at 3 to 18 years of age. METHODS: A secondary analysis of data from the Infant Health and Development Program, a national, multisite, randomized controlled longitudinal intervention study of long-term health and developmental outcomes in preterm infants...
December 2016: Pediatrics
https://www.readbyqxmd.com/read/27940182/design-of-a-randomized-controlled-trial-for-genomic-carrier-screening-in-healthy-patients-seeking-preconception-genetic-testing
#16
Tia L Kauffman, Benjamin S Wilfond, Gail P Jarvik, Michael C Leo, Frances L Lynch, Jacob A Reiss, C Sue Richards, Carmit McMullen, Deborah Nickerson, Michael O Dorschner, Katrina A B Goddard
Population-based carrier screening is limited to well-studied or high-impact genetic conditions for which the benefits may outweigh the associated harms and costs. As the cost of genome sequencing declines and availability increases, the balance of risks and benefits may change for a much larger number of genetic conditions, including medically actionable additional findings. We designed an RCT to evaluate genomic clinical sequencing for women and partners considering a pregnancy. All results are placed into the medical record for use by healthcare providers...
December 7, 2016: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/27939264/preconception-health-behaviours-a-scoping-review
#17
REVIEW
Kirsti I Toivonen, Kirsten A Oinonen, Katelyn M Duchene
Preconception health refers to the health of males and females at any point in time prior to a potential pregnancy. A goal of preconception health research is to use preventive behaviour and healthcare to optimize the health of future offspring that result from both planned and unplanned pregnancies. This paper briefly reviews evidence of the importance of various preconception health behaviours, and examines the extent to which specific preconception health behaviours have been included in recent studies of such knowledge, behaviours, and intentions...
December 6, 2016: Preventive Medicine
https://www.readbyqxmd.com/read/27931733/patient-experiences-with-pregnancy-planning-and-perspectives-on-reproductive-care-in-community-health-centers-a%C3%A2-qualitative-study-of-african-american-women-in-chicago
#18
Rachel E Stones, Debra B Stulberg, Jennifer K Bello Kottenstette
INTRODUCTION: Given the potential benefits of preventive reproductive health care for both women and children, it is important that clinicians routinely offer preconception and contraceptive counseling in ways that are responsive to patients' wishes. The goal of this study is to gain knowledge about the components of preventive reproductive health care that patients at Federally Qualified Health Centers value, and to elicit patient perspectives on how best to deliver this care. METHODS: We conducted three focus groups with African American women (n = 21) at two Federally Qualified Health Centers in Chicago...
December 5, 2016: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/27927842/parental-contributions-to-early-embryo-development-influences-of-urinary-phthalate-and-phthalate-alternatives-among-couples-undergoing-ivf-treatment
#19
Haotian Wu, Lisa Ashcraft, Brian W Whitcomb, Tayyab Rahil, Ellen Tougias, Cynthia K Sites, J Richard Pilsner
STUDY QUESTION: Are preconception urinary concentrations of phthalates and phthalate alternatives associated with diminished early stage embryo quality in couples undergoing IVF? SUMMARY ANSWER: Male, but not female, urinary concentrations of select metabolites of phthalates and phthalate alternatives are associated with diminished blastocyst quality. WHAT IS KNOWN ALREADY: Although phthalates are endocrine disrupting compounds associated with adverse reproductive health, they are in widespread use across the world...
January 2017: Human Reproduction
https://www.readbyqxmd.com/read/27923193/preconception-personality-disorder-and-antenatal-maternal-mental-health-a-population-based-cohort-study
#20
Charlotte Hudson, Elizabeth Spry, Rohan Borschmann, Denise Becker, Paul Moran, Craig Olsson, Carolyn Coffey, Helena Romaniuk, Jordana K Bayer, George C Patton
BACKGROUND: Prior anxiety and depression have been identified as risk factors for maternal perinatal mental health problems, but other preconception mental disorders have not been prospectively examined. This study investigated prospectively whether women with preconception personality disorder have increased rates of antenatal anxiety and/or depressive symptoms. METHODS: 244 women in a population cohort were assessed for personality disorder at age 24 using the Standardised Assessment of Personality...
February 2017: Journal of Affective Disorders
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