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https://www.readbyqxmd.com/read/29782384/breastfeeding-uncovering-barriers-and-offering-solutions
#1
Stephanie Sayres, Lisa Visentin
PURPOSE OF REVIEW: The Centers for Disease Control and Prevention and the American Academy of Pediatrics recommend exclusive breastfeeding for 6 months after an infant is born. Although the recommendations are well known, mothers face barriers that make breastfeeding difficult. This article reviews the recent literature on barriers to breastfeeding as well as strategies for pediatricians to use to help women overcome them. RECENT FINDINGS: The mode of delivery, mother's socioeconomic status, return to work, and prenatal breastfeeding education have been reported as factors that influence breastfeeding...
May 17, 2018: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/29779396/cultural-models-of-child-disability-perspectives-of-parents-in-malaysia
#2
Jennifer Marshall, Elizabeth Doone, Mindy Price
BACKGROUND: This study examined parents' developmental concerns for their children within the context of systems of care in Malaysia. METHODS: Focus groups and interviews were conducted in peninsular Malaysia and Borneo. RESULTS: Parents' perceptions of developmental delay stemmed from three sources: the cultural, resource, and the social environments. CONCLUSION: There is a need to develop a medical support system in Malaysia that considers a life-course perspective, including prenatal care, screening/diagnosis, and services...
May 20, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29764305/pregnancy-experiences-of-women-in-rural-romania-understanding-ethnic-and-socioeconomic-disparities
#3
Katherine LeMasters, Anne Baber Wallis, Razvan Chereches, Margaret Gichane, Ciprian Tehei, Andreea Varga, Katherine Tumlinson
Women in rural Romania face significant health disadvantages. This qualitative pilot study describes the structural disadvantage experienced during pregnancy by women in rural Romania, focusing on the lived experiences of Roma women. We explore how women in rural communities experience pregnancy, their interactions with the healthcare system, and the role that ethnic and social factors play in pregnancy and childbearing. We conducted 42 semi-structured interviews with health and other professionals, seven narrative interviews with Roma and non-Roma women and a focus group with Roma women...
May 15, 2018: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/29762798/a-prenatal-standardized-patient-experience-for-medical-students-on-their-family-medicine-clerkship
#4
Sarah E Stumbar, Suzanne Minor, Marquita Samuels
BACKGROUND AND OBJECTIVES: Students on their family medicine clerkship at Herbert Wertheim College of Medicine get little clinical exposure to obstetric care, which is not commonly provided by family physicians in urban settings. To address this, we added to our clerkship didactic curriculum a 2-hour session involving a standardized patient (SP). The SP is collectively interviewed by the student group during four simulated prenatal visits, each of which present a different complication of pregnancy...
May 2018: Family Medicine
https://www.readbyqxmd.com/read/29761681/milestones-in-the-development-of-fetal-cardiac-interventions
#5
REVIEW
Edward G Abinader
Cardiac patients of all ages were managed in the past by internists who specialized in cardiology. During the past 50 years, the medical field has witnessed great strides in the management of congenital heart disease, and thus pediatric cardiology has become a subspecialty in many countries. This review article focuses on the advances in fetal cardiac interventions (FCI) since its inception by our group in 1975. Three major modes of FCI have evolved during the past 42 years: pharmacologic, closed FCI, and open FCI...
May 2018: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/29758122/association-of-gestational-weight-gain-with-prenatal-care-model
#6
Michelle A Kominiarek, Elizabeth Lucio Gray, Heidi Vyhmeister, William Grobman, Melissa Simon
INTRODUCTION: The objective of this study was to compare gestational weight gain (GWG) among women in group and traditional prenatal care. METHODS: This is a retrospective cohort study of women who received prenatal care between 2011 and 2015 in a setting in which low-risk women had the option of group prenatal care. Women with height and initial and final weight were eligible. Women who chose group prenatal care were compared with women who chose traditional prenatal care and gave birth during the same study period...
May 14, 2018: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/29757075/unpacking-racial-ethnic-disparities-in-prenatal-care-use-the-role-of-individual-household-and-area-level-characteristics
#7
Tiffany L Green
OBJECTIVE: To identify the contributions of individual-, household-, and area-level characteristics to disparities in the use of prenatal care (PNC). METHODS: This study used individual-level data from the 2001 Early Childhood Longitudinal Study-Birth Cohort linked to county-level U.S. Census data (N ≈ 5,200). I used nonlinear regression decomposition to quantify the contributions of several groups of factors-maternal health and pregnancy characteristics, preconception health behaviors, insurance coverage, PNC location, socioeconomic status (SES), and the social/economic and healthcare environments-to PNC disparities...
May 14, 2018: Journal of Women's Health
https://www.readbyqxmd.com/read/29731786/an-update-work-of-pulse-oximetry-screening-for-detecting-critical-congenital-heart-disease-in-the-newborn
#8
A Taksande, R Meshram, A Lohakare, S Purandare, U Biyani, J Vagha
Background: Congenital Heart Disease (CHD) is the commonest group of congenital malformations and affects 7-8 per 1000 live born newborns. Nevertheless, it is estimated that more than 50% of babies with undiagnosed CHD are not detected by routine neonatal cardiac examination. Aim: To find the incidence of CHD in newborns and to determine the accuracy of pulse oximetry for detecting clinically unrecognized critical congenital heart disease (CCHD) in the newborns...
July 2017: Images in Paediatric Cardiology
https://www.readbyqxmd.com/read/29724169/development-of-a-melting-curve-based-multiplex-real-time-pcr-assay-for-simultaneous-detection-of-streptococcus-agalactiae-and-genes-encoding-resistance-to-macrolides-and-lincosamides
#9
Eliane Saori Otaguiri, Ana Elisa Belotto Morguette, Alexandre Tadachi Morey, Eliandro Reis Tavares, Gilselena Kerbauy, Rosângela S L de Almeida Torres, Mauricio Chaves Júnior, Maria Cristina Bronharo Tognim, Viviane Monteiro Góes, Marco Aurélio Krieger, Marcia Regina Eches Perugini, Lucy Megumi Yamauchi, Sueli Fumie Yamada-Ogatta
BACKGROUND: Streptococcus agalactiae or Group B Streptococcus (GBS) remains the leading cause of infections in newborns worldwilde. Prenatal GBS screening of pregnant women for vaginal-rectal colonization is recommended in many countries to manage appropriate intrapartum antimicrobial prophylaxis for those identified as carriers. In this study, a novel melting-curve based multiplex real-time PCR assay for the simultaneous detection of GBS and macrolide and lincosamide resistance markers was developed...
May 3, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29724165/how-does-a-lifestyle-intervention-during-pregnancy-influence-perceived-barriers-to-leisure-time-physical-activity-the-norwegian-fit-for-delivery-study-a-randomized-controlled-trial
#10
Lene A H Haakstad, Ingvild Vistad, Linda Reme Sagedal, Hilde Lohne-Seiler, Monica K Torstveit
BACKGROUND: To develop effective health promotional and preventive prenatal programs, it is important to understand perceived barriers to leisure-time physical activity during pregnancy, including exercise and sport participation. The aims of the present study was 1) to assess the effect of prenatal lifestyle intervention on the perceived barrier to leisure-time physical activity during pregnancy and the first year after delivery and 2) identify the most important perceived barriers to leisure-time physical activity at multiple time points during and after pregnancy...
May 3, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29712489/sensitivity-of-prenatal-ultrasound-for-detection-of-trisomy-18
#11
David A Becker, Ying Tang, Adam P Jacobs, Joseph R Biggio, Rodney K Edwards, Akila Subramaniam
OBJECTIVES: To evaluate the sensitivity of prenatal ultrasound (US) for trisomy (T18) diagnosis and describe US findings in a large tertiary care institution in the USA. MATERIALS AND METHODS: This was a retrospective cohort of all T18 cases diagnosed at our institution from October 2004-October 2014 based on prenatal or postnatal genetic diagnostic testing. We included all women with a fetus affected by T18 who had a comprehensive US by a maternal-fetal medicine specialist performed at our institution...
April 30, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29704852/prevalence-of-alcohol-use-in-pregnant-women-with-substance-use-disorder
#12
Ludmila N Bakhireva, Shikhar Shrestha, Laura Garrison, Lawrence Leeman, William F Rayburn, Julia M Stephen
BACKGROUND: Prenatal care programs for women with opioid use disorder (OUD) often focus treatment/counseling plans around illicit substances, while concurrent use of alcohol might present an equal or greater risk to the fetus. METHODS: This study evaluated self-reported prevalence of alcohol use in patients participating in a comprehensive prenatal care program for women with substance use disorder (SUD; n = 295), of which 95% are treated for OUD, and pregnant women being served through general obstetrical clinics at the University of New Mexico (n = 365)...
June 1, 2018: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/29703800/comparing-standard-office-based-follow-up-with-text-based-remote-monitoring-in-the-management-of-postpartum-hypertension-a-randomised-clinical-trial
#13
Adi Hirshberg, Katheryne Downes, Sindhu Srinivas
BACKGROUND: Monitoring blood pressure at 72 hours and 7-10 days post partum in women with hypertensive disorders is recommended to decrease morbidity. However, there are no recommendations as to how to achieve this. OBJECTIVE: To compare the effectiveness of text-based blood pressure monitoring to in-person visits for women with hypertensive disorders of pregnancy in the immediate postpartum period. METHODS: Randomised clinical trial among 206 postpartum women with pregnancy-related hypertension diagnosed during the delivery admission between August 2016 and January 2017...
April 27, 2018: BMJ Quality & Safety
https://www.readbyqxmd.com/read/29702506/underserved-pregnant-and-postpartum-women-s-access-and-use-of-their-health-records
#14
Yuqing Guo, Janet Hildebrand, Julie Rousseau, Brandon Brown, Pamela Pimentel, Ellen Olshansky
PURPOSE: The purpose of this study was to examine knowledge of and experiences with use of their electronic health record (EHR) among mostly Hispanic women during pregnancy and postpartum. METHODS: Women who were in the MOMS Orange County prenatal or postpartum home visitation program completed surveys and participated in focus groups. Descriptive and content analyses were used. RESULTS: Twenty-six women participated. Nearly all women (24, 92...
May 2018: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/29689737/improving-outcome-in-congenital-diaphragmatic-hernia-experience-of-a-tertiary-center-without-ecmo
#15
J Pimenta, P Vaz Silva, C Pinto, A Dinis, L Carvalho, O de Castro, F Neves
BACKGROUND: Congenital diaphragmatic hernia (CDH) has a high mortality rate, representing a therapeutic challenge. Prenatal diagnosis (PND) is essential in defining optimal perinatal strategy, particularly delivery planning. Hospital Pediátrico de Coimbra is the referral centre for all neonatal surgery, particularly CDH, for the central region of Portugal. The aim was to evaluate clinical management and outcome of newborns with CDH. METHODS: An exploratory retrospective study made up of newborns admitted to PICU with CDH was undertaken between January 1995 and December 2014...
2018: Journal of Neonatal-perinatal Medicine
https://www.readbyqxmd.com/read/29680079/pregnancy-associated-pelvic-floor-health-knowledge-and-reduction-of-symptoms-the-prepared-randomized-controlled-trial
#16
Momoe T Hyakutake, Vanessa Han, Lauren Baerg, Nicole A Koenig, Geoffrey W Cundiff, Terry Lee, Roxana Geoffrion
OBJECTIVES: Pregnancy and childbirth can lead to pelvic floor disorders, yet this topic is not routine in antenatal education. We aimed to determine the impact of a pregnancy workshop on women's postpartum pelvic floor health knowledge, performance of pelvic floor muscle exercises (PFME), symptoms, condition-specific quality of life, mode of delivery, and satisfaction. METHODS: This was a RCT. Pregnant primiparous women in a tertiary care centre received a pelvic floor health workshop intervention versus routine prenatal care...
April 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29672762/socio-demographic-determinants-of-women-s-satisfaction-with-prenatal-and-delivery-care-services-in-italy
#17
Valentina Tocchioni, Chiara Seghieri, Gustavo De Santis, Sabina Nuti
Objective: The aim of this study was to examine the extent to which socio-demographic variables affect women's satisfaction regarding antenatal and perinatal care. Design: To take into account the role of the context in shaping women's satisfaction, we used multilevel models, with women at the lower level, and the health districts of residence, or the hospitals in which the delivery took place, at the higher level. Setting: Tuscany (Italy)...
April 17, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29667711/the-impact-of-the-legalisation-of-abortion-on-birth-outcomes-in-uruguay
#18
José-Ignacio Antón, Zuleika Ferre, Patricia Triunfo
This study investigates the short-term impact on the quantity and quality of births of an abortion reform in Uruguay that legalised termination of pregnancy until the 12th week of pregnancy in the short run. We employ a differences-in-differences approach, comprehensive administrative records of births, and a novel identification strategy based on the planned or unplanned nature of pregnancies that came to term. Our results suggest that this policy change has led to an 8% decline in the number of births from unplanned pregnancies, driven by the group of mothers aged between 20 and 34 years old who have secondary education...
April 18, 2018: Health Economics
https://www.readbyqxmd.com/read/29660186/influence-of-prenatal-diagnosis-of-abnormally-invasive-placenta-on-maternal-outcome-a-systematic-review-and-meta-analysis
#19
REVIEW
Danilo Buca, Marco Liberati, Giuseppe Calì, Francesco Forlani, Claudia Caisutti, Maria Elena Flacco, Lamberto Manzoli, Alessandra Familiari, Giovanni Scambia, Francesco D'Antonio
OBJECTIVES: The aim of this systematic review was to ascertain the impact of prenatal diagnosis on surgical outcome of women affected by AIP. METHODS: Medline, Embase, CINAHL and Cochrane databases were searched. The outcomes observed were: gestational age at birth (weeks), amount of blood loss (l), units of red blood cells (RBC), platelets (PLT) and fresh frozen plasma (FFP) transfused, length of stay in hospital and in intensive care unit (days), urinary tract injuries and infection...
April 16, 2018: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29655847/maternal-air-pollution-exposure-and-preterm-birth-in-wuxi-china-effect-modification-by-maternal-age
#20
Yingying Han, Panhua Jiang, Tianyu Dong, Xinliang Ding, Ting Chen, Gro Dehli Villanger, Heidi Aase, Lu Huang, Yankai Xia
BACKGROUND: Numerous studies have investigated prenatal air pollution and shown that air pollutants have adverse effect on birth outcomes. However, which trimester was the most sensitive and whether the effect was related to maternal age is still ambiguous. OBJECTIVES: This study aims to explore the association between maternal air pollution exposure during pregnancy and preterm birth, and if this relationship is modified by maternal age. METHODS: In this retrospective cohort study, we examine the causal relationship of prenatal exposure to air pollutants including particulate matters, which are less than 10 µm (PM10 ), and ozone (O3 ), which is one of the gaseous pollutants, on preterm birth by gestational age...
April 12, 2018: Ecotoxicology and Environmental Safety
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