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https://www.readbyqxmd.com/read/29656170/iranian-women-s-experiences-of-dealing-with-the-complexities-of-an-unplanned-pregnancy-a-qualitative-study
#1
Eesa Mohammadi, Roghaiyeh Nourizadeh, Masoumeh Simbar, Nicole Rohana
OBJECTIVE: The aim of this study was to explore women's experiences of dealing with the complexities of an unplanned pregnancy. DESIGN: Qualitative content analysis was used to analyse the reports of women experiencing unplanned pregnancy and provide meaning to the results. SETTING: Participants from Tabriz, Iran were recruited using purposive sampling method from June to September 2016. PARTICIPANTS: Data were gathered using face to face unstructured interviews among 23 women between the ages of 18-48 who recently reported having experienced an unplanned pregnancy...
April 3, 2018: Midwifery
https://www.readbyqxmd.com/read/29629654/reproductive-decision-making-among-postpartum-hiv-infected-women-in-rural-south-africa
#2
Deborah L Jones, Violeta J Rodriguez, Suat Babayigit, Antonio Chahine, Stephen M Weiss, Karl Peltzer
Despite pregnancy spacing recommendations to optimize health outcomes among mothers and neonates, unplanned pregnancy in sub-Saharan Africa is common among women living with human immunodeficiency virus (HIV) (WLHIV). This study examined factors associated with reproductive decision-making among WLHIV to inform pregnancy-planning interventions. WLHIV in rural South Africa (n = 165) were assessed at 12 months postpartum. The relative importance of factors associated with reproductive decision-making was estimated...
January 1, 2018: International Journal of STD & AIDS
https://www.readbyqxmd.com/read/29628057/highlights-from-the-u-s-selected-practice-recommendations-for-contraceptive-use
#3
Aimee Chism Holland, Ashton Tureau Strachan, Lisa Pair, Kelly Stallworth, Ashley Hodges
The U.S. Centers for Disease Control and Prevention recently updated the U.S. Selected Practice Recommendations for Contraceptive Use to foster a reduction in unplanned pregnancy rates and to provide clinicians an evidence-based guide for contraception management. Nurses play an important role in helping women and families with reproductive life planning. By bridging knowledge gaps and removing access barriers with regard to contraception, nurses can contribute to reducing rates of unintended pregnancy. Nurses and other clinicians are encouraged to use the U...
April 2018: Nursing for Women's Health
https://www.readbyqxmd.com/read/29615449/prevalence-and-determinants-of-unplanned-pregnancy-in-hiv-positive-and-hiv-negative-pregnant-women-in-cape-town-south-africa-a-cross-sectional-study
#4
Victoria Iyun, Kirsty Brittain, Tamsin K Phillips, Stanzi le Roux, James A McIntyre, Allison Zerbe, Greg Petro, Elaine J Abrams, Landon Myer
OBJECTIVES: Prevention of unplanned pregnancy is a crucial aspect of preventing mother-to-child HIV transmission. There are few data investigating how HIV status and use of antiretroviral therapy (ART) may influence pregnancy planning in high HIV burden settings. Our objective was to examine the prevalence and determinants of unplanned pregnancy among HIV-positive and HIV-negative women in Cape Town, South Africa. DESIGN: Cross-sectional analysis. SETTINGS: Single primary-level antenatal care clinic in Cape Town, South Africa...
April 3, 2018: BMJ Open
https://www.readbyqxmd.com/read/29594093/offline-and-online-sexual-risk-behavior-among-youth-in-the-netherlands-findings-from-sex-under-the-age-of-25
#5
Hanneke De Graaf, Mirthe Verbeek, Marieke Van den Borne, Suzanne Meijer
Sexually developing adolescents and emerging adults face sexual health risks as well as potentially negative outcomes of online sexual behaviors. The goal of this study was to describe three categories of sexual risk behavior: (1) behavior related to STI/HIV, (2) behavior related to unplanned pregnancy, and (3) online sexual risk behavior. In addition, we investigated whether these behaviors are actually related to negative (health) outcomes. For this purpose, we used data from a Dutch probability survey: "Sex under the age of 25...
2018: Frontiers in Public Health
https://www.readbyqxmd.com/read/29587578/maternal-sensitivity-in-mother-infant-interactions-in-rio-de-janeiro-brazil
#6
Ana Carla Lima Ribeiro-Accioly, Maria Lucia Seidl-De-Moura, Deise Maria Leal Fernandes Mendes, Judi Mesman
This article reports on a study of maternal sensitivity in 22 primiparous women and their infants from Rio de Janeiro, Brazil. Two semi-structured interviews were conducted, as well as videotaped naturalistic home observations of the dyads. A K-means cluster analysis was performed to examine patterns of risk in relation to maternal sensitivity. The results reveal that compared to the 15 mothers with higher sensitivity scores, the 7 mothers with lower sensitivity scores were characterized by lower educational levels, lower income, lower age, living in a slum, unplanned and unwanted pregnancies, and later onset of prenatal care...
March 28, 2018: Attachment & Human Development
https://www.readbyqxmd.com/read/29570477/is-preconception-substance-use-associated-with-unplanned-or-poorly-timed-pregnancy
#7
Lisbet S Lundsberg, Stephanie Peglow, Neena Qasba, Kimberly A Yonkers, Aileen M Gariepy
OBJECTIVE: Unplanned and poorly timed pregnancies are associated with adverse maternal and neonatal outcomes. Further understanding of preconception substance use with unplanned and poorly timed pregnancy is warranted. METHODS: Data were analyzed from a prospective study enrolling women early in pregnancy. Preconception tobacco, alcohol, marijuana, opioid, and cocaine use was ascertained. Participants reported whether their current pregnancy was planned and whether it was a good time to be pregnant...
March 22, 2018: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/29537134/fertility-perspectives-and-priorities-among-male-adolescents-and-young-adults-in-cancer-survivorship
#8
Leena Nahata, Nicole M Caltabellotta, Nicholas D Yeager, Vicky Lehmann, Stacy L Whiteside, Sarah H O'Brien, Gwendolyn P Quinn, Cynthia A Gerhardt
Infertility is a common and distressing late effect of cancer treatment among male survivors. Investigators examined desire for parenthood, prioritization of fertility compared to other life goals, and reports of fertility-related discussions among a cohort of male adolescent and young adult survivors. Eighty percent desired a biological child, yet only 31% ranked having a child among their "top 3" life goals. Only 40% reported fertility-related discussions with their health care providers in survivorship...
March 14, 2018: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/29528919/health-care-disparity-and-pregnancy-related-mortality-in-the-united-states-2005-2014
#9
Amirhossein Moaddab, Gary A Dildy, Haywood L Brown, Zhoobin H Bateni, Michael A Belfort, Haleh Sangi-Haghpeykar, Steven L Clark
OBJECTIVE: To quantitate the contribution of various demographic factors to the U.S. maternal mortality ratio. METHODS: This was a retrospective observational study. We analyzed data from the Centers for Disease Control and Prevention (CDC) National Center for Health Statistics database and the Detailed Mortality Underlying Cause of Death database (CDC WONDER) from 2005 to 2014 that contains mortality and population counts for all U.S. counties. Bivariate correlations between the maternal mortality ratio and all maternal demographic, lifestyle, health, and medical service utilization characteristics were calculated...
April 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29526132/pregnancy-outcomes-of-women-with-hiv-in-a-district-general-hospital-in-the-uk
#10
L Carey, C Desouza, A Moorcroft, A Elgalib
The aim of this study was to describe the obstetrical and virological outcomes in HIV-infected pregnant women who delivered at a district general hospital in south London in the period from 2008 to 2014. Our review identified 137 pregnancies; most (60%, 63/105) of them were unplanned. The commonest mode of delivery was spontaneous vaginal delivery (SVD) (42%, 48/114) followed by emergency Caesarean section (32%, 36/114). Gestational age at delivery was ≥37 weeks in most (84%, 91/106) of the cases. Maternal HIV VL at or closest to delivery was undetectable (<40 copies/mL), <400 copies/mL and >1000 copies/mL in 73% (94/129), 90% (116/129) and 6% (8/129) of the pregnancies, respectively...
March 12, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29518946/adherence-to-the-caffeine-intake-guideline-during-pregnancy-and-birth-outcomes-a-prospective-cohort-study
#11
Amy Peacock, Delyse Hutchinson, Judy Wilson, Clare McCormack, Raimondo Bruno, Craig A Olsson, Steve Allsop, Elizabeth Elliott, Lucinda Burns, Richard P Mattick
The aims of this study were to identify: (i) the proportion of women exceeding the caffeine intake guideline (>200 mg/day) during each trimester, accounting for point of pregnancy awareness; (ii) guideline adherence trajectories across pregnancy; (iii) maternal characteristics associated with trajectories; and (iv) association between adherence and growth restriction birth outcomes. Typical and maximal intake per consumption day for the first trimester (T1; pre- and post-pregnancy awareness), second (T2), and third trimester (T3) were recorded for a prospective cohort of pregnant Australian women with singleton births ( n = 1232)...
March 7, 2018: Nutrients
https://www.readbyqxmd.com/read/29518082/determinants-of-late-antenatal-care-presentation-in-rural-and-peri-urban-communities-in-south-africa-a-cross-sectional-study
#12
Joy Ebonwu, Alexandra Mumbauer, Margot Uys, Milton L Wainberg, Andrew Medina-Marino
OBJECTIVE: To investigate and compare determinates for delayed first presentation to antenatal care (ANC) services. METHODS: A cross-sectional study was conducted amongst pregnant women attending their first ANC visit in rural Capricorn District and peri-urban Tlokwe sub-district communities in South Africa. Data collection included questionnaires and medical record abstraction. Bivariate and multivariate analyses assessed factors associated with late ANC presentation...
2018: PloS One
https://www.readbyqxmd.com/read/29517137/depression-and-anxiety-during-pregnancy-the-influence-of-maternal-characteristics
#13
Kim F E van de Loo, Richelle Vlenterie, Sylke J Nikkels, Peter J F M Merkus, Jolt Roukema, Chris M Verhaak, Nel Roeleveld, Marleen M H J van Gelder
BACKGROUND: Depression and anxiety during pregnancy are associated with adverse health outcomes for both mother and child. This study aims to investigate the occurrence of symptoms of depression and anxiety in early and late pregnancy, the longitudinal changes from early to late pregnancy, and factors associated with symptoms of depression and anxiety in pregnant women in the Netherlands. METHODS: We studied 2897 women participating in the PRegnancy and Infant DEvelopment (PRIDE) Study...
March 8, 2018: Birth
https://www.readbyqxmd.com/read/29503587/anxiety-and-depression-during-pregnancy-in-women-attending-clinics-in-a-university-hospital-in-eastern-province-of-saudi-arabia-prevalence-and-associated-factors
#14
Abdullah H Alqahtani, Kholoud Al Khedair, Reem Al-Jeheiman, Haifa A Al-Turki, Nourah H Al Qahtani
Background: Anxiety and depression during the antenatal period is a growing problem with major effects on the mother, the developing fetus, and the neonate. Objectives: To assess the prevalence of anxiety and depression during pregnancy in women attending the hospital for antenatal care and assess the associated factors. Methods: This is a prospective cohort study conducted in the University Hospital of Imam Abdulrahman Bin Faisal University...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29484289/neonatal-safety-of-elective-family-centered-caesarean-sections-a-cohort-study
#15
Ilona C Narayen, Estelle E M Mulder, Kim E Boers, Jeroen J van Vonderen, Vera E R A Wolters, Liv M Freeman, Arjan B Te Pas
Background: Although little data are available concerning safety for newborns, family-centered caesarean sections (FCS) are increasingly implemented. With FCS mothers can see the delivery of their baby, followed by direct skin-to-skin contact. We evaluated the safety for newborns born with FCS in the Leiden University Medical Center (LUMC), where FCS was implemented in June 2014 for singleton pregnancies with a gestational age (GA) ≥38 weeks and without increased risks for respiratory morbidity...
2018: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/29482587/high-rate-of-unplanned-pregnancy-in-the-context-of-integrated-family-planning-and-hiv-care-services-in-south-africa
#16
Oladele Vincent Adeniyi, Anthony Idowu Ajayi, Mayowa Gabriel Moyaki, Daniel Ter Goon, Gordana Avramovic, John Lambert
BACKGROUND: Integration of family planning services into HIV care was implemented in South Africa as a core strategy aimed at reducing unintended pregnancies among childbearing women living with HIV. However, it is unclear whether this strategy has made any significant impact at the population level. This paper describes the prevalence and correlates of self-reported unplanned pregnancy among HIV-infected parturient women attending three large maternity centres in the Eastern Cape, South Africa...
February 27, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29480943/pregnancy-after-heart-transplantation-a-well-thought-out-decision-the-quebec-provincial-experience
#17
Olina Dagher, Nassiba Alami Laroussi, Michel Carrier, Renzo Cecere, Eric Charbonneau, Simon de Denus, Nadia Giannetti, Line Leduc, Bernard Cantin, Asmaa Mansour, Nancy Poirier, Marie-Josée Raboisson, Michel White, Anique Ducharme
BACKGROUND: Despite reports of successful pregnancies in heart transplant (HTx) recipients, many centers recommend their patients against maternity. METHODS: We reviewed our provincial experience of pregnancy in HTx recipient by performing charts review of all known gestations following HTx in the province of Quebec (Canada), stratified between planned and unplanned pregnancies. Long-term survival was compared to HTx recipient women of childbearing age who didn't become pregnant...
February 26, 2018: Transplant International: Official Journal of the European Society for Organ Transplantation
https://www.readbyqxmd.com/read/29478840/investigation-of-anti-m%C3%A3-llerian-hormone-concentrations-in-relation-to-natural-conception-rate-and-time-to-pregnancy
#18
Anne-Sofie Korsholm, Kathrine Birch Petersen, Janne Gasseholm Bentzen, Linda Maria Hilsted, Anders Nyboe Andersen, Helene Westring Hvidman
The objectives of this study were to investigate whether anti-Müllerian hormone (AMH) concentrations can predict pregnancy rates and time to pregnancy (TTP) in women attempting to conceive naturally/having an unplanned conception, and whether there is a lower AMH threshold compatible with natural conception. This prospective cohort study included 260 women aged 25-42 years in two subcohorts: (A) healthcare workers at Rigshospitalet (2008-2010), and (B) women consulting the Fertility Assessment and Counselling Clinic (2011-2014), Rigshospitalet, Denmark...
February 9, 2018: Reproductive Biomedicine Online
https://www.readbyqxmd.com/read/29476698/risk-factors-for-cesarean-delivery-and-adverse-neonatal-outcome-in-twin-pregnancies-attempting-vaginal-delivery
#19
Natali Schachter-Safrai, Gilad Karavani, Rani Haj-Yahya, Noa Ofek Shlomai, Shay Porat
INTRODUCTION: Twin vaginal delivery presents a unique clinical challenge for obstetricians. The Twin Birth Study demonstrated the safety of planned vaginal delivery regarding neonatal outcomes. However, that study lacked a description of the risk factors associated with and the outcome of unplanned cesarean section. The aim of this study is to identify potential risk factors for cesarean section and delivery related neonatal morbidity and mortality in women with twin pregnancy attempting vaginal delivery...
February 24, 2018: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29462872/ten-years-of-experience-in-contraception-options-for-teenagers-in-a-family-planning-center-in-thrace-and-review-of-the-literature
#20
Panagiotis Tsikouras, Dorelia Deuteraiou, Anastasia Bothou, Xanthi Anthoulaki, Anna Chalkidou, Eleftherios Chatzimichael, Fotini Gaitatzi, Bachar Manav, Zacharoula Koukoul, Stefanos Zervoudis, Grigorios Trypsianis, George Galazios
Abstract : Introduction : The goal of our study was to investigate and evaluate the contraceptive behavior in teenagers from our family planning centre that services two different religious and socioeconomic populations living in the Thrace area. Methods : During the last 10 years 115 Christian Orthodox (group A) and 53 Muslim teenagers (group B) were enrolled in our retrospective study. Contraceptive practice attitudes were assessed by a questionnaire. Religion, demographics, socio-economic characteristics were key factors used to discuss contraception and avoid unplanned pregnancy in each group and to compare with the contraceptive method used...
February 15, 2018: International Journal of Environmental Research and Public Health
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