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https://www.readbyqxmd.com/read/29474806/factors-that-influence-parents-adherence-to-safe-sleep-guidelines
#1
Deborah A Raines
OBJECTIVE: To explore factors that influence parental behaviors related to newborn sleep positions and environments in the home after hospital discharge. DESIGN: A descriptive qualitative study conducted by telephone. SETTING: A 290-bed academic teaching hospital in an urban setting with a Level 3 perinatal center and approximately 4,500 births per year. PARTICIPANTS: Participants (N = 60) were recruited from the patient population of the mother-baby unit...
February 20, 2018: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/29474791/just-another-ordinary-bad-birth-a-narrative-analysis-of-first-time-mothers-traumatic-birth-experiences
#2
Helen Murphy, Joanna Strong
A difficult birth experience can have long lasting psychological effects on both mother and baby and this study details 4 in-depth accounts of first time mothers who described their birth experience as traumatizing. Narrative analysis was used to record discrepancies between the ideal and the real and produced narrative accounts that highlighted how these mothers felt invisible and dismissed in a medical culture of engineering obstetrics. Participants also detailed how their birth experience could be improved and this is set in context alongside current recommendations in maternal health care and the complexities of delivering such care in UK health settings...
February 23, 2018: Health Care for Women International
https://www.readbyqxmd.com/read/29474212/a-different-perspective-anesthesia-for-extreme-premature-infants-is-there-an-age-limitation-or-how-low-should-we-go
#3
Per-Arne Lönnqvist
PURPOSE OF REVIEW: To put in perspective, the various challenges that faces pediatric anesthesiologists because of the recently lowered limits with regards to the viability of a fetus. Both medical and ethical considerations will be highlighted. RECENT FINDINGS: Issues related to: who should anesthetize these tiny babies; can we provide adequate and legal monitoring during the anesthetic; does these immature babies need hypnosis and amnesia and the moral/ethical implications associated with being involved with care of doubtful long-term outcome are reviewed...
February 22, 2018: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/29474132/who-s-the-target-mother-or-baby
#4
Alisa Kachikis, Linda O Eckert, Janet Englund
Maternal immunization for prevention of morbidity and mortality of pregnant women and their neonates due to infectious diseases is ongoing worldwide. The complexity of vaccine research and development in this population is challenging. Not only do vaccines for pregnant women require evidence of immunogenicity, potency, stability, and limited reactogenicity, they must also provide efficacy in decreasing morbidity for the pregnant woman, her fetus, and the neonate, demonstrate safety or lack of evidence of harm, and offer benefit or potential benefit of vaccination during pregnancy...
February 23, 2018: Viral Immunology
https://www.readbyqxmd.com/read/29473289/many-of-the-causes-of-preterm-birth-and-poor-fetal-growth-are-genetic-and-intergenerational-and-unlikely-to-be-affected-by-short-term-interventions
#5
P J Steer
The study by Lane-Cordova et al reports that "women with preterm birth (PTB)/small for gestational age (SGA) babies had lower fitness" but then conclude that "Neither fitness nor hemodynamic responses to exercise, a median of 5 years preceding pregnancy, were associated with PTB/SGA". This apparent contradiction came about because they adjusted for 'a number of demographic variables independently associated with PTB/SGA - age, race, education, study center, BMI, current and former smoking, diabetes, and hypertension'...
February 23, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29472984/factors-influencing-prospective-mother-with-prenatal-qualified-doctor-care-among-the-reproductive-women-in-bangladesh
#6
Humayun Kiser, Tasmina Nasrin
Maternal and child mortality are the key indicators of health and development of the country. Maternal and child health are interconnected to prenatal care. Consulting a doctor at the prenatal stage will not only ensure mother's and her unborn babies' safety, but also has a great influence to reduce the maternal and infant mortality. In this paper, an attempt has been made to analyze the status of prenatal care provided by the qualified doctor among pregnant mothers in Bangladesh. Data and required information of 8793 reproductive women were collected from the Bangladesh Demographic and Health Survey (BDHS) 2014...
December 2018: Health Information Science and Systems
https://www.readbyqxmd.com/read/29471998/baby-on-board-managing-occupational-radiation-exposure-during-pregnancy
#7
M Victoria Marx
This article reviews the issue of occupational radiation exposure as a deterrent to recruitment of women into the field of interventional radiology and provides the reader with three strategies to optimize radiation protection during fluoroscopically guided procedures. These include personal protective shielding, use of ancillary shielding, and techniques that limit fluoroscopy x-ray tube output. When optimal radiation safety practices are implemented as the norm in the IR suite, very little extra needs to be done to ensure that fetal dose of a pregnant interventionalist is negligible...
March 2018: Techniques in Vascular and Interventional Radiology
https://www.readbyqxmd.com/read/29470813/structural-and-socio-cultural-barriers-to-prenatal-care-in-a-us-marshallese-community
#8
Britni L Ayers, Rachel S Purvis, Williamina Ioanna Bing, Jellesen Rubon-Chutaro, Nicola L Hawley, Rebecca Delafield, Ingrid K Adams, Pearl Anna McElfish
Objectives Pacific Islanders are disproportionately burdened by poorer perinatal health outcomes with higher rates of pre-term births, low birth weight babies, infant mortality, and inadequate or no prenatal care. The aim of this study is to examine Marshallese mothers' beliefs, perceptions, and experiences of prenatal care and to identify potential barriers. Methods Three focus groups were conducted with Marshallese mothers, who were 18 years or older, and living in Arkansas. Focus groups focused on mothers' beliefs, perceptions, and experiences of prenatal care...
February 22, 2018: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/29470177/investigating-the-changes-in-amino-acid-values-in-premature-infants-a-pilot-study
#9
Yuqi Yang, Bin Yu, Wei Long, Huaiyan Wang, Ying Wang, Yunjuan Chen
BACKGROUND: The objective of the study was to investigate the changes in amino acid (AAs) values in premature infants. METHODS: A total of 2159 premature and/or low birth weight infants were recruited for this study. They were divided into three groups: premature infants with normal birth weight (G1), simple low birth weight infants (G2) and premature combined with low birth weight infants (G3). The tandem mass spectrometry technique was used to detect the levels of 11 AAs in neonatal blood...
February 22, 2018: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://www.readbyqxmd.com/read/29468777/caring-for-crying-babies-a-mixed-methods-study-to-understand-factors-influencing-nurses-and-doctors-management-of-infant-colic
#10
James McGann, Jaqueline Manohar, Harriet Hiscock, Denise O'Connor, Jan Hodgson, Franz Babl, Valerie Sung
AIM: The aim of this study was to determine the barriers and enablers influencing the uptake of two recommendations from a tertiary paediatric hospital's clinical practice guidelines by maternal and child health nurses (MCHNs) and emergency department (ED) doctors: (i) explaining normal crying; and (ii) avoiding attributing crying to gastro-oesophageal reflux (GOR) and limiting anti-reflux medication use. METHODS: The study was designed as 1-h focus group discussions, guided by the Theoretical Domains Framework, and a short questionnaire, with a purposive sample of MCHNs and ED doctors in Victoria, Australia in (March to September) 2015...
February 22, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29466164/human-neonatal-rotavirus-vaccine-rv3-bb-to-target-rotavirus-from-birth
#11
Julie E Bines, Jarir At Thobari, Cahya Dewi Satria, Amanda Handley, Emma Watts, Daniel Cowley, Hera Nirwati, James Ackland, Jane Standish, Frances Justice, Gabrielle Byars, Katherine J Lee, Graeme L Barnes, Novilia S Bachtiar, Ajeng Viska Icanervilia, Karen Boniface, Nada Bogdanovic-Sakran, Daniel Pavlic, Ruth F Bishop, Carl D Kirkwood, Jim P Buttery, Yati Soenarto
BACKGROUND: A strategy of administering a neonatal rotavirus vaccine at birth to target early prevention of rotavirus gastroenteritis may address some of the barriers to global implementation of a rotavirus vaccine. METHODS: We conducted a randomized, double-blind, placebo-controlled trial in Indonesia to evaluate the efficacy of an oral human neonatal rotavirus vaccine (RV3-BB) in preventing rotavirus gastroenteritis. Healthy newborns received three doses of RV3-BB, administered according to a neonatal schedule (0 to 5 days, 8 weeks, and 14 weeks of age) or an infant schedule (8 weeks, 14 weeks, and 18 weeks of age), or placebo...
February 22, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29465841/permanent-childhood-hearing-impairment-aetiological-evaluation-of-infants-identified-through-the-irish-newborn-hearing-screening-programme
#12
A Smith, A O'Connor, S Hennessy, P G O'Sullivan, L Gibson
The Newborn Hearing Screening Programme (NHSP) was established in Cork University Maternity Hospital (CUMH) in April 2011. Between April 2011 and July 2014, 42 infants were identified with a Permanent Childhood Hearing Impairment (PCHI). Following this diagnosis, infants underwent a paediatric assessment according to recognised guidelines with the intention of identifying the underlying aetiology of the PCHI. The aim of this study was to assess the findings of this aetiological workup via retrospective chart review...
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29465640/context-appropriate-interventions-to-prevent-syphilis-a-narrative-review
#13
Thomas A Peterman, Susan Cha
BACKGROUND: The success of an intervention to prevent syphilis will depend on the context and the goal of the intervention. To help programs choose interventions, we reviewed major changes in context and types of interventions that may be effective. METHODS: We reviewed the literature on the changing context of syphilis in the United States and interventions to prevent syphilis, focusing on papers that included evidence of effectiveness. RESULTS: Populations acquiring syphilis are constantly changing...
February 13, 2018: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/29463622/implementation-science-takes-baby-steps-in-infants-with-bronchiolitis
#14
EDITORIAL
Steve Cunningham, Hilary Pinnock
No abstract text is available yet for this article.
February 20, 2018: Thorax
https://www.readbyqxmd.com/read/29463144/hypothermia-detection-in-low-birth-weight-neonates-using-a-novel-bracelet-device
#15
Vasanthan Tanigasalam, B Vishnu Bhat, B Adhisivam, Bharathi Balachander, Harichandra Kumar
OBJECTIVE: To assess the diagnostic accuracy of a novel hypothermia monitoring and alert bracelet device (BEMPU Bracelet) in low birth weight (LBW) neonates weighing less than 2000 grams. DESIGN: This was a controlled prospective study. SETTING: This study was done in the step-down nursery of a tertiary level newborn unit of a major teaching hospital in India. METHODS: Eligible cases fulfilling inclusion criteria were given BEMPU Bracelets for a period of 24 hours...
February 20, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29462994/improving-behavioral-support-for-smoking-cessation-in-pregnancy-what-are-the-barriers-to-stopping-and-which-behavior-change-techniques-can-influence-these-application-of-theoretical-domains-framework
#16
Katarzyna A Campbell, Libby Fergie, Tom Coleman-Haynes, Sue Cooper, Fabiana Lorencatto, Michael Ussher, Jane Dyas, Tim Coleman
Behavioral support interventions are used to help pregnant smokers stop; however, of those tested, few are proven effective. Systematic research developing effective pregnancy-specific behavior change techniques (BCTs) is ongoing. This paper reports contributory work identifying potentially-effective BCTs relative to known important barriers and facilitators (B&Fs) to smoking cessation in pregnancy; to detect priority areas for BCTs development. A Nominal Group Technique with cessation experts ( n = 12) elicited an expert consensus on B&Fs most influencing women's smoking cessation and those most modifiable through behavioral support...
February 17, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29462567/world-health-assembly-resolution-69-9-calls-for-an-end-to-unethical-marketing-of-baby-foods
#17
Melissa Ann Theurich
No abstract text is available yet for this article.
February 1, 2018: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
https://www.readbyqxmd.com/read/29461992/healthcare-s-future-strategic-investment-in-technology
#18
Michael A Franklin
Recent and rapid advances in the implementation of technology have greatly affected the quality and efficiency of healthcare delivery in the United States. Simultaneously, diverse generational pressures-including the consumerism of millennials and unsustainable growth in the costs of care for baby boomers-have accelerated a revolution in healthcare delivery that was marked in 2010 by the passage of the Affordable Care Act.Against this backdrop, Maryland and the Centers for Medicare & Medicaid Services entered into a partnership in 2014 to modernize the Maryland All-Payer Model...
April 2018: Frontiers of Health Services Management
https://www.readbyqxmd.com/read/29461882/genetic-analyses-identified-a-sall4-gene-mutation-associated-with-holt-oram-syndrome
#19
Bojian Li, Sun Chen, Kun Sun, Rang Xu, Yurong Wu
Holt-Oram syndrome (HOS) is an autosomal dominant disorder, which is characterized by deformities of upper limbs and congenital heart defects. Alterations of TBX5 gene have been identified to be the leading cause of HOS, while some cases could not be explained by TBX5 mutations. In our study, we preliminarily diagnosed a newborn baby, who had Tetralogy of Fallot, thumb agenesis, facial dysplasia, and right ear canal malformation, as HOS. Chromosome microarray analyses showed no pathological deletions or replications of chromosome segments; whole exome sequencing screened out six candidate genes that were involved in cardiac diseases or syndromes among which SALL4 has been reported as HOS related gene...
February 20, 2018: DNA and Cell Biology
https://www.readbyqxmd.com/read/29461152/evaluating-the-emotional-impact-of-warning-images-on-young-adult-smokers-and-susceptible-non-smokers
#20
Philip Gendall, Janet Hoek, Katherine Gendall
On-pack tobacco warnings typically feature long-term health risks, which many young adults rationalize or reject. We examined the emotions generated by more proximal warnings to see if we could identify common features among the most effective warnings. Respondents in a sample of 474 smokers and 476 susceptible non-smokers used a modified Geneva Emotion Wheel (GEW) to assess cigarette packs displaying 12 test warnings and one current warning. The strongest emotions aroused in smokers were disgust, disappointment, and regret...
February 20, 2018: Journal of Health Communication
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