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Maternal critical care

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https://www.readbyqxmd.com/read/28087902/a-review-of-the-preventability-of-maternal-mortality-in-one-hospital-system-in-louisiana-usa
#1
James J Morong, Jane K Martin, Robert S Ware, Alfred G Robichaux
OBJECTIVE: To determine preventability of in-hospital maternal mortality in the Ochsner Health System (OHS) in the US state of Louisiana. METHODS: A retrospective study was undertaken of all known cases of in-hospital maternal death (during pregnancy or within 42 days of termination) that occurred within OHS facilities in 1995-2013. Associations between characteristics and mortality and preventability were investigated. Incidence rate ratios (IRRs) were calculated in view of varying reference values...
December 9, 2016: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28078382/timing-and-mode-of-delivery-in-prenatally-diagnosed-congenital-heart-disease-an-analysis-of-practices-within-the-university-of-california-fetal-consortium-ucfc
#2
Shabnam Peyvandi, Tina Ahn Thu Thi Nguyen, Myriam Almeida-Jones, Nina Boe, Laila Rhee, Tracy Anton, Mark Sklansky, Maryam Tarsa, Gary Satou, Anita J Moon-Grady
Prenatal diagnosis of critical congenital heart disease (CHD) is associated with decreased morbidity. It is also associated with lower birth weights and earlier gestational age at delivery. The University of California Fetal Consortium (UCfC) comprises five tertiary medical centers, and was created to define treatment practices. We utilized this consortium to assess delivery patterns and outcomes in subjects with prenatal and postnatal diagnosis of CHD. A retrospective cohort study was conducted on maternal-neonatal pairs diagnosed with complex CHD prenatally (n = 186) and postnatally (n = 110) from 2011 to 2013...
January 11, 2017: Pediatric Cardiology
https://www.readbyqxmd.com/read/28068965/dietary-diversity-and-associated-factors-among-children-6-23-months-of-age-in-gorche-district-southern-ethiopia-cross-sectional-study
#3
Dalecha Dangura, Samson Gebremedhin
BACKGROUND: Dietary diversity (DD) is useful indicator of dietary quality and nutrient adequacy. In developing countries limited evidence is available regarding predictors of DD during the critical complementary feeding period. The purpose of the study is to assess DD and predictors among children 6-23 months of age in rural Gorche district, Southern Ethiopia. METHOD: A community based cross-sectional study was conducted among 417 children aged 6-23 months in Gorche district...
January 9, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/28064212/impact-of-a-critical-health-workforce-shortage-on-child-health-in-zimbabwe-a-country-case-study-on-progress-in-child-survival-2000-2013
#4
Connie A Haley, Sten H Vermund, Precious Moyo, Aaron M Kipp, Bernard Madzima, Trevor Kanyowa, Teshome Desta, Kasonde Mwinga, Marie A Brault
Despite notable progress reducing global under-five mortality rates, insufficient progress in most sub-Saharan African nations has prevented the achievement of Millennium Development Goal four (MDG#4) to reduce under-five mortality by two-thirds between 1990 and 2015. Country-level assessments of factors underlying why some African countries have not been able to achieve MDG#4 have not been published. Zimbabwe was included in a four-country study examining barriers and facilitators of under-five survival between 2000 and 2013 due to its comparatively slow progress towards MDG#4...
January 7, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28063339/the-experiences-and-needs-of-healthcare-professionals-facing-perinatal-death-a-scoping-review
#5
REVIEW
Shefaly Shorey, Beate André, Violeta Lopez
BACKGROUND: Globally, perinatal death is on a decline. However, its impact on the healthcare profession is huge. The existing literature focuses on examining perinatal death from parents' perspectives and patient death from the perspectives of nurses and a few doctors in critical care, oncology, and neonatology in the West. Due to the unique setting of maternity units where death is not routinely anticipated, as well as distinctive socio-cultural views surrounding death, there is a need to comprehensively review literature examining the impact of perinatal death on the perspectives of healthcare professionals working in maternity units...
December 28, 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28057694/nutrition-modification-aimed-at-enhancing-dietary-iron-and-folic-acid-intake-an-application-of-health-belief-model-in-practice
#6
Marzieh Araban, Khadije Baharzadeh, Mahmood Karimy
BACKGROUND: The amount of calories and nutrients required for woman increase during pregnancy and Intake adequate amounts of nutrients is essential for the health of mother and foetal. This study was designed to investigate the effect of nutrition education based on the Health Belief Model (HBM) on calories, iron and folic acid intake for pregnant women. METHODS: This quasi-experimental study was performed on 76 pregnant women referring to four urban health centres of Khuzestan at 2015...
January 4, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/28056024/a-double-blind-randomized-controlled-trial-of-maternal-postpartum-deworming-to-improve-infant-weight-gain-in-the-peruvian-amazon
#7
Layla S Mofid, Martín Casapía, Eder Aguilar, Hermánn Silva, Antonio Montresor, Elham Rahme, William D Fraser, Grace S Marquis, Jozef Vercruysse, Lindsay H Allen, Brittany Blouin, Hugo Razuri, Lidsky Pezo, Theresa W Gyorkos
BACKGROUND: Nutritional interventions targeting the critical growth and development period before two years of age can have the greatest impact on health trajectories over the life course. Compelling evidence has demonstrated that interventions investing in maternal health in the first 1000 days of life are beneficial for both mothers and their children. One such potential intervention is deworming integrated into maternal postpartum care in areas where soil-transmitted helminth (STH) infections are endemic...
January 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28051972/characteristics-classification-and-prevention-of-child-maltreatment-fatalities
#8
James E McCarroll, Joscelyn E Fisher, Stephen J Cozza, Renè J Robichaux, Carol S Fullerton
BACKGROUND: Preventing child maltreatment fatalities is a critical goal of the U.S. society and the military services. Fatality review boards further this goal through the analysis of circumstances of child deaths, making recommendations for improvements in practices and policies, and promoting increased cooperation among the many systems that serve families. The purpose of this article is to review types of child maltreatment death, proposed classification models, risk and protective factors, and prevention strategies...
January 2017: Military Medicine
https://www.readbyqxmd.com/read/28029232/severe-maternal-morbidity-requires-regionalistion-of-obstetric-critical-care
#9
Eap Steegers, A J Eggink
No abstract text is available yet for this article.
December 28, 2016: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28005399/bisphenol-s-bps-alters-maternal-behavior-and-brain-in-mice-exposed-during-pregnancy-lactation-and-their-daughters
#10
Mary C Catanese, Laura N Vandenberg
Estrogenic endocrine disrupting chemicals (EDCs) have been shown to disrupt maternal behavior in rodents. We investigated the effects of an emerging xenoestrogen, bisphenol S (BPS), on maternal behavior and brain in CD-1 mice exposed during pregnancy and lactation (F0 generation) and in female offspring exposed during gestation and perinatal development (F1 generation). We observed different effects in F0 and F1 dams for a number of components of maternal behavior including time on the nest, time spent on nest-building, latency to retrieve pups, and latency to retrieve the entire litter...
December 22, 2016: Endocrinology
https://www.readbyqxmd.com/read/27984423/evaluation-of-medication-mediated-effects-in-pharmacoepidemiology
#11
Eric J Tchetgen Tchetgen, Kelesitse Phiri
Medical conditions such as epilepsy or infection with human immunodeficiency virus (HIV) are known to be associated with a spectrum of adverse health outcomes if not appropriately managed by efficacious treatment and care. Medications for such conditions can be potent, and their use might sometimes have unintended health consequences. Prominent examples have emerged in HIV perinatal research in which use of antiretroviral treatment during pregnancy to treat maternal HIV infection and prevent transmission of the virus to the fetus have been shown to be associated with adverse birth outcomes...
December 12, 2016: Epidemiology
https://www.readbyqxmd.com/read/27976658/computer-tablet-based-health-technology-for-strengthening-maternal-and-child-tracking-in-bihar
#12
Preeti Negandhi, Monika Chauhan, Ankan Mukherjee Das, Jyoti Sharma, Sutapa Neogi, Ghanashyam Sethy
BACKGROUND: UNICEF along with the State Government of Bihar launched a computer tablet-based Mother and Child Tracking System (MCTS) in 2014, to capture real-time data online and to minimize the challenges faced with the conventional MCTS. OBJECTIVE: The article reports the process of implementation of tablet-based MCTS in Bihar. METHODS: In-depth interviews with medical officers, program managers, data managers, auxiliary nurse midwives (ANMs), and a monitoring and evaluation specialist were conducted in October 2015 to understand the process of implementation, challenges and possibility for sustainability, and scale-up of the innovation...
October 2016: Indian Journal of Public Health
https://www.readbyqxmd.com/read/27976657/rollout-of-quality-assurance-interventions-in-labor-room-in-two-districts-of-bihar-india
#13
Jyoti Sharma, Sutapa B Neogi, Preeti Negandhi, Monika Chauhan, Siddharth Reddy, Ghanshyam Sethy
BACKGROUND: Quality of care at the facilities during childbirth remains a major concern. Improved quality could have the greatest dividend in saving maternal and newborn lives. OBJECTIVE: The objective of this study was to implement quality assurance measures in the labor rooms of select public health facilities in two districts of Bihar. METHODS: The labor room quality assurance intervention was implemented in two districts, Gaya and Purnea in Bihar...
October 2016: Indian Journal of Public Health
https://www.readbyqxmd.com/read/27940522/quality-management-where-is-the-evidence-developing-an-indicator-based-approach-in-kenya
#14
Helen Prytherch, Maureen Nafula, Charles Kandie, Marc Brodowski, Irmgard Marx, Sandy Kubaj, Irene Omogi, Alexia Zurkuhlen, Claudia Herrler, Katja Goetz, Joachim Szecsenyi, Michael Marx
INTRODUCTION: The 2030 Sustainable Development Agenda emphasizes the importance of quality of care in the drive to achieve universal health coverage. Despite recent progress, challenges in service delivery, efficiency and resource utilization in the health sector remain. OBJECTIVE: The Ministry of Health Department of Standards and Regulations sought to operationalize the Kenya Quality Assurance Model for Health. To this end, the European Practice Assessment (EPA) was adapted to the area of Reproductive and Maternal and Neonatal Health...
December 8, 2016: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/27907898/obstetrical-and-perinatal-outcomes-following-blastocyst-transfer-compared-to-cleavage-transfer-a-systematic-review-and-meta-analysis
#15
W P Martins, C O Nastri, L Rienzi, S Z van der Poel, C R Gracia, C Racowsky
STUDY QUESTION: Is blastocyst transfer safe when compared to cleavage stage embryo transfer regarding obstetric and perinatal outcomes? SUMMARY ANSWER: The clinical equipoise between blastocyst and cleavage stage embryo transfer remains as the evidence associating blastocyst transfer with some adverse perinatal outcomes is of low/very low quality. WHAT IS KNOWN ALREADY: Extended embryo culture to the blastocyst stage provides some theoretical advantages and disadvantages...
November 2016: Human Reproduction
https://www.readbyqxmd.com/read/27895065/social-determinants-and-maternal-exposure-to-intimate-partner-violence-of-obstetric-patients-with-severe-maternal-morbidity-in-the-intensive-care-unit-a-systematic-review-protocol
#16
Beatriz Paulina Ayala Quintanilla, Angela Taft, Susan McDonald, Wendy Pollock, Joel Christian Roque Henriquez
INTRODUCTION: Maternal mortality is a potentially preventable public health issue. Maternal morbidity is increasingly of interest to aid the reduction of maternal mortality. Obstetric patients admitted to the intensive care unit (ICU) are an important part of the global burden of maternal morbidity. Social determinants influence health outcomes of pregnant women. Additionally, intimate partner violence has a great negative impact on women's health and pregnancy outcome. However, little is known about the contextual and social aspects of obstetric patients treated in the ICU...
November 28, 2016: BMJ Open
https://www.readbyqxmd.com/read/27891665/spectral-summation-and-facilitation-in-on-and-off-responses-for-optimized-representation-of-communication-calls-in-mouse-inferior-colliculus
#17
Alexander G Akimov, Marina A Egorova, Günter Ehret
Selectivity for processing of species-specific vocalizations and communication sounds has often been associated with the auditory cortex. The midbrain inferior colliculus, however, is the first center in the auditory pathways of mammals integrating acoustic information processed in separate nuclei and channels in the brainstem and, therefore, could significantly contribute to enhance the perception of species' communication sounds. Here, we used natural wriggling calls of mouse pups, which communicate need for maternal care to adult females, and further 15 synthesized sounds to test the hypothesis that neurons in the central nucleus of the inferior colliculus of adult females optimize their response rates for reproduction of the three main harmonics (formants) of wriggling calls...
November 27, 2016: European Journal of Neuroscience
https://www.readbyqxmd.com/read/27889305/invasive-prenatal-diagnosis-of-fetal-thalassemia
#18
REVIEW
Dong-Zhi Li, Yan-Dong Yang
Thalassemia is the most common monogenic inherited disease worldwide, affecting individuals originating from many countries to various extents. As the disease requires long-term care, prevention of the homozygous state presents a substantial global disease burden. The comprehensively preventive programs involve carrier detections, molecular diagnostics, genetic counseling, and prenatal diagnosis. Invasive prenatal diagnosis refers to obtaining fetal material by chorionic villus sampling (CVS) at the first trimester, and by amniocentesis or cordocentesis at the second trimester...
October 26, 2016: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/27884185/the-inescapable-question-of-fairness-in-pay-for-performance-bonus-distribution-a-qualitative-study-of-health-workers-experiences-in-tanzania
#19
Victor Chimhutu, Nils Gunnar Songstad, Marit Tjomsland, Mwifadhi Mrisho, Karen Marie Moland
BACKGROUND: During the last decade there has been a growing concern about the lack of results in the health sectors of many low income countries. Progress has been particularly slow in maternal- and child health. Prompted by the need to accelerate progress towards these health outcomes, pay-for- performance (P4P) schemes have been initiated in a number of countries. This paper explores the perceptions and experiences of health workers with P4P bonus distribution in the health system context of rural Tanzania...
November 25, 2016: Globalization and Health
https://www.readbyqxmd.com/read/27846406/encourages-and-guides-or-diagnoses-and-monitors-woman-centred-ness-in-the-discourse-of-professional-midwifery-bodies
#20
M P O'Malley-Keighran, G Lohan
OBJECTIVE: the purpose of this study was to conduct a preliminary exploration of the language used by midwifery professional bodies to define the scope of practice of midwives in relation to woman-centred care. DESIGN: this is a qualitative study in which Critical Discourse Analysis and Transitivity Analysis from the Systemic Functional Linguistics tradition were used. Data were sampled from nine international midwifery professional bodies. FINDINGS: three general types of definitions of scope of practice were identified; a formal type which focused on midwifery practice in which the midwife and woman were largely absent as agents, a second, less formal type which focused on the midwife as agent, from which the woman was largely absent as an active participant and one exception to the pattern which featured the woman as agent...
December 2016: Midwifery
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