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https://www.readbyqxmd.com/read/27925865/public-health-messages-about-perinatal-marijuana-use-in-an-evolving-policy-context
#1
Marian Jarlenski, Jennifer Zank, Jill Tarr, Judy C Chang
BACKGROUND: Marijuana is a commonly used substance in pregnancy in the U.S. It is unknown what public health messages about perinatal marijuana use are being disseminated in the changing policy landscape. METHODS: We systematically searched 51 state and 5 federal public health agencies' websites in February 2016 for information about perinatal marijuana use. Of these, one federal agency and 10 state agencies had published information about perinatal marijuana use...
December 7, 2016: Substance Abuse
https://www.readbyqxmd.com/read/27921861/understanding-intra-vaginal-and-labia-minora-elongation-practices-among-women-heads-of-households-in-zamb%C3%A3-zia-province-mozambique
#2
Carolyn M Audet, Meridith Blevins, Charlotte Buehler Cherry, Lazaro González-Calvo, Ann F Green, Troy D Moon
Intra-vaginal drying and tightening and labia minora elongation are commonly practised in some parts of southern Africa. We sought to capture data on these practices among women living in Zambézia province, Mozambique. Information was gathered from 3543 female heads of household on > 500 variables, including vaginal practices, in 2014. Women who planned to use intra-vaginal tightening substances had 1.84 times higher odds of ever receiving an HIV test (p < 0.001) and 1.40 times higher odds of at least one antenatal care visit attended during last pregnancy (p = 0...
December 6, 2016: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/27920946/insights-in-public-health-substance-use-in-pregnant-women-in-hawai-i-extending-our-capacity-and-compassion
#3
Rebecca Delafield, Tricia E Wright
Substance use can have serious consequences for the health and well-being of individuals. The problem is of particular concern when it involves pregnant women due to health risks for the mother and the fetus. In utero exposure to either legal (eg, alcohol, cigarettes, and certain prescription drugs) or illicit (eg, amphetamines, cocaine, and opioids) substances can result in potentially serious and long-lasting health problems for infants. Available data from Hawai'i indicate that substance use among pregnant women is higher than national targets, which reflect the fact that there is essentially no acceptable rate of use of these substances...
November 2016: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/27915237/placental-morphology-in-fetal-alcohol-spectrum-disorders
#4
Marlene Tai, Anna Piskorski, Jennifer C W Kao, Lynn A Hess, Suzanne M de la Monte, Füsun Gündoğan
AIMS: Maternal alcohol drinking adversely affects pregnancy outcome. Although fetal health and development are highly dependent upon the integrity of placentation, little is known about placental morphology following gestational exposure to alcohol in humans. METHODS: In this clinical study, subjects were recruited between 2010 and 2013 from an outpatient substance abuse and mental health treatment center for women. Data collected included maternal age, substance abuse history, comorbidities, pregnancy outcomes, gestational age at delivery, birth weight and placental weight...
December 3, 2016: Alcohol and Alcoholism: International Journal of the Medical Council on Alcoholism
https://www.readbyqxmd.com/read/27908224/serum-substance-p-concentrations-to-predict-oocyte-maturation-index-and-clinical-pregnancy
#5
Yavuz Sahin, Enis Özkaya, Semra Kayatas Eser, Tayfun Kutlu, Ilhan Sanverdi, Gulden Tunali, Ates Karateke
AIM: The aim of this study was to assess the predictive value of serum substance P (SP) concentrations on oocyte maturation and clinical pregnancy. METHODS: Ninety-three women with unexplained infertility underwent intracytoplasmic sperm injection (ICSI) cycles. Antagonist protocol was started for each participant and at the day of oocyte pick up, serum samples were obtained from each participant to assess SP concentrations, and these concentrations were utilized to predict mature/total oocyte ratio and clinical pregnancy...
December 2, 2016: Gynecological Endocrinology
https://www.readbyqxmd.com/read/27904166/iris-an-internet-based-intervention-as-a-suitable-path-to-addictive-substance-use-prevention-and-counselling-in-pregnancy-beneficiary-profiles-and-user-satisfaction
#6
A Stiegler, H Abele, A Batra
Alcohol or tobacco consumption in pregnancy can harm the unborn child. Counselling on this subject is therefore of major importance. The aim of the presented study was not only to develop an internet based, professionally e-mail accompanied platform for alcohol or tobacco consuming pregnant women ("IRIS Platform") but also to analyse the beneficiary profiles and investigate the practicability and acceptance of the platform among women and referring gynaecologists. The offer comprised three 12-week counselling programmes (alcohol, tobacco, combined consumption)...
November 2016: Geburtshilfe und Frauenheilkunde
https://www.readbyqxmd.com/read/27892820/addressing-adolescents-risk-and-protective-factors-related-to-risky-behaviours-findings-from-a-school-based-peer-education-evaluation-in-the-western-cape
#7
Furzana Timol, Mohammed Yacoob Vawda, Arvin Bhana, Benita Moolman, Mokhantso Makoae, Sharlene Swartz
BACKGROUND: Peer-education programmes aim to bring about attitudinal and behavioural changes in their target audience. In the South African educational context, peer education is a favoured approach in dealing with issues such as HIV and AIDS, sexual decision-making and substance misuse. Given the reliance on peer-education programmes in the educational system, it is important to establish how well they are working. This study aims to assess the effect of an extensive, structured, time-limited, curriculum-based, peer-led educational programme on first-year high school learners in public schools in the Western Cape Province of South Africa...
December 2016: SAHARA J: Journal of Social Aspects of HIV/AIDS Research Alliance
https://www.readbyqxmd.com/read/27878857/selective-serotonin-reuptake-inhibitors-and-risk-of-major-congenital-anomalies-for-pregnancies-in-japan-a-nationwide-birth-cohort-study-of-the-japan-environment-and-children-s-study
#8
Hidekazu Nishigori, Taku Obara, Toshie Nishigori, Satoshi Mizuno, Hirohito Metoki, Tetsuro Hoshiai, Zen Watanabe, Kasumi Sakurai, Mami Ishikuro, Nozomi Tatsuta, Ichiko Nishijima, Ikuma Fujiwara, Shinichi Kuriyama, Takahiro Arima, Kunihiko Nakai, Nobuo Yaegashi
We analyzed data from the Japan Environment and Children's Study (JECS), on the association between selective serotonin reuptake inhibitors (SSRI) use during pregnancy and the risk of developing of major congenital anomalies in Japan. JECS is an ongoing nationwide birth cohort study. The study includes 95,994 single pregnant women and their offspring. Among them172 used any SSRI up to the 12(th) gestational week. Crude analyses show a significantly increased incidence of upper limb, abdominal, and urogenital anomalies...
November 23, 2016: Congenital Anomalies
https://www.readbyqxmd.com/read/27871180/prescription-opioid-prescribing-use-misuse-harms-and-treatment-among-aboriginal-people-in-canada-a-narrative-review-of-available-data-and-indicators
#9
Cayley Russell, Michelle Firestone, Len Kelly, Christopher Mushquash, Benedikt Fischer
INTRODUCTION: Prescription opioid (PO) misuse and related harms are high in Canada, and a major public health challenge. In Canada, 1.4 million individuals (4.3% of the total population) self-identify as Aboriginal, among whom substance use and related harms are elevated. While there are reports of PO use and associated problems among Aboriginal groups, no comprehensive data review currently exists. METHODS: A review of available data sources (ie journal publications, public reports and 'grey' literature) was conducted following principles of a scoping review...
October 2016: Rural and Remote Health
https://www.readbyqxmd.com/read/27863014/a-multicenter-study-of-diet-quality-on-birth-weight-and-gestational-age-in-infants-of-hiv-infected-women
#10
Tracie L Miller, Denise L Jacobson, Gabriel Somarriba, Daniela Neri, Joy Kurtz-Vraney, Patricia Graham, Matthew W Gillman, David C Landy, Suzanne Siminski, Laurie Butler, Kenneth C Rich, Kristy Hendricks, David A Ludwig
We determined factors associated with diet quality and assessed the relationship between diet quality, birth weight, and gestational age in a prospective national multicenter cohort study. We evaluated diet quality with the Healthy Eating Index (HEI, scale 0-100) in the third trimester of pregnancy with three 24-hr multiple-pass dietary recalls in 266 HIV+ women enrolled in the Pediatric HIV/AIDS Cohort Study. Covariates included demographics, food security, pre-pregnancy body mass index, HIV disease severity, substance use, and antiretroviral exposures...
November 8, 2016: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/27852947/psychological-distress-and-associated-factors-among-mexican-american-adolescent-females
#11
Pamela Recto, Jane Dimmitt Champion
INTRODUCTION: Mental health literacy is a critical component of adolescent health enabling recognition, management, and prevention of psychological distress. Adolescents engaging in risk behaviors and experiencing interpersonal violence, substance use, and pregnancy are at high risk for psychological distress. METHOD: Secondary analysis of data collected via a control randomized trial among Mexican American females (aged 14-18 years; N = 461) experiencing high-risk sexual behavior, interpersonal violence, and sexually transmitted infection was conducted with comparisons of psychological distress by pregnancy status...
December 2016: Hispanic Health Care International: the Official Journal of the National Association of Hispanic Nurses
https://www.readbyqxmd.com/read/27824939/factors-associated-with-maternal-serum-levels-of-perfluoroalkyl-substances-and-organochlorines-a-descriptive-study-of-parous-women-in-norway-and-sweden
#12
Hilde B Lauritzen, Tricia L Larose, Torbjørn Øien, Jon Ø Odland, Margot van de Bor, Geir W Jacobsen, Torkjel M Sandanger
INTRODUCTION: Perfluoroalkyl substances (PFASs) and organochlorines (OCs) are ubiquitous and persistent in the environment and proposed endocrine disrupting chemicals (EDCs). They can be transferred across the placenta during pregnancy, and studies suggest that the prenatal period may be particularly sensitive for influences on fetal growth and development. Several studies have investigated socio-demographic and pregnancy related factors associated with maternal serum PFAS and OC levels, but few studies have been conducted in time periods with increasing emissions of PFASs and recent emissions of OCs...
2016: PloS One
https://www.readbyqxmd.com/read/27824771/maternal-deaths-from-suicide-and-overdose-in-colorado-2004-2012
#13
Torri D Metz, Polina Rovner, M Camille Hoffman, Amanda A Allshouse, Krista M Beckwith, Ingrid A Binswanger
OBJECTIVE: To ascertain demographic and clinical characteristics of maternal deaths from self-harm (accidental overdose or suicide) to identify opportunities for prevention. METHODS: We report a case series of pregnancy-associated deaths resulting from self-harm in the state of Colorado between 2004 and 2012. Self-harm deaths were identified from several sources, including death certificates. Birth and death certificates along with coroner, prenatal care, and delivery hospitalization records were abstracted...
December 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27807736/-analgesic-drugs-during-pregnancy
#14
S Hultzsch, C Schaefer
Some important limitations must be taken into consideration for analgesic therapy during pregnancy. Paracetamol is the agent of choice for mild to moderate pain in any stage of pregnancy. Ibuprofen is the non-steroidal anti-inflammatory drug (NSAID) of choice; however, these substances are contraindicated after 28 weeks of gestation due to the increasing risk of premature closure of the ductus arteriosus and impairment of fetal kidney function. Even opioids can be used for severe pain but peripartum administration can lead to neonatal respiratory depression and adaptation disorders and long-term therapy up to the end of pregnancy can lead to neonatal withdrawal symptoms...
November 2, 2016: Der Schmerz
https://www.readbyqxmd.com/read/27789047/self-induced-illegal-abortion-with-rivanol-%C3%A2-a-medicolegal-toxicological-case-report
#15
Sarah C Koelzer, Hannelore Held, Stefan W Toennes, Marcel A Verhoff, Cora Wunder
Approximately during the 30th week of pregnancy, a woman gave birth to a still-born child in a hospital. After first citing an extraneous cause for the premature still-birth, the woman later admitted to having self-induced the abortion by injecting the antiseptic Rivanol(®) (active agent: ethacridine lactate) through her abdominal wall into the amniotic cavity. The investigating authorities ordered an autopsy of the fetus along with additional toxicological investigations. To the naked eye, no obvious cause of death was apparent...
August 27, 2016: Forensic Science International
https://www.readbyqxmd.com/read/27785104/smoking-alcohol-and-substance-use-and-rates-of-quitting-during-pregnancy-is-it-hard-to-quit
#16
Ahmet Bulent Yazici, Hilal Uslu Yuvaci, Esra Yazici, Ebru Halimoglu Caliskan, Arif Serhan Cevrioglu, Atila Erol
BACKGROUND: Alcohol and substance use is a major health challenge in Turkey, as it is worldwide. Recently, there has been a rapid increase in the number of females using substances and although usage tends to reduce during pregnancy, it is of critical importance to determine its exact level as substance use negatively impacts on the health of both the mother and infant. AIM: The aim of the present study was to investigate the frequency of smoking, alcohol, and substance use, and quitting rates during pregnancy...
2016: International Journal of Women's Health
https://www.readbyqxmd.com/read/27773527/a-moral-or-medical-problem-the-relationship-between-legal-penalties-and-treatment-practices-for-opioid-use-disorders-in-pregnant-women
#17
Cara Angelotta, Carol J Weiss, John W Angelotta, Richard A Friedman
OBJECTIVE: The relationship between use of medication-assisted treatment (MAT) in pregnant women with opioid use disorders, the standard of care, and state laws that permit child abuse charges for illicit drug use during pregnancy has not been described. METHODS: Using publicly available data on substance abuse treatment in the United States, we describe patterns in the use of MAT for pregnant women with opioid use disorders in states with prenatal child abuse laws compared with states without such laws...
October 20, 2016: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/27760409/incidence-and-recurrence-of-common-mental-disorders-after-abortion-results-from-a-prospective-cohort-study
#18
Jenneke van Ditzhuijzen, Margreet Ten Have, Ron de Graaf, Peter Lugtig, Carolus H C J van Nijnatten, Wilma A M Vollebergh
Research in the field of mental health consequences of abortion is characterized by methodological limitations. We used exact matching on carefully selected confounders in a prospective cohort study of 325 women who had an abortion of an unwanted pregnancy and compared them 1-to-1 to controls who did not have this experience. Outcome measures were incidence and recurrence of common DSM-IV mental disorders (mood, anxiety, substance use disorders, and the aggregate measure 'any mental disorder') as measured with the Composite International Diagnostic Interview (CIDI) version 3...
October 11, 2016: Journal of Psychiatric Research
https://www.readbyqxmd.com/read/27743729/persistent-organic-pollutants-in-early-pregnancy-and-risk-of-gestational-diabetes-mellitus
#19
Marina Vafeiadi, Theano Roumeliotaki, Georgia Chalkiadaki, Panu Rantakokko, Hannu Kiviranta, Eleni Fthenou, Soterios A Kyrtopoulos, Manolis Kogevinas, Leda Chatzi
BACKGROUND: Persistent organic pollutants (POPs) are a group of diverse substances, including polychlorinated biphenyls (PCBs) and organochlorine pesticides that are resistant to biodegradation and ubiquitously present in our environment. Exposure to endocrine disrupting chemicals such as POPs has been linked to type 2 diabetes and metabolic disturbances in epidemiological and animal studies, but little is known about POPs exposure during pregnancy and the development of gestational diabetes mellitus (GDM)...
October 12, 2016: Environment International
https://www.readbyqxmd.com/read/27743622/identifying-health-promotion-needs-among-dominican-american-adolescents
#20
Jane Dimmitt Champion, Carol F Roye
: Immigration from the Dominican Republic to the United States has grown rapidly. Yet, although adolescent pregnancy and obesity are common concerns among Hispanics, little is known specifically about Dominican adolescent health. This study was undertaken to assess Dominican-American adolescents' health concerns and their perceptions about their health promotion needs. DESIGN AND METHODS: Dominican-American adolescents (N=25) were recruited in a pediatric clinic in New York City which primarily serves a Dominican population...
October 12, 2016: Journal of Pediatric Nursing
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