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Antenatal testing

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https://www.readbyqxmd.com/read/29026338/utilization-of-healthcare-services-in-postpartum-women-in-the-philippines-who-delivered-at-home-and-the-effects-on-their-health-a-cross-sectional-analytical-study
#1
Tadashi Yamashita, Maria Teresa Reyes Tuliao, Magdalena Concel Meana, Sherri Ann Suplido, Cecilia L Llave, Yuko Tanaka, Hiroya Matsuo
BACKGROUND: A low ratio of utilization of healthcare services in postpartum women may contribute to maternal deaths during the postpartum period. The maternal mortality ratio is high in the Philippines. The aim of this study was to examine the current utilization of healthcare services and the effects on the health of women in the Philippines who delivered at home. METHODS: This was a cross-sectional analytical study, based on a self-administrated questionnaire, conducted from March 2015 to February 2016 in Muntinlupa, Philippines...
2017: International Journal of Women's Health
https://www.readbyqxmd.com/read/29025632/modifiers-of-the-effect-of-maternal-multiple-micronutrient-supplementation-on-stillbirth-birth-outcomes-and-infant-mortality-a-meta-analysis-of-individual-patient-data-from-17-randomised-trials-in-low-income-and-middle-income-countries
#2
Emily R Smith, Anuraj H Shankar, Lee S-F Wu, Said Aboud, Seth Adu-Afarwuah, Hasmot Ali, Rina Agustina, Shams Arifeen, Per Ashorn, Zulfiqar A Bhutta, Parul Christian, Delanjathan Devakumar, Kathryn G Dewey, Henrik Friis, Exnevia Gomo, Piyush Gupta, Pernille Kæstel, Patrick Kolsteren, Hermann Lanou, Kenneth Maleta, Aissa Mamadoultaibou, Gernard Msamanga, David Osrin, Lars-Åke Persson, Usha Ramakrishnan, Juan A Rivera, Arjumand Rizvi, H P S Sachdev, Willy Urassa, Keith P West, Noel Zagre, Lingxia Zeng, Zhonghai Zhu, Wafaie W Fawzi, Christopher R Sudfeld
BACKGROUND: Micronutrient deficiencies are common among women in low-income and middle-income countries. Data from randomised trials suggest that maternal multiple micronutrient supplementation decreases the risk of low birthweight and potentially improves other infant health outcomes. However, heterogeneity across studies suggests influence from effect modifiers. We aimed to identify individual-level modifiers of the effect of multiple micronutrient supplements on stillbirth, birth outcomes, and infant mortality in low-income and middle-income countries...
November 2017: Lancet Global Health
https://www.readbyqxmd.com/read/29022533/distribution-of-hepatitis-b-virus-infection-in-namibia
#3
P Mhata, T W Rennie, L F Small, P M Nyarang'o, Z Chagla, C J Hunter
BACKGROUND: Namibia regards hepatitis B virus (HBV) infection as a public health problem and introduced hepatitis B vaccinations for infants during 2009. However, information on HBV infection in the country remains limited, and effective public health interventions may be compromised in the absence of adequate evidence-based data. Available data from the World Health Organization (WHO) estimate that 15 - 60% of the normal population in many African countries may be positive for one or more of the HBV serological markers...
September 22, 2017: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/29022530/male-involvement-in-prevention-of-mother-to-child-transmission-of-hiv-in-the-context-of-partner-testing-in-goba-town-ethiopia-a-facility-based-cross-sectional-study
#4
M T Alemayehu, J Haidar
BACKGROUND: Antenatal care (ANC) is an entry point for the prevention of mother-to-child transmission (PMTCT), particularly when a man accompanies his spouse for voluntary counselling and testing (VCT), even though this seldom happens in Ethiopia. OBJECTIVE: To study the role of male partners in improving PMTCT/ANC, which is essential to prevent HIV/AIDS transmission in this country. Our study focused on identifying barriers for the low involvement in PMTCT/ANC among male partners whose spouses received ANC...
September 22, 2017: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/29017555/hospital-visiting-pregnant-women-signal-an-increased-spread-of-hepatitis-c-infection-in-khyber-pakhtunkhwa-region-of-pakistan
#5
Zobia Afsheen, Bashir Ahmad, Shumaila Bashir
BACKGROUND: Seroprevalence of hepatitis C in Khyber Pakhtunkhwa province of Pakistan was determined by screening blood samples of expectant mothers seeking antenatal care in gynecological units of district hospitals. The rationale behind this cohort study was that the availability of free-of-cost antenatal care in district hospitals brings expectant mothers from a broader geographical range in each district and thus provides a large sample-size of healthy pregnant women of known medical history for Hepatitis C Virus (HCV) surveillance...
October 10, 2017: Virology Journal
https://www.readbyqxmd.com/read/28993892/screening-investigations-in-small-for-gestational-age-near-term-and-term-infants
#6
Mohan B Krishnamurthy, Abigail Popiel, Atul Malhotra
The aims of this study are to examine how frequently near-term and term small-for-gestational-age (SGA) infants were investigated in our clinical practice, whether being born less than the third centile for weight increased the yield of positive investigations, and whether there were additional characteristics in infants with positive investigations. This retrospective cohort study was compiled using a database of a large maternity network, using the search near term and term gestational age (greater than or equal to 35 weeks) over a span of 4 years...
October 10, 2017: European Journal of Pediatrics
https://www.readbyqxmd.com/read/28988271/bridging-the-gap-from-prenatal-karyotyping-to-whole-genome-array-comparative-genomic-hybridization-in-hong-kong-survey-on-knowledge-and-acceptance-of-health-care-providers-and-pregnant-women
#7
Hiu Yee Heidi Cheng, Anita Sik-Yau Kan, Pui Wah Hui, Chin Peng Lee, Mary Hoi Yin Tang
PURPOSE: The use of array comparative genomic hybridization (aCGH) has been increasingly widespread. The challenge of integration of this technology into prenatal diagnosis was the interpretation of results and communicating findings of unclear clinical significance. This study assesses the knowledge and acceptance of prenatal aCGH in Hong Kong obstetricians and pregnant women. The aim is to identify the needs and gaps before implementing the replacement of karyotyping with aCGH. Questionnaires with aCGH information in the form of pamphlets were sent by post to obstetrics and gynecology doctors...
October 7, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28984760/implementation-effectiveness-of-revised-post-2010-world-health-organization-guidelines-on-prevention-of-mother-to-child-transmission-of-hiv-using-routinely-collected-data-in-sub-saharan-africa-a-systematic-literature-review
#8
REVIEW
Sehlulekile Gumede-Moyo, Suzanne Filteau, Tendai Munthali, Jim Todd, Patrick Musonda
BACKGROUND: To synthesize and evaluate the impact of implementing post-2010 World Health Organization (WHO) prevention of mother-to-child transmission (PMTCT) guidelines on attainment of PMTCT targets. METHODS: Retrospective and prospective cohort study designs that utilized routinely collected data with a focus on provision and utilization of the cascade of PMTCT services were included. The outcomes included the proportion of pregnant women who were tested during their antenatal clinic (ANC) visits; mother-to-child transmission (MTCT) rate; adherence; retention rate; and loss to follow-up (LTFU)...
October 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28984634/using-ehealth-to-increase-autonomy-supportive-care-a-multicenter-intervention-study-in-antenatal-care
#9
Helle Johnsen, Karina Fischer Blom, Anne Lee, Birgitte Nørgaard
eHealth solutions are increasingly implemented in antenatal care to enhance women's involvement. The main aim of this study was to evaluate women's assessment of autonomy supportive care during the antenatal care visits among low-risk pregnant women. An intervention study was conducted including a control group attending standard antenatal care and an intervention group having access to an eHealth knowledge base, in addition to standard care. A total of 87 women were included in the control group and a total of 121 women in the intervention group...
October 3, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28982820/rubella-virus-infection-and-associated-factors-among-pregnant-women-attending-the-antenatal-care-clinics-of-public-hospitals-in-hawassa-city-southern-ethiopia-a-cross-sectional-study
#10
Biniam Tamirat, Siraj Hussen, Techalew Shimelis
OBJECTIVE: To assess the seroprevalence of recent/acute and past exposure to rubella virus infection and associated risk factors among pregnant women. DESIGN: A hospital-based cross-sectional study. SETTING: The study was conducted in two public hospitals in Hawassa City, Southern Ethiopia. PARTICIPANTS: A total of 422 pregnant women attending antenatal care clinics were selected using a systematic random sampling technique from March to June 2016...
October 5, 2017: BMJ Open
https://www.readbyqxmd.com/read/28979772/late-onset-bartter-syndrome-type-ii
#11
Benjamin Gollasch, Yoland-Marie Anistan, Sima Canaan-Kühl, Maik Gollasch
Mutations in the ROMK1 potassium channel gene (KCNJ1) cause antenatal/neonatal Bartter syndrome type II (aBS II), a renal disorder that begins in utero, accounting for the polyhydramnios and premature delivery that is typical in affected infants, who develop massive renal salt wasting, hypokalaemic metabolic alkalosis, secondary hyperreninaemic hyperaldosteronism, hypercalciuria and nephrocalcinosis. This BS type is believed to represent a disorder of the infancy, but not in adulthood. We herein describe a female patient with a remarkably late-onset and mild clinical manifestation of BS II with compound heterozygous KCNJ1 missense mutations, consisting of a novel c...
October 2017: Clinical Kidney Journal
https://www.readbyqxmd.com/read/28978305/implementing-non-invasive-prenatal-testing-into-publicly-funded-antenatal-screening-services-for-down-syndrome-and-other-conditions-in-aotearoa-new-zealand
#12
Sara Filoche, Fiona Cram, Bev Lawton, Angela Beard, Peter Stone
BACKGROUND: Non-invasive prenatal testing (NIPT) is a relatively new screen for congenital conditions - specifically, common fetal aneuploidies including Down Syndrome. The test is based on isolating freely circulating fragments of fetal-placental DNA that is present in the mother's blood. NIPT has a superior clinical performance compared to current screening, and has been available privately in Aotearoa New Zealand for the last 4 years. MAIN ISSUE: The proposed implementation of NIPT as a publicly funded service may widen the inequity in access to optional antenatal screening that already exists in this country...
October 4, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28978289/-we-have-heard-it-together-a-qualitative-analysis-of-couple-hiv-testing-and-counselling-recruitment-in-malawi-s-option-b-programme
#13
Nora E Rosenberg, Rebecca Gross, Tiwonge Mtande, Suzanne Maman, Carol E Golin, Friday Saidi, Olivia Manthalu, Irving Hoffman, Mina C Hosseinipour, William C Miller
Encouraging HIV-infected pregnant women to recruit male partners for couple HIV testing and counselling (CHTC) is promoted by the World Health Organization, but remains challenging. Formal strategies for recruiting the male partners of pregnant women have not been explored within an Option B+ programme. Our objective was to learn about experiences surrounding CHTC recruitment within a formal CHTC recruitment study. A randomised controlled trial comparing two CHTC recruitment strategies was conducted among HIV-infected pregnant women presenting to Bwaila Antenatal Unit in 2014...
September 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/28976606/the-significance-of-placental-cord-insertion-site-in-twin-pregnancy
#14
Erkan Kalafat, Basky Thilaganathan, Aris Papageorghiou, Amar Bhide, Asma Khalil
OBJECTIVE: The aim of this study was to investigate the association between abnormal cord insertion and the development of the twin-specific complications, including birthweight discordance, selective fetal growth restriction (sFGR) and twin-to-twin transfusion syndrome (TTTS). METHODS: A single-center cohort study of twin pregnancies. Abnormal cord insertion was defined as either marginal (cord attachment site less than 2cm to the nearest margin of the placental disc) or velamentous (when the umbilical cord was attached to the membrane before reaching the placental disc with clear evidence of vessels traversing the membranes to connect with the placental disc), as described in placental pathology reports...
October 4, 2017: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28973120/costing-essential-services-package-provided-by-a-non-governmental-organization-network-in-bangladesh
#15
Wu Zeng, Yara A Halasa, Marion Cros, Halida Akhter, Allyala Krishna Nandakumar, Donald S Shepard
The health profile of Bangladesh has improved remarkably, yet gaps in delivering quality health care remain. In response to the need for evidence to quantify resources for providing health services in Bangladesh, this study estimates unit costs of providing the essential services package (ESP) in the not-for-profit sector. This study used a stratified sampling approach to select 18 static clinics, which had fixed facilities, from 330 non-profit clinics under Smiling Sun network in Bangladesh. Costs were estimated from the providers' perspective, using both top-down and bottom-up methods, from July 2014 to June 2015...
August 31, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28970686/knowledge-and-attitude-of-donating-and-using-cord-blood-for-transfusion-among-patients-attending-nnamdi-azikiwe-university-teaching-hospital-nnewi-south-east-nigeria
#16
Chide E Okocha, Nkiru N Ezeama, John C Aneke, Chinyere U Onubogu, Charles I Okafor, Chijioke G Egbunike
BACKGROUND: Allogeneic blood for transfusion is in short supply in most parts of the developing world. Cord blood for transfusion can be a significant source of blood supply to our health institutions. AIMS: This study aims to investigate the knowledge and attitude to the donation and use of umbilical cord blood (UCB) for transfusion among the patients receiving services in a tertiary health institution in South-East Nigeria. MATERIALS AND METHODS: This was a cross-sectional study; an anonymous structured questionnaire was used...
July 2017: Asian Journal of Transfusion Science
https://www.readbyqxmd.com/read/28969210/prevention-of-parent-to-child-transmission-of-hiv-single-centre-experience-of-14-years-at-tertiary-care-hospital-in-delhi-india
#17
A G Radhika, Sonia Chawla, Sruthi Bhaskaran
INTRODUCTION: Prevention of Parent To Child Transmission (PPTCT) of HIV/AIDS is an integral component of AIDS control programme. PPTCT is an ongoing programme since last 15 years. AIM: The aim of the study was to evaluate the reduction in the burden of disease in newborn and infants by prevention of parents to child transmission of HIV/AIDS. MATERIALS AND METHODS: This retrospective study was conducted at Department of Obstetrics and Gynecology in a tertiary care hospital of Delhi from May 2002 to May 2015...
August 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28969209/gestational-urinary-incontinence-in-nulliparous-pregnancy-a-pilot-study
#18
Alp Tuna Beksac, Emine Aydin, Ceren Orhan, Ergun Karaagaoglu, Turkan Akbayrak
INTRODUCTION: Urinary Incontinence (UI) in pregnancy is more than a disease; it is a social problem that necessitates special care and management. The exact rationales and biological facts behind urinary incontinence during pregnancy are unclear and multivariate. AIM: This pilot study was designed to examine the direct effect of gestational factors (e.g., physical and metabolic/hormonal) on the presence of Gestational Urinary Incontinence (GUI), in nulliparous pregnant women...
August 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28963173/national-assessment-of-data-quality-and-associated-systems-level-factors-in-malawi
#19
Richael O'Hagan, Melissa A Marx, Karen E Finnegan, Patrick Naphini, Kumbukani Ng'ambi, Kingsley Laija, Emily Wilson, Lois Park, Sautso Wachepa, Joseph Smith, Lewis Gombwa, Amos Misomali, Tiope Mleme, Simeon Yosefe
BACKGROUND: Routine health data can guide health systems improvements, but poor quality of these data hinders use. To address concerns about data quality in Malawi, the Ministry of Health and National Statistical Office conducted a data quality assessment (DQA) in July 2016 to identify systems-level factors that could be improved. METHODS: We used 2-stage stratified random sampling methods to select health centers and hospitals under Ministry of Health auspices, included those managed by faith-based entities, for this DQA...
September 27, 2017: Global Health, Science and Practice
https://www.readbyqxmd.com/read/28955105/health-care-factors-influencing-teen-mothers-use-of-contraceptives-in-malawi
#20
Kennedy Machira, Martin E Palamuleni
OBJECTIVE: The study seeks to examine factors associated with teen mothers' use of modern contraceptives after giving birth. METHODS: The 2010 Malawi Demographic and Health Survey data was used to test the study objective. A sample of 12, 911 teen mothers aged between 10 and 18 years were extracted from 23, 020 women and were asked of contraceptive usage after first birth experiences, in which, a logistic regression model was employed to estimate correlates of contraceptive usage...
June 2017: Ghana Medical Journal
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