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https://www.readbyqxmd.com/read/29912987/performance-of-point-of-care-birth-hiv-testing-in-primary-health-care-clinics-an-observational-cohort-study
#1
Bindiya Meggi, Lara Vojnov, Nedio Mabunda, Adolfo Vubil, Alcina Zitha, Ocean Tobaiwa, Chishamiso Mudenyanga, Dadirayi Mutsaka, Timothy Bollinger, Osvaldo Loquiha, Trevor F Peter, Ilesh V Jani
BACKGROUND: Failure to timely diagnose HIV in infants is a major barrier for scaling-up paediatric antiretroviral treatment (ART). WHO recommends birth testing for earlier diagnosis and to improve test coverage, but current diagnosis takes 2-3 weeks to complete, thereby limiting the ability of care givers to provide follow-on care, especially in low-resource settings. We evaluated the benefit of implementing rapid diagnosis of HIV at birth in primary health care maternity wards in Mozambique...
2018: PloS One
https://www.readbyqxmd.com/read/29912896/comparative-safety-and-effectiveness-of-perinatal-antiretroviral-therapies-for-hiv-infected-women-and-their-children-systematic-review-and-network-meta-analysis-including-different-study-designs
#2
Areti Angeliki Veroniki, Jesmin Antony, Sharon E Straus, Huda M Ashoor, Yaron Finkelstein, Paul A Khan, Marco Ghassemi, Erik Blondal, John D Ivory, Brian Hutton, Kevin Gough, Brenda R Hemmelgarn, Erin Lillie, Afshin Vafaei, Andrea C Tricco
BACKGROUND: Nearly all newly infected children acquire Human Immunodeficiency virus (HIV) via mother-to-child transmission (MTCT) during pregnancy, labour or breastfeeding from untreated HIV-positive mothers. Antiretroviral therapy (ART) is the standard care for pregnant women with HIV. However, evidence of ART effectiveness and harms in infants and children of HIV-positive pregnant women exposed to ART has been largely inconclusive. The aim of our systematic review and network meta-analysis (NMA) was to evaluate the comparative safety and effectiveness of ART drugs in children exposed to maternal HIV and ART (or no ART/placebo) across different study designs...
2018: PloS One
https://www.readbyqxmd.com/read/29912478/associations-between-state-level-policies-regarding-alcohol-use-among-pregnant-women-adverse-birth-outcomes-and-prenatal-care-utilization-results-from-1972-2013-vital-statistics
#3
Meenakshi S Subbaraman, Sue Thomas, Ryan Treffers, Kevin Delucchi, William C Kerr, Priscilla Martinez, Sarah C M Roberts
BACKGROUND: Policies regarding alcohol use during pregnancy continue to be enacted and debated in the United States. However, no study to date has examined whether these policies are related to birth outcomes, the outcomes they ultimately aim to improve. Here we assessed whether state-level policies targeting alcohol use during pregnancy are related to birth outcomes, which has not been done comprehensively before. METHODS: Secondary analyses of birth certificate data from N=148,048,208 United States singleton births between 1972-2013...
June 18, 2018: Alcoholism, Clinical and Experimental Research
https://www.readbyqxmd.com/read/29911521/integrated-perinatal-mental-health-care-a-national-model-of-perinatal-primary-care-in-vulnerable-populations
#4
Kimberly C Lomonaco-Haycraft, Jennifer Hyer, Britney Tibbits, Jennifer Grote, Kelly Stainback-Tracy, Claire Ulrickson, Alison Lieberman, Lies van Bekkum, M Camille Hoffman
IntroductionPerinatal mood and anxiety disorders (PMADs) are the most common complication of pregnancy and have been found to have long-term implications for both mother and child. In vulnerable patient populations such as those served at Denver Health, a federally qualified health center the prevalence of PMADs is nearly double the nationally reported rate of 15-20%. Nearly 17% of women will be diagnosed with major depression at some point in their lives and those numbers are twice as high in women who live in poverty...
June 18, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29910026/maternity-experiences-of-mothers-with-multiple-disadvantages-in-england-a-qualitative-study
#5
Jenny McLeish, Maggie Redshaw
BACKGROUND: Disadvantaged mothers and their babies are at increased risk of poor perinatal outcomes and have less positive experiences of maternity care. AIM: To explore the maternity care experiences of mothers with multiple disadvantages. METHODS: A qualitative descriptive study based on semi-structured interviews with 40 mothers with multiple disadvantages, using thematic analysis. FINDINGS: Four themes emerged: 'A confusing and frightening time', 'Longing to be respected as an individual', 'The importance of choice and control', and 'Needing trust to feel safe'...
June 14, 2018: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/29909723/outcome-of-labor-among-women-admitted-at-advanced-cervical-dilatation
#6
Elie Nkwabong, Jean Marc Njemba Medou, Joseph Nelson Fomulu
OBJECTIVE: To identify in our setting the outcome of labor among women admitted at advanced cervical dilatation. METHODS: This prospective cohort study was carried out between 1 December, 2015 and 31 March, 2016. Women carrying live term singletons in vertex presentation admitted with a cervical dilatation > 5 cm (late arrival group) or ≤ 5 cm (early arrival group) were followed up till delivery. The main variables studied included mode of delivery, genital lacerations, postpartum hemorrhage (PPH)...
June 18, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29909266/perinatal-mortality-or-severe-neonatal-encephalopathy-among-normally-formed-singleton-pregnancies-according-to-obstetric-risk-status-is-low-risk-the-new-high-risk-a-population-based-cohort-study
#7
Niamh M Joyce, Elizabeth Tully, Colin Kirkham, Patrick Dicker, Fionnuala M Breathnach
OBJECTIVE: To evaluate the capacity of the current system of obstetric risk stratification at the outset of pregnancy to predict severe adverse perinatal outcome. STUDY DESIGN: This retrospective cohort study of singleton pregnancies over a five year period (2009-2013) was performed at the Rotunda Hospital, Dublin, Ireland. High-risk or low-risk status was assigned retrospectively to a large consecutive cohort of women with a normally-formed singleton pregnancy on the basis of factors analyzed at the first prenatal hospital visit...
June 5, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29909265/intrapartum-and-perinatal-results-associated-with-different-degrees-of-staining-of-meconium-stained-amniotic-fluid
#8
Vanesa Rodríguez Fernández, Carlos Nicolás López Ramón Y Cajal, Elena Marín Ortiz, Emilio Couceiro Naveira
OBJECTIVE: To determine the intrapartum and perinatal results associated with different degrees of staining of meconium stained amniotic fluid (MSAF). STUDY DESIGN: In a retrospective cohort study of all singleton deliveries over a period of one year (2015) in a tertiary hospital, we compared different degrees of MSAF (yellow, green and thick) to clear amniotic fluids, and analysed in each group maternal, intrapartum and neonatal variables as well as umbilical cord blood gas analysis...
March 20, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29909089/safety-of-laparoscopic-surgery-for-benign-diseases-during-pregnancy-a-nationwide-retrospective-cohort-study
#9
Daisuke Shigemi, Shotaro Aso, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga
STUDY OBJECTIVE: To compare fetal, maternal, and operative outcomes of laparoscopic surgery versus laparotomy for major benign diseases including appendicitis, cholecystitis, adnexal masses, and uterine myoma during pregnancy. DESIGN: Retrospective cohort study (Canadian Task Force classification II-2). SETTING: The Diagnosis Procedure Combination database, a national inpatient database for acute-care inpatients in Japan. PATIENTS: 6,018 eligible patients underwent abdominal surgery (4,047 laparotomy and 1,971 laparoscopy patients) from July 2010 through March 2016...
June 14, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29908407/antenatal-education-for-childbirth-epidural-analgesia
#10
Lisa Cutajar, Allan M Cyna
The language structures used by antenatal educators have not been previously researched in the context of antenatal childbirth classes. Epidural analgesia for labour is a common, and a frequently asked about, component of antenatal education for parents in hospitals providing maternity care. AIM OF THE STUDY: We aimed to identify the way information is described and presented by childbirth educators to assess content and determine which language structures such as metaphor, suggestion, information and storytelling are utilized...
May 7, 2018: Midwifery
https://www.readbyqxmd.com/read/29907704/growth-and-body-composition-of-children-aged-2-4-years-after-exposure-to-community-mobilisation-women-s-groups-in-bangladesh
#11
Edward Fottrell, Naveed Ahmed, Badrun Nahar, Sanjit Kumer Shaha, Abdul Kuddus, Carlos S Grijalva-Eternod, Tasmin Nahar, Caroline Fall, Clive Osmond, Virginia Govoni, Sarah Finer, Chittaranjan Yajnik, A K Azad Khan, Anthony Costello, Kishwar Azad, Graham A Hitman
BACKGROUND: Women's groups interventions in Bangladesh reduced neonatal deaths by 38% and improved hygienic delivery, newborn care practices and breast feeding. We explore the longer-term impact of exposure to women's groups during pregnancy on child growth at 2-4 years. METHODS: We performed a cross-sectional survey of child anthropometric measures (analysed as z-scores) among children born to women who had participated in the women's groups interventions while pregnant, compared with an age-matched and sex-matched sample of children born to control mothers...
June 15, 2018: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/29907533/perinatal-care-needs-and-expectations-of-women-with-low-vision-or-total-blindness-in-warsaw-poland
#12
Barbara Mazurkiewicz, Małgorzata Stefaniak, Ewa Dmoch-Gajzlerska
BACKGROUND: As estimated from the number of published studies, in Poland the research into the perinatal care experiences of women with low vision or total blindness remains limited. OBJECTIVES: The purpose of the study was to fill this gap by investigating satisfaction with perinatal care received by women with visual impairment in four city hospitals in Warsaw, Poland, and to recommend, if required, modifications in midwives' education and care standards based on the women's perceptions and expectations...
June 12, 2018: Disability and Health Journal
https://www.readbyqxmd.com/read/29907484/patient-attitudes-toward-influenza-and-tetanus-diphtheria-and-acellular-pertussis-vaccination-in-pregnancy
#13
Emmie R Strassberg, Michael Power, Jay Schulkin, Lauren M Stark, A Dhanya Mackeen, Katie L Murtough, Michael J Paglia
BACKGROUND: Routine influenza and tetanus, diphtheria and acellular pertussis (Tdap) vaccination of pregnant women to prevent poor maternal, fetal and neonatal outcomes is recommended practice; however, actual rates of influenza vaccine acceptance are typically well below the (Healthy People 2020, 2015) goal of 80%. OBJECTIVE: We sought to identify barriers to accepting either vaccination. MATERIALS AND METHODS: From December 2014 to April 2015 women were given a questionnaire eliciting their experiences, attitudes and history of influenza and Tdap vaccination in pregnancy during their routine prenatal care appointments at a tertiary care center...
June 12, 2018: Vaccine
https://www.readbyqxmd.com/read/29907140/undiagnosed-maternal-diaphragmatic-hernia-a-management-dilemma
#14
Maya Reddy, Annie Kroushev, Kirsten Palmer
BACKGROUND: Maternal diaphragmatic hernias identified during pregnancy are rare and pose significant management challenges with regards to timing and mode of both delivery and hernia repair. CASE PRESENTATION: We describe a case of a maternal diaphragmatic hernia diagnosed at 31 weeks gestation in the setting of acute upper abdominal pain. Due to no evidence of visceral compromise and a stable maternal condition, the patient was conservatively managed, allowing for further foetal maturation...
June 15, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29907139/the-role-of-timely-initiation-of-antenatal-care-on-protective-dose-tetanus-toxoid-immunization-the-case-of-northern-ethiopia-post-natal-mothers
#15
Muhabaw Shumye Mihret, Miteku Andualem Limenih, Temesgen Worku Gudayu
BACKGROUND: Globally, tetanus toxoid protective dose immunization of the mothers is one of the strategies of maternal and neonatal tetanus prevention. Ethiopia has planned the national tetanus protection at birth coverage to reach 86% by the year 2015. However, there is still low coverage with less identified associated factors. Therefore; the purpose of this study was to assess tetanus toxoid protective dose immunization at last birth and associated factors among mothers who gave birth within one year prior to the study in Debretabor town, Northwest Ethiopia, 2016...
June 15, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29907100/demand-for-integrative-medicine-among-women-in-pregnancy-and-childbed-a-german-survey-on-patients-needs
#16
Nikolas Schürger, Evelyn Klein, Alexander Hapfelmeier, Marion Kiechle, Daniela Paepke
BACKGROUND: Although integrative medicine is gaining increasing attention and is claiming more and more its place in modern health care, it still plays a marginal role in conventional maternity care. The present study aims to examine the patterns of Complementary and Alternative Medicine (CAM) use and the demand for integrative therapies, including CAM, relaxation therapies, nutritional counseling, and psychological assistance, among women in pregnancy and childbed. METHODS: The survey was conducted from April 2017 to July 2017 by means of a pseudo-anonymous 38-item questionnaire at the Department of Gynecology and Obstetrics, Klinikum rechts der Isar, Technical University of Munich...
June 15, 2018: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/29905621/early-life-somatic-complaints-longitudinal-associations-with-maternal-and-child-psychopathology
#17
Melissa L Engel, Dominika A Winiarski, Brooke L Reidy, Patricia A Brennan
OBJECTIVE: Somatic complaints, often associated with concurrent and future internalizing symptoms and disorders in adult samples, were examined longitudinally from preschool to school age in a sample of children at an increased familial risk for psychopathology. The behavioral correlates and sex differences of somatic complaints and the persistence of these complaints across early childhood were examined. METHOD: A longitudinal sample of 185 mothers completed a laboratory visit when children were preschool aged and an online follow-up when children were school aged...
June 13, 2018: Journal of Developmental and Behavioral Pediatrics: JDBP
https://www.readbyqxmd.com/read/29905489/assisted-reproductive-technology-comorbidities-and-cardiovascular-risk-the-experience-of-an-italian-center
#18
Cinzia Fatini, Michela Cirillo, Maria Elisabetta Coccia
BACKGROUND: A growing number of infertile women undergo assisted reproductive technology (ART). Older maternal age and the presence of comorbidities may affect cardiovascular (CV) women health. Safety aspects are central in risk assessment; we report the experience of internal medicine clinical setting at the ART center. MATERIALS AND METHODS: we investigated 243 infertile women (110 autologous and 133 oocyte donation [OD]); cardiometabolic parameters and CV risk factors were investigated during the clinical evaluation...
June 15, 2018: Journal of Women's Health
https://www.readbyqxmd.com/read/29905006/getting-it-right-core-outcome-sets-in-quality-improvement-research
#19
Brett D Einerson
Hospital systems, expert panels, and regulatory agencies developed quality metrics to monitor health system quality and safety. Dozens or hundreds of perinatal quality outcome measures are reported, but few are easily comparable. Bunch and colleagues (BJOG 2018) responded to the call by The CROWN Initiative (BJOG 2014;121:1181) to "develop core outcome sets using robust consensus methodology." Integrating the expertise of multiple stakeholders, the authors used Delphi methodology to develop a set of consensus-based core outcomes for monitoring the quality of care in English maternity units...
June 14, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29904605/women-s-recall-of-maternal-and-newborn-interventions-received-in-the-postnatal-period-a-validity-study-in-kenya-and-swaziland
#20
Katharine J McCarthy, Ann K Blanc, Charlotte E Warren, Brian Mdawida
Background: Despite the concentration of maternal and infant deaths in the early postnatal period, information on the content and quality of postnatal care interventions is not routinely collected in most low and middle-income countries. At present, data on the coverage of postnatal care interventions mostly rely on women's reports collected in household surveys, such as the Demographic and Health Surveys (DHS) and Multiple Indicator Cluster Surveys (MICS), which collect limited information...
June 2018: Journal of Global Health
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