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Birth preference

Katharine Bowker, Sophie Orton, Sue Cooper, Felix Naughton, Rachel Whitemore, Sarah Lewis, Linda Bauld, Lesley Sinclair, Tim Coleman, Anne Dickinson, Michael Ussher
BACKGROUND: Electronic cigarettes (ECs) are increasingly used for reducing or stopping smoking, with some studies showing positive outcomes. However, little is known about views on ECs during pregnancy or postpartum and previous studies have nearly all been conducted in the US and have methodological limitations, such as not distinguishing between smokers and ex/non-smokers. A greater understanding of this topic will help to inform both clinicians and EC interventions. We elicited views and experiences of ECs among UK pregnant or recently pregnant women...
June 15, 2018: BMC Pregnancy and Childbirth
Muhammad Iftikhar Ul Husnain, Mudassar Rashid, Usman Shakoor
BACKGROUND: Pakistan ranks 149th in the maternal mortality ratio (MMR) and has failed to keep pace with other countries in the region, except Afghanistan, with respect to health indicators. Home deliveries are linked to a higher risk of maternal death; therefore, discouraging home deliveries is imperative to improve maternal health. This study provides a holistic view and analyses factors affecting home birth decisions within the context of maternal socio-demographic characteristics in Pakistan...
June 14, 2018: BMC Pregnancy and Childbirth
Cristina María Mejía Merino, Lida Faneyra Zapata, Diana Patricia Molina Berrio, Juan David Arango Urrea
OBJECTIVES: This work sought to describe the meanings constructed in the experiences of women in relation to the care received by the healthcare staff at the moment of delivery. METHODS: Qualitative study using the procedures proposed by the Grounded theory for data analysis. The sample comprised 18 women over 14 years of age, between 40 days and 6 months postpartum. Twelve of the participants were selected through convenience and to reach saturation of the categories, six more participants were included by using theoretical sampling...
February 2018: Investigación y Educación en Enfermería
Veronica Sanchez, Michelle Maladen-Percy, Jennifer Gustin, Amy Tally, Roger Gibb, Julie Ogle, Dianna C Kenneally, Andrew N Carr
BACKGROUND: Extremely low-birth-weight (ELBW) infants face significant diapering challenges compared with their full-term peers, due to immature musculature, nervous system, and skin development. Advances in medical care has increased an ELBW infant's rate of survival, which creates a growing need for diapers to better serve these infants. Aim of research. The objective of this study was to identify and confirm the requirements for optimal diaper performance from the neonatal intensive care unit nurses' perspective, as well as to assess in-hospital performance to determine if new features improved key developmental care parameters...
June 1, 2018: Clinical Pediatrics
Angelique Martha Grosser, Chantal Höller-Holtrichter, Ina-Merle Doyle, Jutta Schmitz, Renata Hoffmann, Emine Ergin-Akkoyun, Antonia Mauro, Jürgen Breckenkamp, Oliver Razum, Jacob Spallek
BACKGROUND: Recruitment of participants from all population groups is a known challenge in social epidemiological research. A multitude of potentially useful strategies for the recruitment of ethnic minorities and certain migrant groups have been proposed. However, existing publications have not answered the question whether such strategies are applicable to a birth cohort study in Germany. The aim of the present study was to present recruitment strategies for migrants in a birth cohort using the example of the BaBi study...
June 11, 2018: Das Gesundheitswesen
Joanna Majewska, Katarzyna Zajkiewicz, Kamila Wacław-Abdul, Joanna Baran, Daniel Szymczyk
Introduction: The aim of this study was to evaluate and compare the level of neuromotor function and somatic development in 6- and 7-year-old children born before the 30th week gestation with that in full-term children at the same age, as well as the correlation between prematurity and motor development. Material and Methods: The study group consisted of prematurely born 40 children. Their mean gestational age at birth was 27.8 ± 1.6 weeks (range 24-30 weeks). The control group consisted of 40 healthy children born with normal birth weight (>2500 g)...
2018: BioMed Research International
M R C van Minde, S M Hulst, H Raat, E A P Steegers, M L A de Kroon
BACKGROUND: Children born in families with non-medical risk factors, such as deprivation, have higher odds of preterm birth (< 37 weeks of gestation) or being born small for gestational age (birth weight < 10th percentile). In addition, growing up they are at risk for growth and developmental problems. Preventive Child Healthcare (PCHC) monitors growth and development of babies and children. Early identification of children at risk could result in early interventions to prevent growth and developmental problems in later life...
June 8, 2018: BMC Health Services Research
Srirupa Hari Gopal, Kathryn M Edwards, Buddy Creech, Joern-Hendrik Weitkamp
INTRODUCTION:  The Advisory Committee on Immunization Practices and the American Academy of Pediatrics (AAP) recommend the same immunization schedule for preterm and term infants. However, significant delays in vaccination of premature infants have been reported. OBJECTIVE:  The objective of this study was to assess the variability of immunization practices in preterm infants. STUDY DESIGN:  We conducted an online survey of 2,443 neonatologists in the United States, who are members of the Section for Neonatal-Perinatal Medicine of the AAP...
June 8, 2018: American Journal of Perinatology
Kathryn R Hesketh, Kelly R Evenson, Marissa Stroo, Shayna M Clancy, Truls Østbye, Sara E Benjamin-Neelon
Background: Physical activity in pregnancy and postpartum is beneficial to mothers and infants. To advance knowledge of objective physical activity measurement during these periods, this study compares hip to wrist accelerometer compliance; assesses convergent validity (correlation) between hip- and wrist-worn accelerometry; and assesses change in physical activity from pregnancy to postpartum. Methods: We recruited women during pregnancy ( n  = 100; 2014-2015), asking them to wear hip and wrist accelerometers for 7 days during Trimester 2 (T2), Trimester 3 (T3), and 3-, 6-, 9- and 12-months postpartum...
June 2018: Preventive Medicine Reports
Claudia M Lora, Ana C Ricardo, Jinsong Chen, Jianwen Cai, Michael Flessner, Ashley Moncrieft, Carmen Peralta, Leopoldo Raij, Sylvia E Rosas, Gregory A Talavera, Martha L Daviglus, James P Lash
Hispanics/Latinos are burdened by chronic kidney disease (CKD). The role of acculturation in this population has not been explored. We studied the association of acculturation with CKD and cardiovascular risk factor control. We performed cross-sectional analyses of 13,164 U.S. Hispanics/Latinos enrolled in the HCHS/SOL Study between 2008 and 2011. Acculturation was measured using the language and ethnic social relations subscales of the Short Acculturation Scale for Hispanics, and proxies of acculturation (language preference, place of birth and duration of residence in U...
June 2018: Preventive Medicine Reports
James Gaensbauer, Bryn Gonzales, Robert Belknap, Michael L Wilson, Mary E O'Connor
OBJECTIVE: To assess outcomes from a QuantiFERON-tuberculosis (TB) Gold (QFT)-based screening for pediatric latent TB infection (LTBI) in the Denver Health Community Health System (CHS), an urban primary-care network in the US. STUDY DESIGN: We retrospectively analyzed all QFTs (n = 6685) performed on children aged 2-18 years between January 5, 2011, and August 18, 2014. Risk factors for positive testing in the CHS population were identified by logistic regression, and further assessed using a case-control comparison...
June 1, 2018: Journal of Pediatrics
Kerry L M Wong, Emma Radovich, Onikepe O Owolabi, Oona M R Campbell, Oliver J Brady, Caroline A Lynch, Lenka Benova
BACKGROUND: In Nigeria, the provision of public and private healthcare vary geographically, contributing to variations in one's healthcare surroundings across space. Facility-based delivery (FBD) is also spatially heterogeneous. Levels of FBD and private FBD are significantly lower for women in certain south-eastern and northern regions. The potential influence of childbirth services frequented by the community on individual's barriers to healthcare utilization is under-studied, possibly due to the lack of suitable data...
June 1, 2018: BMC Health Services Research
Tamara Mulenga, Misinzo Moono, Martha Mwendafilumba, Albert Manasyan, Anjali Sharma
BACKGROUND: A shortage of skilled birth attendants and low quality of care in health facilities along with unattended home deliveries contribute to the high maternal and neonatal mortality in sub Saharan Africa. Identifying and addressing context-specific reasons for not delivering at health care facilities could increase births assisted by skilled attendants who, if required, can provide life-saving interventions. METHODS: We conducted 22 in-depth interviews (IDIs) with midwives at three health facilities in peri-urban communities and 24 semi-structured surveys with mothers in two areas served by health facilities with the highest number of reported home deliveries in Lusaka, Zambia...
June 1, 2018: BMC Pregnancy and Childbirth
Manuel R G Carrapato, Teresa Andrade, Teresa Caldeira
Small preterms often have low blood pressure readings in the first few days of life. However, what is hypotension in preterms? Should there be an aggressive approach to its management? What are the immediate and long-term side effects of powerful medications? Alternatively, could be accepted a low blood pressure instead? Our data show that, despite extremely low gestational age (ELGA) / extremely low birth weight (ELBW) neonates, almost half of these tiny babies have neither low mean arterial pressure (MAP) readings nor clinical signs of impaired perfusion...
May 30, 2018: Journal of Maternal-fetal & Neonatal Medicine
Hazar Haidar, Meredith Vanstone, Anne-Marie Laberge, Gilles Bibeau, Labib Ghulmiyyah, Vardit Ravitsky
Noninvasive prenatal testing (NIPT), based on the detection of cell-free fetal DNA in maternal blood, has transformed the landscape of prenatal care by offering clinical benefits (noninvasive, high specificity and sensitivity, early detection of abnormalities) compared to existing prenatal screening tests. NIPT has expanded rapidly and is currently commercially available in most of the world. As NIPT spreads globally, culturally sensitive and ethically sound implementation will require policies that take into consideration the social and cultural context of prenatal testing decisions...
April 2018: AJOB Empirical Bioethics
Aliyu Labaran Dayyabu, Yusuf Murtala, Amos Grünebaum, Laurence B McCullough, Birgit Arabin, Malcolm I Levene, Robert L Brent, Giovanni Monni, Cihat Sen, Alexander Makatsariya, Frank A Chervenak
Hospital births, when compared to out-of-hospital births, have generally led to not only a significantly reduced maternal and perinatal mortality and morbidity but also an increase in certain interventions. A trend seems to be emerging, especially in the US where some women are requesting home births, which creates ethical challenges for obstetricians and the health care organizations and policy makers. In the developing world, a completely different reality exists. Home births constitute the majority of deliveries in the developing world...
May 29, 2018: Journal of Perinatal Medicine
Elin Marie Lindstad Løvåsmoen, Mari Nyland Bjørgo, Mirjam Lukasse, Berit Schei, Lena Henriksen
OBJECTIVES: The caesarean (CS) section rate varies among hospitals in Norway, and little is known about whether this is influenced by women's preferences. The aim of this study was to investigate the differences in women's preferred mode of delivery during pregnancy between five hospitals in Norway, and to relate this to the actual mode of delivery. STUDY DESIGN: A prospective cohort study of 2,177 unselected pregnant women in five hospitals in Norway. Women were recruited at their standard ultrasound examinations, and data was collected through questionnaires and electronic patient charts...
June 2018: Sexual & Reproductive Healthcare: Official Journal of the Swedish Association of Midwives
Alisa Kachikis, Ann-Beth Moller, Tomas Allen, Lale Say, Doris Chou
INTRODUCTION: Equity is a cross-cutting theme within the Sustainable Development Goals (SDGs) and central to the effort to improve maternal and child health globally. One key strategy to prevent maternal death set out in SDG 3 is assistance by a skilled birth attendant (SBA) at childbirth (indicator 3.1.2). However, the increased coverage of SBAs globally has not been reflected by the same degree of decrease in maternal mortality and has been reported to have higher levels of inequality than other maternal health interventions...
May 26, 2018: BMJ Open
Madeleine C Murphy, Christian Heiring, Nicoletta Doglioni, Daniele Trevisanuto, Mats Blennow, Kajsa Bohlin, Gianluca Lista, Ilaria Stucchi, Colm P F O'Donnell
Importance: Treatment options for a symptomatic pneumothorax in newborns include needle aspiration (NA) and chest drain (CD) insertion. There is little consensus as to the preferred treatment, reflecting a lack of evidence from clinical trials. Objective: To investigate whether treating pneumothoraces diagnosed on chest radiography (CR) in newborns receiving respiratory support with NA results in fewer infants having CDs inserted within 6 hours of diagnosis. Design, Setting, and Participants: This randomized clinical trial was conducted from October 7, 2013, to December 21, 2016...
May 14, 2018: JAMA Pediatrics
Sophia Teoh, Elizabeth Clyde, Theodore Dassios, Anne Greenough
The use of humidified high-flow nasal cannulae (HHFNC) as an alternative mode of non-invasive ventilation (NIV) in neonates has become widespread. A survey of UK neonatal units showed the proportion using HHFNC had increased from 56% in 2012 to 87% in 2015 (1). A recently reported Cochrane Review (2) comparing the use of HHFNC against other NIV modes of ventilation immediately after birth or following extubation showed no significant difference in the rates of bronchopulmonary dysplasia (BPD) or death and no significant difference in the rates of treatment failure/reintubation...
May 24, 2018: Acta Paediatrica
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