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https://www.readbyqxmd.com/read/28211155/utah-obstetricians-opinions-of-planned-home-birth-and-conflicting-nice-acog-guidelines-a-qualitative-study
#1
Emily Rainey, Sara Simonsen, Joseph Stanford, Kimberley Shoaf, Jami Baayd
BACKGROUND: The United Kingdom's National Institute for Health and Care Excellence (NICE) recently published recommendations that support planned home birth for low-risk women. The American College of Obstetricians and Gynecologists (ACOG) remains wary of planned home birth, asserting that hospitals and birthing centers are the safest birth settings. Our objective was to examine opinions of obstetricians in Salt Lake City, Utah about home birth in the context of rising home birth rates and conflicting guidelines...
February 17, 2017: Birth
https://www.readbyqxmd.com/read/28202519/correlates-of-prenatal-and-early-life-tobacco-smoke-exposure-and-frequency-of-common-gene-deletions-in-childhood-acute-lymphoblastic-leukemia
#2
Adam J de Smith, Maneet Kaur, Semira Gonseth, Alyson A Endicott, Steve Selvin, Luoping Zhang, Ritu Roy, Xiaorong Shao, Helen M Hansen, Alice Y Kang, Kyle M Walsh, Gary V Dahl, Roberta McKean-Cowdin, Catherine Metayer, Joseph L Wiemels
Tobacco smoke exposure has been associated with risk of childhood acute lymphoblastic leukemia (ALL). Understanding the relationship between tobacco exposures and specific mutations may yield etiologic insights. We carried out a case-only analysis to explore whether prenatal and early-life tobacco smoke exposure influences the formation of leukemogenic genomic deletions. Somatic copy-number of 8 genes frequently deleted in ALL (CDKN2A, ETV6, IKZF1, PAX5, RB1, BTG1, PAR1 region, and EBF1) was assessed in 559 pre-treatment tumor samples from the California Childhood Leukemia Study...
February 15, 2017: Cancer Research
https://www.readbyqxmd.com/read/28199373/prevalence-of-maternal-hiv-infection-and-knowledge-on-mother-to-child-transmission-of-hiv-and-its-prevention-among-antenatal-care-attendees-in-a-rural-area-in-northwest-cameroon
#3
Carlson-Babila Sama, Vitalis F Feteh, Maxime Tindong, John T Tanyi, Nestor Mbinkar Bihle, Fru F Angwafo
BACKGROUND: In 2010, an estimated 141 new HIV infections occurred per day in Cameroon and reports suggest an upsurge of these rates by 2020 if current trends continue. Mother-to-child transmission (MTCT) of HIV is a major public health challenge, and maternal knowledge on HIV transmission during pregnancy and its prevention is important in curtailing paediatric HIV acquisition. OBJECTIVES: We aimed at establishing the prevalence of maternal HIV infection as well as assessing knowledge on HIV, MTCT and prevention of MTCT (PMTCT) of HIV among pregnant women in a rural area of Cameroon...
2017: PloS One
https://www.readbyqxmd.com/read/28193399/community-resource-centres-to-improve-the-health-of-women-and-children-in-informal-settlements-in-mumbai-a-cluster-randomised-controlled-trial
#4
Neena Shah More, Sushmita Das, Ujwala Bapat, Glyn Alcock, Shreya Manjrekar, Vikas Kamble, Rijuta Sawant, Sushma Shende, Nayreen Daruwalla, Shanti Pantvaidya, David Osrin
BACKGROUND: Around 105 million people in India will be living in informal settlements by 2017. We investigated the effects of local resource centres delivering integrated activities to improve women's and children's health in urban informal settlements. METHODS: In a cluster-randomised controlled trial in 40 clusters, each containing around 600 households, 20 were randomly allocated to have a resource centre (intervention group) and 20 no centre (control group)...
March 2017: Lancet Global Health
https://www.readbyqxmd.com/read/28193186/afghan-migrants-face-more-suboptimal-care-than-natives-a-maternal-near-miss-audit-study-at-university-hospitals-in-tehran-iran
#5
Soheila Mohammadi, Soraya Saleh Gargari, Masoumeh Fallahian, Carina Källestål, Shirin Ziaei, Birgitta Essén
BACKGROUND: Women from low-income settings have higher risk of maternal near miss (MNM) and suboptimal care than natives in high-income countries. Iran is the second largest host country for Afghan refugees in the world. Our aim was to investigate whether care quality for MNM differed between Iranians and Afghans and identify potential preventable attributes of MNM. METHODS: An MNM audit study was conducted from 2012 to 2014 at three university hospitals in Tehran...
February 13, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28185598/how-is-perceived-community-cohesion-and-membership-in-community-groups-associated-with-children-s-dietary-adequacy-in-disadvantaged-communities-a-case-of-the-indian-sundarbans
#6
Debjani Barman, Lalitha Vadrevu
BACKGROUND: Membership in community groups and a sense of community cohesion may facilitate collective action in mobilizing resources towards better health outcomes. This paper explores the relationship of these factors, along with individual level socio-economic variables, to dietary adequacy among children below 6 years of age, a proximate determinant of child malnutrition. METHODS: We conducted a cross-sectional survey in Patharpratima block of the Sundarbans in West Bengal, India, using a two-stage, 30 cluster random sampling design...
November 15, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/28185592/unlocking-community-capabilities-for-improving-maternal-and-newborn-health-participatory-action-research-to-improve-birth-preparedness-health-facility-access-and-newborn-care-in-rural-uganda
#7
Elizabeth Ekirapa-Kiracho, Gertrude Namazzi, Moses Tetui, Aloysius Mutebi, Peter Waiswa, Htet Oo, David H Peters, Asha S George
BACKGROUND: Community capacities and resources must be harnessed to complement supply side initiatives addressing high maternal and neonatal mortality rates in Uganda. This paper reflects on gains, challenges and lessons learnt from working with communities to improve maternal and newborn health in rural Uganda. METHODS: A participatory action research project was supported from 2012 to 2015 in three eastern districts. This project involved working with households, saving groups, sub county and district leaders, transporters and village health teams in diagnosing causes of maternal and neonatal mortality and morbidity, developing action plans to address these issues, taking action and learning from action in a cyclical manner...
November 15, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/28185404/consumption-of-dietary-supplements-by-chinese-women-during-pregnancy-and-postpartum-a-prospective-cohort-study
#8
Li Tang, Andy H Lee, Kelvin K W Yau, Yer Van Hui, Colin W Binns
The objectives of this study were to investigate usage patterns and factors associated with maternal dietary supplementation by Chinese women. A prospective cohort study of 695 mothers, who gave birth to a singleton baby, was conducted in Jiangyou, Sichuan Province of China. Information on dietary supplement use was collected from participants by personal interview at hospital discharge and followed up by telephone at 1, 3, and 6 months postpartum. Logistic regression analysis and generalised linear-mixed modelling were performed to determine factors affecting dietary supplementation during pregnancy and the first 6 months postpartum, respectively...
February 10, 2017: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/28181273/first-time-mothers-choice-of-birthplace-influencing-factors-expectations-of-the-midwife-s-role-and-perceived-safety
#9
Sara E Borrelli, Denis Walsh, Helen Spiby
AIM: To explore first-time pregnant women's expectations and factors influencing their choice of birthplace. BACKGROUND: Although outcomes and advantages for low-risk childbearing women giving birth in midwifery-led units and home compared with obstetric units have been investigated previously, there is little information on the factors that influence women's choice of place of birth. DESIGN: A qualitative Straussian grounded theory methodology was adopted...
February 8, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28178748/weight-in-the-first-year-of-life-associations-with-maternal-prepregnancy-body-mass-index-and-gestational-weight-gain-findings-from-a-longitudinal-pregnancy-cohort
#10
Skye McPhie, Helen Skouteris, Richard P Mattick, Judy Wilson, Ingrid Honan, Steve Allsop, Lucy Burns, Elizabeth Elliott, Samantha Teague, Craig A Olsson, Delyse Hutchinson
Objective To investigate the obesogenic influence of maternal prepregnancy body mass index (BMI) and gestational weight gain (GWG) on infant weight at birth and 12 months postpartum in an Australian general population sample. Methods Data on 1,305 pregnant women were collected on prepregnancy BMI and GWG through maternal interview, on infant weight at birth through hospital records, and on infant weight 12 months postbirth through direct measurement. Relationships between prepregnancy, gestational weight exposures, and infant weight outcomes were assessed with and without adjustment for potential confounding...
February 8, 2017: American Journal of Perinatology
https://www.readbyqxmd.com/read/28178169/an-artificial-neural-network-prediction-model-of-congenital-heart-disease-based-on-risk-factors-a-hospital-based-case-control-study
#11
Huixia Li, Miyang Luo, Jianfei Zheng, Jiayou Luo, Rong Zeng, Na Feng, Qiyun Du, Junqun Fang
An artificial neural network (ANN) model was developed to predict the risks of congenital heart disease (CHD) in pregnant women.This hospital-based case-control study involved 119 CHD cases and 239 controls all recruited from birth defect surveillance hospitals in Hunan Province between July 2013 and June 2014. All subjects were interviewed face-to-face to fill in a questionnaire that covered 36 CHD-related variables. The 358 subjects were randomly divided into a training set and a testing set at the ratio of 85:15...
February 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28177111/factors-affecting-breastfeeding-practices-among-working-women-in-pakistan
#12
J A Soomro, Z N Shaikh, S A Bijarani, T B Saheer
In urban areas of Pakistan, women's return to work after giving birth has frequently been found to be a main contributor to the early termination of breastfeeding. This study aimed to assess workplace breastfeeding support provided to working mothers in Pakistan. In a cross-sectional survey in 2014, mothers and employers from a representative sample of 297 workplaces were interviewed using a pre-tested questionnaire. Mothers from 36 (12.1%) sites reported receiving breastfeeding breaks, and 86% of the mothers had received 3 months paid maternity leave...
February 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28177110/oral-health-status-knowledge-and-practice-among-pregnant-women-attending-omdurman-maternity-hospital-sudan
#13
H M El-Mahdi Ibrahim, A M Mudawi, I A Ghandour
Good oral health is important in pregnancy but little is known about the oral health and knowledge and practices of pregnant Sudanese women. This cross-sectional study was conducted to address this gap. A sample of 420 pregnant women attending the prenatal clinic at Omdurman maternity hospital were interviewed and examined for caries and periodontal disease. The mean age of the women was 27.1 (SD 5.8) years, 52.4% had > primary school education and 7.1% were employed. Only 12% had a high level of oral health knowledge and 21...
February 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28176453/do-maternal-perceptions-of-child-eating-and-feeding-help-to-explain-the-disconnect-between-reported-and-observed-feeding-practices-a-follow-up-study
#14
Heidi J Bergmeier, Helen Skouteris, Marion M Hetherington, Rachel F Rodgers, Karen J Campbell, Rachael Cox
Research demonstrates a mismatch between reported and observed maternal feeding practices. This mismatch may be explained by maternal cognitions, attitudes, and motivations relating to dyadic parent-child feeding interactions. These complex constructs may not be apparent during observations nor evidenced in self-report questionnaire. Therefore, the aim of this study was to use a qualitative approach to gain a more nuanced and contextualized understanding of (a) maternal perceptions of children's food intake control; (b) how parent-child mealtime interactions influence maternal feeding practices; and (c) ways in which mothers may promote healthy child eating and weight outcomes...
February 8, 2017: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/28174221/do-biomass-fuel-use-and-consumption-of-unsafe-water-mediate-educational-inequalities-in-stillbirth-risk-an-analysis-of-the-2007-ghana-maternal-health-survey
#15
A Kofi Amegah, Simo Näyhä, Jouni J K Jaakkola
BACKGROUND: Numerous studies have explored the association between educational inequalities and stillbirth but most have failed to elaborate how low educational attainment leads to an increased risk of stillbirth. We hypothesised that use of biomass fuels and consumption of unsafe water related to low educational attainment could explain the stillbirth burden in Ghana attributable to socioeconomic disadvantage. METHODS: Data from the 2007 Ghana Maternal Health Survey, a nationally representative population-based survey were analysed for this study...
February 7, 2017: BMJ Open
https://www.readbyqxmd.com/read/28166745/unpredictability-dictates-quality-of-maternal-and-newborn-care-provision-in-rural-tanzania-a-qualitative-study-of-health-workers-perspectives
#16
Ulrika Baker, Farida Hassan, Claudia Hanson, Fatuma Manzi, Tanya Marchant, Stefan Swartling Peterson, Ingrid Hylander
BACKGROUND: Health workers are the key to realising the potential of improved quality of care for mothers and newborns in the weak health systems of Sub Saharan Africa. Their perspectives are fundamental to understand the effectiveness of existing improvement programs and to identify ways to strengthen future initiatives. The objective of this study was therefore to examine health worker perspectives of the conditions for maternal and newborn care provision and their perceptions of what constitutes good quality of care in rural Tanzanian health facilities...
February 6, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28166575/impact-of-potential-accreditation-and-certification-in-family-medicine-maternity-care
#17
Aimee R Eden, Lars E Peterson
BACKGROUND AND OBJECTIVES: Advanced maternity care training in family medicine is highly variable at both the residency and fellowship levels. Declining numbers of family physicians providing maternity care services may exacerbate disparities in access to maternal and child care, especially in rural and other underserved communities. Accreditation of maternity care fellowships and board certification may be one potential avenue to address this trend. This study sought to understand the perceptions and beliefs of key family medicine stakeholders in advanced maternity care regarding the formalization of maternity care training through fellowship accreditation and the creation of a certificate of added qualification (CAQ)...
January 2017: Family Medicine
https://www.readbyqxmd.com/read/28161065/placental-genetic-variations-in-vitamin-d-metabolism-and-birthweight
#18
Tsegaselassie Workalemahu, Sylvia E Badon, Michal Dishi-Galitzky, Chunfang Qiu, Michelle A Williams, Tanya Sorensen, Daniel A Enquobahrie
INTRODUCTION: Vitamin D has pleiotropic functions that regulate fetal growth and development. We investigated associations of common placental genetic variations in vitamin D metabolism with birthweight. METHODS: The study was conducted among participants (506 maternal-infant pairs) of a pregnancy cohort study. Data were collected using interviewer-administered questionnaires and post-delivery medical record abstraction. DNA, extracted from placental samples collected at delivery, was genotyped for eight single nucleotide polymorphisms (SNPs) in five vitamin D metabolism genes (CUBN, LRP2, VDR, GC, and CYP2R1)...
February 2017: Placenta
https://www.readbyqxmd.com/read/28159619/prenatal-maternal-stress-in-relation-to-the-effects-of-prenatal-lead-exposure-on-toddler-cognitive-development
#19
Leilei Zhou, Jian Xu, Jinsong Zhang, Chonghuai Yan, Yanfen Lin, Yinan Jia, Wenjing Hu
OBJECTIVE: To evaluate the effects of maternal lead exposure during pregnancy on toddler cognitive development and the potential effect modification by maternal stress. METHODS: We conducted a prospective birth-cohort study in Shanghai from 2010 to 2012 and investigated 225 mother-infant pairs. The mothers were recruited in mid-to-late pregnancy and children were followed up until 24-36 months old. A self-administered Symptom Checklist-90-Revised Scale (SCL-90-R) was used to assess maternal emotional stress during pregnancy...
January 31, 2017: Neurotoxicology
https://www.readbyqxmd.com/read/28155320/fragmentation-of-maternal-child-and-hiv-services-a-missed-opportunity-to-provide-comprehensive-care
#20
Lyn J Haskins, Sifiso P Phakathi, Merridy Grant, Ntokozo Mntambo, Aurene Wilford, Christiane M Horwood
BACKGROUND: In South Africa, coverage of services for mothers and babies in the first year of life is suboptimal despite high immunisation coverage over the same time period. Integration of services could improve accessibility of services, uptake of interventions and retention in care. AIM: This study describes provision of services for mothers and babies aged under 1 year. SETTING: Primary healthcare clinics in one rural district in KwaZulu-Natal, South Africa...
December 2, 2016: African Journal of Primary Health Care & Family Medicine
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