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https://www.readbyqxmd.com/read/29665695/women-in-rural-family-medicine-a-qualitative-exploration-of-practice-attributes-that-promote-physician-satisfaction
#1
Carol Hustedde, Heather Paladine, Andrea Wendling, Rupa Prasad, Orlando Sola, Sarah Bjorkman, Julie Phillips
INTRODUCTION: The USA needs more rural physicians. Although women represent half of all US trained medical students, the rural physician workforce has remained predominantly male. Insight is needed into what makes rural practice attractive for women and which practice characteristics allow women physicians to practice successfully in rural areas. This study's purpose was to examine aspects of the practice environment that impact women physicians' professional satisfaction and commitment to rural medicine...
April 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29665504/qualitative-evaluation-of-mental-health-training-of-auxiliary-nurse-midwives-in-rural-nepal
#2
Preeti K Mahato, Edwin van Teijlingen, Padam Simkhada, Catherine Angell, Jillian Ireland
BACKGROUND AND OBJECTIVES: Mental illness is increasingly recognized as a global health problem. However, in many countries, including Nepal, it is difficult to talk about mental health problems due to the stigma associated with it. Hence a training programme was developed to train auxiliary nurse midwives, who otherwise are not trained in mental health as part of their pre-registration training in rural Nepal, on issues related to maternal mental health. After the training programme a selection of auxiliary nurse midwives were interviewed to establish their views on the training, its usefulness and ways to improve it...
April 2, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29661182/women-s-perspectives-on-the-ethical-implications-of-non-invasive-prenatal-testing-a-qualitative-analysis-to-inform-health-policy-decisions
#3
Meredith Vanstone, Alexandra Cernat, Jeff Nisker, Lisa Schwartz
BACKGROUND: Non-Invasive Prenatal Testing (NIPT) is a technology which provides information about fetal genetic characteristics (including sex) very early in pregnancy by examining fetal DNA obtained from a sample of maternal blood. NIPT is a morally complex technology that has advanced quickly to market with a strong push from industry developers, leaving many areas of uncertainty still to be resolved, and creating a strong need for health policy that reflects women's social and ethical values...
April 16, 2018: BMC Medical Ethics
https://www.readbyqxmd.com/read/29660833/selenium-deficiency-and-pregnancy-outcome-in-pregnant-women-with-hiv-in-lagos-nigeria
#4
Kehinde S Okunade, Olusola F Olowoselu, Gbemisola E Osanyin, Sarah John-Olabode, Sulaimon A Akanmu, Rose I Anorlu
OBJECTIVE: To investigate the prevalence of maternal selenium deficiency and its effects on pregnancy outcomes in pregnant women with HIV in Lagos, Nigeria. METHODS: The present descriptive cross-sectional study enrolled women aged 15-49 years with HIV who were at 14-26 weeks of a singleton pregnancy and were attending Lagos University Teaching Hospital, Lagos, Nigeria, between August 1, 2016, and April 30, 2017. Participants were selected by consecutive sampling and baseline data were collected through interviews...
April 16, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29660129/midwives-and-women-s-views-on-accessing-dental-care-during-pregnancy-an-australian-qualitative-study
#5
Shao Yin Madeleine Lim, Elisha Riggs, Ramini Shankumar, Parul Marwaha, Nicky Kilpatrick
BACKGROUND: Maternal behaviours during pregnancy are likely to play a significant role in the development of dental caries in children. Although midwives are well placed to discuss oral health and provide information to women, dental attendance by women during pregnancy is minimal. This study aimed to explore midwives' experience of facilitating pregnant women's access to dental care and to document women's experience of receiving dental information and care during pregnancy. METHODS: Focus groups with midwives and telephone interviews with women, who were referred to Monash Health Dental Services, were conducted to explore their perspectives and experiences...
April 16, 2018: Australian Dental Journal
https://www.readbyqxmd.com/read/29660063/five-successful-pregnancies-with-antenatal-anakinra-exposure
#6
Chelsey J F Smith, Christina D Chambers
Objectives: Our aim is to add to the limited existing prospective data on IL-1 inhibitor use in pregnancy. Methods: Data were obtained from the Organization of Teratology Information Specialists Autoimmune Disease in Pregnancy Project, a prospective cohort study of pregnancy outcomes in the USA and Canada. Eligible women were enrolled prior to 19 weeks' gestation between 2004 and 2017. Outcomes were obtained by maternal interview and medical record abstraction. Results: Five pregnancies with anakinra exposure were identified, all resulting in full-term singleton live births with no major or long-term complications...
April 12, 2018: Rheumatology
https://www.readbyqxmd.com/read/29656039/maternal-adherence-to-guidance-on-breast-milk-collection-process
#7
M Carré, D Dumoulin, R Jounwaz, B Mestdagh, V Pierrat
INTRODUCTION: Breast milk expression with a breast pump increases the risk of contaminating milk with pathogenic bacteria; how to decontaminate breast pumps is controversial. The aim of this study was to investigate maternal adherence to updated French guidance on the breast milk collection process, including breast pump decontamination, and to identify potential sources of increased bacterial counts in breast milk in order to improve prevention messages to mothers. METHODS: Descriptive prospective study conducted between November 2015 and April 2016 in a French tertiary perinatal center...
April 11, 2018: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/29653255/promoting-father-involvement-for-child-and-family-health
#8
REVIEW
Brandon S Allport, Sara Johnson, Anushka Aqil, Alain B Labrique, Timothy Nelson, Angela Kc, Yorghos Carabas, Arik V Marcell
Paternal involvement in children's lives is associated with a variety of child outcomes, from improved cognition and mental health to reduced obesity rates and asthma exacerbations. Given this evidence, the American Academy of Pediatrics has promoted actions by pediatricians to engage fathers in pediatric care. Despite these recommendations, the mother-child dyad remains a frequent focus of care, rather than the mother-father-child triad. Furthermore, pediatric care is often leveraged to improve maternal health, such as screening for maternal depression, but paternal health is infrequently addressed even as men tend to exhibit riskier behaviors, poorer primary care utilization, and lower life expectancy...
April 10, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29650002/identifying-bottlenecks-in-the-iron-and-folic-acid-supply-chain-in-bihar-india-a-mixed-methods-study
#9
Amanda S Wendt, Rob Stephenson, Melissa F Young, Pankaj Verma, Sridhar Srikantiah, Amy Webb-Girard, Carol J Hogue, Usha Ramakrishnan, Reynaldo Martorell
BACKGROUND: Maternal anaemia prevalence in Bihar, India remains high despite government mandated iron supplementation targeting pregnant women. Inadequate supply has been identified as a potential barrier to iron and folic acid (IFA) receipt. Our study objective was to examine the government health system's IFA supply and distribution system and identify bottlenecks contributing to insufficient IFA supply. METHODS: Primary data collection was conducted in November 2011 and July 2012 across 8 districts in Bihar, India...
April 12, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29649972/exploring-barriers-to-the-use-of-formal-maternal-health-services-and-priority-areas-for-action-in-sidama-zone-southern-ethiopia
#10
Aschenaki Z Kea, Olivia Tulloch, Daniel G Datiko, Sally Theobald, Maryse C Kok
BACKGROUND: In 2015 the maternal mortality ratio for Ethiopia was 353 per 100,000 live births. Large numbers of women do not use maternal health services. This study aimed to identify factors influencing the use of maternal health services at the primary health care unit (PHCU) level in rural communities in Sidama zone, south Ethiopia in order to design quality improvement interventions. METHODS: We conducted a qualitative study in six woredas in 2013: 14 focus group discussions (FGDs) and 44 in-depth interviews with purposefully selected community members (women, male, traditional birth attendants, local kebele administrators), health professionals and health extension workers (HEWs) at PHCUs...
April 12, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29644807/factors-influencing-the-uptake-of-a-mass-media-intervention-to-improve-child-feeding-in-bangladesh
#11
Sunny S Kim, Terry Roopnaraine, Phuong H Nguyen, Kuntal K Saha, Mahbubul I Bhuiyan, Purnima Menon
Mass media are increasingly used to deliver health messages to promote social and behaviour change, but there has been little evidence of mass media use for improving a set of child feeding practices, other than campaigns to promote breastfeeding. This study aimed to examine the factors influencing the uptake of infant and young child feeding messages promoted in TV spots that were launched and aired nationwide in Bangladesh. We conducted a mixed-methods study, using household surveys (n = 2,000) and semistructured interviews (n = 251) with mothers of children 0-23...
April 11, 2018: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/29642885/barriers-to-and-motivators-of-handwashing-behavior-among-mothers-of-neonates-in-rural-bangladesh
#12
Shahana Parveen, Sharifa Nasreen, Jelena V Allen, Kelly B Kamm, Shifat Khan, Shirina Akter, Tajnin Marin Lopa, K Zaman, Shams El Arifeen, Stephen P Luby, Pavani K Ram
BACKGROUND: To design a maternal handwashing intervention for the newborn period, this qualitative study explored drivers of handwashing among mothers and other caregivers of neonates and infants in two rural areas of Bangladesh. METHODS: We conducted 40 semi-structured observation sessions to observe handwashing behaviors of primiparous and multiparous mothers of neonates, and to understand the contextual factors that facilitated or hampered those behaviors. We then conducted 64 interviews with mothers of neonates and mothers of infants and 6 group discussions with mothers of infants, other female caregivers and fathers to explore perceptions, beliefs, and practices related to handwashing in the neonatal period...
April 11, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29642740/maternal-periodontal-disease-and-adverse-perinatal-outcomes-is-there-an-association-a-hospital-based-case-control-study
#13
Marta Silveira da Mota Krüger, Renata Picanço Casarin, Gabriela Dos Santos Pinto, Fernanda Geraldo Pappen, Maria Beatriz Junqueira Camargo, Fernanda Oliveira Bello Correa, Ana Regina Romano
OBJECTIVES: The association between maternal periodontal disease and adverse perinatal outcomes although extensively studied remains unclear. The aim of this study was to evaluate, by a case-control study, conducted in three hospitals the association between preterm birth and/or low birth weight (PTB/LBW) and clinical parameters of maternal periodontal disease. MATERIAL AND METHODS: Postpartum women who gave birth to a newborn PTB/LBW (case group), and postpartum women who had babies at full term with normal weight (control group) were included, in 1:2 ratio...
April 12, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29629828/a-qualitative-evaluation-of-telephone-based-cognitive-behavioral-therapy-for-postpartum-mothers
#14
Fei Wan Ngai, Pui Sze Chan
The purpose of this study was to explore postpartum women's perceptions of a telephone-based cognitive-behavioral therapy (T-CBT). Using an exploratory qualitative design, a purposeful sample of 39 first-time Chinese mothers who had participated in the T-CBT was interviewed at 6 weeks postpartum. Data were collected using semi-structured interviews and analyzed by content analysis. The findings revealed that Chinese women perceived T-CBT to be helpful in increasing their confidence in the maternal role, enhancing their emotional control, and increasing their sense of support...
April 1, 2018: Clinical Nursing Research
https://www.readbyqxmd.com/read/29624939/associated-factors-and-quality-of-care-received-among-maternal-deaths-at-a-regional-hospital-in-ghana-maternal-death-audit-review
#15
Akosua Owusu-Sarpong, Kwame A Boamah, Frank Baiden
Maternal death audits are crucial to the reduction of maternal deaths. The aim of this study was to identity factors contributing to maternal deaths at Eastern Regional Hospital of Ghana. Quantitative and qualitative methods were used. Quantitative data on all the maternal deaths from January to December 2012 was extracted from completed audit forms and patients records using a standardized questionnaire. The data were analyzed in Epi-info. Qualitative data was collected through in-depth interviews and focus group discussions with health staff to assess care received and factors leading to death...
June 2017: African Journal of Reproductive Health
https://www.readbyqxmd.com/read/29624929/barriers-to-antenatal-care-in-an-urban-community-in-the-gambia-an-in-depth-qualitative-interview-study
#16
Susan P Laing, Smruti V Sinmyee, Khizar Rafique, Helen E Smith, Max J Cooper
This qualitative study investigated the barriers to obtaining access to antenatal care in a small, urban government-supported health centre in the Gambia. It thus addresses an important issue related to maternal health and the prevention of maternal deaths. In-depth interviews were conducted with 25 pregnant women, 13 healthcare workers and 9 male partners. Three areas were identified for study: recognition and acknowledgment of pregnancy, recognition of the need for care and practical barriers to attendance...
September 2017: African Journal of Reproductive Health
https://www.readbyqxmd.com/read/29622012/if-you-can-t-measure-it-you-can-t-change-it-a-longitudinal-study-on-improving-quality-of-care-in-hospitals-and-health-centers-in-rural-kenya
#17
Michael Marx, Christine Nitschke, Maureen Nafula, Mabel Nangami, Marc Brodowski, Irmgard Marx, Helen Prytherch, Charles Kandie, Irene Omogi, Friederike Paul-Fariborz, Joachim Szecsenyi
BACKGROUND: The Kenyan Ministry of Health- Department of Standards and Regulations sought to operationalize the Kenya Quality Assurance Model for Health. To this end an integrated quality management system based on validated indicators derived from the Kenya Quality Model for Health (KQMH) was developed and adapted to the area of Reproductive and Maternal and Neonatal Health, implemented and analysed. METHODS: An integrated quality management (QM) approach was developed based on European Practice Assessment (EPA) modified to the Kenyan context...
April 5, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29622003/scaling-up-strategic-purchasing-analysis-of-health-system-governance-imperatives-for-strategic-purchasing-in-a-free-maternal-and-child-healthcare-programme-in-enugu-state-nigeria
#18
Daniel Chukwuemeka Ogbuabor, Obinna Emmanuel Onwujekwe
BACKGROUND: Significant knowledge gaps exist in the functioning of institutional designs and organisational practices in purchasing within free healthcare schemes in low resource countries. The study provides evidence of the governance requirements to scale up strategic purchasing in free healthcare policies in Nigeria and other low-resource settings facing similar approaches. METHODS: The study was conducted at the Ministry of Health and in two health districts in Enugu State, Nigeria, using a qualitative case study design...
April 5, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29620540/reproductive-health-profile-and-circumcision-of-females-in-the-hali-semi-urban-region-saudi-arabia-a-community-based-cross-sectional-survey
#19
Waleed Abdullah Milaat, Nahla Khamis Ibrahim, Hussain Mohammed Albar
BACKGROUND: Improving the reproductive health of females has be.come the focus of the developmental efforts of many nations. OBJECTIVES: To identify the reproductive health style of married females, and to determine the prevalence and predictors of circumcision among girls aged less than or equal 18 years in Hali semi-urban region. DESIGN: A cross-sectional household survey SETTING: Houses in Hali, Al-Qunfudhah governorate, western Saudi Arabia during 2017...
March 2018: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/29611490/higher-agrobiodiversity-is-associated-with-improved-dietary-diversity-but-not-child-anthropometric-status-of-mayan-ach%C3%A3-people-of-guatemala
#20
Diana V Luna-González, Marten Sørensen
OBJECTIVE: Child undernutrition remains one of the greatest challenges for public health nutrition in rural areas in developing countries. Interventions aiming to increase and conserve agrobiodiversity seem to be promising alternatives to improve child nutrition. However, the existing literature on these interventions is not conclusive about their effectiveness in combating child undernutrition. We tested the hypothesis that 'higher agrobiodiversity is associated with greater dietary diversity and better anthropometric status' in rural Guatemala...
April 3, 2018: Public Health Nutrition
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