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https://www.readbyqxmd.com/read/25999131/awareness-of-folic-acid-use-increases-its-consumption-and-reduces-the-risk-of-spina-bifida
#1
Atsuo Kondo, Nobuhito Morota, Hiroaki Date, Kazuhisa Yoshifuji, Toshibumi Morishima, Minoru Miyazato, Reizo Shirane, Hideki Sakai, Kyong Hon Pooh, Tomoyuki Watanabe
The majority of neural tube defects were believed to be folic acid (FA)-preventable in the 1990s. The Japanese government recommended women planning pregnancy to take FA supplements of 400 μg/d in 2000, but the incidence of spina bifida has not decreased. We aimed to evaluate the OR of having an infant with spina bifida for women who periconceptionally took FA supplements and the association between an increase in supplement use and possible promoters for the increase. This is a case-control study which used 360 case women who gave birth to newborns afflicted with spina bifida, and 2333 control women who gave birth to healthy newborns during the first 12 years of this century...
July 14, 2015: British Journal of Nutrition
https://www.readbyqxmd.com/read/25374862/radiation-safety-of-women-of-the-reproductive-age-evaluation-of-the-role-of-referring-physicians
#2
A O Akintomide, A A Ikpeme
BACKGROUND: Women between 12 and 50 years are in the reproductive age. The likelihood of or actual presence of pregnancy should be ruled out before they are exposed to medical ionizing radiation. Fetal exposure to ionizing radiation can either induce malformation (teratogenic) or cancer. They should be exposed only when it is safe for the fetus or when the benefit far outweighs the risk in urgent medical conditions. The radiation dose in medical imaging is generally below the threshold to induce malformation (100 mGy) in the fetus, but there is indeed no safe level as the risk of cancer induction later in life can occur at any dose...
July 2014: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/24796171/current-and-predicted-fertility-using-poisson-regression-model-evidence-from-2008-nigerian-demographic-health-survey
#3
Adeniyi F Fagbamigbe, Ayo S Adebowale
Nigeria with persistent high growth rate is among top ten most populous countries. Monitoring key mechanisms of population dynamics particularly fertility in Nigeria is long overdue. Periodical availability of data on fertility and other demographic indices is scarce, hence this study. Our objective was to build a non-linear model to identify fertility determinants and predict fertility using women's background characteristics. We used 2008 Nigeria Demography and Health Survey dataset consisting of 33,385 women with 31...
March 2014: African Journal of Reproductive Health
https://www.readbyqxmd.com/read/24568049/delayed-childbearing-determining-responsibilities-for-prime-gamete-quality
#4
Daniel M Campagne
Delayed parenting affects fertility in women and in men, and cryopreservation of oocytes and sperm is becoming the latest trend as a solution for those who want or need to postpone procreation, in an attempt to avoid the damage medical conditions or time itself produces in gametes. Although "social freezing" is considered legitimate, its ethical and social aspects are in need of an overdue medical, public and legal debate. Assisted reproduction and cryopreservation, in combination with womb outsourcing, have opened the door to biological ectogenesis and the subsequent question of whether delayed childbearing means we should formally separate procreation from sexual activity...
November 2013: Journal of Reproductive Medicine
https://www.readbyqxmd.com/read/24494511/formal-and-informal-maternal-health-care-comparing-the-service-provision-of-health-facilities-and-village-health-volunteers-in-east-sepik-province
#5
COMPARATIVE STUDY
Daniel O'Keefe, Jessica Davis, Glenda Yakuna, Caroline Van Gemert, Chris Morgan
Maternal health across Papua New Guinea (PNG) is of extreme public health concern. In response, the National Department of Health explicitly prioritized improving maternal, neonatal and child health services, envisaging increased collaboration between the formal health system and community-based initiatives as one method for achieving this. This study examined the patterns of formal and non-formal service utilization during pregnancy and childbirth in one province. We analysed the activity database of the East Sepik Women and Children's Health Project's Village Health Volunteer (VHV) program, an informal health service in East Sepik Province of PNG, estimating VHV activity and coverage for two maternal health care services (first antenatal care visit and VHV-attended deliveries) and comparing these to the volume and estimated coverage of these services delivered by the formal health system in East Sepik over the years 2007 to 2010...
September 2011: Papua and New Guinea Medical Journal
https://www.readbyqxmd.com/read/23281907/overdue-choices-how-information-and-role-in-decision-making-influence-women-s-preferences-for-induction-for-prolonged-pregnancy
#6
Gabrielle Stevens, Yvette D Miller
BACKGROUND: Enabling women to make informed decisions is a crucial component of consumer-focused maternity care. Current evidence suggests that health care practitioners' communication of care options may not facilitate patient involvement in decision-making. The aim of this study was to investigate the effect of specific variations in health caregiver communication on women's preferences for induction of labor for prolonged pregnancy. METHODS: A convenience sample of 595 female participants read a hypothetical scenario in which an obstetrician discusses induction of labor with a pregnant woman...
September 2012: Birth
https://www.readbyqxmd.com/read/21830029/national-rural-health-mission
#7
Bhavna Dhingra, Ashok Kumar Dutta
The health related indices in our country are far from satisfactory and the country still bears an enormous share of the global disease burden. The lack of accessibility, scarce availability and the poor quality of health services and personnel in the remote rural and underdeveloped urban areas have been the major obstacles to the delivery of quality health care services in a vast and culturally diverse country with inter- and intra-regional variations and inequalities. The already over-stretched public health care system has been grappling with the deficiencies in linkage with the collateral health determinants, gross shortage and non utilization of infrastructure, financial and human resources...
December 2011: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/21596712/non-medical-sex-selective-abortion-in-china-ethical-and-public-policy-issues-in-the-context-of-40-million-missing-females
#8
REVIEW
Jing-Bao Nie
INTRODUCTION: The rapidly growing imbalance of the sex ratio at birth (SRB) in China since the late 1980s demonstrates that, despite an extensive official prohibition, sex-selective abortion has been widely practised there in the past two or three decades. Given the reality of 30-40 million missing females, China has a more challenging set of ethical and social policy issues to be addressed regarding sex-selective abortion than is the case in Western and many other countries. SOURCES OF DATA: This article is based on a search and review of Chinese and English-language literature, including several very recent books in Chinese on the imbalance of the sex ratio at birth in China...
2011: British Medical Bulletin
https://www.readbyqxmd.com/read/21493937/an-overlooked-priority-puberty-in-sub-saharan-africa
#9
Marni Sommer
Early adolescence remains an overlooked window of opportunity for public health intervention with girls and boys in sub-Saharan Africa. Minimal health data exist on pubescent girls and boys. Considerable morbidity and mortality related to HIV, sexually transmitted infections, and pregnancy emerge soon after puberty, suggesting the importance of targeting early adolescents. The fundamental goal of primary prevention would be better served if girls and boys between the ages of 10 and 14 years were targeted for effective and contextually relevant interventions...
June 2011: American Journal of Public Health
https://www.readbyqxmd.com/read/21450106/stressful-life-events-social-health-issues-and-low-birthweight-in-an-australian-population-based-birth-cohort-challenges-and-opportunities-in-antenatal-care
#10
Stephanie J Brown, Jane S Yelland, Georgina A Sutherland, Peter A Baghurst, Jeffrey S Robinson
BACKGROUND: Investment in strategies to promote 'a healthy start to life' has been identified as having the greatest potential to reduce health inequalities across the life course. The aim of this study was to examine social determinants of low birthweight in an Australian population-based birth cohort and consider implications for health policy and health care systems. METHODS: Population-based survey distributed by hospitals and home birth practitioners to >8000 women six months after childbirth in two states of Australia...
2011: BMC Public Health
https://www.readbyqxmd.com/read/21200416/the-unknown-risk-of-vertical-transmission-in-sleeping-sickness-a-literature-review
#11
REVIEW
Andreas K Lindner, Gerardo Priotto
BACKGROUND: Children with human African trypanosomiasis (HAT) present with a range of generally non-specific symptoms. Late diagnosis is frequent with often tragic outcomes. Trypanosomes can infect the foetus by crossing the placenta. Unequivocal cases of congenital infection that have been reported include newborn babies of infected mothers who were diagnosed with HAT in the first 5 days of life and children of infected mothers who had never entered an endemic country themselves. METHODS: This review systematically summarizes the literature on the vertical transmission of HAT, to our knowledge for the first time...
2010: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/20597325/-when-the-expected-date-of-delivery-is-overdue
#12
REVIEW
Susanna Timonen
When pregnancy has continued past the expected date of delivery, the capacity of the placenta to transport oxygen and nutrients will decrease, whereby the condition of the fetus may be endangered with concomitantly increasing intrapartum problems. In addition, the mother's risk of complications of labor will increase, which is partly due to the increasing size of the child. The pregnancy is closely followed at the maternity and prenatal clinic, and induction of active labor will usually be conducted no later than two weeks after the expected date...
2010: Duodecim; Lääketieteellinen Aikakauskirja
https://www.readbyqxmd.com/read/20355673/symphysiotomy-a-randomized-controlled-trial-now-overdue
#13
EDITORIAL
S P Munjanja
No abstract text is available yet for this article.
July 2006: Central African Journal of Medicine
https://www.readbyqxmd.com/read/19880085/postdates-pregnancy-and-complementary-therapies
#14
Maggie Evans
This paper explores the contribution of self-help techniques and complementary therapies within the management of postdates pregnancy. The most common reason for induction of labour is postdates pregnancy and not as one would imagine, associated with complex cases that would result in fetal or maternal morbidity without timely intervention. As such this adds to the rising concerns of many health care professionals who question the needless intervention of uncomplicated pregnancies, whilst also detracting from keeping labour and birth normal...
November 2009: Complementary Therapies in Clinical Practice
https://www.readbyqxmd.com/read/19763116/pharmacotherapy-for-depressed-pregnant-women-overcoming-obstacles-to-gathering-essential-data
#15
K L Wisner, P S Appelbaum, K Uhl, S F Goldkind
Approximately 3% of pregnant women take antidepressant medications. Information on the impact of antidepressants on short- and long-term maternal and offspring outcomes is highly desirable but neglected. The position that the dearth of treatment information is of greater concern than the risks to pregnant subjects involved in medical research is gaining support. Mandating the collection of reproductive outcome data in exposed childbearing women is an overdue step toward societal responsibility to our most vulnerable members...
October 2009: Clinical Pharmacology and Therapeutics
https://www.readbyqxmd.com/read/19707213/evidence-based-antimicrobial-therapy-in-pregnancy-long-overdue
#16
R N Theiler
Little evidence exists to guide the clinician caring for pregnant patients with infectious morbidities. The already-small pool of evidence shrinks rapidly as the pathogen becomes more exotic, making therapeutic decisions increasingly speculative when emerging infectious diseases appear in the pregnant patient. The current drug approval mechanisms, legal environment, and profit-driven drug pipeline have combined to exclude pregnant women from clinical trials, paradoxically resulting in a dangerous situation for pregnant women around the world...
September 2009: Clinical Pharmacology and Therapeutics
https://www.readbyqxmd.com/read/19662801/toward-a-multidimensional-measure-of-pregnancy-intentions-evidence-from-the-united-states
#17
John S Santelli, Laura Duberstein Lindberg, Mark G Orr, Lawrence B Finer, Ilene Speizer
Widely used dichotomous categorical measures of pregnancy intentions do not represent well the complexity of factors involved in women's intentions. We used a variety of exploratory statistical methods to examine measures of pregnancy intention in the 2002 National Survey of Family Growth (N = 3,032 pregnancies). Factor analyses identified two key dimensions of pregnancy intentions (desire and mistiming) and two smaller nondimensional categories (overdue and don't care). Desire included both affective and cognitive variables, as well as partner-specific factors...
June 2009: Studies in Family Planning
https://www.readbyqxmd.com/read/17896256/pain-perception-among-parturients-in-enugu-south-eastern-nigeria
#18
H E Onah, S N Obi, T C Oguanuo, H A Ezike, C M Ogbuokiri, J O Ezugworie
In order to evaluate pain perception among parturients in Enugu, South-east Nigeria, a cross-sectional questionnaire study of parturients who delivered vaginally in four health institutions in Enugu from 2 December 2005 to 21 January 2006 was administered. Data analysis was by means of percentages, means +/- SD, correlation coefficients, t-tests, chi2-tests, one-way ANOVA and other inferential statistics using the statistical package SPSS for MS Windows at the 95% confidence level. A total of 250 questionnaires were distributed, out of which 181 were correctly filled and returned for a response rate of 72...
August 2007: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/17892231/anaesthesia-associated-mortality-in-a-district-hospital-in-zimbabwe-1994-to-2001
#19
M Glenshaw, F D Madzimbamuto
OBJECTIVE: To describe anaesthetic associated mortality in a district hospital in Zimbabwe. DESIGN: A retrospective descriptive study of anaesthesia associated mortality over an eight year period. SETTING: Murambinda Mission Hospital: a 120 bed rural district hospital in Zimbabwe. SUBJECTS: All patients who died within 24 hours of receiving an anaesthetic. MAIN OUTCOME MEASURES: The overall mortality rate (OMR), being all deaths up to 24 hours after an anaesthetic...
March 2005: Central African Journal of Medicine
https://www.readbyqxmd.com/read/17597016/women-s-expectations-of-maternity-services-a-community-based-survey
#20
Jenny Gamble, Debra K Creedy, Bruce Teakle
BACKGROUND: Examining women's preferences for maternity care is overdue. Understanding women's preferences and re-orienting services to meet their expectations is critical to improving health outcomes. METHOD: A self-report survey of a convenience community sample of 63 women visiting a Maternity Coalition/Association for Improvements in Maternity Services stall at a Mother and Baby Expo in 2003. RESULTS: Over 95% of women ranked birth safety, bonding with the baby, feeling in control during birth, and postnatal care as "very important"...
September 2007: Women and Birth: Journal of the Australian College of Midwives
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