keyword
https://read.qxmd.com/read/38539313/fetal-and-infant-effects-of-maternal-opioid-use-during-pregnancy-a-literature-review-including-clinical-toxicological-pharmacogenomic-and-epigenetic-aspects-for-forensic-evaluation
#21
REVIEW
Elena Giovannini, Maria Paola Bonasoni, Jennifer Paola Pascali, Carla Bini, Guido Pelletti, Alberto Gualandi, Giovanni Dal Lago, Andrea Mercati, Beatrice Mariotti, Giulia Paola Pasini, Iarina Alexandra Poll, Paolo Fais
The two primary classes of opioid substances are morphine and its synthetic derivative, heroin. Opioids can cross the placental barrier, reaching fetal circulation. Therefore, at any gestational age, the fetus is highly exposed to pharmacologically active opioid metabolites and their associated adverse effects. This review aimed to investigate all the studies reported in a timeframe of forty years about prenatal and postnatal outcomes of opioid exposition during pregnancy. Clinical and toxicological aspects, as well as pharmacogenetic and epigenetic research focusing on fetal and infant effects of opioid use during pregnancy together with their medico-legal implications are exposed and discussed...
February 23, 2024: Children
https://read.qxmd.com/read/38539300/sex-specific-differences-in-nutrient-intake-in-late-preterm-infants
#22
JOURNAL ARTICLE
Pradeep Alur, Sumana Ramarao, Addie Hitt, Simmy Vig, Radha Alur, Naveed Hussain
UNLABELLED: Challenging the assumption of uniform nutritional needs in preterm feeding, this study identifies crucial sex-specific disparities in formula milk intake and growth among late preterm infants. Premature infants have difficulty regulating their oral intake during feeds, which is why clinicians prescribe feeding volume, calories, and protein via the nasogastric route. However, premature male and female infants have different body compositions at birth, and, subsequently, there is no evidence to suggest that male and female preterm infants differ in their nutritional consumption once they begin feeding ad libitum...
February 20, 2024: Children
https://read.qxmd.com/read/38539140/exploring-the-implementation-of-an-sms-based-digital-health-tool-on-maternal-and-infant-health-in-informal-settlements
#23
JOURNAL ARTICLE
Sharon Ochieng', Nisha Hariharan, Timothy Abuya, Chantalle Okondo, Charity Ndwiga, Charlotte E Warren, Anneka Wickramanayake, Sathyanath Rajasekharan
BACKGROUND: The rapid urbanization of Kenya has led to an increase in the growth of informal settlements. There are challenges with access to maternal, newborn, and child health (MNCH) services and higher maternal mortality rates in settlements. The Kuboresha Afya Mitaani (KAM) study aimed to improve access to MNCH services. We evaluate one component of the KAM study, PROMPTS (Promoting Mothers through Pregnancy and Postpartum), an innovative digital health intervention aimed at improving MNCH outcomes...
March 27, 2024: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/38539129/four-antenatal-care-visits-by-four-months-of-pregnancy-and-four-vital-tests-for-pregnant-mothers-impact-of-a-community-facility-health-systems-strengthening-intervention-in-migori-county-kenya
#24
JOURNAL ARTICLE
Yussif Alhassan, Lilian Otiso, Linet Okoth, Lois Murray, Charlotte Hemingway, Joseph M Lewis, Mandela Oguche, Vicki Doyle, Nelly Muturi, Emily Ogwang, Hellen C Barsosio, Miriam Taegtmeyer
BACKGROUND: Early attendance at antenatal care (ANC), coupled with good-quality care, is essential for improving maternal and child health outcomes. However, achieving these outcomes in sub-Saharan Africa remains a challenge. This study examines the effects of a community-facility health system strengthening model (known as 4byFour) on early ANC attendance, testing for four conditions by four months of pregnancy, and four ANC clinic visits in Migori county, western Kenya. METHODS: We conducted a mixed methods quasi-experimental study with a before-after interventional design to assess the impact of the 4byFour model on ANC attendance...
March 27, 2024: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/38539033/a-comparison-of-two-statewide-datasets-to-understand-population-prevalence-of-substance-use-in-pregnancy-findings-and-considerations-for-policy-research
#25
JOURNAL ARTICLE
Margaret Lloyd Sieger, Jennifer C Morin, Lisa M Budris, Melissa Sienna, Sharon Ostfeld-Johns, Lou Hart, Christopher Morosky
Mental health conditions including substance use disorder are the leading cause of pregnancy-related deaths in the U.S. Unfortunately, fears of child protective services' involvement interfere with maternal self-disclosure of substance use in pregnancy. Seeking to identify more mothers with substance use disorder in pregnancy or at delivery, and responsive to changes to the federal Child Abuse Prevention and Treatment Act (CAPTA), Connecticut requires hospital personnel to submit a deidentified notification to CPS for all newborns with prenatal substance exposure...
March 27, 2024: Maternal and Child Health Journal
https://read.qxmd.com/read/38536979/exclusive-breastfeeding-duration-within-a-cohort-of-indigenous-terena-living-in-the-urban-area-of-campo-grande-central-west-region-brazil
#26
JOURNAL ARTICLE
Deise Bresan, Maurício Soares Leite, Teresa Gontijo de Castro, Aline Alves Ferreira, Elenir Rose Jardim Cury
In Brazil, current information about breastfeeding indicators among indigenous living in the urban areas is lacking. This article describes the duration of exclusive breastfeeding and its associations with mother and child characteristics in a cohort of Terena infants. The study enrolled infants born between June 2017 to July 2018 (n = 42) and living in villages of the urban area of Campo Grande, Mato Grosso do Sul State, Brazil. Information was collected in four time-points. Variables on maternal sociodemographics and on maternal and child health characteristics were collected, respectively, during the antenatal and the first-month interviews...
2024: Cadernos de Saúde Pública
https://read.qxmd.com/read/38536856/factors-associated-with-the-uptake-of-intermittent-preventive-treatment-for-malaria-during-pregnancy-in-cameroon-an-analysis-of-data-from-the-2018-cameroon-demographic-and-health-survey
#27
JOURNAL ARTICLE
Dominique Ken Guimsop, Ange Faustine Kenmogne Talla, Haoua Kodji, Jerome Ateudjieu
Malaria in pregnancy is a major public health concern that contributes to a significant increase in maternal and child mortality and morbidity. Intermittent preventive treatment of malaria during pregnancy using sulfadoxine-pyrimethamine (IPTp-SP) is a key intervention recommended by the World Health Organization (WHO) and implemented in Cameroon to reduce the morbidity associated with malaria during pregnancy. This study aimed to assess the distribution of the poor uptake of IPTp-SP (i.e. fewer than three doses) in Cameroon and the factors associated...
2024: PLOS Glob Public Health
https://read.qxmd.com/read/38536799/pubertal-timing-a-life-course-pathway-linking-early-life-risk-to-adulthood-cardiometabolic-health
#28
JOURNAL ARTICLE
Maria E Bleil, Bradley M Appelhans, Steven E Gregorich, Robert A Hiatt, Glenn I Roisman, Cathryn Booth-LaForce
OBJECTIVE: To evaluate a series of prospective life course models testing whether the timing of pubertal development is a pathway through which prepubertal risk factors may influence adulthood cardiometabolic health. METHODS: Subjects were 655 female participants in the NICHD Study of Early Child Care and Youth Development (SECCYD) and recent SECCYD 30-year follow-up, the Study of Health in Early and Adult Life (SHINE). Prepubertal risk factors included maternal menarcheal age, child race/ethnicity, child health status indicators, and child adversity indicators...
2024: PloS One
https://read.qxmd.com/read/38536599/inter-district-and-wealth-related-inequalities-in-maternal-and-child-health-service-coverage-and-child-mortality-within-addis-ababa-city
#29
JOURNAL ARTICLE
Wubegzier Mekonnen, Worku Dechassa, Desalegn Y Melesse, Natalia Tejedor-Garavito, Kristine Nilsen, Theodros Getachew, Shegaw Mulu, Naod Wondrad
In sub-Saharan Africa, urban areas generally have better access to and use of maternal, newborn, and child health (MNCH) services than rural areas, but previous research indicates that there are significant intra-urban disparities. This study aims to investigate temporal trends and geographic differences in maternal, newborn, and child health service utilization between Addis Ababa's poorest and richest districts and households. A World Bank district-based poverty index was used to classify districts into the top 60% (non-poor) and bottom 40% (poor), and wealth index data from the Ethiopian Demographic and Health Survey (EDHS) was used to classify households into the top 60% (non-poor) and bottom 40% (poor)...
March 27, 2024: Journal of Urban Health
https://read.qxmd.com/read/38535968/east-meets-west-effect-of-acupuncture-on-lactation-and-maternal-quality-of-life
#30
JOURNAL ARTICLE
Cindy Baker-Fox, Jennifer Hayakawa, Ruth McCarty, Michelle Hart, John Schomberg, Smriti Shamapant, Christine Bixby
Objective: To evaluate the impact of acupuncture as part of a traditional Chinese medicine (TCM) treatment plan on lactation and maternal well-being in pump-dependent mothers of hospitalized neonates during the first 30 days after delivery. Study Design: This single-center study was conducted in a level IV regional neonatal intensive care unit with access to integrative health services. Sixty-six mothers were prospectively enrolled in two nonparallel groups: (1) Standard lactation support and (2) standard lactation support augmented with acupuncture...
March 27, 2024: Breastfeeding Medicine
https://read.qxmd.com/read/38535711/associations-between-difficulty-in-accessing-maternal-and-child-health-services-and-stress-responses-among-mothers-raising-young-children-during-the-covid-19-pandemic-in-japan
#31
JOURNAL ARTICLE
Noriko Toyama, Chikako Hokama, Misuzu Takahara, Yuko Toyama
In Japan, maternal and child health (MCH) services were canceled or limited during the COVID-19 pandemic, potentially damaging the mental health of mothers raising young children. This study aimed to examine associations between difficulty in accessing MCH services and various stress responses among such mothers in Japan. An Internet-based questionnaire survey was conducted in November 2022 targeting mothers raising young children who had registered with a Japanese online research company ( n = 1032). The questionnaires included items from the Public Health Research Foundation Stress Checklist (Short Form) (PHRF-SCL(SF)), sociodemographic variables, and questions about difficulty accessing MCH services due to COVID-19...
February 26, 2024: Nursing Reports
https://read.qxmd.com/read/38535543/prenatal-maternal-immunization-for-infant-protection-a-review-of-the-vaccines-recommended-infant-immunity-and-future-research-directions
#32
REVIEW
Elizabeth M Quincer, Lisa M Cranmer, Satoshi Kamidani
Prenatal maternal immunization is an effective tool to protect mothers and infants from poor health outcomes due to infectious diseases. We provide an overview of the rationale for the use of prenatal vaccines, discuss the immunologic environment of the maternal-fetal interface including the impact of maternal vaccines prenatally and subsequently on the infant's immune response, and review vaccines currently recommended in pregnancy and landscape for the future of maternal vaccination. This review aims to provide an understanding of the recent history and progress made in the field and highlight the importance of continued research and development into new vaccines for pregnant populations...
February 23, 2024: Pathogens
https://read.qxmd.com/read/38535529/a-low-cost-integrated-immunization-health-and-nutrition-intervention-in-conflict-settings-in-pakistan-the-impact-on-zero-dose-children-and-polio-coverage
#33
JOURNAL ARTICLE
Amira M Khan, Imran Ahmed, Muhammad Jawwad, Muhammad Islam, Rehman Tahir, Saeed Anwar, Ahmed Ali Nauman, Zulfiqar A Bhutta
Pakistan is one of two countries globally still endemic for poliovirus. While increasing immunization coverage is a concern, providing equitable access to care is also a priority, especially for conflict-affected populations. Recognizing these challenges, Naunehal , an integrated model of maternal, newborn, and child health (MNCH), immunization, and nutrition services delivered through community mobilization, mobile outreach, and private-sector engagement was implemented in conflict-affected union councils (UCs) with high poliovirus transmission, including Kharotabad 1(Quetta, Balochistan) and Bakhmal Ahmedzai (Lakki Marwat, Khyber Pakhtunkhwa)...
February 20, 2024: Pathogens
https://read.qxmd.com/read/38533296/retrospective-comparative-analysis-of-neonatal-mortality-and-morbidity-in-preterm-singleton-and-multiple-births-single-center-experience
#34
JOURNAL ARTICLE
Mohammad Alhasoon, Bader Alqahtani, Mohamad Alreefi, Abdulaziz Homedi, Ghadah Alnami, Saif Alsaif, Kamal Ali
Objective. To compare mortality and major neonatal morbidities between singleton preterm infants and preterm infants of multiple gestations born <33 weeks' gestation. Method. Case-control study of preterm multiples and singletons <33 weeks' born at King Abdul-Aziz Medical City Riyadh (KAMC-R) between January 2017 and December 2020. Out-born infants and infants with lethal congenital abnormalities were excluded from the study. Mortality and major neonatal morbidities including bronchopulmonary dysplasia (BPD), retinopathy of prematurity (ROP), sepsis and surgical necrotizing enterocolitis (NEC) were compared between preterm singletons and multiples...
2024: Global Pediatric Health
https://read.qxmd.com/read/38532432/implementing-and-evaluating-group-interpersonal-therapy-for-postnatal-depression-in-lebanon-and-kenya-individually-randomised-superiority-trial
#35
JOURNAL ARTICLE
Peter Fonagy, Rabih El Chammay, Carol Ngunu, Manasi Kumar, Lena Verdeli, Elizabeth Allison, Ghida Anani, Pasco Fearon, Fouad Fouad, Zoe Hoare, Lucina Koyio, Henrietta Moore, Andrew Nyandigisi, Stephen Pilling, Hannah Sender, Jolene Skordis, Rachel Evans, Gerard Joseph Abou Jaoude, Beatrice Madeghe, Sandra Pardi Arsen Maradian, Ciara O'Donnell, Elizabeth Simes, Alexandra Truscott, Grace Nduku Wambua, Obadia Yator
BACKGROUND: Depression ranks as the foremost mental health concern among childbearing women. Within low- and middle-income countries (LMICs), between 20 and 25% of women encounter depression during pregnancy or soon after delivery. This condition impacts not only the mothers but also their offspring. Offspring of women suffering from postnatal depression (PND) exhibit suboptimal cognitive development and increased emotional and behavioural issues throughout their growth. This scenario becomes more pronounced in LMICs, where numerous adversities further jeopardise children's developmental progress...
March 26, 2024: Trials
https://read.qxmd.com/read/38532124/the-joint-effects-of-prenatal-exposure-to-pm-2-5-constituents-and-reduced-fetal-growth-on-children-s-accelerated-growth-in-the-first-3-years-a-birth-cohort-study
#36
JOURNAL ARTICLE
Shuang Zhou, Tiantian Li, Na Han, Kai Zhang, Gongbo Chen, Yi Zhang, Qin Li, Yuelong Ji, Jue Liu, Hui Wang, Jianlin Hu, Ting Liu, Hein Raat, Yuming Guo, Haijun Wang
BACKGROUND: Prenatal fine particulate matter (PM2.5 ) constituents exposure and reduced fetal growth may be risk factors for accelerated growth in early childhood, an important indicator for lifelong health. OBJECTIVE: The study investigated whether the joint effects are present between PM2.5 constituents and reduced fetal growth. METHODS: The study was embedded in a birth cohort in China, including 5424 mother-child pairs. Prenatal PM2.5 and its constituents' [organic carbon (OC), elementary carbon (EC), ammonium (NH4 + ), nitrate (NO3 - ), and sulfate (SO4 2- )] concentrations were estimated based on maternal residential addresses...
March 26, 2024: Journal of Exposure Science & Environmental Epidemiology
https://read.qxmd.com/read/38531715/preterm-birth-increases-cerebral-palsy-hazards-in-children-of-mothers-with-chronic-hypertension-in-pregnancy
#37
JOURNAL ARTICLE
Yi-Chien Huang, Hung-Chih Lin, Yu-Tzu Chang, Ming-Luen Tsai, Yu-Chia Chang, Lan-Wan Wang
BACKGROUND: Children of mothers with chronic-hypertension in pregnancy have high rates of preterm-birth (<37 weeks of gestation) and small-for-gestational-age (SGA), both of which are risk factors of cerebral palsy (CP). This study investigated the cumulative risks of CP in children exposed to maternal chronic-hypertension vs. other types of hypertensive-disorders-of-pregnancy (HDP), and whether preterm-birth and SGA potentiate the antenatal impact of chronic-hypertension to increase CP hazards...
March 24, 2024: Pediatrics and Neonatology
https://read.qxmd.com/read/38530388/-position-paper-on-working-in-the-intensive-care-unit-during-pregnancy-divi-recommendations-for-improving-the-situation-of-pregnant-employees-in-the-icu
#38
REVIEW
Celina Cornelius, Teresa Deffner, Aileen Hill, Christina Rohlfes, Bernd Ellner, Silke Klarmann, Sabine Riedel, Sabrina Pelz, Sabrina Kopp, Laura Borgstedt, Diana Freund, Andreas Schöpfel, Patrick Meybohm, Felix Walcher, Thorsten Brenner, Stefanie Klenke
The Maternity Protection Act is intended to protect the mother and the child from hazards, excessive demands and damage to health in the workplace, and from financial disadvantages and loss of employment. However, the objectives defined by the Maternity Protection Act-the safety and health of the pregnant employee on the one hand and the prevention of disadvantages in working life on the other-are not yet adequately achieved in the intensive care unit (ICU). Implementation of the Maternity Protection Act to the benefit of all involved parties should also be promoted in the specialist areas represented by the DIVI, in particular the work of pregnant physicians and nursing staff and other working specialists (respiratory therapists, physiotherapists, speech therapists, psychotherapists, and social workers) in the ICU...
March 26, 2024: Anaesthesiologie
https://read.qxmd.com/read/38530386/-position-paper-on-working-in-the-intensive-care-unit-during-pregnancy-divi-recommendations-for-improving-the-situation-of-pregnant-employees-in-the-icu
#39
REVIEW
Celina Cornelius, Teresa Deffner, Aileen Hill, Christina Rohlfes, Bernd Ellner, Silke Klarmann, Sabine Riedel, Sabrina Pelz, Sabrina Kopp, Laura Borgstedt, Diana Freund, Andreas Schöpfel, Patrick Meybohm, Felix Walcher, Thorsten Brenner, Stefanie Klenke
The Maternity Protection Act is intended to protect the mother and the child from hazards, excessive demands and damage to health in the workplace, and from financial disadvantages and loss of employment. However, the objectives defined by the Maternity Protection Act-the safety and health of the pregnant employee on the one hand and the prevention of disadvantages in working life on the other-are not yet adequately achieved in the intensive care unit (ICU). Implementation of the Maternity Protection Act to the benefit of all involved parties should also be promoted in the specialist areas represented by the DIVI, in particular the work of pregnant physicians and nursing staff and other working specialists (respiratory therapists, physiotherapists, speech therapists, psychotherapists, and social workers) in the ICU...
March 26, 2024: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://read.qxmd.com/read/38530330/comparison-of-spontaneous-pushing-and-directed-pushing-during-the-second-stage-of-labor-among-chinese-women-without-epidural-analgesia-protocol-for-a-noninferior-feasibility-study
#40
JOURNAL ARTICLE
Jiasi Yao, Heike Roth, Debra Anderson, Hong Lu, Huijuan Rong, Kathleen Baird
BACKGROUND: Maternal pushing during the second stage of labor could influence labor progress and maternal-neonatal outcomes. Although the image of health care providers directing the laboring women to push during the second stage of labor could be commonly observed globally, this practice is not sufficiently researched and is questioned regarding its effectiveness and outcomes on the mother and baby. Meanwhile, a strategy referred to as "spontaneous pushing," which supports women to push by following their bodily urges, has been evaluated in several trials...
March 26, 2024: JMIR Research Protocols
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