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https://www.readbyqxmd.com/read/29781504/epidural-versus-non-epidural-or-no-analgesia-for-pain-management-in-labour
#1
REVIEW
Millicent Anim-Somuah, Rebecca Md Smyth, Allan M Cyna, Anna Cuthbert
BACKGROUND: Epidural analgesia is a central nerve block technique achieved by injection of a local anaesthetic close to the nerves that transmit pain, and is widely used as a form of pain relief in labour. However, there are concerns about unintended adverse effects on the mother and infant. This is an update of an existing Cochrane Review (Epidural versus non-epidural or no analgesia in labour), last published in 2011. OBJECTIVES: To assess the effectiveness and safety of all types of epidural analgesia, including combined-spinal-epidural (CSE) on the mother and the baby, when compared with non-epidural or no pain relief during labour...
May 21, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29776476/institute-of-medicine-early-infant-feeding-recommendations-for-childhood-obesity-prevention-implementation-by-immigrant-mothers-from-central-america
#2
Kathleen F Gaffney, Albert V Brito, Panagiota Kitsantas, Deborah A Kermer, Graciela Pereddo, Katya M Ramos
PURPOSES: Describe implementation of Institute of Medicine (IOM) early infant feeding recommendations for child obesity prevention by immigrant mothers from Central America; examine potential relationships with food insecurity and postpartum depressive symptoms. DESIGN AND METHODS: Using a cross-sectional, descriptive design, face-to-face interviews were conducted with 318 mothers of 2month old infants at a large pediatric setting for low income families. Logistic regression models assessed feeding practices, food insecurity and postpartum depressive symptoms...
May 2018: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/29772730/at-the-crossroads-of-clinical-and-preclinical-research-for-muscular-dystrophy-are-we-closer-to-effective-treatment-for-patients
#3
REVIEW
Kinga I Gawlik
Among diseases affecting skeletal muscle, muscular dystrophy is one of the most devastating and complex disorders. The term 'muscular dystrophy' refers to a heterogeneous group of genetic diseases associated with a primary muscle defect that leads to progressive muscle wasting and consequent loss of muscle function. Muscular dystrophies are accompanied by numerous clinical complications and abnormalities in other tissues that cause extreme discomfort in everyday life. The fact that muscular dystrophy often takes its toll on babies and small children, and that many patients die at a young age, adds to the cruel character of the disease...
May 16, 2018: International Journal of Molecular Sciences
https://www.readbyqxmd.com/read/29770557/developing-a-set-of-consensus-indicators-to-support-maternity-service-quality-improvement-using-core-outcome-set-methodology-including-a-delphi-process
#4
Kathryn J Bunch, Benjamin Allin, Matthew Jolly, Tom Hardie, Marian Knight
OBJECTIVE: To develop a core metric set to monitor the quality of maternity care. DESIGN: Delphi process followed by a face-to-face consensus meeting. SETTING: English Maternity units. POPULATION: Three representative expert panels: service designers, providers and users. MAIN OUTCOME MEASURES: Maternity care metrics judged important by participants. METHODS: Participants were asked to complete a two phase Delphi process, scoring metrics from existing local maternity dashboards...
May 16, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29769663/endogenous-testosterone-and-exogenous-oxytocin-influence-the-response-to-baby-schema-in-the-female-brain
#5
Sarah K C Holtfrerich, Roland Pfister, Alexander T El Gammal, Eugen Bellon, Esther K Diekhof
Nurturing behavior may be critically influenced by the interplay of different hormones. The neuropeptide oxytocin is known to promote maternal behavior and its reduction has been associated with postpartum depression risk and child neglect. Contrariwise, the observed decrease in testosterone level during early parenthood may benefit caretaking behavior, whereas increased testosterone may reduce attention to infants. Here we used functional magnetic resonance imaging to investigate the interactive influence of testosterone and oxytocin on selective attention to and neural processing of the baby schema (BS)...
May 16, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29768264/opportunities-and-challenges-in-global-perinatal-research
#6
Jessica Duby, Renee Sharma, Zulfiqar A Bhutta
BACKGROUND: The global plight of stillbirths and neonatal mortality is concentrated in low- and middle-income countries. The ambitious targets introduced by the World Health Organization in the Every Newborn Action Plan demand a commitment to research that promotes equitable perinatal outcomes. OBJECTIVES: The aim of this review was to understand the opportunities for global perinatal research and the accompanying challenges. METHODS: We conducted a literature search to identify research prioritization exercises from 2014 to 2018 pertaining to global perinatal health...
May 16, 2018: Neonatology
https://www.readbyqxmd.com/read/29750904/perspectives-of-nurses-nurse-leaders-and-women-regarding-anticipatory-rounds-in-the-postpartum-period
#7
Ashley Wright, Marshe Suderman, Donna Moyer, Khristina Grimm, Karen H Morin
OBJECTIVE: To obtain the perspectives of staff nurses, nurse leaders, and women with regard to the relevance and timing of nursing interactions during anticipatory rounds in the postpartum period. DESIGN: A qualitative descriptive design using focus groups. SETTING: A hospital with 405 beds that serves a Midwestern U.S. community of approximately 256,000 people. PARTICIPANTS: A purposive sample of 12 staff nurses, 6 nurse leaders, and 15 women attended a total of 10 focus groups...
May 8, 2018: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/29741208/induction-of-labour-for-improving-birth-outcomes-for-women-at-or-beyond-term
#8
REVIEW
Philippa Middleton, Emily Shepherd, Caroline A Crowther
BACKGROUND: Beyond term, the risks of stillbirth or neonatal death increase. It is unclear whether a policy of labour induction can reduce these risks. This Cochrane review is an update of a review that was originally published in 2006 and subsequently updated in 2012 OBJECTIVES: To assess the effects of a policy of labour induction at or beyond term compared with a policy of awaiting spontaneous labour or until an indication for birth induction of labour is identified) on pregnancy outcomes for infant and mother...
May 9, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29739374/effectiveness-of-baby-friendly-community-initiative-bfci-on-complementary-feeding-in-koibatek-kenya-a-randomized-control-study
#9
Mildred Maingi, Judith Kimiywe, Sharon Iron-Segev
BACKGROUND: Appropriate infant and young child nutrition is critical for proper growth and development. In order to promote optimal nutrition at an early age, the World Health Organization (WHO) and UNICEF have developed the Baby Friendly Hospital Initiative (BFHI) to address poor breastfeeding practices in maternity wards. However, impact is limited in less developed countries like Kenya, where more than half of all births are home deliveries. Therefore, Kenya has explored the adoption of Baby Friendly Community Initiative (BFCI) in its rural settings...
May 8, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29731383/-trying-to-give-birth-naturally-was-out-of-the-question-accounting-for-intervention-in-childbirth
#10
Lindsay Cole, Amanda LeCouteur, Rebecca Feo, Hannah Dahlen
PROBLEM: Studies of women's childbirth preferences repeatedly show that natural birth remains highly valued, yet the majority of births involve some form of medical intervention. Reasons for this lack of correspondence have typically been investigated through interviews and focus-groups with women. Relatively little research explores the ways in which women describe their experiences of childbirth outside of such research settings. BACKGROUND: Most maternity services promote woman-centred care, whereby women are encouraged to take active roles in deciding how to give birth...
May 3, 2018: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/29728255/young-adult-couples-behavioral-and-physiological-responses-to-the-infant-simulator-a-preliminary-illustration-of-coparenting
#11
Hannah F Rasmussen, Geoffrey W Corner, Gayla Margolin
This exploratory application of the infant simulator with two couples is designed to illustrate individual reactivity and coparenting behaviors in young couples in serious relationships who do not yet have children. A 35-min protocol with standardized onsets and offsets of inconsolable baby cries was used to capture partner's individual behavioral and physiological responses as well as the couple's joint efforts to soothe the crying baby. Task feasibility was demonstrated by couples' persistent and wide-ranging efforts to calm the baby including rocking, feeding, changing, talking to the baby, and singing...
May 1, 2018: Infant Behavior & Development
https://www.readbyqxmd.com/read/29720119/a-comparative-study-to-identify-factors-of-caregiver-burden-between-baby-boomers-and-post-baby-boomers-a-secondary-analysis-of-a-us-online-caregiver-survey
#12
Heejung Kim, Sangeun Lee, Jooyoung Cheon, Soyun Hong, Mido Chang
BACKGROUND: Baby boomers' position in the caregiving context is shifting from caregiver to care recipient as the population ages. While the unique characteristics of baby boomer caregivers are well established in caregiving literature, there is limited information about the next caregiving group after the baby boomers. In this study, the sociodemographic and caregiving-related characteristics of the two generations are compared and specific factors contributing to caregiver burden between baby boomer and post baby boomer caregivers are identified...
May 2, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29713778/initial-experience-of-an-investigational-3t-mr-scanner-designed-for-use-on-neonatal-wards
#13
Paul D Griffiths, Deborah Jarvis, Leanne Armstrong, Daniel J A Connolly, Pauline Bayliss, Julie Cook, Anthony R Hart, Elizabeth Pilling, Tamanna Williams, Martyn N J Paley
OBJECTIVES: MR imaging of neonates is difficult for many reasons and a major factor is safe transport to the MR facilities. In this article we describe the use of a small, investigational 3-T MR customised for brain imaging and sited on a neonatal unit of a tertiary centre in the UK, which is in contrast to a 300-m journey to the whole-body MR scanner used at present for clinical cases. METHODS: We describe our methods for preparing babies for safe transport and scanning on an investigational 3-T MR scanner on a neonatal unit and the development of appropriate MR sequences...
April 30, 2018: European Radiology
https://www.readbyqxmd.com/read/29709055/interventions-for-investigating-and-identifying-the-causes-of-stillbirth
#14
REVIEW
Aleena M Wojcieszek, Emily Shepherd, Philippa Middleton, Glenn Gardener, David A Ellwood, Elizabeth M McClure, Katherine J Gold, Teck Yee Khong, Robert M Silver, Jan Jaap Hm Erwich, Vicki Flenady
BACKGROUND: Identification of the causes of stillbirth is critical to the primary prevention of stillbirth and to the provision of optimal care in subsequent pregnancies. A wide variety of investigations are available, but there is currently no consensus on the optimal approach. Given their cost and potential to add further emotional burden to parents, there is a need to systematically assess the effect of these interventions on outcomes for parents, including psychosocial outcomes, economic costs, and on rates of diagnosis of the causes of stillbirth...
April 30, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29707205/timely-referral-saves-the-lives-of-mothers-and-newborns-midwifery-led-continuum-of-care-in-marginalized-teagarden-communities-a-qualitative-case-study-in-bangladesh
#15
Animesh Biswas, Rondi Anderson, Sathyanarayanan Doraiswamy, Abu Sayeed Md Abdullah, Nabila Purno, Fazlur Rahman, Abdul Halim
Background: Prompt and efficient identification, referral of pregnancy related complications and emergencies are key factors to the reduction of maternal and newborn morbidity and mortality. As a response to this critical need, a midwifery led continuum of reproductive health care was introduced in five teagardens in the Sylhet division, Bangladesh during 2016. Within this intervention, professional midwives provided reproductive healthcare to pregnant teagarden women in the community.  This study evaluates the effect of the referral of pregnancy related complications...
2018: F1000Research
https://www.readbyqxmd.com/read/29706912/the-diaper-change-play-validation-of-a-new-observational-assessment-tool-for-early-triadic-family-interactions-in-the-first-month-postpartum
#16
Jérôme Rime, Hervé Tissot, Nicolas Favez, Michael Watson, Werner Stadlmayr
The quality of family relations, observed during mother-father-infant triadic interactions, has been shown to be an important contributor to child social and affective development, beyond the quality of dyadic mother-child, father-child, and marital relationships. Triadic interactions have been well described in families with 3 month olds and older children using the Lausanne Trilogue Play (LTP). Little is known about the development of mother-father-baby interactions in the very 1st weeks postpartum, mostly because no specific observational setting or particular instrument had been designed to cover this age yet...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29702504/health-and-social-needs-of-young-mothers
#17
S Amanda Dumas, Ivy W Terrell, Maggie Gustafson
PURPOSE: Teen parenting rates are disproportionately high among minority youth in the Southern United States. We explored barriers and unmet needs relating to medical and social support as perceived by these teen mothers, and elicited suggestions for improving their healthcare through the medical home. STUDY DESIGN AND METHODS: We conducted four focus groups of 18- to 24-year-old mothers in New Orleans with questions designed to prompt discussions on young motherhood and healthcare...
May 2018: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/29700867/characteristics-and-service-needs-of-women-and-babies-admitted-to-residential-parenting-units-in-new-south-wales-a-mixed-methods-study
#18
Holly Priddis, Charlene Thornton, Cathrine Fowler, Virginia Schmied, Jane Tooher, Marie Dickinson, Hannah Grace Dahlen
AIMS AND OBJECTIVES: This study aims to examine the characteristics and service needs of women and babies admitted to Residential Parenting Services (RPS) in the first year following birth in New South Wales (NSW), Australia. BACKGROUND: In Australia there is a tiered system to support maternal, child and family health, which includes residential parenting services (RPS). DESIGN: Sequential explanatory mixed methods design. METHODS: Individual patient data were obtained from a random review of 10% of all medical records (n = 300 of 3011 admissions) of women with an infant of less than 12 months of age who were admitted to RPS in 2013...
April 27, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29699794/community-engagement-in-the-aboriginal-families-study-strategies-to-promote-participation
#19
Donna Weetra, Karen Glover, Roxanne Miller, Rikki Wilson, Cathy Leane, Deanna Stuart-Butler, Amanda Mitchell, Deirdre Gartland, Stephanie Brown
BACKGROUND: Aboriginal women and families are under-represented in Australian research on pregnancy and childbirth. The Aboriginal Families Study aimed to investigate the views and experiences of a representative sample of women giving birth to an Aboriginal baby in South Australia between July 2011 and June 2013, using methods designed to respect Aboriginal culture and communities. METHODS: A team of 12 Aboriginal researchers facilitated community engagement and recruitment of Aboriginal and non-Aboriginal mothers of Aboriginal infants in urban, regional and remote areas of South Australia over a two-year period...
April 23, 2018: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/29695710/maternal-obesity-during-lactation-may-protect-offspring-from-high-fat-diet-induced-metabolic-dysfunction
#20
Jenifer Monks, David J Orlicky, Adrianne L Stefanski, Andrew E Libby, Elise S Bales, Michael C Rudolph, Ginger C Johnson, Vanessa D Sherk, Matthew R Jackman, Kayla Williamson, Nichole E Carlson, Paul S MacLean, James L McManaman
BACKGROUND/OBJECTIVES: The current obesity epidemic has spurred exploration of the developmental origin of adult heath and disease. A mother's dietary choices and health can affect both the early wellbeing and lifelong disease-risk of the offspring. SUBJECTS/METHODS: To determine if changes in the mother's diet and adiposity have long-term effects on the baby's metabolism, independently from a prenatal insult, we utilized a mouse model of diet-induced-obesity and cross-fostering...
April 25, 2018: Nutrition & Diabetes
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