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https://www.readbyqxmd.com/read/29697665/-preventability-of-perinatal-losses-by-the-example-of-the-large-industrial-cities-chelyabinsk-and-novosibirsk
#1
V L Kovalenko, E L Kazachkov, A P Nadeev, A E Pasternak, I A Pasternak, M A Karpov, V A Zhukova, T G Chernova, E A Kazachkova, E E Voropaeva, N I Klesova
Perinatal mortality rate is an indicator that characterizes the quality of medical care, as well as the social and economic situation in the region. OBJECTIVE: to audit perinatal losses in large regional centers of the Russian Federation with a population of over 1 million inhabitants, such as Chelyabinsk and Novosibirsk. MATERIAL AND METHODS: A comprehensive postmortem examination of 309 cases of perinatal losses in 2016 was made, which was supplemented with an assessment of preventability according to the Scandinavian-Baltic classification...
2018: Arkhiv Patologii
https://www.readbyqxmd.com/read/29661565/fetal-growth-restriction-in-twins
#2
REVIEW
R Townsend, A Khalil
Twin pregnancies are more likely to be affected by fetal growth restriction (FGR), preterm birth and perinatal loss. The management of fetal growth restriction in multiple pregnancy, particularly where only one fetus is affected is complicated by the need to consider the interests of both twins. Selective growth restriction in monochorionic (MC) twins is a pathophysiological process distinct from FGR in dichorionic (DC) pregnancies and management demands an understanding of the monochorionic placental structure and interdependent fetal circulations...
February 24, 2018: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29614387/creation-of-virtual-patients-for-midwifery-education
#3
Eva Urbanová, Martina Bašková, Erika Maskálová, Eva Kvaltínyová
OBJECTIVE: The objective of the study was to create several new, original virtual patients (VPs) in the Slovak language, especially for educational purposes in midwifery. SETTING: Virtual patients have been created for the needs of university midwifery education in Slovakia. MODEL: The creation of the six virtual patients basically consisted of three fixed stages: preparation, design and development, implementation into the virtual environment...
March 21, 2018: Midwifery
https://www.readbyqxmd.com/read/29565619/cultural-processes-in-psychotherapy-for-perinatal-loss-breaking-the-cultural-taboo-against-perinatal-grief
#4
Rayna D Markin, Sigal Zilcha-Mano
This paper argues that there is a cultural taboo against the public recognition and expression of perinatal grief that hinders parents' ability to mourn and their psychological adjustment following a loss. It is proposed that this cultural taboo is recreated within the therapy relationship, as feelings of grief over a perinatal loss are minimized or avoided by the therapist and parent or patient. Importantly, it is suggested that if these cultural dynamics are recognized within the therapy relationship, then psychotherapy has the immense opportunity to break the taboo by validating the parent's loss as real and helping the parent to mourn within an empathic and affect-regulating relationship...
March 2018: Psychotherapy
https://www.readbyqxmd.com/read/29523269/early-diagnosis-of-preeclampsia-using-placental-growth-factor-an-operational-pilot-study-in-maputo-mozambique
#5
Beatriz Manriquez Rocha, Francisco Mbofana, Osvaldo Loquiha, Chishamiso Mudenyanga, U Vivian Ukah, Laura A Magee, Peter von Dadelszen
In well-resourced settings, reduced circulating maternal free placental growth factor (PlGF) aids in either predicting or confirming the diagnosis of preeclampsia, fetal growth restriction, stillbirth, preterm birth, and delivery within 14 days of testing when pre-eclampsia is suspected. This operational pilot implementation of maternal plasma PlGF in women with suspected preeclampsia was conducted in six antenatal clinics in Maputo, Mozambique (six control clinics for comparison). The primary outcome was transfer to higher levels of care, following the informative PlGF assay...
January 2018: Pregnancy Hypertension
https://www.readbyqxmd.com/read/29453792/impact-of-tsh-during-the-first-trimester-of-pregnancy-on-obstetric-and-foetal-complications-usefulness-of-2-5-miu-l-cut-off-value
#6
Marta Hernández, Carolina López, Berta Soldevila, Laura Cecenarro, María Martínez-Barahona, Elisabet Palomera, Ferran Rius, Albert Lecube, Maria José Pelegay, Jordi García, Dídac Mauricio, Manel Puig Domingo
OBJECTIVE: An association of pregnancy outcomes with subclinical hypothyroidism has been reported; however, there still exists a strong controversy regarding whether subclinical hypothyroidism ought to be dealt with or not. The objective of the study was to evaluate the association of foetal-maternal complications with first trimester maternal Thyrotropin (TSH) values. DESIGN: A retrospective study in a single tertiary care hospital was performed. PATIENTS: A total of 1981 pregnant women were studied during 2012...
May 2018: Clinical Endocrinology
https://www.readbyqxmd.com/read/29406287/predicting-need-for-follow-up-due-to-severe-anxiety-and-depression-symptoms-after-perinatal-loss
#7
Marianne H Hutti, John A Myers, Lynne A Hall, Barbara J Polivka, Susan White, Janice Hill, Meredith Grisanti, Jaclyn Hayden, Elizabeth Kloenne
OBJECTIVE: To evaluate the ability of the Perinatal Grief Intensity Scale (PGIS) when used within 8 weeks of perinatal loss to predict intense anxiety and severe depression symptoms in women 3 months later (Time 2 [T2]). DESIGN: Prospective survey. SETTING: Participants were recruited from hospitals in Louisville, KY and via the Internet. PARTICIPANTS: Women (N = 103) who experienced perinatal loss. METHODS: Data were collected using the PGIS, Beck Anxiety Inventory, and the Center for Epidemiologic Studies Depression Scale...
March 2018: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/29389806/the-experiences-of-fathers-whose-spouses-are-hospitalized-for-pregnancy-termination-due-to-fetal-chromosome-abnormality-in-taiwan
#8
Jui-Chiung Sun, Wenmay Rei, Min-Yu Chang, Shuh-Jen Sheu
BACKGROUND: Hospitals, where most births and terminations of pregnancy take place in modern society, tend to focus on addressing the perinatal loss experiences of mothers rather than fathers. Healthcare providers often overlook the loss experiences of fathers when pregnancy has been terminated because of chromosome abnormality. Little literature exists on the perceptions of these losses from the point of view of fathers in Taiwan. PURPOSE: The aims of this study were to explore and reveal the essence and structure of the experiences of Taiwanese fathers whose spouses are hospitalized for pregnancy termination due to fetal chromosome abnormality...
January 31, 2018: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/29352119/parturition-in-baboons-papio-spp
#9
N Schlabritz-Loutsevitch, J Maher, R Sullivan, G Mari, M Schenone, H L Cohen, R A Word, G B Hubbard, E J Dick
The Old World non-human primates (NHP) - baboons (Papio spp.) share similarities with humans regarding fetal and placental development and some pregnancy-related complications. Information about the mechanism of birth and complications arising during parturition in these species is relatively sparse. In this manuscript, we add information from a series of pathological and observational cases to highlight insights and selected complications of birth in Papio spp, based on video-recording of the delivery process, X-ray, MRI, and ultrasound evaluations in pregnant baboons...
January 19, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29342495/improving-perinatology-residents-skills-in-breaking-bad-news-a-randomized-intervention-study
#10
Maria Silvia Vellutini Setubal, Maria Ângela Reis Goes Monteiro Antonio, Eliana Martorano Amaral, John Boulet
OBJECTIVE:  Breaking bad news (BBN) is particularly difficult in perinatology. Previous research has shown that BBN skills can be learned and improved when taught and practiced. This project evaluated whether a structured training session would enhance perinatology residents' skills in BBN. METHODS:  This was a randomized controlled intervention study with year 1 to 4 Perinatology residents from a medical school in Brazil, during the 2014/15 school year. A total of 61 out of 100 (61%) eligible residents volunteered to a structured training program involving communicating a perinatal loss to a simulated patient (SP) portraying the mother followed by the SP's immediate feedback, both video recorded...
January 17, 2018: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/29277067/biochemical-composition-of-fetal-fluids-in-at-term-normal-developed-healthy-viable-dogs-and-preliminary-data-from-pathologic-littermates
#11
M C Veronesi, B Bolis, M Faustini, A Rota, A Mollo
A proper canine neonatal assistance, required to reduce the high perinatal loss rate, imply a full knowledge about the fetal-to-neonatal physiology. Because fetal fluids play an important role throughout mammals pregnancy, influencing fetal growth and development, fetal well being, and contributing to guarantee the most suitable environment for the fetus, the knowledge about fetal fluids biochemical composition is of major importance. At first, the biochemical composition of fetal fluids collected by normal developed, healthy and viable newborns, is necessary to depict the normal features, and represent the first step for the further detection of abnormalities associated to fetal/neonatal distress and useful for the early identification of newborns needing special attention, immediately after birth...
March 1, 2018: Theriogenology
https://www.readbyqxmd.com/read/29192693/who-tells-a-mother-her-baby-has-died-communication-and-staff-presence-during-stillbirth-delivery-and-early-infant-death
#12
K J Gold, M C Treadwell, M E Mieras, N T Laventhal
OBJECTIVE: Perinatal loss (stillbirth or early infant death) is often a sudden, unexpected event for families. We evaluated who communicates the loss to the parents and who is there for support at the delivery or death. STUDY DESIGN: We conducted a mail survey of 900 bereaved and 500 live-birth mothers to assess emotional, physical and reproductive health outcomes. RESULTS: We had a 44% response rate at 9 months after birth or loss from 377 bereaved mothers and 232 with surviving infants...
December 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29179003/facilitating-milk-donation-in-the-context-of-perinatal-palliative-care
#13
Joanna C M Cole, Jessica Schwarz, Mari-Carmen Farmer, Aimee L Coursey, Shawnese Duren, Marisa Rowlson, Judy Prince, Maren Oser, Diane L Spatz
The option to donate milk within the context of perinatal palliative care allows pregnant women to be involved in medical decision making before birth. In this article we examine how a perinatal bereavement program engages women and families in the process of milk donation when the deaths of their newborns are anticipated. We include two case examples to offer insight into the complexities within the patient experience of milk donation after perinatal loss.
November 24, 2017: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/29174538/attendance-at-mental-health-appointments-by-women-who-were-referred-during-pregnancy-or-the-postpartum-period
#14
Avril S Albaugh, Susan Hatters Friedman, Sarah Nagle Yang, Miriam Rosenthal
OBJECTIVE: To describe characteristics of women referred to mental health care during pregnancy or the year after giving birth and to identify characteristics associated with attendance at mental health intake visits. DESIGN: Retrospective record review of referral documentation. SETTING: Women's health practices and perinatal mental health clinics in urban areas. PARTICIPANTS: The sample included 647 women during pregnancy or the year after giving birth who were referred for mental health treatment...
January 2018: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/29046073/influence-of-farewell-rituals-and-psychological-vulnerability-on-grief-following-perinatal-loss-in-monochorionic-twin-pregnancy
#15
Mònica Druguet, Laura Nuño, Carlota Rodó, Silvia Arévalo, Elena Carreras Moratonas, Juana Gómez-Benito
AIM: To analyze whether the absence of farewell rituals and previous psychological vulnerability are associated with the intensity of grief following perinatal loss in monochorionic twin pregnancy. METHOD: The sample comprised 28 women who experienced perinatal loss following fetal surgery. Sociodemographic and clinical data and information about farewell rituals were collected through interview. The women also completed a questionnaire about perinatal grief. RESULTS: A history of psychological and/or psychopharmacological treatment was associated with more intense grief following perinatal loss...
October 18, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28891820/transitional-objects-to-faciliate-grieving-following-perinatal-loss
#16
Lawrence D LeDuff, Wanda T Bradshaw, Stephanie M Blake
BACKGROUND: Parents who experience a perinatal loss often leave the hospital with empty arms and no tangible mementos to validate the parenting experience. Opportunities to create parenting experiences with transitional objects exist following the infant's death. PURPOSE: This article offers suggestions for staff in units where infant loss is possible to best assist parents in optimal grieving through the offering of transitional bereavement objects. METHODS/SEARCH STRATEGY: CINAHL Complete, MEDLINE, and the Cochrane Database of Systematic Reviews were searched using the following key words-perinatal bereavement, grief, perinatal loss, transitional objects, bereavement photography-and the search was limited to 5 years and the English language...
October 2017: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/28883988/the-current-state-of-genetic-counseling-and-newborn-screening-an-interview-with-megan-tucker
#17
Megan Tucker
Megan Tucker talks to Francesca Lake, Managing Editor: A certified genetic counselor for over 10 years, Megan is currently the director of the Indiana State University Genetic Counseling Graduate Program and the Genetic Counseling Clinic at Union Hospital (Terre Haute, IN, USA). She began her career split between the Center for Prenatal Diagnosis and the Medical Genetics and Neurodevelopmental Center at St Vincent Hospital (Indianapolis, IN, USA). During this time she was instrumental in both the development of the statewide Perinatal Loss Evaluation Program and a hospital protocol to ensure collection of cord blood to allow time to effectively genetically evaluate babies...
August 2017: Future Science OA
https://www.readbyqxmd.com/read/28880461/grief-reactions-of-couples-to-perinatal-loss-a-one-year-prospective-follow-up
#18
Ying-Fen Tseng, Hsiu-Rong Cheng, Yu-Ping Chen, Shu-Fei Yang, Pi-Tzu Cheng
AIMS AND OBJECTIVES: To explore couples' perceptions of the effects of perinatal loss on their marital relationship, social support and grief 1 year postloss, and analyse what factors changed the severity of their grief. BACKGROUND: Perinatal losses are traumatic events in the lives of families and can have serious long-term consequences for the psychological health of parents and any subsequent children. DESIGN: A prospective follow-up study...
December 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28867418/predicting-grief-intensity-after-recent-perinatal-loss
#19
Marianne H Hutti, John Myers, Lynne A Hall, Barbara J Polivka, Susan White, Janice Hill, Elizabeth Kloenne, Jaclyn Hayden, Meredith McGrew Grisanti
OBJECTIVE: The Perinatal Grief Intensity Scale (PGIS) was developed for clinical use to identify and predict intense grief and need for follow-up after perinatal loss. This study evaluates the validity of the PGIS via its ability to predict future intense grief based on a PGIS score obtained early after a loss. METHODS: A prospective observational study was conducted with 103 international, English-speaking women recruited at hospital discharge or via the internet who experienced a miscarriage, stillbirth, or neonatal death within the previous 8weeks...
October 2017: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/28854811/the-impact-of-perinatal-loss-in-maternity-units-a-psycholinguistic-analysis-of-health-professionals-reactions
#20
Gabriella Gandino, Giulia Di Fini, Antonella Bernaudo, Marcello Paltrinieri, Marco Castiglioni, Fabio Veglia
Perinatal loss has a strong emotional impact on health professionals working in maternity units. We aimed to study the impact of this experience on health professionals' language. We analyzed the answers of 162 health professionals (physicians and non-medical staff) who described their reactions to perinatal loss. A linguistic analysis was performed using the Linguistic Inquiry and Word Count software. Associations between language and burnout were studied. Words typical of a psychological shock reaction were used more by non-medical staff than by physicians...
August 1, 2017: Journal of Health Psychology
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