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BMC Pregnancy and Childbirth

Helena A Watson, Naomi Carlisle, Katy Kuhrt, Rachel M Tribe, Jenny Carter, Paul Seed, Andrew H Shennan
BACKGROUND: Accurate diagnosis of preterm labour is needed to ensure correct management of those most at risk of preterm birth and to prevent the maternal and fetal risks incurred by unnecessary interventions given to the large majority of women, who do not deliver within a week of presentation. Intervention "just-in-case" results in many avoidable admissions, women being transferred out of their local hospital unnecessarily and most women receiving unwarranted drugs, such as steroids and tocolytics...
February 13, 2019: BMC Pregnancy and Childbirth
Suresh Jungari, Balram Paswan
BACKGROUND: Husbands' knowledge and awareness of pregnancy complications have a positive impact on their wives' utilization of maternal health care services. In this study, we examined whether husbands' knowledge and awareness of pregnancy complications can serve as determinants of maternal health service utilization among wives from the tribal population. METHODS: This cross-sectional study was conducted in the rural Gadchrioli district of Maharashtra, India, during November 2014-March 2015...
February 13, 2019: BMC Pregnancy and Childbirth
James Rufus John, Sabuj Kanti Mistry, Getahun Kebede, Narendar Manohar, Amit Arora
BACKGROUND: Timely breastfeeding initiation is a simple but important measure that has protective effects on infants and mothers. This study aims to determine the predictors of early breastfeeding initiation among mothers residing in Ethiopia. METHODS: This study employed the 2016 Ethiopian Demographic and Health Survey data. A total of 5546 children born during the last 24 months at the time of survey were included for analysis from nine regional states and two city administration areas...
February 13, 2019: BMC Pregnancy and Childbirth
David M Goodman, Pendo Mlay, Nathan Thielman, Maria J Small, John W Schmitt
BACKGROUND: Hypoxia during labor contributes to 2.2 million intrapartum and early neonatal deaths each year. An additional 0.6-1.0 million cases of life-long disability occur because of fetal hypoxia during labor. It is known that fetal heart rate changes in labor correspond to hypoxia and neurologic compromise, but a reliable, low-cost method for detecting these changes is not available. In this study we sought to compare the ability of a handheld Doppler device to detect accelerations as part of the fetal scalp stimulation test and to compare the diagnostic performance of routine intermittent auscultation with auscultation that is augmented with fetal scalp stimulation...
February 13, 2019: BMC Pregnancy and Childbirth
Claire R McNellan, Emily Dansereau, Marielle C G Wallace, Danny V Colombara, Erin B Palmisano, Casey K Johanns, Alexandra Schaefer, Diego Ríos-Zertuche, Paola Zúñiga-Brenes, Bernardo Hernandez, Emma Iriarte, Ali H Mokdad
BACKGROUND: Antenatal care (ANC) is a means to identify high-risk pregnancies and educate women so that they might experience a healthier delivery and outcome. There is a lack of evidence about whether receipt of ANC is an effective strategy for keeping women in the system so they partake in other maternal and child interventions, particularly for poor women. The present analysis examines whether ANC uptake is associated with other maternal and child health behaviors in poor mothers in Guatemala, Honduras, Nicaragua, and Mexico (Chiapas)...
February 12, 2019: BMC Pregnancy and Childbirth
Thomas Schmitz, Corinne Alberti, Moreno Ursino, Olivier Baud, Camille Aupiais
BACKGROUND: Although antenatal betamethasone is recommended worldwide for women at risk of preterm delivery, concerns persist regarding the long-term effects associated with this treatment. Indeed, adverse events, mainly dose-related, have been reported. The current recommended dose of antenatal betamethasone directly derives from sheep experiments performed in the late 60's and has not been challenged in 45 years. Therefore, randomized trials evaluating novel dose regimens are urgently needed...
February 12, 2019: BMC Pregnancy and Childbirth
Aimee Grant, Melanie Morgan, Dawn Mannay, Dunla Gallagher
BACKGROUND: Health behaviours during pregnancy and the early years of life have been proven to affect long term health, resulting in investment in interventions. However, interventions often have low levels of completion and limited effectiveness. Consequently, it is increasingly important for interventions to be based on both behaviour change theories and techniques, and the accounts of pregnant women. This study engaged with pregnant women from deprived communities, to understand their subjective experiences of health in pregnancy...
February 12, 2019: BMC Pregnancy and Childbirth
Shelley Wilkinson, Michael Beckmann, Elin Donaldson, Sally McCray
BACKGROUND: Pregnant women who gain weight in accordance with guidelines have the lowest risk of pregnancy and birth-related complications. However, evidence-practice gaps often exist. To address pregnancy weight management barriers, a stepped implementation science approach was used, comprising targeted in-services, provision of scales for clinic rooms, and changes to routine weight recording in a hospital electronic medical record. The aim of this study was to assess the cumulative influence of evidence-based interventions on staff's compliance to recording of antenatal weights...
February 12, 2019: BMC Pregnancy and Childbirth
Gedefaw Abeje Fekadu, Fentie Ambaw, Seblewongiel Ayenalem Kidanie
BACKGROUND: Antenatal care provides the best opportunity to promote maternal and child health services use. But many Ethiopian mothers deliver at home and fail to attend postnatal care. Therefore, this study was done to identify factors associated with health facility delivery among mothers who attended four or more antenatal care visits. The study was also intended to identify factors associated with postnatal care service use among mothers who delivered at home after four or more antenatal care visits...
February 11, 2019: BMC Pregnancy and Childbirth
Indira S E van der Zande, Rieke van der Graaf, Martijn A Oudijk, Elsbeth H van Vliet-Lachotzki, Johannes J M van Delden
BACKGROUND: Bioethicists argue that inclusion of pregnant women in clinical research should be more routine to increase the evidence-base for pregnant women and foetuses. Yet, it is unknown whether pregnant women and others directly involved are willing to be routinely included. Therefore, we first need to establish what these stakeholders think about research participation in regular pregnancy-related research. However, studies on their views are scarce. In our study, we piggy-backed on a relatively conventional RCT, the APOSTEL VI study, to identify the views of stakeholders on inclusion of pregnant women in this study...
February 11, 2019: BMC Pregnancy and Childbirth
Rabiatu Sageer, Eugene Kongnyuy, Wasiu Olalekan Adebimpe, Omolaso Omosehin, Elijah Ayowole Ogunsola, Bola Sanni
BACKGROUND: Nigeria still ranks second globally in the number of maternal deaths. Most maternal death reviews in Nigeria are isolated research based reports from a single health facility. This study determined causes and contributory factors of maternal mortality in Ogun statefollowing a periodic State-widematernal and perinatal deaths surveillance and response (MPDSR) review. METHODS: We carried out a retrospective analysis of cases of maternal deaths notified (n = 77) and reviewed (n = 45) in health facilities in Ogun State from 2015 to 2016selected using total sampling method...
February 11, 2019: BMC Pregnancy and Childbirth
Bareng A S Nonyane, Maureen Norton, Nazma Begum, Rasheduzzaman M Shah, Dipak K Mitra, Gary L Darmstadt, Abdullah H Baqui
BACKGROUND: Studies have revealed associations between preceding short and long birth-to-birth or birth-to-pregnancy intervals and poor pregnancy outcomes. Most of these studies, however, have examined the effect of intervals that began with live births. Using data from Bangladesh, we examined the effect of inter-outcome intervals (IOI) starting with a non-live birth or neonatal death, on outcomes in the next pregnancy. Pregnancy spacing behaviors in rural northeast Bangladesh have changed little since 2004...
February 9, 2019: BMC Pregnancy and Childbirth
Leah Gilbert, Justine Gross, Stefano Lanzi, Dan Yedu Quansah, Jardena Puder, Antje Horsch
BACKGROUND: Gestational Diabetes Mellitus (GDM) is associated with future cardio-metabolic risks for the mother and her child. In addition, one-third of women with recent GDM develop postpartum depression. Given these adverse impacts of GDM on the health of the mother and her offspring, it is important to intervene on modifiable factors, such as diet, physical activity, and psychosocial well-being. This integrative review therefore explored evidence on how these modifiable factors interact in women with GDM and their offspring, and how effective combined interventions are on reducing adverse impacts of GDM...
February 7, 2019: BMC Pregnancy and Childbirth
Yael Bar-Zeev, Eliza Skelton, Billie Bonevski, Maree Gruppetta, Gillian S Gould
BACKGROUND: General practitioners can play an important role in addressing smoking among pregnant women but studies suggest they rarely do so. The aim of this study was to explore general practitioners perceptions about the management of smoking in pregnancy, and what would enable them to provide better care. METHODS: Qualitative semi-structured interviews were conducted (Feb-July 2017), with 19 Australian general practitioners recruited from a sample that participated in a national survey on managing smoking during pregnancy; and through a national conference...
February 7, 2019: BMC Pregnancy and Childbirth
Yoshiyuki Tachibana, Noriaki Koizumi, Chikako Akanuma, Hiromi Tarui, Eizaburo Ishii, Tomomi Hoshina, Ayuko Suzuki, Akiko Asano, Shiho Sekino, Hiroto Ito
BACKGROUND: Perinatal mental health problems such as mood disorders are common. We propose a new multidisciplinary health service intervention program providing continuous support to women and their children from the start of pregnancy till after childbirth. The aim of this study was to examine the effects of the program with respect to making women's mental health better in the postpartum period and improving the state of care for women and their children in the perinatal period. METHODS: We performed a controlled study to investigate the effectiveness of the program in Suzaka City, Japan...
February 6, 2019: BMC Pregnancy and Childbirth
Yohannes Dibaba Wado, Elizabeth A Sully, Joyce N Mumah
BACKGROUND: Adolescent pregnancy remains a major challenge in both developed and developing countries. Early and unintended pregnancies among adolescents are associated with several adverse health, educational, social and economic outcomes. The aim of this study was to identify the contextual factors that influence adolescent pregnancy and early motherhood in five East African countries. METHODS: We use DHS data from five East African countries to examine trends and risk factors associated with adolescent pregnancy...
February 6, 2019: BMC Pregnancy and Childbirth
Maryam Soltani, Hamid Reza Tabatabaee, Shahin Saeidinejat, Marzieh Eslahi, Halime Yaghoobi, Ehsan Mazloumi, Abdolhalim Rajabi, Ali Ghasemi, Naeimeh Keyghobadi, Mostafa Enayatrad, Abed Noori, Seyyed Aliasghar Hashemi, Fatemeh Zolfizadeh, Sepideh Mahdavi, Tannaz Valadbeigi, Koorosh Etemad, Ali Taghipour, Cirruse Salehnasab, Mahmoud Hajipour
BACKGROUND: Preterm birth is a major cause of prenatal and postnatal mortality particularly in developing countries. This study investigated the maternal risk factors associated with the risk of preterm birth. METHODS: A population-based case-control study was conducted in several provinces of Iran on 2463 mothers referred to health care centers. Appropriate descriptive and analytical statistical methods were used to evaluate the association between maternal risk factors and the risk of preterm birth...
February 6, 2019: BMC Pregnancy and Childbirth
Annisa Mak, Helena Lee, C F Poon, S L Kwok, Teresa Ma, K Y K Chan, Anita Kan, Mary Tang, K Y Leung
BACKGROUND: When cell-free DNA (cfDNA) testing is used as a secondary screening tool following combined first-trimester screening (cFTS), cFTS is used to estimate the prior risk for chromosome abnormalities. This study aimed to assess the factors that are associated with common and atypical abnormalities following cFTS, including cFTS risk, advanced maternal age, increased nuchal translucency (NT) ≥3.5 mm, and abnormal levels of serum markers. METHODS: We reviewed a historical cohort of 1855 Chinese women carrying singleton pregnancies with a positive cFTS [at a threshold of 1:250 for trisomy (T) 21 or 1:180 for T18] in one public hospital over a five-year period...
February 4, 2019: BMC Pregnancy and Childbirth
Ambily Jose, Reeta Mahey, Jai Bhagwan Sharma, Neerja Bhatla, Renu Saxena, Mani Kalaivani, Alka Kriplani
BACKGROUND: To evaluate the efficacy and safety of intravenous Ferric Carboxymaltose. (FCM) in comparison with intravenous Iron sucrose complex (ISC) for treatment of iron deficiency anemia in pregnancy. METHODS: A randomized clinical trial was conducted from (January 2016-August 2017). at a tertiary hospital. Pregnant women diagnosed with moderate to severe iron deficiency anaemia were screened for the study. One hundred patients were randomized to receive either intravenous FCM or ISC...
February 4, 2019: BMC Pregnancy and Childbirth
Eugenia Nyamukoho, Walter Mangezi, Bazondlile Marimbe, Ruth Verhey, Dixon Chibanda
BACKGROUND: Depression is a common psychiatric disorder that is highly prevalent among people living with HIV (PLWH). Depression is linked to poor adherence to anti-retroviral medication while in the peri-natal period may affect birth outcomes. Intimate partner violence (IPV) has been linked to depression. Little is known about the factors associated with depression in HIV positive pregnant women in Zimbabwe. METHODS: We carried out a cross-sectional study in 4 busy primary care clinics offering antenatal services during the months of June through to September in 2016...
January 31, 2019: BMC Pregnancy and Childbirth
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