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Postnatal care

Stephanie Lyons, Sinead Currie, Sarah Peters, Tina Lavender, Debbie M Smith
Breastfeeding has copious health benefits for both mother and child, but rates of initiation and maintenance amongst women with a BMI ≥30kg/m2 are low. Few interventions aiming to increase these rates have been successful, suggesting that breastfeeding behaviour in this group is not fully understood. Therefore, this review aimed to systematically identify and synthesise the qualitative literature which explored the perceptions and experiences of women with a BMI ≥30kg/m2 who breastfed. The search identified five eligible papers, and a meta-ethnographic approach was taken to synthesise the findings...
March 22, 2019: Maternal & Child Nutrition
Anne Cockcroft, Khalid Omer, Yagana Gidado, Muhammad Chadi Baba, Amar Aziz, Umaira Ansari, Adamu Ibrahim Gamawa, Yahaya Yarima, Neil Andersson
Introduction: Maternal mortality in Nigeria is extremely high. Access to quality antenatal and obstetric care is limited. In Bauchi State, we found maternal morbidity was associated with domestic violence, heavy work in pregnancy, ignorance of danger signs, and lack of spousal communication. This cluster randomized controlled trial tested the impact of universal home visits that discussed these upstream risk factors with pregnant women and their spouses, to precipitate household actions protecting pregnant women...
2019: BMJ Global Health
Chinh Tran, Mihoko V Bennett, Jeffrey B Gould, Henry C Lee, Tatiana M Lanzieri
AIM:  The main purpose of this article is to assess trends in cytomegalovirus (CMV) infection reported among infants in California neonatal intensive care units (NICUs) during 2005 to 2016. STUDY DESIGN:  The California Perinatal Quality Care Collaborative collects data on all very low birth weight (VLBW, birth weight ≤ 1,500 g) and acutely ill infants > 1,500 g, representing 92% of NICUs in California. We compared clinical characteristics and length of hospital stay among infants with and without reported CMV infection (CMV-positive viral culture or polymerase chain reaction)...
March 20, 2019: American Journal of Perinatology
Kenga Sivarajah, Sophie Relph, Radha Sabaratnam, Spyros Bakalis
Women with spina bifida in pregnancy require complex multi-disciplinary management. Most women have uncomplicated pregnancies; however, complications are more frequent than in 'low risk' pregnancies. Careful antenatal planning and management of the complications can optimise outcome. There are currently no guidelines on the management of pregnant women with spina bifida, but there is a growing body of evidence from case reports and series examining the antenatal and postnatal course of these women. In this review, we examine the available literature and provide a framework on the prenatal counselling, antenatal, intrapartum and postnatal management of pregnant women with spina bifida...
March 2019: Obstetric Medicine
Fleur Lejeune, Lara Lordier, Marie P Pittet, Lucie Schoenhals, Didier Grandjean, Petra S Hüppi, Manuela Filippa, Cristina Borradori Tolsa
Preterm birth is associated with a higher prevalence of neurodevelopmental deficits. Indeed, preterm children are at increased risk for cognitive, behavioral, and socio-emotional difficulties. There is currently an increasing interest in introducing music intervention in neonatal intensive care unit (NICU) care. Several studies have shown short-term beneficial effects. A recent study has shown that listening to a familiar music (heard daily during the NICU stay) enhanced preterm infants' functional connectivity between auditory cortices and subcortical brain regions at term-equivalent age...
2019: Frontiers in Psychology
Misganu Endriyas, Abraham Alano, Emebet Mekonnen, Sinafikish Ayele, Temesgen Kelaye, Mekonnen Shiferaw, Tebeje Misganaw, Teka Samuel, Tesfahun Hailemariam, Samuel Hailu
BACKGROUND: Health management information system (HMIS) is a system whereby health data are recorded, stored, retrieved and processed to improve decision-making. HMIS data quality should be monitored routinely as production of high quality statistics depends on assessment of data quality and actions taken to improve it. Thus, this study assessed accuracy of the routine HMIS data. METHODS: Facility based cross-sectional study was conducted in Southern Nations Nationalities and People's region in 2017...
March 18, 2019: BMC Health Services Research
Getu Alemu Demisse, Samuel Dessau Sifer, Buseraseman Kedir, Daniel Belema Fekene, Gizachew Abdissa Bulto
BACKGROUND: Puerperal sepsis is an infection of the genital tract, which occurs from rupture of amniotic sacs and within 42nd day after delivery. It happens mainly after discharge in the 1st 24 h of parturition. It is the third leading cause of direct maternal mortality in developing nations. It is also among preventable conditions. Even though multiple interventions were done to overcome these health problems, maternal mortality and morbidities were still significant. Mainly, in Ethiopia lack of clearly identified causes of maternal mortality and morbidity makes the problem unsolved...
March 18, 2019: BMC Pregnancy and Childbirth
Caroline Elbaum, Kristyn S Beam, Olaf Dammann, Christiane E L Dammann
OBJECTIVE: To evaluate the association between morbidities preceding and following neonatal intensive care unit (NICU) admission with hypothermia. STUDY DESIGN: NICU admission temperatures for 1271 infants admitted to the NICU at Tufts Medical Center (TMC) between 2012 and 2015 were compared to all Vermont Oxford Network (VON) centers in 2014. We analyzed demographic data, prevalence of hypothermia, and associations with prenatal and neonatal morbidities. RESULT: Prevalence of hypothermia at TMC was 19% compared to 25% in the VON...
March 18, 2019: Journal of Maternal-fetal & Neonatal Medicine
Lei Zhang, Yusha Tao, Joseph Woodring, Kim Rattana, Samreth Sovannarith, Tung Rathavy, Kannitha Cheang, Shafiqul Hossain, Laurent Ferradini, Serongkea Deng, Chay Sokun, Chham Samnang, Mari Nagai, Ying-Ru Lo, Naoko Ishikawa
BACKGROUND: The Regional Framework for Triple Elimination of Mother-to-Child Transmission (EMTCT) of HIV, Hepatitis B (HBV) and Syphilis in Asia and the Pacific 2018-30 was endorsed by the Regional Committee of WHO Western Pacific in October 2017, proposing an integrated and coordinated approach to achieve elimination in an efficient, coordinated and sustainable manner. This study aims to assess the population impacts and cost-effectiveness of this integrated approach in the Cambodian context...
March 16, 2019: International Journal of Epidemiology
Titilayo Dorothy Odetola, Emmanuel Oluwabukunmi Fakorede
INTRODUCTION: Patient satisfaction has been identified as a major index in the assessment of quality of healthcare globally. Mothers judge the quality of perinatal care received based on their satisfaction with the services provided, thus influencing their utilization of the available health facilities. There is currently a dearth of literature on users' satisfaction of services rendered at the primary level of care, which is the first port of call to the health system aimed at serving majority of the populace...
April 30, 2018: Annals of Global Health
Tijen Eren, Bahar Kural, Aylin Yetim, Perran Boran, Gülbin Gökçay
Aim: A recent improvement was made on the law regulating maternity leave in 2011 in Turkey. The leave without pay period was increased, the right to stop working on night shifts was granted, and work hours were improved. It is a known fact that returning to work is a barrier against exclusive and total breastfeeding duration. Legal regulations have crucial importance on the ability of working mothers to breastfeed their infants. The aim of this study was to calculate the effect of the improved law on breastfeeding rates among female physicians...
December 2018: Türk Pediatri Arşivi
Dianna Wang, Abdool S Yasseen, Laetitia Marchand-Martin, Ann E Sprague, Erin Graves, François Goffinet, Mark Walker, Pierre-Yves Ancel, Thierry Lacaze-Masmonteil
BACKGROUND: The management and outcomes of preterm births can vary greatly even among developed nations with the same access to medicine, technology and expertise. We aimed to compare aspects of obstetrical management and mortality for preterm infants in France and Ontario, Canada. METHODS: The Better Outcomes Registry & Network (BORN) Information System in Ontario and Épidémiologique sur les petits âges gestationnels (EPIPAGE-2) in France collected information on maternal demographics, obstetrical characteristics, obstetrical interventions and neonatal outcomes for infants born between 22 and 34 weeks gestation...
January 2019: CMAJ Open
Stephen W Porges, Maria I Davila, Gregory F Lewis, Jacek Kolacz, Stephanie Okonmah-Obazee, Amie Ashley Hane, Katie Y Kwon, Robert J Ludwig, Michael M Myers, Martha G Welch
Preterm infants have maturational delays in several neurobehavioral systems. This study assesses the impact of the Family Nurture Intervention (FNI) in the neonatal intensive care unit (NICU) on the maturation of autonomic regulation of preterm infants. Preterm infants born at 26-34 weeks postmenstrual age (PMA) were assigned to groups receiving either standard care (SC) or SC plus FNI, using a randomized controlled trial design. At two collection time points, approximately 35 weeks and 41 weeks PMA, electrocardiograms (ECG) were monitored for approximately 1 hour during sleep...
March 13, 2019: Developmental Psychobiology
Ejuen Lee, Zhengjie Lim, Atul Malhotra
: Thrombocytopenia has been closely associated with small-for-gestational-age neonates (SGA; birthweight less than tenth percentile) admitted to the special care nursery or neonatal ICU. It is unclear if 'well' SGA neonates experience the same incidence of thrombocytopenia in the SGA population as compared to sick neonates. We conducted a retrospective cohort study from a health network in Melbourne, Australia, between 2012 and 2015 to identify SGA neonates (≥ 35 weeks' gestation at birth) that were otherwise well...
March 8, 2019: Blood Coagulation & Fibrinolysis: An International Journal in Haemostasis and Thrombosis
Atiye Fedakâr Pediatrician
OBJECTIVE: Maternal vitamin D deficiency is an important risk factor that causes infantile rickets in the neonatal and infantile period. The aim of this study was to review the prevalence, clinical characteristics and treatment of vitamin D deficiency andthe follow-upswith infants and their mothers by the neonatal intensive care unit of Afiyet Hospital in Turkey. MATERIALS AND METHODS: Calcium (Ca), phosphorus (P) and 25 (OH) vitamin D were studied and prospectively recorded in infants and their mothers detected to have hypocalcemia during routine biochemistry tests performed on the third postnatal day of the patients follow up and treated with different diagnoses...
February 15, 2019: Endocrine, Metabolic & Immune Disorders Drug Targets
Mariame Ouedraogo, Jaameeta Kurji, Lakew Abebe, Ronald Labonté, Sudhakar Morankar, Kunuz Haji Bedru, Gebeyehu Bulcha, Muluemebet Abera, Beth K Potter, Marie-Hélène Roy-Gagnon, Manisha A Kulkarni
Health management information system (HMIS) data are important for guiding the attainment of health targets in low- and middle-income countries. However, the quality of HMIS data is often poor. High-quality information is especially important for populations experiencing high burdens of disease and mortality, such as pregnant women, newborns, and children. The purpose of this study was to assess the quality of maternal and child health (MCH) data collected through the Ethiopian Ministry of Health's HMIS in three districts of Jimma Zone, Oromiya Region, Ethiopia over a 12-month period from July 2014 to June 2015...
2019: PloS One
Sherelle Laifer-Narin, Kathryn Schlechtweg, James Lee, Whitney Booker, Russell Miller, Rama S Ayyala, Thomas Imahiyerobo
BACKGROUND: Prenatal ultrasound is the standard modality to screen for fetal craniofacial malformations, but can be limited by sonographer experience, oligohydramnios, and maternal obesity. Fetal magnetic resonance imaging (MRI) can be used as an adjunct to ultrasound, but there is a paucity of literature on its performance. The objective of this study was to examine the accuracy of fetal MRI for prenatal diagnosis of craniofacial abnormalities in an at-risk patient population and to determine if accuracy is maintained before and after 24 weeks gestational age (GA)...
April 2019: Annals of Plastic Surgery
Mami Nakano, Subina Upadhyaya, Roshan Chudal, Norbert Skokauskas, Terhi Luntamo, Andre Sourander, Hitoshi Kaneko
BACKGROUND: Impaired maternal bonding has been associated with antenatal and postnatal factors, especially postpartum depression. Only a few population-based, longitudinal studies have examined the association between maternal depression and bonding in outside western countries. In addition, little is known about the association between psychosocial factors during pregnancy and impaired maternal bonding. The aim of this study was to investigate risk factors associated with impaired maternal bonding 3 months after delivery using Japanese population-based, longitudinal study from pregnancy period to 3 months after delivery...
March 8, 2019: BMC Psychiatry
Du Soon Swee, Richard Quinton
Congenital hypogonadotrophic hypogonadism (CHH) is a rare but important etiology of pubertal failure and infertility, resulting from impaired gonadotrophin-releasing hormone secretion or action. Despite the availability of effective hormonal therapies, the majority of men with CHH experience unsatisfactory outcomes, including chronic psychosocial and reproductive sequelae. Early detection and timely interventions are crucial to address the gaps in medical care and improve the outlook for these patients. In this paper, we review the clinical implications of missing minipuberty in CHH and therapeutic strategies that can modify the course of disease, as well as explore a targeted approach to identifying affected male infants by integrating clinical and biochemical data in the early postnatal months...
2019: Frontiers in Endocrinology
Xialing Wu, Xiao Gao, Tingting Sha, Guangyu Zeng, Shiping Liu, Ling Li, Cheng Chen, Yan Yan
Breast milk is an ideal first food for infants in the initial months of life. This study aimed to identify modifiable individual factors in breastfeeding during the first six months of life in Hunan. This birth cohort study was conducted in three communities in Changsha, Hunan province. Data were collected through maternal health manuals and self-administered questionnaires during the follow-up period. To find risk factors and calculate odds ratios, generalized estimating equation models were applied. The final study included 951 mother-infant pairs...
March 6, 2019: International Journal of Environmental Research and Public Health
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