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    2740 results match your criteria BMC Pregnancy and Childbirth [Journal]

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    Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?
    BMC Pregnancy Childbirth 2018 Jun 15;18(1):236. Epub 2018 Jun 15.
    Effective Care Research Unit, University of the Witwatersrand, Johannesburg, South Africa.
    Background: Maternal nutritional status before and during pregnancy is an important contributor to pregnancy outcomes and early child health. The aim of this study was to describe the preconceptional nutritional status and dietary intake during pregnancy in high-risk women from South Africa and Zimbabwe.

    Methods: This is a prospective observational study, nested to the CAP trial. Read More

    Undiagnosed maternal diaphragmatic hernia - a management dilemma.
    BMC Pregnancy Childbirth 2018 Jun 15;18(1):237. Epub 2018 Jun 15.
    Department of Obstetrics and Gynaecology, Monash Medical Centre, Level 5, Clayton, Vic, 3168, Australia.
    Background: Maternal diaphragmatic hernias identified during pregnancy are rare and pose significant management challenges with regards to timing and mode of both delivery and hernia repair.

    Case Presentation: We describe a case of a maternal diaphragmatic hernia diagnosed at 31 weeks gestation in the setting of acute upper abdominal pain. Due to no evidence of visceral compromise and a stable maternal condition, the patient was conservatively managed, allowing for further foetal maturation. Read More

    The role of timely initiation of antenatal care on protective dose tetanus toxoid immunization: the case of northern Ethiopia post natal mothers.
    BMC Pregnancy Childbirth 2018 Jun 15;18(1):235. Epub 2018 Jun 15.
    Department of Midwifery, College of Medicine and Health Sciences, University of Gondar, Po. Box 196, Gondar, Ethiopia.
    Background: Globally, tetanus toxoid protective dose immunization of the mothers is one of the strategies of maternal and neonatal tetanus prevention. Ethiopia has planned the national tetanus protection at birth coverage to reach 86% by the year 2015. However, there is still low coverage with less identified associated factors. Read More

    Views on and experiences of electronic cigarettes: a qualitative study of women who are pregnant or have recently given birth.
    BMC Pregnancy Childbirth 2018 Jun 15;18(1):233. Epub 2018 Jun 15.
    Institute for Social Marketing and UK Centre for Tobacco and Alcohol Studies, University of Stirling, Stirling, FK9 4LA, UK.
    Background: Electronic cigarettes (ECs) are increasingly used for reducing or stopping smoking, with some studies showing positive outcomes. However, little is known about views on ECs during pregnancy or postpartum and previous studies have nearly all been conducted in the US and have methodological limitations, such as not distinguishing between smokers and ex/non-smokers. A greater understanding of this topic will help to inform both clinicians and EC interventions. Read More

    Health providers pass knowledge and abilities acquired by training in obstetric emergencies to their peers: the average treatment on the treated effect of PRONTO on delivery attendance in Mexico.
    BMC Pregnancy Childbirth 2018 Jun 15;18(1):232. Epub 2018 Jun 15.
    Department of Obstetrics, Gynecology and Reproductive Sciences, Bixby Center for Global Reproductive Health, University of California in San Francisco, (UCSF), San Francisco, California, USA.
    Background: A significant proportion of newborn and maternal deaths can be prevented through simple and cost-effective strategies. The main aim of this study was to evaluate the impact of the PRONTO obstetric-emergency management training for improving evidence-based birth attendance practices among providers attending the training at 12 hospitals in three states of Mexico from 2010 to 2012, and to estimate dissemination of the training within the hospitals.

    Methods: The average treatment on the treated effect of the PRONTO intervention for the probability of performing certain practices during birth attendance was estimated in a sample of 310 health providers. Read More

    Understanding the consumption of folic acid during preconception, among Pakistani, Bangladeshi and white British mothers in Luton, UK: a qualitative study.
    BMC Pregnancy Childbirth 2018 Jun 15;18(1):234. Epub 2018 Jun 15.
    The Institute For Health Research, University of Bedfordshire, Putteridge Bury, Hitchin Road, Luton, Luton, LU2 8LE, England.
    Background: To review the similarities and differences in Pakistani, Bangladeshi and White British mothers health beliefs (attitudes, knowledge and perceptions) and health behaviour regarding their consumption of folic acid pre-conception, to reduce the risk of neural tube defects.

    Methods: Our study used a descriptive qualitative research approach, implementing face-to-face focus group discussions with Pakistani, Bangladeshi or White British mothers (normal birth outcomes and mothers with poor birth outcomes) and semi-structured interviews or focus groups with service providers using semi-structured topic guides. This method is well suited for under researched areas where in-depth information is sought. Read More

    Maternal cardiovascular hemodynamics in normotensive versus preeclamptic pregnancies: a prospective longitudinal study using a noninvasive cardiac system (NICaS™).
    BMC Pregnancy Childbirth 2018 Jun 14;18(1):229. Epub 2018 Jun 14.
    Department of Obstetrics and Gynecology, Lis Hospital, Tel Aviv Sourasky Medical Center, 6 Weizman Street, 6423906, Tel Aviv, Israel.
    Background: Preeclampsia is among the most common medical complications of pregnancy. The clinical utility of invasive hemodynamic monitoring in preeclampsia (e.g. Read More

    Decision-making for birth location among women in Pakistan: evidence from national survey.
    BMC Pregnancy Childbirth 2018 Jun 14;18(1):226. Epub 2018 Jun 14.
    COMSATS University, Islamabad, Pakistan.
    Background: Pakistan ranks 149th in the maternal mortality ratio (MMR) and has failed to keep pace with other countries in the region, except Afghanistan, with respect to health indicators. Home deliveries are linked to a higher risk of maternal death; therefore, discouraging home deliveries is imperative to improve maternal health. This study provides a holistic view and analyses factors affecting home birth decisions within the context of maternal socio-demographic characteristics in Pakistan. Read More

    Peripartum fetal distress in diabetic women: a retrospective case-cohort study.
    BMC Pregnancy Childbirth 2018 Jun 14;18(1):228. Epub 2018 Jun 14.
    Department of Obstetrics and Gynecology, Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands.
    Background: Major concerns of pregnancies complicated by diabetes mellitus are an increased risk of adverse perinatal outcome. The objective of this study was to analyse the rate of fetal distress during labor in women with type 1, type 2 and gestational diabetes compared to control women.

    Methods: A retrospective case-cohort study was conducted at the VU University Medical Center, Amsterdam; a tertiary care hospital. Read More

    Obstetric outcomes and effects on babies born to women treated for epilepsy during pregnancy in a resource limited setting: a comparative cohort study.
    BMC Pregnancy Childbirth 2018 Jun 14;18(1):230. Epub 2018 Jun 14.
    Department of Obstetrics and Gynecology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
    Background: Management of epilepsy during pregnancy in a resource-limited setting (RLS) is challenging. This study aimed to assess obstetric outcomes and effects on babies of women with epilepsy (WWE) exposed to Anti-epileptic drugs (AEDs) compared to non-exposed controls in a RLS.

    Methods: Pregnant WWE were recruited from antenatal and neurology clinics of a tertiary care hospitals in Sri Lanka. Read More

    Knowledge, attitudes and practices of health personnel of maternities in the prevention of mother-to-child transmission of HIV in a sub-Saharan African region with high transmission rate: some solutions proposed.
    BMC Pregnancy Childbirth 2018 Jun 14;18(1):227. Epub 2018 Jun 14.
    Department of Epidemiology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.
    Background: High mother-to-child (MTC) transmission rate of HIV might contribute to the increased pandemic rate. The aim of this study was to identify the knowledge, attitude and practices of health personnel working in maternities in the prevention of MTC transmission of HIV.

    Methods: This cross-sectional descriptive study was carried out from 20th February to 30th April, 2017. Read More

    Characteristics of different risk factors and fasting plasma glucose for identifying GDM when using IADPSG criteria: a cross-sectional study.
    BMC Pregnancy Childbirth 2018 Jun 13;18(1):225. Epub 2018 Jun 13.
    Department of Obstetrics and Gynecology, School of medical health and sciences, Örebro University Hospital, Örebro, Sweden.
    Background: The Swedish National Board of Health and Welfare (SNBHW) recommended the new diagnostic criteria for GDM based upon Hyperglycaemia and Adverse Pregnancy Outcomes (HAPO) study thresholds. Due to limited knowledge base, no recommendations were made on GDM screening. The aim of this study is to evaluate test characteristics of risk factors and fasting blood glucose as screening tests for diagnosing GDM using diagnostic thresholds based upon HAPO study 1. Read More

    Reasons for non-participation in malformation scans in Denmark: a cohort study.
    BMC Pregnancy Childbirth 2018 Jun 14;18(1):231. Epub 2018 Jun 14.
    Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
    Background: The aim of the study was to estimate the proportion of women giving birth in two hospitals in the Region of Southern Denmark who did not attend the malformation scan and to elucidate the reasons for not participating.

    Methods: In this register-based descriptive study, we used patient administration systems to identify women who had given birth at two Danish hospitals between March 2013 and January 2015. We then linked this information with the hospital database for fetal medicine (Astraia) to identify women who did not attend the malformation scan at week 18-20. Read More

    Improvement in the active management of the third stage of labor for the prevention of postpartum hemorrhage in Tanzania: a cross-sectional study.
    BMC Pregnancy Childbirth 2018 Jun 13;18(1):223. Epub 2018 Jun 13.
    Jhpiego Baltimore, Baltimore, MD, USA.
    Background: Tanzania has a maternal mortality ratio of 556 per 100,000 live births, representing 21% of all deaths of women of reproductive age. Hemorrhage, mostly postpartum hemorrhage (PPH), is estimated to cause at least 25% of maternal deaths in Tanzania. In 2008, the Ministry of Health, Community Development, Gender, Elderly and Children launched interventions to improve efforts to prevent PPH. Read More

    Maternal 'near miss' collection at an Australian tertiary maternity hospital.
    BMC Pregnancy Childbirth 2018 Jun 11;18(1):221. Epub 2018 Jun 11.
    College of Public Health, Medical & Veterinary Sciences, James Cook University, Townsville, QLD, Australia.
    Background: Australia has a maternal mortality ratio of 6.8/100000 live births, a rate akin to other developed countries and consistent with the high level care provided within the Australian health care system. With maternal mortality at very low levels assessment of severe maternal morbidity is increasingly being used as an indicator of quality of care and to identify areas for improvement in maternity services. Read More

    Complexity of gastroschisis predicts outcome: epidemiology and experience in an Australian tertiary centre.
    BMC Pregnancy Childbirth 2018 Jun 11;18(1):222. Epub 2018 Jun 11.
    Westmead Institute for Maternal and Fetal Medicine, Women's and Newborn Health, Westmead Hospital, Research & Education Network Building, Hawkesbury Rd, PO Box 533, Westmead, NSW, 2145, Australia.
    Background: Gastroschisis is a congenital anomaly of the fetal abdominal wall, usually to the right side of umbilical insertion. It is often detected by routine antenatal ultrasound. Significant maternal and pediatric resources are utilised in the care of women and infants with gastroschisis. Read More

    Determinants of adolescent pregnancy and access to reproductive and sexual health services for married and unmarried adolescents in rural Lao PDR: a qualitative study.
    BMC Pregnancy Childbirth 2018 Jun 8;18(1):219. Epub 2018 Jun 8.
    School of Public Health, University of Queensland, Herston Road, Hesrston, Brisbane, QLD, 4006, Australia.
    Background: Early marriage and pregnancy is a risk factor for poor maternal and child health and socio-economic outcomes. Bokeo and Luang Namtha provinces in northern Lao People's Democratic Republic (PDR) has high rates of teenage pregnancy. The purpose of this research was firstly to explore factors contributing to teenage pregnancy in rural Lao. Read More

    Macular choroidal thickness in highly myopic women during pregnancy and postpartum: a longitudinal study.
    BMC Pregnancy Childbirth 2018 Jun 8;18(1):220. Epub 2018 Jun 8.
    Clinical College of Ophthalmology, Tianjin Medical University, No.4, Gansu Road, Tianjin City, People's Republic of China.
    Background: High myopia, a cause of serious visual impairment, is a significant global public health concern. We investigate longitudinal changes in macular choroidal thickness (CT) during pregnancy and 6-months postpartum in women with high myopia (HM).

    Methods: A prospective longitudinal study was conducted in HM-pregnant women during the course of pregnancy (n = 42 eyes, 42 patients) and 6 months postpartum (n = 40 eyes, 40 patients, two cases lost). Read More

    The impact of early outcome events on the effect of tranexamic acid in post-partum haemorrhage: an exploratory subgroup analysis of the WOMAN trial.
    BMC Pregnancy Childbirth 2018 Jun 7;18(1):215. Epub 2018 Jun 7.
    Clinical Trials Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.
    Background: In severe post-partum haemorrhage, death can occur within hours of bleeding onset so interventions to control the bleeding must be given immediately. In clinical trials of treatments for life-threatening bleeding, established treatments are given priority and the trial treatment is usually given last. However, enrolling patients in whom severe maternal morbidity or death is imminent or inevitable at the time of randomisation may dilute the effects of a trial treatment. Read More

    'When helpers hurt': women's and midwives' stories of obstetric violence in state health institutions, Colombo district, Sri Lanka.
    BMC Pregnancy Childbirth 2018 Jun 7;18(1):211. Epub 2018 Jun 7.
    Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.
    Background: The paper explores how age, social position or class, and linguistic and cultural background intersect and place women in varying positions of control and vulnerability to obstetric violence in state health institutions in Colombo district, Sri Lanka. Obstetric violence occurs during pregnancy, childbirth and the immediate postpartum period; hence, it is violence that directly affects women. The authors aim to break the traditional culture of silence around obstetric violence and bring attention to the resulting implications for quality of care and patient trust in obstetric care facilities or providers. Read More

    Identifying the risk: a prospective cohort study examining postpartum haemorrhage in a regional Australian health service.
    BMC Pregnancy Childbirth 2018 Jun 7;18(1):214. Epub 2018 Jun 7.
    Women and Families Service Group, Sunshine Coast Hospital and Health Service, Sunshine Coast University Hospital, 6 Doherty St, Birtinya, Qld, Birtinya, 4575, Australia.
    Background: In industrialised countries the incidence of postpartum haemorrhage (PPH) is increasing, for which exact etiology is not well understood. Studies have relied upon retrospective data with estimated blood loss as the primary outcome, known to be underestimated by clinicians. This study aimed to explore variables associated with PPH in a cohort of women birthing vaginally in coastal Queensland, Australia, using the gravimetric method to measure blood loss. Read More

    Women's experiences of disrespect and abuse in maternity care facilities in Benue State, Nigeria.
    BMC Pregnancy Childbirth 2018 Jun 7;18(1):213. Epub 2018 Jun 7.
    School of Health Care Practice & Institute for Health Research, University of Bedfordshire, Putteridge Bury, Hitchin Road, Luton, Bedfordshire, LU2 8LE, UK.
    Background: Disrespect and abuse (D&A) of women in health facilities continues to be a prevailing public health issue in many countries. Studies have reported significantly high prevalence of D&A among women during pregnancy and childbirth in Nigeria, but little is known about women's perceptions and experiences of D&A during maternity care in the country. The aim of this study was to explore: 1) how women perceived their experiences of D&A during pregnancy, childbirth, and in the postnatal period in Benue State, Nigeria; and 2) how women viewed the impact of D&A on the future use of health facilities for maternity care. Read More

    The need for trust and safety inducing encounters: a qualitative exploration of women's experiences of seeking perinatal care when living as undocumented migrants in Sweden.
    BMC Pregnancy Childbirth 2018 Jun 7;18(1):217. Epub 2018 Jun 7.
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Arvid Wallgrens Backe, Box 457, 405 30, Gothenburg, Sweden.
    Background: Studies from around the world have shown that women living as undocumented migrants have limited and deficient access to perinatal care, increasing their risks of both physical and psychological complications during pregnancy and childbirth. Failures to provide equal access to healthcare have been criticized extensively by the United Nations. In 2013, undocumented migrants' rights to healthcare in Sweden were expanded to include full access to perinatal care. Read More

    Pregnancy-related morbidity and risk factors for fatal foetal outcomes in the Taabo health and demographic surveillance system, Côte d'Ivoire.
    BMC Pregnancy Childbirth 2018 Jun 7;18(1):216. Epub 2018 Jun 7.
    Swiss Tropical and Public Health Institute, Basel, Switzerland.
    Background: Reliable, population-based data on pregnancy-related morbidity and mortality, and risk factors for fatal foetal outcomes are scarce for low- and middle-income countries. Yet, such data are essential for understanding and improving maternal and neonatal health and wellbeing.

    Methods: Within the 4-monthly surveillance rounds of the Taabo health and demographic surveillance system (HDSS) in south-central Côte d'Ivoire, all women of reproductive age identified to be pregnant between 2011 and 2014 were followed-up. Read More

    Arterial/venous thrombosis, fetal loss and stillbirth in pregnant women with systemic lupus erythematosus versus primary and secondary antiphospholipid syndrome: a systematic review and meta-analysis.
    BMC Pregnancy Childbirth 2018 Jun 7;18(1):212. Epub 2018 Jun 7.
    Institute of Cardiovascular Diseases and Guangxi Key Laboratory Base of Precision Medicine in Cardio-cerebrovascular Diseases Control and Prevention, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, 530021, People's Republic of China.
    Background: We aimed to systematically compare arterial/venous thrombosis, fetal loss and stillbirth in pregnant women with systemic lupus erythematosus (SLE), primary anti-phospholipid syndrome (PAPS) and secondary anti-phospholipid syndrome (SAPS).

    Methods: Online databases were carefully searched for relevant publications comparing SLE with PAPS and/or SAPS in pregnancy. Studies were included if: they compared SLE with APS [SLE versus PAPS or SLE versus SAPS or SLE versus PAPS and SAPS respectively] in pregnant women; and they reported specific adverse outcomes as their clinical endpoints including arterial/venous thrombosis, fetal loss and stillbirth. Read More

    Is birth weight the major confounding factor in the study of gestational weight gain?: an observational cohort study.
    BMC Pregnancy Childbirth 2018 Jun 7;18(1):218. Epub 2018 Jun 7.
    UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin 8, Ireland.
    Background: Much interest has been focussed on both maternal obesity and gestational weight gain (GWG), particularly on their role in influencing birth weight (BW). Several large reviews have reported that excessive GWG is associated with an increase in BW However recent large, well-designed, randomized controlled trials studying interventions aimed at reducing GWG have all consistently failed to show a reduction in BW despite achieving a reduction in GWG. The aim of this longitudinal prospective study was to examine the relationship between GWG and birth weight in women where GWG and Body Mass Index (BMI) were measured accurately in a strictly standardized way. Read More

    Support provided by midwives to women during labour in a public hospital, Limpopo Province, South Africa: a participant observation study.
    BMC Pregnancy Childbirth 2018 Jun 5;18(1):210. Epub 2018 Jun 5.
    Department of Advanced Nursing, University of Venda, Private Bag X5050, Thohoyandou, 0950, South Africa.
    Background: Physical presence during labour offer women opportunity of having positive childbirth experiences as well as childbirth outcomes. The study aimed to determine what support provided by midwives during intrapartum care at a public hospital in Limpopo Province. The study was conducted at a tertiary hospital in Limpopo Province. Read More

    Pregnant women's experiences with an integrated diagnostic and decision support device for antenatal care in Ghana.
    BMC Pregnancy Childbirth 2018 Jun 5;18(1):209. Epub 2018 Jun 5.
    Department of Public Health, Institute of Tropical Medicine, Maternal and Reproductive Health Unit, Antwerp, Belgium.
    Background: Quality antenatal care (ANC) is recognised as an opportunity for screening and early identification of pregnancy-related complications. In rural Ghana, challenges with access to diagnostic services demotivate women from ANC attendance and referral compliance, leading to absent or late identification and management of high-risk women. In 2016, an integrated diagnostic and clinical decision support system tagged 'Bliss4Midwives' (B4M), was piloted in Northern Ghana. Read More

    How did episiotomy rates change from 2007 to 2014? Population-based study in France.
    BMC Pregnancy Childbirth 2018 Jun 4;18(1):208. Epub 2018 Jun 4.
    Biostatistics and Bioinformatics (DIM), University Hospital, Dijon, France; Bourgogne Franche-Comté University, Dijon, France.
    Background: Since the 2000s, selective episiotomy has been systematically recommended worldwide. In France, the recommended episiotomy rate in vaginal deliveries is less than 30%. The aims of this study were to describe the evolution of episiotomy rates between 2007 and 2014, especially for vaginal deliveries without instrumental assistance and to assess individual characteristics and birth environment factors associated with episiotomy. Read More

    Pregnancy complicated with PFAPA (periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis) syndrome: a case report.
    BMC Pregnancy Childbirth 2018 Jun 4;18(1):207. Epub 2018 Jun 4.
    Fukushima Medical Center for Children and Women, School of Medicine, Fukushima Medical University, 1-Hikarigaoka, Fukushima, 960-1247, Japan.
    Background: Periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis (PFAPA) syndrome has been considered as a childhood syndrome. The underlying etiology of PFAPA syndrome is unclear however, currently considered as auto-immune inflammatory disease. Recently, a few cases of adult-onset of PFAPA syndrome have been reported. Read More

    Assessment of quality of obstetric care in Zimbabwe using the standard primipara.
    BMC Pregnancy Childbirth 2018 Jun 4;18(1):205. Epub 2018 Jun 4.
    Department of Obstetrics and Gynaecology, University of Zimbabwe, College of Health Sciences, P.O. Box A178, Avondale, Harare, Zimbabwe.
    Background: To improve maternity services in any country, there is need to monitor the quality of obstetric care. There is usually disparity of obstetric care and outcomes in most countries among women giving birth in different obstetric units. However, comparing the quality of obstetric care is difficult because of heterogeneous population characteristics and the difference in prevalence of complications. Read More

    Delayed interval delivery of the second twin in a woman with altered markers of inflammation.
    BMC Pregnancy Childbirth 2018 Jun 4;18(1):206. Epub 2018 Jun 4.
    1st Department of Obstetrics and Gynecology, Athens Medical School , Alexandra General Hospital, 9 Aristeidou Street , 17563 P. Faliro, Athens, Greece.
    Background: Delayed interval intertwin delivery rates are expected to rise during the next years as potent and targeted tocolytic agents are employed and antenatal surveillance methods become more sophisticated and specific in predicting the critical delivery timepoint of optimal perinatal outcome.

    Case Presentation: We present a case of delayed intertwin delivery after delivery of the first twin due to premature prelabor rupture of the membranes. Maternal serum White Blood Cells and C-Reactive Protein levels remained high until delivery of the second twin (34 days after the first was delivered), although maternal temperature remained constant. Read More

    Home deliveries in the capital: a qualitative exploration of barriers to institutional deliveries in peri-urban areas of Lusaka, Zambia.
    BMC Pregnancy Childbirth 2018 Jun 1;18(1):203. Epub 2018 Jun 1.
    Centre For Infectious Diseases Research In Zambia (CIDRZ), P.O. Box 34681 Plot 34620 Off Alick Nkhata Road, Mass Media, 10101, Lusaka, Zambia.
    Background: A shortage of skilled birth attendants and low quality of care in health facilities along with unattended home deliveries contribute to the high maternal and neonatal mortality in sub Saharan Africa. Identifying and addressing context-specific reasons for not delivering at health care facilities could increase births assisted by skilled attendants who, if required, can provide life-saving interventions.

    Methods: We conducted 22 in-depth interviews (IDIs) with midwives at three health facilities in peri-urban communities and 24 semi-structured surveys with mothers in two areas served by health facilities with the highest number of reported home deliveries in Lusaka, Zambia. Read More

    Determinants of infant mortality for children of women prisoners: a longitudinal linked data study.
    BMC Pregnancy Childbirth 2018 Jun 1;18(1):202. Epub 2018 Jun 1.
    Health Economics and Social Policy Group, Centre for Population Health Research, Sansom Institute, School of Health Sciences, University of South Australia, GPO Box 2471, Adelaide, SA, 5001, Australia.
    Background: There is limited information on the determinants of infant mortality outcomes for the children of women prisoners. This study aimed to explore determinants of infant mortality for Indigenous and non-Indigenous children, with a specific focus on maternal imprisonment during pregnancy as a risk factor.

    Methods: Using linked administrative data we obtained a longitudinal sample of 42,674 infants born in Western Australia between October 1985 and June 2013. Read More

    Sodium valproate in pregnancy: what are the risks and should we use a shared decision-making approach?
    BMC Pregnancy Childbirth 2018 Jun 1;18(1):200. Epub 2018 Jun 1.
    Department of Primary Care Health Sciences, University of Oxford, Radcliffe Primary Care Building, Woodstock Road, Oxford, OX2 6GG, UK.
    Background: Despite significant teratogenic risks, sodium valproate is still widely prescribed in many countries to women of childbearing age, as a mood stabiliser in bipolar disorder and also in epilepsy. The UK has recently banned valproate use in women who are not in a pregnancy prevention programme. Whilst this ruling reflects prevailing clinical practice, it also highlights an ongoing debate about when (if ever) a woman who is or could become pregnant should be allowed to choose to take valproate. Read More

    The characterisation of overweight and obese women who are under reporting energy intake during pregnancy.
    BMC Pregnancy Childbirth 2018 Jun 1;18(1):204. Epub 2018 Jun 1.
    The Robinson Research Institute, Discipline of Obstetrics and Gynaecology, School of Paediatrics and Reproductive Health, The University of Adelaide, Adelaide, VIC, 3168, Australia.
    Background: Misreporting of energy intake is common and can contribute to biased estimates of the relationship between diet and disease. Energy intake misreporting is poorly understood in pregnancy and there is limited research assessing characteristics of women who misreport energy intake or changes in misreporting of energy intake across pregnancy.

    Methods: An observational study in n = 945 overweight or obese pregnant women receiving standard antenatal care who participated in the LIMIT randomised trial. Read More

    The mindful moms training: development of a mindfulness-based intervention to reduce stress and overeating during pregnancy.
    BMC Pregnancy Childbirth 2018 Jun 1;18(1):201. Epub 2018 Jun 1.
    Center for Health and Community, University of California, San Francisco, 3333 California St., Suite 465, Box 0844, San Francisco, CA, 94143-0844, USA.
    Background: Pregnancy is a time of high risk for excessive weight gain, leading to health-related consequences for mothers and offspring. Theory-based obesity interventions that target proposed mechanisms of biobehavioral change are needed, in addition to simply providing nutritional and weight gain directives. Mindfulness training is hypothesized to reduce stress and non-homeostatic eating behaviors - or eating for reasons other than hunger or caloric need. Read More

    Prevalence of and risk factors associated with sexual health issues in primiparous women at 6 and 12 months postpartum; a longitudinal prospective cohort study (the MAMMI study).
    BMC Pregnancy Childbirth 2018 May 31;18(1):196. Epub 2018 May 31.
    School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
    Background: Many women are not prepared for changes to their sexual health after childbirth. The aim of this paper is to report on the prevalence of and the potential risk factors (pre-pregnancy dyspareunia, mode of birth, perineal trauma and breastfeeding) for sexual health issues (dyspareunia, lack of vaginal lubrication and a loss of interest in sexual activity) at 6 and 12 months postpartum.

    Methods: A longitudinal cohort study of 832 first-time mothers who were recruited in early pregnancy and returned postnatal surveys at 3, 6, 9 and 12 months postpartum were assessed for sexual health issues and associated risk factors. Read More

    Population-based trends and risk factors of early- and late-onset preeclampsia in Taiwan 2001-2014.
    BMC Pregnancy Childbirth 2018 May 31;18(1):199. Epub 2018 May 31.
    Department of Cardiology, Chang Gung Memorial Hospital, Linkou, Taiwan.
    Background: Preeclampsia, a multisystem disorder in pregnancies complicates with maternal and fetal morbidity. Early- and late-onset preeclampsia, defined as preeclampsia developed before and after 34 weeks of gestation, respectively. The early-onset disease was less prevalent but associated with poorer outcomes. Read More

    Influences on birth spacing intentions and desired interventions among women who have experienced a poor obstetric outcome in Lilongwe Malawi: a qualitative study.
    BMC Pregnancy Childbirth 2018 May 31;18(1):197. Epub 2018 May 31.
    UNC Project-Malawi, Private Bag, A-104, Lilongwe, Malawi.
    Background: Stillbirth and neonatal mortality are very high in many low-income countries, including Malawi. Use of family planning to encourage birth spacing may optimize outcomes for subsequent pregnancies. However, reproductive desires and influences on birth spacing preferences of women who have experienced a stillbirth or neonatal death in low-resource settings are not well understood. Read More

    Common carotid artery intima-media thickness increases throughout the pregnancy cycle: a prospective cohort study.
    BMC Pregnancy Childbirth 2018 May 31;18(1):195. Epub 2018 May 31.
    Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, 130 De Soto Street, Pittsburgh, PA, 15261, USA.
    Background: High parity is associated with greater cardiovascular disease (CVD) among mid-life and older women. Prospective studies of arterial change throughout pregnancy are needed to provide insight into potential mechanisms. This study assessed vascular adaptation across pregnancy in healthy first-time pregnant women. Read More

    Inequalities in maternal health care utilization in Benin: a population based cross-sectional study.
    BMC Pregnancy Childbirth 2018 May 31;18(1):194. Epub 2018 May 31.
    School of International Development and Global Studies, University of Ottawa, Ottawa, Canada.
    Background: Ensuring equitable access to maternal health care including antenatal, delivery, postnatal services and fertility control methods, is one of the most critical challenges for public health sector. There are significant disparities in maternal health care indicators across many geographical locations, maternal, economic, socio-demographic factors in many countries in sub-Sahara Africa. In this study, we comparatively explored the utilization level of maternal health care, and examined disparities in the determinants of major maternal health outcomes. Read More

    Effect of maternal supplement beverage with and without probiotics during pregnancy and lactation on maternal and infant health: a randomized controlled trial in the Philippines.
    BMC Pregnancy Childbirth 2018 May 31;18(1):193. Epub 2018 May 31.
    Department of Obstetrics & Gynecology, Philippines General Hospital, Manila, Philippines.
    Background: Adequate nutrition is essential during pregnancy and lactation to provide sufficient energy and nutrients to meet the nutritional requirements of the mother, fetus and infant. The primary objective of this study was to assess the effect of a maternal nutritional supplement enriched with probiotics during pregnancy and early lactation on the incidence of infant diarrhea.

    Methods: Healthy, pregnant (24-28 weeks gestation) women were randomized 1:1:1 to receive either no supplement or two servings per day of an oral supplement (140 kcal/serving) providing 7. Read More

    Regional variations in childbirth interventions in the Netherlands: a nationwide explorative study.
    BMC Pregnancy Childbirth 2018 Jun 1;18(1):192. Epub 2018 Jun 1.
    Department of Midwifery Science, AVAG, Amsterdam Public Health research Institute, VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, the Netherlands.
    Background: Although interventions in childbirth are important in order to prevent neonatal and maternal morbidity and mortality, non-indicated use may cause avoidable harm. Regional variations in intervention rates, which cannot be explained by maternal characteristics, may indicate over- and underuse. The aim of this study is to explore regional variations in childbirth interventions in the Netherlands and their associations with interventions and adverse outcomes, controlled for maternal characteristics. Read More

    Associations with perineal trauma during childbirth at home and in health facilities in indigenous municipalities in southern Mexico: a cross-sectional cluster survey.
    BMC Pregnancy Childbirth 2018 May 31;18(1):198. Epub 2018 May 31.
    Department of Family Medicine, McGill University, 5858 Chemin de la Côte-des-Neiges, Montreal, Canada.
    Background: Episiotomy and perineal tears remain common in vaginal deliveries. This study estimated the frequency of and factors associated with perineal tears, episiotomies, and postnatal infections among women in two predominantly indigenous municipalities in southern Mexico, where traditional midwives play an important role in women's health.

    Methods: A cross-sectional study contacted women who gave birth in the previous three years. Read More

    Birth preparedness and complication readiness among pregnant women admitted in a rural hospital in Rwanda.
    BMC Pregnancy Childbirth 2018 May 30;18(1):190. Epub 2018 May 30.
    Department of Obstetrics, Leiden University Medical Center, Leiden, the Netherlands.
    Background: With an aim to prevent adverse pregnancy outcomes, 'birth preparedness and complication readiness' (BP/CR) promotes timely access to skilled maternal and neonatal services. Objective of this study was to assess implementation of BP/CR among pregnant women admitted with obstetric emergencies in rural Rwanda.

    Methods: A cross-sectional study among pregnant women who were referred to Ruhengeri hospital between July and November 2015. Read More

    Hepatic infarction induced by HELLP syndrome: a case report and review of the literature.
    BMC Pregnancy Childbirth 2018 May 30;18(1):191. Epub 2018 May 30.
    Department of Critical Care Medicine, the First Affiliated Hospital of Xi'an Jiaotong University, 277 Yanta West Road, Xi'an, 710061, Shaanxi, China.
    Background: HELLP syndrome is a rare disease in China, and 20% of patients with severe preeclampsia have been accompanied with HELLP syndrome, which is characterized by the presence of hemolysis, elevated liver enzymes and low platelet count.

    Case Presentation: In this case, we reported that a patient with preeclampsia was diagnosed with HELLP syndrome. Furthermore, hepatic infarction also was found via the computed tomographic (CT) images, which showed peripheral wedge-shaped inhomogeneous low attenuation in the right hepatic lobes via plain CT scan, and the low-density shadow and mottled appearance in the same areas where vessels were seen coursing through them via contrast-enhanced CT scan. Read More

    Gestational weight gain in Chinese women -- results from a retrospective cohort in Changsha, China.
    BMC Pregnancy Childbirth 2018 May 29;18(1):185. Epub 2018 May 29.
    Department of Obstetrics and Gynecology, The Third Xiangya Hospital of Central South University, 138 Tongzipo Road, Yuelu District, Changsha, 410013, Hunan, Province, China.
    Background: The generalizability of the gestational weight gain (GWG) ranges recommended by the Institute of Medicine (IOM) to Chinese women is disputed.

    Methods: In 2016, 16,780 pregnant women who gave birth to live singletons in Changsha, China, were enrolled. First, subjects with optimal pregnancy outcomes were identified for the GWG percentile distribution description and for comparison to the IOM recommendations. Read More

    Antidepressant use during pregnancy and the risk of developing gestational hypertension: a retrospective cohort study.
    BMC Pregnancy Childbirth 2018 May 29;18(1):187. Epub 2018 May 29.
    Unit of PharmacoTherapy, -Epidemiology & -Economics (PTEE), Department of Pharmacy, University of Groningen, A. Deusinglaan 1, 9713, AV, Groningen, The Netherlands.
    Background: Prior studies reported that exposure to antidepressants during pregnancy may be associated with gestational hypertension. The aim of this study is to assess the association between the use of antidepressants during pregnancy and the risk of developing gestational hypertension.

    Methods: A retrospective cohort study using the prescription database IADB. Read More

    Risk factors for peripartum hysterectomy among women with postpartum haemorrhage: analysis of data from the WOMAN trial.
    BMC Pregnancy Childbirth 2018 May 29;18(1):186. Epub 2018 May 29.
    Clinical Trials Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.
    Background: Peripartum hysterectomy can cause significant morbidity and mortality. Most studies of peripartum hysterectomy are from high income countries. This cohort study examined risk factors for peripartum hysterectomy using data from Africa, Asia, Europe and the Americas. Read More

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