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    2447 results match your criteria BMC Pregnancy and Childbirth [Journal]

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    Experiences and wishes of women regarding systemic aspects of midwifery care in Germany: a qualitative study with focus groups.
    BMC Pregnancy Childbirth 2017 Nov 21;17(1):389. Epub 2017 Nov 21.
    Martin-Luther-Universität Halle-Wittenberg, Medizinische Fakultät, Institut für Gesundheits- und Pflegewissenschaft, Magdeburger Straße 8, 06112, Halle (Saale), Germany.
    Background: Knowledge of pregnant women's and mothers' viewpoints on midwifery care is crucial for its appropriate delivery and research. In Germany, comprehensive research to more fully understand women's needs in pregnancy, labour, birth and the postpartum period until weaning is lacking. International studies provide some knowledge of women's expectations, their choices, and subjective criteria indicating good midwifery care. Read More

    Perinatal outcomes of hypertensive disorders in pregnancy at a tertiary hospital in Ghana.
    BMC Pregnancy Childbirth 2017 Nov 21;17(1):388. Epub 2017 Nov 21.
    Department of Obstetrics and Gynecology, School of Medicine and Dentistry, University of Ghana, Accra, Ghana.
    Background: Hypertensive disorders in pregnancy remain a major global health issue not only because of the associated high adverse maternal outcomes but there is a close accompaniment of significant perinatal morbidity and mortality especially in Sub-Saharan Africa (SSA). However, the perinatal burden of HDP in Ghana has not been explored. We conducted this study to determine the perinatal outcomes of HDP at a tertiary hospital in Ghana. Read More

    Key bottlenecks to the provision of safe obstetric anaesthesia in low- income countries; a cross-sectional survey of 64 hospitals in Uganda.
    BMC Pregnancy Childbirth 2017 Nov 17;17(1):387. Epub 2017 Nov 17.
    University of California, San Francisco (UCSF), San Francisco, CA, USA.
    Background: Despite recent advances in surgery and anaesthesia which significantly improve safety, many health facilities in low-and middle-income countries (LMICs) remain chronically under-resourced with inability to cope effectively with serious obstetric complications (Knight et al., PLoS One 8:e63846, 2013). As a result many of these countries still have unacceptably high maternal and neonatal mortality rates. Read More

    Characterisation of sucking dynamics of breastfeeding preterm infants: a cross sectional study.
    BMC Pregnancy Childbirth 2017 Nov 17;17(1):386. Epub 2017 Nov 17.
    Centre for Neonatal Research and Education, King Edward Memorial Hospital, Perth, WA, Australia.
    Background: Full breastfeeding is the ultimate aim for preterm infants to ensure they receive the full benefits of human milk however, preterm infants face a number of challenges associated with their immaturity and associated morbidities. In order to facilitate oral feeding, it is essential to have a sound knowledge of the sucking dynamics of the breastfed infant. The aim of this study was to measure and describe the sucking dynamics of the preterm breastfeeding infant. Read More

    Maternal iodine status during lactation and infant weight and length in Henan Province, China.
    BMC Pregnancy Childbirth 2017 Nov 16;17(1):383. Epub 2017 Nov 16.
    Department for Endemic Disease Control and Prevention, Center for Disease Control of Henan Province, Room 4201, No. 105 Nongye Nan Road, Zhengdong New District, Zhengzhou, 450016, China.
    Background: Infants are very sensitive to iodine deficiency. Breastfed infants are dependent on maternal iodine intake. The aim of this study was to evaluate the relationship between maternal iodine status during lactation and infant weight and length. Read More

    Family context and individual situation of teens before, during and after pregnancy in Mexico City.
    BMC Pregnancy Childbirth 2017 Nov 16;17(1):382. Epub 2017 Nov 16.
    Centro Nacional para la Salud de la Infancia y la Adolescencia, Secretaría de Salud, Mexico City, Mexico.
    Background: In the last 20 years, adolescent pregnancy has become one of the most critical problems affecting women in Latin America and the Caribbean.

    Methods: This qualitative study was based on in-depth interviews with 29 teen mothers. All of the pregnant teens were from low- to lower-middle-class social strata in the Mexico City metropolitan area. Read More

    Illness recognition and care seeking for maternal complications of pregnancy and birth in rural Amhara and Oromia Regional States of Ethiopia.
    BMC Pregnancy Childbirth 2017 Nov 16;17(1):384. Epub 2017 Nov 16.
    Consultancy for Social Development, P.O. Box - 70196, Addis Ababa, Ethiopia.
    Background: Ethiopia has made steady progress in improving maternal health over the decade, yet mortality remains high. The Maternal and Newborn Health in Ethiopia Partnership (MaNHEP) was a 3.5-year project aimed at developing a community-oriented model to improve maternal and newborn survival in rural Ethiopia. Read More

    Predictors of prenatal care satisfaction among pregnant women in American Samoa.
    BMC Pregnancy Childbirth 2017 Nov 16;17(1):381. Epub 2017 Nov 16.
    Department of Chronic Disease Epidemiology, School of Public Health, Yale University, 60 College Street, New Haven, CT, 06520-8034, USA.
    Background: Pregnant women in American Samoa have a high risk of complications due to overweight and obesity. Prenatal care can mitigate the risk, however many women do not seek adequate care during pregnancy. Low utilization of prenatal care may stem from low levels of satisfaction with services offered. Read More

    A descriptive study of the health information needs of Kenyan women in the first 6 weeks postpartum.
    BMC Pregnancy Childbirth 2017 Nov 16;17(1):385. Epub 2017 Nov 16.
    School of Health Systems and Public Health, University of Pretoria, Private Bag X323, Pretoria, 0001, South Africa.
    Background: A large number of maternal and neonatal deaths occur during birth and 48 h after birth. The benefits of postnatal care to the mother and newborn cannot be overemphasized as this is another opportunity where complications that might arise from pregnancy and childbirth can be treated, as well as the time to provide important information on maternal and newborn care after delivery. This study aimed to determine the information needs of mother-baby pairs in the first 6 weeks after birth. Read More

    Abortion as empowerment: reproductive rights activism in a legally restricted context.
    BMC Pregnancy Childbirth 2017 Nov 8;17(Suppl 2):350. Epub 2017 Nov 8.
    Department of Sociology and Anthropology, College of Charleston, Charleston, SC, 29424, USA.
    Background: This paper analyzes the strategies used by activist health professionals in Argentina who justify providing abortion despite legal restrictions on the procedure. These "insider activists" make a case for abortion rights by linking pregnancy termination to a woman's ability to exert agency at a key point in her reproductive life, and argue that refusing women access to the procedure constitutes a grievous health risk. This argument frames pregnancy termination as an issue of empowerment and also as a medical necessity. Read More

    The role of human rights litigation in improving access to reproductive health care and achieving reductions in maternal mortality.
    BMC Pregnancy Childbirth 2017 Nov 8;17(Suppl 2):367. Epub 2017 Nov 8.
    UCSF/UC Hastings Consortium on Law, Science & Health Policy, San Francisco, CA, USA.
    Background: Improving maternal health, reducing global maternal mortality, and working toward universal access to reproductive health care are global priorities for United Nations agencies, national governments, and civil society organizations. Human rights lawyers have joined this global movement, using international law and domestic constitutions to hold nations accountable for preventable maternal death and for failing to provide access to reproductive health care services.

    Case Presentation: This article discusses three decisions in which international treaty bodies find the nations of Brazil and Peru responsible for violations of the Convention on the Elimination of All Forms of Discrimination Against Women and the International Covenant on Civil and Political Rights and also two domestic decisions alleging constitutional violations in India and Uganda. Read More

    Women's empowerment and experiences of mistreatment during childbirth in facilities in Lucknow, India: results from a cross-sectional study.
    BMC Pregnancy Childbirth 2017 Nov 8;17(Suppl 2):335. Epub 2017 Nov 8.
    Department of Epidemiology & Biostatistics, School of Medicine, University of California, San Francisco, CA, USA.
    Background: Recent evidence has found widespread reports of women experiencing abuse, neglect, discrimination, and poor interpersonal care during childbirth around the globe. Empowerment may be a protective mechanism for women against facility mistreatment during childbirth. The majority of previous research on mistreatment during childbirth has been qualitative in nature. Read More

    A review of measures of women's empowerment and related gender constructs in family planning and maternal health program evaluations in low- and middle-income countries.
    BMC Pregnancy Childbirth 2017 Nov 8;17(Suppl 2):342. Epub 2017 Nov 8.
    Health Policy Plus (HP+), Palladium, Washington, DC, USA.
    Background: Evidence suggests that gender-integrated interventions, which actively seek to identify and integrate activities that address the role of gender norms and dynamics, improve family planning (FP) and maternal health (MH). To understand the link between the gender components of interventions and FP and MH outcomes, it is critical to examine the gender measures used in evaluations.

    Methods: We conducted a systematic review of evaluations of gender-integrated FP and MH interventions in low- and middle-income countries. Read More

    A systematic review of concepts related to women's empowerment in the perinatal period and their associations with perinatal depressive symptoms and premature birth.
    BMC Pregnancy Childbirth 2017 Nov 8;17(Suppl 2):347. Epub 2017 Nov 8.
    Department of Psychology and Social Behavior, University of California, 4562 Social and Behavioral Sciences Gateway, Irvine, CA, 92697-7085, USA.
    Background: The perinatal period, which we here define as pregnancy and the first year postpartum, is a time in women's lives that involves significant physiological and psychosocial change and adjustment, including changes in their social status and decision-making power. Supporting women's empowerment at this particular time in their lives may be an attractive opportunity to create benefits for maternal and infant health outcomes such as reductions in perinatal depressive symptoms and premature birth rates. Thus, we here systematically review and critically discuss the literature that investigates the effects of empowerment, empowerment-related concepts and empowerment interventions on reductions in perinatal depressive symptoms, preterm birth (PTB), and low birthweight (LBW). Read More

    First birth and the trajectory of women's empowerment in Egypt.
    BMC Pregnancy Childbirth 2017 Nov 8;17(Suppl 2):362. Epub 2017 Nov 8.
    Department of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, San Francisco, CA, USA.
    Background: Women's empowerment is often used to explain changes in reproductive behavior, but no consideration is given to how reproductive events can shape women's empowerment over time. Fertility may cause changes in women's empowerment, or they may be mutually influencing. Research on women's empowerment and fertility relies on cross-sectional data from South Asia, which limits the understanding of the direction of association between women's empowerment and fertility in other global contexts. Read More

    Examining the mechanisms by which women's status and empowerment affect skilled birth attendant use in Senegal: a structural equation modeling approach.
    BMC Pregnancy Childbirth 2017 Nov 8;17(Suppl 2):341. Epub 2017 Nov 8.
    Fielding School of Public Health, University of California, Los Angeles, 650 Charles E. Young Dr. South, 16-035 Center for Health Sciences, Los Angeles, CA, 90095-1772, USA.
    Background: Despite the reduction in maternal deaths globally, maternal mortality rates remain unacceptably high, particularly in some regions of the world. In sub-Saharan Africa, maternal mortality rates have even increased recently, with 201,000 deaths in 2015 as compared to 179,000 in 2013. Use of a skilled birth attendant (SBA) at delivery has remained low, despite evidence of the effectiveness of SBAs in reducing maternal deaths. Read More

    From erasure to opportunity: a qualitative study of the experiences of transgender men around pregnancy and recommendations for providers.
    BMC Pregnancy Childbirth 2017 Nov 8;17(Suppl 2):332. Epub 2017 Nov 8.
    Center for Excellence in Transgender Health, University of California San Francisco, 550 16th Street, San Francisco, CA, 94158, USA.
    Background: Some transgender men retain their uterus, get pregnant, and give birth. However, societal attitudes about gender have erected barriers to openly being pregnant and giving birth as a transgender man. Little research exists regarding transgender men's reproductive needs. Read More

    Do the status and empowerment of mothers predict their daughters' reproductive outcomes?
    BMC Pregnancy Childbirth 2017 Nov 8;17(Suppl 2):348. Epub 2017 Nov 8.
    UCLA Fielding School of Public Health, Department of Community Health Sciences, 650 Charles E. Young Drive South, CHS 46-071, Los Angeles, CA, 90095-1772, USA.
    Background: Despite increased recognition of the important influences of women's status and empowerment on social and health outcomes for women and their families, there are few investigations that examine the extent to which any gains in women's empowerment may be transmitted intergenerationally, that is, between mothers and their daughters.

    Methods: This study seeks to address this gap by using data from a unique, longitudinal, and intergenerational dataset from Cebu, Philippines (1994-2009), to examine potential influences of the status of mothers on subsequent reproductive health outcomes among their daughters. Using data from 648 mother-daughter dyads, we examine a multidimensional set of women's status and empowerment measures among the mothers to predict three outcomes among their daughters: sexual onset by 2009 (ages 25-26), use of family planning, and experience of an unintended pregnancy. Read More

    Conceptualizing pathways linking women's empowerment and prematurity in developing countries.
    BMC Pregnancy Childbirth 2017 Nov 8;17(Suppl 2):338. Epub 2017 Nov 8.
    UCSF School of Medicine, San Francisco, CA, USA.
    Background: Globally, prematurity is the leading cause of death in children under the age of 5. Many efforts have focused on clinical approaches to improve the survival of premature babies. There is a need, however, to explore psychosocial, sociocultural, economic, and other factors as potential mechanisms to reduce the burden of prematurity. Read More

    Randomized controlled pilot of a group antenatal care model and the sociodemographic factors associated with pregnancy-related empowerment in sub-Saharan Africa.
    BMC Pregnancy Childbirth 2017 Nov 8;17(Suppl 2):336. Epub 2017 Nov 8.
    Department of Women, Children and Family Health Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA.
    Background: The links between empowerment and a number of health-related outcomes in sub-Saharan Africa have been documented, but empowerment related to pregnancy is under-investigated. Antenatal care (ANC) is the entry point into the healthcare system for most women, so it is important to understand how ANC affects aspects of women's sense of control over their pregnancy. We compare pregnancy-related empowerment for women randomly assigned to the standard of care versus CenteringPregnancy-based group ANC (intervention) in two sub-Saharan countries, Malawi and Tanzania. Read More

    Composite measures of women's empowerment and their association with maternal mortality in low-income countries.
    BMC Pregnancy Childbirth 2017 Nov 8;17(Suppl 2):337. Epub 2017 Nov 8.
    Department of Community Health Sciences, UCLA Fielding School of Public Health, 650 Charles E. Young Drive South, Los Angeles, CA, USA.
    Background: Maternal mortality has declined significantly since 1990. While better access to emergency obstetrical care is partially responsible, women's empowerment might also be a contributing factor. Gender equality composite measures generally include various dimensions of women's advancement, including educational parity, formal employment, and political participation. Read More

    The impact of pregnancy loss on men's health and wellbeing: a systematic review.
    BMC Pregnancy Childbirth 2017 Nov 15;17(1):380. Epub 2017 Nov 15.
    School of Social and Policy Studies, Flinders University, GPO Box 2100, Adelaide, South Australia, 5001, Australia.
    Background: Research indicates that men's psychological and physical health outcomes after pregnancy loss differ from those of women. Our goal was to identify all literature with a focus on men's experiences of pregnancy loss in order to outline current evidence concerning men's wellbeing.

    Methods: A systematic review of literature on men and pregnancy loss was undertaken following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), Joanna Briggs Institute (JBI) and Social Care Institute for Excellence (SCIE) guidelines. Read More

    Video feedback promotes relations between infants and vulnerable first-time mothers: a quasi-experimental study.
    BMC Pregnancy Childbirth 2017 Nov 15;17(1):379. Epub 2017 Nov 15.
    Department of Public Health, Section for Nursing, Aarhus University, Høegh-Guldbergs Gade 6A, 8000, Aarhus C, Denmark.
    Background: Supporting early mother-infant relationships to ensure infants' future health has been recommended. The aim of this study was to investigate whether video feedback using the Marte Meo method promotes a healthy early relationship between infants and vulnerable first-time mothers. Video feedback or usual care was delivered by health visitors during home visits in Danish municipalities. Read More

    Behaviour change interventions to reduce second-hand smoke exposure at home in pregnant women - a systematic review and intervention appraisal.
    BMC Pregnancy Childbirth 2017 Nov 14;17(1):378. Epub 2017 Nov 14.
    Department of Health Sciences, University of York, York, UK.
    Background: Second-hand smoke (SHS) exposure during pregnancy is associated with poor pregnancy and foetal outcomes. Theory-based behaviour change interventions (BCI) have been used successfully to change smoking related behaviours and offer the potential to reduce exposure of SHS in pregnant women. Systematic reviews conducted so far do not evaluate the generalisability and scalability of interventions. Read More

    Neonatal outcomes of deliveries in occiput posterior position when delayed pushing is practiced: a cohort study.
    BMC Pregnancy Childbirth 2017 Nov 14;17(1):377. Epub 2017 Nov 14.
    Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
    Background: To examine the impact of occiput posterior position, compared to occiput anterior position, on neonatal outcomes in a setting where delayed pushing is practiced. The specific aim was to estimate the risk of acidaemia.

    Methods: Cohort study from a university hospital in Sweden between 2004 and 2012. Read More

    Effect of frenotomy on breastfeeding variables in infants with ankyloglossia (tongue-tie): a prospective before and after cohort study.
    BMC Pregnancy Childbirth 2017 Nov 13;17(1):373. Epub 2017 Nov 13.
    School of Nursing & Midwifery, Trinity College Dublin, 24 D'Olier Street, Dublin, D02 T283, Ireland.
    Background: Controversy exists regarding ankyloglossia (tongue-tie) and its clinical impact on breastfeeding, including the benefits, or otherwise, of tongue-tie release (frenotomy). As exclusive breastfeeding rates in Ireland are already considerably low (46% on discharge home from the maternity unit following birth in 2014), it is imperative to protect and support breastfeeding, including identifying the associated effects that frenotomy might have on breastfeeding variables.

    Objective: To determine the associated effects of frenotomy on breastfeeding variables in infants with ankyloglossia. Read More

    Measurement properties of comorbidity indices in maternal health research: a systematic review.
    BMC Pregnancy Childbirth 2017 Nov 13;17(1):372. Epub 2017 Nov 13.
    Department of Critical Care Medicine, Sunnybrook Health Science Centre, University of Toronto, Toronto, Canada.
    Background: Maternal critical illness occurs in 1.2 to 4.7 of every 1000 live births in the United States and approximately 1 in 100 women who become critically ill will die. Read More

    A low-cost uterine balloon tamponade for management of postpartum hemorrhage: modeling the potential impact on maternal mortality and morbidity in sub-Saharan Africa.
    BMC Pregnancy Childbirth 2017 Nov 13;17(1):374. Epub 2017 Nov 13.
    PATH, Devices and Tools, Seattle, WA, USA.
    Background: Postpartum hemorrhage (PPH) is the leading cause of maternal deaths worldwide. This study sought to quantify the potential health impact (morbidity and mortality reductions) that a low-cost uterine balloon tamponade (UBT) could have on women suffering from uncontrolled PPH due to uterine atony in sub-Saharan Africa.

    Methods: The Maternal and Neonatal Directed Assessment of Technology (MANDATE) model was used to estimate maternal deaths, surgeries averted, and cases of severe anemia prevented through UBT use among women with PPH who receive a uterotonic drug but fail this therapy in a health facility. Read More

    Determinants of stillbirth among women deliveries at Amhara region, Ethiopia.
    BMC Pregnancy Childbirth 2017 Nov 13;17(1):375. Epub 2017 Nov 13.
    Statistics Department, Science College, Bahir Dar University, P.O. Box: 79, Main Campus-Peda, Bahir Dar, Ethiopia.
    Background: Stillbirth is one of general medical issues that could contribute significantly to creating nations like Ethiopia. This study aimed to determine the prevalence and related factors of stillbirth among deliveries at Amhara region, Ethiopia.

    Methods: The study used the Ethiopian Mini Demographic and Health Survey (EMDHS) data collected from 2555 eligible Amhara region women in 2014. Read More

    Study protocol: the Labor Progression Study, LAPS - does the use of a dynamic progression guideline in labor reduce the rate of intrapartum cesarean sections in nulliparous women? A multicenter, cluster randomized trial in Norway.
    BMC Pregnancy Childbirth 2017 Nov 13;17(1):370. Epub 2017 Nov 13.
    Department of Health, Nutrition and Management, Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences, Oslo, Norway.
    Background: The increasing rate of intrapartum cesarean sections is subject of attention and concern as it is associated with adverse outcomes. Labor dystocia is one of the most frequent indications for cesarean sections even though there is no consensus on criteria for labor dystocia. Traditionally the progression of labor follows guidelines based on Friedman's curve from the mid 1950s. Read More

    Level, causes, and risk factors of stillbirth: a population-based case control study from Chandigarh, India.
    BMC Pregnancy Childbirth 2017 Nov 13;17(1):371. Epub 2017 Nov 13.
    Department of Community Medicine, School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, 160 012, India.
    Background: Globally, India ranks first in the absolute number of stillbirths. Hence, the level, causes, and risk factors of stillbirths were estimated to facilitate designing of prevention strategy.

    Methods: Capture and recapture method was used to identify 301 stillbirths from 1st July 2013 to 31st August 2014 in Chandigarh Union Territory of India. Read More

    Stillbirth is associated with perceived alterations in fetal activity - findings from an international case control study.
    BMC Pregnancy Childbirth 2017 Nov 13;17(1):369. Epub 2017 Nov 13.
    Sleep Disorders Center and Department of Obstetrics & Gynecology, University of Michigan, Ann Arbor, MI, USA.
    Background: Stillbirth after 28 weeks gestation affects between 1.3-8.8 per 1000 births in high-income countries. Read More

    Histologic chorioamnionitis does not modulate the oxidative stress and antioxidant status in pregnancies complicated by spontaneous preterm delivery.
    BMC Pregnancy Childbirth 2017 Nov 13;17(1):376. Epub 2017 Nov 13.
    Department of Pathology, Botucatu Medical School, São Paulo State University (UNESP), Distrito de Rubião Júnior, Botucatu, São Paulo, CEP 18618-686, Brazil.
    Background: Infection induced-inflammation and other risk factors for spontaneous preterm birth (PTB) and preterm premature rupture of membranes (pPROM) may cause a redox imbalance, increasing the release of free radicals and consuming antioxidant defenses. Oxidative stress, in turn, can initiate intracellular signaling cascades that increase the production of pro-inflammatory mediators. The objective of this study was to evaluate the oxidative damage to proteins and antioxidant capacity profiles in amniochorion membranes from preterm birth (PTB) and preterm premature rupture of membranes (pPROM) and to determine the role of histologic chorioamnionitis in this scenario. Read More

    Trends in newborn umbilical cord care practices in Sokoto and Bauchi States of Nigeria: the where, who, how, what and the ubiquitous role of traditional birth attendants: a lot quality assurance sampling survey.
    BMC Pregnancy Childbirth 2017 Nov 9;17(1):368. Epub 2017 Nov 9.
    FUTURES- Targeted States High Impact Project (TSHIP), Bauchi, Bauchi State, Nigeria.
    Background: Neonatal infections caused by unsafe umbilical cord practices account for the majority of neonatal deaths in Nigeria. We examined the trends in umbilical cord care practices between 2012 and 2015 that coincided with the introduction of chlorhexidine digluconate 7.1% gel in Bauchi and Sokoto States. Read More

    Intra- versus retroplacental hematomas: a retrospective case-control study on pregnancy outcomes.
    BMC Pregnancy Childbirth 2017 Oct 26;17(1):366. Epub 2017 Oct 26.
    Department of Obstetrics and Fetomaternal Medicine, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Vienna, Austria.
    Background: Intrauterine hematomas are a common pregnancy complication. The literature lacks studies about outcomes based on hematoma localization. Thus, we aimed to compare pregnancies complicated by an intraplacental hematoma to cases with a retroplacental hematoma and to a control group. Read More

    Establishing partnership with traditional birth attendants for improved maternal and newborn health: a review of factors influencing implementation.
    BMC Pregnancy Childbirth 2017 Oct 19;17(1):365. Epub 2017 Oct 19.
    Centre for Maternal and Newborn Health, Liverpool School of Tropical Medicine, L3 5QA, Liverpool, UK.
    Background: Recent World Health Organization recommendations recognize the important role Traditional Birth Attendants (TBAs) can play in supporting the health of women and newborns. This paper provides an analysis of key factors that affect the implementation of interventions to develop partnerships with TBAs to promote improved access to skilled care at birth.

    Methods: We conducted a secondary analysis of 20 papers identified through two systematic reviews that examined the effectiveness of interventions to find new roles for TBAs on maternal and newborn health outcomes, as well as papers identified through a systematic mapping of the maternal health literature. Read More

    Associations of physical activity and sedentary behavior during pregnancy with gestational diabetes mellitus among Asian women in Singapore.
    BMC Pregnancy Childbirth 2017 Oct 18;17(1):364. Epub 2017 Oct 18.
    Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
    Background: Few studies have investigated physical activity (PA) and sedentary behavior (SB) in relation to fasting (FG) and 2-h postprandial plasma glucose (2hPG) levels and gestational diabetes mellitus (GDM); we investigated these associations among Asian pregnant women.

    Methods: As part of the Growing Up in Singapore Towards healthy Outcomes cohort study, PA and SB (sitting and television times) were assessed by interviewer-administered questionnaire. During 75 g oral glucose tolerance tests at 26-28 weeks' gestation we measured FG, 2hPG levels and GDM (FG ≥ 7. Read More

    Fetal heart rate abnormalities during and after external cephalic version: Which fetuses are at risk and how are they delivered?
    BMC Pregnancy Childbirth 2017 Oct 17;17(1):363. Epub 2017 Oct 17.
    Department of Obstetrics and Gynecology, Catharina Hospital, P.O. Box 1350, 5602 ZA, Eindhoven, the Netherlands.
    Background: Fetal heart rate abnormalities (FHR) during and after external cephalic version (ECV) are relatively frequent. They may raise concern about fetal wellbeing. Only occasionally they may lead to an emergency cesarean section. Read More

    Women's attitudes, experiences and compliance concerning the use of Mindfetalness- a method for systematic observation of fetal movements in late pregnancy.
    BMC Pregnancy Childbirth 2017 Oct 16;17(1):359. Epub 2017 Oct 16.
    Sophiahemmet University, Stockholm, Sweden.
    Background: Maternal perception of decreased fetal movements and low awareness of fetal movements are associated with a negative birth outcome. Mindfetalness is a method developed for women to facilitate systematic observations of the intensity, character and frequency of fetal movements in late pregnancy. We sought to explore women's attitudes, experiences and compliance in using Mindfetalness. Read More

    Maternal and fetal blood lipid concentrations during pregnancy differ by maternal body mass index: findings from the ROLO study.
    BMC Pregnancy Childbirth 2017 Oct 16;17(1):360. Epub 2017 Oct 16.
    UCD Perinatal Research Centre, Obstetrics and Gynaecology, School of Medicine, University College Dublin, National Maternity Hospital, Dublin 2, Ireland.
    Background: Pregnancy is a time of altered metabolic functioning and maternal blood lipid profiles change to accommodate the developing fetus. While these changes are physiologically necessary, blood lipids concentrations have been associated with adverse pregnancy outcomes such as gestational diabetes, pregnancy-induced hypertension and high birth weight. As blood lipids are not routinely measured during pregnancy, there is limited information on what is considered normal during pregnancy and in fetal blood. Read More

    Retroperitoneal ectopic pregnancy: a case report and review of the literature.
    BMC Pregnancy Childbirth 2017 Oct 16;17(1):358. Epub 2017 Oct 16.
    Section of Reproductive Endocrinology, Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, No. 20 Section 3 of South Renmin Road, Chengdu, Sichuan Province, 610041, China.
    Background: Retroperitoneal ectopic pregnancy (REP) is an extremely rare type of ectopic pregnancy, with a total of less than 20 cases reported in the English literature. However, failure to recognize REP may result in severe consequences.

    Case Presentation: We report a case of 32-year-old woman with REP. Read More

    Do mobile clinics provide high-quality antenatal care? A comparison of care delivery, knowledge outcomes and perception of quality of care between fixed and mobile clinics in central Haiti.
    BMC Pregnancy Childbirth 2017 Oct 16;17(1):361. Epub 2017 Oct 16.
    Division of Nutritional Sciences, Cornell University, 212 Savage Hall, Ithaca, NY, 14853, United States.
    Background: Antenatal care (ANC) is an important health service for women in developing countries, with numerous proven benefits. Global coverage of ANC has steadily increased over the past 30 years, in part due to increased community-based outreach. However, commensurate improvements in health outcomes such as reductions in the prevalence of maternal anemia and infants born small-for-gestational age have not been achieved, even with increased coverage, indicating that quality of care may be inadequate. Read More

    The MOVE-trial: Monocryl® vs. Vicryl Rapide™ for skin repair in mediolateral episiotomies: a randomized controlled trial.
    BMC Pregnancy Childbirth 2017 Oct 16;17(1):355. Epub 2017 Oct 16.
    Department of Obstetrics and Gynecology, Ikazia Hospital, Rotterdam, The Netherlands.
    Background: Previous studies have shown that complaints after episiotomy repair depend on the method and material used for repair. The objective of our study was to determine which of two frequently used suture materials, Monocryl® (poliglecaprone 25) and Vicryl Rapide™ (polyglactin 910), is superior for intracutaneous closure of the skin in mediolateral episiotomies.

    Methods: In a randomized controlled trial performed in a teaching hospital in the Netherlands between 2010 and 2013 250 primiparous women with uncomplicated mediolateral episiotomies were randomly allocated to intracutaneous skin closure with either Monocryl® or Vicryl Rapide™. Read More

    Piloting a mHealth intervention to improve newborn care awareness among rural Cambodian mothers: a feasibility study.
    BMC Pregnancy Childbirth 2017 Oct 16;17(1):356. Epub 2017 Oct 16.
    School of Public Health, The University of Sydney, Sydney, Australia.
    Background: Globally, the World Health Organization reports that the chances of a child dying is highest in the first month of life, the neonatal period. The neonatal mortality rate in Cambodia is 18 per 1000 live births. In the province of Kampong Chhnang, that rate is the fifth highest among the 24 provinces of Cambodia at 27 per 1000 live births. Read More

    Feasibility of a Smartphone website to support antenatal Perineal massage in pregnant women.
    BMC Pregnancy Childbirth 2017 Oct 16;17(1):354. Epub 2017 Oct 16.
    St. Luke's International University, 10-1 Akashicho, Chuo-ku, Tokyo, 104-0004, Japan.
    Background: In Japan, 85% of pregnant women do not practice antenatal perineal massage. Therefore, we developed a smartphone website to support the practice of antenatal perineal massage. The purpose of the present study was to evaluate the feasibility of our smartphone website. Read More

    A ten-year study of midwife-led care at an Austrian tertiary care center: a retrospective analysis with special consideration of perineal trauma.
    BMC Pregnancy Childbirth 2017 Oct 16;17(1):357. Epub 2017 Oct 16.
    Department of Obstetrics and Fetomaternal Medicine, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
    Background: In contrast to other countries, Austria rarely offers alternative models to medical led-care. In an attempt to improve the facilities, a midwife-led care service was incorporated within the Department of Obstetrics and Fetomaternal Medicine. The aim of the present study was to analyze the maternal and neonatal outcomes of this approach. Read More

    Multidisciplinary consensus on screening for, diagnosis and management of fetal growth restriction in the Netherlands.
    BMC Pregnancy Childbirth 2017 Oct 16;17(1):353. Epub 2017 Oct 16.
    Department of Gynecology, Utrecht University Medical Centre, Heidelberglaan 100, 3584, CX, Utrecht, the Netherlands.
    Background: Screening for, diagnosis and management of intrauterine growth restriction (IUGR) is often performed in multidisciplinary collaboration. However, variation in screening methods, diagnosis and management of IUGR may lead to confusion. In the Netherlands two monodisciplinary guidelines on IUGR do not fully align. Read More

    Weight management during pregnancy: a qualitative study of women's and care providers' experiences and perspectives.
    BMC Pregnancy Childbirth 2017 Oct 11;17(1):351. Epub 2017 Oct 11.
    Jean Hailes Research Unit, Monash University, Level 4/553 St Kilda Road, Melbourne, Victoria, 3004, Australia.
    Background: Obesity during pregnancy is a serious health problem for women and their children. Despite the high prevalence of high body mass index (BMI) among women of reproductive age in high-income countries, there is insufficient evidence to inform practice and policy about weight management for women with high BMI who are pregnant. The aim of this project was to describe women's and midwives' experiences and perspectives of care for weight management during pregnancy in Melbourne, Australia. Read More

    Association between very advanced maternal age and adverse pregnancy outcomes: a cross sectional Japanese study.
    BMC Pregnancy Childbirth 2017 Oct 10;17(1):349. Epub 2017 Oct 10.
    Department of Social Medicine, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan.
    Background: While several studies have demonstrated the increased risk of pregnancy complications for women of advanced age, few studies have focused on women with very advanced age (≥ 45), despite the increasing rate of pregnancy among such women. Furthermore, how such risks of increase in age differ by maternal characteristics are also poorly understood. Thus, we aimed to clarify pregnant outcomes among women with very advanced age and how the effect of age differs by method of conception and parity. Read More

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