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    2559 results match your criteria BMC Pregnancy and Childbirth [Journal]

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    Barriers to and strategies for addressing the availability, accessibility, acceptability and quality of the sexual, reproductive, maternal, newborn and adolescent health workforce: addressing the post-2015 agenda.
    BMC Pregnancy Childbirth 2018 Feb 20;18(1):55. Epub 2018 Feb 20.
    UNFPA, 11-13 Chemin des Anémones, 1219 Chatelaine, Geneva, Switzerland.
    Background: In a post-2015 development agenda, achieving Universal Health Coverage (UHC) for women and newborns will require a fit-for-purpose and fit-to-practice sexual, reproductive, maternal, adolescent and newborn health (SRMNAH) workforce. The aim of this paper is to explore barriers, challenges and solutions to the availability, accessibility, acceptability and quality (AAAQ) of SRMNAH services and workforce.

    Methods: The State of the World's Midwifery report 2014 used a broad definition of midwifery ("the health services and health workforce needed to support and care for women and newborns") and provided information about a wide range of SRMNAH workers, including doctors, midwives, nurses and auxiliaries. Read More

    Correction to: Preferred prenatal counselling at the limits of viability: a survey among Dutch perinatal professionals.
    BMC Pregnancy Childbirth 2018 Feb 19;18(1):54. Epub 2018 Feb 19.
    Amalia Children's Hospital, Department of Pediatrics, Radboud university Medical Center, PO Box 9101, 6500HB, Nijmegen, The Netherlands.
    Correction: Following publication of the original article [1], the corresponding authors wrote to say that there was a mistake in the transfer of her article to PubMed: her name is R Geurtzen, but the pdf-file names her as ms R Geurtzen and pubmed names her as MR Geurtzen. Read More

    Do pregnancies reduce iron overload in HFE hemochromatosis women? results from an observational prospective study.
    BMC Pregnancy Childbirth 2018 Feb 17;18(1):53. Epub 2018 Feb 17.
    UMR1078 "Génétique, Génomique Fonctionnelle et Biotechnologies", Inserm, EFS, Université de Brest, ISBAM, 22 avenue Camille Desmoulins, 29200, Brest, France.
    Background: HFE hemochromatosis is an inborn error of iron metabolism linked to a defect in the regulation of hepcidin synthesis. This autosomal recessive disease typically manifests later in women than men. Although it is commonly stated that pregnancy is, with menses, one of the factors that offsets iron accumulation in women, no epidemiological study has yet supported this hypothesis. Read More

    Autonomy and infant feeding decision-making among teenage mothers in a rural and urban setting in KwaZulu-Natal, South Africa.
    BMC Pregnancy Childbirth 2018 Feb 17;18(1):52. Epub 2018 Feb 17.
    Centre for Rural Health, University of KwaZulu-Natal, Durban, South Africa.
    Background: The nutritional status of infants born to teenage mothers can be sub-optimal compared to those born to older mothers. One contributing factor is inappropriate feeding practices adopted by teenage mothers. Little is known about how infant feeding decisions are made among teenage mothers, particularly in under resourced settings. Read More

    Trajectory of vitamin D status during pregnancy in relation to neonatal birth size and fetal survival: a prospective cohort study.
    BMC Pregnancy Childbirth 2018 Feb 13;18(1):51. Epub 2018 Feb 13.
    The Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Box 459, 405 30, Gothenburg, Sweden.
    Background: We investigated the associations between vitamin D status in early and late pregnancy with neonatal small for gestational age (SGA), low birth weight (LBW) and preterm delivery. Furthermore, associations between vitamin D status and pregnancy loss were studied.

    Methods: Serum 25-hydroxyvitamin D (25OHD) was sampled in gestational week ≤ 16 (trimester 1 (T1), N = 2046) and > 31 (trimester 3 (T3), N = 1816) and analysed using liquid chromatography tandem mass spectrometry. Read More

    Malignancy during pregnancy in Japan: an exceptional opportunity for early diagnosis.
    BMC Pregnancy Childbirth 2018 02 8;18(1):50. Epub 2018 Feb 8.
    Departments of Obstetrics and Gynecology, Mie University Graduate School of Medicine, Mie, Japan.
    Background: Malignancy during pregnancy has become a significant cause of maternal death in developed countries, likely due to both an older pregnant population, and increases of cervical cancer in younger women. Our aim is to investigate the clinical aspects of malignancy during pregnancy in Japan and to use this information to identify opportunities for earlier detection and treatment.

    Methods: We provided a questionnaire to 1508 secondary or tertiary care hospitals in Japan. Read More

    Development of a tailored strategy to improve postpartum hemorrhage guideline adherence.
    BMC Pregnancy Childbirth 2018 02 8;18(1):49. Epub 2018 Feb 8.
    Department of IQ Healthcare, Radboud Institute for Health Science, Radboud University Medical Center, Nijmegen, Netherlands.
    Background: Despite the introduction of evidence based guidelines and practical courses, the incidence of postpartum hemorrhage shows an increasing trend in developed countries. Substandard care is often found, which implies an inadequate implementation in high resource countries. We aimed to reduce the gap between evidence-based guidelines and clinical application, by developing a strategy, tailored to current barriers for implementation. Read More

    First and second trimester urinary metabolic profiles and fetal growth restriction: an exploratory nested case-control study within the infant development and environment study.
    BMC Pregnancy Childbirth 2018 02 8;18(1):48. Epub 2018 Feb 8.
    Metabolomics Core, Mayo Clinic Hospital, Saint Mary's Campus, Alfred Building, Fifth Floor, Room 417, 200 First St. SW, Rochester, MN, 55905, USA.
    Background: Routine prenatal care fails to identify a large proportion of women at risk of fetal growth restriction (FGR). Metabolomics, the comprehensive analysis of low molecular weight molecules (metabolites) in biological samples, can provide new and earlier biomarkers of prenatal health. Recent research has suggested possible predictive first trimester urine metabolites correlating to fetal growth restriction in the third trimester. Read More

    Task shifting in active management of the third stage of labor: a systematic review.
    BMC Pregnancy Childbirth 2018 02 6;18(1):47. Epub 2018 Feb 6.
    Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Heidelberglaan 100, 3584, Utrecht, The Netherlands.
    Background: Active management of the third stage of labor (AMTSL) describes interventions with the common goal to prevent postpartum hemorrhage (PPH). In low- and middle-income countries, implementation of AMTSL is hampered by shortage of skilled birth attendants and a high percentage of home deliveries. Task shifting of specific AMTSL components to unskilled birth attendants or self-administration could be a strategy to increase access to potentially life-saving interventions. Read More

    Cross-sectional survey of knowledge of obstetric danger signs among women in rural Madagascar.
    BMC Pregnancy Childbirth 2018 02 5;18(1):46. Epub 2018 Feb 5.
    Faculty of Medicine, University of Geneva, Geneva, Switzerland.
    Background: Antenatal care (ANC) has the potential to identify and manage obstetric complications, educate women about risks during pregnancy and promote skilled birth attendance during childbirth. The aim of this study was to assess women's knowledge of obstetric danger signs and factors associated with this knowledge in Ambanja, Madagascar. It also sought to evaluate whether the participation in a mobile health (mHealth) project that aimed to provide comprehensive ANC to pregnant women in remote areas influenced women's knowledge of obstetric danger signs. Read More

    Associations between social capital and maternal depression: results from a follow-up study in China.
    BMC Pregnancy Childbirth 2018 02 2;18(1):45. Epub 2018 Feb 2.
    Medical School, Hangzhou Normal University, 16 Xuelin Rd., Xiasha District, Hangzhou, 310036, China.
    Background: This study aims to investigate the association between social capital (SC) and depressive symptoms among Chinese primiparas at different time-points from their late pregnancy to postpartum.

    Methods: A total of 450 primiparas were recruited for the current study. The assessments were conducted at three different time-points: T1 - while the participants were recruited at their 30-36 weeks of pregnancy in the antenatal clinic in the maternity hospital in Zhejiang, China; T2 - at their 2nd or 3rd days in the wards after delivery; T3 - at week 6 to 8 after the delivery in the postpartum examination clinic. Read More

    Quality medicines in maternal health: results of oxytocin, misoprostol, magnesium sulfate and calcium gluconate quality audits.
    BMC Pregnancy Childbirth 2018 01 30;18(1):44. Epub 2018 Jan 30.
    Promoting the Quality of Medicines Program, USP, Rockville, MD, USA.
    Background: The high level of maternal mortality and morbidity as a result of complications due to childbirth is unacceptable. The impact of quality medicines in the management of these complications cannot be overemphasized. Most of those medicines are sensitive to environmental conditions and must be handled properly. Read More

    Saving babies' lives project impact and results evaluation (SPiRE): a mixed methodology study.
    BMC Pregnancy Childbirth 2018 01 30;18(1):43. Epub 2018 Jan 30.
    Maternal and Fetal Health Research Centre, School of Medical Sciences, University of Manchester, St Mary's Hospital, Oxford Road, Manchester, UK.
    Background: Reducing stillbirth and early neonatal death is a national priority in the UK. Current evidence indicates this is potentially achievable through application of four key interventions within routine maternity care delivered as the National Health Service (NHS) England's Saving Babies' Lives care bundle. However, there is significant variation in the degree of implementation of the care bundle between and within maternity units and the effectiveness in reducing stillbirth and improving service delivery has not yet been evaluated. Read More

    Experiences with and expectations of maternity waiting homes in Luapula Province, Zambia: a mixed-methods, cross-sectional study with women, community groups and stakeholders.
    BMC Pregnancy Childbirth 2018 01 25;18(1):42. Epub 2018 Jan 25.
    Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, 21205-2103, USA.
    Background: Luapula Province has the highest maternal mortality and one of the lowest facility-based births in Zambia. The distance to facilities limits facility-based births for women in rural areas. In 2013, the government incorporated maternity homes into the health system at the community level to increase facility-based births and reduce maternal mortality. Read More

    Obstetrical provider knowledge and attitudes towards cell-free DNA screening: results of a cross-sectional national survey.
    BMC Pregnancy Childbirth 2018 01 23;18(1):40. Epub 2018 Jan 23.
    Department of Obstetrics and Gynecology, University of Calgary, 4th Floor North Tower - Foothills Medical Centre, 1403 29 St NW, Calgary, AB, T2N 2T9, Canada.
    Background: Cell-free DNA (cfDNA) screening has recently acquired tremendous attention, promising patients and healthcare providers a more accurate prenatal screen for aneuploidy than other current screening modalities. It is unclear how much knowledge regarding cfDNA screening obstetrical providers possess which has important implications for the quality and content of the informed consent patients receive.

    Methods: A survey was designed to assess obstetrical provider knowledge and attitudes towards cfDNA screening and distributed online through the Society of Obstetricians & Gynecologists of Canada (SOGC). Read More

    Anxiety, depression and relationship satisfaction in the pregnancy following stillbirth and after the birth of a live-born baby: a prospective study.
    BMC Pregnancy Childbirth 2018 01 24;18(1):41. Epub 2018 Jan 24.
    Department of Behavioural Sciences in Medicine, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.
    Background: Experiencing a stillbirth can be a potent stressor for psychological distress in the subsequent pregnancy and possibly after the subsequent birth. The impact on women's relationship with her partner in the subsequent pregnancy and postpartum remains uncertain. The objectives of the study were 1) To investigate the prevalence of anxiety and depression in the pregnancy following stillbirth and assess gestational age at stillbirth and inter-pregnancy interval as individual risk factors. Read More

    "You just need to leave the room when you breastfeed" Breastfeeding experiences among obese women in Sweden - A qualitative study.
    BMC Pregnancy Childbirth 2018 01 22;18(1):39. Epub 2018 Jan 22.
    Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Background: The benefits of breastfeeding for the infant as well for the mother are well-known. It is recognized that obese (Body Mass Index ≥30 kg/m) women may have less antenatal intention to breastfeed, and shortened duration of breastfeeding compared with normal-weight women. This may result in adverse short- and long-term health for both mother and child, such as a shortened lactational amenorrhoea and decreased protection against breast cancer for the women, and an increased risk for infectious diseases and overweight/obesity among the children. Read More

    Factors associated with intended use of a maternity waiting home in Southern Ethiopia: a community-based cross-sectional study.
    BMC Pregnancy Childbirth 2018 01 19;18(1):38. Epub 2018 Jan 19.
    Department of Health Sciences, Global Health, University Medical Centre / University of Groningen, Groningen, The Netherlands.
    Background: Although Ethiopia is scaling up Maternity Waiting Homes (MWHs) to reduce maternal and perinatal mortality, women's use of MWHs varies markedly between facilities. To maximize MWH utilization, it is essential that policymakers are aware of supportive and inhibitory factors. This study had the objective to describe factors and perceived barriers associated with potential utilization of an MWH among recently delivered and pregnant women in Southern Ethiopia. Read More

    Stakeholders' perspectives on facilitators of and barriers to the utilisation of and access to maternal health services in Eritrea: a qualitative study.
    BMC Pregnancy Childbirth 2018 01 19;18(1):35. Epub 2018 Jan 19.
    School of Public Health, The University of Sydney, Sydney, Australia.
    Background: Wars affect maternal health services by destroying health systems. Eritrea experienced two wars with neighbouring Ethiopia. Despite this, the maternal mortality ratio (MMR) in Eritrea fell by 69% from 1590 per 100,000 live births in 1990 to 501 in 2015. Read More

    The effect of twin-to-twin delivery time intervals on neonatal outcome for second twins.
    BMC Pregnancy Childbirth 2018 01 19;18(1):36. Epub 2018 Jan 19.
    Department of Obstetrics and Gynecology, Institute of Clinical Sciences at Sahlgrenska Academy, Gothenburg University, Diagnosvägen 15, 416 85, Gothenburg, Sweden.
    Background: The objective was to examine the effect of twin-to-twin delivery intervals on neonatal outcome for second twins.

    Methods: This was a retrospective, hospital-based study, performed at a university teaching hospital in Western Sweden. Twin deliveries between 2008 and 2014 at ≥32 + 0 weeks of gestation, where the first twin was delivered vaginally, were included. Read More

    A qualitative analysis of men's involvement in maternal and child health as a policy intervention in rural Central Malawi.
    BMC Pregnancy Childbirth 2018 01 19;18(1):37. Epub 2018 Jan 19.
    Institute for Food, Nutrition and Wellbeing, Information Technology Building, Room 3-34, University of Pretoria, Pretoria, 0002, Republic of South Africa.
    Background: Men's involvement in maternal and child health presents an opportunity for the advancement of maternal and child nutrition as men often play a key role in decision-making particularly regarding women's reproductive health. While most research on men's involvement in maternal and child health has focused on men's participation in antenatal care, this study focuses specifically on men's involvement in maternal and child nutrition. The purpose of the study is to explore how men's involvement is conceptualised in rural Central Malawi, highlighting the key factors influencing men's involvement in maternal and child health. Read More

    Risk factors for stillbirths: how much can a responsive health system prevent?
    BMC Pregnancy Childbirth 2018 01 18;18(1):33. Epub 2018 Jan 18.
    UNICEF, Bihar, India.
    Background: The stillbirth rate is an indicator of quality of care during pregnancy and delivery. Good quality care is supported by a functional heath system. The objective of this study was to explore the risk factors for stillbirths, particularly those related to a health system. Read More

    Prevalence of hypertensive disorders of pregnancy in Ethiopia: a systemic review and meta-analysis.
    BMC Pregnancy Childbirth 2018 01 18;18(1):34. Epub 2018 Jan 18.
    Department of Epidemiology and Biostatistics, Institute of public health, University of Gondar, Gondar, Ethiopia.
    Background: Although hypertensive disorders of pregnancy are the leading cause of poor perinatal outcomes in Ethiopia, there is no study that shows the national prevalence. Therefore, the aim of this study was to estimate the national pooled prevalence of hypertensive disorders of pregnancy from studies conducted in different parts of the country.

    Methods: Databases; MEDLINE, PubMed, HINARI, EMBASE, Google Scholar and African Journals Online were searched by using different search terms on HDP and Ethiopia. Read More

    Handheld ultrasound to avert maternal and neonatal deaths in 2 regions of the Philippines: an iBuntis® intervention study.
    BMC Pregnancy Childbirth 2018 01 18;18(1):32. Epub 2018 Jan 18.
    Department of Clinical Epidemiology, College of Medicine, University of the Philippines- Manila, Manila, Philippines.
    Background: The major causes of maternal and neonatal mortality in the Philippines are hemorrhages and obstructed labor due to placental implantation abnormalities (PIAs), twin pregnancies and fetal malpresentations. All of which are all easily detected by ultrasound. However, women in rural areas and low-income groups do not have access to ultrasound during their prenatal care. Read More

    Women's decision-making processes and the influences on their mode of birth following a previous caesarean section in Taiwan: a qualitative study.
    BMC Pregnancy Childbirth 2018 01 17;18(1):31. Epub 2018 Jan 17.
    Deakin University, Faculty of Health, School of Nursing and Midwifery, Geelong, Australia.
    Background: Vaginal birth after caesarean (VBAC) is an alternative option for women who have had a previous caesarean section (CS); however, uptake is limited because of concern about the risks of uterine rupture. The aim of this study was to explore women's decision-making processes and the influences on their mode of birth following a previous CS.

    Methods: A qualitative approach was used. Read More

    Factors influencing access of pregnant women and their infants to their local healthcare system: a prospective, multi-centre, observational study.
    BMC Pregnancy Childbirth 2018 01 15;18(1):29. Epub 2018 Jan 15.
    GSK (formerly employee of Novartis Vaccines Division), Cambridge, MA, USA.
    Background: The successful implementation of maternal vaccination relies on results of clinical trials, considering the prenatal and postnatal attendance at selected healthcare institutions. This study evaluated factors influencing maternal/infant access to healthcare facilities to identify potential barriers to participation in future clinical trials on maternal vaccination.

    Methods: In this prospective, multi-centre, observational study, pregnant women (N = 3243) were enrolled at ten sites across Panama, the Dominican Republic, South Africa, and Mozambique between 2012 and 2014. Read More

    Low birthweight in rural Cameroon: an analysis of a cut-off value.
    BMC Pregnancy Childbirth 2018 01 15;18(1):30. Epub 2018 Jan 15.
    Health and Human Development Research Group (2HD), Douala, Cameroon.
    Background: Low birthweight (LBW) is a major predictor of early neonatal mortality which disproportionately affects low-income countries. WHO recommends regional definitions for LBW to prevent misclassifications and ensure appropriate care of babies with LBW. We conducted this study to define a clinical cut-off for LBW, and to determine the predictors and adverse foetal outcomes of LBW babies in a rural sub-division in Cameroon. Read More

    Spontaneous prematurity in fetuses with congenital diaphragmatic hernia: a retrospective cohort study about prenatal predictive factors.
    BMC Pregnancy Childbirth 2018 01 12;18(1):27. Epub 2018 Jan 12.
    Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina, FMUSP,, Universidade de São Paulo, São Paulo, Av. Dr Eneas de Carvalho Aguiar, 255 Cerqueira Cesar, São Paulo, CEP: 05403-000, Brazil.
    Background: To evaluate possible predictive factors of spontaneous prematurity in fetuses with congenital diaphragmatic hernia (CDH).

    Methods: A retrospective cohort study was performed. Inclusion criteria were presence of CDH; absence of fetoscopy; absence of karyotype abnormality; maximum of one major malformation associated with diaphragmatic hernia; ultrasound monitoring at the Obstetrics Clinic of Clinicas Hospital at the University of São Paulo School of Medicine, from January 2001 to October 2014. Read More

    Emotional and cognitive experiences during the time of diagnosis and decision-making following a prenatal diagnosis: a qualitative study of males presented with congenital heart defect in the fetus carried by their pregnant partner.
    BMC Pregnancy Childbirth 2018 01 12;18(1):26. Epub 2018 Jan 12.
    Department of Women's and Children's Health, Uppsala University, SE-75237, Uppsala, Sweden.
    Background: Expectant fathers consider the second-trimester obstetric ultrasound examination as an important step towards parenthood, but are ill prepared for a detection of a fetal anomaly. Inductive research is scarce concerning their experiences and needs for support. Consequently, the aim of this study was to explore the emotional and cognitive experiences, during the time of diagnosis and decision-making, among males presented with congenital heart defect in the fetus carried by their pregnant partner. Read More

    Definitions, measurements and prevalence of fear of childbirth: a systematic review.
    BMC Pregnancy Childbirth 2018 01 12;18(1):28. Epub 2018 Jan 12.
    Institute of Health and Care Sciences, The Sahlgrenska Academy at University of Gothenburg, Box 457, -405 30, Gothenburg, SE, Sweden.
    Background: Fear of Childbirth (FOC) is a common problem affecting women's health and wellbeing, and a common reason for requesting caesarean section. The aims of this review were to summarise published research on prevalence of FOC in childbearing women and how it is defined and measured during pregnancy and postpartum, and to search for useful measures of FOC, for research as well as for clinical settings.

    Methods: Five bibliographic databases in March 2015 were searched for published research on FOC, using a protocol agreed a priori. Read More

    Experiences of gestational diabetes and gestational diabetes care: a focus group and interview study.
    BMC Pregnancy Childbirth 2018 01 11;18(1):25. Epub 2018 Jan 11.
    Adult Nursing, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.
    Background: Gestational diabetes mellitus (GDM) is an increasingly common condition of pregnancy. It is associated with adverse fetal, infant and maternal outcomes, as well as an increased risk of GDM in future pregnancies and type 2 diabetes for both mother and offspring. Previous studies have shown that GDM can result in an emotionally distressing pregnancy, but there is little research on the patient experience of GDM care, especially of a demographically diverse UK population. Read More

    Care quality following intrauterine death in Spanish hospitals: results from an online survey.
    BMC Pregnancy Childbirth 2018 01 10;18(1):22. Epub 2018 Jan 10.
    Universidad Complutense de Madrid, Facultad de Ciencia Política y Sociología, Somosaguas, Pozuelo de Alarcon, 28223, Madrid, Spain.
    Background: The objective of the study was to evaluate practices in Spanish hospitals after intrauterine death in terms of medical/ technical care and bereavement support care.

    Methods: A cross-sectional descriptive study using an online self-completion questionnaire. The population was defined as women who had experienced an intrauterine fetal death between sixteen weeks and birth, either through spontaneous late miscarriage/stillbirth or termination of pregnancy for medical reasons. Read More

    The perceptions and experiences of women who achieved and did not achieve a waterbirth.
    BMC Pregnancy Childbirth 2018 01 10;18(1):23. Epub 2018 Jan 10.
    School of Nursing, Midwifery and Paramedicine, Curtin University, Bentley, Perth, Western Australia, 6102, Australia.
    Background: There is a gap in knowledge and understanding relating to the experiences of women exposed to the opportunity of waterbirth. Our aim was to explore the perceptions and experiences of women who achieved or did not achieve their planned waterbirth.

    Methods: An exploratory design using critical incident techniques was conducted between December 2015 and July 2016, in the birth centre of the tertiary public maternity hospital in Western Australia. Read More

    Caesarean delivery-related blood transfusion: correlates in a tertiary hospital in Southwest Nigeria.
    BMC Pregnancy Childbirth 2018 01 10;18(1):24. Epub 2018 Jan 10.
    Department of Obstetrics and Gynaecology, Lagos State University College of Medicine/Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.
    Background: Caesarean delivery carries a risk of major intra-operative blood loss and its performance is often delayed by non-availability of blood and blood products. Unnecessary cross-matching and reservation of blood lead to apparent scarcity in centres with limited supply. This study set out to identify the risk factors for blood transfusion in women who underwent caesarean delivery at a tertiary obstetric unit with a view to ensuring efficient blood utilization. Read More

    How do informal information sources influence women's decision-making for birth? A meta-synthesis of qualitative studies.
    BMC Pregnancy Childbirth 2018 01 10;18(1):21. Epub 2018 Jan 10.
    University of East Anglia, Norwich Research Park, Norwich, Norfolk, NR4 7TJ, UK.
    Background: Women approach birth using various methods of preparation drawing from conventional healthcare providers alongside informal information sources (IIS) outside the professional healthcare context. An investigation of the forms in which these informal information sources are accessed and negotiated by women, and how these disconnected and often conflicting elements influence women's decision-making process for birth have yet to be evaluated. The level of antenatal preparedness women feel can have significant and long lasting implications on their birth experience and transition into motherhood and beyond. Read More

    Continuity of care is an important and distinct aspect of childbirth experience: findings of a survey evaluating experienced continuity of care, experienced quality of care and women's perception of labor.
    BMC Pregnancy Childbirth 2018 01 8;18(1):13. Epub 2018 Jan 8.
    Department of Midwifery Science, Midwifery Academy Amsterdam/Groningen (AVAG) and EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands and at Catharina Hospital, Van der Boechorststraat 7, 1081, BT, Amsterdam, The Netherlands.
    Background: To compare experienced continuity of care among women who received midwife-led versus obstetrician-led care. Secondly, to compare experienced continuity of care with a. experienced quality of care during labor and b. Read More

    Valuing breastfeeding: a qualitative study of women's experiences of a financial incentive scheme for breastfeeding.
    BMC Pregnancy Childbirth 2018 01 8;18(1):20. Epub 2018 Jan 8.
    Mother and Infant Research Unit, School of Nursing and Health Sciences, University of Dundee, Dundee, UK.
    Background: A cluster randomised controlled trial of a financial incentive for breastfeeding conducted in areas with low breastfeeding rates in the UK reported a statistically significant increase in breastfeeding at 6-8 weeks. In this paper we report an analysis of interviews with women eligible for the scheme, exploring their experiences and perceptions of the scheme and its impact on breastfeeding to support the interpretation of the results of the trial.

    Methods: Semi-structured interviews were carried out with 35 women eligible for the scheme during the feasibility and trial stages. Read More

    Epidemiology of unplanned out-of-hospital births attended by paramedics.
    BMC Pregnancy Childbirth 2018 01 8;18(1):15. Epub 2018 Jan 8.
    Ambulance Victoria, Blackburn North, VIC, 3130, Australia.
    Background: Over the previous two decades the incidence and number of unplanned out of hospital births Victoria has increased. As the only out of hospital emergency care providers in Victoria, paramedics would provide care for women having birth emergencies in the community. However, there is a lack of research about the involvement of paramedics provide for these women and their newborns. Read More

    Exercise training during pregnancy reduces circulating insulin levels in overweight/obese women postpartum: secondary analysis of a randomised controlled trial (the ETIP trial).
    BMC Pregnancy Childbirth 2018 01 8;18(1):18. Epub 2018 Jan 8.
    Department of Circulation and Medical Imaging, NTNU, Norwegian University of Science and Technology, Box 8905, 7491, Trondheim, Norway.
    Background: The primary aim was to investigate if supervised exercise training during pregnancy could reduce postpartum weight retention (PPWR) three months after delivery in overweight and obese women. We also measured circulating markers of cardiometabolic health, body composition, blood pressure, and physical activity level.

    Methods: This was a secondary analysis of a randomised controlled trial in which 91 women with BMI ≥ 28 kg/mwere allocated 1:1 to an exercise program or a control group. Read More

    Avoiding late preterm deliveries to reduce neonatal complications: an 11-year cohort study.
    BMC Pregnancy Childbirth 2018 01 8;18(1):17. Epub 2018 Jan 8.
    Obstetrics Unit, Department of Obstetrics and Gynecology, Geneva University Hospitals and Faculty of Medicine, 30 Boulevard de la Cluse, 1205, Geneva, Switzerland.
    Background: Late preterm (LPT) newborns, defined as those born between 34 0/7 and 36 6/7 gestational weeks, have higher short- and long-term morbidity and mortality than term infants (≥37 weeks). A categorization to justify a non-spontaneous LPT delivery has been proposed to distinguish evidence-based from non-evidence-based criteria. This study aims to describe rates and temporal trends of non-spontaneous LPT neonates delivered according to evidence-based or non-evidence-based criteria and to evaluate the number of avoidable LPT deliveries, including severe neonatal morbidity rates and associated risk factors. Read More

    Pregnancy outcomes in women taking probiotics or prebiotics: a systematic review and meta-analysis.
    BMC Pregnancy Childbirth 2018 01 8;18(1):14. Epub 2018 Jan 8.
    Department of Obstetrics and Gynecology, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
    Background: Probiotics are living microorganisms that, when administered in adequate amounts, confer a health benefit. It has been speculated that probiotics might help prevent preterm birth, but in two previous systematic reviews possible major increases in this risk have been suggested. Our objective was to perform a systematic review and meta-analysis of the risk of preterm birth and other adverse pregnancy outcomes in pregnant women taking probiotics, prebiotics or synbiotics. Read More

    Self-medication among pregnant women attending antenatal clinic at Makongoro health centre in Mwanza, Tanzania: a challenge to health systems.
    BMC Pregnancy Childbirth 2018 01 8;18(1):16. Epub 2018 Jan 8.
    Department of Biochemistry, Catholic University of Health and Allied Sciences, Mwanza, Tanzania.
    Background: Self-medication is a universal challenge that requires attention because of the potential threat not only to the pregnant women but also to unborn child. Data on self-medication practice and predictors among pregnant women is lacking in Tanzania. Information on the effects of this practice to the pregnant woman and the foetus globally is also scanty. Read More

    Risk factors associated with the development of postpartum diabetes in Japanese women with gestational diabetes.
    BMC Pregnancy Childbirth 2018 01 8;18(1):19. Epub 2018 Jan 8.
    Department of Obstetrics and Gynecology, NHO Nagasaki Medical Center, 1001-1 2-chome Kubara, Omura City, Nagasaki, 856-8562, Japan.
    Background: Although the onset of gestational diabetes (GDM) is known to be a significant risk factor for the future development of type 2 diabetes, this risk specifically in women with GDM diagnosed by the International Association of Diabetes and Pregnancy Study Group (IADPSG) criteria has not yet been thoroughly investigated. This study was performed to investigate the risk factors associated with the development of postpartum diabetes in Japanese women with a history of GDM, and the effects of the differences in the previous Japanese criteria and the IADPSG criteria.

    Methods: This retrospective cohort study included Japanese women with GDM who underwent at least one postpartum oral glucose tolerance test (OGTT) between 2003 and 2014. Read More

    Birthplace choices: what are the information needs of women when choosing where to give birth in England? A qualitative study using online and face to face focus groups.
    BMC Pregnancy Childbirth 2018 01 8;18(1):12. Epub 2018 Jan 8.
    Policy Research Unit in Maternal Health and Care, National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Old Road Campus, Headington, Oxford, OX3 7LF, UK.
    Background: Current clinical guidelines and national policy in England support offering 'low risk' women a choice of birth setting. Options include: home, free-standing midwifery unit (FMU), alongside midwifery unit (AMU) or obstetric unit (OU). This study, which is part of a broader project designed to inform policy on 'choice' in relation to childbirth, aimed to provide evidence on UK women's experiences of choice and decision-making in the period since the publication of the Birthplace findings (2011) and new NICE guidelines (2014). Read More

    A comparison of misoprostol vaginal insert and misoprostol vaginal tablets for induction of labor in nulliparous women: a retrospective cohort study.
    BMC Pregnancy Childbirth 2018 01 5;18(1):11. Epub 2018 Jan 5.
    Oslo and Akershus University College, Faculty of Health Sciences, Department of Nursing and Health Promotion, P.O. Box 4, 0130, Oslo, Norway.
    Background: Since Misoprostol Vaginal Insert (MVI - Misodel ®) was approved for labor induction in Europe in 2013, to date, no study has been published comparing MVI to Misoprostol vaginal tablets (MVT). The aim of this study, performed as part of a quality improvement project, was to compare the efficacy and safety of 200 μg MVI versus 25 μg MVT for labor induction in nulliparous women.

    Methods: This retrospective cohort study included 171 nulliparous singleton term deliveries induced with MVI (n = 85) versus MVT (n = 86) at Oslo University Hospital Rikshospitalet, Norway, from November 2014 to December 2015. Read More

    Cancer related maternal mortality and delay in diagnosis and treatment: a case series on 26 cases.
    BMC Pregnancy Childbirth 2018 01 5;18(1):10. Epub 2018 Jan 5.
    Department of Obstetrics and Gynaecology, VU University Medical Center, De Boelelaan 1118, 1081, HZ, Amsterdam, The Netherlands.
    Background: Cancer during pregnancy is relatively rare but may lead to maternal mortality. We aimed to assess the incidence of cancer related maternal mortality and the neonatal outcome in these patients. Also, doctor- and patient-related delay in cancer diagnosis and therapy among patients with cancer related maternal mortality is assessed. Read More

    Intrapartum fetal deaths and unexpected neonatal deaths in the Republic of Ireland: 2011 - 2014; a descriptive study.
    BMC Pregnancy Childbirth 2018 01 4;18(1). Epub 2018 Jan 4.
    The National Perinatal Epidemiology Centre, University College Cork, Cork, Ireland.
    Background: Intrapartum fetal death, the death of a fetus during labour, is a tragic outcome of pregnancy. The intrapartum death rate of a country is reflective of the care received by mothers and babies in labour and it is through analysing these cases that good aspects of care, as well as areas for improvement can be identified. Investigating unexpected neonatal deaths that may be associated with an intrapartum event is also helpful to fully appraise intrapartum care. Read More

    A single-center experience with 12 consecutive cases of pregnancy among patients with membranous ventricular septal aneurysm.
    BMC Pregnancy Childbirth 2018 01 3;18(1). Epub 2018 Jan 3.
    Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, China.
    Background: Membranous ventricular septal aneurysm (MVSA) is a rare cardiac anomaly that can occur as an isolated entity or being associated with other cardiac malformations. Complications of MVSA include thromboembolism, arrhythmia, rupture, bacterial endocarditis, right ventricular outflow tract obstruction, and atrioventricular valve diseases.The success rate of pregnancy and delivery in patients with MVSA has not been reported in the literature. Read More

    Factors influencing deliveries at health facilities in a rural Maasai Community in Magadi sub-County, Kenya.
    BMC Pregnancy Childbirth 2018 01 3;18(1). Epub 2018 Jan 3.
    BRIM Consulting, P.O. Box 76100-00508, Nairobi, Kenya.
    Background: In response to poor maternal, newborn, and child health indicators in Magadi sub-county, the "Boma" model was launched to promote health facility delivery by establishing community health units and training community health volunteers (CHVs) and traditional birth attendants (TBAs) as safe motherhood promoters. As a result, health facility delivery increased from 14% to 24%, still considerably below the national average (61%). We therefore conducted this study to determine factors influencing health facility delivery and describe barriers and motivators to the same. Read More

    Preferred prenatal counselling at the limits of viability: a survey among Dutch perinatal professionals.
    BMC Pregnancy Childbirth 2018 01 3;18(1). Epub 2018 Jan 3.
    Amalia Children's Hospital, Department of Pediatrics, Radboud university Medical Center, PO Box 9101, 6500HB, Nijmegen, The Netherlands.
    Background: Since 2010, intensive care can be offered in the Netherlands at 24 weeks gestation (with parental consent) but the Dutch guideline lacks recommendations on organization, content and preferred decision-making of the counselling. Our aim is to explore preferred prenatal counselling at the limits of viability by Dutch perinatal professionals and compare this to current care.

    Methods: Online nationwide survey as part of the PreCo study (2013) amongst obstetricians and neonatologists in all Dutch level III perinatal care centers (n = 205). Read More

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