3,872 results match your criteria BMC pregnancy and childbirth[Journal]


Pregnancy outcomes in asylum seekers in the North of the Netherlands: a retrospective documentary analysis.

BMC Pregnancy Childbirth 2020 May 25;20(1):320. Epub 2020 May 25.

Department of Obstetrics and Gynaecology and Department of Health Sciences, Global Health, University Medical Center Groningen/University of Groningen, Hanzeplein, 19713 GZ, Groningen, the Netherlands.

Background: With more than 20,000 asylum seekers arriving every year, healthcare for this population has become an important issue. Pregnant asylum seekers seem to be at risk of poor pregnancy outcomes. This study aimed to assess the difference in pregnancy outcomes between asylum seekers and the local Dutch population and to identify potential substandard factors of care. Read More

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http://dx.doi.org/10.1186/s12884-020-02985-xDOI Listing

The burden of adolescent motherhood and health consequences in Nepal.

BMC Pregnancy Childbirth 2020 May 24;20(1):318. Epub 2020 May 24.

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

Background: Annually, 18 million babies are born to mothers 18 years or less. Two thirds of these births take place in South Asia and Sub-Saharan Africa. Due to social and biological factors, adolescent mothers have a higher risk of adverse birth outcomes. Read More

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http://dx.doi.org/10.1186/s12884-020-03013-8DOI Listing

A cluster-randomized, non-inferiority trial comparing use of misoprostol for universal prophylaxis vs. secondary prevention of postpartum hemorrhage among community level births in Egypt.

BMC Pregnancy Childbirth 2020 May 24;20(1):317. Epub 2020 May 24.

Gynuity Health Projects, 220 E 42nd St, Suite 710, New York, NY, USA.

Background: Previous community-based research shows that secondary prevention of postpartum hemorrhage (PPH) with misoprostol only given to women with above-average measured blood loss produces similar clinical outcomes compared to routine administration of misoprostol for prevention of PPH. Given the difficulty of routinely measuring blood loss for all deliveries, more operational models of secondary prevention are needed.

Methods: This cluster-randomized, non-inferiority trial included women giving birth with nurse-midwives at home or in Primary Health Units (PHUs) in rural Egypt. Read More

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http://dx.doi.org/10.1186/s12884-020-03008-5DOI Listing

Implementation of a new program of gestational diabetes screening and management in Morocco: a qualitative exploration of health workers' perceptions.

BMC Pregnancy Childbirth 2020 May 24;20(1):315. Epub 2020 May 24.

Department of Public Health, Institute of Tropical Medicine, Nationalestraat 155, 2000, Antwerp, Belgium.

Background: Gestational diabetes mellitus (GDM) is associated with an increased risk for a future type 2 diabetes mellitus in women and their children. As linkage between maternal health and non-communicable diseases, antenatal care plays a key role in the primary and secondary prevention of GDM associated adverse outcomes. While implementing a locally adapted GDM screening and management approach through antenatal care services at the primary level of care, we assessed its acceptability by the implementing health care providers. Read More

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http://dx.doi.org/10.1186/s12884-020-02979-9DOI Listing

The effect of high dietary fiber intake on gestational weight gain, fat accrual, and postpartum weight retention: a randomized clinical trial.

BMC Pregnancy Childbirth 2020 May 24;20(1):319. Epub 2020 May 24.

Department of Dietetics and Nutrition, University of Kansas Medical Center, 3901 Rainbow BLVD, MS 4013, Kansas City, KS, 66160, USA.

Background: Interventions to prevent excessive gestational weight gain (GWG) have had limited success This pilot study examined the effectiveness of a single goal (SG) high dietary fiber intervention to prevent excessive GWG.

Methods: Twelve weekly lessons focused on consuming a high fiber diet (≥30 g/day). Snacks containing 10-12 g of dietary fiber were given for the first 6 weeks only. Read More

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http://dx.doi.org/10.1186/s12884-020-03016-5DOI Listing

Interventions to improve adherence to antenatal and postnatal care regimens among pregnant women in sub-Saharan Africa: a systematic review.

BMC Pregnancy Childbirth 2020 May 24;20(1):316. Epub 2020 May 24.

Department of Psychology, Princeton University, 427 Peretsman-Scully Hall, Princeton, 08544, NJ, USA.

Background: Pregnant women in sub-Saharan Africa tend to have low adherence to antenatal and postnatal care regimens, contributing to high infant and child mortality rates. Despite low adherence figures and the high returns from attending antenatal and postnatal care visits, research on interventions to improve adherence is in its infancy. Our aim was to determine the effectiveness of existing interventions to improve adherence to antenatal and postnatal care regimens among pregnant women in sub-Saharan Africa. Read More

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http://dx.doi.org/10.1186/s12884-020-02992-yDOI Listing

Ovarian hyperstimulation syndrome in a frozen-thawed embryo transfer pregnancy: a rare case report.

BMC Pregnancy Childbirth 2020 May 20;20(1):313. Epub 2020 May 20.

Department of Reproductive Medicine, Jinhua People's Hospital, Jinhua, 321000, Zhejiang, China.

Background: Ovarian hyperstimulation syndrome (OHSS) is an iatrogenic complication of ovarian stimulation. Prevention and early recognition of OHSS are important to ensure patient safety.

Case Presentation: In this case, we reported a patient who underwent controlled ovarian hyperstimulation (COH) and in vitro fertilization (IVF). Read More

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http://dx.doi.org/10.1186/s12884-020-03014-7DOI Listing

Environmental tobacco smoke exposure during pregnancy affects complications and birth outcomes in women with and without asthma.

BMC Pregnancy Childbirth 2020 May 20;20(1):314. Epub 2020 May 20.

Department of Obstetrics and Gynecology, Mobini Hospital, Sabzevar University of Medical Sciences, Sabzevar, Iran.

Background: It is known that environmental tobacco smoke (ETS) has adverse effects on pregnancy and birth outcomes. We aimed to assess the impact of ETS in pregnant women with and without asthma.

Methods: A cohort study was conducted from August 2014 to June 2015 enrolling 1603 pregnant women during their 2nd trimester. Read More

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http://dx.doi.org/10.1186/s12884-020-03000-zDOI Listing

Does growth hormone supplementation improve oocyte competence and IVF outcomes in patients with poor embryonic development? A randomized controlled trial.

BMC Pregnancy Childbirth 2020 May 20;20(1):310. Epub 2020 May 20.

Chongqing Key Laboratory of Human Embryo Engineering, Chongqing Reproduction and Genetics Institute, Chongqing Health Center for Women and Children, No.64 Jin Tang Street, Yu Zhong District, Chongqing, 400013, China.

Background: Many studies have demonstrated the benefits of the addition of growth hormone (GH) to the controlled ovarian stimulation protocol in vitro fertilization (IVF) cycles in poor-respond patients, but the effect of GH on patients with poor embryonic development remain unclear. This paper was designed to investigate the efficacy of GH co-treatment during IVF for the patients with poor embryonic development.

Method: A randomized controlled trial including 158 patients with poor embryo development was conducted between July 2017 and February 2019. Read More

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http://dx.doi.org/10.1186/s12884-020-03004-9DOI Listing

Prevalence of surgical site infection and its associated factors after cesarean section in Ethiopia: systematic review and meta-analysis.

BMC Pregnancy Childbirth 2020 May 20;20(1):311. Epub 2020 May 20.

Department of Nursing, School of Health science, College of Medicine and Health Science, Bahr Dar University, Bahir Dar, Ethiopia.

Background: Surgical site infection (SSI) affects nearly one third of patients who have undergone a surgical procedure. It is a significant and substantial cause of surgical patient morbidity and mortality later with human and financial costs threat. There are fragmented and pocket studies which reported the prevalence of SSI among mothers who experienced for cesarean section and its risk factors. Read More

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http://dx.doi.org/10.1186/s12884-020-03005-8DOI Listing

Getting into the water: a prospective observational study of water immersion for labour and birth at a New Zealand District Health Board.

BMC Pregnancy Childbirth 2020 May 20;20(1):312. Epub 2020 May 20.

School of Nursing, Midwifery, and Health Practice, Faculty of Health, Victoria University of Wellington, PO Box 7625, Newtown, Wellington, 6242, New Zealand.

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http://dx.doi.org/10.1186/s12884-020-03007-6DOI Listing
May 2020
2.190 Impact Factor

Postnatal home visits by health extension workers in rural areas of Ethiopia: a cross-sectional study design.

BMC Pregnancy Childbirth 2020 May 19;20(1):305. Epub 2020 May 19.

Tigray Regional Health Bureau, Mekelle, Ethiopia.

Background: In low-income countries like Ethiopia, where families have poor access to or do not utilize the services of formal health care systems, community health workers provide postnatal care services through home visits. However, the extent and effectiveness of home-based postnatal visits by community health workers such as the Ethiopian health extension workers (HEWs) are not well explored. This community -based study aimed to determine the coverage, contents of postnatal home visits and associated factors by health extension workers in Northern Ethiopia. Read More

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http://dx.doi.org/10.1186/s12884-020-03003-wDOI Listing

Correction to: Postnatal care service utilization and associated factors among women who gave birth in Debretabour town, North West Ethiopia: a community- based cross-sectional study.

BMC Pregnancy Childbirth 2020 May 19;20(1):306. Epub 2020 May 19.

Department of Midwifery, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

An amendment to this paper has been published and can be accessed via the original article. Read More

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http://dx.doi.org/10.1186/s12884-020-03019-2DOI Listing

The characteristics of compassionate care during childbirth according to midwives: a qualitative descriptive inquiry.

BMC Pregnancy Childbirth 2020 May 19;20(1):304. Epub 2020 May 19.

NuMIQ Research Focus Area, North-West University, Private Bag x6001, Potchefstroom, 2520, South Africa.

Background: Although compassion is considered to be of prime importance in nursing and midwifery, there is no clear understanding of what compassionate care in childbirth entails, and how midwives perceive compassionate care is largely unknown. This study accordingly seeks to describe the characteristics, of compassionate care during childbirth as perceived by midwives.

Methods: A qualitative descriptive inquiry was undertaken with a voluntary online survey, where participants were recruited via snowball sampling on the social networking site, Facebook. Read More

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http://dx.doi.org/10.1186/s12884-020-03001-yDOI Listing

Andersen's model on determining the factors associated with antenatal care services in Nepal: an evidence-based analysis of Nepal demographic and health survey 2016.

BMC Pregnancy Childbirth 2020 May 19;20(1):308. Epub 2020 May 19.

BP Koirala Institute of Health Science, Dharan, Nepal.

Background: With the formulation of the National Safe Motherhood Policy in 1998, safe motherhood has forever been a priority program in Nepal. Under the safe motherhood program, every woman is provided with essential maternal health care services until now through the four-tire district health care system. There is a considerable increase in the utilization of antenatal care (ANC) by a skilled health provider from 2011 to 2016, 58 to 84%, respectively. Read More

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http://dx.doi.org/10.1186/s12884-020-02976-yDOI Listing

Mother's satisfaction with the existing labor and delivery care services at public health facilities in West Shewa zone, Oromia region, Ethiopia.

BMC Pregnancy Childbirth 2020 May 19;20(1):303. Epub 2020 May 19.

Department of Public Health, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia.

Background: Mothers' satisfaction with care during childbirth is indicators of the quality care which affects skilled birth attendance. Negative client's experiences at health facilities cause them to delay or avoid seeking care, which highlights services providers should consider and act on the expectations and experiences of women and their families. Though there are few studies conducted in Ethiopia on maternal satisfaction with Labor and Delivery (LAD) services, there is no study conducted in the study area. Read More

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http://dx.doi.org/10.1186/s12884-020-02998-6DOI Listing

Paternal violent criminality and preterm birth: a Swedish national cohort study.

BMC Pregnancy Childbirth 2020 May 19;20(1):307. Epub 2020 May 19.

Centre for Health Equity Studies (CHESS), Karolinska Institutet/Stockholm University, 106 91, Stockholm, Sweden.

Background: Fathers may affect expectant mothers' daily living situations, which in turn might influence pregnancy outcomes. We investigated the association between paternal violent criminality and risk of preterm birth (≤36 weeks).

Methods: We conducted a register-based study with all live singleton births in the Swedish Medical Birth Register from 1992 to 2012, linked with records of paternal violent crime convictions from the National Crime Register from 1973 to 2012. Read More

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http://dx.doi.org/10.1186/s12884-020-02964-2DOI Listing

Why women chose unassisted home birth in Malaysia: a qualitative study.

BMC Pregnancy Childbirth 2020 May 19;20(1):309. Epub 2020 May 19.

Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Background: Incidences of unassisted home birthing practices have been increasing in Malaysia despite the accessibility to safe and affordable child birthing facilities. We aimed to explore the reasons for women to make such decisions.

Methods: Twelve women participated in in-depth interviews. Read More

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http://dx.doi.org/10.1186/s12884-020-02987-9DOI Listing

Association between risk of preeclampsia and maternal plasma trimethylamine-N-oxide in second trimester and at the time of delivery.

BMC Pregnancy Childbirth 2020 May 19;20(1):302. Epub 2020 May 19.

Department of Obstetrics and Gynecology, The Third Xiangya Hospital of Central South University, Changsha, 410013, Hunan, China.

Background: The data on the association between the microbiota-dependent metabolite trimethylamine-N-oxide (TMAO) during pregnancy and risk of preeclampsia (PE) is limited.

Methods: We, therefore, conducted a prospective nested case control study during Sep 2017 to Dec 2018 to examine the association between plasma TMAO measured during pregnancy and the risk of PE. Total of 17 patients diagnosed with early onset PE (EOPE), 49 with late onset PE (LOPE) and 198 healthy controls were enrolled. Read More

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http://dx.doi.org/10.1186/s12884-020-02997-7DOI Listing

Correction to: Obstetric fistulas in Uganda: scoping review using a determinant of health approach to provide a framework for health policy improvement.

BMC Pregnancy Childbirth 2020 May 18;20(1):300. Epub 2020 May 18.

Gynaecology and Obstetrics Department, Kampala Hospital, 6C Makindu Close, Kololo, Kampala, Uganda.

An amendment to this paper has been published and can be accessed via the original article. Read More

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http://dx.doi.org/10.1186/s12884-020-02999-5DOI Listing

Maternal near miss and mortality attributable to hypertensive disorders in a tertiary hospital, Tanzania; a cross-sectional study.

BMC Pregnancy Childbirth 2020 May 18;20(1):301. Epub 2020 May 18.

Department of Obstetrics and Gynaecology, Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar es Salaam, Tanzania.

Background: Hypertensive disorders in pregnancy is the second most common direct cause of maternal deaths accounting for 14% of maternal deaths worldwide. Severe pre-eclampsia and eclampsia are among the hypertensive disorders in pregnancy causing significant morbidity and mortality, hence categorized as Maternal Near Miss. At Muhimbili National Hospital these are the leading causes of maternal deaths accounting for 19. Read More

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http://dx.doi.org/10.1186/s12884-020-02930-yDOI Listing

Factors affecting infant mortality in the general population: evidence from the 2016 Ethiopian demographic and health survey (EDHS); a multilevel analysis.

BMC Pregnancy Childbirth 2020 May 15;20(1):299. Epub 2020 May 15.

Department of Human Nutrition, University of Gondar, College of Medicine and Health Sciences, Institute of Public Health, Gondar, Ethiopia.

Background: Infant mortality is one of the leading public health problems globally; the problem is even more staggering in low-income countries. In Ethiopia seven in ten child deaths occurred during infancy in 2016. Even though the problem is devastating, updated information about the major determinants of infant mortality which is done on a countrywide representative sample is lacking. Read More

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http://dx.doi.org/10.1186/s12884-020-03002-xDOI Listing

Risk factors for postpartum sepsis: a nested case-control study.

BMC Pregnancy Childbirth 2020 May 14;20(1):297. Epub 2020 May 14.

Global Women's Health, King's College, London, UK.

Background: The Majority (99%) of maternal deaths occur in low and middle-income countries. The three most important causes of maternal deaths in these regions are postpartum hemorrhage, pre-eclampsia and puerperal sepsis. There are several diagnostic criteria used to identify sepsis and one of the commonly used criteria is systematic inflammatory response syndrome (SIRS). Read More

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http://dx.doi.org/10.1186/s12884-020-02991-zDOI Listing

Psychometric testing of the support and control in birth scale.

BMC Pregnancy Childbirth 2020 May 14;20(1):293. Epub 2020 May 14.

Department of Speech Language Pathology and Audiology, National Taipei University of Nursing and Health Sciences, No. 365, Mingde Rd., Beitou Dist, Taipei City, 112, Taiwan, Republic of China.

Background: The Support and Control in Birth (SCIB) scale primarily measures the perceived support and control of expectant mothers during childbirth, thereby obtaining an understanding of their birth experiences. The advantages of this scale are its good reliability and validity and that it consolidates birth support and control. However, a Chinese version of the scale has yet to be developed. Read More

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http://dx.doi.org/10.1186/s12884-020-02888-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222319PMC

Perinatal outcomes of babies delivered by second-stage Caesarean section versus vacuum extraction in a resource-poor setting, Nigeria - a retrospective analysis.

BMC Pregnancy Childbirth 2020 May 14;20(1):298. Epub 2020 May 14.

Department of Obstetrics & Gynecology, University of Nigeria Teaching Hospital, Enugu, Nigeria.

Background: To evaluate the perinatal status of neonates delivered by assisted vaginal delivery (AVD) versus second-stage caesarean birth (CS).

Methods: A 5-year retrospective study was conducted in a tertiary hospital. Data was analyzed with IBM SPSS® version 25. Read More

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http://dx.doi.org/10.1186/s12884-020-02995-9DOI Listing

Stigma and utilization of treatment for adolescent perinatal depression in Ibadan Nigeria.

BMC Pregnancy Childbirth 2020 May 14;20(1):294. Epub 2020 May 14.

Department of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria.

Background: Depression is a common and severe disorder among low-income adolescent mothers in low-and middle-income countries where resources for treatment are limited. We wished to identify factors influencing health service utilization for adolescent perinatal depression, in Nigeria to inform new strategies of care delivery.

Methods: Focus Group Discussions (FGDs) were conducted among purposively selected low-income young mothers (with medical histories of adolescent perinatal depression), and separately with primary care clinicians treating this condition in Ibadan, Nigeria. Read More

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http://dx.doi.org/10.1186/s12884-020-02970-4DOI Listing

Psychometric properties of the Malay version of the Women's Views of Birth Labour Satisfaction Questionnaire using the Rasch measurement model: a cross sectional study.

BMC Pregnancy Childbirth 2020 May 14;20(1):295. Epub 2020 May 14.

Department of Family Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan, Malaysia.

Background: Birth satisfaction represents a complex construct of implicit and profound relevance to a woman's perceived birth experience. It correlates with the childbearing woman's experience of the quality of care received and stress during labor. This study aimed to examine the psychometric properties of the Malay language version of the Women's Views of Birth Labour Satisfaction Questionnaire (WOMBLSQ) on labor satisfaction using the Rasch rating scale model. Read More

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http://dx.doi.org/10.1186/s12884-020-02975-zDOI Listing

Factors influencing women's access to the maternity waiting home in rural Southwest Ethiopia: a qualitative exploration.

BMC Pregnancy Childbirth 2020 May 14;20(1):296. Epub 2020 May 14.

Departments of Epidemiology and Biostatics, Bahir Dar University, Bahir Dar, Ethiopia.

Background: Maternity Waiting Homes (MWHs) have been advocated to improve the utilization of skilled birth attendants. Nevertheless, delivery attended by skilled personnel is low in Ethiopia and may indicate that the utilization of MWH is also low. The aim of this study is to explore the factors influencing women's access to the MWHs in rural Southwest Ethiopia. Read More

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http://dx.doi.org/10.1186/s12884-020-02988-8DOI Listing
May 2020
2.190 Impact Factor

Journey of vulnerability: a mixed-methods study to understand intrapartum transfers in Tanzania and Zambia.

BMC Pregnancy Childbirth 2020 May 14;20(1):292. Epub 2020 May 14.

Archbishop Antony Mayala School of Nursing, Catholic University of Health and Allied Health Sciences, Mwanza, Tanzania.

Background: Timely intrapartum referral between facilities is pivotal in reducing maternal/neonatal mortality and morbidity but is distressing to women, resource-intensive and likely to cause delays in care provision. We explored the complexities around referrals to gain understanding of the characteristics, experiences and outcomes of those being transferred.

Methods: We used a mixed-method parallel convergent design, in Tanzania and Zambia. Read More

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http://dx.doi.org/10.1186/s12884-020-02996-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222428PMC

The effect of hyoscine n- butylbromide on labor progress: A systematic review.

BMC Pregnancy Childbirth 2020 May 13;20(1):291. Epub 2020 May 13.

Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran.

Background: The objective of this systematic review and meta-analysis was to assess the effectiveness of hyoscine n-butylbromide in labor progress.

Methods: The databases including PubMed, the Cochrane Library, Science-Direct, Scopus and Web of Science were searched for studies published up to December 2019. Articles that published as randomized controlled trials (RCTs), and full-text articles published in English or other languages were included and participants were primi or multigravida women who were in active phase of labor. Read More

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http://dx.doi.org/10.1186/s12884-020-2832-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218842PMC
May 2020
2.190 Impact Factor

Promoting positive maternal, newborn, and child health behaviors through a group-based health education and microfinance program: a prospective matched cohort study in western Kenya.

BMC Pregnancy Childbirth 2020 May 12;20(1):288. Epub 2020 May 12.

Academic Model Providing Access to Healthcare (AMPATH), P.O. Box 4606, Eldoret, 30100, Kenya.

Background: Chamas for Change (Chamas) is a group-based health education and microfinance program for pregnant and postpartum women that aims to address inequities contributing to high rates of maternal and infant mortality in rural western Kenya. In this prospective matched cohort study, we evaluated the association between Chamas participation and facility-based delivery. We additionally explored the effect of participation on promoting other positive maternal, newborn and child health (MNCH) behaviors. Read More

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http://dx.doi.org/10.1186/s12884-020-02978-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216653PMC

Repeated successful vaginal delivery in a pregnant woman with unrepaired ectopia vesicae and split pelvis: a case study.

BMC Pregnancy Childbirth 2020 May 12;20(1):290. Epub 2020 May 12.

College of Clinical Medicine, Binzhou Medical University, Yantai, 264000, China.

Ectopia vesicae, or bladder exstrophy, is a rare malformation, more frequently found in males. Very few cases of pregnancy with unrepaired ectopia vesicae have been reported in literature. The majority of these pregnant women with ectopia vesicae have terminated their pregnancies by cesarean section due to malpresentation, preterm labor or other indications. Read More

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http://dx.doi.org/10.1186/s12884-020-02931-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218511PMC

Geographical accessibility in assessing bypassing behaviour for inpatient neonatal care, Bungoma County-Kenya.

BMC Pregnancy Childbirth 2020 May 12;20(1):287. Epub 2020 May 12.

Research and Innovation Directorate, Mount Kenya University, P.O. Box 342-01000, Thika, Kenya.

Background: Neonatal mortality rate in Kenya continues to be unacceptably high. In reducing newborn deaths, inequality in access to care and quality care have been identified as current barriers. Contributing to these barriers are the bypassing behaviour and geographical access which leads to delay in seeking newborn care. Read More

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http://dx.doi.org/10.1186/s12884-020-02977-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216545PMC

Assessing capacity of health facilities to provide routine maternal and newborn care in low-income settings: what proportions are ready to provide good-quality care, and what proportions of women receive it?

BMC Pregnancy Childbirth 2020 May 12;20(1):289. Epub 2020 May 12.

Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.

Background: Good quality maternal and newborn care at primary health facilities is essential, but in settings with high maternal and newborn mortality the evidence for the protective effect of facility delivery is inconsistent. We surveyed samples of health facilities in three settings with high maternal mortality to assess their readiness to provide routine maternal and newborn care, and proportions of women using facilities that were ready to offer good quality care. Surveys were conducted in 2012 and 2015 to assess changes over time. Read More

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http://dx.doi.org/10.1186/s12884-020-02926-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218484PMC

Healing architecture and Snoezelen in delivery room design: a qualitative study of women's birth experiences and patient-centeredness of care.

BMC Pregnancy Childbirth 2020 May 11;20(1):283. Epub 2020 May 11.

Public Health and Epidemiology Group, Department of Health Science and Technology, Aalborg University, Niels Jernes Vej, 14, 9220, Aalborg Øst, Denmark.

Background: The physical place and environment has a profound influence on experiences, health and wellbeing of birthing women. An alternatively designed delivery room, inspired by the principles of healing architecture and Snoezelen, was established in a Danish regional hospital. These principles provided knowledge of how building and interior design affects the senses, including users' pain experience and stress levels. Read More

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http://dx.doi.org/10.1186/s12884-020-02983-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216688PMC

Gut microbiota in early pregnancy among women with Hyperglycaemia vs. Normal blood glucose.

BMC Pregnancy Childbirth 2020 May 11;20(1):284. Epub 2020 May 11.

Department of Endocrinology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Suzhou, 215000, China.

Background: Recent studies suggest that there is a link between the gut microbiota and glucose metabolism. This study aimed to compare the gut microbiota during early pregnancy of women with hyperglycymia to those with normal blood glucose.

Methods: Gut microbial composition was analysed in 22 women with hyperglycaemia and 28 age-matched healthy controls during their first prenatal visits (< 20 weeks) using high throughput sequencing of the V3-V4 region of the 16S ribosomal RNA gene. Read More

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http://dx.doi.org/10.1186/s12884-020-02961-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216510PMC

Pregnancy outcomes of patients with acute fatty liver of pregnancy: a case control study.

BMC Pregnancy Childbirth 2020 May 11;20(1):282. Epub 2020 May 11.

Department of Obstetrics and Gynecology, Beijing Youan Hospital, Capital Medical University, YouAn outer street No.8, Fengtai District, Beijing, 100006, China.

Background: Limited data exists regarding the pregnancy and infant outcomes of Acute Fatty Liver of Pregnancy (AFLP).

Methods: Retrospectively collected mothers with AFLP and mothers without AFLP in our center from 1/2008 to 6/2018. The primary assessment was to analyze and compare the frequency of negative maternal and fetal outcomes. Read More

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http://dx.doi.org/10.1186/s12884-020-02980-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216501PMC

Experiences of maternity care in New South Wales among women with mental health conditions.

BMC Pregnancy Childbirth 2020 May 11;20(1):286. Epub 2020 May 11.

Bureau of Health Information, Level 11, 67 Albert Avenue, Chatswood, NSW, 2067, Australia.

Background: High quality maternity care is increasingly understood to represent a continuum of care. As well as ensuring a positive experience for mothers and families, integrated maternity care is responsive to mental health needs of mothers. The aim of this paper is to summarize differences in women's experiences of maternity care between women with and without a self-reported mental health condition. Read More

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http://dx.doi.org/10.1186/s12884-020-02972-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216645PMC

Prevalence and factors associated with early initiation of breastfeeding among women in Moshi municipal, northern Tanzania.

BMC Pregnancy Childbirth 2020 May 11;20(1):285. Epub 2020 May 11.

Institute of Public Health, Department of Community Health, Kilimanjaro Christian Medical University College (KCMUCo), Moshi, Tanzania.

Background: Early initiation of breastfeeding (EIBF) is a predetermining factor for exclusive breastfeeding, and thus a foundation for optimal breastfeeding practices. Rates of EIBF are low globally (42%) and in Tanzania (51%), yet few studies have been done on this issue in Tanzania. This study aimed to determine the prevalence and factors associated with early initiation of breastfeeding among women in northern Tanzania. Read More

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http://dx.doi.org/10.1186/s12884-020-02966-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216396PMC

Intentions to use maternity waiting homes and associated factors in Northwest Ethiopia.

BMC Pregnancy Childbirth 2020 May 11;20(1):281. Epub 2020 May 11.

Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, P. O. Box, 196, Gondar, Ethiopia.

Background: Maternity Waiting Homes (MWHs) are residential facilities located within hospitals or health centers to accommodate women in their final weeks of pregnancy to bridge the geographical gap in obstetric care. Little is known, however, about women's intentions to use MWHs. Thus, this study aimed to assess pregnant women's intentions to use MWHs and associated factors in East Bellesa district, northwest Ethiopia. Read More

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http://dx.doi.org/10.1186/s12884-020-02982-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216713PMC
May 2020
2.190 Impact Factor

Defining preconception: exploring the concept of a preconception population.

BMC Pregnancy Childbirth 2020 May 7;20(1):280. Epub 2020 May 7.

Psychology, Faculty of Natural Sciences, University of Stirling, Stirling, FK9 4LA, UK.

Background: Health prior to conception can significantly impact offspring health, however, a clear definition of the attributes of the preconception population is currently lacking. We aimed to use existing literature to explore the concept and attributes of a preconception population by: [1] identifying characteristics and research recruitment methods; and [2] generating an attribute-based working definition of a preconception population.

Methods: A rapid review of current literature using CINAHL and the subject heading 'pre-pregnancy care' was conducted (Stage 1). Read More

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http://dx.doi.org/10.1186/s12884-020-02973-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7206804PMC

Postpartum visits in the gynecological emergency room: How can we improve?

BMC Pregnancy Childbirth 2020 May 7;20(1):278. Epub 2020 May 7.

Chaim Sheba Medical Center, Tel HaShomer Hospital, Ramat Gan, Israel.

Background: The attendance to the gynecological-emergency-room (GER) of women only a few weeks following previous discharge after birth comprises a medical as well as social problem. The objective of the study was to characterize the postpartum women that attended the GER, and depict the leading etiologies and risk-factors that lead them to attend the GER, and to examine correlations between their medical findings at discharge and the reasons for their attendance to the hospital.

Methods: All women that attended the GER between 01/01/2016 and 30/09/2016 during 6 weeks after birth were included. Read More

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http://dx.doi.org/10.1186/s12884-020-02927-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204226PMC

Persistent barriers to the use of maternal, newborn and child health services in Garissa sub-county, Kenya: a qualitative study.

BMC Pregnancy Childbirth 2020 May 7;20(1):277. Epub 2020 May 7.

Health and Systems for Health Research Unit, African Population and Health Research Center, P.O. Box 10787, Nairobi, 00100, Kenya.

Background: North Eastern Kenya has persistently had poor maternal, new-born and child health (MNCH) indicators. Barriers to access and utilisation of MNCH services are structural, individual and community-level factors rooted in sociocultural norms. A package of interventions was designed and implemented in Garissa sub-County aimed at creating demand for services. Read More

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http://dx.doi.org/10.1186/s12884-020-02955-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204007PMC
May 2020
2.190 Impact Factor

General methods for measuring and comparing medical interventions in childbirth: a framework.

BMC Pregnancy Childbirth 2020 May 7;20(1):279. Epub 2020 May 7.

Department of Economics and Management, University of Pisa, Pisa, Italy.

Background: The continue increase of interventions during labour in low risk population is a controversial issue of the current obstetric literature, given the lack of evidence demonstrating the benefits of unnecessary interventions for women or infants' health. This makes it important to have approaches to assess the burden of all medical interventions performed.

Methods: Exploiting the nature of childbirth intervention as a staged process, we proposed graphic representations allowing to generate alternative formulas for the simplest measures of the intervention intensity namely, the overall and type-specific treatment ratios. Read More

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http://dx.doi.org/10.1186/s12884-020-02945-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7203888PMC

Obstetric triage systems: a systematic review of measurement properties (Clinimetric).

BMC Pregnancy Childbirth 2020 May 6;20(1):275. Epub 2020 May 6.

Midwifery Department, Social Determinants of Health Research Center, Tabriz University of Medical sciences, Tabriz, Iran.

Background: Since labor and delivery units often serve as emergency units for pregnant women, the use of obstetric triage systems with poor or inadequate quality can lead to unintended consequences such as over and under-triage and so a waste of humans and financial resources. Therefore, this systematic review was conducted to evaluate the measurement properties of obstetric triage tools.

Methods: PubMed, EMBASE, and Medline were searched to identify studies in October 2018 and were updated in May 2019. Read More

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http://dx.doi.org/10.1186/s12884-020-02974-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7203833PMC
May 2020
2.190 Impact Factor

Perinatal outcomes of frequent attendance in midwifery care in the Netherlands: a retrospective cohort study.

BMC Pregnancy Childbirth 2020 May 6;20(1):269. Epub 2020 May 6.

Amsterdam UMC, Vrije Universiteit Amsterdam, Midwifery Science, AVAG, Amsterdam Public Health research institute, Van der Boechorststraat 7, 1081 HV, Amsterdam, The Netherlands.

Background: Over the last decade, a trend towards high utilisation of primary maternity care was observed in high-income countries. There is limited research with contradictory results regarding frequent attendance (FA) and perinatal outcomes in midwifery care. Therefore, this study examined possible associations between FA in midwifery care and obstetric interventions and perinatal outcomes. Read More

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http://dx.doi.org/10.1186/s12884-020-02957-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201569PMC

Prevalence of vulvovaginal candidiasis among pregnant women in the Ho municipality, Ghana: species identification and antifungal susceptibility of Candida isolates.

BMC Pregnancy Childbirth 2020 May 6;20(1):266. Epub 2020 May 6.

Microbiology Department, University of Ghana Medical School, Accra, Ghana.

Background: Candida is the leading cause of vaginitis, and 75% of women have at least one episode of infection in their lives, with pregnancy being a predisposing factor. If left untreated, vulvovaginal candidiasis (VVC) can lead to chorioamnionitis with subsequent abortion, prematurity and congenital infection of the neonate. We aimed to determine the prevalence of VVC, identify the recent and most frequently occurring species of Candida in pregnant women, and determine the most effective antifungal drug of choice for treatment. Read More

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http://dx.doi.org/10.1186/s12884-020-02963-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201979PMC
May 2020
2.190 Impact Factor

Management of a pregnant patient with chylomicronemia from a novel mutation in GPIHBP1: a case report.

BMC Pregnancy Childbirth 2020 May 6;20(1):272. Epub 2020 May 6.

Department of Obstetrics & Gynecology, the Seventh Affiliated Hospital of Sun Yat-Sen University, 628 Zhenyuan Road, Guangming District, Shenzhen, China.

Background: Familial chylomicronemia syndrome (FCS) is a rare autosomal recessive lipid disorder often associated with recurrent episodes of pancreatitis. It is documented in most cases with FCS due to the mutations of key proteins in lipolysis, including LPL, APOC2, APOA5, LMF1 and GPIHBP1.

Case Presentation: We report the successful management of a 35-year-old pregnant woman carrying a novel homozygous frameshift mutation c. Read More

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http://dx.doi.org/10.1186/s12884-020-02965-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201967PMC

Massive splenic cyst in pregnancy: case report.

BMC Pregnancy Childbirth 2020 May 6;20(1):273. Epub 2020 May 6.

Department of Obstetrics and Gynaecology, Royal Brisbane & Women's Hospital, Brisbane, Queensland, Australia.

Background: Primary splenic cysts are very rarely diagnosed in pregnancy, with only thirteen cases described in the literature. We examine the approach towards diagnosing and managing uniquely large abdominal masses that significantly complicate obstetric care.

Case Presentation: A 37-year-old primigravida woman presented with abdominal distension and discomfort, yet otherwise asymptomatic. Read More

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http://dx.doi.org/10.1186/s12884-020-02968-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201964PMC

"It is good, but I can't afford it …" potential barriers to adequate prenatal care among Afghan women in Iran: a qualitative study in South Tehran.

BMC Pregnancy Childbirth 2020 May 6;20(1):274. Epub 2020 May 6.

Department of Health Informatics, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

Background: An estimated 96% of registered refugees in Iran are Afghan. Almost half of them are young women at the reproductive age. The adequate maternity care is crucial for healthy pregnancy. Read More

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http://dx.doi.org/10.1186/s12884-020-02969-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201652PMC