32,911 results match your criteria impact maternal


Neighborhood deprivation and preterm delivery during the coronavirus 2019 pandemic.

Am J Obstet Gynecol MFM 2021 Sep 22:100493. Epub 2021 Sep 22.

Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.

Background: Prior studies have reported decreases in preterm delivery (PTD) incidence during the coronavirus 2019 (COVID-19) pandemic, however findings are inconsistent. Given wide disparities in the pandemic's impact across communities, neighborhood deprivation may explain observed variation in the relationship between the COVID-19 pandemic and preterm delivery.

Objective: To characterize changes in the incidence of PTD during the COVID-19 pandemic with attention to effect modification introduced by neighborhood hardship. Read More

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September 2021

Brief Hydromorphone Exposure During Pregnancy Sufficient to Induce Maternal and Neonatal Microbial Dysbiosis.

J Neuroimmune Pharmacol 2021 Sep 25. Epub 2021 Sep 25.

Department of Microbiology and Immunology, University of Miami Miller School of Medicine, Miami, FL, 33136, USA.

Prenatal opioid exposure is associated with significantly adverse medical, developmental, and behavioral outcomes in offspring, though the underlying mechanisms driving these impairments are still unclear. Accumulating evidence implicates gut microbial dysbiosis as a potential modulator of these adverse effects. However, how opioid exposure during pregnancy alters the maternal and neonatal microbiome remain to be elucidated. Read More

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September 2021

Pelvic floor dysfunction after vaginal delivery: MOODS-a prospective study.

Int Urogynecol J 2021 Sep 25. Epub 2021 Sep 25.

Department of Obstetrics and Gynecology, Hospital de Braga, Sete Fontes - São Victor, 4710-243, Braga, Portugal.

Introduction And Hypothesis: Labor is a known risk factor for pelvic floor dysfunction (PFD); however, the impact of operative vaginal delivery (OVD), particularly spatulas, remains unclear. The aim of this study was to compare postpartum PFD symptoms in women undergoing spontaneous vaginal delivery (SVD) and those undergoing OVD.

Methods: An observational prospective study (MOODS: Maternal-neonatal Outcomes in Operative Vaginal Delivery) was enrolled at Hospital de Braga from February to October 2018. Read More

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September 2021

Parental perceptions of genetic testing for children with autism spectrum disorders.

Am J Med Genet A 2021 Sep 25. Epub 2021 Sep 25.

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA.

Children with autism spectrum disorder (ASD) routinely undergo genetic testing (GT) to identify the causative genetic etiology of their ASD. As there are questions about the impact of GT beyond clinical diagnosis, we conducted a mixed methods study to assess the perceived benefits of GT by exploring factors that lead parents to pursue these tests and the benefits experienced. Respondents were part of a pretest or posttest group. Read More

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September 2021

Association of vaginal dysbiosis and gestational diabetes mellitus with adverse perinatal outcomes.

Int J Gynaecol Obstet 2021 Sep 24. Epub 2021 Sep 24.

Interdisciplinary Biotechnology Unit, Faculty of Life Sciences, AMU, Aligarh, UP, India.

Objective: Gestational diabetes mellitus (GDM) is associated with adverse perinatal outcomes and is an independent risk factor for vaginal dysbiosis. Understanding vaginal microbiota in health and disease is essential to screen, detect and manage complications of pregnancy. So, we planned this study with the aim to assess and compare the vaginal dysbiosis in pregnancies with and without GDM and examine its impact on perinatal outcomes in our population. Read More

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September 2021

The effect of coronavirus disease 2019 on newborns.

Curr Opin Pediatr 2021 Sep 24. Epub 2021 Sep 24.

Department of Pediatrics Department of Psychiatry Nurture Science Program, Columbia University Irving Medical Center, New York, New York, USA.

Purpose Of Review: To evaluate the available literature regarding effects of coronavirus disease 2019 (COVID-19) on newborns, ranging from effects related to in utero and perinatal exposure to maternal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, to pandemic-related stress and socioeconomic changes.

Recent Findings: Several large studies and national registries have shown that the risk of vertical transmission from SARS-CoV-2-infected mothers to newborns is rare and does not appear to be related to postnatal care policies such as mother-newborn separation and breastfeeding. Newborns exposed to SARS-CoV-2 in utero are at higher risk for preterm delivery for reasons still under investigation. Read More

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September 2021

Society, family, and individual characteristics as double-edged swords in the social reintegration of Iranian female survivors from unintentional severe burns: a qualitative study of enablers and barriers.

BMC Womens Health 2021 Sep 24;21(1):339. Epub 2021 Sep 24.

Patient Safety Research Centre, Urmia University of Medical Sciences, Urmia, Iran.

Background: Reintegrating to society is a significant challenge during burn survivors' rehabilitation.

Aim: This study aims to describe what Iranian female survivors from unintentional severe burns experience as enablers and barriers of social reintegration (SR).

Methods: Fourteen adult female burn survivors whose burns were unintentional participated in this qualitative study. Read More

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September 2021

Psychiatric emergency admissions during and after COVID-19 lockdown: short-term impact and long-term implications on mental health.

BMC Psychiatry 2021 Sep 24;21(1):465. Epub 2021 Sep 24.

Faculty of Medicine, University of Geneva (UNIGE), 1206, Geneva, Switzerland.

Background: The 'lockdown' measures, adopted to restrict population movements in order to help curb the novel coronavirus disease 2019 (COVID-19) pandemic, contributed to a global mental health crisis. Although several studies have extensively examined the impact of lockdown measures on the psychological well-being of the general population, little is known about long-term implications. This study aimed to identify changes in psychiatric emergency department (ED) admissions between two 8-week periods: during and immediately after lifting the lockdown. Read More

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September 2021

Risk factors for obstetric anal sphincter injuries recurrence: a systematic review and meta-analysis.

Int J Gynaecol Obstet 2021 Sep 24. Epub 2021 Sep 24.

ASST Monza, San Gerardo Hospital, Monza, Italy.

Background: Women with previous obstetric anal sphincter injuries (OASIs) are at higher risk to suffer from a recurrence in the subsequent pregnancy which may lead to the development or worsening of anal incontinence. Due to lack of evidence, few recommendations can be made about the factors that may affect the risk of OASIs recurrence.

Objective: We sought to conduct a systematic review and meta-analysis to investigate potential risk factors for recurrent OASIs. Read More

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September 2021

Global research priorities for COVID-19 in maternal, reproductive and child health: Results of an international survey.

PLoS One 2021 24;16(9):e0257516. Epub 2021 Sep 24.

Institute for Infection and Immunity, St George's, University of London, London, United Kingdom.

Background: The World Health Organization's "Coordinated Global Research Roadmap: 2019 Novel Coronavirus" outlined the need for research that focuses on the impact of COVID-19 on pregnant women and children. More than one year after the first reported case significant knowledge gaps remain, highlighting the need for a coordinated approach. To address this need, the Maternal, Newborn and Child Health Working Group (MNCH WG) of the COVID-19 Clinical Research Coalition conducted an international survey to identify global research priorities for COVID-19 in maternal, reproductive and child health. Read More

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September 2021

Inpatient with an Anxious School Refusal: A Retrospective Study.

Psychiatr Danub 2021 Sep;33(Suppl 9):69-74

Department of Child Psychiatry, Queen Fabiola University Children Hospital, 15 Avenue Jean Joseph Crocq, 1020, Brussels, Belgium,

Background: School refusal has an impact on the mental health and on future of young people. This phenomenon cannot only be linked to school dysfunction but must be considered in a larger set of processes. Recent studies propose an understanding of school refusal in terms of psychopathology and individual functioning as well as in terms of associated environmental and family factors. Read More

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September 2021

Low Heritability but Significant Early Environmental Effects on Resting Metabolic Rate in a Wild Passerine.

Am Nat 2021 Oct 23;198(4):551-560. Epub 2021 Aug 23.

AbstractPredicting the impact of climate change on biodiversity requires understanding the adaptation potential of wild organisms. Evolutionary responses depend on the additive genetic variation associated with the phenotypic traits targeted by selection. We combine 5 years of cross-fostering experiments, measurements of resting metabolic rate (RMR) on nearly 200 wild collared flycatcher () nestlings, and animal models using a 17-year pedigree to evaluate the potential for an evolutionary response to changing environmental conditions. Read More

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October 2021

From Requisite to Right: Assessing and Addressing Paid Maternity Leave in US Psychiatry Residency Programs.

Acad Psychiatry 2021 Sep 24. Epub 2021 Sep 24.

University of Maryland School of Medicine/Sheppard Pratt, Baltimore, MD, USA.

Objective: Data on the physical and mental health benefits of paid maternity leave for mothers and infants is abundant. Data on the make-up of current maternity leave policies in US psychiatry residency programs is not. This survey of program directors was undertaken to assess the components of their program's policies and the perceived impact of maternity leave on the training of childbearing residents, co-residents, and programs. Read More

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September 2021

A real-world study of Alemtuzumab in a cohort of Italian patients.

Eur J Neurol 2021 Sep 24. Epub 2021 Sep 24.

Neuro-immunology and Neuromuscolar Diseases Unit, IRCCS Foundation Carlo Besta Neurological Institute, Milano.

Background: Real-world data on Alemtuzumab are limited and do not provide evidence on its effectiveness after different Disease Modifying Therapies (DMTs). Our aim was to provide real-world data on the impact of clinical variables and previous DMTs on clinical response to Alemtuzumab.

Methods: Sixteen Italian MS-centers retrospectively included patients who started Alemtuzumab from January 2015 to December 2018, and recorded demographics, previous therapies, washout duration, relapses, EDSS, and MRI data. Read More

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September 2021

Italian neonatal transport changed during the pandemic due to some hospitals being re-designated for COVID-19 cases.

Acta Paediatr 2021 Sep 24. Epub 2021 Sep 24.

Neonatal Intensive Care Unit, Department Mother&Child, IRCCS Gaslini, University of Genoa, Largo G. Gaslini, 5, 16147, Genoa, Italy.

COVID-19 has had a significant impact on Italian healthcare, including perinatal care. We describe the effects on the Italian neonatal emergency transport system (NETS) from the first lockdown in March 2020 to the end of December 2020. Read More

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September 2021

Purebred-crossbred genetic parameters for reproductive traits in swine.

J Anim Sci 2021 Sep 24. Epub 2021 Sep 24.

Department of Animal Science, Iowa State University, Ames IA, USA.

For swine breeding programs, testing and selection programs are usually within purebred (PB) populations located in nucleus units that are generally managed differently and tend to have a higher health level than the commercial herds in which the crossbred (CB) descendants of these nucleus animals are expected to perform. This approach assumes that PB animals selected in the nucleus herd will have CB progeny that have superior performance at the commercial level. There is clear evidence that this may not be the case for all traits of economic importance and, thus, including data collected at the commercial herd level may increase the accuracy of selection for commercial CB performance at the nucleus level. Read More

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September 2021

Cervical cytopathological changes in pregnancy: An experience from a low resource setting.

Ann Afr Med 2021 Jul-Sep;20(3):212-221

Department of Community Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria.

Background: Cervical cancer is the leading cause of death among women in developing countries. It is preventable through effective cervical cancer screening program. However, in Nigeria, screening programs are opportunistic and coverage is insufficient to make an impact. Read More

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September 2021

Predictive value of vascular endothelial growth factor and placenta growth factor for placenta accreta spectrum.

J Obstet Gynaecol 2021 Sep 24:1-6. Epub 2021 Sep 24.

Maternal-Fetal Medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

This study aimed to assess the maternal features, Vascular Endothelial Growth Factor (VEGF) and Placenta Growth Factor (PLGF) in the Placenta Accreta Spectrum (PAS); then, to determine a predictive value of VEGF and PLGF in the PAS. This prospective case-control study was conducted on 90 pregnant women including 45 PAS, and 45 Normal Placenta (NP). Maternal age, gravidity, C/S, and serum levels of VEGF and PLGF were assessed between NP and PAS, and among NP and PAS sub-groups, including Placenta Accreta (PA), Placenta Increta (PI), and Placenta Percreta (PP). Read More

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September 2021

Role of male partners in the long-term well-being of women who have experienced severe pre-eclampsia and eclampsia in rural Tanzania: a qualitative study.

J Obstet Gynaecol 2021 Sep 24:1-8. Epub 2021 Sep 24.

Anthropology Department, University of Amsterdam, Amsterdam, The Netherlands.

Men can be essential sources of support in maternal health, even more so in case of severe acute maternal morbidity (SAMM), affecting 1-2% of childbearing women in low-resource settings. In a qualitative study using semi-structured interviews, we explored the perspectives of nine male partners of women who suffered from (pre-)eclampsia six to seven years earlier in rural Tanzania. Male partners considered their role to be pivotal regarding finances, decision-making in healthcare-seeking and family planning and provided physical and emotional support. Read More

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September 2021

Family Members' Perceptions of Their Psychological Responses One Year Following Pediatric Intensive Care Unit (PICU) Hospitalization: Qualitative Findings From the Caring Intensively Study.

Front Pediatr 2021 7;9:724155. Epub 2021 Sep 7.

School of Nursing, Faculty of Health, Dalhousie University, Halifax, NS, Canada.

PICU hospitalization can have a profound impact on child survivors and their families. There is limited research on children's long-term recovery within the context of the family following critical illness. This study aimed to explore children's and parents' perceptions of long-term psychological and behavioral responses within the context of the family one year following PICU hospitalization. Read More

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September 2021

Associations Between Maternal Immunisation and Reduced Rates of Preterm Birth and Stillbirth: A Population Based Retrospective Cohort Study.

Front Immunol 2021 7;12:704254. Epub 2021 Sep 7.

The Ritchie Centre, Department of Obstetrics and Gynaecology, Monash University, Clayton, VIC, Australia.

Stillbirth and preterm birth (PTB) remain two of the most important, unresolved challenges in modern pregnancy care. Approximately 10% of all births are preterm with nearly one million children dying each year due to PTB. It remains the most common cause of death among children under five years of age. Read More

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September 2021

Decreased head circumference at birth associated with maternal tobacco smoke exposure during pregnancy on the Japanese prospective birth cohort study.

Sci Rep 2021 Sep 23;11(1):18949. Epub 2021 Sep 23.

Center for Preventive Medical Sciences, Chiba University, 1-33 Yayoi-cho, Inage-ku, Chiba-shi, Chiba, 263-8522, Japan.

Maternal tobacco smoke exposure during pregnancy impairs fetal body size, including head circumference (HC) at birth; however, the mechanism still remains unclear. This analysis using a large prospective cohort study evaluated the impact of maternal tobacco exposure on their offspring's HC and the relationship with placental weight ratio (PWR) and placental abnormalities. Parents-children pairs (n = 84,856) were included from the 104,065 records of the Japan Environmental and Children's Study. Read More

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September 2021

'It was hell in the community': a qualitative study of maternal and child health care during health care worker strikes in Kenya.

Int J Equity Health 2021 Sep 23;20(1):210. Epub 2021 Sep 23.

Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.

Background: Health care workers in Kenya have launched major strikes in the public health sector in the past decade but the impact of strikes on health systems is under-explored. We conducted a qualitative study to investigate maternal and child health care and services during nationwide strikes by health care workers in 2017 from the perspective of pregnant women, community health volunteers (CHVs), and health facility managers.

Methods: We conducted in-depth interviews and focus group discussions (FGDs) with three populations: women who were pregnant in 2017, CHVs, and health facility managers. Read More

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September 2021

Patient decision aid for trial of labor after cesarean (TOLAC) versus planned repeat cesarean delivery: a quasi-experimental pre-post study.

BMC Pregnancy Childbirth 2021 Sep 23;21(1):650. Epub 2021 Sep 23.

Division of General Obstetrics and Gynecology, University of North Carolina Chapel Hill, Chapel Hill, NC, USA.

Objective: To assess the impact of a web-based decision aid on patient-centered decision making outcomes among women considering a trial of labor after cesarean (TOLAC) versus planned repeat cesarean delivery.

Methods: The Birth Decision Aid Study (B-READY) was a quasi-experimental pre-post study of two sequential cohorts. From June 18, 2018 to July 31, 2019, 50 women were enrolled in routine care, followed by 50 women who were enrolled in the decision aid group. Read More

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September 2021

Stress level and general mental state in Polish pregnant women during COVID-19 pandemic.

J Reprod Infant Psychol 2021 Sep 23:1-18. Epub 2021 Sep 23.

Department and Clinic of Psychiatry, Wroclaw Medical University, Wroclaw, Poland.

Introduction: COVID-19 pandemic may contribute to mental state worsening. Mental health disorders in pregnancy are known to have adverse outcomes both for mothers and their children. It is the first study in Poland to investigate the impact of the pandemic on stress level and general mental state in pregnant women. Read More

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September 2021

The parents are watching: Midwifery students' perceptions of how workplace bullying impacts mothers and babies.

Midwifery 2021 Sep 14;103:103144. Epub 2021 Sep 14.

School of Nursing, Midwifery and Social Sciences, CQUniversity Australia, QLD, Australia. Electronic address:

Problem: Bullying in the midwifery profession has been documented and the problem is now known to extend to the poor treatment of midwifery students. In nursing, research has shown that bullying in the clinical workplace can adversely impact on quality of care. To date, no research has explored whether the bullying of midwifery students has secondary impacts on the experiences and care of mothers, babies, and their support persons. Read More

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September 2021

Changes in maternal fecal corticosterone metabolites across lactation and in response to chronic stress.

Gen Comp Endocrinol 2021 Sep 20:113916. Epub 2021 Sep 20.

Department of Animal, Veterinary and Food Sciences, University of Idaho, Moscow, Idaho. Electronic address:

Maternal exposure to stressors during lactation has previously been demonstrated to impact various aspects of milk synthesis and to have long-term physiological effects on offspring. Much of the current literature investigating the effects of stress during lactation has used acute stressors, and the studies investigating the effects of chronic stressors largely focus on neurological changes. Further, temporal variation in glucocorticoids across lactation in response to stressors has rarely been assessed. Read More

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September 2021

My Baby's Movements: a stepped-wedge cluster-randomised controlled trial of a fetal movement awareness intervention to reduce stillbirths.

BJOG 2021 Sep 23. Epub 2021 Sep 23.

Liggins Institute, University of Auckland, Auckland, New Zealand.

Objective: The My Baby's Movements (MBM) trial aimed to evaluate the impact on stillbirth rates of a multifaceted awareness package (MBM intervention).

Design: Stepped-wedge cluster-randomised controlled trial.

Setting: Twenty-seven maternity hospitals in Australia and New Zealand. Read More

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September 2021

A prospective population-based multicentre study on the impact of maternal body mass index on adverse pregnancy outcomes: Focus on normal weight.

PLoS One 2021 23;16(9):e0257722. Epub 2021 Sep 23.

Department of Obstetrics and Gynaecology, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands.

Background: Maternal body mass index (BMI) below or above the reference interval (18.5-24.9 kg/m2) is associated with adverse pregnancy outcomes. Read More

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September 2021