3,898 results match your criteria perspectives pregnancy


Role of adenosine signaling in preeclampsia.

J Obstet Gynaecol Res 2021 Oct 17. Epub 2021 Oct 17.

Department of Obstetrics and Gynecology, Faculty of Medicine, The University of Tokyo, Tokyo, Japan.

Placenta-specific molecular basis that is responsible for the pathophysiology of preeclampsia (PE) remains to be fully understood. Adenosine, an endogenous nucleoside, is a signaling molecule that is induced under pathological conditions such as hypoxia and is involved in various diseases. Recent evidence on humans and animal models has demonstrated that enhanced placental adenosine signaling contributes to the development of PE. Read More

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October 2021

The rising incidence of heterotopic pregnancy: Current perspectives and associations with in-vitro fertilization.

Eur J Obstet Gynecol Reprod Biol 2021 Oct 4;266:138-144. Epub 2021 Oct 4.

Department of Obstetrics and Gynaecology, Newham University Hospital, Barts Health NHS Trust, London, UK.

Heterotopic pregnancy is the simultaneous occurrence of an intrauterine and ectopic pregnancy. This study aims to review the current literature regarding heterotopic pregnancy with a focus on its diagnosis and associations with in-vitro fertilization (IVF). Studies have shown that ovarian hyperstimulation syndrome and multiple embryo transfer during IVF are associated with an increased risk of heterotopic pregnancy. Read More

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October 2021

Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users' perspectives.

PLoS One 2021 14;16(10):e0258092. Epub 2021 Oct 14.

Department of Anesthesia, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia.

Background: Health system responsiveness refers to non-financial, non-clinical qualities of care that reflect respect for human dignity and interpersonal aspects of the care process. The non-clinical aspects of the health system are therefore essential to the provision of services to patients. Therefore, the main purpose of this study was to assess the responsiveness in maternity care, domain performance and factors associated with responsiveness in maternity care in the Hadiya Zone public Hospitals in Southern Ethiopia. Read More

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October 2021

The COVIDPregDK Study: A national survey on pregnancy during the early COVID-19 pandemic in Denmark.

Scand J Public Health 2021 Oct 12:14034948211048746. Epub 2021 Oct 12.

Open Patient data Explorative Network, Odense University Hospital, Denmark.

Aim: We aimed to describe the aim, data collection and content from a survey completed among pregnant women during the first peak of the COVID-19 pandemic in Denmark.

Methods: The declaration of the COVID-19 pandemic in early 2020 challenged pregnant women's mental well-being due to a concern for their unborn child and their need for healthcare services through pregnancy and birth. To explore how the COVID-19 pandemic and the intensified measures such as the lockdown of Denmark impacted pregnant women's well-being and mental health, we conducted a questionnaire survey in the spring of 2020 when the COVID-19 pandemic was at its first peak, and the consequences for pregnant women and the unborn child were very uncertain. Read More

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October 2021

Hospital Childbirth: Perspectives of Women and Professionals for a Positive Experience-A Qualitative Study.

Int J Environ Res Public Health 2021 Sep 29;18(19). Epub 2021 Sep 29.

Faculty of Medicine and Nursing, Department of Nursing II, University of the Basque Country, 20014 San Sebastian, Spain.

The perception and interpretation of childbirth are changing as values change. This requires women and professionals to adapt to new circumstances. The objective of this study was to analyze the perspectives of women and professionals on hospital birth and to identify improvement areas in order to achieve a positive perinatal experience. Read More

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September 2021

Promising perspectives on pregnancy in women with congenital heart disease.

Eur Heart J 2021 Oct 12. Epub 2021 Oct 12.

Department of Cardiology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.

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October 2021

Improving nutrition for the prevention of gestational diabetes: Current status and perspectives.

World J Diabetes 2021 Sep;12(9):1494-1506

Institute of Endocrinology, Almazov National Medical Research Centre, Saint Petersburg 194156, Russia.

Gestational diabetes mellitus (GDM) is a common complication of pregnancy and a serious public health problem. It carries significant risks of short-term and long-term adverse health effects for both mothers and their children. Risk factors, especially modifiable risk factors, must be considered to prevent GDM and its consequences. Read More

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September 2021

Understanding family planning decision-making: perspectives of providers and community stakeholders from Istanbul, Turkey.

BMC Womens Health 2021 10 9;21(1):357. Epub 2021 Oct 9.

Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Background: A number of factors may determine family planning decisions; however, some may be dependent on the social and cultural context. To understand these factors, we conducted a qualitative study with family planning providers and community stakeholders in a diverse, low-income neighborhood of Istanbul, Turkey.

Methods: We used purposeful sampling to recruit 16 respondents (eight family planning service providers and eight community stakeholders) based on their potential role and influence on matters related to sexual and reproductive health issues. Read More

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October 2021

Application of Bioactive Hydrogels for Functional Treatment of Intrauterine Adhesion.

Front Bioeng Biotechnol 2021 21;9:760943. Epub 2021 Sep 21.

Department of Obstetrics and Gynecology, The Second Hospital, Jilin University, Changchun, China.

Intrauterine adhesion (IUA) is a common endometrial disease and one of the main causes of infertility in women of childbearing age. Current treatment strategies, such as hysteroscopic adhesion resection, hysteroscopic transcervical resection of adhesion (TCRA), the use of local hormone drugs, and anti-adhesion scaffold implantation, do not provide a satisfactory pregnancy outcome for moderate-severe IUA, which presents a great challenge in reproductive medicine. With the development of material engineering, various bioactive and functional hydrogels have been developed using natural and synthetic biomaterials. Read More

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September 2021

COVID-19 Pandemic Impact on Cord Blood Collection for Stem Cell Use and Actual Perspectives.

Maedica (Bucur) 2021 Jun;16(2):189-193

Department of Obstetrics and Gynecology, Emergency University Hospital, Bucharest, Romania.

Cord blood collection for stem cell storage remains a popular procedure due to the advantages associated to it. In the last ten years, the therapeutic potential of umbilical cord stem cells was demonstrated in the treatment of bone pathologies, neuropsychiatry, metabolic and genetic diseases. There are several factors with direct influence on the quality and quantity of cord blood collection for stem cell storage. Read More

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Antenatal Doppler ultrasound implementation in a rural sub-Saharan African setting: exploring the perspectives of women and healthcare providers.

Reprod Health 2021 Oct 7;18(1):199. Epub 2021 Oct 7.

Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.

Background: The World Health Organization recommends research to evaluate the effects of a single third trimester Doppler ultrasound examination on preventable deaths in unselected-risk pregnancies, particularly in low- and middle-income countries (LMICs) where the evidence base is scarce. While evaluating such technologies, researchers often ignore women and health care provider perspectives. This study explored the views and experiences of women and healthcare providers regarding the use of advanced ultrasound technology to optimize the health of mothers and their babies in a rural community in mid-western Uganda. Read More

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October 2021

Business as usual during the COVID-19 pandemic? Reflections on state-wide trends in maternity telehealth consultations during lockdown in Victoria and New South Wales.

Aust N Z J Obstet Gynaecol 2021 Oct 5. Epub 2021 Oct 5.

Department of Obstetrics and Gynaecology, Mercy Hospital for Women, Mercy Health, Melbourne, Victoria, Australia.

COVID-19 has resulted in unprecedented changes to maternity care across Australia. This study aims to analyse trends in maternity consultations and the uptake of telehealth in Victoria and New South Wales (NSW) since the first restrictions to reduce COVID-19 transmission were implemented. From March 2020 to April 2021, a higher proportion of antenatal care consultations was delivered via telehealth in Victoria compared to NSW (13. Read More

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October 2021

Correlation between Exposure to Fine Particulate Matter (PM2.5) during Pregnancy and Congenital Anomalies: Its Surgical Perspectives.

J Korean Med Sci 2021 Oct 4;36(38):e236. Epub 2021 Oct 4.

Division of Pediatric Surgery, Department of Surgery, Pusan National University Yangsan Hospital, Gyeongnam, Korea.

Background: Fine particulate matter (PM) can easily penetrate blood vessels and tissues through the human respiratory tract and cause various health problems. Some studies reported that particular matter (PM) exposure during pregnancy is associated with low birth weight or congenital cardiovascular anomalies. This study aimed to investigate the correlation between the degree of exposure to PM ≤ 2. Read More

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October 2021

Addressing Learner-Centred Barriers to Sexuality Education in Rural Areas of South Africa: Learners' Perspectives on Promoting Sexual Health Outcomes.

Sex Res Social Policy 2021 Sep 29:1-17. Epub 2021 Sep 29.

Department of Health Studies, College of Human Sciences, University of South Africa, Pretoria, South Africa.

Introduction: The school-based sexuality education programmes in South Africa aim to improve the sexual and reproductive health of school-going adolescents. However, the high rate of unplanned pregnancy and sexually transmitted infections among learners in some schools in rural areas of King Cetshwayo district suggests that the programmes in these schools might not be effective due to certain learner-centred factors.

Method: This qualitative study explored lived experiences of 84 learners from nine public schools in 2020 through focus group interviews. Read More

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September 2021

Experiences and Perspectives From Women Taking Investigational Therapy for Hepatitis C Virus During Pregnancy.

Subst Abuse 2021 28;15:11782218211046261. Epub 2021 Sep 28.

Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh, Pittsburgh, PA, USA.

Objective: Describe the experiences and perspectives among pregnant people with chronic HCV infection receiving ledipasvir/sofosbuvir (LDV/SOF) therapy during pregnancy.

Methods: We conducted semi-structured, in-depth interviews within an open-label, phase 1 study of LDV/SOF therapy among pregnant people with chronic HCV infection. Participants took 12 weeks of LDV/SOF and were interviewed at enrollment and again at the end of treatment. Read More

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September 2021

Navigating with logics: Care for women with hypertensive disorders of pregnancy in a tertiary hospital in Ghana.

Soc Sci Med 2021 Sep 14;289:114402. Epub 2021 Sep 14.

Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, University of Utrecht, Utrecht, the Netherlands; Department of Obstetrics and Gynaecology, School of Medicine and Dentistry, University of Ghana, Accra, Ghana.

This paper explores how care for women with hypertensive disorders of pregnancy (HDP) is practiced in a tertiary hospital in Ghana. Partly in response to the persistently high maternal and neonatal mortality rates in Low- and Middle-income countries, efforts to improve quality of maternity care have increased. Quality improvement initiatives are shaped by the underlying conceptualisation of quality of care, often driven by global (WHO) standards and protocols. Read More

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September 2021

Men and sexual and reproductive healthcare in the Nordic countries: a scoping review.

BMJ Open 2021 Sep 30;11(9):e052600. Epub 2021 Sep 30.

Department of Epidemiology and Global Health, Umeå University Faculty of Medicine, Umea, Sweden.

Context: Men generally seek healthcare less often than women and, other than traditional gender norms, less is known about the explanation. The aim was to identify knowledge gaps and factors influencing men regarding sexual and reproductive healthcare (SRHC) in the Nordic countries.

Methods: We searched PubMed and SveMed+ for peer-reviewed articles published between January 2010 and May 2020. Read More

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September 2021

Concerns about transmission, changed services and place of birth in the early COVID-19 pandemic: a national survey among Danish pregnant women. The COVIDPregDK study.

BMC Pregnancy Childbirth 2021 Sep 30;21(1):664. Epub 2021 Sep 30.

OPEN - Open Patient Data Explorative Network, Department of Clinical Research, University of Southern Denmark, and Odense University Hospital, Odense, Denmark.

Background: The outbreak of the COVID-19 pandemic caused great uncertainty about causes, treatment and mortality of the new virus. Constant updates of recommendations and restrictions from national authorities may have caused great concern for pregnant women. Reports suggested an increased number of pregnant women choosing to give birth at home, some even unassisted ('freebirth') due to concerns of transmission in hospital or reduction in birthplace options. Read More

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September 2021

Informal payments for family planning: prevalence and perspectives of women, providers, and health sector key informants in western Kenya.

Sex Reprod Health Matters 2021 Dec;29(1):1-17

Director, Kisumu County Department of Health, Kisumu, Kenya; Doctoral Student, Institute of Tropical Medicine, Antwerp, Belgium.

Informal payments are off-the-record financial transactions made by patients to their healthcare providers. Providers in low- and middle-income countries solicit informal payments from patients to purchase additional supplies, supplement wages, or for other reasons. Informal payments reduce equitable access to healthcare services and undermine efforts to ensure universal health coverage. Read More

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December 2021

"The Mental Health Piece is Huge": perspectives on developing a prenatal maternal psychological intervention for congenital heart disease.

Cardiol Young 2021 Sep 30:1-8. Epub 2021 Sep 30.

Department of Psychological and Brain Sciences, George Washington University, Washington, DC, USA.

Objectives: Women carrying a fetus diagnosed with congenital heart disease often experience significant distress because of their medical diagnosis. Given the well-documented impact associated with elevated prenatal stress and critical importance of developing targeted interventions, this study aims to examine stressors, coping and resilience resources, and mental health treatment preferences in pregnant women receiving a congenital heart disease diagnosis to inform the development of a psychological intervention to reduce maternal distress prenatally.

Methods: Three groups of participants were included consisting of two pregnant women carrying a fetus with congenital heart disease, five women of children (4-16 months) with congenital heart disease, and five paediatric cardiology medical providers. Read More

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September 2021

Professional learning using storytelling videos of childbirth experiences: A qualitative pilot study of student midwives' perceptions in Myanmar.

Jpn J Nurs Sci 2021 Sep 28:e12456. Epub 2021 Sep 28.

St. Luke's International University, Tokyo, Japan.

Aims: To explore and describe Myanmar student midwives' perceptions of professional learning using storytelling videos of women's childbirth experiences by conducting a qualitative study and to assess potential pedagogical uses of storytelling videos in midwifery education.

Methods: This pilot study used a qualitative content analysis study design implemented as part of the Diversity and commonalities of birth from women's voice sharing project of the Toyota Foundation. Storytelling videos of the childbirth experiences of seven Asian women (three Myanmar, three Lao, and one Japanese women) were viewed by the students. Read More

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September 2021

Screening for Alcohol Use in Pregnancy: a Review of Current Practices and Perspectives.

Int J Ment Health Addict 2021 Sep 22:1-20. Epub 2021 Sep 22.

Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, 33 Ursula Franklin Street, Toronto, ON M5S 2S1 Canada.

Global trends of increasing alcohol consumption among women of childbearing age, social acceptability of women's alcohol use, as well as recent changes in alcohol use patterns due to the COVID-19 pandemic may put many pregnancies at higher risk for prenatal alcohol exposure (PAE), which can cause fetal alcohol spectrum disorder (FASD). Therefore, screening of pregnant women for alcohol use has become more important than ever and should be a public health priority. This narrative review presents the state of the science on various existing prenatal alcohol use screening strategies, including the clinical utility of validated alcohol use screening instruments. Read More

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September 2021

Agency under constraint: Adolescent accounts of pregnancy and motherhood in informal settlements in South Africa.

Glob Public Health 2021 Sep 26:1-14. Epub 2021 Sep 26.

Department of Oncology and Metabolism, Academic Unit of Reproductive and Developmental Medicine-Obstetrics and Gynaecology, The University of Sheffield, Sheffield, UK.

Progress in adolescent sexual and reproductive health (SRH) remains unequal: adolescent pregnancies are more likely to occur in marginalised communities, or in very poor households. This study aimed to comprehend from adolescents' own perspectives, the circumstances of falling pregnant and coping with motherhood in informal settlements in South Africa, to better understand the SRH challenges adolescents in these settings may face. A qualitative study was carried out over a two-month period in 2019 to analyse the perceptions held by adolescents in informal settlements served by four community-level clinics in the adjacent township. Read More

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September 2021

Metabolic Reprogramming of Immune Cells at the Maternal-Fetal Interface and the Development of Techniques for Immunometabolism.

Front Immunol 2021 9;12:717014. Epub 2021 Sep 9.

Shenzhen Key Laboratory for Reproductive Immunology of Peri-Implantation, Shenzhen Zhongshan Institute for Reproduction and Genetics, Shenzhen Zhongshan Urology Hospital, Shenzhen, China.

Immunity and metabolism are interdependent and coordinated, which are the core mechanisms for the body to maintain homeostasis. In tumor immunology research, immunometabolism has been a research hotspot and has achieved groundbreaking changes in recent years. However, in the field of maternal-fetal medicine, research on immunometabolism is still lagging. Read More

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September 2021

Oral Progestins in Hormonal Contraception: Importance and Future Perspectives of a New Progestin Only-Pill Containing 4 mg Drospirenone.

Geburtshilfe Frauenheilkd 2021 Sep 14;81(9):1021-1030. Epub 2021 Jun 14.

Medical Director Exeltis Europe, Ismaning, Germany.

Hormonal contraceptives are an effective and safe method for preventing pregnancy. Progestins used in contraception are either components of combined hormonal contraceptives (tablets, patches or vaginal rings) or are used as a single active ingredient in progestin mono-preparations (the progestin-only pill (POP), implants, intrauterine systems or depot preparations). Progestins are highly effective in long-term contraception when used properly, and have a very good safety profile with very few contraindications. Read More

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September 2021

What is a 'serious' genetic condition? The perceptions of people living with genetic conditions.

Eur J Hum Genet 2021 Sep 27. Epub 2021 Sep 27.

Warwick Medical School, University of Warwick, CV4 7HL, Coventry, UK.

Despite no consensus on the definition of 'seriousness', the concept is regularly used in policy and practice contexts to categorise conditions, determine access to genetic technologies and uses of selective pregnancy termination. Whilst attempts have been made to create taxonomies of genetic condition seriousness to inform clinical and policy decision-making, these have often relied on condition appraisals made by health and genetics professionals. The views of people with genetic conditions have been largely under-represented. Read More

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September 2021

Diné (Navajo) female perspectives on mother-daughter communication and cultural assets around the transition to womanhood: a cross-sectional survey.

BMC Womens Health 2021 09 25;21(1):341. Epub 2021 Sep 25.

Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.

Background: The inclusion of protective factors ("assets") are increasingly supported in developing culturally grounded interventions for American Indian (AI) populations. This study sought to explore AI women's cultural assets, perspectives, and teachings to inform the development of a culturally grounded, intergenerational intervention to prevent substance abuse and teenage pregnancy among AI females.

Methods: Adult self-identified AI women (N = 201) who reside on the Navajo Nation completed a cross-sectional survey between May and October 2018. 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

Interaction networks between the Fallopian tubes and the embryo in human tubal pregnancy: Current knowledge and perspectives.

J Obstet Gynaecol Res 2021 Sep 23. Epub 2021 Sep 23.

Department of Gynaecology, Longgang District Maternal and Child Healthcare Hospital of Shenzhen City, Shenzhen City, China.

Aim: More than 90% of ectopic pregnancies occur in the Fallopian tubes. As the pathogenesis of tubal pregnancy remains largely unclear, the development of strategies to prevent and treat tubal pregnancy still represents a major clinical challenge. This review thoroughly summarizes the current data, aiming to determine the genes and signaling pathways that are involved in the pathophysiology of human tubal pregnancy. Read More

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September 2021

Partners of female patients with rheumatoid arthritis and reproductive decision-making: a constructivist grounded theory study.

Rheumatol Adv Pract 2021 21;5(3):rkab040. Epub 2021 Jun 21.

Faculty of Pharmaceutical Sciences, University of British Columbia.

Objective: Partners of patients with RA often take on supportive roles given the debilitating nature of RA. Our objective was to explore the perspectives, attitudes and experiences of partners of female patients with RA regarding reproductive experiences and decision-making.

Methods: We conducted a qualitative study involving semi-structured interviews with partners of female patients with RA. Read More

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