76,792 results match your criteria pregnancy postpartum


Cost of intimate partner violence during pregnancy and postpartum to health services: a data linkage study in Queensland, Australia.

Arch Womens Ment Health 2021 Apr 15. Epub 2021 Apr 15.

Transforming Maternity Care Collaborative, Griffith University, Southport, 4215, QLD, Australia.

To quantify health service costs of intimate partner violence (IPV) during pregnancy and postpartum; and to compare health service costs between women who reported IPV, versus women who did not report IPV. This was a cohort study using linked data for a publicly funded Australian tertiary hospital maternity service. Participants included all women accessing antenatal services between August 2016 and August 2018. Read More

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Comparison of Methods to Reduce Bias From Clinical Prediction Models of Postpartum Depression.

JAMA Netw Open 2021 Apr 1;4(4):e213909. Epub 2021 Apr 1.

Center for Computational Health, IBM Research, Cambridge, Massachusetts.

Importance: The lack of standards in methods to reduce bias for clinical algorithms presents various challenges in providing reliable predictions and in addressing health disparities.

Objective: To evaluate approaches for reducing bias in machine learning models using a real-world clinical scenario.

Design, Setting, And Participants: Health data for this cohort study were obtained from the IBM MarketScan Medicaid Database. Read More

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Unplanned pregnancy and awareness of emergency contraception: a postpartum period survey.

Eur J Contracept Reprod Health Care 2021 Apr 15:1-6. Epub 2021 Apr 15.

Department of Obstetrics and Gynaecology, Etlik Zubeyde Hanim Women's Health Training and Research Hospital, Ankara, Turkey.

Objectives: The study aimed to determine the awareness of emergency contraception (EC) and knowledge of its use as well as the unplanned pregnancy rate among women in the immediate postpartum period in Ankara, Turkey's second largest city.

Methods: Interviews were carried out among 1955 women on their first or second day postpartum. The interview was based on a questionnaire containing 19 questions covering participants' awareness and experience of using EC as well as their future approach to its use. Read More

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Usefulness of cutoff points of the IADPSG criteria for prediction of postpartum diabetes and prediabetes among Chinese women with gestational diabetes.

Diabetes Metab Res Rev 2021 Apr 14. Epub 2021 Apr 14.

Department of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin, China.

Aims: This study tests whether cutoff points of the International Association of Diabetes and Pregnancy Study Group's (IADPSG) criteria had threshold effects on postpartum prediabetes and diabetes among Chinese pregnant women with gestational diabetes mellitus (GDM).

Materials And Methods: A total of 507 out of 1000 women with GDM (948 of them enrolled in a lifestyle trial during pregnancy) turned up for the follow-up study and underwent a 75-g 2-h OGTT. GDM was diagnosed based on the IADPSG's criteria while postpartum diabetes and prediabetes were defined by the World Health Organization's. Read More

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Effect of SARS-CoV-2 Infection on Pregnancy Outcomes in an Inner-City Black Patient Population.

J Community Health 2021 Apr 15. Epub 2021 Apr 15.

Department of Obstetrics and Gynecology, Downstate Health Sciences University, State University of New York (SUNY), 450 Clarkson Ave MSC24, Brooklyn, NY, 11203, USA.

While data have shown that Black populations are disproportionately affected by COVID-19, few studies have evaluated birth outcomes in these understudied populations. This study hypothesized that SARS-CoV-2 infection would confer worse maternal and neonatal outcomes in a predominantly Black and underserved population in Brooklyn, New York City. In particular, SARS-CoV-2 is associated with higher rates of preterm birth, cesarean delivery, postpartum hemorrhage, lower APGAR scores, and neonatal resuscitation. Read More

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Time to recovery from Eclampsia and its determinants in east Gojjam zone hospitals, Amhara, Ethiopia, 2017/18.

BMC Pregnancy Childbirth 2021 Apr 14;21(1):301. Epub 2021 Apr 14.

Department of Public Health, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.

Background: Eclampsia is a tonic clonic type of seizure among pre-eclamptic mothers. Time to recovery from eclampsia is to mean that the time when the mother recovered from severity features of pre-eclampsia. As far as the mother is not free from severity features, she is in a potential to end-up with repeated seizure (eclampsia). Read More

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The effect of different diagnostic timings and types of placenta accreta on the pregnancy outcome.

Indian J Pathol Microbiol 2021 Apr-Jun;64(2):288-293

Department of Obstetrics and Gynecology, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.

Objectives: To explore the effects of maternal and fetal outcomes after different diagnostic timings of placenta accreta and its types.

Methods: We retrospectively collected the clinical information of 1178 pregnant women with placenta accreta in Fujian Maternity and Children Health Hospital from January 2012 to January 2017. According to the different diagnostic timings of placenta accreta, they were divided into groups of prenatal diagnosis and postpartum diagnosis; and according to the types of placenta accreta, they were divided into groups of accreta group, increta group, and percreta group. Read More

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[Special pathologies of pregnant patients in intensive care medicine].

Anaesthesist 2021 Apr 13. Epub 2021 Apr 13.

Klinik für Anästhesiologie, Universitätsmedizin Mainz, Mainz, Deutschland.

As the incidence of diseases during pregnancy that necessitate intensive medical care is very low, intensive care physicians are faced with a multitude of unfamiliar challenges in the treatment of these patients. The physiological and pathophysiological alterations during pregnancy induce some specific features with respect to the intensive medical treatment of pregnant or postpartum patients. After the most important principles and current recommendations on the care of pregnant or postpartum patients who need intensive medical treatment were dealt with in the first article in this CME series, the second article focuses on the diagnostics and treatment of special selected pathologies. Read More

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[Principles of intensive medical care in pregnant patients].

Anaesthesist 2021 Apr 13. Epub 2021 Apr 13.

Klinik für Anästhesiologie, Universitätsmedizin Mainz, Mainz, Deutschland.

As the incidence of diseases during pregnancy or in the puerperium necessitating intensive medical care is very low, intensive care physicians are faced with a multitude of unfamiliar challenges in the treatment of this patient collective. The physiological and pathophysiological alterations during pregnancy induce some specific features with respect to the intensive medical treatment of pregnant or postpartum patients. Therefore, the first article in this CME series summarizes the most important principles and current recommendations on the care of pregnant or postpartum patients who need intensive medical treatment, always under consideration of the well-being of mother and child. Read More

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A Case of Burnt-Out Langerhans Cell Histiocytosis Presenting as Postpartum Hypopituitarism.

AACE Clin Case Rep 2021 Jan-Feb;7(1):47-50. Epub 2020 Dec 28.

Department of Endocrinology, Townsville University Hospital, Douglas, Queensland, Australia.

Objective: To evaluate the case of a woman who presented with central hypogonadism and diabetes insipidus and further developed a persistent cough leading to an unexpected diagnosis of burnt-out Langerhans cell histiocytosis (LCH).

Methods: Clinical and laboratory endocrine evaluation, magnetic resonance imaging, high-resolution computed tomography, and open-lung biopsy results are discussed.

Results: A 28-year-old woman presented at 10 months postpartum with polydipsia, polyuria, and amenorrhea for 3 months. Read More

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December 2020

Obstetric and perinatal health outcomes after pertussis vaccination during pregnancy in Ontario, Canada: a retrospective cohort study.

CMAJ Open 2021 Apr-Jun;9(2):E349. Epub 2021 Apr 13.

Children's Hospital of Eastern Ontario Research Institute (Fakhraei, Sucha, Fell); Ottawa Hospital Research Institute (Fakhraei, Hawken, Wilson, Walker), Ottawa, Ont.; ICES Central (Crowcroft, Hawken, Kwong, Fell); University of Toronto (Crowcroft, Bolotin, Biringer, Dubey, Jamieson, Kwong); Public Health Ontario (Bolotin, Jamieson, Kwong), Toronto, Ont.; ICES uOttawa (Sucha); University of Ottawa (Hawken, Cook, Walker, Laverty, Fell); Bruyère Research Institute (Wilson), Ottawa, Ont.; Kingston Health Sciences Centre (Gaudet); Queen's University (Gaudet), Kingston, Ont.; Public Health England (Amirthalingam), London, UK; Mount Sinai Hospital (Biringer), Toronto, Ont.; Society of Obstetricians and Gynaecologists of Canada (Cook), Ottawa, Ont.; Toronto Public Health (Dubey), Toronto, Ont.; Canadian Centre for Vaccinology (Halperin), Dalhousie University and IWK Health Centre, Halifax, NS; Vaccine Evaluation Center (Sadarangani), BC Children's Hospital Research Institute; Department of Pediatrics (Sadarangani), University of British Columbia, Vancouver, BC

Background: In February 2018, Canada's National Advisory Committee on Immunization recommended maternal vaccination with tetanus-diphtheria-acellular pertussis (Tdap) vaccine during pregnancy to prevent severe pertussis infection in young infants. This study assessed the relation between maternal Tdap vaccination and obstetric and perinatal outcomes in Ontario.

Methods: We performed a population-based cohort study of all births from April 2012 to March 2017 using multiple linked health administrative databases. Read More

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Postpartum bonding in father with baby in the East Jakarta sub-district's community health center.

Enferm Clin 2021 Apr;31 Suppl 2:S467-S470

Faculty of Nursing Universitas Indonesia, Depok, West Java, Indonesia.

The father's ability to form bonds both physically and emotionally with his baby is a condition that is very important for the development of a father's mental health. This study aims to identify postpartum bonding images in fathers and infants. This study used a cross-sectional design with consequtive sampling, which conducted to390 fathers who had babies aged three to six months. Read More

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Protocol for The Pregnancy During the COVID-19 Pandemic (PdP) study: A longitudinal cohort study of mental health among pregnant Canadians during the COVID-19 pandemic and developmental outcomes in their children.

JMIR Res Protoc 2021 Apr 13. Epub 2021 Apr 13.

University of Calgary, 2500 University Drive, NW, Calgary, CA.

Background: The COVID-19 pandemic and countermeasures implemented by governments around the world have led to dramatically increased symptoms of depression and anxiety. Pregnant women may be particularly vulnerable to the negative psychological effects of COVID-19 public health measures, because they represent a demographic that is most affected by disasters and because pregnancy itself entails significant life changes that require major psychosocial and emotional adjustments. The Pregnancy During the COVID-19 Pandemic (PdP) study was designed to investigate the associations between exposure to objective hardship caused by the pandemic, perceived stress and psychological distress in pregnant individuals, and developmental outcomes in their offspring. Read More

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INTERNET USE BY PREGNANT WOMEN SEEKING CHILDBIRTH INFORMATION.

J Gynecol Obstet Hum Reprod 2021 Apr 10:102144. Epub 2021 Apr 10.

Pamukkale Üniversitesi, Sağlık Bilimleri Fakültesi Kınıklı Kampüs Denizli Turkey. Electronic address:

Background: During pregnancy period, women's information needs increases. Receiving information during this period affects the birth and postpartum period.

Objective: The aim of this study was to determine the use of the internet to receiving childbirth information by pregnant women. Read More

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Increasing selenium supply during the close-up dry period improves nutrient metabolism and attenuates inflammatory response after calving in dairy cows.

Authors:
Jian Gong Min Xiao

Anim Sci J 2021 Jan;92(1):e13551

College of Life Science and Technology, Inner Mongolia Normal University, Hohhot, China.

The objective of this study was to investigate whether feeding selenium (Se)-replete cows a Se-yeast supplement in late pregnancy affects nutrient metabolism and inflammatory response during the periparturient period. Twenty cows were randomly assigned to two groups with 10 cows each. Cows in one group received Se-yeast at 0. Read More

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January 2021

Length of stay in the ward following a preeclamptic pregnancy.

J Hum Hypertens 2021 Apr 12. Epub 2021 Apr 12.

Department of Obstetrics & Gynaecology, The University of Auckland, Auckland, New Zealand.

To date, data on postpartum management of preeclampsia including the optimal time for discharge are limited. The aims of this study were to investigate the appropriate time for discharge after delivery, and factors that could affect the time for discharge. Data on 210 preeclamptic women including the severity or time of onset and days in the ward after delivery were collected and analysed. Read More

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Predicting women with depressive symptoms postpartum with machine learning methods.

Sci Rep 2021 Apr 12;11(1):7877. Epub 2021 Apr 12.

Department of Women's and Children's Health, Uppsala University, 751 85, Uppsala, Sweden.

Postpartum depression (PPD) is a detrimental health condition that affects 12% of new mothers. Despite negative effects on mothers' and children's health, many women do not receive adequate care. Preventive interventions are cost-efficient among high-risk women, but our ability to identify these is poor. Read More

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Anaemia prevalence in pregnant population.

Med Clin (Barc) 2021 Apr 9. Epub 2021 Apr 9.

Banco de Sangre y Tejidos de Navarra, Servicio Navarro de Salud, Osasunbidea, Pamplona, Navarra, Grupo Español de Rehabilitación Multimodal (GERM), Instituto Aragonés de Ciencias de la Salud, Zaragoza, España; PBM Group, Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, España. Electronic address:

Introduction: Gestational anaemia, which has specific haemoglobin (Hb) reference values in each trimester of gestation, increases the risk of maternal mortality and complications both in pregnancy and in the first months of the newborn's life. The objective of this study is to evaluate haemoglobin levels in pregnant women in our population, to determine the prevalence of gestational anaemia and to propose reference values specific to them.

Material And Methods: Retrospective study of all blood counts requested in pregnancy and postpartum controls during 2019. Read More

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Risk factors for pregnancy morbidity in women with antiphospholipid syndrome.

J Reprod Immunol 2021 Mar 29;145:103315. Epub 2021 Mar 29.

Obstetrics and Gynecology Department, Peking University People's Hospital, Beijing, China. Electronic address:

Antiphospholipid syndrome (APS) increases the risk of obstetric complications, but risk factors for pregnancy morbidity in women with APS remain incompletely characterized. This retrospective study included pregnant women with APS and a control group without APS admitted to Peking University People's Hospital between January 2013 and September 2019. Clinical data were extracted from medical records. Read More

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Barriers to a healthy postpartum lifestyle and the possibilities of an information technology-based intervention: A qualitative study.

Midwifery 2021 Apr 3;98:102994. Epub 2021 Apr 3.

Centre for Innovative Medical Technology, Odense University Hospital, Odense, Denmark; Department of Endocrinology, Odense University Hospital, Denmark; Department of Clinical Research, University of Southern Denmark, Odense, Denmark; Steno Diabetes Center Odense, Odense University Hospital, Odense, Denmark. Electronic address:

Background: Being overweight or obese is associated with higher risk of adverse maternal and fetal outcomes, including gestational diabetes and childhood obesity. Many women exceed the gestational weight gain recommendations. Thus, it is important to focus on the women's lifestyle between their pregnancies to lower the risk of weight retention before the next pregnancy as well as in a life course perspective. Read More

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Maternal diet, depression and antidepressant treatment in pregnancy and across the first 12 months postpartum in the MPEWS pregnancy cohort study: Perinatal diet, depression and antidepressant use.

J Affect Disord 2021 Mar 31;288:74-82. Epub 2021 Mar 31.

College of Science, Health, Education and Engineering, Murdoch University, Murdoch, Australia.

Background: There is increasing interest in the association between perinatal depression and diet including whether diet may have an impact on depressive symptoms and equally whether depression influences diet. Furthermore, whether pharmacological treatment of depression with antidepressant medication also may influence diet.

Methods: We examine diet, perinatal depression, and antidepressant use in 442 women recruited in early pregnancy and followed until 12 months postpartum as part of the Mercy Pregnancy Emotional Wellbeing Study. Read More

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Methadone and Buprenorphine Discontinuation among Postpartum Women with Opioid Use Disorder.

Am J Obstet Gynecol 2021 Apr 9. Epub 2021 Apr 9.

Division of Child and Adolescent Psychiatry, Massachusetts General Hospital.

Background: The postpartum year is a vulnerable period for women with opioid use disorder, with increased rates of fatal and non-fatal overdose, yet the continuation of the use of medications to treat opioid use disorder (MOUD) on a population-level remains unknown.

Objectives: To examine the discontinuation of methadone and buprenorphine among women with opioid use disorder in the year following delivery and determine the extent to which maternal and infant characteristics are associated with time to discontinuation of MOUD.

Study Design: Population-based retrospective cohort study using linked administrative data of 211,096 deliveries in Massachusetts between 2011-2014 to examine MOUD receipt. Read More

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Depression, Anxiety, Resilience, and Coping: The Experience of Pregnant and New Mothers During the First Few Months of the COVID-19 Pandemic.

J Womens Health (Larchmt) 2021 Apr 12. Epub 2021 Apr 12.

School of Nursing, Virginia Commonwealth University, Richmond, Virginia, USA.

It is well-documented that the mental health of pregnant and postpartum women is essential for maternal, child, and family well-being. Of major public health concern is the perinatal mental health impacts that may occur during the ongoing COVID-19 pandemic. It is essential to explore the symptom experience and predictors of mental health status, including the relationship between media use and mental health. Read More

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Pregnancy related and postpartum admissions to intensive care unit in the obstetric tertiary care center - an 8-year retrospective study.

Ginekol Pol 2021 Apr 12. Epub 2021 Apr 12.

Department of Obstetrics and Perinatology, Jagiellonian University Medical College, Cracow, Poland.

Objectives: The purpose of the study was to analyze the incidence of maternal morbidity and mortality of pregnant and postpartum women admitted to the intensive care unit (ICU).

Material And Methods: Retrospective analysis of all pregnant and postpartum patients admitted to ICU of the obstetric tertiary care center between January 1, 2007 and December 31, 2014.

Results: A total of 266 patients with pregnancy and postpartum related morbidity were admitted to ICU (12. Read More

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The impact of a mother-infant intervention on parenting and infant response to challenge: A pilot randomized controlled trial with adolescent mothers in El Salvador.

Infant Ment Health J 2021 Apr 11. Epub 2021 Apr 11.

Department of Psychology and Clinical Language Sciences, University of Reading, Reading, UK.

A pilot randomized controlled trial (RCT) was conducted in El Salvador of an intervention ('Thula Sana') previously shown to enhance maternal sensitivity and infant security of attachment in a South African sample. In El Salvador, trained community workers delivered the intervention from late pregnancy to 6 months postpartum as part of a home-visiting programme. The sample comprised 64 pregnant adolescent women, aged 14-19 years, living in predominantly rural settings. Read More

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Screening of postpartum diabetes in women with gestational diabetes: high-risk subgroups and areas for improvements-the STRONG observational study.

Acta Diabetol 2021 Apr 12. Epub 2021 Apr 12.

AMD-SID Diabetes and Pregnancy Study Group, Rome, Italy.

Aims: To assess the proportion of women with gestational diabetes (GDM) by performing postpartum Oral Glucose Tolerance Test (OGTT) and to identify GDM phenotypes at high-risk of postpartum dysglycemia (PPD).

Methods: Observational, retrospective, multicenter study involving consecutive GDM women. Recursive partitioning (RECPAM) analysis was used to identify distinct and homogeneous subgroups of women at different PPD risk. Read More

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Pregnancy outcomes in women with a hemoglobinopathy trait: a multicenter, retrospective study.

Arch Gynecol Obstet 2021 Apr 11. Epub 2021 Apr 11.

Department of Obstetrics and Antenatal Care, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland.

Purpose: To determine the risk of adverse maternal and neonatal outcomes in pregnant women with a hemoglobinopathy trait.

Materials And Methods: Retrospective cohort study was conducted to compare adverse maternal and neonatal outcomes between pregnant women with a hemoglobinopathy trait (study group; n = 172), and without a hemoglobinopathy trait (control group; n = 360). The medical data were extracted from clinical records of pregnant women attending antenatal care and delivering at the University Hospital Basel or University Hospital Zurich between 2015 and 2018. Read More

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Exacerbation of pulmonary cryptococcosis associated with enhancement of Th2 response in the postpartum period.

J Infect Chemother 2021 Apr 8. Epub 2021 Apr 8.

Department of Medical Technology, Okayama University Graduate School of Health Sciences, Okayama, Japan; Department of Allergy and Respiratory Medicine, Okayama University Hospital, Okayama, Japan.

Cryptococcosis is an invasive mycosis that has become increasingly prevalent in immunocompromised patients. Pregnant women are also one of the risk populations for cryptococcosis. Reversal of Th2 to Th1 response following resolution of immunosuppression during the postpartum period can lead to overt clinical manifestations of a previously silent infection, resembling an immune reconstitution inflammatory syndrome. Read More

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Social support buffers the effects of maternal prenatal stress on infants' unpredictability.

Early Hum Dev 2021 Mar 17;157:105352. Epub 2021 Mar 17.

Department of Obstetrics & Gynecology, and Psychiatry, Columbia University, New York, NY, USA; New York State Psychiatric Institute, New York, NY, USA.

Objective: Exposure to stress in pregnancy has been shown to affect fetal development with short- and long-term physiological and behavioral consequences for the offspring. Although social support is known to lower perceived stress, no prior study has investigated the buffering role of social support in the context of prenatal stress effects on infant temperament. The aim of this study was to examine interactive effects of prenatal stress and social support on several dimensions of infant temperament at 9 months postpartum. Read More

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