51,317 results match your criteria prenatal care


Socioeconomic inequalities in birth outcomes: An 11-year analysis in Colombia.

PLoS One 2021 29;16(7):e0255150. Epub 2021 Jul 29.

Instituto de Investigaciones Clínicas, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia.

Objective: To examine socioeconomic inequalities in birth outcomes among infants born between 2008 and 2018 and assessed trends in inequalities during that period in Colombia, a middle-income country with high levels of inequality emerging from a long internal armed conflict.

Methods: Using birth certificate data in Colombia, we analysed the outcomes of low birth weight, an Apgar score <7 at 5 minutes after birth and the number of prenatal visits among full-term pregnancies. Maternal education and health insurance schemes were used as socioeconomic position (SEP) indicators. Read More

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Dental Visits during Pregnancy: Pregnancy Risk Assessment Monitoring System Analysis 2012-2015.

Authors:
H Lee E Tranby L Shi

JDR Clin Trans Res 2021 Jul 29:23800844211028541. Epub 2021 Jul 29.

Health Policy and Management, Johns Hopkins School of Public Health, Baltimore, MD, USA.

Objectives: This study aimed to update dental service utilization during pregnancy and to evaluate whether there are persistent disparities in dental care during pregnancy by race/ethnicity and Medicaid status.

Methods: This retrospective secondary data analysis examined dental service utilization during and prior to pregnancy and met dental or oral health needs using the Pregnancy Risk Assessment Monitoring System (PRAMS) data sets on 75,876 women between 2012 and 2015.

Results: Only about half of the women (51. Read More

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Stretched penile length at birth: a systematic review.

J Pediatr Endocrinol Metab 2021 Jul 29. Epub 2021 Jul 29.

Prenatal Diagnosis Unit, CartagenaSpain.

Background: Micropenis is an endocrinological condition that is habitually observed at birth. Diagnosis is made by measuring the stretched penile length, a method established 80 years ago. Discrepancies in the normative data from recent studies raise the need for a current revision of the methodology. Read More

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Level of exercise and physical activity among pregnant women in Saudi Arabia: A systematic review.

J Family Med Prim Care 2021 Jun 2;10(6):2140-2147. Epub 2021 Jul 2.

Department of Family Medicine, King Fahad Medical City, Academy for Postgraduate Studies in Family Medicine, Riyadh, KSA.

The current study aimed to clarify the health benefits of physical activity on the mother and fetus in the Saudi women population. Besides, it is intended to provide recommendation based on the literature and results of studies from Saudi Arabia for exercise in pregnancy to improve the general health of women in Saudi Arabia. Prenatal physical exercise enhances physical and mental health of pregnant women. Read More

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Is It Better to Operate Congenital Lung Malformations when Patients are Still Asymptomatic?

J Indian Assoc Pediatr Surg 2021 May-Jun;26(3):170-176. Epub 2021 May 17.

Pediatric Surgery Unit, IRCCS Sant'Orsola-Malpighi Hospital, University of Bologna, Italy.

Context: Congenital lung malformation (CLM) is a rare developmental anomaly of the lower respiratory tract. The purposes are to define if the presence of respiratory symptoms, in CLM may affect surgical outcomes and to define optimal timing for surgery in asymptomatic patients.

Settings And Design: Retrospective review of patients with CLM from 2004 to 2018. Read More

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Endocrine disrupting chemical-associated hair product use during pregnancy and gestational age at delivery: a pilot study.

Environ Health 2021 Jul 28;20(1):86. Epub 2021 Jul 28.

Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, 02115, USA.

Background: Prenatal endocrine disrupting chemical (EDC) exposure has been associated with increased risk of preterm birth. Non-Hispanic Black women have higher incidence of preterm birth compared to other racial/ethnic groups and may be disproportionately exposed to EDCs through EDC-containing hair products. However, research on the use of EDC-associated hair products during pregnancy and risk of preterm birth is lacking. Read More

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The emotional responses of women when terminating a pregnancy for medical reasons: A scoping review.

Midwifery 2021 Jul 14;103:103095. Epub 2021 Jul 14.

Department of Nursing, University Rovira i Virgili. Avinguda Catalunya, 35, Postal Code 43002, Tarragona, Spain.

Background: In most countries of the world the only basis for considering a termination of pregnancy is for medical reasons. Depending on the circumstances and determinants of each case, the emotional responses to this event vary greatly. The aim of this study is to map the emotional responses of women when their pregnancy is terminated for medical reasons. Read More

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Analysis of microbial differences in amniotic fluid between advanced and normal age pregnant women.

J Transl Med 2021 Jul 27;19(1):320. Epub 2021 Jul 27.

Department of Prenatal Diagnosis, Obstetrics and Gynecology Hospital Affiliated to Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Nanjing, 210004, China.

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Multi-Institutional Practice-Patterns in Fetal Congenital Heart Disease Following Implementation of a Standardized Clinical Assessment and Management Plan.

J Am Heart Assoc 2021 Jul 28:e021598. Epub 2021 Jul 28.

Division of Pediatric Cardiology Department of Pediatrics University of California San Francisco CA.

Background Prenatal diagnosis of congenital heart disease has been associated with early-term delivery and cesarean delivery (CD). We implemented a multi-institutional standardized clinical assessment and management plan (SCAMP) through the University of California Fetal-Maternal Consortium. Our objective was to decrease early-term (37-39 weeks) delivery and CD in pregnancies complicated by fetal congenital heart disease using a SCAMP methodology to improve practice in a high-risk and clinically complex setting. Read More

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Longitudinal exposure to consumer product chemicals and changes in plasma oxylipins in pregnant women.

Environ Int 2021 Jul 24;157:106787. Epub 2021 Jul 24.

Epidemiology Branch, National Institute of Environmental Health Sciences (NIEHS), United States. Electronic address:

Background: Exposure to consumer product chemicals during pregnancy may increase susceptibility to pregnancy disorders by influencing maternal inflammation. However, effects on specific inflammatory pathways have not been well characterized. Oxylipins are a diverse class of lipids that act as important mediators and biomarkers of several biological pathways that regulate inflammation. Read More

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Association of phthalate exposure with autistic traits in children.

Environ Int 2021 Jul 24;157:106775. Epub 2021 Jul 24.

Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Section of Environmental Health, Department of Public Health, University of Copenhagen, Copenhagen, Denmark. Electronic address:

Background: Phthalates are synthetic chemicals with endocrine-disrupting properties. They are reportedly associated with various neurotoxic outcomes. Studies on exposure to phthalates and children's autistic traits have shown inconsistent results with respect to sex and susceptible time periods. Read More

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Weight Loss Prior to Pregnancy and Early Gestational Glycemia: Prepare, a Randomized Clinical Trial.

J Clin Endocrinol Metab 2021 Jul 27. Epub 2021 Jul 27.

Kaiser Permanente, Center for Health Research, 3800 N. Interstate Ave, Portland, OR.

Purpose: To determine whether pre-pregnancy weight loss improved the early metabolic environment as measured by early gestational diabetes diagnosis.

Methods: This was a secondary analysis of a pragmatic randomized clinical trial conducted between May 2015 and October 2019 in an integrated health system that encouraged first trimester gestational diabetes screening for high-risk women, including those with obesity. Women aged 18-40 years with BMI ≥27 kg/m 2 who were planning pregnancy were randomized to a behavioral weight loss intervention or usual care. Read More

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Racial disparities in influenza immunization during pregnancy in the United States: A narrative review of the evidence for disparities and potential interventions.

Vaccine 2021 Jul 23. Epub 2021 Jul 23.

Center for Species Survival, Smithsonian National Zoological Park & Conservation Biology Institute, P.O. Box 37012, MRC 5503, Washington, DC 20013-7012, USA. Electronic address:

Objective: The objectives of this review were to summarize existing data on racial disparities in maternal immunization for influenza in the U.S. and to review the literature on interventions to improve the uptake of the influenza vaccine among Black pregnant women. Read More

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Maternal caregiving ameliorates the consequences of prenatal maternal psychological distress on child development.

Dev Psychopathol 2021 Jul 27:1-10. Epub 2021 Jul 27.

Department of Psychology, University of Denver, Denver, CO, USA.

Children exposed to prenatal maternal psychological distress are at elevated risk for a range of adverse outcomes; however, it remains poorly understood whether postnatal influences can ameliorate impairments related to prenatal distress. The current study evaluated if sensitivematernal care during the first postnatal year could mitigate child cognitive and emotional impairments associated with prenatal psychological distress. Prenatal maternal psychological distress was assessed via self-reports of anxiety, depression, and perceived stress for 136 mothers at five prenatal and four postpartum time points. Read More

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Risk factors associated with stress symptoms during pregnancy and postpartum: integrative literature review.

Women Health 2021 Jul 26:1-17. Epub 2021 Jul 26.

Centro Universitário Barão de Mauá, Psychology, Brazil.

Stressful events during prenatal and postpartum have been associated with an increase in the susceptibility to the onset of various diseases, threatening mental and physical health of mother and baby. The aim of this study was to synthesize and analyze the literature related to risk factors associated with stress symptoms during pregnancy and immediate postpartum by means of an integrative review. The search was conducted from January 2013 to July 2020, consulting the following databases: PubMed, PsycINFO, CINAHL, Web of Science and LILACS. Read More

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Diagnosis and treatment of sexually transmitted infections in male partners of pregnant women in Brazil.

Int J STD AIDS 2021 Jul 26:9564624211032759. Epub 2021 Jul 26.

Department of Internal Medicine, Division of Infectious Disease, David Geffen School of Medicine, 8783UCLA, Los Angeles, CA, USA.

Sexually transmitted infections (STIs) can adversely affect a woman's pregnancy and the health of the developing fetus. The source of these infections may be the male sexual partner who remains under-diagnosed and un-treated due to a combination of lack of symptoms, decreased access to health care, and poor health-seeking behaviors. From September 2018 to November 2019, we offered a cohort of pregnant women (gestational age range: 4. Read More

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Women's decision-making power in a context of free reproductive healthcare and family planning in rural Burkina Faso.

BMC Womens Health 2021 Jul 22;21(1):272. Epub 2021 Jul 22.

School of Public Health, University of Montreal, Montreal, QC, Canada.

Background: In 2016, the national user fee exemption policy for women and children under five was introduced in Burkina Faso. It covers most reproductive healthcare services for women including prenatal care, delivery, and postnatal care. In subsequent years, the policy was gradually extended to include family planning. Read More

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A prenatal group based phone counseling intervention to improve breastfeeding rates and complementary feeding: a randomized, controlled pilot and feasibility trial.

BMC Pregnancy Childbirth 2021 Jul 22;21(1):521. Epub 2021 Jul 22.

School of Health Professions, Department of Dietetics & Nutrition, University of Kansas Medical Center, 3901 Rainbow BLVD, Mail Stop 4013, Kansas City, KS 66160, USA.

Background: Despite numerous benefits for both mom and baby, few infants are exclusively breastfed for the recommended first six months. Additionally, infants are given solids too early. Prenatal education increases rates of breastfeeding initiation and we hypothesize it can also improve exclusive breastfeeding rates and prevent the early introduction of solids. Read More

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Higher Rates of Cesarean Sections Found in Somali Immigrant Women in Minnesota.

J Racial Ethn Health Disparities 2021 Jul 26. Epub 2021 Jul 26.

Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN, USA.

Objective: The purpose of this study was to compare prenatal characteristics and postpartum outcomes among Somali and non-Somali women residing in Olmsted County.

Methods: We reviewed the medical records for a cohort of Somali women (≥18 years old; N= 298) who had singleton births between January 2009 and December 2014 and for an age-matched non-Somali cohort (N= 298) of women residing in Olmsted County, Minnesota. Logistic regression models which accounted for repeated measures were used to assess differences in prenatal and postpartum outcomes between Somali and non-Somali women. Read More

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Two cases of Prune Belly Syndrome from Kagera Region Tanzania.

East Afr Health Res J 2020 26;4(1):20-25. Epub 2020 Jun 26.

Department of Human Genetics, Radboud University Medical Center, Nijmegen, The Netherlands.

Prune Belly Syndrome is a rare congenital disorder with unknown aetiology, consisting of a triad of abdominal muscle wall weakness, undescended testes, and urinary tract abnormalities. We are unaware of any preceding report of Prune Belly Syndrome in Tanzania, and here we describe two cases reported in Kagera region. The first case is a 2 month old boy with the triad of Prune Belly Syndrome along with pectus carinatum who died due to septicaemia. Read More

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Whole Exome Sequencing Facilitated the Identification of a Mosaic Small Supernumerary Marker Chromosome (sSMC).

Biomed Res Int 2021 2;2021:6258527. Epub 2021 Jul 2.

Prenatal Diagnosis Center, Langfang Maternal and Child Health Care Hospital, Langfang, Hebei 065000, China.

Small supernumerary marker chromosomes (sSMCs) are a group of rare chromosomal anomalies, which pose challenges in the clinical practice of prenatal diagnosis and genetic counseling. This study enrolled an extended family with an underage male patient displaying infantile seizures, intellectual disability, and retarded speech and psychomotor function. A series of multiplatform genetic detections was conducted to explore the diagnostic variation. Read More

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Maternal Childhood Adversity as a Risk for Perinatal Complications and NICU Hospitalization.

J Pediatr Psychol 2021 Jul 20. Epub 2021 Jul 20.

Center for Integrative Research on Childhood Adversity, Oklahoma State University-Center for Health Sciences.

Objective: To examine maternal childhood adversity in relation to increased risk for maternal and infant perinatal complications and newborn Neonatal Intensive Care Unit (NICU) admittance.

Methods: A sample of 164 women recruited at their first prenatal appointment participated in a longitudinal study through 6 weeks postdelivery. Participants self-reported on their adverse childhood experiences (ACEs), negative health risks (overweight/obesity, smoking, and alcohol use), adverse infant outcomes, NICU admittance, and maternal perinatal complications across three pregnancy assessments and one post-birth assessment. Read More

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Clinical-Community Linkages: The Impact of Standard Care Processes that Engage Medicaid-Eligible Pregnant Women in Home Visiting.

Womens Health Issues 2021 Jul 20. Epub 2021 Jul 20.

Department of Obstetrics, Gynecology, and Reproductive Biology, Michigan State University, East Lansing, Michigan.

Background: To better address physical, emotional, and social needs of Medicaid-insured pregnant women, a Federally Qualified Health Center and a hospital-based obstetrics and gynecology residency practice collaborated with their agency-based state Medicaid-sponsored home visiting program, the Maternal Infant Health Program (MIHP). In partnership, both practice sites created patient standards of care to identify and engage eligible pregnant women into underutilized home visiting services for enhanced prenatal care coordination. The purpose of this study was to describe how each practice operationalized clinical-community linkage strategies that best suited their setting and to determine if efforts resulted in improved MIHP participation and other service use. Read More

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The Cumulative Risk of Prenatal Exposures to Chemical and Non-Chemical Stressors on Birth Outcomes in Suriname.

Int J Environ Res Public Health 2021 Jul 20;18(14). Epub 2021 Jul 20.

Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA.

The cumulative exposure to chemical and non-chemical stressors may have an impact on birth outcomes. The aim of this study is to examine the cumulative exposure of a mixture of chemicals (mercury, lead, selenium and tin) and non-chemical stressors (social support, perceived stress, probable depression and BMI) on birth outcomes (birthweight, gestational age at birth, and Apgar score at 5 min). The study population is a subset ( = 384) of the Caribbean Consortium for Research in Environmental and Occupational Health-MeKiTamara prospective cohort study. Read More

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Generation of an induced pluripotent stem cell line from a patient carrying FBN1/c.6734 G > A mutation.

Stem Cell Res 2021 Jul 14;55:102459. Epub 2021 Jul 14.

Key Laboratory of Combined Multi-organ Transplantation, Ministry of Public Health, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China; Institute of Translational Medicine, Zhejiang University, Hangzhou 310029, China. Electronic address:

Mutations in FBN1 (gene encodes the matrix protein fibrillin 1), are usually associated with Marfan syndrome (MS). This syndrome contains ocular, skeletal, cardiovascular, pulmonary, cutaneous and neurological abnormalities. Here, we introduced an induced pluripotent stem cell (iPSC) line from a patient who suffered from severe cardiovascular disease and carried a c. Read More

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Pre- and postnatal household air pollution exposures and pneumonia risk: Evidence from GRAPHS.

Chest 2021 Jul 20. Epub 2021 Jul 20.

Kintampo Health Research Centre, Ghana Health Service, Brong Ahafo Region, Kintampo, Ghana.

Background: Nearly 40% of the world's population is exposed daily to household air pollution. The relative impact of prenatal and postnatal household air pollution exposure on early childhood pneumonia, a leading cause of mortality, is unknown.

Research Question: Are prenatal and/or postnatal household air pollution associated with pneumonia risk in the first year of life?

Study Design And Methods: The Ghana Randomized Air Pollution and Health Study (GRAPHS) enrolled 1,414 non-smoking, pregnant women prior to 24 weeks gestation with prospective follow-up to child age one. Read More

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[Effect of therapies for kidney-tonifying and blood-activating in treatment of anovulatory infertility in eugenics].

Zhongguo Zhong Yao Za Zhi 2021 Jun;46(11):2634-2638

Xiyuan Hospital, China Academy of Chinese Medical Sciences Beijing 100091, China.

In the context of the new era, paying attention to maternal and child health and advocating prenatal and postnatal care can effectively improve the quality of the birth population. Traditional Chinese medicine has a long history of prenatal and postnatal healthcare with rich content, which is the theoretical basis of modern related services. With the social development and the improvement of people's awareness of prenatal and postnatal healthcare, people have gradually shifted the focus of prenatal and postnatal healthcare to the peri-pregnancy stage at present, namely that couples of childbearing age are guided to prepare for pregnancy under the premise of solving their basic diseases. Read More

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Prenatal case of Simpson-Golabi-Behmel syndrome with a de novo 370Kb-sized microdeletion of Xq26.2 compassing partial GPC3 gene and review.

Mol Genet Genomic Med 2021 Jul 22:e1750. Epub 2021 Jul 22.

Department of Medical Genetics, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China.

Background: Simpson-Golabi-Behmel syndrome type 1 (SGBS1) is a rare X-linked recessive disorder characterized by pre- and postnatal overgrowth and a broad spectrum of anomalies including craniofacial dysmorphism, heart defects, renal, and genital anomalies. Due to the ultrasound findings are not pathognomonic for this syndrome, most clinical diagnosis of SGBS1 are made postnatally.

Methods: A pregnant woman with abnormal prenatal sonographic findings was advised to perform molecular diagnosis. Read More

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A More Universal Approach to Comprehensive Analysis of ThalaSsemia Alleles (CATSA).

J Mol Diagn 2021 Jul 19. Epub 2021 Jul 19.

Hunan Jiahui Genetics Hospital, Changsha, Hunan 410078, China; Center for Medical Genetics and Hunan Key Laboratory of Medical Genetics, School of Life Sciences, Central South University, Changsha, Hunan 410078, China. Electronic address:

The aim of the study was to assess the clinical utility of a third generation sequencing (TGS) approach termed Comprehensive Analysis of ThalaSsemia Alleles (CATSA) for identifying both alpha and beta thalassemia genetic carrier status. Prospective blood samples (n = 1759) with abnormal hemoglobin parameters were screened for pathogenic thalassemia variants by CATSA on the PacBio TGS platform. In 1159 individuals, a total of 1317 pathogenic thalassemia variants were identified and confirmed by independent PCR based tests. Read More

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