1,488 results match your criteria promote postpartum


Protocol for a randomized controlled trial of pre-pregnancy lifestyle intervention to reduce recurrence of gestational diabetes: Gestational Diabetes Prevention/Prevención de la Diabetes Gestacional.

Trials 2021 Apr 7;22(1):256. Epub 2021 Apr 7.

Weight Control and Diabetes Research Center, The Miriam Hospital, Providence, USA.

Background: Gestational diabetes mellitus (GDM) is associated with several maternal complications in pregnancy, including preeclampsia, preterm labor, need for induction of labor, and cesarean delivery as well as increased long-term risks of type 2 diabetes, metabolic syndrome, and cardiovascular disease. Intrauterine exposure to GDM raises the risk for complications in offspring as well, including stillbirth, macrosomia, and birth trauma, and long-term risk of metabolic disease. One of the strongest risk factors for GDM is the occurrence of GDM in a prior pregnancy. Read More

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Bridging the postpartum gap: Best practices for training of obstetric patient navigators.

Am J Obstet Gynecol 2021 Apr 1. Epub 2021 Apr 1.

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

The postpartum period represents a critical window of opportunity to improve maternal short- and long-term health, including optimizing postpartum recovery, providing effective contraception, caring for mood disorders, managing weight, supporting lactation, initiating preventive care, and promoting cardiometabolic health. However, inadequate postpartum care, especially for individuals facing social and structural barriers, is common in the United States and contributes to suboptimal health outcomes with lasting consequences. Patient navigation is a patient-centered intervention that uses trained personnel to identify financial, cultural, logistical, and educational obstacles to effective health care, and to mitigate these barriers in order to facilitate comprehensive and timely access to needed health services. Read More

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Client-Centered Breastfeeding-Promotion Strategies: Q Methodology.

Int J Environ Res Public Health 2021 Mar 13;18(6). Epub 2021 Mar 13.

College of Medicine, Chungnam National University, Daejeon 35015, Korea.

Fewer Korean women are choosing the 6 months of exclusive breastfeeding that are recommended for obtaining its maximal benefits despite an increasing effort to promote breastfeeding. Successful breastfeeding education and counseling need to be segmentally designed on the basis of client characteristics. This study explored the perceptions of breastfeeding in pregnant and 6 month postpartum Korean women using the Q methodology, a useful research approach to examine personal perceptions, feelings, and values about a concept or phenomenon of interest and identify typologies of perspectives. Read More

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[Effect of electroacupuncture on postpartum uterine contraction pain and uterine involution: a randomized controlled trial].

Zhongguo Zhen Jiu 2021 Feb;41(2):165-8

Department of TCM, Foshan Women and Children Hospital, Foshan 528000, Guangdong Province, China.

Objective: To observe the effect of electroacupuncture on postpartum uterine contraction pain and uterine involution.

Methods: A total of 80 patients with postpartum uterine contraction pain were randomly divided into an observation group and a control group, 40 cases in each group. The observation group was treated with electroacupuncture at Dahe (KI 12), Zhongzhu (KI 15), Hegu (LI 4), Xuehai (SP 10), etc. Read More

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February 2021

Who and how should prescribe and conduct exercise programs for pregnant women? recommendations based on the European educational standards for pregnancy and postnatal exercise specialists.

Authors:
Anna Szumilewicz

J Mother Child 2021 Jan 29;22(2):107-112. Epub 2021 Jan 29.

Department of Fitness and Strength Conditioning, Gdańsk University of Physical Education and Sport, Gdańsk, Poland.

Extensive scientific evidence has shown that prenatal physical activity is a prerequisite for the proper course of pregnancy, fetal development, labour and delivery, and the postpartum period. In 2015, the American College of Obstetricians and Gynecologists published a breakthrough statement that inactivity in pregnancy is risky behaviour. The aim of this paper is to provide answers to the questions concerning who and how should prescribe and conduct exercise programs for pregnant women. Read More

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January 2021

Feasibility of a Digital Intervention to Promote Healthy Weight Management among Postpartum African American/Black Women.

Int J Environ Res Public Health 2021 Feb 23;18(4). Epub 2021 Feb 23.

Department of Prevention and Community Health, Milken Institute School of Public Health, The George Washington University, Washington, DC 20052, USA.

The study aim was to implement and evaluate the feasibility of a culturally informed ("BeFAB") app for African American/Black women to address postpartum weight. Women ( = 136; mean age = 27.8 ± 5. Read More

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February 2021

Management of idiopathic granulomatous mastitis in lactation: case report and review of the literature.

Int Breastfeed J 2021 Mar 4;16(1):23. Epub 2021 Mar 4.

Santa Barbara Cottage Hospital, 400 W. Pueblo Street, Santa Barbara, CA, 93105, USA.

Background: Idiopathic Granulomatous Mastitis (IGM) is a benign chronic inflammatory breast condition that mimics two common breast disorders: breast carcinoma and breast abscess. It can form breast masses, fistulae, and fluid collections, resulting in breast disfigurement with retraction and nipple areolar complex (NAC) inversion. IGM most often presents in women of childbearing age within a few years of pregnancy, and can significantly impact lactation. Read More

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Bone resorption and dietary calcium in pregnancy-a window to future maternal bone health.

Osteoporos Int 2021 Mar 4. Epub 2021 Mar 4.

UCD Perinatal Research Centre, School of Medicine, University College Dublin, National Maternity Hospital, Dublin, Ireland.

Background: Pregnancy is characterized by increased bone turnover and reversible loss of bone mineral density (BMD) to meet fetal calcium demands. The long-term effect of bone turnover and maternal diet in pregnancy on maternal bone is not well established.

Objective: We aimed to determine if an association exists between [1] bone resorption, [2] dietary calcium, and [3] serum 25-hydroxyvitamin D in pregnancy with maternal BMD 5-year postpartum. Read More

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[Pharmacology education on women's health, pregnancy, childbirth and breastfeeding in Midwifery education].

Authors:
Masumi Imura

Nihon Yakurigaku Zasshi 2021 ;156(2):97-102

Department of Global Health Care and Midwifery, Graduate School of Nursing, Japanese Red Cross College of Nursing.

Midwives are responsible professionals who support the sexual and reproductive health, rights, and welfare of individuals, families, and communities. In particular, midwives work in partnership with women to provide the necessary support, care and advice needed during pregnancy, childbirth and the postpartum period. Midwives conduct normal births on her own responsibility, support breastfeeding, provide care for newborns and infants, and fully release mother-infant's latent strengths. Read More

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Treating Opioid Use Disorder in Peripartum Mothers: A Look at the Psychodynamics, Neurobiology, and Potential Role of Oxytocin.

Psychodyn Psychiatry 2021 ;49(1):48-72

Associate Professor of Clinical Psychiatry and OB/GYN, Indiana University School of Medicine.

The peripartum period (pregnancy and postpartum) is a unique time filled with psychodynamic and biological changes that are critical in affecting the lives of mother and baby. Attachment, the biologically based emotional connection between a caregiver and infant, is critical to the development of the child. The early interactions in an infant's life shape their reward neuro-circuitry and the development of their internal working models and styles of attachment. Read More

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January 2021

Maternal Psychological Factors and Onset of Functional Gastrointestinal Disorders in Offspring: A Prospective Study.

J Pediatr Gastroenterol Nutr 2021 Feb 24. Epub 2021 Feb 24.

Department of Biomedical Science and Human Oncology, Aldo Moro University of Bari, 70100 Bari, Italy Department of Education, Psychology and Communication, Aldo Moro University of Bari, 70122 Bari, Italy Interdisciplinary Department of Medicine, University "Aldo Moro" of Bari, Aldo Moro University of Bari, 70100 Bari, Italy Postgraduate school in Public Health, Department of Biomedical Sciences for Health, University of Milan.

Background/objectives: Functional gastrointestinal disorders (FGIDs) are a heterogeneous group of conditions of unclear etiology. The biopsychosocial model approach to FGIDs posits that early-life stressors may trigger a cascade of complex interactions between genetic predisposition and risk factors eventually leading to the occurrence of FGIDs. The relationship between psychological disposition of the mother and FGIDs occurrence is poorly understood. Read More

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February 2021

Umbilical Cord Management at Term and Late Preterm Birth: A Meta-analysis.

Pediatrics 2021 Mar;147(3)

Department of Pediatrics, The Robert Larner College of Medicine, The University of Vermont, Burlington, Vermont.

Context: The International Liaison Committee on Resuscitation prioritized scientific review of umbilical cord management at term and late preterm birth.

Objective: To assess effects of umbilical cord management strategies (clamping timing and cord milking) in infants ≥34 weeks' gestational age.

Data Sources: Cochrane Central Register of Controlled Trials, Medline, PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, and trial registries searched July 2019. Read More

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Predictors of exclusive breastfeeding in the first six months: four consecutive surveys in a tertiary hospital in Lithuania.

Int Breastfeed J 2021 Feb 24;16(1):22. Epub 2021 Feb 24.

Centre of Obstetrics and Gynecology, Vilnius University Hospital Santaros Klinikos, 2 Santariškių St, LT-08661, Vilnius, Lithuania.

Background: There are little up-to-date data available on the duration of exclusive breastfeeding in Lithuania. The aim of our study was to examine the factors that could influence exclusive breastfeeding during the first 6 months of life.

Methods: In 2016, a survey was conducted at the Obstetrics and Gynecology Clinic of Vilnius University Hospital, Santaros Klinikos. Read More

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February 2021

Exclusive Breastfeeding Moderates the Association Between Prenatal and Postpartum Depression.

J Hum Lact 2021 Feb 11:890334421991051. Epub 2021 Feb 11.

26706 EPIUnit, Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.

Background: Exclusive breastfeeding has a wide range of benefits for maternal health. However, the benefit of exclusive breastfeeding for maternal mental health needs to be further explored.

Research Aim: To determine the moderating role of exclusive breastfeeding at 3 months on the association between prenatal and postpartum depression. Read More

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February 2021

Working Agenda for Black Mothers: A Position Paper From the Association of Black Cardiologists on Solutions to Improving Black Maternal Health.

Circ Cardiovasc Qual Outcomes 2021 Feb 10;14(2):e007643. Epub 2021 Feb 10.

Medicine (Cardiology), Morehouse School of Medicine (E.O.).

Following decades of decline, maternal mortality began to rise in the United States around 1990-a significant departure from the world's other affluent countries. By 2018, the same could be seen with the maternal mortality rate in the United States at 17.4 maternal deaths per 100 000 live births. Read More

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February 2021

Adenosine 5'-monophosphate-activated protein kinase ameliorates bovine adipocyte oxidative stress by inducing antioxidant responses and autophagy.

J Dairy Sci 2021 Apr 5;104(4):4516-4528. Epub 2021 Feb 5.

College of Animal Science and Veterinary Medicine, Heilongjiang Bayi Agricultural University, Daqing, China 163319. Electronic address:

Adipose tissue concentration of reactive oxygen species (ROS) increases in dairy cows with ketosis, suggesting that the tissue experiences oxidative stress. Autophagy, an adaptive response to cellular stress, has been shown to promote survival and plays a critical role in antioxidant responses. Dysregulation of adenosine 5'-monophosphate-activated protein kinase (AMPK) is closely related to antioxidant responses and autophagy of adipocytes in animal models of metabolic disorders, but its role in bovine adipose tissue during periods of stress is unknown. Read More

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Effectiveness of educational and supportive intervention for primiparous women on breastfeeding related outcomes and breastfeeding self-efficacy: A systematic review and meta-analysis.

Int J Nurs Stud 2021 Jan 15;117:103874. Epub 2021 Jan 15.

The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong. Electronic address:

Background: Breastmilk is the most nutritious food for infants to support their growth and protect them from infection. Breastfeeding promotion is an important topic for infant health; and different educational and supportive approaches to interventions have been prompted and targeted at antenatal, postnatal or both periods to promote and sustain exclusive breastfeeding. This systematic review aimed to identify the effective approaches to educational and supportive interventions to improve breastfeeding. Read More

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January 2021

The effect of pestle acupuncture for patients with lactation insufficiency after cesarean section: Study protocol for a randomized controlled trial.

Medicine (Baltimore) 2021 Jan;100(3):e23808

Nursing School, Chengdu University of Traditional Chinese Medicine.

Introduction: Cesarean section is a common operation in obstetrics, and the incidence of insufficient breast milk is high in parturients undergoing cesarean section. Studies have shown that acupuncture or massage at related acupoints can promote the secretion and excretion of milk. These external treatments are quick, safe, and effective. Read More

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January 2021

Risk factors for postpartum depressive symptoms among fathers: A systematic review and meta-analysis.

Acta Obstet Gynecol Scand 2021 Feb 4. Epub 2021 Feb 4.

Department of Pediatrics, Mount Sinai Hospital, Toronto, ON, Canada.

Introduction: The transition to parenthood is a major life change that may affect the mental well-being of both mothers and fathers and place them at an increased risk for depression. The objective of our study was to systematically review the literature and identify factors associated with postpartum depressive symptoms in fathers.

Material And Methods: Searches were conducted in PubMed, PsychInfo, Embase, and CINAHL to identify studies published until March 2020. Read More

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February 2021

Immediate postpartum intrauterine contraceptive device utilization and influencing factors in Addis Ababa public hospitals: a cross-sectional study.

Contracept Reprod Med 2021 Feb 2;6(1). Epub 2021 Feb 2.

School of Nursing and Midwifery, Addis Ababa University, Addis Ababa, Ethiopia.

Background: Postpartum intrauterine device (PPIUCD) utilization remains very low in Ethiopia beside high levels of unmet need for postpartum family planning even if nongovernmental organizations efforts to promote its use. This study investigates immediate PPIUCD utilization and influencing factors.

Methods: Institution based cross-sectional study was conducted on public hospitals of Addis Ababa city. Read More

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February 2021

Institutional practices in maternal health according to social class. Bogotá, Colombia, 2018.

Rev Colomb Obstet Ginecol 2020 12;71(4):323-344

Doctor en Bioética. Profesor titular, Universidad CES, Medellín (Colombia).

Objective: To understand institutional practices in healthcare as relates to women during pregnancy, childbirth and the postpartum period according to social class in Bogota.

Methods: Qualitative study based on the critical hermeneutics paradigm. Critical ethnographic method with theoretical sampling. Read More

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December 2020

Impact of COVID-19 on Maternal Mental Health.

MCN Am J Matern Child Nurs 2021 Mar-Apr 01;46(2):103-109

Abstract: The COVID-19 pandemic led to several states mandating social distancing and sheltering in place along with a shift in health care delivery, unprecedented unemployment rates, financial stress, and emotional concerns. For pregnant and postpartum women, limited social support and social isolation with social distancing and fear of COVID-19 exposure or infection for themselves, their fetus, or their newborn infants, have implications for maternal mental health. An overview of the potential impact of COVID-19 on mental health risk for pregnant and postpartum women is presented with implications for nursing practice to promote maternal-infant wellbeing. Read More

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Changes in infant emotion regulation following maternal cognitive behavioral therapy for postpartum depression.

Depress Anxiety 2021 Apr 19;38(4):412-421. Epub 2021 Jan 19.

Department of Psychiatry and Behavioural Neurosciences, McMaster University, Ontario, Canada.

Background: Exposure to maternal postpartum depression (PPD) increases the risk for emotion regulatory and psychiatric problems in offspring. This study aimed to determine if maternal cognitive behavioral therapy (CBT) for PPD improves infant emotion regulatory capacity.

Methods: Participants were 40 infants of mothers with a primary diagnosis of major depressive disorder matched 1:1-40 healthy control infants of nondepressed mothers on infant age, sex, and socioeconomic status. Read More

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Prophylactic Use of Meloxicam and Paracetamol in Peripartal Sows Suffering From Postpartum Dysgalactia Syndrome.

Front Vet Sci 2020 8;7:603719. Epub 2020 Dec 8.

Unit of Porcine Health Management, Department of Reproduction, Obstetrics and Herd Health, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.

Postpartum dysgalactia syndrome (PPDS) is a major economic problem in modern sow farms. General treatment of PPDS consists of the use of oxytocin to promote milk ejection and non-steroidal anti-inflammatory drugs (NSAIDs) to alleviate inflammatory processes. So far, studies investigated the use of a single administration of NSAIDs after parturition in healthy and non-healthy sows. Read More

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December 2020

Perinatal psychological interventions to promote breastfeeding: a narrative review.

Int Breastfeed J 2021 Jan 6;16(1). Epub 2021 Jan 6.

Mental Health Unit, Department of Primary Care, Simo Tort street, 07500, Mallorca, Manacor, Spain.

Background: Emotional distress in mothers inhibits the let-down reflex, thus affecting breastfeeding self-efficacy. A breastfeeding mother may have to cope with both physical discomfort and psychological distress. However, literature on initiatives to improve breastfeeding rates has focused mainly on providing community-based peer support, or social policies. Read More

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January 2021

[Maternal Satisfaction and Birth: a web-based survey].

Prof Inferm 2020 Jun-Sep;73(3):181-187

RN, MSN, MPS, MFN, PhD, Coordinatore Infermieristico, Azienda Ospedaliera di Perugia, Perugia.

Introduction: Maternal satisfaction regarding care during delivery is an indicator of maternity service's quality.

Methods: We conducted an observational study between May and August 2018, using an online questionnaire for women who have delivered in the last 3 years. Data was processed using descriptive and bivariate analysis, considering satisfaction as outcome. Read More

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December 2020

Indicators of Secretory Activation in Mothers of Preterm Very Low Birth Weight Infants.

J Hum Lact 2020 Dec 22:890334420980424. Epub 2020 Dec 22.

2345 College of Nursing, Medical University of South Carolina, Charleston, SC, USA.

Background: Inconsistent information exists regarding indicators of secretory activation in mothers delivering very low birth weight infants.

Research Aims: To compare time to the onset of secretory activation using three separate indicators. A secondary aim examined the association between indicators of secretory activation and milk production. Read More

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December 2020

MiR-204-5p promotes lipid synthesis in mammary epithelial cells by targeting SIRT1.

Biochem Biophys Res Commun 2020 12 24;533(4):1490-1496. Epub 2020 Oct 24.

Institute of Cellular and Molecular Biology, School of Life Science, Jiangsu Normal University, Xuzhou, Jiangsu, 221116, China. Electronic address:

Objectives: Understanding the molecular mechanisms of lipid synthesis in the mammary gland is crucial for regulating the level and composition of lipids in milk. This study aimed to investigate the functional and molecular mechanisms of miR-204-5p in mammary epithelial cells to provide a theoretical basis for milk lipid synthesis.

Methods: Real-time quantitative PCR was performed to detect the transcriptional levels of miR-204-5p and related mRNA abundance in mammary epithelial cells. Read More

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December 2020

Factors influencing women's decisions about pregnancy spacing: Findings from a focus group discussion study.

Contraception 2021 Mar 4;103(3):190-194. Epub 2020 Dec 4.

RTI International, Research Triangle Park, NC, United States.

Objectives: Very short interpregnancy intervals are associated with negative health outcomes for mothers and children, and pregnancies with very short interpregnancy intervals are more likely to be unintended than pregnancies that are more widely spaced. The objective of this study was to improve understanding of women's motivations regarding pregnancy spacing.

Methods: In 2017, we conducted 8 focus group discussions with 49 English- and Spanish-speaking postpartum women in central North Carolina. Read More

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Serum parameters related to mineral homeostasis and energy metabolism in ewes kept on different dietary magnesium supply during the transition period.

Res Vet Sci 2021 Jan 27;134:19-26. Epub 2020 Nov 27.

Institute of Physiology and Cell Biology, University of Veterinary Medicine Hannover, Foundation, Bischofsholer Damm 15, Hannover D-30173, Germany.

The present study investigated the effects of dietary magnesium supplementation on mineral status and intermediary metabolism of ewes during the transition period (TP). For this purpose, 19 pregnant ewes (2nd and 3rd lactation) were divided into a control group (Con, n = 9) kept on a daily magnesium intake of approximately 3.0 g ante-partum (a. Read More

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January 2021