Journal of Womens Health Care最新文献

{"title":"Pregnancy and Postpartum Related Weight Counseling Practices of U.S. Obstetrician-Gynecologists: Results from the Doc Styles Survey, 2010.","authors":"Allison Boothe-LaRoche, Brook Belay, Andrea J Sharma","doi":"10.4172/2167-0420.1000208","DOIUrl":"https://doi.org/10.4172/2167-0420.1000208","url":null,"abstract":"OBJECTIVE\u0000To describe factors and provider characteristics associated with weight-related counseling practices among U.S. obstetrician-gynecologists (OB/GYNs).\u0000\u0000\u0000METHODS\u0000Data were from a 2010 cross-sectional survey of 250 OB/GYNs. The OB/GYNs were asked how often they used pre-pregnancy body mass index (BMI) to determine the appropriate range of gestational weight gain (GWG), counseled pregnant patients on appropriate rate of GWG, and counseled postpartum patients on weight loss or maintenance. They were also asked how often they counseled pregnant and postpartum patients on five weight-related behaviors [consumption of Fruits and Vegetables (FV), Sugar-Sweetened Beverages (SSB), or high-fat or sugary foods, breastfeeding, and Physical Activity (PA)].\u0000\u0000\u0000RESULTS\u0000Less than half of providers reported \"always\" using BMI to determine appropriate GWG (42%); however 65% reported \"always\" counseling about appropriate GWG rate. About one-third of providers reported counseling about postpartum weight loss or maintenance (38%).Providers reported counseling pregnant and postpartum patients on all weight-related behaviors only 58% and 27% of the time, respectively. Providers with normal BMI had a greater odds of counseling pregnant patients on FV consumption (adjusted odds ratio (aOR): 3.2; 95% confidence interval (CI): 1.5-7.0) and postpartum patients on FV (aOR: 1.9; 95% CI: 1.1-3.6) compared to overweight/obese providers. Providers who exercised regularly had a greater odds of counseling pregnant and postpartum patients on SSB (aOR: 2.2; 95% CI: 1.1-4.8, and aOR: 2.6; 95% CI: 1.4-4.9, respectively) compared to those providers not exercising regularly. Providers who used podcasts for continuing medical education(CME) had a greater odds of providing counseling on several behaviors, including postpartum patients on FV consumption (aOR: 3.1; 95% CI: 1.3-7.2).\u0000\u0000\u0000CONCLUSIONS\u0000Improvements can be made in weight-related counseling practices of OB/GYNs for both pregnant and postpartum patients. Strategies to improve counseling practices, such as podcasts for CME, could be investigated further.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":"3 ","pages":"208"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-0420.1000208","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33903031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Support and Smoking during Pregnancy.","authors":"Saba W Masho,&nbsp;Elizabeth Do,&nbsp;Sulola Adekoya","doi":"10.4172/2167-0420.1000179","DOIUrl":"https://doi.org/10.4172/2167-0420.1000179","url":null,"abstract":"<p><strong>Background: </strong>Smoking during pregnancy and a lack of social support have been identified as independent risk factors for poor birth outcomes. However, the influence of social support on smoking during pregnancy remains under-investigated. This study examined the association between domains of social support and smoking during pregnancy.</p><p><strong>Methods: </strong>Pregnant women during their first trimester, attending three inner-city clinics were surveyed using self-administered questionnaires (N=227). Social support was measured using the Interpersonal Support Evaluation List (ISEL). Three domains of social support (tangible, appraisal, and belonging) were examined. Multiple logistic regressions were conducted; Odds Ratios (OR) and 95% confidence intervals were calculated.</p><p><strong>Results: </strong>Per unit increase in the total composite social support scale, there was a 6% increased odds of smoking during pregnancy. There was a statistically significant interaction between race and social support. While the tangible support (OR=1.15; 95% CI: 1.03, 1.27) and appraisal (OR=1.17; 95% CI: 1.05, 1.31) domains were significantly associated with smoking among African American women, only the belonging support domain was significantly associated with smoking during pregnancy among Caucasian women (OR=1.20; 95% CI: 1.02, 1.40).</p><p><strong>Conclusions: </strong>This study provided evidence that racial differences may exist in the way social support influences smoking during pregnancy. Future studies are needed to understand these racial differences and assist in the design of interventions. Considering the importance of social support, strategies for smoking cessation intervention should consider racial difference.</p>","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":"3 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-0420.1000179","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32979597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Falling Short of Guidelines? Nutrition and Weight Gain Knowledge in Pregnancy.","authors":"Danielle Symons Downs,&nbsp;Jennifer S Savage,&nbsp;Erica L Rauff","doi":"10.4172/2167-0420.1000184","DOIUrl":"https://doi.org/10.4172/2167-0420.1000184","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this study was to characterize pregnant women's gestational weight gain (GWG) knowledge and awareness of healthy eating behaviors known to impact GWG.</p><p><strong>Methods: </strong>Formative research was conducted including semi-structured individual interviews and focus group interviews. The participants were mostly Caucasian pregnant women (<i>N</i> = 30; <i>M</i>age = 28 years old) residing in a suburban/rural region of Central Pennsylvania. Descriptive and thematic analyses were used to examine the primary outcomes of GWG and healthy eating knowledge and informational sources.</p><p><strong>Results: </strong>Many women had no knowledge of how much GWG they should gain in pregnancy (42%). Women appeared to have adequate knowledge on foods they should avoid eating during pregnancy. However, one-fourth of women indicated that they did not feel as though they received adequate information from their healthcare provider about the foods they should be eating and how to meet the healthy eating recommendations. Therefore, one-fourth of women reported using non-healthcare provider resources (e.g., magazines, internet) with questionable reliability to obtain healthy eating guidance.</p><p><strong>Conclusion: </strong>These exploratory findings show that pregnant women have some knowledge of the GWG and healthy eating guidelines; however, most women received this information from a non-healthcare provider resource. Focused efforts are needed to educate pregnant women about GWG and healthy eating using accurate and reliable sources andencourage strategies to meet guidelines in an effort to promote healthy GWG.</p>","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":"3 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-0420.1000184","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32984325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Randomized Controlled Trial to Test the Effectiveness of Intrautetine Balloon Tamponade with Condom Catheter in Severe Postpartum Hemorrhage Management: A Feasibility Study in Benin","authors":"J. Tort, B. Hounkpatin, T. Popowski, M. Traoré, C. Bodin, R. Perrin, P. Rozenberg, A. Dumont","doi":"10.4172/2167-0420.1000135","DOIUrl":"https://doi.org/10.4172/2167-0420.1000135","url":null,"abstract":"Background: In low-resource countries, Postpartum Hemorrhage (PPH) is the leading cause of maternal mortality. Thus, it is important to identify procedures that are adapted to their situation. The intrauterine balloon tamponade was recently incorporated into the strategy to manage uterine atony. There are many types of tamponades. Among them, the condom catheter seems to be an efficient and economic intervention for the treatment of PPH in lowresource countries. However, its effectiveness has not yet undergone rigorous evaluation. Our objective is to assess the feasibility of a Randomized Control Trial (RCT) that will test the efficacy of the intrauterine balloon tamponade with condom catheter in low-resource countries. \u0000Methods: We carried out a pilot study of an individual randomized parallel-group controlled trial (CONDOM-PPH Trial) in three health facilities representing different levels in the health pyramid in Cotonou, Benin. Women presenting postpartum hemorrhage refractory to first-line treatments after a vaginal delivery were included. The main outcomes measures were the feasibility of recruitment, acceptability of the condom catheter by clinicians, its impact on organizing care, and its tolerance among women. Data collected from interviews with clinicians, field observations, a standardized questionnaire on the women’s characteristics and their treatment at inclusion, and a weekly data-collection system on facility activities and inclusion monitoring. Analysis was performed using quantitative and qualitative methods. \u0000Results: The condom catheter is generally well accepted by clinicians. Its assembly was considered fast and easy. No side effects were reported. Over a four-month period, ten women were randomized: five in the intervention group (condom catheter + misoprostol) and five in the control group (only misoprostol). The recruitment rate was 0.3% of vaginal deliveries. \u0000Conclusion: By ensuring that measures are taken to increase staff motivation, implementing a RCT is feasible in this context despite a few technical difficulties related to randomization in an emergency situation.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":"50 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2013-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80995532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstracts from the NIH Office of Research on Women's HealthTenth Annual Interdisciplinary Women's Health Research SymposiumOctober 24, 2013","authors":"Joan D. Nagel","doi":"10.1089/JWH.2013.AB02","DOIUrl":"https://doi.org/10.1089/JWH.2013.AB02","url":null,"abstract":"The Office of Research on Women's Health (ORWH) initiated its signature research and career development programs in women's health based on a paradigm that views interdisciplinary approaches as essential to moving forward the science associated with women's health and to increasing understanding of the contributions of sex and gender factors to human health and disease. From the beginning it was hoped that supporting interdisciplinary research efforts and building a cadre of interdisciplinary women's health researchers would help to reduce the fragmented approach to women's health issues and encourage more comprehensive, integrated approaches to women's health and new ways of evaluating those who conduct such research. ORWH supports innovative ways to encourage collaborative, interdisciplinary research that is team based to improve women's health through two major initiatives, the Building Interdisciplinary Research Careers in Women's Health (BIRCWH) program and the Specialized Centers of Research (SCOR) on Sex Differences. The BIRCWH program was first funded in 2000, and the SCOR center was first funded in 2002. Both programs were expanded in fiscal year 2012 as part of the implementation of the 2010 National Institutes of Health (NIH) Strategic Plan for Women's Health Research, A Vision for 2020 for Women's Health Research (http://orwh.od.nih.gov/resources/policyreports/index.asp).","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":"29 1 1","pages":"879-908"},"PeriodicalIF":0.0,"publicationDate":"2013-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77380634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Therapeutic Ultrasound and Maternal Cooling Gel Pad forPerineal Pain Following Vaginal Delivery with Episiotomy","authors":"Arati V Mahishale, Ashwini Chougala, S. Patted","doi":"10.4172/2167-0420.1000128","DOIUrl":"https://doi.org/10.4172/2167-0420.1000128","url":null,"abstract":"Background and objectives: About 70% of women suffer trauma with or without episiotomy to the perineum during vaginal delivery and this commonly causes pain and discomfort which may persist for months postpartum. The present study was aimed to evaluate the effectiveness of therapeutic ultrasound and cooling maternal gel pads for perineal pain following vaginal delivery. \u0000Materials and methods: After obtaining ethical clearance from Institutional Ethical Committee, 30 women who underwent vaginal delivery with episiotomy and complained of perineal pain were recruited and randomly allocated to control (n-15) and interventional group (n-15). A written informed consent was signed by all the participants. Physiotherapy intervention included therapeutic ultrasound, cooling maternal gel pad for experimental group and placebo therapeutic ultrasound for control group twice daily for a period of 3 days. Outcome measures included Visual Analog Scale (VAS) for pain measurement and REEDA (Redness, Edema, Ecchymoisis, Discharge, Approximation) scale for healing process, which were documented on 1st day pre intervention and 3rd day post intervention respectively. \u0000 Results: The results showed statistically significant reduction in VAS and REEDA scores in experimental groups with p=0.02. \u0000Conclusion: Therapeutic ultrasound and maternal cooling gel pad proved to be effective in reducing perineal pain following vaginal delivery with episiotomy.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":"70 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2013-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73872845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of Postnatal Service utilization in a Western District of Nepal: Community Based Cross Sectional Study","authors":"M. Paudel, V. Khanal, Bimala Acharya, ira Adhikari","doi":"10.4172/2167-0420.1000126","DOIUrl":"https://doi.org/10.4172/2167-0420.1000126","url":null,"abstract":"Background: Postnatal care of mothers is essential to reduce maternal morbidity and mortality. The objective of this study was to examine the factors affecting the utilization of postnatal service among the mothers who were currently having young children aged 6 weeks to 23 months in Kapilvastu district of western Nepal. \u0000Method: This was a community based cross sectional study conducted from January to February, 2012. Utilization of Postnatal Care (PNC) was reported in proportion. Factors associated with utilization of services were examined by using chi square test followed by regression analysis. \u0000Results: Of the 223 participants, 25.1% attended any PNC, 13.5% attended early PNC (within 24 hours of delivery) and 19.3% sought PNC service from health workers. The mothers who consumed iron tablet during pregnancy, who delivered in health facility, and who experienced danger signs during pregnancy were more likely to attend PNC services. The mothers who attended four or more ANC visits; had delivey assisted by health workers; had delivery at health faclity; consumed iron tablet during pregnancy; and attended secondary and above education were more likely to utilize early PNC services than their counterparts. Mothers who had completed secondary or higher education; had attended four or more ANC services or 1-3 ANC visits; who had ANC services by health workers; who had taken iron tablet during pregnancy and who were affected by danger signs during delivery were more likely to receive PNC from health workers than their counterparts. \u0000Conclusion: This study revealed that uptake of postnatal care service was very low. Home visits of postnatal mothers by health workers could be effective approach to increase the uptake of PNC services. Initiating incentive schemes for health workers or the mothers could be future direction for intervetion studies to increase postanatal service utilization in Nepal.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":"10 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2013-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91518619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Lifestyle Modification on Pregnancy Success in Obese and Overweight Women with PCOS","authors":"A. Karkanaki, I. Kalogiannidis, D. Panidis","doi":"10.4172/2167-0420.1000125","DOIUrl":"https://doi.org/10.4172/2167-0420.1000125","url":null,"abstract":"The present review approaches the pregnancy success after lifestyle modification in obese infertile women \u0000with Polycystic Ovary Syndrome (PCOS). Lifestyle modification including hypocaloric diet, structured exercise and counseling, in combination with medical intervention, where necessary, is effective on the resumption of menstruation, the amelioration of the reproductive profile and the success of spontaneous pregnancy. Pregnancy rates vary a lot among the studies. There are limitations due to the heterogeneity in the design of the studies, the diagnosis of the syndrome and the type of the intervention. The number of the studies is restricted and raises the need for further evaluation through well designed, controlled trials. Despite the controversies, the evidence supports the lifestyle modification as first line therapy in obese and overweight women with PCOS.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":"137 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2013-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85317900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Research and the Disparities amongst Non-Profit Cancer Foundations","authors":"J. Micha","doi":"10.4172/2167-0420.1000124","DOIUrl":"https://doi.org/10.4172/2167-0420.1000124","url":null,"abstract":"In this review, donor considerations relevant to supporting a particular cancer research organization are discussed. Moreover, middleman or intermediary non-profit cancer centers that do not actually conduct research, but instead, outsource this endeavor to another institution are discoursed. Finally, assessment resources to which donors may refer are commented upon and select recommendations prior to supporting a specific non-profit cancer foundation are also conferred.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":"75 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2013-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90981827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High Prevalence of Vitamin D Deficiency in Women Presenting to Rheumatology Clinic in North of Iran: An Inverse Relation with Age","authors":"B. Heidari, P. Heidari, K. Tilaki","doi":"10.4172/2167-0420.1000123","DOIUrl":"https://doi.org/10.4172/2167-0420.1000123","url":null,"abstract":"Background: Vitamin D deficiency is linked to bone mass attainment during adolescence period and to the development or progression of several rheumatic diseases that commonly appears in young females. There is a gap in the existing literature pertaining to vitamin D levels across the life-stages. This study was designed to investigate the status of serum vitamin D according to age in women presnting to rheumatology clinic in north of Iran. Methods: A total of 843 women were consecutively entered to study. Serum 25-hydroxyvitamin D (25-OHD) was measured by ELISA method and concentratins <20 ng/ml was considered as deficiency. Mean 25-OHD and proportions of 25-OHD deficiency was compared according to decades of age and between premenopausal (<50) and postmenpausal (≥ 50 years) women using Mann-Whitney and chi-square tests. Spearman’s test was used for correlation. Results: The median age was 50 (range 15-91) years. Overall 52.8% had 25-OHD deficiency and 24.6% had 25-OHD<10 ng/ml. Mean 25-OHD and proportion of deficiency diferred significantly across various decades of age (P=0.0001 for both).Mean 25-OHD positively correlated to age (r=0.300 P=0.0001) and proportion of 25-OHD deficiency inversely correlated with age (P=0.0001). Mean 25-OHD was lower and proportion of 25-OHD deficiency was higher in premenopausal versus postmenopausal women (P=0.001 for both). Conclusion: These findings indicate an inversly agerelated high prevalence of vitamin D deficiency particularly in premenopausal women presenting to rheumatology clinic. Regarding a link between vitamin D deficiency and development of several rheumatic diseases as well as bone mass impairment these findings suggest early recognition of vitamin D deficiency in young women. *Corresponding author: BehzadHeidari, Department of medicine, Rouhani hospital, Babol University of medical sciences, Babol, Iran, E-mail: heidaribeh@yahoo.com Received April 04, 2013; Accepted May 27, 2013; Published May 29, 2013 Citation: Heidari B, Heidari P, Tilaki KH (2013) High Prevalence of Vitamin D Deficiency in Women Presenting to Rheumatology Clinic in North of Iran: An Inverse Relation with Age. J Women’s Health Care 2: 123. doi:10.4172/21670420.1000123 Copyright: © 2013 Heidari B, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":"67 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2013-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73872532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}