Maternal health, neonatology and perinatology最新文献

{"title":"Evaluating physical activity questionnaires for postpartum women.","authors":"Karan Pongpanit, Sabrina Belcourt, Marie Laurance Gagnon, Brie-Anna Gerardi, Kim Tran, Mariane Bertagnolli","doi":"10.1186/s40748-026-00263-w","DOIUrl":"https://doi.org/10.1186/s40748-026-00263-w","url":null,"abstract":"","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13147797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847131","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":"Time to death and its predictors of mortality among neonates admitted to neonatal intensive care unit in public general hospitals of central zone of Tigray, Ethiopia 2024: a retrospective cohort study.","authors":"Tsehaye Hailemariam Teklu, Mekuria Kassa Nerea, Almaz Berhe Weldemicheal","doi":"10.1186/s40748-026-00261-y","DOIUrl":"10.1186/s40748-026-00261-y","url":null,"abstract":"<p><strong>Background: </strong>Neonatal mortality, accounting for nearly half of global under-five deaths, declines slower than post-neonatal mortality. Preterm birth, perinatal asphyxia, and infections are leading causes in Ethiopia, where skilled birth attendance, Kangaroo Mother Care, and Antenatal Care are prioritized. The Ethiopia Demographic Health Survey noted a rise in neonatal mortality from 29 to 30 deaths per 1000 live births (2016-2019). This trend highlights critical gaps in prevention and healthcare delivery. Targeted research is essential to reduce preventable deaths and enhance child survival.</p><p><strong>Objectives: </strong>To determine Time-to-Death and Predictors of Neonatal Mortality Among Neonatal Intensive Care Unit, Admissions in Public General Hospitals of Tigray's Central Zone, Ethiopia: A 2024 Cohort Study.</p><p><strong>Methods: </strong>A hospital-based retrospective cohort study involved 357 neonates selected via systematic random sampling. Data was coded and entered using Epi-data 4.6 and analyzed with STATA 14. Kaplan-Meier analysis estimated the median survival time. Log rank tests compared survival differences across explanatory variable categories. The Cox proportional hazard regression model assessed relationships between independent and outcome variables. Model fitness was evaluated graphically using the Cox Snell residual graph.</p><p><strong>Result: </strong>Among 357 Neonates, 60(16.8%) died with an overall incidence rate of 17.7 (95%CI: 13.7, 22.8) deaths/1000 neonates-days total follow-up 3388 days. And the median survival time was 27 days. The predictors of neonatal mortality were rural residence (AHR = 3.44, 95% CI: 1.55, 7.66), lack of ANC (AHR = 2.80, 95% CI: 1.22, 6.51), HIV positive Mothers (AHR = 2.93; 95% CI: 1.27, 6.72) and delayed breast feeding (AHR = 2.12, 95% CI: 1.07, 4.20).</p><p><strong>Conclusion: </strong>Neonatal mortality was 17.7 per 1000 neonate-days, with a median survival of 27 days. Rural residence, no ANC visits, maternal HIV positivity, and delayed breastfeeding were key predictors of neonatal death. Programs should focus on improving ANC access and community-based survival strategies, especially for rural mothers. Enhanced efforts are critical to reduce neonatal mortality.</p>","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147824487","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":"From knowledge to action: understanding midwives' challenges in implementing delayed cord clamping in Northern Ghana.","authors":"Akum Leticia Achangebe, Abiba Nyari, Hikimatu Zakariah, Tahiru Rafatu","doi":"10.1186/s40748-026-00258-7","DOIUrl":"https://doi.org/10.1186/s40748-026-00258-7","url":null,"abstract":"<p><strong>Background: </strong>Delayed cord clamping (DCC) is a cost-effective neonatal care intervention that has been proven to enhance iron stores, increase hemoglobin levels, and improve long-term infant health. Despite its inclusion in national guidelines, adherence to DCC protocols in Ghana remains inconsistent. This study assessed midwives' knowledge, practices, and barriers to the implementation of DCC in the Tamale Metropolis to inform targeted interventions to improve neonatal outcomes.</p><p><strong>Methods: </strong>A sequential explanatory mixed-methods study was conducted among 105 practicing midwives in the Tamale Metropolis. Quantitative data were analyzed using chi-square tests and multivariable logistic regression to identify factors independently associated with routine DCC practice. Routine delayed cord clamping practice was operationalized as clamping performed within 1-3 min after birth in accordance with WHO recommendations.</p><p><strong>Results: </strong>Awareness of delayed cord clamping was high (94%), yet 57% perceived it as potentially harmful. Although 73% reported routinely practicing delayed cord clamping, only 51% adhered to the WHO-recommended 1-3-minute delay. After adjustment for age, years of experience, education level, and facility type, midwives who had received formal delayed cord clamping training were significantly more likely to adhere to recommended timing (AOR = 4.76, 95% CI: 1.78-12.72). Recent training (< 1 year) (AOR = 5.63, 95% CI: 1.42-22.21) and the presence of a facility protocol (AOR = 2.94, 95% CI: 1.12-7.68) were also independently associated with practice.</p><p><strong>Conclusion: </strong>Despite widespread awareness, persistent misconceptions, inadequate training, and institutional barriers hinder optimal delayed cord clamping implementation in Northern Ghana. Regular professional development, standardized institutional protocols, and strengthened supervision are critical to bridging the knowledge-practice gap and ensuring consistent, evidence-based neonatal care.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13134336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147824468","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":"Facilitating quality improvement activities related to newborn care in low- and middle-income countries: challenges and possible solutions.","authors":"Indira Narayanan, Rajesh Mehta, Nigel Livesley, Tamar Chitashvili","doi":"10.1186/s40748-026-00262-x","DOIUrl":"https://doi.org/10.1186/s40748-026-00262-x","url":null,"abstract":"","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13134129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147824489","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":"Effect of tactile-kinesthetic stimulation on breastfeeding performance among preterm neonates in a neonatal intensive care unit.","authors":"Selvi S, Valarmathi V, Subash S, Helen Shaji J C","doi":"10.1186/s40748-026-00259-6","DOIUrl":"10.1186/s40748-026-00259-6","url":null,"abstract":"","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13072653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147679309","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":"Exploration of facilitators and barriers to the implementation of the eight-contact antenatal care model in healthcare facilities in Nigeria.","authors":"Oluwayomi T Adebisi, Margaret O Akinwaare","doi":"10.1186/s40748-026-00256-9","DOIUrl":"10.1186/s40748-026-00256-9","url":null,"abstract":"","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13047834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610856","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":"Early dyadic interventions for critically ill neonates: a scoping review.","authors":"Mariana C Aokalani, Louisa Flynn, Anniette Maldonado, Katherine L Wisner, Catherine Limperopoulos, Nickie N Andescavage","doi":"10.1186/s40748-026-00252-z","DOIUrl":"10.1186/s40748-026-00252-z","url":null,"abstract":"","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13045093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596452","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":"Determinants of tetanus-unprotected births in Tanzania: a multilevel analysis using the 2022 Tanzania Demographic and Health Survey data.","authors":"Yohannes Mekuria Negussie, Beminate Lemma Seifu, Angwach Abrham Asnake, Bezawit Melak Fente, Hiwot Atlaye Asebe, Mamaru Melkam, Meklit Melaku Bezie, Sintayehu Simie Tsega, Zufan Alamrie Asmare, Alemayehu Kasu Gebrehana","doi":"10.1186/s40748-026-00257-8","DOIUrl":"10.1186/s40748-026-00257-8","url":null,"abstract":"","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13041112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596428","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":"The critical gap in prevention: knowledge of periconception folic acid supplementation and its predictors among pregnant women in Ethiopia.","authors":"Timsel Girma, Desalegn Tsegaw Hibstu, Befikadu Amare, Geracho Garolla","doi":"10.1186/s40748-026-00254-x","DOIUrl":"10.1186/s40748-026-00254-x","url":null,"abstract":"","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12961768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367489","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":"Pulmonary arteriovenous malformation in pregnancy: a case report and literature review.","authors":"Pradip Kumar Saha, Abhay Kumar, Bharti Joshi, Anuj Prabhakar, Rashmi Bagga","doi":"10.1186/s40748-026-00251-0","DOIUrl":"10.1186/s40748-026-00251-0","url":null,"abstract":"","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12955201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345975","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}