Maternal health, neonatology and perinatology最新文献

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Global call to understand intersectionality between heat exposure and perinatal mental health. 全球呼吁了解热暴露和围产期心理健康之间的相互关系。
Maternal health, neonatology and perinatology Pub Date : 2025-03-04 DOI: 10.1186/s40748-025-00206-x
Ashish Kc, Lea Kreyenbaum
{"title":"Global call to understand intersectionality between heat exposure and perinatal mental health.","authors":"Ashish Kc, Lea Kreyenbaum","doi":"10.1186/s40748-025-00206-x","DOIUrl":"10.1186/s40748-025-00206-x","url":null,"abstract":"<p><p>Increasing heat events, due to human induced climate change have shown to affect vulnerable populations such as pregnant and postpartum women and their mental health. Moreover, consequences of heat events can be unevenly distributed, affecting communities with existing structural discrimination and socially and economically disadvantaged populations. The risk of perinatal depression might be higher in pregnant and postpartum women. In this commentary, we argue, based on the review of literature, that there is a quintessential need for scientific research to investigate the interlinkage between heat events and perinatal depression.</p>","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"11 1","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544974","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}
引用次数: 0
Safety and efficacy of double plastic wrap in reducing insensible water loss in preterm infants in first week of life - a pilot randomized controlled trial from a low-to-middle-income country. 双层保温膜减少出生第一周早产儿不知觉失水的安全性和有效性——一项来自中低收入国家的随机对照试验。
Maternal health, neonatology and perinatology Pub Date : 2025-03-03 DOI: 10.1186/s40748-025-00204-z
Sreetama Das, Somnath Pal, Syamal Sardar
{"title":"Safety and efficacy of double plastic wrap in reducing insensible water loss in preterm infants in first week of life - a pilot randomized controlled trial from a low-to-middle-income country.","authors":"Sreetama Das, Somnath Pal, Syamal Sardar","doi":"10.1186/s40748-025-00204-z","DOIUrl":"10.1186/s40748-025-00204-z","url":null,"abstract":"<p><strong>Background: </strong>Preterm infants experience excessive insensible water loss in postnatal period. Established practices like cling film might not be sufficient alone in reducing this loss. Being expensive, humidified incubators might not be affordable in developing countries. Hence, we tried to explore double plastic wrap (cling film attached to the bassinet wall and occlusive plastic wrap covering the baby) as a low-cost solution of increased insensible water loss in postnatal period.</p><p><strong>Methods: </strong>In this pilot trial 63 inborn infants of less than 32 weeks of gestation or birth weight less than 1200 g were enrolled and randomized to either single wrap (only cling film attached to the bassinet wall) or double wrap (cling film covering the bassinet and occlusive plastic wrap covering the baby) group after birth. This practice was allowed in addition to radiant warmer care and other routine thermoregulatory measures followed in the unit. Intervention was continued till first 7 days of life unless they met any pre-specified withdrawal criteria. The primary outcome was a difference in total insensible water loss (g/m2) in first seven days of life between two groups. The secondary outcomes were difference in cumulative insensible water loss (g/m2) in the first 72 h of life, 4-7 days of life, average daily insensible water loss in the first week (g/m2/h), neonatal morbidities, mortality and time to event analysis.</p><p><strong>Results: </strong>Of 63 randomized infants, 32 were allocated to single wrap and 31 to double wrap groups. Cumulative insensible water loss in first 72 h and first week were significantly lower in the double wrap group (2786.5 ± 576 g/m2 in single wrap and 2376.8 ± 626 g/m2 in double wrap, p value 0.012 for 0-3 days and 6225.48 ± 951 g/m2 in single wrap and 5260.61 ± 1091 in double wrap, p value 0.034 for 0-7 days of life respectively). Apart from increased incidence of patent ductus arteriosus in double wrap group (41.94% vs. 15.62%, p 0.027) no other clinically significant outcomes were different between 2 groups. Median times to wean off respiratory support, regain birth weight and discharge from health facility were also similar between the two groups.</p><p><strong>Conclusion: </strong>Double plastic wrap has been found to reduce cumulative insensible water loss in first week of life compared to cling film alone in the setting of a low-to-middle income-country.</p><p><strong>Trial registration number: </strong>CTRI/2024/03/063749.</p><p><strong>Trial registration date: </strong>07.03.2024. LINK TO CTRI: https://ctri.nic.in/Clinicaltrials/pmaindet2.php?EncHid=MTAwMzk5&Enc=&userName=CTRI/2024/03/063749 .</p>","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"11 1","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11874115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538125","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}
引用次数: 0
Acceptability of telemedicine for early surgical site infection diagnosis after cesarean delivery in rural Rwanda: a qualitative study. 卢旺达农村地区对远程医疗用于剖宫产后早期手术部位感染诊断的接受度:一项定性研究。
Maternal health, neonatology and perinatology Pub Date : 2025-02-05 DOI: 10.1186/s40748-024-00200-9
Laban Bikorimana, Eve Hiyori Estrada, Anne Niyigena, Robert Riviello, Fredrick Kateera, Bethany Hedt-Gauthier, Vincent K Cubaka
{"title":"Acceptability of telemedicine for early surgical site infection diagnosis after cesarean delivery in rural Rwanda: a qualitative study.","authors":"Laban Bikorimana, Eve Hiyori Estrada, Anne Niyigena, Robert Riviello, Fredrick Kateera, Bethany Hedt-Gauthier, Vincent K Cubaka","doi":"10.1186/s40748-024-00200-9","DOIUrl":"10.1186/s40748-024-00200-9","url":null,"abstract":"<p><strong>Background: </strong>Telemedicine interventions, while promising for enhancing healthcare access, require an evaluation of feasibility and acceptability to inform field implementation. This qualitative study explored the acceptability of a telemedicine intervention in which surgical incision photos taken by community health workers (CHWs) were sent to hospital-based general practitioners to diagnose surgical site infections (SSIs) following cesarean section in rural Rwanda. As the study timeline coincided with the beginning of the COVID-19 pandemic we additionally asked about their perceptions of telemedicine in this context .</p><p><strong>Methods: </strong>We conducted qualitative, semi-structured in-depth interviews in Kinyarwanda among 26 individuals (14 women and 12 CHWs) who participated in the telemedicine intervention. The interviews were transcribed verbatim and translated into English. Thematic analysis was applied and parallel inductive coding was used to develop English and Kinyarwanda codebooks. These were consolidated into a master codebook for final coding.</p><p><strong>Results: </strong>All women and CHWs found the photo-based telemedicine program acceptable, though some concerns were raised. One woman voiced concerns about the reliability of photos in detecting SSIs compared to in-person visits. Women and CHWs reported perceived faster healing associated with the intervention, enhanced access to postoperative care from home, and cost savings as notable benefits of the telemedicine program. Trust in CHWs emerged as a critical factor for community acceptance. While one CHW expressed reservations about implementing the intervention during COVID-19, the majority of CHWs and patients indicated strong acceptance, with some even preferring it.</p><p><strong>Conclusion: </strong>These findings highlight the acceptance - from both caregivers and patients - of the photo-based telemedicine intervention in a resource-limited context, even amid crises like the COVID-19 pandemic. This acceptance was reinforced with recognized benefits, with trust in CHWs serving as a crucial factor. These insights can inform the development of telemedicine interventions in similar settings.</p>","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"11 1","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11795994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191527","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}
引用次数: 0
Safety of antenatal breastmilk expression from week 34 of pregnancy: a randomized controlled pilot study (The Express-MOM study). 妊娠第34周开始的产前母乳表达的安全性:一项随机对照先导研究(The Express-MOM研究)。
Maternal health, neonatology and perinatology Pub Date : 2025-01-03 DOI: 10.1186/s40748-024-00197-1
Marie Bendix Simonsen, Sarah Bjerrum Bentzen, Sören Möller, Kristina Garne Holm, Christina Anne Vinter, Gitte Zachariassen
{"title":"Safety of antenatal breastmilk expression from week 34 of pregnancy: a randomized controlled pilot study (The Express-MOM study).","authors":"Marie Bendix Simonsen, Sarah Bjerrum Bentzen, Sören Möller, Kristina Garne Holm, Christina Anne Vinter, Gitte Zachariassen","doi":"10.1186/s40748-024-00197-1","DOIUrl":"10.1186/s40748-024-00197-1","url":null,"abstract":"<p><strong>Background: </strong>Mother's own milk (MOM) is important as the first nutrition for preterm infants, but mothers often struggle to initiate milk production right after preterm birth. If antenatal breastmilk expression (aBME) does not induce preterm labor when performed before term age, it could promote nutrition with MOM right after preterm birth. In this pilot study, we aimed to investigate whether aBME induces preterm labor among healthy nulliparous women from week 34 of pregnancy, to examine if aBME promotes the availability of MOM right after birth and affects breastfeeding outcomes.</p><p><strong>Methods: </strong>Women were randomized to aBME (10 min 2 × daily) from week 34 of pregnancy until birth or to the control group. Both groups had a breastfeeding consultation between week 33 and 34 of pregnancy and were followed until eight weeks after birth. The primary outcome was gestational age (GA) at birth. Secondary outcomes were the availability of MOM and exclusive breastfeeding rates from 24 h to eight weeks after birth. Ranksum test and a posterior plot for the probability of non-inferiority were applied to the primary outcome. The availability of MOM is reported as medians and IQR. Breastfeeding outcomes were analyzed with mixed effects logistic regression.</p><p><strong>Results: </strong>One hundred forty-four pregnant women were eligible for participation, 51 were excluded, and 33 declined participation/did not answer inclusion phone calls. 60 women were included and randomized. Primary outcome data were available in 55 women (28 in intervention, 27 in control). We found no difference in GA at birth between the two groups: median (IQR), 40 + 1(39 + 5:41 + 2) in intervention vs. 40 + 2 (39 + 4:41 + 1) in control, p = 0.98. Antenatal expressed MOM was available at birth in most women in the intervention group (23/28, 82%), with a median of 52 mL during pregnancy. There was no statistically significant difference in breastfeeding outcomes. No adverse events were reported.</p><p><strong>Conclusions: </strong>aBME performed by healthy nulliparous women from gestational week 34 did not induce preterm labor. In most women in the intervention group, MOM was available right after birth. The study results provide the basis for a trial among women at high risk for preterm birth.</p><p><strong>Trial registration: </strong></p><p><strong>Clinicaltrials: </strong>gov (NCT05516199).</p>","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"11 1","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142924070","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}
引用次数: 0
Diploid fetus with partially triploid placenta: case presentation and management strategy. 二倍体胎儿伴部分三倍体胎盘:病例报告及处理策略。
Maternal health, neonatology and perinatology Pub Date : 2024-12-02 DOI: 10.1186/s40748-024-00195-3
Behrokh Sahebdel, Zahra Moghimi, Ehsan Sobhanian, Elham Shirali, Fariba Yarandi, Fatemeh Golshahi, Mahboobeh Shirazi, Nafiseh Saedi, Ali Rashidi-Nezhad
{"title":"Diploid fetus with partially triploid placenta: case presentation and management strategy.","authors":"Behrokh Sahebdel, Zahra Moghimi, Ehsan Sobhanian, Elham Shirali, Fariba Yarandi, Fatemeh Golshahi, Mahboobeh Shirazi, Nafiseh Saedi, Ali Rashidi-Nezhad","doi":"10.1186/s40748-024-00195-3","DOIUrl":"https://doi.org/10.1186/s40748-024-00195-3","url":null,"abstract":"<p><p>Multiple placental cysts are a common finding in obstetric ultrasound imaging. Although they have benign differential diagnoses, such as hydropic degeneration of the placenta or placental mesenchymal dysplasia, it's important to consider significant pathologies, such as benign gestational trophoblastic disease or hydatidiform mole. A challenging issue in obstetrics is pregnancies with a placenta that has a bipartite texture. This means that one side of the placenta is normal, but the other side is full of cystic formations, and only one fetus is visualized. The main critical concern is the presence of a molar pregnancy because of its catastrophic consequences. Here, we report a rare case in which the gravid uterus had a normal diploid fetus but had a bipartite placenta, which was triploid in the hydropic part, revealing a unique genetic pattern.</p>","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"10 1","pages":"24"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775245","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}
引用次数: 0
Determinants of macrosomia among newborns delivered in Jigjiga City, Eastern Ethiopia: a case-control study. 埃塞俄比亚东部吉吉加市新生儿大畸形的决定因素:一项病例对照研究。
Maternal health, neonatology and perinatology Pub Date : 2024-11-08 DOI: 10.1186/s40748-024-00194-4
Abdisalan Elmi Farah, Dureti Abdurahman, Kassiye Shiferaw, Ahmedin Aliyi Usso, Mohammed Abdurke Kure, Beker Feto, Hassen Abdi Adem, Saba Hailu
{"title":"Determinants of macrosomia among newborns delivered in Jigjiga City, Eastern Ethiopia: a case-control study.","authors":"Abdisalan Elmi Farah, Dureti Abdurahman, Kassiye Shiferaw, Ahmedin Aliyi Usso, Mohammed Abdurke Kure, Beker Feto, Hassen Abdi Adem, Saba Hailu","doi":"10.1186/s40748-024-00194-4","DOIUrl":"10.1186/s40748-024-00194-4","url":null,"abstract":"<p><strong>Background: </strong>Macrosomia is a forgotten health problem that directly or indirectly affects maternal and neonatal health outcomes. There is a lack of evidence on the factors that affect macrosomia in eastern Ethiopia. This study aimed to assess the determinants of macrosomia among newborns delivered in Jigjiga City, Eastern Ethiopia.</p><p><strong>Methods: </strong>An institutional-based case-control study was conducted among 82 cases and 164 controls in Jigjiga City from June 25 to August 24, 2023. Bivariable and multivariable logistic regression were used to identify the determinants of macrosomia. An adjusted odds ratio (AOR) with a 95% confidence interval was used to report the strength of the association, and the statistical significance was declared at a p-value < 0.05.</p><p><strong>Results: </strong>This study found that lack of preconception care (AOR = 2.48, 95% CI: 1.29, 4.76); post-term pregnancy (AOR = 2.90, 95% CI: 1.16, 7.28); inadequate physical activity (AOR = 3.52, 95% CI: 1.55, 7.98), having previous macrosomia (AOR = 4.52, 95% CI: 2.18, 9.36), and gestational diabetic mellitus (AOR = 2.58, 95% CI: 1.10, 6.28) were the main risk factors of macrosomia.</p><p><strong>Conclusion: </strong>This study indicated that failed utilization of preconception care, inadequate physical activity during pregnancy, post-term pregnancy, gestational diabetic mellitus, and having previous macrosomia were the risk factors for fetal macrosomia. Encouraging women to utilize reproductive health services and providing special care for high-risk mothers are essential to reducing and preventing the level of fetal macrosomia and its consequences.</p>","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"10 1","pages":"23"},"PeriodicalIF":0.0,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11545068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606788","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}
引用次数: 0
Evaluation of criterion-based audit in improving quality of neonatal birth asphyxia care at Balaka district hospital in Malawi. 马拉维巴拉卡地区医院在提高新生儿出生窒息护理质量方面的标准审计评估。
Maternal health, neonatology and perinatology Pub Date : 2024-11-04 DOI: 10.1186/s40748-024-00191-7
Chank Mwalweni, Ellen Mbweza Chirwa, Eveles Banda Chimala, Mirriam Window Shaba, Leone Lowole, Lucia Kasawala, Christina Kalawa Mwakhundi
{"title":"Evaluation of criterion-based audit in improving quality of neonatal birth asphyxia care at Balaka district hospital in Malawi.","authors":"Chank Mwalweni, Ellen Mbweza Chirwa, Eveles Banda Chimala, Mirriam Window Shaba, Leone Lowole, Lucia Kasawala, Christina Kalawa Mwakhundi","doi":"10.1186/s40748-024-00191-7","DOIUrl":"10.1186/s40748-024-00191-7","url":null,"abstract":"<p><strong>Background: </strong>Birth asphyxia remains one of the leading causes of neonatal deaths worldwide with a higher incidence in resource limited countries such as Malawi. At Balaka district hospital, Birth asphyxia is the primary cause of neonatal mortality accounting for 37.3% of the district's neonatal deaths. Although various quality improvement initiatives on birth asphyxia such as Helping Babies Breathe have been documented in Malawi, there is limited information on use of criterion-based audit (CBA) to enhance the care of neonates with birth asphyxia. Criterion-based audit is a systematic and critical analysis that seeks to improve quality of care by reviewing cases against an explicit criterion and using findings to modify practice as necessary. This study aimed to evaluate the effectiveness of CBA in improving the quality of neonatal birth asphyxia care at Balaka district hospital in Malawi.</p><p><strong>Methods: </strong>A CBA on the care of asphyxiated neonates was conducted at Balaka district hospital in Malawi. The care practices were assessed through a retrospective review of 110 cases notes which were selected by systematic random sampling technique. The care practices were compared with locally established standards, by a multidisciplinary team, based on the Malawi guidelines on care of the infant and newborn and World Health Organization documents. The gaps in the current practice were identified, reasons discussed, and recommendations were made and implemented. A re-audit was conducted on 110 case notes, six months after the initial audit.</p><p><strong>Results: </strong>The re-audit showed significant improvements in most of the set criteria for quality care: Checking of vital signs (80% vs. 98.2%; p = 0.000), laboratory investigations done (0.9% vs. 74%; p = 0.000), thermal support (82.7% vs. 91.8%; p = 0.041), correct diagnosis (60% vs. 81%; p = 0.001), correct treatment (18.7% vs. 81%; p = 0.000), correct feeding (12.7% vs. 56.4%; p = 0.000), Clinical officers conducting ward rounds (0% vs. 72%; p = 0.000), and daily weight check (49.1% vs. 93%; p = 0.000). Additionally, neonatal death decreased from 11% in the initial audit to 5% in the re-audit.</p><p><strong>Conclusion: </strong>Criterion-based audit is a low-cost tool that can significantly improve the care of neonates with birth asphyxia in resource-limited countries.</p>","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"10 1","pages":"21"},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11533281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570545","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}
引用次数: 0
Correction: Neonatal Eating Assessment Tool - Mixed Breastfeeding and Bottle-Feeding (NeoEAT - Mixed Feeding): factor analysis and psychometric properties. 更正:新生儿进食评估工具--混合母乳喂养和奶瓶喂养(NeoEAT--混合喂养):因子分析和心理测量学特性。
Maternal health, neonatology and perinatology Pub Date : 2024-10-18 DOI: 10.1186/s40748-024-00196-2
Britt Frisk Pados, Suzanne M Thoyre, Kara Galer
{"title":"Correction: Neonatal Eating Assessment Tool - Mixed Breastfeeding and Bottle-Feeding (NeoEAT - Mixed Feeding): factor analysis and psychometric properties.","authors":"Britt Frisk Pados, Suzanne M Thoyre, Kara Galer","doi":"10.1186/s40748-024-00196-2","DOIUrl":"https://doi.org/10.1186/s40748-024-00196-2","url":null,"abstract":"","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"10 1","pages":"22"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482506","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}
引用次数: 0
The fundamentals of a parental peer-to-peer support program in the NICU: a scoping review. 新生儿重症监护室父母同伴互助计划的基本原理:范围界定综述。
Maternal health, neonatology and perinatology Pub Date : 2024-10-02 DOI: 10.1186/s40748-024-00190-8
A Pascual, J M Wielenga, K Ruhe, A H van Kaam, N P Denswil, J M Maaskant
{"title":"The fundamentals of a parental peer-to-peer support program in the NICU: a scoping review.","authors":"A Pascual, J M Wielenga, K Ruhe, A H van Kaam, N P Denswil, J M Maaskant","doi":"10.1186/s40748-024-00190-8","DOIUrl":"10.1186/s40748-024-00190-8","url":null,"abstract":"<p><strong>Purpose and background: </strong>Parental peer support is part of the Family Integrated Care model in NICUs. However, little attention has been devoted to the specific content and organization of parental peer support programs. This scoping review aimed to identify (1) the preferred content of a parental peer support intervention, (2) the organizational processes, and (3) the suggested educational curriculum for peer support providers within existing programs in neonatal care.</p><p><strong>Discussion: </strong>Parental peer support programs have the goal to provide emotional support, information and assistance, and are to empower parents in the NICU. To achieve these goals, veteran parents receive training in communication skills, roles and boundaries, mental health, (non)medical aspects in the NICU and post-discharge preparation. Data on the organizational components remain limited. Hence, the question remains how the organization of a parental peer support program, and the training and supervision of veteran parents should be managed.</p><p><strong>Implications for research and practice: </strong>This scoping review provides a variety of aspects that should be considered when developing and implementing a parental peer support program in the NICU. Program development preferably involves NICU staff at an early stage. Future research should focus on the support of diverse populations in terms of culture, social economic status and gender, and on the effects of parental peer support on parent and infant.</p>","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"10 1","pages":"19"},"PeriodicalIF":0.0,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11445949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362507","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}
引用次数: 0
The effect of mode of delivery on postpartum comfort level and breastfeeding self-efficacy: a systematic review and meta-analysis. 分娩方式对产后舒适度和母乳喂养自我效能的影响:系统回顾和荟萃分析。
Maternal health, neonatology and perinatology Pub Date : 2024-09-02 DOI: 10.1186/s40748-024-00187-3
Hava Özkan, Elif Odabaşi Aktaş, Hafsa Kübra Işik
{"title":"The effect of mode of delivery on postpartum comfort level and breastfeeding self-efficacy: a systematic review and meta-analysis.","authors":"Hava Özkan, Elif Odabaşi Aktaş, Hafsa Kübra Işik","doi":"10.1186/s40748-024-00187-3","DOIUrl":"10.1186/s40748-024-00187-3","url":null,"abstract":"<p><strong>Objective: </strong>This study was conducted to determine the effect of the mode of delivery on maternal postpartum comfort level and breastfeeding self-efficacy.</p><p><strong>Methods: </strong>The study was conducted as a systematic review and a meta-analysis. Searching was performed from March to July 2022, on PubMed, National Thesis Center, Dergi Park, Google Scholar, Web of Science, and EBSCO search engines and we included studies from the last 10 years. The Joanna Briggs Institute Critical Appraisal tools used in cross-sectional studies were employed to appraise the methodological quality and performed meta-analyses using a random-effects model for all outcomes. Study data consisted of continuous variables calculated by Mean Difference.</p><p><strong>Results: </strong>From 3732 records received, 21 cross-sectional studies involving 5266 participants were determined to be eligible. Meta-analysis results showed that cesarean section reduced postpartum comfort, albeit not statistically significant (MD: -0.87 95%: -1.98-0.24, Z = 1.53, p = 0.44), whereas the combined results of breastfeeding self-efficacy showed that delivery type did not affect breastfeeding self-efficacy.</p><p><strong>Conclusion: </strong>The results of this review have clinical implications for postpartum caregivers, as the effects of mode of delivery on postpartum comfort and breastfeeding self-efficacy have been well documented in previous studies. The authors recommend caregivers plan maternal care to increase their comfort, taking into account the factors that may affect postpartum comfort in the light of evidence-based practices.</p>","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"10 1","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11367836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142115639","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}
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