Maternal health, neonatology and perinatology最新文献_第8页

Prevalence and associated factors of early initiation of breastfeeding among women delivered via Cesarean section in South Gondar zone hospitals Ethiopia, 2020. 2020年埃塞俄比亚南贡达尔地区医院剖宫产妇女早期开始母乳喂养的流行率及相关因素

Maternal health, neonatology and perinatology Pub Date : 2020-12-09 DOI: 10.1186/s40748-020-00121-3

Bekalu Getnet, Alemu Degu, Fantahun Yenealem

{"title":"Prevalence and associated factors of early initiation of breastfeeding among women delivered via Cesarean section in South Gondar zone hospitals Ethiopia, 2020.","authors":"Bekalu Getnet, Alemu Degu, Fantahun Yenealem","doi":"10.1186/s40748-020-00121-3","DOIUrl":"https://doi.org/10.1186/s40748-020-00121-3","url":null,"abstract":"Background: Early initiation of breastfeeding is putting the newborn to breast within one hour after birth. This study was aimed to assess prevalence of early initiation of breastfeeding and its associated factors among mothers who delivered by cesarean section in South Gondar Zone hospitals Northwest Ethiopia, 2020.Methods: An institutional based cross-sectional study was employed in South Gondar Zone hospitals from June 12 to July 03, 2020. A total of 356 cesarean delivered mothers were included. Data were collected using interviewer administered questionnaire and entered in to Epi Data version 4.2 and then exported to SPSS version 23.0. Logistic regression statistical analyses were used to identify factors associated with the outcome variables.Results: The prevalence of early initiation of breastfeeding among mothers who delivered by cesarean section was 51.9%. Mothers who had intended pregnancy [AOR = 2.69, 95% CI (1.34-5.38)], had professional guidance [AOR = 2.68, 95% CI (1.18-6.10)], had breastfeeding experience [AOR = 2.25, 95% CI (1.35-3.75)], and had four and above antenatal care visits [AOR = 2.20, 95% CI (1.24-3.91)] were positively associated with early initiation of breastfeeding among mothers who delivered by cesarean section.Conclusion: Type of pregnancy, professional guidance, had four or more antenatal care and breastfeeding experience were significantly associated with early initiation of breast feeding among mothers who delivered by cesarean section. Community based breastfeeding education and counseling to pregnant mothers and encouraging all mothers to follow recommended ANC visit is should be recommended.","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"6 1","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2020-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40748-020-00121-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38694544","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: 8

Maternal and cord blood vitamin D level and the infant gut microbiota in a birth cohort study. 一项出生队列研究中的母体和脐带血维生素 D 水平与婴儿肠道微生物群。

Maternal health, neonatology and perinatology Pub Date : 2020-10-20 eCollection Date: 2020-01-01 DOI: 10.1186/s40748-020-00119-x

Zeinab Kassem, Alexandra Sitarik, Albert M Levin, Susan V Lynch, Suzanne Havstad, Kei Fujimura, Anita Kozyrskyj, Dennis R Ownby, Christine Cole Johnson, Germaine J M Yong, Ganesa Wegienka, Andrea E Cassidy-Bushrow

{"title":"Maternal and cord blood vitamin D level and the infant gut microbiota in a birth cohort study.","authors":"Zeinab Kassem, Alexandra Sitarik, Albert M Levin, Susan V Lynch, Suzanne Havstad, Kei Fujimura, Anita Kozyrskyj, Dennis R Ownby, Christine Cole Johnson, Germaine J M Yong, Ganesa Wegienka, Andrea E Cassidy-Bushrow","doi":"10.1186/s40748-020-00119-x","DOIUrl":"10.1186/s40748-020-00119-x","url":null,"abstract":"Background: Mounting evidence suggests both vitamin D and the early life gut microbiome influence childhood health outcomes. However, little is known about how these two important exposures are related. We aimed to examine associations between plasma 25-hydroxyvitamin D (25[OH]D) levels during pregnancy or at delivery (cord blood) and infant gut microbiota.Methods: Maternal and cord blood 25[OH]D levels were assessed in a sample of pregnant women. Compositional analyses adjusted for race were run on the gut microbiota of their offspring at 1 and 6 months of age.Results: Mean prenatal 25(OH)D level was 25.04 ± 11.62 ng/mL and mean cord blood 25(OH)D level was 10.88 ± 6.77 ng/mL. Increasing prenatal 25(OH)D level was significantly associated with decreased richness (p = 0.028) and diversity (p = 0.012) of the gut microbiota at 1 month of age. Both prenatal and cord 25(OH)D were significantly associated with 1 month microbiota composition. A total of 6 operational taxonomic units (OTUs) were significantly associated with prenatal 25(OH)D level (four positively and two negatively) while 11 OTUs were significantly associated with cord 25(OH)D (10 positively and one negatively). Of these, OTU 93 (Acinetobacter) and OTU 210 (Corynebacterium), were consistently positively associated with maternal and cord 25(OH)D; OTU 64 (Ruminococcus gnavus) was positively associated with prenatal 25(OH)D but negatively associated with cord 25(OH)D.Conclusions: Prenatal maternal and cord blood 25(OH)D levels are associated with the early life gut microbiota. Future studies are needed to understand how vitamin D and the microbiome may interact to influence child health.","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"6 ","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2020-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7576815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38526727","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

Retraction Note: Application of 4% chlorhexidine to the umbilical cord stump of newborn infants in lower income countries: a systematic review and meta-analysis. 撤回注:低收入国家新生儿脐带残端应用4%氯己定:一项系统回顾和荟萃分析。

Maternal health, neonatology and perinatology Pub Date : 2020-06-16 eCollection Date: 2020-01-01 DOI: 10.1186/s40748-020-00118-y

Aklilu Abrham Roba, Maleda Tefera, Teshager Worku, Tamirat Tesfaye Dasa, Abiy Seifu Estifanos, Nega Assefa

引用次数: 3

Helping Babies Breathe (2nd edition) implementation on a shoestring budget in Zanzibar, Tanzania. 帮助婴儿呼吸(第二版)实施在桑给巴尔，坦桑尼亚的一个小预算。

Maternal health, neonatology and perinatology Pub Date : 2020-06-01 eCollection Date: 2020-01-01 DOI: 10.1186/s40748-020-00117-z

Gina M Wilson, Ame M Ame, Maimuna Mohamed Khatib, Bimkubwa Suleiman Khalfan, Julie Thompson, Jane Blood-Siegfried

{"title":"Helping Babies Breathe (2nd edition) implementation on a shoestring budget in Zanzibar, Tanzania.","authors":"Gina M Wilson, Ame M Ame, Maimuna Mohamed Khatib, Bimkubwa Suleiman Khalfan, Julie Thompson, Jane Blood-Siegfried","doi":"10.1186/s40748-020-00117-z","DOIUrl":"https://doi.org/10.1186/s40748-020-00117-z","url":null,"abstract":"Background: To assess the efficacy and viability of implementing Helping Babies Breathe, a neonatal resuscitation program for resource-limited environments on a small budget in two of the largest delivery centers in Zanzibar, Tanzania. The quality improvement initiative concentrated on training midwives, who directly care for neonates at birth on Helping Babies Breathe to address high rates of neonatal mortality secondary to birth asphyxia.Methods: The convenience sample was 59 midwives working in the two delivery centers of interest in Zanzibar, Tanzania. The train-the-trainer implementation strategy with repeated measures design was used to assess knowledge and skills at three time points. Observations were completed through supportive supervision of deliveries in both facilities. A budget was kept throughout the implementation.Results: Knowledge scores and resuscitation skills significantly improved and were sustained over a 6-month period of time, Ps < .001. 130 supportive supervision observations were completed. Eighteen times (14%) a baby did not cry at birth and needed intervention. All were appropriately intervened for and survived the Golden Minute. The budget for this implementation was 9015.50 USD. Considering in-kind donations and financial support by the Zanzibar Ministry of Health the bottom line cost was much lower.Conclusion: Results indicate that participants retained knowledge and skills over time and were able to translate these skills into clinical practice. This initiative provides an alternative approach to implementing Helping Babies Breathe, relying on a small budget, local leadership and government support.Trial registration: Not applicable.","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"6 ","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40748-020-00117-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38029546","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: 5

Negativity about the outcomes of extreme prematurity a persistent problem - a survey of health care professionals across the North Queensland region. 对极端早产结果的消极态度是一个持续存在的问题——对北昆士兰地区卫生保健专业人员的调查。

Maternal health, neonatology and perinatology Pub Date : 2020-04-28 eCollection Date: 2020-01-01 DOI: 10.1186/s40748-020-00116-0

Susan Ireland, Sarah Larkins, Robin Ray, Lynn Woodward

{"title":"Negativity about the outcomes of extreme prematurity a persistent problem - a survey of health care professionals across the North Queensland region.","authors":"Susan Ireland, Sarah Larkins, Robin Ray, Lynn Woodward","doi":"10.1186/s40748-020-00116-0","DOIUrl":"https://doi.org/10.1186/s40748-020-00116-0","url":null,"abstract":"Background: Extremely preterm babies are at risk of significant mortality and morbidity due to their physiological immaturity. At periviable gestations decisions may be made to either provide resuscitation and intensive care or palliation based on assessment of the outlook for the baby and the parental preferences. Health care professionals (HCP) who counsel parents will influence decision making depending on their individual perceptions of the outcome for the baby. This paper aims to explore the knowledge and attitudes towards extremely preterm babies of HCP who care for women in pregnancy in a tertiary, regional and remote setting in North Queensland.Methods: A cross sectional electronic survey of HCP was performed. Perceptions of survival, severe disability and intact survival data were collected for each gestational age from 22 to 27 completed weeks gestation. Free text comment enabled qualitative content analysis.Results: Almost all 113 HCP participants were more pessimistic than the actual outcome data suggests. HCP caring for women antenatally were the most pessimistic for survival (p = 0.03 at 23 weeks, p = 0.02 at 25,26 and 27 weeks), severe disability (p = 0.01 at 24 weeks) and healthy outcomes (p = 0.01 at 24 weeks), whilst those working in regional and remote centres were more negative than those in tertiary unit for survival (p = 0.03 at 23,24,25 weeks). Perception became less negative as gestational age increased.Conclusion: Pessimism of HCP may be negatively influencing decision making and will negatively affect the way in which parents perceive the chances of a healthy outcome for their offspring.","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"6 ","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2020-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40748-020-00116-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37901726","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: 4

Significance of abnormal umbilical artery Doppler studies in normally grown fetuses. 正常胎儿脐动脉异常多普勒检查的意义。

Maternal health, neonatology and perinatology Pub Date : 2020-02-20 eCollection Date: 2020-01-01 DOI: 10.1186/s40748-020-0115-7

Nebras Abu Al Hamayel, Haitham Baghlaf, Karin Blakemore, Jude P Crino, Irina Burd

{"title":"Significance of abnormal umbilical artery Doppler studies in normally grown fetuses.","authors":"Nebras Abu Al Hamayel, Haitham Baghlaf, Karin Blakemore, Jude P Crino, Irina Burd","doi":"10.1186/s40748-020-0115-7","DOIUrl":"https://doi.org/10.1186/s40748-020-0115-7","url":null,"abstract":"Objective: To determine whether there is a relationship between abnormal umbilical artery Doppler studies (UADS) and small for gestational age (SGA) birth weight and other adverse perinatal outcomes in fetuses that appear normally grown by ultrasound.Methods: This was a retrospective study of all women who had UADS performed at or after 26 weeks of gestation at our institution between January 2005 and December 2012. Women were excluded if they had a fetal demise, a fetus with growth restriction, a fetus with congenital anomaly, or a multiple gestation. Women with missing delivery outcomes were excluded. The primary outcome was birth weight below the 10th percentile.Results: There were 2744 women included in the study. Of those, 98 (3.6%) had an abnormal UADS, and 379 (13.8%) had an SGA neonate. Of the 2646 women who had a normal UADS, 353 (13.3%) women had an SGA neonate. Twenty-six (26.5%) of the 98 women who had an abnormal UADS had an SGA neonate. After adjusting for potential confounders, the adjusted odds ratio for an SGA neonate with an abnormal UADS was 2.2 (95% CI, 1.38-3.58; p < 0.05). In examining other adverse perinatal outcomes, neonatal intensive care unit (NICU) admission and low 5-min Apgar scores were 12.4 and 2.3%, respectively. The adjusted odds ratio for NICU admission was 1.84 (95% CI, 1.06-3.21; p < 0.05). Abnormal UADS was not associated with low Apgar scores (aOR 1.39: 95% CI 0.47-4.07; p > 0.05).Conclusions: Our data suggest that abnormal UADS in fetuses that appear normally grown by ultrasound are associated with SGA neonates and NICU admission.","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"6 ","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2020-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40748-020-0115-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37686377","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: 8

Induction of labor and early-onset Sepsis guidelines: impact on NICU admissions in Erie County, NY. 引产和早期败血症指南：对纽约州伊利县新生儿重症监护室收治情况的影响。

Maternal health, neonatology and perinatology Pub Date : 2019-12-05 eCollection Date: 2019-01-01 DOI: 10.1186/s40748-019-0114-8

Vikramaditya Dumpa, Indira Avulakunta, James Shelton, Taechin Yu, Satyan Lakshminrusimha

{"title":"Induction of labor and early-onset Sepsis guidelines: impact on NICU admissions in Erie County, NY.","authors":"Vikramaditya Dumpa, Indira Avulakunta, James Shelton, Taechin Yu, Satyan Lakshminrusimha","doi":"10.1186/s40748-019-0114-8","DOIUrl":"10.1186/s40748-019-0114-8","url":null,"abstract":"Background: Elective delivery prior to term gestation is associated with adverse neonatal outcomes. The impact of American College of Obstetricians and Gynecologists (ACOG) guidelines recommending against induction of labor (IOL) < 39 weeks' postmenstrual age (PMA) on the frequency of early-term births and NICU admissions in Erie County, NY was evaluated in this study.Methods: This is a population-based retrospective comparison of all live births and NICU admissions in Erie County, NY between pre-and post-ACOG IOL guideline epochs (2005-2008 vs. 2011-2014). Information on early-term, full/late/post-term births and NICU admissions was obtained. A detailed chart analysis of indications for admission to the Regional Perinatal Center was performed.Results: During the 2005-2008 epoch, early-term births constituted 27% (11,968/44,617) of live births. The NICU admission rate was higher for early-term births (1134/11968 = 9.5%) compared to full/late/post-term (1493/27541 = 5.4%).In the 2011-2014 epoch, early-term births decreased to 23% (10,286/44,575) of live births. However, NICU admissions for early-term (1072/10286 = 10.4%) and full/late/post-term births (1892/29508 = 6.4%) did not decrease partly due to asymptomatic infants exposed to maternal chorioamnionitis admitted for empiric antibiotic therapy as per revised early-onset sepsis guidelines.Conclusions: ACOG recommendations against elective IOL or cesarean delivery < 39 weeks PMA were rapidly translated to clinical practice and decreased early-term births in Erie County, NY. This decrease did not translate to reduced NICU admissions partly due to increased NICU admissions for empiric antibiotic therapy.","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"5 ","pages":"19"},"PeriodicalIF":0.0,"publicationDate":"2019-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6894216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37463916","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

Prediction of nutritive sucking in preterm babies (<34 weeks) and preterm sucking readiness scale 早产儿营养吸吮的预测(<34周)和早产儿吸吮准备程度

Maternal health, neonatology and perinatology Pub Date : 2019-11-04 DOI: 10.1186/s40748-019-0113-9

N. Kumari, Ashish Jain, S. Ramji

引用次数: 4

Perceptions of health professionals regarding minimally invasive tissue sampling (MITS) to identify the cause of death in stillbirths and neonates: results from a qualitative study 卫生专业人员对微创组织取样（MITS）确定死产和新生儿死亡原因的看法：一项定性研究的结果

Maternal health, neonatology and perinatology Pub Date : 2019-10-25 DOI: 10.1186/s40748-019-0112-x

A. Feroz, Anum Ali, M. Ibrahim, E. Mcclure, S. S. Tikmani, Sayyeda Reza, Zahid Abbasi, J. Raza, H. Yasmin, Khadija Bano, A. Zafar, S. Siddiqi, R. Goldenberg, S. Saleem

引用次数: 12

Application of 4% chlorhexidine to the umbilical cord stump of newborn infants in lower income countries: a systematic review and meta-analysis 低收入国家新生儿脐带残端应用4%氯己定:系统回顾和荟萃分析

Maternal health, neonatology and perinatology Pub Date : 2019-10-17 DOI: 10.1186/s40748-019-0111-y

Aklilu Abrham Roba, M. Tefera, Teshager Worku, T. Dasa, A. Estifanos, N. Assefa

引用次数: 7