Reproductive, female and child health最新文献

{"title":"COVID‐19 as a risk factor for hypertensive disorders of pregnancy: A retrospective cohort study","authors":"Hannah Childs, Cayman Bickerstaff, Teodora Stoikov, Hongyan Xu, Katherine Marino, Cynthia Li, Lina Nguyen, Bailey Rodgers, Jennifer T. Allen","doi":"10.1002/rfc2.95","DOIUrl":"https://doi.org/10.1002/rfc2.95","url":null,"abstract":"The aim of this study was to assess whether coronavirus disease 2019 (COVID‐19) infection during pregnancy is a risk factor for hypertensive disorders of pregnancy.A retrospective evaluation was conducted on obstetric patients who gave birth between March 2020 and December 2021 at an academic urban referral center. The patients were categorized as COVID‐19‐positive or COVID‐19‐negative during pregnancy. The primary outcome was the development of a hypertensive disorder of pregnancy. Secondary outcomes included preterm delivery, mode of delivery, maternal death, maternal intensive care unit (ICU) admission, neonatal ICU admission, intrauterine fetal demise/stillbirth, fetal growth restriction and prolonged hospital stay. χ2 tests, Fisher's exact tests, Student's two‐sample tests and multiple logistic regressions were used to evaluate the association between COVID‐19 status and outcomes.Of 2760 reviewed charts, 2426 (87.9%) met the inclusion criteria. Of 2426 patients, 203 were COVID‐positive and 2223 were COVID‐negative. There were no significant demographic differences between the two groups. After adjusting for confounding effects, COVID‐19 was determined to be a risk factor for combined hypertensive disorders of pregnancy (odds ratio [OR] 1.93, 95% confidence interval [CI]: 1.39–2.66) and pre‐eclampsia specifically (OR 2.01, 95% CI 1.38–2.88). COVID‐19 infection during pregnancy was weakly associated with an increased risk of caesarean delivery (p = 0.046) on univariate analysis but not on multivariate analysis, whereas it was associated with an increased risk of maternal ICU admission (p = 0.003), and prolonged hospital stay (p < 0.001) both before and after multivariate analysis.This study suggests that COVID‐19 infection during pregnancy is a risk factor for pre‐eclampsia. The study was unable to draw conclusions about more severe hypertensive conditions of pregnancy hemolysis, elevated liver enzymes and low platelet count; Eclampsia. COVID‐19 was determined to be a risk factor for prolonged hospital stay and maternal ICU admission, but there was no significant correlation between COVID‐19 and caesarean delivery on multivariate analysis.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"15 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141396764","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":"Spontaneous dual ectopic pregnancies in the ipsilateral fallopian tube and ovary: A case report and literature review","authors":"Brenda Young, Emily Carter, Kassandra Colletta","doi":"10.1002/rfc2.91","DOIUrl":"https://doi.org/10.1002/rfc2.91","url":null,"abstract":"Concurrent ectopic pregnancies in differing anatomical locations are a rarity. It is imperative to be able to identify these cases as extrauterine pregnancies require emergent evaluation and treatment.We describe a case of suspected ruptured ectopic pregnancy in a low‐risk multiparous female found to have ipsilateral ovarian and tubal ectopic pregnancies on laparoscopy and subsequent pathology.Although the co‐occurrence of these pregnancies presented as a diagnostic challenge, preoperative ultrasound imaging increased our suspicion in conjunction with laparoscopic findings. Thorough examination of the uterus and bilateral adnexa during laparoscopy is essential in identifying pathology and reducing morbidity. Furthermore, sampling or removal of suspicious concomitant lesions may aid in diagnosis. Following beta HCG trends may provide additional information in patients with unclear findings on laparoscopy.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"7 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141391733","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":"California provider and advocate perspectives about opportunities to optimize nutrition services and resources in the first 1000 days","authors":"Karen L. Lindsay, Trina Robertson, Helen Leka, Ashley Rosales, J. Smilowitz, Candice Taylor Lucas","doi":"10.1002/rfc2.93","DOIUrl":"https://doi.org/10.1002/rfc2.93","url":null,"abstract":"Nutrition in the first 1000 days of life, from conception to age 2 years, plays a critical role in shaping offspring's physical and mental development, yet many families from underserved backgrounds suffer from nutrition inequity during this important stage of development. The objective of this study is to assess nutrition services and resources provided to families during the first 1000 days across diverse settings in California.A semistructured survey was disseminated to healthcare and educational providers who offer services to pregnant and/or postpartum women and children up to age 2 years. Perspectives about five domains of early‐life nutrition services and resources were assessed: (1) accessibility, (2) mode of content delivery, (3) content of messages, (4) breastfeeding support, and (5) professional development on early‐life nutrition. Mixed methodology was used to conduct descriptive and thematic analyses for closed and open‐ended survey questions, respectively.Survey respondents (n = 148) worked in healthcare (37%), governmental (20%), community (20%), and childcare settings (23%). Over 60% primarily served low‐income families. Less than 9% reported that their organizations provide prenatal nutrition messaging about critical micronutrients required to support foetal neurodevelopment, highlighting an opportunity for professional development training in nutrition. Need for equitable access to nutrition education and resources by addressing \u0000Language, \u0000Income, \u0000Food resources, \u0000Time and \u0000Transportation (LIFTT) was a cross‐cutting theme that emerged.Providers perceive a need to enhance LIFTT accessibility and improve delivery of early‐life nutrition‐related services for families in the first 1000 days by providing topic‐specific education and culturally responsive resources with consistent, evidence‐based messages.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141412103","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":"Association between children's feeding practices and the nutritional status of children 6–23 months in Lao PDR: Evidence from the Provincial Household Survey 2022","authors":"Kyle Taylor, Pany Sananikhom, Ousavanh Thiengthepvongsa, Janneke Blomberg, Prosper Dakurah, Vilon Viphongxay","doi":"10.1002/rfc2.92","DOIUrl":"https://doi.org/10.1002/rfc2.92","url":null,"abstract":"To investigate the association between children's feeding practices and the nutritional status of children 6–23 months in Lao PDR.The study is based on the latest Provincial Household Survey 2022 (PHS 2022). The WHO's guidelines were used to define nutritional status. If height‐for‐age (HAZ), weight‐for‐height (WHZ) and weight‐for‐age (WAZ) z‐scores were below −2, children were considered stunted, wasted and underweight, respectively. Minimum meal frequency (MMF) was considered if breastfeeding children consumed soft foods two times per day for infants 6–8 months and three times for children 9–23 months, and that nonbreastfeeding children consumed solid, semisolid, soft foods or milk feeds four times for children aged 6–23 months the previous day. A child was regarded to have a minimum dietary diversity (MDD) if they had consumed foods from at least five of the eight main groups the previous day. Minimum acceptable diet (MAD) was considered if children aged 6–23 months had at least the MMF and the MDD indicators in the previous 24 h.There was a significant (p < 0.05) positive relationship between MAD and stunting among children aged 6–23 months. Regarding the predictors of MMF, MDD and MAD, the probability of MDD and MAD increased with the child's age, whereas MMF decreased. We found that the higher the mother's education, the probability of their children attaining MDD, MMF and MAD increased. A significant negative relationship was observed among children living in rural areas with MMF, MDD and MAD. Our analysis also found that children who were not currently breastfed were less likely to meet MMF, MDD and MAD compared with children who were currently breastfed.Interventions for infant and young child feeding (IYFC) in Lao PDR, with a particular emphasis on rural households, mothers with little to no education, and new parents, should be targeted for future nutrition interventions to increase optimal feeding practices among the children.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"34 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141411630","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":"A comprehensive review of monitoring methods for erectile dysfunction diagnosis","authors":"Chee Ming Noel Sng, Darrion Ang, Zhi Kai Kirby Lee, A. A. S. Bhagat","doi":"10.1002/rfc2.84","DOIUrl":"https://doi.org/10.1002/rfc2.84","url":null,"abstract":"Erectile dysfunction (ED) is commonly associated with cardiovascular diseases and age. However, it is important to note that it can also affect younger males, potentially serving as an early indicator of compromised overall health. Despite the high prevalence, ED remains underdiagnosed due to factors such as reluctance to testing, concerns about privacy, and the persistent social stigma surrounding the condition.This review offers an overview of diagnostic and monitoring devices employed in the assessment of nocturnal ED and aims to assess both historical and recent developments in this field. It considers the emerging technological trends in digital innovation, particularly in the context of home‐based decentralized healthcare settings.A comprehensive literature search was performed via PubMed using keywords ‘nocturnal penile tumescence’, ‘NPT’, ‘sleep‐related erection’, ‘SRE’, ‘rigidity monitoring’, ‘NPTR’, ‘tumescence monitoring’, ‘erectile dysfunction’ and ‘smart wearable’. All relevant literature was retrieved and reviewed. Web‐based Google and manual searches of references were also performed to identify relevant articles and solutions missed by online indexes.An increasing number of methods and solutions are integrating digital technologies, harnessing sensors, and utilizing data analytics for continuous monitoring and AI‐assisted prediction of ED.The future of ED monitoring is expected to leverage digital technologies to enhance evaluation, monitoring, and accurate diagnosis in decentralized healthcare environments maintaining patient privacy and driving early detection and intervention.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"30 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140974223","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":"Missed opportunities in postpartum contraception: Bridging the gaps for patients who deliver at Catholic hospitals in Illinois","authors":"A. Boulware, J. Wascher, Z. Wong, L. Hasselbacher, Jessica Chen, Lori Freedman, D. Stulberg","doi":"10.1002/rfc2.75","DOIUrl":"https://doi.org/10.1002/rfc2.75","url":null,"abstract":"Catholic hospitals' religious restrictions limit postpartum contraceptive care and reproductive counselling. This qualitative study explores opportunities for patients and providers to ensure access to desired postpartum contraception care.We interviewed people who had obstetric experiences in Illinois Catholic hospitals: 21 patients and 23 providers, including clinicians, doulas, nurses, and maternal health home visitors. We transcribed interviews and coded transcripts then used a thematic content approach for analysis. To guide future interventions, we sought interviewees' perspectives on opportunities to improve postpartum contraceptive care for patients affected by these restrictions.Patients delivered in Catholic hospitals for varied reasons unrelated to religious affiliation and were generally unaware of limits on access to contraception. Some providers offered referrals or workarounds for some contraceptive methods. The majority of providers described the importance of initiating contraceptive counselling during the prenatal period, but few patients reported receiving comprehensive contraceptive counselling during this time. Patients who received contraceptive counselling often had these experiences with doulas and maternal health home visitors who were not affiliated with religious health centres.Contraceptive counselling in the prenatal period can be a particularly helpful tool for patients delivering in hospitals that limit access to postpartum contraception, particularly in Catholic hospitals. Prenatal counselling can support advance planning if a patient needs to transfer or seek care outside their preferred health system. Where counselling and referrals are prohibited by religious restrictions, doulas and other maternal health home visitors can bridge gaps and support patient decision‐making and navigation to receive postpartum contraceptive care.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"86 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140433818","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":"An innovative mobile app for the provision of medical information and collection of safety data on exposure to medicines during pregnancy or breastfeeding: An IHI ConcePTION contribution","authors":"Amalia Alexe, David J. Lewis, Kendal Harrison","doi":"10.1002/rfc2.74","DOIUrl":"https://doi.org/10.1002/rfc2.74","url":null,"abstract":"To increase the volume, quality, and comprehensiveness of pregnancy and breastfeeding reports related to medication exposure.Innovative Health Initiative (IHI) ConcePTION, in collaboration with the Medicines and Healthcare products Regulatory Agency (MHRA), has developed a mobile application designed for exchange of safety information for pregnancy and breastfeeding. The users will also be able to report medication exposure during pregnancy and breastfeeding, regardless of the outcome, by answering simple questions, tailored for their level of medical knowledge.Through the first version of the app, the users will receive trusted safety information on their medication of interest, from the Health Authority (RSS feeds, tagged for ‘pregnancy’ and ‘breastfeeding’). By using the app, women and healthcare providers will also be able to help future mothers, by reporting the events they experienced following the utilization of medications during pregnancy and breastfeeding. These will be analyzed by MHRA to further characterize the safety profiles of the medications required to be used in these situations.Collection of pregnancy outcomes after exposure to medications during pregnancy is limited by under‐reporting and focused on reporting of harms. By developing the app, ConcePTION brings reliable safety information closer to healthcare professionals and pregnant and breastfeeding women and proposes an easy‐to‐use, general data protection regulation‐compliant, secure tool tailored for safety in pregnancy and breastfeeding.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"4 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139958686","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":"Impact of delivery instruments on the environment: A life cycle assessment","authors":"Femke van Zanten, Sacha Tensen, Lynn Snijder, Martijn Broeren, Anneke Kwee","doi":"10.1002/rfc2.72","DOIUrl":"https://doi.org/10.1002/rfc2.72","url":null,"abstract":"To determine a break‐even point in the carbon footprint of disposable and reusable instrument sets used in the delivery room. This can aid hospitals in making sustainable choices.Observational study conducted in a university hospital with an obstetric care centre. The study used life cycle assessment (LCA) to compare a reusable (minimal 500 times use) with a disposable instrumental set (single use). LCA quantifies the environmental impact of products over their entire life cycle. The contribution to climate change (i.e., carbon footprint) was used as the environmental indicator [in kg CO2 equivalent (eq.)]. Primary outcome was to determine a ‘break‐even point’: the number of uses at which the carbon footprint of the two sets was similar. Secondary outcomes: (1) ‘worst case scenario’, in which both sets are only used once; (2) ‘scenario of 500 deliveries’ and (3) annual carbon footprint reduction when switching to the set with the lowest environmental impact.After ≥3 times use, the carbon footprint of the reusable set becomes lower than the disposable set. When both sets are used only once, the reusable set had a higher impact on the environment (1.2 kg CO2 eq. difference). In case of using both sets during 500 deliveries, the difference in kg CO2 eq. was 400 kg CO2 eq., corresponding with a 2.3 times lower environmental impact in favour of the reusable set and a reduction of about 1800 kg CO2 eq. per year.Disposable instrumental sets used in the delivery room have a higher impact on the environment compared to reusable sets.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139816941","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":"Impact of delivery instruments on the environment: A life cycle assessment","authors":"Femke van Zanten, Sacha Tensen, Lynn Snijder, Martijn Broeren, Anneke Kwee","doi":"10.1002/rfc2.72","DOIUrl":"https://doi.org/10.1002/rfc2.72","url":null,"abstract":"To determine a break‐even point in the carbon footprint of disposable and reusable instrument sets used in the delivery room. This can aid hospitals in making sustainable choices.Observational study conducted in a university hospital with an obstetric care centre. The study used life cycle assessment (LCA) to compare a reusable (minimal 500 times use) with a disposable instrumental set (single use). LCA quantifies the environmental impact of products over their entire life cycle. The contribution to climate change (i.e., carbon footprint) was used as the environmental indicator [in kg CO2 equivalent (eq.)]. Primary outcome was to determine a ‘break‐even point’: the number of uses at which the carbon footprint of the two sets was similar. Secondary outcomes: (1) ‘worst case scenario’, in which both sets are only used once; (2) ‘scenario of 500 deliveries’ and (3) annual carbon footprint reduction when switching to the set with the lowest environmental impact.After ≥3 times use, the carbon footprint of the reusable set becomes lower than the disposable set. When both sets are used only once, the reusable set had a higher impact on the environment (1.2 kg CO2 eq. difference). In case of using both sets during 500 deliveries, the difference in kg CO2 eq. was 400 kg CO2 eq., corresponding with a 2.3 times lower environmental impact in favour of the reusable set and a reduction of about 1800 kg CO2 eq. per year.Disposable instrumental sets used in the delivery room have a higher impact on the environment compared to reusable sets.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"74 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139877174","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":"Respectful maternity care at caesarean delivery: Experiences of mothers in a primary referral hospital in Ghana","authors":"Samuel Tettey‐Mensah, D. Ameme, Y. K. Asamoah, K. Asah‐Opoku","doi":"10.1002/rfc2.73","DOIUrl":"https://doi.org/10.1002/rfc2.73","url":null,"abstract":"Respectful, dignified care is a human right for all women that impacts skilled birth attendance and outcomes. This study aimed to assess the prevalence of respectful maternity care (RMC) provided at caesarean deliveries in a Ghanaian referral hospital and determine associated factors influencing care provision. We sought to elucidate RMC prevalence and drivers specific to the caesarean experience, to promote rights‐based, patient‐centred caesarean delivery care.A cross‐sectional study was conducted from June to November 2022, among women who delivered via caesarean section at the hospital. Interviews of participants were conducted using structured questionnaires, capturing respondents' sociodemographic and obstetric features and perceptions of RMC. Quantitative data were summarised using means, medians, frequencies and proportions. Bivariable and multivariable logistic regression models were employed to determine factors associated with RMC at 95% confidence interval (CI) and a p < 0.05.A total of 308 women were included in the study. The mean age of mothers was 29.9 (±6.8) years. Of the mothers, 67.9% (95% CI: 62.3, 73.0) received RMC and 32.1% reported disrespectful and abusive care. Several factors were associated with higher likelihood of receiving RMC at caesarean delivery, including being married, adjusted odds ratio (aOR) 2.45 (95% CI: 1.17, 5.12), having average monthly income between Ghana cedis 501 and 1500, aOR = 1.94 (95% CI: 1.07, 3.50), having a previous delivery history of spontaneous vaginal delivery only, aOR 2.04 (95% CI: 1.02, 4.08) and receiving anaesthesia from a male anaesthetist, aOR 2.04 (95% CI: 1.22, 3.42).Though the majority of women at caesarean delivery received RMC, close to one‐third may attribute a negative caesarean birth experience to disrespectful care. Respectful and abusive‐free care at service delivery should thus be emphasised for healthcare givers and form part of antenatal education.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"528 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140476809","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}