Clinics in mother and child health最新文献_第4页

Gestational Diabetes Mellitus: Unique Challenges in sub-Saharan Africa 妊娠期糖尿病:撒哈拉以南非洲的独特挑战

Clinics in mother and child health Pub Date : 2020-01-01 DOI: 10.35248/2090-7214.20.17.358

A. Ta, Abo-Briggs Tw

{"title":"Gestational Diabetes Mellitus: Unique Challenges in sub-Saharan Africa","authors":"A. Ta, Abo-Briggs Tw","doi":"10.35248/2090-7214.20.17.358","DOIUrl":"https://doi.org/10.35248/2090-7214.20.17.358","url":null,"abstract":"Gestational diabetes is defined as any degree of glucose intolerance first detected in pregnancy. The exact prevalence is difficult to determine in sub-Saharan Africa because the various studies on gestational diabetes mellitus did not use the same criteria. The sub-Saharan Africa has some peculiar challenges with addressing the burden of gestational diabetes in the region. This review aims to highlight some of these unique challenges. There are no universal criteria for the screening and diagnosis of gestational diabetes mellitus which is a challenge for health care providers and researchers in the region. The mainstay of treatment of gestational diabetes mellitus is lifestyle modification. There are insufficient trained dieticians and health educators to undertake this task in the region. Provision of health care for this category of patients is suboptimal in the region. Cost of health care and medications are mostly unaffordable thereby mitigating against optimal care of gestational diabetes mellitus in sub- Saharan Africa. The short term and long term complications of gestational diabetes mellitus to the mother and child are additional burden to the health care delivery systems in the region considering that the prevalence of gestational diabetes mellitus is rising in the region.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"17 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69966714","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}

引用次数: 0

Management Dilemmas in Threatened Preterm Labor (TPTL) and its Impact: A Mini Review 先兆早产(TPTL)的管理困境及其影响:综述

Clinics in mother and child health Pub Date : 2020-01-01 DOI: 10.35248/2090-7214.20.17.340

S Meenoo, Bhoomika Tantuway, Karishma Bhatia

{"title":"Management Dilemmas in Threatened Preterm Labor (TPTL) and its Impact: A Mini Review","authors":"S Meenoo, Bhoomika Tantuway, Karishma Bhatia","doi":"10.35248/2090-7214.20.17.340","DOIUrl":"https://doi.org/10.35248/2090-7214.20.17.340","url":null,"abstract":"Prematurity is a primary cause of neonatal mortality worldwide. The survivors also suffer long term complications and significant permanent neurodevelopmental disability. It contributes to about 70% of neonatal deaths and 36% of infant mortality. Neonatal mortality can be reduced by appropriate diagnosis, administration of corticosteroids, judiciary use of tocolytics and timely transfer to a centre with neonatal intensive care unit. Only about 10%-30% of cases with symptoms of preterm labor proceed to preterm delivery. Hence, it is necessary to differentiate between true preterm labor and threatened preterm labor (TPTL). The latter is diagnosed with onset of regular uterine contractions (at least one in ten minutes) with minimal or no cervical changes and intact membranes. There is no exact definition of TPTL and it varies between various institutions and countries. Over the last decade, there has been a tremendous development to aid in the prediction of preterm labor. Recently, transvaginal cervical length measurement and presence of fetal fibronectin (ffn) and/or phosphorylated insulin growth factor binding protein - 1 (phIGFBP - 1) in cervical fluid can be used to delineate between true and threatened preterm labor.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"17 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69965327","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}

引用次数: 0

Hello Indonesia, Be Careful with COVID-19 in the Elderly with Hypertensionand Diabetes Mellitus. 你好，印度尼西亚，患有高血压和糖尿病的老年人小心COVID-19。

Clinics in mother and child health Pub Date : 2020-01-01 DOI: 10.35248/2090-7214.20.17.369

M. L. E. Parwanto, A. Guyansyah

引用次数: 2

Knowledge and Awareness of Human Papilloma Virus (HPV) and HPV Vaccine among Pregnant Women in Puerto Rico: A Cross Sectional Study 波多黎各孕妇对人乳头瘤病毒(HPV)和HPV疫苗的了解和认识:一项横断面研究

Clinics in mother and child health Pub Date : 2020-01-01 DOI: 10.35248/2090-7214.20.17.361

Gisela M. Delgado, Hector Coln, Ruben Gonzalez, Suzanne Parets, Laura Rivera, Gabriel Rivera, Desiree Rodrguez, Eric Wecker, Ramon Scharbaai-Vzquez

{"title":"Knowledge and Awareness of Human Papilloma Virus (HPV) and HPV Vaccine among Pregnant Women in Puerto Rico: A Cross Sectional Study","authors":"Gisela M. Delgado, Hector Coln, Ruben Gonzalez, Suzanne Parets, Laura Rivera, Gabriel Rivera, Desiree Rodrguez, Eric Wecker, Ramon Scharbaai-Vzquez","doi":"10.35248/2090-7214.20.17.361","DOIUrl":"https://doi.org/10.35248/2090-7214.20.17.361","url":null,"abstract":"Background: The success of the HPV preventive measures requires the need for educational interventions as well as an understanding of groups at risks’ concerns regarding HPV. Pregnant women are a key “teachable” population for the development of communication and information strategies to increase trust in HPV immunization during childhood. This study aims to evaluate and measure the level of knowledge of pregnant women in Puerto Rico about the Human Papilloma Virus (HPV) and willingness to vaccinate their children at the recommended age. Methods: A cross-sectional self-administered questionnaire was addressed to pregnant women at two Obstetrician- Gynecologists (OB-GYN) private offices in San Juan and Caguas, Puerto Rico. Results: A total of 102 questionnaires were completed and analyzed. Mean age of respondents was 27 years (range 21-38 years). Most participants reported they had heard about HPV (92%), knew that HPV is a sexually transmitted disease (88%) and that it can cause cervical cancer (73.5%). However, less than half (35%) knew that HPV is treatable. Seventy-eight percent of respondents were aware of the HPV vaccine, and 61.7% knew that the vaccine could prevent cervical cancer. Sixty percent of them were aware of the recommended age for the vaccine. Sixty-one percent of the responders that knew about HPV and the vaccine were willing to vaccinate their children at the recommended age. Conclusion: This survey indicated that awareness of HPV among pregnant women in Puerto Rico is high. However, there are significant gaps in knowledge about HPV, the vaccine and its preventive attributes, which may contribute to the low willingness to vaccinate their children at the recommended age. Reinforcement of educational interventions at the obstetric clinics might help increase the patient population who is immunized against HPV.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"17 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69966354","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}

引用次数: 1

Abscess of the Iliopsoas Muscle Discovered in Premature Newborn: about a Case in Dakar 达喀尔地区早产儿髂腰肌脓肿1例

Clinics in mother and child health Pub Date : 2020-01-01 DOI: 10.35248/2090-7214.20.17.350

M. Madawase, F. Mbaye, S. Omar, N. Oumar, N. Gabriel

引用次数: 0

Caroli Syndrome Associated with Polycystic Kidney and Congenital Heart Disease in Children in Africa 非洲儿童与多囊肾和先天性心脏病相关的Caroli综合征

Clinics in mother and child health Pub Date : 2020-01-01 DOI: 10.35248/2090-7214.20.17.351

A. Sow, D. Boiro, M. Guéye, A. Ndongo, Sow Ps, S. Dieye

{"title":"Caroli Syndrome Associated with Polycystic Kidney and Congenital Heart Disease in Children in Africa","authors":"A. Sow, D. Boiro, M. Guéye, A. Ndongo, Sow Ps, S. Dieye","doi":"10.35248/2090-7214.20.17.351","DOIUrl":"https://doi.org/10.35248/2090-7214.20.17.351","url":null,"abstract":"Caroli syndrome (CS) is defined as the association of Caroli disease with congenital liver fibrosis. It is a rare congenital pathology with a global prevalence of less than 1 / 1,000,000 inhabitants. We report a case of CS associated with polycystic kidney disease (PKD). He is a 7 years old boy followed from the age of 2 years for epigastric pain. Abdominal ultrasounds were performed at the ages of 2 years, 4 years and 6 years. They showed hepatomegaly associated with dilation of the intrahepatic bile ducts, hepatic fibrosis and bilateral renal cysts and micro-stones. The child received several hospitalizations, the last of which was at the age of 6 years for abdominal pain, ascites, digestive haemorrhage secondary to portal hypertension and hematuria. On admission, the weight was 19 kg (-2 DS), the size was 119cm (-1 DS) and the BMI was 13.41 (-3DS). The child had no icterus. The abdomen was distended and a painless hepatomegaly was palpated with a hepatic arrow at 12.5cm and stage II splenomegaly. The urine test showed hematuria. The liver test showed an isolated elevation of alkaline phosphatase. The abdominal computed tomography scan showed hepatomegaly, dilation of the intrahepatic bile ducts and the presence of bilateral renal hypodense cystic lesions. The patient received Aldactone, Propanolol, Captopril, a blood transfusion and ursodesoxycholic acid as treatment. The evolution is stationary awaiting surgical management.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"17 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69966159","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}

引用次数: 0

Protocol for Investigating the Effect of Kegel Exercises on Pelvic Floor Muscle Disorders and Quality of Life among Pregnant and Postnatal Women in Ho, Ghana 调查凯格尔运动对加纳Ho孕妇和产后妇女盆底肌肉紊乱和生活质量影响的方案

Clinics in mother and child health Pub Date : 2020-01-01 DOI: 10.35248/2090-7214.20.17.345

Eric Lawer Torgbenu, C. Aimakhu, E. Morhe

{"title":"Protocol for Investigating the Effect of Kegel Exercises on Pelvic Floor Muscle Disorders and Quality of Life among Pregnant and Postnatal Women in Ho, Ghana","authors":"Eric Lawer Torgbenu, C. Aimakhu, E. Morhe","doi":"10.35248/2090-7214.20.17.345","DOIUrl":"https://doi.org/10.35248/2090-7214.20.17.345","url":null,"abstract":"Introduction: Pelvic floor disorders (PFD) are common presenting gynecological complaints that adversely affect quality of life, including sexual health among women. Study Objective: To examine the effect of Kegel exercises on the disorders of pelvic floor muscles among Ghanaian pregnant women in the third trimester and in women after delivery in Ho. Methods: The study will be conducted in the Volta Regional Hospital of Ghana. Pregnant women in the third trimester will be invited to participate in this study through a simple random sampling technique. Through a screening of pregnant women with pelvic floor disorders, structured questionnaires will be used to collect data from 435 pregnant women of the Volta Regional Hospital and those who qualify will be followed up till 6 weeks postnatal. Participants will be grouped into control and intervention groups. 104 participants from the screening will be recruited for the interventional study; 52 for the intervention and 52 controls. Analysis: Statistical analysis will be performed using SPSS version 21. The results will be enumerated into means and proportions at 95% CI and presented in tables, charts or graphs. Independent t-test will be used to analyse the effect of treatment. P< 0.05 will be considered statistically significant. Expected Outcome: Evidence from this study will inform practice and care of pregnant women. It will also help implementation of interventions regarding pelvic floor muscle disorders.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"17 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69966228","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}

引用次数: 0

Sick Neonate Score: Role in Predicting Neonatal Mortality 患病新生儿评分:预测新生儿死亡率的作用

Clinics in mother and child health Pub Date : 2020-01-01 DOI: 10.35248/2090-7214.20.17.355

J. Agrawal

引用次数: 1

Are we ignoring the Importance of Sanitation while Mourning the Adverse Pregnancy Outcomes 我们是否忽视了卫生设施的重要性，却在为不良妊娠结果哀悼

Clinics in mother and child health Pub Date : 2020-01-01 DOI: 10.35248/2090-7214.20.17.346

Shekhar Chauhan, Ratna Patel, Dhananjay W. Bansod

{"title":"Are we ignoring the Importance of Sanitation while Mourning the Adverse Pregnancy Outcomes","authors":"Shekhar Chauhan, Ratna Patel, Dhananjay W. Bansod","doi":"10.35248/2090-7214.20.17.346","DOIUrl":"https://doi.org/10.35248/2090-7214.20.17.346","url":null,"abstract":"There is enough literature available in the public domain in defining risk factors for the prediction of adverse pregnancy outcomes; hardly a few discuss sanitation as a risk factor. Sanitation is under-researched to adverse pregnancy outcomes. The consequences of maternal sanitation behavior during the period of pregnancy has never received the required attention. With the revelation of Swatch Bharat Mission in 2014, India would unquestionably outhouse one of its stickiest blemishes of open defecation by providing individual latrines to every household, what remains is the need to promote the usage of those latrines by bringing a change in people’s behavior and understanding the cultural barriers. We tried to shed some light on the importance of sanitation in the follow up of adverse pregnancy outcomes in India. The result found that sanitation is one of the crucial facets for women who are either planning to have a baby or are about to deliver a baby as findings suggest evidence between sanitation and adverse pregnancy outcome. There is a need to study this aspect more rigorously as this is still an under-researched area. Further studies in this dimension will help policymakers in designing the appropriate interventions to reduce the adverse pregnancy outcomes associated with poor sanitation.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"17 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69965795","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}

引用次数: 4

Anemia of Blacfan Diamon in an infant at the Albert Royer National Children's Hospital in Dakar and Review of the Literature 达喀尔艾伯特罗耶国家儿童医院一名婴儿的黑钻贫血及文献回顾

Clinics in mother and child health Pub Date : 2020-01-01 DOI: 10.35248/2090-7214.20.17.347

G. Diagne, P. M. Faye, A. Kane, A. Mbaye, M. Fattah, A. M. Coundoul, S. Sow, K. Bop, A. Sow, Ly Id, I. Ba, Ousseynou Ndiaye

引用次数: 0