How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

4,451 results for

Hospital Support for Lactation

by
...
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

1. Hospital Support for Lactation

Hospital Support for Lactation Hospital Support for Lactation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Hospital Support (...) for Lactation Hospital Support for Lactation Aka: Hospital Support for Lactation , Lactation Support From Related Chapters II. Management: "Baby Friendly Hospital Initiative" Train all peripartum staff about Inform all pregnant women about benefits See Prepare s for Encourage early skin to skin contact between mother and child (and avoid separation) Mothers initiate within 1 hour of delivery Educate new mothers How to feed How to maintain even separated from infant Encourage on demand Avoid initial use of s

2018 FP Notebook

2. Novel Approach To Improving Lactation Support With Mobile Health Technology

Novel Approach To Improving Lactation Support With Mobile Health Technology Novel Approach To Improving Lactation Support With Mobile Health Technology - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Novel (...) Approach To Improving Lactation Support With Mobile Health Technology The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03332108 Recruitment Status : Enrolling by invitation First Posted : November 6, 2017 Last Update Posted : November 6, 2017 Sponsor: Washington University School of Medicine

2017 Clinical Trials

3. Immune Modulating Therapies in Pregnancy and Lactation

because of theoretic concerns regarding the immune system of the fetus is not supported by currently available data. Low-risk medications typically are continued in pregnancy, or initiated during pregnancy as needed, because the benefits of therapy and disease control far outweigh any theoretic risks associated with the medication. Use or initiation of medications with intermediate risk or little or no data during pregnancy or lactation (or both) should be individualized. High-risk medications (...) drugs that are not contraindicated in pregnancy are compatible with breastfeeding. A multicenter prospective cohort study of breastfeeding women who received immunomodulating therapies for inflammatory bowel disease demonstrated low drug concentrations in breast milk and no evidence of increased risk of infection or adverse neurodevelopment in the infant ( ). Although some expert opinions recommend limiting exposure to these medications during lactation, data to support that practice are limited

2019 American College of Obstetricians and Gynecologists

4. Breast Imaging of Pregnant and Lactating Women

for the poor prognosis of PABC, or if there may be additional factors causing increased biologic aggressiveness of gestational breast cancer when matched for age and stage [17-19]. Significant vascular and stromal remodeling is necessary to support the expanded epithelium of pregnancy and lactation, and these changes in the breast microenvironment could potentially be leveraged by breast cancer cells, leading to an increase in biologic aggressiveness [2,18,20]. Despite the long-term decreased risk (...) of breast cancer with pregnancy, there are some data to suggest that there may be a transient increased risk for breast cancer during pregnancy and lactation [6]. Some studies show that women with BRCA gene mutations are overrepresented in PABC, and pregnant and lactating women are more likely to have hormone-negative breast cancer than age-matched controls [7,18,21,22]. Although the underlying cause for these observations is not clear, they support the possibility that the tumor biology of PABC is more

2018 American College of Radiology

5. Impella support compared to medical treatment for post-cardiac arrest shock after out of hospital cardiac arrest. (PubMed)

), higher lactate levels on admission (4.75 [IQR 3.8-11] versus 3.6 [IQR 2.6-3.9] mmol/L, p = 0.03) and lower baseline systolic LVEF (25% [IQR 25-35] versus 45% [IQR 35-51.25], p < 0.001) as compared to patients without circulatory support. After propensity score matching, patients with Impella support had a significantly higher survival to hospital discharge (65% versus 20%, p = 0.01) and 6-months survival (60% versus 20%, p = 0.02).The results from our study suggest that Impella support is associated (...) Impella support compared to medical treatment for post-cardiac arrest shock after out of hospital cardiac arrest. To compare survival outcomes of Impella support and medical treatment in patients with post-cardiac arrest cardiogenic shock related to acute myocardial infarction (AMI).Retrospective single center study of patients resuscitated from out of hospital cardiac arrest (OHCA) due to AMI with post-cardiac arrest cardiogenic shock between September 2014 and September 2016. Patients were

2018 Resuscitation

6. Maternity care hospital trends in providing postdischarge breastfeeding supports to new mothers-United States, 2007-2015. (PubMed)

the Maternity Practices in Infant Nutrition and Care survey, a biennial census of maternity care hospitals in the United States and territories. Hospitals reported whether they provided nine support types, which we categorized into three support modes: physical contact (eg, return visits), active reaching out (eg, telephone calls), and referrals (eg, to lactation consultants). We calculated prevalence of each support type, each support mode, and providing all three support modes for each survey year (...) Maternity care hospital trends in providing postdischarge breastfeeding supports to new mothers-United States, 2007-2015. Hospitals that provide maternity care can play an important role in providing or directing mothers to postdischarge breastfeeding support, which improves breastfeeding duration especially when providing multiple support modes. This study described 2007-2015 national trends in postdischarge breastfeeding supports among United States maternity care hospitals.Data were from

2018 Birth

7. Base Excess and lactate as prognostic Indicators for Patients Treated by Extra Corporeal Life Support after Out Hospital Cardiac Arrest Due to Acute Coronary Syndrome. (PubMed)

Base Excess and lactate as prognostic Indicators for Patients Treated by Extra Corporeal Life Support after Out Hospital Cardiac Arrest Due to Acute Coronary Syndrome. To examine whether values of arterial base excess or lactate taken 3 h after starting ECLS indicate poor prognosis and if this can be used as a screening tool to follow Extra Corporeal Life Support after Out Hospital Cardiac Arrest due to acute coronary syndrome.Single Centre retrospective observational study.University teaching (...) hospital general adult intensive care unit.15 consecutive patients admitted to the intensive care unit after refractory Out Hospital Cardiac Arrest due to acute coronary syndrome treated by Extra Corporeal Life Support.Arterial base excess and lactate concentrations were measured immediately after starting ECLS and every 3 h after.Both base excess and arterial lactate measured 3 h after starting ECLS effectively predict multi-organ failure occurrence and mortality in the following 21 h (area under

2014 Resuscitation

8. Impact of State Legislation on Hospital Breastfeeding Support in New York. (PubMed)

Impact of State Legislation on Hospital Breastfeeding Support in New York. The purpose of this study was to evaluate whether 2 state mandates, both implemented in 2010, had an impact on NY hospitals providing maternity care. Specifically, we measured changes in hospital staff's awareness, attitudes, and promotion of breastfeeding (BF), maternity care practices, and hospital breastfeeding policies and tested whether they were related to implementation of the Breastfeeding Mothers' Bill of Rights (...) or the mandate for public reporting of hospital-specific BF measures.In 2009 and 2011, written hospital BF policies were collected and evaluated using a 28-item review tool and hospital BF surveys were conducted. The surveys assessed hospital culture and staff attitudes associated with BF promotion and support and recommended maternity care practices.NY hospitals providing maternity care services and hospital staff.Changes over time in hospital BF policies (BF policy score) and implementation of recommended

2016 Journal of Public Health Management and Practice

9. Outcome Comparison in Children Undergoing Extracorporeal Life Support Initiated at a Local Hospital by a Mobile Cardiorespiratory Assistance Unit or at a Referral Center. (PubMed)

assistance unit group (p = 0.511). There was no difference between the R-groups for age, weight, Pediatric Risk of Mortality II score, and markers of kidney or liver dysfunction, and lactate blood levels.Extracorporeal life support can be safely initiated at children's bedside in the local hospital and then transported to the specialized referral center. Our results support the validity of an interregional organization of mobile cardiorespiratory assistance unit teams. (...) Outcome Comparison in Children Undergoing Extracorporeal Life Support Initiated at a Local Hospital by a Mobile Cardiorespiratory Assistance Unit or at a Referral Center. To compare characteristics and outcome in children undergoing extracorporeal life support initiated in an extracorporeal life support center or at the patient's bedside in a local hospital, by means of a mobile cardiorespiratory assistance unit.A retrospective study in a single PICU during 6 years. Extracorporeal life support

2016 Pediatric Critical Care Medicine

10. Optimizing Support for Breastfeeding as Part of Obstetric Practice

consult lactation pharmacology resources for up-to-date information on individual medications because inappropriate advice often can lead women to discontinue breastfeeding unnecessarily. Obstetrician–gynecologists and other obstetric care providers should support women who have given birth to preterm and other vulnerable infants to establish a full supply of milk by providing anticipatory guidance and working with hospital staff to facilitate early, frequent milk expression starting within 1 hour (...) and maintain skills in anticipatory guidance, support for normal breastfeeding physiology, and management of common complications of lactation. Obstetrician–gynecologists and other obstetric care providers should be in the forefront of policy efforts to enable women to breastfeed, whether through individual patient education, change in hospital practices, community efforts, or supportive legislation. Obstetrician–gynecologists can play an active role in breastfeeding support by helping to ensure

2018 American College of Obstetricians and Gynecologists

11. Correlation between Arterial Lactate and Central Venous Lactate in Children with Sepsis (PubMed)

, with a diagnosis of sepsis and septic shock, who were admitted to the intensive care unit of a university referral hospital. The lactate value obtained from an arterial blood sample and a central venous blood sample drawn simultaneously, and within 24 hours of admission to the unit, was recorded. Results. The median age was 2.3 years (RIC 0,3-15), with a predominance of males (71.4%), having a 2.5 : 1 ratio to females. Most of the patients had septic shock (78.5%) of pulmonary origin (50.0%), followed by those (...) of gastrointestinal origin (26.1%). Using Spearman's Rho, a 0.872 (p < 0.001) correlation was found between arterial and venous lactate, which did not vary when adjusted for age (p < 0.05) and the use of vasoactive drugs (p < 0.05). Conclusion. There is a good correlation between arterial and venous lactate in pediatric patients with sepsis and septic shock, which is not affected by demographic variables or type of vasoactive support.

Full Text available with Trip Pro

2016 Critical care research and practice

12. Blood Lactate as a Reliable Marker for Mortality of Pediatric Refractory Cardiogenic Shock Requiring Extracorporeal Membrane Oxygenation. (PubMed)

Blood Lactate as a Reliable Marker for Mortality of Pediatric Refractory Cardiogenic Shock Requiring Extracorporeal Membrane Oxygenation. The objective of this study is to establish reliable markers for mortality in children with refractory cardiogenic shock who underwent extracorporeal membrane oxygenation. A retrospective observational cohort study was performed at academic children's hospital for forty-three consecutive pediatric patients who required veno-arterial extracorporeal membrane (...) oxygenation (ECMO) support with refractory cardiogenic shock from January 2011 to October 2017. 30-day mortality in this cohort was 39.5% (17/43), and successful ECMO weaning rate was 69.8%. Blood lactate was elevated before ECMO implantation and the lactate peak concentration had significant differences between survivors and non-survivors, 8.4 ± 4.3 vs 13.9 ± 6.6 mmol/L. AUC to ROC curve analysis of lactate peak was 0.745 (p < 0.05), and the best cut-off value was 14.2 mmmol/L (sensitivity: 53

2019 Pediatric Cardiology

13. Lactate and number of organ failures predict intensive care unit mortality in patients with acute-on-chronic liver failure. (PubMed)

Lactate and number of organ failures predict intensive care unit mortality in patients with acute-on-chronic liver failure. Patients with acute-on-chronic liver failure (ACLF) have high mortality rates. Most prognostic scores were not developed for the intensive care unit (ICU) setting. We aimed to improve risk stratification for patients with ACLF in the ICU.A training set with 240 patients with cirrhosis and organ failures (CLIF-SOFA) from Curry Cabral Hospital (Portugal) and University (...) of Alberta Hospital (Canada) in 2010-2016 was used to derive a prognostic model for ICU mortality. A validation set with 237 patients with cirrhosis and organ failures from Vancouver General Hospital (Canada) in 2000-2011 was used to evaluate its performance.Amongst patients in the training set, ICU and hospital mortality rates were 39.2% and 54.6%, respectively. Median lactate (4.4 vs. 2.5mmol/l) and number of organ failures (3 vs. 2) on admission to ICU were associated with higher likelihood of ICU

2019 Liver International

14. Agreement between capillary and venous lactate in emergency department patients: prospective observational study. (PubMed)

-of-care testing (POCT) blood gas analyser (VL-Ref).A prospective observational study.A university teaching hospital emergency department in Hong Kong.Patients triaged as 'urgent' (Category 3 of a 5-point scale), aged ≥18 years during 2016 were eligible. 240 patients (mean age 69.9 years) were recruited.The primary outcome measure was the agreement of the capillary blood lactate level measured by handheld lactate analyser when compared with the reference standard technique, namely venous blood samples (...) of -1.08 to 2.00 mmol/L. For venous lactate, results showed the bias between VL-Ref and VL-Scout+ was 0.22 with LOA being -0.46 to 0.90 mmol/L, and the bias between VL-Ref and VL-Nova was 0.83 mmol/L with LOA -0.01 to 1.66 mmol/L.Our study shows poor agreement between capillary lactate and reference values. The study does not support the clinical utility of capillary lactate POCT. However, venous lactate measured by Scout+ handheld analyser may have potential for screening patients who may need further

Full Text available with Trip Pro

2019 BMJ open

15. Use of Extracorporeal Membrane Oxygenation for Cardiac Life Support in adult subjects

a registry of ECMO cases, and The Alfred Hospital in Melbourne, Australia, which has a well-established ECMO program, have published indications and contra-indications for ECMO. According to these guidelines, VA-ECMO is indicated for refractory life-threatening forms of reversible respiratory and/or cardiac failure where the benefit to risk ratio of VA-ECMO is greater than that of other less invasive life-support techniques. We also identified three statistical models that can be used to estimate (...) la qualité de vie des patients ayant des maladies chroniques préexistantes. Sélection des patients pour l'OMEC-VA: Une sélection judicieuse des patients peut influencer les résultats cliniques; cependant, des lignes directrices fondées sur des données probantes n'existent pas actuellement. L'organisme international ELSO (Extracorporeal Life Support Organisation) qui tient un registre des cas OMEC et "The Alfred Hospital" de Melbourne (Australie) qui possède un programme OMEC bien établi, ont

2017 McGill TAU reports

16. Recommendations for the Use of Mechanical Circulatory Support: Ambulatory and Community Patient Care: A Scientific Statement From the American Heart Association

a bridge to transplantation, and for others who are ineligible for heart transplantation, MCS provides permanent support or destination therapy. Indications and absolute and relative contraindications to durable MCS are listed in . Table 1. Indications and Contraindications to Durable Mechanical Support Indications: combination of the following: Frequent hospitalizations for heart failure NYHA class IIIb–IV functional limitations despite maximal therapy Intolerance of neurohormonal antagonists (...) MCS surgery, and cardiac rehabilitation should continue beyond hospital discharge. A patient’s return to a normal life after discharge includes incorporation of MCS self-care (eg, changing power sources) into his or her daily routines. Family caregiver support is an important component of self-care. Family caregivers who are also trained to assist with troubleshooting alarms typically change driveline exit dressings and address potential equipment malfunctions. After discharge, patients with MCS

2017 American Heart Association

17. Clinical Practice Parameters for Hemodynamic Support of Pediatric and Neonatal Septic Shock

into Spanish and Portuguese, and incorporated into Society of Critical Care Medicine and American Heart Association/ Pediatric Advanced Life Support sanctioned recommendations. The review of new literature highlights two tertiary pediatric centers that implemented quality improvement initiatives to improve early septic shock recognition and first-hour compliance to these guidelines. Improved compliance reduced hospital mortality from 4% to 2%. Analysis of Global Sepsis Initiative data in resource rich (...) Advanced Life Support Advanced Life Support Writing Group (member); IPSO National Expert Advisory Committee (member); FAAP, Sr. Fellow Society of Hospital Medicine; and Fellow College of Pediatricians. Dr. Jeffries participates in AAP, Ped Cardiac Intensive Care Society, and ACC. Dr. Kache participates on the Global health Educators Committee in Association of Pediatric Program Directors, and on the Global Health Education Sub-Comittee in Consortium of Universities for Global Health. Dr. Kon

2017 Society of Critical Care Medicine

18. Cardiopulmonary Resuscitation in Adults and Children With Mechanical Circulatory Support: A Scientific Statement From the American Heart Association

are provided for the role of external chest compressions in such patients. Mechanical circulatory support (MCS) has evolved from a rarely used therapy reserved for the most critically ill hospitalized patients to an accepted long-term outpatient therapy for treating patients with advanced heart failure. This growth is attributable to improved technology, improved survival, reduced adverse event profiles, greater reliability and mechanical durability, and limited numbers of organs available for donation (...) be interpreted the same as for patients without MCS. For example, stable patients supported by a durable, continuous-flow ventricular assist device (VAD) often do not have a palpable pulse. Unfortunately, different and sometimes conflicting instructions are given by hospital providers and emergency medical services (EMS) directors to EMS and other healthcare personnel on core resuscitative practices such as the role of external chest compressions in such a patient who suddenly becomes or is found

2017 American Heart Association

19. Patients Hospitalized with Heart Failure: Risk Assessment, Management, and Clinical Trajectory

of Hollenberg et al. JACC VOL. -,NO. -,2019 Heart Failure Hospitalization Pathway -,2019:-–- 2closely related activities, policy, mobile applications, decision support, and other tools necessary to transform care and/or improve heart health. Solution sets address key questions facing care teams and attempt to provide practical guidance to be applied at the point of care. They use both established and emerging methods to dissemi- nate information for cardiovascular conditions and their related management (...) the creation of clinical tools to help improve outcomes. Some tools should facilitate collection and synthesis of patient in- formation. Other tools support decisions among poten- tial therapies. The most important measures of these tools will be how useful they are for providing patient care and how often they are used, but it is hoped that JACC VOL. -,NO. -,2019 Hollenberg et al. -,2019:-–- Heart Failure Hospitalization Pathway 3they will also improve ef?ciencies of care and resource utilization as have

2019 American College of Cardiology

20. Lactation Consultant Support from Late Pregnancy with an Educational Intervention at 4 Months of Age Delays the Introduction of Complementary Foods in a Randomized Controlled Trial. (PubMed)

Lactation Consultant Support from Late Pregnancy with an Educational Intervention at 4 Months of Age Delays the Introduction of Complementary Foods in a Randomized Controlled Trial. Although the WHO recommends that complementary feeding in infants should begin at 6 mo of age, it often begins before this in developed countries.Our objective was to determine whether lactation consultant (LC) support, with educational resources given at 4-mo postpartum, can delay the introduction of complementary (...) foods until around 6 mo of age.A total of 802 mother-infant pairs were recruited from the single maternity hospital serving Dunedin, New Zealand (59% response rate) and randomly assigned to the following: 1) usual care (control group); 2) infant sleep education intervention (Sleep); 3) food, activity, and breastfeeding intervention (FAB); or 4) combination (both) intervention (Combo). Certified LCs delivered 3 intervention sessions (late pregnancy and 1-wk and 4-mo postpartum). The 4-mo contact used

Full Text available with Trip Pro

2015 Journal of Nutrition

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>