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Postpartum Education

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1. Antenatal maternal education for improving postnatal perineal healing for women who have birthed in a hospital setting. Full Text available with Trip Pro

on this subject.Antenatal education serves to prepare women and their partners for pregnancy, delivery and the postpartum period. The delivery of this education varies widely in type, content, and nature. This review examined antenatal education which is specifically tailored towards perineal care and wound healing in the postnatal period via formal channels. Appropriate patient education positively impacts on wound-healing rates and compliance with wound care. Risk factors that contribute to the breakdown of wounds (...) Antenatal maternal education for improving postnatal perineal healing for women who have birthed in a hospital setting. The female perineum becomes suffused and stretched during pregnancy, and further strain during vaginal childbirth contributes to approximately 85% of women experiencing some degree of trauma to the perineal region. Multiple factors play a role in the type and severity of trauma experienced, including parity, delivery method, and local practices. There is ongoing debate about

2017 Cochrane

2. Prenatal high-low impact exercise program supported by pelvic floor muscle education and training decreases the life impact of postnatal urinary incontinence: A quasiexperimental trial. Full Text available with Trip Pro

Prenatal high-low impact exercise program supported by pelvic floor muscle education and training decreases the life impact of postnatal urinary incontinence: A quasiexperimental trial. Pregnancy and high impact exercise may cause postnatal urinary incontinence. We aimed to evaluate the life impact of postnatal urinary incontinence in women attending prenatal, high-low impact exercise program, supported by pelvic floor muscle education and training, in comparison to controls.It (...) was a quasiexperimental trial among 260 postpartum Caucasian women (age 29 ± 4 years; mean ± standard deviation). The training group (n = 133) attended a high-low impact exercise and educational program from the 2nd trimester of pregnancy until birth, 3 times a week. We educated this group to contract and relax pelvic floor muscles with surface electromyography biofeedback and instructed how to exercise postpartum. Control women (n = 127) did not get any intervention. All women reported on the life impact of urinary

2020 Medicine

3. A randomized controlled trial on the effect of lifestyle education for Iranian women and their husbands on post-partum anxiety and depression. Full Text available with Trip Pro

A randomized controlled trial on the effect of lifestyle education for Iranian women and their husbands on post-partum anxiety and depression. This randomized controlled trial was conducted on 189 pregnant women to determine the effect of lifestyle-based training for women and their husbands on post-partum anxiety (PPA) and depression (PPD). Follow-ups were continued up for 6 weeks after childbirth. Participants were allocated to three groups using block randomization. In the first intervention (...) group, both the women and their husbands, and in the second intervention group only the women received the lifestyle-based education. In the control group, women received only routine care. Participants completed the Edinburgh Postnatal Depression Scale and Spielberger State-Trait Anxiety Inventory pre-intervention and 6 weeks after childbirth. When compared with the control group, significant reductions in PPD (adjusted difference: -5.5), state anxiety (-13.6) and trait anxiety (-12.6) scores were

2018 Health education research Controlled trial quality: uncertain

4. Study of the Impact of Educational Behavioral Interventions on Fatigue in Mothers in the Postpartum Period in the Groups of Face-to-Face and Electronic Training. Full Text available with Trip Pro

Study of the Impact of Educational Behavioral Interventions on Fatigue in Mothers in the Postpartum Period in the Groups of Face-to-Face and Electronic Training. Maternal fatigue in the postpartum period include factors that affect the quality of life and health of both the mother and newborn. This study aimed to investigate two educational approaches regarding mother's fatigue in the postpartum period.This experimental study was performed among 110 pregnant mothers during their postpartum care (...) using random sampling. The participants were divided in three groups, namely, face-to-face, e-learning, and control groups. Interventions included individual meetings between the researcher and mothers in the face-to-face group and giving educational compact disc to the e-learning department to improve maternal fatigue. Personal information and fertility data was obtained (before training); the maternal fatigue questionnaire Fatigue Severity Scale (FSS) was completed before and after any type

2019 Iranian journal of nursing and midwifery research Controlled trial quality: uncertain

5. Comparing the impact of educational behavioral interventions on maternal sleep between face-to-face and electronic training groups, during the postpartum period Full Text available with Trip Pro

Comparing the impact of educational behavioral interventions on maternal sleep between face-to-face and electronic training groups, during the postpartum period The postpartum period is a transition to a critical stage. Moreover, the rapid changes experienced after delivery, expose the mother to unpleasant experiences such as changes in sleep patterns. Trying to an appropriate training method is necessary. This study aims to conduct a comparative study between the impact of face-to-face (...) training and e-training on maternal sleep during the postpartum period.The present study was empirically conducted on 110 postpartum mothers who visited the selected healthcare centers of Isfahan in 2015. Mothers randomly divided into three groups (face to face, electronic and control). Data collection tools included demographic and fertility questionnaire and Pittsburgh Sleep Quality Index. Intervention groups were received training such as mothers with necessary instructions regarding the health

2018 Journal of education and health promotion Controlled trial quality: uncertain

6. What does the evidence say about the delivery and receipt of post-natal contraception in healthcare settings?

What does the evidence say about the delivery and receipt of post-natal contraception in healthcare settings? Knowledge & Library Services (KLS) Evidence Briefing What does the evidence say about the delivery and receipt of post-natal contraception in healthcare settings? Anh Tran 27 th July 2017 What does the evidence say about the delivery and receipt of postnatal contraception in healthcare settings? KLS Evidence Briefing 27 th July 2017 Question This briefing summarises the evidence (...) pregnancies are associated with adverse maternal and child health outcomes (3-5). The postpartum period is a high risk time for unplanned pregnancies with many women resuming sex before their normal six week post-partum check, when postnatal contraception is usually discussed and they can access various contraceptive methods. Some women also do not attend their scheduled postnatal visit with their healthcare provider and the opportunity to deliver counselling and contraception is then missed. To achieve

2017 Public Health England - Evidence Briefings

7. What do current policies and guidance say about the provision of post-natal contraception to women in healthcare settings?

What do current policies and guidance say about the provision of post-natal contraception to women in healthcare settings? Knowledge & Library Services Evidence Briefing What do current policies and guidance say about the provision of post-natal contraception to women in healthcare settings? Anh Tran 4 th April 2017 What do current policies and guidance say about the provision of postnatal contraception to women? KLS Evidence Briefing 4 th April 2017 Question? This briefing summarises policies (...) and guidance on family planning and the provision of postnatal contraception to women in healthcare settings. Key messages ? Postnatal contraception is an important determinant of child an maternal health outcomes ? Take every opportunity to provide advice on postnatal contraception ? All providers should have accurate and up-to-date knowledge about the various postnatal contraceptive options ? Listen to women’s views about contraceptive methods and support them to make informed choices ? Contraception

2017 Public Health England - Evidence Briefings

8. Training health workers to prevent and manage post-partum haemorrhage (PPH). (Abstract)

Training health workers to prevent and manage post-partum haemorrhage (PPH). Post-partum haemorrhage (PPH) is the second greatest direct cause of maternal death in the United Kingdom, and rates of PPH continue to increase despite advances in clinical care. Training workers to manage PPH involves improvement of technical and non-technical skills in the context of a multidisciplinary team (MDT). Management of PPH should begin in the antenatal period, with identification of high-risk women (...) requires thorough antenatal and intra-partum risk assessment, optimising knowledge and non-technical skills of individual members of the team, improving collaboration of the MDT, better simulation training and adjusting local infrastructure.Copyright © 2019. Published by Elsevier Ltd.

2019 Best practice & research. Clinical obstetrics & gynaecology

9. Clinical performance and patient outcome after simulation-based training in prevention and management of postpartum haemorrhage: an educational intervention study in a low-resource setting. Full Text available with Trip Pro

Clinical performance and patient outcome after simulation-based training in prevention and management of postpartum haemorrhage: an educational intervention study in a low-resource setting. Postpartum haemorrhage (PPH) is a major cause of maternal mortality. Prevention and adequate treatment are therefore important. However, most births in low-resource settings are not attended by skilled providers, and knowledge and skills of healthcare workers that are available are low. Simulation-based (...) training effectively improves knowledge and simulated skills, but the effectiveness of training on clinical behaviour and patient outcome is not yet fully understood. The aim of this study was to assess the effect of obstetric simulation-based training on the incidence of PPH and clinical performance of basic delivery skills and management of PPH.A prospective educational intervention study was performed in a rural referral hospital in Tanzania. Sixteen research assistants observed all births

2017 BMC Pregnancy and Childbirth

10. Peer-assisted learning after onsite, low-dose, high-frequency training and practice on simulators to prevent and treat postpartum hemorrhage and neonatal asphyxia: A pragmatic trial in 12 districts in Uganda. Full Text available with Trip Pro

Peer-assisted learning after onsite, low-dose, high-frequency training and practice on simulators to prevent and treat postpartum hemorrhage and neonatal asphyxia: A pragmatic trial in 12 districts in Uganda. An urgent need exists to improve and maintain intrapartum skills of providers in sub-Saharan Africa. Peer-assisted learning may address this need, but few rigorous evaluations have been conducted in real-world settings. A pragmatic, cluster-randomized trial in 12 Ugandan districts provided (...) facility-based, team training for prevention and management of postpartum hemorrhage and birth asphyxia at 125 facilities. Three approaches to facilitating simulation-based, peer assisted learning were compared. The primary outcome was the proportion of births with uterotonic given within one minute of birth. Outcomes were evaluated using observation of birth and supplemented by skills assessments and service delivery data. Individual and composite variables were compared across groups, using

2018 PLoS ONE

11. Examining the Effects of Prenatal Education

mothers and babies, including better responsiveness for infant cues and improved maternal role attainment, mothers’ self-confidence, and self-esteem.(7) o These outcomes were found in low-risk mothers when the intervention was used during the early post-partum period, however outcomes were only measured during the early infancy stage (one day to three months) limiting the generalization to the medium- or long-term.(7) Examining the Effects of Prenatal Education 8 Evidence >> Insight >> Action • One (...) culturally safe prenatal education? Why the issue is important • Prenatal education programs provide an opportunity to engage all expecting mothers in British Columbia and to equip them with common knowledge and basic skills to support their adjustment to parenthood, however, prenatal education is currently delivered across the province with different curricula, different formats, and with varying levels of connection to public health. • The Public Health Services branch of the British Columbia Ministry

2020 McMaster Health Forum

12. Oral Glucose Tolerance Test and Post Partum Diagnosis of Diabetes Mellitus, Type 2 (DT2 Post-Partum)

Oral Glucose Tolerance Test and Post Partum Diagnosis of Diabetes Mellitus, Type 2 (DT2 Post-Partum) Oral Glucose Tolerance Test and Post Partum Diagnosis of Diabetes Mellitus, Type 2 (DT2 Post-Partum) - 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. Oral Glucose Tolerance Test and Post Partum Diagnosis of Diabetes Mellitus, Type 2 (DT2 Post-Partum) 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. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03644004 Recruitment

2018 Clinical Trials

13. Effects of education and support groups organized by IBCLCs in early postpartum on breastfeeding. (Abstract)

Effects of education and support groups organized by IBCLCs in early postpartum on breastfeeding. To examine the effectiveness of breastfeeding education and peer support groups organized by International Board Certified Lactation Consultants (IBCLCs) during the first week (T1) and the fifth to sixth week postpartum (T2), in terms of breastfeeding self-efficacy and exclusive breastfeeding rate.A quasi-experimental design.A maternity ward of a medical center in northern Taiwan.214 postpartum (...) %) in the control group (chi-square=11.28, p = 0.001).Attending IBCLC-organized breastfeeding education and support groups during early postpartum hospitalization may increase mothers' breastfeeding self-efficacy and exclusive breastfeeding rate.Copyright © 2019. Published by Elsevier Ltd.

2019 Midwifery Controlled trial quality: uncertain

14. Perspectives of health educators and interviewers in a randomized controlled trial of a postpartum diabetes prevention program for Latinas: a qualitative assessment. Full Text available with Trip Pro

Perspectives of health educators and interviewers in a randomized controlled trial of a postpartum diabetes prevention program for Latinas: a qualitative assessment. Lifestyle interventions regularly rely on study staff to implement the intervention and collect outcomes data directly from study participants. This study describes the experiences of project staff in two randomized controlled trials of a postpartum lifestyle intervention to reduce risk factors for type 2 diabetes in Latinas (...) . Latinas are the fastest growing minority group in the U.S. and have the highest rates of type 2 diabetes after a diagnosis of gestational diabetes mellitus. The challenges of implementing lifestyle interventions for postpartum women have been poorly documented.A qualitative focus group was conducted with eight staff members (five health educators and three health interviewers) involved in Proyecto Mamá and Estudio Parto. The discussion was audio recorded, transcribed, and coded in NVivo. Focus group

2019 BMC health services research Controlled trial quality: uncertain

15. An educational intervention for NICU staff decreased maternal postpartum depression. Full Text available with Trip Pro

difference was 2.54 points (95% CI, 1.24-3.83), p < 0.001. A total of 10.3% of the mothers in the pre-intervention cohort and 2.1% in the post-intervention cohort exceeded the threshold for depression, p = 0.066.The Close Collaboration with Parents intervention decreased depression symptoms among the mothers of very preterm infants. Systematic educational intervention targeted to the whole NICU staff can potentially prevent postnatal depression among mothers of preterm infants. (...) An educational intervention for NICU staff decreased maternal postpartum depression. Mothers of preterm infants are at increased risk for postpartum depression, which may disturb parenting and child development. Strategies for prevention are needed. Therefore, we evaluated how an educational intervention for neonatal staff affected depression symptoms among mothers of preterm infants.The Close Collaboration with Parents intervention was implemented in the NICU at Turku University Hospital

2019 Pediatric Research

16. Neurodevelopmental effects of ante-partum and post-partum antiretroviral exposure in HIV-exposed and uninfected children versus HIV-unexposed and uninfected children in Uganda and Malawi: a prospective cohort study. (Abstract)

within their assigned ante-partum and post-partum phases throughout their treatment arm periods. Primary outcomes were the Mullen Scales of Early Learning (MSEL) cognitive composite score at age 12 months, 24 months, and 48 months; and the mental processing index for the Kaufman Assessment Battery for Children, second edition (KABC-II) global score at 48 months and 60 months. Repeated measures were analysed using a linear mixed-effects model controlling for data collection site.Between Aug 23, 2013 (...) Neurodevelopmental effects of ante-partum and post-partum antiretroviral exposure in HIV-exposed and uninfected children versus HIV-unexposed and uninfected children in Uganda and Malawi: a prospective cohort study. Antiretroviral medication during pregnancy and breastfeeding substantially decreases the risk of HIV transmission from mothers to infants, but its effects on the child's neurodevelopment are unknown. This study compared neurodevelopmental outcomes of ante-partum and post-partum

2019 The lancet. HIV Controlled trial quality: uncertain

17. Identifying postnatal depression: Comparison of a self-reported depression item with Edinburgh Postnatal Depression Scale scores at three months postpartum. Full Text available with Trip Pro

Identifying postnatal depression: Comparison of a self-reported depression item with Edinburgh Postnatal Depression Scale scores at three months postpartum. Early identification of postnatal depression is important in order to minimize adverse outcomes. The Edinburgh Postnatal Depression Scale (EPDS) is commonly used as a screening tool but a single, direct question on depression may offer an alternative means of identifying women in need of support. This study examines the agreement between (...) these methods and characteristics of women who self-identify as depressed and those with EPDS ≥ 13.Secondary analysis of two national maternity surveys conducted in England and Northern Ireland. Agreement between the direct question and EPDS scores was assessed using Cohen's kappa. Logistic regression was used to identify characteristics of women in each group.6752 women were included. At three months postpartum, 6.1% of women self-identified as having depression, 9.1% scored EPDS ≥ 13, 2.8% were positive

2019 Journal of Affective Disorders

18. Postnatal breastfeeding education at one week after childbirth: What are the effects? (Abstract)

Postnatal breastfeeding education at one week after childbirth: What are the effects? The first week after childbirth is a crucial period for exclusive breastfeeding initiation.This study aims to determine the association of postnatal breastfeeding education with knowledge, attitude, and exclusive breastfeeding practice at six months after childbirth among women who delivered at two district hospitals in the northeast part of Peninsular Malaysia.This is a quasi-experimental study design (...) participants were included in this study (59 in intervention group and 57 in comparison group). Six months after childbirth, the adjusted mean score of knowledge and attitude of the intervention group were significantly higher than that of the comparison group (p<0.001 and p=0.002, respectively). More participants in the intervention group (n=26, 44.1%) exclusively breastfed their infants compared with 15 (26.3%) in the comparison group (p=0.046). Postnatal breastfeeding education was significantly

2018 Women and birth : journal of the Australian College of Midwives

19. Effectiveness of a hospital-based postnatal parent education intervention about pain management during infant vaccination: a randomized controlled trial Full Text available with Trip Pro

Effectiveness of a hospital-based postnatal parent education intervention about pain management during infant vaccination: a randomized controlled trial Parents have reported that they want to learn how to reduce pain in infants during vaccinations. Our objective was to compare different levels of intensity of postnatal education about pain mitigation on parental self-reported use of interventions at future infant vaccinations.We conducted a longitudinal, 3-group parallel, add-on, randomized (...) controlled trial on the postnatal ward of a hospital. New mothers, unaware of the hypothesis, were randomly assigned to 1 of 3 intervention groups and 3 follow-up groups (i.e., 9 groups, 3 × 3). The 3 intervention groups were control (general immunization information), pain pamphlet (pain mitigation information), and pain pamphlet and pain video (pain mitigation information). Both pain mitigation education groups also received general immunization information. The 3 follow-up groups were 2-, 4- and 6

2018 CMAJ : Canadian Medical Association Journal Controlled trial quality: uncertain

20. A Mobile Health App-Based Postnatal Educational Program (Home-but not Alone): Descriptive Qualitative Study. Full Text available with Trip Pro

A Mobile Health App-Based Postnatal Educational Program (Home-but not Alone): Descriptive Qualitative Study. The postnatal period poses numerous challenges for new parents. Various educational programs are available to support new parents during this stressful period. However, the usefulness of educational programs must be evaluated to ascertain their credibility.The aim of this descriptive, qualitative study was to explore the views of parents of newborns with regard to the content (...) and delivery of a mobile health (mHealth) app-based postnatal educational program.A qualitative semistructured interview guide was used to collect data from 17 participants who belonged to the intervention group of a randomized controlled trial. The intervention, a 4-week-long access to a mHealth app-based educational program, was evaluated. The interviews were conducted in English and at the participants' homes. Thematic analysis was used to analyze the data. The Consolidated Criteria for Reporting

2018 Journal of medical Internet research Controlled trial quality: uncertain

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