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Postpartum Education

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2961. The effect of postpartum lactation counseling on the duration of breast-feeding in low-income women. (PubMed)

The effect of postpartum lactation counseling on the duration of breast-feeding in low-income women. We investigated the effectiveness of a program of intensive postpartum support for low-income, breast-feeding women and identified potential predictors of prolonged breast-feeding in this population. Ninety-seven low-income women were randomized to receive intensive postpartum education and support for breast-feeding or to receive only the routine assistance provided by the obstetrical nurses

1990 American journal of diseases of children (1960)

2962. Smoking relapse and early weaning among postpartum women: is there an association? (PubMed)

Smoking relapse and early weaning among postpartum women: is there an association? Smoking in the postpartum period may contribute to early weaning, although the nature and temporal aspect of the relationship are poorly understood. The objective of this study was to examine the association between early weaning and smoking relapse among women who stopped smoking during pregnancy.A secondary analysis of data from a randomized controlled trial was conducted. The participants were 228 women who (...) had stopped smoking for pregnancy, who participated in a smoking relapse prevention trial, and who breastfed. Women who relapsed to daily smoking postpartum were compared with those who remained abstinent or smoked occasionally. The dependent variable was breastfeeding for less than 26 weeks (early weaning). Potential covariates included intended duration of breastfeeding, parity, partner's smoking, nicotine dependence, emotional health, return to paid employment, and various sociodemographic

1999 Birth

2963. A randomized comparison of home visits and hospital-based group follow-up visits after early postpartum discharge. (PubMed)

satisfaction were assessed by means of telephone interviews at 2 weeks postpartum.During a 17-month period in 1998 to 1999, we enrolled and randomized 1014 mother-infant pairs (506 to the control group and 508 to the intervention group). There were no significant differences between the study groups with respect to maternal age, race, education, household income, parity, previous breastfeeding experience, early initiation of prenatal care, or postpartum LOS. There were no differences with respect (...) A randomized comparison of home visits and hospital-based group follow-up visits after early postpartum discharge. Short postpartum stays are common. Current guidelines provide scant guidance on how routine follow-up of newly discharged mother-infant pairs should be performed. We aimed to compare 2 short-term (within 72 hours of discharge) follow-up strategies for low-risk mother-infant pairs with postpartum length of stay (LOS) of <48 hours: home visits by a nurse and hospital-based follow-up

2001 Pediatrics

2964. Design of an intervention addressing multiple levels of influence on dietary and activity patterns of low-income, postpartum women. (PubMed)

, providing a strong theoretical base for developing interventions in this high-risk population. The primary purpose of this randomized controlled trial is to test the efficacy of an educational model delivered by community-based paraprofessionals in improving diet, activity and weight loss among new mothers over a 12-month postpartum period and a 6-month maintenance period. This model fosters institutional change to support behavior changes influenced at intrapersonal and interpersonal levels, through (...) Design of an intervention addressing multiple levels of influence on dietary and activity patterns of low-income, postpartum women. Low-income, multi-ethnic women are at elevated risk for obesity and chronic diseases, yet influences at different levels may act as barriers to changing risk behaviors. Following the birth of a child, childrearing and social isolation can exacerbate these influences. The social ecological framework integrates behavior-change strategies at different levels

2002 Health education research

2965. Improving postpartum marital relationships. (PubMed)

Improving postpartum marital relationships. The effects of a traditional prenatal education program focused on maternal and infant physical health education were compared with effects of an innovative prenatal program designed to decrease the potentially negative effects of childbirth on the quality of marital relationships. 53 couples participated in the traditional approach and 63 in the innovative program: all expected a first child. Analysis of variance of their scores on the Sexual (...) Relationship Scale and also on the Abbreviated Marital Adjustment Scale administered two months postpartum (controlled for their scores on the 2 scales before the prenatal education program) showed a significant difference between the two groups of parents only with respect to sexual relationship: the couples graduating from the innovative program were more satisfied with sexual aspects of their marriage postpartum.

1995 Psychological reports

2966. [Detection, prevention and treatment of postpartum depression: a controlled study of 859 patients]. (PubMed)

[Detection, prevention and treatment of postpartum depression: a controlled study of 859 patients]. This study evaluated the clinical effectiveness of a programme aimed at detecting, preventing and treating postpartum depression. The French version of the EPDS was used to measure the intensity of postpartum blues on a sample of 859 women, during their stay at the obstetrical clinic. Subjects under treatment for psychological problems were excluded from the study. Mothers scoring 9 or above (...) on the EPDS, which is predictive of pospartum depression, were randomly assigned to a prevention and a control group. Written informed consent was obtained from the subjects after the study procedure had been explained. The prevention group received a counselling session integrating supportive, educational and cognitive-behavioral components. Therapists included five female Master's Degree level students in psychology. All therapists participated in didactic and clinical training as wells as weekly

2002 L'Encéphale

2967. Early Postpartum Discharge: Implications for Canadian program development (PubMed)

Early Postpartum Discharge: Implications for Canadian program development Early postpartum discharge (EPD) programs could soon become normative for low-risk women in Canada. To meet new mothers' health care, educational, and psychosocial needs, EPD programs must reflect a deeper understanding of the immediate postpartum period. Structured teaching in hospital must be replaced by a fluid, individualistic approach to mother-infant care. Family physicians can play a vital role.

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1991 Canadian Family Physician

2968. Randomized controlled evaluation of a theory-based postpartum sexual health education programme. (PubMed)

Randomized controlled evaluation of a theory-based postpartum sexual health education programme. This paper reports on a study to examine the effects of a theory-based interactive postpartum sexual health education programme on postpartum women's sexual health knowledge, attitudes towards sexual health, contraceptive self-efficacy and sexual self-efficacy.Childbearing can challenge marital satisfaction and the sexual life of women, making the childbearing years a vulnerable stage in the sexual (...) life of a woman. Although sexual education used to be a routine aspect of local postpartum teaching, this teaching was inadequate to satisfy women's informational needs related to sexual health.For this two-group, randomized controlled trial, 166 participants were recruited at a medical centre in northern Taiwan. The experimental group (n = 84) received the intervention. The control group (n = 82) received routine postpartum teaching. Participants in the experimental group were separated according

2007 Journal of advanced nursing

2969. Successful reduction of massive postpartum haemorrhage by use of guidelines and staff education. (PubMed)

Successful reduction of massive postpartum haemorrhage by use of guidelines and staff education. We reviewed all cases of massive primary postpartum haemorrhage greater than 1000 mL over a six month period in 1999 to establish the incidence, identify aetiological factors and implement change. Fifty-four cases (1.7%) were identified. We classified four as 'near-miss' maternal mortality. Over 60% were delivered by caesarean section. Seventy-six percent were due to uterine atony, 9% due to genital (...) tract trauma and 15% were associated with significant antepartum haemorrhage from placenta praevia or abruption. No obvious labour or delivery risk factors were identified but deviation from hospital guidelines was common. Following revision of the guidelines, dissemination to staff and use of practice drills, we repeated the study on a prospective basis over the same time period in 2002. There was a significant reduction in the incidence of massive postpartum haemorrhage to 0.45%, and 100

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2004 BJOG

2970. Postpartum positioning and attachment education for increasing breastfeeding: a randomized trial. (PubMed)

Postpartum positioning and attachment education for increasing breastfeeding: a randomized trial. Although lactation experts suggest that a correct positioning and attachment technique reduces breastfeeding problems and enhances long-term breastfeeding, evidence from randomized trials is lacking. The objective of this study was to evaluate the effect of postpartum positioning and attachment education on breastfeeding outcomes in first-time mothers.A randomized trial was performed in a public (...) hospital in Adelaide, South Australia, where 160 first-time mothers were randomly allocated to receive either structured one-to-one education (experimental group) or usual postpartum care (control group) within 24 hours of birth. The primary outcome was breastfeeding at 6 weeks and 3 and 6 months postpartum; other outcomes were nipple pain and trauma in hospital and at 6 weeks and 3 and 6 months, and satisfaction with breastfeeding.No significant differences occurred in breastfeeding rates between

2001 Birth

2971. Effectiveness of postpartum education received by certified nurse-midwives' clients at a university hospital. (PubMed)

Effectiveness of postpartum education received by certified nurse-midwives' clients at a university hospital. This pilot study's objective was to determine the effectiveness of postpartum education received by midwifery clients at the University of New Mexico Hospital. The authors of the study randomized 100 women following delivery to two groups. Group one, n = 55, received written postpartum instructions only. Group two, n = 45, received oral instructions by the certified nurse-midwife (...) . This conservative estimate of internal consistency yielded r = .50. The authors found that oral instructions by the certified nurse-midwife did not significantly increase the knowledge of primiparas as evidenced by posttest results. However, results must be interpreted cautiously for three reasons: low reliability of the instrument, the small difference between groups, and the sample size. The need to determine how best to approach postpartum education is imperative in this era of early hospital discharge

1995 Journal of nurse-midwifery

2972. A randomized, controlled trial of the influence of prenatal parenting education on postpartum anxiety and marital adjustment. (PubMed)

A randomized, controlled trial of the influence of prenatal parenting education on postpartum anxiety and marital adjustment. The aim of this study was to measure the impact of two middle-trimester parenting communication classes on postpartum anxiety, marital adjustment, and postpartum adjustment.Seventy primiparous, low-risk couples enrolled in prenatal classes in a large urban hospital were randomized to experimental and control groups. An educational intervention consisting of two second (...) -trimester classes was facilitated by two social workers. The classes were based on a previous assessment of the educational needs of postpartum couples and contained didactic sessions, role-playing sessions, and values clarification exercises. The Spielberger State-Trait Anxiety Inventory and the Dyadic Adjustment Scale were administered to both groups prenatally in the second trimester and at 6 weeks and 6 months postpartum. A modified version of the O'Hara Postpartum Adjustment Questionnaire

1995 Family medicine

2973. Effects of a Prenatal Care Intervention for Adolescent Mothers on Birth Weight, Repeat Pregnancy, and Educational Outcomes at One Year Postpartum (PubMed)

Effects of a Prenatal Care Intervention for Adolescent Mothers on Birth Weight, Repeat Pregnancy, and Educational Outcomes at One Year Postpartum About one-third of adolescent mothers receive inadequate prenatal care, and babies born to young mothers are more likely to be of low birth weight. The objective of this study is to evaluate a peer-centered prenatal care program for adolescent mothers. Pregnant adolescents were randomly assigned to an experimental or control group in a mastery (...) significant. Adolescents who participated in the intervention were more likely to have continued their education during the pregnancy and the postpartum year. The mastery modeling, peer-centered, prenatal care program produced some positive pregnancy outcomes for adolescent mothers.

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2002 The Journal of perinatal education

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