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Postpartum Education

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61. Improved clinical management but not patient outcome in women with postpartum haemorrhage-An observational study of practical obstetric team training. Full Text available with Trip Pro

Improved clinical management but not patient outcome in women with postpartum haemorrhage-An observational study of practical obstetric team training. Postpartum haemorrhage (PPH) is the most common obstetric emergency. A well-established postpartum haemorrhage protocol in the labour ward is crucial for effective treatment. The aim of the study was to investigate if practical obstetric team training improves the patient outcome and clinical management of PPH.The practical obstetric team (...) blood loss of ≥1000 ml within the first 24 hours of delivery. Post-PROBE women (N = 483) were defined as all women with vaginal birth between the years of 2008-2011 with an estimated blood loss of ≥1000 ml within the first 24 hours of delivery. The two groups were compared regarding blood loss parameters and management variables using retrospective data from medical records.No difference was observed in estimated blood loss, haemoglobin level, blood transfusions or the incidence of postpartum

2018 PLoS ONE

62. The effectiveness of mindfulness training on reducing the symptoms of postpartum depression Full Text available with Trip Pro

The effectiveness of mindfulness training on reducing the symptoms of postpartum depression Postpartum depression is one of the prevalent disorders among new mothers. The present research aimed to examine the effectiveness of mindfulness training on reducing the symptoms of postpartum depression.The present quasi-experimental research was conducted on 410 new mothers in Shahid Chamran Hospital, Tehran in 2014. Using the Beck Depression Inventory (BDI), Structured Clinical Interview (...) and Psychological Clinical Diagnosis, 67 mothers were selected and then randomly divided into experimental and control groups, each of which with 32 applicants. Afterwards, the experimental group received mindfulness training for 8 sessions, each lasting for two hours while the control group received no training. The data were analyzed through descriptive statistics and Analysis of Covariance (ANCOVA) in SPSS, version 20.Results showed that based on Beck Inventory, the scores for the experimental group in post

2017 Electronic physician Controlled trial quality: uncertain

63. School?based Education Programmes for the Prevention of Child Sexual Abuse: A Systematic Review Full Text available with Trip Pro

The study population comprised children (aged 5 to 12 years) and adolescents (aged 13 to 18 years) attending primary (elementary) or secondary (high) schools. 3.1.3 Types of interventions Included interventions were school‐based education programmes focusing on knowledge of sexual abuse and sexual abuse prevention concepts, or skill acquisition in protective behaviours, or both, compared with no intervention or the standard school curriculum. For this update, we excluded: interventions for preventing (...) never disclose their victimisation ( ) and most cases go unreported to authorities ( ). The WHO estimates that child sexual abuse contributes to seven to eight per cent of the global burden of disease for females, and four to five per cent for males ( ). Child sexual abuse is associated with adverse psychosocial outcomes such as depression ( ), post‐traumatic stress disorder ( ), antisocial and suicidal behaviours ( ), eating disorders ( ), alcohol and substance abuse ( ), postpartum depression

2015 Campbell Collaboration

64. European Resuscitation Council Guidelines for Resuscitation: Education and implementation of resuscitation

remains unclear and further research is required not only to link the immediate outcomes of courses to the teaching approach but also ultimately to identify the impact on the outcome of real life cardiac arrest situations. Training should be tailored to the needs of different types of learners and a variety of different teaching methods should be used to ensure acquisition and retention of resuscitation knowledge and skills. Self-instruction programmes with synchronous or asynchronous hands (...) on practice (e.g. video, DVD, on-line training, computer giving feedback during training) appear to be an effective alternative to instructor-led courses for laypeople and healthcare providers learning BLS skills. , , , , and Those who are expected to perform CPR regularly need to have knowledge of current guidelines and be able to use them effectively as part of a multi-professional team. These individuals require more complex training including both technical and non-technical skills (e.g. teamwork

2015 European Resuscitation Council

65. Telehealth for the Delivery of Prenatal Education Classes

. It may not be copied, posted on a web site, redistributed by email or stored on an electronic system without the prior written permission of CADTH or applicable copyright owner. Links: This report may contain links to other information available on the websites of third parties on the Internet. CADTH does not have control over the content of such sites. Use of third party sites is governed by the owners’ own terms and conditions. TITLE: Telehealth for the Delivery of Prenatal Education Classes (...) Telehealth for the Delivery of Prenatal Education Classes Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should be considered along

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

66. Postnatal Vitamin D Intake Modulates Hippocampal Learning and Memory in Adult Mice Full Text available with Trip Pro

Postnatal Vitamin D Intake Modulates Hippocampal Learning and Memory in Adult Mice Vitamin D (VD) is a neuroactive steroid crucial for brain development, function and homeostasis. Its deficiency is associated with numerous brain conditions. As such, VD and its variants are routinely taken by a broad of groups with/without known VD deficiency. In contrast, the harmful effects of VD overdose have been poorly studied. Similarly, the developmental stage-specific VD deficiency and overdose have been (...) rarely explored. In the present work, we showed that postnatal VD supplementation enhanced the motor function transiently in the young adult, but not in the older one. Postnatal VD intake abnormality did not impact the anxiety and depressive behavior but was detrimental to spatial learning and hippocampus-dependent memory. At the molecular level we failed to observe an obvious and constant change with the neural development and activity-related genes examined. However, disrupted developmental

2018 Frontiers in neuroscience

67. Satisfaction with obstetric care in a population of low-educated native Dutch and non-western minority women. Focus group research. Full Text available with Trip Pro

their needs during pregnancy, childbirth and the postpartum period.We combined the World Health Organization conceptual framework of healthcare responsiveness with focus group research to measure satisfaction with antenatal, birthing and maternity care of women with a low-educated native Dutch and non-western ethnic background.From September 2011 until December 2013, 106 women were recruited for 20 focus group sessions. Eighty-five percent of the women had a non-western immigrant background and 89% a low (...) Satisfaction with obstetric care in a population of low-educated native Dutch and non-western minority women. Focus group research. Low-educated native Dutch and non-western minority women have inadequate access to obstetric care. Moreover, the care they receive lacks responsiveness to their needs and cultural competences. Gaining a deeper understanding of their experiences and satisfaction with antenatal, birthing and maternity care will help to adjust healthcare responsiveness to meet

2019 PLoS ONE

68. Prenatal education of overweight or obese pregnant women to prevent childhood overweight (the ETOIG study): an open-label, randomized controlled trial (Abstract)

group (2 individuals (26 and 30 GW) and 4 group sessions (21, 28, 35 GW, 2 months postpartum)) aimed at educating the future mother regarding infant and maternal nutrition. The primary objective was to reduce post-natal excessive weight gain in the infant from birth to 2 years (NCT00804765). This project was funded by a grant from the National Programme for Hospital Research (PHRC-2007 French Ministry of Health).We included 275 women (BMI: 32.5 kg/m2). The rate of post-natal excessive weight gain (...)  = 149: 12.9% vs 3.8%, p = 0.04) and 2-year-old infant BMIs were less likely to be >19 kg/m2 in the intervention group in AD (n = 204: 0% vs 6.8%, p = 0.014) and PP (n = 176: 0% vs 6.4%, p = 0.03).An education and nutritional counseling program for overweight women, starting after 3 months of gestation, did not significantly change post-natal excessive weight gain of infants or prevent overweight in mothers and children 2 years after delivery.

2018 EvidenceUpdates

69. Effect of education and clinical assessment on the accuracy of post partum blood loss estimation. Full Text available with Trip Pro

Effect of education and clinical assessment on the accuracy of post partum blood loss estimation. This research aimed to assess the effect of health care provider education on the accuracy of post partum blood loss estimation.A non-randomized observational study that was conducted at King Abdulaziz Medical City, Riyadh, Saudi Arabia between January 1, 2011 and June 30, 2011. Hundred and twenty three health care providers who are involved in the estimation of post partum blood loss were eligible (...) to assess the differences between the three research phases estimations.The participants significantly under-estimated post partum blood loss. The accuracy was improved after training (p-value < 0.0001) and after analysing each patient's clinical information (p-value = 0.042). The overall results were not affected by the participants' clinical backgrounds or their years of experience. Under-estimation was more prominent in cases where more than average-excessive blood losses were simulated while over

2014 BMC Pregnancy and Childbirth

70. A study protocol of mobile phone app-based cognitive behaviour training for the prevention of postpartum depression among high-risk mothers. Full Text available with Trip Pro

A study protocol of mobile phone app-based cognitive behaviour training for the prevention of postpartum depression among high-risk mothers. The changes in China's family planning policy in recent years have led to changes in the age structure of pregnant women, and the prevalence of postpartum depression (PPD) is also on the rise. Cognitive Behaviour Training (CBT) as an effective intervention is widely used for postpartum depression. However, the shortage and health disparities of mental (...) in reducing the prevalence of postpartum depression compared with usual postpartum care in China. A total of 120 participants will be recruited in this study. The intervention consists of a weekly theme module app for continuous six weeks, each module including learning content and assignments. The control group received usual postpartum care content through the App. Outcome measures include postpartum depression, anxiety, pressure and parenting sense of competence at 0-, 3- and 6-month after

2019 BMC Public Health

71. Exploring the Impact of a Mobile Health Solution for Postpartum Pelvic Floor Muscle Training: Pilot Randomized Controlled Feasibility Study. Full Text available with Trip Pro

Exploring the Impact of a Mobile Health Solution for Postpartum Pelvic Floor Muscle Training: Pilot Randomized Controlled Feasibility Study. The postpartum period is a vulnerable time for the pelvic floor. Early implementation of pelvic floor muscle exercises, appropriately termed as pelvic floor muscle training (PFMT), in the postpartum period has been advocated because of its established effectiveness. The popularity of mobile health (mHealth) devices highlights their perceived utility (...) . The effectiveness of various mHealth technologies with claims to support pelvic floor health and fitness is yet to be substantiated through systematic inquiry.The aim of this study was to determine the acceptability, feasibility, and potential effect on outcomes of an mHealth device purposed to facilitate pelvic floor muscle training among postpartum women.A 16-week mixed methods pilot study was conducted to evaluate outcomes and determine aspects of acceptability and feasibility of an mHealth device. All

2019 JMIR mHealth and uHealth Controlled trial quality: uncertain

72. Can postpartum pelvic floor muscle training reduce urinary and anal incontinence? An assessor-blinded randomized controlled trial. Full Text available with Trip Pro

Can postpartum pelvic floor muscle training reduce urinary and anal incontinence? An assessor-blinded randomized controlled trial. Pelvic floor dysfunction, including urinary and anal incontinence, is a common postpartum complaint and likely to reduce quality of life.To study the effects of individualized physical therapist-guided pelvic floor muscle training in the early postpartum period on urinary and anal incontinence and related bother, as well as pelvic floor muscle strength (...) pelvic floor mucle training decreased the rate of urinary incontinence and related bother 6 months postpartum and increased muscle strength and endurance.Copyright © 2019 Elsevier Inc. All rights reserved.

2019 American Journal of Obstetrics and Gynecology

73. Effect of segmental stabilizing exercises augmented by pelvic floor muscles training on women with postpartum pelvic girdle pain: A randomized controlled trial. (Abstract)

Effect of segmental stabilizing exercises augmented by pelvic floor muscles training on women with postpartum pelvic girdle pain: A randomized controlled trial. Pelvic girdle pain (PGP) is a significant problem that affects daily living activities in postpartum women.This study aimed to investigate the effect of stabilizing exercises with or without pelvic floor muscles (PFM) training on pain, functional disability, trunk range of motion (ROM) and PFM strength in women with PGP.Forty postpartum (...) (A and B) revealed a significant decrease (p= 0.001) in pain and functional disability and a significant increase (p= 0.001) in trunk ROM and PFM strength. However, group (B) showed a significant decrease (p= 0.001) in pain, and functional disability and a significant increase in PFM strength when compared with group (A).PFM training should be an essential part in rehabilitation programs of PGP postpartum.

2019 Journal of back and musculoskeletal rehabilitation Controlled trial quality: uncertain

74. Implementing at-scale, community-based distribution of misoprostol tablets to mothers in the third stage of labor for the prevention of postpartum haemorrhage in Sokoto State, Nigeria: Early results and lessons learned. Full Text available with Trip Pro

Implementing at-scale, community-based distribution of misoprostol tablets to mothers in the third stage of labor for the prevention of postpartum haemorrhage in Sokoto State, Nigeria: Early results and lessons learned. Postpartum haemorrhage (PPH) is a leading cause of maternal death in Sokoto State, Nigeria, where 95% of women give birth outside of a health facility. Although pilot schemes have demonstrated the value of community-based distribution of misoprostol for the prevention of PPH (...) that received misoprostol at labor through December 2014. Mothers' conditions were tracked through 6 weeks postpartum. Verbal autopsies were conducted on associated maternal deaths.Misoprostol distribution was successfully introduced and reached mothers in labor in all 244 wards in Sokoto State. Community data collection systems were successfully operational in all 244 wards with reliable capacity to record maternal deaths. 70,982 women or 22% of expected births received misoprostol from April 2013

2017 PLoS ONE

75. Early postnatal care use by postpartum mothers in Mundri East County, South Sudan. Full Text available with Trip Pro

Early postnatal care use by postpartum mothers in Mundri East County, South Sudan. Globally, most maternal and newborn deaths are within the first week of delivery. Early postnatal-care (EPNC) visits between 2 and 7 days detects early morbidity and averts deaths. However, there is scarcity of information on use of EPNC in Mundri East County, South Sudan. This study investigated factors associated with EPNC use among postpartum mothers in Mundri East County, South Sudan.This was an analytical (...) %) were unemployed. 44 (11.4%; 95% CI: 8.4-15.0) used EPNC. Poor health services access at government health facilities (Adjusted odds ratio (AOR) = 0.18; 95% CI: 0.05-0.61; P = 0.006), more than 1-h access to health facility (AOR = 0.27; 95% CI: 0.09-0.78; P = 0.015), at least secondary maternal education (AOR = 5.73; 95% CI: 1.14-28.74; P = 0.034) and receipt of PNC health education post-delivery (AOR = 3.47; 95% CI: 1.06-11.33; P = 0.004) were associated with EPNC use.Use of EPNC in Mundri East

2017 BMC health services research

76. Predictability of Thromboelastography Parameters in Severe Post Partum Hemorrhage

Eligibility: Yes Gender Eligibility Description: pregnant women Accepts Healthy Volunteers: No Sampling Method: Non-Probability Sample Study Population Women presenting with a post partum hemorrhage Criteria Inclusion Criteria: Women presenting with a post partum hemorrhage needing sulprostone infusion during third trimester of pregnancy Exclusion Criteria: known coagulation disorders Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your (...) Predictability of Thromboelastography Parameters in Severe Post Partum Hemorrhage Predictability of Thromboelastography Parameters in Severe Post Partum Hemorrhage - 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

2017 Clinical Trials

77. Associations of maternal nutrition during pregnancy and post-partum with maternal cognition and caregiving. Full Text available with Trip Pro

Associations of maternal nutrition during pregnancy and post-partum with maternal cognition and caregiving. Pregnant and post-partum women require increased nutrient intake and optimal cognition, which depends on adequate nutrition, to enable reasoning and learning for caregiving. We aimed to assess (a) differences in maternal cognition and caregiving between women in Malawi who received different nutritional supplements, (b) 14 effect modifiers, and (c) associations of cognition and caregiving (...) with biomarkers of iron, Vitamin A, B-vitamin, and fatty acid status. In a randomized controlled trial (n = 869), pregnant women daily received either multiple micronutrients (MMN), 20 g/day lipid-based nutrient supplements (LNS), or a control iron/folic acid (IFA) tablet. After delivery, supplementation continued in the MMN and LNS arms, and the IFA control group received placebo until 6 months post-partum, when cognition (n = 712), caregiving behaviour (n = 669), and biomarkers of nutritional status (n

2017 Maternal & child nutrition Controlled trial quality: predicted high

78. Male partner involvement on initiation and sustainment of exclusive breastfeeding among HIV-infected post-partum women: Study protocol for a randomized controlled trial. Full Text available with Trip Pro

of EBF. Men's Club will provide male partners of HIV-infected pregnant women one 5-hr interactive educational intervention to increase knowledge on EBF and explore barriers and facilitators of EBF and support. Additionally, participating male partners in the Men's Club as intervention group will receive weekly text message reminders during the first 6-week post-natal period to improve initiation and sustainment of EBF. Participants in the Men's Club as control group will receive only educational (...) Male partner involvement on initiation and sustainment of exclusive breastfeeding among HIV-infected post-partum women: Study protocol for a randomized controlled trial. Exclusive Breastfeeding (EBF) among human immunodeficiency virus (HIV)-infected mothers is known to be associated with a sustained and significant reduction in HIV transmission and has the potential to reduce infant and under-five mortality. Research shows that EBF is not common in many HIV-endemic, resource-limited settings

2017 Maternal & child nutrition Controlled trial quality: uncertain

79. CALM for Pregnant and Post-Partum Women

to be delivered in 6 to 8 sessions, although flexibility is allowed. No Intervention: Treatment as Usual Participants will receive pre-natal care as usual, and will be visited at 4 time points by the graduate student researchers: baseline, 12 weeks post baseline, and 10 weeks postpartum. Outcome Measures Go to Primary Outcome Measures : Change in Pregnancy Related Anxiety (composite will be created with anxiety and depression measures) [ Time Frame: at baseline, 12-weeks post-baseline, at 10 weeks postpartum (...) , at 10 weeks postpartum ] 10 items from the Edinburgh Postnatal Depression Scale (EPDS) that measures postnatal depressive symptoms Secondary Outcome Measures : Change in Functional Impairment [ Time Frame: at baseline, 12-weeks post-baseline, and at 10 weeks postpartum ] 5 item Sheehan Disability Scale (SDS) that measures functional impairment in school/ work, social, and family life (0-10 with higher scores indicating more impairment) and 2 items assessing number of days in one week participant

2017 Clinical Trials

80. Natalizumab in Preventing Post-partum Relapses in Multiple Sclerosis

Natalizumab in Preventing Post-partum Relapses in Multiple Sclerosis Natalizumab in Preventing Post-partum Relapses in Multiple Sclerosis - 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. Natalizumab (...) in Preventing Post-partum Relapses in Multiple Sclerosis (NAPPREMS) 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: NCT03046251 Recruitment Status : Unknown Verified February 2017 by Bianca Weinstock-Guttman, State University of New York at Buffalo. Recruitment status was: Recruiting First Posted : February 8

2017 Clinical Trials

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