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Postpartum Education

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101. An mHealth Trial to Promote the Use of Postpartum Contraception

An mHealth Trial to Promote the Use of Postpartum Contraception An mHealth Trial to Promote the Use of Postpartum Contraception - 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. An mHealth Trial to Promote (...) the Use of Postpartum Contraception (PPFP) 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: NCT03612518 Recruitment Status : Not yet recruiting First Posted : August 2, 2018 Last Update Posted : August 2, 2018 See Sponsor

2018 Clinical Trials

102. Innovation in Postpartum Care for Women With Hypertensive Disorders of Pregnancy

to in-office evaluation is at-home BP monitoring. At-home BP monitoring is a novel, affordable method to empower, educate, and engage postpartum women affected by HDP. Within the obstetric (OB) population, pilot studies have demonstrated the feasibility and acceptability of remote BP monitoring. Hence, the purpose of this randomized trial is to empower postpartum women affected by HDP and cared for at North Carolina Women's Hospital to perform at-home BP monitoring with the aid of digital technology (...) is at-home blood pressure (BP) monitoring. At-home BP monitoring is a novel, affordable method to empower, educate, and engage postpartum women affected by HDP. This approach is not in widespread use in the US, despite the American Heart Association indicating that home BP monitoring is recommended for all people with high blood pressure. Within the obstetric population, pilot studies have demonstrated the feasibility and acceptability of remote BP monitoring. However, a randomized trial of postpartum

2018 Clinical Trials

103. Patient Centered Postpartum Contraception App

Patient Centered Postpartum Contraception App Patient Centered Postpartum Contraception App - 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. Patient Centered Postpartum Contraception App The safety (...) ): University of Chicago Study Details Study Description Go to Brief Summary: This study will evaluate a smart phone-based application ("app") designed to inform pregnant women ages 15-25 about their contraception options. The goal of this research will be to evaluate the usability, feasibility and acceptability of this app. Condition or disease Intervention/treatment Contraceptive Usage Behavioral: Patient Centered Postpartum Contraception App Detailed Description: This study will evaluate a smart phone

2018 Clinical Trials

104. Insomnia and Rumination in Late Pregnancy and the Risk for Postpartum Depression

for Insomnia (dCBTI) in reducing the risk for PPD. Condition or disease Intervention/treatment Phase Insomnia Post Partum Depression Behavioral: dCBTI Behavioral: Sleep Education Not Applicable Detailed Description: The purpose of this study is to 1) explore the relationship between prenatal insomnia, ruminative thinking and the severity of PPD symptoms. and 2) determine the effectiveness of Digital Cognitive Behavioral Therapy (dCBTI) in reducing the risk for postpartum depression in pregnant mothers (...) Insomnia and Rumination in Late Pregnancy and the Risk for Postpartum Depression Insomnia and Rumination in Late Pregnancy and the Risk for Postpartum Depression - 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

2018 Clinical Trials

105. Oral Nifedipine Versus Labetalol in Treatment of Postpartum Hypertension

and treatment of postpartum hypertension systemic review Geneva Foundation for Medical Education and Research 2017: hypertensive disorders in pregnancy Layout table for additonal information Responsible Party: Hossam Ahmed Abd Ellah, Principal investigator, Assiut University ClinicalTrials.gov Identifier: Other Study ID Numbers: U1111-1209-5934 First Posted: February 28, 2018 Last Update Posted: April 4, 2018 Last Verified: April 2018 Layout table for additional information Studies a U.S. FDA-regulated Drug (...) Oral Nifedipine Versus Labetalol in Treatment of Postpartum Hypertension Oral Nifedipine Versus Labetalol in Treatment of Postpartum Hypertension - 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

2018 Clinical Trials

106. Feasibility and Acceptability of Delivering a Postpartum Weight Loss Intervention via Facebook: A Pilot Study. (PubMed)

Feasibility and Acceptability of Delivering a Postpartum Weight Loss Intervention via Facebook: A Pilot Study. To evaluate the feasibility and acceptability of a Facebook-delivered postpartum weight loss intervention.Overweight and obese postpartum women received a 12-week weight loss intervention via Facebook. Feasibility outcomes were recruitment, retention, engagement, and acceptability. Weight loss was an exploratory outcome.Participants (n = 19) were 3.5 (SD 2.2) months postpartum (...) with a baseline body mass index of 30.1 (SD 4.2) kg/m2. Retention was 95%. Forty-two percent of participants visibly engaged on the last day of the intervention, and 100% in the last 4 weeks; 88% were likely or very likely to participate again and 82% were likely or very likely to recommend the program to a postpartum friend. Average 12-week weight loss was 4.8% (SD 4.2%); 58% lost ≥5%.Findings suggested that this Facebook-delivered intervention is feasible and acceptable and supports research to test

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2018 Journal of nutrition education and behavior

107. Postpartum fertility behaviours and contraceptive use among women in rural Ghana (PubMed)

to their communities using telephone and house numbers provided and only 1003 of the women were finally traced and interviewed. The women were asked about their breastfeeding behaviour, postpartum sexual abstinence, duration of amenorrhoea and postpartum contraceptive use.The mean age of the respondents was 29.9 ± 6.5 years; adolescents constituted the least proportion (3.3%) of the women. More than half (54.1%) of the women had Middle, Junior secondary school or Junior high school education. Most (43.3 (...) Postpartum fertility behaviours and contraceptive use among women in rural Ghana Although most women would want to wait for more than two years before having another baby, their fertility behaviours during the first year following birth may decrease or increase the length of the birth interval. The objectives of this study were to: assess how protected postpartum women in the Mfantseman municipal were against pregnancy, based on their patterns of amenorrhoea and sexual abstinence; determine

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2018 Contraception and Reproductive Medicine

108. Improving postpartum care in a large hospital in New Delhi, India (PubMed)

. The hospital staff formed a quality improvement (QI) team and, between January and December 2014, collected data, conducted root cause analyses to understand why postpartum women were dying and tested and adapted small-scale changes using plan-do-study-act cycles to delivery safer postpartum care. Changes included reorganising the ward to reduce the time it took nurses to assess women and educating women and their relatives about common danger signs. The changes led to an increase in the number of women (...) Improving postpartum care in a large hospital in New Delhi, India Despite recent progress, the maternal mortality ratio (MMR) in India remains high at 174 per 100 000 live births. Bhagwan Mahavir Hospital (BMH) is a secondary level hospital in New Delhi. In 2013, five women died in BMH's postpartum ward. In January 2014, a United States Agency for International Development-funded team met with BMH staff to help improve their system for providing postpartum care to prevent maternal deaths

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2018 BMJ Open Quality

109. Completeness of patient-held records: observations of the Road-to-Health Booklet from two national facility-based surveys at 6 weeks postpartum, South Africa (PubMed)

Completeness of patient-held records: observations of the Road-to-Health Booklet from two national facility-based surveys at 6 weeks postpartum, South Africa Continuity of care is important for child well-being in all settings where postnatal retention of mother-infant pairs in care remains a challenge. This analysis reports on completeness of patient-held infant Road to Health Booklets (RtHBs), amongst HIV exposed and unexposed infants during the first two years after the RtHB was launched (...) , a critical tool for continuity of care in high HIV/TB prevalence settings, was poorly completed, with less than 50% of the RtHB showing expected completeness. However, government efforts for improved usage of the booklet were evidenced by the near doubling of completeness from 2011 to 2013. Education about its importance and interventions aiming at optimising its use without violating user privacy should be continued.

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2018 Journal of global health

110. Vitamin D Postpartum Concentrations: Relationship with Nutritional Condition and Morbidities during Pregnancy (PubMed)

Vitamin D Postpartum Concentrations: Relationship with Nutritional Condition and Morbidities during Pregnancy To evaluate postpartum vitamin D deficiency/insufficiency and to relate it to pregestational BMI, gestational weight gain, and sociodemographic variables.This is a cross-sectional study with 225 full-term pregnant women. Data collected are as follows: maternal health, socioeconomic status, pregestational body mass index (BMI), and gestational weight gain. Laboratory evaluation included (...) vitamin D [25(OH)D], calcium, phosphorus, magnesium, and alkaline phosphatase.The mean age of women was 25.6±6.6 years. Dark skin color, low education, and work in the urban region were predominant. Regular sun exposure, photoprotection, and vitamin D supplementation were reported by 144 (64.0%), 44 (19.6%), and 5 (2.2%) women, respectively. The mean plasma concentrations of 25(OH)D were 26.0±6.8 ng/mL. Levels compatible with deficiency (<20 ng/mL) and insufficiency (20-30 ng/mL) were observed in 43

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2018 Journal of pregnancy

111. Postpartum physical intimate partner violence among women in rural Zambia (PubMed)

Postpartum physical intimate partner violence among women in rural Zambia To examine the demographic characteristics and mental health of women in rural Zambia who experienced physical intimate partner violence (IPV) postpartum.The present secondary analysis was conducted using baseline data from an impact evaluation of a maternity waiting home intervention in rural Zambia. A quantitative household survey was conducted over 6 weeks, from mid-April to late May, 2016, at 40 rural health facility (...) catchment areas among 2381 postpartum women (13 months after delivery; age ≥15 years).A total of 192 (8.1%) women reported experiencing any type of physical IPV in the preceding 2 weeks; 126 had experienced severe physical IPV (had been kicked, dragged, beat, and/or choked by a husband or partner). High levels of depression were recorded for 174 (7.3%) women in the preceding 2 weeks. Being a female head of household was associated with an increased likelihood of experiencing severe physical IPV (aOR

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2018 International Journal of Gynaecology and Obstetrics

112. Knowledge and associated factors of lactational amenorrhea as a contraception method among postpartum women in Aksum town, Tigray Region, Ethiopia (PubMed)

Knowledge and associated factors of lactational amenorrhea as a contraception method among postpartum women in Aksum town, Tigray Region, Ethiopia The objective of the study was to assess the prevalence of knowledge level and predictors of lactational amenorrhea method (LAM) as method of contraception among women who gave birth a year prior to the study period in the Aksum town, Tigray Region. The study was cross sectional in design conducted from March 25 to April 24, 2015. Results (...) of the study could help the design of family planning strategies.The knowledge status of LAM as a contraceptive method was 8.8% [95% CI 6.4-11%)]. Women who delivered at health institution (AOR = 1.4, 95% CI 1.2-4.3), attended postnatal care (AOR = 1.3, 95% CI 1.2-3.0) and visited home and counseled about family planning by health extension in the last 12 months, (AOR = 1.5, 95% CI 1.3-4.0) were more likely found knowledgeable towards LAM. Secondary and above level of the maternal education was also found

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2018 BMC research notes

113. Postpartum Depression and Risk Factors among Vietnamese Women (PubMed)

Postpartum Depression and Risk Factors among Vietnamese Women Postpartum depression (PPD) places a burden on maternal health. PPD exerts a negative impact on mothers' health and children's life. The purpose of this research was to identify the prevalence of PPD and the risk factors contributing to PPD. Therefore, a cross-sectional quantitative study was conducted. 116 women were categorized into two groups. One category included new mothers who received scores of Edinburgh Postpartum Depression (...) Scale (EPDS) 12 or more. The other category included mothers who received scores less than 12. Descriptive statistic and then binary logistic regression were also performed. For EPDS ≥ 12, the prevalence of PPD was 27.6% among new mothers during the first year after delivery. Level of education, diseases during pregnancy, being the first-time mothers, dissatisfaction about family, and limited communication and interaction with others were significant predictors of PPD.

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2018 BioMed research international

114. Comparison of attitudes to breastfeeding among Spanish-born and Chinese-born postpartum women in Madrid (PubMed)

Comparison of attitudes to breastfeeding among Spanish-born and Chinese-born postpartum women in Madrid Maternal breastfeeding is a practice that is associated with multiple health benefits for mothers and children. One of the lowest rates of breastfeeding has been observed among Chinese women who immigrate to high income countries. At present, there is a lack of comparative information between this group and that of Spanish-born women. Considering the relationship between the attitude of women (...) towards breastfeeding and the initiation of breastfeeding, the aim of the study was to determine whether the attitude towards breastfeeding among Chinese postpartum women who have immigrated to Spain differs from that of Spanish-born postpartum women.Cross-sectional study, with between-group comparison, of 73 postpartum Spanish-born and Chinese immigrant women admitted to the maternity units of "12 de Octubre" Hospital (Spain) between April and November 2016. Attitudes toward breastfeeding were

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2018 International Breastfeeding Journal

115. Postpartum chronic pain. (PubMed)

Postpartum chronic pain. Postpartum chronic pain is a clinical reality which affects 6.1% to 11.5% of women after delivery and affects their recovery. The large range of incidence observed in the literature relies on criteria used to define chronic postpartum pain. The features depend on the type of delivery. Cesarean delivery which rate is increasing worldwide seems currently associated with lower risk of chronic postpartum pain, specifically chronic pelvic pain. Further chronic scar pain (...) which often involves a neuropathic component is often of mild intensity. In opposite, after vaginal delivery, chronic pelvic pain and perineal pain have an important negative impact on women's mood and quality of life. As for any chronic pain, individual risk factors account more than degree of tissue trauma. From actual reports in the field, better pain education of both women and health care providers might help to reduce the problem.

2018 Minerva anestesiologica

116. Predictors of postpartum contraceptive use in rural Tigray region, northern Ethiopia: a multilevel analysis. (PubMed)

Predictors of postpartum contraceptive use in rural Tigray region, northern Ethiopia: a multilevel analysis. Postpartum family planning services is one of the recommended public health intervention aimed at reducing maternal and child morbidity and mortalities. However, there is a paucity studies in rural Tigray region. Therefore, determining the level and associated factors of contraceptive use among postpartum women has the potential to contribute in achieving the Ethiopian Health Sector (...) Transformation Plan and to the Sustainable Development Goals on maternal and infant survival.A community-based cross-sectional study was done among 1109 postpartum women from March 29, 2017 to April 29, 2017. Face -to-face interview was used for data collection. The collected data were entered and cleaned using EPI - INFO version 7statistical software and later exported to and analyzed using STATA version 12. Mixed-effects multilevel logistic regression analysis was used to identify the individual

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2018 BMC Public Health

117. Role of Bridge Contraception in Postpartum Long-Acting Reversible Contraception and Sterilization Fulfillment Rates. (PubMed)

. Primary outcomes included LARC or sterilization fulfillment, time to fulfillment, postpartum visit attendance, and pregnancy within 365 days of delivery.The rate of LARC or sterilization fulfillment within 90 days of delivery was 147 of 597 (24.6%) women using bridge contraception and 287 of 1,254 (22.9%) women not using bridge contraception (P=.41). After adjusting for maternal age, parity, gestational age, mode of delivery, adequacy of prenatal care, race-ethnicity, and education level, the use (...) Role of Bridge Contraception in Postpartum Long-Acting Reversible Contraception and Sterilization Fulfillment Rates. To estimate the association of bridge contraception with interval long-acting reversible contraception (LARC) and sterilization fulfillment rates.This is a secondary analysis of a retrospective single-center cohort chart review study examining 1,851 postpartum women who requested LARC or sterilization after discharge. Bridge contraception was requested by 597 of these women

2018 Obstetrics and Gynecology

118. Latent trajectory classes of postpartum depressive symptoms: A regional population-based longitudinal study. (PubMed)

had higher educational level than the general population and one of the municipalities did not have a 12-months routine consultation.Findings suggest heterogeneity among women in their depressive symptoms during the first year postpartum with a distinct set of risk factors associated with high-risk women. This has implications for the prevention and follow-up of women during pregnancy and the first year after childbirth.Copyright © 2018 Elsevier B.V. All rights reserved. (...) Latent trajectory classes of postpartum depressive symptoms: A regional population-based longitudinal study. This study aimed to (a) assess trajectories of women's depressive symptoms during the first year postpartum to (b) identify potential unobserved classes of women as defined by their trajectories, (c) identify antepartum and early postpartum risk factors associated with trajectory classes, and (d) examine the association between trajectory classes and counselling during the postpartum

2018 Journal of Affective Disorders

119. Protocol for the ROSE sustainment (ROSES) study, a sequential multiple assignment randomized trial to determine the minimum necessary intervention to maintain a postpartum depression prevention program in prenatal clinics serving low-income women. (PubMed)

Protocol for the ROSE sustainment (ROSES) study, a sequential multiple assignment randomized trial to determine the minimum necessary intervention to maintain a postpartum depression prevention program in prenatal clinics serving low-income women. More research on sustainment of interventions is needed, especially return on investment (ROI) studies to determine cost-benefit trade-offs for effort required to sustain and how much is gained when effective programs are sustained. The ROSE (...) sustainment (ROSES) study uses a sequential multiple assignment randomized (SMART) design to evaluate the effectiveness and cost-effectiveness of a stepwise approach to sustainment of the ROSE postpartum depression prevention program in 90 outpatient clinics providing prenatal care to pregnant women on public assistance. Postpartum depression (PPD) is common and can have lasting consequences. Outpatient clinics offering prenatal care are an opportune place to provide PPD prevention because most women

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2018 Implementation Science

120. Fertility intentions of prenatal and postpartum HIV-positive women in primary care in Mpumalanga province, South Africa: a longitudinal study (PubMed)

Fertility intentions of prenatal and postpartum HIV-positive women in primary care in Mpumalanga province, South Africa: a longitudinal study This study aimed to assess fertility intentions (planning to have more children in the future) and associated factors among pregnant and postpartum HIV positive women in rural South Africa.In a longitudinal study, as part of a prevention of mother to child transmission (PMTCT) intervention trial, 699 HIV positive prenatal women, were systematically (...) recruited and followed up at 6 months and 12 months postpartum (retention rate = 59.5%).At baseline, 32.9% of the women indicated fertility intentions and at 12 months postnatal, 120 (28.0%) reported fertility intentions. In longitudinal analyses, which included time-invariant baseline characteristics predicting fertility intention over time, not having children, having a partner with unknown/HIV-negative status, and having disclosed their HIV status to their partner, were associated with fertility

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2018 HIV/AIDS (Auckland, N.Z.)

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