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Postpartum Education

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121. Influence of postnatal glucocorticoids on hippocampal-dependent learning varies with elevation patterns and administration methods Full Text available with Trip Pro

Influence of postnatal glucocorticoids on hippocampal-dependent learning varies with elevation patterns and administration methods Recent interest in the lasting effects of early-life stress has expanded to include effects on cognitive performance. An increase in circulating glucocorticoids is induced by stress exposure and glucocorticoid effects on the hippocampus likely underlie many of the cognitive consequences. Here we review studies showing that corticosterone administered to young rats (...) at the conclusion of the stress-hyporesponsiveness period affects later performance in hippocampally-mediated trace eyeblink conditioning. The nature and even direction of these effects varies with the elevation patterns (level, duration, temporal fluctuation) achieved by different administration methods. We present new time course data indicating that constant glucocorticoid elevations generally corresponded with hippocampus-mediated learning deficits, whereas acute, cyclical elevations corresponded

2017 Neurobiology of learning and memory

122. Factors that influence the provision of intrapartum and postnatal care by skilled birth attendants in low- and middle-income countries: a qualitative evidence synthesis. Full Text available with Trip Pro

Factors that influence the provision of intrapartum and postnatal care by skilled birth attendants in low- and middle-income countries: a qualitative evidence synthesis. In many low- and middle-income countries women are encouraged to give birth in clinics and hospitals so that they can receive care from skilled birth attendants. A skilled birth attendant (SBA) is a health worker such as a midwife, doctor, or nurse who is trained to manage normal pregnancy and childbirth. (S)he is also trained (...) were based on evidence assessed as of moderate to high confidence. Skilled birth attendants reported that they were not always given sufficient training during their education or after they had begun clinical work. Also, inadequate staffing of facilities could increase the workloads of skilled birth attendants, make it difficult to provide supervision and result in mothers being offered poorer care. In addition, SBAs did not always believe that their salaries and benefits reflected their tasks

2017 Cochrane

123. Postpartum women living with HIV: Challenges related to retention in care, treatment adherence, and mental health

in settings that are culturally and socioeconomic diverse, and suggest that using empirical data (i.e. practical experience) to drive decisions in adapting evidence-based interventions may be a practical step forward. Other authors support using this strategy to adapt interventions (89, 90) What we did We searched Medline using a combination of text term HIV and (text terms [postpartum or childbirth or child birth or after delivery or post partum or postpartum or postnatal or after pregnancy] or MeSH (...) , also known as postnatal or puerperium, refers to the period of time following the birth of a child when the mother’s physiology returns to a non-pregnant state (12). The postpartum period is a critical time for both the mother and newborn (1). Effective care during this time can prevent short-, medium-, and long-term consequences for a variety of issues (13). For women living with HIV, one element of postpartum care involves ongoing HIV care. This should be established prenatally (i.e. between

2018 Ontario HIV Treatment Network

124. Usability and knowledge testing of educational tools about infant vaccination pain management directed to postnatal nurses Full Text available with Trip Pro

Usability and knowledge testing of educational tools about infant vaccination pain management directed to postnatal nurses Adapting educational tools to meet user needs is a critical aspect of translating research evidence into best clinical practices. The objectives of this study were to evaluate usability and effectiveness of educational tools about infant vaccination pain management directed to postnatal nurses.Mixed methods design. A template pamphlet and video included in a published (...) clinical practice guideline were subjected to heuristic usability evaluation and then the revised tools were reviewed by postnatal hospital nurses in three rounds of interviews involving 8 to 12 nurses per round. Nurses' knowledge about evidence-based pain management interventions was evaluated at three time points: baseline, after pamphlet review, and after video review.Of 32 eligible postnatal nurses, 29 agreed to participation and data were available for 28. Three overarching themes were identified

2015 BMC medical education

125. Effects of a midwife psycho-education intervention to reduce childbirth fear on women's birth outcomes and postpartum psychological wellbeing. Full Text available with Trip Pro

Effects of a midwife psycho-education intervention to reduce childbirth fear on women's birth outcomes and postpartum psychological wellbeing. High levels of childbirth fear impact birth preparation, obstetric outcomes and emotional wellbeing for around one in five women living in developed countries. Higher rates of obstetric intervention and caesarean section (CS) are experienced in fearful women. The efficacy of interventions to reduce childbirth fear is unclear, with no previous randomised (...) controlled trials reporting birth outcomes or postnatal psychological wellbeing following a midwife led intervention.Between May 2012 and June 2013 women in their second trimester of pregnancy were recruited. Women with a fear score ≥ 66 on the Wijma Delivery Expectancy / Experience Questionnaire (W-DEQ) were randomised to receive telephone psycho-education by a midwife, or usual maternity care. A two armed non-blinded parallel (1:1) multi-site randomised controlled trial with participants allocated

2015 BMC Pregnancy and Childbirth Controlled trial quality: predicted high

126. Using a multi-state Learning Community as an implementation strategy for immediate postpartum long-acting reversible contraception. Full Text available with Trip Pro

Using a multi-state Learning Community as an implementation strategy for immediate postpartum long-acting reversible contraception. Implementation strategies are imperative for the successful adoption and sustainability of complex evidence-based public health practices. Creating a learning collaborative is one strategy that was part of a recently published compilation of implementation strategy terms and definitions. In partnership with the Centers for Disease Control and Prevention and other (...) partner agencies, the Association of State and Territorial Health Officials recently convened a multi-state Learning Community to support cross-state collaboration and provide technical assistance for improving state capacity to increase access to long-acting reversible contraception (LARC) in the immediate postpartum period, an evidence-based practice with the potential for reducing unintended pregnancy and improving maternal and child health outcomes. During 2015-2016, the Learning Community

2017 Implementation Science

127. Immediate postpartum long-acting reversible contraception for women at high risk for medical complications Full Text available with Trip Pro

subspecialists, about the bene?ts of postpartum contracep- tion, and to advocate for widespread implementation of immediate postpartum LARC placement programs. The following are Society for Maternal-Fetal Medicine recommendations: we recommend thatLARCbeofferedtowomenathighestriskforadversehealtheventsasaresultofafuturepregnancy (GRADE 1B); we recommend that obstetric care providers discuss the availability of immediate post- partum LARC with all pregnant women during prenatal care and consult the U.S (...) LARCmethodisusuallyacceptableforuse(eithercategory1 or2).Forexample,forwomenwithcurrentbreastcancer,the levonorgestrelIUDandetonogestrelimplantarecategory4, butthecopperIUDiscategory1. The US MEC also makes recommendations speci?cto the immediate postpartum period, and LARC methods are category 1 or 2 for most conditions. With the exception of the contraindications discussed above, immediate post- partum LARC is an option regardless of medical complexity. 26 A summary chart of the US MEC for BOX1

2019 Society for Maternal-Fetal Medicine

128. Emergent Therapy for Acute-Onset, Severe Hypertension During Pregnancy and the Postpartum Period

Emergent Therapy for Acute-Onset, Severe Hypertension During Pregnancy and the Postpartum Period INTERIM UPDATE ACOGCOMMITTEEOPINION Number 767 (Replaces Committee Opinion Number 692, September 2017) Committee on Obstetric Practice This Committee Opinion was developed by the American College of Obstetricians and Gynecologists’ Committee on Obstetric Practice in collaboration with committee members Yasser Y. El-Sayed, MD, and Ann E. Borders, MD, MSc, MPH. INTERIM UPDATE: This Committee Opinion (...) is updated as highlighted to align with the American College of Obstetricians and Gynecologists’ guidance on gestational hypertension, preeclampsia, and chronic hypertension in pregnancy. Emergent Therapy for Acute-Onset, Severe Hypertension During Pregnancy and the Postpartum Period ABSTRACT: Acute-onset, severe systolic hypertension; severe diastolic hypertension; or both can occur during the prenatal, intrapartum, or postpartum periods. Pregnant women or women in the postpartum period with acute-onset

2019 American College of Obstetricians and Gynecologists

129. Primary postpartum haemorrhage

blood clotting analyser is available: o Follow a locally agreed algorithm relevant to the device used o Education and training on use and interpretation of results is essential o Follow quality control activities as per manufacturer’s instructions Refer to online version, destroy printed copies after use Page 16 of 35 Queensland Clinical Guideline: Primary postpartum haemorrhage 3.3 Resuscitation Initial response to PPH requires a multidisciplinary team approach 1,12 to restore the woman’s (...) . Secondary postpartum haemorrhage Excessive bleeding occurring between 24 hours post birth and 6 weeks post birth. 2 Refer to online version, destroy printed copies after use Page 5 of 35 Queensland Clinical Guideline: Primary postpartum haemorrhage Table of Contents 1 Introduction 7 1.1 Definition 7 1.2 Incidence of PPH in Queensland 7 1.3 Aetiology 8 1.4 Clinical standards 8 2 Prophylaxis 9 2.1 Risk factors 9 2.2 Antenatal risk management 10 2.2.1 Transfusion not an option 11 2.3 Intrapartum risk

2019 Queensland Health

130. Breastfeeding and the Impact on Postpartum Weight: A Focused Practice Question

adj milk) or (infant adj lactation) or breastfeeding or breastfed or breastmilk).af. (146105) 3 (postpartum or post-partum or maternal or mother* or postnatal or post-natal or antenatal or perinatal or peri-natal or puerperal or post-parturient or post-pregnant*).af. (1083375) 4 (obesity or obese or overweight or bodyweight or weight or body or bodymass or mass or BMI or fat or adipos* or thin* or skin or skinfold).af. (6023302) 5 1 and 2 and 3 and 4 (4056) 6 remove duplicates from 5 (2397 (...) with the longest period of exposure. BF for 20 1 Adjusted for Maternal age, employment, education, alcohol intake and smoking during pregnancy, nonmedical drug use, primiparity, pre-existing hypertension, marital status, paternal employment and education, household ownership, number of children under age 16, and year of recruitment 2 Adjusted for age, marital status, income, gestational weight gain, food intake, and exercising often 20 M weeks or more has a negative correlation to postpartum weight change

2019 Peel Health Library

131. Baby Steps - a structured group education programme with accompanying mobile web application designed to promote physical activity in women with a history of gestational diabetes: study protocol for a randomised controlled trial. Full Text available with Trip Pro

Baby Steps - a structured group education programme with accompanying mobile web application designed to promote physical activity in women with a history of gestational diabetes: study protocol for a randomised controlled trial. A diagnosis of gestational diabetes (GDM) is associated with an over sevenfold increase in the risk of developing type 2 diabetes (T2D), while among parous women with T2D, up to 30% have a history of GDM. Lifestyle interventions have been shown to reduce the risk (...) of incident T2D in adults with impaired glucose tolerance, including in women with a history of GDM. The aim of this study is to establish whether a group self-management education programme, supported by a mobile web application, can improve levels of physical activity at 12 months in women who have had GDM.The study is a randomised controlled trial with follow-up at 6 and 12 months. Primary outcome is change in objectively measured average daily physical activity at 12 months. Secondary outcomes include

2018 Trials Controlled trial quality: uncertain

132. Sleep habits in infants: the role of maternal education. (Abstract)

Sleep habits in infants: the role of maternal education. Sleep disturbances are frequent in infants. Early development of sleep routines has a positive effect on sleep quality. The objective of this study was to assess the impact of maternal education on the development of infants' sleep habits (SHs).This was an experimental, longitudinal study. Postnatal mothers were allocated into two groups: to receive (intervention group, IG), or not receive (control group, CG) information on sleep hygiene (...) . Individual 15-min sessions were provided and a leaflet was handed to the IG. A questionnaire on infants' SHs was applied by telephone/e-mail at 1, 2, 4, and 6 months of age.At least three questionnaires were answered by 314 mothers. Results were adjusted for maternal age, education, and race. In the IG, infants acquired more independent sleep habits, an effect still present at six months; slept more frequently in their own beds; adjusted odds ratio (ORadj) 3.8, 95% confidence interval (CI) (1.1-13.5

2018 Sleep medicine Controlled trial quality: uncertain

133. A Randomized Trial of Prenatal Video Education to Improve Breastfeeding Among Low-Income Women. (Abstract)

A Randomized Trial of Prenatal Video Education to Improve Breastfeeding Among Low-Income Women. Many women initiate breastfeeding but do not meet their duration goals, and low-income women initiate and continue breastfeeding at lower rates than their counterparts. One-on-one counseling is associated with increased breastfeeding but requires significant resources. In contrast, video education, which requires fewer resources and is effective in other health care settings, such as vaccine uptake (...) , has gone untested for prolonging breastfeeding duration among low-income women.To determine whether use of an educational breastfeeding video shown individually to low-income pregnant women in the prenatal clinic would prolong duration of any and exclusive breastfeeding.A multicenter, randomized, controlled trial was conducted in four prenatal clinics. Low-income pregnant women were randomized to view the intervention (breastfeeding education) or control (prenatal nutrition) video in the third

2018 Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine Controlled trial quality: uncertain

134. Effects of an educational technology on self-efficacy for breastfeeding and practice of exclusive breastfeeding. Full Text available with Trip Pro

Effects of an educational technology on self-efficacy for breastfeeding and practice of exclusive breastfeeding. To evaluate the effects of using a flipchart (serial album) on maternal self-efficacy in breastfeeding and its effects on exclusive breastfeeding (EBF) in children's first two months of life.Clinical trial in Recife, Northeastern Brazil, with 112 women in the third trimester of gestation, randomly distributed in intervention group (IG) and control group (CG). The intervention (...) was the use of the flipchart in IG. Data collection was performed through interviews in the prenatal period, and telephone contact at second, fourth and eighth weeks postpartum. The Breastfeeding Self-Efficacy Scale-Short-Form (BSES-SF) was used to measure self-efficacy scores. In the analysis, was used descriptive, bivariate statistics through tests of comparisons of proportions and means, and relative risk assessment.There was a statistically significant difference in mean values of self-efficacy scores

2018 Revista da Escola de Enfermagem da U S P Controlled trial quality: uncertain

135. Family-Centered Breastfeeding Education to Promote Primiparas' Exclusive Breastfeeding in China. (Abstract)

Family-Centered Breastfeeding Education to Promote Primiparas' Exclusive Breastfeeding in China. Few breastfeeding education programs focus on primiparas and the importance of family members on exclusive breastfeeding in China. Research aim: This study aimed to explore the influence of a family-centered breastfeeding education program in promoting exclusive breastfeeding up to 6 months postpartum and to improve women's attitude and knowledge, family members' knowledge, and family support.This (...) discharge.Compared with the control group, the intervention group was more likely to exclusively breastfeed in the first 6 months, odds ratio = 0.44, 95% confidence interval [0.20, 0.98]. The mean knowledge level of the intervention group improved more across time ( p < .05) and was higher than the control group ( p < .05). Perceived family support within the intervention group was significantly higher than the control group from 1 to 6 months ( p < .05).The breastfeeding education program is an effective

2018 Journal of human lactation : official journal of International Lactation Consultant Association Controlled trial quality: uncertain

136. Using Simulation to Enhance Education in an Obstetrical Nursing Course. (Abstract)

Using Simulation to Enhance Education in an Obstetrical Nursing Course. This pilot study describes the effects of a simulation experience on students' confidence level and performance in the clinical lab setting. Seven groups of students in an obstetrical rotation participated in a postpartum hemorrhage scenario. Roles were blindly chosen, and interventions were performed and evaluated. The confidence level of the students was assessed prior to and following the simulation. Overall confidence

2018 Nursing education perspectives Controlled trial quality: uncertain

137. Effectiveness of a Technology-Based Supportive Educational Parenting Program on Parental Outcomes in Singapore: Protocol for a Randomized Controlled Trial. Full Text available with Trip Pro

to receive either the supportive educational parenting program or routine perinatal care from the hospital. Outcome measures include parenting self-efficacy, parental bonding, postnatal depression, social support, parenting satisfaction, and cost evaluation. Data will be collected at the antenatal period, immediate postnatal period, and at 1 month and 3 months post childbirth.Recruitment of the study participants commenced in December 2016 and is still ongoing. Data collection is projected to finish (...) Effectiveness of a Technology-Based Supportive Educational Parenting Program on Parental Outcomes in Singapore: Protocol for a Randomized Controlled Trial. Supportive educational programs during the perinatal period are scarce in Singapore. There is no continuity of care available in terms of support from community care nurses in Singapore. Parents are left on their own most of the time, which results in a stressful transition to parenthood. There is a need for easily accessible technology

2018 JMIR Research Protocols Controlled trial quality: uncertain

138. Exploring antenatal education content for couples in Blantyre, Malawi. Full Text available with Trip Pro

of the maternity cycle which are pregnancy, labour and delivery and postpartum period. Preferred topics were; description of pregnancy, care of pregnant women, role of men during perinatal period, family life birth preparedness and complication readiness plan, coitus during pregnancy and after delivery, childbirth and baby care.Antenatal education is a potential platform to disseminate information and discuss with male partners the childbearing period and early parenting. Hence, if both men and women were (...) Exploring antenatal education content for couples in Blantyre, Malawi. Despite advocating for male involvement in antenatal education, there is unmet need for antenatal education information for expectant couples. The objective of this study was to gain a deeper understanding of the education content for couples during antenatal education sessions in Malawi. This is needed for the development of a tailor-made curriculum for couple antenatal education in the country, later to be tested

2018 BMC Pregnancy and Childbirth

139. Educational Disabilities Among Children Born With Neonatal Abstinence Syndrome. Full Text available with Trip Pro

Educational Disabilities Among Children Born With Neonatal Abstinence Syndrome. Neonatal abstinence syndrome (NAS) is a postnatal drug withdrawal syndrome that can occur after intrauterine opioid exposure. Adverse neurobehavioral outcomes have been documented in infants with NAS; however, educational outcomes have not been thoroughly examined. We analyzed Tennessee data to understand the need for special educational services among infants who are born with NAS.By using Tennessee Medicaid (...) and birth certificate data, infants who were born in Tennessee between 2008 and 2011 with a history of NAS were matched (1:3) to infants who were born during the same period without a history of NAS. Groups were matched on the basis of sex, race and/or ethnicity, age, birth region of residence, and Medicaid enrollment status. Data were linked to Tennessee Department of Education special education data during early childhood (3-8 years of age). Conditional multivariable logistic regression was used

2018 Pediatrics

140. Health Education in the Perinatal Period

. The second control group corresponds to mothers who did not attend the training. The primary endpoint for measuring this effectiveness is maternal knowledge assessment using knowledge questionnaires that will be completed by mothers before (pre-test) and after (post-test) the educational program in the maternity unit. The secondary endpoints for assessing the primary objective of measuring this effectiveness are the maternal knowledge assessment 1 month after leaving the maternity, using a questionnaire (...) accidents). However, the authors of this meta-analysis concluded that new studies were needed to confirm the results already published. The main objective of this study is to evaluate the effectiveness of an early parental education program in maternity both in terms of parental acquisitions and their implementation after leaving the service. These parental acquisitions relate, on the one hand, to the care to be given to the newborn child and, on the other hand, on the possible pathologies that he

2018 Clinical Trials

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