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Postpartum Education

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141. Education is the strongest socio‐economic predictor of smoking in pregnancy Full Text available with Trip Pro

Postnatal Depression Scale). Logistic regressions and attributable fractions (AF) were estimated.Mother's education was the strongest socio-economic predictor of SIP. Compared with university education, adjusted odds ratios (aORs) of SIP were: 2.2 [95% confidence interval (CI) = 1.2-3.9; P = 0.011] for tertiary vocational education, 4.4 (95% CI = 2.1-9.0; P < 0.001) for combined general and vocational secondary education, 2.9 (95% CI = 1.4-6.1; P = 0.006) for general secondary education, 9.5 (95% CI 5.0 (...) Education is the strongest socio‐economic predictor of smoking in pregnancy To investigate socio-economic disparities in smoking in pregnancy (SIP) by the mother's education, occupational class and current economic conditions.Cross-sectional analysis with linked survey and register data.South-western Finland.A total of 2667 pregnant women [70% of the original sample (n = 3808)] from FinnBrain, a prospective pregnancy cohort study.The outcome was smoking during the first pregnancy trimester

2018 Addiction (Abingdon, England)

142. Effect of life skills building education and micronutrient supplements provided from preconception versus the standard of care on low birth weight births among adolescent and young Pakistani women (15–24 years): a prospective, population-based cluster- Full Text available with Trip Pro

and health outcomes among adolescent and young women (15-24 years) in Matiari district Pakistan, and the infants born to them within the context of the trial. The primary aim is to assess the effect of the intervention on the prevalence of low birth weight births (< 2500 g). The intervention includes bi-monthly life skills building education provided from preconception, and supplementation with multiple micronutrients during preconception (twice-weekly), pregnancy (daily), and post-partum (daily to 6 (...) Effect of life skills building education and micronutrient supplements provided from preconception versus the standard of care on low birth weight births among adolescent and young Pakistani women (15–24 years): a prospective, population-based cluster- Risk factors known to impact maternal and newborn nutrition and health can exist from adolescence. If an undernourished adolescent girl becomes pregnant, her own health and pregnancy are at an increased risk for adverse outcomes. Offering

2018 Reproductive health Controlled trial quality: uncertain

143. Innovative Online Educational Portal Improves Disease-Specific Reproductive Knowledge Among Patients With Inflammatory Bowel Disease. (Abstract)

-specific reproductive knowledge. We aimed to elucidate if a multimedia vs text-only online educational intervention could improve IBD-specific reproductive knowledge for more than 6 months.We developed a website covering genetics, fertility, surgery, pregnancy, medications, delivery, and postpartum in the context of IBD. Adult IBD patients were randomized into study groups (multimedia or text-only) and provided 60-day access. Participants completed pre-, post-, and 6+ month-postintervention pregnancy (...) Innovative Online Educational Portal Improves Disease-Specific Reproductive Knowledge Among Patients With Inflammatory Bowel Disease. Inflammatory bowel disease (IBD) is often diagnosed in early adulthood, affecting patients through their reproductive years. Many patients, lacking knowledge about IBD and reproduction, make uninformed decisions. Although patients have turned to the Internet for information, it remains unclear if online resources are effective for improving and retaining IBD

2018 Inflammatory Bowel Diseases Controlled trial quality: uncertain

144. Sexually Active Adolescent Focused Education

group (n=200) - will consist of 100 AAA males / 100 AAA females randomly selected participants who will receive a download of the SAAFE game and play for at least 30 minutes and as long as an hour, if desired. Behavioral: SAAFE After completing the pre-game assessment, participants will be asked to play the SAAFE game for at least 30 minutes and up to 1 hour . At the conclusion of the game, participants will be provided with a post-game assessment about their perception of risk, knowledge (...) on their own mobile device and complete a pre- and post-game assessment designed to measure their knowledge on HIV/STIs by assessing the level of knowledge around risky sexual activity. Secondary Outcome Measures : Perception of sexual risks [ Time Frame: 6 months ] During the six month pilot, adolescents will be asked if they would like to download the game to play on their own mobile device and complete a pre- and post-game assessment designed to measure their perceived risk Intention to be tested

2018 Clinical Trials

145. Discharge Opioid Education to Decrease Opioid Use After Cesarean

: September 1, 2019 Estimated Study Completion Date : September 1, 2019 Arms and Interventions Go to Arm Intervention/treatment Experimental: Education Opioid Education Other: Opioid Education Handout a single page handout with information about how to use medications for pain after discharge. No Intervention: Control standard discharge instructions, which lists medications prescribed at discharge Outcome Measures Go to Primary Outcome Measures : Opioid Use [ Time Frame: 6 weeks postpartum ] Median number (...) Discharge Opioid Education to Decrease Opioid Use After Cesarean Discharge Opioid Education to Decrease Opioid Use After Cesarean - 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. Discharge Opioid Education

2018 Clinical Trials

146. Women Empowered Through Education to Breastfeed

during the postpartum period; and 2) test the feasibility of the methods and procedures needed for the successful implementation and validity of a full-scale randomized controlled trial (RCT). This one-year project has 5 objectives: To fill a knowledge gap in nursing and allied health-related literature by examining the effect of a one-hour, nurse-led, breastfeeding education session using anticipatory guidance during pregnancy on: Objective 1: breastfeeding duration and exclusivity versus those (...) program. In addition to usual prenatal education, the experimental group will also receive a one-hour, nurse led (a Registered Nurse specially trained in perinatal care), small group-based education session with specific focus on breastfeeding pain. The goals of this educational intervention are to provide pregnant women with anticipatory guidance around pain which is commonly experienced while breastfeeding in the first two weeks postpartum. Education will include the prevalence, etiology

2018 Clinical Trials

147. Antenatal small-class education versus auditorium-based lectures to promote positive transitioning to parenthood - A randomised trial. Full Text available with Trip Pro

analysis of three secondary outcomes. Effects of the interventions on parents' global feelings of stress at 37 weeks gestation and nine weeks and six months postpartum and parenting stress nine weeks and six months postpartum were examined using linear regression analyses and mixed models with repeated measurements. The effect on parenting alliance six months postpartum was examined using the non-parametric Wilcoxon rank-sum test. Antenatal education in small classes had a small beneficial main effect (...) on global feelings of stress six months postpartum and a statistically significant interaction between time and group favoring antenatal education in small classes. The P values of intervention effects on parenting stress and parenting alliance were all larger than the threshold value (0.05).

2017 PLoS ONE Controlled trial quality: uncertain

148. Group-based interventions for PFMT (pelvic floor muscle training) for urinary incontinence in antenatal and postnatal women: a systematic review

Group-based interventions for PFMT (pelvic floor muscle training) for urinary incontinence in antenatal and postnatal women: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content (...) the time point of greatest efficacy we will re-run the analysis with data from the latest possible time point (in studies reporting an outcome at multiple time points). We will test the robustness of linear regression of time-to-treatment by performing stratified analysis (treatment pre-ischemia vs during vs post-ischemia). We will assess the effect of our decision to pool all reported scales for histological damage by re-running the analyses using only data from studies using the Jablonski scale

2019 PROSPERO

149. Diabetes in pregnancy: management from preconception to the postnatal period

with diabetes who are planning to become pregnant a meter for self-monitoring of blood glucose. [2008] [2008] 1.1.14 If a woman with diabetes who is planning to become pregnant needs intensification of blood glucose-lowering therapy, advise her to increase the frequency of self-monitoring of blood glucose to include fasting levels and a mixture of pre-meal and post-meal levels. [2008] [2008] Diabetes in pregnancy: management from preconception to the postnatal period (NG3) © NICE 2019. All rights reserved (...) preconception to the postnatal period (NG3) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 21 of 551.3.2 Advise pregnant women with type 2 diabetes or gestational diabetes who are on a multiple daily insulin injection regimen to test their fasting, pre-meal, 1-hour post-meal and bedtime blood glucose levels daily during pregnancy. [new 2015] [new 2015] 1.3.3 Advise pregnant women with type 2 diabetes or gestational

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

150. Postnatal depression among Sudanese women: prevalence and validation of the Edinburgh Postnatal Depression Scale at 3 months postpartum Full Text available with Trip Pro

Postnatal depression among Sudanese women: prevalence and validation of the Edinburgh Postnatal Depression Scale at 3 months postpartum Postnatal depression (PND) rates in low-resource countries have reached levels between 4.9% and 59%. Maternal mental health has not been researched in Sudan, and there are no existing statistics on prevalence or significant risk factors for PND. Consequently, no screening test has been validated to screen for PND at the primary health care level. This study (...) investigates the 3 months prevalence of PND and validates the Edinburgh Postnatal Depression Scale (EPDS) against the Mini-International Neuropsychiatric Interview (MINI).Pregnant Sudanese women in the second and third trimesters were recruited to the study during routine antenatal care visits in two major maternity hospitals in Khartoum state. They were screened for PND at 3 months postpartum using the EPDS. Test positive women were matched with test negative women according to nearest date of birth

2015 International journal of women's health

151. Evaluation of learning from Practical Obstetric Multi-Professional Training and its impact on patient outcomes in Australia using Kirkpatrick's framework: a mixed methods study. Full Text available with Trip Pro

Evaluation of learning from Practical Obstetric Multi-Professional Training and its impact on patient outcomes in Australia using Kirkpatrick's framework: a mixed methods study. The aim of this study was to evaluate the implementation of the Practical Obstetric Multi-Professional Training (PROMPT) simulation using the Kirkpatrick's framework. We explored participants' acquisition of knowledge and skills, its impact on clinical outcomes and organisational change to integrate the PROMPT programme (...) in multidisciplinary teams to facilitate teaching emergency obstetric skills.Clinical outcomes compared before and after embedding PROMPT in educational practice.Assessment of knowledge gained by participants through a qualitative analysis and description of process of embedding PROMPT in educational practice.There was a change in the management of postpartum haemorrhage by early recognition and intervention. The key learning themes described by participants were being prepared with a prior understanding

2018 BMJ open

152. Are Serious Games Scenarios Specifically Designed for Learning Non Technical Skills More Effective Than Baseline Scenarios in Soft Skills Training

and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03592953 Recruitment Status : Recruiting First Posted : July 19, 2018 Last Update Posted : July 23, 2018 See Sponsor: Ilumens Information provided by (Responsible Party): Daphne Michelet, Ilumens Study Details Study Description Go to Brief Summary: The aim of the study is to assess if a training on post-partum hemorrhage management with serious game scenarios specifically designed (...) to teach non technical skills improve non technical skills scoring in a high-fidelity simulation session. Condition or disease Intervention/treatment Phase Simulation Training Other: Serious game simulation training sessions Not Applicable Detailed Description: This study aims to answer the following problematic: How to improve the learning of Non Technical Skills (communication, teamwork, leadership ...) in simulation. This study tests non technical skills learning in a serious game on Postpartum

2018 Clinical Trials

153. Postpartum Pain Management

from the combination of neuraxial opioids and nonopioid ad- juncts becomes inadequate. c A shared decision-making approach to postpartum dischargeopioidprescriptioncanoptimizepaincontrol while reducing the number of unused opioid tablets. VOL. 132, NO. 1, JULY 2018 OBSTETRICS & GYNECOLOGY e35c If a codeine-containing medication is the selected choice for postpartum pain management, medication risks and benefits, including patient education regard- ing newborn signs of toxicity, should be reviewed (...) can be done with ultrasound guidance (31). Gabapentin is not recommended for routine post- cesarean pain control given the lack of strong evidence for significantly improved cesarean postoperative pain as well as potential adverse effects and limited data on the neonatal safety profile. However, gabapentin may be VOL. 132, NO. 1, JULY 2018 Committee Opinion Postpartum Pain Management e37considered as part of a multimodal analgesic regimen in patients with a history of chronic pain or pain

2018 American College of Obstetricians and Gynecologists

154. Guideline Supplement: Primary postpartum haemorrhage

health care professionals ? Support education and training opportunities relevant to the guideline and service capabilities ? Align clinical care with guideline recommendations ? Undertake relevant implementation activities as outlined in the Guideline implementation checklist available at www.health.qld.gov.au/qcg Queensland Clinical Guideline Supplement: Primary postpartum haemorrhage Refer to online version, destroy printed copies after use Page 11 of 18 4.4 Quality measures Auditing of guideline (...) are provided on the website as separate resources: ? Flowchart: Initial response ? Flowchart: Massive haemorrhage protocol ? Education resource: PPH ? Knowledge assessment: PPH ? Parent information: Bleeding after birth ? Parent Information: Severe bleeding after birth 4.2 Suggested resources During the development process stakeholders identified additional resources with potential to complement and enhance guideline implementation and application. The following resources have not been sourced or developed

2018 Queensland Health

155. Employment Considerations During Pregnancy and the Postpartum Period

photocopies should be directed to Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923, (978) 750-8400. American College of Obstetricians and Gynecologists 409 12th Street, SW, PO Box 96920, Washington, DC 20090-6920 Employment considerations during pregnancy and the postpartum period. ACOG Committee Opinion No 733. American College of Obstetricians and Gynecologists. Obstet Gynecol 2018;131:e115–23. This information is designed as an educational resource to aid clinicians in providing (...) Employment Considerations During Pregnancy and the Postpartum Period VOL. 131, NO. 4, APRIL 2018 OBSTETRICS & GYNECOLOGY e115 Employment Considerations During Pregnancy and the Postpartum Period ABSTRACT: In the United States, it is common for women, including mothers and pregnant women, to work outside the home. Working during pregnancy is generally safe. For those in high-risk occupations or with medi- cally complicated pregnancies, work accommodations often can allow for continued safe

2018 American College of Obstetricians and Gynecologists

156. Optimizing Postpartum Care

Optimizing Postpartum Care e140 VOL. 131, NO. 5, MAY 2018 OBSTETRICS & GYNECOLOGY Recommendations and Conclusions The American College of Obstetricians and Gynecologists makes the following recommendations and conclusions: • To optimize the health of women and infants, post- partum care should become an ongoing process, rather than a single encounter, with services and support tailored to each woman’s individual needs. • Anticipatory guidance should begin during preg- nancy with development (...) preexisting health and social issues, such as substance dependence, intimate partner violence, and other concerns. During this time, postpartum care often is fragmented among maternal and pediatric health care providers, and communication across the transition from inpatient to outpatient set- tings is often inconsistent (5). Home visits are provided in some settings; however, currently, most women in the United States must independently navigate the post- partum transition until the traditional

2018 American College of Obstetricians and Gynecologists

157. Impact of multi-professional, scenario-based training on postpartum hemorrhage in Tanzania: a quasi-experimental, pre- vs. post-intervention study. Full Text available with Trip Pro

Impact of multi-professional, scenario-based training on postpartum hemorrhage in Tanzania: a quasi-experimental, pre- vs. post-intervention study. Tanzania has a relatively high maternal mortality ratio of 410 per 100,000 live births. Severe postpartum hemorrhage (PPH) is a major cause of maternal deaths, but in most cases, it is preventable. However, most pregnant women that develop PPH, have no known risk factors. Therefore, preventive measures must be offered to all pregnant women (...) . This study investigated the effects of multi-professional, scenario-based training on the prevention and management of PPH at a Tanzanian zonal consultant hospital. We hypothesized that scenario-based training could contribute to improved competence on PPH-management, which would result in improved team efficiency and patient outcome.This quasi-experimental, pre-vs. post-interventional study involved on-site multi-professional, scenario-based PPH training, conducted in a two-week period in October 2013

2017 BMC Pregnancy and Childbirth

158. Comparison of pelvic floor muscle training, electrostimulation and biofeedback in the treatment of postpartum urinary incontinence : a systematic review

Comparison of pelvic floor muscle training, electrostimulation and biofeedback in the treatment of postpartum urinary incontinence : a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content (...) the time point of greatest efficacy we will re-run the analysis with data from the latest possible time point (in studies reporting an outcome at multiple time points). We will test the robustness of linear regression of time-to-treatment by performing stratified analysis (treatment pre-ischemia vs during vs post-ischemia). We will assess the effect of our decision to pool all reported scales for histological damage by re-running the analyses using only data from studies using the Jablonski scale

2019 PROSPERO

159. Effectiveness of electrical stimulation (ES) combined with pelvic floor muscle training (PFMT) on postpartum urinary incontinence (PPUI)

Effectiveness of electrical stimulation (ES) combined with pelvic floor muscle training (PFMT) on postpartum urinary incontinence (PPUI) Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration (...) will re-run the analysis with data from the latest possible time point (in studies reporting an outcome at multiple time points). We will test the robustness of linear regression of time-to-treatment by performing stratified analysis (treatment pre-ischemia vs during vs post-ischemia). We will assess the effect of our decision to pool all reported scales for histological damage by re-running the analyses using only data from studies using the Jablonski scale. ">Sensitivity Example: For meta-analyses

2019 PROSPERO

160. Simulation training program for midwives to manage postpartum hemorrhage: A randomized controlled trial. (Abstract)

Simulation training program for midwives to manage postpartum hemorrhage: A randomized controlled trial. To explore the effectiveness of a simulation training program for midwives in performance and knowledge for the management of postpartum hemorrhage (PPH).The study design was a randomized controlled trial. Midwives working at one obstetrics ward in an urban area were randomly assigned to simulation training program or no training. This "simulation program" included pre study e-learning (...) and simulation. Inclusion criteria were midwives who: 1) had two or three years of clinical experience, 2) worked in an obstetrics ward, and 3) had experience with birth assistance. There was one exclusion criterion namely prior experience of simulation training for PPH. Change in performance was evaluated using a PPH scenario performance test at one month after the simulation training. Change in knowledge was evaluated by a 25-item multiple-choice questionnaire completed shortly before the training and one

2017 Nurse education today Controlled trial quality: uncertain

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