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Postpartum Education

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141. Meta-analysis of the predictive factors of postpartum fatigue. (PubMed)

fatigue were examined across the studies to determine their effect sizes.Measurement of predictor variables occurred from 3days to 6months postpartum. Correlations reported between predictive factors and postpartum fatigue were as follows: small effect size (rrange=0.10 to 0.29) for education level, age, postpartum hemorrhage, infection, and child care difficulties; medium effect size (rrange=0.30 to 0.49) for physiological illness, low ferritin level, low hemoglobin level, sleeping problems, stress (...) Meta-analysis of the predictive factors of postpartum fatigue. Nearly 64% of new mothers are affected by fatigue during the postpartum period, making it the most common problem that a woman faces as she adapts to motherhood. Postpartum fatigue can lead to serious negative effects on the mother's health and the newborn's development and interfere with mother-infant interaction. The aim of this meta-analysis was to identify predictive factors of postpartum fatigue and to document the magnitude

2017 Applied nursing research : ANR

142. 2016 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease during Pregnancy and the Postpartum. (PubMed)

makers on published evidence relating to the diagnosis and management of thyroid disease in women during pregnancy, preconception, and the postpartum period.The specific clinical questions addressed in these guidelines were based on prior versions of the guidelines, stakeholder input, and input of task force members. Task force panel members were educated on knowledge synthesis methods, including electronic database searching, review and selection of relevant citations, and critical appraisal (...) 2016 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease during Pregnancy and the Postpartum. Thyroid disease in pregnancy is a common clinical problem. Since the guidelines for the management of these disorders by the American Thyroid Association (ATA) were first published in 2011, significant clinical and scientific advances have occurred in the field. The aim of these guidelines is to inform clinicians, patients, researchers, and health policy

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2017 Thyroid

143. Assessment of quality of care among in-patients with postpartum haemorrhage and severe pre-eclampsia at st. Francis hospital nsambya: a criteria-based audit. (PubMed)

Assessment of quality of care among in-patients with postpartum haemorrhage and severe pre-eclampsia at st. Francis hospital nsambya: a criteria-based audit. The maternal mortality ratio of Uganda is still high and the leading causes of maternal mortality are postpartum haemorrhage (PPH), severe pre-eclampsia and eclampsia. Criteria-based audit (CBA) is a way of improving quality of care that has not been commonly used in low income countries. This study aimed at finding out the quality of care (...) implemented the recommendations in a subsequent month and this comprised three interventions namely continuing medical education (CME), drills and displaying guidelines; a re-audit was done in the proceeding 3 consecutive months and analysis compared adherence rates of the initial audit with those of the re-audit.Pearson Chi-Square test revealed that the adherence rates of 7 out of 10 standards of care for severe pre-eclampsia/eclampsia were statistically significantly higher in the re-audit than

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2017 BMC Pregnancy and Childbirth

144. Do unsutured second-degree perineal lacerations affect postpartum functional outcomes?

Do unsutured second-degree perineal lacerations affect postpartum functional outcomes? Do unsutured second-degree perineal lacerations affect postpartum functional outcomes? – Less Is More Search for: Simpler & Better Medicine Menu / Summary: For women sustaining second-degree perineal lacerations during delivery, an approach of not repairing the second-degree laceration may be associated with a decreased need for post-partum pain medication in hospital compared to an approach of suturing (...) Information on this website is meant for education only – clinical application requires appropriate clinical education, and incorporation of all relevant clinical details for a given patient case. Send to Email Address Your Name Your Email Address Post was not sent - check your email addresses! Email check failed, please try again Sorry, your blog cannot share posts by email. Privacy & Cookies: This site uses cookies. By continuing to use this website, you agree to their use. To find out more, including

2016 Less Is More Blog

145. Gestational retinal microvasculature and the risk of 5 year postpartum abnormal glucose metabolism. (PubMed)

glucose tolerance or HbA1c 5.7-6.4% [39-46 mmol/mol]) and diabetes diagnosed at the 5 year follow-up visit (n = 84), according to WHO guidelines.The incidence of GDM in subsequent pregnancy and abnormal glucose metabolism 5 years postpartum was 25.2% and 30.4%, respectively. Each 10 μm widening in retinal venular calibre was associated with a significant risk of postpartum abnormal glucose metabolism (RR 1.2 [95% CI 1.0, 1.5]), independent of maternal age, college education, ethnicity, pre-pregnancy (...) Gestational retinal microvasculature and the risk of 5 year postpartum abnormal glucose metabolism. Changes in retinal microvasculature may reflect insulin resistance. We examined the association of changes in retinal microvasculature during pregnancy and risk of subsequent abnormal glucose metabolism in a cohort of mothers at baseline and 5 years postpartum.Of the participants from the Singapore birth cohort (Growing Up in Singapore Towards Healthy Outcomes [GUSTO]), 276 mothers attended both

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2017 Diabetologia

146. Investigation of the association between quality of life and depressive symptoms during postpartum period: a correlational study. (PubMed)

factors related to the quality of life and postpartum depression symptoms.9.9% of the participants experienced postpartum depression symptoms. Significant associations were found between the place of residence and symptoms of postpartum depression, and more specifically, women outside of Attica indicated higher levels of postpartum depression symptoms (p = 0.008) than women living in Attica. The level of education was also found to be significantly associated with postpartum depression symptoms, since (...) women with Primary and Secondary education experienced higher levels of postpartum depression symptoms (p = 0.005) than those with a tertiary education. Concerning quality of life, women with postpartum depression symptoms scored 24.27 lower in «Role-Physical», 15.60 lower in «Bodily pain», 11.45 lower in «General Health», 14.18 lower in dimension of «Vitality», 38.25 lower in Role - Emotional and 16.82 lower in dimension of mental health, compared to those without depression symptoms.Postpartum

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2017 BMC Women's Health

147. Using a multi-state Learning Community as an implementation strategy for immediate postpartum long-acting reversible contraception. (PubMed)

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

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2017 Implementation Science

148. Distinguishing postpartum and antepartum depressive trajectories in a large population-based cohort: the impact of exposure to adversity and offspring gender. (PubMed)

Distinguishing postpartum and antepartum depressive trajectories in a large population-based cohort: the impact of exposure to adversity and offspring gender. Distinguishing temporal patterns of depressive symptoms during pregnancy and after childbirth has important clinical implications for diagnosis, treatment, and maternal and child outcomes. The primary aim of the present study was to distinguish patterns of chronically elevated levels of depressive symptoms v. trajectories that are either (...) maternal and paternal education distinguished chronic from resilient depressive trajectories, whereas higher maternal and partner education, and female offspring gender, distinguished the emergent trajectory from the chronic trajectory. Younger maternal age distinguished the improving group from the resilient group. Exposure to medical, interpersonal, financial, and housing adversity predicted membership in the chronic, emergent, and improving trajectories compared with the resilient trajectory

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2017 Psychological Medicine

149. Determinants of contraceptive use among postpartum women in a county hospital in rural KENYA. (PubMed)

planning RESULTS: More than three quarters (86.3%) of women used contraceptives within 1 year of delivery, with government facilities being the most common source. There was a significant association (p ≤ 0.05) between uptake of postpartum family planning and lower age, being married, higher education level, being employed and getting contraceptives at a health facility. One third of women expressing no intention of having additional children were not on contraceptives. In focus group discussions women (...) Determinants of contraceptive use among postpartum women in a county hospital in rural KENYA. There is a high unmet need for limiting and spacing child births during the postpartum period. Given the consequences of closely spaced births, and the benefits of longer pregnancy intervals, targeted activities are needed to reach this population of postpartum women. Our objective was to establish the determinants of contraceptive uptake among postpartum women in a county referral hospital in rural

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2017 BMC Public Health

150. Early postnatal care use by postpartum mothers in Mundri East County, South Sudan. (PubMed)

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 (...) cross-sectional study of 385 postpartum mothers from 13 health facilities. Data was collected by structured questionnaires, entered in EpiData and analyzed with STATA at 5% significance level. Chi-squared, Fisher's exact and Student's t-tests were used for bivariate analysis and logistic regression for multivariable analysis.The mean age of respondents was 27.9-years (standard deviation: 6.7), 276 (71.7%) were below 30-years, 163 (42.3%) were Muru ethnicity, 340 (88.3%) were single and 331 (86.1

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2017 BMC health services research

151. Telephone-Based Depression Care Management for Postpartum Women: A Randomized Controlled Trial. (PubMed)

March 2006 through September 2010. Women (N = 628) who screened positive for depression (a score of 10 or greater on the Edinburgh Postnatal Depression Scale) 4 to 6 weeks postpartum were evaluated with the Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition With Psychotic Screen and enrolled in a randomized trial of DCM compared to enhanced usual care (EUC). Clinicians conducted telephone contacts to educate, assist with treatment decisions, monitor (...) Telephone-Based Depression Care Management for Postpartum Women: A Randomized Controlled Trial. With a period prevalence of 21.9% in the year after birth, depression is a common complication of childbearing. We assessed the impact of telephone-delivered depression care management (DCM) on symptom levels, health service utilization, and functional status 3, 6, and 12 months postpartum.The randomized controlled trial was conducted at the University of Pittsburgh, Pittsburgh, Pennsylvania, from

2017 Journal of Clinical Psychiatry

152. Postpartum Hypertension: Etiology, Diagnosis, and Management. (PubMed)

both effective, but labetalol may achieve control at a lower dose with fewer adverse effects.Providers must be aware of the risks associated with postpartum hypertension and educate women about the symptoms of postpartum preeclampsia. Severe acute hypertension should be treated in a timely fashion to avoid morbidity and mortality. Women with persistent postpartum hypertension should be administered a long-acting antihypertensive agent.Obstetricians and gynecologists, family physicians.After (...) Postpartum Hypertension: Etiology, Diagnosis, and Management. Postpartum hypertension complicates approximately 2% of pregnancies and, similar to antepartum severe hypertension, can have devastating consequences including maternal death.This review aims to increase the knowledge and skills of women's health care providers in understanding, diagnosing, and managing hypertension in the postpartum period.Hypertension complicating pregnancy, including postpartum, is defined as systolic blood

2017 Obstetrical & Gynecological Survey

153. [Effects of a Customized Birth Control Program for Married Immigrant Postpartum Mothers]. (PubMed)

). The customized birth control program was provided to the experimental group for 4 weeks.The experimental group showed a significant increase in the score of attitude, subjective norm, behavioral control, intention, and behavior of contraception.Findings in this study indicate that the customized postpartum birth control program, a systematic and integrative intervention program composed of customized health education, counseling and telephone monitoring, is able to provide effective planning for postpartum (...) [Effects of a Customized Birth Control Program for Married Immigrant Postpartum Mothers]. This study was conducted to develop a customized birth control program and identify its effects on attitude, subjective norm, behavioral control, intention, and behavior of contraception among immigrant postpartum mothers.In this experimental study, Vietnamese, Filipino or Cambodian married immigrant postpartum mothers were recruited. They were assigned to the experiment group (n=21) or control group (n=21

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2017 Journal of Korean Academy of Nursing

154. Risk factors for postpartum depression among Chinese women: path model analysis. (PubMed)

the potential interrelations between factors and postpartum depression. It is an effective way to prevent maternal postpartum depression by taking appropriate intervention measures and carrying out health education for pregnant women. (...) Risk factors for postpartum depression among Chinese women: path model analysis. Postpartum depression causes harm to both mothers and infants. The purpose of this study was to find out several potential risk factors, and to identify the intrinsic interrelationships between factors and postpartum depression by constructing a path model. The results of this study may help to control the increasing incidence of maternal postpartum depression.The study was based on a sample of mothers from a cross

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2017 BMC Pregnancy and Childbirth

155. Optimizing Postpartum Care for the Patient with Gestational Diabetes Mellitus. (PubMed)

is estimated to be <50%, with particularly low rates in Latina patients, as well as patients with public insurance, low education levels, and low health literacy. Data suggest our current health services infrastructure loses patients in the postpartum gap between pregnancy-focused care and primary care. Previous studies have suggested strategies to promote oral glucose tolerance testing completion to identify type 2 diabetes mellitus. Based on existing evidence, we propose best practices for the postpartum (...) Optimizing Postpartum Care for the Patient with Gestational Diabetes Mellitus. Gestational diabetes mellitus poses well-established risks to both the mother and infant. As >50% of women with gestational diabetes mellitus will develop type 2 diabetes mellitus in their lifetime, performing postpartum oral glucose tolerance testing is paramount to initiation of appropriate lifestyle interventions and pharmacologic therapy. Nonetheless, test completion among women with gestational diabetes mellitus

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2017 American Journal of Obstetrics and Gynecology

156. Consumption of dietary supplements by Chinese women during pregnancy and postpartum: A prospective cohort study. (PubMed)

pregnancy (62.3%) with an average usage duration of 2.5 (standard deviation 1.3) months among users. High school and above education, adjusted odds ratio (OR) = 2.67, 95% confidence interval (CI) [1.63, 4.38], and attendance at prenatal classes (adjusted OR = 1.99, 95% CI [1.05, 3.76]) were associated with dietary supplementation during pregnancy. Mothers with a higher level of education (adjusted OR = 3.10, 95% CI [1.81, 5.30]) were also more likely to use dietary supplements in the postpartum period (...) Consumption of dietary supplements by Chinese women during pregnancy and postpartum: A prospective cohort study. The objectives of this study were to investigate usage patterns and factors associated with maternal dietary supplementation by Chinese women. A prospective cohort study of 695 mothers, who gave birth to a singleton baby, was conducted in Jiangyou, Sichuan Province of China. Information on dietary supplement use was collected from participants by personal interview at hospital

2017 Maternal & child nutrition

157. Online Recruitment: Feasibility, Cost, and Representativeness in a Study of Postpartum Women. (PubMed)

levels of education, spoke only English at home, and were first-time mothers. Members of the online sample were significantly more likely to have poor self-rated health and poor mental health than the nationally representative sample. Health differences remained after adjusting for sociodemographic differences.Potential exists for feasible and low-cost e-epidemiological research with postpartum populations; however, researchers should consider the potential influence of sample nonrepresentativeness.© (...) Online Recruitment: Feasibility, Cost, and Representativeness in a Study of Postpartum Women. Online recruitment is feasible, low-cost, and can provide high-quality epidemiological data. However, little is known about the feasibility of recruiting postpartum women online, or sample representativeness.The current study investigates the feasibility of recruiting a population of postpartum women online for health research and examines sample representativeness.Two samples of postpartum women were

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2017 Journal of medical Internet research

158. Sociodemographic and delivery risk factors for developing postpartum depression in a sample of 3233 mothers from the Czech ELSPAC study. (PubMed)

experiencing psychosocial stressors. Other risk factors occurring in both types of analysis were: family history of depression from expectant mother's paternal side (prenatal), mothers living without partners (6 weeks postpartum) and feelings of unhappiness about being pregnant (6 months postpartum). Several protective factors were also observed: male child gender (prenatal), primiparous mothers (6 months postpartum), and secondary education (prenatal, only by multivariate analysis). Significant risk (...) factors found solely by univariate analysis were family history of depression in both parents of the expectant mother (prenatal and 6 weeks postpartum), family history of depression from subject's maternal side (6 months postpartum), unintentional pregnancy (prenatal and 6 weeks postpartum), feelings of unhappiness about being pregnant (prenatal and 6 weeks postpartum), primary education (prenatal and 6 weeks postpartum), mothers who opted not to breastfeed (6 months postpartum) and mothers living

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2017 BMC Psychiatry

159. Higher Leptin but Not Human Milk Macronutrient Concentration Distinguishes Normal-Weight from Obese Mothers at 1-Month Postpartum. (PubMed)

Higher Leptin but Not Human Milk Macronutrient Concentration Distinguishes Normal-Weight from Obese Mothers at 1-Month Postpartum. Exclusively breastfed infants born to obese mothers have previously been shown to gain less weight by 1-month postpartum than infants of normal-weight mothers. Our hypothesis is that human milk composition and volume may differ between obese and normal-weight mothers.To compare human milk leptin, macronutrient concentration, and volume in obese and normal-weight (...) mothers. Mother and infant characteristics were studied as secondary aims.This cross-sectional observational study compared 50 obese mothers matched for age, parity, ethnic origin, and educational level with 50 normal-weight mothers. Leptin, macronutrient human milk concentration, and milk volume were determined at 1 month in exclusively breastfed infants. Mother characteristics and infant growth were recorded.Human milk leptin concentration was higher in obese mothers than normal-weight mothers (4.8

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2016 PLoS ONE

160. Increasing Tdap Coverage Among Postpartum Women: A Quality Improvement Intervention. (PubMed)

of women receiving Tdap vaccine before postpartum discharge.An interdisciplinary workgroup identified barriers to improvement of postpartum Tdap vaccination from which a 5-step intervention was created: (1) provide education on Tdap and pertussis; (2) offer Tdap throughout hospitalization; (3) create a Tdap standing order; (4) keep Tdap as floor stock; and (5) document administration. Pre- and postintervention data were collected from monthly chart reviews. Our main outcome measures were the proportion (...) Increasing Tdap Coverage Among Postpartum Women: A Quality Improvement Intervention. Infants are at greatest risk for severe disease and death from pertussis; most acquire it from household contacts. Centers for Disease Control and Prevention guidelines recommend tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis, adsorbed (Tdap) vaccination for infant caregivers, especially postpartum women who did not receive it during pregnancy. Our objective was to increase the percentage

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2017 Pediatrics

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