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Postpartum Education

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161. Postpartum Adherence Clubs for Antiretroviral Therapy

will be referred to the ACs at their postpartum ART clinic visit at the midwife obstetric unit (MOU) at the Gugulethu community health centre (CHC). AC visits occur 2-4 monthly at a community hall near the CHC. At routine visits, which last ~1 hour, community health workers provide health education, weigh participants, ask about symptoms, and dispense pre-packed ART. Symptomatic participants are referred back to the main ART facility at the CHC for assessment by a nurse. A nurse performs routine phlebotomy (...) Postpartum Adherence Clubs for Antiretroviral Therapy Postpartum Adherence Clubs for Antiretroviral Therapy - 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. Postpartum Adherence Clubs for Antiretroviral

2017 Clinical Trials

162. Perineal Physiotherapy in Postpartum

Perineal Physiotherapy in Postpartum Perineal Physiotherapy in Postpartum - 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. Perineal Physiotherapy in Postpartum (PT-POSTPARTO) The safety and scientific (...) Lacomba, University of Alcala Study Details Study Description Go to Brief Summary: Objective: To find out the effectiveness of pelvic-perineal physiotherapy in prevention and treatment of postpartum pelvic floor dysfunction caused by vaginal delivery. Design: Randomized, controlled and single blinded clinical trial. Participants will be randomly assigned to one of these groups: Experimental group: pelvic-perineal physical therapy plus hypopressive exercises plus training in lifestyle advice

2017 Clinical Trials

163. Achieving community-based postpartum follow up in eastern Uganda: the field experience from the MamaMiso Study on antenatal distribution of misoprostol (PubMed)

Achieving community-based postpartum follow up in eastern Uganda: the field experience from the MamaMiso Study on antenatal distribution of misoprostol Advance provision of misoprostol to women during antenatal care aims to achieve broader access to uterotonics for the prevention of postpartum hemorrhage. Studies of this community-based approach usually involve antenatal education as well as timely postpartum follow-up visits to confirm maternal and neonatal outcomes. The MamaMiso study (...) in Mbale, Uganda sought to assess the feasibility of conducting follow-up visits in the postpartum period following advance provision of misoprostol for postpartum hemorrhage prevention. MamaMiso recruited women during antenatal care visits. Participants were asked to contact the research team within 48 h of giving birth so that postpartum follow-up visits could be carried out at their homes. Women's baseline and delivery characteristics were collected and analyzed with respect to follow-up time

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2017 BMC research notes

164. Healthy Beyond Pregnancy: Improving Postpartum Care

: Usual Care Experimental: Healthy Beyond Pregnancy Web-based program for postpartum care and education and scheduling. Incentive for committing and returning for postpartum care. Behavioral: Healthy Beyond Pregnancy Web-based intervention grounded in behavioral economics and designed to improve adherence with postpartum care. Outcome Measures Go to Primary Outcome Measures : Number of eligible participants who consent and complete study intervention [ Time Frame: 1-4 days postpartum ] Assess (...) Healthy Beyond Pregnancy: Improving Postpartum Care Healthy Beyond Pregnancy: Improving Postpartum Care - 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. Healthy Beyond Pregnancy: Improving Postpartum Care

2017 Clinical Trials

165. Impact of a Smartphone Application on Postpartum Weight Loss and Breastfeeding Rates Among Low-income, Urban Women

de-identified IPD available to other researchers. Layout table for additional information Studies a U.S. FDA-regulated Drug Product: No Studies a U.S. FDA-regulated Device Product: No Keywords provided by Washington University School of Medicine: smartphone application low-income women breastfeeding health education health disparities postpartum weight loss Additional relevant MeSH terms: Layout table for MeSH terms Weight Loss Body Weight Changes Body Weight Signs and Symptoms (...) Impact of a Smartphone Application on Postpartum Weight Loss and Breastfeeding Rates Among Low-income, Urban Women Impact of a Smartphone Application on Postpartum Weight Loss and Breastfeeding Rates Among Low-income, Urban Women - 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

2017 Clinical Trials

166. Early Versus Late Interval Postpartum Copper Intrauterine Device Insertion

Early Versus Late Interval Postpartum Copper Intrauterine Device Insertion Early Versus Late Interval Postpartum Copper Intrauterine Device Insertion - 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. Early (...) Versus Late Interval Postpartum Copper Intrauterine Device Insertion 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: NCT03106805 Recruitment Status : Recruiting First Posted : April 10, 2017 Last Update Posted : August 16

2017 Clinical Trials

167. Trends in Postpartum Depressive Symptoms — 27 States, 2004, 2008, and 2012 (PubMed)

was 11.5% for 27 states and ranged from 8.0% (Georgia) to 20.1% (Arkansas). By selected characteristics, PDS prevalence was highest among new mothers who 1) were aged ≤19 years or 20-24 years, 2) were of American Indian/Alaska Native or Asian/Pacific Islander race/ethnicity, 3) had ≤12 years of education, 4) were unmarried, 5) were postpartum smokers, 6) had three or more stressful life events in the year before birth, 7) gave birth to term, low-birthweight infants, and 8) had infants requiring (...) Trends in Postpartum Depressive Symptoms — 27 States, 2004, 2008, and 2012 Postpartum depression is common and associated with adverse infant and maternal outcomes (e.g., lower breastfeeding initiation and duration and poor maternal and infant bonding) (1-3). A developmental Healthy People 2020 objective is to decrease the proportion of women delivering a live birth who experience postpartum depressive symptoms (PDS).* To provide a baseline for this objective, CDC sought to describe self

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2017 MMWR. Morbidity and mortality weekly report

168. Delivery and Payment Redesign to Reduce Disparities in High Risk Postpartum Care (PubMed)

organization, and a multidisciplinary team of experts in obstetrics, health economics, and health disparities designed an intervention to improve postpartum care for women identified as high-risk. The program includes a social work/care management component and a payment system redesign with a cost-sharing arrangement between the health system and the Medicaid managed care plan to cover the cost of staff, clinician education, performance feedback, and clinic/clinician financial incentives. The goal (...) Delivery and Payment Redesign to Reduce Disparities in High Risk Postpartum Care Purpose This paper describes the implementation of an innovative program that aims to improve postpartum care through a set of coordinated delivery and payment system changes designed to use postpartum care as an opportunity to impact the current and future health of vulnerable women and reduce disparities in health outcomes among minority women. Description A large health care system, a Medicaid managed care

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2017 Maternal and child health journal

169. Postpartum Sexual Functioning and Its Predicting Factors among Iranian Women (PubMed)

breastfeeding (aOR: 2.47 (95% CI: 1.21, 5.03); P = 0.012) were associated with increased odds of experiencing sexual dysfunction in the postpartum period. Other factors such as age, type of delivery, education, time since delivery and family income did not predict women's postpartum sexual function.This study confirmed findings of previous studies on factors that may have an adverse effect on new mothers' sexual function in the postpartum period. However the effect of type of delivery on postpartum sexual (...) Postpartum Sexual Functioning and Its Predicting Factors among Iranian Women Many women experience sexual dysfunction following childbirth but this has not been well investigated in Iran. The aim of this study was to evaluate women's sexual function in the postpartum period in Iran. It also sought to determine predicting factors associated with their sexual function.This was a cross-sectional study among 380 postpartum women attending 10 urban health centers in Ilam province in southwestern

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2017 The Malaysian journal of medical sciences : MJMS

170. Postpartum modern contraceptive use in northern Ethiopia: prevalence and associated factors (PubMed)

significance.Nearly half (48.0%) of women used modern contraceptives during the extended postpartum period. Postpartum modern contraceptive use was significantly associated with secondary and tertiary education levels (aOR, 4.25; 95% CI, 1.29 to 14.00; aOR, 5.36 ; 95% CI, 1.14 to 25.45, respectively), family planning counseling during prenatal and postnatal care (aOR, 5.72 ; 95% CI, 2.67, 12.28), having postnatal care (aOR, 2.36; 95% CI, 1.15 to 4.87), resuming sexual activity (aOR, 9.53; 95% CI, 3.74 to 24.27 (...) ), and menses returning after birth (aOR, 6.35; 95% CI, 3.14 to 13.39). In addition, experiencing problems with previous contraceptive use was negatively associated with modern contraceptive use (aOR, 0.34; 95% CI, 0.16 to 0.72).Low rate of postpartum modern contraceptive use were found in the study area. Therefore, strengthening family planning counseling during antenatal and postnatal care visits, improving utilization of postnatal care services and improving women's educational status are crucial steps

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2017 Epidemiology and health

171. Meeting the Needs of Mothers During the Postpartum Period: Using Co-Creation Workshops to Find Technological Solutions (PubMed)

Meeting the Needs of Mothers During the Postpartum Period: Using Co-Creation Workshops to Find Technological Solutions The postnatal period is associated with many new needs for mothers.The aim of this study was to find technological solutions that meet the needs of mothers during the year following childbirth.Two co-creation workshops were undertaken with parents and professionals. The aim of the first workshop was to create a list of all the criteria the proposed solution would have (...) to address to meet the needs of mothers after childbirth. The aim of the second workshop was to create solutions in response to the criteria selected during the first workshop.Parents and health professionals want solutions that include empathy (ie, to help fight against the feelings of abnormality and loneliness), that help mothers in daily life, that are personalized and adapted to different situations, that are educational, and that assures some continuity in their contact with health professionals

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2017 JMIR Research Protocols

172. Trends in Repeat Births and Use of Postpartum Contraception Among Teens — United States, 2004–2015 (PubMed)

Trends in Repeat Births and Use of Postpartum Contraception Among Teens — United States, 2004–2015 Teen* childbearing (one or more live births before age 20 years) can have negative health, social, and economic consequences for mothers and their children (1). Repeat teen births (two or more live births before age 20 years) can constrain the mother's ability to take advantage of educational and workforce opportunities (2), and are more likely to be preterm or of low birthweight than first (...) teen births (3). Despite the historic decline in the U.S. teen birth rate during 1991-2015, from 61.8 to 22.3 births per 1,000 females aged 15-19 years (4), many teens continue to have repeat births (3). The American College of Obstetricians and Gynecologists and the American Academy of Pediatrics both recommend that clinicians counsel women (including teens) during prenatal care about birth spacing and postpartum contraceptive use (5), including the safety and effectiveness of long-acting

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2017 MMWR. Morbidity and mortality weekly report

173. Postpartum Mood Disorders and Thyroid Autoimmunity (PubMed)

Postpartum Mood Disorders and Thyroid Autoimmunity 28522989 2018 11 13 1664-2392 8 2017 Frontiers in endocrinology Front Endocrinol (Lausanne) Postpartum Mood Disorders and Thyroid Autoimmunity. 91 10.3389/fendo.2017.00091 Le Donne Maria M Unit of Gynecology and Obstetrics, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University of Messina, Messina, Italy. Mento Carmela C Department of Cognitive Sciences, Psychology, Educational and Cultural Studies (COSPECS (...) Policlinico G. Martino, Messina, Italy. eng Journal Article 2017 05 04 Switzerland Front Endocrinol (Lausanne) 101555782 1664-2392 autoimmunity depression mood disorders postpartum thyroid hormones 2017 02 20 2017 04 06 2017 5 20 6 0 2017 5 20 6 0 2017 5 20 6 1 epublish 28522989 10.3389/fendo.2017.00091 PMC5415609 J Nerv Ment Dis. 1990 Sep;178(9):598-9 2394983 J Public Health (Oxf). 2011 Jun;33(2):292-301 20884642 J Endocrinol Invest. 1994 Sep;17(8):641-6 7868803 Thyroid. 2017 Mar;27(3):315-389 28056690 J

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2017 Frontiers in endocrinology

174. Comparison of the Effects of Dry Cupping and Acupressure at Acupuncture Point (BL23) on the Women with Postpartum Low Back Pain (PLBP) Based on Short Form McGill Pain Questionnaires in Iran: A Randomized Controlled Trial (PubMed)

Comparison of the Effects of Dry Cupping and Acupressure at Acupuncture Point (BL23) on the Women with Postpartum Low Back Pain (PLBP) Based on Short Form McGill Pain Questionnaires in Iran: A Randomized Controlled Trial Objective: To evaluate the effects of acupuncture branches on postpartum low back pain severity among the primiparous subjects visiting the selected educational centers affiliated to Shiraz University of Medical Sciences, Shiraz, Iran. Materials and methods: This clinical trial (...) was conducted on 150 (each group of 50 people) cases in 2012. Cupping therapy was done every other day in four 15-20 minute sessions a week. Besides, acupressure was applied according to the circular model for 20 minutes. The patients filled out the short form McGill Pain Questionnaires. Then, the data were analyzed using the SPSS statistical software (v. 16) and repeated measurements and Chi-square tests. Results: In the cupping group, the mean difference of postpartum Low Back Pain intensity reached from

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2017 Journal of family & reproductive health

175. Unmet need for modern contraceptives and associated factors among women in the extended postpartum period in Dessie town, Ethiopia (PubMed)

) 1.22-7.57), antenatal care service (no) (AOR = 2.41, 95% CI 1.11-5.79), Post-natal care service (no) (AOR = 3.63, CI 2.13-6.19) and knowledge of lactational amenorrhea method (AOR = 7.84 95% CI 4.10-15.02) were the factors positively associated with unmet need modern contraceptives in the extended postpartum period.The unmet need for modern contraception is high in the study area. There is need to improve the quality of maternal health service, girls education, information on postpartum risk (...) Unmet need for modern contraceptives and associated factors among women in the extended postpartum period in Dessie town, Ethiopia The contraceptive use of women in the extended postpartum period is usually different from other times in a woman's life cycle due to the additional roles and presence of emotional changes. However, there is lack of evidence regarding women contraceptive need during this period and the extent they met their need. Therefore, the objective of this study was to assess

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2017 Contraception and Reproductive Medicine

176. Barriers to postpartum screening for type 2 diabetes: a qualitative study of women with previous gestational diabetes (PubMed)

to postpartum diabetes screening were: inadequate education (about developing diabetes in the future, implementation of the screening, and glucometer validity in diagnosis of diabetes), perceiving the screening as difficult (feeling comfortable with the glucometer, poor laboratory conditions, issues related to the baby/babies, and financial problems), improper attitudes toward the screening (unwilling to get diagnosed, not giving priority to oneself, having false beliefs) and procrastination (gap (...) Barriers to postpartum screening for type 2 diabetes: a qualitative study of women with previous gestational diabetes Risk of developing type 2 diabetes is increased in women with previous gestational diabetes mellitus (GDM). Postpartum glycemic screening is recommended in women with recent GDM. But this screening rate is low and the reasons are unclear. The aim of this study was to explore the experiences of Iranian women with recent GDM on barriers of postpartum screening for diabetes.This

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2017 The Pan African medical journal

177. A Novel Multiplayer Screen-Based Simulation Experience for African Learners Improved Confidence in Management of Postpartum Hemorrhage (PubMed)

A Novel Multiplayer Screen-Based Simulation Experience for African Learners Improved Confidence in Management of Postpartum Hemorrhage Postpartum hemorrhage (PPH) remains a global challenge, affecting thirteen million women each year. In addition, PPH is a leading cause of maternal mortality in Asia and Africa. In the U.S.A., care of critically ill patients is often practiced using mannequin-based simulation. Mannequin-based simulation presents challenges in global health, particularly in low (...) represents a scalable, distributable form of learning that may be used effectively in global health education and training. Interestingly, despite our intervention being screen-based, our subjects showed improved confidence in their ability to perform psychomotor tasks. Although there is precedent for mental rehearsal improving performance, further research is needed to understand this finding.

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2017 Frontiers in public health

178. Perinatal Weight and Risk of Prenatal and Postpartum Depressive Symptoms (PubMed)

total of 214 (10%) participants experienced prenatal EDS and 151 (9%) postpartum EDS. Neither prepregnancy BMI nor GWG was associated with prenatal EDS. Prepregnancy obesity (BMI ≥ 30 kg per m2) was associated with higher odds of postpartum EDS (odds ratio = 1.69, 95% confidence interval, 1.01-2.83) compared to normal prepregnancy weight in a model adjusted for age, race/ethnicity, nativity, education, marital status, household income, parity, pregnancy intention, and smoking.Prepregnancy obesity (...) Perinatal Weight and Risk of Prenatal and Postpartum Depressive Symptoms Prepregnancy obesity and weight changes accompanying pregnancy (gestational weight gain and postpartum weight retention) may be associated with risk of maternal depressive symptoms during pregnancy and in the postpartum. The few studies that have examined these relationships report conflicting findings.We studied pregnant (n = 2112) and postpartum (n = 1686) women enrolled in Project Viva. We used self-reported

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2017 Annals of Epidemiology

179. HIV status disclosure, facility-based delivery and postpartum retention of mothers in a prevention clinical trial in rural Nigeria (PubMed)

. This secondary analysis included 327 (87.9%) women with unknown HIV status or who were treatment naïve at presentation to antenatal care. We employed mixed effects logistic regression to estimate impact of disclosure on facility delivery and postpartum retention in HIV care at 6 and 12 weeks.Fully 86.5% (283/327) of women disclosed their HIV status to their partner, more in the trial intervention arm (OR 3.17, 95% CI 1.39-7.23). Adjusting for intervention arm, maternal age, education and employment, women (...) HIV status disclosure, facility-based delivery and postpartum retention of mothers in a prevention clinical trial in rural Nigeria Within the context of a cluster randomized prevention of mother-to-child HIV transmission (PMTCT) trial, we evaluated the impact of disclosure on selected PMTCT continuum of care measures.In 12 rural matched-pair clinics randomly assigned to an intervention package versus standard-of-care, we enrolled 372 HIV-infected pregnant women from April 2013 to March 2014

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2017 International health

180. The Challenge of Postpartum Weight Loss in Low-Income Mothers (PubMed)

United States J Womens Health (Larchmt) 101159262 1540-9996 IM J Womens Health (Larchmt). 2017 Jul;26(7):719-727 28338403 Depression, Postpartum Female Humans Mothers Postpartum Period Poverty Weight Loss 2017 7 13 6 0 2017 7 13 6 0 2018 6 15 6 0 ppublish 28700318 10.1089/jwh.2017.6527 PMC5512464 J Nutr Educ Behav. 2014 Nov-Dec;46(6):610-5 25069621 Am J Prev Med. 2009 Sep;37(3):173-80 19595557 Obstet Gynecol. 1995 Nov;86(5):834-8 7566859 Women Health. 2004;40(2):19-34 15778136 J Womens Health (...) The Challenge of Postpartum Weight Loss in Low-Income Mothers 28700318 2018 06 14 2018 12 02 1931-843X 26 7 2017 07 Journal of women's health (2002) J Womens Health (Larchmt) The Challenge of Postpartum Weight Loss in Low-Income Mothers. 709-710 10.1089/jwh.2017.6527 Herring Sharon J SJ Departments of Medicine, Ob/Gyn, and Public Health, Temple University , Philadelphia, Pennsylvania. eng R01 HL130816 HL NHLBI NIH HHS United States Journal Article Research Support, N.I.H., Extramural Comment

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2017 Journal of Women's Health

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