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Postpartum Office Visit

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21. Improved postpartum care after a participatory facilitation intervention in Dar es Salaam, Tanzania: a mixed method evaluation (PubMed)

Improved postpartum care after a participatory facilitation intervention in Dar es Salaam, Tanzania: a mixed method evaluation In order to improve the health and survival of mothers/newborns, the quality and attendance rates of postpartum care (PPC) must be increased, particularly in low-resource settings.To describe outcomes of a collegial facilitation intervention to improve PPC in government-owned health institutions in a low-resource suburb in Dar es Salaam, Tanzania.A before-and-after (...) evaluation of an intervention and comparison group was conducted using mixed methods (focus group discussions, questionnaires, observations, interviews, and field-notes) at health institutions. Maternal and child health aiders, enrolled nurse midwives, registered nurse midwives, and medical and clinical officers participated. A collegial facilitation intervention was conducted and healthcare providers were organized in teams to improve PPC at their workplaces. Facilitators defined areas of improvement

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2017 Global health action

22. A randomized trial of single home nursing visits vs office-based care after nursery/maternity discharge: the Nurses for Infants Through Teaching and Assessment After the Nursery (NITTANY) Study. (PubMed)

A randomized trial of single home nursing visits vs office-based care after nursery/maternity discharge: the Nurses for Infants Through Teaching and Assessment After the Nursery (NITTANY) Study. To compare office-based care (OBC) with a care model using a home nursing visit (HNV) as the initial postdischarge encounter for "well" breastfeeding newborns and mothers.Randomized controlled trial.A single academic hospital.A total of 1154 postpartum mothers intending to breastfeed and their 1169 (...) newborns of at least 34 weeks' gestation.Home nursing visits were scheduled no later than 2 days after discharge; OBC timing was physician determined.Mothers completed telephone surveys at 2 weeks, 2 months, and 6 months. The primary outcome was unplanned health care utilization for mothers and newborns within 2 weeks of delivery. Other newborn outcomes were proportion seen within 2 days after discharge and breastfeeding duration. Maternal mental health, parenting competence, and satisfaction with care

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2012 Archives of Pediatrics & Adolescent Medicine Controlled trial quality: predicted high

23. Home or Office Etonogestrel Implant Insertion after Pregnancy: A Randomized Trial. (PubMed)

Home or Office Etonogestrel Implant Insertion after Pregnancy: A Randomized Trial. To evaluate whether home visits for contraceptive implant insertion result in an increase in postpartum uptake compared to clinic insertion and to assess the feasibility of home insertions.We randomized women within 10 weeks of a birth or dilation and curettage (D&C) for abortion or miscarriage to home or standard office insertion. The primary outcome was successful insertion of the implant. To achieve 80% power (...) to detect a 40% difference in visit attendance, 20 women were assigned to each group. The secondary outcome was attendance of the 4-week postpartum visit.From June 2013 through February 2014, we screened 45 women and 40 were randomly assigned to home and office insertion visits. We enrolled 37 postpartum women and 3 women post-D&C. Because of the significant under enrollment of the latter, we chose to report results of only the postpartum women. The results were similar whether we included or excluded

2016 Contraception Controlled trial quality: uncertain

24. Postpartum Major Depression

recommend extending cut-off to one year after delivery VI. Differential Diagnosis Baby Blues Lasts <10 days (contrast with more than 2 weeks for depression) Onset within a few days of delivery Mild to no dysfunction (compared with moderate to severe dysfunction in depression) Postpartum autoimmune VII. Evaluation: Depression Screening Tools See AAP recommends screening at perinatal visits and s (2, 4 and 6 months) 10 item, free tool, completed in <5 minutes, with good efficacy (>75% sensitive, >76 (...) above for screening tools Perform at perinatal visits and s Consider home health visits, peer support for high risk mothers First-time mothers Teen mothers tic delivery XIV. References (2017) Presc Lett 24(4): 20 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Postpartum Major Depression." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology

2018 FP Notebook

25. Healthcare Utilization in the Postpartum Period Among Illinois Women with Medicaid Paid Claims for Delivery, 2009–2010 (PubMed)

delivering infants in Illinois in 2009-2010 were analyzed for the receipt, timing and patterns of postpartum care, as identified through International Classification of Diseases Revision 9-Clinical Modification and Current Procedural Terminology© codes for routine postpartum care (43.4 % of visits), other postpartum services (e.g., depression screening, family planning), and other office visits for non-acute care. Results Over 90,000 visits to 55,577 women were identified, with 81.1 % of women (...) experiencing any care during the first 90 days postpartum. Approximately 40 % had one visit, while 31 and 29 % had two and three or more visits, respectively. Thirty-four percent had their first visit <21 days postpartum, while 56 % had the first visit between 21 and 56 days postpartum. Compared with non-Hispanic whites, African-Americans had lower rates of receiving any care (73.6 vs. 86.5 %), fewer visits (48.0 vs. 33.5 % with only one visit), and later first visits (13.6 vs. 7.3 %, >56 days

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2016 Maternal and child health journal

26. Meeting the Sustainable Development Goals through Postpartum Family Planning

Meeting the Sustainable Development Goals through Postpartum Family Planning Meeting the Sustainable Development Goals through Postpartum Family Planning | unfoundation.org Meeting the Sustainable Development Goals through Postpartum Family Planning Meeting the Sustainable Development Goals through Postpartum Family Planning By Guest Blogger on May 10, 2016 Editor’s Note: This post is part of the blog series, “ ,” which highlights the connections between girls and women and the Sustainable (...) . What was different in Kenya? There was an increased focus and interest in postpartum family planning (PPFP), a proven high-impact intervention that offers great hope for meeting the needs of millions of women and girls at a time when their need is often underestimated – following the birth of a child. In Kenya, as in the rest of the world, we could help end poverty in a generation by empowering all first-time parents to opt in for PPFP. Fast, effective, and efficient PPFP service delivery to women

2016 United Nations Foundation blog

27. Supporting Baby Behavior Through Pediatric Offices

Supporting Baby Behavior Through Pediatric Offices Supporting Baby Behavior Through Pediatric Offices - 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. Supporting Baby Behavior Through Pediatric Offices (...) of the tools by health care providers and medical staff. It is expected that trained staff will be prepared to share Baby Behavior messages with their patients and that the information will be delivered quickly and easily during well-baby visits. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 423 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: None (Open Label) Primary Purpose: Prevention Official

2015 Clinical Trials

28. Follow up of Mothers Suspected of Postpartum Depression

after a positive PD screen. The objective of this study is to describe the rate at which mothers seek treatment for suspected PD after a positive screen at the pediatrician office. Additional examination will look at factors that predict whether a mother recalls a recommendation to seek treatment. Condition or disease Intervention/treatment Depression, Postpartum Other: telephone interview Detailed Description: The primary outcome of interest is whether mothers suspected of having PD seek treatment (...) Follow up of Mothers Suspected of Postpartum Depression Follow up of Mothers Suspected of Postpartum Depression - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Follow up of Mothers Suspected of Postpartum

2015 Clinical Trials

29. Cost-Effectiveness of Immediate Compared With Delayed Postpartum Etonogestrel Implant Insertion. (PubMed)

were derived from a comprehensive literature review. We compared immediate (before discharge from the childbirth hospital stay) compared with delayed (at first postpartum office visit) postpartum placement of the contraceptive implant from a health care system's perspective. Implant insertion and removal, loss to follow-up at the postpartum visit, use of alternative contraceptive methods, and contraceptive failure were incorporated into the model. We calculated the incremental cost of immediate (...) Cost-Effectiveness of Immediate Compared With Delayed Postpartum Etonogestrel Implant Insertion. To evaluate the cost-effectiveness of immediate compared with delayed (6 weeks) postpartum etonogestrel implant insertion in preventing future unintended pregnancy.We constructed a decision-analytic model to examine a hypothetical population of women who request a contraceptive implant after giving birth. The timeframe for analysis was from the time of childbirth to 1 year postpartum. Model inputs

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2015 Obstetrics and Gynecology

30. Postpartum Adherence Clubs to Enhance Support: the PACER Study

the Standard of Care for Mothers. Details are provided in the intervention description. Infants receive the same care in each arm, according to the Standard of Care for Infants. Other: Standard of Care for Mothers Women will be referred immediately from the maternity ART clinic to their nearest adult ART clinic at their first postpartum clinic visit. At referral, they receive an initial 1-month supply of their current ART medication. At the first appointment after transfer into the general ART service (...) according to two finger-prick rapid tests using different test types (per routine protocol in this setting) or documentation of HIV status for those women self reporting HIV diagnosis. Initiated ART during the antenatal period (during most recent pregnancy) Within one month postpartum Currently breastfeeding within one month postpartum Willingness to return for postnatal study visits Able to provide informed consent for research Eligible to receive care at local Adherence Club, based on following local

2015 Clinical Trials

31. Mother and Infant Home Visiting Program Evaluation

). The Mother and Infant Home Visiting Program Evaluation: Early Findings on the Maternal, Infant, and Early Childhood Home Visiting Program. OPRE Report 2015-11. Washington, DC: Office of Planning, Research and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services. Charles Michalopoulos, Kristen Faucetta, Carolyn J. Hill, Ximena A. Portilla, Lori Burrell, Helen Lee, Anne Duggan, and Virginia Knox. (2019). Impacts on Family Outcomes of Evidence-Based Early (...) Childhood Home Visiting: Results from the Mother and Infant Home Visiting Program Evaluation. OPRE Report 2019-07. Washington, DC: Office of Planning, Research, and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services. Other Publications: Charles Michalopoulos, Anne Duggan, Virginia Knox, Jill H. Filene, Helen Lee, Emily K. Snell, Sarah Crowne, Erika Lundquist, Phaedra S. Corso, Justin B. Ingels (2013). Revised Design for the Mother and Infant Home Visiting

2014 Clinical Trials

32. Mother and Infant Home Visiting Program Evaluation-Strong Start

. Johns Hopkins University James Bell Associates Office of Planning, Research, and Evaluation (OPRE) Information provided by (Responsible Party): Charles Michalopoulos, MDRC Study Details Study Description Go to Brief Summary: Adverse birth outcomes result in significant emotional and economic costs for families and communities. Research suggests that poor birth outcomes are influenced by a variety of social, psychological, behavioral, environmental, and biological factors. Home visiting programs (...) visiting services. Those selected for home visiting services will form the program group, and those not selected will form a comparison group. The research team will monitor both groups over time to see if differences emerge in the outcome areas mentioned above. Although the study will affect which families can enroll in home visiting services, no fewer families will be served as a result of the study. Condition or disease Intervention/treatment Phase Pregnancy Postpartum Care Infant Development

2014 Clinical Trials

33. Harnessing the Power of Technology: MOMBA for Postpartum Smoking

management Traditional contingency management with financial incentives delivered in-person in the office for smoking cessation to postpartum women Behavioral: Office contingency management A control group which will receive financial incentives at an in-person office/clinic visit based on expired CO levels obtained through the Sensodrone™ CO sensor. Device: Sensordrone™ carbon-monoxide sensor Outcome Measures Go to Primary Outcome Measures : Acceptability [ Time Frame: 15 months ] Primary Outcome (...) by (Responsible Party): Yale University Study Details Study Description Go to Brief Summary: Through a smartphone platform, financial incentives for smoking abstinence in postpartum women can be delivered remotely, thus minimizing the need for participants to come to the office to receive traditional contingency management. Condition or disease Intervention/treatment Phase Smoking Cessation Behavioral: MoMba Live Long app & Sensordrone™ carbon-monoxide sensor Behavioral: Office contingency management Device

2014 Clinical Trials

34. Postpartum Depression (Overview)

Postpartum Depression (Overview) Postpartum Depression: Overview, Risk Factors for Postpartum Mood Disorders, Screening for Postpartum Mood Disorders Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) of 10 or more on the EPDS or an affirmative answer on question 10 (presence of suicidal thoughts) requires more thorough evaluation. The EPDS may be included in routine well-baby and pediatric visits. [ ] A 3-question version of the EPDS was tested in a pediatric emergency department, and the results showed that the abbreviated version of the EPDS was similar to the full version in screening for postpartum depressive symptoms. Further studies are needed in order to confirm these findings

2014 eMedicine.com

35. Postpartum Depression (Treatment)

Postpartum Depression (Treatment) Postpartum Depression: Overview, Risk Factors for Postpartum Mood Disorders, Screening for Postpartum Mood Disorders Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) of 10 or more on the EPDS or an affirmative answer on question 10 (presence of suicidal thoughts) requires more thorough evaluation. The EPDS may be included in routine well-baby and pediatric visits. [ ] A 3-question version of the EPDS was tested in a pediatric emergency department, and the results showed that the abbreviated version of the EPDS was similar to the full version in screening for postpartum depressive symptoms. Further studies are needed in order to confirm these findings

2014 eMedicine.com

36. Postpartum Depression (Follow-up)

Postpartum Depression (Follow-up) Postpartum Depression: Overview, Risk Factors for Postpartum Mood Disorders, Screening for Postpartum Mood Disorders Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) of 10 or more on the EPDS or an affirmative answer on question 10 (presence of suicidal thoughts) requires more thorough evaluation. The EPDS may be included in routine well-baby and pediatric visits. [ ] A 3-question version of the EPDS was tested in a pediatric emergency department, and the results showed that the abbreviated version of the EPDS was similar to the full version in screening for postpartum depressive symptoms. Further studies are needed in order to confirm these findings

2014 eMedicine.com

37. Pregnancy, Postpartum Infections (Follow-up)

Pregnancy, Postpartum Infections (Follow-up) Postpartum Infections Treatment & Management: Prehospital Care, Emergency Department Care, Prevention Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzk2ODkyLXRyZWF0bWVudA== processing > Postpartum Infections Treatment & Management Updated: Dec 31, 2018 Author: Andy W Wong, MD; Chief Editor: Bruce M Lo, MD, MBA, CPE, RDMS, FACEP, FAAEM, FACHE Share Email Print Feedback Close Sections Sections Postpartum Infections Treatment Prehospital Care The most important aspect of prehospital care in a postpartum patient with a suspected infection is to ensure adequate fluid volume and to prevent sepsis and shock. Provide aggressive fluid management, begin cardiac

2014 eMedicine Emergency Medicine

38. Pregnancy, Postpartum Hemorrhage (Follow-up)

Pregnancy, Postpartum Hemorrhage (Follow-up) Postpartum Hemorrhage in Emergency Medicine Treatment & Management: Approach Considerations, Prehospital Care, Emergency Department Care Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzk2Nzg1LXRyZWF0bWVudA== processing > Postpartum Hemorrhage in Emergency Medicine Treatment & Management Updated: Jan 02, 2018 Author: Maame Yaa A B Yiadom, MD, MPH; Chief Editor: Bruce M Lo, MD, MBA, CPE, RDMS, FACEP, FAAEM, FACHE Share Email Print Feedback Close Sections Sections Postpartum Hemorrhage in Emergency Medicine Treatment Approach Considerations If a patient is brought to a hospital without obstetric services, the emergency medicine providers should initiate resuscitation and transfer the patient

2014 eMedicine Emergency Medicine

39. Pregnancy, Postpartum Infections (Overview)

Pregnancy, Postpartum Infections (Overview) Postpartum Infections: Background, Pathophysiology, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzk2ODkyLW92ZXJ2aWV3 processing > Postpartum Infections (...) Updated: Dec 31, 2018 Author: Andy W Wong, MD; Chief Editor: Bruce M Lo, MD, MBA, CPE, RDMS, FACEP, FAAEM, FACHE Share Email Print Feedback Close Sections Sections Postpartum Infections Overview Background Postpartum infections comprise a wide range of entities that can occur after vaginal and cesarean delivery or during breastfeeding. In addition to trauma sustained during the birth process or cesarean procedure, physiologic changes during pregnancy contribute to the development of postpartum

2014 eMedicine Emergency Medicine

40. Pregnancy, Postpartum Hemorrhage (Overview)

Pregnancy, Postpartum Hemorrhage (Overview) Postpartum Hemorrhage in Emergency Medicine: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzk2Nzg1LW92ZXJ2aWV3 (...) processing > Postpartum Hemorrhage in Emergency Medicine Updated: Jan 02, 2018 Author: Maame Yaa A B Yiadom, MD, MPH; Chief Editor: Bruce M Lo, MD, MBA, CPE, RDMS, FACEP, FAAEM, FACHE Share Email Print Feedback Close Sections Sections Postpartum Hemorrhage in Emergency Medicine Overview Practice Essentials Defining postpartum hemorrhage (PPH) has historically been difficult. Waiting for a patient to meet PPH criteria, particularly in resource-poor settings or in cases of sudden hemorrhage, may delay

2014 eMedicine Emergency Medicine

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