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Postpartum Office Visit

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101. Maternity care for mothers and babies during the COVID-19 pandemic

current form for non-commercial purposes, as long as you attribute Queensland Clinical Guidelines, Queensland Health and abide by the licence terms. You may not alter or adapt the work in any way. To view a copy of this licence, visit https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en For further information, contact Queensland Clinical Guidelines, RBWH Post Office, Herston Qld 4029, email Guidelines@health.qld.gov.au, For permissions beyond the scope of this licence, contact: Intellectual (...) period 2.2 Visiting in-patient mothers and babies Table 4. Hospital visiting Aspect Consideration Visitor restrictions • Limit number of visitors 21,22 to minimise potential for virus spread • Hospital visits have been restricted by the Chief Health Officer (in accordance with emergency powers arising from a declared public health emergency) 21 • No hospital visiting by a person: o Confirmed as COVID-19 positive o Under 16 years of age o Who has been asked to self-quarantine o Is unwell, particularly

2020 Queensland Health

102. HRS White Paper on Atrial Fibrillation Centers of Excellence: Rationale, Considerations, and Goals

modification, education, and counseling: comprehensive care Usual care retrospective AF-related ED visits and CV hosp.: 7.5% in CR, 16.8% in AFC, and 29.2% in usual care group. Propensity-matched analysis: CR best compared with usual care OR 4.91 (95% CI 2.09– 11.53) and compared with AFC 2.75 (1.14–6.6) Hendriks et al 2019 108 RCT: 712 pts, 67y, 41% female; mean FU 22 months; single center, outpatient department new- onset AF pts; post hoc analysis Nurse-led care with guideline-based, software supported (...) HRS White Paper on Atrial Fibrillation Centers of Excellence: Rationale, Considerations, and Goals Journal Pre-proof HRS white paper on atrial fibrillation centers of excellence: Rationale, considerations, and goals Jonathan P. Piccini, Sr., MD, MHS, FHRS (Chair), James Allred, MD, FHRS, T. Jared Bunch, MD, FHRS, Thomas F. Deering, MBA, MD, FHRS, CCDS, Luigi Di Biase, MD, PhD, FHRS, Ayman A. Hussein, MD, FHRS, William R. Lewis, MD, FHRS, Suneet Mittal, MD, FHRS, Andrea Natale, MD, FHRS, Jose

2020 Heart Rhythm Society

103. Interventions for Substance Use Disorders in Adolescents: A Systematic Review

for Healthcare Research and Quality. May 2020. Posted final reports are located on the Effective Health Care Program search page. DOI: https://doi.org/10.23970/AHRQEPCCER225. iii Preface The Agency for Healthcare Research and Quality (AHRQ), through its Evidence-based Practice Centers (EPCs), sponsors the development of systematic reviews to assist public- and private-sector organizations in their efforts to improve the quality of health care in the United States. These reviews provide comprehensive, science (...) evidence from clinical studies. For more information about AHRQ EPC systematic reviews, see https://effectivehealthcare.ahrq.gov/about/epc/evidence-synthesis. AHRQ expects that these systematic reviews will be helpful to health plans, providers, purchasers, government programs, and the health care system as a whole. Transparency and stakeholder input are essential to the Effective Health Care Program. Please visit the Web site (www.effectivehealthcare.ahrq.gov) to see draft research questions

2020 Effective Health Care Program (AHRQ)

104. Labor Dystocia

Contract No. 290-2015-00004- I.) AHRQ Publication No. 29-EHC007. Rockville, MD: Agency for Healthcare Research and Quality; May 2020. DOI: https://doi.org/10.23970/AHRQEPCCER226. Posted final reports are located on the Effective Health Care Program search page. iv Preface The Agency for Healthcare Research and Quality (AHRQ), through its Evidence-based Practice Centers (EPCs), sponsors the development of systematic reviews to assist public- and private-sector organizations in their efforts to improve (...) clarify whether assertions about the value of the intervention are based on strong evidence from clinical studies. For more information about AHRQ EPC systematic reviews, see www.effectivehealthcare.ahrq.gov/reference/purpose.cfm. AHRQ expects that these systematic reviews will be helpful to health plans, providers, purchasers, government programs, and the healthcare system as a whole. Transparency and stakeholder input are essential to the Effective Health Care Program. Please visit the website

2020 Effective Health Care Program (AHRQ)

105. Cardiac arrhythmias in coronary heart disease

Cardiac arrhythmias in coronary heart disease SIGN 152 • Cardiac arrhythmias in coronary heart disease A national clinical guideline September 2018 www.healthcareimprovementscotland.org Edinburgh Office | Gyle Square |1 South Gyle Crescent | Edinburgh | EH12 9EB Telephone 0131 623 4300 Fax 0131 623 4299 Glasgow Office | Delta House | 50 West Nile Street | Glasgow | G1 2NP Telephone 0141 225 6999 Fax 0141 248 3776 The Healthcare Environment Inspectorate, the Scottish Health Council, the Scottish (...) and Diversity Officer. Every care is taken to ensure that this publication is correct in every detail at the time of publication. However, in the event of errors or omissions corrections will be published in the web version of this document, which is the definitive version at all times. This version can be found on our web site www.sign.ac.uk. This document is produced from elemental chlorine-free material and is sourced from sustainable forests.Scottish Intercollegiate Guidelines Network Cardiac

2018 SIGN

106. Diagnosis and management of epilepsy in adults

guideline manual, which can be found at www.sign.ac.uk/guidelines/fulltext/50/index.html. The EQIA assessment of the manual can be seen at www.sign.ac.uk/pdf/sign50eqia.pdf. The full report in paper form and/or alternative format is available on request from the Healthcare Improvement Scotland Equality and Diversity Officer. Every care is taken to ensure that this publication is correct in every detail at the time of publication. However, in the event of errors or omissions corrections will be published (...) ContentsDiagnosis and management of epilepsy in adults Diagnosis and management of epilepsy in adults 5.6 Fetal, neonatal and childhood outcomes 43 5.7 Postpartum advice for mothers 47 5.8 Advice about breastfeeding 48 5.9 Menopause and epilepsy 49 6 Psychiatric comorbidity 50 6.1 Screening 50 6.2 Treatment options 52 7 Sleep 54 7.1 Sleep deprivation and sleep hygiene 54 7.2 Obstructive sleep apnoea and epilepsy 54 7.3 Sudden unexpected death in epilepsy and sleep 54 8 Mortality 55 8.1 Sudden unexpected death

2018 SIGN

107. Stepping Stones for Families’ Family Wellbeing Service: evaluation

and depression, including pre and post-natal depression. Some specifically identified a mutually reinforcing relationship between their health and their confidence. Poor mental health, particularly when so often connected to a profound lack of confidence, appeared to heighten parents’ concerns that their children were missing out on positive and nurturing attention at home, and /or on social and learning opportunities outside the home. A common theme amongst parents was the loss of their own identity after (...) hosting the Family Wellbeing Service, a mix of frontline childcare development officers, deputy head teachers and team leaders. Survey A survey was issued to nursery staff in electronic/ online and paper format. A total of 32 responses were received, four electronically and 28 in hard copy. The latter were entered electronically by the research team. The results from the survey are reported separately. 9 3. Challenges faced by parents This section covers parental, nursery and SSfF staff perspectives

2019 Glasgow Centre for Population Health

108. Guidance on the clinical management of anxiety disorders, specifically focusing on diagnosis and treatment strategies

- vided or arranged. Those with severe or chronic anxiety disorders usually need specialist psychiatric and psycho- logical treatment. These guidelines do not provide recommendations on the care of people who experience anxiety in the setting of: • • Other internalising disorders such as obsessive– compulsive disorder (OCD), trauma-related disor- ders such as post-traumatic stress disorder (PTSD), or mood disorders, although many elements of these guidelines will be relevant to the treatment of anxi (...) : Historical control study Two or more single-arm studies Interrupted time series without a parallel control group IV Case series with either post-test or pre-test/post-test outcomes Source: National Health and Medical Research Council (2009). First published in the Australian and New Zealand Journal of Psychiatry 2018, Vol. 52(12) 1109-1172.Andrews et al. 1115 Working group members also identified relevant repli- cated RCTs (level II evidence) that were not included in systematic reviews. Data analysis

2018 Royal Australian and New Zealand College of Psychiatrists

109. Performance of the Belgian health system

and Health of the Flemish Community VBAC Vaginal birth after caesarean section VDAB Work and Employment Office (Flanders Region) WGC Woonzorgcentra (previously ROB – RVT) WHO World Health Organization WIV – ISP Scientific Institute of Public Health (integrated in Sciensano since 01/04/2018) 8 Performance report 2019 KCE Report 313C PART 1 – CONTEXT AND METHODS 1 CONTEXT AND OBJECTIVES 1.1 Introduction Health System Performance Assessment (HSPA) is a process aiming to assess the health system holistically (...) care) is included with 8 new indicators, covering prenatal, childbirth and postpartum care. ? The domain on long-term care for the elderly has been elaborated with 6 new indicators and now covers acute care for the elderly as well (e.g. medication prescription in and outside residential facilities for the elderly). ? Most of the health status indicators have been moved to a dedicated report, the Health Status Report, published by Sciensano; the health promotion and lifestyles section has been

2019 Belgian Health Care Knowledge Centre

110. Bariatric surgery: an HTA report on the efficacy, safety and cost-effectiveness

-surgical treatment of obesity. 4.2.2.2 Evidence from observational studies: focus on long- term effects on mortality MBS encompasses a limited but definite risk of mortality in the perioperative period and short-term period after the intervention, which is inherent to the procedure as such. This essentially holds true for any abdominal surgery. With the remarkable progress made in metabolic and bariatric surgery and care over the last decade(s), average early post-operative mortality rates came grosso (...) current expert considerations are that MBS should not be performed if adolescents are not post-pubertal and have not attained (or nearly attained) mature bone age. This consideration is reflected in many literature reports, recommendations or position statements, national health delivery services and HTA bodies. This contextual element essentially brings the lower age-range of interest to 14/15 years of age. ? The current Belgian reimbursement criteria for bariatric surgery apply as from the age

2019 Belgian Health Care Knowledge Centre

111. Newborn Screening

of collection, midwives must deliver spotted card(s) to their privileged / primary hospital site, either the outpatient lab or a postpartum ward, or if available a designated transport hub, to ensure efficient intra-hospital shipment of the card(s) to the NBS Laboratory. Spotted cards cannot be sent via Canada Post. 4. Babies born at home under the care of a midwife a. Recommended Practice: i. Midwives collect the blood spot card between 24 – 48 hours of age at home or in the community as required (...) prior to transport of the card(s) to the NBS Laboratory located at BC Children’s Hospital, Vancouver. Within 24 hours of collection, midwives must deliver spotted card(s) to their privileged / primary hospital site, either the outpatient lab or a postpartum ward, or if available a designated transport hub, to ensure efficient intra-hospital shipment of the card(s) to the NBS Laboratory. Spotted cards cannot be sent via Canada Post. 3. Blood Spot Card Collection, cont’d.10 Perinatal Services BC 5

2018 British Columbia Perinatal Health Program

112. Prevention and treatment of acute malnutrition in emergencies and humanitarian crises

, Isla Kuhn, Shona Lang, Shaun Lee, Alex Nevitte, Beth Sommerville and Georgina Taylor). The Evidence Aid Collection is a curated list of systematic reviews with summaries of each review, published on the Evidence Aid website; identified systematic reviews that have been published in the Cochrane Library make up the content of two separate collections, both only published in the Cochrane Library – and . The two collections are linked, and readers are encouraged to visit both collections while we (...) . : A Systematic Review of Prenatal and Postnatal Interventions. Journal of Human Lactation, 2001; 17 (4):326-43. Pérez-Escamilla R., Pollitt E., Lönnerdal B., et al. : An analytical overview. American Journal of Public Health. 1994; 84 (1):89-97. Szajewska H., Horvath A., Koletzko B., et al. : A systematic review. Acta Paediatrica 2006; 95 (2):145-52. doi:10.1111/j.1651-2227.2006.tb02199.x Watson J., & McGuire W. . Cochrane Database of Systematic Reviews 2016, Issue 8. Art. No.: CD005255. DOI: 10.1002

2018 Evidence Aid

113. Updated clinical practice guidelines on pregnancy care

C at the first antenatal visit; recommend against routine testing for vitamin D status in the absence of a specific indication; recommend discussing weight change, diet and physical activity with all pregnant women; and recommend offering pregnant women the opportunity to be weighed at every antenatal visit and encouraging women to self-monitor weight gain. Changes in management as a result of the guidelines: The guidelines will enable pregnant women diagnosed with hepatitis C to be identified (...) and thus avoid invasive procedures that increase the risk of mother-to-baby transmission. Women can be treated postpartum, reducing the risk of liver disease and removing the risk of perinatal infection for subsequent pregnancies. Routine testing of all pregnant women for vitamin D status and subsequent vitamin D supplementation is not supported by evidence and should cease as the benefits and harms of vitamin D supplementation remain unclear. The recommendation for health professionals to provide

2018 MJA Clinical Guidelines

114. 2019 Canadian Guideline for Physical Activity throughout Pregnancy

and postpartum women). The development of this guideline followed the Appraisal of Guidelines for Research Evaluation (AGREE) II instrument. Benefits, harms, and costs The benefits of prenatal physical activity are moderate, and no harms were identified; therefore, the difference between desirable and undesirable consequences (net benefit) is expected to be moderate. The majority of stakeholders and end-users indicated that following these recommendations would be feasible, acceptable, and equitable (...) : • Alberta Health Services – Healthy Families and Children • Canadian Academy of Sports Medicine • Canadian Association of Midwives • College of Family Physicians of Canada • Directorate for Chief Medical Officer and Chief Scientist Office of Scotland • Exercise is Medicine Canada • Ontario Public Health Association • ParticipACTION • Perinatal Services BC • Sociedad Espanola de Ginecologia y Obstetricia (The Spanish Society of Gynecology and Obstetrics) This article is being co-published in the British

2018 Society of Obstetricians and Gynaecologists of Canada

115. Management of Cardiovascular Diseases during Pregnancy (Full text)

Haemodynamic monitoring during delivery 3180 3.8.7 Anaesthesia/analgesia 3180 3.8.8 Labour 3180 3.8.9 Perimortem caesarean section 3180 3.8.10 Post-partum care 3180 3.8.11 Breastfeeding 3180 3.9 Infective endocarditis 3180 3.9.1 Prophylaxis 3180 3.9.2 Diagnosis and risk assessment 3180 3.9.3 Treatment 3180 3.10 Methods of contraception and termination of pregnancy, and in vitro fertilization 3181 3.10.1 Methods of contraception 3181 3.10.2 Sterilization 3181 3.10.3 Methods of termination of pregnancy 3181 (...) Prevention of hypertension and pre-eclampsia 3207 10.4 Management of hypertension in pregnancy 3208 10.4.1 Background 3208 10.4.2 Non-pharmacological management 3208 10.4.3 Pharmacological management 3208 10.5 Delivery 3208 10.6 Prognosis after pregnancy 3209 10.6.1 Blood pressure post-partum 3209 10.6.2 Hypertension and lactation 3209 10.6.3 Risk of recurrence of hypertensive disorders in a subsequent pregnancy 3209 10.6.4 Long-term cardiovascular consequences of gestational hypertension 3209 10.6.5

2018 European Society of Cardiology PubMed abstract

116. ESC/ESH Management of Arterial Hypertension (Full text)

on screening, either confirm BP elevation with repeated office BP measurements on repeat visits or arrange use of out-of-office BP to confirm the diagnosis of hypertension. Figure 2 Screening and diagnosis of hypertension. ABPM = ambulatory blood pressure monitoring; BP = blood pressure; HBPM = home blood pressure monitoring. a After detecting a specific BP category on screening, either confirm BP elevation with repeated office BP measurements on repeat visits or arrange use of out-of-office BP to confirm (...) in hypertensive patients3033 3.7 Challenges in cardiovascular risk assessment3034 4 Blood pressure measurement3035 4.1 Conventional office blood pressure measurement3035 4.2 Unattended office blood pressure measurement3035 4.3 Out-of-office blood pressure measurement3036 4.4 Home blood pressure monitoring3036 4.5 Ambulatory blood pressure monitoring3036 4.6 Advantages and disadvantages of ambulatory blood pressure monitoring and home blood pressure monitoring3037 4.7 White-coat hypertension and masked

2018 European Society of Cardiology PubMed abstract

117. International evidence-based guideline for the assessment and management of polycystic ovary syndrome (PCOS)

International evidence-based guideline for the assessment and management of polycystic ovary syndrome (PCOS) International evidence-based guideline for the assessment and management of polycystic ovary syndrome 2018Publication approval The guideline recommendations on pages 16 to 34 of this document were approved by the Chief Executive Officer of the National Health and Medical Research Council (NHMRC) on 2 July 2018 under section 14A of the National Health and Medical Research Council Act 1992 (...) ## AND GRADE 1 Screening, diagnostic assessment, risk assessment and life-stage 1.1 Irregular cycles and ovulatory dysfunction 1.1.1 CCR Irregular menstrual cycles are defined as: ? normal in the first year post menarche as part of the pubertal transition ? > 1 to 45 days ? > 3 years post menarche to perimenopause: 35 days or 1 year post menarche > 90 days for any one cycle ? Primary amenorrhea by age 15 or > 3 years post thelarche (breast development) When irregular menstrual cycles are present

2018 European Society of Human Reproduction and Embryology

118. Women and women with children residential rehabilitation best practice

affect a women’s recovery and her post-treatment choices. The work by Mendez 13 suggested that although severing ties with negative people may not be possible post treatment, women should be taught tools to set their own boundaries. Women also need to be taught parenting skills while in treatment, along with strategies to help deal with feelings of guilt as they see how much of their children’s life they have missed out on due to their addiction. WOMEN AND WOMEN WITH CHILDREN RESIDENTIAL (...) REHABILITATION BEST PRACTICE | SAX INSTITUTE 15 Length of stay Baird 5 suggested that the length of stay in the rehabilitation program was important, with some authors suggesting that programs of at least six months duration having significantly better outcomes when compared to shorter programs. From the review, it is not clear whether the six months is entirely residential or incorporates an outpatient component. In contrast, Banerjee 14 found no significance difference in substance use post treatment

2018 Sax Institute Evidence Check

119. Review of effective strategies to promote breastfeeding

the breastfeeding period is relevant for mothers of infants working outside the home. This highlights that Step 5 helps avoid early separation and supplementation in health facilities, but other approaches are needed to avoid and manage separation in other settings post-discharge (see ANBS-E Strategy 10: Other strategies below). In Australia, several studies have shown shorter and less exclusive breastfeeding duration among mothers employed during the first 12 months postnatally. 32-34 The type of childcare (...) and cost-effective childbirth and postnatal interventions for reducing maternal and newborn morbidity and mortality. The health importance of breastfeeding for both mother and infant has been used to support viewing breastfeeding as a human right of the mother–child dyad. 3, 4 The purpose of this review is to provide evidence that indicates the effectiveness of key strategies for an enduring Australian National Breastfeeding Strategy (ANBS-E). This is undertaken through a review of academic and grey

2018 Sax Institute Evidence Check

120. Accountable care organisations

in the first three performance years ( 2% and 13% reporting losses of >2%. Higher expenditure benchmarks were weakly associated with savings in US Medicare programs. However, overall there were few clear predictors of what types of ACOs were making savings, which is possibly indicative of the early stages of implementation of these models in most settings. • Quality: Quality of care outcomes focused on hospital admissions/re-admissions, unnecessary emergency department visits, outpatient clinic services (...) reported outcomes on quality of care (Figure 3). Outcomes included hospital admissions/ readmissions, unnecessary emergency department visits, outpatient clinic services, processes of care, patient adherence rates to treatment plans, disease management and lowering mortality rates (Table 2.) Only nine models reported on mortality outcomes, with six reporting reductions in mortality rates or improvements in life expectancy and three reporting no difference. Five of these models had a matched control

2018 Sax Institute Evidence Check

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