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Postpartum Office Visit

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121. Sexually Transmitted Infections in primary care consultations: development of an online tool to guide healthcare practitioners

: an online tool to guide healthcare practitioners KCE Report 321 NGC National Guideline Centre NIHDI (INAMI – RIZIV) National Institute for Health and Disability Insurance (Institut National d'Assurance Maladie-Invalidité – Rijksinstituut voor Ziekte- en Invaliditeitsverzekering) O’YES Organization for Youth Education & Sexuality (previously SIDA’SOS) PCR Polymerase Chain Reaction PDPT Patient Delivered Partner Therapy PEP Post-exposure prophylaxis PHP Hypertext Pre-processor PICO Participants (...) ) Anorectal positive test: • perform genotyping test for LGV: o Men: always o Women: only when presenting with proctitis symptoms. Pregnant women with any positive test: • retest during the third trimester o to prevent maternal postnatal complications o to prevent chlamydial infection of the neonate The diagnosis of chlamydia in pregnant women should be communicated with the gynaecologist to ensure follow-up of adverse events of treatment and complications of the infection for the mother as well

2019 Belgian Health Care Knowledge Centre

123. Depression and anxiety programs for children and young people

service delivery). The majority of programs (six) are delivered to Primary school students: Triple P (?); Exploring Together ( ?); Coping Cat ( ? ? ?); FAST ( ? ?); Tuning into Kids (?); and Strengthening Families ( ?). The Triple P (Positive Parenting Program) included variations suitable for parents with Pre- school, Primary and Secondary school children. The evaluation evidence revealed small significant effects at post-intervention in reducing internalising (Home visiting, Exploring Together, FAST (...) pregnancy and postnatal family environment. These programs seek to reduce toxic stress risk processes. The Washington Institute of Public Policy (WSIPP) evaluation 51 found good evidence for economic returns. Based on 2 included studies there were small significant effects in reducing child internalising problems (Cox effect size post-intervention = -0.048, follow-up = -0.035, 2 studies [k = 2]). We found no evidence for effects on child anxiety or depression. Triple P (?) is the dominant parent

2018 Sax Institute Evidence Check

124. Care around stillbirth and neonatal death

occurring in that hospitals. The process should be overseen by an interdisciplinary Perinatal Mortality Steering Committee. 2 Staff should be provided with appropriate training on best practice around the time of a perinatal death through the IMPROVE Program and access to support. 3 The review of perinatal deaths should occur as soon as possible after the death aiming to have results in time for the initial follow-up visit with parents. It may be necessary to re-review the death if test results (...) that are available for babies and support parents in making an unhurried decision. Effective support 35 Provide parents with guidance about common perinatal grief responses and what to expect, including written or electronic information to review when they are ready. 36 Sensitively address mothers’ postnatal physical care needs, including lactation, vaginal bleeding, wound care, contraception, and physical activity. 37 Address practical support needs including sources of financial support, options

2019 Centre of Research Excellence in Stillbirth

125. Recommendations for Prevention and Control of Influenza in Children, 2019–2020

of outpatient clinic and emergency department visits for influenzalike illness, high influenza-related hospitalization rates, and high numbers of deaths. – Influenza A(H3N2) viruses predominated through February 2018; influenza B viruses predominated from March 2018 onward. Although hospitalization rates for children that season did not exceed those reported during the 2009 pandemic, they did surpass rates reported in previous high-severity A(H3N2)-predominant seasons. Excluding the 2009 pandemic, the 186 (...) of the vaccines on separate days. In contrast, data from the Post-Licensure Rapid Immunization Safety Monitoring program of the FDA, the largest vaccine safety active surveillance program in the United States, revealed that there was no significant increase in febrile seizures associated with concomitant administration of these 3 vaccines in children 6 through 59 months of age during the 2010–2011 season. In a subsequent sentinel Center for Biologics Evaluation and Research–Post-Licensure Rapid Immunization

2019 American Academy of Pediatrics

126. Diagnosis and Treatment of Non-Neurogenic Overactive Bladder (OAB) in Adults: an AUA/SUFU Guideline

logistical challenges (e.g., therapies that require frequent visits to a physician’s office). The negative impact of OAB symptoms on psychosocial functioning and quality of life also has been well-documented. 19-22 Carrying out the activities of daily life and engaging in social and occupational activities can be profoundly affected by lack of bladder control and incontinence. Urinary incontinence in particular may have severe psychological and social consequences, resulting in restricted activities (...) for this process are a careful history, physical exam, and urinalysis. Clinical Principle 2. In some patients, additional procedures and measures may be necessary to validate an OAB diagnosis, exclude other disorders and fully inform the treatment plan. At the clinician’s discretion, a urine culture and/or post-void residual assessment may be performed and information from bladder diaries and/or symptom questionnaires may be obtained. Clinical Principle 3. Urodynamics, cystoscopy and diagnostic renal

2019 American Urological Association

127. Perinatal Palliative Care

with them during the postpartum period. When a patient opts for newborn rooming-in, the neonatal and palliative care teams should visit the family to ensure the baby’s comfort and to provide practical and emotional support to the parents, while also respecting the family’s privacy during this important time. These visits are intended to provide newborn palliative care at the bedside, to educate, to offer emotional support, and to minimize stress. Throughout this process, the newborn’s parents (...) and the neonatal care providers about appropriate postnatal therapies, especially if the postnatal diagnosis and prognosis differ substantially from antenatal predictions. Procedures for resolving such differences should be discussed with families ahead of time. Recommendations and Conclusions The American College of Obstetricians and Gynecologists makes the following recommendations and conclusions: Perinatal palliative care refers to a coordinated care strategy that comprises options for obstetric

2019 American College of Obstetricians and Gynecologists

128. Screening and Management of Bleeding Disorders in Adolescents With Heavy Menstrual Bleeding

modality that does not require special training for insertion and can help avoid further invasive procedures. Most studies on intrauterine balloons have focused on women with postpartum hemorrhage and have demonstrated reduction in bleeding in an emergent setting ( , ). Intrauterine balloons designed for obstetric use in adult women are not appropriately sized for the adolescent patient. Instead, a Foley catheter should be placed with a 30-cc balloon that can be inserted easily through the cervix (...) hemostasis and decrease the potential risk of bleeding. Perioperative hemostatic agents include desmopressin acetate and antifibrinolytic medications (eg, aminocaproic acid, tranexamic acid). Currently, no standardized protocol exists for operative placement of the LNG-IUD in the patient with a bleeding disorder. In-office placement of an IUD versus placement in the operating room will depend on the severity of the bleeding disorder and judgment of the gynecologist in consultation with a hematologist

2019 American College of Obstetricians and Gynecologists

129. Assessment and Management of Patients at Risk for Suicide

With support from: The Office of Quality, Safety and Value, VA, Washington, DC & Office of Evidence Based Practice, U.S. Army Medical Command Version 2.0 – 2019 Based on evidence reviewed through April 2018 VA/DoD Clinical Practice Guideline for the Assessment and Management of Patients at Risk for Suicide May 2019 Page 3 of 142 Table of Contents I. Introduction 6 II. Background 7 A. Epidemiology and Impact in the General Population 7 B. Suicide in the Department of Defense and the Department of Veterans (...) Making 17 H. Co-occurring Conditions 18 I. Implementation 18 IV. Guideline Work Group 19 V. Algorithm 20 Algorithm A: Identification of Risk for Suicide 21 Algorithm B: Evaluation by Provider 22 Algorithm C: Management of Patients at Acute Risk for Suicide 25 VII. Recommendations 27 A. Screening and Evaluation 29 a. Screening 29 b. Evaluation 31 B. Risk Management and Treatment 35 a. Non-pharmacologic Treatments 35 b. Pharmacologic Treatments 41 c. Post-acute Care 44 d. Technology-based Modalities 47

2019 VA/DoD Clinical Practice Guidelines

130. WHO consolidated guideline on self-care interventions for health: sexual and reproductive health and rights

122 95 116 89 112 122 98 92 112 123 77 4.4 Combating sexually transmitted infections (including HIV), reproductive tract infections, cervical cancer and other gynaecological morbidities 4.3 Eliminating unsafe abortion 4.2 Providing high- quality services for family planning, including infertility services 4.1 Improving antenatal care, delivery, postpartum and newborn care 5.1 Overview 6.1 Research on self-care contributing to WHO’s “triple billion” goals 7.1 Dissemination 5.4 Training needs (...) / AIDS [UNAIDS]), Lucinda O’Hanlon (Office of the United Nations High Commissioner for Human Rights [OHCHR]), Shaffiq Essajee (United Nations Children’s Fund [UNICEF]), Kenechukwu Esom (United Nations Development Programme [UNDP]), Ayman Abdelmohsen, Petra ten Hoope-Bender and Tim Sladden (United Nations Population Fund [UNFPA]) and David Wilson (World Bank). The following WHO staff members contributed as members of the WHO Guideline Steering Group (SG), which managed the guideline development

2019 World Health Organisation Guidelines

131. Substance use disorders in pregnancy: clinical, ethical, and research imperatives of the opioid epidemic Full Text available with Trip Pro

and whom to screen for substance use disorder Ideally, screening for substance use disorder should occur when clinicians in a health-care system first recognize a pregnancy. In most cases, this would be the first prenatal visit. However, emergency rooms, primary care offices, and urgent care centers are all places where pregnancies are diagnosed. Clinicians can facilitate early substance use disorder treatment by considering the use of a basic screening questionnaire coupled with a list of treatment (...) the baby; the woman may test positive because of the pain medicine she may have received at delivery or postpartum. Biologic testing panels The constituent components of biologic drug testing panels are often determined by the hospital laboratory, based on local drug usage profiles. However, illicit drugs in the community can change rapidly; ideally, and if possible, providers should be aware of local trends. The hospital laboratory, health department, or coroner’s office may help provide information

2019 Society for Maternal-Fetal Medicine

132. Diagnosis and Treatment of Non-Neurogenic Overactive Bladder (OAB) in Adults

required to obtain treatments that may be costly and may present logistical challenges (e.g., therapies that require frequent visits to a physician's office). The negative impact of OAB symptoms on psychosocial functioning and QOL also has been well-documented. 19-22 Carrying out the activities of daily life and engaging in social and occupational activities can be profoundly affected by lack of bladder control and incontinence. Urinary incontinence in particular may have severe psychological (...) . At the clinician's discretion, a urine culture and/or post-void residual assessment may be performed and information from bladder diaries and/or symptom questionnaires may be obtained. Clinical Principle 3. Urodynamics, cystoscopy and diagnostic renal and bladder ultrasound should not be used in the initial workup of the uncomplicated patient. Clinical Principle 4. OAB is not a disease; it is a symptom complex that generally is not a life-threatening condition. After assessment has been performed to exclude

2019 American Urological Association

133. The Irish Maternity Early Warning System (IMEWS) National Clinical Guideline

for pregnant and postpartum women (up to 42 days postpartum). 2.5 Guideline scope This NCG applies to women with a confirmed clinical pregnancy and for up to 42 days in the postnatal period, irrespective of age or reason for presentation. Exclusions are women in labour, high dependency, recovery and critical care settings. This NCG is relevant to all clinical staff in hospitals providing care to those women. The IMEWS is designed to guide clinical judgement but not replace it. In individual cases (...) The Irish Maternity Early Warning System (IMEWS) National Clinical Guideline Irish Maternity Early Warning System (IMEWS) V2 National Clinical Guideline No. 4 National Patient Safety Office Oifig Náisiúnta um Shábháilteacht Othar February 2019The Irish Maternity Early Warning System (IMEWS) Version 2 National Clinical Guideline (NCG) has been updated by the Childbirth Guideline Development Group (GDG), established under the auspices of the HSE National Clinical Programme for Obstetrics

2019 HIQA Guidelines

134. Management of newborns born to women with HIV (Human Immunodeficiency Virus) infection

. This will be emailed/posted to attending Obstetrician, HIV adult physician and Paediatrician / Neonatologist. c. As the plan will be contingent on maternal viral loads near delivery (e.g. 36 weeks gestation), the local Paediatrician or Neonatologist should review the management plan for the neonate when woman reaches the third trimester and confirm infant management plan with CHQ IMPS. Anticipated ART medications for the infant need to be available on the postnatal ward from 36 weeks gestation onwards. d (...) . In the event of a woman presenting for obstetric management late in pregnancy (e.g. in third trimester or in labour), CHQ IMPS should be contacted urgently before infant is delivered. Figure 1. Referral pathway CHQ-GDL-01243 Management of newborns born to women with HIV (Human Immunodeficiency Virus) infection - 4 - 2. Recommended antiretroviral treatment (ART) for newborn and post-natal care A standard newborn assessment should be performed at birth by the local paediatric / neonatal team. Testing

2019 Queensland Health

135. Management of Infertility

. Suggested citation: Myers ER, Eaton JL, McElligott KA, Moorman PG, Chatterjee R, Zakama AK, Goldstein K, Strauss J, Coeytaux RR, Goode A, Borre E, Swamy GK, McBroom AJ, Lallinger K, Schmidt R, Davis JK, Hasselblad V, Sanders GD. Management of Infertility. Comparative Effectiveness Review No. 217. (Prepared by the Duke Evidence-based Practice Center under Contract No. 290-2015-00004-I.) AHRQ Publication No. 19-EHC014-EF. Rockville, MD: Agency for Healthcare Research and Quality; May 2019. Posted final (...) EPC systematic reviews, see 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 ( to see draft research questions and reports or to join an email list to learn about new program products

2019 Effective Health Care Program (AHRQ)

136. HTA of C-reactive protein point-of-care testing to guide antibiotic prescribing

for Children and Youth Affairs, HIQA has responsibility for the following: ? Setting standards for health and social care services — Developing person-centred standards and guidance, based on evidence and international best practice, for health and social care services in Ireland. ? Regulating social care services — The Office of the Chief Inspector within HIQA is responsible for registering and inspecting residential services for older people and people with a disability, and children’s special care units (...) after five years. The regulation replaces the existing IVD directive (98/79/EC) and is intended to strengthen the current regulatory system by providing: ? clearer requirements regarding clinical data for IVDs, and their assessment ? more specific product requirements, such as unique identifiers for IVDs ? improved pre-market assessment and post-market surveillance of all high- risk devices ? increased control and monitoring of Notified Bodies by the National Competent Authorities and the Commission

2019 Health Information and Quality Authority

138. What is the evidence on the role of the arts in improving health and well-being? A scoping review

What is the evidence on the role of the arts in improving health and well-being? A scoping review Daisy Fancourt | Saoirse Finn HEALTH EVIDENCE NETWORK SYNTHESIS REPORT 67 What is the evidence on the role of the arts in improving health and well-being? A scoping review World Health Organization Regional Office for Europe UN City, Marmorvej 51, DK-2100 Copenhagen Ø, Denmark Tel.: +45 45 33 70 00 Fax: +45 45 33 70 01 Email: Website: HEALTH EVIDENCE NETWORK (...) and randomized controlled trials from diverse disciplines. The beneficial impact of the arts could be furthered through acknowledging and acting on the growing evidence base; promoting arts engagement at the individual, local and national levels; and supporting cross-sectoral collaboration. Keywords ART, MEDICINE IN THE ARTS, CULTURE, ARTS IN HEALTH Address requests about publications of the WHO Regional Office for Europe to: Publications WHO Regional Office for Europe UN City, Marmorvej 51 DK-2100

2019 WHO Health Evidence Network

139. NeoMedQ: Neonatal medicines

are free to copy and communicate the work in its 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 For further information, contact Queensland Clinical Guidelines, RBWH Post Office, Herston Qld 4029, email, phone (07) 3131 6777 (...) obstetric estimate and/or postnatal physical examination of the baby Chronological age • Also referred to as days of life • Time elapsed from birth Post-menstrual age • Gestational age plus chronological age • Usually used in the perinatal period beginning after the day of birth Corrected age • Chronological age less number of weeks born premature • Usually used after the perinatal period for children up to 3 years of age who were born preterm Queensland Clinical Guideline: Neonatal medicines Refer

2019 Queensland Health

140. Implementing the Recommendations of the Neonatal Critical Care Transformation Review

in a range of important neonatal conditions. One such example is the significant chronic lung disorder called bronchopulmonary dysplasia (Figure 2). If we can reduce these 1 Moore et al BMJ 2012 2 Santhakumaran et al ADC F&N 2017 Figure 1: Infant mortality in England and Wales between 1921 and 2016 (source: Office for National Statistics) Figure 2: Variation in proportion of babies born at 30 weeks gestation or less who survive with bronchopulmonary dysplasia by operational delivery network (source (...) :// Our vision Neonatal critical care forms a key element of the NHS maternity service, providing part of the service available for all women and their new-born babies in the birthing room and during the early postnatal period. Neonatal critical care also provides an emergency service and ongoing support for babies and their families when a baby is born very prematurely, becomes sick or develops a medical problem. Involving the family and providing

2019 NHS England

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