ABSTRACT
A woman presented for her postpartum examination alarmed about pink stains on her breast pads and on her infant's burp pads and diapers. The stains were also found in her breast pump and the infant's bottles. Out of concern, she stopped breastfeeding. The diagnosis was colonization of mother and infant with Serratia marcescens. They were managed conservatively without antibiotics. The mother was guided to restart breastfeeding. The infant resumed nursing and continued to thrive.
Subject(s)
Breast Feeding/adverse effects , Milk, Human/microbiology , Serratia Infections/diagnosis , Serratia marcescens/isolation & purification , Breast Feeding/methods , Female , Follow-Up Studies , Humans , Postnatal Care , Pregnancy , Rare Diseases , Risk Assessment , Serratia Infections/therapy , Treatment Outcome , Young AdultABSTRACT
OBJECTIVE: To identify risk factors for gestational diabetes mellitus (GDM) in patients who had either a normal or abnormal glucose tolerance test (GTT) after failing the initial glucose challenge test (GCT). If identified, consideration can be given to circumvent the glucose challenge test for those at risk. DATA SOURCES: A chart review was performed on 557 patients with abnormal GCT, 278 had an abnormal GTT (cases), and 279 had normal GTT (controls). The following risk factors were extracted: patients' age, body mass index (BMI), ethnicity, selected personal history, and family history. A primary logistic regression and secondary exploratory logistic regression were used to analyze the data. CONCLUSIONS: Of the risk factors reviewed age, BMI, and prior history of GDM were predictive of GDM in the current pregnancy. Age 30-34 had an odds ratio (OR) of 1.95, 95% confidence interval (CI) [1.25,3.05] and over 35 had an OR 3.87 CI [2.12,7.05]. BMI over 30 had an OR 1.95, CI [1.25,3.05] and prior GDM had an OR 2.82 CI [1.55,5.13]. The combination of age and BMI had a significant OR, but not a significant increase over individual risk factors. IMPLICATIONS FOR PRACTICE: Screening by risk factors to circumvent glucose challenge testing may cause unnecessary testing and cost.
Subject(s)
Diabetes, Gestational/diagnosis , Diabetes, Gestational/etiology , Glucose Tolerance Test , Adult , Body Mass Index , Female , Humans , Maternal Age , Maternal Serum Screening Tests , Pregnancy , Retrospective Studies , Risk Factors , Young AdultABSTRACT
UNLABELLED: Women with polycystic ovary syndrome (PCOS) experience symptoms such as irregular menses, hirsutism, and acne, and are at heightened risk for developing obesity, metabolic syndrome, diabetes mellitus, infertility, and some cancers. Data also indicate an inverse correlation between PCOS and health-related quality-of-life indicators and self-image. PURPOSE: The purpose of this study was to describe the lived experience of women with PCOS in the management of their disorder and the meaning of that experience for them. DESIGN: This qualitative study was conducted using a phenomenological approach based on the guidelines of Van Manen. METHOD: Individual, semistructured interviews were completed with 10 participants who were diagnosed with PCOS and managed by a health care practitioner(s) within the past 5 years. Data were analyzed using the process of hermeneutic phenomenological reflection. FINDINGS: The four major themes that described women's lived experience of managing PCOS were frustration, confusion, searching, and gaining control. CONCLUSIONS: Women with PCOS face many challenges in managing their disorder and desire to gain control, balance, and well-being through a comprehensive treatment plan. The findings have implications for health care providers in addressing quality of life issues and overall health outcomes.
