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1.
Rev. SPAGESP ; 23(1): 44-58, jan.-jun. 2022.
Article in Portuguese | LILACS, Index Psychology - journals | ID: biblio-1356769

ABSTRACT

RESUMO Visando a investigar a experiência emocional de mães que tiveram uma criança "arco-íris" após terem experienciado uma perda gestacional/neonatal, foram entrevistadas quatro mães de crianças arco-íris de até três anos de idade. As entrevistas foram mediadas por uma narrativa interativa e, após cada encontro, uma narrativa transferencial foi redigida pela entrevistadora. O material foi analisado psicanaliticamente, segundo a Teoria dos Campos. Observou-se que as participantes, atravessadas por um enlutamento complexo, culpabilizaram-se pela perda e por terem seguido adiante no cuidado materno com os filhos arco-íris, oscilando entre a superproteção e o afastamento. Nota-se a importância de uma intervenção junto a esse coletivo, que geralmente só é foco de atenção (quando o é) durante a gestação/puerpério subsequente à perda gestacional/neonatal.


ABSTRACT Aiming to investigate the emotional experience of mothers who had a "rainbow" child after experiencing a gestational/neonatal loss, four mothers of rainbow children up to three years old were interviewed. The interviews were mediated by an interactive narrative. After each meeting, a transferential narrative was written by the interviewer. The material was analyzed psychoanalytically, according to the Theory of Fields. It was observed that the participants blamed themselves for the loss and for having carried on with the maternal care of the rainbow children, oscillating between overprotection and withdrawal. We have noticed the importance of intervention within this group, which is usually the focus of attention (when it is) only during the pregnancy/puerperium following the gestational/neonatal loss.


RESUMEN Con el objetivo de investigar la experiencia emocional de madres que tuvieron un hijo "arcoiris" después de experimentar la pérdida gestacional/neonatal, se entrevistó a cuatro madres de niños arcoiris de hasta tres años de edad. Las entrevistas fueron mediadas por una narrativa interactiva. Después de cada encuentro, la entrevistadora redactó una narrativa transferencial. El material fue analizado psicoanalíticamente, según la Teoría de Campos. Se observó que las participantes se culpaban por la pérdida y por haber seguido adelante con los niños arcoíris, oscilando entre la sobreprotección y el retraimiento. Se señala la importancia de una intervención junto a este colectivo, a la que normalmente se dirige (cuando se lo hace) sólo durante el embarazo/puerperio tras la pérdida gestacional/neonatal.


Subject(s)
Humans , Female , Child , Adult , Bereavement , Abortion, Spontaneous , Parenting , Postpartum Period , Mother-Child Relations
2.
Semin Vasc Surg ; 35(1): 60-68, 2022 Mar.
Article in English | MEDLINE | ID: mdl-35501042

ABSTRACT

Pregnancy-associated aortic dissection (AD) is a rare event, with an incidence of 0.0004% per pregnancy. The work of the Aortic Dissection Collaborative identified pregnancy-associated AD as a high-priority topic, despite its rarity. The Pregnancy Working Group, which included physicians and patient stakeholders, performed a systematic literature review of pregnancy-associated AD from 1960 to 2021 and identified 6,333 articles through PubMed, OVID MEDLINE, Cochrane, Embase, CINAHL and Web of Science. The inclusion criterion was AD in pregnant populations and exclusion criteria were case reports, conference abstracts, and languages other than English. Assessment of full-text articles for eligibility after removal of duplicates from all databases yielded 68 articles to be included in the final review. Topics included were timing of AD in pregnancy, type of AD, and management considerations of pregnancy-associated AD. The Pregnancy Working Group identified gaps in knowledge and future areas of research for pregnancy-associated AD, including clinical management, mental health outcomes post AD, reproductive and genetic counseling, and contraception after AD. Future collaborative projects could be a multicenter, international registry for all pregnancy-associated AD to refine the risk factors, best practice and management of AD in pregnancy. In addition, future mixed methodology studies may be useful to explore social, mental, and emotional factors related to pregnancy-associated AD and to determine support groups' effect on anxiety and depression related to these events in the pregnancy and postpartum period.


Subject(s)
Aneurysm, Dissecting , Postpartum Period , Aneurysm, Dissecting/epidemiology , Aneurysm, Dissecting/therapy , Female , Humans , Multicenter Studies as Topic , Postpartum Period/psychology , Pregnancy , Risk Factors
3.
Front Immunol ; 13: 881321, 2022.
Article in English | MEDLINE | ID: mdl-35493501

ABSTRACT

Background: The extent of the increase in postpartum alanine transaminase (ALT) varies significantly among pregnant women in the immune tolerance stage of nucleoside analogue (NA) intervention, so this study is an attempt to analyze the clinical features of patients with and without postpartum hepatitis flare and preliminarily explore the differences in their immune functions. Methods: Pregnant women with a gestational age of 24-28 w and in the immune tolerance stage of NA intervention for hepatitis B virus (HBV) infection were included and divided into a hepatitis group (Group 1) and a nonhepatitis group (Group 2) according to the ALT level at 6-12 w after childbirth. The clinical features were analyzed, and the phenotypes, functions, and cytokines of clusters of differentiation CD8+ T cells in the two groups of patients were detected using flow cytometry before and after childbirth. Results: A total of 15 patients with postpartum hepatitis flare were enrolled in Group 1, and 10 matched patients were selected as controls for Group 2. Compared with the individuals in Group 2, the postpartum clinical features in Group 1 included a remarkable elevation of the ALT level on the basis of a relatively low HBV DNA level, usually accompanied by a decline in hepatitis B virus surface antigen levels as well as HBeAg levels. In addition, CD8+ T cell activation was enhanced after childbirth in Group 1. In particular, there was a notable difference in the activation of TEMRA subsets, and the frequency of CD8+ T cells expressing perforin and granzyme B increased. Conclusion: The changes in the immune characteristics of CD8+ T cells may play a certain role in breaking down immune tolerance in patients with postpartum hepatitis flare, and the indexes related to activating and killing functions may help to indicate the population with hepatitis flare after childbirth.


Subject(s)
Hepatitis B, Chronic , Hepatitis B , Pregnancy Complications, Infectious , Antiviral Agents/therapeutic use , CD8-Positive T-Lymphocytes , DNA, Viral , Female , Hepatitis B/drug therapy , Hepatitis B e Antigens , Hepatitis B virus , Humans , Nucleosides , Parturition , Postpartum Period , Pregnancy , Pregnant Women , Symptom Flare Up
4.
J Hosp Med ; 17(2): 77-87, 2022 Feb.
Article in English | MEDLINE | ID: mdl-35504571

ABSTRACT

BACKGROUND: Safety-net hospitals (SNHs) treat more maternal patients with risk factors for postpartum readmission. OBJECTIVE: To assess how patient, hospital, and community characteristics explain the SNH/non-SNH disparity in postpartum readmission rates. DESIGN: A linear probability model assessed covariates associated with postpartum readmissions. Oaxaca-Blinder decomposition estimates quantified the contribution of covariates to the SNH/non-SNH disparity in postpartum readmission rates. SETTING: Healthcare Cost and Utilization Project 2016-2018 State Inpatient Databases from 25 states. PARTICIPANTS: 3.5 million maternal delivery stays. MEASUREMENTS: The outcome was inpatient readmission within 42 days of delivery. SNHs had a share of Medicaid/uninsured stays in the top quartile. A range of patient, hospital, and community characteristics was considered as covariates. RESULTS: The unadjusted postpartum readmission rate was 4.2 per 1000 index deliveries higher at SNHs than at non-SNHs (19.1 vs. 14.9, p < .001). Adjustment reduced the risk difference to 0.65 per 1000 (95% confidence interval [CI]: -0.14, 1.44). Patient (66%), hospital (14%), and community (4%) characteristics explained 84% of the disparity. The single largest contributors to the disparity were race/ethnicity (20%), hypertension (12%), hospital preterm delivery rate (10%), and preterm delivery (7%). Collectively, patient comorbidities explained 31% of the disparity. CONCLUSION: Higher postpartum readmission rates at SNHs versus non-SNHs were largely due to differences in the patient mix rather than hospital factors. Hospital initiatives are needed to reduce the risk of postpartum readmissions among SNH patients. Improving factors that contribute to the disparity, including underlying health conditions and health inequities associated with race, requires enduring investments in public health.


Subject(s)
Premature Birth , Safety-net Providers , Female , Humans , Infant, Newborn , Medicaid , Patient Readmission , Postpartum Period , Pregnancy , United States
6.
Ir Med J ; 115(3): 566, 2022 Mar 16.
Article in English | MEDLINE | ID: mdl-35532911

ABSTRACT

Presentation We present a case of spontaneous coronary artery dissection (SCAD) in a 35-year-old lady who was 4 months post-partum. Despite a lack of typical risk factors, initial presentation and investigations were strongly suggestive of ACS. Diagnosis Coronary angiography revealed an occluded proximal left anterior descending (LAD) artery with TIMI 0 flow. Angiographic appearances and intravascular ultrasound (IVUS) were consistent with SCAD. Treatment A single drug-eluting stent was deployed, successfully restoring good flow, without extending the dissection flap. Discussion SCAD should be considered as an important and underdiagnosed cause of ACS, predominantly in young women without other apparent risk factors.


Subject(s)
Coronary Vessel Anomalies , Drug-Eluting Stents , Adult , Coronary Vessel Anomalies/diagnostic imaging , Female , Humans , Postpartum Period , Vascular Diseases/congenital
7.
Trop Anim Health Prod ; 54(3): 180, 2022 May 06.
Article in English | MEDLINE | ID: mdl-35522378

ABSTRACT

The purpose of this study was to evaluate the effect of retained placenta (RP) and clinical mastitis (CM) on the reproductive efficiency of crossbred dairy cows during the postpartum period and the effect in some innate immune system indicators. For this, two experiments were carried out. In the first, a total of 232 cows were evaluated and divided as: healthy control (n = 184), RP (n = 22), and CM (n = 26) groups. The RP and CM was evaluated until 30 days postpartum (DPP) and reproductive rates were measured. In experiment 2, cows were divided in control (n = 10), RP (n = 10), and CM (n = 30) groups. Between 40 and 50 DPP, clinical, gynecological examination and endometrial cytobrush were performed to evaluate subclinical endometritis (SE) and gene expression of interleukins 1ß (IL-1ß) and 6 (IL-6), chemokine ligand 5 (CCL5), estrogen α (ESR1), and progesterone (PGR) receptors by qRT-PCR analysis. In experiment 1, the conception rate at 1st artificial insemination (AI) was lower in RP and CM groups and pregnancy rate at 150 days decreased in CM group. Calving-to-1st AI interval and days open were shorter in healthy cows. In experiment 2, the occurrence of SE was 26.7% and higher in RP and CM groups. The expression of IL-1ß increased in RP and CM groups, while IL-6 was less expressed in RP group. The CCL5, ESR1, and PGR were similar between groups. In conclusion, cows with RP and CM had their reproductive efficiency negatively affected and had they initial pro-inflammatory response improved by the increase of IL-ß.


Subject(s)
Cattle Diseases , Endometritis , Mastitis , Placenta, Retained , Animals , Cattle , Cattle Diseases/epidemiology , Endometritis/veterinary , Female , Gene Expression , Immunity , Interleukin-6/pharmacology , Lactation , Mastitis/veterinary , Placenta, Retained/genetics , Placenta, Retained/veterinary , Postpartum Period , Pregnancy , Reproduction
8.
PLoS One ; 17(5): e0265941, 2022.
Article in English | MEDLINE | ID: mdl-35511885

ABSTRACT

The postpartum period is a challenging transition period with almost one in ten mothers experiencing depression after childbirth. Perceived social support is associated with mental health. Yet empirical evidence regarding the causal effects of social support on postpartum mental health remains scarce. In this paper, we used a nationally representative panel data of women to examine causality between perceived social support and postpartum mental health. We used fixed-effect method and included dependent variable lags to account for past mental health condition before birth (i.e., the pre-pregnancy and prenatal periods). The study also used an instrumental variable approach to address endogeneity. We find a declining trend in postpartum mental health between 2002 to 2018. Our study also showed that past mental health (i.e., before childbirth) is positively correlated with postpartum mental health. A universal routine mental health screening for expectant and new mothers should remain a key priority to ensure mental wellbeing for the mothers and their infants.


Subject(s)
Depression, Postpartum , Depression, Postpartum/epidemiology , Depression, Postpartum/psychology , Female , Humans , Infant , Mental Health , Mothers/psychology , Postpartum Period/psychology , Pregnancy , Social Support
9.
PLoS One ; 17(5): e0268046, 2022.
Article in English | MEDLINE | ID: mdl-35507607

ABSTRACT

AIM: The aim of this study was to examine the relationship between breastfeeding and postpartum maternal weight change. METHOD: This study used data from the Japan Environment and Children's Study (JECS), an ongoing nationwide birth cohort study. Participants were categorized into two groups: full breastfeeding (FB) and non-full breastfeeding (NFB) groups. Postpartum weight changes between the FB (n = 26,340) and NFB (n = 38,129) groups were compared. RESULTS: At 6 months postpartum, mean weight retention was significantly lower in the FB group than in the NFB group (0.2 vs 0.8 kg, respectively, p<0.001). Weight retention differed by pre-pregnancy body mass index (BMI), with postpartum weights of overweight (pre-pregnancy BMI 25.0-29.9) and obese (pre-pregnancy BMI ≥30.0) participants being lower than pre-pregnancy weight; this trend was more pronounced in the FB group than in the NFB group (overweight: -2.2 vs -0.7 kg, respectively; obese: -4.8 vs -3.4 kg, respectively). Factors affecting weight retention at 6 months postpartum were weight gain during pregnancy (ß = 0.43; p<0.001), pre-pregnancy BMI (ß = -0.147; p<0.001) and feeding method. FB resulted in lower weight retention than NFB (ß = -0.107; p<0.001). CONCLUSION: Breastfeeding reduced maternal weight retention, which was greater in mothers who were obese before pregnancy. For obese women, active breastfeeding may improve their health.


Subject(s)
Breast Feeding , Gestational Weight Gain , Body Mass Index , Child , Cohort Studies , Female , Humans , Japan/epidemiology , Obesity/epidemiology , Overweight/epidemiology , Postpartum Period , Pregnancy
10.
Reprod Health ; 19(1): 112, 2022 May 08.
Article in English | MEDLINE | ID: mdl-35527298

ABSTRACT

BACKGROUND: Women's sexual health is generally defined and explored solely in relation to reproductive capacity, and often omits elements of sexual function and/or dysfunction. Concerted focus is given to women's health during pregnancy; however, women's sexual health is largely neglected after childbirth. This scoping review explored how the sexual health of postpartum women has been defined, measured, and researched in low- and middle-income countries (LMICs). METHODS: Articles eligible for review were those that investigated women's sexual health during the first 12 months postpartum and were conducted among women aged 15-49 in LMICs. Eligibility was further restricted to studies that were published within the last 20 years (2001-2021). The initial PubMed search identified 812 articles, but upon further eligibility review, 97 remained. At this time, the decision was made to focus this review only on articles addressing sexual function and/or dysfunction, which yielded 46 articles. Key article characteristics were described and analyzed by outcome. RESULTS: Of the final included articles, five studies focused on positive sexual health, 13 on negative sexual health, and the remaining 28 on both positive and negative sexual health or without specified directionality. The most common outcome examined was resumption of sex after childbirth. Most studies occurred within sub-Saharan Africa (n = 27), with geographic spread throughout the Middle East (n = 10), Asia (n = 5), North Africa (n = 3), and cross-geography (n = 1); notably, all five studies on positive sexual health were conducted in Iran. Negative sexual health outcomes included vaginismus, dyspareunia, episiotomy, perineal tears, prolapse, infection, obstetric fistula, female genital cutting, postnatal pain, uterine prolapse, coercion to resume sex, sexual violence, and loss of sexual desire/arousal. Most studies were quantitative, though eight qualitative studies elucidated the difficulties women endured in receiving information specific to sexual health and hesitance in seeking help for sexual morbidities in the postpartum period. CONCLUSIONS: Overall, the evidence base surrounding women's sexual health in the postpartum period within LMICs remains limited, with most studies focusing solely on the timing of resumption of sex. Integration of sexual health counseling into postnatal care and nonjudgmental service provision can help women navigate these bodily changes and ultimately improve their sexual health.


Subject(s)
Sexual Health , Developing Countries , Female , Humans , Male , Parturition , Postpartum Period , Pregnancy , Women's Health
11.
Comput Math Methods Med ; 2022: 8002055, 2022.
Article in English | MEDLINE | ID: mdl-35495879

ABSTRACT

In order to explore the application value of image enhancement algorithm in evaluating pelvic floor rehabilitation training in the prevention of postpartum female pelvic floor dysfunction (FPFD), 70 patients with FPFD were selected as the study subjects and randomly divided into two groups. One group received routine nursing (control group, n = 35), and the other group received pelvic floor rehabilitation training based on routine nursing (experimental group, n = 35). In ultrasound images based on an image enhancement algorithm, the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), and Pelvic Floor Distress Inventory-20 (PFDI-20) were used to evaluate the efficacy. The results showed that after image enhancement algorithm processing, the image signal-to-noise ratio (SNR), peak signal-to-noise ratio (PSNR), and structural similarity index (SSIM) of ultrasound images of patients with FPFD were significantly improved (P < 0.05); the mean square error (MSE) was significantly decreased (P < 0.05); the diagnostic accuracy of FPFD in the original ultrasound images was 73.34%, and that after image enhancement algorithm processing was significantly improved to be 89.86% (P < 0.05). In addition, the overall clinical response rate of FPFD in the experimental group (82.86%) was obviously higher than that in the control group (51.43%) (P < 0.05). After rehabilitation training, the ICIQ-SF and PFDI-20 scores of patients with FPFD in the two groups suggested a significant decrease (P < 0.05). In summary, using an image enhancement algorithm has a good application prospect in evaluating pelvic floor rehabilitation training in preventing postpartum FPFD and is worthy of further promotion.


Subject(s)
Pelvic Floor Disorders , Urinary Incontinence , Algorithms , Female , Humans , Image Enhancement , Male , Pelvic Floor/diagnostic imaging , Pelvic Floor Disorders/diagnostic imaging , Pelvic Floor Disorders/prevention & control , Postpartum Period
12.
BMJ Open ; 12(5): e054787, 2022 May 04.
Article in English | MEDLINE | ID: mdl-35508349

ABSTRACT

OBJECTIVE: The ACROBAT pilot trial of early cryoprecipitate for severe postpartum haemorrhage used deferred consent procedures. Pretrial discussions with a patient and public involvement group found mixed views towards deferred consent. This study aimed to build an understanding of how the deferred consent procedures worked in practice, to inform plans for a full-scale trial. SETTING: Qualitative interview study within a cluster-randomised pilot trial, involving four London maternity services. PARTICIPANTS: Individual interviews were conducted postnatally with 10 women who had received blood transfusion for severe postpartum haemorrhage and had consented to the trial. We also interviewed four 'recruiters'-two research midwives and two clinical trials practitioners who conducted trial recruitment. RESULTS: Consent procedures in the ACROBAT pilot trial were generally acceptable and the intervention was viewed as low risk, but most women did not remember much about the consent conversation. As per trial protocol, recruiters sought to consent women before hospital discharge, but this time pressure had to be balanced against the need to ensure women were not approached when distressed or very unwell. Extra efforts had to be made to communicate trial information to women due to the exhaustion of their recovery and competing demands for their attention. Participant information was further complicated by explanations about the cluster design and change in transfusion process, even though the consent sought was for access to medical data. CONCLUSION: Our findings indicate that deferred consent procedures raise similar concerns as taking consent when emergency obstetric research is occurring-that is, the risk that participants may conflate research with clinical care, and that their ability to process trial information may be impacted by the stressful nature of recovery and newborn care. A future trial may support more meaningful informed consent by extending the window of consent discussion and ensuring trial information is minimal and easy to understand. TRIAL REGISTRATION NUMBER: ISRCTN12146519.


Subject(s)
Postpartum Hemorrhage , Female , Humans , Infant, Newborn , Informed Consent , Male , Pilot Projects , Postpartum Hemorrhage/therapy , Postpartum Period , Pregnancy , Qualitative Research
13.
BMC Pregnancy Childbirth ; 22(1): 382, 2022 May 02.
Article in English | MEDLINE | ID: mdl-35501828

ABSTRACT

BACKGROUND: Women with cardiac disease in pregnancy and the first year postpartum often face uncertainty about their condition and the trajectory of their recovery. Cardiac disease is a leading cause of serious maternal morbidity and mortality, and the prevalence is increasing. Affected women are at risk of worsening cardiac disease, chronic illness, mental illness and trauma. This compounded risk may lead to significant and long-term negative outcomes. The aim of this study is to correct the lack of visibility and information on the experiences of women with cardiac disease in pregnancy and the first year postpartum. METHODS: A qualitative study using in-depth semi-structured interviews with twenty-five women who had acquired, congenital or genetic cardiac disease during pregnancy or the first year postpartum. Data were analysed and interpreted using a thematic analysis framework. RESULTS: Analysis of the interviews produced three major themes: 1) Ground zero: index events and their emotional and psychological impact, 2) Self-perception, identity and worthiness, and 3) On the road alone; isolation and connection. There was a narrative consistency across the interviews despite the women being diverse in age, cardiac diagnosis and cardiac health status, parity and timing of diagnosis. The thread prevailing over the temporal and clinical differences was one of distress, biographical disruption, identity, isolation, a necessitated re-imagining of their lives, and the process of multi-layered healing. CONCLUSION: Acknowledging and understanding the breadth, complexity and depth of women's experiences is fundamental to improving outcomes. Our findings provide unique insights into women's experiences and challenges across a spectrum of diseases. Most women did not report an isolated trauma or distressing event, rather there was a layering and persistence of psychological distress necessitating enhanced assessment, management and continuity of care beyond the routine 6-week postpartum check. Further research is required to understand long-term outcomes and to refine the findings for specific disease cohorts to be able to respond effectively.


Subject(s)
Heart Diseases , Mental Health , Emotions , Female , Humans , Postpartum Period/psychology , Pregnancy , Qualitative Research
14.
Comput Math Methods Med ; 2022: 1786994, 2022.
Article in English | MEDLINE | ID: mdl-35509857

ABSTRACT

This study was aimed at exploring the application value of ultrasound technology and rehabilitation training based on artificial intelligence algorithm in postpartum recovery of pelvic organ prolapse. Sixty patients diagnosed as mild and moderate pelvic organ prolapse by pelvic organ prolapse quantification evaluation were selected as the research objects. The patients were randomly divided into experimental group (30 cases) and control group (30 cases). The patients in the control group were given routine guidance and postpartum health education 42 days after delivery and given no pelvic floor rehabilitation training, waiting for natural recovery. 42 days after delivery, the patients in the experimental group received pelvic floor rehabilitation training based on the patients in the control group. All patients underwent ultrasonography, the convolution neural network (CNN) algorithm was used for image denoising and edge feature extraction, and the performance of the algorithm was evaluated by the Dice coefficient, positive predictive value, sensitivity, and Hausdorff distance. The thickness of levator ani muscle, anterior and posterior diameter of perineal hiatus, pelvic floor muscle strength, and imaging data were compared between the two groups. The results revealed that the thickness of levator ani muscle in the experimental group was significantly greater than that in the control group after one month and three months of treatment (0.633 ± 0.26 cm vs. 0.519 ± 0.234 cm, 0.7 ± 0.214 cm vs. 0.507 ± 0.168 cm, P < 0.05). After one month and three months of treatment, the anterior and posterior diameter of perineal fissure in the experimental group was obviously smaller than that in the control group (4.76 ± 0.513 cm vs. 5.002 ± 0.763 cm, 4.735 ± 0.614 cm vs. 4.987 ± 0.581 cm, P < 0.05). The pelvic floor muscle strength of the experimental group was remarkably higher than that of the control group after one month and three months of treatment (3.183 ± 1.47 vs. 2.41 ± 1.57, 3.365 ± 1.53 vs. 2.865 ± 1.69, P < 0.05). The ultrasonic image was clearer, the focus was more prominent, and the image quality was significantly improved after being processed by artificial intelligence algorithm. The Dice coefficient, positive predictive value, sensitivity, and Hausdorff distance of the proposed algorithm were better than those of the traditional algorithm. Thus, artificial intelligence algorithm had a good effect in ultrasonic image processing. Pelvic floor rehabilitation training had a good effect on postpartum nursing of patients with pelvic organ prolapse.


Subject(s)
Pelvic Floor Disorders , Pelvic Organ Prolapse , Algorithms , Artificial Intelligence , Female , Humans , Male , Pelvic Floor/diagnostic imaging , Pelvic Organ Prolapse/diagnostic imaging , Postpartum Period , Pregnancy , Pregnant Women , Ultrasonography
15.
Internet resource in Portuguese | LIS -Health Information Locator | ID: lis-48734

ABSTRACT

A Revista Paulista de Pediatria publicou o manuscrito de autoria de Santos APS et al que analisou os desejos, as expectativas e as experiências de mulheres no que diz respeito ao contato pele a pele e à amamentação na primeira hora de vida. A conclusão do estudo aponta para uma falha que se inicia no pré-natal e implica dificuldades na implementação das práticas estudadas. Desse modo, o fortalecimento da participação das mulheres pode se mostrar uma ferramenta importante na humanização do nascimento.


Subject(s)
Breast Feeding/psychology , Postpartum Period/psychology , Mother-Child Relations , Prenatal Care , Humanizing Delivery
16.
Internet resource in Portuguese | LIS -Health Information Locator | ID: lis-48735

ABSTRACT

As vacinas contra a covid-19 se mostraram muito eficazes em evitar casos graves de covid-19. O uso de mascaras e o distanciamento social, associados à vacinação de grande parte da população foram capazes de reduzir significativamente o número de casos desta infecção e, o mais importante, de casos graves e mortes. Na última semana, em virtude dessa redução do número de casos, o Estado de São Paulo determinou a liberação do uso de máscaras em locais abertos e fechados, com exceção do transporte público (e seus respectivos locais de acesso) e nos locais destinados à prestação de serviços de saúde.


Subject(s)
COVID-19/prevention & control , Pregnant Women , Postpartum Period , Risk Groups
17.
Internet resource in Portuguese | LIS -Health Information Locator | ID: lis-48724

ABSTRACT

A Organização Mundial da Saúde (OMS) lançou nesta quarta-feira (30) suas primeiras diretrizes globais para apoiar mulheres e recém-nascidos no período pós-natal – as primeiras seis semanas após o nascimento.


Subject(s)
Women's Health Services/standards , Infant, Newborn , Quality of Life , Postpartum Period , World Health Organization/organization & administration
18.
Rev Esc Enferm USP ; 56: e20210428, 2022.
Article in English | MEDLINE | ID: mdl-35377385

ABSTRACT

OBJECTIVE: To examine the effect of breastfeeding educational intervention given in the antenatal period on LATCH and breastfeeding self-efficacy scores. METHOD: A total of 80 pregnant who met the research criteria were randomly assigned to intervention (n = 40) or control (n = 40) groups. Pregnant women received to the control group received only standard care while breastfeeding education was accepted to the intervention group along with standard care. Both groups were visited at their home, and the personal data form, the LATCH Breastfeeding Assessment Tool, and Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) were applied in the postpartum 1st week. End of the study, brochures prepared by the researcher were given to both groups. RESULT: The mean breastfeeding self-efficacy and LATCH scores were higher in the intervention group compared to the control group. Breastfeeding success was found to increase as the maternal breastfeeding self-efficacy perception increased. CONCLUSION: Breastfeeding education given in the antenatal period increased maternal breastfeeding self-efficacy perception and breastfeeding success in the postpartum 1st week period.Study is registered at ClinicalTrials.gov NCT04757324.


Subject(s)
Breast Feeding , Self Efficacy , Female , Humans , Mothers , Postpartum Period , Pregnancy , Pregnant Women
19.
Sci Rep ; 12(1): 5577, 2022 Apr 02.
Article in English | MEDLINE | ID: mdl-35368032

ABSTRACT

Mastering the correct breastfeeding posture remains a challenge for many new mothers. Generalized pregnancy breastfeeding education plays a role in helping mothers master breastfeeding positions and prevent nipple damage. This study prospectively analyzed the effects of prenatal professional breastfeeding education for the family on mastering the lactation latch and preventing nipple damage. Medical records of pregnant women in the authors' hospital from April 2020 to July 2020 were prospectively analyzed. A total of 342 patients were enrolled and divided into experimental and control groups according to whether or not they had received prenatal professional breastfeeding education for the family by the random number table method. The difference in the mastery rate of the postpartum breastfeeding posture and nipple damage was examined three days postpartum. The mastery rate in the experimental group (88.5%) was significantly higher than that in the control group (63.8%), whereas the rate of nipple damage in the experimental group (23.1%) was significantly lower than that in the control group (46.9%). Prenatal professional breastfeeding education for the family can promote mothers' mastery of breastfeeding latch skills and reduce the risk of nipple damage.


Subject(s)
Breast Feeding , Prenatal Education , Female , Humans , Mothers/education , Nipples , Postpartum Period , Pregnancy
20.
Anim Sci J ; 93(1): e13715, 2022 Jan.
Article in English | MEDLINE | ID: mdl-35384147

ABSTRACT

We determined effects of pre- and postpartum dietary cation-anion difference (DCAD) on urine pH, serum calcium and hormone concentrations, and milk production with 48 multiparous Holstein cows (average body weight = 706 ± 7.3 kg). Treatments were 3 prepartum DCAD concentrations (0, -100, or -180 mEq/kg dry matter [DM]) and 2 postpartum DCAD concentrations (+250 or +350 mEq/kg DM) starting 29 days before parturition through 90 days in milk. Prepartum urine pH was lower (p < 0.05) for -180 than for -100 or 0 DCAD, and postpartum urine pH was higher (p < 0.05) for +350 than for +250 DCAD. Prepartum serum total and ionized calcium and hydroxyproline were greater (p < 0.05) for -180 than for -100 and 0 DCAD, whereas parathyroid hormone was greater (p < 0.05) for 0 than for -100 and -180 DCAD. After calving, negative prepartum DCAD increased (p < 0.05) serum total and ionized calcium, but effects varied by sampling day. Pre- and postpartum DCAD did not affect milk yield or milk fat, but milk protein percent and total solids were increased (p < 0.05) by negative prepartum DCAD. Feeding an acidogenic diet prepartum improved postpartum calcium status without major effects on milk yield and composition.


Subject(s)
Calcium , Lactation , Animal Feed/analysis , Animals , Anions , Calcium/pharmacology , Cations , Cattle , Diet/veterinary , Dietary Supplements , Female , Postpartum Period/metabolism
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