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1.
Braz. j. oral sci ; 20: e210967, jan.-dez. 2021. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1253959

RESUMO

There is no much published data on the mothers' false beliefs about signs and symptoms associated with teething in Sudan. Aim: This cross-sectional hospital-based study was conducted to assess mothers` knowledge about infant teething process and to evaluate mothers' practices used to alleviate teething disturbances in Gadarif city, eastern Sudan. Methods: Questionnaires were used to collect data. Multivariate logistics regression models were performed and adjusted odds ratios (AOR) and 95% confidence intervals (CI) were calculated. Results/Conclusion: Of a total of 384 participating mothers, 126 (32.8%) had good knowledge about infant teething. The mothers' knowledge was associated with a higher number of children in the family (adjusted odds ratio [AOR] = 1.14) and with having a job (AOR = 2.22). Mothers residing in rural areas (AOR = 0.40) and mothers with lower than secondary education (AOR = 0.43) were less likely to have good knowledge about teething. Diarrhea (88.5%), fever (86.5%), an urge to bite (76.6%), and poor appetite (71.9%) were the signs and symptoms most attributed to teething by mothers. Only the mother's knowledge about teething was associated with reporting fever as a sign. A considerable number (317; 82.6%) of mothers reported performing "Dokhan" (acacia wood smoke), 313 (81.5%) preferred to administer paracetamol or other systemic analgesics, 262 (68.2%) agreed that a child with tooth eruption should be taken to a hospital or health center, and 216 (56.3%) believed that antibiotics relieved symptoms related to teething


Assuntos
Humanos , Feminino , Sinais e Sintomas , Erupção Dentária , Criança , Inquéritos e Questionários , Conhecimento , Mães
2.
Ceska Gynekol ; 86(3): 189-193, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34192879

RESUMO

OBJECTIVE: A case report of a 23-year-old pregnant woman diagnosed with Guillain-Barré syndrome in the 31st week of pregnancy. CASE REPORT: We present a case study of a patient in the 31st week of pregnancy hospitalized at the University Hospital in Brno for expressed bulbar syndrome, neck muscle weakness, paresthesia of the arms and medical history of diarrhea in the previous week. During hospitalization, there was a rapid progression of symptoms and respiratory failure, requiring orotracheal intubation. The diagnosis of Guillain-Barré syndrome was determined and intravenous immunoglobulin therapy was initiated. The pregnancy was terminated in the 32nd week of gestation based on the maternal indication after a completed lung maturation of the fetus. CONCLUSION: Guillain-Barré syndrome is a neurological disease that can rarely occur during pregnancy and puerperium. The syndrome presents a serious pregnancy complication with an uncertain prognosis and risk for both mother and fetus. If the syndrome is diagnosed in time and treated correctly, the prognosis is favorable despite the complicated course.


Assuntos
Síndrome de Guillain-Barré , Complicações na Gravidez , Adulto , Feminino , Feto , Síndrome de Guillain-Barré/complicações , Síndrome de Guillain-Barré/diagnóstico , Síndrome de Guillain-Barré/terapia , Humanos , Mães , Período Pós-Parto , Gravidez , Complicações na Gravidez/diagnóstico , Complicações na Gravidez/terapia , Adulto Jovem
3.
Artigo em Inglês | MEDLINE | ID: mdl-34208247

RESUMO

Changes in perinatal care occurring during the coronavirus disease 2019 (COVID-19) pandemic may negatively affect mothers' mental health and breastfeeding. This study, performed between April and May 2020, aimed to investigate the effect of restricted partners' visiting policies on non-infected mother's anxiety symptoms, the perceived postpartum support, and the breastfeeding outcomes at discharge. A cross-sectional study was conducted in a neonatal tertiary referral center in northern Italy during Italy's lockdown. We enrolled mothers with a negative nasopharyngeal swab for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), adequate oral and written comprehension of the Italian language, and absence of underlying maternal or neonatal clinical conditions. Maternal anxiety levels were assessed through the State-Trait Anxiety Inventory-Form Y (STAI-Y). Maternal perception of staff's support was evaluated by the Nurse Parent Support Tool (NPST). A STATE-A (concurrent emotional state after a specific situation) score ≥ 40 was considered indicative of clinically significant symptoms of anxiety. A total of 109 mothers completed the study. Mean STATE-A score was ≥40 in 42% of mothers, and median NPST score was 4.23. Mothers separated from their partner had a mean STATE-A score ≥ 40 in a higher percentage of cases than those who were not (51% vs. 30%, p = 0.03) and a lower perception of caregiver support. A NPST score ≤4.23, partner 's absence during the hospital stay and primiparity were independently associated with a STATE-A score ≥ 40. Breastfeeding rates at discharge were not influenced by maternal anxiety levels and partner's restricted policies. Instead, they were influenced by mode of delivery, a well-known risk factor, and pre-pandemic intention to breastfeed. Our study demonstrates the positive impact of a partner's presence on maternal mental health and perception of caregiver support.


Assuntos
Aleitamento Materno , COVID-19 , Controle de Doenças Transmissíveis , Estudos Transversais , Feminino , Humanos , Recém-Nascido , Itália/epidemiologia , Saúde Mental , Mães , Pandemias , Políticas , Gravidez , SARS-CoV-2
4.
Front Public Health ; 9: 660908, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34222172

RESUMO

Introduction: In 2017, approximately 295,000 women died during and immediately following pregnancy and childbirth worldwide, with 94% of these deaths occurring in low-resource settings. The Dominican Republic (DR) exhibits one of the highest maternal mortality ratios in the region of Latin America and the Caribbean despite the fact that 99% of registered births in the country are reportedly attended by a skilled birth attendant. This paradox implies that programs to support healthcare worker knowledge and skills improvement are vital to improving maternal health outcomes in the DR. Helping Mothers Survive (HMS) is a provider training program developed by Jhpiego and global partners. The goal of HMS is to combat maternal mortality by contributing to quality improvement efforts that reinforce maternal health skills of local healthcare workers. Methods: An international, multisectoral group of stakeholders collaborated in the implementation of two HMS curricula, Bleeding After Birth (BAB) and pre-eclampsia & eclampsia (PE&E). Demographic information as well as pre- and post-training knowledge scores were recorded for each participant. Knowledge score improvement was assessed in order to support effectiveness of the program on knowledge acquisition of healthcare workers. Results: Three hundred and twenty healthcare workers participated in the HMS training workshops between October 2016-August 2020. Of the 320 participants, 132 were trained as master trainers. The majority of participants identified as attending physicians, followed by residents/interns, nurses, students, and "other." A significant improvement in knowledge scores was observed for both the BAB and PE&E curricula, with a 21.24 and 30.25% change in average score (pre- to post-test), respectively. In response to COVID-19 pandemic restrictions, flexibility of the local team led to a PE&E virtual training pilot workshop in August 2020. Discussion/Conclusions: Simulation-based training improved the knowledge levels of healthcare workers for both HMS curricula. These results suggest that simulation-based workshops have an impact on knowledge acquisition and skills of healthcare workers immediately following training. For the PE&E curriculum, no significant difference in knowledge acquisition was observed between in-person and virtual training sessions. The ongoing pandemic poses challenges to program implementation; however, these preliminary results provide evidence that conducting virtual workshops may be a viable alternative to in-person training.


Assuntos
COVID-19 , Mães , República Dominicana/epidemiologia , Feminino , Humanos , América Latina , Pandemias , Gravidez , Avaliação de Programas e Projetos de Saúde , SARS-CoV-2
5.
Orv Hetil ; 162(27): 1079-1088, 2021 07 04.
Artigo em Húngaro | MEDLINE | ID: mdl-34224396

RESUMO

Összefoglaló. A fejlett társadalmak egészségügyi rendszereinek legnagyobb kihívását az öregedéssel összefüggo, korfüggo betegségek jelentik. Annak megértéséhez, hogy az egyes genetikai variánsoknak mi a szerepük egy korfüggo betegség kialakulásában, meg kell ismerkednünk magával az öregedési folyamattal, az egészséges hosszú élettel asszociált, valamint az adott populációra jellegzetes variánsokkal is. A Semmelweis Egyetem Genomikai Medicina és Ritka Betegségek Intézete a Nemzeti Bionika Program keretén belül a Magyar Genomikai Egészségtárház felállítását tuzte ki célul, idoskoruk mellett is egészséges önkéntesek teljesgenom-szekvenciáinak és kapcsolódó fenotípusadatainak katalogizálásával és elemzésével, létrehozva az elso magyar teljes genomi referencia-adatbázist. Fontos szempont volt, hogy a kutatás az egészséges öregedést vizsgáló nemzetközi projektekhez is kapcsolódást biztosítson, így lehetoséget teremtve a különbözo országokból származó adatok harmonizálására és közös elemzésére. A kutatás résztvevoinek 49%-a 70-80 éves, 36%-a 81-90 éves, 14%-uk pedig 90 év feletti; a nemek aránya 44/56%-os megoszlást mutatott a férfiak és a nok között. A résztvevok csaknem fele (46%) egyedül él. Magas a felsofokú végzettséguek aránya (46%), a résztvevok 61%-a hosszú idon át sportolt, 70%-uk sosem dohányzott. A vizsgálati alanyok szülei is magas életkort éltek meg, az édesapáknál 74,3, az édesanyák esetében pedig 80,47 év volt a halálozáskori átlagéletkor. Adattárházunk elsoként tervez hozzáférést biztosítani egy magyar teljes genomi referencia-adatbázishoz, amely a genetikusan meghatározott betegségek és fenotípusok kutatásában és a klinikai gyakorlatban is alapveto fontosságú. A projekt bioinformatikai fejlesztései a genetikai/genomikai információk többszintu elérését támogatják a személyes adatok védettségét megorzo statisztikai elemzési és mesterségesintelligencia-eljárások segítségével. Orv Hetil. 2021; 162(27): 1079-1088. Summary. Genetics has proven to be a a successful approach in the study of ageing. To understand the role of each genetic variant in the development of an age-dependent disease, we need to become familiar with the ageing process itself and with the population-specific variants. The Institute of Genomic Medicine and Rare Disorders of the Semmelweis University within the framework of the National Bionics Program set up a data collection, the Hungarian Genomic Data Warehouse, by cataloging and analyzing complete genome sequences and related phenotype data of healthy volunteers, which also serves as a reference national Hungarian genomic database. The structure of the data warehouse allows interoperability with the most important international research projects on ageing. 49% of the participants in the Hungarian Genomic Data Warehouse were 70-80 years old, 36% were 81-90, 14% over 90 years old. The gender ratio was 44/56% between men and women. The proportion of people with higher education is high (46%), 61% of the participants played sports for a long time, and 70% never smoked. The parents of the participants also lived a high age, with an average age at death of 74.3 years for fathers and 80.47 years for mothers. The Hungarian Genomic Data Warehouse can provide vital and timely support in personalized medicine, especially in the research and diagnosis of genetically inherited disorders. The long-term goal of these bioinformatic developments is to provide access at multiple levels to the genomic data using privacy-preserving data analysis methods in genomics. Orv Hetil. 2021; 162(27): 1079-1088.


Assuntos
Envelhecimento , Motivação , Idoso , Idoso de 80 Anos ou mais , Pai , Feminino , Humanos , Hungria , Masculino , Mães
6.
Artigo em Inglês | MEDLINE | ID: mdl-34203340

RESUMO

The participation of women with young children in the Japanese labor force has increased dramatically in recent years, bringing growing potential for conflict between work and family roles amid inadequate social systems, such as childcare support. Thus, work-life balance (WLB) of mothers may influence their children's mental health and lifestyle. This study aims to clarify the relationship between parents' WLB and children's mental health, as well as the underlying factors of parental stress and nurturing attitude. The study is based on a questionnaire survey administered in 2019 to fifth-grade elementary school students and their caregivers in Aichi Prefecture, Japan. The regression results indicated that the higher the work-family negative spillover, the higher the child's externalizing and internalizing problems, and the higher the positive spillover, the lower the problems and the higher the prosocial behaviors. Path analysis indicates that maternal WLB is negatively and positively related to children's behavior through maternal stress and parenting practices. The study suggests that maternal WLB is related to children's emotional and behavioral problems. WLB may impact children's emotional and behavioral problems through parents' mental health and involvement with their children, particularly because of work arrangements changing with the COVID-19 pandemic.


Assuntos
COVID-19 , Ajustamento Social , Criança , Pré-Escolar , Feminino , Humanos , Japão , Mães , Pandemias , Poder Familiar , SARS-CoV-2 , Estresse Psicológico/epidemiologia , Equilíbrio Trabalho-Vida
7.
BMC Pregnancy Childbirth ; 21(1): 473, 2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-34210276

RESUMO

BACKGROUND: In response to the COVID-19 pandemic, drastic measures for social distancing have been introduced also in Italy, likely with a substantial impact in delicate conditions like pregnancy and puerperium. The study aimed to investigate the changes in lifestyle, access to health services, and mental wellbeing during the first Italian lockdown in a sample of Italian pregnant women and new mothers. METHODS: We carried out a web-based survey to evaluate how pregnant women and new mothers were coping with the lockdown. We collected data about healthy habits (physical exercise and dietary habits), access to health services (care access, delivery and obstetric care, neonatal care, and breastfeeding), and mental wellbeing (psychological well-being and emotive support). Descriptive analysis was performed for both groups of participants, whereas a Poisson analysis was used to measure the association between some structural variables (age, education, socio-economic data, partner support, contact, free time, previous children, and pregnancy trimester) and anxiety or depression, difficulties in healthy eating and reduction in physical activity after lockdown started. Chi2 and Adjusted Prevalence Ratios were estimated only for pregnant women. RESULTS: We included 739 respondents (response rate 85.8 %), 600 were pregnant (81.2 %), and 139 (18.8 %) had delivered during lockdown (new mothers). We found a high score for anxiety and depression in 62.8 % of pregnant women and 61.9 % of new mothers. During the lockdown, 61.8 % of pregnant women reduced their physical exercise, and 44.3 % reported eating in a healthier way. 94.0 % of new mothers reported to have breastfed their babies during the hospital stay. Regarding the perceived impact of restrictive measures on breastfeeding, no impact was reported by 56.1 % of new mothers, whereas a negative one by 36.7 %. CONCLUSIONS: The high prevalence of anxiety and depressive symptoms in pregnant women and new mothers should be a public health issue. Clinicians might also recommend and encourage "home" physical exercise. On the other hand, about half of the sample improved their approach towards healthy eating and a very high breastfeeding rate was reported soon after birth: these data are an interesting starting point to develop new strategies for public health.


Assuntos
COVID-19/psicologia , Estilo de Vida , Saúde Mental , Mães/psicologia , Parto/psicologia , Gestantes/psicologia , Quarentena , Adulto , Ansiedade/epidemiologia , Aleitamento Materno , Depressão/epidemiologia , Dieta Saudável , Exercício Físico , Feminino , Acesso aos Serviços de Saúde , Humanos , Itália/epidemiologia , Pessoa de Meia-Idade , Gravidez , SARS-CoV-2 , Adulto Jovem
8.
Artigo em Inglês | MEDLINE | ID: covidwho-1270035

RESUMO

Changes in perinatal care occurring during the coronavirus disease 2019 (COVID-19) pandemic may negatively affect mothers' mental health and breastfeeding. This study, performed between April and May 2020, aimed to investigate the effect of restricted partners' visiting policies on non-infected mother's anxiety symptoms, the perceived postpartum support, and the breastfeeding outcomes at discharge. A cross-sectional study was conducted in a neonatal tertiary referral center in northern Italy during Italy's lockdown. We enrolled mothers with a negative nasopharyngeal swab for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), adequate oral and written comprehension of the Italian language, and absence of underlying maternal or neonatal clinical conditions. Maternal anxiety levels were assessed through the State-Trait Anxiety Inventory-Form Y (STAI-Y). Maternal perception of staff's support was evaluated by the Nurse Parent Support Tool (NPST). A STATE-A (concurrent emotional state after a specific situation) score ≥ 40 was considered indicative of clinically significant symptoms of anxiety. A total of 109 mothers completed the study. Mean STATE-A score was ≥40 in 42% of mothers, and median NPST score was 4.23. Mothers separated from their partner had a mean STATE-A score ≥ 40 in a higher percentage of cases than those who were not (51% vs. 30%, p = 0.03) and a lower perception of caregiver support. A NPST score ≤4.23, partner 's absence during the hospital stay and primiparity were independently associated with a STATE-A score ≥ 40. Breastfeeding rates at discharge were not influenced by maternal anxiety levels and partner's restricted policies. Instead, they were influenced by mode of delivery, a well-known risk factor, and pre-pandemic intention to breastfeed. Our study demonstrates the positive impact of a partner's presence on maternal mental health and perception of caregiver support.


Assuntos
Aleitamento Materno , COVID-19 , Controle de Doenças Transmissíveis , Estudos Transversais , Feminino , Humanos , Recém-Nascido , Itália/epidemiologia , Saúde Mental , Mães , Pandemias , Políticas , Gravidez , SARS-CoV-2
9.
Reprod Health ; 18(1): 142, 2021 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-34215256

RESUMO

BACKGROUND: Episiotomy is a surgical incision of the perineum to hasten the delivery. There is a scarce of information related to episiotomy practice, and its associated factors, in developing countries, including Ethiopia. Thus, this study was aimed to determine the level of episiotomy practice and to identify its determinants at public health facilities of Metema district, northwest, Ethiopia. METHODS: Institutional-based cross sectional study was conducted among 410 delivered mothers from March 1 to April 30, 2020. We recruited study participants using systematic random sampling technique. Data were entered to Epi data version 3.1 and exported to STATA version 14 for statistical analysis. Stepwise backward elimination was applied for variable selection and model fitness was checked using Hosmer and Lemshows statistics test. Adjusted odds ratio with the corresponding 95% confidence interval was used to declare the significance of variables. RESULTS: In this study, the magnitude of episiotomy practice was found 44.15% (95% CI 39.32-48.97). Vaginal instrumental delivery (AOR 3.04, 95% CI 1.36-6.78), perineal tear (AOR 3.56, 95% CI 1.68-7.55), age between 25 and 35 (AOR 0.11, 95% CI 0.05-0.25), birth spacing less than 2 years (AOR 4.76, 95% CI 2.31-9.83) and use of oxytocin (AOR 2.73, 95% CI 1.19-6.25) were factors significantly associated with episiotomy practice. CONCLUSIONS: Magnitude of episiotomy practice in this study is higher than the recommended value of World Health Organization (WHO). Instrumental delivery, age, oxytocin, birth spacing and perineal tear were significant factors for episiotomy practice. Thus, specific interventions should be designed to reduce the rate of episiotomy practice. Plain English summary The routine use of episiotomy practice is not recommended by WHO. A study that compares routine episiotomy with restrictive episiotomy suggests that the latter is associated with less posterior perineal trauma, less need for suturing, and fewer complications related to healing. In addition, though, the rate of episiotomy has been declined in developed countries, still it remains high in less industrialized countries. The data for this study were taken at public health facilities of Metema district, northwest, Ethiopia. We included a total of 410 delivered mothers. The magnitude of episiotomy practice was found 44%. This result was higher than the recommended value of WHO. The WHO recommends an episiotomy rate of 10% for all normal deliveries. The result of this study showed that episiotomy practice is common among mothers whose age group are 18-24. In addition, mothers whose labor were assisted by instrumental vaginal delivery are more likely to have episiotomy as compared to those delivered by normal vaginal delivery. Laboring mothers who had used oxytocin were about three times more likely to be exposed for episiotomy than laboring mothers who did not use oxytocin drug. Moreover, episiotomy practice was nearly five times more likely among mothers who had birth spacing of 2 years and less as compared to mothers who had birth spacing of more than 2 years.


Assuntos
Parto Obstétrico/métodos , Episiotomia/estatística & dados numéricos , Instalações de Saúde/estatística & dados numéricos , Mães/estatística & dados numéricos , Adolescente , Adulto , Peso ao Nascer , Estudos Transversais , Episiotomia/efeitos adversos , Episiotomia/métodos , Etiópia , Feminino , Humanos , Recém-Nascido , Paridade , Gravidez , Organização Mundial da Saúde , Adulto Jovem
10.
Eur J Paediatr Dent ; 22(2): 89, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34237996

RESUMO

The human microbiome is the full set of microorganisms (microbiota) present on and in our body. Its importance is such that the human being has been defined as a holobiont, that is, a superorganism made up of human eukaryotic cells and microbial cells. A balanced microbiota (eubiosis) is a prerequisite for health and well-being; on the contrary, an altered microbiota (dysbiosis) is the cause of pathological conditions. This concept is the cornerstone of the "microbiota revolution": Currently there is no disease that cannot be re- interpreted as a function of microbiome. While all human beings have similar DNA, it is the microbiome that make every person genetically unique; therefore the microbiome is the variable component of the genome which characterises each one of us. About one third of the microbiome is common to all individuals, while two thirds are specific to each subject and constitute a sort of fingerprint that forms and stabilises in the first 2-3 years of life. This timeframe is extremely important since it has been shown that the structure of the microbiome is already acquired in the embryonic-fetal period, it is completed within 3 years and lasts a lifetime. The native core microbiome is the first microbiota and characterises individuals for their whole life. It is affected by four main variables: The quality of family and social life of the mother-to-be, the intake of drugs during pregnancy, as well as the type of birth and breastfeeding. It is renowned that breast milk is a complex, unique and essential food for the growth of the child, but one of its functions - which is still under investigation today - is to feed and guide the formation of the microbiome of the newborn even after the introduction of solid foods, during the first 3 years of life. This function is carried out by the over one hundred different types of oligosaccharides that are present in breast milk, which is why these days we talk about the so-called MOM (milk-oriented microbiome). The correct formation of the microbiome affects the entire life of an individual. This is a more than valid reason to promote breastfeeding even after eruption of baby teeth and throughout the weaning period. The role of pediatric dentists, together with hygienists and pediatricians, is to spread and stress out the importance of oral hygiene so that breastfeeding can only bring benefits and not carious lesions!


Assuntos
Microbiota , Aleitamento Materno , Criança , Feminino , Humanos , Lactente , Recém-Nascido , Leite Humano , Mães , Gravidez
11.
BMC Health Serv Res ; 21(1): 670, 2021 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-34238320

RESUMO

BACKGROUND: Childhood morbidities such as diarrhea and pneumonia are the leading causes of death in Ethiopia. Appropriate healthcare-seeking behavior of mothers for common childhood illnesses could prevent a significant number of these early deaths; however, little nation-wide research has been conducted in Ethiopia to assess mothers' healthcare-seeking behavior for their under five children. METHODS: The study used the Ethiopian Demographic and Health Surveys (EDHS) data. The EDHS is a cross sectional survey conducted in 2016 on a nationally representative sample of 10,641 respondents. The main determinants of care-seeking during diarrhea and acute respiratory infection (ARI) episodes were assessed using multiple logistic regression analyses while adjusting for complex survey design. RESULTS: Only 43% and 35% of households sought medical attention for their children in episodes of diarrhea and ARI, respectively, during a reference period of 2 weeks before the survey. The odds of seeking care for diarrhea are lower for non-working mothers versus working mothers. The likelihood of seeking care for diarrhea or ARI is higher for literate fathers compared to those with no education. The place of delivery for the child, receiving postnatal checkup and getting at least one immunization in the past determined the likelihood of seeking care for ARI, but not for diarrhea. The odds of seeking care are higher for both diarrhea and ARI among households that are headed by females and where mothers experienced Intimate Partner Violence (IPV) violence. Religion and types of family structure are also significant factors of seeking care for diarrhea episodes, but not for ARI. CONCLUSIONS: The findings call for more coordinated efforts to ensure equitable access to health care services focusing on mothers living in deprived household environment. Strengthening partnerships with public facilities, private health care practitioners, and community-based organizations in rural areas would help further improve access to the services.


Assuntos
Mães , Aceitação pelo Paciente de Cuidados de Saúde , Criança , Estudos Transversais , Diarreia/epidemiologia , Diarreia/terapia , Etiópia/epidemiologia , Feminino , Humanos , Lactente , Masculino , Morbidade
12.
Epidemiol Psychiatr Sci ; 30: e55, 2021 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-34261547

RESUMO

AIMS: Maternal migraine may contribute to mental heath problems in offspring but empirical evidence has been available only for bipolar disorders. Our objective was to examine the association between maternal migraine and the risk of any and specific psychiatric disorders in offspring. METHODS: This population-based cohort study used individual-level linked Danish national health registers. Participants were all live-born singletons in Denmark during 1978-2012 (n = 2 069 785). Follow-up began at birth and continued until the onset of a psychiatric disorder, death, emigration or 31 December 2016, whichever came first. Cox proportional hazards model was employed to calculate the hazard ratios (HRs) of psychiatric disorders. RESULTS: Maternal migraine was associated with a 26% increased risk of any psychiatric disorders in offspring [HR, 1.26; 95% confidence interval (CI), 1.22-1.30]. Increased rates of psychiatric disorders were seen in all age groups from childhood to early adulthood. Increased rates were also observed for most of the specific psychiatric disorders, in particular, mood disorders (HR, 1.53; 95% CI, 1.39-1.67), neurotic, stress-related and somatoform disorders (HR, 1.44; 95% CI, 1.37-1.52) and specific personality disorders (HR, 1.47; 95% CI, 1.27-1.70), but not for intellectual disability (HR, 0.84; 95% CI, 0.71-1.00) or eating disorders (HR, 1.10; 95% CI, 0.93-1.29). The highest risk was seen in the offspring of mothers with migraine and comorbid psychiatric disorders (HR, 2.13; 95% CI, 1.99-2.28). CONCLUSIONS: Maternal migraine was associated with increased risks of a broad spectrum of psychiatric disorders in offspring. Given the high prevalence of migraine, our findings highlight the importance of better management of maternal migraine at childbearing ages for early prevention of psychiatric disorders in offspring.


Assuntos
Deficiência Intelectual , Transtornos de Enxaqueca , Adulto , Criança , Estudos de Coortes , Feminino , Humanos , Recém-Nascido , Transtornos de Enxaqueca/epidemiologia , Mães , Modelos de Riscos Proporcionais
13.
Artigo em Inglês | MEDLINE | ID: covidwho-1295819

RESUMO

The participation of women with young children in the Japanese labor force has increased dramatically in recent years, bringing growing potential for conflict between work and family roles amid inadequate social systems, such as childcare support. Thus, work-life balance (WLB) of mothers may influence their children's mental health and lifestyle. This study aims to clarify the relationship between parents' WLB and children's mental health, as well as the underlying factors of parental stress and nurturing attitude. The study is based on a questionnaire survey administered in 2019 to fifth-grade elementary school students and their caregivers in Aichi Prefecture, Japan. The regression results indicated that the higher the work-family negative spillover, the higher the child's externalizing and internalizing problems, and the higher the positive spillover, the lower the problems and the higher the prosocial behaviors. Path analysis indicates that maternal WLB is negatively and positively related to children's behavior through maternal stress and parenting practices. The study suggests that maternal WLB is related to children's emotional and behavioral problems. WLB may impact children's emotional and behavioral problems through parents' mental health and involvement with their children, particularly because of work arrangements changing with the COVID-19 pandemic.


Assuntos
COVID-19 , Ajustamento Social , Criança , Pré-Escolar , Feminino , Humanos , Japão , Mães , Pandemias , Poder Familiar , SARS-CoV-2 , Estresse Psicológico/epidemiologia , Equilíbrio Trabalho-Vida
14.
Front Public Health ; 9: 660908, 2021.
Artigo em Inglês | MEDLINE | ID: covidwho-1295719

RESUMO

Introduction: In 2017, approximately 295,000 women died during and immediately following pregnancy and childbirth worldwide, with 94% of these deaths occurring in low-resource settings. The Dominican Republic (DR) exhibits one of the highest maternal mortality ratios in the region of Latin America and the Caribbean despite the fact that 99% of registered births in the country are reportedly attended by a skilled birth attendant. This paradox implies that programs to support healthcare worker knowledge and skills improvement are vital to improving maternal health outcomes in the DR. Helping Mothers Survive (HMS) is a provider training program developed by Jhpiego and global partners. The goal of HMS is to combat maternal mortality by contributing to quality improvement efforts that reinforce maternal health skills of local healthcare workers. Methods: An international, multisectoral group of stakeholders collaborated in the implementation of two HMS curricula, Bleeding After Birth (BAB) and pre-eclampsia & eclampsia (PE&E). Demographic information as well as pre- and post-training knowledge scores were recorded for each participant. Knowledge score improvement was assessed in order to support effectiveness of the program on knowledge acquisition of healthcare workers. Results: Three hundred and twenty healthcare workers participated in the HMS training workshops between October 2016-August 2020. Of the 320 participants, 132 were trained as master trainers. The majority of participants identified as attending physicians, followed by residents/interns, nurses, students, and "other." A significant improvement in knowledge scores was observed for both the BAB and PE&E curricula, with a 21.24 and 30.25% change in average score (pre- to post-test), respectively. In response to COVID-19 pandemic restrictions, flexibility of the local team led to a PE&E virtual training pilot workshop in August 2020. Discussion/Conclusions: Simulation-based training improved the knowledge levels of healthcare workers for both HMS curricula. These results suggest that simulation-based workshops have an impact on knowledge acquisition and skills of healthcare workers immediately following training. For the PE&E curriculum, no significant difference in knowledge acquisition was observed between in-person and virtual training sessions. The ongoing pandemic poses challenges to program implementation; however, these preliminary results provide evidence that conducting virtual workshops may be a viable alternative to in-person training.


Assuntos
COVID-19 , Mães , República Dominicana/epidemiologia , Feminino , Humanos , América Latina , Pandemias , Gravidez , Avaliação de Programas e Projetos de Saúde , SARS-CoV-2
15.
J Clin Psychiatry ; 82(4)2021 07 06.
Artigo em Inglês | MEDLINE | ID: mdl-34232578

RESUMO

Objective: The conditions created by the COVID-19 pandemic could negatively affect maternal mental health and the mother-infant relationship. The aim of this study is to determine the impact of the COVID-19 pandemic on depression, anxiety, and mother-infant bonding among women seeking treatment for postpartum depression (PPD).Methods: Baseline data collected in two separate randomized controlled trials of a psychoeducational intervention for PPD in the same geographic region, one prior to COVID-19 (March 2019-March 2020) and one during the COVID-19 pandemic (April-October 2020), were compared. Eligible participants had an Edinburgh Postnatal Depression Scale (EPDS) score of ≥ 10, were ≥ 18 years of age, had an infant < 12 months old, and were fluent in English. Outcomes included PPD (EPDS), anxiety (Generalized Anxiety Disorder-7 [GAD-7]), and mother-infant relationship (Postpartum Bonding Questionnaire [PBQ]). All were measured continuously and dichotomized at accepted clinical cutoffs.Results: Of the 603 participants (305 pre-COVID-19; 298 during COVID-19), mothers enrolled during the COVID-19 pandemic reported higher levels of symptoms of PPD (B = 1.35; 95% CI, 0.64 to 2.06; Cohen d = 0.31) and anxiety (B = 1.52; 95% CI, 0.72 to 2.32; Cohen d = 0.30). During COVID-19, women had 65% higher odds of clinically significant levels of depression symptoms (OR = 1.65; 95% CI, 1.13 to 2.31) and 46% higher odds of clinically relevant anxiety symptoms (OR = 1.46; 95% CI, 1.05 to 2.05). However, there were no statistically significant differences in mother-infant bonding.Conclusions: The findings of this study suggest that rates and severity of PPD and anxiety symptoms among women seeking treatment for PPD have worsened in Canada during the COVID-19 pandemic. However, treatment-seeking mothers have consistently maintained good relationships with their infants. Considering the difficulties women with PPD face when accessing treatment, it is important that strategies are developed and disseminated to safely identify and manage PPD to mitigate potential long-term adverse consequences for mothers and their families.Trial Registration: ClinicalTrials.gov identifiers: NCT03654261 and NCT04485000.


Assuntos
Ansiedade/etiologia , COVID-19/psicologia , Depressão Pós-Parto/etiologia , Relações Mãe-Filho/psicologia , Mães/psicologia , Apego ao Objeto , Pandemias , Adolescente , Adulto , Ansiedade/diagnóstico , Ansiedade/epidemiologia , Ansiedade/psicologia , COVID-19/epidemiologia , Depressão Pós-Parto/epidemiologia , Depressão Pós-Parto/psicologia , Feminino , Humanos , Lactente , Recém-Nascido , Ontário/epidemiologia , Fatores de Risco , Autorrelato , Índice de Gravidade de Doença , Adulto Jovem
16.
Artigo em Inglês | MEDLINE | ID: mdl-34200046

RESUMO

BACKGROUND: Over 300,000 women in Russia face perinatal depressive disorders every year, according to the data for middle-income countries. This study is the first attempt to perform a two-phase study of perinatal depressive disorders in Russia. The paper examines risk factors for perinatal depressive symptoms, such as marital satisfaction, birth experience, and childcare sharing. METHODS: At 15-40 gestational weeks (M = 30.7, SD = 6.6), 343 Russian-speaking women, with a mean age of 32 years (SD = 4.4), completed the Edinburgh Postnatal Depression Scale, Couples Satisfaction Index, Birth Satisfaction Scale, and provided socio-demographic data. Two months after childbirth, 190 of them participated in the follow-up. RESULTS: The follow-up indicated that 36.4% of participants suffered from prenatal depression and 34.3% of participants had postnatal depression. Significant predictors of prenatal depression were physical well-being during pregnancy (ß = -0.25; p = 0.002) and marital satisfaction during pregnancy (ß = -0.01; p = 0.018). Birth satisfaction (ß = -0.08; p = 0.001), physical well-being at two months after delivery (ß = -0.36; p < 0.01), and marital satisfaction during pregnancy (ß = 0.01; p = 0.016) and after delivery (ß = -0.02; p < 0.01) significantly predicted postnatal depression at 2 months after delivery. CONCLUSION: Our study identified that physical well-being during pregnancy and marital satisfaction during pregnancy significantly predicted prenatal depression. Birth satisfaction, physical well-being at 2 months after delivery, and marital satisfaction during pregnancy and after delivery significantly predicted postnatal depression. To our knowledge, this is the first study of perinatal depressive disorders in the context of marital satisfaction and birth satisfaction in the Russian sample. The problem of unequal childcare sharing is widely spread in Russia. Adjusting spousal expectations and making arrangements for childcare may become the focus of psychological work with the family. The availability of psychological support during pregnancy and labor may be important in the context of reducing perinatal depression risks.


Assuntos
Transtorno Depressivo , Complicações na Gravidez , Adulto , Criança , Depressão/epidemiologia , Feminino , Humanos , Mães , Satisfação Pessoal , Gravidez , Fatores de Risco , Federação Russa/epidemiologia
17.
Artigo em Inglês | MEDLINE | ID: mdl-34200387

RESUMO

Neighborhood and individual level risks commonly co-occur for pregnant women and may cumulatively contribute to birth outcomes. Moreover, the relationship between favorable social and environmental neighborhood conditions and perinatal outcomes has been understudied. This study considered the accumulated impact of prenatal exposure to positive neighborhood social, environmental, and educational conditions in relation to maternal health during pregnancy and birth size outcomes. In a prospective study of a multi-ethnic and socioeconomically diverse cohort (n = 239) of pregnant women and their infants, neighborhoods were characterized by the Child Opportunity Index (COI), a census-tract composite indicator representing favorable social, environmental, and educational community conditions. Adjusted generalized estimating equations showed that favorable neighborhood conditions promoted the growth of longer and heavier infant bodies, and reduced the risk of intrauterine growth restriction. The associations were stronger for female versus male infants, though not significantly different. Moreover, COI was associated with better maternal mental health and diet during pregnancy; diet significantly mediated the association between COI and birth size outcomes. This study underscores the importance of considering the accumulated benefit of neighborhood assets for maternal and infant health. Interventions that capitalizes on the full range of contextual assets in which mothers live may promote pregnancy health and fetal growth.


Assuntos
Efeitos Tardios da Exposição Pré-Natal , Criança , Feminino , Humanos , Lactente , Masculino , Mães , Gravidez , Resultado da Gravidez/epidemiologia , Gestantes , Efeitos Tardios da Exposição Pré-Natal/epidemiologia , Estudos Prospectivos , Características de Residência
18.
Soins Pediatr Pueric ; 42(321): 10-12, 2021.
Artigo em Francês | MEDLINE | ID: mdl-34266552

RESUMO

Since its creation in 1945, Mother and Child Protection (PMI) has undergone many transformations. Initially, after the war, it was subject to the imperative need to offer children real protection, and then it was built up by reshaping its principles of action in line with the various social and economic contingencies. Linked to the notion of the child's needs, but also to the major idea of prevention, the PMI has never ceased to adjust to the profile of families in order to provide them with an appropriate response.


Assuntos
Mães , Criança , Feminino , Humanos
19.
Soins Pediatr Pueric ; 42(321): 13-18, 2021.
Artigo em Francês | MEDLINE | ID: mdl-34266553

RESUMO

In the department of Val-de-Marne, the Mother and Child Protection is characterised by a global approach to health, special accessibility of its services, multi-disciplinarity and the expertise of its teams. It is based on the concept of proportionate universalism and devotes a special place to partnership arrangements. Its working dynamics are based on the methodology of the project system: it is a question of co-construction, activating transversality while advocating participatory democracy. The working dynamics are, therefore, diversified.


Assuntos
Mães , Criança , Feminino , Humanos
20.
Soins Pediatr Pueric ; 42(321): 19-22, 2021.
Artigo em Francês | MEDLINE | ID: mdl-34266554

RESUMO

The birth of a child is always an upheaval for a woman, a couple and a family. This revolution will be more easily channelled if it is accompanied by attentive professionals, in the clinical sense, and present to welcome the mother's emotions, thus allowing the baby to build itself more serenely and the mother to develop her skills.


Assuntos
Emoções , Mães , Criança , Feminino , Humanos , Lactente , Relações Mãe-Filho , Parto , Gravidez
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