For pregnant women with gestational diabetes, how do probiotics compare with placebo for improving maternal and infant health and well-being?

2020 ◽  
Author(s):  
Ashraf Nabhan
2021 ◽  
Author(s):  
Jane Li ◽  
David Silvera-Tawil ◽  
Marlien Varnfield ◽  
M Sazzad Hussain ◽  
Vanitha Math

BACKGROUND Mobile Health (mHealth) technologies, such as wearable devices and mobile applications have become popular for lifestyle and healthcare support. They have the potential to be beneficial for pregnancy monitoring, in the form of health and well-being tools to facilitate the tracking of health status changes, risks and complications of pregnant women. However, research on understanding clinicians’ and pregnant women’s interests, preferences and requirements for mHealth solutions tailored to pregnancy care is limited. OBJECTIVE This qualitative study aimed to understand clinicians’ and pregnant women’s perceptions on the potential use of mHealth to support the monitoring of health and well-being during pregnancy. METHODS Semi-structured interviews were conducted with four pregnant women, four postnatal women, and thirteen clinicians working in perinatal care. RESULTS Clinicians perceived the potential benefit of mHealth in supporting different levels of health and wellbeing monitoring, risk assessment and care provision in pregnancy care. The majority of women participants were open to the use of wearables and health monitoring devices and were more likely to use these technologies if they knew that clinicians can monitor the data. While some pregnancy-related medical conditions can be suitable for an mHealth model of remote monitoring, there are clinical and technical challenges for introducing mHealth in pregnancy care. Incorporating appropriate health and well-being measures, intelligent detection of abnormalities and tailored information for pregnant women were considered critical. Usability and data privacy were among the concerns of participants. The challenges of getting pregnant women engaged in longitudinal mHealth monitoring, the extra work required for clinicians in monitoring data, and the need for an evidence-based technical solution were highlighted. CONCLUSIONS mHealth technologies, such as wearable sensors, smart health devices and mobile applications capable of supporting the pregnancy journey are emerging. Clinical, technical and practical factors associated with the use of mHealth technologies to monitor health and well-being, as well as strategies for motivating pregnant women and clinicians’ in the use of the technologies need to be carefully considered before the introduction of mHealth pregnancy care routine and practices.


2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Liangfang Shi ◽  
Ling Yuan ◽  
Lin Zhou ◽  
Shuixian Zhang ◽  
Xia Lei

The sudden outbreak of the new crown pneumonia has brought online learning from a supporting role to the center of the teaching stage in an instant. On the basis of the feasibility analysis and demand analysis of the microcourse learning system, this paper uses Sina cloud server to build the WeChat public platform learning online course and designs and implements the microcourse learning system function based on the microcourse public platform. We completed the recording, editing, publishing, and testing of microclass courses and provided services for teachers and pregnant women's microclass learning in order to achieve better learning results. A total of 151 people regularly participate in maternity school courses, accounting for 30.4%. There are 190 people who have never attended the maternity school course, accounting for 38.2%. There are 156 people who occasionally participate in maternity school courses, accounting for 31.4%. The top five sources of health information during pregnancy are books, maternity schools, experience of elders, the Internet, and television. The results of one-way analysis of variance showed that pregnant women of different ages had statistically different scores in the dimensions of knowledge and ideas ( P  < 0.05). There are statistical differences in the scores of pregnant women with different economic incomes in this dimension ( P  < 0.05). The women with economic income ≥5000 yuan/month have the highest scores, and those with economic income ≥5000 yuan/month have the lowest scores. The scores of pregnant women who participated in the maternity school were significantly higher than those who did not participate in the maternity school ( P  < 0.05). There are statistical differences in the scores of maternal and child health basic skills among pregnant women of different age groups ( P  < 0.05). The women aged ≥35 years old have the highest scores, and those aged 20–24 years old have the lowest scores. The differences in the scores of pregnant women with different economic incomes in this dimension are statistically significant ( P <0.05). The women with economic income ≥5000 yuan/month have the highest score, and those with economic income<2000 yuan/month have the lowest score. Participation in maternity schools has an impact on the scores of this dimension. Pregnant women who regularly participate in maternity schools have the highest average scores, and those who do not participate in maternity schools have the lowest average scores.


2021 ◽  
Vol 12 (2) ◽  
pp. 59-65
Author(s):  
Chandramallika Paul ◽  
Santanu Banerjee ◽  
Satinath Mukhopadhyay ◽  
Kalyan Goswami

Background: Gestational Diabetes Mellitus (GDM) is a public health problem in India with implications well pronounced in pregnancy and beyond. Biomarkers like Glycated Albumin (G.A.) can well monitor the glycaemic status and evaluate the transient hyperglycaemic spikes, which account for the diabetic complications. Aims and Objectives: In this study, we intend to study urinary G.A. excretion with respect to urinary albumin excretion expressed as UGA% in gestational diabetes mellitus. Materials and Methods: A prospective observational study was conducted for a period of 16 months on 177 pregnant women who attended antenatal clinics for the first time at a single centre.Among the surveyed population, 26 pregnant women subsequently developed GDM, and 31 healthy pregnant women who did not develop GDM were included in the study. Results: The UGA% between GDM and healthy mothers showed an increase in GDM with a p value <0.05 during the first and second trimesters. Pearson’s correlation coefficient at 5% interval showed moderate to strong correlation for fasting plasma glucose (FBS) vs UGA% in 1st trimester(r= 0.61) and 3rd trimester(r=0.54). Conclusion: The higher UGA% in GDM mothers in the early trimester may help monitor glycaemic status efficiently and timely. Long term follows up would be worthwhile to predict future progression to nephropathy, retinopathy, and neuropathy. Henceforth, UGA being a non-invasive marker may emerge as a more patient-friendly marker reducing the hassles of innumerable invasive tests to monitor the well-being of a mother aswell as a foetus during pregnancy.


1994 ◽  
Vol 13 (1) ◽  
pp. 63-75 ◽  
Author(s):  
Joseph Losco ◽  
Mark Shublak

Virtually all of the literature regarding liability for fetal health and well-being has concentrated on female behavior. Prosecution of women for “fetal abuse or neglect” has received widespread popular press coverage. Far less attention has been paid to the role of males in contributing to the health and welfare of newborns. This paper redresses this lack of attention by reviewing the ways in which males contribute to newborn health and by examining legal doctrine to determine if the same legal challenges that have been advanced against pregnant women are applicable to males as well. Questions are raised regarding the consequences of prosecuting males for their role in contributing to fetal harm.


Perinatal education aims to prepare women through scientific based evidence information about their options, providing knowledge that allows them to make conscious choices that favor the improvement in health and well-being of the mother and baby. Knowing that in the female universe, one of the most important phases in the life of some women is motherhood. This study aims to identify perinatal education actions performed by pregnant women by the nursing team during prenatal care, avoiding possible complications. This is an integrative literature review, using documents already prepared by other authors, including scientific articles and documents published on an electronic basis, addressing the theme of perinatal education offered to pregnant women by the nursing team. The results presented without a doubt demonstrate that pregnancy is always marked by different, objective and subjective aspects, for each woman. For many, being a mother can change their plans and transform their lives. Thus, for the pregnancy to proceed safely, prenatal care is necessary and essential. It concluded, therefore, that the nurse is a professional qualified to monitor pregnancies. In this context, prenatal care is a process of monitoring the pregnant woman, serving as a learning experience for the woman and the family. In addition, during this period, abnormalities can be detected with the mother and the child. During nursing consultations, guidelines for favorable measures should be provided for a specific approach to the specific needs of pregnant women with whom nurses interact in health units during prenatal consultations.


Author(s):  
Jilda Cheishvili ◽  
Irene Zarnadze ◽  
Shalva Zarnadze

<div><p><em>Children’s generation of Georgia recovers parent’s generations only for 70-80%. According to same data, there are only 14 countries with the similar low indicators. The increase of C-section can cause the decrease of birthdates.</em></p><p><em>WHO recommended The Partnership for Maternal, Newborn, and Child Health - </em><em>through the creation of an <strong>Advocacy Team.</strong></em><em> (WHO, 2005).</em><em> This model ensures the relaxed environment where the mothers can receive information delivered by qualified health workers, who teach pregnant women and family members about health and well-being.  </em><em>Advocacy Team comprises - nurses, medical students, and volunteer.</em><em></em></p><p><em>Project benefit will be </em><em>increased antenatal and postnatal care services through  the country, in the lead the better attitude and knowledge about health and well-being  across all Social levels .  Further families will save money because they couldn't pay for C-section  </em><em></em></p><p><em>Evaluation of the project –</em><em>annual statistical analysis by </em><em>NCDC (National Center for Disease Control and Public Health) </em><em>decrease C-section rate for mother request.</em><em></em></p><p><em>Project outcome</em><em> will be increased maternal and Child health and well-being,</em><em> </em><em>Increase right participation from the community, Support of pregnant women and her family economically.</em><em></em></p></div>


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