scholarly journals Perioperative mobile application for mothers undergoing Cesarean delivery: a prospective cohort study on patient engagement

2021 ◽  
Author(s):  
Janny Xue Chen Ke ◽  
Ronald B. George ◽  
Lori Wozney ◽  
Allana Munro
Keyword(s):  
Cohort Study ◽  
Cesarean Delivery ◽  
Prospective Cohort Study ◽  
Patient Engagement ◽  
Prospective Cohort ◽  
Mobile Application

Influences of Cesarean Delivery on Breastfeeding Practices and Duration: A Prospective Cohort Study

2018 ◽  
Vol 34 (3) ◽  
pp. 526-534 ◽  
Author(s):  
Cheng Chen ◽  
Yan Yan ◽  
Xiao Gao ◽  
Shiting Xiang ◽  
Qiong He ◽  
...  
Keyword(s):  
Cohort Study ◽  
Regression Model ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Prospective Cohort Study ◽  
Exclusive Breastfeeding ◽  
Prospective Cohort ◽  
Breastfeeding Duration ◽  
Breastfeeding Initiation ◽  
Breastfeeding Practices

Background: Mothers are encouraged to exclusively breastfeed for the first 6 months. However, cesarean delivery rates have increased worldwide, which may affect breastfeeding. Research aim: This study aimed to determine the potential effects of cesarean delivery on breastfeeding practices and breastfeeding duration. Methods: This was a 6-month cohort study extracted from a 24-month prospective cohort study of mother–infant pairs in three communities in Hunan, China. Data about participants’ characteristics, delivery methods, breastfeeding initiation, use of formula in the hospital, exclusive breastfeeding, and any breastfeeding were collected at 1, 3, and 6 months following each infant’s birth. The chi-square test, logistic regression model, and Cox proportional hazard regression model were used to examine the relationship between breastfeeding practices and cesarean delivery. Results: The number of women who had a cesarean delivery was 387 (40.6%), and 567 (59.4%) women had a vaginal delivery. The exclusive breastfeeding rates at 1, 3, and 6 months were 80.2%, 67.4%, and 21.5%, respectively. Women who had a cesarean delivery showed a lower rate of exclusive breastfeeding and any breastfeeding than those who had a vaginal delivery ( p < .05). In addition, cesarean delivery was related with using formula in the hospital and delayed breastfeeding initiation. Cesarean delivery also shortened the breastfeeding duration (hazard ratio = 1.40, 95% confidence interval [1.06, 1.84]). Conclusion: Healthcare professionals should provide more breastfeeding skills to women who have a cesarean delivery and warn mothers about the dangers of elective cesarean section for breastfeeding practices.

scholarly journals Labor induction and cesarean delivery: A prospective cohort study of first births in Pennsylvania, USA

Birth ◽  
2017 ◽  
Vol 44 (3) ◽  
pp. 252-261 ◽  
Author(s):  
Kristen H. Kjerulff ◽  
Laura B. Attanasio ◽  
Joyce K. Edmonds ◽  
Katy B. Kozhimannil ◽  
John T. Repke
Keyword(s):  
Cohort Study ◽  
Cesarean Delivery ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Labor Induction

Abstract 017: Meal Intervals And Weight Trajectories In Adults Using The Daily24 Mobile Application: A Prospective Cohort Study

Circulation ◽  
2021 ◽  
Vol 143 (Suppl_1) ◽  
Author(s):  
Di Zhao ◽  
Thomas Woolf ◽  
Lindsay Martin ◽  
Eliseo Guallar ◽  
Harold Lehmann ◽  
...  
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Weight Change ◽  
Prospective Cohort ◽  
Mobile Application ◽  
Population Based ◽  
Randomized Controlled Studies ◽  
The Mean ◽  
Weight Decrease ◽  
Weight Trajectories

Background: Small pilot and randomized controlled studies suggest that time-restricted feeding may decrease body weight. However, the role of meal timing and intervals, measured using mobile applications, has not been examined in larger population-based studies. The objective of this study is to evaluate the association between meal intervals and weight trajectories among adults from a population-based clinical cohort. Methods: Multi-site prospective cohort study of adults recruited from three health systems. Over the 6-month study period, 547 participants downloaded and used the Daily24 mobile application to record the timing of meals and sleep for at least one day. Intervals were calculated as the average of all available daily entries for each participant. We obtained information on weight and comorbidities at each outpatient visit from electronic health records available for up to 10 years prior to until 10 months after baseline. We used mixed linear regression to model weight trajectories. Results: The mean (SD) baseline (at consent) age was 51.1 (15.0) years and body mass index (BMI) 30.8 (7.8) kg/m 2 ; 77.9% were women and 77.5% were White. Average time in the cohort was 5.9 years prior to and 0.3 years after baseline. The mean interval from first to last meal was 11.5 (2.3) hours. The associations between meal intervals and weight trajectories are shown in the Table . The number of meals per day was positively associated with weight change before baseline, and number of snacks and drinks per day was inversely associated with weight change after baseline. Each additional occasion of snacks and drinks was associated with a 3.20 kg weight decrease (95% CI 1.41 to 4.99). None of the other associations were statistically significant. Conclusions: Number of daily meals was positively associated with weight change in previous periods, while the number of daily snacks and drinks was inversely associated with weight trajectory. The intervals from first to last meal was not associated with weight change.

scholarly journals Predictive factors of maternal hypothermia during Cesarean delivery: a prospective cohort study

2017 ◽  
Vol 64 (9) ◽  
pp. 919-927 ◽  
Author(s):  
François-Pierrick Desgranges ◽  
Lionel Bapteste ◽  
Céline Riffard ◽  
Marius Pop ◽  
Bérengère Cogniat ◽  
...  
Keyword(s):  
Cohort Study ◽  
Cesarean Delivery ◽  
Prospective Cohort Study ◽  
Predictive Factors ◽  
Prospective Cohort

scholarly journals Association between Preoperative Toe Perfusion Index and Maternal Core Temperature Decrease during Cesarean Delivery Under Spinal Anesthesia: A Prospective Cohort Study

2021 ◽  
Author(s):  
Shohei Kaneko ◽  
Kentaro Hara ◽  
Shuntaro Sato ◽  
Takaya Nakashima ◽  
Yurika Kawazoe ◽  
...  
Keyword(s):  
Cohort Study ◽  
Spinal Anesthesia ◽  
Cesarean Delivery ◽  
Core Temperature ◽  
Prospective Cohort Study ◽  
Pulse Oximeter ◽  
Prospective Cohort ◽  
Perfusion Index ◽  
Temperature Decrease ◽  
Pulse Oximeter Probe

Abstract Background: The main mechanism of temperature decrease during spinal anesthesia for cesarean delivery is core-to-peripheral redistribution of body heat, attributable to vasodilation. Perfusion index (PI) obtained with a pulse oximeter helps to assess peripheral perfusion dynamics by detecting changes in peripheral vascular tone. This study aimed to examine whether preoperative toe PI could predict spinal anesthesia-induced core temperature decrease during cesarean delivery.Methods: Parturients undergoing scheduled cesarean delivery under combined spinal-epidural anesthesia from September 2019 to March 2020 were enrolled in this single-center prospective cohort study. All parturients received 0.5% hyperbaric bupivacaine (10 mg) with fentanyl (15 µg) intrathecally. A pulse oximeter probe was placed on the left second toe for continuous PI measurement. The 3M™ Bair Hugger™ Temperature Monitoring System placed over the right temporal region was used to record core temperature over time. We evaluated the association between the maximum core temperature decrease, which is the primary outcome, and the preoperative toe PI at operating room (OR) admission using a segmented regression model (SRM) and a generalized additive model (GAM). The maximum core temperature decrease was defined as the difference between core temperature at OR admission and minimum intraoperative core temperature.Results: Forty-eight patients were evaluated. In the SRM, the slope for the association between the maximum core temperature decrease and the preoperative toe PI changed from 0.031 to 0.124 after PI = 2.4%. Likewise, with the GAM, there was a small core temperature decrease when preoperative toe PI was greater than 2.0% to 3.0%.Conclusions: A lower preoperative toe PI was associated with maternal core temperature decrease during cesarean delivery under spinal anesthesia. Preoperative toe PI is a simple, non-invasive, and effective tool for the early prediction of perioperative core temperature decrease during cesarean delivery.Trial registration: UMIN Clinical Trials Registry (registry number: UMIN000037965).URL: https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000042953

The Influence of Cesarean Delivery on Ovarian Reserve: a Prospective Cohort Study

2021 ◽  
Author(s):  
Aya Mohr-Sasson ◽  
Jigal Haas ◽  
Sonya Bar-Adon ◽  
Maya Shats ◽  
Roni Hochman ◽  
...  
Keyword(s):  
Cohort Study ◽  
Cesarean Delivery ◽  
Prospective Cohort Study ◽  
Ovarian Reserve ◽  
Prospective Cohort
Sign in / Sign up

Export Citation Format

Share Document