scholarly journals Optimal outcome factors in maternity and newborn care for inpatient (hospital maternity ward-HMW) and outpatient deliveries (outhospital maternity clinics -OMC)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Azra Lukač ◽  
Nenad Šulović ◽  
Aleksandra Ilić ◽  
Milica Mijović ◽  
Dijana Tasić ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Newborn Care ◽  
The United States ◽  
Outpatient Setting ◽  
Maternity Ward ◽  
New Mothers ◽  
Medium Risk ◽  
The Right ◽  
Maternity Clinics

Abstract Background and objectives The aim of the study was to use the United States Optimality Index (OI-US) to assess the feasibility of its application in making decisions for more optimal methods of delivery and for more optimal postpartum and neonatal outcomes. Numerous worldwide associations support the option of women giving birth at maternity outpatient clinics and also at home. What ought to be met is the assessments of requirements and what could be characterized as the birth potential constitute the basis for making the right decision regarding childbirth. Materials and methods The study is based on a prospective follow-up of pregnant women and new mothers (100 participants) who were monitored and gave birth at the hospital maternity ward (HMW) and pregnant women and new mothers (100 participants) who were monitored and gave birth at the outhospital maternity clinics (OMC). Selected patients were classified according to the criteria of low and medium-risk and each of the parameters of the OI and the total OI were compared. Results The results of this study confirm the benefits of intrapartum and neonatal outcome, when delivery was carried out in an outpatient setting. The median OI of intrapartum components was significantly higher in the outpatient setting compared to the hospital maternity ward (97 range from 24 to 100 vs 91 range from 3 to 100). The median OI of neonatal components was significantly higher in the outpatient compared to the inpatient delivery. (99 range from 97 to 100 vs 96 range from 74 to 100). Certain components from the intrapartum and neonatal period highly contribute to the significantly better total OI in the outpatient conditions in relation to hospital conditions. Conclusion Outpatient care and delivery provide multiple benefits for both the mother and the newborn.

scholarly journals Optimal Outcome Factors In Maternity And Newborn Care For Inpatient (Hospital Maternity Ward-HMW) And Outpatient Deliveries (Outhospital Maternity Clinics -OMC)

2021 ◽  
Author(s):  
Azra Lukač ◽  
Nenad Šulović ◽  
Aleksandra Ilić ◽  
Milica Mijović ◽  
Dijana Tasić ◽  
...  
Keyword(s):  
Pregnant Women ◽  
National Level ◽  
Newborn Care ◽  
Outpatient Setting ◽  
Maternity Ward ◽  
New Mothers ◽  
Medium Risk ◽  
The Right ◽  
Maternity Clinics

Abstract Background and objectives: The aim of this study was to use the Optimality Index (OI-US) to initiate the possibility of developing an adequate national-level database for women with low- and medium-risk pregnancies but also to assess the feasibility and possible application in inpatient and outpatient delivery settings. Numerous worldwide associations support the option of women giving birth at maternity outpatient clinics or even at home. The assessments of requirements that need to be met and what could be characterized as the birth potential constitute the basis for making the right decision regarding childbirth. Materials and Methods: The study is based on a prospective follow-up of pregnant women and new mothers (100 participants) who were monitored and gave birth at the hospital maternity ward (HMW) and pregnant women and new mothers (100 participants) who were monitored and gave birth at the outhospital maternity clinics (OMC). Selected patients were classified according to the criteria of low- and medium-risk and each of the parameters of the OI and the total OI were compared. Results: The results of this study confirm the benefits of intrapartum and neonatal outcome, when delivery was carried out in an outpatient setting. The median OI of intrapartum components was significantly higher in the outpatient setting compared to the hospital maternity ward (97 range from 24 to 100 vs 91 range from 3 to 100). The median OI of neonatal components was significantly higher in the outpatient compared to the inpatient delivery. (99 range from 97 to 100 vs 96 range from 74 to 100). Certain components from the intrapartum and neonatal period highly contribute to the significantly better total OI in the outpatient conditions in relation to hospital conditions. Conclusion: Outpatient care and delivery provide multiple benefits for both the mother and the newborn.

scholarly journals The effects of ANC follow up on essential newborn care practices in east Africa: a systematic review and meta-analysis

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Erkihun Tadesse Amsalu ◽  
Bereket Kefale ◽  
Amare Muche ◽  
Zinabu Fentaw ◽  
Reta Dewau ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
East Africa ◽  
Meta Analysis ◽  
Newborn Care ◽  
Cochrane Library ◽  
Care Practice ◽  
Essential Newborn Care ◽  
Newborn Care Practice

AbstractIn the situation of high maternal morbidity and mortality in Sub-Saharan Africa, less than 80% of pregnant women receive antenatal care services. To date, the overall effect of antenatal care (ANC) follow up on essential newborn practice have not been estimated in East Africa. Therefore, this study aims to identify the effect of ANC follow up on essential newborn care practice in East Africa. We reported this review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). We searched articles using PubMed, Cochrane library, African journal online (AJOL), and HINARI electronic databases as well as Google/Google scholar search engines. Heterogeneity and publication bias between studies were assessed using I2 test statistics and Egger’s significance test. Forest plots were used to present the findings. In this review, 27 studies containing 34,440 study participants were included. The pooled estimate of essential newborn care practice was 38% (95% CI 30.10–45.89) in the study area. Women who had one or more antenatal care follow up were about 3.71 times more likely practiced essential newborn care compared to women who had no ANC follow up [OR 3.71, 95% CI 2.35, 5.88]. Similarly, women who had four or more ANC follow up were 2.11 times more likely practiced essential newborn care compared to women who had less than four ANC follow up (OR 2.11, 95% CI 1.33, 3.35). Our study showed that the practice of ENBC was low in East Africa. Accordingly, those women who had more antenatal follow up were more likely practiced Essential newborn care. Thus, to improve the practice of essential newborn care more emphasis should be given on increasing antenatal care follow up of pregnant women in East Africa.

scholarly journals Going home with baby: innovative and comprehensive support for new mothers

2018 ◽  
Vol 20 ◽  
Author(s):  
Tonia Olson ◽  
Angela Bowen ◽  
Julie Smith-Fehr ◽  
Swagata Ghosh
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Newborn Care ◽  
Community Services ◽  
Screening Tests ◽  
Physical And Mental Health ◽  
New Mothers ◽  
Care Clinic ◽  
Primary Health

AbstractShorter length of stay for postpartum mothers and their newborns necessitates careful community follow-up after hospital discharge. The vast amount of information given during the initial postpartum period can be overwhelming. New parents often need considerable support to understand the nuances of newborn care including newborn feeding. Primary health care and community services need to ensure there is a seamless continuum of care to support, empower, and educate new mothers and their families to prevent unnecessary hospital readmission and other negative health outcomes. The Healthy & Home postpartum community nursing program provides clinical communication and supports to bridge the gap between acute hospital and community follow-up care through home visits, a primary health care clinic, a breastfeeding center, a breastfeeding café, a postpartum anxiety and depression support group, bereavement support, and involvement in a Baby-Friendly Initiative™ coalition. Nurses working in the program have the acute care skills and resources to complete required health care assessments and screening tests. They are also international board-certified lactation consultants able to provide expert breastfeeding and lactation care. This paper describes how the Healthy & Home program has evolved over the past 25 years and offers suggestions to other organizations wanting to develop a postpartum program to meet the physical and mental health needs of postpartum families to promote maternal and infant wellbeing.

scholarly journals EVALUASI INPUT KELAS IBU HAMIL DI WILAYAH KERJA PUSKESMAS SUKOLILO

2019 ◽  
Vol 1 (2) ◽  
pp. 15-24
Author(s):  
Siti Rochimatul Lailiyah
Keyword(s):  
Maternal Health ◽  
Pregnant Women ◽  
Quantitative Research ◽  
Newborn Care ◽  
Local Area ◽  
Face To Face ◽  
Study Approach ◽  
Study Population ◽  
The Right ◽  
In Pregnancy

Interpersonal education in pregnancy program is a means to learn together about maternal health in the form of face to face in a group that aims to improve the knowledge and skills of mothers in pregnancy,childbirth, postpartum and newborn care. 8 of 10 mothers have not been able breastfeeding correctly when they have Interpersonal education in pregnancy program. Aim of this study is to identify a picture of the participants, facilitators, facilities and infrastructureclass of pregnant women in the region work of Puskesmas Sukolilo. This research uses descriptive quantitative research with a case study approach. The variables used were input component class pregnant women, participants, facilitators, facilities and infrastructure. The study population is all classes of existing maternal health center working area Sukoliloas many as 13 classes for pregnant women. The data are collected by using questionnaires,observation, and interviews. The results showed that the majority of class participants mom Pregnant aged 21-25 years is 78 respondents (77%). In which The majority of participantsprimary and junior education level that is 84 respondents (83%) and mostly participants as housewife is 67 respondents (66%). Meanwhile the knowledge of participants almost half less that 49 respondents (48%), and class facilitators pregnant women as many as two respondents, both aged > 35 years, educated DIII of midwifery, and trained in facilitating classroom pregnant women. In addition, pregnant mothers-class facilities are available but incomplete and also there are less infrastructure. It is expected that the participants in a class of pregnant women can be group ed according to the level of education and age of pregnancy in order to get the right things, then the facilitator in pregnant mother class should be carried out by midwives in the local area, as well as the means and infrastructure needs to be more completed in order to support class implementation pregnant women to be more optimal and effective.

scholarly journals Major Survey Findings of Listening to MothersSM III: New Mothers Speak Out

2014 ◽  
Vol 23 (1) ◽  
pp. 17-24 ◽  
Author(s):  
Eugene R. Declercq ◽  
Carol Sakala ◽  
Maureen P. Corry ◽  
Sandra Applebaum ◽  
Ariel Herrlich
Keyword(s):  
Target Population ◽  
The United States ◽  
New Mothers ◽  
Data Weighting ◽  
Trends Over Time ◽  
Second Year ◽  
Childbearing Women ◽  
Harris Interactive ◽  
Pregnancy And Birth

To understand the experiences and views of childbearing women in the United States and trends over time, Childbirth Connection carried out the third national Listening to Mothers survey among 2,400 women who gave birth in U.S. hospitals to a single baby from mid-2011 to mid-2012 and could participate in English. A follow-up survey directed to the same participants explored postpartum experiences, in depth and well into the second year after birth; views about maternity care; and some additional pregnancy and birth items. Harris Interactive conducted the surveys using a validated methodology that includes data weighting to ensure that results closely reflect the target population. The follow-up survey was reported in Listening to Mothers III: New Mothers Speak Out.

scholarly journals Patients’ and Doctors’ Perceptions of a Mobile Phone–Based Consultation Service for Maternal, Neonatal, and Infant Health Care in Bangladesh: A Mixed-Methods Study (Preprint)

2018 ◽  
Author(s):  
Mafruha Alam ◽  
Cathy Banwell ◽  
Anna Olsen ◽  
Kamalini Lokuge
Keyword(s):  
Health Care ◽  
Mobile Phone ◽  
Pregnant Women ◽  
Infant Health ◽  
Text Messages ◽  
New Mothers ◽  
Consultation Service ◽  
The Right ◽  
The Impact ◽  
Remote Consultations

BACKGROUND A mobile-based consultation service, or telehealth, can be used for remote consultations with health care professionals for screening, self-care management, and referral. In rural Bangladesh, where there is high demand for scarce male and even scarcer female doctors, remote consultations may help women seeking maternal and child health care. Aponjon is a mHealth service in Bangladesh that provides weekly voice or text messages to pregnant women, new mothers, and family members on various aspects of maternal, neonatal, and infant health. Subscribers can also access a dedicated 24*7 call center to discuss maternal, neonatal, and infant health or emergencies with medically trained doctors. The service provides advice, primary diagnoses, prescriptions, and referrals to subscriber callers. OBJECTIVE We investigated the Aponjon service to understand access, acceptability, usability, benefits, and challenges of a mobile phone-based consultation service. METHODS We conducted call log data analysis for September to November 2015 to understand how many unique subscribers accessed the service, who accessed the service, the geographical distribution of callers, and the purpose of the calls. We also conducted a qualitative exploratory substudy of eight married women and eight married men who were subscribers to and accessed the service during this time to understand their experiences. We interviewed 11 doctors from the same service who provided phone consultations to subscribers. RESULTS Approximately 3894 unique subscribers accessed the service for single or multiple consultations during the study period; 68.36% (2662/3894) of subscribers were from rural households, and 53.00% (2064/3894) of calls were made by pregnant women or new mothers. Approximately 96.08% (5081/5288) calls were nonurgent, 2.69% (142/5288) semiurgent, and 1.23% (65/5288) urgent. Almost 64.7% (134/207) semiurgent or urgent calls came between 8 PM and 8 AM. Callers found the consultation service trustworthy, cost-effective, and convenient. The doctors dispelled misconceptions and promoted good health care practices, regular health check-ups, and responsible use of medicine. They helped families understand the severity of sicknesses and advised them to seek care at health facilities for semiurgent or urgent conditions. The service lacked a pro-poor policy to support talk times of subscribers from poor households and a proper referral system to help patients find the right care at the right facilities. CONCLUSIONS Although a regular messaging service is constrained by a one-way communication system, this service using the same platform, gave subscribers access to an abbreviated “consultation” with medical doctors. The consultations provided subscribers with valued medical advice and support, although they were limited in their population reach and their integration into the wider medical system. Further research is required to understand the impact of advice and referral, cost-effectiveness, and willingness to pay for mHealth consultation services, but this research suggests that these services should be supported or even expanded.

scholarly journals Reflections on a Medical Service Trip: Did we do the right thing?

2013 ◽  
Vol 1 (4) ◽  
pp. 60
Author(s):  
Rene Franco ◽  
Chirag Desai ◽  
William Firth ◽  
Harold M. Szerlip
Keyword(s):  
United States ◽  
Medical Service ◽  
The United States ◽  
Short Term ◽  
Governmental Organizations ◽  
The Right ◽  
Medical Service Trip ◽  
Medical Service Trips ◽  
Do The Right Thing

Medical service trips have a long and distinguished history. In the United States,interest in medical outreach trips has grown substantially, as medical schools andnon-governmental organizations support numerous overseas endeavors at an estimatedcost of 250 million dollars a year. Although providing care to those in need is arewarding experience, the question that needs to be answered is whether these tripsdo more harm than good. We describe our experience during a medical service trip toEnsenada, Mexico. We treated over 500 people for numerous problems, but due to thelack of services were not able to monitor or ensure follow-up. Did we do more harmby providing medications that can have serious side effects? Recommendations havebeen developed to help short-term international medical service trips provide the bestoverall experience for the participants and the best care for the patients.

scholarly journals Positive impact on vitamin D related lifestyle of medical advice in pregnant Somali-born women and new mothers: a mixed method study in Swedish primary care

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
P. Kalliokoski ◽  
M. Widarsson ◽  
N. Rodhe ◽  
M. Löfvander
Keyword(s):  
Vitamin D ◽  
Focus Group ◽  
Pregnant Women ◽  
Vitamin D Deficiency ◽  
Sun Exposure ◽  
Target Group ◽  
New Mothers ◽  
Focus Group Interviews ◽  
Group Interviews

Abstract Background A previous study showed that pregnant women/new mothers especially Somali-born and some Swedish-born had extremely low vitamin D levels and poor physical performance. Our study aimed to examine vitamin D related lifestyle, attitudes and behaviour before and after brief information about vitamin D, with special long-term focus on Somali-born women. Methods A cohort of 91 pregnant women/new mothers having serum hydroxyvitamin D (S-25-OHD) ≤ 50 nmol/L (n = 51 Somali-born with one third < 10 nmol/L of S-25-OHD) in primary health care in Sweden was targeted for intervention. Brief individual oral and visual information on vitamin D was given by doctors at baseline and after four and ten months. Questionnaires with ordinal scales on vitamin D related lifestyle of food, clothing, and outdoor activities were distributed on all occasions. Focus-group interviews with 15 women from the target-group were performed after two years. A Somali interpreter was available. Results Veiled clothing, indoor living, and a low intake of milk, cheese, and fatty fish were common in the target group. Consumption pattern had increased significantly among the Somali-born women at the four-month follow-up but declined to non-significant levels at the ten-month follow-up. The focus-group interviews showed improved understanding of vitamin D deficiency, symptoms and attitudes, but varying applied behaviours related to sun exposure. Sun exposure for the children and increased fish consumption was the most evident positive results. Conclusions Vitamin D related lifestyle, attitudes and behaviour improved in a Somali-born group of pregnant women/new mothers with severe vitamin D deficiency. The preventive measures suggested in our study may have impact on public health in relation to bone and muscle strength and immunity especially in vitamin D deficiency risk groups. Trial registration ClinicalTrials.gov Identifier: NCT02922803. Date of registration: 28 September 2016.

scholarly journals Presumed Ocular Histoplasmosis Syndrome in the Middle East: A Case Report

2021 ◽  
Vol 2 (1) ◽  
pp. 1-6
Author(s):  
Nabil Macaron ◽  
Said El Orra ◽  
Monah Orra ◽  
Mohammed Dabbous
Keyword(s):  
Histoplasma Capsulatum ◽  
Visual Disturbance ◽  
The United States ◽  
Serous Macular Detachment ◽  
Hand Motion ◽  
History Of ◽  
Tropical Areas ◽  
Endemic Areas ◽  
The Right

Background:Presumed ocular histoplasmosis syndrome (POHS) occurs secondary to infection with Histoplasma Capsulatum (HC), which is an endemic organism in many tropical areas, especially in the United States. However, it has never been proven that HC directly causes POHS, hence the name presumed ocular histoplasmosis syndrome. Patients are usually asymptomatic, but some may present with blurring of central vision. Case Report:A 15-year-old girl, previously healthy, presented with a 2-months history of visual disturbance of the right eye. On physical examination, the visual acuity of the left eye was 20/20 while the right eye was only seeing “hand motion”. Fundus exam of the right eye showed juxtapapillary infiltrates with serous macular detachment, and small retinal and choroidal lesions, while the left eye showed only some small retinal and choroidal lesions. Fluorescein angiography of both eyes showed evidence of chorioretinitis with probable choroidal neovascularization (CNV). The diagnosis of POHS was made and the patient was treated with bevacizumab injections. Follow-up was done clinically and through spectral domain optical coherence tomography (SD-OCT) and showed marked improvement at the level of the macular thickness and CNV. Conclusion: Diagnosing POHS can be quite challenging, especially in cases coming from non-endemic areas. Our case emphasizes the importance of considering POHS in patients presenting with visual disturbance, even in these non-endemic areas, through a careful clinical evaluation and appropriate imaging modalities.

The Right to Avoid Procreation and the Regulation of Pregnancy

2020 ◽  
Author(s):  
Elizabeth Sepper
Keyword(s):  
United States ◽  
Pregnant Women ◽  
Supreme Court ◽  
Legal Status ◽  
The United States ◽  
Constitutional Rights ◽  
Reproductive Freedom ◽  
American Perspective ◽  
Statutory Law ◽  
The Right

This chapter considers the right to avoid procreation and the regulation of pregnancy from an American perspective. In the United States, the right to avoid procreation finds protection in constitutional and statutory law. The Supreme Court’s decisions to recognize contraception and abortion as constitutional rights have permitted generations of women a measure of reproductive freedom. However, the constitutionalization of contraception, and abortion in particular, has brought to the fore deeper contestation about the moral (and legal) status of the fetus, women’s place in society, and the meaning of motherhood. These same issues play out in decisions about the protection and regulation of women during their pregnancies. Within the framework of Supreme Court precedent, the fifty states have adopted varying approaches to the right to abortion. The trend, however, has inclined toward greater restrictions in a growing number of states. At the same time, the current Court seems likely to dilute or reject the right to abortion, with consequences for contraception, protections for pregnant women at work, and criminal intervention during pregnancy.

Sign in / Sign up

Export Citation Format

Share Document