Impact of paternal presence and parental social-demographic characteristics on birth outcomes

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Amruta A. Bamanikar ◽  
Shetal Shah ◽  
David Aboudi ◽  
Soumya Mikkilineni ◽  
Clare Giblin ◽  
...  
Keyword(s):  
Birth Outcomes ◽  
Gestational Age ◽  
Neonatal Intensive Care ◽  
Post Partum ◽  
Birth Certificate ◽  
Cross Sectional Study ◽  
Environment Impact ◽  
Cross Sectional ◽  
Post Partum Period ◽  
Paternal Race

Abstract Objectives Maternal race, marital status, and social environment impact risk of preterm delivery and size for gestational age. Although some paternal characteristics such as age are associated with pregnancy outcomes, the influence of the paternal presence, race/ethnicity and adverse life events is not well known. The objective of the study was to assess birth outcomes in mothers with a paternal presence compared to those without during the post-partum period. The secondary aim was to determine whether paternal race is associated with birth outcomes. Methods This was a cross-sectional study using parental surveys linked with birth certificate data from 2016 to 2018. Adverse birth composite outcomes (ABCO) including small for gestational age (SGA), prematurity or neonatal intensive care unit admission (NICU) were assessed. Results A total of 695 parents were analyzed (239 single mothers and 228 mother-father pairs). Compared to mothers with a father present, mothers without a father present exhibited increased odds of ABCO, prematurity and NICU. Non-Hispanic Black fathers had increased odds of ABCO and NICU compared to Non-Hispanic Whites (NHW). Hispanic fathers had increased odds of NICU compared to NHW. Conclusions Paternal absence in the post-partum period and paternal race were both independently associated with ABCO and NICU. Assessment of paternal presence and paternal race in clinical practice may help identify opportunities for additional support necessary to optimize birth outcomes.

scholarly journals Contraceptive utilization and associated factors among women in the extended post-partum period in wukro town, Tigray, Ethiopia: a community based cross sectional study

2019 ◽  
Author(s):  
Natnael Etsay Assefa ◽  
Yodit Zewdie Berhe ◽  
Weldu Mammo Werid ◽  
Meresa Berewo Mengesha ◽  
Kidanemariam Berhe Tekola ◽  
...  
Keyword(s):  
Family Planning ◽  
Birth Interval ◽  
Postpartum Period ◽  
Post Partum ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Contraceptive Utilization ◽  
Post Partum Period

Abstract Background: The extended post-partum period is the twelve months after delivery, which is a very critical time for mothers to ensure a safe birth interval. Many women do not realize that they are at risk of pregnancy during the postpartum period and the importance of birth interval. Birth interval more than two years reduces maternal and child mortality and give a better health for the mother and the child. Because of this assessing post-partum contraceptive utilization and the determining factors is crucial. Hence, the study was conducted to determine contraceptive utilization and identify factors which affect post -partum contraceptive utilization Methods: A community based cross sectional study was implemented among 422 women who gave birth one year prior to the study period in wukro town. The total sample size was allocated to the three kebeles proportionally. Systematic random sampling technique was used to select study subjects. Data were collected by interviewer administered structured questionnaire. The data were coded and entered using EpiData version 3.1 and transported to Statistical Package for Social Science version 20 for analysis. Binary and multivariable logistic regressions were fitted. Odds ratio with 95% confidence interval was used to measure strength of association. Results: A total of 422 women were enrolled in this study. Nearly half (48.6%) of the women were using contraceptive. Multivariable logistic regression showed that prenatal counseling [AOR 3.06(95% CI; 1.30, 7.22)], menses returned [AOR 3.99(95% CI; 1.96, 8.11)] and resuming sexual activity [AOR 5.96(95% CI; 2.67, 13.3)] were positively associated with utilization of postpartum contraceptive. Conclusions: Postpartum contraceptive use was low. Strengthening prenatal family planning counseling and improving women’s awareness about the return of their fertility after childbirth are suggested to improve family planning utilization in extended postpartum period.

scholarly journals CHARACTERISTICS OF HELLP SYNDROME IN SEVERE PREECLAMPSIA PATIENTS IN DR. SOETOMO HOSPITAL SURABAYA

2016 ◽  
Vol 51 (4) ◽  
pp. 272
Author(s):  
Warih Angesti P ◽  
Ernawati Ernawati ◽  
Dwi Susanti
Keyword(s):  
Birth Weight ◽  
Maternal Mortality ◽  
Gestational Age ◽  
Apgar Score ◽  
Post Partum ◽  
Cross Sectional Study ◽  
Severe Preeclampsia ◽  
Cross Sectional ◽  
Cesarean Section Delivery ◽  
Minute Apgar Score

Hemolysis, elevated liver enzyme, and low platelet count syndrome (HELLPs) is complication following severe preeclampsia which is one of the three leading causes of maternal mortality in Indonesia. The purpose of this study was to understand the prevalence, characteristics, and post-partum outcome of HELLPs patients who deliver in Dr. Soetomo Hospital in July 2012-June 2013. This study was observational-descriptive, cross sectional study. The population observed was the severe preeclampsia patients who deliver in Dr. Soetomo Hospital and have complete medical data in July 2012-June 2013. study subject taken by total sampling. HELLPs follow the 7% of severe preeclampsia patients. The maternal average age of HELLPs group was 30.2 (19-43), while in non-HELLPs was 30.8 (17-46). Most HELLPs patients were in the first and second pregnancy. The average of gestational age at labor in HELLPs was 33-34 weeks. Both in HELLPs and non-HELLPs most performed Cesarean Section delivery. No post-partum maternal mortality found in HELLPs, but 25% had stillbirth. The average of birth weight in HELLPs was 1994.4 g. First minute Apgar score >7 was 33.3% in HELLPs group. In conclusion, Most HELLPs patients were in the first and second pregnancy, while non-HELLPs were in first pregnancy. The average of gestational age at labor was lower in HELLPs group. Neonates mortality were higher in HELLPs group. The average of birth weight was lower in HELLPs group. First minute Apgar score > 7 was higher in non-HELLP group.

scholarly journals Comparison of Serum Triglyceride and Cholesterol Levels in Premature Neonates with or without Respiratory Distress Syndrome (RDS)

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Roya Kelishadi ◽  
Behzad Barekatain ◽  
Atefeh Fatahi
Keyword(s):  
Fatty Acids ◽  
Gestational Age ◽  
Neonatal Intensive Care ◽  
Direct Relationship ◽  
Essential Fatty Acids ◽  
Serum Triglyceride ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Premature Neonates ◽  
Cholesterol Levels

Background. Deficiency or reduced transmission of long-chain fatty acids and essential fatty acids may inhibit lung growth and development. We aimed to evaluate and compare serum triglyceride and cholesterol levels in premature neonates with RDS. Methods. This study is a cross-sectional study performed on premature neonates born in Beheshti Hospital in Isfahan in 2018. Immediately after birth and after umbilical cord clumping, blood samples were taken from the umbilical artery and triglyceride and total cholesterol levels were measured. Those patients with the diagnosis of RDS were transferred to the neonatal intensive care unit (NICU). Data regarding the laboratory results of the lipid profile in patients were compared to that in the other group. Results. A total number of 100 neonates entered the study and were divided into 2 groups. Analysis of gender and mean gestational ages among the two groups showed no significant differences between the groups ( P = 0.84 and P = 0.28 , respectively). Further analysis showed a significant decreased serum cholesterol in the group 1 of patients ( P = 0.01 ), but there were no significant differences between the two groups regarding triglyceride levels ( P = 0.43 ). There was a significant direct relationship between gestational age and serum triglyceride levels in patients with RDS ( r = 0.550 , P < 0.001 ). Conclusion. Here, we indicated significantly lower cholesterol levels in the cord serum of premature neonates with RDS compared to non-RDS premature neonates. Our data also showed a significant direct relationship between gestational age and serum triglyceride levels in patients with RDS. These data were in line with the previous studies.

scholarly journals Contraceptive utilization and associated factors among women in the extended post-partum period in wukro town, Tigray, Ethiopia: a community based cross sectional study

2019 ◽  
Author(s):  
Natnael Etsay Assefa ◽  
Yodit Zewdie Berhe ◽  
Weldu Mammo Werid ◽  
Meresa Berewo Mengesha ◽  
Kidanemariam Berhe Tekola ◽  
...  
Keyword(s):  
Associated Factors ◽  
Post Partum ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Contraceptive Utilization ◽  
Post Partum Period

Abstract The authors have withdrawn this preprint from Research Square

scholarly journals Depression among Women during Post-Partum Period: A Cross Sectional Study

2018 ◽  
Vol 01 (01) ◽  
pp. 19-22
Author(s):  
Rajesh SS ◽  
Venkatesh P ◽  
Ashok J ◽  
Krishna Iyengar ◽  
Bobby Abraham ◽  
...  
Keyword(s):  
Post Partum ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Post Partum Period

scholarly journals The correlation between the cerebroplacental ratio and fetal arterial blood gas in appropriate-for-gestational-age fetuses: A cross-sectional study

2021 ◽  
pp. 821-826
Author(s):  
Ashraf Jamal ◽  
Vajiheh Marsoosi ◽  
Fatemeh Sarvestani ◽  
Neda Hashemi
Keyword(s):  
Gestational Age ◽  
Neonatal Intensive Care ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Arterial Blood Gas ◽  
Arterial Blood ◽  
Emergency Cesarean ◽  
Appropriate For Gestational Age ◽  
Adverse Pregnancy

Background: The cerebroplacental ratio (CPR) is an important index for predicting adverse pregnancy outcomes in small-for-gestational-age and appropriate-forgestational-age fetuses. Objective: To find out whether there is an association between the CPR level and the blood cord gases analysis in appropriate for gestational age fetuses. Materials and Methods: This cross-sectional study included 347 pregnant women at the gestational age of 37-40 wk. Patients had an appropriate-for-gestational-age fetus confirmed from their first ultrasonography results. Participants were divided into two groups based on their CPR, measured before delivery. Finally, after delivery, arterial blood gas level and the incidence of emergency cesarean section, intrapartum fetal distress and neonatal intensive care unit admissions were compared between the two groups. Results: Fifty-four (15.6%) cases had a CPR below the detection limit of the assay. The incidence of fetal distress, emergency cesarean section, neonatal hospitalization in the neonatal intensive care unit, and pH < 7.2 were significantly lower in women with CPR ≥ 0.67 multiples than in women with a CPR < 0.67 multiples of the median. Conclusion: The third-trimester CPR is an independent predictor of stillbirth and perinatal mortality and morbidity. The role of UA/MCA Doppler and the CPR in assessing the risk of adverse pregnancy outcomes should be evaluated prospectively. Key words: Umbilical cord blood, Color Doppler ultrasonography, Gestational age.

scholarly journals Prevalence rate of skin manifestations in NICU-admitted neonates

2019 ◽  
Author(s):  
Shahrokh Mehrpisheh ◽  
Azadeh Memarian
Keyword(s):  
Gestational Age ◽  
Neonatal Intensive Care ◽  
Cross Sectional Study ◽  
Skin Disorders ◽  
Cross Sectional ◽  
Skin Manifestations ◽  
Significant Relationships ◽  
Present Cross Sectional Study ◽  
Lesion Type ◽  
Type Of Delivery

Abstract Background Skin disorders in neonates can be regarded as determining concepts for prognosis and genetic counseling. Few studies have so far been conducted on determining and recording the relative frequency of skin disorders. The present study was therefore conducted to investigate skin manifestations and their relationship with other variables in the neonates hospitalized in the neonatal intensive care unit (NICU).Methods The present cross-sectional study was conducted on 403 neonates, hospitalized in the NICU of Rasoul Akram Hospital in 2014 and selected using convenience sampling. The data collected from the profiles of the neonates were recorded in a data collection form.Results Of the 403 study neonates, 366 (90.8%) had no skin manifestations, while 37 (9.2%) had skin manifestations, 18 (48.6%) of which were pathological. According to the results obtained, gender, type of delivery, gestational age and reasons for hospitalization were found not to be correlated with skin manifestations and their pathological status (P>0.05). Moreover, gender, gestational age and reasons for hospitalization had no significant relationships with the lesion type (P>0.05). Type of delivery was however found to have a statistically significant relationship with the type of skin manifestation (P=0.043).Conclusion Skin manifestations in the neonates hospitalized in the NICU are found to be less frequent in the present study compared to those in other studies, which can be attributed to the retrospective type of study using profiles and the lack of direct medical examination of patients.

Role of Sildenafil in the Treatment of Persistent Pulmonary Hypertension of Newborn (PPHN) - Should it Be Withdrawn from Market of Bangladesh due to Threat of being Misuses

2020 ◽  
Vol 35 (2) ◽  
pp. 100-104
Author(s):  
Maksudur Rahman ◽  
Mohammad Abdullah Al Mamun ◽  
MAK Azad Chowdhury ◽  
Abu Sayeed Munsi
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cardiac Intensive Care Unit ◽  
Cross Sectional ◽  
Cardiac Intensive Care ◽  
Hospital Protocol

Background: Recently it has been apprehended that sildenafil, a drug which has been successfully using in the treatment of PPHN and erectile dysfunction in adult, is going to be withdrawn from the market of Bangladesh due to threat of its misuses. Objective: The aim of this study was to see the extent of uses of sildenafil in the treatment of PPHN and importance of availability of this drugs in the market inspite of its probable misuses. Methods: This cross sectional study was conducted in neonatal intensive care unit (NICU), special baby care unit (SCABU) and cardiac intensive care unit (CICU) of Dhaka Shishu (Children) Hospital from June, 2017 to May 2018. Neonates with PPHN were enrolled in the study. All cases were treated with oral sildenefil for PPHN along with others management according to hospital protocol. Data along with other parameters were collected and analyzed. Results: Total 320 patients with suspected PPHN were admitted during the study period. Among them 92 (29%) cases had PPHN. Male were 49(53 %) cases and female were 43(47%) cases. Mean age at hospital admission was 29.7±13.4 hours. Based on echocardiography,13(14%) cases had mild, 38 (41%) cases moderate and 41(45%) cases severe PPHN. Mean duration of sildenafil therapy was 11.9±7.1 days. Improved from PPHN were 83 (90%) cases. Mortality was 10% (9). Conclusion: In this study it was found that the incidence of PPHN is 29% among the suspected newborns. Sildenafil is successfull in improving the oxygenation of PPHN and to decrease the mortality of neonates. DS (Child) H J 2019; 35(2) : 100-104

Sonographic Assessment of Amniotic Fluid Volume using Single Deepest Pocket (SDP) among Igbo Women with Uncomplicated Singleton Pregnancies.

2019 ◽  
Vol 2 (1) ◽  
pp. 1-18
Author(s):  
Chijioke Okeudo ◽  
B.U. Ezem
Keyword(s):  
Amniotic Fluid ◽  
Gestational Age ◽  
Cross Sectional Study ◽  
Fluid Volume ◽  
Singleton Pregnancy ◽  
Cross Sectional ◽  
South Eastern ◽  
Amniotic Fluid Volume ◽  
The Mean ◽  
Singleton Pregnancies

Background: The amniotic fluid is fundamental for proper fetal development and growth. Ultrasound visualization of the amniotic fluid permits both subjective and objective estimates of the amniotic fluid. Objective: The objective of this study was to determine the reference values of normal single deepest pocket (SDP) – upper and lower limits, mean SDP and variation of the SDP with gestational age among Igbo women of South-Eastern Nigeria extraction carrying uncomplicated singleton pregnancy. Methodology: This was a prospective cross sectional study involving 400 women carrying uncomplicated singleton pregnancies and who were sure of the date of the first day of their last menstrual period. The single deepest pocket / maximum vertical pool were determined once at presentation at the hospital.. The study was conducted from January 1st to December 31st 2015. The second author carried out all the scanning. The SDP was obtained. Results: The womens’ mean and median ages were the same at 28 years. The gestational age range of the pregnancies was 14-41 weeks. The mean SDP was 5.8cm, while the 5th and 95th percentiles were 3.3cm and 8.5cm respectively. There was no difference in the mean SDP in both term and preterm. There was irregular but continuous rise of mean SDP to a peak of 6.8cm at gestational age of 39 weeks. In conclusion, the participants had a mean SDP of 5.8cm. There was also a positive correlation between SDP and Gestational age. We therefore recommend a longitudinal study to assess perinatal outcome and abnormal amniotic fluid volume among Igbo women of South-Eastern Nigeria. Key words: Single Deepest Pocket, Uncomplicated Singleton Pregnancy, Igbo Women.

scholarly journals What Are the Maternal Factors That Potentially Intervenes in the Nutritional Composition of Human Milk?

Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1587
Author(s):  
Yasmin Amaral ◽  
Leila Silva ◽  
Fernanda Soares ◽  
Daniele Marano ◽  
Sylvia Nehab ◽  
...  
Keyword(s):  
Weight Gain ◽  
Nutritional Status ◽  
Human Milk ◽  
Gestational Weight Gain ◽  
Post Partum ◽  
Cross Sectional Study ◽  
Nutritional Composition ◽  
Cross Sectional ◽  
Factors Associated ◽  
Gestational Weight

Background: To evaluate the potential factors associated with the nutritional composition of human milk of puerperal women. Methods: cross-sectional study, conducted between March 2016 and August 2017, with 107 women, selected in a Tertiary Health Care Tertiary Health Facility of the Unified Health System (SUS) in the Municipality of Rio de Janeiro. Data were collected two months after delivery. The dependent variable of the study was the nutritional composition of human milk. We divided the independent variables into hierarchical levels: distal (age, schooling, parity and pregestational nutritional status), intermediate (number of prenatal visits and gestational weight gain) and proximal (alcohol consumption, smoking, diabetes mellitus and hypertension). For data analysis, we applied the multiple linear regression, centered on the hierarchical model. Only the variables associated with the nutritional composition of breast milk remained in the final model at a 5% level of significance. Results: The nutritional composition of human milk yielded by women with pregestational overweight, smokers and hypertensive had higher amounts of lipids and energy. Conversely, women with gestational weight gain below the recommended had lower amounts of these components. Conclusion: The evaluation of factors associated with the nutritional composition of human milk is extremely important to assist post-partum care practices. In this study, we observed that lipid and energy contents were associated to pregestational nutritional status, gestational weight gain, smoking and hypertension.

Sign in / Sign up

Export Citation Format

Share Document