scholarly journals Does Prenatal Stress Management Enhance Maternal And Fetal Outcomes?

2016 ◽  
Vol 12 (27) ◽  
pp. 129
Author(s):  
Ghada Mohammad Abu Shosha
Keyword(s):  
Pregnant Women ◽  
Stress Management ◽  
Stress Reduction ◽  
Maternal Stress ◽  
Rapid Change ◽  
Fetal Outcomes ◽  
Reduction Techniques ◽  
Antenatal Stress ◽  
Fetal Organs ◽  
The Impact

Background: Antenatal period is a time of rapid change during which fetal organs are vulnerable to various stressors. Studies have suggested that psychosocial stressors during pregnancy could adversely influence physical and behavioral outcomes of the infant. Aim: This paper aimed to discusses the importance of antenatal stress assessment and management on both mothers' and infants' health status. Method: This review aggregated evidence from various studies that examined the impact of maternal stress management and its outcomes on pregnant women and their infants. Results: Maternal stress is generally associated with unpleasant fetal outcomes. The use of stress reduction techniques was approved to reduce psychological stress in pregnant women. Conclusion: Ongoing assessment of antenatal stress using a standardized process promotes proper stress handling strategy.

scholarly journals Maternal Coronavirus Infections and Neonates Born to Mothers with SARS-CoV-2: A Systematic Review

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 511
Author(s):  
Waldemar Naves do Amaral ◽  
Carolina Leão de Moraes ◽  
Ana Paula dos Santos Rodrigues ◽  
Matias Noll ◽  
Jalsi Tacon Arruda ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pregnant Women ◽  
Case Reports ◽  
Signs And Symptoms ◽  
Fetal Distress ◽  
Intrauterine Fetal Death ◽  
Fetal Outcomes ◽  
Fetal Movements ◽  
Pregnancy And Delivery ◽  
The Impact

The coronavirus disease 2019 (COVID-19) pandemic is continuously affecting the lives of all people. Understanding the impact of COVID-19 on pregnancy in terms of morbidity, mortality, and perinatal maternal and fetal outcomes is essential to propose strategies for prevention and infection control. Here, we conducted a systematic review to investigate pregnant women infected with COVID-19 in terms of signs and symptoms, type of delivery, comorbidities, maternal and neonatal outcomes, and the possibility of vertical transmission. A search on Embase and PubMed databases was performed on 31 October 2020. Observational studies and case reports on pregnant women infected with COVID-19 were included without language restrictions. The 70 selected studies included a total of 1457 pregnant women diagnosed with COVID-19 in the first, second, and third trimesters of pregnancy. The most common signs and symptoms were fever, cough, and nausea. The most frequent comorbidities were obesity, hypertensive disorders, and gestational diabetes. Among maternal and fetal outcomes, premature birth (n = 64), maternal death (n = 15), intrauterine fetal death or neonatal death (n = 16), cases of intrauterine fetal distress (n = 28), miscarriage (n = 7), decreased fetal movements (n = 19), and severe neonatal asphyxia (n = 5) were the most frequent. Thirty-nine newborns tested positive for SARS-CoV-2. Additionally, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA was detected in the placenta (n = 13) and breast milk (n = 6). This review indicates that COVID-19 during pregnancy can result in maternal, fetal, and neonatal complications. In addition, SARS-CoV-2 viral exposure of neonates during pregnancy and delivery cannot be ruled out. Thus, we highlight the need for long-term follow-up of newborns from mothers diagnosed with COVID-19 to establish the full implications of SARS-CoV-2 infection in these children.

scholarly journals Mindfulness-based Stress Reduction in Pregnancy: an App-Based Programme to Improve the Health of Mothers and Children (MINDFUL/PMI Study)

2018 ◽  
Vol 78 (12) ◽  
pp. 1283-1291 ◽  
Author(s):  
Bernd Lenz ◽  
Anna Eichler ◽  
Eva Schwenke ◽  
Verena Buchholz ◽  
Charlotte Hartwig ◽  
...  
Keyword(s):  
Environmental Factors ◽  
Pregnant Women ◽  
Tobacco Use ◽  
Infant Development ◽  
Maternal Stress ◽  
Self Regulation ◽  
Ring Finger ◽  
Childhood Development ◽  
Modifiable Factors ◽  
The Impact

AbstractUnfavourable intrauterine environmental factors increase the risk of delivery complications as well as postpartum developmental and behavioural problems in children and adolescents with ongoing effects into older age. Biomarker studies show that maternal stress and the use of alcohol and tobacco during pregnancy are associated with a higher intrauterine testosterone exposure of the child. The antenatal testosterone load, in turn, is a risk factor for lasting adverse health effects which extend into adulthood. A 15-week, mindfulness-oriented, app-based programme for the reduction of stress as well as for the reduction of alcohol and tobacco use in pregnant women is established. In the monocentre, prospective, controlled, and investigator-blinded MINDFUL/PMI (Maternal Health and Infant Development in the Follow-up after Pregnancy and a Mindfulness Intervention) study, pregnant women carry out the programme. Its effect on antenatal testosterone exposure of the child is examined by assessing the index/ring finger length ratio and other biomarkers in the 1-year-old children. In addition, the programmeʼs effects on self-regulation, the developmental status and the mental health of the children at the age of one year will be investigated. Additional aspects of the course of the pregnancy and delivery represent exploratory study objectives. This longitudinal study project is intended to improve the understanding of the impact of intrauterine environmental factors on early childhood development and health. Maternal stress as well as alcohol and tobacco use during pregnancy are modifiable factors and represent potential preventive targets.

Stress Management for Multiple Sclerosis Patients

1987 ◽  
Vol 61 (2) ◽  
pp. 423-429 ◽  
Author(s):  
Jim D. Crawford ◽  
Geraldine P. McIvor
Keyword(s):  
Multiple Sclerosis ◽  
Stress Management ◽  
Stress Reduction ◽  
Profile Of Mood States ◽  
Depression And Anxiety ◽  
Behavioral Strategies ◽  
Reduction Techniques ◽  
Management Techniques ◽  
Multiple Sclerosis Patients ◽  
Management Groups

The purpose of the study was to explore the utility of stress-reduction techniques within a population of hospitalized multiple sclerosis patients. Four stress-management groups, each composed of 8 to 10 patients, were formed with each participant receiving a pre- and posttest battery focusing on emotional/mood factors (the Profile of Mood States). Group sessions were held once/weekly for 13 wk. Relaxation, cognitive, and behavioral strategies were incorporated into the program. The findings indicate that stress-management techniques were effective in the reduction of psychological distress. Significant decreases were noted in scores on depression and anxiety and significant increase on vigor.

Stress Management in Service Sector

2015 ◽  
Vol 2 (11) ◽  
pp. 1
Author(s):  
D. Seethanaik
Keyword(s):  
Stress Management ◽  
Stress Reduction ◽  
Service Sector ◽  
Lower Stress ◽  
Work Related ◽  
Reduction Techniques ◽  
Effects Of Stress

This paper describes the causes stress in the hospital. The paper examines the techniques or methods used to lower stress. The paper examines various stress reduction techniques to alleviate stress. This paper is to identify emotional, physical and mental effects of stress. Also this paper explores work related sources of stress.

scholarly journals The Impact of Mindfulness-Based Stress Reduction Techniques on Nurse Burnout in an ICU

2021 ◽  
Author(s):  
◽  
Heather Vincent
Keyword(s):  
Stress Reduction ◽  
Outcome Data ◽  
Loving Kindness ◽  
Reduction Techniques ◽  
Current State ◽  
Nurse Burnout ◽  
Practice Problem ◽  
Mindfulness Based Stress Reduction ◽  
Reducing Costs ◽  
The Impact

Practice Problem: Burnout among nurses has been linked to turnover, negative patient safety and quality outcomes, and higher costs for institutions. PICOT: The PICOT question that guided this project was, in ICU nurses (P), what was the impact of the use of MBSR techniques (I), versus the current state in which no MBSR techniques are practiced (C), on self-reported BO (O), over the course of eight weeks (T). Evidence: A total of 14 studies were identified in the literature that directly support the implementation of this project. Themes from the literature show that mindfulness-based stress reduction techniques such as meditation, yoga, and gratitude may reduce nurse burnout. Intervention: A variety of mindfulness-based stress reduction (MBSR) techniques were implemented including a pre-shift “loving kindness” meditation, a five minute “Lunch Break Yoga” practice, and a post-shift gratitude reflection. Outcome: Data demonstrated that 88.9% of the participants reported reduced levels of burnout. A paired t-test showed a statistically significant reduction in BO. Conclusion: The use of MBSR techniques may provide a method to reduce burnout, possibly improving retention and outcomes, reducing costs for institutions.

The Impact of Mindfulness-Based Stress Reduction Techniques on Nurse Burnout in an ICU

2021 ◽  
Author(s):  
◽  
Jessica Comstock
Keyword(s):  
Stress Reduction ◽  
Cost Savings ◽  
Bloodstream Infections ◽  
Central Line ◽  
Reduction Techniques ◽  
Primary Nurse ◽  
Practice Problem ◽  
Dressing Change ◽  
Hospital Acquired ◽  
The Impact

Practice Problem: Central Line Associated Bloodstream Infections (CLABSI) are a preventable hospital acquired infection which contributes to patient morbidity, mortality and rising healthcare costs. PICOT: The PICOT question that guided this project was: In adult inpatients with central venous catheters, does the use of a two-person dressing change team, compared to a single person procedure, decrease the rate of central line associated bloodstream infections over the course of 8 weeks? Evidence: The prevention of CLABSI is most effective when multifaceted line maintenance bundles are implemented and adherence to these bundles nears 100% (Schreiber et al. 2018). Intervention: A two-person, evidence-based dressing change procedure was implemented for all central line dressing changes, known as the sterile buddy. The role of this additional bedside nurse was to assist the dressing change through an extra set of hands and to provide real-time sterile technique feedback to the primary nurse. Outcome: The intervention did not lead to a statistically significant change in the rate of CLABSI, however there was a reduction in the overall number of observed CLABSI compared to both the prior year and the 6 months preceding to the intervention. Conclusion: The implementation of a sterile buddy was an effective intervention that resulted in a decline in the total of CLABSI, and although not statistically significant, resulted in an estimated cost savings of $56,000 when compared to the year prior and an estimated cost savings of $112,000 when compared to the 6 months preceding the intervention.

Maternal-Fetal Management in Trombophilia Related and Placenta-Mediated Pregnancy Complications

2018 ◽  
Vol 69 (9) ◽  
pp. 2396-2401
Author(s):  
Costin Berceanu ◽  
Elena Loredana Ciurea ◽  
Monica Mihaela Cirstoiu ◽  
Sabina Berceanu ◽  
Anca Maria Ofiteru ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Pregnancy Complications ◽  
Case Control Study ◽  
Case Control ◽  
Placental Insufficiency ◽  
Management Options ◽  
Specific Therapy ◽  
Pregnancy Morbidity ◽  
The Impact ◽  
Control Study

It is widely accepted that thrombophilia in pregnancy greatly increases the risk of venous thromboembolism. Pregnancy complications arise, at least partly, from placental insufficiency. Any change in the functioning of the gestational transient biological system, such as inherited or acquired thrombophilia, might lead to placental insufficiency. In this research we included 64 pregnant women with trombophilia and 70 cases non-trombophilic pregnant women, with or without PMPC, over a two-year period. The purpose of this multicenter case-control study is to analyze the maternal-fetal management options in obstetric thrombophilia, the impact of this pathology on the placental structure and possible correlations with placenta-mediated pregnancy complications. Maternal-fetal management in obstetric thrombophilia means preconceptional or early diagnosis, prevention of pregnancy morbidity, specific therapy as quickly as possible and fetal systematic surveilance to identify the possible occurrence of placenta-mediated pregnancy complications.

Clinical Pharmacokinetic Studies in Pregnant Women and the Relevance of Pharmacometric Tools

2019 ◽  
Vol 25 (5) ◽  
pp. 483-495 ◽  
Author(s):  
André Dallmann ◽  
Paola Mian ◽  
Johannes Van den Anker ◽  
Karel Allegaert
Keyword(s):  
Pregnant Women ◽  
Clinical Pharmacokinetic ◽  
Individual Variability ◽  
Current Status ◽  
Pharmacokinetic Studies ◽  
Full Potential ◽  
Pbpk Models ◽  
Pregnancy And Postpartum ◽  
Population Pk ◽  
The Impact

Background: In clinical pharmacokinetic (PK) studies, pregnant women are significantly underrepresented because of ethical and legal reasons which lead to a paucity of information on potential PK changes in this population. As a consequence, pharmacometric tools became instrumental to explore and quantify the impact of PK changes during pregnancy. Methods: We explore and discuss the typical characteristics of population PK and physiologically based pharmacokinetic (PBPK) models with a specific focus on pregnancy and postpartum. Results: Population PK models enable the analysis of dense, sparse or unbalanced data to explore covariates in order to (partly) explain inter-individual variability (including pregnancy) and to individualize dosing. For population PK models, we subsequently used an illustrative approach with ketorolac data to highlight the relevance of enantiomer specific modeling for racemic drugs during pregnancy, while data on antibiotic prophylaxis (cefazolin) during surgery illustrate the specific characteristics of the fetal compartments in the presence of timeconcentration profiles. For PBPK models, an overview on the current status of reports and papers during pregnancy is followed by a PBPK cefuroxime model to illustrate the added benefit of PBPK in evaluating dosing regimens in pregnant women. Conclusions: Pharmacometric tools became very instrumental to improve perinatal pharmacology. However, to reach their full potential, multidisciplinary collaboration and structured efforts are needed to generate more information from already available datasets, to share data and models, and to stimulate cross talk between clinicians and pharmacometricians to generate specific observations (pathophysiology during pregnancy, breastfeeding) needed to further develop the field.

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