scholarly journals Maternal Dissatisfaction During the Postpartum Recuperation Period is an Independent Risk Factor for Postpartum Depression after Caesarean Section in China – A Prospective Cohort Study

2021 ◽  
Author(s):  
Liping Li ◽  
Chaojin Chen ◽  
Yiying You ◽  
Mierzhati Muhetaer ◽  
Fei Huang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Caesarean Section ◽  
Postpartum Depression ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Protective Factor ◽  
Depression Scale ◽  
Public Health Problem ◽  
Important Public Health Problem

Abstract Background: Postpartum depression (PD) is a common disorder associated with severe adverse infant and maternal outcomes, which is becoming an important public health problem. However, studies on the clinical relevance of anesthesia and PD are very limited. This study aimed to examine risk factors for PD amongst Chinese parturients of caesarean section from the perspective of anesthesiology, especially during the standard Chinese postpartum recuperation period known as “doing the month”.Methods: Prospective cohort study of 125 women who received caesarean sections aged from 21 to 46 years. The Edinburgh Postnatal Depression Scale were evaluated at the day before caesarean section and 6 weeks postpartum. Demographic, clinical, and treatment, including postoperative prognostic data and conditions during “doing the month”, were recorded and compared between PD and non-PD groups. Univariable and multivariable logistic regression methods were used to explore the risk factors associated with the occurrence of PD. Results: 44 (34.9%) patients were diagnosed PD at 6 weeks postpartum. Occurrence of PD was associated with postoperative pain, pruritus, dissatisfaction with “doing the month”. Multivariate regression analysis showed that lumbago (OR 5.68, 95% CI 1.69-19.06; p=0.005), maternal total dissatisfaction during “doing the month”(OR 6.87, 95% CI 2.48-19.04; p=0.001), and dissatisfaction with mother in-law during “doing the month”(OR 3.22, 95% CI 1.43-16.16; p=0.020) were independent risk factors for PD, while mild activity pain was independent protective factor for PD 6 weeks postpartum (OR 0.018, 95% CI 0.01-0.25; p=0.003). Conclusions: PD was a commonly experienced psychological disorders for women undergoing caesarean section. Postpartum lumbago, maternal total dissatisfaction and dissatisfaction with mother in-law during “doing the month” and mild activity pain were main factors for PD at 6 weeks postpartum.

scholarly journals Duration of Colonization by Extended-Spectrum β-Lactamase-Producing Enterobacteriaceae in Healthy Newborns and Associated Risk Factors: A Prospective Cohort Study

2018 ◽  
Vol 5 (12) ◽  
Author(s):  
María Jesús Rodríguez-Revuelta ◽  
Lorena López-Cerero ◽  
Lara Serrano ◽  
Salud Luna-Lagares ◽  
Alvaro Pascual ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Caesarean Section ◽  
Prospective Cohort Study ◽  
Median Duration ◽  
Prospective Cohort ◽  
Coli Isolate ◽  
Factors Associated ◽  
Extended Spectrum ◽  
Associated Risk Factors

Abstract Duration of colonization by extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-E) and factors associated with it were studied in 20 newborns in Seville, Spain. Median duration of colonization was 7.5 months; factors associated with prolonged colonization were delivery by caesarean section, colonization of the mother, and phylogroup B2 Eschericha coli isolate.

scholarly journals Risk Factors Of Post-Operative Sore Throat In Patients Undergoing Emergency Caesarean Section Under General Anaesthesia With Endotracheal Tube – A Prospective Cohort Study

2020 ◽  
Author(s):  
Shibu Sasidharan ◽  
Babitha Shibu ◽  
Harpreet Dhillon ◽  
Suneeta Singh ◽  
Divya Sinha ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Caesarean Section ◽  
General Population ◽  
Endotracheal Tube ◽  
General Anaesthesia ◽  
Sore Throat ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Emergency Caesarean Section

Abstract Background: A prospective cohort study to study the risk factors of post-operative sore throat (POST) in pregnant patients undergoing emergency caesarean section under general anaesthesia with endotracheal tube. Methods: 1000 pregnant patients were recruited to study the risk factors of POST over a period of 3 years. The data was analysed using SPSS-10 for Windows statistical software. Pearson’s Chi Square test was the statistical test of significance. Results: ETT size 7.0 decreased and ETT tube size 8.0 and above increased the risk for POST and hoarseness in the early postoperative period. The symptoms of POST surfaced mostly 8 hours after surgery (35.5%). A low cuff pressure decreased the incidence of POST. Incidence of POST increases with the duration of surgery. Conclusion: Incidence of POST in pregnant patients are comparable with general population and the factors that caused POST in general population caused the same in pregnant women, without any difference in characteristics, despite the complex change in physiology.

The Natural Course and Risk Factors for Progression of Diabetic Retinopathy-KNDP Prospective Cohort Study

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 1571-P
Author(s):  
HYUN UK MOON ◽  
JA YOUNG JEON ◽  
SOOJIN LEE ◽  
SEUNG JIN HAN ◽  
HAE JIN KIM ◽  
...  
Keyword(s):  
Risk Factors ◽  
Diabetic Retinopathy ◽  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Natural Course

scholarly journals Prenatal Sociodemographic Factors Predicting Maltreatment of Children up to 3 Years Old: A Prospective Cohort Study Using Administrative Data in Japan

2021 ◽  
Vol 18 (5) ◽  
pp. 2505
Author(s):  
Aya Isumi ◽  
Kunihiko Takahashi ◽  
Takeo Fujiwara
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Child Maltreatment ◽  
Survey Data ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Characteristic Curve ◽  
Risk Scores ◽  
Prenatal Risk ◽  
Prenatal Risk Factors

Identifying risk factors from pregnancy is essential for preventing child maltreatment. However, few studies have explored prenatal risk factors assessed at pregnancy registration. This study aimed to identify prenatal risk factors for child maltreatment during the first three years of life using population-level survey data from pregnancy notification forms. This prospective cohort study targeted all mothers and their infants enrolled for a 3- to 4-month-old health check between October 2013 and February 2014 in five municipalities in Aichi Prefecture, Japan, and followed them until the child turned 3 years old. Administrative records of registration with Regional Councils for Children Requiring Care (RCCRC), which is suggestive of child maltreatment cases, were linked with survey data from pregnancy notification forms registered at municipalities (n = 893). Exact logistic regression was used for analysis. A total of 11 children (1.2%) were registered with RCCRC by 3 years of age. Unmarried marital status, history of artificial abortion, and smoking during pregnancy were significantly associated with child maltreatment. Prenatal risk scores calculated as the sum of these prenatal risk factors, ranging from 0 to 7, showed high predictive power (area under receiver operating characteristic curve 0.805; 95% confidence interval (CI), 0.660–0.950) at a cut-off score of 2 (sensitivity = 72.7%, specificity = 83.2%). These findings suggest that variables from pregnancy notification forms may be predictors of the risk for child maltreatment by the age of three.

Inter-observer reliability of a risk assessment model for venous thromboembolism in acutely-ill medical hospitalized patients: Results from a prospective cohort study

2021 ◽  
pp. 026835552110212
Author(s):  
Cassia RL Ferreira ◽  
Marcos de Bastos ◽  
Mirella L Diniz ◽  
Renan A Mancini ◽  
Yan S Raposo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Venous Thromboembolism ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Risk Classification ◽  
Assessment Model ◽  
Kappa Statistics ◽  
Medical Patients ◽  
Observer Reliability

Objectives To analyze the inter-observer reliability of risk for venous thromboembolism (VTE) in a population of adult acutely-ill medical patients. Methods In this prospective cohort study, we collected risk factors and risk classification for VTE using RAM IMPROVE7. Kappa statistics was used to evaluate inter-observer reliability between lead clinicians and trained researchers. We evaluated occurrence of VTE in patients with mismatched classification. Results We included 2,380 patients, median age 70 years (interquartile range [IQR], 58-79), 56.2% female. Adjusted Kappa for VTE risk factors ranged from substantial (0.64, 95% confidence interval [CI], 0.61-0.67) for “immobilization”, to almost perfect (0.98; 95% CI 0.97-0.99) for “thrombophilia”; risk classification was 0.64 (95% CI 0.60-0.67). Divergent risk classification occurred in 434 patients (18.2%) of whom seven (1.6%) developed VTE. Conclusion Despite substantial to almost perfect reliability between observers for risk factors and risk classification, lead clinicians tended to underestimate the risk for VTE.

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