Antepartum COVID-19 and Postpartum Autism

Author(s):  
Steinman G ◽  
◽  
Mankuta D ◽  

A little over a year ago, a new viral disease appeared worldwide. Much like earlier pathologic RNA viruses, Covid-19 can cause distinctive harmful effects on pregnant women and their offspring. Because of the coexistent fever associated with a rise in pro-inflammatory interleukins in the most severe cases, there is a serious concern about the baby’s neurologic development. Although not yet observed in many Covid-19 pregnancies, it is anticipated particularly that the onset of autism in the child may be realized in a year or more postpartum. Prior studies have reported that exclusive breast-feeding which provides a good source of IGF1 for the baby may well reduce the incidence of autism in such cases.

2020 ◽  
Vol 15 (2) ◽  
pp. 220-226
Author(s):  
Sumita Bhalla ◽  
Preeti Sharma

The present study was conducted with the objective to assess the effectiveness of social advertisements in promoting adoption of selected health and hygiene practices. The study was conducted in purposively selected two districts of Punjab, India i.e. Gurdaspur and Ludhiana. Total eight villages from four selected blocks of selected districts were randomly selected. From each of the selected village 20 rural women were selected randomly. So, in total 160 respondents made a sample for data collection. The most frequently telecasted five government sponsored social advertisements during the month of June, 2017 on Swach Bharat Abhiyan (Clean India campaign), use of ORS/Zinc during diarrhoea, pregnancy check-up, immunization and breast feeding were selected after consultation with experts. Data was collected using pre-tested structured interview schedule. The effectiveness of social advertisement was assessed in terms of adoption stages i.e. awareness, interest and adoption of health and hygiene practices. The findings revealed that the advertisement of Swach Bharat Abhiyan (Clean India campaign) helped 91.25 per cent respondents to adopt the practice of keeping the environment clean. Most of the respondents i.e. 83.13 per cent immunized their children below 5 years of age. Majority of the respondents (66.38%) were at adoption stage of exclusive breast feeding of infants for first 6 months. Nearly half of the respondents (48.13%) were at the interest stage of adopting the practice of check-up of pregnant women. Nearly two fifth of respondents (42.50%) were at adoption stage of using ORS/Zinc during diarrhoea. It can be concluded that social advertisement plays a significant role in influencing people to adopt health and hygiene practices. It is suggested that more emphasis should be given to produce good social advertisement on different issues to promote adoption of better and improved health and hygiene practices.


2017 ◽  
Vol 19 (1) ◽  
pp. 68-78
Author(s):  
Rahmad Nugroho ◽  
Waryana Waryana ◽  
Irianton Aritonang

Background: The problem of low exclusive breast feeding achievement in Indonesia is caused by social cultural factors, i.e. the minimal understanding of expecting mother, family, society, and health servant with the exclusive breast feeding. The husband’s and grandmother’s motivation will influence on successful breast feeding. Objective: This study is aimed to reveal the exclusive breast feeding achievement ang the role of grandmother. Method: This is an observational study. The researcher observes the society phenomena in Bangunjiwo Village, Bantul Regency. The subjects of the study are: 1) grandmothers aging ≥ 55 yeras old, 2) breast feeding mothers, and 3) Posyandu cadres. The data are collected by the focus group discussion, detail interview, and documentation.The instruments of the study are FGD, stationaries, tape recorder, and camera. The data are analyzed from the preparation of transcript, data reduction, data presentation, and conclusion. Results: the success of breast feeding is motivated by grandmother’s role, i.e. 1) suggesting, 2) motivating, 3) caring, 4) reminding when mother goes out, 5) giving the stored mother’s milk for working mother, and midwive’s explanation and training for expecting mother. Conclusion: The role of grandmother in exclusive breast feeding will increase: 1) mother’s understanding of breast feeding advantages, 2) mother’s awareness of exclusive breast feeding, and 3) mother’s attitude of exclusive breast feeding. Therefore, a breast feeding mother will be able to increase in practicing exclusive breast feeding by: 1) overcoming obstacles, 2) consuming balanced nutrition, 3) maintaning health and drinking herb. Finally, these will influence the succssful exclusive breast feeding.   Keywords: exclusive breastfeeding, The role of grandmother, mother’s attitude


2016 ◽  
pp. 36-42
Author(s):  
Thi Ngoc Anh Nguyen ◽  
Hoang Lan Nguyen

Background: Breast milk is the most valuable source of food for infants, no food is comparable. However in many countries around the world including Vietnam, the breastfeeding prevalence has been declining. A report of the Ministry of Health showed that only 19.6% of infants in Vietnam were exclusively breastfed for the first 6 months. The study was conducted in Hoi An with the aim at describing the situation of exclusive breastfeeding for the first 6 months of the mothers in Hoi An city, Quang Nam province and; identifying some factors affecting exclusive breast feeding for the first 6 months in the study area. Methods: A crosssectional descriptive study was conducted in Hoi An city in December 2014. 516 mothers of infants aged from 6 to 12 months were directly interviewed on the basis of a structured questionnaire. Information about general characteristics of mothers and their infants, their knowledge and attitude of breastfeeding and the feeding types of their baby for the first 6 months was collected. Multivariable logistic regression model was used to identify factors affecting exclusive breastfeeding for the first 6 months. Results: The exclusive breastfeeding prevalence for the first 6 months is 22.3%. Knowledge in breastfeeding and attitude toward exclusive breastfeeding for the first 6 months are factors that significantly related to exclusive breastfeeding prevalence for the first 6 months (OR = 3.3; p=0.001 and OR=10.4; p<0.001, respectively). Conclusion: The exclusive breastfeeding rate for the first 6 months in Hoi An city is low. The promoting antenatal education in exclusive breastfeeding is necessary solution to improve exclusive breastfeeding rate for the first 6 months. Key words: breast milk, exclusive breastfeeding, Hoi An


2017 ◽  
Vol 68 (10) ◽  
pp. 2234-2236
Author(s):  
Dan Navolan ◽  
Florin Birsasteanu ◽  
Adrian Carabineanu ◽  
Octavian Cretu ◽  
Diana Liana Badiu ◽  
...  

Cigarette smoke contains over 7000 different substances some of them exerting harmful effects on embryo and pregnant woman. Nowadays 15 % of adult people and around 10-15% of pregnant women smoke. Previous studies showed that cigarette smoke compounds could exert pharmacodinamic effects and influence some of the second trimester biochemical markers concentration. Therefore there is a need to adjust the reference values of second trimester markers depending of the smoker status. The aim of our study was to analyse which of the markers are influenced by smoking and whether the software used to calculate the risk for aneuploidies is able to counterbalance this influence. Alpha-fetoprotein (AFP), chorionic gonadotropin hormone (hCG) and free estriol (uE3) values were measured in second trimester sera of 1242 pregnant women: 1089 non-smokers and 153 smokers. Only hCG second trimester values were influenced by smoking whereas AFP and uE3 values were not. The correction of medians according to the smoking status was able to counterbalance this effect.


BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e023223 ◽  
Author(s):  
Carlos Berlanga-Macías ◽  
Diana P. Pozuelo-Carrascosa ◽  
Celia Álvarez-Bueno ◽  
Jose Alberto Martínez-Hortelano ◽  
Miriam Garrido-Miguel ◽  
...  

IntroductionBreast feeding has been considered important due to its short-term and long-term benefits on infant and maternal health. Regarding the long-term benefits, the influence of exclusive breastfeeding on cardiorespiratory fitness (CRF) during childhood and adolescence has been studied, although with controversial conclusions. This study protocol aims to provide a clear and standardised procedure for systematically reviewing the relationship between breast feeding, in terms of duration and exclusivity, and CRF in children and adolescents.Methods and analysisThis systematic review and meta-analysis protocol is reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols. A literature search will be conducted in MEDLINE, EMBASE, Web of Science and Cochrane Library. Observational studies regarding the association between breast feeding and CRF in children and adolescents written in English or Spanish will be included. A Critical Appraisal Checklist for Analytical Cross Sectional Studies and The Newcastle-Ottawa Quality Assessment Scale for longitudinal studies will be used for quality assessment of included studies. Standardised mean differences of CRF by exclusive breastfeeding categories will be calculated as the primary outcome. Subgroup analyses and meta-regression will be performed based on the sources of heterogeneity.Ethics and disseminationThis evidence-based systematic review will summarise the relevant information on the association of exclusive breast feeding and CRF in children and adolescents. The results will be disseminated by publication in a peer-reviewed journal. Given that the data used for this systematic review will be exclusively extracted from published studies, ethical approval will not be required.PROSPERO registration numberCRD42018082642.


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