scholarly journals Caring for Mothers: A Narrative Review on Interpersonal Violence and Peripartum Mental Health

2021 ◽  
Vol 18 (10) ◽  
pp. 5281
Author(s):  
Marianna Mazza ◽  
Emanuele Caroppo ◽  
Giuseppe Marano ◽  
Daniela Chieffo ◽  
Lorenzo Moccia ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Interpersonal Violence ◽  
Perinatal Period ◽  
Narrative Review ◽  
Adverse Health Outcomes ◽  
Bonding Failure ◽  
Perinatal Health Care ◽  
Violence During Pregnancy ◽  
Provide Health Care

Interpersonal violence in the perinatal period is frequent and should be considered a prominent health issue due to the risk of escalation of violence and the significant impact on mothers’ parenting after childbirth. Domestic violence during pregnancy can be associated with fatal and non-fatal adverse health outcomes due to the direct trauma to a pregnant woman’s body and to the effect of stress on fetal growth and development. Emotional violence is a risk factor for prenatal and/or postpartum depression. Recent studies focusing on abusive situations during peripartum and possible preventive strategies were identified in PubMed/Medline, Scopus, Embase, and ScienceDirect. All of the available literature was retrospectively reviewed with a special attention to peer-reviewed publications from the last ten years. Results of the present narrative review suggest that perinatal health care professionals (general practitioners, gynecologists, obstetricians, psychologists, psychiatrists) should promptly detect interpersonal violence during and after pregnancy and provide health care for pregnant women. It seems pivotal to guarantee psychological care for abused women before, during, and after pregnancy in order to prevent the risk of depressive symptoms, other mental or physical sequelae, and mother-to-infant bonding failure. There is an urgent need for multifaceted interventions: programs should focus on several risk factors and should design tailored care pathways fitted to the specific needs of women and finalized to support them across the lifespan.

Opinions of UK perinatal health care professionals on home birth

Midwifery ◽  
2014 ◽  
Vol 30 (7) ◽  
pp. 839-846 ◽  
Author(s):  
Andrea McNutt ◽  
Tamsin Thornton ◽  
Pamela Sizer ◽  
Anna Curley ◽  
Paul Clarke
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Home Birth ◽  
Perinatal Health ◽  
Perinatal Health Care

scholarly journals Hematologic Malignancies in Pregnancy: Management Guidelines From an International Consensus Meeting

2016 ◽  
Vol 34 (5) ◽  
pp. 501-508 ◽  
Author(s):  
Michael Lishner ◽  
Irit Avivi ◽  
Jane F. Apperley ◽  
Daan Dierickx ◽  
Andrew M. Evens ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Pregnancy Termination ◽  
Perinatal Period ◽  
Hematologic Malignancies ◽  
Consensus Meeting ◽  
Care Providers ◽  
International Consensus ◽  
Management Guidelines

Purpose The incidence of hematologic malignancies during pregnancy is 0.02%. However, this figure is increasing, as women delay conception until a later age. Systemic symptoms attributed to the development of a hematologic cancer may overlap with physiologic changes of pregnancy. A favorable prognosis is contingent upon early diagnosis and treatment. Therefore, a high index of suspicion is required by health care providers. Although timely, accurate diagnosis followed by appropriate staging is essential and should not be delayed due to pregnancy, management guidelines are lacking due to insufficient evidence-based research. Consequently, treatment is delayed, posing significant risks to maternal and fetal health, and potential pregnancy termination. This report provides guidelines for clinical management of hematologic cancers during the perinatal period, which were developed by a multidisciplinary team including an experienced hematologist/oncologist, a high-risk obstetrics specialist, a neonatologist, and experienced nurses, social workers, and psychologists. Methods These guidelines were developed by experts in the field during the first International Consensus Meeting of Prenatal Hematologic Malignancies, which took place in Leuven, Belgium, on May 23, 2014. Results and Conclusion This consensus summary equips health care professionals with novel diagnostic and treatment methodologies that aim for optimal treatment of the mother, while protecting fetal and pediatric health.

scholarly journals PATIENTS NEED TO RECEIVE THE SAME KIND OF INFORMATION ABOUT THE SAME ISSUE FROM EACH PROFESSIONAL

2021 ◽  
Vol 4 ◽  
pp. 265-273
Author(s):  
Ilze Ansule ◽  
Anda Kīvīte - Urtāne ◽  
Inga Millere
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Perinatal Period ◽  
Maternity Hospital ◽  
Postnatal Period ◽  
Communication Process ◽  
Women Living With Hiv ◽  
Living With Hiv ◽  
To Receive ◽  
Validated Instrument

The questionnaire has been developed from a validated instrument “Women’s Experience of Maternity Care” (author - National Health Service, (Great Britain, 2019) and adapted to the situation in Latvia. The permission to use it has been obtained from authors. The questionnaire is meant for women regardless of their health status during the perinatal period or who have no co-morbidities, diagnosed in perinatal period of care. The questionnaire is designed to find out patients' experiences of receiving healthcare and its compliance with the guidelines, identifying potential problems and creating opportunities to correct them. There were 50 patients in Maternity Hospital postpartum unit interviewed. 12 of them were women living with HIV. Results. One of five main comment themes was - patients felt the need to receive the same kind of information about the same issue from all health care professional regardless of staff changes on call. The women point out that they have no problems with content in communication process during intranatal period, at labor unit. The problem with different kind of information about the same matter is emerging in postpartum period, at maternity unit. This issue is bothering both groups of patients in postnatal period, those women who live with HIV and those who have no co-morbidities, diagnosed in perinatal period. This shows that there is different kind of knowledge and professional skills among health care professionals, even if they work in the same field, the same hospital and the same unit. There should be done more research to identify the source of this problem. Is it the different experience, knowledge, informational field where professionals seek for information or totally different reason for this phenomena. 

scholarly journals Digital Support for Patients Undergoing Bariatric Surgery: Narrative Review of the Roles and Challenges of Online Forums (Preprint)

2019 ◽  
Author(s):  
Anna Robinson ◽  
Andrew K Husband ◽  
Robert D Slight ◽  
Sarah P Slight
Keyword(s):  
Bariatric Surgery ◽  
Health Care ◽  
Weight Loss ◽  
Health Care Professionals ◽  
Well Being ◽  
Narrative Review ◽  
Future Research ◽  
Accurate Information ◽  
Online Forums ◽  
Care Giving

BACKGROUND The internet has become an important medium within health care, giving patients the opportunity to search for information, guidance, and support to manage their health and well-being needs. Online forums and internet-based platforms appear to have changed the way many patients undergoing bariatric surgery view and engage with their health, before and after weight loss surgery. Given that significant health improvements result from sustained weight loss, ensuring patient adherence to recommended preoperative and postoperative guidance is critical for bariatric surgery success. In a patient cohort with high information needs preoperatively, and notoriously high attrition rates postoperatively, online forums may present an underutilized method of support. OBJECTIVE The aim of this study was to conduct a narrative review focusing on the developing roles that online forums can play for patients with bariatric conditions preoperatively and postoperatively. METHODS A literature search was conducted in October-November 2019 across 5 electronic databases: Scopus, EMBASE, PsycINFO, CINAHL, and MEDLINE. Qualitative or mixed methods studies were included if they evaluated patients undergoing bariatric surgery (or bariatric surgery health care professionals) engaging with, using, or analyzing online discussion forums or social media platforms. Using thematic analysis, themes were developed from coding patterns within the data to identify the roles and challenges of online forums for patients undergoing bariatric surgery. RESULTS A total of 8 studies were included in this review, with 5 themes emerging around (1) managing expectations of a <i>new life</i>; (2) decision making and signposting; (3) supporting information seeking; (4) facilitating connectedness: peer-to-peer social and emotional support; and (5) enabling accessibility and connectivity with health care professionals. CONCLUSIONS Online forums could offer one solution to improving postoperative success by supporting and motivating patients. Future research should consider how best to design and moderate online forums for maximal effectiveness and the sharing of accurate information. The surgical multidisciplinary team may consider recommendations of online peer-support networks to complement care for patients throughout their surgical journey.

Critical-care resource allocation during the coronavirus disease 2019 pandemic in Singapore: A brief narrative review

2020 ◽  
pp. 201010582094743
Author(s):  
Elisha Wan Ying Chia ◽  
Kuang Teck Tay
Keyword(s):  
Health Care ◽  
Resource Allocation ◽  
Critical Care ◽  
Health Care Professionals ◽  
Narrative Review ◽  
Conduct Literature ◽  
Ethical Guidelines ◽  
Scarce Resources ◽  
Literature Searches ◽  
Critical Care Resource

In the midst of the coronavirus disease 2019 (COVID-19) pandemic, where cases continue to increase exponentially every day, it is important to consider the future implications that this may have on the health-care system, the most feared situation being a shortage of critical-care resources, where difficult decisions have to be made about the allocation of scarce resources. In this brief narrative review, we conduct literature searches for COVID-19 ethical guidelines on critical-care resource allocation. Synthesising this information, we evaluate the relevant ethical principles and thereafter provide recommendations contextualised to Singapore. This brief narrative review aims to serve as a useful set of guiding principles for health-care professionals in Singapore, should the need for allocation of scarce resources arise.

Clinical profile of patients with post-caesarean wound infection: experience of Patan Hospital, Nepal

2020 ◽  
Vol 7 (1) ◽  
pp. 107-112
Author(s):  
Ekta Jaiswal ◽  
Paban Sharma ◽  
Alka Singh
Keyword(s):  
Health Care ◽  
Caesarean Section ◽  
Wound Infection ◽  
Infection Rate ◽  
Health Care Professionals ◽  
Caesarean Delivery ◽  
Antibiotic Sensitivity ◽  
Perinatal Period ◽  
Skin Closure ◽  
Coagulase Negative Staphylococci

Introduction: Would infection following caesarean delivery adds physical, psychological, and health burden to individual and health care system. This hospital based study aim to determine the rate of infection, the risk factors, pathogens and antibiotic sensitivity. Method: A prospective study was carried out to analyze the wound infection in women following caesarean delivery in the Department of Obstetrics and Gynecology, Patan Hospital, Nepal, between January 2018 to December 2018. The study was approved from the institutional review committee. Clinicodemographic data during perinatal period of caesarean delivery were descriptive analyzed in relation to wound infection. Result: Wound infection occurred in 102 (3.1%)of 3285 caesarean section (of total 7131 deliveries during the study period. The caesarean SSI rate was 3.1%, all were incisional SSI (84 superficial and 18 deep) and there were no organ-space SSI. Majority (81.3%) SSI cases were detected in emergency LSCS. Coagulase Negative Staphylococci was the most common organism isolated from wound swab. Routine postoperative antibiotics did not have a major impact in reducing wound infection rate. Multiple per vaginal examinations, prolonged rupture of membrane and staples for skin closure were more commonly associated with SSI. Conclusion: Reduction in caesarean rate is the major key factor for decreasing the post caesarean wound infection. Protocol should be developed and strictly implemented by all the health care professionals in order to minimize and prevent the infection rate after caesarean section.

The Hidden Experience of Violence during Pregnancy: A Study of 400 Pregnant Australian Women

2008 ◽  
Vol 14 (1) ◽  
pp. 97 ◽  
Author(s):  
Deborah Walsh
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Psychological Abuse ◽  
Physical Violence ◽  
Antenatal Clinic ◽  
Structured Interview ◽  
Diverse Backgrounds ◽  
Abusive Behaviour ◽  
Violence During Pregnancy ◽  
The Relationship

This article will report on the results of research into violence experienced by women during pregnancy, undertaken at a large public tertiary obstetric hospital in Australia. Participants in the research included 400 women from diverse backgrounds, recruited from the Royal Women's Hospital Antenatal clinic in Melbourne. The methodology for the research included a structured interview framework into which was incorporated a modified version of the Abusive Behaviour Inventory (ABI). The instrument measured both physical and psychological abuse indicators. The study found that 20% (n=80) of women interviewed reported experiencing violence during their pregnancy and that they did not disclose this to their health care professionals, thus suffering the abuse in silence. An increase in physical violence was reported by 6% (n=25); however, the majority of women reported that the level of violence and abuse remained the same throughout the pregnancy. It was found that a range of abusive behaviours were reported by the women interviewed, which resulted in three very distinct profile groups emerging from the data. A greater awareness of the prevalence of this phenomenon in the peri-natal population, together with ongoing access to research in this area, will benefit health care professionals in developing sensitive practice strategies for working with women affected by violence during pregnancy. Through a deeper understanding of associated issues, practitioners can work towards creating an environment where women feel safe enough to break their silence and be confident that their disclosures will be responded to appropriately, without pressure to leave the relationship.

Addressing Bias and Stigma in the Language We Use With Persons With Opioid Use Disorder: A Narrative Review

2021 ◽  
pp. 107839032110501
Author(s):  
Karen Werder ◽  
Alexa Curtis ◽  
Stephanie Reynolds ◽  
Jason Satterfield
Keyword(s):  
Health Care ◽  
Treatment Outcomes ◽  
Health Care Professionals ◽  
Treatment Method ◽  
Opioid Use Disorder ◽  
Narrative Review ◽  
Intentional Stance ◽  
Review Of The Literature ◽  
Opioid Use ◽  
Education Practice

BACKGROUND: Despite an increase in access to medications for opioid use disorder, less than 20% of individuals with opioid use disorder (OUD) receive treatment. Stigmatizing language has been identified as a potential trigger for explicit and implicit biases that may adversely affect treatment enrollment and quality of care for persons with OUD. AIMS: To conduct a narrative review of the literature on stigmatizing language and OUD, examine how treatment outcomes are affected, and present strategies to reduce bias and promote OUD treatment. METHOD: A narrative review of the literature between 2010 and 2019 was conducted using CINAHL, PubMed, and PsycINFO. Key search terms were opioid use disorder (or substance use disorder), stigma, and language. Fifty-two articles were screened for inclusion, and 17 articles were included in this review. RESULTS: The articles reviewed provide consensus that stigmatizing language toward persons with OUD fosters explicit and implicit bias and impedes engagement in treatment. Four themes emerged: (1) stigma and language, (2) stigma and language used by health care professionals, (3) stigma and language used by the general public, and (4) stigma and language used by people with OUD. CONCLUSIONS: Stigmatizing language is dehumanizing and plays a pivotal role in bias and discrimination that may contribute to unsatisfactory treatment outcomes among persons with OUD. Health care professionals, nursing in particular, must assume an intentional stance against stigma perpetuated toward persons with OUD through advocacy in education, practice, policy, and the media.

Spousal Bereavement: The Lived Experience of Young Canadian Widows

2011 ◽  
Vol 62 (2) ◽  
pp. 127-148 ◽  
Author(s):  
Marilee E. Lowe ◽  
Susan E. McClement
Keyword(s):  
Health Care ◽  
Lived Experience ◽  
Health Care Professionals ◽  
Phenomenological Study ◽  
Support Systems ◽  
Spousal Bereavement ◽  
Client Population ◽  
Provide Health Care ◽  
Inductive Analysis

A phenomenological study was conducted to understand the lived experience of spousal bereavement from the perspective of young Canadian widows. Five themes emerged following inductive analysis of interview transcripts conducted with five women who were under the age of 45 at the time of their husband's death: a) “Losses”; b) “Who Am I?”; c) “Staying Connected through Memories”; d) “Living through the Firsts”; and e) “Support Systems.” Increased understanding from the perspective of the bereaved women, along with strategies and interventions for those working with this group of women, may provide health care professionals with skills to better assist this client population.

scholarly journals Optimizing the Design of Preprinted Orders for Ambulatory Chemotherapy: Combining Oncology, Human Factors, and Graphic Design

2012 ◽  
Vol 8 (2) ◽  
pp. 97-102 ◽  
Author(s):  
Jennifer Jeon ◽  
Rachel E. White ◽  
Richard G. Hunt ◽  
Andrea L. Cassano-Piché ◽  
Anthony C. Easty
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Human Factors ◽  
Graphic Design ◽  
Health Care Professionals ◽  
Safety Hazards ◽  
Provide Health Care

This study illustrates how human factors professionals, clinicians, and designers can leverage each other's expertise to uncover commonly overlooked patient safety hazards and provide health care professionals with tools to minimize those hazards.

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