scholarly journals Online Video Instruction on Hand Expression of Colostrum in Pregnancy is an Effective Educational Tool

Nutrients ◽  
2019 ◽  
Vol 11 (4) ◽  
pp. 883 ◽  
Author(s):  
Therese A. O’Sullivan ◽  
Joy Cooke ◽  
Chris McCafferty ◽  
Roslyn Giglia

The use of antenatal colostrum expression in the weeks prior to birth may help improve long-term breastfeeding, but few large-scale studies exist. Typically, antenatal colostrum expression instruction relies on face-to-face education, making large interventions costly. We aimed to determine whether an expert online instructional video can improve knowledge and confidence around antenatal colostrum expressing. Pregnant women were asked to complete a questionnaire pre- and post-watching the instructional video online. Ninety five pregnant women completed both pre- and post-questionnaires. Total antenatal colostrum expression knowledge scores improved after watching the video, from a mean of 3.05 ± 1.70 correct out of a maximum of 7, to 6.32 ± 0.76 (p < 0.001). Self-reported confidence around hand expressing in pregnancy also improved from an average ranking of not confident (2.56 ± 1.17, out of a possible 5) to confident (4.32 ± 0.80, p < 0.001). Almost all women (98%) reported that they would recommend the video to a friend or family member if antenatal colostrum expression was suggested by their healthcare provider. Findings suggest that the use of an online expert video is an acceptable and effective way to educate pregnant women in antenatal colostrum expression.

1987 ◽  
Vol 124 ◽  
pp. 383-388
Author(s):  
David C. Koo ◽  
Richard G. Kron

This paper reports preliminary results of two long-term redshift surveys that are near completion. One consists of nearly 400 redshifts of field galaxies; the sample is faint enough (B ≲ 22) to test models of galaxy luminosity and color evolution (and possibly cosmology) and to search for the presence of very large-scale structures among distant field galaxies. The other consists of over 60 spectra of quasar candidates of similar faintness; the identifications and redshifts of bona-fide quasars provide strong constraints on the evolution and shape of the luminosity function of distant quasars. Almost all of the observations have been made with the 4m telescope at Kitt Peak National Observatory with the Cryogenic Camera in multiaperture mode. The spectral range covered 4500Å to 7500Å with 15Å FWHM resolution and 4Å per pixel; simultaneous exposures of an hour or two were made for about 10 objects within the 5 arcmin field of view.


Author(s):  
Siti Rochimatul Lailiyah

Interpersonal education in pregnancy program is a means to learn together about maternal health in the form of face to face in a group that aims to improve the knowledge and skills of mothers in pregnancy,childbirth, postpartum and newborn care. 8 of 10 mothers have not been able breastfeeding correctly when they have Interpersonal education in pregnancy program. Aim of this study is to identify a picture of the participants, facilitators, facilities and infrastructureclass of pregnant women in the region work of Puskesmas Sukolilo. This research uses descriptive quantitative research with a case study approach. The variables used were input component class pregnant women, participants, facilitators, facilities and infrastructure. The study population is all classes of existing maternal health center working area Sukoliloas many as 13 classes for pregnant women. The data are collected by using questionnaires,observation, and interviews. The results showed that the majority of class participants mom Pregnant aged 21-25 years is 78 respondents (77%). In which The majority of participantsprimary and junior education level that is 84 respondents (83%) and mostly participants as housewife is 67 respondents (66%). Meanwhile the knowledge of participants almost half less that 49 respondents (48%), and class facilitators pregnant women as many as two respondents, both aged > 35 years, educated DIII of midwifery, and trained in facilitating classroom pregnant women. In addition, pregnant mothers-class facilities are available but incomplete and also there are less infrastructure. It is expected that the participants in a class of pregnant women can be group ed according to the level of education and age of pregnancy in order to get the right things, then the facilitator in pregnant mother class should be carried out by midwives in the local area, as well as the means and infrastructure needs to be more completed in order to support class implementation pregnant women to be more optimal and effective.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Shailaja Khadka ◽  
Sumana Thapa ◽  
Ratna Khatri ◽  
Rosy Malla ◽  
Sumana Thapa ◽  
...  

Aim: To determine the prevalence of anxiety in pregnancy during COVID19 pandemic in Shree Birendra Hospital, Chhauni Method: It is a cross sectional study conducted at Shree Birendra Hospital Chhauni from July to October 2020 following the ethical approval from IRC. All the pregnant women from first to last trimester attending outdoor visit were included; they were asked to fill up Beck Anxiety Index form. The level of anxiety was compared with demographic data like age, race, parity, and period of gestation, education and occupation. Data were analyzed by using SPSS 20 software. Results: A total of 385 presumably uninfected pregnant women were surveyed in 20-40 (28.45±3.95) years age group from 4 to 41 (27.15±9.4) weeks of pregnancy and 55.6% were multipara. Low-grade anxiety was found 99.5% (BAI= 3.06±3.66). Conclusions: Low-grade anxiety was found in almost all pregnant women during covid pandemic and there was no significant difference by demographic variables.


Author(s):  
Ruchi Joshi ◽  
Nilesh Dalal

Background: Jaundice in pregnancy has potentially serious consequences for maternal and fetal health. The cardinal features of hepatobiliary disease may include jaundice, pruritus, abdominal pain; nausea, vomiting, and a variety of liver biochemical test abnormalitiesChallenges involve making the diagnosis and the methods of treatment and their safety for both the mother and the baby.Methods: Based on inclusion criteria, 120 pregnant women were selected from Department of Obstetrics & Gynecology, MGMMC and MYH Indore from 1Aug 2014 to 1st August 2015.Patients were categorized according to serum bilirubin level. Basic investigations done and associated complications studied and correlated according to the severity and degree of jaundice.Results: 60% of the patients were aged between 20 and 30 years. 54% were primigravida. 83.3% lived in rural areas while 74.27% came in emergency. Maternal mortality was found highest in the third trimester and when the serum bilirubin crossed 5mg/dl. 43.34% patients with jaundice developed acute kidney injury with serum creatinine level above the cut-off. INR was deranged in 47.5% of the patients. The most common complication seen in our study group was that of HELLP closely followed by multi organ dysfunction and encephalopathy. 67% of the patients delivered vaginally, while 20% went under LSCS. Maternal mortality was 32.5% and perinatal outcome was poor with 50% mortality and 25% nursery admission. 62% of the patients who died were referred from a peripheral health centre.Conclusions: Liver disease can cause significant morbidity and mortality in both pregnant women and their infants. Better identification and treatment of mothers and fetuses at risk may have far-reaching implications for maternal and child health. Monitored intensive care gives a long term pay off in the maternal and fetal outcome.


2010 ◽  
Vol 3 (3) ◽  
pp. 90-93 ◽  
Author(s):  
Renee Bittoun ◽  
Giuseppe Femia

Managing smoking cessation during pregnancy is vital to the wellbeing of the fetus and the mother. Women who continue to smoke during pregnancy expose the fetus to thousands of chemicals which have been shown to cause deleterious short- and long-term effects. Although a large majority of women cease smoking early in the pregnancy, many of them relapse following delivery. Following a review of current research, an overview of the safety and efficacy of smoking cessation treatments for pregnant women will be considered. Limited research has been performed in this field; however, it can be concluded that low-dose intermittent nicotine replacement therapy is a safe treatment modality for women who smoke during pregnancy. At present there has been no research on other current smoking cessation treatments; however, we will suggest techniques to improve cessation rates and strategies to reduce relapse.


2014 ◽  
Vol 8 (2) ◽  
pp. 85-91
Author(s):  
Rakhal Chandra Barman ◽  
Md Towhid Alam ◽  
MM Shahin-Ul Islam ◽  
Ahmed Manadir Hossain ◽  
SK Abdul Momen Ahmed ◽  
...  

Asthma is one of the most common chronic medical conditions affecting the lungs during pregnancy. At any given time, up to 8% pregnant women have asthma. During pregnancy, asthma not only affects the woman, but it can also cut back on the oxygen to fetus. But this does not mean that having asthma will make pregnancy more difficult or dangerous to fetus. Pregnant women who have asthma that is properly controlled generally have normal pregnancies with little or no increased risk to pregnant women or their developing babies. Currently available national guidelines for the treatment of asthma during pregnancy emphasize the objective measurement of control, patient education, motivation, caution and medication adherence. The article reviews the available literature highlighting the appropriate selection of medications in the treatment of asthma during pregnancy, and to identify those factors which may influence the asthma care provider's ability to successfully manage this condition, and also illustrate that maintaining asthma control with long term medications in pregnancy is safer than the risk of uncontrolled asthma or untreated exacerbations for both the mother and the fetus. Women's drug treatment during pregnancy should be regularly assessed in the light of asthma control criteria. DOI: http://dx.doi.org/10.3329/fmcj.v8i2.20392 Faridpur Med. Coll. J. 2013;8(2): 85-91


2021 ◽  
Vol 15 (3) ◽  
pp. e0009216 ◽  
Author(s):  
Ricardo Arraes de Alencar Ximenes ◽  
Demócrito de Barros Miranda-Filho ◽  
Ulisses Ramos Montarroyos ◽  
Celina Maria Turchi Martelli ◽  
Thalia Velho Barreto de Araújo ◽  
...  

Background While Zika virus (ZIKV) is now widely recognized as a teratogen, the frequency and full spectrum of adverse outcomes of congenital ZIKV infection remains incompletely understood. Methods Participants in the MERG cohort of pregnant women with rash, recruited from the surveillance system from December/2015-June/2017. Exposure definition was based on a combination of longitudinal data from molecular, serologic (IgM and IgG3) and plaque reduction neutralization tests for ZIKV. Children were evaluated by a team of clinical specialists and by transfontanelle ultrasound and were classified as having microcephaly and/or other signs/symptoms consistent with congenital Zika syndrome (CZS). Risks of adverse outcomes were quantified according to the relative evidence of a ZIKV infection in pregnancy. Findings 376 women had confirmed and suspected exposure to ZIKV. Among evaluable children born to these mothers, 20% presented with an adverse outcome compatible with exposure to ZIKV during pregnancy. The absolute risk of microcephaly was 2.9% (11/376), of calcifications and/or ventriculomegaly was 7.2% (13/180), of additional neurologic alterations was 5.3% (13/245), of ophthalmologic abnormalities was 7% (15/214), and of dysphagia was 1.8% (4/226). Less than 1% of the children experienced abnormalities across all of the domains simultaneously. Interpretation: Although approximately one-fifth of children with confirmed and suspected exposure to ZIKV in pregnancy presented with at least one abnormality compatible with CZS, the manifestations presented more frequently in isolation than in combination. Due to the rare nature of some outcomes and the possibility of later manifestations, large scale individual participant data meta-analysis and the long-term evaluation of children are imperative to identify the full spectrum of this syndrome and to plan actions to reduce damages.


2022 ◽  
Author(s):  
Lara Owen

Menstruation has been historically stigmatised through a variety of strategies cross-culturally, including silencing and marginalisation. Such stigmatisation has affected the inclusion of menstruation as a topic of research across disciplines, reproducing stigma through a lack of research and new knowledge. I set out to discover more about the perceived nature and impact of such stigmatisation on the professional experience of menstrual researchers. The research cohort was a group of nine scholars from humanities and social science disciplines, living and working in the UK, USA and Russia, who came together in 2020 for a two year project to research menstrual history, activism, politics, education and culture in order to better understand the Scottish context of legislation to 'end period poverty'. I was also a member of this group and this paper is structured through an autoethnographic enquiry. My qualitative research was interview-based using online video meetings. My data shows that the perceived impact of menstrual stigma on academic research has altered, with older researchers experiencing more barriers in the early stages of their careers than younger ones do now. However, menstrual researchers still experience challenges they consider to be stigma-related in publishing menstrual research, in obtaining permanent positions centred on their specialisation, and in attracting long-term and large-scale funding. This research shows how entrenched stigma can lead to a feedback loop of victimisation that is difficult to escape from, and suggests that academics working on stigmatised topics may need specific types of institutional support in order to progress, publish and flourish.


2020 ◽  
Vol 47 (2) ◽  
pp. 131-139
Author(s):  
Márton Paulin ◽  
Anikó Hirka ◽  
Csaba Béla Eötvös ◽  
Csaba Gáspár ◽  
Ágnes Fürjes-Mikó ◽  
...  

AbstractThe North American oak lace bug (OLB, Corythucha arcuata) was first found in Europe in northern Italy in 2000, and up to 2019 it was recorded in 20 countries. Almost all Eurasian deciduous oak species are suitable hosts and the species can also feed on many other woody plants. At least 30 million hectares of oak forests provide suitable hosts for the OLB, meaning that the lack of suitable hosts will not restrict its further spread. Detailed studies on the long-term impact of the species are not yet available but there are many good reasons to assume that it poses multiple threats to oaks and oak ecosystems. In the long term, it may have negative effects on oak health, growth, and acorn crops. Many of other oak-associated species will likely also be negatively affected. So far, no effective and environmentally tolerable large scale control method is known for OLB.


Author(s):  
Israel Ruiz ◽  
Adolfo Plasencia

Israel Ruiz, Executive Vice President and Treasurer of MIT, starts this dialogue by outlining the model and mechanisms used by MIT, as an institution, to maintain its leadership in disruptive innovation through an economically sustainable process. He goes on to explain the MIT model for the replacement of professors, a dynamic process, which is combined with encouraging the maximum exchange of innovation between bodies and research centers from inside MIT and external ones, keeping the focus on a key idea for the institution: the flexibility of space and ideas aimed at connecting people. Later, he relates how they deal with the continuous influx of new talent on a large scale, while maintaining the peer-to-peer philosophy. He then talks about the way in which MIT assumes the critical opinion of external sources, which assess how the institution is operating, and also discusses how creative freedom is upheld as a nexus in the long term by ensuring that MIT members get time to create; this comprises part of their economic plan. Finally, he outlines how educational and learning practices are renewed by combining face-to-face teaching with their global online project.


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