PMID- 28484280 OWN - NLM STAT- In-Data-Review DA - 20170509 LR - 20170517 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 7 IP - 1 DP - 2017 May 08 TI - Paternal obesity modifies the effect of an antenatal lifestyle intervention in women who are overweight or obese on newborn anthropometry. PG - 1557 LID - 10.1038/s41598-017-01672-w [doi] AB - The contribution of paternal obesity to pregnancy outcomes has been little described. Our aims were to determine whether the effect of an antenatal maternal dietary and lifestyle intervention among women who are overweight or obese on newborn adiposity, was modified by paternal obesity. We conducted a secondary analysis of a multicenter randomised trial. Pregnant women with BMI >/=25 kg/m2 received either Lifestyle Advice or Standard Care. Paternal anthropometric measures included height, weight, BMI; waist, hip, calf and mid-upper arm circumferences; biceps and calf skinfold thickness measurements (SFTM); and percentage body fat. Newborn anthropometric outcomes included length; weight; head, arm, abdominal, and chest circumferences; biceps, triceps, subscapular, suprailiac, thigh, and lateral abdominal wall SFTM; and percentage body fat. The effect of an antenatal maternal dietary and lifestyle intervention among women who were overweight or obese on neonatal anthropometric measures, was significantly modified by paternal BMI >/=35.0 kg/m2, with a significantly smaller infant triceps, suprailiac, and thigh SFTM, and percent fat mass, compared with that observed in offspring of lean fathers. Further research is required to determine whether our observed associations are causal, and whether paternal weight loss prior to conception is a potential strategy to reduce the intergenerational effects of obesity. FAU - Dodd, Jodie M AU - Dodd JM AUID- ORCID: http://orcid.org/0000-0002-6363-4874 AD - The University of Adelaide, Discipline of Obstetrics & Gynaecology, and Robinson Research Institute, Adelaide, South Australia, Australia. jodie.dodd@adelaide.edu.au. AD - Department of Perinatal Medicine, Women's and Children's Hospital, North Adelaide, South Australia, Australia. jodie.dodd@adelaide.edu.au. FAU - Du Plessis, Lodewyk E AU - Du Plessis LE AD - The University of Adelaide, Discipline of Obstetrics & Gynaecology, and Robinson Research Institute, Adelaide, South Australia, Australia. FAU - Deussen, Andrea R AU - Deussen AR AUID- ORCID: http://orcid.org/0000-0001-6210-1876 AD - The University of Adelaide, Discipline of Obstetrics & Gynaecology, and Robinson Research Institute, Adelaide, South Australia, Australia. FAU - Grivell, Rosalie M AU - Grivell RM AD - The University of Adelaide, Discipline of Obstetrics & Gynaecology, and Robinson Research Institute, Adelaide, South Australia, Australia. AD - Flinders University, Department of Obstetrics & Gynaecology, Bedford Park, South Australia, Australia. FAU - Yelland, Lisa N AU - Yelland LN AD - The University of Adelaide, Discipline of Obstetrics & Gynaecology, and Robinson Research Institute, Adelaide, South Australia, Australia. AD - South Australian Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, Australia. AD - The University of Adelaide, School of Public Health, Adelaide, South Australia, Australia. FAU - Louise, Jennie AU - Louise J AD - The University of Adelaide, Discipline of Obstetrics & Gynaecology, and Robinson Research Institute, Adelaide, South Australia, Australia. AD - The University of Adelaide, School of Public Health, Adelaide, South Australia, Australia. FAU - Mcphee, Andrew J AU - Mcphee AJ AD - Department of Neonatal Medicine, Women's and Children's Hospital, North Adelaide, South Australia, Australia. FAU - Robinson, Jeffrey S AU - Robinson JS AD - The University of Adelaide, Discipline of Obstetrics & Gynaecology, and Robinson Research Institute, Adelaide, South Australia, Australia. FAU - Owens, Julie A AU - Owens JA AD - The University of Adelaide, Discipline of Obstetrics & Gynaecology, and Robinson Research Institute, Adelaide, South Australia, Australia. LA - eng PT - Journal Article DEP - 20170508 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 PMC - PMC5431557 EDAT- 2017/05/10 06:00 MHDA- 2017/05/10 06:00 CRDT- 2017/05/10 06:00 PHST- 2016/08/30 [received] PHST- 2017/04/03 [accepted] AID - 10.1038/s41598-017-01672-w [doi] AID - 10.1038/s41598-017-01672-w [pii] PST - epublish SO - Sci Rep. 2017 May 8;7(1):1557. doi: 10.1038/s41598-017-01672-w. PMID- 28481820 OWN - NLM STAT- In-Process DA - 20170508 LR - 20170508 IS - 1948-965X (Electronic) IS - 1682-3141 (Linking) VI - 25 IP - 3 DP - 2017 Jun TI - A Prenatal Coparenting Intervention With Unmarried Father-Mother Dyads: Fidelity of Intervention Delivery by Male-Female Community Mentor Teams. PG - 240-250 LID - 10.1097/JNR.0000000000000168 [doi] AB - BACKGROUND: Most prenatal preventive interventions for unmarried mothers do not integrate fathers or help the parents plan for the development of a functional coparenting alliance after the baby's arrival. Furthermore, properly trained professionals have only rarely examined the fidelity of these interventions. PURPOSE: This report examines whether experienced community interventionists (home visitors, health educators, fatherhood service personnel) with no formal couples' therapy training are capable of pairing together to deliver with adequate fidelity a manualized dyadic intervention designed for expectant unmarried mothers and fathers. METHODS: Three male and four female mentors (home visitors, health educators, fatherhood personnel) working in paired male-female co-mentor teams delivered a seven-session "Figuring It Out for the Child" curriculum (six prenatal sessions, one booster) to 14 multirisk, unmarried African American families (parent age ranging from 14 to 40). Parental well-being and views of fatherhood were assessed before the intervention and again 3 months after the baby's birth. Quality assurance analysts evaluated mentor fidelity (adherence to the curriculum, competence in engaging couples with specified curricular content) through a review of the transcripts and audiotapes from the sessions. Mentors also rated their own adherence. RESULTS: Although the mentors overestimated adherence, quality assurance analyst ratings found acceptable levels of adherence and competence, with no significant male-female differences in fidelity. Adherence and competence were marginally higher in sessions that required fewer direct couples' interventions. Parents reported satisfaction with the interventions and showed statistically significant improvement in the family dimensions of interest at 3-4 months posttreatment. CONCLUSIONS/IMPLICATIONS FOR PRACTICE: Findings support the wisdom of engaging men both as interventionists and as recipients of prenatal coparenting interventions-even in families where the parents are uncoupled and non-co-residential. FAU - Salman-Engin, Selin AU - Salman-Engin S AD - 1PhD, Instructor, Psychology Department, Bilkent University, Turkey 2MA, Research Coordinator, Family Study Center, University of South Florida St. Petersburg, Florida, USA 3PhD, Instructor, Psychology Department, University of South Florida St. Petersburg, Florida, USA 4PhD, Professor of Psychology and Director, Family Study Center, University of South Florida St. Petersburg, Florida, USA. FAU - Little, Tara AU - Little T FAU - Gaskin-Butler, Vikki AU - Gaskin-Butler V FAU - McHale, James P AU - McHale JP LA - eng PT - Journal Article PL - China (Republic : 1949- ) TA - J Nurs Res JT - The journal of nursing research : JNR JID - 101128757 EDAT- 2017/05/10 06:00 MHDA- 2017/05/10 06:00 CRDT- 2017/05/09 06:00 AID - 10.1097/JNR.0000000000000168 [doi] AID - 00134372-201706000-00009 [pii] PST - ppublish SO - J Nurs Res. 2017 Jun;25(3):240-250. doi: 10.1097/JNR.0000000000000168. PMID- 28478572 OWN - NLM STAT- Publisher DA - 20170507 LR - 20170519 IS - 1573-6830 (Electronic) IS - 0272-4340 (Linking) DP - 2017 May 06 TI - Perinatal Exposure to Western Diet Programs Autonomic Dysfunction in the Male Offspring. LID - 10.1007/s10571-017-0502-4 [doi] AB - Although the deleterious influence of protein deficiency on fetal programming is well documented, the impact of a Western diet on epigenetic mechanisms is less clear. We hypothesized that high-fat high-sucrose diet (HFHSD) consumption during pregnancy leads to epigenetic modifications within the progeny's compensatory renin-angiotensin system (RAS), affecting autonomic and metabolic functions. Dams were fed HFHSD (45% fat and 30% sucrose) or regular chow (RD) from mating until weaning of the pups (~7 weeks). Offspring from both groups were then maintained on chow and studied in adulthood (3-7 months). Offspring from HFHSD-exposed dams (OH) exhibited no difference in body weight or fasting blood glucose compared to controls (OR). In 3-month-old offspring, DNA methylation was significantly lower for the ACE2 gene (P < 0.05) in the brainstem, kidney and cecum. Moreover, ACE2 activity in the hypothalamus was increased at 7 months (OH: 91 +/- 1 vs. OR: 74 +/- 4 AFU/mg/min, P < 0.05). Although baseline blood pressure was not different between groups, vagal tone in OH was significantly impaired compared to OR. At the same time, OH offspring had a 1.7-fold increase in AT1a receptor expression and a 1.3-fold increase in ADAM17 mRNA. DOCA-salt treatment further revealed and exacerbated hypertensive response in the OH progeny (OH: 130 +/- 6 vs. OR: 108 +/- 3 mmHg, P < 0.05). Taken together, our data suggest that perinatal exposure to HFHSD resulted in epigenetic modifications of the compensatory brain RAS, potentially affecting plasticity of neuronal networks leading to autonomic dysfunction in the male offspring. FAU - Mukerjee, Snigdha AU - Mukerjee S AD - Department of Pharmacology and Experimental Therapeutics and Cardiovascular Center of Excellence, Louisiana State University Health Sciences Center, New Orleans, LA, USA. FAU - Zhu, Yun AU - Zhu Y AD - Department of Epidemiology, University of Florida, Gainesville, FL, USA. FAU - Zsombok, Andrea AU - Zsombok A AD - Department of Physiology, Tulane University, New Orleans, LA, USA. FAU - Mauvais-Jarvis, Franck AU - Mauvais-Jarvis F AD - Department of Medicine, Tulane University, New Orleans, LA, USA. FAU - Zhao, Jinying AU - Zhao J AD - Department of Epidemiology, University of Florida, Gainesville, FL, USA. FAU - Lazartigues, Eric AU - Lazartigues E AD - Department of Pharmacology and Experimental Therapeutics and Cardiovascular Center of Excellence, Louisiana State University Health Sciences Center, New Orleans, LA, USA. elazar@lsuhsc.edu. AD - Department of Pharmacology and Experimental Therapeutics, School of Medicine, Louisiana State University Health Sciences Center, 1901 Perdido Street, Room 5218, New Orleans, LA, 70112, USA. elazar@lsuhsc.edu. LA - eng GR - P20 GM103514/GM/NIGMS NIH HHS/United States GR - P30 GM106392/GM/NIGMS NIH HHS/United States PT - Journal Article DEP - 20170506 PL - United States TA - Cell Mol Neurobiol JT - Cellular and molecular neurobiology JID - 8200709 OTO - NOTNLM OT - ACE2 OT - Epigenetic OT - High-fat diet OT - Renin-angiotensin system EDAT- 2017/05/10 06:00 MHDA- 2017/05/10 06:00 CRDT- 2017/05/08 06:00 PHST- 2017/03/22 [received] PHST- 2017/05/03 [accepted] AID - 10.1007/s10571-017-0502-4 [doi] AID - 10.1007/s10571-017-0502-4 [pii] PST - aheadofprint SO - Cell Mol Neurobiol. 2017 May 6. doi: 10.1007/s10571-017-0502-4. PMID- 28464006 OWN - NLM STAT- In-Process DA - 20170502 LR - 20170515 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 12 IP - 5 DP - 2017 TI - Antenatal small-class education versus auditorium-based lectures to promote positive transitioning to parenthood - A randomised trial. PG - e0176819 LID - 10.1371/journal.pone.0176819 [doi] AB - Prospective parents widely use education to gain information about, e.g., labour and parenting skills. It is unknown if antenatal education in small classes is more beneficial for parenting stress and parenting alliance compared with other types of antenatal education. In the present randomised trial, we examined the effect of antenatal education in small classes versus auditorium-based lectures on perceived stress, parenting stress, and parenting alliance. A total of 1,766 pregnant women were randomised to receive: antenatal education in small classes three times in pregnancy and one time after delivery, each session lasted 2.5 hours, versus standard care consisting of two times two hours auditorium-based lectures. Previous analysis of the primary outcome showed no difference between intervention and control group. Here we conduct an exploratory analysis of three secondary outcomes. Effects of the interventions on parents' global feelings of stress at 37 weeks gestation and nine weeks and six months postpartum and parenting stress nine weeks and six months postpartum were examined using linear regression analyses and mixed models with repeated measurements. The effect on parenting alliance six months postpartum was examined using the non-parametric Wilcoxon rank-sum test. Antenatal education in small classes had a small beneficial main effect on global feelings of stress six months postpartum and a statistically significant interaction between time and group favoring antenatal education in small classes. The P values of intervention effects on parenting stress and parenting alliance were all larger than the threshold value (0.05). FAU - Koushede, Vibeke AU - Koushede V AD - The National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark. FAU - Brixval, Carina Sjoberg AU - Brixval CS AD - The National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark. FAU - Thygesen, Lau Caspar AU - Thygesen LC AD - The National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark. FAU - Axelsen, Solveig Forberg AU - Axelsen SF AD - The Danish Health Authority, Copenhagen, Denmark. FAU - Winkel, Per AU - Winkel P AD - Copenhagen Trial Unit, Centre for Clinical Intervention Research, Copenhagen, Denmark. FAU - Lindschou, Jane AU - Lindschou J AD - Copenhagen Trial Unit, Centre for Clinical Intervention Research, Copenhagen, Denmark. FAU - Gluud, Christian AU - Gluud C AD - Copenhagen Trial Unit, Centre for Clinical Intervention Research, Copenhagen, Denmark. FAU - Due, Pernille AU - Due P AD - The National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark. LA - eng PT - Journal Article DEP - 20170502 PL - United States TA - PLoS One JT - PloS one JID - 101285081 PMC - PMC5413036 EDAT- 2017/05/04 06:00 MHDA- 2017/05/04 06:00 CRDT- 2017/05/03 06:00 PHST- 2016/10/24 [received] PHST- 2017/04/06 [accepted] AID - 10.1371/journal.pone.0176819 [doi] AID - PONE-D-16-41369 [pii] PST - epublish SO - PLoS One. 2017 May 2;12(5):e0176819. doi: 10.1371/journal.pone.0176819. eCollection 2017. PMID- 28445905 OWN - NLM STAT- Publisher DA - 20170426 LR - 20170426 IS - 1806-9339 (Electronic) IS - 0100-7203 (Linking) DP - 2017 Apr 26 TI - Prenatal Diagnosis of Galen Vein Aneurysm Using Ultrasonography and Magnetic Resonance Imaging and Perinatal and Long-Term Neurological Outcomes: A Case Series. LID - 10.1055/s-0037-1601401 [doi] AB - Objective To describe the prenatal diagnosis of Galen vein aneurysm (GVA) based on ultrasonography and magnetic resonance imaging (MRI) in a series of cases, as well as its postnatal outcomes and follow-up until 4 years of age. Methods A retrospective longitudinal study was performed, analyzing a database comprising seven cases of prenatal diagnosis of GVA at two Brazilian institutions from February of 2000 to May of 2012. The following data were evaluated: gestational age at diagnosis, GVA dimensions on ultrasonography, associated fetal changes, findings on fetal echocardiography, gestational age at delivery, type of delivery, birth weight, Apgar score at the 1st and 5th minutes, neonatal outcomes, and survival with follow-up until 4 years of age. Results The mean gestational age +/- standard deviation on the prenatal diagnosis of GVA based on ultrasonography was 25 +/- 4.9 weeks. The mean length of GVA was 3.2 +/- 0.4 cm. The mean gestational age at birth was 37.5 +/- 0.7 weeks, and a cesarean section was performed in 85.7% of the cases (6/7). The mean birth weight was 3,070 +/- 240.4 g. The total survival rate was 42.8% (4/7), with three neonatal deaths. Of the four survivors, three presented with normal neuropsychomotor development until 4 years of age and only one showed serious neurological sequelae. Ultrasonography and MRI showed similar findings for all seven cases. Conclusions Galen Vein Aneurysm is associated with a high neonatal death rate. Therefore, its prenatal diagnosis is essential for parent counseling and follow-up at tertiary care institutions. CI - Thieme-Revinter Publicacoes Ltda Rio de Janeiro, Brazil. FAU - Pires, Pedro AU - Pires P AD - Department of Obstetrics and Gynecology, Universidade de Pernambuco, Recife, PE, Brazil. FAU - Martins, Larisse de Brito Aurelio AU - Martins LBA AD - Real Hospital Portugues de Beneficencia em Pernambuco, Recife, PE, Brazil. FAU - Pires, Norma Maria Tenorio Brito AU - Pires NMTB AD - Real Hospital Portugues de Beneficencia em Pernambuco, Recife, PE, Brazil. FAU - Werner, Heron AU - Werner H AD - Clinica de Diagnostico por Imagem, Rio de Janeiro, RJ, Brazil. FAU - Ferreira, Adilson Cunha AU - Ferreira AC AD - Faculdade de Medicina de Sao Jose do Rio Preto, Sao Jose do Rio Preto, SP, Brazil. FAU - Araujo Junior, Edward AU - Araujo Junior E AD - Department of Obstetrics, Escola Paulista de Medicina, Universidade Federal de Sao Paulo, Sao Paulo, SP, Brazil. LA - eng PT - Journal Article TT - Diagnostico do aneurisma de veia de Galeno por meio de ultrassonografia e ressonancia magnetica e resultados perinatais e neurologicos: serie de casos. DEP - 20170426 PL - Brazil TA - Rev Bras Ginecol Obstet JT - Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia JID - 9214757 EDAT- 2017/04/27 06:00 MHDA- 2017/04/27 06:00 CRDT- 2017/04/27 06:00 AID - 10.1055/s-0037-1601401 [doi] PST - aheadofprint SO - Rev Bras Ginecol Obstet. 2017 Apr 26. doi: 10.1055/s-0037-1601401. PMID- 28342220 OWN - NLM STAT- Publisher DA - 20170325 LR - 20170325 IS - 1399-0004 (Electronic) IS - 0009-9163 (Linking) DP - 2017 Mar 25 TI - Prenatal course of metaphyseal anadysplasia associated with homozygous mutation in MMP9 identified by exome sequencing. LID - 10.1111/cge.13020 [doi] AB - Metaphyseal anadysplasia (MANDP) is a rare autosomal recessive form of skeletal dysplasia characterized by normal length at birth and transitory bowing of the legs. Although several families with MANDP have been reported, homozygous mutations in the matrix metalloproteinase type 9 (MMP9) gene have been described in only one consanguineous family, and thus the pre and postnatal phenotypic spectrum is still obscure. A clinically similar but more severe type is caused by autosomal-dominant inheritance and is caused by mutations in matrix metalloproteinase type 13 gene (MMP13). Here we report the prenatal and early postnatal course of two affected sib fetuses with early sonographic evidence of long bone shortening and postnatally no metaphyseal changes. Whole exome sequencing revealed homozygous mutation in MMP9 in both fetuses suggesting a diagnosis of MANDP. We propose that MANDP should be considered in pregnancies with early prenatal shortening of the long bones without associated finding of lethal skeletal dysplasias. In addition the finding of homozygous mutation in non-consanguineous parents of Caucasus ancestry may suggest unawareness of such relationship or the occurrence of a founder mutation in this gene. CI - This article is protected by copyright. All rights reserved. FAU - Sharony, Reuven AU - Sharony R AUID- ORCID: http://orcid.org/0000-0002-6899-9223 AD - Medical Genetics Institute, Meir Medical Center, Israel. AD - Department of Obstetrics and Gynecology Meir Medical Center, Israel. AD - Sackler Faculty of Medicine, Tel Aviv University, Israel. FAU - Borochowitz, Zvi AU - Borochowitz Z AD - Rappaport Faculty of Medicine -Technion Israeli Institute of Technology. AD - Assuta Medical Genetics Clinic, Haifa, Israel. FAU - Cohen, Lior AU - Cohen L AD - Medical Genetics Institute, Beilinson Medical Center, Israel. FAU - Storch, Atalia AU - Storch A AD - Medical Genetics Institute, Meir Medical Center, Israel. FAU - Rosenfeld, Revital AU - Rosenfeld R AD - Medical Genetics Institute, Meir Medical Center, Israel. FAU - Modai, Shira AU - Modai S AD - Variantyx, Inc, Herzliya, Israel. FAU - Reinstein, Eyal AU - Reinstein E AUID- ORCID: http://orcid.org/0000-0002-3973-586X AD - Medical Genetics Institute, Meir Medical Center, Israel. AD - Sackler Faculty of Medicine, Tel Aviv University, Israel. LA - eng PT - Journal Article DEP - 20170325 PL - Denmark TA - Clin Genet JT - Clinical genetics JID - 0253664 OTO - NOTNLM OT - MMP9 OT - exome OT - metaphyseal anadysplasia OT - prenatal diagnosis OT - skeletal dysplasia EDAT- 2017/03/28 06:00 MHDA- 2017/03/28 06:00 CRDT- 2017/03/26 06:00 PHST- 2016/11/03 [received] PHST- 2016/12/27 [revised] PHST- 2017/01/11 [accepted] AID - 10.1111/cge.13020 [doi] PST - aheadofprint SO - Clin Genet. 2017 Mar 25. doi: 10.1111/cge.13020. PMID- 28292054 OWN - NLM STAT- MEDLINE DA - 20170315 DCOM- 20170329 LR - 20170330 IS - 1937-8688 (Electronic) VI - 25 DP - 2016 TI - Birth preparedness, complication readiness and male partner involvement for obstetric emergencies in rural Rwanda. PG - 91 LID - 10.11604/pamj.2016.25.91.9710 [doi] AB - INTRODUCTION: Birth preparedness and complication readiness (BP/CR) promotes timely access to skilled maternal and neonatal services, active preparation and decision-making for seeking health care to prevent any adverse outcomes. The aim was to assess level of male partner (MP) involvement in the birth plan, the attitude of the women towards maternal care and factors associated with BP/CR among obstetric referrals in rural Rwanda. METHODS: This was a cross-sectional study among 350 pregnant women who were admitted as referrals at Ruhengeri hospital, between July 2015 and November 2015. Data was collected on socio-demographics, level of MP's participation in maternal health care and domestic activities, women's attitude towards involvement of men in maternal care and BP/CR. Any woman who arranged to have a birth companion, made a plan of where to deliver from, received health education on pregnancy and childbirth complications, saved money in case of pregnancy complication and had attended antenatal care (ANC) at least 4 times, was deemed as having made a birth plan. RESULTS: The mean age was 27.7 years, while mean age of the spouse was 31.3 years. Majority of the women (n=193; 55.1%) and their spouse (n=208; 59.4%) had completed primary education. Men's role was found to be mainly in the area of financial support. The level of men ANC attendance was low (n=103; 29.4%), while 78 (22.3%) women were accompanied to the labor ward. However, there was a strong opposition to the physical presence of MP in the labor room (n=178; 50.9%). The main reason cited by women opposing MP presence is that it is against their culture for a man to witness the delivery of a baby. On multivariable analysis, maternal education level of secondary or higher adjusted odds ratio [AOR] 1.4 95% CI (1.8-2.6), formal occupation of spouse, AOR 2.4 95% CI (1.4-4.2) and personnel checked during ANC being community health worker AOR 2.2, 95% CI; (1.3-3.7) were associated with being well prepared. CONCLUSION: Male involvement in pregnancy and antenatal care is low. To increase men involvement in birth plan addressing cultural barriers and refraining care-givers and health facility policies towards family delivery is paramount. FAU - Kalisa, Richard AU - Kalisa R AD - Department of Obstetrics and Gynecology, Ruhengeri Hospital, Musanze, Rwanda; Athena Institute for Research on Innovation and Communication in Health and Life Sciences, VU University, Amsterdam, The Netherlands. FAU - Malande, Oliver Ombeva AU - Malande OO AD - Department of Pediatrics, Faculty of Health Sciences, Egerton University, Nakuru, Kenya. LA - eng PT - Journal Article DEP - 20161017 PL - Uganda TA - Pan Afr Med J JT - The Pan African medical journal JID - 101517926 SB - IM MH - Adult MH - Cross-Sectional Studies MH - Delivery, Obstetric/psychology MH - Emergencies MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Labor, Obstetric/psychology MH - Male MH - Obstetric Labor Complications/psychology MH - Pregnancy MH - Pregnancy Complications/psychology MH - Prenatal Care/*methods/statistics & numerical data MH - Prenatal Education/*methods/statistics & numerical data MH - Rural Population/statistics & numerical data MH - Rwanda MH - Spouses/*psychology MH - Young Adult PMC - PMC5325493 OTO - NOTNLM OT - Antenatal care OT - barriers to access OT - male partner involvement OT - pregnancy COI - The authors declare no competing interests. EDAT- 2017/03/16 06:00 MHDA- 2017/03/31 06:00 CRDT- 2017/03/16 06:00 PHST- 2016/04/26 [received] PHST- 2016/09/20 [accepted] AID - 10.11604/pamj.2016.25.91.9710 [doi] AID - PAMJ-25-91 [pii] PST - epublish SO - Pan Afr Med J. 2016 Oct 17;25:91. doi: 10.11604/pamj.2016.25.91.9710. eCollection 2016. PMID- 28178926 OWN - NLM STAT- In-Process DA - 20170209 LR - 20170220 IS - 1471-2393 (Electronic) IS - 1471-2393 (Linking) VI - 17 IP - 1 DP - 2017 Feb 08 TI - Framework for the establishment of a feasible, tailored and effective perinatal education programme. PG - 58 LID - 10.1186/s12884-017-1234-7 [doi] AB - BACKGROUND: Antenatal education needs to be renewed and adapted to the needs of women. OBJECTIVES: to assess women needs, identify factors that influence the desired outcomes, and propose a framework for developing new perinatal education based on the guidance published by the UK Medical Research Council for the development and evaluation of complex interventions in primary care. METHODS: For this study: (a) four focus group sessions were held from October to November 2010 in Bizkaia (Spain) with 30 women exploring their needs during pregnancy and postpartum; (b) two literature reviews were conducted on women's needs at these times and theoretical models of healthcare education; and (c) seven discussion and consensus sessions were run with a group of experts composed of midwifes, gynaecologists, paediatricians, and paediatric and postpartum nurses. RESULTS: Various areas for improvement were identified: needs assessment of each woman/family, consideration of pregnancy and childbirth as normal physiological processes, participation of fathers, establishment of social networks, continuity of postpartum care, better access to and training for midwives, and more flexible format and contents for the programme. We propose a woman-focused framework that includes three exploratory interviews during pregnancy, personalized interventions coordinated between professionals, empowerment to choose the type of birth, and postpartum activities. CONCLUSION: New perinatal education should be on-going and focused on each woman. It is necessary to assess the feasibility of implementing this type of programme, depending on the context, professionals' readiness for change and characteristics of the proposed interventions. Then, its effectiveness and sustainability must be assessed. FAU - Artieta-Pinedo, Isabel AU - Artieta-Pinedo I AUID- ORCID: http://orcid.org/0000-0002-4297-2495 AD - Primary Care Midwife Zuazo Health Centre, Barakaldo, (Bizkaia); and Associate Professor of the School of Nursing, University of the Basque Country, Leioa, Bizkaia, Spain. miartieta@bergara.uned.es. AD - Primary Care Research Unit of Bizkaia, Centro de Salud de Deusto, 4 feminine planta, 48014, Bilbao, Bizkaia, Spain. miartieta@bergara.uned.es. FAU - Paz-Pascual, Carmen AU - Paz-Pascual C AD - Primary Care Midwife in Sestao Health Centre, Bizkaia; and Lecturer in the Midwifery Training Unit of the Basque Country, Bilbao, Bizkaia, Spain. FAU - Grandes, Gonzalo AU - Grandes G AD - Primary Care Research Unit of Bizkaia, Centro de Salud de Deusto, 4 feminine planta, 48014, Bilbao, Bizkaia, Spain. FAU - Espinosa, Maite AU - Espinosa M AD - Primary Care Research Unit of Bizkaia, Centro de Salud de Deusto, 4 feminine planta, 48014, Bilbao, Bizkaia, Spain. LA - eng PT - Journal Article DEP - 20170208 PL - England TA - BMC Pregnancy Childbirth JT - BMC pregnancy and childbirth JID - 100967799 PMC - PMC5299744 OTO - NOTNLM OT - Antenatal classes OT - Birth preparation OT - Health literacy OT - Perinatal education OT - Prenatal care OT - Woman care EDAT- 2017/02/10 06:00 MHDA- 2017/02/10 06:00 CRDT- 2017/02/10 06:00 PHST- 2015/10/20 [received] PHST- 2017/01/21 [accepted] AID - 10.1186/s12884-017-1234-7 [doi] AID - 10.1186/s12884-017-1234-7 [pii] PST - epublish SO - BMC Pregnancy Childbirth. 2017 Feb 8;17(1):58. doi: 10.1186/s12884-017-1234-7. PMID- 28114899 OWN - NLM STAT- In-Process DA - 20170124 LR - 20170403 IS - 1471-2431 (Electronic) IS - 1471-2431 (Linking) VI - 17 IP - 1 DP - 2017 Jan 23 TI - Participatory design in the development of an early therapy intervention for perinatal stroke. PG - 33 LID - 10.1186/s12887-017-0797-9 [doi] AB - BACKGROUND: Perinatal stroke is the leading cause of unilateral (hemiparetic) cerebral palsy, with life-long personal, social and financial consequences. Translational research findings indicate that early therapy intervention has the potential for significant improvements in long-term outcome in terms of motor function. By involving families and health professionals in the development and design stage, we aimed to produce a therapy intervention which they would engage with. METHODS: Nine parents of children with hemiparesis and fourteen health professionals involved in the care of infants with perinatal stroke took part in peer review and focus groups to discuss evolving therapy materials, with revisions made iteratively. The materials and approach were also discussed at a meeting of the London Child Stroke Research Reference Group. Focus group data were coded using Normalisation Process Theory constructs to explore potential barriers and facilitators to routine uptake of the intervention. RESULTS: We developed the Early Therapy in Perinatal Stroke (eTIPS) program - a parent-delivered, home-based complex intervention addressing a current gap in practice for infants in the first 6 months of life after unilateral perinatal stroke and with the aim of improving motor outcome. Parents and health professionals saw the intervention as different from usual practice, and valuable (high coherence). They were keen to engage (high cognitive participation). They considered the tasks for parents to be achievable (high collective action). They demonstrated trust in the approach and felt that parents would undertake the recommended activities (high collective action). They saw the approach as flexible and adaptable (high reflexive monitoring). Following suggestions made, we added a section on involving the extended family, and obtained funding for a website and videos to supplement written materials. CONCLUSIONS: Focus groups with parents and health professionals provided meaningful feedback to iteratively improve the intervention materials prior to embarking on a pilot study. The intervention has a high potential to normalize and become a routine part of parents' interactions with their child following unilateral perinatal stroke. FAU - Basu, Anna Purna AU - Basu AP AD - Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, NE1 7RU, UK. anna.basu@ncl.ac.uk. AD - Department of Paediatric Neurology, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, NE7 7DN, UK. anna.basu@ncl.ac.uk. FAU - Pearse, Janice Elizabeth AU - Pearse JE AD - Therapy Services, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, NE7 7DN, UK. FAU - Baggaley, Jessica AU - Baggaley J AD - Medical Sciences Graduate School, Newcastle University, Newcastle upon Tyne, NE1 7RU, UK. FAU - Watson, Rose Mary AU - Watson RM AD - Institute of Health and Society, Newcastle University, Newcastle upon Tyne, NE2 4AX, UK. FAU - Rapley, Tim AU - Rapley T AD - Institute of Health and Society, Newcastle University, Newcastle upon Tyne, NE2 4AX, UK. LA - eng GR - CDF-2013-06-001/Department of Health/United Kingdom GR - CTF-01-12-02/Department of Health/United Kingdom PT - Journal Article DEP - 20170123 PL - England TA - BMC Pediatr JT - BMC pediatrics JID - 100967804 PMC - PMC5259952 OTO - NOTNLM OT - Early intervention OT - Hemiparesis OT - Infant OT - Intervention development OT - Motor system OT - Normalisation process theory OT - Participatory design OT - Perinatal stroke OT - Therapy OT - Unilateral cerebral palsy EDAT- 2017/01/25 06:00 MHDA- 2017/01/25 06:00 CRDT- 2017/01/25 06:00 PHST- 2016/08/01 [received] PHST- 2017/01/18 [accepted] AID - 10.1186/s12887-017-0797-9 [doi] AID - 10.1186/s12887-017-0797-9 [pii] PST - epublish SO - BMC Pediatr. 2017 Jan 23;17(1):33. doi: 10.1186/s12887-017-0797-9. PMID- 28024222 OWN - NLM STAT- In-Process DA - 20161226 LR - 20170204 IS - 1573-2517 (Electronic) IS - 0165-0327 (Linking) VI - 210 DP - 2017 Mar 01 TI - Effects of prenatal childbirth education for partners of pregnant women on paternal postnatal mental health and couple relationship: A systematic review. PG - 115-121 LID - S0165-0327(16)31417-3 [pii] LID - 10.1016/j.jad.2016.12.025 [doi] AB - BACKGROUND: Partner education during pregnancy may be able to prevent postnatal mental health problems, and support expectant fathers in their transition to parenthood. The aim of this systematic review is to investigate the effects of prenatal childbirth education among partners of pregnant women, particularly regarding paternal postnatal mental health and couple relationship. METHODS: We searched Medline, CINAHL, EMBASE, PsycINFO, ERIC, and CENTRAL using terms such as "partners of pregnant women," "education," and "prenatal support." Searches were limited to randomized trials. RESULTS: We included 11 trials out of 13 reports that addressed the following topics: childbirth preparation, couple relationship, infants and parenting, postpartum psychosocial issues, and housework sharing. Overall risk of bias was low or unclear. Study outcomes, including parents' mental health (e.g., anxiety, depression, distress), couple relationship, parents' transition adjustment and parenting stress, and parents' satisfaction with their experience of childbirth and prenatal childbirth education programs were reported. LIMITATIONS: The studies included in this review were very diverse regarding intervention intensity and content, outcome types, measurement tools, and outcome timing. This impeded evaluation of the interventions' effectiveness. CONCLUSION: No sufficient evidence was identified that prenatal childbirth education for partners of pregnant women protects against paternal postnatal depression and couple relationship; however, paternal postnatal mental health is important to maternal and perinatal healthcare. The results of this review suggest that further research and intervention are required to provide partners of pregnant women with evidence-based information and support whole families during the perinatal period. CI - Copyright (c) 2016 Elsevier B.V. All rights reserved. FAU - Suto, Maiko AU - Suto M AD - Graduate School of International and Cultural Studies, Tsuda College, Tokyo, Japan. FAU - Takehara, Kenji AU - Takehara K AD - National Center for Child Health and Development, Tokyo, Japan. FAU - Yamane, Yumina AU - Yamane Y AD - College, National Rehabilitation Center for Persons with Disabilities, Saitama, Japan. FAU - Ota, Erika AU - Ota E AD - Graduate School of Nursing Science, St.Luke's International University, Tokyo, Japan. Electronic address: ota@slcn.ac.jp. LA - eng PT - Journal Article PT - Review DEP - 20161220 PL - Netherlands TA - J Affect Disord JT - Journal of affective disorders JID - 7906073 OTO - NOTNLM OT - Antenatal education OT - Childbirth education OT - Fathers OT - Partners of pregnant women OT - Postnatal depression EDAT- 2016/12/27 06:00 MHDA- 2016/12/27 06:00 CRDT- 2016/12/27 06:00 PHST- 2016/08/16 [received] PHST- 2016/12/17 [accepted] AID - S0165-0327(16)31417-3 [pii] AID - 10.1016/j.jad.2016.12.025 [doi] PST - ppublish SO - J Affect Disord. 2017 Mar 1;210:115-121. doi: 10.1016/j.jad.2016.12.025. Epub 2016 Dec 20. PMID- 27981749 OWN - NLM STAT- In-Data-Review DA - 20161216 LR - 20170222 IS - 1471-0528 (Electronic) IS - 1470-0328 (Linking) VI - 124 IP - 4 DP - 2017 Mar TI - Motivating women and their partners to participate in childbirth education and increasing natural delivery rates in Iran. PG - 640 LID - 10.1111/1471-0528.14473 [doi] FAU - Page, L AU - Page L AD - Royal College of Midwives, King's College London, London, UK. AD - University of Technology Sydney, Sydney, Australia. AD - Griffith University, Queensland, Australia. LA - eng PT - Journal Article DEP - 20161215 PL - England TA - BJOG JT - BJOG : an international journal of obstetrics and gynaecology JID - 100935741 EDAT- 2016/12/17 06:00 MHDA- 2016/12/17 06:00 CRDT- 2016/12/17 06:00 AID - 10.1111/1471-0528.14473 [doi] PST - ppublish SO - BJOG. 2017 Mar;124(4):640. doi: 10.1111/1471-0528.14473. Epub 2016 Dec 15. PMID- 27923401 OWN - NLM STAT- In-Process DA - 20161207 LR - 20170410 IS - 1745-6215 (Electronic) IS - 1745-6215 (Linking) VI - 17 IP - 1 DP - 2016 Dec 07 TI - Effectiveness of the WHO Safe Childbirth Checklist program in reducing severe maternal, fetal, and newborn harm in Uttar Pradesh, India: study protocol for a matched-pair, cluster-randomized controlled trial. PG - 576 AB - BACKGROUND: Effective, scalable strategies to improve maternal, fetal, and newborn health and reduce preventable morbidity and mortality are urgently needed in low- and middle-income countries. Building on the successes of previous checklist-based programs, the World Health Organization (WHO) and partners led the development of the Safe Childbirth Checklist (SCC), a 28-item list of evidence-based practices linked with improved maternal and newborn outcomes. Pilot-testing of the Checklist in Southern India demonstrated dramatic improvements in adherence by health workers to essential childbirth-related practices (EBPs). The BetterBirth Trial seeks to measure the effectiveness of SCC impact on EBPs, deaths, and complications at a larger scale. METHODS/DESIGN: This matched-pair, cluster-randomized controlled, adaptive trial will be conducted in 120 facilities across 24 districts in Uttar Pradesh, India. Study sites, identified according to predefined eligibility criteria, were matched by measured covariates before randomization. The intervention, the SCC embedded in a quality improvement program, consists of leadership engagement, a 2-day educational launch of the SCC, and support through placement of a trained peer "coach" to provide supportive supervision and real-time data feedback over an 8-month period with decreasing intensity. A facility-based childbirth quality coordinator is trained and supported to drive sustained behavior change after the BetterBirth team leaves the facility. Study participants are birth attendants and women and their newborns who present to the study facilities for childbirth at 60 intervention and 60 control sites. The primary outcome is a composite measure including maternal death, maternal severe morbidity, stillbirth, and newborn death, occurring within 7 days after birth. The sample size (n = 171,964) was calculated to detect a 15% reduction in the primary outcome. Adherence by health workers to EBPs will be measured in a subset of births (n = 6000). The trial will be conducted in close collaboration with key partners including the Governments of India and Uttar Pradesh, the World Health Organization, an expert Scientific Advisory Committee, an experienced local implementing organization (Population Services International, PSI), and frontline facility leaders and workers. DISCUSSION: If effective, the WHO Safe Childbirth Checklist program could be a powerful health facility-strengthening intervention to improve quality of care and reduce preventable harm to women and newborns, with millions of potential beneficiaries. TRIAL REGISTRATION: BetterBirth Study Protocol dated: 13 February 2014; ClinicalTrials.gov: NCT02148952 ; Universal Trial Number: U1111-1131-5647. FAU - Semrau, Katherine E A AU - Semrau KE AD - Ariadne Labs/Harvard Medical School, 401 Park Drive, 3rd floor East, Boston, MA, 02115, USA. ksemrau@ariadnelabs.org. FAU - Hirschhorn, Lisa R AU - Hirschhorn LR AD - Ariadne Labs/Harvard Medical School, 401 Park Drive, 3rd floor East, Boston, MA, 02115, USA. FAU - Kodkany, Bhala AU - Kodkany B AD - JNMC Medical College, Belgaum, 590010, Karnataka, India. FAU - Spector, Jonathan M AU - Spector JM AD - Novartis Institutes for BioMedical Research, 250 Massachusetts Avenue, Cambridge, MA, 02138, USA. FAU - Tuller, Danielle E AU - Tuller DE AD - Ariadne Labs/Harvard T.H. Chan School of Public Health, 401 Park Drive, 3rd floor East, Boston, MA, 02115, USA. FAU - King, Gary AU - King G AD - Harvard University, 1737 Cambridge Street Harvard University, Cambridge, MA, 02138, USA. FAU - Lipsitz, Stuart AU - Lipsitz S AD - Brigham and Women's Hospital, 1620 Tremont Street, 4-020, Boston, MA, 02120, USA. FAU - Sharma, Narender AU - Sharma N AD - Population Services International, 2/325, Vijayant Khand, Gomti Nagar, Lucknow, 226010, Uttar Pradesh, India. FAU - Singh, Vinay Pratap AU - Singh VP AD - Population Services International, 2/325, Vijayant Khand, Gomti Nagar, Lucknow, 226010, Uttar Pradesh, India. FAU - Kumar, Bharath AU - Kumar B AD - Population Services International, 2/325, Vijayant Khand, Gomti Nagar, Lucknow, 226010, Uttar Pradesh, India. FAU - Dhingra-Kumar, Neelam AU - Dhingra-Kumar N AD - World Health Organization, 20, Avenue Appia, 1211, Geneva 27, Switzerland. FAU - Firestone, Rebecca AU - Firestone R AD - Population Services International, 1120 19th Street, NW, Suite 600, Washington, DC, 20036, USA. FAU - Kumar, Vishwajeet AU - Kumar V AD - Community Empowerment Lab, 26/11 Wazeer Hassan Road, Lucknow, 226001, India. FAU - Gawande, Atul A AU - Gawande AA AD - Ariadne Labs/Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA, 02115, USA. LA - eng SI - ClinicalTrials.gov/NCT02148952 PT - Journal Article DEP - 20161207 PL - England TA - Trials JT - Trials JID - 101263253 PMC - PMC5142140 OTO - NOTNLM OT - Cluster-randomized controlled trial OT - Coaching OT - India OT - Maternal health OT - Newborn health OT - Perinatal health OT - Quality improvement OT - Stillbirth OT - Supportive supervision OT - WHO Safe Childbirth Checklist EDAT- 2016/12/08 06:00 MHDA- 2016/12/08 06:00 CRDT- 2016/12/08 06:00 PHST- 2016/05/15 [received] PHST- 2016/10/26 [accepted] AID - 10.1186/s13063-016-1673-x [doi] AID - 10.1186/s13063-016-1673-x [pii] PST - epublish SO - Trials. 2016 Dec 7;17(1):576. PMID- 27891241 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20161128 LR - 20170220 IS - 2052-6687 (Print) IS - 2052-6687 (Linking) VI - 3 DP - 2016 TI - No evidence of prenatal diversifying selection at locus or supertype levels in the dog MHC class II loci. PG - 9 AB - BACKGROUND: Despite decades of studying, the mechanisms maintaining high diversity in the genes of the Major Histocompatibility Complex (MHC) are still puzzling scientists. In addition to pathogen recognition and other functions, MHC molecules may act prenatally in mate choice and in maternal-foetal interactions. These interactions are potential selective mechanisms that increase genetic diversity in the MHC. During pregnancy, immune response has a dual role: the foetus represents foreign tissue compared to mother, but histo-incompatibility is required for successful pregnancy. We have studied the prenatal selection in MHC class II loci (DLA-DQA1, DLA-DQB1 and DLA-DRB1) in domestic dogs by comparing the observed and expected offspring genotype proportions in 110 dog families. Several potential selection targets were addressed, including the peptide-binding site, the MHC locus, three-locus haplotype and supertype levels. For the supertype analysis, the first canine supertype classification was created based on in silico analysis of peptide-binding amino-acid polymorphism. RESULTS: In most loci and levels, no deviation from the expected genotype frequencies was observed. However, one peptide-binding site in DLA-DRB1 had an excess of heterozygotes among the offspring. In addition, if the father shared a DLA-DRB1 allele with the mother, that allele was inherited by the offspring more frequently than expected, suggesting the selective advantage of a histo-compatible foetus, in contrast to our expectations. CONCLUSIONS: We conclude that there is some evidence of post-copulatory selection at nucleotide site level in the MHC loci of pet dogs. But due to no indication of selection at locus, three-locus, or supertype levels, we estimated that the prenatal selection coefficient is less than 0.3 in domestic dogs and very likely other factors are more important in maintaining the genetic diversity in MHC loci. FAU - Niskanen, Alina K AU - Niskanen AK AD - Department of Genetics and Physiology, University of Oulu, PO Box 3000, Oulu, FIN-90014 Finland ; Present address: Centre for Biodiversity Dynamics, Department of Biology, Norwegian University of Science and Technology, NO -7491, Trondheim, Norway. FAU - Kennedy, Lorna J AU - Kennedy LJ AD - Centre for Integrated Genomic Medical Research, University of Manchester, Stopford Building, Oxford Road, Manchester, M13 9PT UK. FAU - Lohi, Hannes AU - Lohi H AD - Department of Veterinary Biosciences, Research Programs Unit, Molecular Neurology, University of Helsinki and Folkhalsan Institute of Genetics, Biomedicum Helsinki, PO Box 63, FIN-00014 Helsinki, Finland. FAU - Aspi, Jouni AU - Aspi J AD - Department of Genetics and Physiology, University of Oulu, PO Box 3000, Oulu, FIN-90014 Finland. FAU - Pyhajarvi, Tanja AU - Pyhajarvi T AD - Department of Genetics and Physiology, University of Oulu, PO Box 3000, Oulu, FIN-90014 Finland. LA - eng PT - Journal Article DEP - 20161118 PL - England TA - Canine Genet Epidemiol JT - Canine genetics and epidemiology JID - 101664860 PMC - PMC5116190 OTO - NOTNLM OT - Canis familiaris OT - MHC OT - Prenatal selection OT - Supertype classification EDAT- 2016/11/29 06:00 MHDA- 2016/11/29 06:01 CRDT- 2016/11/29 06:00 PHST- 2016/01/28 [received] PHST- 2016/10/02 [accepted] AID - 10.1186/s40575-016-0038-9 [doi] AID - 38 [pii] PST - epublish SO - Canine Genet Epidemiol. 2016 Nov 18;3:9. eCollection 2016. PMID- 27887578 OWN - NLM STAT- In-Process DA - 20161126 LR - 20170220 IS - 1471-2393 (Electronic) IS - 1471-2393 (Linking) VI - 16 IP - 1 DP - 2016 Nov 25 TI - Evaluation of an international educational programme for health care professionals on best practice in the management of a perinatal death: IMproving Perinatal mortality Review and Outcomes Via Education (IMPROVE). PG - 376 AB - BACKGROUND: Stillbirths and neonatal deaths are devastating events for both parents and clinicians and are global public health concerns. Careful clinical management after these deaths is required, including appropriate investigation and assessment to determine cause (s) to prevent future losses, and to improve bereavement care for families. An educational programme for health care professionals working in maternal and child health has been designed to address these needs according to the Perinatal Society of Australia and New Zealand Guideline for Perinatal Mortality: IMproving Perinatal mortality Review and Outcomes Via Education (IMPROVE). The programme has a major focus on stillbirth and is delivered as six interactive skills-based stations. We aimed to determine participants' pre- and post-programme knowledge of and confidence in the management of perinatal deaths, along with satisfaction with the programme. We also aimed to determine suitability for international use. METHODS: The IMPROVE programme was delivered to health professionals in maternity hospitals in all seven Australian states and territories and modified for use internationally with piloting in Vietnam, Fiji, and the Netherlands (with the assistance of the International Stillbirth Alliance, ISA). Modifications were made to programme materials in consultation with local teams and included translation for the Vietnam programme. Participants completed pre- and post-programme evaluation questionnaires on knowledge and confidence on six key components of perinatal death management as well as a satisfaction questionnaire. RESULTS: Over the period May 2012 to May 2015, 30 IMPROVE workshops were conducted, including 26 with 758 participants in Australia and four with 136 participants internationally. Evaluations showed a significant improvement between pre- and post-programme knowledge and confidence in all six stations and overall, and a high degree of satisfaction in all settings. CONCLUSIONS: The IMPROVE programme has been well received in Australia and in three different international settings and is now being made available through ISA. Future research is required to determine whether the immediate improvements in knowledge are sustained with less causes of death being classified as unknown, changes in clinical practice and improvement in parents' experiences with care. The suitability for this programme in low-income countries also needs to be established. FAU - Gardiner, Paul A AU - Gardiner PA AD - Mater Research Institute, The University of Queensland, Level 2 Aubigny Place, South Brisbane, QLD 4101, Australia. FAU - Kent, Alison L AU - Kent AL AD - International Stillbirth Alliance, Bristol, UK. AD - Perinatal Society of Australia and New Zealand Stillbirth and Neonatal Death Alliance, Monington, Australia. AD - Medical School, Australian National University, Canberra, Australia. AD - Centenary Hospital for Women and Children, Canberra, Australia. FAU - Rodriguez, Viviana AU - Rodriguez V AD - Mater Research Institute, The University of Queensland, Level 2 Aubigny Place, South Brisbane, QLD 4101, Australia. FAU - Wojcieszek, Aleena M AU - Wojcieszek AM AD - International Stillbirth Alliance, Bristol, UK. AD - Perinatal Society of Australia and New Zealand Stillbirth and Neonatal Death Alliance, Monington, Australia. FAU - Ellwood, David AU - Ellwood D AD - International Stillbirth Alliance, Bristol, UK. AD - Perinatal Society of Australia and New Zealand Stillbirth and Neonatal Death Alliance, Monington, Australia. AD - School of Medicine, Griffith University, Brisbane, Australia. AD - Gold Coast University Hospital, Southport, Australia. FAU - Gordon, Adrienne AU - Gordon A AD - International Stillbirth Alliance, Bristol, UK. AD - Perinatal Society of Australia and New Zealand Stillbirth and Neonatal Death Alliance, Monington, Australia. AD - Charles Perkins Centre, The University of Sydney, Sydney, Australia. AD - Newborn Care, RPA Women and Babies, Royal Prince Alfred Hospital, Sydney, Australia. FAU - Wilson, Patricia A AU - Wilson PA AD - Mater Health Services, Brisbane, Australia. FAU - Bond, Diana M AU - Bond DM AD - Perinatal Society of Australia and New Zealand Stillbirth and Neonatal Death Alliance, Monington, Australia. AD - Newborn Care, RPA Women and Babies, Royal Prince Alfred Hospital, Sydney, Australia. AD - Kolling Institute, The University of Sydney, Sydney, Australia. FAU - Charles, Adrian AU - Charles A AD - International Stillbirth Alliance, Bristol, UK. AD - Perinatal Society of Australia and New Zealand Stillbirth and Neonatal Death Alliance, Monington, Australia. FAU - Arbuckle, Susan AU - Arbuckle S AD - Perinatal Society of Australia and New Zealand Stillbirth and Neonatal Death Alliance, Monington, Australia. AD - Children's Hospital at Westmead, Sydney, Australia. FAU - Gardener, Glenn J AU - Gardener GJ AD - International Stillbirth Alliance, Bristol, UK. AD - Perinatal Society of Australia and New Zealand Stillbirth and Neonatal Death Alliance, Monington, Australia. AD - Mater Health Services, Brisbane, Australia. FAU - Oats, Jeremy J AU - Oats JJ AD - International Stillbirth Alliance, Bristol, UK. AD - Perinatal Society of Australia and New Zealand Stillbirth and Neonatal Death Alliance, Monington, Australia. AD - Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia. FAU - Erwich, Jan Jaap AU - Erwich JJ AD - International Stillbirth Alliance, Bristol, UK. AD - University of Groningen, Groningen, The Netherlands. FAU - Korteweg, Fleurisca J AU - Korteweg FJ AD - International Stillbirth Alliance, Bristol, UK. AD - Department of Obstetrics and Gynecology, Martini Hospital, Groningen, The Netherlands. FAU - Duc, T H Nguyen AU - Duc TH AD - Institute for Reproductive and Family Health, Hanoi, Vietnam. FAU - Leisher, Susannah Hopkins AU - Leisher SH AD - International Stillbirth Alliance, Bristol, UK. FAU - Kishore, Kamal AU - Kishore K AD - College of Medicine Nursing and Health Sciences, Fiji National University, Suva, Fiji. FAU - Silver, Robert M AU - Silver RM AD - International Stillbirth Alliance, Bristol, UK. AD - Health Services Center, University of Utah, Salt Lake City, USA. FAU - Heazell, Alexander E AU - Heazell AE AD - International Stillbirth Alliance, Bristol, UK. AD - Maternal and Fetal Health Research Centre, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK. FAU - Storey, Claire AU - Storey C AD - International Stillbirth Alliance, Bristol, UK. FAU - Flenady, Vicki AU - Flenady V AD - International Stillbirth Alliance, Bristol, UK. vicki.flenady@mater.uq.edu.au. AD - Perinatal Society of Australia and New Zealand Stillbirth and Neonatal Death Alliance, Monington, Australia. vicki.flenady@mater.uq.edu.au. LA - eng PT - Journal Article DEP - 20161125 PL - England TA - BMC Pregnancy Childbirth JT - BMC pregnancy and childbirth JID - 100967799 PMC - PMC5124291 OTO - NOTNLM OT - Clinical practice OT - Education OT - Neonatal death OT - Perinatal death OT - Stillbirth OT - Training EDAT- 2016/11/27 06:00 MHDA- 2016/11/27 06:00 CRDT- 2016/11/27 06:00 PHST- 2015/09/09 [received] PHST- 2016/11/18 [accepted] AID - 10.1186/s12884-016-1173-8 [doi] AID - 10.1186/s12884-016-1173-8 [pii] PST - epublish SO - BMC Pregnancy Childbirth. 2016 Nov 25;16(1):376. PMID- 27856405 OWN - NLM STAT- In-Process DA - 20161118 LR - 20170410 IS - 1438-8871 (Electronic) IS - 1438-8871 (Linking) VI - 18 IP - 11 DP - 2016 Nov 17 TI - Infusing Technology Into Perinatal Home Visitation in the United States for Women Experiencing Intimate Partner Violence: Exploring the Interpretive Flexibility of an mHealth Intervention. PG - e302 AB - BACKGROUND: Intimate partner violence (IPV) is common during pregnancy and the postpartum. Perinatal home visitation provides favorable conditions in which to identify and support women affected by IPV. However, the use of mHealth for delivering IPV interventions in perinatal home visiting has not been explored. OBJECTIVE: Our objective was to conduct a nested qualitative interpretive study to explore perinatal home visitors' and women's perceptions and experiences of the Domestic Violence Enhanced Home Visitation Program (DOVE) using mHealth technology (ie, a computer tablet) or a home visitor-administered, paper-based method. METHODS: We used purposive sampling, using maximum variation, to select women enrolled in a US-based randomized controlled trial of the DOVE intervention for semistructured interviews. Selection criteria were discussed with the trial research team and 32 women were invited to participate. We invited 45 home visitors at the 8 study sites to participate in an interview, along with the 2 DOVE program designers. Nonparticipant observations of home visits with trial participants who chose not to participate in semistructured interviews were undertaken. RESULTS: We conducted 51 interviews with 26 women, 23 home visiting staff at rural and urban sites, and the 2 DOVE program designers. We conducted 4 nonparticipant observations. Among 18 IPV-positive women, 7 used the computer tablet and 11 used the home visitor method. Among 8 IPV-negative women, 7 used the home visitor method. The computer tablet was viewed as a safe and confidential way for abused women to disclose their experiences without fear of being judged. The meanings that the DOVE technology held for home visitors and women led to its construction as either an impersonal artifact that was an impediment to discussion of IPV or a conduit through which interpersonal connection could be deepened, thereby facilitating discussion about IPV. Women's and home visitors' comfort with either method of screening was positively influenced by factors such as having established trust and rapport, as well as good interpersonal communication. The technology helped reduce the anticipated stigma associated with disclosing abuse. The didactic intervention video was a limiting feature, as the content could not be tailored to accommodate the fluidity of women's circumstances. CONCLUSIONS: Users and developers of technology-based IPV interventions need to consider the context in which they are being embedded and the importance of the patient-provider relationship in promoting behavior change in order to realize the full benefits. An mHealth approach can and should be used as a tool for initiating discussion about IPV, assisting women in enhancing their safety and exploring help-seeking options. However, training for home visitors is required to ensure that a computer tablet is used to complement and enhance the therapeutic relationship. CLINICALTRIAL: Clinicaltrials.gov NCT01688427; https://clinicaltrials.gov/ct2/show/NCT01688427 (Archived by WebCite at http://www.webcitation.org/6limSWdZP). FAU - Bacchus, Loraine J AU - Bacchus LJ AUID- ORCID: http://orcid.org/0000-0002-9966-8208 AD - Department of Global Health and Development, London School of Hygiene & Tropical Medicine, London, United Kingdom. AD - School of Nursing, University of Virginia, Charlottesville, VA, United States. FAU - Bullock, Linda AU - Bullock L AUID- ORCID: http://orcid.org/0000-0003-4082-3944 AD - School of Nursing, University of Virginia, Charlottesville, VA, United States. FAU - Sharps, Phyllis AU - Sharps P AUID- ORCID: http://orcid.org/0000-0002-8508-5087 AD - School of Nursing, Johns Hopkins University, Baltimore, MD, United States. FAU - Burnett, Camille AU - Burnett C AUID- ORCID: http://orcid.org/0000-0003-3066-2753 AD - School of Nursing, University of Virginia, Charlottesville, VA, United States. FAU - Schminkey, Donna L AU - Schminkey DL AUID- ORCID: http://orcid.org/0000-0002-4968-8809 AD - School of Nursing, University of Virginia, Charlottesville, VA, United States. FAU - Buller, Ana Maria AU - Buller AM AUID- ORCID: http://orcid.org/0000-0002-3007-9747 AD - Department of Global Health and Development, London School of Hygiene & Tropical Medicine, London, United Kingdom. FAU - Campbell, Jacquelyn AU - Campbell J AUID- ORCID: http://orcid.org/0000-0003-3689-4547 AD - School of Nursing, Johns Hopkins University, Baltimore, MD, United States. LA - eng SI - ClinicalTrials.gov/NCT01688427 PT - Journal Article DEP - 20161117 PL - Canada TA - J Med Internet Res JT - Journal of medical Internet research JID - 100959882 PMC - PMC5133433 OTO - NOTNLM OT - home visitation OT - interpretive flexibility OT - intervention OT - intimate partner violence OT - mhealth OT - nurses OT - screening OT - technology COI - Conflicts of Interest: None declared. EDAT- 2016/11/20 06:00 MHDA- 2016/11/20 06:00 CRDT- 2016/11/19 06:00 PHST- 2016/06/21 [received] PHST- 2016/10/28 [accepted] PHST- 2016/09/17 [revised] AID - v18i11e302 [pii] AID - 10.2196/jmir.6251 [doi] PST - epublish SO - J Med Internet Res. 2016 Nov 17;18(11):e302. PMID- 27854496 OWN - NLM STAT- In-Process DA - 20161117 LR - 20170322 IS - 2153-2176 (Electronic) IS - 2153-2168 (Linking) VI - 13 IP - 2 DP - 2017 Apr TI - Parent and Clinician Perspectives on Sustained Behavior Change after a Prenatal Obesity Program: A Qualitative Study. PG - 85-92 LID - 10.1089/chi.2016.0149 [doi] AB - BACKGROUND: Infants of obese women are at a high risk for development of obesity. Prenatal interventions targeting gestational weight gain among obese women have not demonstrated consistent benefits for infant growth trajectories. METHODS: To better understand why such programs may not influence infant growth, qualitative semi-structured interviews were conducted with 19 mothers who participated in a prenatal nutrition intervention for women with BMI 30 kg/m2 or greater, and with 19 clinicians (13 pediatric, 6 obstetrical). Interviews were transcribed and coded with themes emerging inductively from the data, using a grounded theory approach. RESULTS: Mothers were interviewed a mean of 18 months postpartum and reported successful postnatal maintenance of behaviors that were relevant to the family food environment (Theme 1). Ambivalence around the importance of postnatal behavior maintenance (Theme 2) and enhanced postnatal healthcare (Theme 3) emerged as explanations for the failure of prenatal interventions to influence child growth. Mothers acknowledged their importance as role models for their children's behavior, but they often believed that body habitus was beyond their control. Though mothers attributed prenatal behavior change, in part, to additional support during pregnancy, clinicians had hesitations about providing children of obese parents with additional services postnatally. Both mothers and clinicians perceived a lack of interest or concern about infant growth during pediatric visits (Theme 4). CONCLUSIONS: Prenatal interventions may better influence childhood growth if paired with improved communication regarding long-term modifiable risks for children. The healthcare community should clarify a package of enhanced preventive services for children with increased risk of developing obesity. FAU - Gregory, Emily F AU - Gregory EF AD - 1 General Pediatrics and Adolescent Medicine, Johns Hopkins School of Medicine , Baltimore, MD. FAU - Goldshore, Matthew A AU - Goldshore MA AD - 2 Johns Hopkins Bloomberg School of Public Health , Baltimore, MD. FAU - Showell, Nakiya N AU - Showell NN AD - 1 General Pediatrics and Adolescent Medicine, Johns Hopkins School of Medicine , Baltimore, MD. FAU - Genies, Marquita C AU - Genies MC AD - 1 General Pediatrics and Adolescent Medicine, Johns Hopkins School of Medicine , Baltimore, MD. FAU - Harding, Mariel E AU - Harding ME AD - 2 Johns Hopkins Bloomberg School of Public Health , Baltimore, MD. FAU - Henderson, Janice L AU - Henderson JL AD - 3 Gynecology and Obstetrics, Johns Hopkins School of Medicine , Baltimore, MD. LA - eng PT - Journal Article DEP - 20161117 PL - United States TA - Child Obes JT - Childhood obesity (Print) JID - 101542497 OTO - NOTNLM OT - health behavior OT - health disparities OT - obesity OT - prevention EDAT- 2016/11/18 06:00 MHDA- 2016/11/18 06:00 CRDT- 2016/11/18 06:00 AID - 10.1089/chi.2016.0149 [doi] PST - ppublish SO - Child Obes. 2017 Apr;13(2):85-92. doi: 10.1089/chi.2016.0149. Epub 2016 Nov 17. PMID- 27833576 OWN - NLM STAT- In-Data-Review DA - 20161111 LR - 20170220 IS - 1664-1078 (Print) IS - 1664-1078 (Linking) VI - 7 DP - 2016 TI - Prenatal Intuitive Coparenting Behaviors. PG - 1662 AB - Micro-analytic research on intuitive parenting behaviors has shed light on the temporal dynamics of parent and child interactions. Observations have shown that parents possess remarkable implicit communicative abilities allowing them to adapt to the clues infants give and therefore stimulate the development of many of the infants' abilities, such as communication skills. This work focused on observing intuitive parenting behaviors that were synchronized and coordinated between the parents. We call them "prenatal intuitive coparenting behaviors" and used an observation task - the Prenatal Lausanne Trilogue Play procedure - to observe them. For this task, the parents role-play their first encounter with their future baby, represented by a doll. Two cases from a study on pregnancy after assisted reproductive technology are provided to illustrate how these behaviors manifest themselves. The observations from the first case suggest that expectant parents can offer the baby a coparental framework, whereas the observations from the second case show that opportunities for episodes of prenatal intuitive coparenting can be missed due to certain relationship dynamics. These kinds of observations deepen our knowledge of the prenatal emergence of the coparenting relationship and allow us to hone our strategies for intervening during pregnancy with couples who experience coparenting difficulties. Furthermore, these observations provide a novel and complementary perspective on prenatal intuitive parenting and coparenting behaviors. FAU - Darwiche, Joelle AU - Darwiche J AD - Family and Development Research Center (FADO), Institute of Psychology, University of Lausanne Lausanne, Switzerland. FAU - Fivaz-Depeursinge, Elisabeth AU - Fivaz-Depeursinge E AD - Research Unit of the Centre for Family Study, University Institute of Psychotherapy, University of Lausanne Lausanne, Switzerland. FAU - Corboz-Warnery, Antoinette AU - Corboz-Warnery A AD - Research Unit of the Centre for Family Study, University Institute of Psychotherapy, University of Lausanne Lausanne, Switzerland. LA - eng PT - Journal Article DEP - 20161027 PL - Switzerland TA - Front Psychol JT - Frontiers in psychology JID - 101550902 PMC - PMC5082225 OTO - NOTNLM OT - Prenatal Lausanne Trilogue Play OT - coparenting OT - intuitive parenting behaviors OT - observation OT - parenting EDAT- 2016/11/12 06:00 MHDA- 2016/11/12 06:00 CRDT- 2016/11/12 06:00 PHST- 2016/07/13 [received] PHST- 2016/10/11 [accepted] AID - 10.3389/fpsyg.2016.01662 [doi] PST - epublish SO - Front Psychol. 2016 Oct 27;7:1662. eCollection 2016. PMID- 27814706 OWN - NLM STAT- In-Process DA - 20161105 LR - 20170220 IS - 1472-6963 (Electronic) IS - 1472-6963 (Linking) VI - 16 IP - 1 DP - 2016 Nov 05 TI - Testing a counselling intervention in antenatal care for women experiencing partner violence: a study protocol for a randomized controlled trial in Johannesburg, South Africa. PG - 630 AB - BACKGROUND: Intimate partner violence (IPV) during or before pregnancy is associated with many adverse health outcomes. Pregnancy-related complications or poor infant health outcomes can arise from direct trauma as well as physiological effects of stress, both of which impact maternal health and fetal growth and development. Antenatal care can be a key entry point within the health system for many women, particularly in low-resource settings. Interventions to identify violence during pregnancy and offer women support and counselling may reduce the occurrence of violence and mitigate its consequences. METHODS: Following a formative research phase, a randomized controlled trial will be conducted to test a nurse-led empowerment counselling intervention, originally developed for high-income settings and adapted for urban South Africa. The primary outcome is reduction of partner violence, and secondary outcomes include improvement in women's mental health, safety and self-efficacy. The study aims to recruit 504 pregnant women from three antenatal clinics in Johannesburg who will be randomized to the nurse-led empowerment arm (two 30-min counselling sessions) or enhanced control condition (a referral list) to determine whether participants in the intervention arm have better outcomes as compared to the those in the control arm. DISCUSSION: This research will provide much needed evidence on whether a short counselling intervention delivered by nurses is efficacious and feasible in low resource settings that have high prevalence of IPV and HIV. TRIAL REGISTRATION: The study was registered in the South African Clinical Trials Registry (DOH-27-0414-4720) on 11 August 2014 and in the ISRCTN Registry ( ISRCTN35969343 ) on 23 May 2016). FAU - Pallitto, Christina AU - Pallitto C AD - Department of Reproductive Health and Research, World Health Organization, Avenue Appia 20, 1211, Geneva, Switzerland. pallittoc@who.int. FAU - Garcia-Moreno, Claudia AU - Garcia-Moreno C AD - Department of Reproductive Health and Research, World Health Organization, Avenue Appia 20, 1211, Geneva, Switzerland. FAU - Stoeckl, Heidi AU - Stoeckl H AD - Gender Violence and Health Centre, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SE, UK. FAU - Hatcher, Abigail AU - Hatcher A AD - Wits Reproductive Health and HIV Institute, University of the Witwatersrand, 22 Esselen Street, Hillbrow, 2001, South Africa. FAU - MacPhail, Catherine AU - MacPhail C AD - School of Health, University of New England, Armidale, 2351, NSW, Australia. FAU - Mokoatle, Keneoue AU - Mokoatle K AD - Wits Reproductive Health and HIV Institute, University of the Witwatersrand, 22 Esselen Street, Hillbrow, 2001, South Africa. FAU - Woollett, Nataly AU - Woollett N AD - Wits Reproductive Health and HIV Institute, University of the Witwatersrand, 22 Esselen Street, Hillbrow, 2001, South Africa. LA - eng PT - Journal Article DEP - 20161105 PL - England TA - BMC Health Serv Res JT - BMC health services research JID - 101088677 PMC - PMC5097399 OTO - NOTNLM OT - Antenatal care OT - Counselling OT - Intimate partner violence OT - Randomized controlled trial EDAT- 2016/11/07 06:00 MHDA- 2016/11/07 06:00 CRDT- 2016/11/06 06:00 PHST- 2016/01/21 [received] PHST- 2016/10/21 [accepted] AID - 10.1186/s12913-016-1872-x [doi] AID - 10.1186/s12913-016-1872-x [pii] PST - epublish SO - BMC Health Serv Res. 2016 Nov 5;16(1):630. PMID- 27457113 OWN - NLM STAT- MEDLINE DA - 20160912 DCOM- 20170531 LR - 20170531 IS - 1097-6868 (Electronic) IS - 0002-9378 (Linking) VI - 215 IP - 5 DP - 2016 Nov TI - Maternal melatonin or N-acetylcysteine therapy regulates hydrogen sulfide-generating pathway and renal transcriptome to prevent prenatal NG-Nitro-L-arginine-methyl ester (L-NAME)-induced fetal programming of hypertension in adult male offspring. PG - 636.e1-636.e72 LID - S0002-9378(16)30471-9 [pii] LID - 10.1016/j.ajog.2016.07.036 [doi] AB - BACKGROUND: Pregnancy is a critical time for fetal programming of hypertension. Nitric oxide deficiency during pregnancy causes hypertension in adult offspring. OBJECTIVE: We examined whether maternal melatonin or N-acetylcysteine therapy can prevent NG-nitro-L-arginine-methyl ester-induced fetal programming of hypertension in adult offspring. Next, we aimed to identify potential gatekeeper pathways that contribute to NG-nitro-L-arginine-methyl ester -induced programmed hypertension using the next generation RNA sequencing technology. STUDY DESIGN: Pregnant Sprague-Dawley rats were assigned to 4 groups: control, NG-nitro-L-arginine-methyl ester, NG-nitro-L-arginine-methyl ester +melatonin, and NG-nitro-L-arginine-methyl ester+N-acetylcysteine. Pregnant rats received NG-nitro-L-arginine-methyl ester administration at 60 mg/kg/d subcutaneously during pregnancy alone, with additional 0.01% melatonin in drinking water, or with additional 1% N-acetylcysteine in drinking water during the entire pregnancy and lactation. Male offspring (n=8/group) were killed at 12 weeks of age. RESULTS: NG-nitro-L-arginine-methyl ester exposure during pregnancy induced programmed hypertension in adult male offspring, which was prevented by maternal melatonin or N-acetylcysteine therapy. Protective effects of melatonin and N-acetylcysteine against NG-nitro-L-arginine-methyl ester-induced programmed hypertension were associated with an increase in hydrogen sulfide-generating enzymes and hydrogen sulfide synthesis in the kidneys. Nitric oxide inhibition by NG-nitro-L-arginine-methyl ester in pregnancy caused >2000 renal transcripts to be modified during nephrogenesis stage in 1-day-old offspring kidney. Among them, genes belong to the renin-angiotensin system, and arachidonic acid metabolism pathways were potentially involved in the NG-nitro-L-arginine-methyl ester-induced programmed hypertension. However, melatonin and N-acetylcysteine reprogrammed the renin-angiotensin system and arachidonic acid pathway differentially. CONCLUSION: Our results indicated that antioxidant therapy, by melatonin or N-acetylcysteine, in pregnant rats with nitric oxide deficiency can prevent programmed hypertension in male adult offspring. Early intervention with specific antioxidants that target redox imbalance in pregnancy to reprogram hypertension may well allow us to reduce the future burden of hypertension. The roles of transcriptome changes that are induced by NG-nitro-L-arginine-methyl ester in the offspring kidney require further clarification. CI - Copyright (c) 2016 Elsevier Inc. All rights reserved. FAU - Tain, You-Lin AU - Tain YL AD - Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan; Institute for Translational Research in Biomedicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan. FAU - Lee, Chien-Te AU - Lee CT AD - Department of Nephrology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan. FAU - Chan, Julie Y H AU - Chan JY AD - Institute for Translational Research in Biomedicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan. FAU - Hsu, Chien-Ning AU - Hsu CN AD - Department of Pharmacy, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan; School of Pharmacy, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address: chien_ning_hsu@hotmail.com. LA - eng PT - Journal Article DEP - 20160722 PL - United States TA - Am J Obstet Gynecol JT - American journal of obstetrics and gynecology JID - 0370476 RN - 0 (Antioxidants) RN - 0 (Biomarkers) RN - JL5DK93RCL (Melatonin) RN - V55S2QJN2X (NG-Nitroarginine Methyl Ester) RN - WYQ7N0BPYC (Acetylcysteine) RN - YY9FVM7NSN (Hydrogen Sulfide) SB - AIM SB - IM MH - Acetylcysteine/pharmacology/*therapeutic use MH - Administration, Oral MH - Animals MH - Antioxidants/pharmacology/*therapeutic use MH - Biomarkers/metabolism MH - Female MH - Fetal Development/drug effects/physiology MH - Hydrogen Sulfide/metabolism MH - Hypertension/chemically induced/metabolism/*prevention & control MH - Kidney/drug effects MH - Male MH - Melatonin/pharmacology/*therapeutic use MH - NG-Nitroarginine Methyl Ester MH - Oxidative Stress/drug effects MH - Pregnancy MH - Prenatal Exposure Delayed Effects/chemically induced/metabolism/*prevention & control MH - Rats MH - Rats, Sprague-Dawley MH - Transcriptome/drug effects OTO - NOTNLM OT - *N-acetylcysteine OT - *hydrogen sulfide OT - *hypertension OT - *melatonin OT - *nitric oxide OT - *oxidative stress EDAT- 2016/10/30 06:00 MHDA- 2017/06/01 06:00 CRDT- 2016/07/27 06:00 PHST- 2016/05/15 [received] PHST- 2016/07/03 [revised] PHST- 2016/07/11 [accepted] AID - S0002-9378(16)30471-9 [pii] AID - 10.1016/j.ajog.2016.07.036 [doi] PST - ppublish SO - Am J Obstet Gynecol. 2016 Nov;215(5):636.e1-636.e72. doi: 10.1016/j.ajog.2016.07.036. Epub 2016 Jul 22. PMID- 27684422 OWN - NLM STAT- In-Process DA - 20160929 LR - 20170220 IS - 1476-5543 (Electronic) IS - 0743-8346 (Linking) VI - 36 IP - 12 DP - 2016 Dec TI - Preparedness of pediatric residents for fellowship: a survey of US neonatal-perinatal fellowship program directors. PG - 1132-1137 LID - 10.1038/jp.2016.153 [doi] AB - OBJECTIVE: To evaluate the preparedness of pediatric residents entering accredited neonatal-perinatal medicine (NPM) fellowships in the United States. STUDY DESIGN: A multi-domain, validated survey was distributed to Program Directors (PDs) of US NPM fellowship programs. The 47-item survey explored 5 domains: professionalism, independent practice, psychomotor ability, clinical evaluation, and academia. A systematic, qualitative analysis on free-text comments was also performed. RESULTS: Sixty-one PDs completed the survey, for a response rate of 62% (61/98). For entering fellows, PDs assessed performance in professionalism positively, including 76% as communicating effectively with parents and 90% treating residents/house-staff with respect. In contrast, most PDs rated performance in psychomotor abilities negatively, including 59% and 79% as deficient in bag-and-mask ventilation and neonatal endotracheal intubation, respectively. Although 62% of PDs assessed entering fellows positively for genuine interest in academic projects, fewer than 10% responded positively that entering fellows understood research protocol design, basic statistics, or were capable of writing a cohesive manuscript well. Thematic clustering of qualitative data revealed deficits in psychomotor ability and academia/scholarship. CONCLUSIONS: On the basis of the perspective of front line educators, graduating pediatric residents are underprepared for subspecialty fellowship training in NPM. To provide the best preparation for pediatric graduates who pursue advanced training, changes to residency education to address deficiencies in these important competencies are warranted. FAU - Backes, C H AU - Backes CH AD - Center for Perinatal Research, Nationwide Children's Hospital, Columbus, OH, USA. AD - The Heart Center, Nationwide Children's Hospital, Columbus, OH, USA. AD - Department of Pediatrics, Nationwide Children's Hospital/The Ohio State University, Columbus, OH, USA. FAU - Bonachea, E M AU - Bonachea EM AD - Center for Perinatal Research, Nationwide Children's Hospital, Columbus, OH, USA. AD - Department of Pediatrics, Nationwide Children's Hospital/The Ohio State University, Columbus, OH, USA. FAU - Rivera, B K AU - Rivera BK AD - Center for Perinatal Research, Nationwide Children's Hospital, Columbus, OH, USA. FAU - Reynolds, M M AU - Reynolds MM AD - Research Information Solutions and Innovation, Nationwide Children's Hospital, Columbus, OH, USA. FAU - Kovalchin, C E AU - Kovalchin CE AD - Center for Perinatal Research, Nationwide Children's Hospital, Columbus, OH, USA. FAU - Reber, K M AU - Reber KM AD - Center for Perinatal Research, Nationwide Children's Hospital, Columbus, OH, USA. AD - Department of Pediatrics, Nationwide Children's Hospital/The Ohio State University, Columbus, OH, USA. FAU - Ball, M K AU - Ball MK AD - Center for Perinatal Research, Nationwide Children's Hospital, Columbus, OH, USA. FAU - Sutsko, R AU - Sutsko R AD - Department of Pediatrics, Morsani College of Medicine, University of South Florida, Tampa, FL, USA. FAU - Guntupalli, S R AU - Guntupalli SR AD - Department of Obstetrics and Gynecology-Gynecologic Oncology, University of Colorado School of Medicine, Aurora, CO, USA. FAU - Smith, C V AU - Smith CV AD - Center for Developmental Therapeutics, Seattle Children's Research Institute, University of Washington School of Medicine, Seattle, WA, USA. FAU - Mahan, J D AU - Mahan JD AD - Department of Pediatrics, Nationwide Children's Hospital/The Ohio State University, Columbus, OH, USA. FAU - Carbajal, M M AU - Carbajal MM AD - Department of Pediatrics, Section of Neonatology, Baylor College of Medicine, Houston, TX, USA. AD - Texas Children's Newborn Center, Texas Children's Hospital, Houston, TX, USA. LA - eng PT - Journal Article DEP - 20160929 PL - United States TA - J Perinatol JT - Journal of perinatology : official journal of the California Perinatal Association JID - 8501884 EDAT- 2016/09/30 06:00 MHDA- 2016/09/30 06:00 CRDT- 2016/09/30 06:00 PHST- 2016/06/02 [received] PHST- 2016/08/08 [revised] PHST- 2016/08/12 [accepted] AID - jp2016153 [pii] AID - 10.1038/jp.2016.153 [doi] PST - ppublish SO - J Perinatol. 2016 Dec;36(12):1132-1137. doi: 10.1038/jp.2016.153. Epub 2016 Sep 29. PMID- 27613531 OWN - NLM STAT- In-Process DA - 20160910 LR - 20170512 IS - 1435-1102 (Electronic) IS - 1434-1816 (Linking) VI - 20 IP - 1 DP - 2017 Feb TI - Evaluating the effectiveness of a brief group cognitive behavioural therapy intervention for perinatal depression. PG - 225-228 LID - 10.1007/s00737-016-0666-9 [doi] AB - Little is known about the effectiveness of group cognitive behavioural therapy (CBT) in women with perinatal depression (PND) and psychiatric comorbidities. Thirty-four women with PND (sixty-two percent with comorbidity) completed a 9-week CBT group. Eighty percent showed a clinically significant improvement in depressive symptoms. Meaningful gains in social support, mother-infant bonding, and partner relationship quality were seen. Brief group CBT can be effective in the treatment of PND in women with psychiatric comorbidities and may be a less resource-intensive alternative to individual psychotherapy. FAU - Van Lieshout, Ryan J AU - Van Lieshout RJ AD - Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada. FAU - Yang, Lisa AU - Yang L AD - Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada. lisa.yang@medportal.ca. FAU - Haber, Erika AU - Haber E AD - Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada. FAU - Ferro, Mark A AU - Ferro MA AD - Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada. AD - Department of Pediatrics, McMaster University, Hamilton, ON, Canada. LA - eng PT - Journal Article DEP - 20160910 PL - Austria TA - Arch Womens Ment Health JT - Archives of women's mental health JID - 9815663 OTO - NOTNLM OT - Cognitive therapy OT - Depression OT - Group OT - Postpartum OT - Pregnancy EDAT- 2016/09/11 06:00 MHDA- 2016/09/11 06:00 CRDT- 2016/09/11 06:00 PHST- 2016/08/23 [received] PHST- 2016/09/02 [accepted] AID - 10.1007/s00737-016-0666-9 [doi] AID - 10.1007/s00737-016-0666-9 [pii] PST - ppublish SO - Arch Womens Ment Health. 2017 Feb;20(1):225-228. doi: 10.1007/s00737-016-0666-9. Epub 2016 Sep 10. PMID- 27559768 OWN - NLM STAT- Publisher DA - 20160930 LR - 20160930 IS - 1557-7740 (Electronic) IS - 1557-7740 (Linking) VI - 19 IP - 10 DP - 2016 Oct TI - A Survey of Perinatal Palliative Care Programs in the United States: Structure, Processes, and Outcomes. PG - 1080-1086 AB - BACKGROUND: Perinatal palliative care (PPC) programs are proliferating nationwide, but little is known about their structure, process, or desired outcomes, to inform future program development. OBJECTIVE: To explicate structure, processes, and outcomes of PPC programs, specifically how they coordinate care and manage goals of care meetings, as well as providers' perceptions of the most beneficial components of care and their expected care outcomes. DESIGN: Free-text response data were taken from a 48-item online survey organized around the eight domains defined by the National Consensus Project for Quality Palliative Care (NCP). Responses related to NCP Domain 1 (Structure and Process of Care) were analyzed using conventional content analysis. SUBJECTS: U.S. PPC program representatives (N = 75) from 30 states. RESULTS: The majority of programs have a care coordinator, but roles vary from direct patient care to program administration. Participants described a range of topics discussed during family meetings to determine parental goals across the perinatal period. Support and respect for parent preferences and choices were the most important components of care. Desired program outcomes include parental satisfaction with physical and psychosocial support, help with the decision-making process, opportunity to parent their infant, infant comfort, and positive personal and family growth. CONCLUSIONS: While PPC programs do not often measure quality, their goals are family centered, with a focus on parent satisfaction with decision making and psychosocial support. PPC programs coordinate interdisciplinary care by arranging meetings and advocating for families. More research is needed to understand parent perspectives on care provided. FAU - Denney-Koelsch, Erin AU - Denney-Koelsch E AD - 1 Division of Palliative Care, University of Rochester , Rochester, New York. FAU - Black, Beth Perry AU - Black BP AD - 2 School of Nursing, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina. FAU - Cote-Arsenault, Denise AU - Cote-Arsenault D AD - 3 School of Nursing, University of North Carolina Greensboro , Greensboro, North Carolina. FAU - Wool, Charlotte AU - Wool C AD - 4 The Stabler Department of Nursing, York College of Pennsylvania , York, Pennsylvania. FAU - Kim, Sujeong AU - Kim S AD - 5 College of Nursing, University of Illinois at Chicago , Chicago, Illinois. FAU - Kavanaugh, Karen AU - Kavanaugh K AD - 6 College of Nursing, Wayne State University , Children's Hospital of Michigan, Detroit, Michigan. LA - eng PT - Journal Article DEP - 20160825 PL - United States TA - J Palliat Med JT - Journal of palliative medicine JID - 9808462 EDAT- 2016/08/26 06:00 MHDA- 2016/08/26 06:00 CRDT- 2016/08/26 06:00 AID - 10.1089/jpm.2015.0536 [doi] PST - ppublish SO - J Palliat Med. 2016 Oct;19(10):1080-1086. Epub 2016 Aug 25. PMID- 27549009 OWN - NLM STAT- In-Process DA - 20160905 LR - 20170601 IS - 1476-4954 (Electronic) IS - 1476-4954 (Linking) VI - 30 IP - 15 DP - 2017 Aug TI - Medical improvisation training to enhance the antenatal counseling skills of neonatologists and neonatal fellows: a pilot study. PG - 1865-1869 LID - 10.1080/14767058.2016.1228059 [doi] AB - INTRODUCTION: Neonatologists must be skilled at providing antenatal counseling to expectant parents of premature infants at the limits of viability. We conducted a medical improvisation workshop with the objective of enhancing antenatal counseling skills. METHODS: Pre- and postworkshop questionnaires were collected to examine the impact of the training. A follow-up survey was distributed 3 months after the workshop to examine the impact of the training on antenatal counseling skills. RESULTS: Nine neonatologists and three neonatal fellows participated in the workshop. Participants reported the skills learned in the workshop could enhance the quality of antenatal counseling. On follow-up survey, 90% of subjects reported improvements in the quality of their antenatal counseling. DISCUSSION: Participation in a medical improvisation workshop resulted in enhancements of self-perceived antenatal counseling skills. Medical improvisation training may provide a feasible and effective method of communication training for neonatologists. Further research into this innovative method are needed. FAU - Sawyer, Taylor AU - Sawyer T AD - a Department of Pediatrics , Division of Neonatology, University of Washington School of Medicine , Seattle , WA , USA and. FAU - Fu, Belinda AU - Fu B AD - b Department of Family Medicine , University of Washington School of Medicine , Seattle , WA , USA. FAU - Gray, Megan AU - Gray M AD - a Department of Pediatrics , Division of Neonatology, University of Washington School of Medicine , Seattle , WA , USA and. FAU - Umoren, Rachel AU - Umoren R AD - a Department of Pediatrics , Division of Neonatology, University of Washington School of Medicine , Seattle , WA , USA and. LA - eng PT - Journal Article DEP - 20160905 PL - England TA - J Matern Fetal Neonatal Med JT - The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians JID - 101136916 OTO - NOTNLM OT - Medical improvisation OT - antenatal counseling OT - improvisational medicine OT - improvisational theater OT - medical improv OT - neonatal counseling OT - prenatal counseling EDAT- 2016/08/24 06:00 MHDA- 2016/08/24 06:00 CRDT- 2016/08/24 06:00 AID - 10.1080/14767058.2016.1228059 [doi] PST - ppublish SO - J Matern Fetal Neonatal Med. 2017 Aug;30(15):1865-1869. doi: 10.1080/14767058.2016.1228059. Epub 2016 Sep 5. PMID- 27540172 OWN - NLM STAT- MEDLINE DA - 20160819 DCOM- 20160825 LR - 20170510 IS - 1095-9203 (Electronic) IS - 0036-8075 (Linking) VI - 353 IP - 6301 DP - 2016 Aug 19 TI - Prenatal acoustic communication programs offspring for high posthatching temperatures in a songbird. PG - 812-4 LID - 10.1126/science.aaf7049 [doi] AB - In many species, embryos can perceive and learn external sounds. Yet, the possibility that parents may use these embryonic capacities to alter their offspring's developmental trajectories has not been considered. Here, we demonstrate that zebra finch parents acoustically signal high ambient temperatures (above 26 degrees C) to their embryos. We show that exposure of embryos to these acoustic cues alone adaptively alters subsequent nestling begging and growth in response to nest temperature and influences individuals' reproductive success and thermal preferences as adults. These findings have implications for our understanding of maternal effects, phenotypic plasticity, developmental programming, and the adaptation of endothermic species to a warming world. CI - Copyright (c) 2016, American Association for the Advancement of Science. FAU - Mariette, Mylene M AU - Mariette MM AD - Centre for Integrative Ecology, School of Life and Environmental Sciences, Deakin University, Waurn Ponds Campus, 75 Pigdons Road, Waurn Ponds VIC 3216, Australia. m.mariette@deakin.edu.au. FAU - Buchanan, Katherine L AU - Buchanan KL AD - Centre for Integrative Ecology, School of Life and Environmental Sciences, Deakin University, Waurn Ponds Campus, 75 Pigdons Road, Waurn Ponds VIC 3216, Australia. LA - eng SI - Dryad/10.5061/dryad.V8969 PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Science JT - Science (New York, N.Y.) JID - 0404511 SB - IM MH - *Acclimatization MH - Animals MH - Australia MH - Embryo, Nonmammalian/*physiology MH - Female MH - Finches/*physiology MH - Hot Temperature MH - Male MH - Nesting Behavior/*physiology MH - Reproduction/*physiology MH - *Vocalization, Animal EDAT- 2016/08/20 06:00 MHDA- 2016/08/26 06:00 CRDT- 2016/08/20 06:00 PHST- 2016/03/17 [received] PHST- 2016/07/14 [accepted] AID - 353/6301/812 [pii] AID - 10.1126/science.aaf7049 [doi] PST - ppublish SO - Science. 2016 Aug 19;353(6301):812-4. doi: 10.1126/science.aaf7049. PMID- 27511314 OWN - NLM STAT- In-Process DA - 20160811 LR - 20161118 IS - 1552-4833 (Electronic) IS - 1552-4825 (Linking) VI - 170 IP - 12 DP - 2016 Dec TI - Attitudes toward carrier screening and prenatal diagnosis for recessive hereditary deafness among the educated population in urban China. PG - 3180-3184 LID - 10.1002/ajmg.a.37932 [doi] AB - Approximately 80% of hereditary deafness is recessive, in which case most mutation carriers were unaware of their carrier status. Though parental attitudes toward genetic testing and prenatal diagnosis are overall positive in those with deaf children, there is little information about that in the general population. To this end, we designed a self-completed questionnaire and distributed it in two colleges in Shanghai, China. A total of 975 completed surveys were returned in print or online forms. Our results showed that 98.7% of the respondents without family history of early onset deafness did not know or underestimated their likelihood to carry a recessive mutation in common deafness genes. After brief written information was given using GJB2, the most common recessive deafness gene as the example, 67.7% of the respondents expressed interest in knowing if they are carriers of GJB2 mutations through genetic testing. In hypothetical circumstance of carrying a recessive GJB2 mutation, 86.9% would suggest their partners to also take the test. In case that both were carriers, 88.7% would consider prenatal diagnosis and 80.7% would consider terminating an affected pregnancy. On the basis of these results, it was concluded that despite the poor awareness to the risk of recessive hereditary deafness, the majority of the educated population in urban China likely hold a positive view toward carrier screening and prenatal diagnosis of recessive deafness genes. (c) 2016 Wiley Periodicals, Inc. CI - (c) 2016 Wiley Periodicals, Inc. FAU - Fu, Xiaoli AU - Fu X AD - Depatment of Hydraulic Engineering, School of Civil Engineering, Tongji University, Shanghai, China. FAU - Cai, Yi AU - Cai Y AD - Depatment of Hydraulic Engineering, School of Civil Engineering, Tongji University, Shanghai, China. FAU - Hu, Yechen AU - Hu Y AD - High School Affiliated to Fudan University, Shanghai, China. FAU - Liu, Jisheng AU - Liu J AD - Department of Otorhinolaryngology, First Hospital Affiliated to Soochow University, Suzhou, Jiangsu Province, China. FAU - Yang, Tao AU - Yang T AD - Department of Otolaryngology-Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai, China. LA - eng PT - Journal Article DEP - 20160811 PL - United States TA - Am J Med Genet A JT - American journal of medical genetics. Part A JID - 101235741 OTO - NOTNLM OT - attitudes OT - carrier screening OT - deafness OT - general population OT - prenatal diagnosis EDAT- 2016/08/12 06:00 MHDA- 2016/08/12 06:00 CRDT- 2016/08/12 06:00 PHST- 2015/12/17 [received] PHST- 2016/07/01 [accepted] AID - 10.1002/ajmg.a.37932 [doi] PST - ppublish SO - Am J Med Genet A. 2016 Dec;170(12):3180-3184. doi: 10.1002/ajmg.a.37932. Epub 2016 Aug 11. PMID- 27494013 OWN - NLM STAT- MEDLINE DA - 20160804 DCOM- 20160824 LR - 20160804 IS - 1542-2011 (Electronic) IS - 1526-9523 (Linking) VI - 61 IP - 2 DP - 2016 Mar-Apr TI - Parents Desire Parenting Education During Prenatal Care. PG - 278 FAU - Niemczyk, Nancy A AU - Niemczyk NA LA - eng PT - Comment PT - Journal Article PL - United States TA - J Midwifery Womens Health JT - Journal of midwifery & women's health JID - 100909407 SB - IM SB - N CON - Matern Child Health J. 2016 Feb;20(2):298-305. PMID: 26525554 MH - Education, Nonprofessional MH - Humans MH - Motivation MH - Parenting MH - Parents/*education MH - *Prenatal Care EDAT- 2016/08/06 06:00 MHDA- 2016/08/25 06:00 CRDT- 2016/08/06 06:00 PST - ppublish SO - J Midwifery Womens Health. 2016 Mar-Apr;61(2):278. PMID- 27445447 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20160722 DCOM- 20160722 LR - 20170220 IS - 1058-1243 (Print) IS - 1058-1243 (Linking) VI - 25 IP - 2 DP - 2016 TI - Perinatal Education and Support Program: Baystate's New Beginnings. PG - 97-104 LID - 10.1891/1058-1243.25.2.97 [doi] AB - Parent education traditionally focuses on childbirth, whereas the perinatal period gets little attention despite parents' reports of feeling unprepared. Lack of education surrounding newborn behavior leads to decreased maternal confidence and ineffective responsiveness to infant cues for feeding, crying, and sleep. This can cause overfeeding, lowered breastfeeding success, and contributes to parental stress which can impact maternal-infant bonding. Lack of postpartum maternal support adds to fatigue and stress which contributes to poor maternal well-being. This article describes an innovative perinatal program, Baystate's New Beginnings, modeled after the education from the 2011 California Baby Behavior Campaign and The Secrets of Baby Behavior that combines newborn behavior education and maternal support in the first 3 months postpartum to improve maternal role transition. FAU - Congden, Kimberly A AU - Congden KA LA - eng PT - Journal Article PL - United States TA - J Perinat Educ JT - The Journal of perinatal education JID - 9301158 PMC - PMC4944455 OID - NLM: PMC4944455 [Available on 01/01/17] OTO - NOTNLM OT - maternal role transition OT - newborn behavior OT - parent education OT - parental stress OT - support EDAT- 2016/07/23 06:00 MHDA- 2016/07/23 06:01 CRDT- 2016/07/23 06:00 AID - 10.1891/1058-1243.25.2.97 [doi] PST - ppublish SO - J Perinat Educ. 2016;25(2):97-104. doi: 10.1891/1058-1243.25.2.97. PMID- 27428108 OWN - NLM STAT- MEDLINE DA - 20160824 DCOM- 20170523 LR - 20170523 IS - 1532-3099 (Electronic) IS - 0266-6138 (Linking) VI - 40 DP - 2016 Sep TI - The Complementary Therapies for Labour and Birth Study making sense of labour and birth - Experiences of women, partners and midwives of a complementary medicine antenatal education course. PG - 124-31 LID - 10.1016/j.midw.2016.06.011 [doi] LID - S0266-6138(16)30098-5 [pii] AB - OBJECTIVE: to gain insight into the experiences of women, partners and midwives who participated in the Complementary Therapies for Labour and Birth Study, an evidence based complementary medicine (CM) antenatal education course. DESIGN: qualitative in-depth interviews and a focus group as part of the Complementary Therapies for Labour and Birth Study. SETTING AND PARTICIPANTS: thirteen low risk primiparous women and seven partners who had participated in the study group of a randomised controlled trial of the complementary therapies for labour and birth study, and 12 midwives caring for these women. The trial was conducted at two public hospitals, and through the Western Sydney University in Sydney, Australia. INTERVENTIONS: the Complementary Therapies for Labour and Birth (CTLB) protocol, based on the She Births(R) course and the Acupressure for labour and birth protocol, incorporated six evidence-based complementary medicine (CM) techniques; acupressure, relaxation, visualisation, breathing, massage, yoga techniques and incorporated facilitated partner support. Randomisation to the trial occurred at 24-36 weeks' gestation, and participants attended a two-day antenatal education programme, plus standard care, or standard care alone. FINDINGS: the overarching theme identified in the qualitative data was making sense of labour and birth. Women used information about normal birth physiology from the course to make sense of labour, and to utilise the CM techniques to support normal birth and reduce interventions in labour. Women's, partners' and midwives' experience of the course and its use during birth gave rise to supporting themes such as: working for normal; having a toolkit; and finding what works. KEY CONCLUSIONS: the Complementary Therapies for Labour and Birth Study provided women and their partners with knowledge to understand the physiology of normal labour and birth and enabled them to use evidence-based CM tools to support birth and reduce interventions. IMPLICATIONS FOR PRACTICE: the Complementary Therapies for Labour and Birth Study introduces concepts of what constitutes normal birth and provides skills to support women, partners and midwives. It appears to be an effective form of antenatal education that supports normal birth, and maternity services need to consider how they can reform current antenatal education in line with this evidence. CI - Crown Copyright (c) 2016. Published by Elsevier Ltd. All rights reserved. FAU - Levett, K M AU - Levett KM AD - National Institute of Complementary Medicines (NICM), Western Sydney University, Sydney, Australia. Electronic address: K.Levett@westernsydney.edu.au. FAU - Smith, C A AU - Smith CA AD - National Institute of Complementary Medicines (NICM), Western Sydney University, Sydney, Australia. Electronic address: Caroline.Smith@westernsydney.edu.au. FAU - Bensoussan, A AU - Bensoussan A AD - National Institute of Complementary Medicines (NICM), Western Sydney University, Sydney, Australia. Electronic address: A.Bensoussan@westernsydney.edu.au. FAU - Dahlen, H G AU - Dahlen HG AD - School of Nursing and Midwifery, Western Sydney University, Sydney, Australia. Electronic address: H.Dahlen@westernsydney.edu.au. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20160609 PL - Scotland TA - Midwifery JT - Midwifery JID - 8510930 SB - N MH - Adult MH - Australia MH - Complementary Therapies/*standards MH - Female MH - Focus Groups MH - Humans MH - Labor, Obstetric/physiology MH - Nurse Midwives/*education MH - *Patient Satisfaction MH - Pregnancy MH - Pregnant Women/psychology MH - Prenatal Education/*methods OTO - NOTNLM OT - *Antenatal education OT - *CAM OT - *CM OT - *Childbirth OT - *Complementary Therapies OT - *Qualitative methodology EDAT- 2016/07/19 06:00 MHDA- 2017/05/24 06:00 CRDT- 2016/07/19 06:00 PHST- 2015/11/03 [received] PHST- 2016/05/03 [revised] PHST- 2016/06/08 [accepted] AID - S0266-6138(16)30098-5 [pii] AID - 10.1016/j.midw.2016.06.011 [doi] PST - ppublish SO - Midwifery. 2016 Sep;40:124-31. doi: 10.1016/j.midw.2016.06.011. Epub 2016 Jun 9. PMID- 27417620 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20160715 DCOM- 20160715 LR - 20170220 IS - 2227-9032 (Print) IS - 2227-9032 (Linking) VI - 4 IP - 2 DP - 2016 Jun 08 TI - The Impact of Antenatal Psychological Group Interventions on Psychological Well-Being: A Systematic Review of the Qualitative and Quantitative Evidence. LID - 10.3390/healthcare4020032 [doi] LID - E32 [pii] AB - Depression, anxiety and stress in the perinatal period can have serious, long-term consequences for women, their babies and their families. Over the last two decades, an increasing number of group interventions with a psychological approach have been developed to improve the psychological well-being of pregnant women. This systematic review examines interventions targeting women with elevated symptoms of, or at risk of developing, perinatal mental health problems, with the aim of understanding the successful and unsuccessful features of these interventions. We systematically searched online databases to retrieve qualitative and quantitative studies on psychological antenatal group interventions. A total number of 19 papers describing 15 studies were identified; these included interventions based on cognitive behavioural therapy, interpersonal therapy and mindfulness. Quantitative findings suggested beneficial effects in some studies, particularly for women with high baseline symptoms. However, overall there is insufficient quantitative evidence to make a general recommendation for antenatal group interventions. Qualitative findings suggest that women and their partners experience these interventions positively in terms of psychological wellbeing and providing reassurance of their 'normality'. This review suggests that there are some benefits to attending group interventions, but further research is required to fully understand their successful and unsuccessful features. FAU - Wadephul, Franziska AU - Wadephul F AD - Faculty of Health and Social Care, University of Hull, Hull HU6 7RX, UK. f.wadephul@hull.ac.uk. FAU - Jones, Catriona AU - Jones C AD - Faculty of Health and Social Care, University of Hull, Hull HU6 7RX, UK. c.jones@hull.ac.uk. FAU - Jomeen, Julie AU - Jomeen J AD - Faculty of Health and Social Care, University of Hull, Hull HU6 7RX, UK. j.jomeen@hull.ac.uk. LA - eng PT - Journal Article PT - Review DEP - 20160608 PL - Switzerland TA - Healthcare (Basel) JT - Healthcare (Basel, Switzerland) JID - 101666525 PMC - PMC4934585 OID - NLM: PMC4934585 OTO - NOTNLM OT - antenatal anxiety OT - antenatal depression OT - antenatal intervention OT - antenatal stress OT - perinatal mental health OT - postnatal depression OT - systematic review EDAT- 2016/07/16 06:00 MHDA- 2016/07/16 06:01 CRDT- 2016/07/16 06:00 PHST- 2016/02/27 [received] PHST- 2016/05/13 [revised] PHST- 2016/05/27 [accepted] AID - healthcare4020032 [pii] AID - 10.3390/healthcare4020032 [doi] PST - epublish SO - Healthcare (Basel). 2016 Jun 8;4(2). pii: E32. doi: 10.3390/healthcare4020032. PMID- 27406639 OWN - NLM STAT- In-Process DA - 20160713 LR - 20170220 IS - 2044-6055 (Electronic) IS - 2044-6055 (Linking) VI - 6 IP - 7 DP - 2016 Jul 12 TI - Complementary therapies for labour and birth study: a randomised controlled trial of antenatal integrative medicine for pain management in labour. PG - e010691 LID - 10.1136/bmjopen-2015-010691 [doi] AB - OBJECTIVE: To evaluate the effect of an antenatal integrative medicine education programme in addition to usual care for nulliparous women on intrapartum epidural use. DESIGN: Open-label, assessor blind, randomised controlled trial. SETTING: 2 public hospitals in Sydney, Australia. POPULATION: 176 nulliparous women with low-risk pregnancies, attending hospital-based antenatal clinics. METHODS AND INTERVENTION: The Complementary Therapies for Labour and Birth protocol, based on the She Births and acupressure for labour and birth courses, incorporated 6 evidence-based complementary medicine techniques: acupressure, visualisation and relaxation, breathing, massage, yoga techniques, and facilitated partner support. Randomisation occurred at 24-36 weeks' gestation, and participants attended a 2-day antenatal education programme plus standard care, or standard care alone. MAIN OUTCOME MEASURES: Rate of analgesic epidural use. Secondary: onset of labour, augmentation, mode of birth, newborn outcomes. RESULTS: There was a significant difference in epidural use between the 2 groups: study group (23.9%) standard care (68.7%; risk ratio (RR) 0.37 (95% CI 0.25 to 0.55), p/=18 years, pregnant with a single child, and able to speak and understand Danish. Women were enrolled in the trial from 10+0 to 20+0 weeks of gestation. INTERVENTIONS: The intervention programme consisted of three times 2.5 hours of antenatal education in small classes (n=6-8 women), and focused on improving information and problem-solving skills for expectant parents in order to ease birth and the transition to parenthood. The control group received standard auditorium-based lectures consisting of two times 2 hours in an auditorium with participation of approximately 250 people. MAIN OUTCOME MEASURES: The primary trial outcome was use of epidural analgesia. Other types of pain relief and obstetric interventions were analysed as explorative outcomes. RESULTS: There was no statistically significant difference in use of epidural analgesia between participants in the intervention group (30.9%) versus the control group (29.1%), adjusted OR 1.10 (95% CI 0.87 to 1.34). Also, the two groups did not differ regarding other types of pain relief or obstetric interventions. Concomitant birth preparation was common in both groups and highest in the control group, but did not seem to influence our results noticeably. CONCLUSIONS: Antenatal education in small groups versus standard auditorium-based lectures did not differ regarding use of epidural analgesia, other pain relief, or obstetric interventions. TRIAL REGISTRATION NUMBER: NCT01672437; Results. CI - Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ FAU - Brixval, Carina Sjoberg AU - Brixval CS AD - National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark. FAU - Thygesen, Lau Caspar AU - Thygesen LC AD - National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark. FAU - Axelsen, Solveig Forberg AU - Axelsen SF AD - National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark. FAU - Gluud, Christian AU - Gluud C AD - Copenhagen Trial Unit, Centre for Clinical Intervention Research, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark. FAU - Winkel, Per AU - Winkel P AD - Copenhagen Trial Unit, Centre for Clinical Intervention Research, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark. FAU - Lindschou, Jane AU - Lindschou J AD - Copenhagen Trial Unit, Centre for Clinical Intervention Research, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark. FAU - Weber, Tom AU - Weber T AD - Department of Obstetrics and Gynaecology, Hvidovre Hospital, Copenhagen University Hospital, Hvidovre, Denmark. FAU - Due, Pernille AU - Due P AD - National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark. FAU - Koushede, Vibeke AU - Koushede V AD - National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark. LA - eng SI - ClinicalTrials.gov/NCT01672437 PT - Journal Article DEP - 20160610 PL - England TA - BMJ Open JT - BMJ open JID - 101552874 SB - IM PMC - PMC4908902 OID - NLM: PMC4908902 OTO - NOTNLM OT - Antenatal education OT - EPIDEMIOLOGY OT - OBSTETRICS OT - PUBLIC HEALTH EDAT- 2016/06/12 06:00 MHDA- 2016/06/12 06:00 CRDT- 2016/06/12 06:00 AID - bmjopen-2015-010761 [pii] AID - 10.1136/bmjopen-2015-010761 [doi] PST - epublish SO - BMJ Open. 2016 Jun 10;6(6):e010761. doi: 10.1136/bmjopen-2015-010761. PMID- 27182732 OWN - NLM STAT- In-Process DA - 20160517 LR - 20170220 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 11 IP - 5 DP - 2016 TI - The Effectiveness of Mindfulness-Based Interventions in the Perinatal Period: A Systematic Review and Meta-Analysis. PG - e0155720 LID - 10.1371/journal.pone.0155720 [doi] AB - Perinatal mental health difficulties are associated with adverse consequences for parents and infants. However, the potential risks associated with the use of psychotropic medication for pregnant and breastfeeding women and the preferences expressed by women for non-pharmacological interventions mean it is important to ensure that effective psychological interventions are available. It has been argued that mindfulness-based interventions may offer a novel approach to treating perinatal mental health difficulties, but relatively little is known about their effectiveness with perinatal populations. This paper therefore presents a systematic review and meta-analysis of the effectiveness of mindfulness-based interventions for reducing depression, anxiety and stress and improving mindfulness skills in the perinatal period. A systematic review identified seventeen studies of mindfulness-based interventions in the perinatal period, including both controlled trials (n = 9) and pre-post uncontrolled studies (n = 8). Eight of these studies also included qualitative data. Hedge's g was used to assess uncontrolled and controlled effect sizes in separate meta-analyses, and a narrative synthesis of qualitative data was produced. Pre- to post-analyses showed significant reductions in depression, anxiety and stress and significant increases in mindfulness skills post intervention, each with small to medium effect sizes. Completion of the mindfulness-based interventions was reasonable with around three quarters of participants meeting study-defined criteria for engagement or completion where this was recorded. Qualitative data suggested that participants viewed mindfulness interventions positively. However, between-group analyses failed to find any significant post-intervention benefits for depression, anxiety or stress of mindfulness-based interventions in comparison to control conditions: effect sizes were negligible and it was conspicuous that intervention group participants did not appear to improve significantly more than controls in their mindfulness skills. The interventions offered often deviated from traditional mindfulness-based cognitive therapy or mindfulness-based stress reduction programmes, and there was also a tendency for studies to focus on healthy rather than clinical populations, and on antenatal rather than postnatal populations. It is argued that these and other limitations with the included studies and their interventions may have been partly responsible for the lack of significant between-group effects. The implications of the findings and recommendations for future research are discussed. FAU - Lever Taylor, Billie AU - Lever Taylor B AD - Sussex Partnership NHS Foundation Trust, Brighton, United Kingdom. FAU - Cavanagh, Kate AU - Cavanagh K AD - School of Psychology, University of Sussex, Brighton, United Kingdom. FAU - Strauss, Clara AU - Strauss C AD - Sussex Partnership NHS Foundation Trust, Brighton, United Kingdom. AD - School of Psychology, University of Sussex, Brighton, United Kingdom. LA - eng PT - Journal Article DEP - 20160516 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM PMC - PMC4868288 OID - NLM: PMC4868288 EDAT- 2016/05/18 06:00 MHDA- 2016/05/18 06:00 CRDT- 2016/05/17 06:00 PHST- 2015/10/28 [received] PHST- 2016/05/03 [accepted] AID - 10.1371/journal.pone.0155720 [doi] AID - PONE-D-15-38979 [pii] PST - epublish SO - PLoS One. 2016 May 16;11(5):e0155720. doi: 10.1371/journal.pone.0155720. eCollection 2016. PMID- 27168153 OWN - NLM STAT- In-Process DA - 20160914 LR - 20161122 IS - 1435-1102 (Electronic) IS - 1434-1816 (Linking) VI - 19 IP - 5 DP - 2016 Oct TI - Antenatal interpersonal sensitivity is more strongly associated than perinatal depressive symptoms with postnatal mother-infant interaction quality. PG - 917-25 LID - 10.1007/s00737-016-0640-6 [doi] AB - Maternal mental health has enduring effects on children's life chances and is a substantial cost driver for child health, education and social services. A key linking mechanism is the quality of mother-infant interaction. A body of work associates maternal depressive symptoms across the antenatal and postnatal (perinatal) period with less-than-optimal mother-infant interaction. Our study aims to build on previous research in the field through exploring the association of a maternal personality trait, interpersonal sensitivity, measured in early pregnancy, with subsequent mother-infant interaction quality. We analysed data from the Avon Longitudinal Study of Parents and Children (ALSPAC) to examine the association between antenatal interpersonal sensitivity and postnatal mother-infant interaction quality in the context of perinatal depressive symptoms. Interpersonal sensitivity was measured during early pregnancy and depressive symptoms in the antenatal year and across the first 21 months of the postnatal period. In a subsample of the ALSPAC, mother-infant interaction was measured at 12 months postnatal through a standard observation. For the subsample that had complete data at all time points (n = 706), hierarchical regression examined the contribution of interpersonal sensitivity to variance in mother-infant interaction quality. Perinatal depressive symptoms predicted little variance in mother-infant interaction. Antenatal interpersonal sensitivity explained a greater proportion of variance in mother-infant interaction quality. The personality trait, interpersonal sensitivity, measured in early pregnancy, is a more robust indicator of subsequent mother-infant-interaction quality than perinatal depressive symptoms, thus affording enhanced opportunity to identify vulnerable mother-infant relationships for targeted early intervention. FAU - Raine, Karen AU - Raine K AD - Sydney Medical School, The University of Sydney, Department of Psychiatry, Westmead Hospital, Wentworthville, NSW, Australia. krai9943@uni.sydney.edu.au. FAU - Cockshaw, Wendell AU - Cockshaw W AD - Queensland University of Technology, Brisbane, Australia. FAU - Boyce, Philip AU - Boyce P AD - Sydney Medical School, The University of Sydney, Department of Psychiatry, Westmead Hospital, Wentworthville, NSW, Australia. FAU - Thorpe, Karen AU - Thorpe K AD - Queensland University of Technology, Brisbane, Australia. LA - eng GR - 102215/Wellcome Trust/United Kingdom GR - MC_PC_15018/Medical Research Council/United Kingdom PT - Journal Article DEP - 20160511 PL - Austria TA - Arch Womens Ment Health JT - Archives of women's mental health JID - 9815663 SB - IM OTO - NOTNLM OT - ALSPAC OT - Antenatal OT - Interaction OT - Interpersonal OT - Perinatal EDAT- 2016/05/12 06:00 MHDA- 2016/05/12 06:00 CRDT- 2016/05/12 06:00 PHST- 2015/10/05 [received] PHST- 2016/04/30 [accepted] AID - 10.1007/s00737-016-0640-6 [doi] AID - 10.1007/s00737-016-0640-6 [pii] PST - ppublish SO - Arch Womens Ment Health. 2016 Oct;19(5):917-25. doi: 10.1007/s00737-016-0640-6. Epub 2016 May 11. PMID- 27145885 OWN - NLM STAT- In-Process DA - 20160919 LR - 20160919 IS - 1525-1446 (Electronic) IS - 0737-1209 (Linking) VI - 33 IP - 5 DP - 2016 Sep TI - UpStart Parent Survey-Prenatal: A New Tool for Evaluating Prenatal Education Programs. PG - 440-8 LID - 10.1111/phn.12269 [doi] AB - OBJECTIVES: To evaluate a new prenatal education program evaluation tool, the UpStart Parent Survey - Prenatal, in terms of: (a) reliability and validity; (b) sensitivity to change over time; (c) whether results differed for mothers versus fathers; and (d) whether results differed when using an electronic tablet-computer versus a paper survey. DESIGN AND SAMPLE: Psychometric study. Participants were 277 expectant mothers (n = 161) and fathers (n = 106) enrolled in Childbirth Essentials, a 6-week prenatal education program. MEASURES: The UpStart Parent Survey - Prenatal is a retrospective pretest/posttest survey with three scales: Parenting Knowledge, Parenting Experience, and Program Satisfaction, and three open-ended questions. RESULTS: The UpStart Parent Survey - Prenatal is sensitive to change and demonstrated significant positive differences in parenting knowledge and parenting experience. There was no difference in results whether the survey was completed by mothers or fathers. Results were similar whether paper or electronic formats were used. The survey was easy to complete. CONCLUSION: The UpStart Parent Survey - Prenatal holds promise as a reliable and valid evaluation tool to capture outcomes of brief prenatal education programs that target the general population of expectant parents. CI - (c) 2016 Wiley Periodicals, Inc. FAU - Benzies, Karen M AU - Benzies KM AD - Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada. benzies@ucalgary.ca. FAU - Barker, Leslie AU - Barker L AD - Alberta Health Services, Calgary, Alberta, Canada. FAU - Churchill, Jocelyn AU - Churchill J AD - Alberta Health Services, Calgary, Alberta, Canada. FAU - Smith, Jennifer AU - Smith J AD - Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada. FAU - Horn, Sarah AU - Horn S AD - Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada. LA - eng PT - Journal Article DEP - 20160505 PL - United States TA - Public Health Nurs JT - Public health nursing (Boston, Mass.) JID - 8501498 SB - IM SB - N OTO - NOTNLM OT - evidence-based practice OT - fathers OT - health promotion OT - interventions OT - patient satisfaction OT - pregnancy OT - program evaluation OT - questionnaires EDAT- 2016/05/06 06:00 MHDA- 2016/05/06 06:00 CRDT- 2016/05/06 06:00 AID - 10.1111/phn.12269 [doi] PST - ppublish SO - Public Health Nurs. 2016 Sep;33(5):440-8. doi: 10.1111/phn.12269. Epub 2016 May 5. PMID- 27079685 OWN - NLM STAT- In-Process DA - 20160507 LR - 20160507 IS - 1097-0355 (Electronic) IS - 0163-9641 (Linking) VI - 37 IP - 3 DP - 2016 May TI - A SYSTEMATIC REVIEW OF INTERVENTIONS TARGETING PATERNAL MENTAL HEALTH IN THE PERINATAL PERIOD. PG - 289-301 LID - 10.1002/imhj.21560 [doi] AB - Interventions targeting parents' mental health in the perinatal period are critical due to potential consequences of perinatal mental illness for the parent, the infant, and their family. To date, most programs have targeted mothers. This systematic review explores the current status and evidence for intervention programs aiming to prevent or treat paternal mental illness in the perinatal period. Electronic databases were systematically searched to identify peer-reviewed studies that described an intervention targeting fathers' mental health in the perinatal period. Mental health outcomes included depression, anxiety, and stress as well as more general measures of psychological functioning. Eleven studies were identified. Three of five psychosocial interventions and three massage-technique interventions reported significant effects. None of the couple-based interventions reported significant effects. A number of methodological limitations were identified, including inadequate reporting of study designs, and issues with the timing of interventions. The variability in outcomes measures across the studies made it difficult to evaluate the overall effectiveness of the interventions. Father-focused interventions aimed at preventing perinatal mood problems will be improved if future studies utilize more rigorous research strategies. CI - (c) 2016 Michigan Association for Infant Mental Health. FAU - Rominov, Holly AU - Rominov H AD - Australian Catholic University. FAU - Pilkington, Pamela D AU - Pilkington PD AD - Australian Catholic University. FAU - Giallo, Rebecca AU - Giallo R AD - Murdoch Children's Research Institute. FAU - Whelan, Thomas A AU - Whelan TA AD - Australian Catholic University. LA - eng PT - Journal Article DEP - 20160415 PL - United States TA - Infant Ment Health J JT - Infant mental health journal JID - 8007859 SB - IM OTO - NOTNLM OT - Intervention OT - Psychische Gesundheit OT - Vater OT - father OT - intervencion OT - intervention OT - mental health OT - padre OT - paternal OT - paternel OT - paterno OT - perinatal OT - pere OT - perinatal OT - salud mental OT - sante mentale OT - vaterlich EDAT- 2016/04/16 06:00 MHDA- 2016/04/16 06:00 CRDT- 2016/04/16 06:00 AID - 10.1002/imhj.21560 [doi] PST - ppublish SO - Infant Ment Health J. 2016 May;37(3):289-301. doi: 10.1002/imhj.21560. Epub 2016 Apr 15. PMID- 27067931 OWN - NLM STAT- MEDLINE DA - 20160412 DCOM- 20170317 LR - 20170317 IS - 1751-486X (Electronic) IS - 1751-4851 (Linking) VI - 20 IP - 2 DP - 2016 Apr-May TI - Development and Evaluation of a Peer Support Program for Parents Facing Perinatal Loss. PG - 146-56 LID - 10.1016/j.nwh.2016.02.001 [doi] LID - S1751-4851(16)00071-4 [pii] AB - The purpose of this program evaluation was to understand the perspectives of peer parents and parents receiving support within a peer support program for perinatal bereavement at a midsized hospital within the midwestern United States. To document participants' perceptions of the program, a focus group was conducted with peer parents, and surveys were completed by both peer parents and parents receiving support. In this article we review our model of a peer support program for perinatal bereavement and report on parents' evaluation of the program. Recommendations through which other organizations can develop peer support programs for parents who have experienced a perinatal loss are provided. CI - (c) 2016 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses. FAU - Diamond, Rachel M AU - Diamond RM AD - Department of Human Development and Family Studies, Marriage & Family Therapy Program, at the University of Saint Joseph in West Hartford, CT. Electronic address: rdiamond@usj.edu. FAU - Roose, Rosmarie E AU - Roose RE AD - Maternal Fetal Medicine Center and clinical coordinator for the Still Missed Perinatal Bereavement Program at Adventist Midwest Region/Adventist Hinsdale Hospital in Hinsdale, IL. LA - eng PT - Journal Article PL - United States TA - Nurs Womens Health JT - Nursing for women's health JID - 101304602 SB - N MH - Adult MH - Attitude to Death MH - *Bereavement MH - Cohort Studies MH - Directive Counseling/*organization & administration MH - Female MH - Humans MH - Infant, Newborn MH - Male MH - Parents/*psychology MH - *Peer Group MH - *Perinatal Death MH - Pregnancy MH - Program Development MH - Program Evaluation MH - Self-Help Groups/organization & administration MH - United States OTO - NOTNLM OT - bereavement support OT - miscarriage OT - peer support program OT - perinatal loss OT - stillbirth EDAT- 2016/04/14 06:00 MHDA- 2017/03/18 06:00 CRDT- 2016/04/13 06:00 PHST- 2015/09/23 [received] PHST- 2015/11/09 [revised] AID - S1751-4851(16)00071-4 [pii] AID - 10.1016/j.nwh.2016.02.001 [doi] PST - ppublish SO - Nurs Womens Health. 2016 Apr-May;20(2):146-56. doi: 10.1016/j.nwh.2016.02.001. PMID- 27043707 OWN - NLM STAT- MEDLINE DA - 20160405 DCOM- 20160812 LR - 20170220 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 11 IP - 4 DP - 2016 TI - Increasing Partner Attendance in Antenatal Care and HIV Testing Services: Comparable Outcomes Using Written versus Verbal Invitations in an Urban Facility-Based Controlled Intervention Trial in Mbeya, Tanzania. PG - e0152734 LID - 10.1371/journal.pone.0152734 [doi] AB - In many Sub-Saharan African settings male partner involvement in antenatal care (ANC) remains low, although great benefits for maternal and infant health outcomes have been long recognised, in particular regarding the prevention of HIV transmission. Yet there is paucity on evidence regarding the effectiveness of strategies to increase male partner involvement. This controlled intervention trial in Ruanda Health Centre in Mbeya, Tanzania, assessed the effectiveness of invitation letters for male involvement in ANC. Pregnant women approaching ANC without partners received official letters inviting the partner to attend ANC. A control group was instructed to verbally invite partners. Partner attendance was recorded at two subsequent ANC visits. Rates for male partner return, couple voluntary counselling and testing (CVCT), and influencing factors were analysed. From 199 ANC clients in total, 97 were assigned to the invitation letter group; 30 of these (30.9%) returned with their male partners for ANC. In the control group of 102 women, 28 (27.5%) returned with their partner. In both groups CVCT rates among jointly returning couples were 100%. Partner return/CVCT rate was not statistically different in intervention and control group (OR 1.2, p = 0.59). Former partner attendance at ANC during a previous pregnancy was the only factor found to be significantly linked with partner return (p = 0.03). Our study demonstrates that rather simple measures to increase male partner attendance in ANC and CVCT can be effective, with written and verbal invitations having comparable outcomes. In terms of practicability in Sub-Saharan African settings, we recommend systematic coaching of ANC clients on how to verbally invite male partners in the first instance, followed by written invitation letters for partners in case of their non-attendance. Further studies covering both urban and rural settings will be more informative for effective translation into policy. FAU - Theuring, Stefanie AU - Theuring S AD - Institute of Tropical Medicine and International Health, Charite-Universitatsmedizin, Berlin, Germany. FAU - Jefferys, Laura F AU - Jefferys LF AD - Institute of Tropical Medicine and International Health, Charite-Universitatsmedizin, Berlin, Germany. FAU - Nchimbi, Philo AU - Nchimbi P AD - PMTCT Program Mbeya Region, Ministry of Health and Social Welfare, Mbeya, Tanzania. FAU - Mbezi, Paulina AU - Mbezi P AD - PMTCT Program Mbeya Region, Ministry of Health and Social Welfare, Mbeya, Tanzania. FAU - Sewangi, Julius AU - Sewangi J AD - Regional AIDS Control Program Mbeya, Ministry of Health and Social Welfare, Mbeya, Tanzania. LA - eng PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160404 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Adolescent MH - Adult MH - Female MH - HIV Infections/*diagnosis MH - Humans MH - Male MH - *Maternal Health Services MH - *Patient Education as Topic MH - Pregnancy MH - *Prenatal Diagnosis MH - Socioeconomic Factors MH - Tanzania MH - *Urban Population PMC - PMC4820254 OID - NLM: PMC4820254 EDAT- 2016/04/05 06:00 MHDA- 2016/08/16 06:00 CRDT- 2016/04/05 06:00 PHST- 2015/08/18 [received] PHST- 2016/03/18 [accepted] AID - 10.1371/journal.pone.0152734 [doi] AID - PONE-D-15-36315 [pii] PST - epublish SO - PLoS One. 2016 Apr 4;11(4):e0152734. doi: 10.1371/journal.pone.0152734. eCollection 2016. PMID- 27043416 OWN - NLM STAT- MEDLINE DA - 20160609 DCOM- 20170626 LR - 20170626 IS - 2168-6211 (Electronic) IS - 2168-6203 (Linking) VI - 170 IP - 6 DP - 2016 Jun 01 TI - Prenatal Education of Parents About Newborn Screening and Residual Dried Blood Spots: A Randomized Clinical Trial. PG - 543-9 LID - 10.1001/jamapediatrics.2015.4850 [doi] AB - IMPORTANCE: Research clearly indicates that current approaches to newborn blood spot screening (NBS) education are ineffective. Incorporating NBS education into prenatal care is broadly supported by lay and professional opinion. OBJECTIVE: To determine the efficacy and effect of prenatal education about newborn screening and use of residual dried blood spots (DBS) in research on parental knowledge, attitudes, and behaviors. DESIGN, SETTING, AND PARTICIPANTS: A randomized clinical trial of prenatal educational interventions, with outcomes measured by survey at 2 to 4 weeks postpartum. Participants were recruited from obstetric clinics in Salt Lake City, Utah; San Francisco, California; and the Bronx, New York. Eligible women were English- or Spanish-speaking adults and did not have a high-risk pregnancy. A total of 901 women were enrolled. Participants who completed the follow-up survey included 212 women in the usual care group (70% retention), 231 in the NBS group (77% retention), and 221 women in the NBS + DBS group (75% retention). Those who completed the survey were similar across the 3 groups with respect to age, ethnicity, race, education, marital status, income, obstetric history, and language. INTERVENTIONS: Participants were randomized into 1 of 3 groups: usual care (n = 305), those viewing an NBS movie and brochure (n = 300), and those viewing both the NBS and DBS movies and brochures (n = 296). MAIN OUTCOMES AND MEASURES: Two to four weeks postpartum, women completed a 91-item survey by telephone, addressing knowledge, attitudes, and behavior with respect to opting out of NBS or DBS for their child. RESULTS: A total of 901 women (mean age, 31 years) were randomized and 664 completed the follow-up survey. The total correct responses on the knowledge instrument in regard to NBS were 69% in the usual care group, 79% in the NBS group, and 75% in the NBS + DBS group, a significant between-group difference (P < .05). Although all groups showed strong support for NBS, the percentage of women who were "very supportive" was highest in the NBS group (94%), followed by the NBS + DBS group (86%) and was lowest in the usual care group (73%) (P < .001). The interventions were not associated with decisions to decline newborn screening or withdraw residual DBS. Nine women stated that they had declined NBS (all the usual care group; P < .001). With respect to DBS, 5 participants indicated that they contacted the health department to have their child's sample withdrawn after testing: 3 in the NBS + DBS group and 2 in the usual care group (P = .25). CONCLUSIONS AND RELEVANCE: Educational interventions can be implemented in the prenatal clinic, using multimedia tools and electronic platforms. Prenatal education is effective in increasing postnatal knowledge and support for these programs. These results are relevant to other contexts in which residual clinical specimens and data are used for research purposes. CLINICAL TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT02676245. FAU - Botkin, Jeffrey R AU - Botkin JR AD - University of Utah, Salt Lake City. FAU - Rothwell, Erin AU - Rothwell E AD - University of Utah, Salt Lake City. FAU - Anderson, Rebecca A AU - Anderson RA AD - University of Utah, Salt Lake City. FAU - Rose, Nancy C AU - Rose NC AD - University of Utah, Salt Lake City2Intermountain Healthcare, Salt Lake City, Utah. FAU - Dolan, Siobhan M AU - Dolan SM AD - Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York. FAU - Kuppermann, Miriam AU - Kuppermann M AD - University of California, San Francisco. FAU - Stark, Louisa A AU - Stark LA AD - University of Utah, Salt Lake City. FAU - Goldenberg, Aaron AU - Goldenberg A AD - Case Western Reserve University, Cleveland, Ohio. FAU - Wong, Bob AU - Wong B AD - University of Utah, Salt Lake City. LA - eng SI - ClinicalTrials.gov/NCT02676245 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PL - United States TA - JAMA Pediatr JT - JAMA pediatrics JID - 101589544 SB - AIM SB - IM MH - Adult MH - Choice Behavior MH - *Dried Blood Spot Testing MH - Female MH - Health Behavior MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Infant, Newborn MH - Mothers/*education/psychology MH - Motion Pictures as Topic MH - *Neonatal Screening MH - Obstetrics and Gynecology Department, Hospital MH - Pamphlets MH - Patient Acceptance of Health Care MH - Prenatal Education/*methods MH - Sexual Partners/psychology MH - United States EDAT- 2016/04/05 06:00 MHDA- 2017/06/27 06:00 CRDT- 2016/04/05 06:00 AID - 2506139 [pii] AID - 10.1001/jamapediatrics.2015.4850 [doi] PST - ppublish SO - JAMA Pediatr. 2016 Jun 1;170(6):543-9. doi: 10.1001/jamapediatrics.2015.4850. PMID- 26987153 OWN - NLM STAT- MEDLINE DA - 20160318 DCOM- 20160404 LR - 20160318 IS - 0350-6134 (Print) IS - 0350-6134 (Linking) VI - 39 IP - 4 DP - 2015 Dec TI - Secular Changes in Education, Urban-rural Living, Menarche and Abortion Rates in Perinatal Population. PG - 863-7 AB - Over a 25-year period we examined the anthropological characteristics of mothers and their partners, such as the place of living: urban vs. rural, the degree of education, parity, the time of menarche, and the frequency of intentional abortions. We examined 2 414 mothers and their partners in four periods of time extending from 1985 to 2009 in order to establish changes in the said anthropological characteristics over a period of 25 years. The degree of education of mothers and their partners is on the rise. In the period from 1985 to 1994, the percentage of mothers from the country was on the rise. Women with less education have on average more children, and those with better education the least children. Women from rural areas have on average more children than women from urban areas. The time of menarche dropped by 9 months over the period of 25 years. Girls from urban areas have their first menstrual cycle earlier. Women with higher professional qualifications had their first period earlier. The number of intentional abortions over the 25-year period dropped. FAU - Vranes, Hrvojka Soljacic AU - Vranes HS FAU - Kraljevic, Zdenko AU - Kraljevic Z FAU - Vranes, Zoran AU - Vranes Z FAU - Gall, Vesna AU - Gall V FAU - Vukovic, Ante AU - Vukovic A FAU - Kunal, Krunoslav AU - Kunal K FAU - Filipcic, Igor AU - Filipcic I LA - eng PT - Journal Article PL - Croatia TA - Coll Antropol JT - Collegium antropologicum JID - 8003354 SB - IM MH - Abortion, Induced/*statistics & numerical data MH - Adult MH - Child MH - Croatia MH - Education/*statistics & numerical data MH - Female MH - Humans MH - Male MH - Menarche/physiology MH - Middle Aged MH - Parity/physiology MH - Pregnancy MH - Rural Population/*statistics & numerical data MH - Urban Population/statistics & numerical data EDAT- 2016/03/19 06:00 MHDA- 2016/04/05 06:00 CRDT- 2016/03/19 06:00 PST - ppublish SO - Coll Antropol. 2015 Dec;39(4):863-7. PMID- 26969448 OWN - NLM STAT- MEDLINE DA - 20160312 DCOM- 20161013 LR - 20170220 IS - 1742-4755 (Electronic) IS - 1742-4755 (Linking) VI - 13 DP - 2016 Mar 12 TI - Traditional birth attendants (TBAs) as potential agents in promoting male involvement in maternity preparedness: insights from a rural community in Uganda. PG - 24 LID - 10.1186/s12978-016-0147-7 [doi] AB - BACKGROUND: Since the 1994 International Conference on Population and Development, male involvement in reproductive health issues has been advocated as a means to improve maternal and child health outcomes, but to date, health providers have failed to achieve successful male involvement in pregnancy care especially in rural and remote areas where majority of the underserved populations live. In an effort to enhance community participation in maternity care, TBAs were trained and equipped to ensure better care and quick referral. In 1997, after the advent of the World Health Organization's Safe Motherhood initiative, the enthusiasm turned away from traditional birth attendants (TBAs). However, in many developing countries, and especially in rural areas, TBAs continue to play a significant role. This study explored the interaction between men and TBAs in shaping maternal healthcare in a rural Ugandan context. METHODS: This study employed ethnographic methods including participant observation, which took place in the process of everyday life activities of the respondents within the community; 12 focus group discussions, and 12 in-depth interviews with community members and key informants. Participants in this study were purposively selected to include TBAs, men, opinion leaders like village chairmen, and other key informants who had knowledge about the configuration of maternity services in the community. Data analysis was done inductively through an iterative process in which transcribed data was read to identify themes and codes were assigned to those themes. RESULTS: Contrary to the thinking that TBA services are utilized by women only, we found that men actively seek the services of TBAs and utilize them for their wives' healthcare within the community. TBAs in turn sensitize men using both cultural and biomedical health knowledge, and become allies with women in influencing men to provide resources needed for maternity care. CONCLUSION: In this study area, men trust and have confidence in TBAs; closer collaboration with TBAs may provide a suitable platform through which communities can be sensitized and men actively brought on board in promoting maternal health services for women in rural communities. FAU - Turinawe, Emmanueil Benon AU - Turinawe EB AUID- ORCID: http://orcid.org/0000-0002-8978-4600 AD - University of Amsterdam, Amsterdam, The Netherlands. tbenoni@gmail.com. AD - Makerere University, Kampala, Uganda. tbenoni@gmail.com. FAU - Rwemisisi, Jude T AU - Rwemisisi JT AD - University of Amsterdam, Amsterdam, The Netherlands. AD - Makerere University, Kampala, Uganda. FAU - Musinguzi, Laban K AU - Musinguzi LK AD - University of Amsterdam, Amsterdam, The Netherlands. AD - Makerere University, Kampala, Uganda. FAU - de Groot, Marije AU - de Groot M AD - University of Amsterdam, Amsterdam, The Netherlands. FAU - Muhangi, Denis AU - Muhangi D AD - Makerere University, Kampala, Uganda. FAU - de Vries, Daniel H AU - de Vries DH AD - University of Amsterdam, Amsterdam, The Netherlands. FAU - Mafigiri, David K AU - Mafigiri DK AD - Makerere University, Kampala, Uganda. FAU - Katamba, Achilles AU - Katamba A AD - Makerere University, Kampala, Uganda. FAU - Parker, Nadine AU - Parker N AD - Amsterdam Institute of Global Health Development, Amsterdam, The Netherlands. FAU - Pool, Robert AU - Pool R AD - University of Amsterdam, Amsterdam, The Netherlands. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160312 PL - England TA - Reprod Health JT - Reproductive health JID - 101224380 SB - IM MH - Adult MH - Culturally Competent Care/ethnology/*manpower MH - Family Characteristics/ethnology MH - Female MH - Focus Groups MH - Health Knowledge, Attitudes, Practice/ethnology MH - Humans MH - Male MH - *Midwifery MH - *Paternal Behavior/ethnology MH - Patient Acceptance of Health Care/ethnology MH - Patient Compliance/ethnology MH - Practice Guidelines as Topic MH - Pregnancy MH - Prenatal Care/*manpower MH - Prenatal Education MH - *Professional Role MH - Professional-Patient Relations MH - *Rural Health/ethnology MH - *Social Support MH - Uganda PMC - PMC4788932 OID - NLM: PMC4788932 OTO - NOTNLM OT - Male involvement OT - Maternal healthcare OT - Traditional birth attendants OT - Uganda EDAT- 2016/03/13 06:00 MHDA- 2016/10/14 06:00 CRDT- 2016/03/13 06:00 PHST- 2015/09/25 [received] PHST- 2016/03/07 [accepted] AID - 10.1186/s12978-016-0147-7 [doi] AID - 10.1186/s12978-016-0147-7 [pii] PST - epublish SO - Reprod Health. 2016 Mar 12;13:24. doi: 10.1186/s12978-016-0147-7. PMID- 26906021 OWN - NLM STAT- In-Process DA - 20160824 LR - 20170220 IS - 1573-3254 (Electronic) IS - 1090-7165 (Linking) VI - 20 IP - 9 DP - 2016 Sep TI - Engagement of Men in Antenatal Care Services: Increased HIV Testing and Treatment Uptake in a Community Participatory Action Program in Mozambique. PG - 2090-100 LID - 10.1007/s10461-016-1341-x [doi] AB - Uptake of HIV testing and antiretroviral therapy (ART) services during antenatal care (ANC) in rural Mozambique is disappointing. To nurture supportive male engagement in ANC services, we partnered with traditional birth attendants and trained a new type of male-to-male community health agent, "Male Champions", who focused on counseling male partners to create new, male-friendly community norms around engagement in spousal/partner pregnancies. We assessed ANC service uptake using a pre-post intervention design. The intervention was associated with increases in: (1) uptake of provider-initiated counseling and testing among pregnant woman (81 vs. 92 %; p < 0.001); (2) male engagement in ANC (5 vs. 34 %; p < 0.001); and (3) uptake of ART (8 vs. 19 %; p < 0.001). When men accepted HIV testing, rates of testing rose markedly among pregnant women. With the challenges in scale-up of Option B+ in sub-Saharan Africa, similar interventions may increase testing and treatment acceptability during pregnancy. FAU - Audet, Carolyn M AU - Audet CM AD - Vanderbilt Institute for Global Health, 2525 West End Avenue, Suite 750, Nashville, TN, 37203-1738, USA. carolyn.m.audet@vanderbilt.edu. AD - Department of Health Policy, Vanderbilt University School of Medicine, Nashville, TN, USA. carolyn.m.audet@vanderbilt.edu. FAU - Blevins, Meridith AU - Blevins M AD - Vanderbilt Institute for Global Health, 2525 West End Avenue, Suite 750, Nashville, TN, 37203-1738, USA. AD - Department of Biostatistics, Vanderbilt University School of Medicine, Nashville, TN, USA. FAU - Chire, Yazalde Manuel AU - Chire YM AD - Friends in Global Health, Maputo, Mozambique. AD - Friends in Global Health, Quelimane, Mozambique. FAU - Aliyu, Muktar H AU - Aliyu MH AD - Vanderbilt Institute for Global Health, 2525 West End Avenue, Suite 750, Nashville, TN, 37203-1738, USA. AD - Department of Health Policy, Vanderbilt University School of Medicine, Nashville, TN, USA. FAU - Vaz, Lara M E AU - Vaz LM AD - Vanderbilt Institute for Global Health, 2525 West End Avenue, Suite 750, Nashville, TN, 37203-1738, USA. FAU - Antonio, Elisio AU - Antonio E AD - Friends in Global Health, Maputo, Mozambique. AD - Friends in Global Health, Quelimane, Mozambique. FAU - Alvim, Fernanda AU - Alvim F AD - Friends in Global Health, Maputo, Mozambique. AD - Friends in Global Health, Quelimane, Mozambique. FAU - Bechtel, Ruth AU - Bechtel R AD - Friends in Global Health, Maputo, Mozambique. AD - Friends in Global Health, Quelimane, Mozambique. FAU - Wester, C William AU - Wester CW AD - Vanderbilt Institute for Global Health, 2525 West End Avenue, Suite 750, Nashville, TN, 37203-1738, USA. AD - Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN, USA. FAU - Vermund, Sten H AU - Vermund SH AD - Vanderbilt Institute for Global Health, 2525 West End Avenue, Suite 750, Nashville, TN, 37203-1738, USA. AD - Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN, USA. AD - Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN, USA. LA - eng GR - K01 MH107255/MH/NIMH NIH HHS/United States PT - Journal Article PL - United States TA - AIDS Behav JT - AIDS and behavior JID - 9712133 SB - IM PMC - PMC4995150 MID - NIHMS762906 OID - NLM: NIHMS762906 [Available on 09/01/17] OID - NLM: PMC4995150 [Available on 09/01/17] OTO - NOTNLM OT - Antenatal care OT - Community health workers OT - Male health care engagement OT - Mozambique OT - Prevention of mother to child HIV transmission EDAT- 2016/02/26 06:00 MHDA- 2016/02/26 06:00 CRDT- 2016/02/25 06:00 PMCR- 2017/09/01 AID - 10.1007/s10461-016-1341-x [doi] AID - 10.1007/s10461-016-1341-x [pii] PST - ppublish SO - AIDS Behav. 2016 Sep;20(9):2090-100. doi: 10.1007/s10461-016-1341-x. PMID- 26841924 OWN - NLM STAT- MEDLINE DA - 20160204 DCOM- 20161013 LR - 20161230 IS - 2046-4053 (Electronic) IS - 2046-4053 (Linking) VI - 5 DP - 2016 Feb 03 TI - Effects of prenatal childbirth education for partners of pregnant women on paternal postnatal mental health: a systematic review and meta-analysis protocol. PG - 21 LID - 10.1186/s13643-016-0199-3 [doi] AB - BACKGROUND: The prevalence of paternal depression in the postnatal period is estimated to be approximately 10 %. Effective partner education during pregnancy has the possibility to prevent postnatal mental health problems and support expectant fathers in their transition to parenthood. This paper describes the protocol of a systematic review that will investigate the effects of prenatal childbirth education for partners of pregnant women particularly on paternal postnatal mental health. METHODS/DESIGN: We will search the databases of MEDLINE, CINAHL, EMBASE, PsycINFO, ERIC, and CENTRAL, using related search terms such as "partners of pregnant women," "education," and "prenatal support." Searches will be limited to randomized trials. Two review authors will independently screen eligible studies and assess risk of bias. We will report structured summaries of the included studies and conduct meta-analysis. DISCUSSION: Postnatal mental health of fathers is reported to have various effects on the health of the whole family. Therefore, support for expectant fathers is an important issue in the maternal and perinatal health-care system. However, resources on prenatal childbirth education for partners of pregnant women remain limited. The results of this review will provide evidence for prenatal education programs for expectant fathers. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42015017919. FAU - Suto, Maiko AU - Suto M AD - Tsuda College, 2-1-1 Tsuda-machi, Kodaira-shi, Tokyo, 187-8577, Japan. maiko.suto@gmail.com. FAU - Takehara, Kenji AU - Takehara K AD - National Center for Child Health and Development, 10-1 Okura 2-chome, Setagaya, Tokyo, 157-8535, Japan. takehara-k@ncchd.go.jp. FAU - Yamane, Yumina AU - Yamane Y AD - , Ome, Tokyo, Japan. yyumina1121@yahoo.co.jp. FAU - Ota, Erika AU - Ota E AD - National Center for Child Health and Development, 10-1 Okura 2-chome, Setagaya, Tokyo, 157-8535, Japan. ota-e@ncchd.go.jp. LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20160203 PL - England TA - Syst Rev JT - Systematic reviews JID - 101580575 SB - IM MH - Adult MH - Depressive Disorder/*prevention & control MH - Fathers/*psychology MH - Female MH - Humans MH - Pregnancy MH - Prenatal Education/*methods MH - Spouses/*psychology PMC - PMC4741014 OID - NLM: PMC4741014 EDAT- 2016/02/05 06:00 MHDA- 2016/10/14 06:00 CRDT- 2016/02/05 06:00 PHST- 2015/09/30 [received] PHST- 2016/01/27 [accepted] AID - 10.1186/s13643-016-0199-3 [doi] AID - 10.1186/s13643-016-0199-3 [pii] PST - epublish SO - Syst Rev. 2016 Feb 3;5:21. doi: 10.1186/s13643-016-0199-3. PMID- 26790687 OWN - NLM STAT- In-Process DA - 20160728 LR - 20170220 IS - 1435-1102 (Electronic) IS - 1434-1816 (Linking) VI - 19 IP - 4 DP - 2016 Aug TI - The course and interrelationship of maternal and paternal perinatal depression. PG - 655-63 LID - 10.1007/s00737-016-0598-4 [doi] AB - The aims of the study were to describe course of depression in both mothers and fathers from the third trimester of pregnancy through 6 months postpartum and to examine the relationship between maternal and paternal depression. Hypotheses were as follows: (a) Depressive symptoms would be correlated between parents and (b) earlier depressive symptoms in one parent would predict later increases in depression in the other. Eighty cohabitating primiparous couples were recruited from prenatal OBGYN visits and community agencies and enrolled during pregnancy, between 28-week gestation and delivery. Participants completed measures of depression on four occasions: baseline and 1, 3, and 6 months postpartum. Ninety-eight percent of the enrolled couples (78; 156 individuals) completed the study. For both mothers and fathers, symptom severity ratings and classification as a probable case were stable across time, with prenatal depression persisting through 6 months in 75 % of mothers and 86 % of fathers. Prenatal depression in fathers predicted worsening depressive symptom severity in mothers across the first six postpartum months but not vice versa. In both expecting/new mothers and fathers, depression demonstrates a stable pattern of occurrence and symptom severity between 28-month gestation and 6 months postpartum. Although prenatal maternal depression is not predictive of symptom change in fathers, mothers with prenatally depressed partners showed significant worsening in overall symptom severity during the first six postpartum months. FAU - Paulson, James F AU - Paulson JF AD - Department of Psychology, Old Dominion University, MGB 250, Norfolk, VA, 23529, USA. JPaulson@odu.edu. FAU - Bazemore, Sharnail D AU - Bazemore SD AD - Department of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA. FAU - Goodman, Janice H AU - Goodman JH AD - School of Nursing, MGH Institute of Health Professions, Boston, MA, USA. FAU - Leiferman, Jenn A AU - Leiferman JA AD - Department of Community and Behavioral Health, Colorado School of Public Health, Aurora, CO, USA. LA - eng GR - R21 HD060942/HD/NICHD NIH HHS/United States PT - Journal Article DEP - 20160120 PL - Austria TA - Arch Womens Ment Health JT - Archives of women's mental health JID - 9815663 SB - IM PMC - PMC4957140 MID - NIHMS753434 OID - NLM: NIHMS753434 [Available on 08/01/17] OID - NLM: PMC4957140 [Available on 08/01/17] OTO - NOTNLM OT - Depression OT - Family OT - Fathers OT - Perinatal depression EDAT- 2016/01/23 06:00 MHDA- 2016/01/23 06:00 CRDT- 2016/01/22 06:00 PMCR- 2017/08/01 PHST- 2015/09/14 [received] PHST- 2016/01/09 [accepted] AID - 10.1007/s00737-016-0598-4 [doi] AID - 10.1007/s00737-016-0598-4 [pii] PST - ppublish SO - Arch Womens Ment Health. 2016 Aug;19(4):655-63. doi: 10.1007/s00737-016-0598-4. Epub 2016 Jan 20. PMID- 26743493 OWN - NLM STAT- MEDLINE DA - 20160205 DCOM- 20161013 LR - 20161230 IS - 1089-8611 (Electronic) IS - 1089-8603 (Linking) VI - 53 DP - 2016 Feb 29 TI - Maternal N-acetylcysteine therapy regulates hydrogen sulfide-generating pathway and prevents programmed hypertension in male offspring exposed to prenatal dexamethasone and postnatal high-fat diet. PG - 6-12 LID - 10.1016/j.niox.2015.12.006 [doi] LID - S1089-8603(15)30035-5 [pii] AB - Nitric oxide (NO) and hydrogen sulfide (H2S) pathways are involved in the development of hypertension, a condition that can originate from early life. We examined whether asymmetric dimethylarginine (ADMA, a nitric oxide synthase inhibitor)/NO and H2S generating pathway contributed to programmed hypertension in offspring exposed to prenatal dexamethasone (DEX) and postnatal high-fat (HF) and whether N-acetylcysteine (NAC) therapy prevented this process. We examined 16-week-old male rat offspring from five groups: control, DEX (0.1 mg/kg i.p. from gestational day 16-22), HF (58% high-fat diet from weaning to 4 months of age), DEX+HF, and NAC (1% in drinking water during lactation). Prenatal DEX and postnatal HF diet synergistically induced programmed hypertension in adult offspring, which was prevented by maternal NAC therapy. We attributed the protective effects of NAC on two-hit induced programmed hypertension to the reduction of plasma ADMA, restoration of plasma l-arginine-to-ADMA ratio, upregulation of gene expression of H2S-generating enzymes, restoration of renal 3-mercaptopyruvate sulphurtransferase (3MST) protein levels and activity, induction of plasma glutathione level, and reduction of oxidative stress. Manipulation of the ADMA-NO and H2S-generating pathways by maternal NAC therapy may be a potential approach to prevent programmed hypertension induced by two-hit insults. CI - Copyright (c) 2015 Elsevier Inc. All rights reserved. FAU - Tai, I-Hsin AU - Tai IH AD - Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan. FAU - Sheen, Jiunn-Ming AU - Sheen JM AD - Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan. FAU - Lin, Yu-Ju AU - Lin YJ AD - Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan. FAU - Yu, Hong-Ren AU - Yu HR AD - Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan. FAU - Tiao, Mao-Meng AU - Tiao MM AD - Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan. FAU - Chen, Chih-Cheng AU - Chen CC AD - Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan. FAU - Huang, Li-Tung AU - Huang LT AD - Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan; Department of Traditional Chinese Medicine, Chang Gung University, Linkow, Taiwan. FAU - Tain, You-Lin AU - Tain YL AD - Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan; Center for Translational Research in Biomedical Sciences, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan. Electronic address: tainyl@hotmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20151229 PL - United States TA - Nitric Oxide JT - Nitric oxide : biology and chemistry JID - 9709307 RN - 7S5I7G3JQL (Dexamethasone) RN - WYQ7N0BPYC (Acetylcysteine) RN - YY9FVM7NSN (Hydrogen Sulfide) SB - IM MH - Acetylcysteine/*pharmacology MH - Animals MH - Dexamethasone MH - Diet, High-Fat/*adverse effects MH - Female MH - Hydrogen Sulfide/*metabolism MH - Hypertension/chemically induced/*prevention & control MH - Male MH - Pregnancy MH - *Prenatal Exposure Delayed Effects MH - Rats MH - Rats, Sprague-Dawley OTO - NOTNLM OT - Asymmetric dimethylarginine OT - Glucocorticoid OT - Glutathione OT - Hydrogen sulfide OT - Hypertension OT - N-acetylcysteine OT - Oxidative stress EDAT- 2016/01/09 06:00 MHDA- 2016/10/14 06:00 CRDT- 2016/01/09 06:00 PHST- 2015/10/01 [received] PHST- 2015/12/24 [revised] PHST- 2015/12/26 [accepted] AID - S1089-8603(15)30035-5 [pii] AID - 10.1016/j.niox.2015.12.006 [doi] PST - ppublish SO - Nitric Oxide. 2016 Feb 29;53:6-12. doi: 10.1016/j.niox.2015.12.006. Epub 2015 Dec 29. PMID- 26703985 OWN - NLM STAT- MEDLINE DA - 20151225 DCOM- 20161006 LR - 20161230 IS - 1473-5733 (Electronic) IS - 0957-5235 (Linking) VI - 27 IP - 1 DP - 2016 Jan TI - Establishment of a prenatal diagnosis schedule as part of a prophylaxis program of factor XIII deficiency in the southeast of Iran. PG - 97-100 LID - 10.1097/MBC.0000000000000374 [doi] AB - Factor XIII deficiency (FXIIID) is an extremely rare bleeding disorder with a prevalence of 1 in 3 million in the general population. Compared to its global incidence, it has the greatest prevalence in Sistan and Baluchistan Province in the southeast of Iran. The high incidence of FXIIID in this region causes a high rate of morbidity and mortality among the affected individuals because of life-threatening episodes such as central nervous system (CNS) bleeding, umbilical cord bleeding, as well as miscarriage. CNS bleeding leads to a considerable number of neurological and behavioral complications. Therefore, we have designed an established prenatal diagnosis (PND) program to prevent the increasing incidence of life-threatening bleeding episodes and related complications among neonates with congenital FXIIID. This study was conducted from September 2013 to August 2014. A consent form was signed by the parents. Fetal sampling was done via abdominal chorionic villus sampling passage under local anesthesia and ultrasonic guidance within the first trimester of pregnancy. Fetal DNA was extracted, and PCR-restriction fragment length polymorphism was performed for the only reported mutation of FXIII (Trp187Arg) in the southeast of Iran. During the period of study, PND was performed on eight fetuses. Six fetuses were offspring of parental consanguineous marriages, and all of them had a positive family history of FXIIID. Seven out of the eight fetuses had a family member with CNS bleeding due to FXIIID. Four fetuses had a FXIIID-related death. One of the fetuses bore homozygous Trp187Arg mutation, whereas six were heterozygous, and one of the mothers gave birth to an unaffected fetus. To the best of our knowledge, PND is a possible solution to control high incidence of life-threatening episodes of FXIIID in southeast Iran. FAU - Naderi, Majid AU - Naderi M AD - aDepartment of Pediatrics Hematology & Oncology, Ali Ebn-e Abitaleb Hospital Research Center for Children and Adolescents Health [RCCAH], Zahedan University of Medical Sciences, Zahedan bDepartment of Hematology, Allied Medical School, Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran cDepartment of Hematology and Blood Transfusion, School of Allied Medicine, Iran University of Medical Sciences dDepartment of Hematology and Blood Transfusion, School of Allied Medicine, Tehran University of Medical Sciences eDepartment of Biochemistry, School of Allied Medicine, Tehran University of Medical Sciences, Tehran fGenetic of Non-Communicable Disease Researcher Center, Zahedan University of Medical Sciences, Zahedan, Iran. FAU - Reykande, Samira Esmaeili AU - Reykande SE FAU - Dorgalaleh, Akbar AU - Dorgalaleh A FAU - Alizadeh, Shaban AU - Alizadeh S FAU - Tabibian, Shadi AU - Tabibian S FAU - Einollahi, Nahid AU - Einollahi N FAU - Moghaddam, Ebrahim Miri AU - Moghaddam EM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Blood Coagul Fibrinolysis JT - Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis JID - 9102551 SB - IM EIN - Blood Coagul Fibrinolysis. 2016 Mar;27(2):234 MH - Factor XIII Deficiency/*diagnosis/epidemiology MH - Female MH - Humans MH - Iran MH - Male MH - Prenatal Diagnosis EDAT- 2015/12/26 06:00 MHDA- 2016/10/08 06:00 CRDT- 2015/12/26 06:00 AID - 10.1097/MBC.0000000000000374 [doi] AID - 00001721-201601000-00016 [pii] PST - ppublish SO - Blood Coagul Fibrinolysis. 2016 Jan;27(1):97-100. doi: 10.1097/MBC.0000000000000374. PMID- 26696906 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20151223 DCOM- 20151223 LR - 20170220 IS - 1664-042X (Print) IS - 1664-042X (Linking) VI - 6 DP - 2015 TI - Maternal Melatonin Therapy Rescues Prenatal Dexamethasone and Postnatal High-Fat Diet Induced Programmed Hypertension in Male Rat Offspring. PG - 377 LID - 10.3389/fphys.2015.00377 [doi] AB - Prenatal dexamethasone (DEX) exposure and high-fat (HF) intake are linked to hypertension. We examined whether maternal melatonin therapy prevents programmed hypertension synergistically induced by prenatal DEX plus postnatal HF in adult offspring. We also examined whether DEX and melatonin causes renal programming using next-generation RNA sequencing (NGS) technology. Pregnant Sprague-Dawley rats received intraperitoneal dexamethasone (0.1 mg/kg) or vehicle from gestational day 16 to 22. In the melatonin-treatment groups (M), rats received 0.01% melatonin in drinking water during their entire pregnancy and lactation. Male offspring were assigned to five groups: control, DEX, HF, DEX+HF, and DEX+HF+M. Male offspring in the HF group were fed a HF diet from weaning to 4 months of age. Prenatal DEX and postnatal HF diet synergistically induced programmed hypertension in adult offspring, which melatonin prevented. Maternal melatonin treatment modified over 3000 renal transcripts in the developing offspring kidney. Our NGS data indicate that PPAR signaling and fatty acid metabolism are two significantly regulated pathways. In addition, maternal melatonin therapy elicits longstanding alterations on renal programming, including regulation of the melatonin signaling pathway and upregulation of Agtr1b and Mas1 expression in the renin-angiotensin system (RAS), to protect male offspring against programmed hypertension. Postnatal HF aggravates prenatal DEX induced programmed hypertension in adult offspring, which melatonin prevented. The protective effects of melatonin on programmed hypertension is associated with regulation of the RAS and melatonin receptors. The long-term effects of maternal melatonin therapy on renal transcriptome require further clarification. FAU - Tain, You-Lin AU - Tain YL AD - Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine Kaohsiung, Taiwan ; Center for Translational Research in Biomedical Sciences, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine Kaohsiung, Taiwan. FAU - Sheen, Jiunn-Ming AU - Sheen JM AD - Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine Kaohsiung, Taiwan. FAU - Yu, Hong-Ren AU - Yu HR AD - Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine Kaohsiung, Taiwan. FAU - Chen, Chih-Cheng AU - Chen CC AD - Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine Kaohsiung, Taiwan. FAU - Tiao, Mao-Meng AU - Tiao MM AD - Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine Kaohsiung, Taiwan. FAU - Hsu, Chien-Ning AU - Hsu CN AD - Department of Pharmacy, Kaohsiung Chang Gung Memorial Hospital Kaohsiung, Taiwan ; School of Pharmacy, Kaohsiung Medical University Kaohsiung, Taiwan. FAU - Lin, Yu-Ju AU - Lin YJ AD - Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine Kaohsiung, Taiwan. FAU - Kuo, Kuang-Che AU - Kuo KC AD - Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine Kaohsiung, Taiwan. FAU - Huang, Li-Tung AU - Huang LT AD - Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine Kaohsiung, Taiwan ; Department of Traditional Chinese Medicine, Chang Gung University Linkou, Taiwan. LA - eng PT - Journal Article DEP - 20151211 PL - Switzerland TA - Front Physiol JT - Frontiers in physiology JID - 101549006 PMC - PMC4675845 OID - NLM: PMC4675845 OTO - NOTNLM OT - fat OT - glucocorticoid OT - hypertension OT - melatonin OT - next generation sequencing OT - renin-angiotensin system EDAT- 2015/12/24 06:00 MHDA- 2015/12/24 06:01 CRDT- 2015/12/24 06:00 PHST- 2015/10/19 [received] PHST- 2015/11/23 [accepted] AID - 10.3389/fphys.2015.00377 [doi] PST - epublish SO - Front Physiol. 2015 Dec 11;6:377. doi: 10.3389/fphys.2015.00377. eCollection 2015. PMID- 26680432 OWN - NLM STAT- MEDLINE DA - 20151218 DCOM- 20160520 LR - 20151218 IS - 1920-7476 (Electronic) IS - 0008-4263 (Linking) VI - 106 IP - 6 DP - 2015 Oct 03 TI - Knowledge change associated with participation in prenatal education programs in Ontario: A cohort study. PG - e401-7 LID - 10.17269/cjph.106.5057 [doi] AB - OBJECTIVES: The primary objective was to examine how participation in prenatal programs delivered by Ontario public health units influences pregnant women's pregnancy-related knowledge. Secondary objectives were to examine the socio-demographic characteristics of women participating in these programs and assess program satisfaction. METHODS: A cohort study was conducted of 511 adult pregnant women who were registered for a prenatal program within one of seven Ontario public health units. Participants completed a pre-program survey, which examined socio-demographic and pregnancy characteristics, and baseline pregnancyrelated knowledge. After finishing the program, participants completed a post-program survey investigating pregnancy-related knowledge and program satisfaction. Pregnancy-related knowledge was assessed using the Healthy Pregnancies Knowledge Survey, which captures knowledge within three subtopic areas: healthy pregnancies, healthy lifestyles and breastfeeding. RESULTS: Participants demonstrated a significant increase in mean knowledge scores, both overall and across each subtopic area. Most participants reported that their program satisfied their questions either mostly or very well across all content areas examined. CONCLUSION: This study is the first large-scale effort to examine the ability of prenatal programs offered through Ontario public health units to influence clients' pregnancy-related knowledge. These findings contribute to the evidence base for prenatal education program planning. FAU - Godin, Katelyn M AU - Godin KM FAU - Alton, Gillian D AU - Alton GD AD - Oxford County Public Health. galton@oxfordcounty.ca. FAU - Gangodawilage, Harshani P AU - Gangodawilage HP FAU - Procter, Theresa D AU - Procter TD FAU - Bourdages, Natalie B AU - Bourdages NB FAU - Blue, Susan E AU - Blue SE FAU - Edwards, Sarah A AU - Edwards SA FAU - Horan, Melissa J AU - Horan MJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20151003 PL - Canada TA - Can J Public Health JT - Canadian journal of public health = Revue canadienne de sante publique JID - 0372714 SB - IM MH - Adult MH - Cohort Studies MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Ontario MH - Personal Satisfaction MH - Pregnancy MH - Pregnant Women/*psychology MH - *Prenatal Education MH - Program Evaluation MH - Young Adult OTO - NOTNLM OT - Prenatal education OT - attitudes OT - health knowledge OT - nursing evaluation research OT - parents OT - practice OT - program evaluation EDAT- 2015/12/19 06:00 MHDA- 2016/05/21 06:00 CRDT- 2015/12/19 06:00 PHST- 2015/03/17 [received] PHST- 2015/08/03 [accepted] PHST- 2015/10/08 [revised] PST - epublish SO - Can J Public Health. 2015 Oct 3;106(6):e401-7. doi: 10.17269/cjph.106.5057. PMID- 26678055 OWN - NLM STAT- MEDLINE DA - 20151218 DCOM- 20161020 LR - 20161230 IS - 1832-4274 (Print) IS - 1832-4274 (Linking) VI - 18 IP - 6 DP - 2015 Dec TI - The Fourth International Network of Twin Registries: Overview from Osaka/Research Reviews: Familial Fraternal Twinning; Twin Study of Masculine Faces; Physical Aggression and Epigenetics; Prenatal Education for Parents of Twins/Current Events: 2016 Guinness Book of World Records; Oldest Living Male Twins; Twins Reunited at Sixty-Nine; Panda Twins; Twins.com. PG - 812-8 LID - 10.1017/thg.2015.81 [doi] AB - The 4th International Network of Twin Registries (INTR) Consortium Meeting took place in Osaka, Japan, September 28-29, 2015. The venue was the Osaka Medical Center for Medical Innovation and Translational Research. An overview of presentations and other activities is provided. Next, 1930s research on familial fraternal twinning, preference for masculine faces, physical aggression and epigenetics, and a prenatal education program for parents of multiples are described. Current twin-related events include the 2016 Guinness Book of World Records (GWR), the oldest living male twins, newly reunited twins, the birth of panda twins and a controversial twin-based website. FAU - Segal, Nancy L AU - Segal NL AD - Department of Psychology,California State University,Fullerton,CA,USA. LA - eng PT - Journal Article PL - England TA - Twin Res Hum Genet JT - Twin research and human genetics : the official journal of the International Society for Twin Studies JID - 101244624 SB - IM MH - Aggression MH - Epigenesis, Genetic MH - Face MH - Humans MH - Internationality MH - Japan MH - Prenatal Education MH - *Registries MH - *Twins EDAT- 2015/12/19 06:00 MHDA- 2016/10/21 06:00 CRDT- 2015/12/19 06:00 AID - S183242741500081X [pii] AID - 10.1017/thg.2015.81 [doi] PST - ppublish SO - Twin Res Hum Genet. 2015 Dec;18(6):812-8. doi: 10.1017/thg.2015.81. PMID- 26656473 OWN - NLM STAT- MEDLINE DA - 20160314 DCOM- 20170201 LR - 20170201 IS - 1532-3099 (Electronic) IS - 0266-6138 (Linking) VI - 34 DP - 2016 Mar TI - Effects of antenatal education on fear of childbirth, maternal self-efficacy and parental attachment. PG - 166-72 LID - 10.1016/j.midw.2015.11.016 [doi] LID - S0266-6138(15)00322-8 [pii] AB - OBJECTIVE: to examine the effects of antenatal education on fear of childbirth, maternal self-efficacy, and maternal and paternal attachment. DESIGN: quasi-experimental study, comparing an antenatal education group and a control group. PARTICIPANTS: 63 pregnant women and their husbands. MEASUREMENTS: demographic data forms, the Wijma Delivery Expectancy/Experience Questionnaire, the Childbirth Self-Efficacy Inventory, the Maternal Attachment Inventory and the Postnatal Paternal-Infant Attachment Questionnaire were used for data collection. FINDINGS: antenatal education was found to reduce the fear of childbirth and to increase childbirth-related maternal self-efficacy. However, antenatal education was found to have no effect on parental attachment. KEY CONCLUSIONS: it is recommended that widespread antenatal education programmes should be provided in developing countries, and the content of the education programme about parental attachment should be increased. IMPLICATIONS FOR PRACTICE: this study found that antenatal education has no influence on maternal and paternal attachment. As such, there is a need to increase the content of the education programme about parental attachment. CI - Copyright (c) 2015 Elsevier Ltd. All rights reserved. FAU - Sercekus, Pinar AU - Sercekus P AD - Pamukkale University, Faculty of Health Sciences, Denizli, Turkey. Electronic address: pinarsercekus@gmail.com. FAU - Baskale, Hatice AU - Baskale H AD - Pamukkale University, Faculty of Health Sciences, Denizli, Turkey. Electronic address: hakkgul@gmail.com. LA - eng PT - Journal Article DEP - 20151127 PL - Scotland TA - Midwifery JT - Midwifery JID - 8510930 SB - N MH - Adult MH - Female MH - Humans MH - Male MH - *Parent-Child Relations MH - Parents/*psychology MH - Parturition/*psychology MH - *Patient Education as Topic MH - Pregnancy MH - *Prenatal Care MH - *Self Efficacy MH - Surveys and Questionnaires OTO - NOTNLM OT - Antenatal education OT - Fear of childbirth OT - Maternal attachment OT - Paternal attachment OT - Self-efficacy EDAT- 2015/12/15 06:00 MHDA- 2017/02/02 06:00 CRDT- 2015/12/15 06:00 PHST- 2015/01/27 [received] PHST- 2015/05/29 [revised] PHST- 2015/11/19 [accepted] AID - S0266-6138(15)00322-8 [pii] AID - 10.1016/j.midw.2015.11.016 [doi] PST - ppublish SO - Midwifery. 2016 Mar;34:166-72. doi: 10.1016/j.midw.2015.11.016. Epub 2015 Nov 27. PMID- 26614607 OWN - NLM STAT- MEDLINE DA - 20151128 DCOM- 20160826 LR - 20151128 IS - 1877-5764 (Electronic) IS - 1877-5756 (Linking) VI - 6 IP - 4 DP - 2015 Dec TI - Challenges and benefits of conducting parental classes in Sweden: Midwives' perspectives. PG - 236-42 LID - 10.1016/j.srhc.2015.05.007 [doi] LID - S1877-5756(15)00046-4 [pii] AB - OBJECTIVE: There is lack of knowledge regarding antenatal care midwives' perspectives concerning parental classes provided during pregnancy, and this study aimed to explore midwives' experiences and thoughts about these parental class activities. METHODS: Twenty-six semi-structured, individual, telephone interviews were carried out with midwives at antenatal clinics across Sweden, and the data were analysed using systematic text condensation (STC). RESULTS: The midwives noted that parental classes were a demanding task, and they appeared to lack the confidence and skills required to manage the classes. They expressed a "need for collaborators to achieve the objectives" (theme 1). The midwives felt that "creating new networks is most valuable for parents" (theme 2), and they were also "striving to give the 'whole picture' to both parents" (theme 3), i.e. looking beyond just the delivery. Although they had the ambition, midwives realised it was "not possible to reach all" (theme 4). CONCLUSIONS: Organisational resources as well as developing skills to lead groups are imperative for midwives to fulfil the goals of the parental classes. The midwives are aware that they cannot reach all parents with the group format; thus, it is important to acknowledge the needs of minority populations and develop multidisciplinary collaborations to be able to better address their needs. CI - Copyright (c) 2015 Elsevier B.V. All rights reserved. FAU - Fabian, Helena AU - Fabian H AD - Department of Women's and Children's Health, Uppsala University Hospital, SE-751 85 Uppsala, Sweden. Electronic address: helena.fabian@kbh.uu.se. FAU - Sarkadi, Anna AU - Sarkadi A AD - Department of Women's and Children's Health, Uppsala University Hospital, SE-751 85 Uppsala, Sweden. FAU - Ahman, Annika AU - Ahman A AD - Department of Women's and Children's Health, Uppsala University Hospital, SE-751 85 Uppsala, Sweden. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150603 PL - Netherlands TA - Sex Reprod Healthc JT - Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives JID - 101530546 SB - IM MH - *Attitude of Health Personnel MH - Delivery, Obstetric MH - Female MH - Humans MH - *Midwifery MH - *Nurse Midwives MH - Nurse-Patient Relations MH - Parents/*education MH - Pregnancy MH - *Prenatal Care MH - *Prenatal Education MH - Professional Competence MH - Surveys and Questionnaires MH - Sweden MH - Teaching OTO - NOTNLM OT - Childbirth preparation OT - Experience OT - Midwife OT - Parent education class EDAT- 2015/11/29 06:00 MHDA- 2016/08/27 06:00 CRDT- 2015/11/29 06:00 PHST- 2015/01/15 [received] PHST- 2015/05/27 [revised] PHST- 2015/05/29 [accepted] AID - S1877-5756(15)00046-4 [pii] AID - 10.1016/j.srhc.2015.05.007 [doi] PST - ppublish SO - Sex Reprod Healthc. 2015 Dec;6(4):236-42. doi: 10.1016/j.srhc.2015.05.007. Epub 2015 Jun 3. PMID- 26590515 OWN - NLM STAT- MEDLINE DA - 20151219 DCOM- 20160804 LR - 20151219 IS - 1573-2517 (Electronic) IS - 0165-0327 (Linking) VI - 190 DP - 2016 Jan 15 TI - Prevalence and course of anxiety disorders (and symptom levels) in men across the perinatal period: A systematic review. PG - 675-86 LID - 10.1016/j.jad.2015.09.063 [doi] LID - S0165-0327(15)30566-8 [pii] AB - BACKGROUND: Men's experiences of anxiety within the perinatal period can adversely impact themselves, their partner and infant. However, we know little about the prevalence and course of men's anxiety across the perinatal period. The current review is one of the first to systematically review the published literature. METHODS: Five databases (PubMed, PsycINFO, Cochrane, SCOPUS, and Web of Science) were searched to identify relevant papers published prior to April 2015. The literature search identified articles with data for expectant fathers (prenatal period) and/or fathers of an infant aged between 0 and 1 (postnatal period). The following data were extracted: (a) anxiety disorder prevalence (diagnostic clinical interviews), (b) 'high' anxiety symptom prevalence (above thresholds/cut-points on anxiety symptom scales) and (c) mean anxiety levels (anxiety symptom scales). Initially, 537 unique papers were identified. Subsequently, 43 papers met criteria for inclusion in the review. RESULTS: Prevalence rates for 'any' anxiety disorder (as defined by either diagnostic clinical interviews or above cut-points on symptom scales) ranged between 4.1% and 16.0% during the prenatal period and 2.4-18.0% during the postnatal period. The data reviewed suggest the course of anxiety across the perinatal period is fairly stable with potential decreases postpartum. LIMITATIONS: Wide variation in study measurement and methodology makes synthesis of individual findings difficult. Anxiety is highly comorbid with depression, and thus measures of mixed anxiety/depression might better capture the overall burden of mental illness. CONCLUSIONS: Anxiety disorders are common for men during the perinatal period. Both partners should be included in discussions and interventions focused on obstetric care and parent mental health during the perinatal period. CI - Copyright (c) 2015 Elsevier B.V. All rights reserved. FAU - Leach, Liana S AU - Leach LS AD - Centre for Research on Ageing, Health and Wellbeing, Research School of Population Health, The Australian National University, Canberra, Australia. Electronic address: Liana.Leach@anu.edu.au. FAU - Poyser, Carmel AU - Poyser C AD - Centre for Research on Ageing, Health and Wellbeing, Research School of Population Health, The Australian National University, Canberra, Australia. FAU - Cooklin, Amanda R AU - Cooklin AR AD - Judith Lumley Centre, La Trobe University, Melbourne, Australia. FAU - Giallo, Rebecca AU - Giallo R AD - Healthy Mothers Healthy Families Research Group, Murdoch Childrens Research Institute, Melbourne, Australia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20151024 PL - Netherlands TA - J Affect Disord JT - Journal of affective disorders JID - 7906073 SB - IM MH - Adjustment Disorders/*epidemiology MH - Adult MH - Anxiety/epidemiology MH - Anxiety Disorders/*epidemiology MH - Comorbidity MH - Depressive Disorder/epidemiology MH - Fathers/*psychology/statistics & numerical data MH - Female MH - Humans MH - Infant MH - Male MH - Paternal Behavior/*psychology MH - Postpartum Period/*psychology MH - Pregnancy MH - Prevalence OTO - NOTNLM OT - Anxiety OT - Fatherhood OT - Men OT - Perinatal OT - Prevalence EDAT- 2015/11/23 06:00 MHDA- 2016/08/05 06:00 CRDT- 2015/11/23 06:00 PHST- 2015/07/10 [received] PHST- 2015/09/21 [revised] PHST- 2015/09/28 [accepted] AID - S0165-0327(15)30566-8 [pii] AID - 10.1016/j.jad.2015.09.063 [doi] PST - ppublish SO - J Affect Disord. 2016 Jan 15;190:675-86. doi: 10.1016/j.jad.2015.09.063. Epub 2015 Oct 24. PMID- 26561310 OWN - NLM STAT- MEDLINE DA - 20160326 DCOM- 20170404 LR - 20170404 IS - 1873-5134 (Electronic) IS - 0738-3991 (Linking) VI - 99 IP - 4 DP - 2016 Apr TI - Death talk: Basic linguistic rules and communication in perinatal and paediatric end-of-life discussions. PG - 555-61 LID - 10.1016/j.pec.2015.10.025 [doi] LID - S0738-3991(15)30097-5 [pii] AB - OBJECTIVE: This paper considers clinician/parent communication difficulties noted by parents involved in end-of-life decision-making in the light of linguistic theory. METHODS: Grice's Cooperative Principle and associated maxims, which enable effective communication, are examined in relation to communication deficiencies that parents have identified when making end-of-life decisions for the child. Examples from the literature are provided to clarify the impact of failing to observe the maxims on parents and on clinician/parent communication. RESULTS: Linguistic theory applied to the literature on parental concerns about clinician/parent communication shows that the violation of the maxims of quantity, quality, relation, and manner as well as the stance that some clinicians adopt during discussions with parents impact on clinician/parent communication and lead to distrust, anger, sadness, and long-term difficulties coping with the experience of losing one's child. CONCLUSION: Parents have identified communication deficiencies in end-of-life discussions. Relating these communication deficiencies to linguistic theory provides insight into communication difficulties but also solutions. PRACTICE IMPLICATIONS: Gaining an understanding of basic linguistic theory that underlies human interactions, gaining insight into the communication deficiencies that parents have identified, and modifying some communication behaviours in light of these with the suggestions made in this article may lead to improved clinician/parent communication. CI - Copyright (c) 2015 Elsevier Ireland Ltd. All rights reserved. FAU - Xafis, Vicki AU - Xafis V AD - Discipline of Obstetrics and Gynaecology, The University of Adelaide, Adelaide, Australia. Electronic address: vicki.xafis@adelaide.edu.au. FAU - Watkins, Andrew AU - Watkins A AD - Mercy Hospital for Women, Melbourne, Australia. Electronic address: watkina@mac.com. FAU - Wilkinson, Dominic AU - Wilkinson D AD - Discipline of Obstetrics and Gynaecology, Women's and Children's Hospital, The University of Adelaide, Adelaide, Australia; Oxford Uehiro Centre for Practical Ethics, University of Oxford, Oxford, UK. Electronic address: dominic.wilkinson@philosophy.ox.ac.uk. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20151102 PL - Ireland TA - Patient Educ Couns JT - Patient education and counseling JID - 8406280 SB - N MH - *Communication MH - *Death MH - *Decision Making MH - Female MH - Humans MH - *Linguistics MH - Male MH - Parents/*psychology MH - Pediatrics MH - *Perinatal Death MH - Pregnancy MH - *Professional-Family Relations MH - Terminal Care/*methods MH - Terminally Ill OTO - NOTNLM OT - Consumer health information OT - Decision making OT - End of life care OT - Health communication EDAT- 2015/11/13 06:00 MHDA- 2017/04/05 06:00 CRDT- 2015/11/13 06:00 PHST- 2015/01/21 [received] PHST- 2015/10/22 [revised] PHST- 2015/10/28 [accepted] AID - S0738-3991(15)30097-5 [pii] AID - 10.1016/j.pec.2015.10.025 [doi] PST - ppublish SO - Patient Educ Couns. 2016 Apr;99(4):555-61. doi: 10.1016/j.pec.2015.10.025. Epub 2015 Nov 2. PMID- 26531132 OWN - NLM STAT- In-Process DA - 20160519 LR - 20160519 IS - 1573-3572 (Electronic) IS - 1068-9583 (Linking) VI - 23 IP - 2 DP - 2016 Jun TI - Training Pediatric Psychologists for Perinatal Behavioral Health Services in a Pediatric Hospital. PG - 99-111 LID - 10.1007/s10880-015-9439-2 [doi] AB - Although pediatric hospitals specialize in providing care to children and adolescents, at The Children's Hospital of Philadelphia (CHOP), our team has been providing behavioral health services for two unique parent populations-parents with a child in the Newborn Infant Intensive Care Unit and pregnant women carrying fetuses with specific birth defects and receiving prenatal care in the Center for Fetal Diagnosis and Treatment. A new training program was developed to expand the scope of pediatric psychologists' practice to include perinatal behavioral health services, specifically for these two unique parent populations served at CHOP. The program includes direct service provision for adult mental health concerns, as well as education and support to help families cope with the existing medical conditions. This article describes the training program and its implementation as a model of training for other pediatric hospitals. The roles of psychologists embedded in these units and hospital privileges are discussed. FAU - Boyd, Rhonda C AU - Boyd RC AD - Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. rboyd@mail.med.upenn.edu. AD - Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. rboyd@mail.med.upenn.edu. FAU - Scharko, Alexander M AU - Scharko AM AD - Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Cole, Joanna C M AU - Cole JC AD - Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. AD - Center for Fetal Diagnosis and Treatment, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Patterson, Chavis A AU - Patterson CA AD - Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. AD - Division of Neonatology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Benton, Tami D AU - Benton TD AD - Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. AD - Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. FAU - Power, Thomas J AU - Power TJ AD - Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. AD - Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. AD - Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. LA - eng PT - Journal Article PL - United States TA - J Clin Psychol Med Settings JT - Journal of clinical psychology in medical settings JID - 9435680 SB - IM OTO - NOTNLM OT - Competencies OT - Pediatric hospital OT - Training EDAT- 2015/11/05 06:00 MHDA- 2015/11/05 06:00 CRDT- 2015/11/05 06:00 AID - 10.1007/s10880-015-9439-2 [doi] AID - 10.1007/s10880-015-9439-2 [pii] PST - ppublish SO - J Clin Psychol Med Settings. 2016 Jun;23(2):99-111. doi: 10.1007/s10880-015-9439-2. PMID- 26519875 OWN - NLM STAT- MEDLINE DA - 20151208 DCOM- 20161007 LR - 20161230 IS - 1095-9254 (Electronic) IS - 0140-1971 (Linking) VI - 45 DP - 2015 Dec TI - First- and second-born adolescents' decision-making autonomy throughout adolescence. PG - 250-62 LID - 10.1016/j.adolescence.2015.10.009 [doi] LID - S0140-1971(15)00242-0 [pii] AB - First- and second-born adolescents' and their parents' perceptions of adolescents' decision-making autonomy were compared from ages 12 to 19 in a longitudinal sample of 145 predominantly White, middle class families. Utilizing a multivariate, multilevel modeling approach, differences in perceptions of adolescents' autonomy between parents and each adolescent, as well as by social-cognitive domain were examined. The present study found that when comparing parents' perceptions of their children at the same age, second-borns were granted more autonomy regarding conventional issues than first-borns during early adolescence, but by later adolescence first-borns were granted more autonomy regarding prudential issues than second-borns. However, comparisons between adolescents' and siblings' perceptions showed no differences. Potential reasons for, and implications of, differences in perceptions of adolescent autonomy are discussed. CI - Copyright (c) 2015 The Foundation for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved. FAU - Campione-Barr, Nicole AU - Campione-Barr N AD - University of Missouri, USA. Electronic address: campionebarrn@missouri.edu. FAU - Lindell, Anna K AU - Lindell AK AD - University of Missouri, USA. Electronic address: anna.k.lindell@mail.missouri.edu. FAU - Short, Stephen D AU - Short SD AD - College of Charleston, USA. Electronic address: shortsd@cofc.edu. FAU - Greer, Kelly Bassett AU - Greer KB AD - University of Missouri, USA. Electronic address: kmbnn6@mail.mizzou.edu. FAU - Drotar, Scott D AU - Drotar SD AD - University of Kansas, USA. Electronic address: sdrotar@alumni.nd.edu. LA - eng PT - Journal Article DEP - 20151111 PL - England TA - J Adolesc JT - Journal of adolescence JID - 7808986 SB - IM MH - Adolescent MH - *Birth Order MH - Child MH - *Decision Making MH - Female MH - Humans MH - Male MH - *Personal Autonomy MH - Prenatal Education MH - Surveys and Questionnaires MH - Young Adult OTO - NOTNLM OT - Autonomy development OT - Parent-adolescent relationships OT - Siblings EDAT- 2015/11/01 06:00 MHDA- 2016/10/08 06:00 CRDT- 2015/11/01 06:00 PHST- 2015/04/17 [received] PHST- 2015/09/22 [revised] PHST- 2015/10/11 [accepted] AID - S0140-1971(15)00242-0 [pii] AID - 10.1016/j.adolescence.2015.10.009 [doi] PST - ppublish SO - J Adolesc. 2015 Dec;45:250-62. doi: 10.1016/j.adolescence.2015.10.009. Epub 2015 Nov 11. PMID- 26500792 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20151027 DCOM- 20151027 LR - 20170220 IS - 2141-9248 (Print) IS - 2141-9248 (Linking) VI - 5 IP - 5 DP - 2015 Sep-Oct TI - The Effectiveness of Prenatal Intervention on Pain and Anxiety during the Process of Childbirth-Northern Iran: Clinical Trial Study. PG - 348-52 LID - 10.4103/2141-9248.165260 [doi] AB - BACKGROUND: Due to the painful nature of childbirth and its maternal and neonatal complications, the woman needs support in this phase of their life. Increased knowledge and skills during pregnancy prepares pregnant mothers for labor and leads to promoted health. AIM: This study was designed to evaluate the effectiveness of "prenatal education" on the process of childbirth. SUBJECTS AND METHODS: This clinical trial was conducted on 195 pregnant women, that is, control group (N = 132) and case group (N = 63) attending health centers in Amol-Iran from 20 weeks of gestation age during 2012. Case group members attended in "prenatal education" class and the control group only received routine care. Data were collected through demographic questionnaire, standard hospital anxiety questionnaire, and a checklist related to childbirth information, and intensity of pain based on visual analogue scale and McGill scales. The data were analyzed by Statistical Package for the Social Sciences software using t-test and Chi-square test. RESULTS: The result of this study showed that the parent with a high level of education was more interested to participant in prenatal classes. The anxiety level in case group (who received education) was 14.47 (4.69) and in control group it was 16 (4.86), (P < 0.001) the pain intensity in case group was 85.68 (1.85) and in control group was 90.99 (14.72) (P = 0.03), intervention on labor such episiotomy was 39 %66.1 (39/63) in case group and 80 %72.8 (80/132) in control group (P = 0.01) and cesarean section was 13 %17.1 (13/63) in case group and 58 %32.2 (58/132) in control group (P = 0.01). CONCLUSIONS: According to findings of this study, the prenatal education and psychological support are beneficial for mothers during pregnancy and labor. Therefore, it is recommended for educating all the pregnant women. FAU - Firouzbakht, M AU - Firouzbakht M AD - Department of Midwifery, Islamic Azad university, Babol Branch, Babol, Tehran, Iran ; Department of Social Determinant of Health, Babol University Medical Science, Tehran, Iran. FAU - Nikpour, M AU - Nikpour M AD - Department of Social Determinant of Health, Babol University Medical Science, Tehran, Iran ; Department of Midwifery, Babol University Medical Science, Tehran, Iran. FAU - Khefri, S AU - Khefri S AD - Department of Science, Babol University Medical Science, Tehran, Iran. FAU - Jamali, B AU - Jamali B AD - Department of Midwifery, Islamic Azad university, Babol Branch, Babol, Tehran, Iran. FAU - Kazeminavaee, F AU - Kazeminavaee F AD - Department of Midwifery, Islamic Azad university, Babol Branch, Babol, Tehran, Iran. FAU - Didehdar, M AU - Didehdar M AD - Department of Psychology, Elicit and Researchers Club, Tehran, Iran. LA - eng PT - Journal Article PL - India TA - Ann Med Health Sci Res JT - Annals of medical and health sciences research JID - 101585351 PMC - PMC4594348 OID - NLM: PMC4594348 OTO - NOTNLM OT - Delivery OT - Obstetric OT - Pregnancy training classes OT - Prenatal care OT - Prenatal education EDAT- 2015/10/27 06:00 MHDA- 2015/10/27 06:01 CRDT- 2015/10/27 06:00 AID - 10.4103/2141-9248.165260 [doi] AID - AMHSR-5-348 [pii] PST - ppublish SO - Ann Med Health Sci Res. 2015 Sep-Oct;5(5):348-52. doi: 10.4103/2141-9248.165260. PMID- 26433506 OWN - NLM STAT- MEDLINE DA - 20151005 DCOM- 20160720 LR - 20161229 IS - 1879-3479 (Electronic) IS - 0020-7292 (Linking) VI - 131 Suppl 1 DP - 2015 Oct TI - The global epidemic of abuse and disrespect during childbirth: History, evidence, interventions, and FIGO's mother-baby friendly birthing facilities initiative. PG - S49-52 LID - 10.1016/j.ijgo.2015.02.005 [doi] LID - S0020-7292(15)00084-3 [pii] AB - Recent evidence indicates that disrespectful/abusive/coercive service delivery by skilled providers in facilities, which results in actual or perceived poor quality of care, is directly and indirectly associated with adverse maternal and newborn outcomes. The present article reviews the evidence for disrespectful/abusive care during childbirth in facilities (DACF), describes examples of DACF, discusses organizations active in a rights-based respectful maternity care movement, and enumerates some strategies and interventions that have been identified to decrease DACF. It concludes with a discussion of one strategy, which has been recently implemented by FIGO with global partners-the International Pediatrics Association, International Confederation of Midwives, the White Ribbon Alliance, and WHO. This strategy, the Mother and Baby Friendly Birth Facility (MBFBF) Initiative, is a criterion-based audit process based on human rights' doctrines, and modeled on WHO/UNICEF's Baby Friendly Facility Initiative. CI - Copyright (c) 2015. Published by Elsevier Ireland Ltd. FAU - Miller, Suellen AU - Miller S AD - Department of Obstetrics, Gynecology and Reproductive Sciences, Bixby Center for Global Reproductive Health and Policy, University of California, San Francisco, CA, USA. Electronic address: suellenmiller@gmail.com. FAU - Lalonde, Andre AU - Lalonde A AD - University of Ottawa, Ottawa, Ontario, Canada; McGill University, Montreal, Quebec, Canada. LA - eng PT - Journal Article PT - Review DEP - 20150224 PL - United States TA - Int J Gynaecol Obstet JT - International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics JID - 0210174 SB - IM MH - *Attitude of Health Personnel MH - *Birthing Centers/standards MH - Delivery, Obstetric/*psychology MH - Female MH - Humans MH - Infant, Newborn MH - *Maternal Health Services/standards MH - Mothers/psychology MH - Parturition/*psychology MH - Physician-Patient Relations MH - Pregnancy MH - United Nations MH - Value of Life MH - Women's Rights/*methods MH - World Health Organization OTO - NOTNLM OT - Abuse OT - Accountability OT - Baby friendly OT - Birthing facilities OT - Disrespect OT - Mother friendly OT - Quality of care OT - Rights EDAT- 2015/10/05 06:00 MHDA- 2016/07/21 06:00 CRDT- 2015/10/05 06:00 AID - S0020-7292(15)00084-3 [pii] AID - 10.1016/j.ijgo.2015.02.005 [doi] PST - ppublish SO - Int J Gynaecol Obstet. 2015 Oct;131 Suppl 1:S49-52. doi: 10.1016/j.ijgo.2015.02.005. Epub 2015 Feb 24. PMID- 26379231 OWN - NLM STAT- MEDLINE DA - 20150918 DCOM- 20160610 LR - 20150926 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 10 IP - 9 DP - 2015 TI - Birth Preparedness and Complication Readiness among Pregnant Women in Duguna Fango District, Wolayta Zone, Ethiopia. PG - e0137570 LID - 10.1371/journal.pone.0137570 [doi] AB - BACKGROUND: Birth Preparedness and Complication Readiness is a strategy to promote the timely use of skilled maternal and neonatal care, especially during childbirth, based on the theory that preparing for childbirth and being ready for complications reduces delays in obtaining this care. OBJECTIVE: This study was conducted to assess birth preparedness and complication readiness and its associated factors among pregnant woman in Duguna Fango District in Wolayta Zone, South Ethiopia. METHODS: A community based cross-sectional study was conducted in 2013, on a sample of 578 pregnant women. Data were collected using pre-tested and structured questionnaire. The collected data were analyzed by SPSS for windows version 16.0. The women were asked whether they followed the desired five steps while pregnant: identified a trained birth attendant, identified a health facility, arranged for transport, identified blood donor and saved money for emergency. Taking at least three steps was considered being well-prepared. RESULTS: Among 578 pregnant women only one tenth (10.7%) of pregnant women identified skilled provider. Only 103 (18.1%) arranged transportation to health facility. Two hundred forty eight (43.6%) identified health facility for delivery and/or for obstetric emergencies. more than half (54.1%) of families saved money for incurred costs of delivery and emergency if needed. only few 17(3%) identified potential blood donor in case of emergency. Two hundred sixty four (46.4%) of the respondents reported that they intended to deliver at home, and more than half (53.6) planned to deliver at health facilities. Overall less than one fifth 18.3% of pregnant women were well prepared. The adjusted multivariate model showed that significant predictors for being well-prepared were maternal availing of antenatal services (AOR = 2.95, 95% CI: 1.62-5.37), being pregnant for the first time (AOR = 3.37, 95% CI: 1.45-7.82), having knowledge of at least two danger signs during pregnancy (AOR = 2.81, 95% CI: 1.69-4.67) and history of past obstetric complication (AOR = 2.98, 95% CI: 1.35-6.58). CONCLUSION: Birth preparedness practice in the study area was found to be low. Information, Education and Communication (IEC) on birth preparedness and complication readiness for young people should start early adolescence. The government officials and partners that are working in areas of maternal health should come up with strategies to improve birth preparedness at individual and community level. FAU - Gebre, Merihun AU - Gebre M AD - Duguna Fango District health office, Wolayta, Ethiopia. FAU - Gebremariam, Abebe AU - Gebremariam A AD - College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia. FAU - Abebe, Tsedach Alemu AU - Abebe TA AD - College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150917 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Adult MH - Cross-Sectional Studies MH - Ethiopia MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Maternal Health Services/*utilization MH - Obstetric Labor Complications/mortality MH - Pregnancy MH - Pregnant Women MH - Prenatal Care/*statistics & numerical data MH - Prenatal Education/statistics & numerical data MH - Surveys and Questionnaires MH - Young Adult PMC - PMC4574761 OID - NLM: PMC4574761 EDAT- 2015/09/18 06:00 MHDA- 2016/06/11 06:00 CRDT- 2015/09/18 06:00 PHST- 2015/01/27 [received] PHST- 2015/08/18 [accepted] AID - 10.1371/journal.pone.0137570 [doi] AID - PONE-D-15-02199 [pii] PST - epublish SO - PLoS One. 2015 Sep 17;10(9):e0137570. doi: 10.1371/journal.pone.0137570. eCollection 2015. PMID- 26364335 OWN - NLM STAT- MEDLINE DA - 20150914 DCOM- 20151030 LR - 20150914 IS - 1462-2815 (Print) IS - 1462-2815 (Linking) VI - 88 IP - 5 DP - 2015 May TI - The 'Born Bonded' programme: an antenatal service evaluation. PG - 37-40 AB - A service evaluation of an antenatal programme to improve 'bonding' with the unborn child is described. This was an attempt to see if Comfort Zone which was previously found to be useful by parents could also be helpful as part of an antenatal programme. As this was a preliminary investigation pragmatism was prioritised over a robust design. However given the limitations in the measures used all participants reported either the same or an improved bond with their unborn child. Further research is required to gather evidence for the effectiveness of Comfort Zone and its usefulness antenatally. FAU - McLackland, Brenda AU - McLackland B LA - eng PT - Journal Article PL - England TA - Community Pract JT - Community practitioner : the journal of the Community Practitioners' & Health Visitors' Association JID - 9809060 SB - N MH - England MH - Female MH - Humans MH - Infant, Newborn MH - Male MH - *Object Attachment MH - Parents/*psychology MH - Pregnancy MH - *Prenatal Care MH - Program Evaluation MH - State Medicine EDAT- 2015/09/15 06:00 MHDA- 2015/10/31 06:00 CRDT- 2015/09/15 06:00 PST - ppublish SO - Community Pract. 2015 May;88(5):37-40. PMID- 26342849 OWN - NLM STAT- MEDLINE DA - 20151109 DCOM- 20160817 LR - 20151109 IS - 1873-2518 (Electronic) IS - 0264-410X (Linking) VI - 33 IP - 45 DP - 2015 Nov 09 TI - Current practices and needs regarding perinatal childhood immunization education for Japanese mothers. PG - 6128-33 LID - 10.1016/j.vaccine.2015.08.069 [doi] LID - S0264-410X(15)01207-4 [pii] AB - BACKGROUND: Accurate, standardized information on childhood immunization is not available in Japan. We investigated current practices in perinatal childhood immunization education in the community and the needs and interest for such education among Japanese mothers. METHODS: This cross-sectional, descriptive study evaluated pregnant and postnatal women at four institutions in Niigata, Japan from May through July 2014. Data were collected using questionnaires inquiring about demographics, immunization education received, intent to receive childhood vaccines, and needs regarding information on childhood immunization. RESULTS: Questionnaires were distributed to 300 women, and 116 (38.6%) were returned; 70 (59.6%) of the respondents were pregnant women and 46 (40.3%) were postnatal women. Fourteen (20%) of the 70 pregnant women reported receiving some form of immunization education; in contrast, 34 (73.9%) of 46 postnatal women had received such education within 1 month of delivery. The rates of respondents who felt that the information was insufficient were high: 78.6% among pregnant women and 52.9% among postnatal women. Pregnant women reported that the most important information was general concepts of immunization; in contrast, postnatal women desired more-detailed information, e.g., on immunization scheduling. CONCLUSIONS: Japanese women do not receive sufficient perinatal immunization education. The information needed during the prenatal and postnatal periods differs. Thus, educational approaches may need to provide carefully targeted information. CI - Copyright (c) 2015. Published by Elsevier Ltd. FAU - Saitoh, Aya AU - Saitoh A AD - Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. FAU - Saitoh, Akihiko AU - Saitoh A AD - Department of Pediatrics, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan. FAU - Sato, Isamu AU - Sato I AD - Yoiko-no-Syonika Sato Clinic, Niigata, Japan. FAU - Shinozaki, Tomohiro AU - Shinozaki T AD - School of Public Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. FAU - Nagata, Satoko AU - Nagata S AD - School of Public Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. Electronic address: satoko-tky@umin.ac.jp. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150903 PL - Netherlands TA - Vaccine JT - Vaccine JID - 8406899 SB - IM MH - Adult MH - Cross-Sectional Studies MH - Female MH - *Health Education MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Immunization MH - Immunization Schedule MH - Japan MH - Mothers/*education MH - Postnatal Care MH - Pregnancy MH - *Pregnant Women/ethnology MH - Prenatal Care MH - Surveys and Questionnaires MH - Young Adult OTO - NOTNLM OT - Education OT - Immunization OT - Infants OT - Japan OT - Parents OT - Perinatal EDAT- 2015/09/08 06:00 MHDA- 2016/08/18 06:00 CRDT- 2015/09/07 06:00 PHST- 2015/02/28 [received] PHST- 2015/05/17 [revised] PHST- 2015/08/19 [accepted] AID - S0264-410X(15)01207-4 [pii] AID - 10.1016/j.vaccine.2015.08.069 [doi] PST - ppublish SO - Vaccine. 2015 Nov 9;33(45):6128-33. doi: 10.1016/j.vaccine.2015.08.069. Epub 2015 Sep 3. PMID- 26328461 OWN - NLM STAT- MEDLINE DA - 20150902 DCOM- 20151026 LR - 20161125 IS - 1461-3123 (Print) IS - 1461-3123 (Linking) VI - 18 IP - 4 DP - 2015 Apr TI - Fathers' presence at caesarean section with general anaesthetic: evidence and debate. PG - 19-22 AB - In the UK, debate about fathers' presence during the birth of their baby by normal birth is largely resolved. Fathers' attendance during caesarean section, both routine and emergency, remains controversial. This article draws upon research evidence professional insights and the authors' personal life experiences to contribute to the debate about the presence of fathers during caesarean births with general anaesthetic. We argue that the widespread exclusion of fathers in these circumstances may be contrary to both parents' wishes, and clinicians should consider offering women the choice of a nominated support person. Such a person can help the mother to fill in the missing pieces of the birth experience. Moreover, where this person is the baby's father, there may be additional familial benefits for his transition to parenthood. Further research is warranted into the presence of fathers during births that are clinically problematic. FAU - Hugill, Kevin AU - Hugill K FAU - Kemp, Ian AU - Kemp I FAU - Kingdon, Carol AU - Kingdon C LA - eng PT - Journal Article PL - England TA - Pract Midwife JT - The practising midwife JID - 9814758 SB - N MH - Anesthesia, General/*psychology MH - Cesarean Section/*psychology MH - Choice Behavior MH - Elective Surgical Procedures/psychology MH - Fathers/*psychology MH - Female MH - Humans MH - Infant, Newborn MH - Male MH - *Paternal Behavior MH - Pregnancy MH - Prenatal Education/methods MH - United Kingdom EDAT- 2015/09/04 06:00 MHDA- 2015/10/27 06:00 CRDT- 2015/09/03 06:00 PST - ppublish SO - Pract Midwife. 2015 Apr;18(4):19-22. PMID- 26324493 OWN - NLM STAT- MEDLINE DA - 20150901 DCOM- 20161213 LR - 20161230 IS - 1478-5242 (Electronic) IS - 0960-1643 (Linking) VI - 65 IP - 638 DP - 2015 Sep TI - Antenatal needs of couples following fertility treatment: a qualitative study in primary care. PG - e570-7 LID - 10.3399/bjgp15X686473 [doi] AB - BACKGROUND: It is known that couples may experience emotional distress while undergoing infertility treatment, but less is known about their experience of pregnancy following successful conception. Typically, couples are discharged from the fertility clinic to receive standard antenatal care. Recent research has raised questions about whether this care adequately meets their needs. AIM: To explore the antenatal experiences of females and males who have successfully conceived through infertility treatment. DESIGN AND SETTING: An exploratory qualitative approach was undertaken, using individual, in-depth interviews with females and males who had successfully undergone infertility treatment in one of three fertility clinics in the south of England. METHOD: Twenty participants were interviewed (12 females and eight male partners) when their pregnancy had reached 28 weeks' gestation. Participants were asked about their experiences of infertility treatment, pregnancy, and antenatal care. Interviews were audiorecorded, transcribed, and analysed thematically. RESULTS: Analysis of the interviews suggested females and males experienced a 'gap' in their care, in terms of time and intensity, when discharged from the fertility clinic to standard antenatal care. This gap, combined with their previous experience of infertility treatment, heightened their fear of pregnancy loss and increased their need for support from their health professionals. Participants' previous experience of infertility treatment also appeared to deter them from preparing for the birth and parenthood, and disclosing negative feelings to others about the pregnancy. CONCLUSION: Females and males who have successfully undergone infertility treatment may require additional support in primary care to address anxiety during pregnancy, enable disclosure of negative feelings, and to help them prepare for childbirth and parenthood. CI - (c) British Journal of General Practice 2015. FAU - French, Lydia Rm AU - French LR AD - Centre for Academic Primary Care, University of Bristol, Bristol. FAU - Sharp, Debbie J AU - Sharp DJ AD - Centre for Academic Primary Care, University of Bristol, Bristol. FAU - Turner, Katrina M AU - Turner KM AD - Centre for Academic Primary Care, University of Bristol, Bristol. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Br J Gen Pract JT - The British journal of general practice : the journal of the Royal College of General Practitioners JID - 9005323 SB - IM MH - *Adaptation, Psychological MH - Adult MH - Continuity of Patient Care/organization & administration MH - Family Characteristics MH - Female MH - Fertilization MH - Humans MH - Infertility/*therapy MH - Interpersonal Relations MH - Male MH - Mental Health MH - Needs Assessment MH - Pregnancy MH - Prenatal Care/methods/organization & administration MH - *Prenatal Education/methods/organization & administration MH - *Primary Health Care/methods/organization & administration MH - United Kingdom PMC - PMC4540396 OID - NLM: PMC4540396 OTO - NOTNLM OT - infertility OT - mental health OT - prenatal care OT - primary health care EDAT- 2015/09/02 06:00 MHDA- 2016/12/15 06:00 CRDT- 2015/09/02 06:00 AID - 65/638/e570 [pii] AID - 10.3399/bjgp15X686473 [doi] PST - ppublish SO - Br J Gen Pract. 2015 Sep;65(638):e570-7. doi: 10.3399/bjgp15X686473. PMID- 26307325 OWN - NLM STAT- MEDLINE DA - 20150826 DCOM- 20161213 LR - 20161230 IS - 2196-1042 (Electronic) IS - 1723-7785 (Linking) VI - 16 DP - 2015 TI - Timetable for oral prevention in childhood-a current opinion. PG - 27 LID - 10.1186/s40510-015-0098-5 [doi] AB - Dental caries in young children remains a public health problem particularly for children whose families are socioeconomically deprived. A child's first dental visit should be at approximately 12 months of age and this should facilitate the provision of anticipatory guidance concerning oral health and dental development to the child's parents/guardians. Compliance with dietary advice is of key importance and motivational interviewing shows promise in relation to parents adopting good oral health practices for their children. Twice daily toothbrushing using toothpaste that contains in the range of 1000- 1500ppmF is a most important preventive measure. It is important to use a minimal amount of toothpaste, insure that it is not swallowed, have parental or adult supervision during toothbrushing and avoid rinsing with water following brushing with toothpaste. The professional application of topical fluoride varnish twice yearly is a proven caries preventative measure. The application of pit and fissure sealants to teeth with deep pits and fissures is recommended. FAU - Fleming, Paddy AU - Fleming P AD - Dublin Dental University Hospital, Trinity College Dublin, Dublin 2, Ireland, pfleming@dental.tcd.ie. LA - eng PT - Journal Article DEP - 20150826 PL - Germany TA - Prog Orthod JT - Progress in orthodontics JID - 100936353 RN - 0 (Cariostatic Agents) RN - 0 (Fluorides, Topical) RN - 0 (Pit and Fissure Sealants) RN - 0 (Toothpastes) RN - Q80VPU408O (Fluorides) SB - D SB - IM MH - Adolescent MH - Cariostatic Agents/therapeutic use MH - Child MH - *Child Health MH - Child, Preschool MH - Counseling MH - Dental Caries/*prevention & control MH - Early Diagnosis MH - Feeding Methods MH - Fluorides/therapeutic use MH - Fluorides, Topical/therapeutic use MH - Health Education, Dental MH - Humans MH - Infant MH - Motivational Interviewing MH - *Oral Health MH - Pit and Fissure Sealants/therapeutic use MH - Prenatal Education MH - Toothbrushing/methods MH - Toothpastes/therapeutic use MH - Vulnerable Populations PMC - PMC4549371 OID - NLM: PMC4549371 EDAT- 2015/08/27 06:00 MHDA- 2016/12/15 06:00 CRDT- 2015/08/27 06:00 PHST- 2015/08/07 [received] PHST- 2015/08/13 [accepted] AID - 10.1186/s40510-015-0098-5 [doi] PST - ppublish SO - Prog Orthod. 2015;16:27. doi: 10.1186/s40510-015-0098-5. Epub 2015 Aug 26. PMID- 26289058 OWN - NLM STAT- MEDLINE DA - 20160108 DCOM- 20170130 LR - 20170130 IS - 1552-5732 (Electronic) IS - 0890-3344 (Linking) VI - 32 IP - 1 DP - 2016 Feb TI - The Impact of a Prenatal Education Video on Rates of Breastfeeding Initiation and Exclusivity during the Newborn Hospital Stay in a Low-income Population. PG - 152-9 LID - 10.1177/0890334415599402 [doi] AB - BACKGROUND: Guidelines recommend prenatal education to improve breastfeeding rates; however, effective educational interventions targeted at low-income, minority populations are needed as they remain less likely to breastfeed. OBJECTIVE: To determine whether a low-cost prenatal education video improves hospital rates of breastfeeding initiation and exclusivity in a low-income population. METHODS: A total of 522 low-income women were randomized during a prenatal care visit occurring in the third trimester to view an educational video on either breastfeeding or prenatal nutrition and exercise. Using multivariable analyses, breastfeeding initiation rates and exclusivity during the hospital stay were compared. RESULTS: Exposure to the intervention did not affect breastfeeding initiation rates or duration during the hospital stay. The lack of an effect on breastfeeding initiation persisted even after controlling for partner, parent, or other living at home and infant complications (adjusted odds ratio [OR] = 1.05, 95% CI, 0.70-1.56). In addition, breastfeeding exclusivity rates during the hospital stay did not differ between the groups (P = .87). CONCLUSION: This study suggests that an educational breastfeeding video alone is ineffective in improving the hospital breastfeeding practices of low-income women. Increasing breastfeeding rates in this at-risk population likely requires a multipronged effort begun early in pregnancy or preconception. CI - (c) The Author(s) 2015. FAU - Kellams, Ann L AU - Kellams AL AD - Department of Pediatrics, University of Virginia, Charlottesville, VA, USA alk9c@virginia.edu. FAU - Gurka, Kelly K AU - Gurka KK AD - Department of Epidemiology, West Virginia University, Morgantown, WV, USA. FAU - Hornsby, Paige P AU - Hornsby PP AD - Department of Public Health Sciences, University of Virginia, Charlottesville, VA, USA. FAU - Drake, Emily AU - Drake E AD - School of Nursing, University of Virginia, Charlottesville, VA, USA. FAU - Riffon, Mark AU - Riffon M AD - Department of Biostatistics, West Virginia University, Morgantown, WV, USA. FAU - Gellerson, Daphne AU - Gellerson D AD - University of Maryland School of Medicine, Baltimore, MD, USA. FAU - Gulati, Gauri AU - Gulati G AD - Department of Pediatrics, Virginia Commonwealth University, Richmond, VA, USA. FAU - Coleman, Valerie AU - Coleman V AD - Institute of Women's Health, Virginia Commonwealth University, Richmond, VA, USA. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20150819 PL - United States TA - J Hum Lact JT - Journal of human lactation : official journal of International Lactation Consultant Association JID - 8709498 SB - N MH - Adult MH - Breast Feeding/economics/ethnology/*statistics & numerical data MH - Ethnic Groups MH - Female MH - Humans MH - Infant, Newborn MH - Minority Groups MH - *Motion Pictures as Topic MH - *Poverty MH - Pregnancy MH - Prenatal Education/*methods MH - Virginia OTO - NOTNLM OT - WIC OT - breastfeeding OT - education OT - exclusive OT - exclusivity OT - hospital OT - human OT - initiation OT - low-income OT - milk OT - prenatal OT - video EDAT- 2015/08/21 06:00 MHDA- 2017/01/31 06:00 CRDT- 2015/08/21 06:00 PHST- 2015/03/25 [received] PHST- 2015/07/11 [accepted] AID - 0890334415599402 [pii] AID - 10.1177/0890334415599402 [doi] PST - ppublish SO - J Hum Lact. 2016 Feb;32(1):152-9. doi: 10.1177/0890334415599402. Epub 2015 Aug 19. PMID- 26231519 OWN - NLM STAT- MEDLINE DA - 20150803 DCOM- 20160321 LR - 20170220 IS - 1471-2393 (Electronic) IS - 1471-2393 (Linking) VI - 15 DP - 2015 Aug 01 TI - A study to prolong breastfeeding duration: design and rationale of the Parent Infant Feeding Initiative (PIFI) randomised controlled trial. PG - 159 LID - 10.1186/s12884-015-0601-5 [doi] AB - BACKGROUND: Very few Australian infants are exclusively breastfed to 6 months as recommended by the World Health Organization. There is strong empirical evidence that fathers have a major impact on their partner's decision to breastfeed and continuation of breastfeeding. Fathers want to participate in the breastfeeding decision making process and to know how they can support their partner to achieve their breastfeeding goals. The aim of the Parent Infant Feeding Initiative (PIFI) is to evaluate the effect on duration of any and exclusive breastfeeding of three breastfeeding promotion interventions of differing intensity and duration, targeted at couples but channelled through the male partner. The study will also undertake a cost-effectiveness evaluation of the interventions. METHODS/DESIGN: The PIFI study is a factorial randomised controlled trial. Participants will be mothers and their male partners attending antenatal classes at selected public and private hospitals with maternity departments in Perth, Western Australia. Fathers will be randomly allocated to either the usual care control group (CG), one of two medium intensity (MI1 and MI2) interventions, or a high intensity (HI) intervention. MI1 will include a specialised antenatal breastfeeding education session for fathers with supporting print materials. MI2 will involve the delivery of an antenatal and postnatal social support intervention delivered via a smartphone application and HI will include both the specialised antenatal class and the social support intervention. Outcome data will be collected from couples at baseline and at six and 26 weeks postnatally. A total of 1600 couples will be recruited. This takes into account a 25% attrition rate, and will detect at least a 10% difference in the proportion of mothers breastfeeding between any two of the groups at 26 weeks at 80% power and 5% level of significance, using a Log-rank survival test. Multivariable survival and logistic regression analyses will be used to assess the effect of the treatment groups on the outcomes after adjusting for covariates. DISCUSSION: The PIFI study will be the first Australian study to provide Level II evidence of the impact on breastfeeding duration of a comprehensive, multi-level, male-partner-focused breastfeeding intervention. Unique features of the intervention include its large sample size, delivery of two of the interventions by mobile device technology, a rigorous assessment of intervention fidelity and a cost-effectiveness evaluation. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry ACTRN12614000605695. Registered 6 June 2014. FAU - Maycock, Bruce R AU - Maycock BR AD - School of Public Health, Curtin University, GPO Box U1987, Perth, 6845, Australia. b.maycock@curtin.edu.au. AD - Collaboration for Evidence, Research and Impact in Public Health (CERIPH), Curtin University, Perth, Australia. b.maycock@curtin.edu.au. FAU - Scott, Jane A AU - Scott JA AD - School of Public Health, Curtin University, GPO Box U1987, Perth, 6845, Australia. jane.scott@curtin.edu.au. AD - Collaboration for Evidence, Research and Impact in Public Health (CERIPH), Curtin University, Perth, Australia. jane.scott@curtin.edu.au. FAU - Hauck, Yvonne L AU - Hauck YL AD - School of Nursing and Midwifery, Curtin University, Perth, Australia. y.hauck@curtin.edu.au. FAU - Burns, Sharyn K AU - Burns SK AD - School of Public Health, Curtin University, GPO Box U1987, Perth, 6845, Australia. s.burns@curtin.edu.au. AD - Collaboration for Evidence, Research and Impact in Public Health (CERIPH), Curtin University, Perth, Australia. s.burns@curtin.edu.au. FAU - Robinson, Suzanne AU - Robinson S AD - School of Public Health, Curtin University, GPO Box U1987, Perth, 6845, Australia. suzanne.robinson@curtin.edu.au. FAU - Giglia, Roslyn AU - Giglia R AD - School of Public Health, Curtin University, GPO Box U1987, Perth, 6845, Australia. roslyn.giglia@telethonkids.org.au. AD - Telethon Kids Institute, Perth, Australia. roslyn.giglia@telethonkids.org.au. FAU - Jorgensen, Anita AU - Jorgensen A AD - School of Public Health, Curtin University, GPO Box U1987, Perth, 6845, Australia. A.Jorgensen@exchange.curtin.edu.au. FAU - White, Becky AU - White B AD - School of Public Health, Curtin University, GPO Box U1987, Perth, 6845, Australia. becky.white@curtin.edu.au. FAU - Harries, Annegrete AU - Harries A AD - School of Public Health, Curtin University, GPO Box U1987, Perth, 6845, Australia. Anna.harries@curtin.edu.au. FAU - Dhaliwal, Satvinder AU - Dhaliwal S AD - School of Public Health, Curtin University, GPO Box U1987, Perth, 6845, Australia. s.dhaliwal@curtin.edu.au. AD - School of Nursing and Midwifery, Curtin University, Perth, Australia. s.dhaliwal@curtin.edu.au. FAU - Howat, Peter A AU - Howat PA AD - School of Public Health, Curtin University, GPO Box U1987, Perth, 6845, Australia. p.howat@curtin.edu.au. AD - Collaboration for Evidence, Research and Impact in Public Health (CERIPH), Curtin University, Perth, Australia. p.howat@curtin.edu.au. FAU - Binns, Colin W AU - Binns CW AD - School of Public Health, Curtin University, GPO Box U1987, Perth, 6845, Australia. c.binns@curtin.edu.au. AD - Collaboration for Evidence, Research and Impact in Public Health (CERIPH), Curtin University, Perth, Australia. c.binns@curtin.edu.au. LA - eng SI - ANZCTR/ACTRN12614000605695 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20150801 PL - England TA - BMC Pregnancy Childbirth JT - BMC pregnancy and childbirth JID - 100967799 SB - IM MH - Attitude to Health MH - Australia MH - *Breast Feeding MH - Fathers MH - Female MH - Health Promotion/*methods MH - Humans MH - Infant MH - Infant, Newborn MH - Logistic Models MH - Male MH - Mothers MH - Multivariate Analysis MH - Pregnancy MH - Prenatal Education/*methods MH - Self Efficacy MH - Survival Analysis MH - Time Factors PMC - PMC4522088 OID - NLM: PMC4522088 EDAT- 2015/08/02 06:00 MHDA- 2016/03/22 06:00 CRDT- 2015/08/02 06:00 PHST- 2015/04/16 [received] PHST- 2015/07/28 [accepted] AID - 10.1186/s12884-015-0601-5 [doi] AID - 10.1186/s12884-015-0601-5 [pii] PST - epublish SO - BMC Pregnancy Childbirth. 2015 Aug 1;15:159. doi: 10.1186/s12884-015-0601-5. PMID- 26159766 OWN - NLM STAT- MEDLINE DA - 20151218 DCOM- 20160923 LR - 20170220 IS - 1464-5351 (Electronic) IS - 1369-1058 (Linking) VI - 17 Suppl 2 DP - 2015 TI - Challenging gender inequity through male involvement in maternal and newborn health: critical assessment of an emerging evidence base. PG - S177-89 LID - 10.1080/13691058.2015.1053412 [doi] AB - Men's involvement in the health of women and children is considered an important avenue for addressing gender influences on maternal and newborn health. The impact of male involvement around the time of childbirth on maternal and newborn health outcomes was examined as one part of a systematic review of maternal health intervention studies published between 2000 and 2012. Of 33,888 articles screened, 13 eligible studies relating to male involvement were identified. The interventions documented in these studies comprise an emerging evidence base for male involvement in maternal and newborn health. We conducted a secondary qualitative analysis of the 13 studies, reviewing content that had been systematically extracted. A critical assessment of this extracted content finds important gaps in the evidence base, which are likely to limit how 'male involvement' is understood and implemented in maternal and newborn health policy, programmes and research. Collectively, the studies point to the need for an evidence base that includes studies that clearly articulate and document the gender-transformative potential of involving men. This broader evidence base could support the use of male involvement as a strategy to improve both health and gender equity outcomes. FAU - Comrie-Thomson, Liz AU - Comrie-Thomson L AD - a Centre for International Health , Burnet Institute , Melbourne , Australia. AD - f Department of Epidemiology and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences , School of Public Health and Preventive Medicine, Monash University , Melbourne , Australia. FAU - Tokhi, Mariam AU - Tokhi M AD - a Centre for International Health , Burnet Institute , Melbourne , Australia. FAU - Ampt, Frances AU - Ampt F AD - a Centre for International Health , Burnet Institute , Melbourne , Australia. FAU - Portela, Anayda AU - Portela A AD - b Department of Maternal, Newborn, Child and Adolescent Health , World Health Organization , Geneva , Switzerland. FAU - Chersich, Matthew AU - Chersich M AD - c Faculty of Health Sciences , Centre for Health Policy, University of Witwatersrand , Johannesburg , South Africa. AD - d Faculty of Health Sciences , Wits Reproductive Health and HIV Institute, University of Witwatersrand , Johannesburg , South Africa. FAU - Khanna, Renu AU - Khanna R AD - e Society for Health Alternatives , Gujarat , India. FAU - Luchters, Stanley AU - Luchters S AD - a Centre for International Health , Burnet Institute , Melbourne , Australia. AD - f Department of Epidemiology and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences , School of Public Health and Preventive Medicine, Monash University , Melbourne , Australia. LA - eng GR - 001/World Health Organization/International PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20150710 PL - England TA - Cult Health Sex JT - Culture, health & sexuality JID - 100883416 SB - IM MH - Fathers/education/*psychology MH - Female MH - *Gender Identity MH - Health Promotion MH - Humans MH - *Infant Health MH - Infant, Newborn MH - *Maternal Health MH - Perinatal Care/methods MH - Pregnancy MH - Qualitative Research PMC - PMC4706017 OID - NLM: PMC4706017 OTO - NOTNLM OT - male engagement OT - male involvement OT - maternal health OT - newborn health EDAT- 2015/07/15 06:00 MHDA- 2016/09/24 06:00 CRDT- 2015/07/11 06:00 AID - 10.1080/13691058.2015.1053412 [doi] PST - ppublish SO - Cult Health Sex. 2015;17 Suppl 2:S177-89. doi: 10.1080/13691058.2015.1053412. Epub 2015 Jul 10. PMID- 26157059 OWN - NLM STAT- MEDLINE DA - 20150902 DCOM- 20160426 LR - 20150902 IS - 1522-1490 (Electronic) IS - 0363-6119 (Linking) VI - 309 IP - 5 DP - 2015 Sep TI - Aerobic exercise training reduces cardiac function in adult male offspring exposed to prenatal hypoxia. PG - R489-98 LID - 10.1152/ajpregu.00201.2015 [doi] AB - Intrauterine growth restriction (IUGR) has been associated with increased susceptibility to myocardial ischemia-reperfusion (I/R) injury. Exercise is an effective preventive intervention for cardiovascular diseases; however, it may be detrimental in conditions of compromised health. The aim of this study was to determine whether exercise training can improve cardiac performance after I/R injury in IUGR offspring. We used a hypoxia-induced IUGR model by exposing pregnant Sprague-Dawley rats to 21% oxygen (control) or hypoxic (11% oxygen; IUGR) conditions from gestational day 15 to 21. At 10 wk of age, offspring were randomized to a sedentary group or to a 6-wk exercise protocol. Transthoracic echocardiography assessments were performed after 6 wk. Twenty-four hours after the last bout of exercise, ex vivo cardiac function was determined using a working heart preparation. With exercise training, there was improved baseline cardiac performance in male control offspring but a reduced baseline cardiac performance in male IUGR exercised offspring (P < 0.05). In male offspring, exercise decreased superoxide generation in control offspring, while in IUGR offspring, it had the polar opposite effect (interaction P C) and Hb Quong Sze (Hb QS, HBA2: c.377T > C) mutations by reverse dot-blot assay. Prenatal diagnoses were offered in at-risk pregnancies. During the study period, 51,105 couples were found to be carrying alpha-thal; among these, 35 (0.07%) couples were found to be at-risk of conceiving an offspring with nondeletional Hb H disease, including 25 couples for Hb H-CS and 10 cases for Hb H-QS. Nine fetuses were diagnosed with nondeletional Hb H disease, and eight of the affected pregnancies were terminated. Detection of nondeletional alpha-thal is necessary for any prenatal diagnosis (PND) programs in Southeast Asian countries. Reverse dot-blot is a relatively simple method for simultaneous typing of common nondeletional alpha-thal mutations. FAU - Li, Jian AU - Li J AD - Prenatal Diagnostic Center, Guangzhou Women & Children's Medical Center, Guangzhou Medical University , Guangzhou, Guangdong , People's Republic of China. FAU - Li, Ru AU - Li R FAU - Li, Dong-Zhi AU - Li DZ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141219 PL - England TA - Hemoglobin JT - Hemoglobin JID - 7705865 RN - 0 (Hemoglobins, Abnormal) RN - 137085-32-6 (hemoglobin Quong Sze) RN - 9066-22-2 (Hemoglobin Constant Spring) SB - IM MH - China/epidemiology MH - Female MH - Fetal Diseases/diagnosis/epidemiology/genetics MH - Hemoglobins, Abnormal/*genetics MH - Humans MH - Male MH - *Mutation MH - Polymerase Chain Reaction MH - Pregnancy MH - *Prenatal Diagnosis MH - alpha-Thalassemia/diagnosis/epidemiology/*genetics OTO - NOTNLM OT - Hb H disease OT - nondeletional mutations OT - prenatal diagnosis (PND) OT - alpha-Thalassemia OT - alpha-thal EDAT- 2014/12/20 06:00 MHDA- 2015/09/30 06:00 CRDT- 2014/12/20 06:00 AID - 10.3109/03630269.2014.985832 [doi] PST - ppublish SO - Hemoglobin. 2015;39(1):42-5. doi: 10.3109/03630269.2014.985832. Epub 2014 Dec 19. PMID- 25433826 OWN - NLM STAT- MEDLINE DA - 20141201 DCOM- 20150707 LR - 20141201 IS - 1877-5764 (Electronic) IS - 1877-5756 (Linking) VI - 5 IP - 4 DP - 2014 Dec TI - Integrating couple relationship education in antenatal education - a study of perceived relevance among expectant Danish parents. PG - 174-5 LID - 10.1016/j.srhc.2014.06.006 [doi] LID - S1877-5756(14)00033-0 [pii] AB - Little is known about which elements antenatal education should encompass to meet the needs of parents today. Psycho-social aspects relating to couple- and parenthood have generally not been covered in Danish antenatal education, although studies suggest that parents need this information. The aim of this study was to examine perceived relevance of couple relationship topics integrated in an antenatal programme among intervention participants in the NEWBORN trial. Our study shows that 84% of the participants found it relevant to learn about communication skills and changes in the relationship during and after pregnancy. CI - Copyright (c) 2014 Elsevier B.V. All rights reserved. FAU - Axelsen, Solveig Forberg AU - Axelsen SF AD - National Institute of Public Health, University of Southern Denmark, Denmark. FAU - Brixval, Carina Sjoberg AU - Brixval CS AD - National Institute of Public Health, University of Southern Denmark, Denmark. FAU - Due, Pernille AU - Due P AD - National Institute of Public Health, University of Southern Denmark, Denmark. FAU - Koushede, Vibeke AU - Koushede V AD - National Institute of Public Health, University of Southern Denmark, Denmark. Electronic address: vibe@niph.dk. LA - eng PT - Journal Article DEP - 20140619 PL - Netherlands TA - Sex Reprod Healthc JT - Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives JID - 101530546 SB - IM MH - *Attitude MH - Communication MH - Denmark MH - *Family Characteristics MH - Female MH - Humans MH - Interpersonal Relations MH - Male MH - *Parents MH - Pregnancy MH - *Prenatal Education OTO - NOTNLM OT - Antenatal education classes OT - Couple relationship education OT - Implementation OT - Parenthood OT - Perceived relevance EDAT- 2014/12/01 06:00 MHDA- 2015/07/08 06:00 CRDT- 2014/12/01 06:00 PHST- 2014/04/02 [received] PHST- 2014/05/16 [revised] PHST- 2014/06/17 [accepted] AID - S1877-5756(14)00033-0 [pii] AID - 10.1016/j.srhc.2014.06.006 [doi] PST - ppublish SO - Sex Reprod Healthc. 2014 Dec;5(4):174-5. doi: 10.1016/j.srhc.2014.06.006. Epub 2014 Jun 19. PMID- 25272331 OWN - NLM STAT- MEDLINE DA - 20150810 DCOM- 20160606 LR - 20150810 IS - 1365-2214 (Electronic) IS - 0305-1862 (Linking) VI - 41 IP - 5 DP - 2015 Sep TI - Mothers' and health care providers' perspectives of the barriers and facilitators to attendance at Canadian neonatal follow-up programs. PG - 722-33 LID - 10.1111/cch.12202 [doi] AB - BACKGROUND: Despite the benefits of Neonatal Follow-Up (NFU) programs for infants at risk for developmental problems subsequent to preterm birth, non-attendance continues to be a problem within Canada and beyond. This study investigated the barriers and facilitators to attendance at Canadian NFU programs from mothers' and health care providers' (HCP) perspectives. METHODS: In this multi-site qualitative descriptive study, we conducted semi-structured individual interviews with 12 mothers, six from each of two NFU programs; and focus groups with 20 HCPs from nine NFU programs. Interviews were audio-recorded and transcribed and then subjected to thematic analysis. RESULTS: The predominant barriers represented a complex interplay of cumulative factors: mothers' isolation and feeling overwhelmed, with limited support, experiencing difficulty attending because of limited resources, who viewed NFU as not needed until problems arose for their child. Other barriers included vulnerability and fear of bad news. Mothers reported the need to protect their vulnerable child from risks, whereas HCPs reported creating vulnerability by monitoring the child's development over time. HCPs perceived fear of bad news as a barrier, whereas mothers viewed that impending bad news increased their need to attend to address the issue. The predominant facilitators were support, family centred-care and mothers with adequate resources. CONCLUSIONS: Attendance is most problematic for mothers with limited support, capacity and resources. First and foremost, targeted approaches to NFU service provision are needed to address the cumulative barriers and improve experiences for mothers who find it difficult to attend NFU. A continuous relationship with a single point of contact is needed and merits further investigation - a provider who works across the traditional silos of neonatal intensive care, NFU and community services, minimizes duplication and navigates transitions. CI - (c) 2014 The Authors. Child: Care, Health and Development published by John Wiley & Sons Ltd. FAU - Ballantyne, M AU - Ballantyne M AD - School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada. FAU - Benzies, K AU - Benzies K AD - Faculty of Nursing, University of Calgary, Calgary, AB, Canada. FAU - Rosenbaum, P AU - Rosenbaum P AD - Department of Pediatrics, McMaster University, Hamilton, ON, Canada. FAU - Lodha, A AU - Lodha A AD - Department of Paediatrics, University of Calgary, Calgary, AB, Canada. LA - eng GR - Canadian Institutes of Health Research/Canada PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20141001 PL - England TA - Child Care Health Dev JT - Child: care, health and development JID - 7602632 SB - IM MH - Adult MH - Canada/epidemiology MH - Female MH - *Focus Groups MH - Follow-Up Studies MH - Humans MH - Infant, Newborn MH - Infant, Premature MH - Maternal-Child Health Services/*statistics & numerical data MH - Mother-Child Relations MH - Mothers/education/*psychology MH - Parenting/psychology MH - Patient Acceptance of Health Care/psychology/*statistics & numerical data MH - Patient Participation MH - *Postnatal Care MH - Pregnancy MH - Qualitative Research MH - Referral and Consultation MH - Social Support OTO - NOTNLM OT - access to health care OT - follow-up OT - health professionals OT - outpatient clinics OT - parent perceptions OT - qualitative research EDAT- 2014/10/02 06:00 MHDA- 2016/06/09 06:00 CRDT- 2014/10/02 06:00 PHST- 2014/08/31 [accepted] AID - 10.1111/cch.12202 [doi] PST - ppublish SO - Child Care Health Dev. 2015 Sep;41(5):722-33. doi: 10.1111/cch.12202. Epub 2014 Oct 1. PMID- 25258167 OWN - NLM STAT- MEDLINE DA - 20141007 DCOM- 20160411 LR - 20170220 IS - 1471-2393 (Electronic) IS - 1471-2393 (Linking) VI - 14 DP - 2014 Sep 26 TI - A qualitative descriptive study of the group prenatal care experience: perceptions of women with low-risk pregnancies and their midwives. PG - 334 LID - 10.1186/1471-2393-14-334 [doi] AB - BACKGROUND: Group prenatal care (GPC) originated in 1994 as an innovative model of prenatal care delivery. In GPC, eight to twelve pregnant women of similar gestational age meet with a health care provider to receive their prenatal check-up and education in a group setting. GPC offers significant health benefits in comparison to traditional, one-on-one prenatal care. Women in GPC actively engage in their healthcare and experience a supportive network with one another. The purpose of this study was to better understand the GPC experience of women and care providers in a lower risk group of women than often has been previously studied. METHODS: This qualitative descriptive study collected data through three focus group interviews--two with women who had completed GPC at a midwifery clinic in Ontario, Canada and one with the midwives at the clinic. Data was analyzed through open coding to identify themes. RESULTS: Nine women and five midwives participated in the focus groups, from which eight categories as well as further subcategories were identified: The women and midwives noted reasons for participating (connections, education, efficiency). Participants suggested both benefits (learning from the group, normalizing the pregnancy experience, preparedness for labour and delivery, and improved relationships as all contributing to positive health outcomes) and concerns with GPC (e.g. sufficient time with the midwife) which generally diminished with experience. Suggestions for change focused on content, environment, partners, and access to the midwives. Challenges to providing GPC included scheduling and systems-level issues such as funding and regulation. Flexibility and commitment to the model facilitated it. Comparison with other models of care identified less of a relationship with the midwife, but more information received. In promoting GPC, women would emphasize the philosophy of care to other women and the midwives would promote the reduction in workload and women's independence to colleagues. CONCLUSIONS: Overall, women and midwives expressed a high level of satisfaction with their GPC experience. This study gained insight into previously unexplored areas of the GPC experience, perceptions of processes that contribute to positive health outcomes, strategies to promote GPC and elements that enhance the feasibility of GPC. FAU - McDonald, Sarah D AU - McDonald SD AD - Division of Maternal-Fetal Medicine, McMaster University, 1280 Main St, West, HSC 3N52B, Hamilton, Ontario L8S4K1, Canada. mcdonals@mcmaster.ca. FAU - Sword, Wendy AU - Sword W FAU - Eryuzlu, Leyla E AU - Eryuzlu LE FAU - Biringer, Anne B AU - Biringer AB LA - eng GR - Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140926 PL - England TA - BMC Pregnancy Childbirth JT - BMC pregnancy and childbirth JID - 100967799 SB - IM MH - Adult MH - Appointments and Schedules MH - *Attitude of Health Personnel MH - Efficiency, Organizational MH - Female MH - Focus Groups MH - *Group Processes MH - Humans MH - *Midwifery MH - *Patient Satisfaction MH - Perception MH - Pregnancy MH - Prenatal Care/methods/*organization & administration MH - Prenatal Education/methods MH - Qualitative Research MH - Risk Factors MH - Social Networking MH - Time Factors MH - Workload PMC - PMC4262064 OID - NLM: PMC4262064 EDAT- 2014/09/27 06:00 MHDA- 2016/04/12 06:00 CRDT- 2014/09/27 06:00 PHST- 2014/05/07 [received] PHST- 2014/09/23 [accepted] AID - 1471-2393-14-334 [pii] AID - 10.1186/1471-2393-14-334 [doi] PST - epublish SO - BMC Pregnancy Childbirth. 2014 Sep 26;14:334. doi: 10.1186/1471-2393-14-334. PMID- 25189220 OWN - NLM STAT- MEDLINE DA - 20140911 DCOM- 20160411 LR - 20170220 IS - 1471-2393 (Electronic) IS - 1471-2393 (Linking) VI - 14 DP - 2014 Sep 04 TI - Factors associated with non-use of antenatal iron and folic acid supplements among Pakistani women: a cross sectional household survey. PG - 305 LID - 10.1186/1471-2393-14-305 [doi] AB - BACKGROUND: World Health Organization recommends a standard daily oral dose of iron and folic acid (IFA) supplements throughout pregnancy to begin as early as possible. The aim of the present study was to determine the prevalence of use of antenatal IFA supplements, and the socio-demographic factors associated with the non-use of antenatal IFA supplements from 14 selected districts in Pakistan. METHODS: Data was derived from a cross sectional household survey conducted in 14 project districts across Pakistan. Trained female field workers conducted interviews with married women of reproductive age from December 2011 to March 2012. Women with the most recent live births in the preceding five years of the survey were selected for this study. Data was analysed by using STATA 13 and adjusted for the cluster sampling design. Multivariate logistic regression models were constructed to identify the independent factors associated with the non-use of antenatal IFA supplements. RESULTS: Of 6,266 women interviewed, 2,400 (38.3%, 95% CI, 36.6%, 40.1%) reported taking IFA supplements during their last pregnancy. Among IFA users, the most common source of supplements was doctors (49.4%) followed by community health workers (40.3%). The mean (+/-SE) number of supplements used was 76.9 (+/-51.6), and the mean (+/-SE) month of pregnancy at initiation of supplementation was 5.3 (+/-1.7) months. Socio-demographic factors significantly associated with the non-use of antenatal IFA supplements were living in Dera Ghazi Khan district (AdjOR: 1.72), maternal age 45 years and above (AdjOR: 1.97), no maternal education (AdjOR: 2.36), no paternal education (AdjOR: 1.58), belonging to the lowest household wealth index quartile (AdjOR: 1.47), and no use of antenatal care (ANC) services (AdjOR: 13.39). CONCLUSIONS: The coverage of antenatal IFA supplements is very low in the surveyed districts of Pakistan, and the lack of parental education, older aged women, belonging to poorest households, residence in Dera Ghazi Khan district and no use of ANC services were all significantly associated with non-use of these supplements. These findings highlight the urgent need to develop interventions targeting all pregnant women by improving ANC coverage to increase the use of antenatal IFA supplements in Pakistan. FAU - Nisar, Yasir Bin AU - Nisar YB AD - Sydney School of Public Health, The University of Sydney, Sydney, NSW 2006, Australia. yasi8204@uni.sydney.edu.au. FAU - Dibley, Michael J AU - Dibley MJ FAU - Mir, Ali Mohammad AU - Mir AM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140904 PL - England TA - BMC Pregnancy Childbirth JT - BMC pregnancy and childbirth JID - 100967799 RN - 935E97BOY8 (Folic Acid) RN - E1UOL152H7 (Iron) SB - IM MH - Adolescent MH - Adult MH - Cross-Sectional Studies MH - Dietary Supplements MH - Educational Status MH - Fathers/education MH - Female MH - Folic Acid/*therapeutic use MH - Health Surveys MH - Humans MH - Iron/*therapeutic use MH - Male MH - Maternal Age MH - *Medication Adherence MH - Middle Aged MH - Mothers/education MH - Pakistan MH - Poverty MH - Pregnancy MH - Prenatal Care/utilization MH - Residence Characteristics MH - Young Adult PMC - PMC4162926 OID - NLM: PMC4162926 EDAT- 2014/09/06 06:00 MHDA- 2016/04/12 06:00 CRDT- 2014/09/06 06:00 PHST- 2013/11/27 [received] PHST- 2014/09/01 [accepted] AID - 1471-2393-14-305 [pii] AID - 10.1186/1471-2393-14-305 [doi] PST - epublish SO - BMC Pregnancy Childbirth. 2014 Sep 4;14:305. doi: 10.1186/1471-2393-14-305. PMID- 26640281 OWN - NLM STAT- MEDLINE DA - 20160211 DCOM- 20160229 LR - 20170220 IS - 0012-835X (Print) IS - 0012-835X (Linking) VI - 91 IP - 9 DP - 2014 Sep TI - DETERMINANTS OF FIRST ANTENATAL CARE VISIT BY PREGNANT WOMEN AT COMMUNITY BASED EDUCATION, RESEARCH AND SERVICE SITES IN NORTHERN UGANDA. PG - 317-22 AB - BACKGROUND: Antenatal care (ANC) aims mainly at prevention, early detection and management of general medical and pregnancy associated disorders. Early booking is recommended for maximum utilisation. OBJECTIVE: To investigate the determinants of first ANC visit and trimesters at which pregnant mothers enrol for ANC at the COBERS sites of Northern Uganda. DESIGN: A descriptive cross-sectional study. SETTING: Five community based Education, Research and Service sites (COBERS) of Atiak, Madi Opei, Mungula, Namukora and Pajule health centre, fours (HC IV) in the five respective districts of Amuru, Lamwo, Adjumani, Kitgum and Pader, Northern Uganda, from April to July 2013. SUBJECTS: Four hundred and seventeen (417) pregnant women attending antenatal care (ANC) in five health centres and ten purposively selected midwives were interviewed using questionnaires. RESULTS: Of the 417 respondents, only 11.5% (n = 48) had their first ANC at the recommended period of 0-16 weeks. Prevalence of late entry to ANC was 88.5% (n = 369). Mean gestational age at booking was 22.6 +/- 5.7 weeks. Paternal level of education, outcome of previous pregnancy, previous ANC attendance, weeks of amenorrhea, convenience of opening hours at ANC facility, commuting distance from home to health facility, knowing the right time for ANC enrollment and pregnancy planning remained significant predictors governing early booking. CONCLUSION: Late ANC booking is still a major public health concern that demands public enlightenment and paternal education coupled with women empowerment will reduce the magnitude of the problem. FAU - Turyasiima, M AU - Turyasiima M FAU - Tugume, R AU - Tugume R FAU - Openy, A AU - Openy A FAU - Ahairwomugisha, E AU - Ahairwomugisha E FAU - Opio, R AU - Opio R FAU - Ntunguka, M AU - Ntunguka M FAU - Mahulo, N AU - Mahulo N FAU - Akera, P AU - Akera P FAU - Odongo-Aginya, E AU - Odongo-Aginya E LA - eng GR - R24 TW008886/TW/FIC NIH HHS/United States GR - 1R24TW008886/TW/FIC NIH HHS/United States PT - Journal Article PT - Multicenter Study PT - Research Support, N.I.H., Extramural PL - Kenya TA - East Afr Med J JT - East African medical journal JID - 0372766 SB - IM MH - Adolescent MH - Adult MH - Cross-Sectional Studies MH - Educational Status MH - Female MH - Gestational Age MH - Humans MH - Male MH - Middle Aged MH - Midwifery MH - Patient Acceptance of Health Care/*statistics & numerical data MH - Pregnancy MH - *Pregnancy Outcome MH - Prenatal Care/*statistics & numerical data MH - Surveys and Questionnaires MH - Uganda MH - Young Adult PMC - PMC4667733 MID - NIHMS715819 OID - NLM: NIHMS715819 OID - NLM: PMC4667733 EDAT- 2014/09/01 00:00 MHDA- 2016/03/02 06:00 CRDT- 2015/12/08 06:00 PST - ppublish SO - East Afr Med J. 2014 Sep;91(9):317-22. PMID- 25156527 OWN - NLM STAT- MEDLINE DA - 20150105 DCOM- 20150618 LR - 20150804 IS - 1469-994X (Electronic) IS - 1462-2203 (Linking) VI - 17 IP - 1 DP - 2015 Jan TI - Effect of a family-centered, secondhand smoke intervention to reduce respiratory illness in indigenous infants in Australia and New Zealand: a randomized controlled trial. PG - 48-57 LID - 10.1093/ntr/ntu128 [doi] AB - INTRODUCTION: Secondhand smoke (SHS) is a significant cause of acute respiratory illness (ARI) and 5 times more common in indigenous children. A single-blind randomized trial was undertaken to determine the efficacy of a family centered SHS intervention to reduce ARI in indigenous infants in Australia and New Zealand. METHODS: Indigenous mothers/infants from homes with >/= 1 smoker were randomized to a SHS intervention involving 3 home visits in the first 3 months of the infants' lives (plus usual care) or usual care. The primary outcome was number of ARI-related visits to a health provider in the first year of life. Secondary outcomes, assessed at 4 and 12 months of age, included ARI hospitalization rates and mothers' report of infants' SHS exposure (validated by urinary cotinine/creatinine ratios [CCRs]), smoking restrictions, and smoking cessation. RESULTS: Two hundred and ninety-three mother/infant dyads were randomized and followed up. Three quarters of mothers smoked during pregnancy and two thirds were smoking at baseline (as were their partners), with no change for more than 12 months. Reported infant exposure to SHS was low (>/= 95% had smoke-free homes/cars). Infant CCRs were higher if one or both parents were smokers and if mothers breast fed their infants. There was no effect of the intervention on ARI events [471 intervention vs. 438 usual care (reference); incidence rate ratio = 1.10, 95% confidence intervals (CI) = 0.88-1.37, p = .40]. CONCLUSIONS: Despite reporting smoke-free homes/cars, mothers and their partners continue to smoke in the first year of infants' lives, exposing them to SHS. Emphasis needs to be placed on supporting parents to stop smoking preconception, during pregnancy, and postnatal. CI - (c) The Author 2014. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. FAU - Walker, Natalie AU - Walker N AD - National Institute for Health Innovation, School of Population Health, University of Auckland, Auckland, New Zealand; n.walker@nihi.auckland.ac.nz. FAU - Johnston, Vanessa AU - Johnston V AD - Menzies School of Health Research, Institute of Advanced Studies, Charles Darwin University, Darwin, Australia; FAU - Glover, Marewa AU - Glover M AD - Centre for Tobacco Control Research, Social and Community Health, School of Population Health, University of Auckland, Auckland, New Zealand; FAU - Bullen, Christopher AU - Bullen C AD - National Institute for Health Innovation, School of Population Health, University of Auckland, Auckland, New Zealand; FAU - Trenholme, Adrian AU - Trenholme A AD - Kidz First and Women's Health Division, Counties Manukau District Health Board, Auckland, New Zealand; FAU - Chang, Anne AU - Chang A AD - Menzies School of Health Research, Institute of Advanced Studies, Charles Darwin University, Darwin, Australia; Queensland Children's Respiratory Centre and Queensland Children's Medical Research Institute, Royal Children's Hospital, Brisbane, Queensland, Australia; FAU - Morris, Peter AU - Morris P AD - Menzies School of Health Research, Institute of Advanced Studies, Charles Darwin University, Darwin, Australia; FAU - Segan, Catherine AU - Segan C AD - Centre for Health Policy, Programs and Economics, University of Melbourne, Victoria, Australia; FAU - Brown, Ngiare AU - Brown N AD - Department of Medicine, University of Wollongong, Wollongong, Australia; FAU - Fenton, Debra AU - Fenton D AD - Kidz First and Women's Health Division, Counties Manukau District Health Board, Auckland, New Zealand; FAU - Hawthorne, Eyvette AU - Hawthorne E AD - Danila Dilba Aboriginal Health Service, Darwin, Australia; FAU - Borland, Ron AU - Borland R AD - VicHealth Center for Tobacco Control, Cancer Council Victoria, Victoria, Australia; FAU - Parag, Varsha AU - Parag V AD - National Institute for Health Innovation, School of Population Health, University of Auckland, Auckland, New Zealand; FAU - Von Blaramberg, Taina AU - Von Blaramberg T AD - National Institute for Health Innovation, School of Population Health, University of Auckland, Auckland, New Zealand; FAU - Westphal, Darren AU - Westphal D AD - Menzies School of Health Research, Institute of Advanced Studies, Charles Darwin University, Darwin, Australia; FAU - Thomas, David AU - Thomas D AD - Menzies School of Health Research, Institute of Advanced Studies, Charles Darwin University, Darwin, Australia; Lowitja Institute, Charles Darwin University, Darwin, Australia. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20140825 PL - England TA - Nicotine Tob Res JT - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco JID - 9815751 RN - 0 (Tobacco Smoke Pollution) SB - IM MH - Adult MH - Australia MH - *Family MH - Female MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - Maternal-Fetal Relations MH - New Zealand MH - Population Groups MH - Postnatal Care MH - Pregnancy MH - Prenatal Care MH - Respiratory Tract Infections/*prevention & control MH - Single-Blind Method MH - Smoking/*prevention & control MH - Smoking Cessation/*methods MH - Tobacco Smoke Pollution/*prevention & control MH - Treatment Outcome PMC - PMC4282121 OID - NLM: PMC4282121 EDAT- 2014/08/27 06:00 MHDA- 2015/06/19 06:00 CRDT- 2014/08/27 06:00 AID - ntu128 [pii] AID - 10.1093/ntr/ntu128 [doi] PST - ppublish SO - Nicotine Tob Res. 2015 Jan;17(1):48-57. doi: 10.1093/ntr/ntu128. Epub 2014 Aug 25. PMID- 25134443 OWN - NLM STAT- MEDLINE DA - 20140819 DCOM- 20150914 LR - 20140819 IS - 1523-536X (Electronic) IS - 0730-7659 (Linking) VI - 41 IP - 3 DP - 2014 Sep TI - Preventing primary cesareans: implications for laboring women, their partners, nurses, educators, and doulas. PG - 220-2 LID - 10.1111/birt.12124 [doi] FAU - Simkin, Penny AU - Simkin P AD - Simkin Center for Allied Birth Vocations at Bastyr University, Kenmore, WA, USA. LA - eng PT - Journal Article PL - United States TA - Birth JT - Birth (Berkeley, Calif.) JID - 8302042 SB - IM MH - Cesarean Section/*trends MH - Doulas MH - Evidence-Based Medicine MH - Female MH - Humans MH - Labor, Obstetric MH - Midwifery MH - Obstetric Nursing MH - Practice Guidelines as Topic MH - Pregnancy MH - Prenatal Education EDAT- 2014/08/20 06:00 MHDA- 2015/09/15 06:00 CRDT- 2014/08/20 06:00 AID - 10.1111/birt.12124 [doi] PST - ppublish SO - Birth. 2014 Sep;41(3):220-2. doi: 10.1111/birt.12124. PMID- 25074561 OWN - NLM STAT- MEDLINE DA - 20141121 DCOM- 20150608 LR - 20160526 IS - 1435-1102 (Electronic) IS - 1434-1816 (Linking) VI - 17 IP - 6 DP - 2014 Dec TI - Pilot early intervention antenatal group program for pregnant women with anxiety and depression. PG - 503-9 LID - 10.1007/s00737-014-0447-2 [doi] AB - This study aims to examine the acceptability and effectiveness of an antenatal group intervention designed to reduce the severity of depression and anxiety symptoms and improve maternal attachment in pregnant women with current or emerging depression and anxiety. Women who participated in the program completed pre- and posttreatment measures of depression (Centre of Epidemiological Studies Depression Scale) and Edinburgh Postnatal Depression Scale), anxiety (State-Trait Anxiety Inventory) and maternal attachment (Condon Maternal Antenatal Attachment Scale). Participants also completed a satisfaction questionnaire and provided general feedback about the group intervention and experience. A total of 48 women (M = 26 weeks of gestation) commenced and 37 (77 %) completed at least 80 % of the six session group intervention. Significant improvements with moderate to large effect sizes were observed for depression as measured on the Centre of Epidemiological Studies Depression Scale (CES-D) (p < 0.001), Edinburgh Postnatal Depression Scale (EPDS) (p < 0.001), state anxiety (p < 0.001) and maternal attachment (p = 0.006). Improvements in posttreatment depression scores on the EPDS were maintained at 2 months postpartum. Participants reported that the program had met their expectations. Partners (n = 21) who completed evaluation forms indicated that their attendance had improved their awareness of their partner's mental health issues and resources available to their family and would recommend the program to other fathers. These preliminary findings suggest that our antenatal group program is an effective and acceptable intervention for a clinical sample of women and partners. It is a feasible addition or alternative treatment option to perinatal mental health care. Future directions could involve more comprehensive randomised controlled trials (RCT) to examine the effectiveness of the group intervention. FAU - Thomas, Naomi AU - Thomas N AD - Centre for Women's Mental Health, Royal Women's Hospital, Locked Bag 300, Parkville, VIC, Australia. FAU - Komiti, Angela AU - Komiti A FAU - Judd, Fiona AU - Judd F LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140730 PL - Austria TA - Arch Womens Ment Health JT - Archives of women's mental health JID - 9815663 SB - IM EIN - Arch Womens Ment Health. 2014 Dec;17(6):601 MH - Adult MH - Anxiety/psychology/*therapy MH - Depression/psychology/*therapy MH - Depression, Postpartum/prevention & control/psychology MH - Feasibility Studies MH - Female MH - Gestational Age MH - Humans MH - Middle Aged MH - *Patient Acceptance of Health Care MH - Personality Inventory MH - Pregnancy MH - Pregnancy Complications/psychology MH - Prenatal Care MH - Program Evaluation MH - Psychiatric Status Rating Scales MH - Psychotherapy, Group/*methods MH - Risk Factors MH - Severity of Illness Index MH - Surveys and Questionnaires MH - Treatment Outcome EDAT- 2014/07/31 06:00 MHDA- 2015/06/09 06:00 CRDT- 2014/07/31 06:00 PHST- 2014/03/18 [received] PHST- 2014/07/20 [accepted] AID - 10.1007/s00737-014-0447-2 [doi] PST - ppublish SO - Arch Womens Ment Health. 2014 Dec;17(6):503-9. doi: 10.1007/s00737-014-0447-2. Epub 2014 Jul 30. PMID- 25000135 OWN - NLM STAT- MEDLINE DA - 20140805 DCOM- 20150828 LR - 20170220 IS - 1939-1293 (Electronic) IS - 0893-3200 (Linking) VI - 28 IP - 4 DP - 2014 Aug TI - Associations between prenatal coparenting behavior and observed coparenting behavior at 9-months postpartum. PG - 495-504 LID - 10.1037/fam0000012 [doi] AB - Coparenting, or the ways partners relate to each other in their roles as parents, is important to child and family functioning. However, it remains unclear whether coparenting begins at or prior to a child's birth. This study tested whether expectant parents' behavior in the Prenatal Lausanne Trilogue Play procedure (PLTP), an assessment designed in Switzerland for examining prebirth coparenting behavior, forecasted postnatal observations of coparenting behavior in a sample of first-time parents in the United States. Participants were 182 dual-earner couples expecting their first child. Couples completed the PLTP in the third trimester of pregnancy and observations of coparenting behavior at 9-months postpartum. Structural equation modeling analyses indicated significant continuity between expectant parents' prenatal coparenting behavior and their observed postpartum coparenting behavior 1 year later. In particular, couples who engaged in higher quality prenatal coparenting behavior demonstrated more supportive and less undermining coparenting behavior at 9-months postpartum, even after controlling for observed prenatal couple behavior and self-reported couple relationship functioning. Thus, this study demonstrated the validity and utility of the PLTP as a window into the development of coparenting, and supported the notion that the coparenting relationship develops prior to the child's birth and is already distinct from the couple relationship. FAU - Altenburger, Lauren E AU - Altenburger LE AD - Department of Human Sciences, Ohio State University. FAU - Schoppe-Sullivan, Sarah J AU - Schoppe-Sullivan SJ AD - Department of Human Sciences, Ohio State University. FAU - Lang, Sarah N AU - Lang SN AD - Department of Human Sciences, Ohio State University. FAU - Bower, Daniel J AU - Bower DJ AD - Department of Human Sciences, Ohio State University. FAU - Kamp Dush, Claire M AU - Kamp Dush CM AD - Department of Human Sciences, Ohio State University. LA - eng GR - K01 HD056238/HD/NICHD NIH HHS/United States GR - P2C HD058484/HD/NICHD NIH HHS/United States GR - R24 HD058484/HD/NICHD NIH HHS/United States GR - R24HD058484/HD/NICHD NIH HHS/United States GR - 1K01HD056238/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20140707 PL - United States TA - J Fam Psychol JT - Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) JID - 8802265 SB - IM MH - Adult MH - Data Collection MH - Female MH - Humans MH - Male MH - Middle Aged MH - Parenting/*psychology MH - Parents/education/*psychology MH - Postpartum Period/*psychology MH - Pregnancy MH - Prenatal Education/methods MH - United States MH - Young Adult PMC - PMC4485399 MID - NIHMS603590 OID - NLM: NIHMS603590 OID - NLM: PMC4485399 EDAT- 2014/07/08 06:00 MHDA- 2015/09/01 06:00 CRDT- 2014/07/08 06:00 AID - 2014-27828-001 [pii] AID - 10.1037/fam0000012 [doi] PST - ppublish SO - J Fam Psychol. 2014 Aug;28(4):495-504. doi: 10.1037/fam0000012. Epub 2014 Jul 7. PMID- 24998174 OWN - NLM STAT- MEDLINE DA - 20141203 DCOM- 20150923 LR - 20141203 IS - 1878-2620 (Electronic) IS - 1499-4046 (Linking) VI - 46 IP - 6 DP - 2014 Nov-Dec TI - Innovative use of influential prenatal counseling may improve breastfeeding initiation rates among WIC participants. PG - 458-66 LID - 10.1016/j.jneb.2014.05.005 [doi] LID - S1499-4046(14)00548-X [pii] AB - OBJECTIVE: To determine whether integrating influence strategies (reciprocation, consistency, consensus, feeling liked, authority, and scarcity) throughout Chickasaw Nation Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) clinics (1) changed participants' perception of the WIC experience and (2) affected breastfeeding initiation rates. METHODS: Two-part, quasi-experimental design. SETTING: Four WIC clinics. PARTICIPANTS: Parents and caregivers of children birth to 3 years. INTERVENTION: Behavior change intervention based on Social Cognitive Theory using Caildini's Principles of Influence. Traditional-model groups (control) received services prior to the intervention; influence-model groups (experimental) received services after initiation of the intervention. MAIN OUTCOMES: The preliminary demonstration project surveyed 2 groups to measure changes in their perceptions of the WIC environment. Secondary data analysis measured changes in breastfeeding initiation in 2 groups of postpartum women. ANALYSES: Frequency analysis, independent sample t tests, chi-square for independence, step-wise logistic regression. RESULTS: The demonstration project resulted in 5 improved influence measures (P < .02), aligning with the influence principle of "feeling liked." The model had a small effect (phi = 0.10) in distinguishing breastfeeding initiation; women in the influence model were 1.5 times more likely (95% CI, 1.19-1.86; P < .05) to initiate breastfeeding compared with women in the traditional model, controlling for parity, mother's age, and race. CONCLUSIONS AND IMPLICATIONS: Consistent with Social Cognitive Theory, changing the WIC environment by integrating influence principles may positively affect women's infant feeding decisions and behaviors, specifically breastfeeding initiation rates. CI - Copyright (c) 2014 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved. FAU - Hildebrand, Deana A AU - Hildebrand DA AD - Department of Nutritional Sciences, College of Human Sciences, Oklahoma State University, Stillwater, OK. Electronic address: deana.hildebrand@okstate.edu. FAU - McCarthy, Pam AU - McCarthy P AD - Pam McCarthy Associates, St. Paul, MN. FAU - Tipton, Debi AU - Tipton D AD - Chickasaw Nation Division of Health, Nutrition Services, Ada, OK. FAU - Merriman, Connie AU - Merriman C AD - Chickasaw Nation Division of Health, Nutrition Services, Ada, OK. FAU - Schrank, Melody AU - Schrank M AD - Chickasaw Nation Division of Health, Nutrition Services, Ada, OK. FAU - Newport, Melinda AU - Newport M AD - Chickasaw Nation Division of Health, Nutrition Services, Ada, OK. LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20140704 PL - United States TA - J Nutr Educ Behav JT - Journal of nutrition education and behavior JID - 101132622 SB - IM MH - *Breast Feeding/ethnology MH - Caregivers/education MH - Child Nutrition Sciences/*education MH - *Culturally Competent Care/ethnology MH - Female MH - Food Assistance MH - *Health Knowledge, Attitudes, Practice/ethnology MH - Humans MH - Indians, North American MH - Infant MH - Infant, Newborn MH - Male MH - *Nutrition Policy MH - Oklahoma MH - Parents/education MH - *Patient Compliance/ethnology MH - Poverty Areas MH - *Prenatal Education MH - Social Theory OTO - NOTNLM OT - Chickasaw Nation OT - breastfeeding OT - decision theory OT - low-income population EDAT- 2014/07/08 06:00 MHDA- 2015/09/24 06:00 CRDT- 2014/07/08 06:00 PHST- 2012/09/19 [received] PHST- 2014/04/24 [revised] PHST- 2014/05/05 [accepted] AID - S1499-4046(14)00548-X [pii] AID - 10.1016/j.jneb.2014.05.005 [doi] PST - ppublish SO - J Nutr Educ Behav. 2014 Nov-Dec;46(6):458-66. doi: 10.1016/j.jneb.2014.05.005. Epub 2014 Jul 4. PMID- 24885760 OWN - NLM STAT- MEDLINE DA - 20140604 DCOM- 20150824 LR - 20140604 IS - 1472-698X (Electronic) IS - 1472-698X (Linking) VI - 14 DP - 2014 May 19 TI - Local understandings of care during delivery and postnatal period to inform home based package of newborn care interventions in rural Ethiopia: a qualitative study. PG - 17 LID - 10.1186/1472-698X-14-17 [doi] AB - BACKGROUND: Despite a substantial decrease in child mortality in Ethiopia over the past decade, neonatal mortality remains unchanged (37/1000 live-births). This paper describes a qualitative study on beliefs and practices on immediate newborn and postnatal care in four rural communities of Ethiopia conducted to inform development of a package of community-based interventions targeting newborns. METHODS: The study team conducted eight key informant interviews (KII) with grandmothers, 27 in-depth interviews (IDI) with mothers; seven IDI with traditional birth attendants (TBA) and 15IDI with fathers, from four purposively selected communities located in Sidama Zone of Southern Nationalities, Nations, and Peoples (SNNP) Region and in East Shewa and West Arsi Zones of Oromia Region. RESULTS: In the study communities deliveries occurred at home. After cutting the umbilical cord, the baby is put to the side of the mother, not uncommonly with no cloth covering. This is largely due to attendants focusing on delivery of the placenta which is reinforced by the belief that the placenta is the 'house' or 'blanket' of the baby and that any "harm" caused to the placenta will transfer to the newborn. Applying butter or ointment to the cord "to speed drying" is common practice. Initiation of breastfeeding is often delayed and women commonly report discarding colostrum before initiating breastfeeding. Sub-optimal breastfeeding practices continue, due to perceived inadequate maternal nutrition and breast milk often leading to the provision of herbal drinks. Poor thermal care is also demonstrated through lack of continued skin-to-skin contact, exposure of newborns to smoke, frequent bathing-often with cold water baths for low-birth weight or small babies; and, poor hygienic practices are reported, particularly hand washing prior to contact with the newborn. CONCLUSION: Cultural beliefs and newborn care practices do not conform to recommended standards. Local perspectives related to newborn care practices should inform behaviour change messages. Such messages should target mothers, grandmothers, TBAs, other female family members and fathers. FAU - Degefie, Tedbabe AU - Degefie T AD - Newborn and Child Health Consultant, Silver Spring MD, USA. tdegefie@yahoo.com. FAU - Amare, Yared AU - Amare Y FAU - Mulligan, Brian AU - Mulligan B LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140519 PL - England TA - BMC Int Health Hum Rights JT - BMC international health and human rights JID - 101088678 SB - IM MH - Adolescent MH - Adult MH - Comprehension MH - *Culture MH - *Delivery, Obstetric MH - Ethiopia/epidemiology MH - Fathers MH - Female MH - *Health Knowledge, Attitudes, Practice MH - *Home Childbirth MH - Humans MH - Infant MH - Infant Care MH - Infant Mortality MH - Infant, Newborn MH - Male MH - Malnutrition/complications MH - Midwifery MH - Mothers MH - *Perinatal Care MH - Perinatal Death/etiology/*prevention & control MH - Pregnancy MH - Qualitative Research MH - *Rural Population MH - Young Adult PMC - PMC4037276 OID - NLM: PMC4037276 EDAT- 2014/06/03 06:00 MHDA- 2015/08/25 06:00 CRDT- 2014/06/03 06:00 PHST- 2012/10/05 [received] PHST- 2014/05/09 [accepted] AID - 1472-698X-14-17 [pii] AID - 10.1186/1472-698X-14-17 [doi] PST - epublish SO - BMC Int Health Hum Rights. 2014 May 19;14:17. doi: 10.1186/1472-698X-14-17. PMID- 24819555 OWN - NLM STAT- MEDLINE DA - 20140721 DCOM- 20150414 LR - 20170220 IS - 1365-2753 (Electronic) IS - 1356-1294 (Linking) VI - 20 IP - 4 DP - 2014 Aug TI - Assessment of the pregnancy education programme with 'EDUMA2' questionnaire in Madrid (Spain). PG - 436-44 LID - 10.1111/jep.12170 [doi] AB - RATIONALE, AIMS AND OBJECTIVES: The prenatal education promotes the empowerment of parents during pregnancy and postnatal period. This study aimed to assess the quality of educational sessions held in the third trimester of pregnancy as part of the parenting education programme for Spanish National Health System in Madrid. METHODS: The design is a cross-sectional study in 41 primary care centres in the autonomous community of Madrid, which is one of the 17 autonomous communities that constitute the Spanish State, each wick medical responsibilities. The participants are a representative probability sample of 928 attendees to the programme. The assessment instrument is 'EDUMA2' questionnaire (Cronbach's alpha = 0.829) of 56 variables. Descriptive statistical analysis was performed using SPSS. The project was approved by the Research and Ethics Committees of the University Hospital of La Paz. RESULTS: The uptake efficiency immigration risk is 14.7%, and lack of social support is 8.7%. The functionality in organization, teaching and methodology is high in 90.5%. The learning effectiveness of health habits, care and techniques is significant and greater than 60% in the 14 parameters studied. Satisfaction is very high at 67.5%. The immediate impact in terms of control or safety increase is significant and greater than 71% and significantly greater than 40% and for increasing the bonding with the baby. CONCLUSIONS: No jobs found with which to compare. The assessment of the programme with adequate psychometric characteristics questionnaire allows designing strategies and research to improve the quality of prenatal education. CI - (c) 2014 John Wiley & Sons, Ltd. FAU - Fernandez Y Fernandez-Arroyo, Matilde AU - Fernandez Y Fernandez-Arroyo M AD - Maternity Unit (Midwifery Program), University Hospital of La Paz, Madrid, Spain; College of Nursing, Comillas Pontifical University, Madrid, Spain. FAU - Munoz, Isabel AU - Munoz I FAU - Torres, Jorge AU - Torres J LA - eng PT - Evaluation Studies PT - Journal Article DEP - 20140512 PL - England TA - J Eval Clin Pract JT - Journal of evaluation in clinical practice JID - 9609066 SB - IM MH - Adolescent MH - Adult MH - Cross-Sectional Studies MH - Education, Nonprofessional MH - Female MH - Humans MH - Pregnancy MH - Prenatal Education/*standards MH - Primary Health Care MH - Program Evaluation/methods MH - Spain MH - *Surveys and Questionnaires MH - Young Adult PMC - PMC4491347 OID - NLM: PMC4491347 OTO - NOTNLM OT - assessment programmes OT - centring pregnancy/group care OT - childbirth education OT - parenting education OT - prenatal care/methods OT - primary care EDAT- 2014/05/14 06:00 MHDA- 2015/04/15 06:00 CRDT- 2014/05/14 06:00 PHST- 2014/04/08 [accepted] AID - 10.1111/jep.12170 [doi] PST - ppublish SO - J Eval Clin Pract. 2014 Aug;20(4):436-44. doi: 10.1111/jep.12170. Epub 2014 May 12. PMID- 24814441 OWN - NLM STAT- MEDLINE DA - 20140512 DCOM- 20141222 LR - 20140512 IS - 1877-5764 (Electronic) IS - 1877-5756 (Linking) VI - 5 IP - 2 DP - 2014 Jun TI - Fathers' experience of childbirth when non-progressive labour occurs and augmentation is established. A qualitative study. PG - 69-73 LID - 10.1016/j.srhc.2014.02.001 [doi] LID - S1877-5756(14)00005-6 [pii] AB - OBJECTIVE: Augmentation with oxytocin during labour has increased in Western obstetrics over the last few decades. The aim of this study was to describe how fathers experienced childbirth when non-progressive labour occurred and augmentation was established. METHOD: A qualitative descriptive design. Ten fathers were interviewed 4-15 weeks post partum. The interviews were semi-structured and were analyzed using Braun and Clarke's thematic analysis. RESULTS: The analysis revealed three themes and four sub-themes. The themes were: (1) A rational approach to own role, (2) Labour and birth as uncontrollable processes and (3) Relief about the decision of augmentation. The fathers had a rational approach and felt powerless when the process of labour was uncontrollable. They felt they were not able to help their partners in pain when non-progressive labour occurred. They experienced relief when augmentation was established because of the subsequent progression of labour, and because it was then easier to find a role as a helper. CONCLUSION: This study demonstrates that fathers feel relieved when augumentation is established. In addition, the study underlines that fathers, in order to regain control after experiencing the non-progressive labour, need directions from the midwives to carry out appropriate and usefull tasks. CI - Copyright (c) 2014 Elsevier B.V. All rights reserved. FAU - Hasman, Kirsten AU - Hasman K AD - Women's and Children's Health Research Unit, Juliane Marie Centre, Copenhagen University Hospital, Rigshospitalet, Denmark; Metropolitan University College, Denmark; Nursing and Health Science Research Unit, Glostrup University Hospital, Copenhagen, Denmark. Electronic address: khas@phmetropol.dk. FAU - Kjaergaard, Hanne AU - Kjaergaard H AD - Women's and Children's Health Research Unit, Juliane Marie Centre, Copenhagen University Hospital, Rigshospitalet, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark. FAU - Esbensen, Bente Appel AU - Esbensen BA AD - Nursing and Health Science Research Unit, Glostrup University Hospital, Copenhagen, Denmark; Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140212 PL - Netherlands TA - Sex Reprod Healthc JT - Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives JID - 101530546 SB - IM MH - Adult MH - *Attitude to Health MH - Dystocia/drug therapy/*psychology MH - Fathers/education/*psychology MH - Female MH - Humans MH - Interviews as Topic MH - Labor Pain/drug therapy/*psychology MH - Male MH - Midwifery/methods/*standards MH - Multicenter Studies as Topic MH - Pregnancy MH - Professional-Family Relations MH - Qualitative Research MH - Social Support OTO - NOTNLM OT - Augmentation OT - Childbirth experience OT - Dystocia OT - Fathers OT - Non-progressive labour OT - Oxytocin EDAT- 2014/05/13 06:00 MHDA- 2014/12/23 06:00 CRDT- 2014/05/13 06:00 PHST- 2013/10/01 [received] PHST- 2014/01/28 [revised] PHST- 2014/02/03 [accepted] AID - S1877-5756(14)00005-6 [pii] AID - 10.1016/j.srhc.2014.02.001 [doi] PST - ppublish SO - Sex Reprod Healthc. 2014 Jun;5(2):69-73. doi: 10.1016/j.srhc.2014.02.001. Epub 2014 Feb 12. PMID- 24720518 OWN - NLM STAT- MEDLINE DA - 20140929 DCOM- 20150619 LR - 20170220 IS - 1740-8709 (Electronic) IS - 1740-8695 (Linking) VI - 10 IP - 4 DP - 2014 Oct TI - Fathers' experiences of supporting breastfeeding: challenges for breastfeeding promotion and education. PG - 510-26 LID - 10.1111/mcn.12129 [doi] AB - Increasing breastfeeding rates is a strategic priority in the UK and understanding the factors that promote and encourage breastfeeding is critical to achieving this. It is established that women who have strong social support from their partner are more likely to initiate and continue breastfeeding. However, little research has explored the fathers' role in breastfeeding support and more importantly, the information and guidance he may need. In the current study, 117 men whose partner had given birth in the previous 2 years and initiated breastfeeding at birth completed an open-ended questionnaire exploring their experiences of breastfeeding, the information and support they received and their ideas for future breastfeeding education and promotion aimed at fathers and families. Overall, the findings showed that fathers were encouraging of breastfeeding and wanted to be able to support their partner. However, they often felt left out of the breastfeeding relationships and helpless to support their partner at this time. Many reported being excluded from antenatal breastfeeding education or being considered unimportant in post-natal support. Men wanted more information about breastfeeding to be directed towards them alongside ideas about how they could practically support their partner. The importance of support mechanisms for themselves during this time was also raised. The results highlight the need for health professionals to direct support and information towards fathers as well as the mother-infant dyad and to recognise their importance in promoting and enabling breastfeeding. CI - (c) 2014 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd. FAU - Brown, Amy AU - Brown A AD - Department of Public Health and Policy Studies, Swansea University, Swansea, UK. FAU - Davies, Ruth AU - Davies R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140410 PL - England TA - Matern Child Nutr JT - Maternal & child nutrition JID - 101201025 SB - IM MH - Adult MH - Breast Feeding/*psychology MH - Cross-Sectional Studies MH - Databases, Factual MH - Fathers/*psychology MH - Female MH - Health Knowledge, Attitudes, Practice MH - Health Promotion/*methods MH - Humans MH - Male MH - Postnatal Care/*psychology MH - Social Support MH - Socioeconomic Factors MH - Surveys and Questionnaires MH - Young Adult PMC - PMC4282396 OID - NLM: PMC4282396 OTO - NOTNLM OT - breastfeeding OT - education OT - fathers OT - health promotion OT - involving OT - qualitative study EDAT- 2014/04/12 06:00 MHDA- 2015/06/20 06:00 CRDT- 2014/04/12 06:00 AID - 10.1111/mcn.12129 [doi] PST - ppublish SO - Matern Child Nutr. 2014 Oct;10(4):510-26. doi: 10.1111/mcn.12129. Epub 2014 Apr 10. PMID- 24704427 OWN - NLM STAT- MEDLINE DA - 20140614 DCOM- 20150212 LR - 20140614 IS - 1872-6623 (Electronic) IS - 0304-3959 (Linking) VI - 155 IP - 7 DP - 2014 Jul TI - Impact of prenatal education on maternal utilization of analgesic interventions at future infant vaccinations: a cluster randomized trial. PG - 1288-92 LID - 10.1016/j.pain.2014.03.024 [doi] LID - S0304-3959(14)00153-5 [pii] AB - Analgesic interventions are not routinely used during vaccine injections in infants. Parents report a desire to mitigate injection pain, but lack the knowledge about how to do so. The objective of this cluster-randomized trial was to evaluate the effect of a parent-directed prenatal education teaching module about vaccination pain management on analgesic utilization at future infant vaccinations. Expectant mothers enrolled in prenatal classes at Mount Sinai Hospital in Toronto were randomized to a 20-30minute interactive presentation about vaccination pain management (experimental group) or general vaccination information (control group). Both presentations included a PowerPoint (Microsoft Corporation, Redmond, WA, USA) and video presentation, take-home pamphlet, and "Question and Answer" period. The primary outcome was self-reported utilization of breastfeeding, sugar water, or topical anaesthetics at routine 2-month infant vaccinations. Between October 2012 and July 2013, 197 expectant mothers from 28 prenatal classes participated; follow-up was obtained in 174 (88%). Maternal characteristics did not differ (P>0.05) between groups. Utilization of one or more prespecified pain interventions occurred in 34% of participants in the experimental group, compared to 17% in the control group (P=0.01). Inclusion of a pain management module in prenatal classes led to increased utilization of evidence-based pain management interventions by parents at the 2-month infant vaccination appointment. Educating parents offers a novel and effective way of improving the quality of pain care delivered to infants during vaccination. Additional research is needed to determine if utilization can be bolstered further using techniques such as postnatal hospital reinforcement, reminder cards, and clinician education. CI - Copyright (c) 2014 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved. FAU - Taddio, Anna AU - Taddio A AD - Clinical, Social and Administrative Pharmacy, Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada; Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada. Electronic address: anna.taddio@utoronto.ca. FAU - Smart, Sarah AU - Smart S AD - Clinical, Social and Administrative Pharmacy, Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada. FAU - Sheedy, Matthuschka AU - Sheedy M AD - Women's and Infant's Ambulatory Health Programs, Mount Sinai Hospital, Toronto, ON, Canada. FAU - Yoon, Eugene W AU - Yoon EW AD - Maternal-Infant Care (MiCare) Research Centre, Mount Sinai Hospital, Toronto, ON, Canada. FAU - Vyas, Charmy AU - Vyas C AD - Clinical, Social and Administrative Pharmacy, Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada. FAU - Parikh, Chaitya AU - Parikh C AD - Clinical, Social and Administrative Pharmacy, Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada. FAU - Pillai Riddell, Rebecca AU - Pillai Riddell R AD - Department of Psychology, York University, Toronto, ON, Canada. FAU - Shah, Vibhuti AU - Shah V AD - Department of Pediatrics, Mount Sinai Hospital, Toronto, ON, Canada; Department of Pediatrics, The Hospital for Sick Children, Halifax, NS, Canada. LA - eng GR - Canadian Institutes of Health Research/Canada PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20140403 PL - United States TA - Pain JT - Pain JID - 7508686 RN - 0 (Anesthetics, Local) RN - 0 (Sweetening Agents) SB - IM MH - Administration, Cutaneous MH - Adult MH - Anesthetics, Local/*therapeutic use MH - *Breast Feeding MH - Female MH - Humans MH - Infant MH - Injections/*adverse effects MH - Logistic Models MH - Male MH - Mothers/*education MH - Pain/etiology/*prevention & control MH - Pain Management/*utilization MH - Prenatal Education/*methods MH - Sweetening Agents/*therapeutic use MH - *Vaccination OTO - NOTNLM OT - Infant OT - Pain management OT - Parent education OT - Parental knowledge OT - Randomized controlled trial OT - Vaccination EDAT- 2014/04/08 06:00 MHDA- 2015/02/13 06:00 CRDT- 2014/04/08 06:00 PHST- 2014/02/26 [received] PHST- 2014/03/19 [revised] PHST- 2014/03/27 [accepted] AID - S0304-3959(14)00153-5 [pii] AID - 10.1016/j.pain.2014.03.024 [doi] PST - ppublish SO - Pain. 2014 Jul;155(7):1288-92. doi: 10.1016/j.pain.2014.03.024. Epub 2014 Apr 3. PMID- 24670002 OWN - NLM STAT- MEDLINE DA - 20140331 DCOM- 20141028 LR - 20170220 IS - 1756-0500 (Electronic) IS - 1756-0500 (Linking) VI - 7 DP - 2014 Mar 26 TI - Development and pilot testing of HIV screening program integration within public/primary health centers providing antenatal care services in Maharashtra, India. PG - 177 LID - 10.1186/1756-0500-7-177 [doi] AB - BACKGROUND: The objectives of this paper are: (1) to study the feasibility and relative benefits of integrating the prevention of parent-to-child transmission (PPTCT) component of the National AIDS Control Program with the maternal and child health component of the National Rural Health Mission (NRHM) by offering HIV screening at the primary healthcare level; and (2) to estimate the incremental cost-effectiveness ratio to understand whether the costs are commensurate with the benefits. METHODS: The intervention included advocacy with political, administrative/health heads, and capacity building of health staff in Satara district, Maharashtra, India. The intervention also conducted biannual outreach activities at primary health centers (PHCs)/sub-centers (SCs); initiated facility-based integrated counseling and testing centers (FICTCs) at all round-the-clock PHCs; made the existing FICTCs functional and trained PHC nurses in HIV screening. All "functional" FICTCs were equipped to screen for HIV and trained staff provided counseling and conducted HIV testing as per the national protocol. Data were collected pre- and post- integration on the number of pregnant women screened for HIV, the number of functional FICTCs and intervention costs. Trend analyses on various outcome measures were conducted. Further, the incremental cost-effectiveness ratio per pregnant woman screened was calculated. RESULTS: An additional 27% of HIV-infected women were detected during the intervention period as the annual HIV screening increased from pre- to post-intervention (55% to 79%, p < 0.001) among antenatal care (ANC) attendees under the NRHM. A greater increase in HIV screening was observed in PHCs/SCs. The proportions of functional FICTCs increased from 47% to 97% (p < 0.001). Additionally, 93% of HIV-infected pregnant women were linked to anti-retroviral therapy centers; 92% of mother-baby pairs received Nevirapine; and 89% of exposed babies were enrolled for early infant diagnosis. The incremental cost-effectiveness ratio was estimated at INR 44 (less than 1 US$) per pregnant woman tested. CONCLUSIONS: Integrating HIV screening with the broader Rural Health Mission is a promising opportunity to scale up the PPTCT program. However, advocacy, sensitization, capacity building and the judicious utilization of available resources are key to widening the reach of the PPTCT program in India and elsewhere. FAU - Bindoria, Suchitra V AU - Bindoria SV AD - FHI 360, Bandra (East), Mumbai 400051, India. sbindoria@fhi360.org. FAU - Devkar, Ramesh AU - Devkar R FAU - Gupta, Indrani AU - Gupta I FAU - Ranebennur, Virupax AU - Ranebennur V FAU - Saggurti, Niranjan AU - Saggurti N FAU - Ramesh, Sowmya AU - Ramesh S FAU - Deshmukh, Dilip AU - Deshmukh D FAU - Gaikwad, Sanjeevsingh AU - Gaikwad S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140326 PL - England TA - BMC Res Notes JT - BMC research notes JID - 101462768 SB - IM MH - Cost-Benefit Analysis MH - Counseling/economics/methods/statistics & numerical data MH - Feasibility Studies MH - Female MH - HIV Infections/*diagnosis/prevention & control MH - Humans MH - India MH - Infectious Disease Transmission, Vertical/prevention & control MH - Mass Screening/economics/*methods/statistics & numerical data MH - Pilot Projects MH - Pregnancy MH - Pregnancy Complications, Infectious/diagnosis/prevention & control MH - Prenatal Care/economics/*methods/statistics & numerical data MH - Primary Health Care/economics/*methods/statistics & numerical data MH - Program Development/economics/*methods/statistics & numerical data MH - Public Health/economics/*methods/statistics & numerical data MH - Reproducibility of Results MH - Seasons PMC - PMC3986915 OID - NLM: PMC3986915 EDAT- 2014/03/29 06:00 MHDA- 2014/10/29 06:00 CRDT- 2014/03/28 06:00 PHST- 2014/03/19 [received] PHST- 2014/03/20 [accepted] AID - 1756-0500-7-177 [pii] AID - 10.1186/1756-0500-7-177 [doi] PST - epublish SO - BMC Res Notes. 2014 Mar 26;7:177. doi: 10.1186/1756-0500-7-177. PMID- 24603052 OWN - NLM STAT- MEDLINE DA - 20140414 DCOM- 20141128 LR - 20170220 IS - 1873-7870 (Electronic) IS - 0149-7189 (Linking) VI - 44 DP - 2014 Jun TI - Costs to implement an effective transition-to-parenthood program for couples: analysis of the Family Foundations program. PG - 59-67 LID - 10.1016/j.evalprogplan.2014.02.001 [doi] LID - S0149-7189(14)00013-5 [pii] AB - The transition to parenthood involves many stressors that can have implications for the couple relationship as well as the developmental environment of the child. Scholars and policymakers have recognized the potential for interventions that can help couples navigate these stressors to improve parenting and coparenting strategies. Such evidence-based programs are scarcely available, however, and little is known about the resources necessary to carry out these programs. This study examines the costs and resources necessary to implement Family Foundations, a program that addresses the multifaceted issues facing first-time parents through a series of pre- and post-natal classes. Costs were determined using a 6-step analytic process and are based on the first implementation of the program carried out through a five-year demonstration project. This assessment demonstrates how overall costs change across years as new cohorts of families are introduced, and how cost breakdowns differ by category as needs shift from training group leaders to sustaining program services. Information from this cost analysis helps clarify how the program could be made more efficient in subsequent implementations. We also consider how results may be used in future research examining economic benefits of participation in the program. CI - Copyright (c) 2014 Elsevier Ltd. All rights reserved. FAU - Jones, Damon E AU - Jones DE AD - Bennett Pierce Prevention Research Center, The Pennsylvania State University, USA. Electronic address: dej10@psu.edu. FAU - Feinberg, Mark E AU - Feinberg ME AD - Bennett Pierce Prevention Research Center, The Pennsylvania State University, USA. FAU - Hostetler, Michelle L AU - Hostetler ML AD - Bennett Pierce Prevention Research Center, The Pennsylvania State University, USA. LA - eng GR - R01 HD058529/HD/NICHD NIH HHS/United States GR - R21 MH064125/MH/NIMH NIH HHS/United States PT - Journal Article DEP - 20140211 PL - England TA - Eval Program Plann JT - Evaluation and program planning JID - 7801727 SB - IM MH - Costs and Cost Analysis MH - *Family Relations MH - Female MH - Foundations/economics MH - Humans MH - Male MH - Models, Educational MH - Negotiating MH - *Parenting MH - Parents/*education/psychology MH - Pennsylvania MH - Pilot Projects MH - Prenatal Education/economics/organization & administration/*standards MH - Problem Solving MH - Stress, Psychological/economics/etiology/*prevention & control PMC - PMC4028829 MID - NIHMS567145 OID - NLM: NIHMS567145 OID - NLM: PMC4028829 OTO - NOTNLM OT - Costs analysis OT - Early parenting OT - Family intervention EDAT- 2014/03/08 06:00 MHDA- 2014/12/15 06:00 CRDT- 2014/03/08 06:00 PHST- 2013/03/21 [received] PHST- 2014/01/29 [revised] PHST- 2014/02/02 [accepted] AID - S0149-7189(14)00013-5 [pii] AID - 10.1016/j.evalprogplan.2014.02.001 [doi] PST - ppublish SO - Eval Program Plann. 2014 Jun;44:59-67. doi: 10.1016/j.evalprogplan.2014.02.001. Epub 2014 Feb 11. PMID- 24482679 OWN - NLM STAT- MEDLINE DA - 20140131 DCOM- 20150123 LR - 20170220 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 9 IP - 1 DP - 2014 TI - Intimate partner violence and pregnancy: a systematic review of interventions. PG - e85084 LID - 10.1371/journal.pone.0085084 [doi] AB - BACKGROUND: Intimate partner violence (IPV) around the time of pregnancy is a widespread global health problem with many negative consequences. Nevertheless, a lot remains unclear about which interventions are effective and might be adopted in the perinatal care context. OBJECTIVE: The objective is to provide a clear overview of the existing evidence on effectiveness of interventions for IPV around the time of pregnancy. METHODS: Following databases PubMed, Web of Science, CINAHL and the Cochrane Library were systematically searched and expanded by hand search. The search was limited to English peer-reviewed randomized controlled trials published from 2000 to 2013. This review includes all types of interventions aiming to reduce IPV around the time of pregnancy as a primary outcome, and as secondary outcomes to enhance physical and/or mental health, quality of life, safety behavior, help seeking behavior, and/or social support. RESULTS: We found few randomized controlled trials evaluating interventions for IPV around the time of pregnancy. Moreover, the nine studies identified did not produce strong evidence that certain interventions are effective. Nonetheless, home visitation programs and some multifaceted counseling interventions did produce promising results. Five studies reported a statistically significant decrease in physical, sexual and/or psychological partner violence (odds ratios from 0.47 to 0.92). Limited evidence was found for improved mental health, less postnatal depression, improved quality of life, fewer subsequent miscarriages, and less low birth weight/prematurity. None of the studies reported any evidence of a negative or harmful effect of the interventions. CONCLUSIONS AND IMPLICATIONS: Strong evidence of effective interventions for IPV during the perinatal period is lacking, but some interventions show promising results. Additional large-scale, high-quality research is essential to provide further evidence about the effect of certain interventions and clarify which interventions should be adopted in the perinatal care context. FAU - Van Parys, An-Sofie AU - Van Parys AS AD - Department of Obstetrics and Gynaecology/International Centre for Reproductive Health, Faculty of Medicine and Health Sciences Ghent University, Ghent, Belgium. FAU - Verhamme, Annelien AU - Verhamme A AD - Department of Obstetrics and Gynaecology/International Centre for Reproductive Health, Faculty of Medicine and Health Sciences Ghent University, Ghent, Belgium. FAU - Temmerman, Marleen AU - Temmerman M AD - Department of Obstetrics and Gynaecology/International Centre for Reproductive Health, Faculty of Medicine and Health Sciences Ghent University, Ghent, Belgium. FAU - Verstraelen, Hans AU - Verstraelen H AD - Department of Obstetrics and Gynaecology/International Centre for Reproductive Health, Faculty of Medicine and Health Sciences Ghent University, Ghent, Belgium. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20140117 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Counseling MH - Female MH - Humans MH - *Perinatal Care MH - Pregnancy MH - *Pregnant Women MH - *Quality of Life MH - *Sexual Partners MH - Spouse Abuse/prevention & control/psychology/*therapy PMC - PMC3901658 OID - NLM: PMC3901658 EDAT- 2014/02/01 06:00 MHDA- 2015/01/24 06:00 CRDT- 2014/02/01 06:00 PHST- 2013/07/16 [received] PHST- 2013/11/22 [accepted] AID - 10.1371/journal.pone.0085084 [doi] AID - PONE-D-13-29442 [pii] PST - epublish SO - PLoS One. 2014 Jan 17;9(1):e85084. doi: 10.1371/journal.pone.0085084. eCollection 2014. PMID- 24481863 OWN - NLM STAT- MEDLINE DA - 20140706 DCOM- 20150304 LR - 20161202 IS - 1699-5848 (Electronic) IS - 0213-3911 (Linking) VI - 29 IP - 7 DP - 2014 Jul TI - A role of junction-mediated interactions in cells of the male reproductive tract: impact of prenatal, neonatal, and prepubertal exposure to anti-androgens on adult reproduction. PG - 815-30 LID - 10.14670/HH-29.815 [doi] AB - Male sexual development and male reproductive functions are dependent on the normal action of androgens, and an unbalanced ratio of the active androgens can lead to varying degrees of structural and functional abnormalities within the reproductive organs. Endocrine balance can be disturbed by environmental and pharmaceutical anti-androgens (i.e. vinclozolin, phthalates, procymidone, and flutamide) that antagonize normal androgen action. Such chemical compounds enter the cell, bind to the receptor and inactivate transcription leading to disruption of androgen-mediated signaling. Assembling and functioning of cell junctions in hormone-dependent tissues, such as testis, epididymis and prostate appeared to be controlled by steroid hormones, predominantly by androgens. This review presents recent findings on the tight junction proteins mainly responsible for normal functioning of the barrier within the testis, epididymis and prostate, anchoring junction proteins that play a crucial role in normal cell-cell adhesion, and gap junction proteins through which intercellular communication takes place in the male reproductive tract. The review gives examples of animal models that are used in endocrine disruption studies with a focus on the author's own data from studies in the pig. FAU - Hejmej, Anna AU - Hejmej A AD - Department of Endocrinology, Institute of Zoology, Jagiellonian University, Krakow, Poland. anna.hejmej@uj.edu.pl. FAU - Bilinska, Barbara AU - Bilinska B AD - Department of Endocrinology, Institute of Zoology, Jagiellonian University, Krakow, Poland. barbara.bilinska@uj.edu.pl. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20140131 PL - Spain TA - Histol Histopathol JT - Histology and histopathology JID - 8609357 RN - 0 (Androgen Antagonists) RN - 0 (Androgens) RN - 0 (Tight Junction Proteins) SB - IM MH - Androgen Antagonists/*adverse effects MH - Androgens/metabolism MH - Animals MH - Epididymis/*drug effects MH - Female MH - Humans MH - Male MH - Pregnancy MH - Prenatal Exposure Delayed Effects/metabolism MH - Prostate/*drug effects MH - Testis/*drug effects MH - Tight Junction Proteins/*drug effects/metabolism EDAT- 2014/02/01 06:00 MHDA- 2015/03/05 06:00 CRDT- 2014/02/01 06:00 AID - HH-11-450 [pii] AID - 10.14670/HH-29.815 [doi] PST - ppublish SO - Histol Histopathol. 2014 Jul;29(7):815-30. doi: 10.14670/HH-29.815. Epub 2014 Jan 31. PMID- 24453466 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20140123 DCOM- 20140123 LR - 20170220 IS - 1058-1243 (Print) IS - 1058-1243 (Linking) VI - 23 IP - 1 DP - 2014 Winter TI - A descriptive survey of the educational preparation and practices of antenatal educators in ireland. PG - 33-40 LID - 10.1891/1058-1243.23.1.33 [doi] AB - Antenatal education is recommended to prospective parents, yet little is known about the educational preparation of the facilitators of this education, or of the educational practices they use. The aim of this study was to investigate the educational preparation and practices of antenatal educators in Ireland. Data were collected using a questionnaire structured on the three components (abilities, opportunities, and means) of Stamler's theoretical framework of enablement. Eighty-four of the 120 antenatal educators responded (70%), and this included midwives, public health nurses, physiotherapists, and private antenatal educators. Findings describe a picture of varied educational preparation for the antenatal educator with a range of educational practices being used. Within public antenatal classes, large class size was a barrier to providing a participatory educational approach. FAU - O'Sullivan, Cathy AU - O'Sullivan C FAU - O'Connell, Rhona AU - O'Connell R FAU - Devane, Declan AU - Devane D LA - eng PT - Journal Article PL - United States TA - J Perinat Educ JT - The Journal of perinatal education JID - 9301158 PMC - PMC3894593 OID - NLM: PMC3894593 OTO - NOTNLM OT - antenatal education OT - antenatal educators OT - facilitation OT - participatory education EDAT- 2014/01/24 06:00 MHDA- 2014/01/24 06:01 CRDT- 2014/01/24 06:00 AID - 10.1891/1058-1243.23.1.33 [doi] PST - ppublish SO - J Perinat Educ. 2014 Winter;23(1):33-40. doi: 10.1891/1058-1243.23.1.33. PMID- 24443965 OWN - NLM STAT- MEDLINE DA - 20150124 DCOM- 20150929 LR - 20150124 IS - 1752-0606 (Electronic) IS - 0194-472X (Linking) VI - 41 IP - 1 DP - 2015 Jan TI - Mindfulness-based relationship education for couples expecting their first child-part 2: phenomenological findings. PG - 25-41 LID - 10.1111/jmft.12065 [doi] AB - This phenomenological study is the second phase of a larger mixed methods study of a relationship-enhancement program for couples expecting their first child (see Gambrel & Piercy, this issue). The 4-week Mindful Transition to Parenthood Program uses mindfulness practices and interpersonal activities to develop skills of internal and interpersonal attunement. Based on semi-structured interviews with thirteen couples, four overarching themes emerged: (a) positive changes for self, (b) improvements in couple relationship, (c) more prepared for baby, and (d) male involvement. Participants stated that the program increased their acceptance and awareness, deepened connections with their partners, and led them to be more confident about becoming parents. Male participants felt they became more identified as fathers. The authors discuss the clinical implications of these findings. CI - (c) 2014 American Association for Marriage and Family Therapy. FAU - Gambrel, Laura Eubanks AU - Gambrel LE AD - La Salle University. FAU - Piercy, Fred P AU - Piercy FP LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20140121 PL - United States TA - J Marital Fam Ther JT - Journal of marital and family therapy JID - 7904614 SB - IM MH - Adult MH - Female MH - Humans MH - *Interpersonal Relations MH - Male MH - Middle Aged MH - Mindfulness/*methods MH - Parents/*education MH - Prenatal Education/*methods MH - Qualitative Research MH - Spouses/*education MH - Treatment Outcome MH - Young Adult EDAT- 2014/01/22 06:00 MHDA- 2015/09/30 06:00 CRDT- 2014/01/22 06:00 AID - 10.1111/jmft.12065 [doi] PST - ppublish SO - J Marital Fam Ther. 2015 Jan;41(1):25-41. doi: 10.1111/jmft.12065. Epub 2014 Jan 21. PMID- 24381476 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20140101 DCOM- 20140101 LR - 20170220 IS - 1058-1243 (Print) IS - 1058-1243 (Linking) VI - 22 IP - 1 DP - 2013 Winter TI - An evaluation of male partners' perceptions of antenatal classes in a national health service hospital: implications for service provision in london. PG - 30-8 LID - 10.1891/1058-1243.22.1.30 [doi] AB - Few studies have considered whether the gender of educator or same-gender classes have any influence on the participation of male partners, and even fewer studies have examined any factors that limit attendance from ethnic minority groups. The objective of this study was to investigate male partners' initial experience and associated factors that limit attendance. Data were collected by means of a questionnaire given to 69 male partners in North London. In total, 49 male partners preferred to attend the same class with their partners even if all male forums were offered. The gender of the educator had no influence on their participation. Comments from 23 participants from three different ethnic minority groups indicated that they preferred to have a separate class from their partners. FAU - Shia, Nessie AU - Shia N FAU - Alabi, Oluseyi AU - Alabi O LA - eng PT - Journal Article PL - United States TA - J Perinat Educ JT - The Journal of perinatal education JID - 9301158 PMC - PMC3647723 OID - NLM: PMC3647723 OTO - NOTNLM OT - antenatal education OT - childbirth OT - factors influenced participation OT - male partners' perceptions EDAT- 2014/01/02 06:00 MHDA- 2014/01/02 06:01 CRDT- 2014/01/02 06:00 AID - 10.1891/1058-1243.22.1.30 [doi] PST - ppublish SO - J Perinat Educ. 2013 Winter;22(1):30-8. doi: 10.1891/1058-1243.22.1.30. PMID- 24204069 OWN - NLM STAT- MEDLINE DA - 20131108 DCOM- 20140708 LR - 20151119 IS - 1558-7118 (Electronic) IS - 1557-2625 (Linking) VI - 26 IP - 6 DP - 2013 Nov-Dec TI - Prenatal group visit program for a population with limited English proficiency. PG - 728-37 LID - 10.3122/jabfm.2013.06.130005 [doi] AB - INTRODUCTION: The declining number of family physicians providing pregnancy care is of concern because they are an important source of pregnancy care in underserved communities. Innovative approaches might reinforce family physician participation in pregnancy care for the underserved. Since group prenatal visits have been shown to improve patient education, support, and satisfaction, we implemented and evaluated a group prenatal visit program for Japanese women in Michigan, an underserved population because of their limited proficiency with English. METHODS: We conducted a convergent quantitative and qualitative mixed methods evaluation involving repeated survey administration (program evaluations, 4-item Patient Health Questionnaire, pregnancy distress questionnaire) to participants during 5 group visits and in-depth postpartum interviews in the University of Michigan Japanese Family Health Program setting. We conducted independent quantitative and qualitative analytics and then thematically integrated these data. RESULTS: Cultural adaptations to the Centering Pregnancy format involved changes in total visits, educational content, and participation format. Based on 5 groups attending 5 sessions each, 42 women evaluated the program through 158 surveys after the sessions. Participants evaluated multiple parameters positively: being with other pregnant women (98%), improving their understanding about prenatal care (96%), preparation for labor and delivery (96%), organization of visits (94%), and preparation for newborn care (85%). In final evaluations, 96% to 100% of participants rated 7 educational topics as "covered" or "covered well." Qualitative interviews with 20 women revealed positive views of social support from prenatal group visits and group facilitation but mixed enthusiasm for clinical assessments in the prenatal group visit setting and partner and children attendance at the sessions. CONCLUSIONS: This research demonstrates the feasibility and cultural acceptability of prenatal group visits for Japanese women. Prenatal group visits provided education and social support for Japanese women during the perinatal and postpartum periods that were not otherwise accessible in Japanese. This study confirms the feasibility of family physicians providing prenatal group visits and extends the literature of the applicability of prenatal group visits for patients with limited English skills. FAU - Little, Sahoko H AU - Little SH AD - the Department of Family Medicine, University of Michigan, Ann Arbor; and the Takachaya Clinic, Mie Family Practice Center, Tsu City, Mie, Japan. FAU - Motohara, Satoko AU - Motohara S FAU - Miyazaki, Kei AU - Miyazaki K FAU - Arato, Nora AU - Arato N FAU - Fetters, Michael D AU - Fetters MD LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Am Board Fam Med JT - Journal of the American Board of Family Medicine : JABFM JID - 101256526 SB - IM MH - *Adaptation, Psychological MH - Adult MH - *Asian Continental Ancestry Group MH - *Cultural Diversity MH - Female MH - Humans MH - Medically Underserved Area MH - Michigan MH - Office Visits/*utilization MH - Patient Education as Topic MH - Patient Satisfaction MH - Pregnancy MH - Prenatal Care/*organization & administration MH - Program Evaluation/*methods MH - Surveys and Questionnaires OTO - NOTNLM OT - English as a Second Language (ESL) OT - Evaluation Research OT - Japanese OT - Mixed Methods Research OT - Prenatal Care OT - Underserved Populations EDAT- 2013/11/10 06:00 MHDA- 2014/07/09 06:00 CRDT- 2013/11/09 06:00 AID - 26/6/728 [pii] AID - 10.3122/jabfm.2013.06.130005 [doi] PST - ppublish SO - J Am Board Fam Med. 2013 Nov-Dec;26(6):728-37. doi: 10.3122/jabfm.2013.06.130005. PMID- 24199962 OWN - NLM STAT- MEDLINE DA - 20140206 DCOM- 20141014 LR - 20151119 IS - 1477-2205 (Electronic) IS - 1061-5806 (Linking) VI - 27 IP - 2 DP - 2014 TI - The effect of exercise and childbirth classes on fear of childbirth and locus of labor pain control. PG - 176-89 LID - 10.1080/10615806.2013.830107 [doi] AB - This study sought to track changes in intensity of fear of childbirth and locus of labor pain control in women attending an exercise program for pregnant women or traditional childbirth classes and to identify the predictors of these changes. The study was longitudinal/non-experimental in nature and run on 109 healthy primigravidae aged from 22 to 37, including 62 women participating in an exercise program for pregnant women and 47 women attending traditional childbirth classes. The following assessment tools were used: two scales developed by the present authors - the Fear of Childbirth Scale and the Control of Birth Pain Scale, three standardized psychological inventories for the big five personality traits (NEO Five Factors Inventory), trait anxiety (State-Trait Anxiety Inventory) and dispositional optimism (Life Oriented Test-Revised) and a questionnaire concerning socioeconomic status, health status, activities during pregnancy, relations with partners and expectations about childbirth. Fear of childbirth significantly decreased in women participating in the exercise program for pregnant women but not in women attending traditional childbirth classes. Several significant predictors of post-intervention fear of childbirth emerged: dispositional optimism and self-rated health (negative) and strength of the belief that childbirth pain depends on chance (positive). FAU - Guszkowska, Monika AU - Guszkowska M AD - a Department of Socio-Cultural Foundations of Tourism, Faculty of Tourism and Recreation , Jozef Pilsudski University of Physical Education in Warsaw , Marymoncka 34, 00-986 Warsaw , Poland. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131107 PL - England TA - Anxiety Stress Coping JT - Anxiety, stress, and coping JID - 9212242 SB - IM MH - Adult MH - Anxiety/psychology MH - Attitude to Health MH - Exercise/*psychology MH - Fear/*psychology MH - Female MH - Health Status MH - Humans MH - Labor Pain/*psychology MH - Longitudinal Studies MH - Parturition/*psychology MH - Personality/physiology MH - Pregnancy MH - Prenatal Education/*methods MH - Socioeconomic Factors MH - Surveys and Questionnaires MH - Young Adult EDAT- 2013/11/10 06:00 MHDA- 2014/10/15 06:00 CRDT- 2013/11/09 06:00 AID - 10.1080/10615806.2013.830107 [doi] PST - ppublish SO - Anxiety Stress Coping. 2014;27(2):176-89. doi: 10.1080/10615806.2013.830107. Epub 2013 Nov 7. PMID- 24187115 OWN - NLM STAT- MEDLINE DA - 20131104 DCOM- 20140121 LR - 20161215 IS - 1098-4275 (Electronic) IS - 0031-4005 (Linking) VI - 132 Suppl 2 DP - 2013 Nov TI - Engaging and retaining abused women in perinatal home visitation programs. PG - S134-9 LID - 10.1542/peds.2013-1021L [doi] AB - OBJECTIVES: Intimate partner violence (IPV) during pregnancy affects 0.9% to 17% of women and affects maternal health significantly. The impact of IPV extends to the health of children, including an increased risk of complications during pregnancy and the neonatal period, mental health problems, and cognitive delays. Despite substantial sequelae, there is limited research substantiating best practices for engaging and retaining high-risk families in perinatal home visiting (HV) programs, which have been shown to improve infant development and reduce maltreatment. METHODS: The Domestic Violence Enhanced Home Visitation Program (DOVE) is a multistate longitudinal study testing the effectiveness of a structured IPV intervention integrated into health department perinatal HV programs. The DOVE intervention, based on an empowerment model, combined 2 evidence-based interventions: a 10-minute brochure-based IPV intervention and nurse home visitation. RESULTS: Across all sites, 689 referrals were received from participating health departments. A total of 339 abused pregnant women were eligible for randomization; 42 women refused, and 239 women were randomly assigned (124 DOVE; 115 usual care), resulting in a 71% recruitment rate. Retention rates from baseline included 93% at delivery, 80% at 3 months, 76% at 6 months, and 72% at 12 months. CONCLUSIONS: Challenges for HV programs include identifying and retaining abused pregnant women in their programs. DOVE strategies for engaging and retaining abused pregnant women should be integrated into HV programs' federal government mandates for the appropriate identification and intervention of women and children exposed to IPV. FAU - Sharps, Phyllis AU - Sharps P AD - FAAN, School of Nursing, Johns Hopkins University, 525 N. Wolfe Street, Baltimore, MD 21205. psharps1@jhu.edu. FAU - Alhusen, Jeanne L AU - Alhusen JL FAU - Bullock, Linda AU - Bullock L FAU - Bhandari, Shreya AU - Bhandari S FAU - Ghazarian, Sharon AU - Ghazarian S FAU - Udo, Ifeyinwa E AU - Udo IE FAU - Campbell, Jacquelyn AU - Campbell J LA - eng SI - ClinicalTrials.gov/NCT00465556 GR - R01 NR009093/NR/NINR NIH HHS/United States GR - R01009093/PHS HHS/United States PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PL - United States TA - Pediatrics JT - Pediatrics JID - 0376422 SB - AIM SB - IM MH - Adult MH - Battered Women/*psychology MH - Female MH - Follow-Up Studies MH - *Home Care Services MH - *House Calls MH - Humans MH - Longitudinal Studies MH - Patient Compliance/psychology MH - Perinatal Care/*methods MH - Pregnancy MH - Pregnant Women/*psychology MH - Spouse Abuse/*psychology/therapy MH - Young Adult PMC - PMC3943378 OID - NLM: PMC3943378 OTO - NOTNLM OT - Domestic Violence Enhanced Home Visitation Program OT - home visitation OT - intimate partner violence OT - violence during pregnancy EDAT- 2013/11/06 06:00 MHDA- 2014/01/22 06:00 CRDT- 2013/11/05 06:00 AID - peds.2013-1021L [pii] AID - 10.1542/peds.2013-1021L [doi] PST - ppublish SO - Pediatrics. 2013 Nov;132 Suppl 2:S134-9. doi: 10.1542/peds.2013-1021L. PMID- 24183005 OWN - NLM STAT- MEDLINE DA - 20150424 DCOM- 20160119 LR - 20150424 IS - 1478-9523 (Electronic) IS - 1478-9515 (Linking) VI - 13 IP - 2 DP - 2015 Apr TI - Perinatal palliative care: Parent perceptions of caring in interactions surrounding counseling for risk of delivering an extremely premature infant. PG - 145-55 LID - 10.1017/S1478951513000874 [doi] AB - OBJECTIVE: When infants are at risk of being born at a very premature gestation (22-25 weeks), parents face important life-support decisions because of the high mortality for such infants. Concurrently, providers are challenged with providing parents a supportive environment within which to make these decisions. Practice guidelines for medical care of these infants and the principles of perinatal palliative care for families can be resources for providers, but there is limited research to bridge these medical and humanistic approaches to infant and family care. The purpose of this article is to describe how parents at risk of delivering their infant prior to 26 weeks gestation interpreted the quality of their interpersonal interactions with healthcare providers. METHODS: Directed content analysis was employed to perform secondary analysis of data from 54 parents (40 mothers and 14 fathers) from the previously coded theme "Quality of Interactions." These categorized data described parents' encounters, expectations, and experiences of interactions that occurred prenatally with care providers. For this analysis, Swanson's theory of caring was selected to guide analysis and to delineate parents' descriptions of caring and uncaring interactions. RESULTS: Parents' expectations for caring included: (a) respecting parents and believing in their capacity to make the best decisions for their family (maintaining belief); (b) understanding parents' experiences and their continued need to protect their infant (knowing); (c) physically and emotionally engaging with the parents (being with); (d) providing unbiased information describing all possibilities (enabling); and (e) helping parents navigate the system and creating a therapeutic environment for them in which to make decisions (doing for). SIGNIFICANCE OF RESULTS: Understanding parents' prenatal caring expectations through Swanson's theory gives deeper insights, aligning their expectations with the palliative care movement. FAU - Kavanaugh, Karen AU - Kavanaugh K AD - Wayne State University College of Nursing and Children's Hospital of Michigan,Detroit, Michigan. FAU - Roscigno, Cecelia I AU - Roscigno CI AD - University of North Carolina,Chapel Hill, North Carolina. FAU - Swanson, Kristen M AU - Swanson KM AD - University of North Carolina,Chapel Hill, North Carolina. FAU - Savage, Teresa A AU - Savage TA AD - University of Illinois at Chicago,Chicago, Illinois. FAU - Kimura, Robert E AU - Kimura RE AD - Department of Pediatrics,Rush University Medical Center,Chicago, Illinois. FAU - Kilpatrick, Sarah J AU - Kilpatrick SJ AD - Cedars-Sinai Medical Center,Los Angeles, California. LA - eng GR - 5T32NR007091-17/NR/NINR NIH HHS/United States GR - P30 NR010680/NR/NINR NIH HHS/United States GR - R01 07904/PHS HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20131104 PL - England TA - Palliat Support Care JT - Palliative & supportive care JID - 101232529 SB - IM MH - Adult MH - *Counseling MH - Female MH - Humans MH - *Infant, Extremely Premature MH - Infant, Newborn MH - Male MH - *Palliative Care MH - Parents/*psychology MH - Perinatal Care/*methods MH - Pregnancy MH - *Quality of Health Care OTO - NOTNLM OT - Antenatal counseling EDAT- 2013/11/05 06:00 MHDA- 2016/01/20 06:00 CRDT- 2013/11/05 06:00 AID - S1478951513000874 [pii] AID - 10.1017/S1478951513000874 [doi] PST - ppublish SO - Palliat Support Care. 2015 Apr;13(2):145-55. doi: 10.1017/S1478951513000874. Epub 2013 Nov 4. PMID- 24134717 OWN - NLM STAT- MEDLINE DA - 20140117 DCOM- 20140731 LR - 20170220 IS - 1471-2393 (Electronic) IS - 1471-2393 (Linking) VI - 13 DP - 2013 Oct 18 TI - Trends in antenatal care attendance and health facility delivery following community and health facility systems strengthening interventions in Northern Uganda. PG - 189 LID - 10.1186/1471-2393-13-189 [doi] AB - BACKGROUND: Maternal morbidity and mortality remains high in Uganda; largely due to inadequate antenatal care (ANC), low skilled deliveries and poor quality of other maternal health services. In order to address both the demand and quality of ANC and skilled deliveries, we introduced community mobilization and health facility capacity strengthening interventions. METHODS: Interventions were introduced between January 2010 and September 2011. These included: training health workers, provision of medical supplies, community mobilization using village health teams, music dance and drama groups and male partner access clubs. These activities were implemented at Kitgum Matidi health center III and its catchment area. Routinely collected health facility data on selected outcomes in the year preceding the interventions and after 21 months of implementation of the interventions was reviewed. Trend analysis was performed using excel and statistical significance testing was performed using EPINFO StatCal option. RESULTS: The number of pregnant women attending the first ANC visit significantly increased from 114 to 150 in the first and fourth quarter of 2010 (OR 1.72; 95% CI 1.39-2.12) and to 202 in the third quarter of 2011(OR 11.41; 95% CI 7.97-16.34). The number of pregnant women counselled, tested and given results for HIV during the first ANC attendance significantly rose from 92 (80.7%) to 146 (97.3%) in the first and fourth quarter of 2010 and then to 201 (99.5%) in the third quarter of 2011. The number of male partners counseled, tested and given results together with their wives at first ANC visit rose from 13 (16.7%) in the fourth quarter of 2009 to 130 (89%) in the fourth quarter of 2010 and to 180 (89.6%) in the third quarter of 2011. There was a significant rise in the number of pregnant women delivering in the health facility with provision of mama-kits (delivery kits), from 74 (55.2%) to 149 (99.3%) in the second and fourth quarter of 2010. CONCLUSIONS: Combined community and facility systems strengthening interventions led to increased first ANC visits by women and their partners, and health facility deliveries. Interventions aimed at increasing uptake of maternal health services should address both the demand and availability of quality services. FAU - Ediau, Michael AU - Ediau M AD - ChildFund Uganda, P,O Box 3341, Kampala, Uganda. ediau2000@yahoo.co.uk. FAU - Wanyenze, Rhoda K AU - Wanyenze RK FAU - Machingaidze, Simba AU - Machingaidze S FAU - Otim, George AU - Otim G FAU - Olwedo, Alex AU - Olwedo A FAU - Iriso, Robert AU - Iriso R FAU - Tumwesigye, Nazarius M AU - Tumwesigye NM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131018 PL - England TA - BMC Pregnancy Childbirth JT - BMC pregnancy and childbirth JID - 100967799 SB - IM MH - *Capacity Building MH - Counseling MH - Female MH - HIV Infections/diagnosis MH - Health Facilities/trends/*utilization MH - Health Promotion/*methods MH - Humans MH - Male MH - Parturition MH - Patient Acceptance of Health Care/*statistics & numerical data MH - Pregnancy MH - Prenatal Care/trends/*utilization MH - Program Evaluation MH - Rural Health Services/trends/*utilization MH - Spouses MH - Uganda PMC - PMC3854535 OID - NLM: PMC3854535 EDAT- 2013/10/19 06:00 MHDA- 2014/08/01 06:00 CRDT- 2013/10/19 06:00 PHST- 2012/04/21 [received] PHST- 2013/10/09 [accepted] AID - 1471-2393-13-189 [pii] AID - 10.1186/1471-2393-13-189 [doi] PST - epublish SO - BMC Pregnancy Childbirth. 2013 Oct 18;13:189. doi: 10.1186/1471-2393-13-189. PMID- 24133943 OWN - NLM STAT- MEDLINE DA - 20131018 DCOM- 20131114 LR - 20161125 IS - 1462-2815 (Print) IS - 1462-2815 (Linking) VI - 86 IP - 9 DP - 2013 Sep TI - A survey of antenatal advice and education by the Sedgemoor Health Visitor Team. PG - 37-9 AB - The Healthy Child Programme includes an antenatal contact with the health visitor between 28 and 36 weeks gestation. In South Sedgemoor, health visitors had previously run an antenatal parenting session as part of the parentcraft education provided by the midwives. This had stopped due to a number of reasons. The decision was made to survey expectant parents to determine their views on how best this antenatal contact with the health visitor could be achieved. Sixty-six questionnaires were handed out and 73% responded. It was evident from the findings that the vast majority of parents questioned (82%) wanted individual face-to-face to contact with health visitors and midwives, with only 27% wanting to attend a small group. There was a clear request that this contact was to be done in the surgery (59%), although 36% felt that home or the children's centre would be an appropriate place. The parents mostly felt that the best time for this to happen would be during the day (48%) or at the weekend (30%). This small survey shows how important it is for individual health visiting teams to identify the antenatal needs of their clients in each locality and to listen to what they want. FAU - Curtis, Cheryl AU - Curtis C AD - Health Visitor, Somerset Partnership NHS Foundation Trust. FAU - Davidson, Joanna AU - Davidson J LA - eng PT - Journal Article PL - England TA - Community Pract JT - Community practitioner : the journal of the Community Practitioners' & Health Visitors' Association JID - 9809060 SB - N MH - *Community Health Nursing MH - Female MH - Humans MH - Midwifery MH - *Needs Assessment MH - *Parenting MH - Patient Education as Topic/*methods MH - *Patient Preference MH - Pregnancy MH - Prenatal Care/*methods MH - Surveys and Questionnaires MH - United Kingdom EDAT- 2013/10/19 06:00 MHDA- 2013/11/15 06:00 CRDT- 2013/10/19 06:00 PST - ppublish SO - Community Pract. 2013 Sep;86(9):37-9. PMID- 24070822 OWN - NLM STAT- MEDLINE DA - 20140106 DCOM- 20140930 LR - 20140106 IS - 1532-1932 (Electronic) IS - 1521-6934 (Linking) VI - 28 IP - 1 DP - 2014 Jan TI - Psychosocial interventions for the treatment of perinatal depression. PG - 97-111 LID - 10.1016/j.bpobgyn.2013.08.008 [doi] LID - S1521-6934(13)00110-7 [pii] AB - Epidemiological investigations and meta-analyses of predictive studies have consistently demonstrated the importance of psychosocial variables as postpartum depression risk factors. To address this, several psychosocial treatment strategies have been evaluated for the treatment of postpartum depression. The purpose of this paper is to determine the current state of scientific knowledge related to the treatment of postpartum depression from a psychosocial perspective. Thirteen trials were included in the review that evaluated the following interventions: peer support, partner support, non-directive counselling, home visits by mental health nurses, and collaborative models of care. Owing to methodological limitations of the included trials, the effectiveness of most psychosocial approaches for the treatment of postpartum depression is equivocal. Large, multisite randomised-controlled trials are needed to compare different treatment approaches, examine the effectiveness of individual treatment components, and determine which treatments are most useful for women with different risk factors or clinical presentations of postpartum depression. CI - Copyright (c) 2013. Published by Elsevier Ltd. FAU - Dennis, Cindy-Lee AU - Dennis CL AD - Lawrence S. Bloomberg, Faculty of Nursing, University of Toronto, Canada. Electronic address: cindylee.dennis@utoronto.ca. LA - eng PT - Journal Article PT - Review DEP - 20130828 PL - Netherlands TA - Best Pract Res Clin Obstet Gynaecol JT - Best practice & research. Clinical obstetrics & gynaecology JID - 101121582 SB - IM MH - Community Mental Health Services MH - *Counseling MH - Depression/*therapy MH - Depression, Postpartum/*therapy MH - Female MH - Home Care Services MH - Humans MH - Interpersonal Relations MH - Mothers/psychology MH - Peripartum Period/*psychology MH - Pregnancy MH - Psychological Theory MH - Randomized Controlled Trials as Topic MH - *Self-Help Groups MH - Social Support OTO - NOTNLM OT - home-based OT - interventions OT - non-directive counselling OT - peer support OT - postpartum depression OT - randomised-controlled trials OT - social support OT - support group OT - systematic review EDAT- 2013/09/28 06:00 MHDA- 2014/10/01 06:00 CRDT- 2013/09/28 06:00 PHST- 2013/07/27 [received] PHST- 2013/08/07 [accepted] AID - S1521-6934(13)00110-7 [pii] AID - 10.1016/j.bpobgyn.2013.08.008 [doi] PST - ppublish SO - Best Pract Res Clin Obstet Gynaecol. 2014 Jan;28(1):97-111. doi: 10.1016/j.bpobgyn.2013.08.008. Epub 2013 Aug 28. PMID- 24043953 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20130917 DCOM- 20130917 LR - 20170220 IS - 1178-7090 (Print) IS - 1178-7090 (Linking) VI - 6 DP - 2013 TI - Evaluation of the Bonapace Method: a specific educational intervention to reduce pain during childbirth. PG - 653-61 LID - 10.2147/JPR.S46693 [doi] AB - OBJECTIVE: As pain during childbirth is very intense, several educational programs exist to help women prepare for the event. This study evaluates the efficacy of a specific pain management program, the Bonapace Method (BM), to reduce the perception of pain during childbirth. The BM involves the father, or a significant partner, in the use of several pain control techniques based on three neurophysiological pain modulation models: (1) controlling the central nervous system through breathing, relaxation, and cognitive structuring; (2) using non-painful stimuli as described in the Gate Control Theory; and (3) recruiting descending inhibition by hyperstimulation of acupressure trigger points. METHODS: A multicenter case control study in Quebec on pain perception during labor and delivery compared traditional childbirth training programs (TCTPs) and the BM. Visual analog scales were used to measure pain perception during labor. In all, 25 women (TCTP: n = 12; BM: n = 13) successfully reported their perceptions of pain intensity and unpleasantness every 15 minutes. RESULTS: A POSITIVE CORRELATION BETWEEN THE PROGRESSION OF LABOR AND PAIN WAS FOUND (PAIN INTENSITY: P < 0.01; pain unpleasantness: P < 0.01). When compared to TCTP, the BM showed an overall significant lower pain perception for both intensity (45%; P < 0.01) and unpleasantness (46%; P < 0.01). CONCLUSION: These significant differences in pain perception between TCTP and the BM suggest that the emphasis on pain modulation models and techniques during labor combined with the active participation of a partner in BM are important variables to be added to the traditional childbirth training programs for childbirth pain management. FAU - Bonapace, Julie AU - Bonapace J AD - Departement des Sciences de l'Education, Universite du Quebec en Abitibi-Temiscamingue, Rouyn-Noranda, Quebec. FAU - Chaillet, Nils AU - Chaillet N FAU - Gaumond, Isabelle AU - Gaumond I FAU - Paul-Savoie, Emilie AU - Paul-Savoie E FAU - Marchand, Serge AU - Marchand S LA - eng PT - Journal Article DEP - 20130904 PL - New Zealand TA - J Pain Res JT - Journal of pain research JID - 101540514 PMC - PMC3772779 OID - NLM: PMC3772779 OTO - NOTNLM OT - DNIC OT - cognitive structuring OT - father OT - gate control theory OT - labor pain OT - massage OT - perinatal care OT - yoga EDAT- 2013/09/18 06:00 MHDA- 2013/09/18 06:01 CRDT- 2013/09/18 06:00 AID - 10.2147/JPR.S46693 [doi] AID - jpr-6-653 [pii] PST - epublish SO - J Pain Res. 2013 Sep 4;6:653-61. doi: 10.2147/JPR.S46693. eCollection 2013. PMID- 23997551 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20130902 DCOM- 20130902 LR - 20170220 IS - 1058-1243 (Print) IS - 1058-1243 (Linking) VI - 21 IP - 4 DP - 2012 Fall TI - Childbirth education and obstetric interventions among low-risk canadian women: is there a connection? PG - 229-37 LID - 10.1891/1058-1243.21.4.229 [doi] AB - The objective of this study was to examine the associations between attendance at childbirth education classes and maternal characteristics (age, income, educational level, single parent status), maternal psychological states (fear of birth, anxiety), rates of obstetric interventions, and breastfeeding initiation. Between women's 35th and 39th weeks of gestation, we collected survey data about their childbirth fear, anxiety, attendance at childbirth education classes, choice of health-care provider, and expectations for interventions; we then linked women's responses (n = 624) to their intrapartum records obtained through Perinatal Services British Columbia. Older, more educated, and nulliparous women were more likely to attend childbirth education classes than younger, less educated, and multiparous women. Attending prenatal education classes was associated with higher rates of vaginal births among women in the study sample. Rates of labor induction and augmentation and use of epidural anesthesia were not significantly associated with attendance at childbirth education classes. Future studies might explore the effect of specialized education programs on rates of interventions during labor and mode of birth. FAU - Stoll, Kathrin H AU - Stoll KH FAU - Hall, Wendy AU - Hall W LA - eng PT - Journal Article PL - United States TA - J Perinat Educ JT - The Journal of perinatal education JID - 9301158 PMC - PMC3489119 OID - NLM: PMC3489119 OTO - NOTNLM OT - childbirth education OT - low-risk pregnant women OT - obstetric interventions OT - prenatal classes EDAT- 2013/09/03 06:00 MHDA- 2013/09/03 06:01 CRDT- 2013/09/03 06:00 AID - 10.1891/1058-1243.21.4.229 [doi] PST - ppublish SO - J Perinat Educ. 2012 Fall;21(4):229-37. doi: 10.1891/1058-1243.21.4.229. PMID- 23986402 OWN - NLM STAT- MEDLINE DA - 20130829 DCOM- 20140611 LR - 20130829 IS - 1424-3997 (Electronic) IS - 0036-7672 (Linking) VI - 143 DP - 2013 Aug 27 TI - Predictors of early postpartum mental distress in mothers with midwifery home care--results from a nested case-control study. PG - w13862 LID - 10.4414/smw.2013.13862 [doi] LID - Swiss Med Wkly. 2013;143:w13862 [pii] AB - PRINCIPLES: The prevalence of early postpartum mental health conditions is high. Midwives and other health professionals visiting women at home may identify mothers at risk. This seems crucial given decreasing trends of length of hospital stay after childbirth. This study aimed to identify predictors of maternal mental distress in a midwifery home care setting. METHODS: Using the statistical database of independent midwives' services in Switzerland in 2007, we conducted a matched nested case-control study. Out of a source population of 34,295 mothers with midwifery home care in the first ten days after childbirth, 935 mothers with maternal distress and 3,645 controls, matched by midwife, were included. We analysed whether socio-demographic, maternal and neonatal factors predict maternal mental distress by multivariable conditional logistic regression analysis. RESULTS: Infant crying problems and not living with a partner were the strongest predictors for maternal distress, whereas higher parity was the most protective factor. Significantly elevated risks were also found for older age, lower educational levels, breast/breastfeeding problems, infant weight gain concerns, neonatal pathologies and use of midwifery care during pregnancy. A lower likelihood for maternal distress was seen for non-Swiss nationality, full-time employment before birth, intention to return to work after birth and midwife-led birth. CONCLUSION: The study informs on predictors of maternal mental distress identified in a home care setting in the early postpartum period. Midwives and other health care professionals should pay particular attention to mothers of excessively crying infants, single mothers and primipara, and assess the need for support of these mothers. FAU - Staehelin, Katharina AU - Staehelin K AD - Swiss Tropical and Public Health Institute, Basel, SWITZERLAND; katharina.staehelin@bluewin.ch. FAU - Kurth, Elisabeth AU - Kurth E FAU - Schindler, Christian AU - Schindler C FAU - Schmid, Monika AU - Schmid M FAU - Zemp Stutz, Elisabeth AU - Zemp Stutz E LA - eng PT - Journal Article DEP - 20130827 PL - Switzerland TA - Swiss Med Wkly JT - Swiss medical weekly JID - 100970884 SB - IM MH - Adult MH - Age Factors MH - Breast Feeding/statistics & numerical data MH - Case-Control Studies MH - Cesarean Section/statistics & numerical data MH - Delivery, Obstetric/statistics & numerical data MH - Depression, Postpartum/*epidemiology MH - Educational Status MH - Employment/statistics & numerical data MH - Family Characteristics MH - Female MH - *Home Care Services MH - Humans MH - Infant, Newborn MH - Infant, Small for Gestational Age MH - *Midwifery MH - Mothers/*psychology MH - Odds Ratio MH - Parity MH - *Postnatal Care MH - Postpartum Period/*psychology MH - Pregnancy MH - Prenatal Education/statistics & numerical data MH - Risk Factors MH - Stress, Psychological/*epidemiology MH - Switzerland/epidemiology EDAT- 2013/08/30 06:00 MHDA- 2014/06/12 06:00 CRDT- 2013/08/30 06:00 AID - 10.4414/smw.2013.13862 [doi] AID - smw-13862 [pii] PST - epublish SO - Swiss Med Wkly. 2013 Aug 27;143:w13862. doi: 10.4414/smw.2013.13862. PMID- 23977257 OWN - NLM STAT- MEDLINE DA - 20130826 DCOM- 20150122 LR - 20170220 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 8 IP - 8 DP - 2013 TI - Impact of a manualized multifocal perinatal home-visiting program using psychologists on postnatal depression: the CAPEDP randomized controlled trial. PG - e72216 LID - 10.1371/journal.pone.0072216 [doi] AB - CONTEXT: Postnatal maternal depression (PND) is a significant risk factor for infant mental health. Although often targeted alongside other factors in perinatal home-visiting programs with vulnerable families, little impact on PND has been observed. OBJECTIVE: This study evaluates the impact on PND symptomatology of a multifocal perinatal home-visiting intervention using psychologists in a sample of women presenting risk factors associated with infant mental health difficulties. METHODS: 440 primiparous women were recruited at their seventh month of pregnancy. All were future first-time mothers, under 26, with at least one of three additional psychosocial risk factors: low educational level, low income, or planning to raise the child without the father. The intervention consisted of intensive multifocal home visits through to the child's second birthday. The control group received care as usual. PND symptomatology was assessed at baseline and three months after birth using the Edinburgh Postnatal Depression Scale (EPDS). RESULTS: At three months postpartum, mean (SD) EPDS scores were 9.4 (5.4) for the control group and 8.6 (5.4) for the intervention group (p = 0.18). The difference between the mean EPDS scores was 0.85 (95% CI: 0.35; 1.34). The intervention group had significantly lower EPDS scores than controls in certain subgroups: women with few depressive symptoms at inclusion (EPDS <8): difference = 1.66 (95%CI: 0.17; 3.15), p = 0.05, adjusted for baseline EPDS score), women who were planning to raise the child with the child's father: difference = 1.45 (95%CI: 0.27; 2.62), p = 0.04 (adjusted); women with a higher educational level: difference = 1.59 (95%CI: 0.50; 2.68) p = 0.05 (adjusted). CONCLUSION: CAPEDP failed to demonstrate an overall impact on PND. However, post-hoc analysis reveals the intervention was effective in terms of primary prevention and in subgroups of women without certain risk factors. Effective overall reduction of PND symptomatology for young, first-time mothers presenting additional psychosocial risk factors may require more tailored interventions. TRIAL REGISTRATION: ClinicalTrials.gov NCT00392847 Promoting Parental Skills and Enhancing Attachment in Early Childhood (CAPEDP). FAU - Dugravier, Romain AU - Dugravier R AD - Unite de Perinatalite, Centre Hospitalier Sainte-Anne, Paris, France. romain.dugravier@gmail.com FAU - Tubach, Florence AU - Tubach F FAU - Saias, Thomas AU - Saias T FAU - Guedeney, Nicole AU - Guedeney N FAU - Pasquet, Blandine AU - Pasquet B FAU - Purper-Ouakil, Diane AU - Purper-Ouakil D FAU - Tereno, Susana AU - Tereno S FAU - Welniarz, Bertrand AU - Welniarz B FAU - Matos, Joana AU - Matos J CN - CAPEDP Study Group FAU - Guedeney, Antoine AU - Guedeney A FAU - Greacen, Tim AU - Greacen T LA - eng SI - ClinicalTrials.gov/NCT00392847 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20130819 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Adult MH - Child, Preschool MH - Depression, Postpartum/physiopathology/*prevention & control/psychology MH - Educational Status MH - Female MH - House Calls/*utilization MH - Humans MH - Infant MH - Mental Health/statistics & numerical data MH - Mother-Child Relations/psychology MH - *Postnatal Care MH - Poverty MH - Pregnancy MH - *Psychotherapy MH - Risk Factors MH - Single Parent PMC - PMC3747116 OID - NLM: PMC3747116 IR - Azria E FIR - Azria, Elie IR - Barranger E FIR - Barranger, Emmanuel IR - Benifla JL FIR - Benifla, Jean-Louis IR - Carbonne B FIR - Carbonne, Bruno IR - Dommergues M FIR - Dommergues, Marc IR - Dugravier R FIR - Dugravier, Romain IR - Falissard B FIR - Falissard, Bruno IR - Greacen T FIR - Greacen, Tim IR - Guedeney A FIR - Guedeney, Antoine IR - Guedeney N FIR - Guedeney, Nicole IR - Haddad A FIR - Haddad, Alain IR - Luton D FIR - Luton, Dominique IR - Mahieu-Caputo D FIR - Mahieu-Caputo, Dominique IR - Mandelbrot L FIR - Mandelbrot, Laurent IR - Oury JF FIR - Oury, Jean-Francois IR - Pathier D FIR - Pathier, Dominique IR - Purper-Ouakil D FIR - Purper-Ouakil, Diane IR - Saias T FIR - Saias, Thomas IR - Tereno S FIR - Tereno, Susana IR - Tremblay RE FIR - Tremblay, Richard E IR - Tubach F FIR - Tubach, Florence IR - Uzan S FIR - Uzan, Serge IR - Welniarz B FIR - Welniarz, Bertrand EDAT- 2013/08/27 06:00 MHDA- 2015/01/23 06:00 CRDT- 2013/08/27 06:00 PHST- 2013/01/18 [received] PHST- 2013/07/07 [accepted] AID - 10.1371/journal.pone.0072216 [doi] AID - PONE-D-13-04909 [pii] PST - epublish SO - PLoS One. 2013 Aug 19;8(8):e72216. doi: 10.1371/journal.pone.0072216. eCollection 2013. PMID- 23931956 OWN - NLM STAT- MEDLINE DA - 20131223 DCOM- 20140828 LR - 20131223 IS - 1873-4758 (Electronic) IS - 0955-3959 (Linking) VI - 24 IP - 6 DP - 2013 Nov TI - Response to Chandler et al., Substance, structure and stigma: parents in the UK accounting for opioid substitution therapy during the antenatal and postnatal periods. PG - e87-8 LID - 10.1016/j.drugpo.2013.07.006 [doi] LID - S0955-3959(13)00121-7 [pii] FAU - Valentine, Kylie AU - Valentine K AD - Social Policy Research Centre, The University of New South Wales, Australia. Electronic address: k.valentine@unsw.edu.au. FAU - Treloar, Carla AU - Treloar C AD - Centre for Social Research in Health, The University of New South Wales, Australia. LA - eng PT - Comment PT - Journal Article DEP - 20130807 PL - Netherlands TA - Int J Drug Policy JT - The International journal on drug policy JID - 9014759 RN - 0 (Analgesics, Opioid) RN - UC6VBE7V1Z (Methadone) SB - IM CON - Int J Drug Policy. 2013 Nov;24(6):e35-42. PMID: 23688832 MH - Analgesics, Opioid/*therapeutic use MH - Drug Users/*psychology MH - Female MH - Humans MH - Male MH - Methadone/*therapeutic use MH - *Opiate Substitution Treatment MH - Opioid-Related Disorders/*drug therapy MH - Parents/*psychology MH - Postnatal Care/*methods MH - Pregnancy MH - Prenatal Care/*methods MH - *Stereotyping EDAT- 2013/08/13 06:00 MHDA- 2014/08/29 06:00 CRDT- 2013/08/13 06:00 PHST- 2013/05/06 [received] PHST- 2013/06/13 [revised] PHST- 2013/07/07 [accepted] AID - S0955-3959(13)00121-7 [pii] AID - 10.1016/j.drugpo.2013.07.006 [doi] PST - ppublish SO - Int J Drug Policy. 2013 Nov;24(6):e87-8. doi: 10.1016/j.drugpo.2013.07.006. Epub 2013 Aug 7. PMID- 23865586 OWN - NLM STAT- MEDLINE DA - 20140108 DCOM- 20140905 LR - 20140108 IS - 1476-4954 (Electronic) IS - 1476-4954 (Linking) VI - 27 IP - 3 DP - 2014 Feb TI - Case report of fetal lingual tumor - perinatal care and neonatal surgical intervention. PG - 314-9 LID - 10.3109/14767058.2013.814636 [doi] AB - Fetal tumors are rare and can be difficult to diagnose in utero. In this presentation, we report an infantile hemangiopericytoma of the tongue, and also review the clinical characteristics, imaging appearances, perinatal differential diagnosis, and potential treatments of this tumors. Prenatal diagnosis of lingual fetal tumors with two-dimensional (2D) ultrasound presents a challenge to sonographers and perinatologists because these lesions are rare, usually develop in the third trimester of pregnancy and need a multidisciplinary approach. We describe an lingual tumor and moderate polyhydramnios which were prenatally detected at 31 weeks of gestation with two- dimensional ultrasound. The application of the surface mode of three-dimensional ultrasound improved the visualization of this tumor. Fetal Magnetic resonance imaging was performed to help in prenatal differential diagnostic. The option of prenatal cytology gained by amniocentesis should also be considered. To our knowledge there are no prenatal reports of similar cases. However, in our experience every information provided during the pregnancy, a correct and early diagnose of fetal condition helps to cope with the demands of perinatal management and to explain to the parents and neonatologists the findings of the case. FAU - Suciu, N AU - Suciu N AD - University of Medicine and Pharmacy "Carol Davila" Bucharest , Romania . FAU - Serban, A AU - Serban A FAU - Toader, O AU - Toader O FAU - Oprescu, D AU - Oprescu D FAU - Spataru, R I AU - Spataru RI LA - eng PT - Case Reports PT - Journal Article DEP - 20130725 PL - England TA - J Matern Fetal Neonatal Med JT - The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians JID - 101136916 SB - IM MH - Adult MH - Diagnosis, Differential MH - Female MH - *Glossectomy MH - Hemangiopericytoma/*diagnosis/surgery MH - Humans MH - Infant, Newborn MH - Magnetic Resonance Imaging MH - Perinatal Care/*methods MH - Pregnancy MH - Prenatal Diagnosis/*methods MH - Tongue Neoplasms/*diagnosis/surgery MH - Ultrasonography, Doppler, Color MH - Ultrasonography, Prenatal EDAT- 2013/07/20 06:00 MHDA- 2014/09/06 06:00 CRDT- 2013/07/20 06:00 AID - 10.3109/14767058.2013.814636 [doi] PST - ppublish SO - J Matern Fetal Neonatal Med. 2014 Feb;27(3):314-9. doi: 10.3109/14767058.2013.814636. Epub 2013 Jul 25. PMID- 23781668 OWN - NLM STAT- MEDLINE DA - 20130620 DCOM- 20130926 LR - 20131121 IS - 0004-5772 (Print) IS - 0004-5772 (Linking) VI - 60 DP - 2012 Dec TI - Prevention of perinatal HIV I transmission by protease inhibitor based triple drug antiretroviral therapy versus nevirapine as single dose at the time of delivery. PG - 39-44 AB - In India, parent to child transmission is the most important source of HIV infection in children below fifteen years of age. Transmission of HIV from mother to child can occur even at low or undetectable HIV virus levels. CD4 count or HIV RNA levels should not be the determining factor when deciding whether to use antiretroviral drugs for prevention of perinatal transmission of HIV. Use of single dose nevirapine during labour, in prevention of parent to child transmission (PPTCT) programme for pregnant females with CD4 count > 250 cells/cumm has less efficacy in reducing perinatal transmission. And there are high chances of development of nevirapine resistance to both mother and baby after single dose nevirapine exposure. Short course Protease inhibitor(PI) based triple drug combination ART from 28 weeks till delivery for perinatal prophylaxis is effective in reducing perinatal HIV transmission. PI's are safe in pregnancy and also have less chances of development of resistance when used for perinatal prophylaxis and stopped post delivery.Hence, it is opined that PI based combination ART should be offered to pregnant females in PPTCT programme, thereby preventing occurrence of paediatric HIV infection in India. This can have significant impact on the society at large. FAU - Bendle, Meenakshi AU - Bendle M AD - Department of Medicine, Seth G.S. Medical College and KEM Hospital, Mumbai. FAU - Bajpai, Smrati AU - Bajpai S FAU - Choudhary, Ashwini AU - Choudhary A FAU - Pazare, Amar AU - Pazare A LA - eng PT - Comparative Study PT - Journal Article PT - Review PL - India TA - J Assoc Physicians India JT - The Journal of the Association of Physicians of India JID - 7505585 RN - 0 (Anti-HIV Agents) RN - 0 (HIV Protease Inhibitors) RN - 0 (Reverse Transcriptase Inhibitors) RN - 99DK7FVK1H (Nevirapine) SB - IM MH - Anti-HIV Agents/*administration & dosage MH - Delivery, Obstetric MH - Drug Therapy, Combination MH - Female MH - HIV Infections/*transmission MH - HIV Protease Inhibitors/*administration & dosage MH - *HIV-1 MH - Humans MH - Infectious Disease Transmission, Vertical/*prevention & control MH - Nevirapine/administration & dosage MH - Pregnancy MH - Pregnancy Complications, Infectious/*drug therapy/virology MH - Reverse Transcriptase Inhibitors/administration & dosage EDAT- 2013/06/21 06:00 MHDA- 2013/09/27 06:00 CRDT- 2013/06/21 06:00 PST - ppublish SO - J Assoc Physicians India. 2012 Dec;60:39-44. PMID- 23688832 OWN - NLM STAT- MEDLINE DA - 20131223 DCOM- 20140828 LR - 20131223 IS - 1873-4758 (Electronic) IS - 0955-3959 (Linking) VI - 24 IP - 6 DP - 2013 Nov TI - Substance, structure and stigma: parents in the UK accounting for opioid substitution therapy during the antenatal and postnatal periods. PG - e35-42 LID - 10.1016/j.drugpo.2013.04.004 [doi] LID - S0955-3959(13)00048-0 [pii] AB - BACKGROUND: Parenting and pregnancy in the context of drug use is a contentious topic, high on the policy agenda. Providing effective support to parents who are opioid dependent, through early intervention, access to drug treatment and parenting skills training, is a priority. However, little is known about opioid dependent parents' experiences and understanding of parenting support during the antenatal and postnatal periods. This paper focuses on the position and impact of opioid substitution therapy (OST) in the accounts of parents who were expecting, or who had recently had, a baby in the UK. METHODS: Semi-structured qualitative interviews were held with a purposive sample of 19 opioid dependent service users (14 female, 5 male). Longitudinal data was collected across the antenatal and postnatal (up to 1 year) periods, with participants interviewed up to three times. Forty-five interviews were analysed thematically, using a constant comparison method, underpinned by a sociologically informed narrative approach. RESULTS: Participants' accounts of drug treatment were clearly oriented towards demonstrating that they were doing 'the best thing' for their baby. For some, OST was framed as a route to what was seen as a 'normal' family life; for others, OST was a barrier to such normality. Challenges related to: the physiological effects of opioid dependence; structural constraints associated with treatment regimes; and the impact of negative societal views about drug-using parents. CONCLUSION: Parents' accounts of OST can be seen as a response to socio-cultural ideals of a 'good', drug-free parent. Reflecting the liminal position parents engaged in OST found themselves in, their narratives entailed reconciling their status as a 'drug-using parent' with a view of an 'ideal parent' who was abstinent. CI - Copyright (c) 2013 Elsevier B.V. All rights reserved. FAU - Chandler, Amy AU - Chandler A AD - University of Edinburgh, Centre for Research on Families and Relationships, 23 Buccleuch Place, Edinburgh EH8 9LN, UK. Electronic address: a.chandler@ed.ac.uk. FAU - Whittaker, Anne AU - Whittaker A AD - Substance Misuse Directorate, NHS Lothian, 22 Spittal Street, Edinburgh EH3 9DU, UK. FAU - Cunningham-Burley, Sarah AU - Cunningham-Burley S AD - University of Edinburgh, Centre for Research on Families and Relationships, 23 Buccleuch Place, Edinburgh EH8 9LN, UK. FAU - Williams, Nigel AU - Williams N AD - NHS Lothian, Waverley Gate, Waterloo Place, Edinburgh EH1 3EG, UK. FAU - McGorm, Kelly AU - McGorm K AD - Australian Primary Health Care Research Institute, Level 1, Ian Potter House, Acton ACT 2601, Australia. FAU - Mathews, Gillian AU - Mathews G AD - Edinburgh Napier University, Room 2.B.46 Sighthill Court, Sighthill Campus, Edinburgh EH11 4BN, UK. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130518 PL - Netherlands TA - Int J Drug Policy JT - The International journal on drug policy JID - 9014759 RN - 0 (Analgesics, Opioid) RN - UC6VBE7V1Z (Methadone) SB - IM CIN - Int J Drug Policy. 2013 Nov;24(6):e87-8. PMID: 23931956 MH - Adult MH - Analgesics, Opioid/*therapeutic use MH - Drug Users/*psychology MH - Family Relations MH - Female MH - Humans MH - Interviews as Topic MH - Longitudinal Studies MH - Male MH - Methadone/*therapeutic use MH - *Opiate Substitution Treatment MH - Opioid-Related Disorders/diagnosis/*drug therapy/psychology MH - Parenting/psychology MH - Parents/*psychology MH - Postnatal Care/*methods MH - Pregnancy MH - Prejudice MH - Prenatal Care/*methods MH - Public Opinion MH - Qualitative Research MH - Scotland MH - *Stereotyping MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - Methadone maintenance treatment OT - Opioid substitution therapy OT - Parenting OT - Pregnancy EDAT- 2013/05/22 06:00 MHDA- 2014/08/29 06:00 CRDT- 2013/05/22 06:00 PHST- 2012/10/04 [received] PHST- 2013/03/18 [revised] PHST- 2013/04/10 [accepted] AID - S0955-3959(13)00048-0 [pii] AID - 10.1016/j.drugpo.2013.04.004 [doi] PST - ppublish SO - Int J Drug Policy. 2013 Nov;24(6):e35-42. doi: 10.1016/j.drugpo.2013.04.004. Epub 2013 May 18. PMID- 23687874 OWN - NLM STAT- MEDLINE DA - 20130521 DCOM- 20130808 LR - 20130521 IS - 1461-3123 (Print) IS - 1461-3123 (Linking) VI - 16 IP - 4 DP - 2013 Apr TI - NHS Tayside: implementing the Scottish antenatal parent education pack. PG - 28-30 AB - In 2011, the Scottish antenatal parent education pack was launched. The pack consisted of a national core syllabus, a parent education resources manual and accompanying toolkit and a training course. This article looks at how NHS Tayside has taken the core syllabus and resource manual as guidance and, using many of the teaching aids contained in the toolkit, has developed workbooks for key topics. This will support our aim to provide a quality parent education programme for women and their families across Tayside. FAU - McIntyre-Miller, Audrey AU - McIntyre-Miller A AD - NHS Tayside FAU - Chmiel, Carrie AU - Chmiel C LA - eng PT - Journal Article PL - England TA - Pract Midwife JT - The practising midwife JID - 9814758 SB - N MH - Adaptation, Psychological MH - Depression, Postpartum/prevention & control MH - Female MH - Health Education/*methods MH - Humans MH - Interpersonal Relations MH - Male MH - Nurse-Patient Relations MH - Parents/*education MH - Patient Acceptance of Health Care MH - Patient Satisfaction/*statistics & numerical data MH - Pregnancy MH - Prenatal Care/*methods MH - Scotland MH - Social Support MH - State Medicine/organization & administration MH - Stress, Psychological/prevention & control EDAT- 2013/05/22 06:00 MHDA- 2013/08/09 06:00 CRDT- 2013/05/22 06:00 PST - ppublish SO - Pract Midwife. 2013 Apr;16(4):28-30. PMID- 23590647 OWN - NLM STAT- MEDLINE DA - 20130716 DCOM- 20130919 LR - 20130716 IS - 1600-0412 (Electronic) IS - 0001-6349 (Linking) VI - 92 IP - 8 DP - 2013 Aug TI - Fear of childbirth in expectant fathers, subsequent childbirth experience and impact of antenatal education: subanalysis of results from a randomized controlled trial. PG - 967-73 LID - 10.1111/aogs.12147 [doi] AB - OBJECTIVE: To explore if antenatal fear of childbirth in men affects their experience of the birth event and if this experience is associated with type of childbirth preparation. DESIGN: Data from a randomized controlled multicenter trial on antenatal education. SETTING: 15 antenatal clinics in Sweden between January 2006 and May 2007. SAMPLE: 762 men, of whom 83 (10.9%) suffered from fear of childbirth. Of these 83 men, 39 were randomized to psychoprophylaxis childbirth preparation where men were trained to coach their partners during labor and 44 to standard care antenatal preparation for childbirth and parenthood without such training. METHODS: Experience of childbirth was compared between men with and without fear of childbirth regardless of randomization, and between fearful men in the randomized groups. Analyses by logistic regression adjusted for sociodemographic variables. MAIN OUTCOME MEASURES: Self-reported data on experience of childbirth including an adapted version of the Wijma Delivery Experience Questionnaire (W-DEQ B). RESULTS: Men with antenatal fear of childbirth more often experienced childbirth as frightening than men without fear: adjusted odds ratio 4.68, 95% confidence interval 2.67-8.20. Men with antenatal fear in the psychoprophylaxis group rated childbirth as frightening less often than those in standard care: adjusted odds ratio 0.30, 95% confidence interval 0.10-0.95. CONCLUSIONS: Men who suffer from antenatal fear of childbirth are at higher risk of experiencing childbirth as frightening. Childbirth preparation including training as a coach may help fearful men to a more positive childbirth experience. Additional studies are needed to support this conclusion. CI - (c) 2013 Nordic Federation of Societies of Obstetrics and Gynecology. FAU - Bergstrom, Malin AU - Bergstrom M AD - Department of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden. Malin.Bergstrom@ki.se FAU - Rudman, Ann AU - Rudman A FAU - Waldenstrom, Ulla AU - Waldenstrom U FAU - Kieler, Helle AU - Kieler H LA - eng PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20130510 PL - United States TA - Acta Obstet Gynecol Scand JT - Acta obstetricia et gynecologica Scandinavica JID - 0370343 SB - IM MH - Adult MH - Fathers/*psychology MH - *Fear MH - Female MH - *Health Education MH - Humans MH - Logistic Models MH - Male MH - Parturition/*psychology MH - Pregnancy MH - *Prenatal Care MH - Sweden OTO - NOTNLM OT - Antenatal education OT - childbirth experience OT - fatherhood OT - pregnancy OT - psychoprophylaxis EDAT- 2013/04/18 06:00 MHDA- 2013/09/21 06:00 CRDT- 2013/04/18 06:00 PHST- 2012/12/28 [received] PHST- 2013/04/09 [accepted] AID - 10.1111/aogs.12147 [doi] PST - ppublish SO - Acta Obstet Gynecol Scand. 2013 Aug;92(8):967-73. doi: 10.1111/aogs.12147. Epub 2013 May 10. PMID- 23544304 OWN - NLM STAT- MEDLINE DA - 20130402 DCOM- 20130429 LR - 20161125 IS - 0034-8376 (Print) IS - 0034-8376 (Linking) VI - 64 IP - 5 DP - 2012 Sep-Oct TI - Major craniofacial defects: case series and prenatal diagnosis at the Instituto Nacional de Perinatologia, Mexico. PG - 420-8 AB - OBJECTIVE: To describe the prenatal diagnosis, characteristics, development, perinatal outcome, and final diagnosis of pregnancies complicated by fetuses with major craniofacial defects, at the Instituto Nacional de Perinatologia, Mexico, 1997-2008. MATERIAL AND METHODS: A retrospective, descriptive study from January of 1997 to January 2008, analyzed 152 pregnancies complicated by fetuses with major craniofacial defects, diagnosed at the Department of Fetal Medicine of the National Institute of Perinatology. Data were obtained from patients clinical records. RESULTS: . The mean age was 28 +/- 8 years, with the largest number of cases between 20 and 24. The mean gestational age at diagnosis was 27.5 +/- 6.4 gestational weeks. The average termination of pregnancy was at 35 +/- 5 gestational weeks. In 43.4% of cases there were no major structural defects associated with the facial defect. The most commonly associated structural alterations were cerebral, cardiac, and limb abnormalities. Karyotyping was performed in only 57 cases, and was abnormal in 25. CONCLUSIONS: Structural ultrasound should be performed on all pregnant women between weeks 18 and 24 for detection of major craniofacial defects. Where defects are found, a thorough review of other structures should be carried out to determine whether the defects are syndromic. A systematic and multidisciplinary approach is essential to providing the best care and appropriate advice to parents. FAU - Velazquez-Torres, Berenice AU - Velazquez-Torres B AD - Unidad de Investigacion del Departamento de Medicina Fetal Instituto Nacional de Perinatologia. berevelazquez70@yahoo.com.mx FAU - Gallardo-Gaona, Juan Manuel AU - Gallardo-Gaona JM FAU - Acevedo-Gallegos, Sandra AU - Acevedo-Gallegos S FAU - Ramirez-Calvo, Jose Antonio AU - Ramirez-Calvo JA FAU - Benavides-Serralde, Jesus Andres AU - Benavides-Serralde JA FAU - Camargo-Marin, Lisbeth AU - Camargo-Marin L FAU - Cervantes-Parra, Luz Engracia AU - Cervantes-Parra LE FAU - Martinez-Juarez, Alejandro AU - Martinez-Juarez A FAU - Guzman-Huerta, Mario Estanislao AU - Guzman-Huerta ME LA - eng PT - Journal Article PL - Mexico TA - Rev Invest Clin JT - Revista de investigacion clinica; organo del Hospital de Enfermedades de la Nutricion JID - 9421552 SB - IM MH - Academies and Institutes MH - Adult MH - Cleft Lip/diagnostic imaging MH - Cleft Palate/diagnostic imaging MH - Craniofacial Abnormalities/*diagnostic imaging MH - Decision Trees MH - Female MH - Humans MH - Male MH - Mexico MH - Pregnancy MH - Retrospective Studies MH - *Ultrasonography, Prenatal MH - Young Adult EDAT- 2013/04/03 06:00 MHDA- 2013/04/30 06:00 CRDT- 2013/04/03 06:00 PST - ppublish SO - Rev Invest Clin. 2012 Sep-Oct;64(5):420-8. PMID- 23486644 OWN - NLM STAT- MEDLINE DA - 20130906 DCOM- 20140404 LR - 20130906 IS - 1475-5793 (Electronic) IS - 0969-1413 (Linking) VI - 20 IP - 1 DP - 2013 Mar TI - The impact of repeat testing in the New Zealand antenatal HIV screening programme: a qualitative study. PG - 1-6 LID - 10.1177/0969141313478809 [doi] AB - OBJECTIVES: To investigate the impact on women, and their healthcare providers, of initial-reactive HIV test results which required re-testing in the New Zealand antenatal HIV screening programme. METHODS: Women with initial-reactive HIV test results from 2007 to 2011 were identified through the antenatal HIV screening programme. Semi-structured telephone interviews were undertaken with seven women and 30 healthcare providers. Responses to questions were written verbatim. Three researchers undertook preliminary coding of the interviews and identified common themes which were applied to the transcripts and key excerpts obtained. RESULTS: All of the women interviewed experienced considerable anxiety upon receiving the result, but the extent of this anxiety was rarely appreciated by their healthcare provider. Their main worries were for their own health, that of their children and family, and their relationship with a spouse or partner. Despite this stressful experience, support for the screening programme was strong. Adequate information and timely receipt of results were identified as vital. Healthcare providers also supported the programme but stressed that clear, timely and personal communication with laboratory personnel was important. CONCLUSIONS: The ideal way to alleviate anxiety in women from re-testing is to limit the need for this by obtaining as much information as possible from the original sample. If re-testing is necessary, healthcare providers need to appreciate the anxiety that will arise, ensure that they have the best possible information and communicate this to the women, as soon as is practicable, in an easily understood manner. FAU - McAllister, Susan AU - McAllister S AD - Department of Preventive and Social Medicine, University of Otago, Dunedin 9054, New Zealand. sue.mcallister@otago.ac.nz FAU - Lovell, Sarah AU - Lovell S FAU - Dickson, Nigel AU - Dickson N LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130513 PL - England TA - J Med Screen JT - Journal of medical screening JID - 9433359 SB - IM MH - Female MH - HIV Infections/*diagnosis MH - Humans MH - Mass Screening/*psychology MH - New Zealand MH - Prenatal Diagnosis/*psychology EDAT- 2013/03/15 06:00 MHDA- 2014/04/05 06:00 CRDT- 2013/03/15 06:00 AID - 0969141313478809 [pii] AID - 10.1177/0969141313478809 [doi] PST - ppublish SO - J Med Screen. 2013 Mar;20(1):1-6. doi: 10.1177/0969141313478809. Epub 2013 May 13. PMID- 23415354 OWN - NLM STAT- MEDLINE DA - 20130722 DCOM- 20140724 LR - 20161125 IS - 1532-3099 (Electronic) IS - 0266-6138 (Linking) VI - 29 IP - 9 DP - 2013 Sep TI - Important factors working to mediate Swedish fathers' experiences of a caesarean section. PG - 1041-9 LID - 10.1016/j.midw.2012.09.009 [doi] LID - S0266-6138(12)00179-9 [pii] AB - OBJECTIVE: To describe and explore fathers' experiences of their partner's caesarean section birth. DESIGN: A qualitative descriptive design was employed. A self-selected sample of 22 Swedish fathers who had experienced an elective or emergency caesarean section agreed to participate. Men were interviewed by telephone seven to 16 months after the birth of their baby. Thematic analysis and the techniques of constant comparison were used to analyse the data. FINDINGS: Men were generally worried about the health and well-being of their baby and partner regardless of birth mode. As the reality of the caesarean section approached men's anxiety escalated and remained high during the procedure. The rapid nature of surgical birth was therefore considered as an advantage; once the baby was born and cried men's fear dissipated. Four factors were identified that mediated the men's experience. Men's perceptions of control, preparedness and how the health-care team behaved and interacted with them were integral to their experience. Knowing the date and time of birth also mediated the experience by providing a sense of certainty to men's experiences of the caesarean birth. KEY CONCLUSIONS: Caesarean section was considered as a routine and safe procedure that offered most fathers a sense of certainty, control and safety lessening their sense of responsibility over ensuring a healthy baby. The communication patterns of staff played a key role in ensuring a positive caesarean birth experience. IMPLICATIONS FOR PRACTICE: Ensuring that men have a positive birth experience, regardless of birth mode, is important for family functioning. However the findings also lend insight into how men may reframe caesarean birth as normal and safe. This may have implications for decision making around birth mode in a subsequent pregnancy further impacting on rising repeat caesarean section rates. Health-care professionals need to provide balanced information about the risks associated with caesarean birth. Any potential benefits need to be contextualised to the pregnant woman's own individual situation. Where possible, and appropriate, professional discourses should support vaginal birth as the safest option for a woman and her baby. CI - Copyright (c) 2012 Elsevier Ltd. All rights reserved. FAU - Johansson, Margareta AU - Johansson M AD - Department of Health Sciences, Mid Sweden University, SE-851 70 Sundsvall, Sweden. margareta.johansson@miun.se FAU - Hildingsson, Ingegerd AU - Hildingsson I FAU - Fenwick, Jennifer AU - Fenwick J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130214 PL - Scotland TA - Midwifery JT - Midwifery JID - 8510930 SB - N MH - Adult MH - Cesarean Section/*psychology MH - Cohort Studies MH - Community Participation/psychology MH - Decision Making MH - Elective Surgical Procedures/psychology MH - *Fathers/education/psychology MH - Fear MH - Female MH - Humans MH - Male MH - Paternal Behavior MH - Pregnancy MH - Pregnant Women/psychology MH - Prenatal Education/*methods MH - Professional-Family Relations MH - Qualitative Research MH - Sweden OTO - NOTNLM OT - Birth experiences OT - Caesarean section OT - Fathers OT - Qualitative research EDAT- 2013/02/19 06:00 MHDA- 2014/07/25 06:00 CRDT- 2013/02/19 06:00 PHST- 2012/06/14 [received] PHST- 2012/09/28 [revised] PHST- 2012/09/29 [accepted] AID - S0266-6138(12)00179-9 [pii] AID - 10.1016/j.midw.2012.09.009 [doi] PST - ppublish SO - Midwifery. 2013 Sep;29(9):1041-9. doi: 10.1016/j.midw.2012.09.009. Epub 2013 Feb 14. PMID- 23414974 OWN - NLM STAT- MEDLINE DA - 20130218 DCOM- 20140121 LR - 20151119 IS - 1532-656X (Electronic) IS - 0891-5245 (Linking) VI - 27 IP - 2 DP - 2013 Mar-Apr TI - Prenatal parent education for first-time expectant parents: "making it through labor is just the beginning...". PG - 91-7 LID - 10.1016/j.pedhc.2011.06.019 [doi] LID - S0891-5245(11)00225-2 [pii] AB - INTRODUCTION: The purpose of this pilot project was to determine first-time expectant parents' perceptions of a parent education intervention, their education needs, and preferred sources and modes of such education. METHOD: The intervention was carried out during the last class of a public health prenatal education series. A total of 31 first-time expectant parents participated and included both women (N = 16) and men (N = 15; mean, 29 years). The intervention was an in-person session on the topics of a safe sleeping environment, shaken baby syndrome, physical punishment risks and positive parenting, and expected development and safety. Participants completed the Infant Safety Education Project Questionnaire after the intervention. RESULTS: Overall, most participants in this study found the content useful, planned to use it in caring for their infant, and indicated that this information should be shared with all expectant parents. DISCUSSION: Findings support a larger scale study to determine parent education needs of expectant parents and the development, implementation, and evaluation of programming. Pediatric nurse practitioners and other primary care practitioners should be aware of the education needs of expectant parents and be prepared to provide anticipatory guidance and resources as appropriate. CI - Copyright (c) 2013 National Association of Pediatric Nurse Practitioners. Published by Mosby, Inc. All rights reserved. FAU - Ateah, Christine A AU - Ateah CA AD - Faculty of Nursing, University of Manitoba, Winnipeg, Manitoba, Canada. christine_ateah@umanitoba.ca LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - J Pediatr Health Care JT - Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners JID - 8709735 SB - N MH - Adult MH - Canada/epidemiology MH - Female MH - Health Education/*organization & administration MH - Humans MH - Infant, Newborn MH - Male MH - *Midwifery/organization & administration MH - Needs Assessment MH - *Nurse-Patient Relations MH - *Parenting/psychology MH - Parents/*education/psychology MH - Patient Education as Topic MH - Patient Satisfaction MH - Pilot Projects MH - Pregnancy MH - Prenatal Care/organization & administration MH - Quality of Health Care MH - Surveys and Questionnaires EDAT- 2013/02/19 06:00 MHDA- 2014/01/22 06:00 CRDT- 2013/02/19 06:00 PHST- 2011/03/31 [received] PHST- 2011/06/24 [revised] PHST- 2011/06/29 [accepted] AID - S0891-5245(11)00225-2 [pii] AID - 10.1016/j.pedhc.2011.06.019 [doi] PST - ppublish SO - J Pediatr Health Care. 2013 Mar-Apr;27(2):91-7. doi: 10.1016/j.pedhc.2011.06.019. PMID- 23392929 OWN - NLM STAT- MEDLINE DA - 20130208 DCOM- 20130612 LR - 20170220 IS - 0065-2598 (Print) IS - 0065-2598 (Linking) VI - 775 DP - 2013 TI - Perinatal taurine exposure programs patterns of autonomic nerve activity responses to tooth pulp stimulation in adult male rats. PG - 121-34 LID - 10.1007/978-1-4614-6130-2_10 [doi] AB - Perinatal taurine excess or deficiency influences adult health and disease, especially relative to the autonomic nervous system. This study tests the hypothesis that perinatal taurine exposure influences adult autonomic nervous system control of arterial pressure in response to acute electrical tooth pulp stimulation. Female Sprague-Dawley rats were fed with normal rat chow with 3% beta-alanine (taurine depletion, TD), 3% taurine (taurine supplementation, TS), or water alone (control, C) from conception to weaning. Their male offspring were fed with normal rat chow and tap water throughout the experiment. At 8-10 weeks of age, blood chemistry, arterial pressure, heart rate, and renal sympathetic nerve activity were measured in anesthetized rats. Age, body weight, mean arterial pressure, heart rate, plasma electrolytes, blood urea nitrogen, plasma creatinine, and plasma cortisol were not significantly different among the three groups. Before tooth pulp stimulation, low- (0.3-0.5 Hz) and high-frequency (0.5-4.0 Hz) power spectral densities of arterial pressure were not significantly different among groups while the power spectral densities of renal sympathetic nerve activity were significantly decreased in TD compared to control rats. Tooth pulp stimulation did not change arterial pressure, heart rate, renal sympathetic nerve, and arterial pressure power spectral densities in the 0.3-4.0 Hz spectrum or renal sympathetic nerve firing rate in any group. In contrast, perinatal taurine imbalance disturbed very-low-frequency power spectral densities of both arterial pressure and renal sympathetic nerve activity (below 0.1 Hz), both before and after the tooth pulp stimulation. The power densities of TS were most sensitive to ganglionic blockade and central adrenergic inhibition, while those of TD were sensitive to both central and peripheral adrenergic inhibition. The present data indicate that perinatal taurine imbalance can lead to aberrant autonomic nervous system responses in adult male rats. FAU - Khimsuksri, Sawita AU - Khimsuksri S AD - Department of Physiology, Khon Kaen University, Khon Kaen, Thailand. FAU - Wyss, J Michael AU - Wyss JM FAU - Thaeomor, Atcharaporn AU - Thaeomor A FAU - Paphangkorakit, Jarin AU - Paphangkorakit J FAU - Jirakulsomchok, Dusit AU - Jirakulsomchok D FAU - Roysommuti, Sanya AU - Roysommuti S LA - eng GR - P30 NS047466/NS/NINDS NIH HHS/United States GR - AT00477/AT/NCCIH NIH HHS/United States GR - P30 NS057098/NS/NINDS NIH HHS/United States GR - P50 AT000477/AT/NCCIH NIH HHS/United States GR - NS057098/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Adv Exp Med Biol JT - Advances in experimental medicine and biology JID - 0121103 RN - 1EQV5MLY3D (Taurine) SB - IM MH - Aging/*drug effects MH - Animals MH - Arterial Pressure MH - Autonomic Pathways/*drug effects/*physiology MH - Dental Pulp/drug effects/*embryology/*innervation MH - Female MH - Kidney/drug effects/innervation MH - Male MH - *Maternal Exposure MH - Pregnancy MH - Rats MH - Rats, Sprague-Dawley MH - Taurine/administration & dosage/*pharmacology PMC - PMC5018383 MID - NIHMS814535 OID - NLM: NIHMS814535 OID - NLM: PMC5018383 EDAT- 2013/02/09 06:00 MHDA- 2013/06/13 06:00 CRDT- 2013/02/09 06:00 AID - 10.1007/978-1-4614-6130-2_10 [doi] PST - ppublish SO - Adv Exp Med Biol. 2013;775:121-34. doi: 10.1007/978-1-4614-6130-2_10. PMID- 23383726 OWN - NLM STAT- MEDLINE DA - 20130619 DCOM- 20130830 LR - 20130619 IS - 1360-0451 (Electronic) IS - 0954-0121 (Linking) VI - 25 IP - 7 DP - 2013 TI - Randomized controlled trial evaluating the effect of an interactive group counseling intervention for HIV-positive women on prenatal depression and disclosure of HIV status. PG - 854-62 LID - 10.1080/09540121.2013.763891 [doi] AB - The objective of the study was to assess the effectiveness of group counseling, using a problem-solving therapy approach, on reducing depressive symptoms and increasing prenatal disclosure rates of HIV status among HIV-positive pregnant women living in Dar es Salaam, Tanzania. A randomized controlled trial was performed comparing a six-week structured nurse-midwife facilitated psychosocial support group with the standard of care. Sixty percent of women in the intervention group were depressed post-intervention, versus 73% in the control group [Relative Risk (RR) = 0.82, 95% confidence interval (CI): 0.67-1.01, p=0.066]. HIV disclosure rates did not differ across the two study arms. However, among those women who disclosed, there was a significantly higher level of overall personal satisfaction with the response to disclosure from family and friends among women in the treatment (88%) compared to the control group (62%; p=0.004). The results indicate reductions in the level of depressive symptoms comparable with major depressive disorder (MDD) for HIV-positive pregnant women participating in a group counseling intervention. Although the psychosocial group counseling did not significantly increase disclosure rates, an improvement in the level of personal satisfaction resulting from disclosure was associated with the intervention. This suggests that the counseling sessions have likely reduced the burden of depression and helped clients better manage partner reactions to disclosure. Public agencies and non-governmental organizations working in Tanzania and similar settings should consider offering structured psychosocial support groups to HIV-positive pregnant women to prevent poor mental health outcomes, promote early childhood development, and potentially impact HIV-related disease outcomes in the long term. FAU - Kaaya, Sylvia F AU - Kaaya SF AD - Department of Psychiatry and Mental Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania. skaaya@gmail.com FAU - Blander, Jeffrey AU - Blander J FAU - Antelman, Gretchen AU - Antelman G FAU - Cyprian, Fileuka AU - Cyprian F FAU - Emmons, Karen M AU - Emmons KM FAU - Matsumoto, Kenji AU - Matsumoto K FAU - Chopyak, Elena AU - Chopyak E FAU - Levine, Michelle AU - Levine M FAU - Smith Fawzi, Mary C AU - Smith Fawzi MC LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20130206 PL - England TA - AIDS Care JT - AIDS care JID - 8915313 SB - IM SB - X MH - Adult MH - Counseling/*methods MH - Depression/etiology/psychology/*therapy MH - Female MH - HIV Seropositivity/complications/*psychology MH - Humans MH - Personal Satisfaction MH - Pregnancy MH - Pregnancy Complications, Infectious/*psychology MH - Psychotherapy, Group/*methods MH - *Self Disclosure MH - Social Support MH - Tanzania EDAT- 2013/02/07 06:00 MHDA- 2013/08/31 06:00 CRDT- 2013/02/07 06:00 AID - 10.1080/09540121.2013.763891 [doi] PST - ppublish SO - AIDS Care. 2013;25(7):854-62. doi: 10.1080/09540121.2013.763891. Epub 2013 Feb 6. PMID- 23311691 OWN - NLM STAT- MEDLINE DA - 20130304 DCOM- 20130429 LR - 20131121 IS - 1471-4159 (Electronic) IS - 0022-3042 (Linking) VI - 124 IP - 6 DP - 2013 Mar TI - Male-specific alteration in excitatory post-synaptic development and social interaction in pre-natal valproic acid exposure model of autism spectrum disorder. PG - 832-43 LID - 10.1111/jnc.12147 [doi] AB - Autism spectrum disorder (ASD) is a pervasive developmental disorder characterized by three main behavioral symptoms including social deficits, impaired communication, and stereotyped and repetitive behaviors. ASD prevalence shows gender bias to male. Prenatal exposure to valproic acid (VPA), a drug used in epilepsy and bipolar disorder, induces autistic symptoms in both human and rodents. As we reported previously, prenatally VPA-exposed animals at E12 showed impairment in social behavior without any overt reproductive toxicity. Social interactions were not significantly different between male and female rats in control condition. However, VPA-exposed male offspring showed significantly impaired social interaction while female offspring showed only marginal deficits in social interaction. Similar male inclination was observed in hyperactivity behavior induced by VPA. In addition to the ASD-like behavioral phenotype, prenatally VPA-exposed rat offspring shows crooked tail phenotype, which was not different between male and female groups. Both male and female rat showed reduced GABAergic neuronal marker GAD and increased glutamatergic neuronal marker vGluT1 expression. Interestingly, despite of the similar increased expression of vGluT1, post-synaptic marker proteins such as PSD-95 and alpha-CAMKII expression was significantly elevated only in male offspring. Electron microscopy showed increased number of post-synapse in male but not in female at 4 weeks of age. These results might suggest that the altered glutamatergic neuronal differentiation leads to deranged post-synaptic maturation only in male offspring prenatally exposed to VPA. Consistent with the increased post-synaptic compartment, VPA-exposed male rats showed higher sensitivity to electric shock than VPA-exposed female rats. These results suggest that prenatally VPA-exposed rats show the male preponderance of ASD-like behaviors including defective social interaction similar to human autistic patients, which might be caused by ectopic increase in glutamatergic synapses in male rats. CI - (c) 2013 International Society for Neurochemistry. FAU - Kim, Ki Chan AU - Kim KC AD - Department of Pharmacology, College of Pharmacy, Seoul National University, Seoul, Korea. FAU - Kim, Pitna AU - Kim P FAU - Go, Hyo Sang AU - Go HS FAU - Choi, Chang Soon AU - Choi CS FAU - Park, Jin Hee AU - Park JH FAU - Kim, Hee Jin AU - Kim HJ FAU - Jeon, Se Jin AU - Jeon SJ FAU - Dela Pena, Ike Campomayor AU - Dela Pena IC FAU - Han, Seol-Heui AU - Han SH FAU - Cheong, Jae Hoon AU - Cheong JH FAU - Ryu, Jong Hoon AU - Ryu JH FAU - Shin, Chan Young AU - Shin CY LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130203 PL - England TA - J Neurochem JT - Journal of neurochemistry JID - 2985190R RN - 614OI1Z5WI (Valproic Acid) SB - IM MH - Animals MH - Child MH - Child Development Disorders, Pervasive/chemically induced/pathology/*psychology MH - *Disease Models, Animal MH - Female MH - Humans MH - *Interpersonal Relations MH - Male MH - Pregnancy MH - Prenatal Exposure Delayed Effects/chemically induced/pathology/psychology MH - Random Allocation MH - Rats MH - Rats, Sprague-Dawley MH - *Sex Characteristics MH - Synapses/*drug effects/pathology/ultrastructure MH - Synaptic Potentials MH - Valproic Acid/*toxicity EDAT- 2013/01/15 06:00 MHDA- 2013/04/30 06:00 CRDT- 2013/01/15 06:00 PHST- 2012/10/04 [received] PHST- 2012/12/17 [revised] PHST- 2013/01/07 [accepted] AID - 10.1111/jnc.12147 [doi] PST - ppublish SO - J Neurochem. 2013 Mar;124(6):832-43. doi: 10.1111/jnc.12147. Epub 2013 Feb 3. PMID- 23295374 OWN - NLM STAT- MEDLINE DA - 20130524 DCOM- 20140113 LR - 20161019 IS - 1552-6518 (Electronic) IS - 0886-2605 (Linking) VI - 28 IP - 9 DP - 2013 Jun TI - Violence-related coping, help-seeking and health care-based intervention preferences among perinatal women in Mumbai, India. PG - 1924-47 LID - 10.1177/0886260512469105 [doi] AB - Domestic violence is a significant public health issue. India is uniquely affected with an estimated 1 in 3 women facing abuse at the hands of a partner. The current mixed-methods study describes violence-related coping and help-seeking, and preferences for health care-based intervention, among perinatal women residing in low-income communities in Mumbai, India. In-depth interviews were conducted with women who had recently given birth and self-reported recent violence from husbands (n = 32), followed by survey data collection (n = 1,038) from mothers seeking immunization for their infants ages 6 months or younger at 3 large urban health centers in Mumbai, India. Participants described fears and other barriers to abuse disclosure, and there was a low level of awareness of formal support services related to violence. Qualitative and quantitative findings indicated that formal help-seeking is uncommon and that informal help sources are most frequently sought. Quantitative results revealed that, while few (<5%) women had been screened for violence in the health care setting, most (67%) would be willing to disclose abuse if asked. When presented with a list of possible clinic-based violence support interventions, participants endorsed crisis counseling and safety planning as most helpful (90.9%). Findings provide direction for violence-related intervention services for perinatal women. A multipronged approach that includes strengthening the informal support system, for example, neighbors and family members, as well as facilitating access to formal services building on the health care system, warrants exploration in this context. FAU - Decker, Michele R AU - Decker MR AD - Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. mdecker@jhsph.edu FAU - Nair, Saritha AU - Nair S FAU - Saggurti, Niranjan AU - Saggurti N FAU - Sabri, Bushra AU - Sabri B FAU - Jethva, Meghna AU - Jethva M FAU - Raj, Anita AU - Raj A FAU - Donta, Balaiah AU - Donta B FAU - Silverman, Jay G AU - Silverman JG LA - eng GR - R03 HS013967/HS/AHRQ HHS/United States GR - 5R03HD055120/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20130106 PL - United States TA - J Interpers Violence JT - Journal of interpersonal violence JID - 8700910 SB - IM MH - *Adaptation, Psychological MH - Adolescent MH - Adult MH - Domestic Violence/*psychology MH - Female MH - Humans MH - India/ethnology MH - Poverty MH - *Self-Help Groups MH - *Social Support MH - Young Adult OTO - NOTNLM OT - India OT - help-seeking OT - interventions OT - perinatal OT - violence EDAT- 2013/01/09 06:00 MHDA- 2014/01/15 06:00 CRDT- 2013/01/09 06:00 AID - 0886260512469105 [pii] AID - 10.1177/0886260512469105 [doi] PST - ppublish SO - J Interpers Violence. 2013 Jun;28(9):1924-47. doi: 10.1177/0886260512469105. Epub 2013 Jan 6. PMID- 23295072 OWN - NLM STAT- MEDLINE DA - 20130326 DCOM- 20130909 LR - 20161125 IS - 1872-7654 (Electronic) IS - 0301-2115 (Linking) VI - 167 IP - 2 DP - 2013 Apr TI - Fetal intra-abdominal tumors: assessment of spectrum, accuracy of prenatal diagnosis, perinatal outcome and therapy at a tertiary referral center. PG - 160-6 LID - 10.1016/j.ejogrb.2012.11.023 [doi] LID - S0301-2115(12)00544-1 [pii] AB - OBJECTIVE: To describe the varieties and ultrasound characteristics of prenatally diagnosed fetal abdominal tumors and to scrutinize the accuracy of prenatal diagnosis as well as the postnatal outcome and therapy of affected pregnancies. STUDY DESIGN: Retrospective study of 354 fetuses found to have abdominal tumors on prenatal sonogram, identified from 1993 to 2009 at a tertiary referral center for prenatal medicine. The cohort was classified into subgroups according to the sonographic appearance of the fetal tumor and the affected anatomic structure (urinary, gastrointestinal and genital tracts and other locations). Sensitivity, specificity, positive predictive value and false-positive rate of ultrasonography in identifying the system of origin were calculated. Relationships between relevant outcome domains and the different subgroups were assessed using the chi-square test and Fisher's exact test. RESULTS: Our cohort comprised 222 urinary tract lesions, 37 genital tract lesions, 80 gastrointestinal lesions and 15 tumors of other origins. The mean gestational age at diagnosis was 26+0 wks. The prenatally established diagnosis was exactly concordant with postnatal findings in 88.9%. Sensitivity, specificity, positive predictive value and false-positive rate of ultrasonography in identifying the system of origin (urinary, gastrointestinal, genital tracts and other locations) were 98.3%, 97.6%, 92.6% and 2.4%, respectively. The favorable postnatal outcome rate was highest among fetuses with genital tract lesions (95%) and lowest among those with tumors of the urinary tract (62%, p=<0.001). Twenty per cent of tumors regressed spontaneously, mostly gastrointestinal tumors (36%, p=<0.001). In 75/354 cases (21%) the parents opted to terminate the pregnancy: intra-uterine fetal demise and neonatal death were each noted in 4%. Prenatal therapy was performed in 24 of 354 cases (7%) and postnatal surgery in 64 cases (18%). CONCLUSION: The majority of fetal abdominal anomalies were accurately diagnosed and the vast majority of affected fetuses had a favorable outcome, some tumors even resolved with advancing pregnancy. Pre- and post-natal invasive surgical interventions were mandatory in only a small number of cases. CI - Copyright (c) 2013 Elsevier Ireland Ltd. All rights reserved. FAU - Amari, Feriel AU - Amari F AD - Departments of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Lubeck, Germany. feriel.amari@uksh.de FAU - Beyer, Daniel A AU - Beyer DA FAU - Diedrich, Klaus AU - Diedrich K FAU - Weichert, Jan AU - Weichert J LA - eng PT - Journal Article DEP - 20130105 PL - Ireland TA - Eur J Obstet Gynecol Reprod Biol JT - European journal of obstetrics, gynecology, and reproductive biology JID - 0375672 SB - IM MH - Abdominal Neoplasms/diagnostic imaging/*embryology/physiopathology/therapy MH - Cohort Studies MH - False Positive Reactions MH - Female MH - Follow-Up Studies MH - Gastrointestinal Neoplasms/diagnostic imaging/embryology/physiopathology/therapy MH - Germany MH - Gestational Age MH - Humans MH - Infant, Newborn MH - Male MH - Neoplasm Regression, Spontaneous MH - Pregnancy MH - Pregnancy Outcome MH - Prognosis MH - Retrospective Studies MH - Sensitivity and Specificity MH - Tertiary Care Centers MH - Ultrasonography, Prenatal MH - Urogenital Neoplasms/diagnostic imaging/embryology/physiopathology/therapy EDAT- 2013/01/09 06:00 MHDA- 2013/09/10 06:00 CRDT- 2013/01/09 06:00 PHST- 2012/04/19 [received] PHST- 2012/11/04 [revised] PHST- 2012/11/29 [accepted] AID - S0301-2115(12)00544-1 [pii] AID - 10.1016/j.ejogrb.2012.11.023 [doi] PST - ppublish SO - Eur J Obstet Gynecol Reprod Biol. 2013 Apr;167(2):160-6. doi: 10.1016/j.ejogrb.2012.11.023. Epub 2013 Jan 5. PMID- 23277726 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20130101 DCOM- 20130102 LR - 20130530 IS - 1058-1243 (Print) IS - 1058-1243 (Linking) VI - 21 IP - 1 DP - 2012 Winter TI - Parents' expectations about participating in antenatal parenthood education classes. PG - 11-7 LID - 10.1891/1058-1243.21.1.11 [doi] AB - Our objective was to assess parents' expectations about participating in antenatal parenthood education classes and to determine whether their expectations might be related to gender, age, and educational level. Data from 1,117 women and 1,019 partners residing in three cities in Sweden were collected with a questionnaire in a cross-sectional study. Participants believed that antenatal education classes would help them to feel more secure as parents and to be better oriented toward childbirth. Men had more positive expectations about the childbirth than the women. The participants mostly wanted help in preparing for parenthood and in learning infant care skills, followed by help in preparing for childbirth. The participants' expectations were affected by gender, age, and educational level. The expectant parents appeared to want more focus on preparation for parenthood than on childbirth. FAU - Ahlden, Ingegerd AU - Ahlden I FAU - Ahlehagen, Siw AU - Ahlehagen S FAU - Dahlgren, Lars Owe AU - Dahlgren LO FAU - Josefsson, Ann AU - Josefsson A LA - eng PT - Journal Article PL - United States TA - J Perinat Educ JT - The Journal of perinatal education JID - 9301158 PMC - PMC3404534 OID - NLM: PMC3404534 OTO - NOTNLM OT - antenatal parenthood education classes OT - antenatal programs OT - prospective parents' expectations EDAT- 2013/01/02 06:00 MHDA- 2013/01/02 06:01 CRDT- 2013/01/02 06:00 AID - 10.1891/1058-1243.21.1.11 [doi] PST - ppublish SO - J Perinat Educ. 2012 Winter;21(1):11-7. doi: 10.1891/1058-1243.21.1.11. PMID- 23186384 OWN - NLM STAT- MEDLINE DA - 20130204 DCOM- 20130806 LR - 20130204 IS - 1556-8342 (Electronic) IS - 1556-8253 (Linking) VI - 8 IP - 1 DP - 2013 Feb TI - Social cognitive changes resulting from an effective breastfeeding education program. PG - 23-30 LID - 10.1089/bfm.2012.0011 [doi] AB - Infants of parents with a history of asthma could benefit from exclusive breastfeeding during the first 6 months of life to reduce the chance of developing childhood asthma. Continuing to breastfeed for 6 months seemed difficult to perform for many Dutch women. Therefore, an educational breastfeeding program was developed and implemented. The program (a theory-based booklet and pre- and postnatal home visits by trained assistants) significantly improved exclusive breastfeeding rates at 6 months postpartum (48% for intervention vs. 27% for control). Repeated-measurements analyses showed significant increases in knowledge and more positive attitudinal beliefs regarding breastfeeding for 6 months, in particular immediately after exposure to the program, compared with the controls. As expected, over time perceived self-efficacy and women's positive emotions toward breastfeeding increased, and support for breastfeeding diminished in both groups. The intervention group was reported to perceive more pressure to bottle feed and to know more breastfeeding models than the control group. Implications for practice are discussed. FAU - Mesters, Ilse AU - Mesters I AD - Department of Epidemiology, Maastricht University, Maastricht, The Netherlands. ilse.mesters@maastrichtuniversity.nl FAU - Gijsbers, Barbara AU - Gijsbers B FAU - Bartholomew, Kay AU - Bartholomew K FAU - Knottnerus, J Andre AU - Knottnerus JA FAU - Van Schayck, Onno C P AU - Van Schayck OC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20121127 PL - United States TA - Breastfeed Med JT - Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine JID - 101260777 SB - IM MH - Adult MH - Asthma/epidemiology/prevention & control/*psychology MH - Breast Feeding/*psychology/statistics & numerical data MH - Female MH - *Health Behavior MH - *Health Knowledge, Attitudes, Practice MH - Health Promotion MH - Humans MH - Male MH - *Mothers/education/psychology MH - Netherlands/epidemiology MH - Pamphlets MH - Patient Compliance MH - Postnatal Care/*methods MH - Pregnancy MH - Program Development MH - Program Evaluation/statistics & numerical data MH - Self Efficacy EDAT- 2012/11/29 06:00 MHDA- 2013/08/07 06:00 CRDT- 2012/11/29 06:00 AID - 10.1089/bfm.2012.0011 [doi] PST - ppublish SO - Breastfeed Med. 2013 Feb;8(1):23-30. doi: 10.1089/bfm.2012.0011. Epub 2012 Nov 27. PMID- 23159162 OWN - NLM STAT- MEDLINE DA - 20130423 DCOM- 20140117 LR - 20130423 IS - 1532-3099 (Electronic) IS - 0266-6138 (Linking) VI - 29 IP - 5 DP - 2013 May TI - Preparing fathers for the transition to parenthood: recommendations for the content of antenatal education. PG - 474-8 LID - 10.1016/j.midw.2012.03.005 [doi] LID - S0266-6138(12)00047-2 [pii] AB - Fathers now provide more care for their babies and children than they have in the past, and a large body of evidence supports the important role that father involvement plays in determining child and family outcomes. Fathers have also become the primary source of informal support for most mothers and it is now customary for fathers to attend antenatal education in this supporting role. However, many fathers remain unprepared for their personal transition to parenthood and this has important implications for all of the family. Antenatal education is likely to be more effective for fathers when it addresses fathers' needs but the literature is unclear about what fathers need to know. This paper presents evidence-based recommendations for core subject matter to be addressed when preparing men for the important challenges of new fatherhood. CI - Copyright (c) 2012 Elsevier Ltd. All rights reserved. FAU - May, Chris AU - May C AD - Faculty of Health, Family Action Centre, University of Newcastle, Callaghan, NSW 2308, Australia. Chris.May@newcatle.edu.au FAU - Fletcher, Richard AU - Fletcher R LA - eng PT - Journal Article DEP - 20121116 PL - Scotland TA - Midwifery JT - Midwifery JID - 8510930 SB - N MH - Adaptation, Psychological MH - Family/psychology MH - Father-Child Relations MH - Fathers/education/psychology MH - Female MH - Humans MH - Infant, Newborn MH - Interpersonal Relations MH - Male MH - Parenting/*psychology MH - Paternal Behavior MH - Pregnancy MH - Prenatal Education/*methods EDAT- 2012/11/20 06:00 MHDA- 2014/01/18 06:00 CRDT- 2012/11/20 06:00 PHST- 2012/01/30 [received] PHST- 2012/03/15 [revised] PHST- 2012/03/19 [accepted] AID - S0266-6138(12)00047-2 [pii] AID - 10.1016/j.midw.2012.03.005 [doi] PST - ppublish SO - Midwifery. 2013 May;29(5):474-8. doi: 10.1016/j.midw.2012.03.005. Epub 2012 Nov 16. PMID- 23145970 OWN - NLM STAT- MEDLINE DA - 20130101 DCOM- 20130522 LR - 20170220 IS - 1471-2393 (Electronic) IS - 1471-2393 (Linking) VI - 12 DP - 2012 Nov 13 TI - Participant experiences of mindfulness-based childbirth education: a qualitative study. PG - 126 LID - 10.1186/1471-2393-12-126 [doi] AB - BACKGROUND: Childbirth is an important transitional life event, but one in which many women are dissatisfied stemming in part from a sense that labour is something that happens to them rather than with them. Promoting maternal satisfaction with childbirth means equipping women with communication and decision making skills that will enhance their ability to feel involved in their labour. Additionally, traditional antenatal education does not necessarily prepare expectant mothers and their birth support partner adequately for birth. Mindfulness-based interventions appear to hold promise in addressing these issues. Mindfulness-based Child Birth Education (MBCE) was a pilot intervention combining skills-based antenatal education and Mindfulness Based Stress Reduction. Participant experiences of MBCE, both of expectant mothers and their birth support partners are the focus of this article. METHODS: A generic qualitative approach was utilised for this study. Pregnant women between 18 and 28 weeks gestation, over 18 years of age, nulliparous with singleton pregnancies and not taking medication for a diagnosed mental illness or taking illicit drugs were eligible to undertake the MBCE program which was run in a metropolitan city in Australia. Focus groups with 12 mothers and seven birth support partners were undertaken approximately four months after the completion of MBCE. Audio recordings of the groups were transcribed verbatim and analysed thematically using the method of constant comparison by all four authors independently and consensus on analysis and interpretation arrived at through team meetings. RESULTS: A sense of both 'empowerment' and 'community' were the essences of the experiences of MBCE both for mothers and their birth support partner and permeated the themes of 'awakening my existing potential' and 'being in a community of like-minded parents'. Participants suggested that mindfulness techniques learned during MBCE facilitated their sense of control during birth, and the content and pedagogical approach of MBCE enabled them to be involved in decision making during the birth. The pedagogical approach also fostered a sense of community among participants which extended into the postnatal period. CONCLUSIONS: MBCE has the potential to empower women to become active participants in the birthing process, thus addressing common concerns regarding lack of control and satisfaction with labour and facilitate peer support into the postnatal period. Further education of health professionals may be needed to ensure that they respond positively to those women and birth support partners who remain active in decision making during birth. FAU - Fisher, Colleen AU - Fisher C AD - School of Population Health, The University of Western Australia, Perth, Australia. colleen.fisher@uwa.edu.au FAU - Hauck, Yvonne AU - Hauck Y FAU - Bayes, Sara AU - Bayes S FAU - Byrne, Jean AU - Byrne J LA - eng PT - Journal Article DEP - 20121113 PL - England TA - BMC Pregnancy Childbirth JT - BMC pregnancy and childbirth JID - 100967799 SB - IM MH - Adult MH - Female MH - Focus Groups MH - Humans MH - Male MH - Mothers/*education/psychology MH - Parents/education/psychology MH - Parturition/*psychology MH - *Patient Satisfaction MH - Power (Psychology) MH - Pregnancy MH - Prenatal Care/methods/psychology MH - Qualitative Research MH - Stress, Psychological/prevention & control MH - Young Adult PMC - PMC3534482 OID - NLM: PMC3534482 EDAT- 2012/11/14 06:00 MHDA- 2013/05/23 06:00 CRDT- 2012/11/14 06:00 PHST- 2012/08/21 [received] PHST- 2012/11/09 [accepted] AID - 1471-2393-12-126 [pii] AID - 10.1186/1471-2393-12-126 [doi] PST - epublish SO - BMC Pregnancy Childbirth. 2012 Nov 13;12:126. doi: 10.1186/1471-2393-12-126. PMID- 23139252 OWN - NLM STAT- MEDLINE DA - 20121220 DCOM- 20130610 LR - 20170220 IS - 1537-6591 (Electronic) IS - 1058-4838 (Linking) VI - 56 IP - 2 DP - 2013 Jan TI - Sexual risk behavior among youth with perinatal HIV infection in the United States: predictors and implications for intervention development. PG - 283-90 LID - 10.1093/cid/cis816 [doi] AB - BACKGROUND: Factors associated with initiation of sexual activity among perinatally human immunodeficiency virus (HIV)-infected (PHIV(+)) youth, and the attendant potential for sexual transmission of antiretroviral (ARV) drug-resistant HIV, remain poorly understood. METHODS: We conducted cross-sectional and longitudinal analyses of PHIV(+) youth aged 10-18 years (mean, 13.5 years) enrolled in the US-based Pediatric HIV/AIDS Cohort Study between 2007 and 2009. Audio computer-assisted self-interviews (ACASI) were used to collect sexual behavior information. RESULTS: Twenty-eight percent (95% confidence interval [CI], 23%-33%) (92/330) of PHIV(+) youth reported sexual intercourse (SI) (median initiation age, 14 years). Sixty-two percent (57/92) of sexually active youth reported unprotected SI. Among youth who did not report history of SI at baseline, ARV nonadherence was associated with sexual initiation during follow-up (adjusted hazard ratio, 2.87; 95% CI, 1.32-6.25). Youth living with a relative other than their biological mother had higher odds of engaging in unprotected SI than those living with a nonrelative. Thirty-three percent of youth disclosed their HIV status to their first sexual partner. Thirty-nine of 92 (42%) sexually active youth had HIV RNA >/=5000 copies/mL after sexual initiation. Viral drug resistance testing, available for 37 of these 39 youth, identified resistance to nucleoside reverse transcriptase inhibitors in 62%, nonnucleoside reverse transcriptase inhibitors in 57%, protease inhibitors in 38%, and all 3 ARV classes in 22%. CONCLUSIONS: As PHIV(+) youth become sexually active, many engage in behaviors that place their partners at risk for HIV infection, including infection with drug-resistant virus. Effective interventions to facilitate youth adherence, safe sex practices, and disclosure are urgently needed. FAU - Tassiopoulos, Katherine AU - Tassiopoulos K AD - Department of Epidemiology, Harvard School of Public Health, Boston, Massachusetts 02115, USA. ktassiop@hsph.harvard.edu FAU - Moscicki, Anna-Barbara AU - Moscicki AB FAU - Mellins, Claude AU - Mellins C FAU - Kacanek, Deborah AU - Kacanek D FAU - Malee, Kathleen AU - Malee K FAU - Allison, Susannah AU - Allison S FAU - Hazra, Rohan AU - Hazra R FAU - Siberry, George K AU - Siberry GK FAU - Smith, Renee AU - Smith R FAU - Paul, Mary AU - Paul M FAU - Van Dyke, Russell B AU - Van Dyke RB FAU - Seage, George R 3rd AU - Seage GR 3rd CN - Pediatric HIV/AIDS Cohort Study LA - eng GR - U01 HD052104/HD/NICHD NIH HHS/United States GR - HD052102/HD/NICHD NIH HHS/United States GR - 3U01HD052104-06S1/HD/NICHD NIH HHS/United States GR - 3 U01 HD052102-06S3/HD/NICHD NIH HHS/United States GR - U01 HD052102/HD/NICHD NIH HHS/United States GR - UL1 TR001082/TR/NCATS NIH HHS/United States GR - 3 U01 HD052102-05S1/HD/NICHD NIH HHS/United States GR - HD052104/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20121107 PL - United States TA - Clin Infect Dis JT - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America JID - 9203213 RN - 0 (Anti-HIV Agents) SB - IM MH - Adolescent MH - Anti-HIV Agents/therapeutic use MH - Child MH - Cross-Sectional Studies MH - *Dangerous Behavior MH - Drug Resistance, Viral MH - Female MH - HIV Infections/drug therapy/epidemiology/*transmission MH - Humans MH - Longitudinal Studies MH - Male MH - Risk Factors MH - *Sexual Behavior MH - United States/epidemiology MH - Unsafe Sex PMC - PMC3526253 OID - NLM: PMC3526253 IR - Shearer W FIR - Shearer, William IR - Paul M FIR - Paul, Mary IR - Cooper N FIR - Cooper, Norma IR - Harris L FIR - Harris, Lynette IR - Purswani M FIR - Purswani, Murli IR - Baig M FIR - Baig, Mahboobullah IR - Cintron A FIR - Cintron, Anna IR - Puga A FIR - Puga, Ana IR - Navarro S FIR - Navarro, Sandra IR - Patton D FIR - Patton, Doyle IR - Leon D FIR - Leon, Deyana IR - Burchett S FIR - Burchett, Sandra IR - Karthas N FIR - Karthas, Nancy IR - Kammerer B FIR - Kammerer, Betsy IR - Yogev R FIR - Yogev, Ram IR - Sanders MA FIR - Sanders, Margaret Ann IR - Malee K FIR - Malee, Kathleen IR - Hunter S FIR - Hunter, Scott IR - Wiznia A FIR - Wiznia, Andrew IR - Burey M FIR - Burey, Marlene IR - Nozyce M FIR - Nozyce, Molly IR - Chen J FIR - Chen, Janet IR - Ivey L FIR - Ivey, Latreca IR - Bulkley MG FIR - Bulkley, Maria Garcia IR - Grant M FIR - Grant, Mitzie IR - Knapp K FIR - Knapp, Katherine IR - Allison K FIR - Allison, Kim IR - Wilkins M FIR - Wilkins, Megan IR - Acevedo-Flores M FIR - Acevedo-Flores, Midnela IR - Rios H FIR - Rios, Heida IR - Olivera V FIR - Olivera, Vivian IR - Silio M FIR - Silio, Margarita IR - Jones M FIR - Jones, Medea IR - Sirois P FIR - Sirois, Patricia IR - Spector S FIR - Spector, Stephen IR - Norris K FIR - Norris, Kim IR - Nichols S FIR - Nichols, Sharon IR - McFarland E FIR - McFarland, Elizabeth IR - Barr E FIR - Barr, Emily IR - McEvoy R FIR - McEvoy, Robin IR - Watson D FIR - Watson, Douglas IR - Messenger N FIR - Messenger, Nicole IR - Belanger R FIR - Belanger, Rose IR - Dieudonne A FIR - Dieudonne, Arry IR - Bettica L FIR - Bettica, Linda IR - Adubato S FIR - Adubato, Susan IR - Scott G FIR - Scott, Gwendolyn IR - Bryan P FIR - Bryan, Patricia IR - Willen E FIR - Willen, Elizabeth EDAT- 2012/11/10 06:00 MHDA- 2013/06/12 06:00 CRDT- 2012/11/10 06:00 AID - cis816 [pii] AID - 10.1093/cid/cis816 [doi] PST - ppublish SO - Clin Infect Dis. 2013 Jan;56(2):283-90. doi: 10.1093/cid/cis816. Epub 2012 Nov 7. PMID- 23134449 OWN - NLM STAT- MEDLINE DA - 20130111 DCOM- 20130613 LR - 20151119 IS - 1651-2227 (Electronic) IS - 0803-5253 (Linking) VI - 102 IP - 2 DP - 2013 Feb TI - Revised infant dietary recommendations: the impact of maternal education and other parental factors on adherence rates in Iceland. PG - 143-8 LID - 10.1111/apa.12081 [doi] AB - AIM: Revised infant dietary recommendations from the Icelandic Nutrition Council (Nutrition: the first twelve months. Reykjavik, Iceland: The Icelandic Nutrition Council, 2003) are outlined in a booklet provided during free postnatal care. These focus on increasing the duration of exclusive and total breastfeeding and reducing cow's milk consumption. This study explored whether maternal education and other parental factors affected whether mothers followed the recommendations. METHODS: Mothers of randomly selected healthy infants (n = 200) completed questionnaires on body mass index (BMI), age, education (basic, medium and higher), household income, smoking and parental factors. Dietary data were collected during home visits by a researcher (0-4 months) and through monthly food records completed by parents or caregivers (5-12 months). RESULTS: Each maternal education level increased breastfeeding duration by 0.72 months (95% CI = 0.04, 1.39) and reduced cow's milk consumption by 36.7 mL/day (95% CI = -70.11, -3.03), when adjusted for maternal BMI, age, smoking and family income. Maternal education was not associated with duration of exclusive breastfeeding. Duration of exclusive and total breastfeeding was inversely associated with maternal BMI, B = -0.10 (95% CI = -0.16, -0.05) and -0.13 (95% CI = -0.23, -0.03), respectively. CONCLUSION: Mothers with higher education appear to have adapted more easily to the revised recommendations on infant diet, particularly when their infants are 6-12 months old. Higher maternal BMI was associated with shorter duration of both exclusive and total breastfeeding. CI - (c)2012 Unit for Nutrition Research/Acta Paediatrica (c)2012 Foundation Acta Paediatrica. FAU - Thorisdottir, Asa Vala AU - Thorisdottir AV AD - Unit for Nutrition Research, Faculty of Food Science and Nutrition, School of Health Sciences, University of Iceland & Landspitali - The National University Hospital of Iceland, Reykjavik, Iceland. asavala@landspitali.is FAU - Gunnarsdottir, Ingibjorg AU - Gunnarsdottir I FAU - Thorsdottir, Inga AU - Thorsdottir I LA - eng PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20121130 PL - Norway TA - Acta Paediatr JT - Acta paediatrica (Oslo, Norway : 1992) JID - 9205968 SB - IM MH - Animals MH - Body Mass Index MH - Breast Feeding/*statistics & numerical data MH - Diet/methods/*statistics & numerical data MH - Diet Surveys MH - Educational Status MH - Female MH - *Health Behavior MH - Humans MH - Iceland MH - Infant MH - Infant Care/methods/*statistics & numerical data MH - Infant, Newborn MH - Male MH - *Maternal Behavior MH - Milk MH - *Nutrition Policy MH - Patient Compliance/*statistics & numerical data MH - Postnatal Care MH - Socioeconomic Factors MH - Surveys and Questionnaires EDAT- 2012/11/09 06:00 MHDA- 2013/06/14 06:00 CRDT- 2012/11/09 06:00 PHST- 2012/06/21 [received] PHST- 2012/10/18 [revised] PHST- 2012/11/01 [accepted] AID - 10.1111/apa.12081 [doi] PST - ppublish SO - Acta Paediatr. 2013 Feb;102(2):143-8. doi: 10.1111/apa.12081. Epub 2012 Nov 30. PMID- 28520113 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20170518 LR - 20170518 IS - 1097-0355 (Electronic) IS - 0163-9641 (Linking) VI - 33 IP - 6 DP - 2012 Nov TI - Coparenting interactions observed by the prenatal lausanne trilogue play: An Italian replication study. PG - 609-619 LID - 10.1002/imhj.21350 [doi] AB - The infant-parent interaction is the focus of interest on early interactive relational models in the triadic perspective. This approach considers the mother-father-child interaction as the matrix of early competences, which start to develop well before delivery. This theoretical approach has generated an observation paradigm, the Lausanne Trilogue Play (LTP; E. Fivaz-Depeursinge & A. Corboz-Warnery, 1999). The aim of the study was to investigate (a) the psychometric characteristics of coding of the prenatal LTP procedure and their comparison with the Lausanne validation studies and (b) the characteristics of triadic interactions during pregnancy. Ninety-eight nonreferred, primiparous families were recruited at childbirth courses. In addition to validated questionnaires, observational data were collected at the seventh month of pregnancy in the prenatal LTP. The collected data show good reliability of the LTP coding and a consistent factorial structure in line with the Lausanne validation studies (C. Carneiro, A. Corboz-Warnery, & E. Fivaz-Depeursinge, 2006; N. Favez et al., 2006). The Structure of the Play and the Intuitive Parenting Behaviors Scales seem the most representative dimensions in the prenatal period. Coparental abilities during pregnancy represent an interactive matrix for the construction of early family relations and may be considered as protective factors in the child's development of early triadic interactive abilities. CI - (c) 2012 Michigan Association for Infant Mental Health. FAU - Simonelli, Alessandra AU - Simonelli A AD - University of Padua, Padua, Italy. FAU - Bighin, Mara AU - Bighin M AD - University of Padua, Padua, Italy. FAU - de Palo, Francesca AU - de Palo F AD - University of Padua, Padua, Italy. LA - eng PT - Journal Article DEP - 20120803 PL - United States TA - Infant Ment Health J JT - Infant mental health journal JID - 8007859 EDAT- 2012/11/01 00:00 MHDA- 2012/11/01 00:01 CRDT- 2017/05/19 06:00 AID - 10.1002/imhj.21350 [doi] PST - ppublish SO - Infant Ment Health J. 2012 Nov;33(6):609-619. doi: 10.1002/imhj.21350. Epub 2012 Aug 3. PMID- 23063931 OWN - NLM STAT- MEDLINE DA - 20130304 DCOM- 20130917 LR - 20130304 IS - 1878-1799 (Electronic) IS - 1871-5192 (Linking) VI - 26 IP - 1 DP - 2013 Mar TI - Does antenatal education affect labour and birth? A structured review of the literature. PG - e5-8 LID - 10.1016/j.wombi.2012.09.003 [doi] LID - S1871-5192(12)00067-4 [pii] AB - OBJECTIVE: To undertake a structured review of the literature to determine the effect of antenatal education on labour and birth, particularly normal birth. METHOD: Ovid Medline, CINAHL, Cochrane and Web of Knowledge databases were searched to identify research articles published in English from 2000 to 2012, using specified search terms in a variety of combinations. All articles included in this structured review were assessed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). FINDINGS: The labour and birthing effects on women attending antenatal education may include less false labour admissions, more partner involvement, less anxiety but more labour interventions. CONCLUSION: This literature review has identified that antenatal education may have some positive effects on women's labour and birth including less false labour admissions, less anxiety and more partner involvement. There may also be some negative effects. Several studies found increased labour and birth interventions such as induction of labour and epidural use. There is contradictory evidence on the effect of antenatal education on mode of birth. More research is required to explore the impact of antenatal education on women's birthing outcomes. CI - Copyright (c) 2012 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved. FAU - Ferguson, Sally AU - Ferguson S AD - Faculty of Health, Disciplines of Nursing and Midwifery, University of Canberra, Bruce ACT 2617, Australia. Sally.Ferguson@canberra.edu.au FAU - Davis, Deborah AU - Davis D FAU - Browne, Jenny AU - Browne J LA - eng PT - Journal Article PT - Review DEP - 20121012 PL - Netherlands TA - Women Birth JT - Women and birth : journal of the Australian College of Midwives JID - 101266131 SB - N MH - Delivery, Obstetric MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Labor, Obstetric MH - Mothers/education/*psychology MH - Parenting MH - *Parturition MH - Patient Education as Topic/*methods MH - Pregnancy MH - Prenatal Care/*methods EDAT- 2012/10/16 06:00 MHDA- 2013/09/18 06:00 CRDT- 2012/10/16 06:00 PHST- 2012/06/05 [received] PHST- 2012/07/27 [revised] PHST- 2012/09/11 [accepted] AID - S1871-5192(12)00067-4 [pii] AID - 10.1016/j.wombi.2012.09.003 [doi] PST - ppublish SO - Women Birth. 2013 Mar;26(1):e5-8. doi: 10.1016/j.wombi.2012.09.003. Epub 2012 Oct 12. PMID- 23025348 OWN - NLM STAT- MEDLINE DA - 20140818 DCOM- 20150409 LR - 20140818 IS - 1467-8519 (Electronic) IS - 0269-9702 (Linking) VI - 28 IP - 7 DP - 2014 Sep TI - In defense of prenatal genetic interventions. PG - 335-42 LID - 10.1111/j.1467-8519.2012.02009.x [doi] AB - Jurgen Habermas has argued against prenatal genetic interventions used to influence traits on the grounds that only biogenetic contingency in the conception of children preserves the conditions that make the presumption of moral equality possible. This argument fails for a number of reasons. The contingency that Habermas points to as the condition of moral equality is an artifact of evolutionary contingency and not inviolable in itself. Moreover, as a precedent for genetic interventions, parents and society already affect children's traits, which is to say there is moral precedent for influencing the traits of descendants. A veil-of-ignorance methodology can also be used to justify prenatal interventions through its method of advance consent and its preservation of the contingency of human identities in a moral sense. In any case, the selection of children's traits does not undermine the prospects of authoring a life since their future remains just as contingent morally as if no trait had been selected. Ironically, the prospect of preserving human beings as they are--to counteract genetic drift--might even require interventions to preserve the ability to author a life in a moral sense. In light of these analyses, Habermas' concerns about prenatal genetic interventions cannot succeed as objections to their practice as a matter of principle; the merits of these interventions must be evaluated individually. CI - (c) 2012 John Wiley & Sons Ltd. FAU - Murphy, Timothy F AU - Murphy TF LA - eng PT - Journal Article DEP - 20121001 PL - England TA - Bioethics JT - Bioethics JID - 8704792 SB - E SB - IM MH - Child MH - *Eugenics MH - Fertilization MH - Genetic Drift MH - Genetic Engineering/*ethics MH - Genetics, Population MH - Humans MH - Life MH - *Morals MH - *Parents MH - Reproductive Behavior/*ethics OTO - NOTNLM OT - ethics OT - eugenics OT - genetic interventions OT - prenatal testing OT - sex selection EDAT- 2012/10/03 06:00 MHDA- 2015/04/10 06:00 CRDT- 2012/10/03 06:00 AID - 10.1111/j.1467-8519.2012.02009.x [doi] PST - ppublish SO - Bioethics. 2014 Sep;28(7):335-42. doi: 10.1111/j.1467-8519.2012.02009.x. Epub 2012 Oct 1. PMID- 22989114 OWN - NLM STAT- MEDLINE DA - 20121129 DCOM- 20130402 LR - 20150223 IS - 1471-244X (Electronic) IS - 1471-244X (Linking) VI - 12 DP - 2012 Sep 19 TI - Interactions among alcohol dependence, perinatal common mental disorders and violence in couples in rural Vietnam: a cross-sectional study using structural equation modeling. PG - 148 LID - 10.1186/1471-244X-12-148 [doi] AB - BACKGROUND: There is increasing recognition that perinatal common mental disorders (PCMDs) are prevalent in women in low and lower-middle income countries and emerging evidence that PCMDs and alcohol abuse occur in men in these settings. Domestic violence is associated with PCMDs in both women and men. The aim of this study was to examine the relationships among PCMDs, alcohol abuse and domestic violence in couples in a rural, low-income setting. METHODS: A cross-sectional, population-based study was undertaken in randomly selected communes in Ha Nam and Hanoi, Vietnam. All women in the selected study sites who were at least 28 weeks pregnant or were mothers of 4 - 6 week old babies in the recruitment period were eligible. The husbands of the women who consented to join the study were also invited to participate. Data sources were study-specific questions and standardised measures: PCMDs were assessed by psychiatrist-administered Structured Clinical Interviews for DSM IV disorders, and alcohol dependence (AD) by the CAGE questionnaire (cut-off of >/= 2). Structural Equation Modeling was used to test direct, indirect and mutual relationships simultaneously in the hypothesised model. RESULTS: In total 364/392 (93%) eligible women agreed to participate. Of these, 360 were married, and 230 (64%) of their husbands also participated to yield a sample of 230 couples for analyses. Overall, in 7.4% (95% CI: 4.6-11.6) of couples both wife and husband were diagnosed with a PCMD; and 41.2% (95% CI: 35.1-47.8) of couples at least one member had a PCMD. Comorbid PCMD and AD were observed in 6.9% (95% CI: 4.3-11.0) of men, but did not occur in women. After controlling for other psychosocial risk factors comorbid PCMD and AD in husbands increased by 4.7 times the probability of PCMDS in their wives via intimate partner violence. PCMDS in wives did not increase the probability of PCMDS or AD in husbands. CONCLUSIONS: These data provide evidence that comorbid PCMD and AD in husbands have a significant adverse effect on the mental health of their wives in rural areas of Vietnam. This indicates that strategies to prevent and treat PCMDs in women will be more effective if paired with initiatives to reduce alcohol dependence and violent behaviours in men. FAU - Tran, Thach Duc AU - Tran TD AD - Research and Training Centre for Community Development, Hai Ba Trung District, Vietnam. indthach@yahoo.com FAU - Tran, Tuan AU - Tran T FAU - Wynter, Karen AU - Wynter K FAU - Fisher, Jane AU - Fisher J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120919 PL - England TA - BMC Psychiatry JT - BMC psychiatry JID - 100968559 SB - IM MH - Adult MH - Alcoholism/*psychology MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male MH - Marriage/*psychology MH - Mental Disorders/*psychology MH - Mental Health MH - Pregnancy MH - Pregnancy Complications/*psychology MH - Rural Population MH - Spouse Abuse/psychology MH - Spouses/*psychology MH - Vietnam MH - Violence/*psychology PMC - PMC3508822 OID - NLM: PMC3508822 EDAT- 2012/09/20 06:00 MHDA- 2013/04/03 06:00 CRDT- 2012/09/20 06:00 PHST- 2012/05/23 [received] PHST- 2012/09/18 [accepted] AID - 1471-244X-12-148 [pii] AID - 10.1186/1471-244X-12-148 [doi] PST - epublish SO - BMC Psychiatry. 2012 Sep 19;12:148. doi: 10.1186/1471-244X-12-148. PMID- 22984974 OWN - NLM STAT- MEDLINE DA - 20120918 DCOM- 20130319 LR - 20120918 IS - 1545-5300 (Electronic) IS - 0014-7370 (Linking) VI - 51 IP - 3 DP - 2012 Sep TI - Prenatal representations of coparenting among unmarried first-time African American mothers. PG - 360-75 LID - 10.1111/j.1545-5300.2012.01409.x [doi] AB - Results of semistructured interviews with 45 pregnant unmarried first-time African American mothers indicated a wide range of expectancies concerning the coparenting relationship they would develop with others once their baby arrived. Most common coparenting systems projected by respondents involved maternal grandmothers and/or the babies' fathers, though other caregivers were explicitly anticipated in a smaller number of cases. Multiperson coparenting systems were the norm, and only 2 of 45 respondents anticipated that they would be entirely on their own with no coparental system whatsoever. Qualitative analyses of mothers' narratives about postbaby coparenting systems revealed five main constructions: having thought about and anticipating coparenting, positive in outlook; having thought about and anticipating coparenting, but with mild concerns (conflict, unreliability); having thought about coparenting and anticipating limited or no support; having thought about coparenting and anticipating significant conflict and nonsupport; and having not thought much about coparenting, being neither focused on nor worried about this issue. Illustrations of each of these types are provided, and directions for family science and practice are discussed. CI - (c) FPI, Inc. FAU - Gaskin-Butler, Vikki T AU - Gaskin-Butler VT AD - Department of Psychology, USF St. Petersburg, St. Petersburg, FL 33701, USA. vgaskinb@mail.usf.edu FAU - Engert, Tina AU - Engert T FAU - Markievitz, Meredith AU - Markievitz M FAU - Swenson, Camielle AU - Swenson C FAU - McHale, James AU - McHale J LA - eng PT - Journal Article PL - United States TA - Fam Process JT - Family process JID - 0400666 SB - IM MH - Adult MH - *African Americans MH - Female MH - Humans MH - Infant MH - Infant, Newborn MH - Intergenerational Relations MH - Interviews as Topic MH - Mothers/*psychology MH - Parenting/*psychology MH - Parity MH - Pregnancy/psychology MH - Role MH - *Single Parent MH - Social Support MH - Young Adult EDAT- 2012/09/19 06:00 MHDA- 2013/03/21 06:00 CRDT- 2012/09/19 06:00 AID - 10.1111/j.1545-5300.2012.01409.x [doi] PST - ppublish SO - Fam Process. 2012 Sep;51(3):360-75. doi: 10.1111/j.1545-5300.2012.01409.x. PMID- 22970663 OWN - NLM STAT- MEDLINE DA - 20120913 DCOM- 20130212 LR - 20120913 IS - 1440-1754 (Electronic) IS - 1034-4810 (Linking) VI - 48 IP - 9 DP - 2012 Sep TI - Do antenatal classes do enough to prepare parents for when things go wrong? PG - 717-20 LID - 10.1111/j.1440-1754.2012.02538.x [doi] AB - Antenatal classes play an important role in educating expectant parents about pregnancy, labour and delivery. They cover a range of topics, but they are failing parents because they do not provide sufficient information to prepare them for abnormal labours and deliveries. They do not do enough to educate parents about what to expect when problems arise and what happens afterwards. This paper looks at whether classes do enough to make parents aware of problems and whether they should be doing more. It examines the arguments both for and against including this information in antenatal classes. CI - (c) 2012 The Author. Journal of Paediatrics and Child Health (c) 2012 Paediatrics and Child Health Division (Royal Australasian College of Physicians). FAU - Gregory, Eleanor AU - Gregory E AD - egregorydavis@gmail.com LA - eng PT - Journal Article PT - Personal Narratives PL - Australia TA - J Paediatr Child Health JT - Journal of paediatrics and child health JID - 9005421 SB - IM MH - *Adaptation, Psychological MH - Female MH - Humans MH - Intensive Care Units, Neonatal MH - Male MH - Parents/*education/psychology MH - Pregnancy MH - Pregnancy Complications/*psychology MH - Prenatal Care/*standards EDAT- 2012/09/14 06:00 MHDA- 2013/02/13 06:00 CRDT- 2012/09/14 06:00 AID - 10.1111/j.1440-1754.2012.02538.x [doi] PST - ppublish SO - J Paediatr Child Health. 2012 Sep;48(9):717-20. doi: 10.1111/j.1440-1754.2012.02538.x. PMID- 22914475 OWN - NLM STAT- MEDLINE DA - 20120823 DCOM- 20121029 LR - 20120823 IS - 1873-233X (Electronic) IS - 0029-7844 (Linking) VI - 120 IP - 3 DP - 2012 Sep TI - Newborn care and safety: the black box of obstetric practices and residency training. PG - 643-6 LID - 10.1097/AOG.0b013e318265af0a [doi] AB - Certain causes of newborn mortality such as sudden unexpected infant death, which includes sleep-related infant death and sudden unexplained infant death syndrome, are potentially preventable. Obstetricians are uniquely positioned to counsel new parents about safe practices regarding newborn sleep, feeding, and transportation. Patients often do not develop a relationship with their pediatricians until the neonate has been discharged, and the newborn period is a time of particular vulnerability. Newborn safety should be routinely taught in obstetric curricula, and the American College/Congress of Obstetricians and Gynecologists and the American Academy of Pediatrics (AAP) should partner to disseminate updated literature and guidelines to health care providers regarding newborn safety. Current guidelines from the Academy of Pediatrics Task Force on Sudden Infant Syndrome are summarized in this article. FAU - Tracy, Erin E AU - Tracy EE AD - Massachusetts General Hospital, Vincent Obstetrics and Gynecology, Harvard Vanguard Medical Associates/Atrius Health, and Brigham and Women's Hospital, Boston, Massachusetts 02114, USA. EETracy@partners.org FAU - Haas, Susan AU - Haas S FAU - Lauria, Michele R AU - Lauria MR LA - eng PT - Journal Article PL - United States TA - Obstet Gynecol JT - Obstetrics and gynecology JID - 0401101 SB - AIM SB - IM MH - Female MH - Humans MH - Infant Care/methods/*standards MH - Infant, Newborn MH - Internship and Residency/*standards MH - Obstetrics/*education/standards MH - *Patient Education as Topic MH - Perinatal Care/*standards MH - Practice Guidelines as Topic MH - Pregnancy MH - Prenatal Care/standards MH - *Safety MH - Sleep MH - Sudden Infant Death/*prevention & control EDAT- 2012/08/24 06:00 MHDA- 2012/10/30 06:00 CRDT- 2012/08/24 06:00 AID - 10.1097/AOG.0b013e318265af0a [doi] AID - 00006250-201209000-00021 [pii] PST - ppublish SO - Obstet Gynecol. 2012 Sep;120(3):643-6. doi: 10.1097/AOG.0b013e318265af0a. PMID- 22908498 OWN - NLM STAT- MEDLINE DA - 20120822 DCOM- 20121011 LR - 20161125 IS - 1461-3123 (Print) IS - 1461-3123 (Linking) VI - 15 IP - 7 DP - 2012 Jul-Aug TI - Goal! Making antenatal courses work for men. PG - 22-6 AB - New guidance for antenatal education and reviews of evidence on the effects of perinatal parenting interventions and care during a child's early years are prompting midwives and others to think critically about what we offer. In particular, they prompt us to consider our work with fathers. Participative courses, with small group work as a core feature, enable women and men to learn in a way that is consistent with an adult learning model and to get to know others going through a similar life change. NCT antenatal courses are used as a case study to consider aspects of preparation against current criteria for good practice, based on evidence from a survey and qualitative feedback from fathers. FAU - Newburn, Mary AU - Newburn M AD - NCT. LA - eng PT - Journal Article PL - England TA - Pract Midwife JT - The practising midwife JID - 9814758 SB - N MH - Adaptation, Psychological MH - Adult MH - Depression, Postpartum/prevention & control MH - Fathers/*education/psychology MH - Female MH - Health Education/*methods/statistics & numerical data MH - Humans MH - Interpersonal Relations MH - Male MH - Midwifery/*methods MH - Mothers/psychology MH - Nurse-Patient Relations MH - Parenting/psychology MH - Paternal Behavior/*psychology MH - Patient Education as Topic/*methods/statistics & numerical data MH - Patient Satisfaction/statistics & numerical data MH - Pregnancy MH - Prenatal Care/*methods MH - Social Support MH - United Kingdom MH - Young Adult EDAT- 2012/08/23 06:00 MHDA- 2012/10/12 06:00 CRDT- 2012/08/23 06:00 PST - ppublish SO - Pract Midwife. 2012 Jul-Aug;15(7):22-6. PMID- 22882967 OWN - NLM STAT- MEDLINE DA - 20130402 DCOM- 20140117 LR - 20130402 IS - 1532-3099 (Electronic) IS - 0266-6138 (Linking) VI - 29 IP - 4 DP - 2013 Apr TI - A systematic review of systematic reviews of interventions to improve maternal mental health and well-being. PG - 389-99 LID - 10.1016/j.midw.2012.05.010 [doi] LID - S0266-6138(12)00088-5 [pii] AB - OBJECTIVE: to identify non-invasive interventions in the perinatal period that could enable midwives to offer effective support to women within the area of maternal mental health and well-being. METHODS: a total of 9 databases were searched: MEDLINE, PubMed, EBSCO (CINAHL/British Nursing Index), MIDIRS Online Database, Web of Science, The Cochrane library, CRD (NHS EED/DARE/HTA), Joanne Briggs Institute and EconLit. A systematic search strategy was formulated using key MeSH terms and related text words for midwifery, study aim, study design and mental health. Inclusion criteria were articles published from 1999 onwards, English language publications and articles originating from economically developed countries, indicated by membership of the Organisation for Economic Co-operation and Development (OECD). Data were independently extracted using a data collection form, which recorded data on the number of papers reviewed, time frame of the review, objectives, key findings and recommendations. Summary data tables were set up outlining key data for each study and findings were organised into related groups. The methodological quality of the reviews was assessed based on predefined quality assessment criteria for reviews. FINDINGS: 32 reviews were identified as examining interventions that could be used or co-ordinated by midwives in relation to some aspect of maternal mental health and well-being from the antenatal to the postnatal period and met the inclusion criteria. The review highlighted that based on current systematic review evidence it would be premature to consider introducing any of the identified interventions into midwifery training or practice. However there were a number of examples of possible interventions worthy of further research including midwifery led models of care in the prevention of postpartum depression, psychological and psychosocial interventions for treating postpartum depression and facilitation/co-ordination of parent-training programmes. No reviews were identified that supported a specific midwifery role in maternal mental health and well-being in pregnancy, and yet, this is the point of most intensive contact. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: This systematic review of systematic reviews provides a valuable overview of the current strengths and gaps in relation to maternal mental health interventions in the perinatal period. While there was little evidence identified to inform the current role of midwives in maternal mental health, the review provides the opportunity to reflect on what is achievable by midwives now and in the future and the need for high quality randomised controlled trials to inform a strategic approach to promoting maternal mental health in midwifery. CI - Copyright (c) 2012 Elsevier Ltd. All rights reserved. FAU - Alderdice, Fiona AU - Alderdice F AD - School of Nursing and Midwifery, Queens University Belfast, Medical Biology Centre, Lisburn Road, UK. f.a.alderdice@qub.ac.uk FAU - McNeill, Jenny AU - McNeill J FAU - Lynn, Fiona AU - Lynn F LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20120809 PL - Scotland TA - Midwifery JT - Midwifery JID - 8510930 SB - N MH - Depression, Postpartum/diagnosis/psychology/therapy MH - Female MH - Humans MH - Maternal Health Services/*organization & administration MH - Maternal Welfare/psychology MH - Mental Health MH - Mental Health Services/*organization & administration MH - Midwifery/*methods MH - Models, Organizational MH - *Perinatal Care/methods/organization & administration MH - Pregnancy MH - Pregnant Women/psychology MH - Psychological Techniques/statistics & numerical data EDAT- 2012/08/14 06:00 MHDA- 2014/01/18 06:00 CRDT- 2012/08/14 06:00 PHST- 2011/08/05 [received] PHST- 2012/05/24 [revised] PHST- 2012/05/27 [accepted] AID - S0266-6138(12)00088-5 [pii] AID - 10.1016/j.midw.2012.05.010 [doi] PST - ppublish SO - Midwifery. 2013 Apr;29(4):389-99. doi: 10.1016/j.midw.2012.05.010. Epub 2012 Aug 9. PMID- 22726572 OWN - NLM STAT- MEDLINE DA - 20130218 DCOM- 20131231 LR - 20130218 IS - 1532-3099 (Electronic) IS - 0266-6138 (Linking) VI - 29 IP - 2 DP - 2013 Feb TI - No fixed place of birth: unplanned BBAs in Victoria, Australia. PG - e19-25 LID - 10.1016/j.midw.2011.12.002 [doi] LID - S0266-6138(11)00208-7 [pii] AB - OBJECTIVES: the primary objective-to present data on the incidence of unplanned births before arrival (BBAs) in Victoria between 1991 and 2008. The secondary objective-to provide an extensive literature review highlighting the issues surrounding an unplanned BBA. SETTING: the incidence of BBAs in Victoria published in the relevant government reports. DESIGN: data were extracted from published government reports pertaining to perinatal statistics in Victoria-The Australian Institute of Health and Wellbeing and the Perinatal Data Collection Unit of Victoria. Data on place of birth for each year from both sources was identified and tabulated. Comparisons between the data sources were undertaken to provide a picture of the scope of out of hospital birth. FINDINGS: the incidence and absolute numbers of unplanned birth before arrival (BBA) to hospital in Victoria, are low compared to the total births. However, this number is comparable to unplanned BBAs in other developed countries with similar health systems. The incidence of unplanned BBAs has slowly but steadily doubled since 1991-2008. The two data sources almost mirror each other except for 1999 when there was an unexplained difference in the reported incidence in unplanned BBAs. Maternal and neonatal outcomes are disproportionally much poorer after unplanned BBAs than either planned home births or in hospital births. Various maternal factors can increase the risk of an unplanned BBA. KEY CONCLUSIONS: multiple approaches should be adopted to manage unplanned BBAs. Antenatal screening should be undertaken to identify the women most at risk. Strategies can be developed that will reduce poor neonatal and maternal outcomes, including education for women and their partners on immediate management of the newborn; ensuring paramedics have current knowledge on care during childbirth; and maternity and ambulance services should develop management plans for care of women having unplanned BBAs. CI - Copyright (c) 2011 Elsevier Ltd. All rights reserved. FAU - McLelland, Gayle AU - McLelland G AD - School of Nursing and Midwifery, Monash University, Frankston, Victoria 3199, Australia. Gayle.McLelland@monash.edu. FAU - McKenna, Lisa AU - McKenna L FAU - Archer, Frank AU - Archer F LA - eng PT - Journal Article DEP - 20120620 PL - Scotland TA - Midwifery JT - Midwifery JID - 8510930 SB - N MH - Adult MH - Female MH - Home Childbirth/*statistics & numerical data MH - Hospitalization/*statistics & numerical data MH - Humans MH - Incidence MH - Infant Mortality MH - Infant, Newborn MH - *Obstetric Labor, Premature/epidemiology/etiology/prevention & control MH - Pregnancy MH - *Pregnancy Complications/diagnosis/epidemiology/prevention & control MH - Pregnancy Outcome/epidemiology MH - Prenatal Diagnosis/methods MH - Prenatal Education/methods MH - Risk Factors MH - Victoria/epidemiology EDAT- 2012/06/26 06:00 MHDA- 2014/01/01 06:00 CRDT- 2012/06/26 06:00 PHST- 2011/09/16 [received] PHST- 2011/11/17 [revised] PHST- 2011/12/15 [accepted] AID - S0266-6138(11)00208-7 [pii] AID - 10.1016/j.midw.2011.12.002 [doi] PST - ppublish SO - Midwifery. 2013 Feb;29(2):e19-25. doi: 10.1016/j.midw.2011.12.002. Epub 2012 Jun 20. PMID- 22683867 OWN - NLM STAT- MEDLINE DA - 20120723 DCOM- 20130523 LR - 20161125 IS - 1879-0712 (Electronic) IS - 0014-2999 (Linking) VI - 689 IP - 1-3 DP - 2012 Aug 15 TI - Prenatal fasudil exposure alleviates fetal growth but programs hyperphagia and overweight in the adult male rat. PG - 278-84 LID - 10.1016/j.ejphar.2012.05.040 [doi] AB - Numerous data indicate that Rho kinase inhibitors, such as Fasudil, may constitute a novel therapy for cardiovascular and metabolic diseases. We evaluated long-term effects of exposure to Fasudil during late gestation (10 mg/day) in male rat offspring from birth until 9 months. We also analyzed its effects in offspring from hypertensive mothers treated with a nitric oxide synthesis inhibitor (L-NAME; 50 mg/day). Prenatal exposure to Fasudil did not affect birth weight, but increased body weight from postnatal day 7 (P7) to 9 months. In intrauterine growth-restricted (IUGR) fetuses exposed to L-NAME, maternal Fasudil treatment increased birth weight. At P42 and P180, rats exposed to Fasudil and L-NAME showed alterations of their food intake as well as an increased basal glycemia associated with mild glucose intolerance at 6 months which was also observed in Fasudil-exposed rats. In 9 month-old rats, exposure to Fasudil increased the daily food intake as well as hypothalamic mRNA level of the orexigenic NPY peptide without modulation of the anorexigenic POMC gene expression. Altogether, our data suggest that prenatal Fasudil exposure alleviates fetal growth in IUGR rats, but programs long-term metabolic disturbances including transient perturbations of glucose metabolism, a persistent increase of body weight gain, hyperphagia and an augmented expression of hypothalamic NPY orexigenic gene. We postulate that Fasudil treatment during perinatal periods may predispose individuals to the development of metabolic disorders. CI - Copyright (c) 2012 Elsevier B.V. All rights reserved. FAU - Butruille, Laura AU - Butruille L AD - Univ Lille Nord de France, Unite Environnement Perinatal et Croissance, EA 4489, Faculte de Medecine, Pole Recherche, Batiment SN4, Villeneuve d'Ascq, IFR 114, 59045 Lille, France. FAU - Mayeur, Sylvain AU - Mayeur S FAU - Duparc, Thibaut AU - Duparc T FAU - Knauf, Claude AU - Knauf C FAU - Moitrot, Emmanuelle AU - Moitrot E FAU - Fajardy, Isabelle AU - Fajardy I FAU - Valet, Philippe AU - Valet P FAU - Storme, Laurent AU - Storme L FAU - Deruelle, Philippe AU - Deruelle P FAU - Lesage, Jean AU - Lesage J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120607 PL - Netherlands TA - Eur J Pharmacol JT - European journal of pharmacology JID - 1254354 RN - 84477-87-2 (1-(5-Isoquinolinesulfonyl)-2-Methylpiperazine) RN - Q0CH43PGXS (fasudil) SB - IM MH - 1-(5-Isoquinolinesulfonyl)-2-Methylpiperazine/*analogs & derivatives/therapeutic use/toxicity MH - Age Factors MH - Animals MH - Female MH - Fetal Development/*drug effects/physiology MH - Fetal Growth Retardation/metabolism/pathology/prevention & control MH - Hyperphagia/*chemically induced/metabolism/physiopathology MH - Male MH - Overweight/*chemically induced/metabolism/physiopathology MH - Pregnancy MH - Prenatal Exposure Delayed Effects/*chemically induced/metabolism/physiopathology MH - Random Allocation MH - Rats MH - Rats, Wistar MH - Sex Factors EDAT- 2012/06/12 06:00 MHDA- 2013/05/25 06:00 CRDT- 2012/06/12 06:00 PHST- 2012/01/12 [received] PHST- 2012/05/21 [revised] PHST- 2012/05/24 [accepted] AID - S0014-2999(12)00499-2 [pii] AID - 10.1016/j.ejphar.2012.05.040 [doi] PST - ppublish SO - Eur J Pharmacol. 2012 Aug 15;689(1-3):278-84. doi: 10.1016/j.ejphar.2012.05.040. Epub 2012 Jun 7. PMID- 22662533 OWN - NLM STAT- MEDLINE DA - 20120605 DCOM- 20120628 LR - 20120605 IS - 1461-3123 (Print) IS - 1461-3123 (Linking) VI - 15 IP - 4 DP - 2012 Apr TI - Before we begin. The importance of antenatal education. PG - 12-4 AB - A review of the impact of universal antenatal education found that group based programmes which promote the transition to parenthood by focusing on relationships (between the couple and with the baby), and which are participative and build social support, are most likely to be effective (McMillan et al 2009). An Expert Reference Group convened by the Department of Health has designed a Preparation for Birth and Beyond programme to incorporate the evidence about what works and which draws on neurology, sociology and psychology including theories about fetal programming, social capital, self-efficacy, adult learning and health promotion. Learning from the Family Nurse Partnership, the PBB programme builds on parents' strengths and their intrinsic motivation to be the best parents they can for their children. FAU - Nolan, Mary AU - Nolan M AD - University of Worcester. LA - eng PT - Journal Article PT - Review PL - England TA - Pract Midwife JT - The practising midwife JID - 9814758 SB - N MH - Adaptation, Psychological MH - Child Rearing MH - Female MH - Health Education/*methods MH - Humans MH - Infant, Newborn MH - Male MH - Midwifery/*methods MH - Nurse-Patient Relations MH - *Parent-Child Relations MH - *Parenting MH - Parents/*education MH - Pregnancy MH - Prenatal Care/*methods MH - Social Support EDAT- 2012/06/06 06:00 MHDA- 2012/06/29 06:00 CRDT- 2012/06/06 06:00 PST - ppublish SO - Pract Midwife. 2012 Apr;15(4):12-4. PMID- 22610758 OWN - NLM STAT- MEDLINE DA - 20120717 DCOM- 20121129 LR - 20160526 IS - 1435-1102 (Electronic) IS - 1434-1816 (Linking) VI - 15 IP - 4 DP - 2012 Aug TI - Effects of a brief psychoanalytic intervention for perinatal depression. PG - 259-68 LID - 10.1007/s00737-012-0285-z [doi] AB - This pilot study explores the effects of a brief individual psychoanalytic therapy on perinatal depressive symptoms. This intervention is based on the Geneva's mother-infant intervention model. A sample of 129 pregnant women was recruited in Geneva (Switzerland) and screened for depressive symptoms with two instruments: the 'Edinburgh postnatal depression scale' (EPDS) and the 'Depistage antenatal de la depression postnatale'. A group of 40 women presenting depressive symptoms (treatment group) participated in a four-session intervention called 'Psychotherapy centred on parenthood (PCP)'. It consists in two antenatal and two postnatal sessions and is focussed on changing problematic representations of parenthood. This treatment group was compared to a control group of 88 women without depressive symptoms and following the usual obstetrical care. The main outcome measure was EPDS at 3 and 6 months after delivery. The 'Global assessment functioning scale' was administered at the end of each therapeutic session. The 'Parent-infant relationship global assessment scale' was administered at the two postnatal sessions in order to explore if PCP was also effective in preventing the potential negative effects of depression on mother-infant relationship. Results show that in the treatment group (N = 31), EPDS scores dropped from 12.8 to 4.8; none of these women met the EPDS cut-off score of 12 at 3 and 6 months postpartum. Mother-infant relationship was well adapted for all 31 dyads at the end of the intervention. These results suggest that PCP is a promising intervention for treating perinatal depression and helping mothers engaging in parenting. FAU - Nanzer, Nathalie AU - Nanzer N AD - Division of Child and Adolescent Psychiatry, University Hospitals of Geneva, Geneva, Switzerland. nathalie.nanzer@hcuge.ch FAU - Sancho Rossignol, Ana AU - Sancho Rossignol A FAU - Righetti-Veltema, Marion AU - Righetti-Veltema M FAU - Knauer, Dora AU - Knauer D FAU - Manzano, Juan AU - Manzano J FAU - Palacio Espasa, Francisco AU - Palacio Espasa F LA - eng PT - Comparative Study PT - Journal Article DEP - 20120519 PL - Austria TA - Arch Womens Ment Health JT - Archives of women's mental health JID - 9815663 SB - IM MH - Adult MH - Analysis of Variance MH - Depression/*diagnosis/therapy MH - Depression, Postpartum/diagnosis/prevention & control/*therapy MH - Depressive Disorder/diagnosis/prevention & control/therapy MH - Female MH - Humans MH - Longitudinal Studies MH - *Mother-Child Relations MH - Mothers/*psychology MH - Pilot Projects MH - Pregnancy MH - Pregnancy Complications/diagnosis/*therapy MH - Psychiatric Status Rating Scales MH - Psychoanalysis/*methods MH - Switzerland EDAT- 2012/05/23 06:00 MHDA- 2012/12/10 06:00 CRDT- 2012/05/22 06:00 PHST- 2011/06/24 [received] PHST- 2012/04/23 [accepted] AID - 10.1007/s00737-012-0285-z [doi] PST - ppublish SO - Arch Womens Ment Health. 2012 Aug;15(4):259-68. doi: 10.1007/s00737-012-0285-z. Epub 2012 May 19. PMID- 22549421 OWN - NLM STAT- MEDLINE DA - 20120502 DCOM- 20120717 LR - 20120502 IS - 1539-0683 (Electronic) IS - 0361-929X (Linking) VI - 37 IP - 3 DP - 2012 May-Jun TI - Review of perinatal partner-focused smoking cessation interventions. PG - 174-81 LID - 10.1097/NMC.0b013e31824921b4 [doi] AB - One of the primary barriers to smoking cessation among pregnant women who smoke is having a partner who smokes. Prenatal tobacco exposure has been demonstrated to negatively affect infant health outcomes. Many smoking cessation interventions have been targeted at women who smoke in pregnancy, although research has indicated that one of the main barriers to cessation is lack of partner support. The family systems theory frames prenatal smoking cessation interventions in an inclusive manner for the woman and her partner. The aim of this article is to review smoking cessation intervention studies for partners of pregnant women. Efforts to promote smoking cessation among pregnant women should be inclusive of partners, recognizing that partners influence maternal prenatal health behaviors. FAU - Duckworth, Adrienne L AU - Duckworth AL AD - West Virginia University School of Nursing, Morgantown, WV, USA. FAU - Chertok, Ilana R Azulay AU - Chertok IR LA - eng PT - Journal Article PT - Review PL - United States TA - MCN Am J Matern Child Nurs JT - MCN. The American journal of maternal child nursing JID - 7605941 SB - IM SB - N MH - Female MH - Health Promotion MH - Humans MH - Male MH - Perinatal Care MH - Pregnancy MH - Pregnancy Outcome MH - Pregnant Women/*psychology MH - *Smoking Cessation MH - *Social Support MH - Spouses/*education/*psychology EDAT- 2012/05/03 06:00 MHDA- 2012/07/18 06:00 CRDT- 2012/05/03 06:00 AID - 10.1097/NMC.0b013e31824921b4 [doi] AID - 00005721-201205000-00008 [pii] PST - ppublish SO - MCN Am J Matern Child Nurs. 2012 May-Jun;37(3):174-81. doi: 10.1097/NMC.0b013e31824921b4. PMID- 22541692 OWN - NLM STAT- MEDLINE DA - 20130423 DCOM- 20140117 LR - 20130423 IS - 1532-3099 (Electronic) IS - 0266-6138 (Linking) VI - 29 IP - 5 DP - 2013 May TI - We only talk about breast feeding: a discourse analysis of infant feeding messages in antenatal group-based education. PG - 425-33 LID - 10.1016/j.midw.2012.02.006 [doi] LID - S0266-6138(12)00038-1 [pii] AB - AIM: the aim of the study was to examine the dominant discourses that midwives draw on to present information on breast feeding in group-based antenatal education sessions. BACKGROUND: breast-feeding initiation rates are high among Australian women however, duration rates are low. Antenatal breast-feeding education is considered a key strategy in promoting breast feeding to childbearing women. The efficacy and effectiveness of such a strategy is equivocal and there is little qualitative work examining group-based antenatal breast-feeding education. METHODS: discourse analysis was used to explore the language and practises of midwives facilitating group antenatal breast-feeding education sessions at two Australian maternity facilities. Nine sessions were observed and tape recorded over a 12 month period. Each session lasted between 60 and 140 mins. FINDINGS: the analysis revealed four dominate discourses midwives used to promote breast feeding during group-based antenatal education session. The predominant discourses 'There is only one feeding option': breast feeding' and 'Selling the 'breast is best' reflected how midwives used their personal and professional commitment to breast feeding, within supportive and protective policy frameworks, to convince as many pregnant women as possible to commit to breast feeding. Sessions were organised to ensure women and their partners were 'armed' with as much information as possible about the value of breastmilk, successful positioning and attachment and practical strategies to deal with early breast-feeding problems. Antenatal commitment to breast feeding was deemed necessary if women were to overcome potential hurdles and maintain a commitment to the supply of breast milk. The latter two discourses, drawn upon to promote the breast-feeding message, presented infants as 'hard wired' to breast feed and male partners as 'protectors' of breast feeding. CONCLUSIONS: midwives clearly demonstrated a passion and enthusiasm for breast-feeding education. Examining the dominant discourses used by midwives during the antenatal sessions revealed, however, that their language and practices were often limited to convincing women to breast feed rather than engaging with them in conversations that facilitated exploration and discovery of how breast feeding might be experienced within the mother-infant relationship and broader social and cultural context. In addition, there was evidence that global breast-feeding policies, in resource rich countries such as Australia, may influence how midwives talk about breast feeding without them being fully cognisant of the potentially coercive nature of the messages women receive. CI - Copyright (c) 2012 Elsevier Ltd. All rights reserved. FAU - Jennifer, Fenwick AU - Jennifer F AD - School of Nursing and Midwifery, Maternity and Family Unit, Research Centre for Clinical and Community Practice Innovation, Griffith Health Institute, Griffith University, University Drive, Meadowbrook, Qld 4131, Australia. j.fenwick@griffith.edu.au FAU - Elaine, Burns AU - Elaine B FAU - Athena, Sheehan AU - Athena S FAU - Virginia, Schmied AU - Virginia S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120427 PL - Scotland TA - Midwifery JT - Midwifery JID - 8510930 SB - N MH - Adult MH - Australia MH - *Breast Feeding/methods/psychology MH - Curriculum MH - Educational Measurement MH - Female MH - Humans MH - Infant, Newborn MH - Male MH - Midwifery/*methods MH - Mother-Child Relations/*psychology MH - Pregnancy MH - Pregnant Women/*psychology MH - Prenatal Care MH - *Prenatal Education/methods/organization & administration MH - Tape Recording EDAT- 2012/05/01 06:00 MHDA- 2014/01/18 06:00 CRDT- 2012/05/01 06:00 PHST- 2011/11/22 [received] PHST- 2012/02/14 [revised] PHST- 2012/02/18 [accepted] AID - S0266-6138(12)00038-1 [pii] AID - 10.1016/j.midw.2012.02.006 [doi] PST - ppublish SO - Midwifery. 2013 May;29(5):425-33. doi: 10.1016/j.midw.2012.02.006. Epub 2012 Apr 27. PMID- 22487696 OWN - NLM STAT- MEDLINE DA - 20120606 DCOM- 20121015 LR - 20161019 IS - 1536-7312 (Electronic) IS - 0196-206X (Linking) VI - 33 IP - 5 DP - 2012 Jun TI - Psychopathology and special education enrollment in children with prenatal cocaine exposure. PG - 377-86 LID - 10.1097/DBP.0b013e3182560cd9 [doi] AB - OBJECTIVE: This study evaluated how enrollment in special education services in 11-year-old children relates to prenatal cocaine exposure (PCE), psychopathology, and other risk factors. METHODS: Participants were 498 children enrolled in The Maternal Lifestyle Study, a prospective, longitudinal, multisite study examining outcomes of children with PCE. Logistic regression was used to examine the effect of PCE and psychopathology on enrollment in an individualized education plan (IEP; a designation specific to children with special education needs), with environmental, maternal, and infant medical variables as covariates. RESULTS: PCE, an interaction of PCE and oppositional defiant disorder, child attention-deficit hyperactivity disorder, parent-reported internalizing behaviors, and teacher-reported externalizing behaviors, predicted enrollment in an IEP. Other statistically significant variables in the model were male gender, low birth weight, being small for gestational age, white race, caregiver change, low socioeconomic status, low child intelligence quotient, caregiver depression, and prenatal marijuana exposure. CONCLUSIONS: PCE increased the likelihood of receiving an IEP with adjustment for covariates. Psychopathology also predicted this special education outcome, in combination with and independent of prenatal cocaine exposure. FAU - Levine, Todd P AU - Levine TP AD - Department of Psychiatry, Alpert Brown Medical School and Women and Infants Hospital, Providence, RI 02905, USA. TLevine@wihri.org FAU - Lester, Barry AU - Lester B FAU - Lagasse, Linda AU - Lagasse L FAU - Shankaran, Seetha AU - Shankaran S FAU - Bada, Henrietta S AU - Bada HS FAU - Bauer, Charles R AU - Bauer CR FAU - Whitaker, Toni M AU - Whitaker TM FAU - Higgins, Rosemary AU - Higgins R FAU - Hammond, Jane AU - Hammond J FAU - Roberts, Mary B AU - Roberts MB LA - eng GR - T32 MH019927/MH/NIMH NIH HHS/United States GR - U10 HD021385/HD/NICHD NIH HHS/United States GR - U10 DA024128/DA/NIDA NIH HHS/United States GR - U10 DA024117/DA/NIDA NIH HHS/United States GR - U10 HD042638/HD/NICHD NIH HHS/United States GR - U10 HD36790/HD/NICHD NIH HHS/United States GR - U10 HD27904/HD/NICHD NIH HHS/United States GR - U10 DA024118/DA/NIDA NIH HHS/United States GR - U10 DA24118/DA/NIDA NIH HHS/United States GR - T32MH19927/MH/NIMH NIH HHS/United States GR - N01 HD23159/HD/NICHD NIH HHS/United States GR - U10 HD027904/HD/NICHD NIH HHS/United States GR - U10 HD021397/HD/NICHD NIH HHS/United States GR - U10 DA024119/DA/NIDA NIH HHS/United States GR - U10 DA24119/DA/NIDA NIH HHS/United States GR - U10 HD21415/HD/NICHD NIH HHS/United States GR - U10HD21397/HD/NICHD NIH HHS/United States GR - U10 HD21385/HD/NICHD NIH HHS/United States GR - U10 DA24128/DA/NIDA NIH HHS/United States GR - U10 HD42638/HD/NICHD NIH HHS/United States GR - U10 HD036790/HD/NICHD NIH HHS/United States GR - U10 DA24117/DA/NIDA NIH HHS/United States PT - Journal Article PT - Multicenter Study PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Dev Behav Pediatr JT - Journal of developmental and behavioral pediatrics : JDBP JID - 8006933 SB - IM MH - Adult MH - Chi-Square Distribution MH - Child MH - Child Behavior/psychology MH - Cocaine-Related Disorders/*psychology/therapy MH - *Education, Special/methods/statistics & numerical data MH - Female MH - Humans MH - Infant, Newborn MH - Logistic Models MH - Male MH - Pregnancy MH - Prenatal Exposure Delayed Effects/*psychology/therapy MH - Prospective Studies MH - Psychopathology PMC - PMC3400535 MID - NIHMS371267 OID - NLM: NIHMS371267 OID - NLM: PMC3400535 EDAT- 2012/04/11 06:00 MHDA- 2012/10/16 06:00 CRDT- 2012/04/11 06:00 AID - 10.1097/DBP.0b013e3182560cd9 [doi] PST - ppublish SO - J Dev Behav Pediatr. 2012 Jun;33(5):377-86. doi: 10.1097/DBP.0b013e3182560cd9. PMID- 22417755 OWN - NLM STAT- MEDLINE DA - 20130402 DCOM- 20140117 LR - 20130402 IS - 1532-3099 (Electronic) IS - 0266-6138 (Linking) VI - 29 IP - 4 DP - 2013 Apr TI - 'Let men into the pregnancy'--men's perceptions about being tested for chlamydia and HIV during pregnancy. PG - 351-8 LID - 10.1016/j.midw.2012.02.001 [doi] LID - S0266-6138(12)00026-5 [pii] AB - OBJECTIVE: to investigate how to prevent transmission of HIV and Chlamydia trachomatis (CT) by exploring whether screening of men during pregnancy may be an innovative way to reach men, to increase detection, and to avoid the present gendered responsibility. DESIGN: an explorative research strategy with in-depth interviews and an analysis informed by grounded theory principles was used. SETTING: the northern part of Sweden. PARTICIPANTS: twenty men/becoming fathers in their twenties and early thirties were offered CT and HIV testing and were interviewed about their perceptions about being tested during pregnancy. FINDINGS: Six categories emerged that concerned the men's risk perceptions, reasons for not testing men, benefits and negative consequences associated with being tested, incentive measures for reaching men and the optional time for testing men during pregnancy. The majority of the men perceived their own risk for having CT or HIV to be close to zero, trusted their stable partner, and did not see men as transmitters. They did not understand how men could play a role in CT or HIV transmission or how these infections could negatively affect the child. However, few informants could see any logical reasons for excluding men from testing and the majority was positive towards screening men during the pregnancy. KEY CONCLUSIONS: men's sexual health and behaviour on social and biological grounds will affect the health of women and their children during pregnancy and childbirth. As long as expectant fathers do not count in this 'triad', there is a risk that CT and HIV infections in adults and infants will continue to be an unsolved problem. IMPLICATIONS FOR PRACTICE: knowledge from this research can contribute to influencing the attitudes among health-care providers positively, and inspiring policy changes. CI - Copyright (c) 2012 Elsevier Ltd. All rights reserved. FAU - Christianson, Monica AU - Christianson M AD - Department of Nursing, Umea University, Umea, Sweden. monica.christianson@nurs.umu.se FAU - Boman, Jens AU - Boman J FAU - Essen, Birgitta AU - Essen B LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120312 PL - Scotland TA - Midwifery JT - Midwifery JID - 8510930 SB - N MH - Adult MH - *Chlamydia Infections/diagnosis/prevention & control/psychology MH - Fathers/psychology MH - Female MH - *HIV Infections/diagnosis/prevention & control/psychology MH - Humans MH - Male MH - Mass Screening/methods/*psychology MH - Men's Health/statistics & numerical data MH - *Paternal Behavior/physiology/psychology MH - Paternal Exposure/*prevention & control MH - Pregnancy MH - Prenatal Care/methods/psychology MH - Prenatal Education MH - Sweden EDAT- 2012/03/16 06:00 MHDA- 2014/01/18 06:00 CRDT- 2012/03/16 06:00 PHST- 2011/07/01 [received] PHST- 2012/01/12 [revised] PHST- 2012/02/05 [accepted] AID - S0266-6138(12)00026-5 [pii] AID - 10.1016/j.midw.2012.02.001 [doi] PST - ppublish SO - Midwifery. 2013 Apr;29(4):351-8. doi: 10.1016/j.midw.2012.02.001. Epub 2012 Mar 12. PMID- 22371210 OWN - NLM STAT- MEDLINE DA - 20120409 DCOM- 20120712 LR - 20120409 IS - 0070-3370 (Print) IS - 0070-3370 (Linking) VI - 49 IP - 2 DP - 2012 May TI - Prenatal health, educational attainment, and intergenerational inequality: the Northern Finland Birth Cohort 1966 Study. PG - 525-52 LID - 10.1007/s13524-012-0092-1 [doi] AB - In this article, we study the effects of prenatal health on educational attainment and on the reproduction of family background inequalities in education. Using Finnish birth cohort data, we analyze several maternal and fetal health variables, many of which have not been featured in the literature on long-term socioeconomic effects of health despite the effects of these variables on birth and short-term health outcomes. We find strong negative effects of mother's prenatal smoking on educational attainment, which are stronger if the mother smoked heavily but are not significant if she quit during the first trimester. Anemia during pregnancy is also associated with lower levels of attained education. Other indicators of prenatal health (pre-pregnancy obesity, mother's antenatal depressed mood, hypertension and preeclampsia, early prenatal care visits, premature birth, and small size for gestational age) do not predict educational attainment. Our measures explain little of the educational inequalities by parents' class or education. However, smoking explains 12%-and all health variables together, 19%-of the lower educational attainment of children born to unmarried mothers. Our findings point to the usefulness of proximate health measures in addition to general ones. They also point to the potentially important role played by early health in intergenerational processes. FAU - Harkonen, Juho AU - Harkonen J AD - Demography Unit, Department of Sociology, Stockholm University, S-106 91 Stockholm, Sweden. juho.harkonen@sociology.su.se FAU - Kaymakcalan, Hande AU - Kaymakcalan H FAU - Maki, Pirjo AU - Maki P FAU - Taanila, Anja AU - Taanila A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Demography JT - Demography JID - 0226703 SB - IM MH - Adolescent MH - Adult MH - Educational Status MH - Family Health/*statistics & numerical data MH - Female MH - Finland MH - *Health Status MH - Humans MH - Infant MH - Intergenerational Relations MH - Male MH - Maternal Age MH - Pregnancy MH - Pregnancy Complications/*epidemiology/etiology MH - *Pregnant Women MH - Prospective Studies MH - Socioeconomic Factors EDAT- 2012/03/01 06:00 MHDA- 2012/07/13 06:00 CRDT- 2012/02/29 06:00 AID - 10.1007/s13524-012-0092-1 [doi] PST - ppublish SO - Demography. 2012 May;49(2):525-52. doi: 10.1007/s13524-012-0092-1. PMID- 22301541 OWN - NLM STAT- MEDLINE DA - 20120203 DCOM- 20120604 LR - 20120203 IS - 1536-0911 (Electronic) IS - 1536-0903 (Linking) VI - 12 IP - 1 DP - 2012 Feb TI - A model program for perinatal palliative services. PG - 28-36 LID - 10.1097/ANC.0b013e318244031c [doi] AB - Despite the fact that parents of infants with lethal anomalies may not want "full-blown" medical care for their infants after birth, most such infants die in neonatal intensive care units. Although neonatal nurses are trained to administer life-saving treatments, they may suffer from moral distress when faced with caring for babies with incompatible-with-life conditions. This article describes a Perinatal Comfort Care program in which (a) care is provided at the time of diagnoses/antenatally and includes home visits by members of an interdisciplinary hospice team; (b) care is collaborative, community-based, and family-centered, and takes place in labor and delivery and on the mother baby unit; and (c) follow-up to the family continues for 1 year after the death. Neonatal nurses can become involved either by initiating efforts to form a perinatal comfort care program or by joining an existing team. FAU - Engelder, Suzanne AU - Engelder S AD - St Joseph Hospice, St Joseph Perinatal Comfort Care, St Joseph Hospital, Orange, California 92863, USA. FAU - Davies, Kathryn AU - Davies K FAU - Zeilinger, Terry AU - Zeilinger T FAU - Rutledge, Dana AU - Rutledge D LA - eng PT - Journal Article PL - United States TA - Adv Neonatal Care JT - Advances in neonatal care : official journal of the National Association of Neonatal Nurses JID - 101125644 SB - IM MH - California MH - Hospice Care/*methods/organization & administration/psychology MH - Humans MH - Infant, Newborn MH - Intensive Care, Neonatal MH - Models, Organizational MH - Neonatal Nursing/*methods MH - Organizational Case Studies MH - Palliative Care/*methods/*organization & administration/psychology MH - Patient Care Team MH - Patient-Centered Care MH - Perinatal Care/*methods MH - Professional-Patient Relations MH - Program Development MH - Program Evaluation MH - Referral and Consultation EDAT- 2012/02/04 06:00 MHDA- 2012/06/05 06:00 CRDT- 2012/02/04 06:00 AID - 10.1097/ANC.0b013e318244031c [doi] AID - 00149525-201202000-00009 [pii] PST - ppublish SO - Adv Neonatal Care. 2012 Feb;12(1):28-36. doi: 10.1097/ANC.0b013e318244031c. PMID- 22259920 OWN - NLM STAT- MEDLINE DA - 20120120 DCOM- 20120301 LR - 20151119 IS - 1020-3397 (Print) IS - 1020-3397 (Linking) VI - 17 IP - 9 DP - 2011 Sep TI - Educational needs assessment for men's participation in perinatal care. PG - 689-96 AB - To assess men's educational needs to improve their involvement in perinatal care we carried out a descriptive, cross-sectional study on 400 women seeking perinatal care in Shahid Beheshti University of Medical Sciences hospitals and 400 men who were accompanying them. Participants were recruited using a quota sampling method. A questionnaire was used to collect information on demography, men's educational needs and attitude assessment. The mean attitude score was 79.13% (SD 10.5%). More than 95% of participants agreed with perinatal care education for men and the content most required was "Signs of risks during the perinatal period" and "Mothers' nutrition". The majority of participants preferred the face-to-face couples' counselling method, at home as the best place, evening and weekends as the best time and marriage classes as the best time for initiation. Men's education is necessary to promote male involvement in perinatal care. FAU - Simbar, M AU - Simbar M AD - Department of Reproductive Health, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of lran. msimbar@sbmu.ac.ir FAU - Nahidi, F AU - Nahidi F FAU - Ramezani-Tehrani, F AU - Ramezani-Tehrani F FAU - Akbarzadeh, A AU - Akbarzadeh A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Egypt TA - East Mediterr Health J JT - Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit JID - 9608387 SB - IM MH - Adolescent MH - Adult MH - Analysis of Variance MH - Chi-Square Distribution MH - Cross-Sectional Studies MH - Fathers/*psychology MH - Female MH - Focus Groups MH - Humans MH - Iran MH - Male MH - *Needs Assessment MH - Perinatal Care/*statistics & numerical data MH - Pregnancy MH - Surveys and Questionnaires EDAT- 2012/01/21 06:00 MHDA- 2012/03/02 06:00 CRDT- 2012/01/21 06:00 PST - ppublish SO - East Mediterr Health J. 2011 Sep;17(9):689-96. PMID- 22241955 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20120113 DCOM- 20121002 LR - 20170220 IS - 1179-1578 (Electronic) IS - 1179-1578 (Linking) VI - 4 DP - 2011 TI - Expectant parents' experiences of parental education within the antenatal health service. PG - 159-67 LID - 10.2147/PRBM.S22861 [doi] AB - Being an expectant parent is a life changing event and it is something that most people will experience in their lifetime. Many people who are parents for the first time will participate in parenting education. Most of the previous studies associated with parenting education focus on subjects such as birth outcome and breastfeeding. The purpose of this study is to focus on the less investigated aspect of the parents' experience of participating in parenting education with Maternal Healthcare Services (MVC). A qualitative, phenomenological, hermeneutical method was selected to be used to analyze our findings and we used the statements of twenty participants to accumulate enough material to develop it into twelve sub-themes and five themes. The results of this study show that these expectant parents had few or no expectations of the parenting education that they were going to participate in. Generally speaking the parents seemed to be satisfied with the program. They described their reasons for participating as a chance to get together with other people in similar circumstances and to share information and they found a midwife to be a trustworthy professional person to confirm the information that was available to them from other sources. FAU - Norling-Gustafsson, Ann AU - Norling-Gustafsson A AD - School of life Sciences, University of Skovde, Skovde, Sweden. FAU - Skaghammar, Katarina AU - Skaghammar K FAU - Adolfsson, Annsofie AU - Adolfsson A LA - eng PT - Journal Article DEP - 20111216 PL - New Zealand TA - Psychol Res Behav Manag JT - Psychology research and behavior management JID - 101514563 PMC - PMC3255463 OID - NLM: PMC3255463 OTO - NOTNLM OT - parent education OT - parents' expectations OT - parents' experiences EDAT- 2012/01/14 06:00 MHDA- 2012/01/14 06:01 CRDT- 2012/01/14 06:00 AID - 10.2147/PRBM.S22861 [doi] AID - prbm-4-159 [pii] PST - ppublish SO - Psychol Res Behav Manag. 2011;4:159-67. doi: 10.2147/PRBM.S22861. Epub 2011 Dec 16. PMID- 22168441 OWN - NLM STAT- MEDLINE DA - 20111215 DCOM- 20120525 LR - 20150129 IS - 1471-2458 (Electronic) IS - 1471-2458 (Linking) VI - 11 Suppl 5 DP - 2011 Nov 25 TI - The power of social connection and support in improving health: lessons from social support interventions with childbearing women. PG - S4 LID - 10.1186/1471-2458-11-S5-S4 [doi] AB - BACKGROUND AND OBJECTIVE: Social support interventions have a somewhat chequered history. Despite evidence that social connection is associated with good health, efforts to implement interventions designed to increase social support have produced mixed results. The aim of this paper is to reflect on the relationship between social connectedness and good health, by examining social support interventions with mothers of young children and analysing how support was conceptualised, enacted and valued, in order to advance what we know about providing support to improve health. CONTEXT AND APPROACH: First, we provide a brief recent history of social support interventions for mothers with young children and we critically examine what was intended by 'social support', who provided it and for which groups of mothers, how support was enacted and what was valued by women. Second, we examine the challenges and promise of lay social support approaches focused explicitly on companionship, and draw on experiences in two cluster randomised trials which aimed to improve the wellbeing of mothers. One trial involved a universal approach, providing befriending opportunities for all mothers in the first year after birth, and the other a targeted approach offering support from a 'mentor mother' to childbearing women experiencing intimate partner violence. RESULTS: Interventions providing social support to mothers have most often been directed to women seen as disadvantaged, or 'at risk'. They have also most often been enacted by health professionals and have included strong elements of health education and/or information, almost always with a focus on improving parenting skills for better child health outcomes. Fewer have involved non-professional 'supporters', and only some have aimed explicitly to provide companionship or a listening ear, despite these aspects being what mothers receiving support have said they valued most. Our trial experiences have demonstrated that non-professional support interventions raise myriad challenges. These include achieving adequate reach in a universal approach, identification of those in need of support in any targeted approach; how much training and support to offer befrienders/mentors without 'professionalising' the support provided; questions about the length of time support is offered, how 'closure' is managed and whether interventions impact on social connectedness into the future. In our two trials what women described as helpful was not feeling so alone, being understood, not being judged, and feeling an increased sense of their own worth. CONCLUSION AND IMPLICATIONS: Examination of how social support has been conceptualised and enacted in interventions to date can be instructive in refining our thinking about the directions to be taken in future research. Despite implementation challenges, further development and evaluation of non-professional models of providing support to improve health is warranted. FAU - Small, Rhonda AU - Small R AD - Mother and Child Health Research, La Trobe University, 215 Franklin Street, Melbourne Victoria 3000, Australia. r.small@latrobe.edu.au FAU - Taft, Angela J AU - Taft AJ FAU - Brown, Stephanie J AU - Brown SJ LA - eng PT - Journal Article DEP - 20111125 PL - England TA - BMC Public Health JT - BMC public health JID - 100968562 SB - IM MH - Adult MH - Clinical Competence MH - Community Networks/standards MH - Family Practice/education/standards MH - Feedback MH - Female MH - Health Promotion/*methods MH - Health Resources MH - Humans MH - Maternal Health Services/*organization & administration MH - Maternal Welfare MH - Maternal-Child Nursing/education/*methods MH - Mentors MH - *Mothers/education MH - Postnatal Care/*organization & administration MH - Program Development MH - *Quality Assurance, Health Care MH - *Social Support MH - Victoria MH - Women's Health PMC - PMC3247027 OID - NLM: PMC3247027 EDAT- 2011/12/30 06:00 MHDA- 2012/05/26 06:00 CRDT- 2011/12/16 06:00 AID - 1471-2458-11-S5-S4 [pii] AID - 10.1186/1471-2458-11-S5-S4 [doi] PST - epublish SO - BMC Public Health. 2011 Nov 25;11 Suppl 5:S4. doi: 10.1186/1471-2458-11-S5-S4. PMID- 22142578 OWN - NLM STAT- MEDLINE DA - 20111206 DCOM- 20130401 LR - 20151119 IS - 1603-9629 (Electronic) IS - 0907-8916 (Linking) VI - 58 IP - 12 DP - 2011 Dec TI - Birth outcome in women with ulcerative colitis and Crohn's disease, and pharmacoepidemiological aspects of anti-inflammatory drug therapy. PG - B4360 AB - The clinical epidemiological studies included in this thesis fall into three parts. The first part includes studies on birth outcome in women with ulcerative colitis. The second part includes pharmacoepidemiological studies on birth outcome after anti-inflammatory drug therapy in pregnancy, including patients with ulcerative colitis and Crohn's disease. The third part (and the latest publications) includes birth outcome in women with Crohn's disease; and the methods of cohort establishment in these studies are developed and improved due to the knowledge gathered from conducting the earlier studies. The birth outcomes in women with ulcerative colitis are examined in a nationwide, Danish, cohort of women based on data from the Danish National Hospital Discharge Registry and the Danish Medical Birth Registry, and within a Hungarian case-control data set. Our data suggest: 1) Significantly increased risk of preterm birth when women give birth 0-6 months after establishment of the diagnosis. It is considered whether the increased risk may be influenced by disease activity around the time of establishing the diagnosis. 2) No increased risk of giving birth to children with low birth weight, intrauterine growth retardation or congenital abnormalities (evaluated overall). 3) Significantly increased risk of some selected congenital abnormalities (limb deficiencies, obstructive urinary and multiple congenital abnormalities). No other studies have examined the risk of selected congenital abnormalities in children born by women with ulcerative colitis. The pharmacoepidemiological studies on birth outcomes after use of anti-inflammatory drug therapy in pregnancy, including women with ulcerative colitis and Crohn's disease, are based on data from the Hungarian case-control data set, a countywide Danish prescription Database, the Danish National Hospital Discharge Registry, the Danish Medical Birth Registry, and review of selected medical records. After exposure to sulfasalazine during pregnancy our data suggest. No significantly increased overall relative risk of congenital abnormalities and no significantly increased risks of selected congenital abnormalities. After exposure to 5-aminosalicylic acid during pregnancy our data suggest. No significantly increased relative risk of low birth weight, intrauterine growth retardation or congenital abnormalities (evaluated overall). A significantly increased relative risk of preterm birth and stillbirth in ulcerative colitis women, compared to women with no prescription of reimbursed medicine in pregnancy - and also after comparing with women with chronic inflammatory bowel disease not taking 5-aminosalicylic acid during pregnancy. It is not clear whether these associations are causal or influenced by confounding by disease activity in particular. After maternal exposure to azathioprine/6-mercaptopurine during pregnancy our data suggest. An increased relative risk of preterm birth, congenital abnormalities, and perinatal mortality - also after using controls with similar underlying diseases. It is difficult to rule out an influence of uncontrolled confounding. These were the first published data from a controlled observational study on exposed women with chronic inflammatory bowel disease. After preconceptional paternal use of azathioprine/6-mercaptopurine our data suggest An increased risk of congenital abnormalities, although not significantly increased. The birth outcomes in women with Crohn's disease are examined in nationwide sub-cohorts classified according to type of anti-inflammatory drug exposure during pregnancy, and based on data from the Danish National Hospital Discharge Registry, the nationwide Danish Prescription Database and the Danish Medical Birth Registry. Furthermore, birth outcomes are examined in Crohn's disease women with disease activity during pregnancy, based on data from review of hospital records, the Danish National Hospital Discharge Registry and the Danish Medical Birth Registry. Our data suggest: 1) The risk of adverse birth outcomes in women with Crohn's disease varies according to the type of anti-inflammatory drug therapy in pregnancy. 2) Reassuring results according to low birth weight, intrauterine growth retardation, preterm birth and congenital abnormalities after use of sulfasalazine/5-aminosalicylic acid or steroids. 3) Worrisome findings of a significantly increased risk of preterm birth and an increased risk of congenital abnormalities (not significantly increased) after prescription of azathioprine/6-mercaptopurine during pregnancy. Some residual confounding by disease activity may have been left in the analyses of preterm birth. In Crohn's disease women with disease activity during pregnancy our data suggest: 1) A significantly increased relative risk of preterm birth in women with the highest degree of disease activity during pregnancy. 2) Disease activity does not seem to increase the risk of low birth weight, intrauterine growth retardation or congenital abnormalities. This study is the first epidemiological study of the risk of adverse birth outcomes in Crohn's disease women with disease activity during pregnancy, compared to women with no activity during pregnancy, and in which confounders have been taken into consideration. Exceeding the studies included in my previous PhD thesis, this thesis provides new evidence on the following subjects: i) the risk of selected congenital abnormalities in children of women with ulcerative colitis, ii) pharmacoepidemiological studies on the risk of adverse birth outcome after maternal azathioprine/6-mercaptopurine exposure in pregnancy, and the risk of congenital abnormalities in children fathered by men treated with azathioprine/6-mercaptopurine before conception, iii) the risk of adverse birth outcome in women with Crohn's disease according to type of anti-inflammatory drug treatment in pregnancy (sulfasalazine/5-aminosalicylic acid, steroids or azathioprine/6-mercaptopurine), and iv) the impact of disease activity in women with Crohn's disease on adverse birth outcome. We learned from the studies in this thesis that the traditional way of reporting birth outcome in women with chronic inflammatory bowel disease, i.e. without having valid information on the type of underlying disease, concurrent therapeutic drug treatment and disease activity, is of limited value. The studies show that the risk of specific adverse birth outcome in women with ulcerative colitis and Crohn's disease depends on several factors including the time of birth in relation the debut of disease, the type of underlying disease (ulcerative colitis or Crohn's disease), the type of anti-inflammatory drug treatment during pregnancy, and the degree of disease activity during pregnancy. At the same time one also has to realize that the existing evidence is still limited, especially in the field of reproductive safety after therapeutic drug treatment during pregnancy and possible effects of preconceptional therapeutic drug exposure. FAU - Norgard, Bente Mertz AU - Norgard BM AD - Centre for National Clinical Databases, South, The Danish Clinical Quality Improvement Programme, OUH, Odense University Hospital, Entrance 101, Sdr. Boulevard 29, 5000 Odense C, Denmark. bente.noergaard@ouh.regionsyddanmark.dk LA - eng PT - Journal Article PL - Denmark TA - Dan Med Bull JT - Danish medical bulletin JID - 0066040 RN - 0 (Adrenal Cortex Hormones) RN - 0 (Anti-Inflammatory Agents) RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 0 (Immunosuppressive Agents) RN - 3XC8GUZ6CB (Sulfasalazine) RN - 5B2658E0N2 (Aminosalicylic Acid) RN - E7WED276I5 (6-Mercaptopurine) RN - MRK240IY2L (Azathioprine) SB - IM MH - 6-Mercaptopurine/therapeutic use MH - Adrenal Cortex Hormones/*therapeutic use MH - Adult MH - Aminosalicylic Acid/therapeutic use MH - Anti-Inflammatory Agents/*therapeutic use MH - Anti-Inflammatory Agents, Non-Steroidal/therapeutic use MH - Azathioprine/therapeutic use MH - Colitis, Ulcerative/*drug therapy/pathology MH - Confidence Intervals MH - Crohn Disease/*drug therapy/pathology MH - Denmark MH - Female MH - Humans MH - Immunosuppressive Agents/therapeutic use MH - Odds Ratio MH - Perinatal Care MH - Pharmacoepidemiology/methods MH - Pregnancy MH - Pregnancy Complications/*drug therapy/pathology MH - *Pregnancy Outcome MH - Registries MH - Sulfasalazine/therapeutic use MH - Surveys and Questionnaires MH - Young Adult EDAT- 2011/12/07 06:00 MHDA- 2013/04/02 06:00 CRDT- 2011/12/07 06:00 AID - B4360 [pii] PST - ppublish SO - Dan Med Bull. 2011 Dec;58(12):B4360. PMID- 22093043 OWN - NLM STAT- MEDLINE DA - 20120106 DCOM- 20120507 LR - 20120106 IS - 1365-2702 (Electronic) IS - 0962-1067 (Linking) VI - 21 IP - 3-4 DP - 2012 Feb TI - Use of the Internet as a source of health information amongst participants of antenatal classes. PG - 322-30 LID - 10.1111/j.1365-2702.2011.03910.x [doi] AB - AIM: To describe the pattern of use of the Internet as a source of health information by participants of antenatal classes. Background. There is a lack of information about the frequency of Internet use amongst expectant mothers and fathers who attend antenatal classes. DESIGN: A cross-sectional descriptive study. METHODS: Women (n = 114) and men (n = 21) were recruited. Data were collected anonymously using a self-administered questionnaire, containing questions about Internet use, the frequency of that use, sources of information about pregnancy, preference over other non-Internet sources, positive and negative feelings generated due to the use of the Internet and willingness to receive instructions on Internet use. RESULTS: The average age of participants was 31.4 (SD 6.1) and their stage of pregnancy ranged from 24-38 weeks. 83.5% were expecting their first child. 93.5% reported that they used the Internet on a regular basis and no significant difference was found between men and women. Amongst Internet users, 97.7% sought, at some point, information on pregnancy on the Internet and 26.9% had done so in the last 24 hours. The Internet was the most popular source of information on pregnancy topics (18.5% of women and 25.8% of men used it as their primary source of information) after a physician. Commercial websites were more frequently used by people looking for information on pregnancy than sites maintained by not-for-profit organisations or professional unions. CONCLUSIONS: The Internet is widely used as a source of information amongst participants of antenatal classes, both male and female. Approximately 95% have used it at some point to find information during pregnancy, but the majority (approximately 90%) had no knowledge of websites run by not-for-profit organisations and preferred commercial websites. Relevance to clinical practice. Instead of disregarding the use of the Internet as a source of information during pregnancy, midwives should keep up to date and give their patients links to high-quality sites. CI - (c) 2011 Blackwell Publishing Ltd. FAU - Lima-Pereira, Patricia AU - Lima-Pereira P AD - Instituto Nacional de Salud, Santisima Trinidad casi Itapua, Asuncion, Paraguay. FAU - Bermudez-Tamayo, Clara AU - Bermudez-Tamayo C FAU - Jasienska, Grazyna AU - Jasienska G LA - eng PT - Journal Article DEP - 20111117 PL - England TA - J Clin Nurs JT - Journal of clinical nursing JID - 9207302 SB - N MH - Adult MH - Cross-Sectional Studies MH - Female MH - Humans MH - *Internet MH - Male MH - *Patient Education as Topic MH - Prenatal Care/*organization & administration EDAT- 2011/11/19 06:00 MHDA- 2012/05/09 06:00 CRDT- 2011/11/19 06:00 AID - 10.1111/j.1365-2702.2011.03910.x [doi] PST - ppublish SO - J Clin Nurs. 2012 Feb;21(3-4):322-30. doi: 10.1111/j.1365-2702.2011.03910.x. Epub 2011 Nov 17. PMID- 21914207 OWN - NLM STAT- MEDLINE DA - 20111013 DCOM- 20120208 LR - 20170220 IS - 1758-2652 (Electronic) IS - 1758-2652 (Linking) VI - 14 DP - 2011 Sep 13 TI - Male partner antenatal attendance and HIV testing in eastern Uganda: a randomized facility-based intervention trial. PG - 43 LID - 10.1186/1758-2652-14-43 [doi] AB - BACKGROUND: The objective of the study was to evaluate the effect of a written invitation letter to the spouses of new antenatal clinic attendees on attendance by couples and on male partner acceptance of HIV testing at subsequent antenatal clinic visits. METHODS: The trial was conducted with 1060 new attendees from October 2009 to February 2010 in an antenatal clinic at Mbale Regional Referral Hospital, Mbale District, eastern Uganda. The intervention comprised an invitation letter delivered to the spouses of new antenatal attendees, while the control group received an information letter, a leaflet, concerning antenatal care. The primary outcome measure was the proportion of pregnant women who attended antenatal care with their male partners during a follow-up period of four weeks. Eligible pregnant women were randomly assigned to the intervention or non-intervention groups using a randomization sequence, which was computer generated utilizing a random sequence generator (RANDOM ORG) that employed a simple randomization procedure. Respondents, health workers and research assistants were masked to group assignments. RESULTS: The trial was completed with 530 women enrolled in each group. Participants were analyzed as originally assigned (intention to treat). For the primary outcome, the percentage of trial participants who attended the antenatal clinic with their partners were 16.2% (86/530) and 14.2% (75/530) in the intervention and non-intervention groups, respectively (OR = 1.2; 95% CI: 0.8, 1.6). For the secondary outcome, most of the 161 male partners attended the antenatal clinic; 82 of 86 (95%) in the intervention group and 68 of 75 (91%) in the non-intervention group were tested for HIV (OR = 2.1; 95% CI: 0.6 to 7.5). CONCLUSIONS: The effect of the intervention and the control on couple antenatal attendance was similar. In addition, the trial demonstrated that a simple intervention, such as a letter to the spouse, could increase couple antenatal clinic attendance by 10%. Significantly, the majority of male partners who attended the antenatal clinic accepted HIV testing. Therefore, to further evaluate this simple and cost-effective intervention method, adequately powered studies are required to assess its effectiveness in increasing partner participation in antenatal clinics and the programme for prevention of mother to child transmission of HIV. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT01144234. FAU - Byamugisha, Robert AU - Byamugisha R AD - Department of Obstetrics and Gynaecology, Mbale Regional Referral Hospital, Mbale, Uganda. byamugishar@yahoo.co.uk FAU - Astrom, Anne N AU - Astrom AN FAU - Ndeezi, Grace AU - Ndeezi G FAU - Karamagi, Charles A S AU - Karamagi CA FAU - Tylleskar, Thorkild AU - Tylleskar T FAU - Tumwine, James K AU - Tumwine JK LA - eng SI - ClinicalTrials.gov/NCT01144234 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20110913 PL - Switzerland TA - J Int AIDS Soc JT - Journal of the International AIDS Society JID - 101478566 SB - IM SB - X MH - Adolescent MH - Adult MH - Female MH - HIV Infections/*diagnosis MH - Humans MH - Male MH - Mass Screening/*methods MH - Midwifery/*statistics & numerical data MH - Patient Acceptance of Health Care/*statistics & numerical data MH - Pregnancy MH - *Sexual Partners MH - Uganda MH - Young Adult PMC - PMC3192699 OID - NLM: PMC3192699 EDAT- 2011/09/15 06:00 MHDA- 2012/02/09 06:00 CRDT- 2011/09/15 06:00 PHST- 2011/05/13 [received] PHST- 2011/09/13 [accepted] AID - 1758-2652-14-43 [pii] AID - 10.1186/1758-2652-14-43 [doi] PST - epublish SO - J Int AIDS Soc. 2011 Sep 13;14:43. doi: 10.1186/1758-2652-14-43. PMID- 21849535 OWN - NLM STAT- MEDLINE DA - 20110818 DCOM- 20111013 LR - 20170220 IS - 1529-2401 (Electronic) IS - 0270-6474 (Linking) VI - 31 IP - 33 DP - 2011 Aug 17 TI - Early prenatal stress epigenetically programs dysmasculinization in second-generation offspring via the paternal lineage. PG - 11748-55 LID - 10.1523/JNEUROSCI.1887-11.2011 [doi] AB - Studies have linked sex-biased neurodevelopmental disorders, including autism and schizophrenia, with fetal antecedents such as prenatal stress. Further, these outcomes can persist into subsequent generations, raising the possibility that aspects of heritability in these diseases involve epigenetic mechanisms. Utilizing a mouse model in which we previously identified a period in early gestation when stress results in dysmasculinized and stress-sensitive male offspring, we have examined programming effects in second-generation offspring of prenatally stressed (F2-S) or control (F2-C) sires. Examination of gene expression patterns during the perinatal sensitive period, when organizational gonadal hormones establish the sexually dimorphic brain, confirmed dysmasculinization in F2-S males, where genes important in neurodevelopment showed a female-like pattern. Analyses of the epigenomic miRNA environment detected significant reductions in miR-322, miR-574, and miR-873 in the F2-S male brain, levels that were again more similar to those of control females. Increased expression of a common gene target for these three miRNAs, beta-glycan, was confirmed in these males. These developmental effects were associated with the transmission of a stress-sensitive phenotype and shortened anogenital distance in adult F2-S males. As confirmation that the miRNA environment is responsive to organizational testosterone, neonatal males administered the aromatase inhibitor formestane exhibited dramatic changes in brain miRNA patterns, suggesting that miRNAs may serve a previously unappreciated role in organizing the sexually dimorphic brain. Overall, these data support the existence of a sensitive period of early gestation when epigenetic programming of the male germline can occur, permitting transmission of specific phenotypes into subsequent generations. FAU - Morgan, Christopher P AU - Morgan CP AD - Department of Animal Biology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104-6046, USA. FAU - Bale, Tracy L AU - Bale TL LA - eng GR - MH091258/MH/NIMH NIH HHS/United States GR - R01 MH087597-01A1/MH/NIMH NIH HHS/United States GR - R01 MH087597/MH/NIMH NIH HHS/United States GR - R01 MH091258-01/MH/NIMH NIH HHS/United States GR - R01 MH091258/MH/NIMH NIH HHS/United States GR - MH087597/MH/NIMH NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - J Neurosci JT - The Journal of neuroscience : the official journal of the Society for Neuroscience JID - 8102140 RN - 0 (MIRN574 microRNA, mouse) RN - 0 (MicroRNAs) SB - IM CIN - Nat Rev Neurosci. 2011 Oct;12(10):548. PMID: 21897431 MH - Age Factors MH - Animals MH - Epigenomics/*methods MH - Female MH - Foxes MH - Male MH - Mice MH - Mice, 129 Strain MH - Mice, Inbred C57BL MH - MicroRNAs/*genetics MH - Paternal Exposure/*adverse effects MH - Pregnancy MH - Prenatal Exposure Delayed Effects/*genetics/*psychology MH - Random Allocation MH - *Sex Characteristics MH - Stress, Psychological/complications/*genetics/*psychology PMC - PMC3164823 MID - NIHMS318921 OID - NLM: NIHMS318921 OID - NLM: PMC3164823 EDAT- 2011/08/19 06:00 MHDA- 2011/10/14 06:00 CRDT- 2011/08/19 06:00 AID - 31/33/11748 [pii] AID - 10.1523/JNEUROSCI.1887-11.2011 [doi] PST - ppublish SO - J Neurosci. 2011 Aug 17;31(33):11748-55. doi: 10.1523/JNEUROSCI.1887-11.2011. PMID- 21797888 OWN - NLM STAT- MEDLINE DA - 20120106 DCOM- 20120824 LR - 20151119 IS - 1530-0277 (Electronic) IS - 0145-6008 (Linking) VI - 36 IP - 1 DP - 2012 Jan TI - Translation of an evidence-based social skills intervention for children with prenatal alcohol exposure in a community mental health setting. PG - 141-52 LID - 10.1111/j.1530-0277.2011.01591.x [doi] AB - BACKGROUND: Children with prenatal alcohol exposure (PAE) have significant social skills deficits and are often treated in community mental health settings. However, it remains unclear whether these children can be effectively treated using manualized, evidence-based interventions that have been designed for more general mental health populations. METHODS: To shed light on this issue, the effectiveness of Children's Friendship Training (CFT) versus Standard of Care (SOC) was assessed for 85 children ages 6 to 12 years with and without PAE in a community mental health center. RESULTS: Children participating in CFT showed significantly improved knowledge of appropriate social skills, improved self-concept, and improvements in parent-reported social skills compared to children in the SOC condition. Moreover, results revealed that within the CFT condition, children with PAE performed as well as children without PAE. Findings indicated that CFT, an evidence-based social skills intervention, yielded greater gains than a community SOC social skills intervention and was equally effective for children with PAE as for those without PAE. CONCLUSIONS: Results suggest that children with PAE can benefit from treatments initiated in community settings in which therapists are trained to understand their unique developmental needs, and that they can be successfully integrated into treatment protocols that include children without PAE. CI - Copyright (c) 2011 by the Research Society on Alcoholism. FAU - O'Connor, Mary J AU - O'Connor MJ AD - Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of California at Los Angeles, USA. moconnor@mednet.ucla.edu FAU - Laugeson, Elizabeth A AU - Laugeson EA FAU - Mogil, Catherine AU - Mogil C FAU - Lowe, Evy AU - Lowe E FAU - Welch-Torres, Kathleen AU - Welch-Torres K FAU - Keil, Vivien AU - Keil V FAU - Paley, Blair AU - Paley B LA - eng GR - UDD000041/PHS HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. DEP - 20110728 PL - England TA - Alcohol Clin Exp Res JT - Alcoholism, clinical and experimental research JID - 7707242 RN - 3K9958V90M (Ethanol) SB - IM MH - Child MH - Community Mental Health Services/*methods MH - Ethanol/*adverse effects MH - Evidence-Based Medicine MH - Female MH - Fetal Alcohol Spectrum Disorders/psychology MH - Humans MH - Male MH - Pregnancy MH - Prenatal Exposure Delayed Effects/psychology/*therapy MH - *Social Behavior MH - *Socialization MH - Standard of Care MH - Translational Medical Research EDAT- 2011/07/30 06:00 MHDA- 2012/08/25 06:00 CRDT- 2011/07/30 06:00 AID - 10.1111/j.1530-0277.2011.01591.x [doi] PST - ppublish SO - Alcohol Clin Exp Res. 2012 Jan;36(1):141-52. doi: 10.1111/j.1530-0277.2011.01591.x. Epub 2011 Jul 28. PMID- 21712534 OWN - NLM STAT- MEDLINE DA - 20110825 DCOM- 20111028 LR - 20110825 IS - 1522-1555 (Electronic) IS - 0193-1849 (Linking) VI - 301 IP - 3 DP - 2011 Sep TI - Maternal prenatal undernutrition programs adipose tissue gene expression in adult male rat offspring under high-fat diet. PG - E548-59 LID - 10.1152/ajpendo.00011.2011 [doi] AB - Several studies have shown that maternal undernutrition leading to low birth weight predisposes offspring to the development of metabolic pathologies such as obesity. Using a model of prenatal maternal 70% food restriction diet (FR30) in rat, we evaluated whether postweaning high-fat (HF) diet would amplify the phenotype observed under standard diet. We investigated biological parameters as well as gene expression profile focusing on white adipose tissues (WAT) of adult offspring. FR30 procedure does not worsen the metabolic syndrome features induced by HF diet. However, FR30HF rats displayed catch-up growth to match the body weight of adult control HF animals, suggesting an increase of adiposity while showing hyperleptinemia and a blunted increase of corticosterone. Using quantitative RT-PCR array, we demonstrated that FR30HF rats exhibited leptin and Ob-Rb as well as many peptide precursor and receptor gene expression variations in WAT. We also showed that the expression of genes involved in adipogenesis was modified in FR30HF animals in a depot-specific manner. We observed an opposite variation of STAT3 phosphorylation levels, suggesting that leptin sensitivity is modified in WAT adult FR30 offspring. We demonstrated that 11beta-HSD1, 11beta-HSD2, GR, and MR genes are coexpressed in WAT and that FR30 procedure modifies gene expression levels, especially under HF diet. In particular, level variation of 11beta-HSD2, whose protein expression was detected by Western blotting, may represent a novel mechanism that may affect WAT glucocorticoid sensitivity. Data suggest that maternal undernutrition differently programs the adult offspring WAT gene expression profile that may predispose for altered fat deposition. FAU - Lukaszewski, Marie-Amelie AU - Lukaszewski MA AD - Unite Environnement Perinatal et Croissance, Universite Lille-Nord de France, Equipe Denutritions Maternelles Perinatales, Villeneuve d'Ascq. FAU - Mayeur, Sylvain AU - Mayeur S FAU - Fajardy, Isabelle AU - Fajardy I FAU - Delahaye, Fabien AU - Delahaye F FAU - Dutriez-Casteloot, Isabelle AU - Dutriez-Casteloot I FAU - Montel, Valerie AU - Montel V FAU - Dickes-Coopman, Anne AU - Dickes-Coopman A FAU - Laborie, Christine AU - Laborie C FAU - Lesage, Jean AU - Lesage J FAU - Vieau, Didier AU - Vieau D FAU - Breton, Christophe AU - Breton C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110628 PL - United States TA - Am J Physiol Endocrinol Metab JT - American journal of physiology. Endocrinology and metabolism JID - 100901226 RN - 0 (Dietary Fats) RN - 0 (Leptin) RN - 0 (STAT3 Transcription Factor) RN - EC 1.1.1.146 (11-beta-Hydroxysteroid Dehydrogenase Type 1) RN - EC 1.1.1.146 (11-beta-Hydroxysteroid Dehydrogenase Type 2) SB - IM MH - 11-beta-Hydroxysteroid Dehydrogenase Type 1/genetics/metabolism MH - 11-beta-Hydroxysteroid Dehydrogenase Type 2/genetics/metabolism MH - Adipose Tissue/*metabolism MH - Adiposity/drug effects/genetics MH - Animals MH - Body Weight/genetics MH - Dietary Fats/*metabolism MH - Female MH - Gene Expression MH - Leptin/genetics/metabolism MH - Male MH - Malnutrition/genetics/*metabolism MH - Maternal Nutritional Physiological Phenomena/*physiology MH - Obesity/genetics/metabolism MH - Phosphorylation MH - Rats MH - Rats, Wistar MH - STAT3 Transcription Factor/genetics/metabolism EDAT- 2011/06/30 06:00 MHDA- 2011/10/29 06:00 CRDT- 2011/06/30 06:00 AID - ajpendo.00011.2011 [pii] AID - 10.1152/ajpendo.00011.2011 [doi] PST - ppublish SO - Am J Physiol Endocrinol Metab. 2011 Sep;301(3):E548-59. doi: 10.1152/ajpendo.00011.2011. Epub 2011 Jun 28. PMID- 21667713 OWN - NLM STAT- MEDLINE DA - 20110614 DCOM- 20110719 LR - 20161125 IS - 1462-2815 (Print) IS - 1462-2815 (Linking) VI - 84 IP - 5 DP - 2011 May TI - Preparing for parenthood: the role of antenatal education. PG - 36-8 AB - The transition to parenthood is a time of great change for mothers and fathers, and also lays the foundation for the long-term health and wellbeing of the child. This emphasises the importance of preparation for parenthood. A Department of Health-commissioned review found provision and uptake of antenatal education to be variable, and so brought a group of experts together to consider Preparation for Pregnancy, Birth and Beyond. This paper provides an overview of the learning from the expert group's work, offering a new framework that professionals may use to plan effective local programmes and services. FAU - Billingham, Kate AU - Billingham K AD - Family Nurse Partnership and Healthy Child Programme, Department of Health. kate.billingham@dh.gsi.gov.uk LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Community Pract JT - Community practitioner : the journal of the Community Practitioners' & Health Visitors' Association JID - 9809060 SB - N MH - Female MH - Humans MH - Male MH - *Parenting MH - *Patient Education as Topic MH - *Preconception Care MH - Pregnancy MH - *Prenatal Care MH - United Kingdom EDAT- 2011/06/15 06:00 MHDA- 2011/07/20 06:00 CRDT- 2011/06/15 06:00 PST - ppublish SO - Community Pract. 2011 May;84(5):36-8. PMID- 21632158 OWN - NLM STAT- MEDLINE DA - 20120528 DCOM- 20121010 LR - 20120528 IS - 1532-3099 (Electronic) IS - 0266-6138 (Linking) VI - 28 IP - 3 DP - 2012 Jun TI - The effectiveness of a perinatal education programme on smoking, infant care, and psychosocial health for ethnic Turkish women. PG - 306-13 LID - 10.1016/j.midw.2011.04.005 [doi] AB - OBJECTIVE: antenatal programmes might be effective in preventing unhealthy lifestyles, poor maternal infant care practices, and poor psychosocial health in ethnic minority women, but there are few evidence-based interventions. For this reason an antenatal education programme, called 'Happy Mothers, Happy Babies' (HMHB) was systematically designed for ethnic Turkish women in the Netherlands. DESIGN: in a non-randomised trial Turkish women attending HMHB (HMHB group) were compared with those receiving care as usual (control group). SETTING: Parent-Child Centres, which provide integrated maternity and infant care. PARTICIPANTS: in both the HMHB (n=119) and the control (n=120) group, questionnaires were administered by ethnic Turkish interviewers at three (T0) and eight (T1) months of pregnancy, and two (T2) and six (T3) months after birth. FINDINGS: at baseline, women in the HMHB group had significantly lower educational levels, were less frequently in paid employment, had less knowledge about smoking, and showed more often mildly depressive symptoms. Adjusted analyses showed that HMHB was effective in improving knowledge about smoking (OR=2.73; 95% CI 1.40, 5.31), intention to engage in prevention of sudden infant death syndrome (SIDS) (OR=8.08; 95% CI 3.34, 19.56) and short-term SIDS prevention behaviour (OR=2.22; 95% CI=1.18, 4.19). However, no intervention effect was found for smoking during pregnancy, SIDS prevention behaviour on the long term, soothing behaviour, serious depressive symptoms, and parent-child attachment. KEY CONCLUSIONS: although we could not demonstrate intervention effects on all outcome measures, the HMHB programme appears to be highly welcome, and reaches an underserved minority group at increased risk for adverse perinatal outcomes. IMPLICATIONS FOR PRACTICE: the HMHB programme is one of the first systematically developed antenatal interventions for ethnic minority women. The programme can be used as a basic antenatal programme, and as a screening opportunity for women who smoke or show serious depressive symptoms. CI - Copyright (c) 2011 Elsevier Ltd. All rights reserved. FAU - Hesselink, Arlette E AU - Hesselink AE AD - Department of Epidemiology and Health Promotion, Public Health Service of Amsterdam, P.O. Box 2200, 1000 CE, Amsterdam, The Netherlands. a.hesselink@rescon.nl FAU - van Poppel, Mireille N AU - van Poppel MN FAU - van Eijsden, Manon AU - van Eijsden M FAU - Twisk, Jos W R AU - Twisk JW FAU - van der Wal, Marcel F AU - van der Wal MF LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110531 PL - Scotland TA - Midwifery JT - Midwifery JID - 8510930 SB - N MH - Adult MH - Depression, Postpartum/prevention & control MH - Emigrants and Immigrants/statistics & numerical data MH - Female MH - Health Education/*methods MH - Humans MH - Infant, Newborn MH - Maternal Behavior/ethnology MH - Midwifery/*methods MH - Mothers/*education/psychology MH - Netherlands MH - Nurse-Patient Relations MH - Patient Acceptance of Health Care/*ethnology/psychology MH - Pregnancy MH - Pregnancy Complications/prevention & control MH - Prenatal Care/*methods MH - Program Evaluation MH - Smoking/ethnology/*prevention & control/psychology MH - Smoking Cessation MH - Turkey/ethnology MH - Young Adult EDAT- 2011/06/03 06:00 MHDA- 2012/10/12 06:00 CRDT- 2011/06/03 06:00 PHST- 2010/09/28 [received] PHST- 2011/04/17 [revised] PHST- 2011/04/22 [accepted] AID - S0266-6138(11)00048-9 [pii] AID - 10.1016/j.midw.2011.04.005 [doi] PST - ppublish SO - Midwifery. 2012 Jun;28(3):306-13. doi: 10.1016/j.midw.2011.04.005. Epub 2011 May 31. PMID- 21618254 OWN - NLM STAT- MEDLINE DA - 20110617 DCOM- 20111107 LR - 20120924 IS - 1097-0223 (Electronic) IS - 0197-3851 (Linking) VI - 31 IP - 7 DP - 2011 Jul TI - Prenatal interventions for fetal lung lesions. PG - 628-36 LID - 10.1002/pd.2778 [doi] AB - The widespread availability of high resolution ultrasound equipment and almost universal routine anatomy scanning in all pregnant women in the developed world has lead to increased detection of abnormalities in the fetal thorax. Already in the 1980s, large pleural effusions and significant macrocystic lesions in the fetus were easily detected on ultrasound. However, smaller lung tumours were often missed. Nowadays, fetal medicine centres receive many referrals for evaluation of fetal lung lesions, of which the most common are congenital cystic adenomatoid malformation and bronchopulmonary sequestration. Almost invariably, both the parents and the referring physicians experience anxiety after detection of large lung masses in the fetus. However, the vast majority of the currently detected fetal lung lesions have an excellent prognosis without the need for prenatal intervention. In the small group of fetuses in which the prognosis is poor, almost exclusively those with concomitant fetal hydrops and cardiac failure, several options for fetal therapy exist, often with a more than 50% survival rate. Indications, techniques, complications and outcomes of these interventions will be described in this review. CI - Copyright (c) 2011 John Wiley & Sons, Ltd. FAU - Witlox, Ruben S AU - Witlox RS AD - Department of Paediatrics, Division of Neonatology, Leiden University Medical Centre, Leiden, The Netherlands. r.witlox@lumc.nl FAU - Lopriore, Enrico AU - Lopriore E FAU - Oepkes, Dick AU - Oepkes D LA - eng PT - Journal Article PT - Review DEP - 20110525 PL - England TA - Prenat Diagn JT - Prenatal diagnosis JID - 8106540 RN - 0 (Steroids) SB - IM CIN - Prenat Diagn. 2012 Aug;32(8):815. PMID: 22833500 MH - Female MH - Fetal Diseases/diagnosis/*therapy MH - Fetal Therapies/*methods/utilization MH - Humans MH - Lung Diseases/*congenital/diagnosis/*therapy MH - Pregnancy MH - Prenatal Diagnosis MH - Steroids/therapeutic use MH - Thoracoscopy/methods MH - Watchful Waiting EDAT- 2011/05/28 06:00 MHDA- 2011/11/08 06:00 CRDT- 2011/05/28 06:00 PHST- 2011/02/27 [received] PHST- 2011/04/20 [revised] PHST- 2011/04/20 [accepted] AID - 10.1002/pd.2778 [doi] PST - ppublish SO - Prenat Diagn. 2011 Jul;31(7):628-36. doi: 10.1002/pd.2778. Epub 2011 May 25. PMID- 21573859 OWN - NLM STAT- MEDLINE DA - 20120425 DCOM- 20120914 LR - 20170322 IS - 1573-6628 (Electronic) IS - 1092-7875 (Linking) VI - 16 IP - 4 DP - 2012 May TI - Prenatal prediction of poor maternal and offspring outcomes: implications for selection into intensive parent support programs. PG - 909-20 LID - 10.1007/s10995-011-0818-5 [doi] AB - This study examined the predictive ability of mother's age, antenatal depression, education, financial difficulties, partner status, and smoking for a range of poor maternal and offspring outcomes assessed up to 61 months postnatally. Outcomes obtained from the Avon Longitudinal Study of Parents and Children (ALSPAC) were maternal postnatal depression at 8 weeks (n = 10,070), never breastfeeding (n = 7,976), feelings of poor attachment (n = 8,253) and hostility (n = 8,159) at 47 months, and not in employment, education or training (NEET, n = 8,265) at 61 months. Only a small proportion of women with each outcome were aged less than 20 years when they were pregnant. At least half of the women experiencing these outcomes, and up to 74.7% of women with postnatal depression, could be identified if they had at least one of the predictors measured during pregnancy (age < 20, depression, education less than O level, financial difficulties, no partner, or smoking). Model discrimination was poor using maternal age only (area under the receiver operator characteristic (AUROC) curve approximately 0.52), except for never breastfeeding (0.63). Discrimination improved (AUROC: 0.80, 0.69, 0.62, 0.60, 0.66 for depression, never breastfeeding, poor attachment, hostility and NEET, respectively) when all six predictors were included in the model. Calibration improved for all outcomes with the model including all six predictors, except never breastfeeding where even age alone demonstrated good calibration. Factors other than young maternal age, including education, smoking and depression during pregnancy should be considered in identifying women and their offspring likely to benefit from parenting support interventions. FAU - Chittleborough, Catherine R AU - Chittleborough CR AD - School of Social and Community Medicine, University of Bristol, Bristol, UK. catherine.chittleborough@bristol.ac.uk FAU - Lawlor, Debbie A AU - Lawlor DA FAU - Lynch, John W AU - Lynch JW LA - eng GR - 092731/Wellcome Trust/United Kingdom GR - 74882/Medical Research Council/United Kingdom GR - 076467/Wellcome Trust/United Kingdom GR - G9815508/Medical Research Council/United Kingdom GR - G0600705/Medical Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Matern Child Health J JT - Maternal and child health journal JID - 9715672 SB - IM MH - Adolescent MH - Adult MH - Breast Feeding MH - Child MH - Child, Preschool MH - Depression/diagnosis/*psychology MH - England MH - Female MH - Humans MH - *Infant Welfare MH - Infant, Newborn MH - Maternal Age MH - *Maternal Welfare MH - Mother-Child Relations MH - Outcome Assessment (Health Care) MH - Predictive Value of Tests MH - Pregnancy MH - Prenatal Care MH - Program Development MH - Prospective Studies MH - Risk Factors MH - Smoking/adverse effects MH - *Social Support MH - Socioeconomic Factors MH - Surveys and Questionnaires PMC - PMC3336065 OID - NLM: PMC3336065 EDAT- 2011/05/17 06:00 MHDA- 2012/09/15 06:00 CRDT- 2011/05/17 06:00 AID - 10.1007/s10995-011-0818-5 [doi] PST - ppublish SO - Matern Child Health J. 2012 May;16(4):909-20. doi: 10.1007/s10995-011-0818-5. PMID- 21563140 OWN - NLM STAT- MEDLINE DA - 20110512 DCOM- 20110623 LR - 20131121 IS - 1469-493X (Electronic) IS - 1361-6137 (Linking) IP - 5 DP - 2011 May 11 TI - Antenatal interventions for fetomaternal alloimmune thrombocytopenia. PG - CD004226 LID - 10.1002/14651858.CD004226.pub3 [doi] AB - BACKGROUND: Fetomaternal alloimmune thrombocytopenia results from the formation of antibodies by the mother which are directed against a fetal platelet alloantigen inherited from the father. The resulting fetal thrombocytopenia (reduced platelet numbers) may cause bleeding, particularly into the brain, before or shortly after birth. Antenatal treatment of fetomaternal alloimmune thrombocytopenia includes the administration of intravenous immunoglobulin (IVIG) and/or corticosteroids to the mother to prevent severe fetal thrombocytopenia. IVIG and corticosteroids both have short-term and possibly long-term side effects. IVIG is also costly and optimal regimens need to be identified. OBJECTIVES: To determine the optimal antenatal treatment of fetomaternal alloimmune thrombocytopenia to prevent fetal and neonatal haemorrhage and death. SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (28 February 2011) and bibliographies of relevant publications and review articles. SELECTION CRITERIA: Randomised controlled studies comparing any intervention with no treatment, or comparing any two interventions. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed eligibility, trial quality and extracted data. MAIN RESULTS: We included four trials involving 206 people. One trial involving 39 people compared a corticosteroid (prednisone) versus IVIG alone. In this trial, where analysable data were available, there was no statistically significant differences between the treatment arms for predefined outcomes. Three trials involving 167 people compared IVIG plus a corticosteroid (prednisone in two trials and dexamethasone in one trial) versus IVIG alone. In these trials there was no statistically significant difference in the findings between the treatment arms for predefined outcomes (intracranial haemorrhage; platelet count at birth and preterm birth). Lack of complete data sets and important differences in interventions precluded the pooling of data from these trials. AUTHORS' CONCLUSIONS: The optimal management of fetomaternal alloimmune thrombocytopenia remains unclear. Lack of complete data sets for two trials and differences in interventions precluded the pooling of data from these trials which may have enabled a more developed analysis of the trial findings. Further trials would be required to determine optimal treatment (the specific medication and its dose and schedule). Such studies should include long-term follow up of all children and mothers. FAU - Rayment, Rachel AU - Rayment R AD - Arthur Bloom Haemophilia Centre, University Hospital of Wales, Cardiff and Vale NHS Trust, Heath Park, Cardiff, UK, CF14 4XW. FAU - Brunskill, Susan J AU - Brunskill SJ FAU - Soothill, Peter W AU - Soothill PW FAU - Roberts, David J AU - Roberts DJ FAU - Bussel, James B AU - Bussel JB FAU - Murphy, Michael F AU - Murphy MF LA - eng PT - Journal Article PT - Meta-Analysis PT - Review DEP - 20110511 PL - England TA - Cochrane Database Syst Rev JT - The Cochrane database of systematic reviews JID - 100909747 RN - 0 (Antigens, Human Platelet) RN - 0 (Glucocorticoids) RN - 0 (Immunoglobulins, Intravenous) RN - 7S5I7G3JQL (Dexamethasone) RN - VB0R961HZT (Prednisone) SB - IM UOF - Cochrane Database Syst Rev. 2005;(1):CD004226. PMID: 15674934 MH - Antigens, Human Platelet/immunology MH - Dexamethasone/therapeutic use MH - Female MH - Fetal Diseases/*drug therapy/immunology MH - Glucocorticoids/*therapeutic use MH - Humans MH - Immunoglobulins, Intravenous/*therapeutic use MH - Prednisone/*therapeutic use MH - Pregnancy MH - Randomized Controlled Trials as Topic MH - Thrombocytopenia/*drug therapy/immunology MH - Thrombocytopenia, Neonatal Alloimmune/drug therapy/immunology EDAT- 2011/05/13 06:00 MHDA- 2011/06/24 06:00 CRDT- 2011/05/13 06:00 AID - 10.1002/14651858.CD004226.pub3 [doi] PST - epublish SO - Cochrane Database Syst Rev. 2011 May 11;(5):CD004226. doi: 10.1002/14651858.CD004226.pub3. PMID- 21496067 OWN - NLM STAT- MEDLINE DA - 20110810 DCOM- 20111109 LR - 20111117 IS - 1365-2648 (Electronic) IS - 0309-2402 (Linking) VI - 67 IP - 9 DP - 2011 Sep TI - Process evaluation of a multiple risk factor perinatal programme for a hard-to-reach minority group. PG - 2026-37 LID - 10.1111/j.1365-2648.2011.05644.x [doi] AB - AIM: This article is a report of an evaluation of a multiple risk factor perinatal programme tailored to ethnic Turkish women in the Netherlands. BACKGROUND: The programme was directed at multiple risk factors and aimed at improving maternal lifestyle, infant care practices and psychosocial health during pregnancy and after delivery. The programme was carried out by ethnic Turkish community health workers in collaboration with midwives and physiotherapists. METHODS: Our multiple case study included three Parent-Child Centres providing integrated maternity and infant care. Participants (n = 119) were first and second generation pregnant ethnic Turkish women with relatively unfavourable risk profiles. Data were collected between 2005 and 2008 using mixed methods, including field notes, observations and recordings of group classes, attendance logs, semi-structured individual interviews, a focus group interview, and structured questionnaires. FINDINGS: Most participants (82%) were first generation ethnic Turkish; 47% had a low educational level; 43% were pregnant with their first child; and 34% had a minimal knowledge of the Dutch language. The community health workers' Turkish background was vital in overcoming cultural and language barriers and creating a confidential atmosphere. Participants, midwives and health workers were positive about the programme. Midwives also observed improvements of knowledge and self-confidence amongst the participants. The integration of the community health workers into midwifery practices was crucial for a successful programme implementation. CONCLUSIONS: A culturally sensitive perinatal programme is able to gain access to a hard-to-reach minority group at increased risk for poor perinatal health outcomes. Such a programme may be well received and potentially effective. CI - (c) 2011 The Authors. Journal of Advanced Nursing (c) 2011 Blackwell Publishing Ltd. FAU - Hesselink, Arlette E AU - Hesselink AE AD - Department of Epidemiology and Health Promotion, Public Health Service of Amsterdam, The Netherlands. a.hesselink@rescon.nl FAU - Harting, Janneke AU - Harting J LA - eng PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110418 PL - England TA - J Adv Nurs JT - Journal of advanced nursing JID - 7609811 SB - IM SB - N MH - Adult MH - Community Health Workers MH - Emigrants and Immigrants MH - Female MH - Focus Groups MH - Health Status Disparities MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - Maternal Behavior/ethnology MH - Midwifery MH - *Minority Groups MH - Mothers/education MH - Needs Assessment MH - Netherlands/ethnology MH - Nursing Evaluation Research MH - Patient Acceptance of Health Care MH - *Perinatal Care MH - Pilot Projects MH - Pregnancy MH - Prenatal Care/methods MH - *Process Assessment (Health Care) MH - Program Evaluation MH - Risk Factors EDAT- 2011/04/19 06:00 MHDA- 2011/11/10 06:00 CRDT- 2011/04/19 06:00 AID - 10.1111/j.1365-2648.2011.05644.x [doi] PST - ppublish SO - J Adv Nurs. 2011 Sep;67(9):2026-37. doi: 10.1111/j.1365-2648.2011.05644.x. Epub 2011 Apr 18. PMID- 21367440 OWN - NLM STAT- MEDLINE DA - 20110328 DCOM- 20110811 LR - 20110328 IS - 1878-3503 (Electronic) IS - 0035-9203 (Linking) VI - 105 IP - 4 DP - 2011 Apr TI - Evaluation of perinatal and intrafamilial hepatitis B prevention programmes in a well child clinic: 9-year follow-up study in Turkey. PG - 220-5 LID - 10.1016/j.trstmh.2010.12.001 [doi] AB - Evaluating the performance of well child clinics on adherence to recommended perinatal hepatitis B prevention programmes as well as assessing the outcome of infants living with hepatitis B surface antigen (HBsAg)-positive parents is important. A retrospective study was performed of 336 babies who had at least one HBsAg-positive parent and were followed-up in the well child clinic of Gazi University Hospital (Ankara, Turkey) between 2001 and 2009. Rates of passive immunisation in 109 babies with HBsAg-positive mothers and initiation of hepatitis B vaccination of all 336 babies with HBsAg-positive parents were 98.8% and 100% respectively. Ninety-two babies (27.4%) were lost to follow-up before completing primary immunisation. The recommended perinatal hepatitis B prevention programme was performed successfully in 194 of the 306 infants who were old enough for post-vaccination serotesting (63.4%). One baby became HBsAg-positive, and 88.1% of babies were seroprotected. Hepatitis B surface antibody (anti-HBs) levels were found to be increased if the HBsAg-positive parent was the father. There was a negative correlation between serotesting time and anti-HBs titres. The study infants had a total of 187 siblings and 123 (65.8%) were serotested after completing primary immunisation with 108 found to be seropositive. Although the vaccination rate in the perinatal hepatitis B prevention programme is satisfactory, post-vaccination serotesting and evaluation of infants and their siblings are still deficient. CI - Copyright (c) 2010 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved. FAU - Polat, S AU - Polat S AD - Mersin University School of Medicine, Department of Social Pediatrics, Zeytinlibahce, Mersin, 33079, Turkey. seldapolat2003@hotmail.com FAU - Camurdan, A D AU - Camurdan AD FAU - Aksakal, N AU - Aksakal N FAU - Agladioglu, S AU - Agladioglu S FAU - Beyazova, U AU - Beyazova U FAU - Sahin, F AU - Sahin F FAU - Atak, A AU - Atak A FAU - Er, A AU - Er A LA - eng PT - Journal Article DEP - 20110301 PL - England TA - Trans R Soc Trop Med Hyg JT - Transactions of the Royal Society of Tropical Medicine and Hygiene JID - 7506129 RN - 0 (Hepatitis B Surface Antigens) RN - 0 (Hepatitis B Vaccines) SB - IM MH - *Carrier State MH - Female MH - Follow-Up Studies MH - Guideline Adherence/standards MH - Hepatitis B/immunology/*prevention & control/transmission MH - Hepatitis B Surface Antigens/*analysis MH - Hepatitis B Vaccines MH - Humans MH - Infant MH - Infectious Disease Transmission, Vertical/*prevention & control MH - Male MH - Parents MH - Practice Guidelines as Topic MH - Retrospective Studies MH - Turkey/epidemiology EDAT- 2011/03/04 06:00 MHDA- 2011/08/13 06:00 CRDT- 2011/03/04 06:00 PHST- 2010/05/03 [received] PHST- 2010/12/03 [revised] PHST- 2010/12/03 [accepted] AID - S0035-9203(10)00262-2 [pii] AID - 10.1016/j.trstmh.2010.12.001 [doi] PST - ppublish SO - Trans R Soc Trop Med Hyg. 2011 Apr;105(4):220-5. doi: 10.1016/j.trstmh.2010.12.001. Epub 2011 Mar 1. PMID- 21358833 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20110301 DCOM- 20130704 LR - 20110301 IS - 1548-8519 (Electronic) IS - 1058-1243 (Linking) VI - 19 IP - 2 DP - 2010 Spring TI - Confidentiality in childbirth education. PG - 48-9 LID - 10.1624/105812410X495541 [doi] AB - Protecting the confidentiality of the personal information that childbirth educators receive from their clients is crucial. Without this respect for privacy, educators will not be able to get the information essential to meeting their objectives. Childbirth educators who work in schools may come under federal law that protects individual student records (Family Educational Rights and Privacy Act, or FERPA). Childbirth educators who are employed in a health-care facility may come under federal law that protects individual health information (Health Insurance Portability and Accountability Act, or HIPAA). All childbirth educators must be thoughtful advocates of the rights to privacy and self-determination of expectant parents. FAU - Philipsen, Nayna C AU - Philipsen NC AD - NAYNA C. PHILIPSEN is Director of Program Development and Assistant to the Dean for Legal Affairs in the Helene Fuld School of Nursing at Coppin State University in Baltimore, Maryland. LA - eng PT - Journal Article PL - United States TA - J Perinat Educ JT - The Journal of perinatal education JID - 9301158 PMC - PMC2866437 OID - NLM: PMC2866437 OTO - NOTNLM OT - childbirth educators OT - personal information protection OT - professional confidentiality OT - professional responsibility EDAT- 2011/03/02 06:00 MHDA- 2011/03/02 06:01 CRDT- 2011/03/02 06:00 AID - 10.1624/105812410X495541 [doi] PST - ppublish SO - J Perinat Educ. 2010 Spring;19(2):48-9. doi: 10.1624/105812410X495541. PMID- 21311274 OWN - NLM STAT- MEDLINE DA - 20110211 DCOM- 20110616 LR - 20110211 IS - 1550-5073 (Electronic) IS - 0893-2190 (Linking) VI - 25 IP - 1 DP - 2011 Jan-Mar TI - Perinatal grief and support spans the generations: parents' and grandparents' evaluations of an intergenerational perinatal bereavement program. PG - 77-85 LID - 10.1097/JPN.0b013e318208cb74 [doi] AB - PURPOSE: As perinatal loss, miscarriage, still birth, or neonatal death may result in signs and symptoms of grief in the entire family, perinatal bereavement programs (PBPs) should consider offering intergenerational services. The purpose of this program evaluation was to identify and evaluate siblings' and grandparents' utilization of a hospital-based PBP's intergenerational support services and education offerings with regard to the entire family's coping with the loss. METHODS: Written program evaluation surveys of parents and grandparents, with an opportunity for free response, along with parent phone follow-up, were utilized to evaluate whether a variety of inpatient/outpatient services for parents, siblings, and grandparents were useful to the entire family. RESULTS: Parents indicated that when siblings and grandparents were included in the PBP's services and education offerings, utilization of the services was useful to the entire family. Furthermore, grandparents also found the utilization of the PBP's intergenerational services to be useful in their own and their child's coping with the loss. CONCLUSION: This program evaluation affirms the usefulness of the offering of intergenerational inpatient and outpatient services by PBPs for entire families. FAU - Roose, Rosmarie E AU - Roose RE AD - Maternal Fetal Medicine Center, Adventist Midwest Region/Adventist Hinsdale Hospital, Hinsdale, Illinois 60521, USA. rroose@ahss.org FAU - Blanford, Cathy R AU - Blanford CR LA - eng PT - Journal Article PL - United States TA - J Perinat Neonatal Nurs JT - The Journal of perinatal & neonatal nursing JID - 8801387 SB - N MH - Adult MH - *Bereavement MH - Child, Preschool MH - Counseling/*methods MH - Family/*psychology MH - Female MH - Humans MH - Infant, Newborn MH - *Intergenerational Relations MH - Middle Aged MH - *Parent-Child Relations MH - Pregnancy MH - Pregnancy Outcome/*psychology MH - Program Evaluation MH - Self-Help Groups MH - Social Support MH - Stillbirth/psychology MH - Young Adult EDAT- 2011/02/12 06:00 MHDA- 2011/06/17 06:00 CRDT- 2011/02/12 06:00 AID - 10.1097/JPN.0b013e318208cb74 [doi] AID - 00005237-201101000-00017 [pii] PST - ppublish SO - J Perinat Neonatal Nurs. 2011 Jan-Mar;25(1):77-85. doi: 10.1097/JPN.0b013e318208cb74. PMID- 21311267 OWN - NLM STAT- MEDLINE DA - 20110211 DCOM- 20110616 LR - 20110211 IS - 1550-5073 (Electronic) IS - 0893-2190 (Linking) VI - 25 IP - 1 DP - 2011 Jan-Mar TI - Making a case: creating a perinatal palliative care service using a perinatal bereavement program model. PG - 32-41; quiz 42-3 LID - 10.1097/JPN.0b013e3181fb592e [doi] AB - This article explores the innovative approach of creating a perinatal palliative care service in an institution that already has a perinatal bereavement program. The proposed model focuses on the importance of establishing and maintaining relationship among and between nurses, other clinicians, and parents. The authors examine theoretical and clinical perspectives, recognizing the presence of both grief and hope from the moment of a life-threatening fetal diagnosis. The article identifies key program development processes, potential barriers, and practical implementation strategies as methods to ensure the delivery of seamless perinatal palliative care from diagnosis, through pregnancy, delivery, and the baby's living and dying. FAU - Kobler, Kathie AU - Kobler K AD - Pediatric Palliative Care, Advocate Lutheran General Hospital, Park Ridge, Illinois 60068, USA. kathie.kobler@advocatehealth.com FAU - Limbo, Rana AU - Limbo R LA - eng PT - Journal Article PL - United States TA - J Perinat Neonatal Nurs JT - The Journal of perinatal & neonatal nursing JID - 8801387 SB - N MH - Attitude to Death MH - *Bereavement MH - Female MH - Humans MH - Illinois MH - *Interprofessional Relations MH - *Models, Nursing MH - Models, Organizational MH - Nurse's Role MH - Nursing Evaluation Research MH - Nursing Staff, Hospital/organization & administration MH - Palliative Care/*organization & administration MH - Perinatal Care/*organization & administration MH - Pregnancy MH - *Professional-Family Relations MH - Program Evaluation MH - Social Support MH - Stillbirth/psychology EDAT- 2011/02/12 06:00 MHDA- 2011/06/17 06:00 CRDT- 2011/02/12 06:00 AID - 10.1097/JPN.0b013e3181fb592e [doi] AID - 00005237-201101000-00010 [pii] PST - ppublish SO - J Perinat Neonatal Nurs. 2011 Jan-Mar;25(1):32-41; quiz 42-3. doi: 10.1097/JPN.0b013e3181fb592e. PMID- 21210916 OWN - NLM STAT- MEDLINE DA - 20110107 DCOM- 20110503 LR - 20151119 IS - 1442-2018 (Electronic) IS - 1441-0745 (Linking) VI - 12 IP - 4 DP - 2010 Dec TI - Thai men becoming a first-time father. PG - 403-9 LID - 10.1111/j.1442-2018.2010.00549.x [doi] AB - The purpose of this study was to understand the process of Thai men becoming a first-time father. Twenty expectant fathers were voluntarily recruited from the antenatal clinics of three hospitals in Chiang Mai, northern Thailand. The data were collected by in-depth interviews and analyzed on the basis of grounded theory methodology. The findings demonstrated that "protecting the unborn baby" was the basic social process that emerged as the core category. This process was divided into three phases: confirming and accepting, perceiving the unborn baby as a human being, and ensuring the health of the mother and baby. Throughout this process, the Thai expectant fathers applied many strategies to manage their concerns, needs, and emotions and to develop themselves into fathers. The process of protecting the unborn baby provides insight into the expectant fathers' experiences, which will enable nurses and midwives to assist and care for men as they become fathers. CI - (c) 2010 Blackwell Publishing Asia Pty Ltd. FAU - Sansiriphun, Nantaporn AU - Sansiriphun N AD - Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand. ntporn@mail.nurse.cmu.ac.th FAU - Kantaruksa, Kannika AU - Kantaruksa K FAU - Klunklin, Areewan AU - Klunklin A FAU - Baosuang, Chavee AU - Baosuang C FAU - Jordan, Pamela AU - Jordan P LA - eng PT - Journal Article PL - Australia TA - Nurs Health Sci JT - Nursing & health sciences JID - 100891857 SB - IM SB - N MH - *Adaptation, Psychological MH - Adult MH - Attitude to Health/*ethnology MH - Emotions MH - Empathy MH - Father-Child Relations/ethnology MH - Fathers/education/*psychology/statistics & numerical data MH - Health Behavior/ethnology MH - Humans MH - Infant Care MH - Infant, Newborn MH - Life Change Events MH - Male MH - Medicine, East Asian Traditional MH - Middle Aged MH - Models, Psychological MH - Nursing Methodology Research MH - Paternal Behavior/ethnology MH - Postnatal Care MH - Social Support MH - Surveys and Questionnaires MH - Thailand EDAT- 2011/01/08 06:00 MHDA- 2011/05/04 06:00 CRDT- 2011/01/08 06:00 AID - 10.1111/j.1442-2018.2010.00549.x [doi] PST - ppublish SO - Nurs Health Sci. 2010 Dec;12(4):403-9. doi: 10.1111/j.1442-2018.2010.00549.x. PMID- 21197126 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20110103 DCOM- 20120906 LR - 20170220 IS - 1548-8519 (Electronic) IS - 1058-1243 (Linking) VI - 19 IP - 1 DP - 2010 Winter TI - Prenatal parental education from the perspective of fathers with experience as primary caregiver immediately following birth: a phenomenographic study. PG - 19-28 LID - 10.1624/105812410X481537 [doi] AB - The aim of this phenomenographic study was to capture fathers' conceptions of parental education topics, illuminated by their experiences as primary caregiver of their child immediately following birth. Fifteen fathers were interviewed between 8 days and 6 weeks after the birth of their child. Three categories, five subcategories, and 12 qualitatively different conceptions emerged from the study's findings. The first category showed that parental education emphasizes the importance of normal birth. The second category illustrated that parental education defuses the issue of complicated births. The third category demonstrated that parental education preserves traditional gender roles. The study's results may facilitate efforts to integrate fathers into parental education toward the aim of achieving parity between mother and father in their role as parents. FAU - Erlandsson, Kerstin AU - Erlandsson K AD - KERSTIN ERLANDSSON is a senior lecturer in the School of Health Care and Social Welfare at Malardalen Univeristy in Vasteras, Sweden. Her main research interest is to obtain an understanding for fathers' care of their newborn. ELISABET HAGGSTROM-NORDIN is a senior lecturer of midwifery education at Malardalen University. Her main research interests are within the field of sexuality, gender issues, and young people. FAU - Haggstrom-Nordin, Elisabet AU - Haggstrom-Nordin E LA - eng PT - Journal Article PL - United States TA - J Perinat Educ JT - The Journal of perinatal education JID - 9301158 PMC - PMC2820355 OID - NLM: PMC2820355 OTO - NOTNLM OT - antenatal care OT - childbirth education OT - fathers OT - parental education EDAT- 2011/01/05 06:00 MHDA- 2011/01/05 06:01 CRDT- 2011/01/04 06:00 AID - 10.1624/105812410X481537 [doi] PST - ppublish SO - J Perinat Educ. 2010 Winter;19(1):19-28. doi: 10.1624/105812410X481537. PMID- 21156662 OWN - NLM STAT- MEDLINE DA - 20110809 DCOM- 20111214 LR - 20110809 IS - 1460-2245 (Electronic) IS - 0957-4824 (Linking) VI - 26 IP - 3 DP - 2011 Sep TI - Supporting mothers to breastfeed: the development and process evaluation of a father inclusive perinatal education support program in Perth, Western Australia. PG - 351-61 LID - 10.1093/heapro/daq077 [doi] AB - Entry into fatherhood is a challenging period with new responsibilities and changes in family dynamics. Hegemonic imagery of men portray them as capable, confident and able which can disadvantage expectant fathers who often struggle to make sense of the changes occurring around and within their own parenting journey. Although fathers historically have not been included in breastfeeding classes, antenatal education programs can be an opportunity to inform and support them in their new role. Forty-five antenatal sessions for fathers (n = 342) of 1h duration were conducted by five male educators between May 2008 and June 2009 in Perth, Western Australia. A theoretical framework from health promotion literature was used as a guide in the program's development. Fathers in the intervention group gained information about their role, the importance of communication and the benefits of breastfeeding to both mother and baby. An evaluation was obtained from fathers immediately after the session and again at 6 week post-birth, whilst mothers reported on the perception of their partners' support for breastfeeding in the 6 week survey. The aim of this paper is to describe the development and process evaluation of a perinatal education and support program for fathers to assist their partners to breastfeed. FAU - Tohotoa, Jenny AU - Tohotoa J AD - School of Public Health, Curtin University, Kent Street, Bentley 6854, WA, Australia. j.tohotoa@curtin.edu.au FAU - Maycock, Bruce AU - Maycock B FAU - Hauck, Yvonne AU - Hauck Y FAU - Howat, Peter AU - Howat P FAU - Burns, Sharyn AU - Burns S FAU - Binns, Colin AU - Binns C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20101213 PL - England TA - Health Promot Int JT - Health promotion international JID - 9008939 SB - IM MH - Adolescent MH - Adult MH - Breast Feeding/*psychology MH - Fathers/*psychology MH - Health Education/*organization & administration MH - Humans MH - Male MH - Middle Aged MH - Perinatal Care/*organization & administration MH - Social Support MH - Socioeconomic Factors MH - Western Australia MH - Young Adult EDAT- 2010/12/16 06:00 MHDA- 2011/12/15 06:00 CRDT- 2010/12/16 06:00 AID - daq077 [pii] AID - 10.1093/heapro/daq077 [doi] PST - ppublish SO - Health Promot Int. 2011 Sep;26(3):351-61. doi: 10.1093/heapro/daq077. Epub 2010 Dec 13. PMID- 21121948 OWN - NLM STAT- MEDLINE DA - 20110119 DCOM- 20110504 LR - 20161020 IS - 1552-6909 (Electronic) IS - 0090-0311 (Linking) VI - 40 IP - 1 DP - 2011 Jan-Feb TI - Use of the Behavioral Observation of the Newborn Educational Trainer for teaching newborn behavior. PG - 75-83 LID - 10.1111/j.1552-6909.2010.01202.x [doi] AB - Nurses who work with families in the postnatal period teach parents about their newborns and facilitate emotional bonds between parents and infants. This article describes a newborn behavior training that incorporates the Behavioral Observation of the Newborn Educational Trainer (BONET), a learning aid that educates clinicians about newborn behavioral organization, self-regulation skills, and interactive capabilities. Nurses may apply this training to help parents understand and respond to newborn cues. CI - (c) 2010 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses. FAU - Karl, Donna J AU - Karl DJ AD - Healthy Connections Program, Children's Hospital Boston, Boston, MA, USA. donna.karl@childrens.harvard.edu FAU - Keefer, Constance H AU - Keefer CH LA - eng PT - Journal Article DEP - 20101201 PL - United States TA - J Obstet Gynecol Neonatal Nurs JT - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN JID - 8503123 SB - IM SB - N MH - Adult MH - Education, Nursing, Continuing/*methods MH - Educational Measurement MH - Female MH - Humans MH - *Infant Behavior MH - Infant Care MH - Infant, Newborn MH - Maternal-Child Nursing/*education MH - Nursing Education Research MH - Nursing Staff, Hospital/*education MH - Parent-Child Relations MH - Parents/*education MH - Postnatal Care/*methods MH - Young Adult EDAT- 2010/12/03 06:00 MHDA- 2011/05/05 06:00 CRDT- 2010/12/03 06:00 AID - 10.1111/j.1552-6909.2010.01202.x [doi] AID - S0884-2175(15)30509-8 [pii] PST - ppublish SO - J Obstet Gynecol Neonatal Nurs. 2011 Jan-Feb;40(1):75-83. doi: 10.1111/j.1552-6909.2010.01202.x. Epub 2010 Dec 1. PMID- 20976267 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20101026 DCOM- 20110714 LR - 20170220 IS - 1687-9856 (Electronic) IS - 1687-9848 (Linking) VI - 2010 DP - 2010 TI - Prenatal virilization associated with paternal testosterone gel therapy. PG - 867471 LID - 10.1155/2010/867471 [doi] AB - Transdermal testosterone gels are used in the treatment of hypoandrogenism of males. Virilization due to exposure to testosterone gels has been reported in children resulting in a US Food and Drug Administration (FDA) warning about secondary exposure to these products. At present, we are unaware of prenatal virilization associated with unintentional testosterone gel exposure. We report prenatal virilization in a female infant due to secondary maternal exposure to the father's testosterone gel. We also describe postnatal virilization of the child's twin sister. FAU - Patel, Anisha AU - Patel A AD - Section of Pediatric Endocrinology, Department of Pediatrics, Yale Child Health Research Center, Yale University School of Medicine, 464 Congress Avenue, New Haven, CT 06520, USA. FAU - Rivkees, Scott A AU - Rivkees SA LA - eng PT - Journal Article DEP - 20101007 PL - England TA - Int J Pediatr Endocrinol JT - International journal of pediatric endocrinology JID - 101516111 PMC - PMC2952944 OID - NLM: PMC2952944 EDAT- 2010/10/27 06:00 MHDA- 2010/10/27 06:01 CRDT- 2010/10/27 06:00 PHST- 2010/07/26 [received] PHST- 2010/09/27 [accepted] AID - 10.1155/2010/867471 [doi] PST - ppublish SO - Int J Pediatr Endocrinol. 2010;2010:867471. doi: 10.1155/2010/867471. Epub 2010 Oct 7. PMID- 20945808 OWN - NLM STAT- MEDLINE DA - 20101015 DCOM- 20101109 LR - 20101015 IS - 0009-4021 (Print) IS - 0009-4021 (Linking) VI - 89 IP - 3 DP - 2010 TI - Vulnerable infants program of Rhode Island: promoting permanency for substance-exposed infants. PG - 121-42 AB - The Vulnerable Infants Program of Rhode Island is a care coordination program to promote permanency for substance-exposed infants by addressing parental needs and increasing collaboration among social service agencies. Over the first four years of the program, there was a decrease in time spent in the newborn nursery beyond medical necessity and identification of permanent placements by 12 months for 84% of infants, with the majority of infants (78%) placed with biological parents or relatives. FAU - Twomey, Jean E AU - Twomey JE AD - Brown Center for the Study of Children at Risk, Alpert Medical School, Women & Infants Hospital of Rhode Island, USA. FAU - Caldwell, Donna AU - Caldwell D FAU - Soave, Rosemary AU - Soave R FAU - Fontaine, Lynne Andreozzi AU - Fontaine LA FAU - Lester, Barry M AU - Lester BM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Child Welfare JT - Child welfare JID - 0372735 SB - IM MH - Adolescent MH - Adult MH - Female MH - Humans MH - *Infant Welfare/legislation & jurisprudence MH - Infant, Newborn MH - Perinatal Care/*organization & administration MH - Pregnancy MH - Prenatal Exposure Delayed Effects/*prevention & control MH - Program Evaluation MH - Rhode Island MH - Social Work/*organization & administration MH - Substance-Related Disorders/*rehabilitation MH - Vulnerable Populations EDAT- 2010/10/16 06:00 MHDA- 2010/11/10 06:00 CRDT- 2010/10/16 06:00 PST - ppublish SO - Child Welfare. 2010;89(3):121-42. PMID- 20863604 OWN - NLM STAT- MEDLINE DA - 20111118 DCOM- 20120315 LR - 20120910 IS - 1532-3099 (Electronic) IS - 0266-6138 (Linking) VI - 27 IP - 6 DP - 2011 Dec TI - A randomised controlled multicentre trial of women's and men's satisfaction with two models of antenatal education. PG - e195-200 LID - 10.1016/j.midw.2010.07.005 [doi] AB - OBJECTIVE: To study women's and men's satisfaction with two models of antenatal education: natural childbirth preparation with psychoprophylaxis, and standard antenatal education including preparation for childbirth and parenthood but no psychoprophylaxis. DESIGN: Randomised controlled multicentre trial. SETTING: 15 Antenatal clinics in Sweden between January 2006 and May 2007. PARTICIPANTS: 1087 Nulliparous women and 1064 of their partners. INTERVENTIONS: Both models had four two-hour sessions during pregnancy and one session post partum. The natural model was manual-based and focused on childbirth preparation, including psychoprophylaxis. In the standard care model, the group leader was free to choose her teaching approach, with an equal amount of time allocated to preparation for childbirth and for parenthood. MEASURES: Women's and men's evaluation of antenatal education at three months post partum. The proportion of women and men in each model that expressed satisfaction with the education were compared using chi(2) test. FINDINGS: More women and men in the natural groups were satisfied with the education compared with the standard care groups: women 76% versus 68% (p = 0.03) and men 73% versus 65% (p = 0.03). The figures were similar for satisfaction with the childbirth preparation component: 78% and 62% in women (p < 0.001), and 79% and 67% in men (p < 0.001) in the natural and standard care groups, respectively. Fewer participants were satisfied with the parenthood preparation component, but the proportions were higher in the standard care groups: women 37% versus 32% (p < 0.001) and men 23% versus 20% (p < 0.001). CONCLUSION AND IMPLICATIONS FOR PRACTICE: A structured manual-based model of antenatal education which focuses on childbirth preparation with psychoprophylaxis may better meet expectant parents' expectations than standard antenatal education in Sweden. CI - Copyright (c) 2010 Elsevier Ltd. All rights reserved. FAU - Bergstrom, Malin AU - Bergstrom M AD - Department of Woman and Child Health, Retsius vag 13, Karolinska Institutet, SE-171 77 Stockholm, Sweden. Malin.Bergstrom@ki.se FAU - Kieler, Helle AU - Kieler H FAU - Waldenstrom, Ulla AU - Waldenstrom U LA - eng PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20100921 PL - Scotland TA - Midwifery JT - Midwifery JID - 8510930 SB - N MH - Adaptation, Psychological MH - Adult MH - Depression, Postpartum/*prevention & control MH - Female MH - Humans MH - Interpersonal Relations MH - Male MH - Parents/*education MH - Patient Education as Topic MH - Patient Satisfaction/*statistics & numerical data MH - Pregnancy MH - Prenatal Care/*methods MH - Social Support MH - Stress, Psychological/*prevention & control MH - Sweden MH - Young Adult EDAT- 2010/09/25 06:00 MHDA- 2012/03/16 06:00 CRDT- 2010/09/25 06:00 PHST- 2009/12/19 [received] PHST- 2010/06/02 [revised] PHST- 2010/07/11 [accepted] AID - S0266-6138(10)00119-1 [pii] AID - 10.1016/j.midw.2010.07.005 [doi] PST - ppublish SO - Midwifery. 2011 Dec;27(6):e195-200. doi: 10.1016/j.midw.2010.07.005. Epub 2010 Sep 21. PMID- 20863399 OWN - NLM STAT- MEDLINE DA - 20101007 DCOM- 20101213 LR - 20161019 IS - 1758-2652 (Electronic) IS - 1758-2652 (Linking) VI - 13 DP - 2010 Sep 23 TI - Barriers to accessing highly active antiretroviral therapy by HIV-positive women attending an antenatal clinic in a regional hospital in western Uganda. PG - 37 LID - 10.1186/1758-2652-13-37 [doi] AB - BACKGROUND: The aim of this study was to describe barriers to accessing and accepting highly active antiretroviral therapy (HAART) by HIV-positive mothers in the Ugandan Kabarole District's Programme for the Prevention of Mother to Child Transmission-Plus (PMTCT-Plus). METHODS: Our study was a qualitative descriptive exploratory study using thematic analysis. Individual in-depth interviews (n = 45) were conducted with randomly selected HIV-positive mothers who attended this programme, and who: (a) never enrolled in HAART (n = 17); (b) enrolled but did not come back to receive HAART (n = 2); (c) defaulted/interrupted HAART (n = 14); and (d) are currently adhering to HAART (n = 12). A focus group was also conducted to verify the results from the interviews. RESULTS: Results indicated that economic concerns, particularly transport costs from residences to the clinics, represented the greatest barrier to accessing treatment. In addition, HIV-related stigma and non-disclosure of HIV status to clients' sexual partners, long waiting times at the clinic and suboptimal provider-patient interactions at the hospital emerged as significant barriers. CONCLUSIONS: These barriers to antiretroviral treatment of pregnant and post-natal women need to be addressed in order to improve HAART uptake and adherence for this group of the population. This would improve their survival and, at the same time, drastically reduce HIV transmission from mother to child. FAU - Duff, Putu AU - Duff P AD - School of Public Health, University of Alberta, Canada. FAU - Kipp, Walter AU - Kipp W FAU - Wild, T Cameron AU - Wild TC FAU - Rubaale, Tom AU - Rubaale T FAU - Okech-Ojony, Joa AU - Okech-Ojony J LA - eng GR - MOP-74586/Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100923 PL - Switzerland TA - J Int AIDS Soc JT - Journal of the International AIDS Society JID - 101478566 SB - IM SB - X MH - Adult MH - *Antiretroviral Therapy, Highly Active MH - Evaluation Studies as Topic MH - Female MH - HIV Infections/*drug therapy/economics/prevention & control/*psychology MH - HIV Seropositivity MH - *Health Services Accessibility/economics MH - Hospitals MH - Humans MH - Infectious Disease Transmission, Vertical/economics/prevention & control MH - Interview, Psychological MH - *Patient Compliance MH - Pregnancy MH - Uganda MH - Women/education/*psychology MH - Young Adult PMC - PMC2954932 OID - NLM: PMC2954932 EDAT- 2010/09/25 06:00 MHDA- 2010/12/14 06:00 CRDT- 2010/09/25 06:00 PHST- 2010/02/08 [received] PHST- 2010/09/23 [accepted] AID - 1758-2652-13-37 [pii] AID - 10.1186/1758-2652-13-37 [doi] PST - epublish SO - J Int AIDS Soc. 2010 Sep 23;13:37. doi: 10.1186/1758-2652-13-37. PMID- 20840708 OWN - NLM STAT- MEDLINE DA - 20100915 DCOM- 20110623 LR - 20151119 IS - 1525-1446 (Electronic) IS - 0737-1209 (Linking) VI - 27 IP - 5 DP - 2010 Sep-Oct TI - Psychological and physical abuse among pregnant women in a Medicaid-sponsored prenatal program. PG - 385-98 LID - 10.1111/j.1525-1446.2010.00871.x [doi] AB - OBJECTIVES: To document psychological and physical abuse during pregnancy among women enrolled in enhanced prenatal services (EPS); explore the associations between maternal risk factors and type of abuse; and examine the relationship between abuse and EPS participation. DESIGN AND SAMPLE: Cross-sectional study utilizing screening data collected between 2005 and 2008. Convenience sample of Medicaid-insured pregnant women enrolled in EPS selected from urban and rural providers. MEASURES: A prenatal screening tool that included measures such as Cohen's Perceived Stress Scale-4, Patient Health Questionnaire-2, and Abuse Assessment Screen was used. RESULTS: Logistic regressions showed that high perceived stress and lack of father support were associated with all types of abuse and abuse history. Women with risk factors, such as a positive depression screen (odds ratio [OR]=2.36), were associated with psychological abuse but not with physical abuse during pregnancy. Less than a 12th-grade education was associated with physical abuse (OR=1.64) but not psychological abuse during pregnancy. The amount or the timing of EPS participation was not significantly associated with abuse history or abuse during pregnancy. CONCLUSIONS: Risk factors, such as high perceived stress and lack of father support, may alert nurses to further explore abuse during pregnancy. Additional research is needed for understanding the relationship between abuse and EPS participation. FAU - Raffo, Jennifer E AU - Raffo JE AD - Department of Obstetrics, Gynecology and Reproductive Biology, College of Human Medicine, Michigan State University, Grand Rapids, Michigan 49503, USA. Jennifer.Raffo@hc.msu.edu FAU - Meghea, Cristian I AU - Meghea CI FAU - Zhu, Qi AU - Zhu Q FAU - Roman, Lee Anne AU - Roman LA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Public Health Nurs JT - Public health nursing (Boston, Mass.) JID - 8501498 SB - IM SB - N MH - Confidence Intervals MH - Cross-Sectional Studies MH - Domestic Violence/*statistics & numerical data MH - Female MH - Humans MH - Infant Welfare MH - Infant, Newborn MH - Logistic Models MH - Maternal Welfare/*statistics & numerical data MH - Medicaid/*legislation & jurisprudence/statistics & numerical data MH - Michigan/epidemiology MH - Multivariate Analysis MH - Neonatal Screening/*methods MH - Odds Ratio MH - Perception MH - Pregnancy MH - Prenatal Care/*methods MH - Prevalence MH - Psychometrics MH - Risk Assessment MH - Stress, Psychological MH - Surveys and Questionnaires MH - United States EDAT- 2010/09/16 06:00 MHDA- 2011/06/24 06:00 CRDT- 2010/09/16 06:00 AID - PHN871 [pii] AID - 10.1111/j.1525-1446.2010.00871.x [doi] PST - ppublish SO - Public Health Nurs. 2010 Sep-Oct;27(5):385-98. doi: 10.1111/j.1525-1446.2010.00871.x. PMID- 20828384 OWN - NLM STAT- MEDLINE DA - 20100922 DCOM- 20110113 LR - 20170220 IS - 1472-6963 (Electronic) IS - 1472-6963 (Linking) VI - 10 DP - 2010 Sep 09 TI - Promising outcomes of a national programme for the prevention of Mother-to-Child HIV transmission in Addis Ababa: a retrospective study. PG - 267 LID - 10.1186/1472-6963-10-267 [doi] AB - BACKGROUND: Prevention of Mother-to-Child HIV Transmission (PMTCT) is still the most effective intervention in combating new HIV infections. In 2008, revised national PMTCT guidelines that incorporated new policies on HIV counselling and testing, antiretroviral prophylaxis regimen and infant HIV diagnosis came into effect in Ethiopia. In the present study we have examined trends in PMTCT service utilization and assessed the rate of MTCT in relation to policy changes in the national PMTCT programme. METHODS: Reports from February 2004 to August 2009 were reviewed in 10 sub-cities in Addis Ababa, Ethiopia. The data was collected from May to October 2009. RESULTS: The proportion of women who received HIV counselling and testing among new antenatal care attendees increased from 50.7% (95% CI 50.2-51.2) in 2007 to 84.5% (95% CI 84.1-84.9) in 2009 following the shift to routine opt-out testing. Nevertheless, in 2009 only 53.7% of the positive women and 40.7% of their infants received antiretroviral prophylaxis. The HIV prevalence among antenatal attendees decreased significantly from 10.5% in 2004 to 4.6% in 2009 in parallel to the increased number of women being tested. The HIV positive women were over 18 times (RR 18.5, p < 0.0001) more likely to be referred for treatment, care and support in 2009 than in 2004. The proportion of partners tested for HIV decreased by 14% in 2009 compared to 2004, although the absolute number was increasing year by year. Only 10.6% (95% CI 9.9-11.2) of the HIV positive women completed their follow up to infant HIV testing. The cumulative probability of HIV infection among babies on single dose nevirapine regimen who were tested at >=18 months was 15.0% (95% CI 9.8-22.1) in 2007, whereas it was 8.2% (95% CI 5.55-11.97) among babies on Zidovudine regimen who were tested at >=45 days in 2009. CONCLUSION: The paper demonstrates trends in PMTCT service utilization in relation to changing policy. There is marked improvement in HIV counselling and testing service utilization, especially after the policy shift to routine opt-out testing. However, despite policy changes, the ARV prophylaxis uptake, the loss to follow up and the partner testing have remained unchanged across the years. This should be a matter of immediate concern and a topic for further research. FAU - Mirkuzie, Alemnesh H AU - Mirkuzie AH AD - Centre for International Health, University of Bergen, Bergen 5020, Norway. ami048@cih.uib.no FAU - Hinderaker, Sven Gudmund AU - Hinderaker SG FAU - Morkve, Odd AU - Morkve O LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100909 PL - England TA - BMC Health Serv Res JT - BMC health services research JID - 101088677 RN - 0 (Anti-HIV Agents) SB - IM MH - AIDS Serodiagnosis/trends MH - Adult MH - Anti-HIV Agents/administration & dosage MH - Cohort Studies MH - Counseling/trends MH - Developing Countries MH - Ethiopia/epidemiology MH - Female MH - HIV Infections/epidemiology/prevention & control/*transmission MH - Humans MH - Infant, Newborn MH - Infectious Disease Transmission, Vertical/*prevention & control MH - National Health Programs/*organization & administration MH - Neonatal Screening/trends MH - Postnatal Care MH - Pregnancy MH - Pregnancy Complications, Infectious/*prevention & control MH - Prenatal Care MH - Prevalence MH - Primary Prevention/*organization & administration MH - Program Evaluation MH - Retrospective Studies MH - Risk Assessment MH - Urban Population MH - Young Adult PMC - PMC2944274 OID - NLM: PMC2944274 EDAT- 2010/09/11 06:00 MHDA- 2011/01/14 06:00 CRDT- 2010/09/11 06:00 PHST- 2010/04/09 [received] PHST- 2010/09/09 [accepted] AID - 1472-6963-10-267 [pii] AID - 10.1186/1472-6963-10-267 [doi] PST - epublish SO - BMC Health Serv Res. 2010 Sep 9;10:267. doi: 10.1186/1472-6963-10-267. PMID- 20800898 OWN - NLM STAT- MEDLINE DA - 20110214 DCOM- 20110613 LR - 20110214 IS - 1573-2517 (Electronic) IS - 0165-0327 (Linking) VI - 129 IP - 1-3 DP - 2011 Mar TI - Long-term outcomes of participants in a perinatal depression early detection program. PG - 94-103 LID - 10.1016/j.jad.2010.07.035 [doi] AB - BACKGROUND: Long-term follow-up studies are required to better understand the extent of the effectiveness of early detection programs for perinatal depression. We followed up participants in such a program to investigate the long-term depression, treatment and relationship outcomes of mothers originally identified as 'probably depressed' (screened positive). METHODS: At 2 years postpartum all participants who had 'screened positive' (N=159) and a random sample of participants who had 'screened negative' were invited to participate in a mailed survey. Measures included: current mood; coping; access to treatment; quality of partner relationship; and mother-infant bonding. RESULTS: Mothers originally detected as probably depressed (n=98) fared significantly worse than 'screened negative' mothers (n=101) both in terms of their higher mean depression scores (EPDS: Ms=11.0 vs. 6.4) and greater proportions categorised as probably depressed at 2 years postpartum (40% vs. 11% respectively, p<.001, phi=.33). Elevated depression symptoms at 2 years postpartum were associated with poorer partner relationships and mother-infant bonding. Moreover, there appears to be a double dose effect for women who screen positive on two occasions. Thirty-seven percent of depressed mothers did not take up treatment, frequently citing a preference for using their own resources. LIMITATIONS: Limitations include the use of self-report measures to assess depression symptoms and mother-infant bonding. Treatment data was collected retrospectively. CONCLUSIONS: Despite being offered treatment options, a substantial proportion of women who screened positive had poor long-term mental health and relationship outcomes. This paper discusses some of the implications for perinatal early detection and treatment programs. CI - Copyright (c) 2010 Elsevier B.V. All rights reserved. FAU - Reay, Rebecca AU - Reay R AD - Academic Unit of Psychological Medicine, ANU Medical School, Canberra, ACT, Australia. Rebecca.Reay@act.gov.au FAU - Matthey, Stephen AU - Matthey S FAU - Ellwood, David AU - Ellwood D FAU - Scott, Maureen AU - Scott M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100830 PL - Netherlands TA - J Affect Disord JT - Journal of affective disorders JID - 7906073 SB - IM MH - Adaptation, Psychological MH - Adult MH - Affect MH - Data Collection MH - Depression, Postpartum/*diagnosis/psychology/therapy MH - Early Diagnosis MH - Female MH - Follow-Up Studies MH - Health Services Accessibility MH - Humans MH - Interpersonal Relations MH - Mass Screening MH - Mother-Child Relations MH - Psychiatric Status Rating Scales MH - Treatment Outcome MH - Young Adult EDAT- 2010/08/31 06:00 MHDA- 2011/06/15 06:00 CRDT- 2010/08/31 06:00 PHST- 2010/02/23 [received] PHST- 2010/07/30 [revised] PHST- 2010/07/30 [accepted] AID - S0165-0327(10)00519-7 [pii] AID - 10.1016/j.jad.2010.07.035 [doi] PST - ppublish SO - J Affect Disord. 2011 Mar;129(1-3):94-103. doi: 10.1016/j.jad.2010.07.035. Epub 2010 Aug 30. PMID- 20701185 OWN - NLM STAT- MEDLINE DA - 20100812 DCOM- 20100903 LR - 20100812 IS - 1462-2815 (Print) IS - 1462-2815 (Linking) VI - 83 IP - 7 DP - 2010 Jul TI - Perinatal depression in men: fathers' needs remain unmet. PG - 12-3 FAU - Ly, Kin AU - Ly K LA - eng PT - News PL - England TA - Community Pract JT - Community practitioner : the journal of the Community Practitioners' & Health Visitors' Association JID - 9809060 SB - N MH - Depression/epidemiology/*prevention & control MH - Fathers/education/*psychology/statistics & numerical data MH - Health Services Needs and Demand/*organization & administration MH - Humans MH - Male MH - Patient Acceptance of Health Care/psychology MH - Postnatal Care/*organization & administration EDAT- 2010/08/13 06:00 MHDA- 2010/09/04 06:00 CRDT- 2010/08/13 06:00 PST - ppublish SO - Community Pract. 2010 Jul;83(7):12-3. PMID- 20667103 OWN - NLM STAT- MEDLINE DA - 20100806 DCOM- 20120613 LR - 20151119 IS - 1471-2458 (Electronic) IS - 1471-2458 (Linking) VI - 10 DP - 2010 Jul 28 TI - A primary health-care intervention on pre- and postnatal risk factor behavior to prevent childhood allergy. The Prevention of Allergy among Children in Trondheim (PACT) study. PG - 443 LID - 10.1186/1471-2458-10-443 [doi] AB - BACKGROUND: This study aimed to evaluate the impact of a primary prevention intervention program on risk behavior for allergic diseases among children up to 2 years of age. The setting was in ordinary pre- and postnatal primary health care in Trondheim, Norway. METHODS: The Prevention of Allergy among Children in Trondheim, Norway (PACT) study invited all pregnant women and parents to children up to 2 years of age in the community to participate in a non-randomized, controlled, multiple life-style intervention study. Interventional topics was increased dietary intake of cod liver oil and oily fish for women during pregnancy and for infants during the first 2 years of life, reduced parental smoking and reduced indoor dampness. A control cohort was established prior to the intervention cohort with "follow up as usual". Questionnaires were completed in pregnancy, 6 weeks after birth and at 1 and 2 years of age. Trends in exposure and behavior are described. RESULTS: Intake of oily fish and cod liver oil increased statistically significantly among women and infants in the intervention cohort compared to the control cohort. There was a low postnatal smoking prevalence in both cohorts, with a trend towards a decreasing smoking prevalence in the control cohort. There was no change in indoor dampness or in behavior related to non- intervened life-style factors. CONCLUSIONS: The dietary intervention seemed to be successful. The observed reduced smoking behavior could not be attributed to the intervention program, and the latter had no effect on indoor dampness. TRIAL REGISTRATIONS: (Current Controlled Trials registration number: ISRCTN28090297). FAU - Storro, Ola AU - Storro O AD - Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology, N-7489 Trondheim, Norway. ola.storro@ntnu.no FAU - Oien, Torbjorn AU - Oien T FAU - Dotterud, Christian K AU - Dotterud CK FAU - Jenssen, Jon A AU - Jenssen JA FAU - Johnsen, Roar AU - Johnsen R LA - eng SI - ISRCTN/ISRCTN28090297 PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100728 PL - England TA - BMC Public Health JT - BMC public health JID - 100968562 RN - 0 (Fish Oils) RN - 8001-69-2 (Cod Liver Oil) SB - IM MH - Child MH - Cod Liver Oil/administration & dosage MH - Diet MH - Female MH - Fish Oils/administration & dosage MH - Follow-Up Studies MH - *Health Behavior MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Hypersensitivity/*prevention & control MH - Incidence MH - Infant, Newborn MH - *Life Style MH - Male MH - Norway MH - Parents/*psychology MH - Perinatal Care/*methods MH - Pregnancy MH - Prevalence MH - Primary Health Care/*methods MH - Program Evaluation MH - Risk-Taking MH - Smoking MH - Surveys and Questionnaires PMC - PMC2916909 OID - NLM: PMC2916909 EDAT- 2010/07/30 06:00 MHDA- 2012/06/14 06:00 CRDT- 2010/07/30 06:00 PHST- 2009/11/12 [received] PHST- 2010/07/28 [accepted] AID - 1471-2458-10-443 [pii] AID - 10.1186/1471-2458-10-443 [doi] PST - epublish SO - BMC Public Health. 2010 Jul 28;10:443. doi: 10.1186/1471-2458-10-443. PMID- 20586348 OWN - NLM STAT- MEDLINE DA - 20100630 DCOM- 20100830 LR - 20100630 IS - 1461-3123 (Print) IS - 1461-3123 (Linking) VI - 13 IP - 6 DP - 2010 Jun TI - Craniosacral therapy (2): postnatal care for parents and babies. PG - 31-2 FAU - Copp, Simon AU - Copp S AD - liquidlight62@yahoo.co.uk LA - eng PT - Journal Article PL - England TA - Pract Midwife JT - The practising midwife JID - 9814758 SB - N MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Infant, Newborn MH - Massage MH - Maternal Health Services/methods MH - Midwifery/education/*methods MH - Musculoskeletal Manipulations/education/*nursing MH - Natural Childbirth/nursing MH - *Nurse's Role MH - Nurse-Patient Relations MH - Nursing Methodology Research MH - Postnatal Care/*methods EDAT- 2010/07/01 06:00 MHDA- 2010/08/31 06:00 CRDT- 2010/07/01 06:00 PST - ppublish SO - Pract Midwife. 2010 Jun;13(6):31-2. PMID- 20565011 OWN - NLM STAT- MEDLINE DA - 20100622 DCOM- 20100714 LR - 20100622 IS - 0009-4021 (Print) IS - 0009-4021 (Linking) VI - 89 IP - 1 DP - 2010 TI - Supporting resilience in foster families: A model for program design that supports recruitment, retention, and satisfaction of foster families who care for infants with prenatal substance exposure. PG - 7-29 AB - As the health, social, and developmental needs of infants in foster care become more complex, foster families are challenged to develop specialized knowledge to effectively address these needs. The goal of this qualitative research study was to identify the process of becoming a foster family and providing family foster caregiving within the context of caring for infants with prenatal drug and alcohol exposure. A constructivist grounded theory approach was used to study foster families (including mothers, fathers, and birth and adoptive children) who specialized in caring for infants within a Canadian provincial child welfare system. This article describes an infant foster care model, applies resilience theory to the model, and provides recommendations for program development for foster families that specialize in the infant population. FAU - Marcellus, Lenora AU - Marcellus L AD - University of Victoria. LA - eng GR - Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Child Welfare JT - Child welfare JID - 0372735 SB - IM MH - British Columbia MH - Disabled Children/psychology MH - Female MH - Foster Home Care/*organization & administration/*psychology MH - Humans MH - Infant MH - Models, Organizational MH - Pregnancy MH - *Prenatal Exposure Delayed Effects MH - Program Development MH - *Resilience, Psychological MH - Social Support MH - *Substance-Related Disorders EDAT- 2010/06/23 06:00 MHDA- 2010/07/16 06:00 CRDT- 2010/06/23 06:00 PST - ppublish SO - Child Welfare. 2010;89(1):7-29. PMID- 20559728 OWN - NLM STAT- MEDLINE DA - 20101018 DCOM- 20110218 LR - 20141120 IS - 1573-6709 (Electronic) IS - 0033-2720 (Linking) VI - 81 IP - 4 DP - 2010 Dec TI - A biosocial interaction between prenatal exposure to cigarette smoke and family structure in the prediction of psychopathy in adolescence. PG - 325-34 LID - 10.1007/s11126-010-9141-3 [doi] AB - Although a great deal of empirical research has examined the association between psychopathic personality traits and antisocial phenotypes, comparatively less empirical research has examined the factors that might contribute to the development of psychopathy. In an attempt to shed some light on this gap in the literature, the current study explored the biosocial correlates to adolescent psychopathy in a sample of youths. Analysis of data drawn from the National Institute of Child Health and Human Development Study of Early Child Care revealed that prenatal exposure to cigarette smoke was associated with higher scores on the Youth Psychopathic Traits Inventory. Interestingly, prenatal exposure to cigarette smoke only was related to psychopathy for youths who were raised in a two-parent household; there was not association for youths who were raised in a single-parent household. Reasons for this finding are provided and avenues for future research are discussed. FAU - Beaver, Kevin M AU - Beaver KM AD - College of Criminology and Criminal Justice, Florida State University, 634 W. Call Street, Tallahassee, FL 32306-1122, USA. kbeaver@fsu.edu FAU - DeLisi, Matt AU - DeLisi M FAU - Vaughn, Michael G AU - Vaughn MG LA - eng PT - Journal Article PL - United States TA - Psychiatr Q JT - The Psychiatric quarterly JID - 0376465 SB - IM MH - Adolescent MH - Antisocial Personality Disorder/etiology/*psychology MH - Factor Analysis, Statistical MH - Family/*psychology MH - Female MH - Humans MH - Juvenile Delinquency/*psychology MH - Male MH - Parents/psychology MH - Personality Inventory MH - Pregnancy MH - Prenatal Exposure Delayed Effects/*psychology MH - *Psychology, Adolescent MH - Risk Factors MH - Single-Parent Family/psychology MH - Smoking/*psychology MH - Social Environment EDAT- 2010/06/19 06:00 MHDA- 2011/02/22 06:00 CRDT- 2010/06/19 06:00 AID - 10.1007/s11126-010-9141-3 [doi] PST - ppublish SO - Psychiatr Q. 2010 Dec;81(4):325-34. doi: 10.1007/s11126-010-9141-3. PMID- 20472606 OWN - NLM STAT- MEDLINE DA - 20101108 DCOM- 20110225 LR - 20101108 IS - 1461-7277 (Electronic) IS - 1359-1053 (Linking) VI - 15 IP - 8 DP - 2010 Nov TI - 'Golden age' versus 'bad old days': a discursive examination of advice giving in antenatal classes. PG - 1214-24 LID - 10.1177/1359105310364439 [doi] AB - Childbirth is seen as a medical event, and pregnancy, a time when parents-to-be are in need of advice. This article provides a discursive analysis of how such advice is given in antenatal classes. Using audio-recorded data from National Childbirth Trust (NCT) antenatal classes, we analyse how class leaders talk to class members about pregnancy, childbirth and infant care. We identify a pattern of advice giving in which class leaders construct 'golden age' or 'bad old days' stories variably to contrast the practices of the past ('then') with current practices ('now'). These contrasting repertoires operate against a backdrop of medicalization and societal expectations that are both current and out-dated, providing a constitutive framework to support class leaders' evaluations and advice on pregnancy, childbirth and infant care. FAU - Locke, Abigail AU - Locke A AD - School of Human & Health Sciences, University of Huddersfield, Queensgate, Huddersfield, UK. a.locke@hud.ac.uk FAU - Horton-Salway, Mary AU - Horton-Salway M LA - eng PT - Journal Article DEP - 20100514 PL - England TA - J Health Psychol JT - Journal of health psychology JID - 9703616 SB - IM MH - *Counseling MH - Female MH - Humans MH - Interviews as Topic MH - Pregnancy MH - *Prenatal Care MH - Tape Recording EDAT- 2010/05/18 06:00 MHDA- 2011/02/26 06:00 CRDT- 2010/05/18 06:00 AID - 1359105310364439 [pii] AID - 10.1177/1359105310364439 [doi] PST - ppublish SO - J Health Psychol. 2010 Nov;15(8):1214-24. doi: 10.1177/1359105310364439. Epub 2010 May 14. PMID- 20471091 OWN - NLM STAT- MEDLINE DA - 20101206 DCOM- 20110323 LR - 20170220 IS - 1934-8800 (Electronic) IS - 0163-6383 (Linking) VI - 33 IP - 4 DP - 2010 Dec TI - Prenatal depression effects and interventions: a review. PG - 409-18 LID - 10.1016/j.infbeh.2010.04.005 [doi] AB - This review covers research on the negative effects of prenatal depression and cortisol on fetal growth, prematurity and low birthweight. Although prenatal depression and cortisol were typically measured at around 20 weeks gestation, other research suggests the stability of depression and cortisol levels across pregnancy. Women with Dysthymia as compared to Major Depression Disorder had higher cortisol levels, and their newborns had lower gestational age and birthweight. The cortisol effects in these studies were unfortunately confounded by low serotonin and low dopamine levels which in themselves could contribute to non-optimal pregnancy outcomes. The negative effects of depression and cortisol were also potentially confounded by comorbid anxiety, by demographic factors including younger age, less education and lower SES of the mothers and by the absence of a partner or a partner who was unhappy about the pregnancy or a partner who was depressed. Substance use (especially caffeine use) was still another risk factor. All of these problems including prenatal depression, elevated cortisol, prematurity and low birthweight and even postpartum depression have been reduced by prenatal massage therapy provided by the women's partners. Massage therapy combined with group interpersonal psychotherapy was also effective for reducing depression and cortisol levels. Several limitations of these studies were noted and suggestions for future research included exploring other predictor variables like progesterone/estriol ratios, immune factors and genetic determinants. Further research is needed both on the potential use of cortisol as a screening measure and the use of other therapies that might reduce prenatal depression and cortisol in the women and prematurity and low birthweight in their infants. CI - Copyright (c) 2010 Elsevier Inc. All rights reserved. FAU - Field, Tiffany AU - Field T AD - Touch Research Institutes, University of Miami Medical School, Department of Pediatrics, Miami, FL 33101, USA. tfield@med.miami.edu FAU - Diego, Miguel AU - Diego M FAU - Hernandez-Reif, Maria AU - Hernandez-Reif M LA - eng GR - K05 AT001585/AT/NCCIH NIH HHS/United States GR - K05 MH000331/MH/NIMH NIH HHS/United States GR - K05 MH000331-20/MH/NIMH NIH HHS/United States GR - AT 01585/AT/NCCIH NIH HHS/United States GR - MH 00331/MH/NIMH NIH HHS/United States GR - K05 AT001585-02/AT/NCCIH NIH HHS/United States GR - MH 46586/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20100514 PL - United States TA - Infant Behav Dev JT - Infant behavior & development JID - 7806016 RN - 333DO1RDJY (Serotonin) RN - VTD58H1Z2X (Dopamine) RN - WI4X0X7BPJ (Hydrocortisone) SB - IM MH - Demography MH - Depression, Postpartum/*complications/metabolism/*rehabilitation MH - Dopamine/metabolism MH - Female MH - *Fetal Development/drug effects MH - Gestational Age MH - Humans MH - Hydrocortisone/adverse effects/metabolism MH - Pregnancy MH - Pregnancy Complications/*physiopathology/*rehabilitation MH - Pregnancy Outcome MH - Premature Birth/etiology MH - Prenatal Care MH - Prenatal Exposure Delayed Effects/*physiopathology MH - Risk Factors MH - Serotonin/metabolism PMC - PMC2933409 MID - NIHMS198422 OID - NLM: NIHMS198422 OID - NLM: PMC2933409 EDAT- 2010/05/18 06:00 MHDA- 2011/03/24 06:00 CRDT- 2010/05/18 06:00 PHST- 2008/07/01 [received] PHST- 2010/02/25 [revised] PHST- 2010/04/12 [accepted] AID - S0163-6383(10)00056-1 [pii] AID - 10.1016/j.infbeh.2010.04.005 [doi] PST - ppublish SO - Infant Behav Dev. 2010 Dec;33(4):409-18. doi: 10.1016/j.infbeh.2010.04.005. Epub 2010 May 14. PMID- 20470446 OWN - NLM STAT- MEDLINE DA - 20100729 DCOM- 20110307 LR - 20151119 IS - 1469-7599 (Electronic) IS - 0021-9320 (Linking) VI - 42 IP - 5 DP - 2010 Sep TI - Fathers' educational needs for perinatal care in urban Iran: a qualitative approach. PG - 633-41 LID - 10.1017/S0021932010000167 [doi] AB - Men's participation in perinatal care (PNC) is a promising strategy for improving maternal health. This study aimed to assess the educational needs of men for their participation in PNC. This is a qualitative research study using focus group discussions. These were performed with eight groups of men and women in selected hospitals of Shahid Beheshti Medical Science University, Iran. Data were analysed using qualitative content analysis methodology. The majority of participants gave the 'emotional support of women' as the most appropriate form of men's participation in PNC, and the 'long working hours of men' as the main barrier. The majority would prefer men's education to be about 'emotional support', 'physiological changes' and 'signs of risks' during pregnancy. The participants emphasized the need to consider couples' requirements when selecting the place, time and duration of education. FAU - Simbar, Masoumeh AU - Simbar M AD - Department of Midwifery and Reproductive Health, Shahid Beheshti Medical Science University, Iran. FAU - Nahidi, Fatemeh AU - Nahidi F FAU - Tehrani, Fahimeh Ramezani AU - Tehrani FR FAU - Ramezankhani, Ali AU - Ramezankhani A LA - eng PT - Journal Article DEP - 20100517 PL - England TA - J Biosoc Sci JT - Journal of biosocial science JID - 0177346 SB - IM EIN - J Biosoc Sci. 2010 Sep;42(5):704. Tehran, Fahimeh Ramezani [corrected to Tehrani, Fahimeh Ramezani] MH - Adult MH - Emotions MH - Fathers/*psychology/statistics & numerical data MH - Female MH - Focus Groups MH - Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Humans MH - Iran MH - Male MH - Maternal Welfare/*statistics & numerical data MH - Needs Assessment/*statistics & numerical data MH - Perinatal Care/methods/*statistics & numerical data MH - Pregnancy MH - Qualitative Research MH - Social Support MH - Surveys and Questionnaires MH - Urban Population/*statistics & numerical data MH - Young Adult EDAT- 2010/05/18 06:00 MHDA- 2011/03/08 06:00 CRDT- 2010/05/18 06:00 AID - S0021932010000167 [pii] AID - 10.1017/S0021932010000167 [doi] PST - ppublish SO - J Biosoc Sci. 2010 Sep;42(5):633-41. doi: 10.1017/S0021932010000167. Epub 2010 May 17. PMID- 20463183 OWN - NLM STAT- MEDLINE DA - 20100625 DCOM- 20100708 LR - 20100625 IS - 1522-1490 (Electronic) IS - 0363-6119 (Linking) VI - 299 IP - 1 DP - 2010 Jul TI - Maternal perinatal undernutrition programs a "brown-like" phenotype of gonadal white fat in male rat at weaning. PG - R101-10 LID - 10.1152/ajpregu.00604.2009 [doi] AB - Several studies indicate that maternal undernutrition sensitizes the offspring to the development of metabolic disorders, such as obesity. Using a model of perinatal maternal 50% food-restricted diet (FR50), we recently reported that rat neonates from undernourished mothers exhibit decreased leptin plasma levels associated with alterations of hypothalamic proopiomelanocortin system. The present study aimed at examining the consequences of FR50 on the brain-adipose axis in male rat neonates. Using quantitative RT-PCR array containing 84 obesity-related genes, we demonstrated that most of the genes involved in energy metabolism regulation are expressed in rat gonadal white adipose tissue (WAT) and are sensitive to maternal perinatal undernutrition (MPU). In contrast, hypothalamic gene expression was not substantially affected by MPU. Gene expression of uncoupling protein 1 (UCP1), a marker of brown adipocytes, showed an almost 400-fold stimulation in postnatal day 21 (PND21) FR50 animals, suggesting that their gonadal WAT possesses a brown-like phenotype. This was confirmed by histological and immunoshistochemical procedures, which demonstrated that PND21 FR50 gonadal adipocytes are multilocular, resembling those present in interscapular brown adipose tissue, and exhibit an overexpression of UCP1 and neuropeptide Y (NPY) at the protein level. Control animals contained almost exclusively "classical" unilocular white adipocytes that did not show high UCP1 and NPY labeling. After weaning, FR50 animals exhibited a transient hyperphagia that was associated with the disappearance of brown-like fat pads in PND30 WAT. Our results demonstrate that MPU delays the maturation of gonadal WAT during critical developmental time windows, suggesting that it could have long-term consequences on body weight regulation in the offspring. FAU - Delahaye, Fabien AU - Delahaye F AD - Unite Environnement Perinatal et Croissance (EA 4489), Universite Lille-Nord de France, Equipe Denutritions Maternelles Perinatales, Universite de Lille 1, Villeneuve d'Ascq, France. FAU - Lukaszewski, Marie-Amelie AU - Lukaszewski MA FAU - Wattez, Jean-Sebastien AU - Wattez JS FAU - Cisse, Ouma AU - Cisse O FAU - Dutriez-Casteloot, Isabelle AU - Dutriez-Casteloot I FAU - Fajardy, Isabelle AU - Fajardy I FAU - Montel, Valerie AU - Montel V FAU - Dickes-Coopman, Anne AU - Dickes-Coopman A FAU - Laborie, Christine AU - Laborie C FAU - Lesage, Jean AU - Lesage J FAU - Breton, Christophe AU - Breton C FAU - Vieau, Didier AU - Vieau D LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100512 PL - United States TA - Am J Physiol Regul Integr Comp Physiol JT - American journal of physiology. Regulatory, integrative and comparative physiology JID - 100901230 RN - 0 (Leptin) RN - 0 (Neuropeptide Y) RN - 0 (Proteins) RN - 66796-54-1 (Pro-Opiomelanocortin) SB - IM MH - Adipocytes/chemistry/metabolism MH - Adipose Tissue/chemistry/*metabolism MH - Adipose Tissue, Brown/chemistry/*metabolism MH - Adipose Tissue, White/metabolism MH - Animals MH - Animals, Newborn MH - Body Weight/genetics/physiology MH - Energy Metabolism/genetics MH - Gene Expression MH - Hypothalamus/chemistry/metabolism MH - Leptin/genetics/metabolism MH - Male MH - *Malnutrition/genetics/metabolism MH - Neuropeptide Y/genetics/metabolism MH - Obesity/genetics/metabolism MH - Phenotype MH - Pro-Opiomelanocortin/genetics/metabolism MH - Proteins/genetics/metabolism MH - Rats MH - Rats, Wistar MH - Reverse Transcriptase Polymerase Chain Reaction MH - Weaning EDAT- 2010/05/14 06:00 MHDA- 2010/07/09 06:00 CRDT- 2010/05/14 06:00 AID - ajpregu.00604.2009 [pii] AID - 10.1152/ajpregu.00604.2009 [doi] PST - ppublish SO - Am J Physiol Regul Integr Comp Physiol. 2010 Jul;299(1):R101-10. doi: 10.1152/ajpregu.00604.2009. Epub 2010 May 12. PMID- 20439792 OWN - NLM STAT- MEDLINE DA - 20100504 DCOM- 20100610 LR - 20161019 IS - 1538-3628 (Electronic) IS - 1072-4710 (Linking) VI - 164 IP - 5 DP - 2010 May TI - Enduring effects of prenatal and infancy home visiting by nurses on maternal life course and government spending: follow-up of a randomized trial among children at age 12 years. PG - 419-24 LID - 10.1001/archpediatrics.2010.49 [doi] AB - OBJECTIVE: To test, among an urban primarily African American sample, the effects of prenatal and infancy home visiting by nurses on mothers' fertility, partner relationships, and economic self-sufficiency and on government spending through age 12 years of their firstborn child. DESIGN: Randomized controlled trial. SETTING: Public system of obstetric and pediatric care in Memphis, Tennessee. PARTICIPANTS: A total of 594 urban primarily African American economically disadvantaged mothers (among 743 who registered during pregnancy). Intervention Prenatal and infancy home visiting by nurses. MAIN OUTCOME MEASURES: Mothers' cohabitation with and marriage to the child's biological father, intimate partner violence, duration (stability) of partner relationships, role impairment due to alcohol and other drug use, use and cost of welfare benefits, arrests, mastery, child foster care placements, and cumulative subsequent births. RESULTS: By the time the firstborn child was 12 years old, nurse-visited mothers compared with control subjects reported less role impairment owing to alcohol and other drug use (0.0% vs 2.5%, P = .04), longer partner relationships (59.58 vs 52.67 months, P = .02), and greater sense of mastery (101.04 vs 99.60, P = .005). During this 12-year period, government spent less per year on food stamps, Medicaid, and Aid to Families with Dependent Children and Temporary Assistance for Needy Families for nurse-visited than control families ($8772 vs $9797, P = .02); this represents $12 300 in discounted savings compared with a program cost of $11 511, both expressed in 2006 US dollars. No statistically significant program effects were noted on mothers' marriage, partnership with the child's biological father, intimate partner violence, alcohol and other drug use, arrests, incarceration, psychological distress, or reports of child foster care placements. CONCLUSION: The program improved maternal life course and reduced government spending among children through age 12 years. FAU - Olds, David L AU - Olds DL AD - Department of Pediatrics, School of Medicine, University of Colorado Denver, 13121 E. 17th Avenue, Aurora, CO 80045, USA. David.Olds@UCDenver.edu FAU - Kitzman, Harriet J AU - Kitzman HJ FAU - Cole, Robert E AU - Cole RE FAU - Hanks, Carole A AU - Hanks CA FAU - Arcoleo, Kimberly J AU - Arcoleo KJ FAU - Anson, Elizabeth A AU - Anson EA FAU - Luckey, Dennis W AU - Luckey DW FAU - Knudtson, Michael D AU - Knudtson MD FAU - Henderson, Charles R Jr AU - Henderson CR Jr FAU - Bondy, Jessica AU - Bondy J FAU - Stevenson, Amanda J AU - Stevenson AJ LA - eng SI - ClinicalTrials.gov/NCT00438165 GR - R01 DA021624/DA/NIDA NIH HHS/United States GR - R01 MH068790/MH/NIMH NIH HHS/United States GR - R01 MH068790-01/MH/NIMH NIH HHS/United States GR - 1R01MH68790-01/MH/NIMH NIH HHS/United States PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Arch Pediatr Adolesc Med JT - Archives of pediatrics & adolescent medicine JID - 9422751 SB - AIM SB - IM MH - Adolescent MH - Adult MH - African Americans MH - Birth Intervals MH - Child MH - *Community Health Nursing MH - Female MH - *Fertility MH - Follow-Up Studies MH - *Home Care Services MH - Humans MH - Infant, Newborn MH - *Interpersonal Relations MH - Interviews as Topic MH - Least-Squares Analysis MH - Male MH - *Maternal Health Services MH - Medicaid/economics MH - Mothers/*psychology MH - Pregnancy MH - Public Assistance/*economics MH - Substance-Related Disorders/epidemiology MH - Tennessee/epidemiology MH - United States MH - Urban Population PMC - PMC3249758 MID - NIHMS344055 OID - NLM: NIHMS344055 OID - NLM: PMC3249758 EDAT- 2010/05/05 06:00 MHDA- 2010/06/11 06:00 CRDT- 2010/05/05 06:00 AID - 164/5/419 [pii] AID - 10.1001/archpediatrics.2010.49 [doi] PST - ppublish SO - Arch Pediatr Adolesc Med. 2010 May;164(5):419-24. doi: 10.1001/archpediatrics.2010.49. PMID- 20357602 OWN - NLM STAT- MEDLINE DA - 20100401 DCOM- 20120509 LR - 20100401 IS - 1550-5022 (Electronic) IS - 1078-4659 (Linking) VI - 16 IP - 3 DP - 2010 May-Jun TI - Translating public health knowledge into practice: development of a lay health advisor perinatal tobacco cessation program. PG - E9-E19 LID - 10.1097/PHH.0b013e3181af6387 [doi] AB - The value of lay health advisor (LHA) interventions as an effective approach toward ameliorating racial, ethnic and/socioeconomic health disparities has been noted by researchers and policy makers. Translating scientific knowledge to bring state-of-the-art health promotion/disease prevention innovation to underserved populations is critical for addressing these health disparities. This article examines the experiences of a community-academic partnership in designing, developing, and implementing an evidence-based, LHA-driven perinatal tobacco cessation program for low-income, predominately African American and Hispanic women. A multimethod process evaluation was conducted to analyze three essential domains of program implementation: (1) fit of the tobacco cessation program into the broader project context, (2) feasibility of program implementation, and (3) fidelity to program implementation protocols. Findings indicate that project partners have largely succeeded in integrating an evidence-based tobacco cessation program into a community-based maternal and infant health project. The successful implementation of this intervention appears to be attributable to the following two predominant factors: (1) the utilization of a scientifically validated tobacco cessation intervention model and (2) the emphasis on continuous LHA training and capacity development. FAU - English, Kevin C AU - English KC AD - Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY 10032, USA. ke72@columbia.edu FAU - Merzel, Cheryl AU - Merzel C FAU - Moon-Howard, Joyce AU - Moon-Howard J LA - eng GR - H49MC00133/PHS HHS/United States PT - Evaluation Studies PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Public Health Manag Pract JT - Journal of public health management and practice : JPHMP JID - 9505213 SB - T MH - Adult MH - African Americans MH - Community-Based Participatory Research/methods MH - *Community-Institutional Relations MH - Consultants MH - *Delivery of Health Care, Integrated MH - Evidence-Based Practice MH - Feasibility Studies MH - Female MH - Health Plan Implementation/methods MH - Health Promotion/*methods MH - Healthcare Disparities/standards MH - Hispanic Americans MH - Humans MH - *Knowledge Management MH - Poverty MH - *Program Development MH - Tobacco Use Cessation/*methods MH - Validation Studies as Topic EDAT- 2010/04/02 06:00 MHDA- 2012/05/10 06:00 CRDT- 2010/04/02 06:00 AID - 10.1097/PHH.0b013e3181af6387 [doi] AID - 00124784-201005000-00014 [pii] PST - ppublish SO - J Public Health Manag Pract. 2010 May-Jun;16(3):E9-E19. doi: 10.1097/PHH.0b013e3181af6387. PMID- 20300483 OWN - NLM STAT- Publisher DA - 20100713 LR - 20170220 IS - 0360-0025 (Print) IS - 0360-0025 (Linking) VI - 60 IP - 7-8 DP - 2009 Apr 01 TI - Mexican American Mothers and Fathers' Prenatal Attitudes and Father Prenatal Involvement: Links to Mother-Infant Interaction and Father Engagement. PG - 510-526 AB - The present study examines the associations between Mexican American mothers' and fathers' pregnancy intentions, fathers' participation in prenatal activities and mother-infant interactions and father engagement with 9 month-old infants in a nationally representative sample of 735 infants and their parents participating in the Early Childhood Longitudinal Study - Birth Cohort. After controlling for a host of variables, multiple regressions revealed that when mothers wanted the pregnancy, fathers engaged in more literacy and caregiving activities than when mothers did not want the pregnancy. When couples disagreed about wanting the pregnancy, fathers engaged in more literacy activities and showed more warmth than when they agreed. Relationship quality significantly moderated the effects of parents' wantedness on mother-infant interactions and fathers' engagement in literacy activities. FAU - Cabrera, Natasha J AU - Cabrera NJ AD - University of Maryland. FAU - Shannon, Jacqueline AU - Shannon J FAU - Mitchell, Stephanie AU - Mitchell S FAU - West, Jerry AU - West J LA - eng GR - R03 HD049670/HD/NICHD NIH HHS/United States GR - R03 HD049670-01A2/HD/NICHD NIH HHS/United States PT - Journal Article PL - United States TA - Sex Roles JT - Sex roles JID - 7511805 PMC - PMC2839246 MID - NIHMS170858 EDAT- 2010/03/20 06:00 MHDA- 2010/03/20 06:00 CRDT- 2010/03/20 06:00 AID - 10.1007/s11199-008-9576-2 [doi] PST - ppublish SO - Sex Roles. 2009 Apr 1;60(7-8):510-526. PMID- 19968631 OWN - NLM STAT- MEDLINE DA - 20100616 DCOM- 20101006 LR - 20100616 IS - 1398-9995 (Electronic) IS - 0105-4538 (Linking) VI - 65 IP - 6 DP - 2010 Jun 01 TI - Gene-gene and gene-environment interactions on IgE production in prenatal stage. PG - 731-9 LID - 10.1111/j.1398-9995.2009.02260.x [doi] AB - BACKGROUND: Prevalence of allergic diseases in children has increased worldwide over the past decades. Allergy sensitization may occur in fetal life. This study investigated whether gene-gene and gene-environment interactions affected cord blood IgE (CBIgE) levels. METHODS: A total of 575 cord blood DNA samples were subjected to a multiplex microarray for 384 single nucleotide polymorphisms (SNPs) in 159 allergy candidate genes. Genetic association was initially assessed by univariate and multivariate analyses. Multifactor dimensionality reduction (MDR) was used to identify gene-gene and gene-environment interactions. Environmental factors for analysis included maternal atopy, paternal atopy, parental smoking, gender, and prematurity. RESULTS: Twenty-one SNPs in 14 genes were associated with CBIgE elevation (>or =0.5 KU/l) in univariate analysis. Multivariate analysis identified eleven genes (IL13, IL17A, IL2RA, CCL17, CXCL1, PDGFRA, FGF1, HAVCR1, GNAQ, C11orf72, and ADAM33) which were significantly associated with CBIgE elevation. MDR analyses of gene-gene interactions identified IL13 interacted with IL17A and/or redox genes on CBIgE elevation with the prediction accuracy of 62.52%. Analyses of gene-environment interactions identified that maternal atopy combined with IL13, rs1800925 and CCL22, rs170359 SNPs had the highest prediction accuracy of 67.15%. All the high and low risk classifications on gene-gene and gene-environment interactions by MDR analyses could be validated by Chi-square test. CONCLUSIONS: Gene-gene (e.g. immune and redox genes) and gene-environment (e.g. maternal atopy and FGF1or redox genes) interactions on IgE production begin in prenatal stage, suggesting that prevention of IgE-mediated diseases may be made possible by control of maternal atopy and redox responses in prenatal stage. FAU - Yang, K D AU - Yang KD AD - Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University, No. 123 Ta-Pei Road, Kaohsiung, Taiwan. FAU - Chang, J-C AU - Chang JC FAU - Chuang, H AU - Chuang H FAU - Liang, H-M AU - Liang HM FAU - Kuo, H-C AU - Kuo HC FAU - Lee, Y-S AU - Lee YS FAU - Hsu, T-Y AU - Hsu TY FAU - Ou, C-Y AU - Ou CY LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20091125 PL - Denmark TA - Allergy JT - Allergy JID - 7804028 RN - 0 (CCL22 protein, human) RN - 0 (Chemokine CCL22) RN - 0 (Interleukin-13) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Chemokine CCL22/genetics MH - Female MH - Fetal Blood/*immunology MH - Fetus/*immunology MH - *Genetic Association Studies MH - Genetic Predisposition to Disease MH - Humans MH - Hypersensitivity/etiology/*genetics MH - Immunoglobulin E/*biosynthesis MH - Interleukin-13/genetics MH - Male MH - Oligonucleotide Array Sequence Analysis MH - Oxidation-Reduction MH - Parents MH - Polymorphism, Single Nucleotide MH - Sex Factors MH - Smoking EDAT- 2009/12/09 06:00 MHDA- 2010/10/07 06:00 CRDT- 2009/12/09 06:00 AID - ALL2260 [pii] AID - 10.1111/j.1398-9995.2009.02260.x [doi] PST - ppublish SO - Allergy. 2010 Jun 1;65(6):731-9. doi: 10.1111/j.1398-9995.2009.02260.x. Epub 2009 Nov 25. PMID- 19947333 OWN - NLM STAT- MEDLINE DA - 20091201 DCOM- 20100112 LR - 20170317 IS - 1553-7250 (Print) IS - 1553-7250 (Linking) VI - 35 IP - 11 DP - 2009 Nov TI - A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims. PG - 565-74 AB - BACKGROUND: To achieve the goal of safe care for mothers and infants during labor and birth, Catholic Healthcare Partners (CHP; Cincinnati) conducted on-site risk assessments at the 16 hospitals with perinatal units in 2004-2005, with follow-up visits in 2006 through 2008. ON-SITE RISK ASSESSMENTS: In addition to assessing overall organizational risk, the assessments provided each hospital a gap analysis demonstrating up-to-date and outdated practices and strategies and resources necessary to make all practices consistent with current evidence and national guidelines and standards. CRITICAL ASPECTS OF CLINICAL CARE: Review of claims and near-miss data indicate that fetal assessment, labor induction, and second-stage labor care comprise the majority of risk of perinatal harm. Therefore, these clinical areas were the focus of strategies to promote safety. To promote consistency in knowledge and practice, in 2004 a variety of strategies were recommended, including interdisciplinary fetal monitoring education and routine medical record reviews to monitor ongoing adherence to appropriate practice and documentation. OUTCOMES: Success in implementing essential structural and process components of the perinatal patient safety program have resulted in improvement from 2003 to 2008 in specific outcomes for the 16 perinatal units surveyed, including reduction of perinatal harm, number of claims, and costs of claims. FUTURE DIRECTIONS: The program continues to evolve with modifications as needed as more evidence becomes available to guide best perinatal practices and new guidelines/standards are published. A patient safety program guided and supported by a health care system can result in safer clinical environments in individual hospitals and in decreased risk of preventable perinatal harm and liability costs. FAU - Simpson, Kathleen Rice AU - Simpson KR AD - St. John's Mercy Medical Center, St. Louis, USA. krsimpson@prodigy.net FAU - Kortz, Carol C AU - Kortz CC FAU - Knox, G Eric AU - Knox GE LA - eng PT - Journal Article PL - Netherlands TA - Jt Comm J Qual Patient Saf JT - Joint Commission journal on quality and patient safety JID - 101238023 SB - IM MH - Female MH - Fetal Monitoring/standards/utilization MH - Guideline Adherence MH - Humans MH - Infant, Newborn MH - Medical Records MH - Obstetric Labor Complications/*prevention & control MH - Organizational Case Studies MH - Perinatal Care/*methods/organization & administration/standards MH - Personnel, Hospital/education MH - Practice Guidelines as Topic MH - Pregnancy MH - Risk Assessment/methods MH - Safety Management/*methods/organization & administration/standards EDAT- 2009/12/02 06:00 MHDA- 2010/01/13 06:00 CRDT- 2009/12/02 06:00 AID - S1553-7250(09)35077-1 [pii] PST - ppublish SO - Jt Comm J Qual Patient Saf. 2009 Nov;35(11):565-74. PMID- 19914525 OWN - NLM STAT- MEDLINE DA - 20091116 DCOM- 20100308 LR - 20091116 IS - 1558-075X (Electronic) IS - 0146-0005 (Linking) VI - 33 IP - 6 DP - 2009 Dec TI - Ethics education in neonatal-perinatal medicine in the United States. PG - 397-404 LID - 10.1053/j.semperi.2009.07.008 [doi] AB - Neonatology is one of the specialties that has immensely benefited from advances in medical technology in the last few decades. These advances have paralleled the rise of the civil rights movements and wider recognition of individual rights. As a result, ethical decision-making has become more complex, involving patients, parents, members of the health care team, and society in general. This has created a need for formal ethics education in neonatal-perinatal medicine fellowship programs. In this article, we briefly explore the current published data on ethics education in pediatric residency and neonatal-perinatal medicine fellowship programs. Then, we discuss the questions an academic educator may face while developing an ethics curriculum in his/her medical institution. Finally, we present the ethics curriculum that we developed in our neonatal-perinatal medicine fellowship program. FAU - Salih, Zeynep N Inanc AU - Salih ZN AD - Division of Neonatal-Perinatal Medicine, Indiana University School of Medicine, Indianapolis, IN 46202-5119, USA. FAU - Boyle, David W AU - Boyle DW LA - eng PT - Journal Article PL - United States TA - Semin Perinatol JT - Seminars in perinatology JID - 7801132 SB - IM MH - *Curriculum MH - Education, Medical, Graduate MH - Ethics, Medical/*education MH - Humans MH - Infant, Newborn MH - Neonatology/*education/ethics MH - Perinatology/*education/ethics MH - United States EDAT- 2009/11/17 06:00 MHDA- 2010/03/10 06:00 CRDT- 2009/11/17 06:00 AID - S0146-0005(09)00065-2 [pii] AID - 10.1053/j.semperi.2009.07.008 [doi] PST - ppublish SO - Semin Perinatol. 2009 Dec;33(6):397-404. doi: 10.1053/j.semperi.2009.07.008. PMID- 19879519 OWN - NLM STAT- MEDLINE DA - 20091102 DCOM- 20100104 LR - 20091102 IS - 1542-2011 (Electronic) IS - 1526-9523 (Linking) VI - 54 IP - 6 DP - 2009 Nov-Dec TI - Contemporary childbirth education models. PG - 469-76 LID - 10.1016/j.jmwh.2009.02.013 [doi] AB - Since the 1960s, childbirth education advocates have attempted to persuade pregnant women that educational preparation for labor and birth is an essential component of the transition to motherhood. Initially, pregnant women who were seeking unmedicated births as a refuge from the inhumane childbirth treatments of the mid-20th century embraced this view. However, with the changing childbirth climate, including a growing preference for medicated birth, scheduled inductions, and cesarean sections, attendance has diminished and childbirth education finds itself at a crossroads. Commonly used childbirth education models/organizations and several new emerging models along with the available research literature and recommendations for clinical practice and research are presented. FAU - Walker, Deborah S AU - Walker DS AD - Wayne State University, College of Nursing and School of Medicine, Obstetrics/Gynecology, 5557 Cass Ave., Rm. 248, Detroit, MI 48202, USA. dswalker@wayne.edu FAU - Visger, Joan M AU - Visger JM FAU - Rossie, Debra AU - Rossie D LA - eng PT - Journal Article PL - United States TA - J Midwifery Womens Health JT - Journal of midwifery & women's health JID - 100909407 SB - IM SB - N MH - Fathers/education MH - Female MH - Humans MH - Labor, Obstetric/physiology/psychology MH - *Models, Educational MH - Mothers/*education MH - Parenting MH - *Parturition/psychology MH - Patient Education as Topic/*methods MH - Pregnancy MH - Prenatal Care/*methods/psychology/standards EDAT- 2009/11/03 06:00 MHDA- 2010/01/05 06:00 CRDT- 2009/11/03 06:00 PHST- 2008/10/02 [received] PHST- 2009/02/20 [revised] PHST- 2009/02/20 [accepted] AID - S1526-9523(09)00070-1 [pii] AID - 10.1016/j.jmwh.2009.02.013 [doi] PST - ppublish SO - J Midwifery Womens Health. 2009 Nov-Dec;54(6):469-76. doi: 10.1016/j.jmwh.2009.02.013. PMID- 19709792 OWN - NLM STAT- MEDLINE DA - 20090921 DCOM- 20091211 LR - 20090921 IS - 1873-7811 (Electronic) IS - 0272-7358 (Linking) VI - 29 IP - 7 DP - 2009 Nov TI - Preparation for pain management during childbirth: the psychological aspects of coping strategy development in antenatal education. PG - 617-22 LID - 10.1016/j.cpr.2009.07.002 [doi] AB - During childbirth, in addition to or in place of analgesia, women manage pain using a range of coping strategies. Antenatal education provides an opportunity prior to birth to help women to prepare for an often painful event. However, this is usually carried out with little reference to the literature regarding psychological factors which influence the experience of pain. This review seeks to consider how recent developments in psychological knowledge could enhance care. Areas identified include range of coping strategies and factors influencing their efficacy and implementation. This draws on both the literature on management of acute pain in other scenarios and the limited literature related to childbirth related pain. The following recommendations for systematic evaluation in the context of antenatal education are made: (i) Increase the range of coping strategies currently utilized to include cognitive based strategies. (ii) Help women to identify and understand the nature of their own coping styles and preferences, including any unhelpful patterns of pain catastrophizing. (iii) Help women to develop their own unique set of coping strategies for labor. (iv) Strengthen feelings of coping self-efficacy by practice in class and reinforcement by the class teacher. (v) Develop implementation intentions which account for the changing context of childbirth and (vi) Actively develop prompting and reinforcement of use of identified coping strategies by birth partners. FAU - Escott, Diane AU - Escott D AD - Clinical Psychology Unit, Department of Psychology, University of Sheffield, Western Bank, Sheffield S10 2UR, UK. diane.escott@manchester.ac.uk FAU - Slade, Pauline AU - Slade P FAU - Spiby, Helen AU - Spiby H LA - eng PT - Journal Article PT - Review DEP - 20090720 PL - United States TA - Clin Psychol Rev JT - Clinical psychology review JID - 8111117 SB - IM MH - *Adaptation, Psychological MH - Culture MH - Defense Mechanisms MH - Female MH - Humans MH - Individuality MH - Intention MH - Labor Pain/*psychology/therapy MH - *Patient Education as Topic MH - Pregnancy MH - *Prenatal Care MH - Reinforcement (Psychology) MH - Self Care/psychology MH - Self Efficacy RF - 75 EDAT- 2009/08/28 09:00 MHDA- 2009/12/16 06:00 CRDT- 2009/08/28 09:00 PHST- 2009/07/01 [received] PHST- 2009/07/12 [revised] PHST- 2009/07/14 [accepted] AID - S0272-7358(09)00091-9 [pii] AID - 10.1016/j.cpr.2009.07.002 [doi] PST - ppublish SO - Clin Psychol Rev. 2009 Nov;29(7):617-22. doi: 10.1016/j.cpr.2009.07.002. Epub 2009 Jul 20. PMID- 24902224 OWN - NLM STAT- MEDLINE DA - 20140606 DCOM- 20140625 LR - 20151111 IS - 1479-2915 (Print) IS - 1479-2915 (Linking) VI - 12 IP - 4 DP - 2009 Aug-Sep TI - Natural childbirth vs antenatal education. PG - 21 FAU - Wallis, Jan AU - Wallis J LA - eng PT - Comment PT - Journal Article PL - England TA - Midwives JT - Midwives JID - 101472618 SB - N CON - BJOG. 2009 Aug;116(9):1167-76. PMID: 19538406 MH - Fathers/*psychology MH - Female MH - Humans MH - Male MH - Mothers/*psychology MH - Natural Childbirth/*psychology MH - Pregnancy MH - Stress, Psychological/*etiology EDAT- 2009/08/01 00:00 MHDA- 2014/06/26 06:00 CRDT- 2014/06/07 06:00 PST - ppublish SO - Midwives. 2009 Aug-Sep;12(4):21. PMID- 19616194 OWN - NLM STAT- MEDLINE DA - 20090720 DCOM- 20091008 LR - 20090720 IS - 1532-8481 (Electronic) IS - 8755-7223 (Linking) VI - 25 IP - 4 DP - 2009 Jul-Aug TI - Prenatal showers: educational opportunities for undergraduate students. PG - 249-56 LID - 10.1016/j.profnurs.2009.01.011 [doi] AB - J. Cranmer and C. Lajkowicz (1989) faced the challenge of securing student clinical experiences with healthy prenatal clients. They identified that lack of access to pregnant women, limited number of faculty, and large numbers of students contributed to problems in meeting select course objectives. Little has changed since then. This article describes a clinical experience, known as "Prenatal Showers," where undergraduate nursing students, implementing the teacher role, provide community-based prenatal education in the context of a baby shower. Student groups address educational topics identified by community partners. After student presentations, feedback from prenatal clients is analyzed. Lessons learned include selecting appropriate community partners, clearly articulating academic and community needs, and obtaining seed money to initiate the program. Prenatal Showers are most successful when community partners possess open lines of communication, an accessible population, an appreciation for the contributions made by students, and a willingness to share responsibility for their supervision. Prenatal Showers offer different advantages from traditional maternal-child clinical experiences because students gain experiences with prenatal clients from diverse backgrounds and engage in community-based nursing. The community benefits because educational needs of prenatal clients are met. Strong community partnerships benefit faculty by making clinical placements more accessible and reducing faculty workload. FAU - Zentz, Suzanne E AU - Zentz SE AD - Valparaiso University, College of Nursing, 836 LaPorte Ave., Valparaiso, IN 46383, USA. suzanne.zentz@valpo.ed FAU - Brown, Janet M AU - Brown JM FAU - Schmidt, Nola A AU - Schmidt NA FAU - Alverson, Elise M AU - Alverson EM LA - eng PT - Journal Article PL - United States TA - J Prof Nurs JT - Journal of professional nursing : official journal of the American Association of Colleges of Nursing JID - 8511298 SB - IM SB - N MH - Adolescent MH - Adult MH - Community Health Nursing/*education/*methods MH - Education, Nursing, Baccalaureate/*methods MH - Female MH - Humans MH - Maternal-Child Nursing/*education/*methods MH - Nurse-Patient Relations MH - Pregnancy MH - Prenatal Care/*methods MH - Young Adult EDAT- 2009/07/21 09:00 MHDA- 2009/10/09 06:00 CRDT- 2009/07/21 09:00 PHST- 2007/11/27 [received] AID - S8755-7223(09)00021-0 [pii] AID - 10.1016/j.profnurs.2009.01.011 [doi] PST - ppublish SO - J Prof Nurs. 2009 Jul-Aug;25(4):249-56. doi: 10.1016/j.profnurs.2009.01.011. PMID- 19582785 OWN - NLM STAT- MEDLINE DA - 20100126 DCOM- 20100518 LR - 20161125 IS - 1098-2272 (Electronic) IS - 0741-0395 (Linking) VI - 34 IP - 2 DP - 2010 Feb TI - Methods for detecting interactions between genetic polymorphisms and prenatal environment exposure with a mother-child design. PG - 125-32 LID - 10.1002/gepi.20441 [doi] AB - Prenatal exposures such as polycyclic aromatic hydrocarbons and early postnatal environmental exposures are of particular concern because of the heightened susceptibility of the fetus and infant to diverse environmental pollutants. Marked inter-individual variation in response to the same level of exposure was observed in both mothers and their newborns, indicating that susceptibility might be due to genetic factors. With the mother-child pair design, existing methods developed for parent-child trio data or random sample data are either not applicable or not designed to optimally use the information. To take full advantage of this unique design, which provides partial information on genetic transmission and has both maternal and newborn outcome status collected, we developed a likelihood-based method that uses both the maternal and the newborn information together and jointly models gene-environment interactions on maternal and newborn outcomes. Through intensive simulation studies, the proposed method has demonstrated much improved power in detecting gene-environment interactions. The application on a real mother-child pair data from a study conducted in Krakow, Poland, suggested four significant gene-environment interactions after multiple comparisons adjustment. CI - 2009 Wiley-Liss, Inc. FAU - Wang, Shuang AU - Wang S AD - Department of Biostatistics, Columbia University, New York, New York 10032, USA. sw2206@columbia.edu FAU - Zheng, Tian AU - Zheng T FAU - Chanock, Stephen AU - Chanock S FAU - Jedrychowski, Wieslaw AU - Jedrychowski W FAU - Perera, Frederica P AU - Perera FP LA - eng GR - R01 ES012468/ES/NIEHS NIH HHS/United States GR - ES09089/ES/NIEHS NIH HHS/United States GR - R01 ES111158/ES/NIEHS NIH HHS/United States GR - R01 ES008977/ES/NIEHS NIH HHS/United States GR - R01 ES008977-12/ES/NIEHS NIH HHS/United States GR - 5P30 CA 13696-23/CA/NCI NIH HHS/United States GR - P30 CA013696/CA/NCI NIH HHS/United States GR - R01 ES08977/ES/NIEHS NIH HHS/United States GR - P01 009600/PHS HHS/United States GR - R01 ES015282/ES/NIEHS NIH HHS/United States GR - P30 ES009089/ES/NIEHS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Genet Epidemiol JT - Genetic epidemiology JID - 8411723 RN - 0 (Environmental Pollutants) RN - 0 (Polycyclic Aromatic Hydrocarbons) SB - IM MH - Alleles MH - Computer Simulation MH - *Environmental Exposure MH - Environmental Pollutants/*adverse effects/analysis MH - Female MH - Fetus/*drug effects MH - Genetic Predisposition to Disease MH - Humans MH - Infant, Newborn MH - *Maternal-Fetal Exchange MH - Models, Genetic MH - Models, Statistical MH - Molecular Epidemiology MH - Poland/epidemiology MH - Polycyclic Aromatic Hydrocarbons/*adverse effects/analysis MH - *Polymorphism, Genetic MH - Pregnancy PMC - PMC2811760 MID - NIHMS141827 OID - NLM: NIHMS141827 OID - NLM: PMC2811760 EDAT- 2009/07/08 09:00 MHDA- 2010/05/19 06:00 CRDT- 2009/07/08 09:00 AID - 10.1002/gepi.20441 [doi] PST - ppublish SO - Genet Epidemiol. 2010 Feb;34(2):125-32. doi: 10.1002/gepi.20441. PMID- 19538406 OWN - NLM STAT- MEDLINE DA - 20090723 DCOM- 20090914 LR - 20170220 IS - 1471-0528 (Electronic) IS - 1470-0328 (Linking) VI - 116 IP - 9 DP - 2009 Aug TI - Effects of natural childbirth preparation versus standard antenatal education on epidural rates, experience of childbirth and parental stress in mothers and fathers: a randomised controlled multicentre trial. PG - 1167-76 LID - 10.1111/j.1471-0528.2009.02144.x [doi] AB - OBJECTIVE: To examine the effects of antenatal education focussing on natural childbirth preparation with psychoprophylactic training versus standard antenatal education on the use of epidural analgesia, experience of childbirth and parental stress in first-time mothers and fathers. DESIGN: Randomised controlled multicentre trial. SETTING: Fifteen antenatal clinics in Sweden between January 2006 and May 2007. SAMPLE: A total of 1087 nulliparous women and 1064 of their partners. METHODS: Natural group: Antenatal education focussing on natural childbirth preparation with training in breathing and relaxation techniques (psychoprophylaxis). Standard care group: Standard antenatal education focussing on both childbirth and parenthood, without psychoprophylactic training. Both groups: Four 2-hour sessions in groups of 12 participants during third trimester of pregnancy and one follow-up after delivery. MAIN OUTCOME MEASURES: Epidural analgesia during labour, experience of childbirth as measured by the Wijma Delivery Experience Questionnaire (B), and parental stress measured by the Swedish Parenthood Stress Questionnaire. RESULTS: The epidural rate was 52% in both groups. There were no statistically significant differences in the experience of childbirth or parental stress between the randomised groups, either in women or men. Seventy percent of the women in the Natural group reported having used psychoprophylaxis during labour. A minority in the Standard care group (37%) had also used this method, but subgroup analysis where these women were excluded did not change the principal findings. CONCLUSION: Natural childbirth preparation including training in breathing and relaxation did not decrease the use of epidural analgesia during labour, nor did it improve the birth experience or affect parental stress in early parenthood in nulliparous women and men, compared with a standard form of antenatal education. FAU - Bergstrom, M AU - Bergstrom M AD - Department of Woman and Child Health, Retsius vag 13, Karolinska Institutet, Stockholm, Sweeden. malin.bergstrom@ki.se FAU - Kieler, H AU - Kieler H FAU - Waldenstrom, U AU - Waldenstrom U LA - eng PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20090527 PL - England TA - BJOG JT - BJOG : an international journal of obstetrics and gynaecology JID - 100935741 SB - AIM SB - IM CIN - Midwives. 2009 Aug-Sep;12(4):21. PMID: 24902224 CIN - J Midwifery Womens Health. 2010 May-Jun;55(3):290-1. PMID: 20434096 MH - Adolescent MH - Adult MH - Analgesia, Epidural/statistics & numerical data MH - Analgesia, Obstetrical/statistics & numerical data MH - Breathing Exercises MH - Fathers/*psychology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Mothers/*psychology MH - Natural Childbirth/*psychology MH - Parenting/psychology MH - Patient Education as Topic MH - Pregnancy MH - Prenatal Care MH - Relaxation Therapy MH - Stress, Psychological/*etiology MH - Young Adult PMC - PMC2759981 OID - NLM: PMC2759981 EDAT- 2009/06/23 09:00 MHDA- 2009/09/15 06:00 CRDT- 2009/06/23 09:00 AID - BJO2144 [pii] AID - 10.1111/j.1471-0528.2009.02144.x [doi] PST - ppublish SO - BJOG. 2009 Aug;116(9):1167-76. doi: 10.1111/j.1471-0528.2009.02144.x. Epub 2009 May 27. PMID- 19529055 OWN - NLM STAT- MEDLINE DA - 20090616 DCOM- 20090814 LR - 20091111 IS - 0028-2715 (Print) IS - 0028-2715 (Linking) VI - 48 IP - 173 DP - 2009 Jan-Mar TI - Impact of husbands' participation in antenatal health education services on maternal health knowledge. PG - 28-34 AB - INTRODUCTION: A randomized controlled trial was designed to test the impact of involving husbands in antenatal health education on women's maternal health knowledge. METHODS: Total 442 women receiving antenatal services at a hospital in Kathmandu, Nepal were randomized into three groups: women who attended education sessions with their husbands, women who attended education sessions alone, and women who attended no education sessions (controls). At baseline and after delivery, women's maternal health knowledge and change in knowledge levels were compared between the groups. RESULTS: Compared to control group women, women educated with husbands increased their knowledge scores by an average of 0.61 points (95% CI=0.32-0.89, P<0.001), while women educated alone increased their scores by only 0.34 points (95% CI=0.04-0.65, P<0.05). Women educated with partners could identify more pregnancy complications and family planning methods than women in both other groups. CONCLUSIONS: These findings suggest that women learn and retain the most information when they are educated with their partners. FAU - Mullany, B C AU - Mullany BC AD - Johns Hopkins Bloomberg School of Public Health, Department of International Health, Baltimore, MD, USA. bmullany@jhsph.edu FAU - Lakhey, B AU - Lakhey B FAU - Shrestha, D AU - Shrestha D FAU - Hindin, M J AU - Hindin MJ FAU - Becker, S AU - Becker S LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - Nepal TA - JNMA J Nepal Med Assoc JT - JNMA; journal of the Nepal Medical Association JID - 0045233 SB - IM MH - Adolescent MH - Adult MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Maternal Health Services MH - Nepal MH - *Patient Education as Topic MH - Pregnancy MH - *Prenatal Care MH - Spouses/*education MH - Young Adult EDAT- 2009/06/17 09:00 MHDA- 2009/08/15 09:00 CRDT- 2009/06/17 09:00 PST - ppublish SO - JNMA J Nepal Med Assoc. 2009 Jan-Mar;48(173):28-34. PMID- 19482945 OWN - NLM STAT- MEDLINE DA - 20090622 DCOM- 20090714 LR - 20141209 IS - 1091-6490 (Electronic) IS - 0027-8424 (Linking) VI - 106 IP - 24 DP - 2009 Jun 16 TI - Induced pluripotent stem cells offer new approach to therapy in thalassemia and sickle cell anemia and option in prenatal diagnosis in genetic diseases. PG - 9826-30 LID - 10.1073/pnas.0904689106 [doi] AB - The innovation of reprogramming somatic cells to induced pluripotent stem cells provides a possible new approach to treat beta-thalassemia and other genetic diseases such as sickle cell anemia. Induced pluripotent stem (iPS) cells can be made from these patients' somatic cells and the mutation in the beta-globin gene corrected by gene targeting, and the cells differentiated into hematopoietic cells to be returned to the patient. In this study, we reprogrammed the skin fibroblasts of a patient with homozygous beta(0) thalassemia into iPS cells, and showed that the iPS cells could be differentiated into hematopoietic cells that synthesized hemoglobin. Prenatal diagnosis and selective abortion have been effective in decreasing the number of beta-thalassemia births in some countries that have instituted carrier screening and genetic counseling. To make use of the cells from the amniotic fluid or chorionic villus sampling that are used for prenatal diagnosis, we also showed that these cells could be reprogrammed into iPS cells. This raises the possibility of providing a new option following prenatal diagnosis of a fetus affected by a severe illness. Currently, the parents would choose either to terminate the pregnancy or continue it and take care of the sick child after birth. The cells for prenatal diagnosis can be converted into iPS cells for treatment in the perinatal periods. Early treatment has the advantage of requiring much fewer cells than adult treatment, and can also prevent organ damage in those diseases in which damage can begin in utero or at an early age. FAU - Ye, Lin AU - Ye L AD - Department of Medicine, University of California, San Francisco, CA 94143-0793, USA. FAU - Chang, Judy C AU - Chang JC FAU - Lin, Chin AU - Lin C FAU - Sun, Xiaofang AU - Sun X FAU - Yu, Jingwei AU - Yu J FAU - Kan, Yuet Wai AU - Kan YW LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090529 PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 SB - IM MH - Anemia, Sickle Cell/diagnosis/*therapy MH - Cells, Cultured MH - Humans MH - Pluripotent Stem Cells/*cytology MH - *Prenatal Diagnosis MH - beta-Thalassemia/diagnosis/*therapy PMC - PMC2701047 OID - NLM: PMC2701047 EDAT- 2009/06/02 09:00 MHDA- 2009/07/15 09:00 CRDT- 2009/06/02 09:00 AID - 0904689106 [pii] AID - 10.1073/pnas.0904689106 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 2009 Jun 16;106(24):9826-30. doi: 10.1073/pnas.0904689106. Epub 2009 May 29. PMID- 19436529 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20090513 DCOM- 20130704 LR - 20170220 IS - 1058-1243 (Print) IS - 1058-1243 (Linking) VI - 17 IP - 4 DP - 2008 Fall TI - Effective antenatal education: strategies recommended by expectant and new parents. PG - 33-42 LID - 10.1624/105812408X364152 [doi] AB - Antenatal education is a crucial component of antenatal care, yet practice and research demonstrate that women and men now seek far more than the traditional approach of a birth and parenting program attended in the final weeks of pregnancy. Indeed, women and men participating in this study recommended a range of strategies to be provided during the childbearing year, comparable to a "menu in a restaurant." Their strategies included three program types: "Hearing Detail and Asking Questions," "Learning and Discussing," and "Sharing and Supporting Each Other." The characteristics of each type of program are identified in this article. The actual learning methods the study participants recommended to be incorporated into the programs were "Time to Catch Up and Focus," "Seeing and Hearing the Real Experience," "Practicing," and "Discovering." FAU - Svensson, Jane AU - Svensson J AD - JANE SVENSSON is the Health Education Coordinator at the Royal Hospital for Women in Sydney, Australia. FAU - Barclay, Lesley AU - Barclay L FAU - Cooke, Margaret AU - Cooke M LA - eng PT - Journal Article PL - United States TA - J Perinat Educ JT - The Journal of perinatal education JID - 9301158 PMC - PMC2582411 OID - NLM: PMC2582411 OTO - NOTNLM OT - adult learners OT - antenatal education OT - childbirth education OT - expectant parents OT - pregnancy EDAT- 2009/05/14 09:00 MHDA- 2009/05/14 09:01 CRDT- 2009/05/14 09:00 AID - 10.1624/105812408X364152 [doi] PST - ppublish SO - J Perinat Educ. 2008 Fall;17(4):33-42. doi: 10.1624/105812408X364152. PMID- 19120038 OWN - NLM STAT- MEDLINE DA - 20090424 DCOM- 20090706 LR - 20090424 IS - 1651-2227 (Electronic) IS - 0803-5253 (Linking) VI - 98 IP - 5 DP - 2009 May TI - Parental mental health, education, age at childbirth and child development from six to 18 months. PG - 834-41 LID - 10.1111/j.1651-2227.2008.01166.x [doi] AB - AIM: To investigate the effect six-month parental mental health has on children's six and 18-month development. Parental covariates of age and education were also analysed. METHODS: Through a national random selection, 21 648 babies were selected. Parental self perceived overall mental health was measured using 36-Item Short Form Health Survey (SF-36) and children's development using the Taiwan Birth Cohort Study (TBCS) instrument which measures gross motor, fine motor, language and social dimensions of children's development. RESULTS: Both multiple linear regression and structural equation modeling showed that when the covariates of parental education and age at childbirth were added, the effect parental mental health has on children's development decreases. Additionally, maternal mental health had a more persistent and pervasive effect than paternal mental health. Father's mental health at six months had a delayed effect, in that its influence was seen only with children's development at 18 months. Of the three factors of parental mental health, education and age at childbirth, parental education had the most pervasive and persistent effect on children's development. CONCLUSION: Although parental mental health has an effect on children's development, parental education and age at childbirth are vital confounding factors, which should be considered in future studies. Clinical health care providers should provide childcare resources and instructions to younger, less educated and parents with mental symptoms. FAU - Lung, For-Wey AU - Lung FW AD - Department of Medicine, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan. FAU - Shu, Bih-Ching AU - Shu BC FAU - Chiang, Tung-Liang AU - Chiang TL FAU - Lin, Shio-Jean AU - Lin SJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20081216 PL - Norway TA - Acta Paediatr JT - Acta paediatrica (Oslo, Norway : 1992) JID - 9205968 SB - IM MH - Adult MH - *Child Development MH - Cohort Studies MH - Educational Status MH - Fathers/*psychology MH - Female MH - Humans MH - Infant MH - Linear Models MH - Male MH - Maternal Age MH - *Mental Health MH - Models, Psychological MH - Mothers/*psychology MH - Young Adult EDAT- 2009/01/06 09:00 MHDA- 2009/07/07 09:00 CRDT- 2009/01/06 09:00 AID - APA1166 [pii] AID - 10.1111/j.1651-2227.2008.01166.x [doi] PST - ppublish SO - Acta Paediatr. 2009 May;98(5):834-41. doi: 10.1111/j.1651-2227.2008.01166.x. Epub 2008 Dec 16. PMID- 19117501 OWN - NLM STAT- MEDLINE DA - 20090101 DCOM- 20090507 LR - 20151119 IS - 1037-6178 (Print) IS - 1037-6178 (Linking) VI - 31 IP - 1 DP - 2008 Dec TI - Supporting fathers in the transition to parenthood. PG - 57-70 AB - Knowledge of the experience of parenthood is usually from a woman's perspective. The resulting outcome is that knowledge about the experience of fatherhood has been limited. Fathers are starting to change this situation by sharing their experience as is evidenced by the overall response of 267 fathers to this study. This paper focuses on the exploration of 22 men's feelings and beliefs about fatherhood; and their expectations and views about parenting. The paper will also investigate how fathers' antenatal expectations matched the reality of early family life including emotional well-being, attitudes to parenting, adjustment to family life and sources of support. The quantitative and qualitative data of the 22 fathers who responded to both the antenatal and postnatal questionnaires used within this paper are drawn from a larger Queensland survey of women and men during the antenatal and postnatal period. FAU - Halle, Claire AU - Halle C AD - Ellen Barron Family Centre, Royal Children's Hospital Health Service District, Brisbane QLD, Australia. FAU - Dowd, Toni AU - Dowd T FAU - Fowler, Cathrine AU - Fowler C FAU - Rissel, Karin AU - Rissel K FAU - Hennessy, Kathy AU - Hennessy K FAU - MacNevin, Regina AU - MacNevin R FAU - Nelson, Marie Ann AU - Nelson MA LA - eng PT - Journal Article PL - United States TA - Contemp Nurse JT - Contemporary nurse JID - 9211867 SB - N MH - *Adaptation, Psychological MH - Adult MH - *Attitude to Health MH - *Fathers/education/psychology MH - Health Services Needs and Demand MH - Humans MH - Infant Care/psychology MH - Infant, Newborn MH - *Life Change Events MH - Male MH - Middle Aged MH - Nurse's Role/psychology MH - Nursing Methodology Research MH - *Parenting/psychology MH - Paternal Behavior MH - Postnatal Care/psychology MH - Prenatal Care MH - Qualitative Research MH - Queensland MH - *Social Support MH - Stress, Psychological/etiology/psychology MH - Surveys and Questionnaires MH - Young Adult EDAT- 2009/01/02 09:00 MHDA- 2009/05/08 09:00 CRDT- 2009/01/02 09:00 AID - 10.5555/conu.673.31.1.57 [pii] PST - ppublish SO - Contemp Nurse. 2008 Dec;31(1):57-70. PMID- 19083666 OWN - NLM STAT- MEDLINE DA - 20081216 DCOM- 20090623 LR - 20150615 IS - 1532-9283 (Electronic) IS - 1360-8592 (Linking) VI - 12 IP - 2 DP - 2008 Apr TI - Massage therapy reduces pain in pregnant women, alleviates prenatal depression in both parents and improves their relationships. PG - 146-50 LID - 10.1016/j.jbmt.2007.06.003 [doi] AB - Prenatally depressed women (N=47) were randomly assigned to a group that received massage twice weekly from their partners from 20 weeks gestation until the end of pregnancy or a control group. Self-reported leg pain, back pain, depression, anxiety and anger decreased more for the massaged pregnant women than for the control group women. In addition, the partners who massaged the pregnant women versus the control group partners reported less depressed mood, anxiety and anger across the course of the massage therapy period. Finally, scores on a relationship questionnaire improved more for both the women and the partners in the massage group. These data suggest that not only mood states but also relationships improve mutually when depressed pregnant women are massaged by their partners. FAU - Field, Tiffany AU - Field T AD - Touch Research Institute, University of Miami Medical School, Miami, FL, USA. tfield@med.miami.edu FAU - Figueiredo, Barbara AU - Figueiredo B FAU - Hernandez-Reif, Maria AU - Hernandez-Reif M FAU - Diego, Miguel AU - Diego M FAU - Deeds, Osvelia AU - Deeds O FAU - Ascencio, Angela AU - Ascencio A LA - eng GR - AT 001585/AT/NCCIH NIH HHS/United States GR - AT 00370/AT/NCCIH NIH HHS/United States GR - MH 46586/MH/NIMH NIH HHS/United States GR - MH0033/MH/NIMH NIH HHS/United States PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20071002 PL - United States TA - J Bodyw Mov Ther JT - Journal of bodywork and movement therapies JID - 9700068 SB - IM MH - Adolescent MH - Adult MH - Depression/*rehabilitation MH - *Family Relations MH - Fathers/psychology MH - Female MH - Humans MH - Male MH - *Massage/methods MH - Pain/*rehabilitation MH - Pregnancy MH - Pregnancy Complications/*rehabilitation MH - Treatment Outcome MH - Young Adult EDAT- 2008/12/17 09:00 MHDA- 2009/06/24 09:00 CRDT- 2008/12/17 09:00 PHST- 2007/05/18 [received] PHST- 2007/06/07 [revised] PHST- 2007/06/10 [accepted] AID - S1360-8592(07)00082-4 [pii] AID - 10.1016/j.jbmt.2007.06.003 [doi] PST - ppublish SO - J Bodyw Mov Ther. 2008 Apr;12(2):146-50. doi: 10.1016/j.jbmt.2007.06.003. Epub 2007 Oct 2. PMID- 19057572 OWN - NLM STAT- MEDLINE DA - 20081205 DCOM- 20090331 LR - 20081205 IS - 1476-5543 (Electronic) IS - 0743-8346 (Linking) VI - 28 Suppl 2 DP - 2008 Dec TI - Care-seeking practices in South Asia: using formative research to design program interventions to save newborn lives. PG - S9-13 LID - 10.1038/jp.2008.165 [doi] AB - The purpose of this paper is to summarize the formative research findings of newborn care practices in poor and rural districts of Bangladesh, Nepal, and Pakistan and to explain how these findings were used to design behavior change communication elements of newborn care programs. In-depth interviews and focus group discussions regarding newborn care practices were conducted with mothers, mothers-in-law, delivery attendants, health care providers, husbands/fathers, male and female community leaders, religious leaders and elderly influential persons between 2002-2003 in three countries supported by Save the Children's Saving Newborn Lives program. Key findings from each country are summarized according to time periods and care-seeking practices: antenatal care, birth and emergency preparedness/care-seeking, postnatal care and care-seeking for newborn illness. All country reports indicated cultural and religious barriers to seeking care as well as limited societal knowledge about the importance of care-seeking and recognition of maternal and newborn danger signs. Routine care-seeking, especially during the postnatal period, was universally low. When families did seek care, they preferred remedies from traditional healers rather than skilled health workers because of cultural and religious beliefs, poor access to health facilities, and financial barriers. Findings from the country reports were used to design behavior change communication strategies that addressed the underlying reasons why newborn care practices were sub-optimal. Cultural and religious barriers, though strong, were not insurmountable in implementing effective behavior change communication strategies. Formative research from South Asian countries has proved crucial to program approaches to improve care-seeking for maternal and newborn care, increasing availability and access of key services, and expanding family and community knowledge and demand for these services. FAU - Syed, U AU - Syed U AD - Saving Newborn Lives, Save the Children, Washington, DC 20036, USA. FAU - Khadka, N AU - Khadka N FAU - Khan, A AU - Khan A FAU - Wall, S AU - Wall S LA - eng PT - Journal Article PT - Review PL - United States TA - J Perinatol JT - Journal of perinatology : official journal of the California Perinatal Association JID - 8501884 SB - IM MH - Asia MH - Cultural Characteristics MH - *Delivery of Health Care MH - Female MH - Focus Groups MH - Humans MH - *Infant Care MH - Infant, Newborn MH - Male MH - Parents MH - Patient Acceptance of Health Care/ethnology MH - *Postnatal Care MH - Poverty MH - Pregnancy MH - Rural Health Services/*standards RF - 6 EDAT- 2008/12/17 09:00 MHDA- 2009/04/01 09:00 CRDT- 2008/12/17 09:00 AID - jp2008165 [pii] AID - 10.1038/jp.2008.165 [doi] PST - ppublish SO - J Perinatol. 2008 Dec;28 Suppl 2:S9-13. doi: 10.1038/jp.2008.165. PMID- 19040832 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20081201 DCOM- 20121002 LR - 20081201 IS - 1873-5223 (Electronic) IS - 1471-5953 (Linking) VI - 5 IP - 5 DP - 2005 Sep TI - Working with practitioners to develop training in peri-natal loss and bereavement: Evaluating three workshops. PG - 266-73 LID - 10.1016/j.nepr.2005.01.004 [doi] AB - Peri-natal loss is as profound as any other bereavement [Chambers, H.M., Chan, F.J., 2000. Support for women/families after peri-natal death. (Cochrane Review). Issue 1. The Cochrane Library, Oxford, Update Software], is commonplace, and its traumatic potential has long been overlooked by clinicians and researchers [Spechard, 1997. Traumatic death in pregnancy: the significance of meaning and attachment. In: Figley, C.R., Bride, B., Mazza, N., (Eds.), Death and Trauma: The Traumatology of Grieving. Taylor and Francis, London, 1997, pp. 67-98]. Previous miscarriage, stillbirth or neonatal death is implicated in post-natal depression and behaviour management difficulties after the birth of subsequent children. The involvement of the health visitor in supporting grieving parents may be crucial to medium and long-term family health [Hill, C., 1997. Evaluating the quality of after death care. Nursing Standard 12(8), 38-39]. However, service provision for such families appears to be inconsistent and depends on the skills, confidence and time constraints of individual practitioners, with little in the way of guidance and support in this sensitive area of care [Dent, A., Condon, L., Blair, P., Flemming, P., 1996. A study of bereavement care after a sudden and unexpected death. Archives of disease in childhood, 74, 552-526]. This paper outlines the development and evaluation of a series of workshops around peri-natal loss initially offered to health visitors in North Staffordshire (UK), and then expanded to incorporate midwives. The authors formally evaluated the three workshops (and their impact) retrospectively, and implemented the findings to further develop the workshops, thus ensuring relevance to professional practice. The rationale behind the introduction of the workshops and the contents are introduced; approaches to the evaluation process described; presentation of the findings offered; followed by a discussion of the key issues. FAU - Cartwright, Pat AU - Cartwright P AD - Wolstanton Medical Centre, Newcastle-under-Lyme PCT, UK. FAU - Read, Sue AU - Read S LA - eng PT - Journal Article PL - England TA - Nurse Educ Pract JT - Nurse education in practice JID - 101090848 EDAT- 2008/12/02 09:00 MHDA- 2008/12/02 09:01 CRDT- 2008/12/02 09:00 PHST- 2003/07/22 [received] PHST- 2005/01/28 [accepted] AID - S1471-5953(05)00019-3 [pii] AID - 10.1016/j.nepr.2005.01.004 [doi] PST - ppublish SO - Nurse Educ Pract. 2005 Sep;5(5):266-73. doi: 10.1016/j.nepr.2005.01.004. PMID- 18809230 OWN - NLM STAT- MEDLINE DA - 20100525 DCOM- 20100914 LR - 20151119 IS - 1532-3099 (Electronic) IS - 0266-6138 (Linking) VI - 26 IP - 3 DP - 2010 Jun TI - An exploration of the attitudes of attenders and non-attenders towards antenatal education. PG - 294-303 LID - 10.1016/j.midw.2008.06.005 [doi] AB - OBJECTIVE: to explore the attitudes of first-time mothers towards antenatal education from the perspective of attenders and non-attenders. DESIGN: a qualitative approach was utilised using focus group interviews to collect the data. SETTING: the study was conducted in one local health office area of the Health Service Executive-South East, Ireland. PARTICIPANTS: a purposive sample of first-time mothers was interviewed to explore the area of antenatal education. These women included both attenders and non-attenders at antenatal education. KEY CONCLUSIONS: the findings suggest there are many strengths, weaknesses, opportunities and barriers to antenatal education. Strengths of antenatal education included the facilitator of antenatal classes, the information and preparation received, and the social aspect of meeting other expectant mothers. Barriers to attendance at antenatal education included working night shifts, no interest, transport difficulties, inflexible employer, and partner not attending. A move away from didactic teaching methods and greater participation and involvement of parents was identified as necessary. IMPLICATIONS FOR PRACTICE: fundamental issues related to the provision and of antenatal education were identified. A need for promotion and advertising of antenatal education was identified by the participants. Mothers identified specific needs such as the provision of postnatal classes and peer mentoring, flexible availability of classes, and facilitators utilising the principles of adult learning to guide classes. The mothers alluded to the importance of father's attendance and inclusion at classes. In view of the poor uptake of antenatal classes in Ireland, it is imperative that an approach to antenatal education is parent centred and needs driven. CI - Copyright 2008. Published by Elsevier Ltd. FAU - Murphy Tighe, Sylvia AU - Murphy Tighe S AD - Department of Nursing and Midwifery, University of Limerick, North Campus, Limerick, Ireland. Sylvia.murphy@ul.ie LA - eng PT - Journal Article DEP - 20080921 PL - Scotland TA - Midwifery JT - Midwifery JID - 8510930 SB - N MH - Adaptation, Psychological MH - Advertising as Topic MH - Curriculum MH - Fathers/psychology MH - Female MH - Focus Groups MH - Health Education/*organization & administration MH - Health Services Needs and Demand MH - Humans MH - Interpersonal Relations MH - Ireland MH - Mothers/education/*psychology/statistics & numerical data MH - Nursing Methodology Research MH - Parenting/*psychology MH - Patient Acceptance of Health Care/*psychology/statistics & numerical data MH - Peer Group MH - Pregnancy MH - Prenatal Care/*organization & administration MH - Qualitative Research MH - Surveys and Questionnaires MH - Transportation EDAT- 2008/09/24 09:00 MHDA- 2010/09/15 06:00 CRDT- 2008/09/24 09:00 PHST- 2007/11/07 [received] PHST- 2008/06/20 [revised] PHST- 2008/06/27 [accepted] AID - S0266-6138(08)00061-2 [pii] AID - 10.1016/j.midw.2008.06.005 [doi] PST - ppublish SO - Midwifery. 2010 Jun;26(3):294-303. doi: 10.1016/j.midw.2008.06.005. Epub 2008 Sep 21. PMID- 18808705 OWN - NLM STAT- MEDLINE DA - 20081003 DCOM- 20081219 LR - 20151119 IS - 1471-2458 (Electronic) IS - 1471-2458 (Linking) VI - 8 DP - 2008 Sep 22 TI - The impact of a minimal smoking cessation intervention for pregnant women and their partners on perinatal smoking behaviour in primary health care: a real-life controlled study. PG - 325 LID - 10.1186/1471-2458-8-325 [doi] AB - BACKGROUND: There is a demand for strategies to promote smoking cessation in high-risk populations like smoking pregnant women and their partners. The objectives of this study were to investigate parental smoking behaviour during pregnancy after introduction of a prenatal, structured, multi-disciplinary smoking cessation programme in primary care, and to compare smoking behaviour among pregnant women in the city of Trondheim with Bergen and Norway. METHODS: Sequential birth cohorts were established to evaluate the intervention programme from September 2000 to December 2004 in primary care as a part of the Prevention of Allergy among Children in Trondheim study (PACT). The primary outcome variables were self reported smoking behaviour at inclusion and six weeks postnatal. Data from the Medical Birth Registry of Norway (MBR) were used to describe smoking cessation during pregnancy in Trondheim, Bergen and Norway 1999-2004. RESULTS: Maternal smoking prevalence at inclusion during pregnancy were 5% (CI 95% 4-6) in the intervention cohort compared to 7% (CI 95% 6-9), p = 0.03, in the control cohort. Of the pre-pregnancy maternal smokers 25% (CI 95% 20-31) and 32% (CI 95% 26-38), p = 0.17, were still smoking at inclusion in the intervention and control cohorts, respectively. Six weeks postnatal 72% (CI 95% 59-83) and 68% (CI 95% 57-77), p = 0.34 of the maternal smokers at inclusion still smoked. No significant difference in paternal smoking between the cohorts was found after the intervention period. Data from the MBR showed a significantly higher proportion of women who stopped smoking during pregnancy in Trondheim than in Bergen in 2003 and 2004, p = 0.03 and < 0.001, respectively. CONCLUSION: No impact on parental smoking behaviour between the cohorts was observed after the smoking intervention programme. Of the women who stopped smoking during pregnancy most of them stopped smoking before the intervention. However, we observed a significantly higher quitting rate in Trondheim than in Bergen in 2003 and 2004 which may have been facilitated by the supplemental attention on smoking behaviour the PACT study initiated. FAU - Oien, Torbjorn AU - Oien T AD - Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology, N-7489 Trondheim, Norway. torbjorn.oien@ntnu.no FAU - Storro, Ola AU - Storro O FAU - Jenssen, Jon A AU - Jenssen JA FAU - Johnsen, Roar AU - Johnsen R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080922 PL - England TA - BMC Public Health JT - BMC public health JID - 100968562 SB - IM MH - Adult MH - Attitude to Health MH - Cohort Studies MH - Confidence Intervals MH - Female MH - *Health Behavior MH - Humans MH - Male MH - Norway/epidemiology MH - Patient Dropouts/statistics & numerical data MH - Pregnancy MH - Primary Health Care MH - Smoking/*epidemiology MH - Smoking Cessation/*methods MH - Spouses MH - Surveys and Questionnaires PMC - PMC2559841 OID - NLM: PMC2559841 EDAT- 2008/09/24 09:00 MHDA- 2008/12/20 09:00 CRDT- 2008/09/24 09:00 PHST- 2007/11/23 [received] PHST- 2008/09/22 [accepted] AID - 1471-2458-8-325 [pii] AID - 10.1186/1471-2458-8-325 [doi] PST - epublish SO - BMC Public Health. 2008 Sep 22;8:325. doi: 10.1186/1471-2458-8-325. PMID- 18808593 OWN - NLM STAT- MEDLINE DA - 20080923 DCOM- 20081215 LR - 20151119 IS - 1365-2648 (Electronic) IS - 0309-2402 (Linking) VI - 64 IP - 1 DP - 2008 Oct TI - Development of an internet-based intervention for parents of infants. PG - 60-72 LID - 10.1111/j.1365-2648.2008.04759.x [doi] AB - AIM: This paper reports on a study to describe the development of an internet-based intervention for parents with infants and to compare the participants and hospitals at baseline. BACKGROUND: There is a need for interventions to support parenting and for more research into the use of information technology as an intervention strategy. The design and development of healthcare interventions is a complex task, but these are rarely discussed in research reports. METHODS: A quasi-experimental study was conducted. The data (N = 1300 families) were collected using a structured questionnaire at the hospital or no later than 1 week after discharge during the winter of 2006. The results were used to develop the intervention and to compare the participants at baseline. Statistically significant differences were determined by chi-squared or Fisher's exact tests for percentages and one-way anova for means. The internal consistency relialibility of the scales was analysed using Cronbach's alpha coefficients. FINDINGS: Participants in the intervention (n = 469 mothers, n = 307 fathers) and control (n = 394 mothers, n = 218 fathers) hospitals were comparable in respect of parent and infant attributes. There were statistically significant differences between the hospitals in fathers' overnight stays and their access to social support from professionals on the maternity ward. Exclusive breastfeeding was more common in the intervention hospital. More support for infants' cues and behaviour, and day-rhythm and sleep were needed in the intervention hospital. CONCLUSION: More research is needed to gain a clearer understanding of the effect size of the differences for a reliable evaluation of the effectiveness of the proposed intervention. FAU - Salonen, Anne H AU - Salonen AH AD - Finnish Post-Graduate School in Nursing Science, Department of Nursing Science, University of Tampere, Tampere, Finland. anne.h.salonen@uta.fi FAU - Kaunonen, Marja AU - Kaunonen M FAU - Astedt-Kurki, Paivi AU - Astedt-Kurki P FAU - Jarvenpaa, Anna-Liisa AU - Jarvenpaa AL FAU - Tarkka, Marja-Terttu AU - Tarkka MT LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - J Adv Nurs JT - Journal of advanced nursing JID - 7609811 SB - IM SB - N MH - Cohort Studies MH - Community Health Nursing/*methods MH - Finland MH - Humans MH - Infant, Newborn MH - *Internet MH - Maternal Health Services/*organization & administration/standards MH - Parents/education/*psychology MH - Postnatal Care MH - Program Evaluation MH - *Social Support MH - Surveys and Questionnaires EDAT- 2008/09/24 09:00 MHDA- 2008/12/17 09:00 CRDT- 2008/09/24 09:00 AID - JAN4759 [pii] AID - 10.1111/j.1365-2648.2008.04759.x [doi] PST - ppublish SO - J Adv Nurs. 2008 Oct;64(1):60-72. doi: 10.1111/j.1365-2648.2008.04759.x. PMID- 18757660 OWN - NLM STAT- MEDLINE DA - 20080901 DCOM- 20081113 LR - 20161122 IS - 0029-7844 (Print) IS - 0029-7844 (Linking) VI - 112 IP - 3 DP - 2008 Sep TI - An intervention to improve postpartum outcomes in African-American mothers: a randomized controlled trial. PG - 611-20 LID - 10.1097/AOG.0b013e3181834b10 [doi] AB - OBJECTIVE: To evaluate the efficacy of an integrated multiple risk intervention, delivered mainly during pregnancy, in reducing such risks (cigarette smoking, environmental tobacco smoke exposure, depression, and intimate partner violence) postpartum. METHODS: Data from this randomized controlled trial were collected prenatally and on average 10 weeks postpartum in six prenatal care sites in the District of Columbia. African Americans were screened, recruited, and randomly assigned to the behavioral intervention or usual care. Clinic-based, individually tailored counseling was delivered to intervention women. The outcome measures were number of risks reported postpartum and reduction of these risks between baseline and postpartum. RESULTS: The intervention was effective in significantly reducing the number of risks reported in the postpartum period. In bivariate analyses, the intervention group was more successful in resolving all risks (47% compared with 35%, P=.007, number needed to treat=9, 95% confidence interval [CI] 5-31) and in resolving some risks (63% compared with 54%, P=.009, number needed to treat=11, 95% CI 7-43) as compared with the usual care group. In logistic regression analyses, women in the intervention group were more likely to resolve all risks (odds ratio 1.86, 95% CI 1.25-2.75, number needed to treat=7, 95% CI 4-19) and resolve at least one risk (odds ratio 1.60, 95% CI 1.15-2.22, number needed to treat=9, 95% CI 6-29). CONCLUSION: An integrated multiple risk factor intervention addressing psychosocial and behavioral risks delivered mainly during pregnancy can have beneficial effects in risk reduction postpartum. FAU - El-Mohandes, Ayman A E AU - El-Mohandes AA AD - George Washington University, Washington, DC, USA. sphaxe@gwumc.edu FAU - Kiely, Michele AU - Kiely M FAU - Joseph, Jill G AU - Joseph JG FAU - Subramanian, Siva AU - Subramanian S FAU - Johnson, Allan A AU - Johnson AA FAU - Blake, Susan M AU - Blake SM FAU - Gantz, Marie G AU - Gantz MG FAU - El-Khorazaty, M Nabil AU - El-Khorazaty MN LA - eng GR - 5U18HD31206/HD/NICHD NIH HHS/United States GR - U18 HD030445-07/HD/NICHD NIH HHS/United States GR - U18 HD031919-07/HD/NICHD NIH HHS/United States GR - U18 HD030447-07/HD/NICHD NIH HHS/United States GR - U18 HD030445/HD/NICHD NIH HHS/United States GR - 3U18HD031919/HD/NICHD NIH HHS/United States GR - 3U18HD030447/HD/NICHD NIH HHS/United States GR - Z99 HD999999/Intramural NIH HHS/United States GR - U18 HD031919/HD/NICHD NIH HHS/United States GR - U18 HD036104-02/HD/NICHD NIH HHS/United States GR - U18 HD030447/HD/NICHD NIH HHS/United States GR - U18 HD036104/HD/NICHD NIH HHS/United States GR - 3U18HD030445/HD/NICHD NIH HHS/United States GR - 5U18HD036104/HD/NICHD NIH HHS/United States GR - U18 HD031206/HD/NICHD NIH HHS/United States GR - U18 HD031206-07/HD/NICHD NIH HHS/United States PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PL - United States TA - Obstet Gynecol JT - Obstetrics and gynecology JID - 0401101 SB - AIM SB - IM MH - *African Americans MH - *Cognitive Therapy MH - Depression, Postpartum/prevention & control MH - Female MH - Humans MH - *Postnatal Care MH - Pregnancy MH - *Prenatal Care MH - Risk Reduction Behavior MH - Smoking/prevention & control MH - Spouse Abuse/prevention & control PMC - PMC2935657 MID - NIHMS223500 OID - NLM: NIHMS223500 OID - NLM: PMC2935657 EDAT- 2008/09/02 09:00 MHDA- 2008/11/14 09:00 CRDT- 2008/09/02 09:00 AID - 112/3/611 [pii] AID - 10.1097/AOG.0b013e3181834b10 [doi] PST - ppublish SO - Obstet Gynecol. 2008 Sep;112(3):611-20. doi: 10.1097/AOG.0b013e3181834b10. PMID- 18587681 OWN - NLM STAT- MEDLINE DA - 20090126 DCOM- 20090507 LR - 20090126 IS - 1435-165X (Electronic) IS - 1018-8827 (Linking) VI - 18 IP - 2 DP - 2009 Feb TI - Externalizing behaviors in preadolescents: familial risk to externalizing behaviors, prenatal and perinatal risks, and their interactions. PG - 65-74 LID - 10.1007/s00787-008-0704-x [doi] AB - BACKGROUND: Accumulating evidence indicates that there is a rich and varied interplay between persons and their environments, which strongly suggests that this involves gene-environment correlations and interactions. We investigated whether familial risk (FR) to externalizing behaviors and prenatal and perinatal risk factors, separately or in interaction with each other, predicted externalizing behaviors. METHODS: The subjects were 10- to 12-year-old preadolescents who were taking part in TRAILS, a large prospective population-based cohort study (N = 2,230). Regression analyses were used to determine the relative contribution of FR and prenatal and perinatal risks to parent and teacher ratings of inattention, hyperactivity/impulsivity aggression, and delinquency. RESULTS: Regression models explained between 6 and 11% of the variance of externalizing behaviors. We found main effects of FR (vs. no FR), macrosomia (birth weight > 4,500 g), maternal prenatal smoking (MPS), pregnancy and delivery complications (PDCs), and gender that were rather consistent across rater and outcome measures. For some outcome measures, the effect of MPS and PDCs depended on the presence of FR. These included both positive and negative interaction effects. Correlations between FR and prenatal and perinatal risks were significant but rather low. CONCLUSIONS: Both main effects and interaction effects of FR and prenatal and perinatal risks contributed to externalizing behaviors in preadolescents, but all effects were of small size. Further research including use of candidate gene polymorphisms is necessary to identify the underlying neurobiological mechanisms of these main and interaction effects. FAU - Buschgens, Cathelijne J M AU - Buschgens CJ AD - Department of Psychiatry, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. c.buschgens@psy.umcn.nl FAU - Swinkels, Sophie H N AU - Swinkels SH FAU - van Aken, Marcel A G AU - van Aken MA FAU - Ormel, Johan AU - Ormel J FAU - Verhulst, Frank C AU - Verhulst FC FAU - Buitelaar, Jan K AU - Buitelaar JK LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080628 PL - Germany TA - Eur Child Adolesc Psychiatry JT - European child & adolescent psychiatry JID - 9212296 SB - IM MH - Adolescent MH - Aggression/psychology MH - Attention Deficit Disorder with Hyperactivity/diagnosis/epidemiology MH - Child MH - Child Behavior/psychology MH - Child Behavior Disorders/*diagnosis/*epidemiology MH - Cohort Studies MH - Comorbidity MH - Female MH - Humans MH - Impulsive Behavior/diagnosis/epidemiology MH - Male MH - Maternal Exposure/*statistics & numerical data MH - Netherlands/epidemiology MH - Pregnancy MH - Prenatal Exposure Delayed Effects/*diagnosis/*epidemiology MH - Prevalence MH - Prospective Studies MH - Regression Analysis MH - Risk Factors EDAT- 2008/07/01 09:00 MHDA- 2009/05/08 09:00 CRDT- 2008/07/01 09:00 PHST- 2008/03/27 [accepted] AID - 10.1007/s00787-008-0704-x [doi] PST - ppublish SO - Eur Child Adolesc Psychiatry. 2009 Feb;18(2):65-74. doi: 10.1007/s00787-008-0704-x. Epub 2008 Jun 28. PMID- 18576172 OWN - NLM STAT- MEDLINE DA - 20080625 DCOM- 20081125 LR - 20080625 IS - 1360-0451 (Electronic) IS - 0954-0121 (Linking) VI - 20 IP - 6 DP - 2008 Jul TI - Low male partner participation in antenatal HIV counselling and testing in northern Tanzania: implications for preventive programs. PG - 700-9 LID - 10.1080/09540120701687059 [doi] AB - This study aimed to describe the prevalence and predictors for male partner participation in HIV voluntary counselling and testing (VCT) at two primary healthcare clinics in Moshi urban, Tanzania as well as the effect of partner participation on uptake of HIV perinatal interventions. Pregnant women (n = 2654) in their third trimester, participating in a prevention of mother to child tranmission (PMTCT) program between June 2002 and March 2004 were encouraged to inform and invite their partners for HIV-VCT. Trained nurses conducted pre-test counselling, interviews, clinical examinations and blood sampling from the participating women and their partners. Test results were presented and post-test counselling was conducted individually or in couples, depending on the wishes of the participants. Three-hundred-and-thirty-two male partners (12.5%) came for HIV-VCT. A high proportion (131; 40%) came after the woman had delivered. HIV-seropositive women whose partners attended were three times more likely to use Nevirapine prophylaxis, four times more likely to avoid breastfeeding and six times more likely to adhere to the infant feeding method selected than those whose partners didn't attend. Women were more likely to bring their partner for VCT if they collected their own test results, were living with their partner, had a high monthly income and had expressed at enrolment the intention to share HIV results with their partner. Although PMTCT programs are presumably a good entry point for male involvement in prevention of sexual and perinatal HIV transmission, this traditional clinic-based approach reaches few men. Given the positive influence male participation has on the acceptance of perinatal interventions, a different approach for promoting male participation in VCT is urgently required. Within PMTCT programs, counseling should emphasize the advantages of partner participation to encourage women to inform and convince male partners to come for VCT. Also, promotion of couple VCT outside antenatal settings in male friendly and accessible settings should be given priority. FAU - Msuya, S E AU - Msuya SE AD - Department of International Health, University of Oslo, Norway. siamsuya@hotmail.com FAU - Mbizvo, E M AU - Mbizvo EM FAU - Hussain, A AU - Hussain A FAU - Uriyo, J AU - Uriyo J FAU - Sam, N E AU - Sam NE FAU - Stray-Pedersen, B AU - Stray-Pedersen B LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PL - England TA - AIDS Care JT - AIDS care JID - 8915313 SB - IM SB - X MH - AIDS Serodiagnosis/*psychology MH - Adult MH - Condoms/utilization MH - Counseling/methods MH - Female MH - HIV Infections/*prevention & control/transmission MH - *HIV-1 MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Infectious Disease Transmission, Vertical/*prevention & control MH - Male MH - Patient Acceptance of Health Care/ethnology/statistics & numerical data MH - Pregnancy MH - Sex Factors MH - Sexual Behavior/ethnology/psychology MH - Sexual Partners/*psychology MH - Tanzania MH - Voluntary Programs EDAT- 2008/06/26 09:00 MHDA- 2008/12/17 09:00 CRDT- 2008/06/26 09:00 AID - 794404082 [pii] AID - 10.1080/09540120701687059 [doi] PST - ppublish SO - AIDS Care. 2008 Jul;20(6):700-9. doi: 10.1080/09540120701687059. PMID- 18507579 OWN - NLM STAT- MEDLINE DA - 20080529 DCOM- 20080718 LR - 20161019 IS - 1523-536X (Electronic) IS - 0730-7659 (Linking) VI - 35 IP - 2 DP - 2008 Jun TI - A randomized controlled trial of continuous labor support for middle-class couples: effect on cesarean delivery rates. PG - 92-7 LID - 10.1111/j.1523-536X.2008.00221.x [doi] AB - BACKGROUND: Previous randomized controlled studies in several different settings demonstrated the positive effects of continuous labor support by an experienced woman (doula) for low-income women laboring without the support of family members. The objective of this randomized controlled trial was to examine the perinatal effects of doula support for nulliparous middle-income women accompanied by a male partner during labor and delivery. METHODS: Nulliparous women in the third trimester of an uncomplicated pregnancy were enrolled at childbirth education classes in Cleveland, Ohio, from 1988 through 1992. Of the 686 prenatal women recruited, 420 met enrollment criteria and completed the intervention. For the 224 women randomly assigned to the experimental group, a doula arrived shortly after hospital admission and remained throughout labor and delivery. Doula support included close physical proximity, touch, and eye contact with the laboring woman, and teaching, reassurance, and encouragement of the woman and her male partner. RESULTS: The doula group had a significantly lower cesarean delivery rate than the control group (13.4% vs 25.0%, p = 0.002), and fewer women in the doula group received epidural analgesia (64.7% vs 76.0%, p = 0.008). Among women with induced labor, those supported by a doula had a lower rate of cesarean delivery than those in the control group (12.5% vs 58.8%, p = 0.007). On questionnaires the day after delivery, 100 percent of couples with doula support rated their experience with the doula positively. CONCLUSIONS: For middle-class women laboring with the support of their male partner, the continuous presence of a doula during labor significantly decreased the likelihood of cesarean delivery and reduced the need for epidural analgesia. Women and their male partners were unequivocal in their positive opinions about laboring with the support of a doula. FAU - McGrath, Susan K AU - McGrath SK AD - Department of Pediatrics, Case Western Reserve University, Cleveland, Ohio 44106, USA. FAU - Kennell, John H AU - Kennell JH LA - eng GR - R01 HD016915/HD/NICHD NIH HHS/United States GR - HD 16915/HD/NICHD NIH HHS/United States PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PL - United States TA - Birth JT - Birth (Berkeley, Calif.) JID - 8302042 SB - IM MH - Adult MH - Cesarean Section/*statistics & numerical data MH - Female MH - Friends MH - Humans MH - Labor, Obstetric/physiology/*psychology MH - Male MH - *Midwifery MH - *Patient Satisfaction MH - Postnatal Care/methods/psychology/standards MH - Pregnancy MH - Pregnancy Outcome MH - Prenatal Care/methods/standards MH - *Social Support MH - Spouses EDAT- 2008/05/30 09:00 MHDA- 2008/07/19 09:00 CRDT- 2008/05/30 09:00 AID - BIR221 [pii] AID - 10.1111/j.1523-536X.2008.00221.x [doi] PST - ppublish SO - Birth. 2008 Jun;35(2):92-7. doi: 10.1111/j.1523-536X.2008.00221.x. PMID- 18408805 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20080414 DCOM- 20120827 LR - 20170220 IS - 1058-1243 (Print) IS - 1058-1243 (Linking) VI - 16 IP - 1 DP - 2007 Winter TI - Antenatal education as perceived by health professionals. PG - 9-15 LID - 10.1624/105812407X171067 [doi] AB - This article aims to identify the learning needs of expectant and new parents for antenatal education as perceived by health professionals. In Australia, antenatal education programs are predominantly designed by health professionals, and recent research has challenged the efficacy of this approach. The data collected from 73 health professionals, reported here, demonstrates that their perceptions of the concerns and interests of expectant and new parents were divided into three interrelated categories: "need to know...what's happening," "they won't listen," and "balanced information." The health professional ideas for improving antenatal education were limited and identified a reluctance to change practice. FAU - Svensson, Jane AU - Svensson J AD - JANE SVENSSON is the Health Education Coordinator at the Royal Hospital for Women in Sydney, Australia. LESLEY BARCLAY is a professor in Health Services Development at Charles Darwin University in Darwin, Australia. MARGARET COOKE is an honorary fellow and a nursing faculty member in the Midwifery and Health Department at the University of Technology-Sydney, Australia. FAU - Barclay, Lesley AU - Barclay L FAU - Cooke, Margaret AU - Cooke M LA - eng PT - Journal Article PL - United States TA - J Perinat Educ JT - The Journal of perinatal education JID - 9301158 PMC - PMC1804316 OID - NLM: PMC1804316 EDAT- 2008/04/15 09:00 MHDA- 2008/04/15 09:01 CRDT- 2008/04/15 09:00 AID - 10.1624/105812407X171067 [doi] PST - ppublish SO - J Perinat Educ. 2007 Winter;16(1):9-15. doi: 10.1624/105812407X171067. PMID- 18311336 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20080303 DCOM- 20120925 LR - 20170220 IS - 1058-1243 (Print) IS - 1058-1243 (Linking) VI - 16 IP - 2 DP - 2007 Spring TI - Strategies for incorporating cultural competence into childbirth education curriculum. PG - 33-7 LID - 10.1624/105812407X191489 [doi] AB - Cultural competence affects all interactions with prospective parents and families. Childbirth educators need to assess their own cultural competence, beginning with an understanding of their own background and how it affects interactions with families. The purpose of this article is to enhance the incorporation of cultural competency, cultural awareness, and cultural sensitivity into the childbirth education curricula. Methods for enhancing cultural competence in a multicultural global society are discussed. Strategies are also presented to address the challenges of assessing parents and families of diverse cultures and their beliefs, traditions, and special needs in the plan of care. FAU - Greene, Margaret J AU - Greene MJ AD - MARGARET GREENE is an associate professor in the College of Nursing at Seton Hall University in South Orange, New Jersey. LA - eng PT - Journal Article PL - United States TA - J Perinat Educ JT - The Journal of perinatal education JID - 9301158 PMC - PMC1905821 OID - NLM: PMC1905821 EDAT- 2008/03/04 09:00 MHDA- 2008/03/04 09:01 CRDT- 2008/03/04 09:00 AID - 10.1624/105812407X191489 [doi] PST - ppublish SO - J Perinat Educ. 2007 Spring;16(2):33-7. doi: 10.1624/105812407X191489. PMID- 17824941 OWN - NLM STAT- MEDLINE DA - 20070910 DCOM- 20080220 LR - 20070910 IS - 0309-2402 (Print) IS - 0309-2402 (Linking) VI - 60 IP - 1 DP - 2007 Oct TI - Development and evaluation of a childbirth education programme for Malawian women. PG - 67-78 AB - AIM: This paper is a report of a study to develop and evaluate a childbirth educational programme for Malawian women. BACKGROUND: Providing parent education is integral to the midwife's role. Malawian midwives face a challenge in fulfilling this role, with no existing childbirth education programme to facilitate this process. METHOD: A mixed method approach was used for this three-phase study. In Phase 1, childbirth information needs of Malawian women were determined from literature and interviews with midwives. In Phase 2, a structured childbirth education programme was developed. In Phase 3, a quasi-experimental design using sequential sampling was conducted to evaluate the education programme. Participants were pregnant women who attended antenatal clinics in 2002, with 104 in the control group and 105 in the intervention group. Changes in childbirth knowledge were determined over a 6-week period. FINDINGS: The childbirth education programme included information, teaching strategies and a schedule for implementation for content relevant to the antenatal, labour and birth and postnatal time periods. Results revealed no significant difference in knowledge in the control group between pretest and post-test scores. For the intervention group, however, an overall significant increase in knowledge across all time periods was demonstrated (P < 0.01). CONCLUSION: A childbirth education programme, developed for the Malawian context, was associated with important increases in maternal knowledge about antenatal, labour and birth and postnatal topics. The findings have implications for midwives in other developing countries and offer an example of a midwifery-led initiative to provide formal childbirth education to these vulnerable women. FAU - Malata, Address AU - Malata A AD - Kamuzu College of Nursing, University of Malawi, Blantyre, Malawi. mauakowa@yahoo.co.uk FAU - Hauck, Yvonne AU - Hauck Y FAU - Monterosso, Leanne AU - Monterosso L FAU - McCaul, Kieran AU - McCaul K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - J Adv Nurs JT - Journal of advanced nursing JID - 7609811 SB - IM SB - N MH - Adolescent MH - Adult MH - *Attitude of Health Personnel MH - Female MH - Focus Groups MH - Health Education/*organization & administration MH - Humans MH - Maternal Health Services/*organization & administration MH - *Midwifery MH - Nursing Evaluation Research MH - Patient Education as Topic/*methods/standards MH - Pregnancy MH - *Program Development MH - Program Evaluation RF - 61 EDAT- 2007/09/11 09:00 MHDA- 2008/02/21 09:00 CRDT- 2007/09/11 09:00 AID - JAN4380 [pii] AID - 10.1111/j.1365-2648.2007.04380.x [doi] PST - ppublish SO - J Adv Nurs. 2007 Oct;60(1):67-78. PMID- 17761577 OWN - NLM STAT- MEDLINE DA - 20070926 DCOM- 20071009 LR - 20170220 IS - 1541-0048 (Electronic) IS - 0090-0036 (Linking) VI - 97 IP - 10 DP - 2007 Oct TI - Promoting prenatal and early childhood health: evaluation of a statewide materials-based intervention for parents. PG - 1813-9 AB - OBJECTIVES: There is a critical need for effective, large-scale health communication programs to support parents of children aged 0-5 years. We evaluated the effectiveness of the Kit for New Parents, a multimedia health and parenting resource now distributed annually to 500000 parents in California. METHODS: In this quasi-experimental study, 462 mothers in the intervention group and 1011 mothers in the comparison group, recruited from prenatal and postnatal programs, completed a baseline interview about health-relevant parenting knowledge, and mothers in the intervention group received the kit. Both groups were reinterviewed 2 months later. At 14-months postbaseline, 350 mothers in the intervention group and a sample of 414 mothers who had equivalent demographic characteristics (comparison group) were interviewed about parenting knowledge and practices. RESULTS: Of the mothers in the intervention group, 87% reported using the kit within 2 months after receiving it, and 53% had shared it with their partner. At both follow-ups, mothers in the intervention group showed greater gains in knowledge and reported better practices at 14 months than did mothers in the comparison group. Gains were greater for prenatal recipients and for Spanish speakers. Providers considered the kit a valuable resource for their parenting programs. CONCLUSIONS: The kit is an effective, low-cost, statewide health intervention for parents. FAU - Neuhauser, Linda AU - Neuhauser L AD - Community Health and Human Development, School of Public Health, University of California, Berkeley, CA 94720-7360, USA. lindan@berkeley.edu FAU - Constantine, Wendy L AU - Constantine WL FAU - Constantine, Norman A AU - Constantine NA FAU - Sokal-Gutierrez, Karen AU - Sokal-Gutierrez K FAU - Obarski, Susan K AU - Obarski SK FAU - Clayton, Lacy AU - Clayton L FAU - Desai, Mona AU - Desai M FAU - Sumner, Gerald AU - Sumner G FAU - Syme, S Leonard AU - Syme SL LA - eng PT - Evaluation Studies PT - Journal Article DEP - 20070829 PL - United States TA - Am J Public Health JT - American journal of public health JID - 1254074 SB - AIM SB - IM MH - California MH - *Child Welfare MH - Child, Preschool MH - Communication MH - Health Promotion/*methods MH - Humans MH - Infant MH - Infant, Newborn MH - Interviews as Topic MH - Mothers/*psychology MH - *Pamphlets MH - Parenting/*psychology MH - Time Factors PMC - PMC1994188 OID - NLM: PMC1994188 EDAT- 2007/09/01 09:00 MHDA- 2007/10/10 09:00 CRDT- 2007/09/01 09:00 AID - AJPH.2006.089532 [pii] AID - 10.2105/AJPH.2006.089532 [doi] PST - ppublish SO - Am J Public Health. 2007 Oct;97(10):1813-9. Epub 2007 Aug 29. PMID- 17687657 OWN - NLM STAT- MEDLINE DA - 20070809 DCOM- 20071210 LR - 20151119 IS - 0004-8674 (Print) IS - 0004-8674 (Linking) VI - 41 IP - 9 DP - 2007 Sep TI - First-Time Fathers' Study: psychological distress in expectant fathers during pregnancy. PG - 718-25 AB - OBJECTIVE: High levels of distress have previously been reported among expectant fathers, with the level of distress for new fathers falling after the birth and during the first year of their infants' lives. The aim of the present study was to report on the associations with the fathers' initial high levels of distress. METHOD: The men completed a series of questionnaires on various aspects of their psychological functioning at a baseline assessment when their partners were in the late first trimester of their pregnancy. The General Health Questionnaire-28 (GHQ-28) was the key measure of psychological distress for the present study. Men scoring >5 on the GHQ were considered to be cases of distress. The cases and non-cases were contrasted on the baseline psychosocial measures. RESULTS: A total of 312 men completed the questionnaires, of whom 18.6% were designated as cases. GHQ caseness was associated with high levels of symptoms on other measures of psychological distress, higher levels of alcohol consumption, poorer quality of their current intimate relationship, poorer social support, a lower quality of life, high levels of neuroticism and the use of immature ego defences. Multiple regression analysis identified the key variables associated with psychological distress to be high levels of neuroticism, dissatisfaction with social support and an excess number of additional life events. CONCLUSIONS: Psychological distress among expectant fathers is associated with a range of psychological variables, particularly poor marital relationship and poor social networks. This is consistent with a general vulnerability model for psychological distress. Fathers who had insufficient information about pregnancy and childbirth were also at risk of being distressed, suggesting that more attention needs to be paid to providing information to men about their partner's pregnancy, childbirth and issues relating to caring for a newborn infant. FAU - Boyce, Philip AU - Boyce P AD - Department of Psychiatry, Westmead Hospital, Wentworthville, NSW, Australia. pboyce@mail.usyd.edu.au FAU - Condon, John AU - Condon J FAU - Barton, Jodi AU - Barton J FAU - Corkindale, Carolyn AU - Corkindale C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Aust N Z J Psychiatry JT - The Australian and New Zealand journal of psychiatry JID - 0111052 SB - IM MH - *Adaptation, Psychological MH - Adult MH - Alcohol Drinking/psychology MH - Fathers/education/*psychology MH - Female MH - Humans MH - Infant, Newborn MH - Male MH - Marriage/psychology MH - Neurotic Disorders/psychology MH - Paternal Behavior MH - Perinatal Care MH - Pregnancy/*psychology MH - Quality of Life/psychology MH - Social Support MH - Stress, Psychological/*complications MH - Surveys and Questionnaires EDAT- 2007/08/10 09:00 MHDA- 2007/12/11 09:00 CRDT- 2007/08/10 09:00 AID - 781185111 [pii] AID - 10.1080/00048670701517959 [doi] PST - ppublish SO - Aust N Z J Psychiatry. 2007 Sep;41(9):718-25. PMID- 17636711 OWN - NLM STAT- MEDLINE DA - 20070719 DCOM- 20071018 LR - 20130628 IS - 1469-493X (Electronic) IS - 1361-6137 (Linking) IP - 3 DP - 2007 Jul 18 TI - Individual or group antenatal education for childbirth or parenthood, or both. PG - CD002869 AB - BACKGROUND: Structured antenatal education programs for childbirth or parenthood, or both, are commonly recommended for pregnant women and their partners by healthcare professionals in many parts of the world. Such programs are usually offered to groups but may be offered to individuals. OBJECTIVES: To assess the effects of this education on knowledge acquisition, anxiety, sense of control, pain, labour and birth support, breastfeeding, infant-care abilities, and psychological and social adjustment. SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (April 2006), CINAHL (1982 to April 2006), ERIC (1984 to April 2006), EMBASE (1980 to April 2006) and PsycINFO (1988 to April 2006). We handsearched the Journal of Psychosomatic Research from 1956 to April 2006 and reviewed the reference lists of retrieved studies. SELECTION CRITERIA: Randomized controlled trials of any structured educational program provided during pregnancy by an educator to either parent that included information related to pregnancy, birth or parenthood. The educational interventions could have been provided on an individual or group basis. Educational interventions directed exclusively to either increasing breastfeeding success, knowledge of and coping skills concerning postpartum depression, improving maternal psycho-social health including anxiety, depression and self-esteem or reducing smoking were excluded. DATA COLLECTION AND ANALYSIS: Both authors assessed trial quality and extracted data from published reports. MAIN RESULTS: Nine trials, involving 2284 women, were included. Thirty-seven studies were excluded. Educational interventions were the focus of eight of the studies (combined n = 1009). Details of the randomization procedure, allocation concealment, and/or participant accrual or loss for these trials were not reported. No consistent results were found. Sample sizes were very small to moderate, ranging from 10 to 318. No data were reported concerning anxiety, breastfeeding success, or general social support. Knowledge acquisition, sense of control, factors related to infant-care competencies, and some labour and birth outcomes were measured. The largest of the included studies (n = 1275) examined an educational and social support intervention to increase vaginal birth after caesarean section. This high-quality study showed similar rates of vaginal birth after caesarean section in 'verbal' and 'document' groups (relative risk 1.08, 95% confidence interval 0.97 to 1.21). AUTHORS' CONCLUSIONS: The effects of general antenatal education for childbirth or parenthood, or both, remain largely unknown. Individualized prenatal education directed toward avoidance of a repeat caesarean birth does not increase the rate of vaginal birth after caesarean section. FAU - Gagnon, A J AU - Gagnon AJ AD - McGill University/McGill University Health Center, School of Nursing and Department of Obstetrics and Gynaecology, 3506 University Street, Montreal, Quebec, Canada, H3A 2A7. anita.gagnon@mcgill.ca FAU - Sandall, J AU - Sandall J LA - eng PT - Journal Article PT - Review DEP - 20070718 PL - England TA - Cochrane Database Syst Rev JT - The Cochrane database of systematic reviews JID - 100909747 SB - IM UOF - Cochrane Database Syst Rev. 2000;(4):CD002869. PMID: 11034780 MH - Fathers/education MH - Female MH - Humans MH - *Labor, Obstetric MH - Mothers/education MH - *Parenting MH - Pregnancy MH - Prenatal Care/methods MH - Randomized Controlled Trials as Topic MH - Vaginal Birth after Cesarean RF - 60 EDAT- 2007/07/20 09:00 MHDA- 2007/10/19 09:00 CRDT- 2007/07/20 09:00 AID - 10.1002/14651858.CD002869.pub2 [doi] PST - epublish SO - Cochrane Database Syst Rev. 2007 Jul 18;(3):CD002869. PMID- 17617914 OWN - NLM STAT- MEDLINE DA - 20070808 DCOM- 20070919 LR - 20151119 IS - 1471-2458 (Electronic) IS - 1471-2458 (Linking) VI - 7 DP - 2007 Jul 06 TI - Retaining women in a prenatal care randomized controlled trial in Canada: implications for program planning. PG - 148 AB - BACKGROUND: Challenges to retention in prenatal care seem to exist under both universal systems of care, as in Canada, and non-universal systems of care, as in the United States. However, among populations being served by a system of publicly funded health care, the barriers are less well understood and universal uptake of prenatal services has not been realized. Determining the characteristics of women who dropped out of a prenatal care randomized controlled trial can help identify those who may need alternate retention and service approaches. METHODS: In this study, pregnant women were randomized to: a) current standard of care; b) 'a' plus nursing support; or c) 'b' plus a paraprofessional home visitor. 16% of 2,015 women did not complete all three telephone interviews (197 dropped out and 124 became unreachable). Responders were compared to non-responders on demographics, lifestyle, psychosocial factors, and life events using chi-squared tests. Logistic regression models were constructed using stepwise logistic regression to determine the probability of not completing the prenatal program. RESULTS: Completion rates did not differ by intervention. In comparison to responders, non-responders were more likely to be younger, less educated, have lower incomes, smoke, have low social support, have a history of depression, and have separated or divorced parents (all p < 0.05). Unreachable women were more likely to be single, use drugs, report distress and adverse life events (all p < 0.05). Non-Caucasian women were more likely to drop out (p = 0.002). Logistic regression modeling indicated that independent key risk factors for dropping out were: less than high school education, separated or divorced parents, lower social support, and being non-Caucasian. Pregnant women who were single/separated/divorced, less than 25 years old, had less than high school education, earned less than $40,000 in annual household income, and/or smoked had greater odds of becoming unreachable at some point during pregnancy and not completing the study. CONCLUSION: Women at risk due to lifestyle and challenging circumstances were difficult to retain in a prenatal care study, regardless of the intervention. For women with complex health, lifestyle and social issues, lack of retention may reflect incongruence between their needs and the program. TRIAL REGISTRATION: Current Controlled Trials ISRCTN64070727. FAU - Tough, Suzanne C AU - Tough SC AD - Department of Paediatrics, University of Calgary, Calgary, Alberta, Canada. suzanne.tough@calgaryhealthregion.ca FAU - Siever, Jodi E AU - Siever JE FAU - Johnston, David W AU - Johnston DW LA - eng SI - ISRCTN/ISRCTN64070727 PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20070706 PL - England TA - BMC Public Health JT - BMC public health JID - 100968562 SB - IM MH - Age Factors MH - Canada MH - Cognitive Dissonance MH - Demography MH - Female MH - Home Care Services MH - Humans MH - Life Style MH - Patient Acceptance of Health Care/ethnology/psychology/*statistics & numerical data MH - Patient Dropouts/*statistics & numerical data MH - Postnatal Care/*statistics & numerical data MH - Pregnancy MH - Pregnant Women/*psychology MH - Prenatal Care/methods/*utilization MH - Program Development MH - Risk Factors MH - Social Support MH - Socioeconomic Factors MH - Surveys and Questionnaires PMC - PMC1939989 OID - NLM: PMC1939989 EDAT- 2007/07/10 09:00 MHDA- 2007/09/20 09:00 CRDT- 2007/07/10 09:00 PHST- 2006/12/12 [received] PHST- 2007/07/06 [accepted] AID - 1471-2458-7-148 [pii] AID - 10.1186/1471-2458-7-148 [doi] PST - epublish SO - BMC Public Health. 2007 Jul 6;7:148. PMID- 17565289 OWN - NLM STAT- MEDLINE DA - 20070613 DCOM- 20070904 LR - 20161019 IS - 0196-206X (Print) IS - 0196-206X (Linking) VI - 28 IP - 3 DP - 2007 Jun TI - Childhood neurobehavior disinhibition amplifies the risk of substance use disorder: interaction of parental history and prenatal alcohol exposure. PG - 219-24 AB - OBJECTIVE: This investigation examined the influence of parental substance use disorder (SUD) and mother's alcohol consumption during pregnancy on neurobehavior disinhibition (ND) measured in 10- to 12-year-old children. The extent to which ND predicted SUD outcome 7 to 9 years later was also determined. METHODS: SUD was documented in each parent and as the outcome variable in their 19-year-old sons. Average daily alcohol consumption during the mother's pregnancy was recorded using a structured interview. ND was assessed using indicators of behavior undercontrol, affect modulation and executive cognitive functions. RESULTS: Paternal SUD and the interaction between maternal SUD and alcohol consumption during pregnancy predicted child's ND score. ND at 10 to 12 years of age was a significant predictor of SUD at age 19. CONCLUSIONS: The disinhibitory disturbance associated with risk of SUD has both transmissible and teratogenic causes. The ramifications of this finding for pediatric practice are discussed. FAU - Chapman, Kim AU - Chapman K AD - Department of Pediatrics, University of Pittsburgh Medical Center, Pittsburgh, PA 15261, USA. FAU - Tarter, Ralph E AU - Tarter RE FAU - Kirisci, Levent AU - Kirisci L FAU - Cornelius, Marie D AU - Cornelius MD LA - eng GR - R01 DA009275/DA/NIDA NIH HHS/United States GR - K02 DA017822/DA/NIDA NIH HHS/United States GR - P50 DA05605/DA/NIDA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - J Dev Behav Pediatr JT - Journal of developmental and behavioral pediatrics : JDBP JID - 8006933 SB - IM MH - Adolescent MH - Adult MH - Affect/drug effects MH - *Alcohol-Related Disorders MH - Child MH - *Child of Impaired Parents MH - Cognition/drug effects MH - Cohort Studies MH - Diagnosis, Dual (Psychiatry) MH - Family Health MH - Fathers MH - Female MH - Follow-Up Studies MH - Humans MH - Impulsive Behavior/*complications MH - *Inhibition (Psychology) MH - Male MH - Mothers MH - Neuropsychological Tests MH - Personality Disorders/complications MH - Pregnancy MH - *Prenatal Exposure Delayed Effects MH - Regression Analysis MH - Risk Factors MH - Severity of Illness Index MH - Substance-Related Disorders/complications/*prevention & control/psychology EDAT- 2007/06/15 09:00 MHDA- 2007/09/05 09:00 CRDT- 2007/06/15 09:00 AID - 10.1097/DBP.0b013e3180327907 [doi] AID - 00004703-200706000-00007 [pii] PST - ppublish SO - J Dev Behav Pediatr. 2007 Jun;28(3):219-24. PMID- 17459542 OWN - NLM STAT- MEDLINE DA - 20090316 DCOM- 20090529 LR - 20090316 IS - 1532-3099 (Electronic) IS - 0266-6138 (Linking) VI - 25 IP - 2 DP - 2009 Apr TI - Randomised-controlled trial of two antenatal education programmes. PG - 114-25 AB - OBJECTIVE: to determine whether a new antenatal education programme with increased parenting content could improve parenting outcomes for women compared with a regular antenatal education programme. DESIGN: a randomised-controlled trial. Data were collected through self-report surveys. SETTING: specialist referral maternity hospital in Sydney, Australia. PARTICIPANTS: 170 women birthing at the hospital. Ninety-one women attended the new programme and 79 the regular programme. INTERVENTION: a new antenatal education programme ('Having a Baby' programme) developed from needs assessment data collected from expectant and new parents. One important feature of the programme was the recognition that pregnancy, labour, birth and early parenting were a microcosm of the childbearing experience, rather than separate topics. MEASURES: the primary outcome measure was perceived maternal parenting self-efficacy. Worry about the baby, and perceived parenting knowledge, were secondary outcome measures. They were measured before the programme and after birth. Birth outcomes were also recorded. FINDINGS: the postnatal perceived maternal parenting self-efficacy scores of women who attended the 'Having a Baby' programme were significantly higher than those who attended the regular programme. Perceived parenting knowledge scores of women who attended the 'Having a Baby' programme were also significantly higher than those who attended the regular programme. Worry scores were lower but they did not reach statistical significant. Birth outcomes were similar. IMPLICATIONS FOR PRACTICE: the 'Having a Baby' programme improved maternal self-efficacy and parenting knowledge. Parenting programmes that continue in the early postnatal period may be beneficial. FAU - Svensson, Jane AU - Svensson J AD - Royal Hospital for Women, Locked Bag 2000, Randwick NSW 2031, Sydney, Australia. jane.svensson@sesiahs.health.nsw.gov.au FAU - Barclay, Lesley AU - Barclay L FAU - Cooke, Margaret AU - Cooke M LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20070424 PL - Scotland TA - Midwifery JT - Midwifery JID - 8510930 SB - N MH - Adult MH - Female MH - Health Education/methods MH - Humans MH - Labor, Obstetric/*psychology MH - Maternal Behavior/psychology MH - New South Wales MH - Patient Education as Topic/*methods MH - *Patient Satisfaction MH - Pregnancy MH - Prenatal Care/*methods MH - Program Development MH - Research Design MH - Self Concept MH - Social Support MH - Young Adult EDAT- 2007/04/27 09:00 MHDA- 2009/05/30 09:00 CRDT- 2007/04/27 09:00 PHST- 2006/06/19 [received] PHST- 2006/10/23 [revised] PHST- 2006/12/17 [accepted] AID - S0266-6138(07)00028-9 [pii] AID - 10.1016/j.midw.2006.12.012 [doi] PST - ppublish SO - Midwifery. 2009 Apr;25(2):114-25. Epub 2007 Apr 24. PMID- 17456215 OWN - NLM STAT- MEDLINE DA - 20070425 DCOM- 20070928 LR - 20111117 IS - 0954-7894 (Print) IS - 0954-7894 (Linking) VI - 37 IP - 5 DP - 2007 May TI - Interaction of maternal atopy, CTLA-4 gene polymorphism and gender on antenatal immunoglobulin E production. PG - 680-7 AB - BACKGROUND: Genetic heritability and maternal atopy have been correlated to antenatal IgE production, but very few studies have studied gene-maternal atopy interaction on antenatal IgE production. This study investigated the interaction of CTLA-4 polymorphism with prenatal factors on the elevation of cord blood IgE (CBIgE). METHODS: Pregnant women were antenatally recruited for collection of prenatal environmental factors by a questionnaire. Umbilical cord blood samples were collected for CBIgE detection by fluorescence-linked enzyme assay and CTLA-4 polymorphism measurement by restriction fragment length polymorphism. RESULTS: A total of 1104 pregnant women initially participated in this cohort study, and 898 of them completed cord blood collection. 21.4% of the newborns had elevation of CBIgE (>or=0.5 kU/L). The CTLA-4+49A allele (P=0.021), maternal atopy (P<0.001) and gender (P=0.034), but not the CTLA-4+49G allele, -318C allele, -318T allele, parental smoking or paternal atopy, were significantly correlated with the CBIgE elevation in multivariate analysis. A dichotomous analysis of gene-maternal atopy interactions identified maternal atopy and CTLA-4+49A allele had an additive effect on the CBIgE elevation, especially prominent in male newborns; and in the absence of maternal atopy, CTLA-4+49GG genotype had a protective effect on CBIgE elevation in female newborns. CONCLUSIONS: Maternal but not paternal atopy has significant impacts on CBIgE elevation depending on gender and CTLA-4+49A/G polymorphism of newborns. Control of maternal atopy and modulation of CTLA-4 expression in the prenatal stage may be a target for the early prevention of perinatal allergy sensitization. FAU - Yang, K D AU - Yang KD AD - Department of Pediatrics, Chang Gung Memorial Hospital - Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan. FAU - Ou, C-Y AU - Ou CY FAU - Hsu, T-Y AU - Hsu TY FAU - Chang, J-C AU - Chang JC FAU - Chuang, H AU - Chuang H FAU - Liu, C-A AU - Liu CA FAU - Liang, H-M AU - Liang HM FAU - Kuo, H-C AU - Kuo HC FAU - Chen, R-F AU - Chen RF FAU - Huang, E-Y AU - Huang EY LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Exp Allergy JT - Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology JID - 8906443 RN - 0 (Antigens, CD) RN - 0 (Antigens, Differentiation) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Antigens, CD/*genetics MH - Antigens, Differentiation/*genetics MH - CTLA-4 Antigen MH - Fathers MH - Female MH - Fetal Blood/immunology MH - Genetic Predisposition to Disease MH - Humans MH - Hypersensitivity, Immediate/*genetics/immunology MH - Immunoglobulin E/*biosynthesis MH - Infant, Newborn MH - Male MH - Mothers MH - *Polymorphism, Genetic MH - Polymorphism, Restriction Fragment Length MH - Pregnancy MH - Pregnancy Complications/*genetics/immunology MH - Prenatal Exposure Delayed Effects MH - Sex Factors EDAT- 2007/04/26 09:00 MHDA- 2007/09/29 09:00 CRDT- 2007/04/26 09:00 AID - CEA2698 [pii] AID - 10.1111/j.1365-2222.2007.02698.x [doi] PST - ppublish SO - Clin Exp Allergy. 2007 May;37(5):680-7. PMID- 17378292 OWN - NLM STAT- MEDLINE DA - 20070323 DCOM- 20070426 LR - 20091103 IS - 1462-2815 (Print) IS - 1462-2815 (Linking) VI - 80 IP - 3 DP - 2007 Mar TI - Promoting physical activity: walking programmes for mothers and children. PG - 28-32 AB - This article considers the development of two walking programmes by a health visiting team to encourage parents and children to undertake regular exercise. Government reports have stressed the importance of regular physical activity to promote physical and mental health. A survey of physical activity within a semi-rural caseload highlighted that the majority of families did not take regular exercise to maintain health. A programme of walks for post-natal mothers and a programme of activity walks for parents and young children were developed. Evaluation indicated that the walking programmes provided an acceptable and supported opportunity for parents and children to participate in physical activity. Participants increased their levels of regular physical activity and reported psychological benefits. This initiative demonstrates that health visitors have a key role in influencing, enabling and supporting people to participate in health activities. FAU - Rowley, Claire AU - Rowley C AD - Bradford and Airedale Teaching Primary Care Trust. FAU - Dixon, Libby AU - Dixon L FAU - Palk, Rachel AU - Palk R LA - eng PT - Evaluation Studies PT - Journal Article PL - England TA - Community Pract JT - Community practitioner : the journal of the Community Practitioners' & Health Visitors' Association JID - 9809060 SB - N MH - Adult MH - Attitude to Health MH - Child MH - *Child Welfare MH - Child, Preschool MH - Community Health Nursing/*organization & administration MH - England MH - Exercise MH - Female MH - Follow-Up Studies MH - Health Promotion/*organization & administration MH - Humans MH - Maternal Welfare MH - *Mothers/education/psychology MH - Needs Assessment MH - Nurse's Role/psychology MH - Nursing Evaluation Research MH - Nursing Methodology Research MH - Outcome Assessment (Health Care) MH - Postnatal Care MH - Program Development MH - Program Evaluation MH - Suburban Health MH - *Walking EDAT- 2007/03/24 09:00 MHDA- 2007/04/27 09:00 CRDT- 2007/03/24 09:00 PST - ppublish SO - Community Pract. 2007 Mar;80(3):28-32. PMID- 17273448 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20070202 DCOM- 20120827 LR - 20170219 IS - 1058-1243 (Print) IS - 1058-1243 (Linking) VI - 14 IP - 4 DP - 2005 Fall TI - Childbirth education for parents experiencing pregnancy after perinatal loss. PG - 9-15 AB - Expectant parents who have experienced previous perinatal loss have special concerns, which can be partially addressed by modifying prepared childbirth education courses. This article presents a review of current literature, highlighting the unique needs of expectant parents who have experienced previous pregnancy loss. Modifications to traditional childbirth education courses are suggested, which include addressing parents' grief, managing anxiety, and facilitating communication with health-care providers and others. FAU - Wright, Patricia Moyle AU - Wright PM AD - PATRICIA MOYLE WRIGHT is employed as a childbirth educator for the Wyoming Valley Health Care System in Pennsylvania and is pursuing a PhD in Nursing at Loyola University Chicago in Illinois. LA - eng PT - Journal Article PL - United States TA - J Perinat Educ JT - The Journal of perinatal education JID - 9301158 PMC - PMC1595261 OID - NLM: PMC1595261 EDAT- 2007/02/03 09:00 MHDA- 2007/02/03 09:01 CRDT- 2007/02/03 09:00 AID - 10.1624/105812405X72285 [doi] PST - ppublish SO - J Perinat Educ. 2005 Fall;14(4):9-15. PMID- 17273400 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20070202 DCOM- 20120827 LR - 20070202 IS - 1058-1243 (Print) IS - 1058-1243 (Linking) VI - 13 IP - 3 DP - 2004 Summer TI - Promoting and implementing evidence-based, best practices in childbirth education. PG - 51-4 AB - Childbirth educators have a duty to promote and implement best practices. Best practices are individualized and evidence-based, using quality research to optimize outcomes. This requires addressing change. The childbirth educator must model evidence-based practices by systematically engaging in activities to improve his or her own changing curriculum. The childbirth educator is also a professional in a core position to play an active role as a change agent in the system through evaluation and dissemination of information to parents, fellow childbirth educators, and other professionals on the health-care team. This information provides the basis for important health-care decisions for self and others. FAU - Philipsen, Nanya C AU - Philipsen NC AD - N ayna P hilipsen is Director of Education, Examination, Research, and Communication for the Maryland Board of Nursing. She is also a health educator at St. Agnes HealthCare in Baltimore, Maryland. LA - eng PT - Journal Article PL - United States TA - J Perinat Educ JT - The Journal of perinatal education JID - 9301158 PMC - PMC1595213 OID - NLM: PMC1595213 EDAT- 2007/02/03 09:00 MHDA- 2007/02/03 09:01 CRDT- 2007/02/03 09:00 AID - 10.1624/105812404X1770 [doi] PST - ppublish SO - J Perinat Educ. 2004 Summer;13(3):51-4. PMID- 17273396 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20070202 DCOM- 20120827 LR - 20170219 IS - 1058-1243 (Print) IS - 1058-1243 (Linking) VI - 13 IP - 3 DP - 2004 Summer TI - New fathers' postbirth views of antenatal classes: satisfaction, benefits, and knowledge of family services. PG - 18-26 AB - New fathers (men whose partners had recently given birth) were asked to indicate to what degree antenatal classes had prepared them for childbirth, for their role as support persons, and for lifestyle and relationship changes after the birth. These postbirth findings were compared with a previous exit survey of male attendants at antenatal classes in which fathers-to-be predicted that the antenatal classes had prepared them well on all fronts. The new fathers in this study, however, reported that the antenatal classes had prepared them for childbirth but not for lifestyle and relationship changes after the birth. Additionally, couples who attended antenatal classes were asked to what extent they were familiar with family-related services in the region and how often they had used these services since the birth of their baby. Fathers were less familiar than mothers with the family-related services. FAU - Fletcher, Richard AU - Fletcher R AD - R ichard F letcher is a lecturer in the Faculty of Health at The University of Newcastle in New South Wales, Australia. He is also a team leader for the Engaging Fathers Project in the Family Action Centre at the University of Newcastle. FAU - Silberberg, Simone AU - Silberberg S FAU - Galloway, Deb AU - Galloway D LA - eng PT - Journal Article PL - United States TA - J Perinat Educ JT - The Journal of perinatal education JID - 9301158 PMC - PMC1595209 OID - NLM: PMC1595209 EDAT- 2007/02/03 09:00 MHDA- 2007/02/03 09:01 CRDT- 2007/02/03 09:00 AID - 10.1624/105812404X1734 [doi] PST - ppublish SO - J Perinat Educ. 2004 Summer;13(3):18-26. PMID- 17273359 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20070202 DCOM- 20120925 LR - 20170219 IS - 1058-1243 (Print) IS - 1058-1243 (Linking) VI - 12 IP - 4 DP - 2003 Fall TI - Public display of affection in couples attending childbirth education classes: implications for practice in Thailand. PG - 8-15 AB - The purpose of this article is to describe couples' touch behaviors and positions during their interactions in childbirth education class exercises in the United States-practices that might be construed differently among couples in Thailand. Using observations collected at childbirth education classes conducted in the United States during the fall of 2002, the author found four positions that would be considered culturally sensitive with her Thai experiences. Perhaps with some modifications in the technique, mothers and their partners in Thailand will more readily accept childbirth education classes. FAU - Sasamon, Srisuthisak AU - Sasamon S AD - S risuthisak S asamon is a doctoral student in the School of Nursing at Virginia Commonwealth University, Medical College of Virginia Campus, in Richmond, Virginia. FAU - Amankwaa, Linda Clark AU - Amankwaa LC LA - eng PT - Journal Article PL - United States TA - J Perinat Educ JT - The Journal of perinatal education JID - 9301158 PMC - PMC1595178 OID - NLM: PMC1595178 EDAT- 2007/02/03 09:00 MHDA- 2007/02/03 09:01 CRDT- 2007/02/03 09:00 AID - 10.1624/105812403X107026 [doi] PST - ppublish SO - J Perinat Educ. 2003 Fall;12(4):8-15. PMID- 17273316 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20070202 DCOM- 20120827 LR - 20170219 IS - 1058-1243 (Print) IS - 1058-1243 (Linking) VI - 11 IP - 4 DP - 2002 Fall TI - Integrating marriage education into perinatal education. PG - 1-10 AB - Couples making the transition to parenthood experience challenges that can threaten the quality and stability of their relationships and the health of family members. Currently, the educational infrastructure to support the delivery of couple-relationship education during the transition to parenthood is limited. Because new-parent couples interact with the health care system at many points during this transition time, an opportunity exists for strengthening couple relationships within the system to improve the well-being of adults and children. In this article, we propose a productive collaboration between marriage/couple educators and health care systems to integrate couple-relationship education into the standard of perinatal care. FAU - Hawkins, Alan J AU - Hawkins AJ AD - A lan H awkins is a professor in the Marriage, Family, and Human Development Department and associate director of the School of Family Life at Brigham Young University in Provo, Utah. FAU - Gilliland, Tamara AU - Gilliland T FAU - Christiaens, Glenda AU - Christiaens G FAU - Carroll, Jason S AU - Carroll JS LA - eng PT - Journal Article PL - United States TA - J Perinat Educ JT - The Journal of perinatal education JID - 9301158 PMC - PMC1595130 OID - NLM: PMC1595130 EDAT- 2007/02/03 09:00 MHDA- 2007/02/03 09:01 CRDT- 2007/02/03 09:00 AID - 10.1624/105812402X88911 [doi] PST - ppublish SO - J Perinat Educ. 2002 Fall;11(4):1-10. PMID- 17273305 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20070202 DCOM- 20110714 LR - 20170219 IS - 1058-1243 (Print) IS - 1058-1243 (Linking) VI - 11 IP - 3 DP - 2002 Summer TI - Preparing expectant couples for new-parent experiences: a comparison of two models of antenatal education. PG - 20-7 AB - This paper describes a pilot antenatal education program intended to better prepare couples for the early weeks of lifestyle changes and parenting. Eight weeks after birth, data were collected by questionnaire from 19 couples who participated in a pilot program and from 14 couples who were enrolled in a routine hospital program. Women in the pilot program were significantly more satisfied with their experience of parenthood. Facilitated gender-specific discussion groups formed a key strategy in the pilot program. FAU - Schmied, Virginia AU - Schmied V AD - V irginia S chmied is an associate professor in the Centre for Family Health and Midwifery at the University of Technology in Sydney, Australia. She is also a parenting educator at St. George Hospital, Kogarah, in Sydney. FAU - Myors, Karen AU - Myors K FAU - Wills, Jo AU - Wills J FAU - Cooke, Margaret AU - Cooke M LA - eng PT - Journal Article PL - United States TA - J Perinat Educ JT - The Journal of perinatal education JID - 9301158 PMC - PMC1599797 OID - NLM: PMC1599797 EDAT- 2007/02/03 09:00 MHDA- 2007/02/03 09:01 CRDT- 2007/02/03 09:00 AID - 10.1624/105812402X88803 [doi] PST - ppublish SO - J Perinat Educ. 2002 Summer;11(3):20-7. PMID- 17273303 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20070202 DCOM- 20110714 LR - 20170219 IS - 1058-1243 (Print) IS - 1058-1243 (Linking) VI - 11 IP - 3 DP - 2002 Summer TI - Focus groups to reveal parents' needs for prenatal education. PG - 1-9 AB - Focus group interviews are a useful qualitative research technique to obtain data from small groups about their opinions, attitudes, and/or feelings on a given subject. This particular technique has been used in Western Quebec in order to reveal the opinions, needs, and feelings of health professionals and future parents concerning prenatal education. As part of the region's priorities for 2002, all future parents in this part of the province were to be offered prenatal, government-paid, community health education. Consequently, the Ministry of Health at the regional level sought a customized program for all community centers, based on identified regional needs and recent research. This program had to prove to be innovative, user-friendly, effective, and efficient. After reviewing the literature and conducting discussions with representatives from all regional health agencies throughout the province, the author of this article designed and conducted focus groups with perinatal health professionals from all community centers and hospitals of the Outaouais region. Later, focus groups were also conducted with parents. Following the analysis of the data and comparisons with existing resources, the author of this paper designed and proposed a specific program aimed at the empowerment of future parents. This paper reports the original problem and its context, the research methodology, and the proposed program (underlying philosophy, objectives, content, and educational techniques). FAU - Dumas, Louise AU - Dumas L AD - L ouise D umas is a professor-researcher in the Department of Nursing Sciences at the University of Quebec in Hull, Canada. LA - eng PT - Journal Article PL - United States TA - J Perinat Educ JT - The Journal of perinatal education JID - 9301158 PMC - PMC1599796 OID - NLM: PMC1599796 EDAT- 2007/02/03 09:00 MHDA- 2007/02/03 09:01 CRDT- 2007/02/03 09:00 AID - 10.1624/105812402X88786 [doi] PST - ppublish SO - J Perinat Educ. 2002 Summer;11(3):1-9. PMID- 17273284 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20070202 DCOM- 20120827 LR - 20070202 IS - 1058-1243 (Print) IS - 1058-1243 (Linking) VI - 11 IP - 1 DP - 2002 Winter TI - Effects of a prenatal care intervention for adolescent mothers on birth weight, repeat pregnancy, and educational outcomes at one year postpartum. PG - 35-8 AB - About one-third of adolescent mothers receive inadequate prenatal care, and babies born to young mothers are more likely to be of low birth weight. The objective of this study is to evaluate a peer-centered prenatal care program for adolescent mothers. Pregnant adolescents were randomly assigned to an experimental or control group in a mastery modeling peer-support intervention designed to improve long- and short-term perinatal outcomes. A sample of 282 urban pregnant adolescents (94% African American, 4% Caucasian, 2% other) participated in the study. Participants were recruited from five clinics located mainly in Detroit, Michigan. Participants in the experimental group received care in a small group setting and learned to perform critical measurements with a peer partner during prenatal visits. Participants in the control group received individual prenatal care in the same clinics. Outcome measures included birth weight, years of schooling completed at one year postpartum, planned and unplanned pregnancy at one year postpartum, and employment and school attendance at one year postpartum. Mothers in the experimental group had a lower rate of low birth weight (6.6% vs. 12.5%, p=0.08). The rate of unplanned pregnancy was also lower for adolescents in the experimental group (13.4% vs. 15.9%), although this difference was not statistically significant. Adolescents who participated in the intervention were more likely to have continued their education during the pregnancy and the postpartum year. The mastery modeling, peer-centered, prenatal care program produced some positive pregnancy outcomes for adolescent mothers. FAU - Ford, Kathleen AU - Ford K AD - K athleen F ord is a research scientist in the Department of Epidemiology in the School of Public Health at the University of Michigan in Ann Arbor. FAU - Weglicki, Linda AU - Weglicki L FAU - Kershaw, Trace AU - Kershaw T FAU - Schram, Cheryl AU - Schram C FAU - Hoyer, Paulette J AU - Hoyer PJ FAU - Jacobson, Mary L AU - Jacobson ML LA - eng PT - Journal Article PL - United States TA - J Perinat Educ JT - The Journal of perinatal education JID - 9301158 PMC - PMC1595095 OID - NLM: PMC1595095 EDAT- 2007/02/03 09:00 MHDA- 2007/02/03 09:01 CRDT- 2007/02/03 09:00 AID - 10.1624/105812402X88588 [doi] PST - ppublish SO - J Perinat Educ. 2002 Winter;11(1):35-8. PMID- 17273282 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20070202 DCOM- 20120827 LR - 20170219 IS - 1058-1243 (Print) IS - 1058-1243 (Linking) VI - 11 IP - 1 DP - 2002 Winter TI - Prenatal depression, violence, substance use, and perception of support in pregnant middle-class women. PG - 14-21 AB - The purpose of this study was to explore the vulnerability for postpartum depression among financially, educationally, and socially advantaged middle-class women (n = 31). Twenty-nine percent reported prenatal depression, 13% reported intimate partner violence, and 22% reported concerns with partner relationships and support expectations after delivery. No illegal substances were reported; however, a past history of smoking and excessive use of caffeine was disclosed. Implications for practice focus on the need to screen and implement intervention programs for these social problems and to adopt measures as a universal standard of care for all women, regardless of demographic advantages. FAU - Anderson, Cheryl AU - Anderson C AD - C heryl A nderson is an assistant professor in the School of Nursing at the University of Texas at Arlington. She is also an advanced nurse practitioner in maternal child health. FAU - Roux, Gayle AU - Roux G FAU - Pruitt, Alicia AU - Pruitt A LA - eng PT - Journal Article PL - United States TA - J Perinat Educ JT - The Journal of perinatal education JID - 9301158 PMC - PMC1595094 OID - NLM: PMC1595094 EDAT- 2007/02/03 09:00 MHDA- 2007/02/03 09:01 CRDT- 2007/02/03 09:00 AID - 10.1624/105812402X88560 [doi] PST - ppublish SO - J Perinat Educ. 2002 Winter;11(1):14-21. PMID- 17273200 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20070202 DCOM- 20120827 LR - 20070202 IS - 1058-1243 (Print) IS - 1058-1243 (Linking) VI - 9 IP - 2 DP - 2000 Spring TI - "The birthing from within holistic sphere": a conceptual model for childbirth education. PG - 1-7 AB - An expanded conceptual model of childbirth education is offered, proposing the benefits of balancing informative teaching processes with creative, experiential, introspective learning processes for parents. The application of these two teaching dimensions to exploring four different perspectives of birth (the mother's, the father's, the baby's, and the culture's) is discussed, along with examples from "Birthing From Within" classes. Implications for current practice and the evolving role of childbirth educator are noted. FAU - England, P AU - England P AD - P am E ngland is the creator and coauthor of Birthing From Within: An Extra-Ordinary Guide to Childbirth Preparation. She is a nurse-midwife and currently devotes her time to international training of childbirth professionals in the Birthing From Within approach. FAU - Horowitz, R AU - Horowitz R LA - eng PT - Journal Article PL - United States TA - J Perinat Educ JT - The Journal of perinatal education JID - 9301158 PMC - PMC1595018 OID - NLM: PMC1595018 EDAT- 2007/02/03 09:00 MHDA- 2007/02/03 09:01 CRDT- 2007/02/03 09:00 AID - 10.1624/105812400X87590 [doi] PST - ppublish SO - J Perinat Educ. 2000 Spring;9(2):1-7. PMID- 17084796 OWN - NLM STAT- MEDLINE DA - 20061106 DCOM- 20070222 LR - 20131121 IS - 0740-5472 (Print) IS - 0740-5472 (Linking) VI - 31 IP - 4 DP - 2006 Dec TI - Brief intervention for prenatal alcohol use: the role of drinking goal selection. PG - 419-24 AB - The behavioral problems and cognitive deficits resulting from even small amounts of prenatal alcohol exposure can be significant and enduring but completely preventable. The purpose of this study was to examine the impact of a prenatal drinking goal selected during a brief intervention for 115 pregnant women and their partners on subsequent consumption. Higher proportions of women having their first pregnancy chose abstinence as a goal over drinking reduction. Goal selection was highly predictive of subsequent drinking behavior. Interestingly, the participants who were abstinent at enrollment and who chose to remain abstinent had the highest rates of abstinence. In contrast, the women who chose cutting down on drinking were the least likely to drink less subsequently, despite recognizing more situations putting them at risk for drinking and identifying more alternatives to consumption. We conclude that goal choice in behavioral self-management of alcohol use by pregnant women is critical. FAU - Chang, Grace AU - Chang G AD - Brigham and Women's Hospital, Boston, MA 02115, USA. gchang@partners.org FAU - McNamara, Tay K AU - McNamara TK FAU - Orav, E John AU - Orav EJ FAU - Wilkins-Haug, Louise AU - Wilkins-Haug L LA - eng GR - K24 AA000289/AA/NIAAA NIH HHS/United States GR - R01 AA12548/AA/NIAAA NIH HHS/United States PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural DEP - 20060814 PL - United States TA - J Subst Abuse Treat JT - Journal of substance abuse treatment JID - 8500909 SB - IM MH - Adult MH - Alcohol Drinking/adverse effects/*psychology MH - *Behavior Therapy MH - Choice Behavior MH - Female MH - Fetal Alcohol Spectrum Disorders/*prevention & control/psychology MH - Follow-Up Studies MH - *Goals MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Infant, Newborn MH - Pregnancy MH - *Prenatal Care MH - *Psychotherapy, Brief MH - Risk Factors MH - Social Facilitation MH - Temperance/*psychology EDAT- 2006/11/07 09:00 MHDA- 2007/02/23 09:00 CRDT- 2006/11/07 09:00 PHST- 2005/12/23 [received] PHST- 2006/05/08 [revised] PHST- 2006/05/12 [accepted] AID - S0740-5472(06)00158-9 [pii] AID - 10.1016/j.jsat.2006.05.016 [doi] PST - ppublish SO - J Subst Abuse Treat. 2006 Dec;31(4):419-24. Epub 2006 Aug 14. PMID- 16880322 OWN - NLM STAT- MEDLINE DA - 20060801 DCOM- 20060907 LR - 20091103 IS - 0029-7844 (Print) IS - 0029-7844 (Linking) VI - 108 IP - 2 DP - 2006 Aug TI - ACOG Committee Opinion No. 343: psychosocial risk factors: perinatal screening and intervention. PG - 469-77 AB - The American College of Obstetricians and Gynecologists advocates assessing for psychosocial risk factors and helping women man-age psychosocial stressors as part of comprehensive care for women. Psychosocial screening of all women seeking pregnancy evaluation or pre-natal care should be performed regardless of social status, educational level,or race and ethnicity. Because problems may arise during the pregnancy that were not present at the initial visit, it is best to perform psychosocial screen-ing at least once each trimester to increase the likelihood of identifying important issues and reducing poor birth outcomes. When screening is completed, every effort should be made to identify areas of concern, validate major issues with the patient, provide information, and, if indicated, make suggestions for possible changes. When necessary, the health care provider should refer the patient for further evaluation or intervention. Psychosocial risk factors also should be considered in discharge planning after delivery. Many of the psychosocial issues that increase the risk for poor pregnancy outcome also can affect the health and welfare of the newborn. Screening should include assessment of barriers to care, unstable housing, unintended pregnancy, communication barriers, nutrition, tobacco use, substance use,depression, safety, intimate partner violence, and stress. CN - American College of Obstetricians and Gynecologists Committee on Health Care for Undeserved Women AD - American College of Obstetricinas and Gynecologists LA - eng PT - Journal Article PT - Practice Guideline PL - United States TA - Obstet Gynecol JT - Obstetrics and gynecology JID - 0401101 SB - AIM SB - IM MH - Domestic Violence/psychology MH - Female MH - Humans MH - Mental Disorders/prevention & control/psychology MH - Pregnancy MH - Pregnancy Complications/prevention & control/*psychology MH - *Prenatal Care MH - Psychiatric Status Rating Scales MH - Risk Factors MH - United States EDAT- 2006/08/02 09:00 MHDA- 2006/09/08 09:00 CRDT- 2006/08/02 09:00 AID - 108/2/469 [pii] PST - ppublish SO - Obstet Gynecol. 2006 Aug;108(2):469-77. PMID- 16855015 OWN - NLM STAT- MEDLINE DA - 20070313 DCOM- 20070508 LR - 20071115 IS - 0268-1153 (Print) IS - 0268-1153 (Linking) VI - 22 IP - 2 DP - 2007 Apr TI - The impact of including husbands in antenatal health education services on maternal health practices in urban Nepal: results from a randomized controlled trial. PG - 166-76 AB - Observational studies suggest that including men in reproductive health interventions can enhance positive health outcomes. A randomized controlled trial was designed to test the impact of involving male partners in antenatal health education on maternal health care utilization and birth preparedness in urban Nepal. In total, 442 women seeking antenatal services during second trimester of pregnancy were randomized into three groups: women who received education with their husbands, women who received education alone and women who received no education. The education intervention consisted of two 35-min health education sessions. Women were followed until after delivery. Women who received education with husbands were more likely to attend a post-partum visit than women who received education alone [RR = 1.25, 95% CI = (1.01, 1.54)] or no education [RR = 1.29, 95% CI = (1.04, 1.60)]. Women who received education with their husbands were also nearly twice as likely as control group women to report making >3 birth preparations [RR = 1.99, 95% CI = (1.10, 3.59)]. Study groups were similar with respect to attending the recommended number of antenatal care checkups, delivering in a health institution or having a skilled provider at birth. These data provide evidence that educating pregnant women and their male partners yields a greater net impact on maternal health behaviors compared with educating women alone. FAU - Mullany, Britta C AU - Mullany BC AD - Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. bmullany@jhsph.edu FAU - Becker, S AU - Becker S FAU - Hindin, M J AU - Hindin MJ LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20060719 PL - England TA - Health Educ Res JT - Health education research JID - 8608459 SB - T MH - Adult MH - Female MH - Health Education/methods MH - Humans MH - Male MH - Maternal Health Services/methods MH - Nepal MH - Patient Education as Topic/*methods MH - Pregnancy MH - Pregnancy Trimester, Second MH - Prenatal Care/*methods MH - Socioeconomic Factors MH - *Spouses EDAT- 2006/07/21 09:00 MHDA- 2007/05/09 09:00 CRDT- 2006/07/21 09:00 AID - cyl060 [pii] AID - 10.1093/her/cyl060 [doi] PST - ppublish SO - Health Educ Res. 2007 Apr;22(2):166-76. Epub 2006 Jul 19. PMID- 16806517 OWN - NLM STAT- MEDLINE DA - 20060807 DCOM- 20061228 LR - 20131121 IS - 0166-4328 (Print) IS - 0166-4328 (Linking) VI - 172 IP - 2 DP - 2006 Sep 25 TI - Behavioral and hippocampal changes after prenatal invasive interventions with possible relevance to schizophrenia. PG - 179-86 AB - In an attempt to model neurodevelopmental defects that may contribute to the outbreak of schizophrenia after adolescence, the present study examined the effects of prenatal interventions in rats, including injections of kainic acid, on motor, cognitive and social behaviour, which was assessed repeatedly between PDs 56-62 (week 8) and 168-174 (week 24), as well as on hippocampal morphology. As compared to untreated controls (n=5-9), the offspring (n=12 or 16) of treated mothers exhibited shorter latencies to leave a dark box and enter an illuminated field on weeks 12, 16 and 20, a higher number of perseverations in a T-maze alternation task on weeks 16 and 20, longer nose contacts with strange and familiar partners in a social interaction test on weeks 12 and 16 and lower weight gains over the course of testing. They also had shorter pyramidal cells in hippocampal area CA3. Thus, the prenatally treated offspring showed certain alterations in their brains and behaviour that resembled the human condition of schizophrenia (e.g., changes at cell level in the hippocampus, perseverative behaviour, lower weight gains), although others (e.g., increased social contacts) did not. FAU - Sprick, Ulrich AU - Sprick U AD - Rheinische Kliniken Dusseldorf, Kliniken der Heinrich-Heine-Universitat Dusseldorf, Bergische Landstr. 2, D-40629 Dusseldorf, Germany. ulrich.sprick@wkp.lwl.org FAU - von Wilmsdorff, Martina AU - von Wilmsdorff M FAU - Bouvier, Marie-Luise AU - Bouvier ML FAU - Schulz, Daniela AU - Schulz D FAU - Gaebel, Wolfgang AU - Gaebel W LA - eng PT - Comparative Study PT - Journal Article DEP - 20060627 PL - Netherlands TA - Behav Brain Res JT - Behavioural brain research JID - 8004872 RN - SIV03811UC (Kainic Acid) SB - IM MH - Age Factors MH - Analysis of Variance MH - Animals MH - Cell Size MH - Discrimination Learning/drug effects/*physiology MH - Disease Models, Animal MH - Exploratory Behavior/drug effects/physiology MH - Female MH - Hippocampus/drug effects/embryology/*physiopathology MH - Injections, Intraventricular MH - Kainic Acid/administration & dosage MH - Male MH - Motor Activity/drug effects/*physiology MH - Pregnancy MH - *Prenatal Exposure Delayed Effects MH - Rats MH - Rats, Inbred F344 MH - Reaction Time/drug effects/physiology MH - Risk Factors MH - Schizophrenia/chemically induced/*physiopathology MH - *Social Behavior EDAT- 2006/06/30 09:00 MHDA- 2006/12/29 09:00 CRDT- 2006/06/30 09:00 PHST- 2006/02/07 [received] PHST- 2006/03/06 [revised] PHST- 2006/03/14 [accepted] AID - S0166-4328(06)00172-0 [pii] AID - 10.1016/j.bbr.2006.03.014 [doi] PST - ppublish SO - Behav Brain Res. 2006 Sep 25;172(2):179-86. Epub 2006 Jun 27. PMID- 16690179 OWN - NLM STAT- MEDLINE DA - 20061130 DCOM- 20070208 LR - 20151119 IS - 0266-6138 (Print) IS - 0266-6138 (Linking) VI - 22 IP - 4 DP - 2006 Dec TI - Insights from Australian parents into educational experiences in the early postnatal period. PG - 356-64 AB - OBJECTIVE: to investigate the provision of parent education during the early postnatal period in order to gain insight that, through stakeholder collaboration, will contribute to the development of innovative strategies to enhance the provision of postnatal education in a contemporary health-care environment. DESIGN: the study comprises the first stage of an action-research project. The first stage of research sought to explore the experiences of mothers and fathers in the early postnatal period by conducting a questionnaire within 4 weeks of the birth of their baby. The data obtained from the questionnaire is to inform an action-research group for stage two of the project. SETTING: The Children, Youth and Women's Health Service, a large city maternity hospital in South Australia, covering a range of socio-economic strata. PARTICIPANTS: 85 parents completed and returned the questionnaire, comprising 52 mothers and 33 fathers. MEASUREMENT: an anonymous self-report questionnaire was purpose designed to provide each parent with an opportunity to reflect on their own experience, with particular emphasis given to the provision of education and support during the early postnatal period. FINDINGS: a number of themes emerged, including a window of opportunity during the postnatal hospital stay to provide education and support, despite the reduction in the length of stay; the need for a family-centred approach to maternity services; and the significance of self and social network in the early transition to parenthood. CONCLUSIONS: The findings from this stage of the research, combined with a review of the literature, provide insight that will contribute to stage two of the study. At this stage, an action-research group will continue planning to develop specific actions to enhance the provision of education to parents in the early postnatal period. These actions will subsequently be implemented and assessed. FAU - McKellar, Lois V AU - McKellar LV AD - University of South Australia, School of Nursing and Midwifery, GPO Box 2471, Adelaide, South Austrlia. Lois.McKellar@unisa.edu.au FAU - Pincombe, Jan I AU - Pincombe JI FAU - Henderson, Ann M AU - Henderson AM LA - eng PT - Journal Article DEP - 20060511 PL - Scotland TA - Midwifery JT - Midwifery JID - 8510930 SB - N MH - Adaptation, Psychological MH - Adult MH - Fathers/education MH - Female MH - Humans MH - Infant Care/*methods MH - Infant, Newborn MH - Middle Aged MH - Mothers/education MH - Nursing Methodology Research MH - Parents/*education MH - Patient Education as Topic/*methods MH - Postnatal Care/*methods MH - Qualitative Research MH - Self Efficacy MH - Social Support MH - South Australia MH - Surveys and Questionnaires EDAT- 2006/05/13 09:00 MHDA- 2007/02/09 09:00 CRDT- 2006/05/13 09:00 PHST- 2005/01/20 [received] PHST- 2005/09/13 [revised] PHST- 2005/09/23 [accepted] AID - S0266-6138(05)00091-4 [pii] AID - 10.1016/j.midw.2005.09.004 [doi] PST - ppublish SO - Midwifery. 2006 Dec;22(4):356-64. Epub 2006 May 11. PMID- 16546777 OWN - NLM STAT- MEDLINE DA - 20060320 DCOM- 20060803 LR - 20081121 IS - 0954-0121 (Print) IS - 0954-0121 (Linking) VI - 18 IP - 3 DP - 2006 Apr TI - Quality and quantity of antenatal HIV counselling in a PMTCT programme in Mombasa, Kenya. PG - 189-93 AB - A recent report from a PMTCT implementation study in Mombasa, Kenya, points at an important gap between the efficacy in clinical trial circumstances and the effectiveness of PMTCT programmes when implemented in real life. Hence, the quality and quantity of antenatal HIV counselling in a routine setting were appraised. The counsellors' social and communicative skills, duration and topics covered during pre- and post-test counselling sessions were assessed by means of the VCT assessment tools published by UNAIDS. A total of 14 group educational sessions, 66 pre-test counselling sessions and 50 post-test counselling sessions were observed and assessed. In general, the frequency and duration of the counselling was low. Crucial topics such as window period and partner involvement and follow-up support were covered haphazardly. The counsellor's social and communicative skills were given high marks, yet information was rarely repeated or summarized. The limited time dedicated to women receiving antenatal VCT contrasts with the heavy and comprehensive load of health information and advice they are supposed to receive. Ample pre- and post-test counselling including follow-up should be pursued for optimal effectiveness of PMTCT. We propose a number of health system interventions preceded and guided by ongoing audit. FAU - Delva, Wim AU - Delva W AD - Ghent University, Ghent, Belgium. Wim.Delva@Ugent.be FAU - Mutunga, Lillian AU - Mutunga L FAU - Quaghebeur, Ann AU - Quaghebeur A FAU - Temmerman, Marleen AU - Temmerman M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - AIDS Care JT - AIDS care JID - 8915313 SB - IM SB - X MH - Counseling/*standards MH - Female MH - HIV Infections/*prevention & control/transmission MH - Humans MH - Infectious Disease Transmission, Vertical/prevention & control MH - Kenya MH - Pregnancy MH - Pregnancy Complications, Infectious/*prevention & control MH - Prenatal Care/*standards MH - Program Evaluation MH - Voluntary Programs/*standards EDAT- 2006/03/21 09:00 MHDA- 2006/08/04 09:00 CRDT- 2006/03/21 09:00 AID - J2281713J033R43V [pii] AID - 10.1080/09540120500456425 [doi] PST - ppublish SO - AIDS Care. 2006 Apr;18(3):189-93. PMID- 28640414 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20170622 LR - 20170622 IS - 1097-0355 (Electronic) IS - 0163-9641 (Linking) VI - 27 IP - 2 DP - 2006 Mar TI - The Prenatal Lausanne Trilogue Play: A New Observational Assessment Tool of the Prenatal Co-Parenting Alliance. PG - 207-228 LID - 10.1002/imhj.20089 [doi] AB - The goal of this study is to present a new observational assessment tool, the prenatal Lausanne Trilogue Play situation (LTP). Expectant parents were asked to role play their first meeting with their baby using a doll, and the videotaped interaction was subsequently coded. Scores were correlated with measures of the couples' marital satisfaction as well as the postnatal family alliance 3 months after the baby's birth. Results showed that the prenatal co-parenting alliance was positively linked to both fathers' marital satisfaction as well as to the postnatal family alliance at 3 months. Thus, the prenatal LTP allows for assessment of the prenatal co-parenting alliance at the interactional level. It predicts the place the parents will afford their baby after birth and can contribute to methods of clinical assessment and prevention. CI - Copyright (c) 2006 Michigan Association for Infant Mental Health. FAU - Carneiro, C AU - Carneiro C AD - Centre d'Etude de la Famille and University of Lausanne, Switzerland. FAU - Corboz-Warnery, A AU - Corboz-Warnery A AD - Centre d'Etude de la Famille and University of Lausanne, Switzerland. FAU - Fivaz-Depeursinge, E AU - Fivaz-Depeursinge E AD - Centre d'Etude de la Famille and University of Lausanne, Switzerland. LA - eng PT - Journal Article PL - United States TA - Infant Ment Health J JT - Infant mental health journal JID - 8007859 EDAT- 2006/03/01 00:00 MHDA- 2006/03/01 00:01 CRDT- 2017/06/23 06:00 AID - 10.1002/imhj.20089 [doi] PST - ppublish SO - Infant Ment Health J. 2006 Mar;27(2):207-228. doi: 10.1002/imhj.20089. PMID- 16489964 OWN - NLM STAT- MEDLINE DA - 20060221 DCOM- 20060504 LR - 20061115 IS - 0283-9318 (Print) IS - 0283-9318 (Linking) VI - 20 IP - 1 DP - 2006 Mar TI - Evaluation of a web-based course for community nurses on postpartum emotional distress. PG - 86-92 AB - The purpose of this multicentre and quasi-experimental study is to evaluate the effect of a web-based course for community nurses in Iceland with regard to outcome of postpartum emotional distress. A sample of six community health centres was selected and equally divided into an experimental and a control group. All nurses at the experimental centres attended a web-based course focusing on evidence-based interventions for postpartum emotional distress. All new mothers were screened 9 weeks postpartum using the Edinburgh Postpartum Depression Scale (EPDS). If they scored 12 points or more they were eligible for the study. Mothers answered the EPDS at three different points in time, (9, 15 and 24 weeks postpartum) and the Parent Stress Index: Short Form (PSI/SF) at two times (9 and 15 weeks). Results showed no significant difference in the rate of depressive symptoms between study centres at 9 weeks. At 15 and 24 weeks there was, however, a significant difference between mothers at the experimental and control centres. Nurses at the experimental centres documented significantly more evidence-based interventions than did nurses at the control centres, and they had more frequent contact with new mothers suffering from postpartum emotional distress. There was no significant variation in PSI scores between the groups at any time. More women at the experimental centres were on antidepressants compared to the control centres. Of the total of 32 women eligible for the study, 10 declined participation. The findings are limited by small sample size and a probable confounding effect of antidepressants with the nursing interventions. Findings indicate that the web-based transfer of knowledge to nurses on evidence-based interventions for postpartum emotional distress has a positive effect on distressed women in the postpartum period and warrants further study. FAU - Ingadottir, Eyglo AU - Ingadottir E AD - Division of Health, Professional Education and Research, Landspitali University Hospital, Reykjavik, Iceland. FAU - Thome, Marga AU - Thome M LA - eng PT - Controlled Clinical Trial PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PL - Sweden TA - Scand J Caring Sci JT - Scandinavian journal of caring sciences JID - 8804206 RN - 0 (Antidepressive Agents) SB - N MH - Adult MH - Antidepressive Agents/therapeutic use MH - Community Health Nursing/*education/organization & administration MH - Computer-Assisted Instruction/*standards MH - Confounding Factors (Epidemiology) MH - Depression, Postpartum/diagnosis/drug therapy/*nursing MH - Drug Utilization MH - Education, Distance/organization & administration MH - Education, Nursing, Continuing/*organization & administration MH - Evidence-Based Medicine/education MH - Female MH - Humans MH - Iceland MH - Internet/*organization & administration MH - Longitudinal Studies MH - Mass Screening/nursing MH - Nursing Assessment MH - Nursing Education Research MH - Outcome Assessment (Health Care) MH - Postnatal Care MH - Program Evaluation MH - Psychiatric Status Rating Scales MH - Severity of Illness Index EDAT- 2006/02/24 09:00 MHDA- 2006/05/05 09:00 CRDT- 2006/02/24 09:00 AID - SCS385 [pii] AID - 10.1111/j.1471-6712.2006.00385.x [doi] PST - ppublish SO - Scand J Caring Sci. 2006 Mar;20(1):86-92. PMID- 16483383 OWN - NLM STAT- MEDLINE DA - 20060615 DCOM- 20060620 LR - 20151119 IS - 1471-2458 (Electronic) IS - 1471-2458 (Linking) VI - 6 DP - 2006 Feb 17 TI - PRISM (Program of Resources, Information and Support for Mothers): a community-randomised trial to reduce depression and improve women's physical health six months after birth [ISRCTN03464021]. PG - 37 AB - BACKGROUND: In the year after birth one in six women has a depressive illness, 94% experience at least one major health problem (e.g. back pain, perineal pain, mastitis, urinary or faecal incontinence), 26% experience sexual problems and almost 20% have relationship problems with partners. Women with depression report less practical and emotional support from partners, less social support, more negative life events, and poorer physical health and see factors contributing to depression as lack of support, isolation, exhaustion and physical health problems. Fewer than one in three seek help in primary care despite frequent health care contacts. METHODS: Primary care and community-based strategies embedded in existing services were implemented in a cluster-randomised trial involving 16 rural and metropolitan communities, pair-matched, within the State of Victoria, Australia. Intervention areas were also provided with a community development officer for two years. The primary aim was to reduce the relative risk of depression by 20% in mothers six months after birth and to improve their physical health. Primary outcomes were obtained by postal questionnaires. The analysis was by intention-to-treat, unmatched, adjusting for the correlated nature of the data. RESULTS: 6,248 of 10,144 women (61.6%) in the intervention arm and 5057/ 8,411 (60.1%) in the comparison arm responded at six months, and there was no imbalance in major covariates between the two arms. Women's mental health scores were not significantly different in the intervention arm and the comparison arm (MCS mean score 45.98 and 46.30, mean EPDS score 6.91 and 6.82, EPDS > or = 13 ('probable depression') 15.7% vs. 14.9%, Odds ratio(adj) 1.06 (95% CI 0.91-1.24). Women's physical health scores were not significantly different in intervention and comparison arms (PCS mean scores 52.86 and 52.88). CONCLUSION: The combined community and primary care interventions were not effective in reducing depression, or in improving the physical health of mothers six months after birth. FAU - Lumley, Judith AU - Lumley J AD - Mother and Child Health Research, La Trobe University, 251 Faraday St, Carlton, Victoria 3053, Australia. J.Lumley@latrobe.edu.au FAU - Watson, Lyndsey AU - Watson L FAU - Small, Rhonda AU - Small R FAU - Brown, Stephanie AU - Brown S FAU - Mitchell, Creina AU - Mitchell C FAU - Gunn, Jane AU - Gunn J LA - eng SI - ISRCTN/ISRCTN03464021 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20060217 PL - England TA - BMC Public Health JT - BMC public health JID - 100968562 SB - IM MH - Adult MH - Depression, Postpartum/*prevention & control MH - Female MH - Humans MH - Maternal Health Services/*organization & administration MH - *Maternal Welfare MH - Postnatal Care/*organization & administration MH - Pregnancy MH - Primary Health Care/*organization & administration MH - Rural Health Services/organization & administration MH - *Social Support MH - Surveys and Questionnaires MH - Treatment Outcome MH - Urban Health Services/organization & administration MH - Victoria PMC - PMC1479326 OID - NLM: PMC1479326 EDAT- 2006/02/18 09:00 MHDA- 2006/06/21 09:00 CRDT- 2006/02/18 09:00 PHST- 2005/10/25 [received] PHST- 2006/02/17 [accepted] AID - 1471-2458-6-37 [pii] AID - 10.1186/1471-2458-6-37 [doi] PST - epublish SO - BMC Public Health. 2006 Feb 17;6:37. PMID- 16280706 OWN - NLM STAT- MEDLINE DA - 20051110 DCOM- 20060110 LR - 20131121 IS - 1525-4135 (Print) IS - 1525-4135 (Linking) VI - 40 IP - 4 DP - 2005 Dec 01 TI - Integrating prevention of mother-to-child HIV transmission into routine antenatal care: the key to program expansion in Cameroon. PG - 486-93 AB - With funds from Elizabeth Glaser Pediatric AIDS Foundation, the Cameroon Baptist Convention Health Board implemented a program to prevent mother-to-child transmission of HIV-1 (PMTCT) as part of its routine antenatal care, with single-dose maternal and infant peripartum nevirapine (NVP) prophylaxis of HIV-positive mothers and their babies. Nurses, midwives, nurse aides, and trained birth attendants counseled pregnant women, obtained risk factor data, and offered free HIV testing with same-day results. From February 2000 through December 2004, this program rapidly expanded to 115 facilities in 6 of Cameroon's 10 provinces, not only to large hospitals but to remote health centers staffed by trained birth attendants. We trained 690 health workers in PMTCT and counseled 68,635 women, 91.9% of whom accepted HIV testing. Of 63,094 women tested, 8.7% were HIV-1-positive. Independent risk factors for HIV-1 infection included young age at first sexual intercourse, multiple sex partners, and positive syphilis serology (P < 0.001 for each). We counseled 98.7% of positive and negative mothers on a posttest basis. Of 5550 HIV-positive mothers, we counseled 5433 (97.9%) on single-dose NVP prophylaxis. Consistent training and programmatic support contributed to rapid upscaling and high uptake and counseling rates. FAU - Welty, Thomas K AU - Welty TK AD - Cameroon Baptist Convention Health Board, Nso, Northwest Province, Cameroon. twelty@earthlink.net FAU - Bulterys, Marc AU - Bulterys M FAU - Welty, Edith R AU - Welty ER FAU - Tih, Pius M AU - Tih PM FAU - Ndikintum, George AU - Ndikintum G FAU - Nkuoh, Godlove AU - Nkuoh G FAU - Nkfusai, Joseph AU - Nkfusai J FAU - Kayita, Janet AU - Kayita J FAU - Nkengasong, John N AU - Nkengasong JN FAU - Wilfert, Catherine M AU - Wilfert CM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Acquir Immune Defic Syndr JT - Journal of acquired immune deficiency syndromes (1999) JID - 100892005 RN - 0 (Anti-HIV Agents) RN - 0 (Reverse Transcriptase Inhibitors) RN - 99DK7FVK1H (Nevirapine) SB - IM SB - X MH - Adolescent MH - Adult MH - Age Factors MH - Anti-HIV Agents/administration & dosage/therapeutic use MH - Cameroon MH - Counseling MH - Female MH - HIV Infections/diagnosis/*prevention & control/*transmission MH - Humans MH - Infant, Newborn MH - Infectious Disease Transmission, Vertical/*prevention & control MH - Nevirapine/administration & dosage/therapeutic use MH - Patient Education as Topic MH - Pregnancy MH - *Pregnancy Complications, Infectious MH - Prenatal Care/*methods MH - Reverse Transcriptase Inhibitors/administration & dosage/therapeutic use MH - Risk Factors MH - Sexual Behavior MH - Syphilis EDAT- 2005/11/11 09:00 MHDA- 2006/01/13 09:00 CRDT- 2005/11/11 09:00 AID - 00126334-200512010-00016 [pii] PST - ppublish SO - J Acquir Immune Defic Syndr. 2005 Dec 1;40(4):486-93. PMID- 16260944 OWN - NLM STAT- MEDLINE DA - 20051101 DCOM- 20060207 LR - 20141120 IS - 0361-929X (Print) IS - 0361-929X (Linking) VI - 30 IP - 6 DP - 2005 Nov-Dec TI - Evidence for healing interventions with perinatal bereavement. PG - 389-96 AB - The purpose of this article is to explore the concept of perinatal grief and evidence-based healing interventions for it. The loss of a pregnancy or death of an infant causes profound grief, yet society has long minimized or ignored this grief, which is among the most painful of bereavement experiences. Throughout the last century, research on grief and the special needs of bereaved parents has changed the context of professional intervention from protective to supportive. The central focus of bereavement interventions is to assist families in healing by helping them make meaning of their losses. The use of symbols, spirituality, and rituals has been shown to help bring meaning. Research has shown that memories are key to healing, and that gender, age, and relationships bring different grief expressions and experiences. While children's understanding of loss and grief differs with developmental age, they should also be given the opportunity to participate in grief rituals and practices. Professionals who care for bereaved parents have a unique opportunity to offer support by validating their grief, facilitating rituals, providing mementos, and letting the bereaved tell their stories. While no intervention can bring back their beloved children, appropriate intervention can promote healing. FAU - Capitulo, Kathleen Leask AU - Capitulo KL AD - Kravis Children's Hospital & Women's Center, Patient Education, and Nursing Research, Mount Sinai Medical Center, New York, USA. DrKatieRN@hotmail.com LA - eng PT - Journal Article PT - Review PL - United States TA - MCN Am J Matern Child Nurs JT - MCN. The American journal of maternal child nursing JID - 7605941 SB - IM SB - N MH - Adaptation, Psychological MH - Adult MH - Age Factors MH - Attitude to Death MH - *Bereavement MH - Child MH - Evidence-Based Medicine MH - Female MH - Funeral Rites/psychology MH - Health Services Needs and Demand MH - Helping Behavior MH - Humans MH - Infant, Newborn MH - Male MH - Maternal-Child Nursing/*organization & administration MH - Nurse's Role/*psychology MH - Nursing Evaluation Research MH - Parents/education/*psychology MH - Professional-Family Relations MH - Psychology, Child MH - Self-Help Groups MH - Sex Factors MH - Social Support MH - Spirituality MH - Symbolism RF - 52 EDAT- 2005/11/02 09:00 MHDA- 2006/02/08 09:00 CRDT- 2005/11/02 09:00 AID - 00005721-200511000-00007 [pii] PST - ppublish SO - MCN Am J Matern Child Nurs. 2005 Nov-Dec;30(6):389-96. PMID- 16246470 OWN - NLM STAT- MEDLINE DA - 20060220 DCOM- 20060511 LR - 20151119 IS - 0266-6138 (Print) IS - 0266-6138 (Linking) VI - 22 IP - 1 DP - 2006 Mar TI - An evaluation of the effectiveness of an educational programme promoting the introduction of routine antenatal enquiry for domestic violence. PG - 6-14 AB - OBJECTIVE: a feasibility study to evaluate the effect of an educational programme on midwives' knowledge, skills, attitudes and implementation of routine antenatal enquiry for domestic violence. DESIGN: pre-, post- and follow-up survey. SETTING: an acute Trust within the South West of England. PARTICIPANTS: 79 of the 82 community midwives (96%) working in the Trust participated in the training programme, with 70 (85%) participating at all three stages of the research. MEASUREMENTS: participating community midwives completed a 38-item questionnaire at three points during the study: before the educational programme to provide base-line data, post-test immediately after the programme, and at 6 months follow-up. The questionnaire was divided into the following categories: views of professional education, knowledge of domestic violence, attitudes to domestic violence, efficacy beliefs and issues of practice development. The aim of the study was to identify any differences between pre- and post-implementation test data in relation to all the areas identified. Repeated multivariate analysis of variance was used to examine changes between pre-, post- and follow-up measures of knowledge, attitudes and efficacy. Hierarchical regression was used to identify potential influences on post-training disclosure rates using pre-, post- and follow-up measures as predictors. FINDINGS: the programme was positively received by participants, particularly in relation to an increased awareness and confidence in dealing with domestic violence. It was also associated with improvements in knowledge, attitudes and efficacy at post-test. These changes declined but remained above pre-test levels at 6 months follow-up. Levels of current and previous experiences of abuse obtained by midwives were predicted by past experience of dealing with the issue and efficacy scores immediately after and at 6 months after programme delivery. Rates of enquiry after programme introduction were lower than anticipated, with midwives routinely asking only 50% of the time. However, the key barrier identified was the presence of a male partner. IMPLICATIONS FOR PRACTICE: the effect of routine enquiry for domestic violence on midwifery role development needs further exploration before universal introduction. Seeing women alone at least once during a pregnancy would clearly increase opportunities for directly asking about violence and allowing safe disclosure. Where enquiry is introduced, midwives should be given access to validated educational programmes and structured ongoing support if enquiry is to be sustained over time. Although further evaluations are necessary, it may be advisable to focus on skills-based programmes that increase midwives' confidence and prioritise support and safety aspects for midwives and women during enquiry about domestic violence. FAU - Salmon, Debra AU - Salmon D AD - University of the West of England, Faculty of Health and Social Care, Glenside Campus, Blackberry Hill, Bristol BS16 1DD, UK. Debra.Salmon@uwe.ac.uk FAU - Murphy, Simon AU - Murphy S FAU - Baird, Kathleen AU - Baird K FAU - Price, Sally AU - Price S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20051024 PL - Scotland TA - Midwifery JT - Midwifery JID - 8510930 SB - N MH - Adult MH - Domestic Violence/*prevention & control MH - England MH - Feasibility Studies MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Health Promotion/organization & administration MH - Humans MH - Inservice Training/*organization & administration MH - Midwifery/*education MH - Nurse-Patient Relations MH - Nursing Evaluation Research MH - Prenatal Care/*organization & administration MH - Spouse Abuse/prevention & control MH - Surveys and Questionnaires EDAT- 2005/10/26 09:00 MHDA- 2006/05/12 09:00 CRDT- 2005/10/26 09:00 PHST- 2004/08/19 [received] PHST- 2005/05/11 [revised] PHST- 2005/05/11 [accepted] AID - S0266-6138(05)00056-2 [pii] AID - 10.1016/j.midw.2005.05.002 [doi] PST - ppublish SO - Midwifery. 2006 Mar;22(1):6-14. Epub 2005 Oct 24. PMID- 16225835 OWN - NLM STAT- MEDLINE DA - 20051017 DCOM- 20051206 LR - 20170214 IS - 0883-0738 (Print) IS - 0883-0738 (Linking) VI - 20 IP - 9 DP - 2005 Sep TI - Newborn screening and prenatal diagnosis for Rett syndrome: implications for therapy. PG - 779-83 AB - Most girls with Rett syndrome develop normally prior to the appearance of the typical symptoms. A presymptomatic phase is also observed in many inborn errors of metabolism that are included in newborn screening programs. Diagnostic testing for mutations or large genomic rearrangements involving methyl-CpG binding protein 2 gene (MECP2) is highly sensitive and identifies mutations in up to 95% of female individuals with classic Rett syndrome. This has prompted some to ask whether MECP2 testing should be included in newborn and prenatal screening programs. We review current and evolving practices in these programs, emphasizing their relevance to Rett syndrome. The availability of a reliable test and the characteristic early latent phase, which creates a window of opportunity for early treatment, favor universal newborn screening for Rett syndrome. However, the high cost and the lack of an effective presymptomatic treatment make universal newborn screening for Rett syndrome impractical at present. In contrast, prenatal diagnosis should be offered to the parents of an affected child if the responsible mutation has been identified in the index case. FAU - Amir, Ruthie E AU - Amir RE AD - Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX 77030, USA. FAU - Sutton, V Reid AU - Sutton VR FAU - Van den Veyver, Ignatia B AU - Van den Veyver IB LA - eng GR - HD24064/HD/NICHD NIH HHS/United States GR - P01-HD40301/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PT - Review PL - United States TA - J Child Neurol JT - Journal of child neurology JID - 8606714 SB - IM MH - DNA Mutational Analysis MH - Female MH - *Genetic Testing MH - Humans MH - Infant, Newborn MH - Pregnancy MH - *Prenatal Diagnosis MH - Rett Syndrome/*diagnosis/genetics/therapy MH - Sensitivity and Specificity RF - 38 EDAT- 2005/10/18 09:00 MHDA- 2005/12/13 09:00 CRDT- 2005/10/18 09:00 AID - 10.1177/08830738050200091401 [doi] PST - ppublish SO - J Child Neurol. 2005 Sep;20(9):779-83. PMID- 16123191 OWN - NLM STAT- MEDLINE DA - 20050826 DCOM- 20060103 LR - 20161205 IS - 0278-4297 (Print) IS - 0278-4297 (Linking) VI - 24 IP - 9 DP - 2005 Sep TI - Congenital megalourethra: outcome after prenatal diagnosis in a series of 4 cases. PG - 1303-8 AB - OBJECTIVE: The purpose of this series is to describe the prenatal sonographic findings and pregnancy outcome in 4 cases of congenital megalourethra. METHODS: Three cases of fusiform-type megalourethra and 1 case of scaphoid-type megalourethtra were diagnosed prenatally by sonography between 20 and 24 weeks' gestation. The key findings for diagnosis included sonographic features of lower urinary tract obstruction in association with dilatation and elongation of the penile urethra in all 4 cases. Severe oligohydramnios was detected at the time of diagnosis in only 1 case. Prenatal chromosome analysis was available in 3 cases and revealed a normal 46,XY karyotype. Information on pregnancy outcome was available in all cases. RESULTS: The parents opted for elective termination of pregnancy in 1 case when decreased amniotic fluid volume and echogenic kidneys were documented at the follow-up scan. Among the 3 ongoing pregnancies, there were 2 premature cesarean deliveries at 28 and 31 weeks and 1 vaginal delivery at term. All neonates had severe lung hypoplasia and died in the early neonatal period. CONCLUSIONS: Congenital megalourethra is associated with poor perinatal outcome. Because this condition can be diagnosed prenatally in the context of lower urinary tract obstruction, detailed examination of the external genitalia in these cases should be mandatory. FAU - Sepulveda, Waldo AU - Sepulveda W AD - Fetal Medicine Center, Clinica Las Condes, Casilla 208, Santiago 20, Chile. fetalmed@yahoo.com FAU - Elorza, Carlos AU - Elorza C FAU - Gutierrez, Jorge AU - Gutierrez J FAU - Vasquez, Patricio AU - Vasquez P FAU - Castro, Victor AU - Castro V LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - J Ultrasound Med JT - Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine JID - 8211547 SB - IM MH - Fatal Outcome MH - Female MH - Gestational Age MH - Humans MH - Infant, Newborn MH - Male MH - Pregnancy MH - Pregnancy Outcome MH - *Ultrasonography, Prenatal MH - Urethra/*abnormalities/*diagnostic imaging EDAT- 2005/08/27 09:00 MHDA- 2006/01/04 09:00 CRDT- 2005/08/27 09:00 AID - 24/9/1303 [pii] PST - ppublish SO - J Ultrasound Med. 2005 Sep;24(9):1303-8. PMID- 16075193 OWN - NLM STAT- MEDLINE DA - 20060116 DCOM- 20060331 LR - 20071115 IS - 1389-4986 (Print) IS - 1389-4986 (Linking) VI - 6 IP - 4 DP - 2005 Dec TI - Reducing the impact of uncontrollable stressful life events through a program of nurse home visitation for new parents. PG - 269-74 AB - The current study examined whether the Nurse Family Partnership (NFP), an intervention in which mothers received home visitation by registered nurses pre- and postnatally, reduced mothers' vulnerability to the effects of stressful life events several years after the program was completed. Data from a randomized trial of the NFP were examined for mothers (N = 324) who were generally low-income, young, and unmarried at the time of the birth of their first child. Structured interviews were done with mothers about 15 years after the program began. Results showed that experiencing uncontrollable stressful life events, such as the death of a loved one, led to fewer negative outcomes (fewer mental health problems, less binge drinking, and better parenting practices) among nurse-visited mothers than among mothers receiving no visitation. Furthermore, the program's effect on reducing vulnerability to the negative impact of life events was particularly evident among parents who were younger or had a lower sense of personal control at intake. These findings suggest that, in addition to preventing the occurrence of negative outcomes that were direct targets of the intervention, the NFP more generally enhanced mothers' ability to cope with future stressful life events. FAU - Izzo, Charles V AU - Izzo CV AD - Family Life Development Center, Cornell University, Beebe Hall, Ithaca, New York 14853, USA. FAU - Eckenrode, John J AU - Eckenrode JJ FAU - Smith, Elliot G AU - Smith EG FAU - Henderson, Charles R AU - Henderson CR FAU - Cole, Robert AU - Cole R FAU - Kitzman, Harriet AU - Kitzman H FAU - Olds, David L AU - Olds DL LA - eng GR - R01-MH49381/MH/NIMH NIH HHS/United States PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Prev Sci JT - Prevention science : the official journal of the Society for Prevention Research JID - 100894724 SB - IM MH - Adult MH - *Community Health Nursing MH - Female MH - Follow-Up Studies MH - Humans MH - Infant Care/*psychology MH - Infant, Newborn MH - Interviews as Topic MH - *Life Change Events MH - *Mental Health Services MH - Mothers/*psychology MH - Postnatal Care/*psychology MH - Program Evaluation MH - Prospective Studies MH - Stress, Psychological/etiology/*prevention & control EDAT- 2005/08/03 09:00 MHDA- 2006/04/01 09:00 CRDT- 2005/08/03 09:00 AID - 10.1007/s11121-005-0010-5 [doi] PST - ppublish SO - Prev Sci. 2005 Dec;6(4):269-74. PMID- 15998603 OWN - NLM STAT- MEDLINE DA - 20050722 DCOM- 20050930 LR - 20131121 IS - 1570-0232 (Print) IS - 1570-0232 (Linking) VI - 822 IP - 1-2 DP - 2005 Aug 05 TI - Detection of prenatal exposure to several classes of environmental toxicants and their metabolites by gas chromatography-mass spectrometry in maternal and umbilical cord blood. PG - 221-9 AB - We developed a sensitive method to detect several classes of pesticides and their metabolites in maternal and cord whole blood using electron-impact gas chromatography-mass spectrometry (GC-MS). The method can detect parent and metabolite compounds at levels of <0.10 and 0.20mug/mL, respectively, with high accuracy and recovery. Analysis of blood from mother-infant dyads from an area of high pesticide use in the Philippines showed detectable levels of propoxur, 3-phenoxybenzoic acid (3-PBA), and 1,1-dichloro-2,2-bis(p-chlorophenyl)ethylene (p,p'-DDE) in maternal and umbilical cord blood. GC-MS analysis of several classes of parent pesticides and their metabolites in maternal and cord blood provides a sensitive and specific method to detect pesticide exposure during pregnancy. FAU - Corrion, M L AU - Corrion ML AD - Department of Pediatrics, Hutzel Women's Hospital, Children's Hospital of Michigan, Wayne State University School of Medicine, 4707 St. Antoine, Detroit, MI 48201, USA. FAU - Ostrea, E M Jr AU - Ostrea EM Jr FAU - Bielawski, D M AU - Bielawski DM FAU - Posecion, N C Jr AU - Posecion NC Jr FAU - Seagraves, J J AU - Seagraves JJ LA - eng GR - 1R01HD039428001A1/HD/NICHD NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PT - Validation Studies PL - Netherlands TA - J Chromatogr B Analyt Technol Biomed Life Sci JT - Journal of chromatography. B, Analytical technologies in the biomedical and life sciences JID - 101139554 RN - 0 (Benzoates) RN - 0 (Environmental Pollutants) RN - 0 (Pesticides) RN - 3739-38-6 (3-phenoxybenzoic acid) RN - 4M7FS82U08 (Dichlorodiphenyl Dichloroethylene) RN - BFH029TL73 (Propoxur) SB - IM MH - Benzoates/blood MH - Dichlorodiphenyl Dichloroethylene/blood MH - Environmental Pollutants/*analysis/blood MH - Female MH - Fetal Blood/*chemistry MH - Gas Chromatography-Mass Spectrometry/methods MH - Humans MH - Pesticides/*blood MH - Pregnancy MH - *Prenatal Exposure Delayed Effects MH - Propoxur/blood EDAT- 2005/07/07 09:00 MHDA- 2005/10/01 09:00 CRDT- 2005/07/07 09:00 PHST- 2005/01/04 [received] PHST- 2005/06/02 [revised] PHST- 2005/06/04 [accepted] AID - S1570-0232(05)00418-6 [pii] AID - 10.1016/j.jchromb.2005.06.007 [doi] PST - ppublish SO - J Chromatogr B Analyt Technol Biomed Life Sci. 2005 Aug 5;822(1-2):221-9. PMID- 15971487 OWN - NLM STAT- MEDLINE DA - 20050623 DCOM- 20050913 LR - 20050623 IS - 0024-7758 (Print) IS - 0024-7758 (Linking) VI - 50 IP - 5 DP - 2005 May TI - Antenatal course of a fetal intracranial arteriovenous fistula: a case report. PG - 367-9 AB - BACKGROUND: Intracranial arteriovenous fistulas (AVFs) are rare in childhood. AVFs in fetuses are very rare and usually not associated with the vein of Galen. These can be solitary or multiple and may be associated with aneurysms or AVMs. The presentation of an AVF depends on the age of the patient, site and size of the fistula, and any accompanying lesion. Neonates can present with cardiac failure and a cranial bruit, infants with cardiomegaly and cardiac failure, children with hydrocephalus, and adolescents and adults with headaches, seizures or intracranial hemorrhage. CASE: Ultrasound and Doppler flow studies revealed a large, vascular lesion in the left cerebral hemisphere that was consistent with an arteriovenous malformation or fistula. The fetus developed cardiomegaly and transient pleural effusion not hydrops. Planned cesarean section without manipulation of thefetal head was performed at 39 weeks. Embolization during the neonatal period completely ceased flow through the arteriovenous fistula. At 28 months of age the child was doing well and showed no developmental or neurologic deficits. CONCLUSION: Prenatal recognition of fistulas and malformations can result in a good outcome as long as thefetus does not develop cardiac failure. Knowledge of the presence of an extensive arteriovenous malformation orfistula prior to birth allows planned delivery and permits the parents and medical team to be prepared for treatment at a tertiary care center. FAU - Kelly, Amy AU - Kelly A AD - Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242-1080, USA. FAU - Rijhsinghani, Asha AU - Rijhsinghani A LA - eng PT - Case Reports PT - Journal Article PL - United States TA - J Reprod Med JT - The Journal of reproductive medicine JID - 0173343 SB - IM MH - Adult MH - Cardiomegaly/etiology MH - Cesarean Section MH - Child Development MH - *Embolization, Therapeutic MH - Female MH - Fetal Development MH - Humans MH - Infant MH - Intracranial Arteriovenous Malformations/*pathology/*therapy MH - Pregnancy MH - *Prenatal Diagnosis EDAT- 2005/06/24 09:00 MHDA- 2005/09/15 09:00 CRDT- 2005/06/24 09:00 PST - ppublish SO - J Reprod Med. 2005 May;50(5):367-9. PMID- 15863535 OWN - NLM STAT- MEDLINE DA - 20050502 DCOM- 20050630 LR - 20161019 IS - 0029-7844 (Print) IS - 0029-7844 (Linking) VI - 105 IP - 5 Pt 1 DP - 2005 May TI - Brief intervention for prenatal alcohol use: a randomized trial. PG - 991-8 AB - OBJECTIVE: To test the effectiveness of a brief intervention in the reduction of prenatal alcohol consumption by women when a partner is included. METHODS: Randomized trial of a single session brief intervention given by the study nurse or principal investigator for 304 pregnant women and their partners. The women had positive T-ACE (Tolerance, Annoyed, Cut down, Eye-opener, an alcohol screening test) results and were at risk for alcohol consumption while pregnant. All completed initial diagnostic and postpartum interviews. RESULTS: Fewer than 20% of participants (median 11.5 weeks of gestation) were abstinent at study enrollment, averaging more than 1.5 drinks per episode. Nearly 30% had 2 or more drinks at a time while pregnant. Prenatal alcohol use declined in both the treatment and control groups after study enrollment, based on a 95% follow-up rate. Factors associated with increased prenatal alcohol use after randomization included more years of education, extent of previous alcohol consumption, and temptation to drink in social situations. Brief interventions for prenatal alcohol reduced subsequent consumption most significantly for the women with the highest consumption initially (regression coefficient, b = -0.163, standard error (b) = 0.063, P < .01). Moreover, the effects of the brief intervention were significantly enhanced when a partner participated (b = -0.932, standard error (b) = 0.468), P < .05). CONCLUSION: Pregnant women with the highest levels of alcohol use reduced their drinking most after a brief intervention that included their partners. Recommendations include consistent screening for prenatal alcohol use followed by diagnostic assessment when indicated, and if confirmed by other studies, a patient-partner brief intervention for the heaviest drinkers. FAU - Chang, Grace AU - Chang G AD - Department of Psychiatry, Brigham and Women's Hospital, Boston, MA, USA. Gchang@partners.org FAU - McNamara, Tay K AU - McNamara TK FAU - Orav, E John AU - Orav EJ FAU - Koby, Danielle AU - Koby D FAU - Lavigne, Alyson AU - Lavigne A FAU - Ludman, Barbara AU - Ludman B FAU - Vincitorio, Nori Ann AU - Vincitorio NA FAU - Wilkins-Haug, Louise AU - Wilkins-Haug L LA - eng GR - K24 AA000289/AA/NIAAA NIH HHS/United States GR - R01 AA012548/AA/NIAAA NIH HHS/United States GR - K24 AA 00289/AA/NIAAA NIH HHS/United States GR - R01 AA12548/AA/NIAAA NIH HHS/United States PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Obstet Gynecol JT - Obstetrics and gynecology JID - 0401101 SB - AIM SB - IM MH - Adult MH - Alcohol Drinking/epidemiology/*prevention & control MH - Analysis of Variance MH - Counseling MH - Female MH - Fetal Alcohol Spectrum Disorders/*prevention & control MH - Follow-Up Studies MH - Gestational Age MH - Humans MH - Incidence MH - Maternal Age MH - Multivariate Analysis MH - Nurse-Patient Relations MH - Patient Compliance MH - Patient Education as Topic/*methods MH - Pregnancy MH - Pregnancy Complications/*prevention & control MH - Pregnancy Outcome MH - *Pregnancy, High-Risk MH - Prenatal Care/methods MH - Reference Values MH - Risk Assessment MH - Statistics, Nonparametric PMC - PMC1380262 MID - NIHMS8080 OID - NLM: NIHMS8080 OID - NLM: PMC1380262 EDAT- 2005/05/03 09:00 MHDA- 2005/07/01 09:00 CRDT- 2005/05/03 09:00 AID - 105/5/991 [pii] AID - 10.1097/01.AOG.0000157109.05453.84 [doi] PST - ppublish SO - Obstet Gynecol. 2005 May;105(5 Pt 1):991-8. PMID- 15842207 OWN - NLM STAT- MEDLINE DA - 20050421 DCOM- 20050526 LR - 20151119 IS - 0001-6349 (Print) IS - 0001-6349 (Linking) VI - 84 IP - 5 DP - 2005 May TI - Childbirth and parenthood education classes in Sweden. Women's opinion and possible outcomes. PG - 436-43 AB - OBJECTIVE: To investigate first-time mothers' views about antenatal childbirth and parenthood education and their contact with other class participants after birth, and to compare participants and non-participants with respect to the use of pain relief, experience of pain, mode of delivery, childbirth overall, duration of breastfeeding, and assessment of parental skills. METHODS: A national cohort of 1197 Swedish-speaking women completed three questionnaires: during early pregnancy, 2 months, and 1 year after giving birth. RESULTS: Seventy-four percent of first-time mothers stated that antenatal education helped prepare them for childbirth, and 40% for early parenthood. One year after giving birth, 58% of the mothers had met with other class participants. These outcomes were associated with the number of class sessions. When controlling for the selection of women into participants and non-participants, no statistical differences were found concerning memory of labor pain, mode of delivery, overall birth experience, duration of breastfeeding, and assessment of parental skills. However, participants had a higher rate of epidural analgesia. Mothers who were young, single, with low level of education, living in a small city, and smokers were less likely to find the classes helpful. CONCLUSION: Participation in childbirth and parenthood education classes did not seem to affect first-time mothers' experience of childbirth and assessment of parental skills, but expanded their social network of new parents. The higher epidural rate suggests that participation in classes made women more aware of pain relief techniques available, rather than improving their own coping with pain. More research should focus on current forms of antenatal education, with special focus on women of low socioeconomic status. FAU - Fabian, Helena M AU - Fabian HM AD - Department of Nursing, Karolinska Institutet, Stockholm, Sweden. helena.fabian@omv.ki.se FAU - Radestad, Ingela J AU - Radestad IJ FAU - Waldenstrom, Ulla AU - Waldenstrom U LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Acta Obstet Gynecol Scand JT - Acta obstetricia et gynecologica Scandinavica JID - 0370343 SB - IM MH - Adult MH - *Attitude to Health MH - Case-Control Studies MH - Cohort Studies MH - Delivery, Obstetric/*statistics & numerical data MH - Female MH - *Health Education MH - Humans MH - Maternal Health Services/*utilization MH - Mothers/education/*psychology MH - Parenting MH - *Parturition MH - Pregnancy MH - Pregnancy Outcome MH - *Prenatal Care MH - Surveys and Questionnaires MH - Sweden/epidemiology EDAT- 2005/04/22 09:00 MHDA- 2005/05/27 09:00 CRDT- 2005/04/22 09:00 AID - AOG732 [pii] AID - 10.1111/j.0001-6349.2005.00732.x [doi] PST - ppublish SO - Acta Obstet Gynecol Scand. 2005 May;84(5):436-43. PMID- 15675494 OWN - NLM STAT- MEDLINE DA - 20050128 DCOM- 20050228 LR - 20131121 IS - 0043-3144 (Print) IS - 0043-3144 (Linking) VI - 53 IP - 5 DP - 2004 Oct TI - HIV seroprevalence, uptake of interventions to reduce mother-to-child transmission and birth outcomes in greater Kingston, Jamaica. PG - 297-302 AB - BACKGROUND: The seroprevalence of HIV among pregnant women in the Caribbean is 2-3% and increasing. The Kingston Paediatric and Perinatal HIV Programme is developing and implementing a unified programme to eliminate mother-to-child transmission (MTCT) of HIV in Kingston, Jamaica. METHODS: Pregnant women presenting to Kingston Metropolitan Antenatal Clinics, Victoria Jubilee Hospital, Spanish Town Hospital and the University Hospital of the West Indies had HIV serology performed by ELISA, or by the new Determine Rapid Test after receiving group counselling. HIV-positive women were referred to High Risk Antenatal Clinics. Antiretroviral prophylaxis with zidovudine (AZT), or nevirapine was given. Care was administered using a standard protocol by a multi-disciplinary team of public and academic healthcare personnel. RESULTS: In year one, 19,414 women delivered Among 14,054 women who started antenatal care for this period, 5,558 (40%) received group counselling and 7,383 (53%) received HIV-testing. During the fourth quarter of follow-up, these comparative rates were 66% (2049/3 118) and 72% (2260/3118) respectively. HIV seroprevalence overall was 2.1% (152/7 383). One hundred and seven HIV+ women at varying gestational ages were identified in the programme, 72 had so far received AZT and nine nevirapine (76%). 0f 84 deliveries, birth outcomes were 75 live births (89%), six neonatal deaths and four maternal deaths (all from HIV/AIDS). Major challenges include repeat pregnancies of 36% despite prior knowledge of HIV seropositivity and poor partner notification with only 30% (32) having a HIV-test. Although rates of HIV testing in pregnant women in Greater Kingston are increasing, rates of testing overall remain sub-optimal. On the labour ward, there was sub-optimal identification of the HIV+ pregnant woman and administration of AZT chemoprophylaxis, along with issues of patient confidentiality and stigma. CONCLUSION: This programme needs strengthening in order to reduce maternal-fetal transmission of HIV in Greater Kingston, Jamaica "pMTCT-PLUS, or comprehensive family-centred care, is the next step". FAU - Johnson, N AU - Johnson N AD - Kingston Paediatric and Perinatal HIV/AIDS Programme, The University of the West Indies, Kingston 7, Jamaica, West Indies. FAU - Mullings, A A AU - Mullings AA FAU - Harvey, K M AU - Harvey KM FAU - Alexander, G AU - Alexander G FAU - McDonald, D AU - McDonald D FAU - Smikle, M F AU - Smikle MF FAU - Williams, E AU - Williams E FAU - Palmer, P AU - Palmer P FAU - Whorms, S AU - Whorms S FAU - Figueroa, J P AU - Figueroa JP FAU - Christie, C D C AU - Christie CD LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Jamaica TA - West Indian Med J JT - The West Indian medical journal JID - 0417410 RN - 4B9XT59T7S (Zidovudine) RN - 99DK7FVK1H (Nevirapine) SB - IM MH - Adolescent MH - Adult MH - Female MH - HIV Infections/epidemiology/*prevention & control/transmission MH - HIV Seropositivity MH - *HIV Seroprevalence MH - Humans MH - Infectious Disease Transmission, Vertical/*prevention & control MH - Jamaica/epidemiology MH - Nevirapine/administration & dosage MH - Perinatal Care MH - Pregnancy MH - Pregnancy Complications, Infectious/epidemiology/*prevention & control MH - Pregnancy Outcome MH - *Prenatal Care MH - *Program Evaluation MH - Zidovudine/administration & dosage EDAT- 2005/01/29 09:00 MHDA- 2005/03/01 09:00 CRDT- 2005/01/29 09:00 PST - ppublish SO - West Indian Med J. 2004 Oct;53(5):297-302. PMID- 15674934 OWN - NLM STAT- MEDLINE DA - 20050127 DCOM- 20050527 LR - 20131121 IS - 1469-493X (Electronic) IS - 1361-6137 (Linking) IP - 1 DP - 2005 Jan 25 TI - Antenatal interventions for fetomaternal alloimmune thrombocytopenia. PG - CD004226 AB - BACKGROUND: Fetomaternal alloimmune thrombocytopenia occurs when the mother produces antibodies against a platelet alloantigen that the fetus has inherited from the father. A consequence of this can be a reduced number of platelets (thrombocytopenia) in the fetus, which can result in bleeding whilst in the womb or shortly after birth. In severe cases this bleeding may lead to long-lasting disability or death. Antenatal management of fetomaternal alloimmune thrombocytopenia centres on preventing severe thrombocytopenia in the fetus. Available management options include administration of intravenous immunoglobulins or corticosteroids to the mother or intrauterine transfusion of antigen compatible platelets to the fetus. All options are costly and need to be assessed in terms of potential risk and benefit to both the mother and an individual fetus. OBJECTIVES: To determine the optimal antenatal treatment of fetomaternal alloimmune thrombocytopenia to prevent fetal and neonatal haemorrhage and death. SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register (February 2004), EMBASE (1980 to February 2004) and bibliographies of relevant publications and review articles. SELECTION CRITERIA: Randomised controlled studies comparing any intervention, including corticosteroids with no treatment, or comparing any two interventions. DATA COLLECTION AND ANALYSIS: Two reviewers independently assessed eligibility, trial quality and extracted data. MAIN RESULTS: One study met the inclusion criteria (54 pregnant women). This trial compared intravenous immunoglobulins plus corticosteroid (dexamethasone) with intravenous immunoglobulins alone. No significant differences were reported between the treatment and control groups, in any outcome measured: mean platelet count at birth (weighted mean difference (WMD) 14.10 x 10 9/l, 95% confidence interval (CI) -30.26 to 58.46), mean gestational age at birth (WMD -0.50 weeks, 95% CI -2.69 to 1.69), mean rise in platelet count from first to second fetal blood screen (WMD -3.50 x 10 9/l, 95% CI -24.62 to 17.62) and mean rise in platelet count from birth to first fetal blood screen (WMD 24.40 x 10 9/l (95% CI -14.17 to 62.97)). This trial had adequate methodological quality; however the method used to calculate sample size was inappropriate: therefore the power calculation was not sufficient to determine any significance in differences between the treatment groups. AUTHORS' CONCLUSIONS: There are insufficient data from randomised controlled trials to determine the optimal antenatal management of fetomaternal alloimmune thrombocytopenia. Future trials should consider the dose of intravenous immunoglobulins, the timing of initial treatment, monitoring of response to treatment by fetal blood sampling, laboratory measures to define pregnancies with a high risk of intercranial haemorrhage, management of non-responders and long-term follow up of children. FAU - Rayment, R AU - Rayment R AD - Blood Research Laboratory, National Blood Service, Oxford Centre, John Radcliffe Hospital, Headley Way, Oxford, Oxon, UK, OX3 9BQ. rachel.rayment@ndcls.ox.ac.uk FAU - Brunskill, S J AU - Brunskill SJ FAU - Stanworth, S AU - Stanworth S FAU - Soothill, P W AU - Soothill PW FAU - Roberts, D J AU - Roberts DJ FAU - Murphy, M F AU - Murphy MF LA - eng PT - Journal Article PT - Review DEP - 20050125 PL - England TA - Cochrane Database Syst Rev JT - The Cochrane database of systematic reviews JID - 100909747 RN - 0 (Antigens, Human Platelet) RN - 0 (Glucocorticoids) RN - 0 (Immunoglobulins, Intravenous) RN - 7S5I7G3JQL (Dexamethasone) SB - IM UIN - Cochrane Database Syst Rev. 2011;(5):CD004226. PMID: 21563140 MH - Antigens, Human Platelet/immunology MH - Blood Transfusion, Intrauterine MH - Dexamethasone/therapeutic use MH - Female MH - Fetal Diseases/immunology/*therapy MH - Glucocorticoids/*therapeutic use MH - Humans MH - Immunoglobulins, Intravenous/*therapeutic use MH - Platelet Transfusion MH - Pregnancy MH - Thrombocytopenia/immunology/*therapy RF - 57 EDAT- 2005/01/28 09:00 MHDA- 2005/05/28 09:00 CRDT- 2005/01/28 09:00 AID - 10.1002/14651858.CD004226.pub2 [doi] PST - epublish SO - Cochrane Database Syst Rev. 2005 Jan 25;(1):CD004226. PMID- 15577420 OWN - NLM STAT- MEDLINE DA - 20041203 DCOM- 20051229 LR - 20161019 IS - 1525-4135 (Print) IS - 1525-4135 (Linking) VI - 37 IP - 5 DP - 2004 Dec 15 TI - Antenatal couple counseling increases uptake of interventions to prevent HIV-1 transmission. PG - 1620-6 AB - To determine effect of partner involvement and couple counseling on uptake of interventions to prevent HIV-1 transmission, women attending a Nairobi antenatal clinic were encouraged to return with partners for voluntary HIV-1 counseling and testing (VCT) and offered individual or couple posttest counseling. Nevirapine was provided to HIV-1-seropositive women and condoms distributed to all participants. Among 2104 women accepting testing, 308 (15%) had partners participate in VCT, of whom 116 (38%) were couple counseled. Thirty-two (10%) of 314 HIV-1-seropositive women came with partners for VCT; these women were 3-fold more likely to return for nevirapine (P = 0.02) and to report administering nevirapine at delivery (P = 0.009). Nevirapine use was reported by 88% of HIV-infected women who were couple counseled, 67% whose partners came but were not couple counseled, and 45%whose partners did not present for VCT (P for trend = 0.006). HIV-1-seropositive women receiving couple counseling were 5-fold more likely to avoid breast-feeding (P = 0.03) compared with those counseled individually. Partner notification of HIV-1-positive results was reported by 138 women (64%) and was associated with 4-fold greater likelihood of condom use (P = 0.004). Partner participation in VCT and couple counseling increased uptake of nevirapine and formula feeding. Antenatal couple counseling may be a useful strategy to promote HIV-1 prevention interventions. FAU - Farquhar, Carey AU - Farquhar C AD - Department of Medicine, University of Washington, Seattle, WA 98104-249, USA. cfarq@u.washington.edu FAU - Kiarie, James N AU - Kiarie JN FAU - Richardson, Barbra A AU - Richardson BA FAU - Kabura, Marjory N AU - Kabura MN FAU - John, Francis N AU - John FN FAU - Nduati, Ruth W AU - Nduati RW FAU - Mbori-Ngacha, Dorothy A AU - Mbori-Ngacha DA FAU - John-Stewart, Grace C AU - John-Stewart GC LA - eng GR - T22 TW000001/TW/FIC NIH HHS/United States GR - K23-HD41879/HD/NICHD NIH HHS/United States GR - T22-TW00001/TW/FIC NIH HHS/United States GR - K24 HD054314/HD/NICHD NIH HHS/United States GR - P30 AI027757/AI/NIAID NIH HHS/United States GR - P30 AI027757-12/AI/NIAID NIH HHS/United States GR - K23 HD041879/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - J Acquir Immune Defic Syndr JT - Journal of acquired immune deficiency syndromes (1999) JID - 100892005 RN - 0 (Anti-HIV Agents) RN - 0 (Reverse Transcriptase Inhibitors) RN - 99DK7FVK1H (Nevirapine) SB - IM SB - X MH - *AIDS Serodiagnosis MH - Adult MH - Anti-HIV Agents/administration & dosage MH - Breast Feeding MH - Condoms/utilization MH - Contact Tracing MH - Counseling/*utilization MH - *Family Characteristics MH - Female MH - HIV Infections/diagnosis/*prevention & control/transmission MH - Humans MH - Infant, Newborn MH - Infectious Disease Transmission, Vertical/*prevention & control MH - Male MH - Nevirapine/administration & dosage MH - Pregnancy MH - Pregnancy Complications, Infectious/prevention & control MH - *Prenatal Care MH - Reverse Transcriptase Inhibitors/administration & dosage PMC - PMC3384734 MID - NIHMS359242 OID - NLM: NIHMS359242 OID - NLM: PMC3384734 EDAT- 2004/12/04 09:00 MHDA- 2005/12/31 09:00 CRDT- 2004/12/04 09:00 AID - 00126334-200412150-00016 [pii] PST - ppublish SO - J Acquir Immune Defic Syndr. 2004 Dec 15;37(5):1620-6. PMID- 15222447 OWN - NLM STAT- MEDLINE DA - 20040629 DCOM- 20040831 LR - 20041117 IS - 0003-0651 (Print) IS - 0003-0651 (Linking) VI - 52 IP - 2 DP - 2004 Spring TI - The influence of prenatal triadic capacities on early mother-father-infant interaction patterns. PG - 471-3 FAU - von Wyl, Agnes AU - von Wyl A AD - Department of Child and Adolescent Psychiatry, University of Basel, Switzerland. agnes.vonwyl@unibas.ch FAU - von Klitzing, Kai AU - von Klitzing K FAU - Perren, Sonja AU - Perren S FAU - Burgin, Dieter AU - Burgin D LA - eng PT - Journal Article PL - United States TA - J Am Psychoanal Assoc JT - Journal of the American Psychoanalytic Association JID - 7505579 SB - IM MH - Family Relations MH - *Father-Child Relations MH - Humans MH - *Interpersonal Relations MH - Marriage MH - *Mother-Child Relations MH - Prospective Studies EDAT- 2004/06/30 05:00 MHDA- 2004/09/01 05:00 CRDT- 2004/06/30 05:00 PST - ppublish SO - J Am Psychoanal Assoc. 2004 Spring;52(2):471-3. PMID- 15110062 OWN - NLM STAT- MEDLINE DA - 20040427 DCOM- 20040902 LR - 20061115 IS - 0749-3797 (Print) IS - 0749-3797 (Linking) VI - 26 IP - 4 DP - 2004 May TI - Expanding developmental and behavioral services for newborns in primary care: program design, delivery, and evaluation framework. PG - 344-55 AB - BACKGROUND: Healthy Steps (HS) for Young Children strengthens the healthcare system as a source of developmental and behavioral support for parents. This series of papers presents a study of HS as implemented within a large health maintenance organization that tested the benefit of beginning intervention services during pregnancy with an extension program called "PrePare" (PP). METHODS: The design was a quasi-experimental comparison of intervention families with families receiving usual care. Within the intervention, families were assigned randomly to begin receiving Healthy Steps services prenatally (PP+HS) or shortly after birth (HS). We used a systems model, PRECEDE/PROCEED, for planning, implementation, and process evaluation. Outcomes examined when the infants were aged 3 months included changes in family social support and capacity for parenting, parenting behaviors, and satisfaction and loyalty to the health plan. RESULTS: The sample of 439 families was distributed as follows: usual care (n=136), prenatal initiation of services (PP+HS; n=151), and postnatal Healthy Steps (HS; n=152). Information about program implementation, including provider satisfaction, is provided for the early phases of the study (through age 3 months). The intervention was delivered with fidelity and with minimal disruption to the practice styles of pregnancy providers, most of whom considered the program valuable to their patients. Relative to families in the comparison group, families in the intervention group received more usual care services and more intervention-specific services. CONCLUSIONS: The pregnancy and newborn phases of the intervention were embedded successfully within the existing healthcare delivery system. The program was considered valuable for parents by providers and parents. Participating families received more services and a greater variety of services than families in usual care. Whether these differences result in beneficial outcomes for families or the health plan are topics of the subsequent papers. FAU - Huebner, Colleen E AU - Huebner CE AD - Maternal and Child Health Program, Department of Health Services, University of Washington, Seattle, Washington, USA. FAU - Barlow, William E AU - Barlow WE FAU - Tyll, Lynda T AU - Tyll LT FAU - Johnston, Brian D AU - Johnston BD FAU - Thompson, Robert S AU - Thompson RS LA - eng PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - Am J Prev Med JT - American journal of preventive medicine JID - 8704773 SB - IM MH - Female MH - Humans MH - Infant MH - Infant, Newborn MH - *Outcome and Process Assessment (Health Care) MH - Postnatal Care/*organization & administration MH - Pregnancy MH - Prenatal Care/*organization & administration MH - Primary Health Care/*organization & administration MH - Program Development MH - Program Evaluation MH - Socioeconomic Factors MH - Washington EDAT- 2004/04/28 05:00 MHDA- 2004/09/03 05:00 CRDT- 2004/04/28 05:00 AID - 10.1016/j.amepre.2004.01.003 [doi] AID - S0749379704000108 [pii] PST - ppublish SO - Am J Prev Med. 2004 May;26(4):344-55. PMID- 14700179 OWN - NLM STAT- MEDLINE DA - 20031231 DCOM- 20040206 LR - 20151119 IS - 0730-0832 (Print) IS - 0730-0832 (Linking) VI - 22 IP - 6 DP - 2003 Nov-Dec TI - Swedish men's experiences of becoming fathers to their preterm infants. PG - 25-31 AB - PURPOSE: To describe Swedish men's experiences of becoming fathers to their preterm infants. DESIGN: A cross-sectional descriptive study. SAMPLE AND METHOD: Eight men participated in semistructured interviews with open-ended questions. The interviews were analyzed using manifest and latent content analysis. MAIN OUTCOME VARIABLES: The concepts of control and noncontrol. RESULT: The manifest analysis of the interview text produced six categories: concern, stress, helplessness, security, support, and happiness. The latent content interpretation indicated that the concepts of control and noncontrol were relevant to the fathers' experiences. The men's experiences of early fatherhood were influenced by their ability to experience control. When concern, stress, and helplessness dominated the fathers' experiences and coincided with low levels of happiness, support, and security, they experienced noncontrol. Conversely, when they experienced support, security, and happiness, they felt that they were in control and able to handle the situation. FAU - Lundqvist, Pia AU - Lundqvist P AD - Level III Nursery, Lund University Hospital, Sweden. pialundqvist@ebox.tninet.se FAU - Jakobsson, Liselotte AU - Jakobsson L LA - eng PT - Journal Article PL - United States TA - Neonatal Netw JT - Neonatal network : NN JID - 8503921 SB - N MH - *Adaptation, Psychological MH - Adult MH - Anecdotes as Topic MH - Cross-Sectional Studies MH - Fathers/education/*psychology MH - Female MH - Humans MH - Infant, Newborn MH - *Infant, Premature MH - Male MH - Nursing Methodology Research MH - *Parent-Child Relations MH - Postnatal Care/methods/psychology MH - Stress, Psychological/*etiology MH - Surveys and Questionnaires MH - Sweden EDAT- 2004/01/01 05:00 MHDA- 2004/02/10 05:00 CRDT- 2004/01/01 05:00 AID - 10.1891/0730-0832.22.6.25 [doi] PST - ppublish SO - Neonatal Netw. 2003 Nov-Dec;22(6):25-31. PMID- 14655798 OWN - NLM STAT- MEDLINE DA - 20031205 DCOM- 20040210 LR - 20151119 IS - 0363-0242 (Print) IS - 0363-0242 (Linking) VI - 38 IP - 2 DP - 2003 TI - Survey on the programs of Sanhujori centers in Korea as the traditional postpartum care facilities. PG - 107-17 AB - Sanhujori is the term used for the traditional Korean concept of non-professional postpartum care after delivery or abortion. Recently, postpartum care has been transferred to facilities appropriately named Sanhujori centers. This study investigates the programs offered at Sanhujori centers in order to understand the effects of this new type of health care delivery system on postpartum care. A qualitative descriptive study was conducted that included twenty-seven centers. Data were collected via face-to-face interviews followed by telephone interviews conducted from May first until the eighteenth of 2001. The findings permitted description of the general characteristics of Sanhujori centers. Programs for physical recovery, psychosocial recovery, postpartum education, parents-infant bonding, and baby care were analyzed and discussed. FAU - Kim, Jeongeun AU - Kim J AD - Yonsei University College of Nursing, 134 Shinchon-dong, Seodaemun-gu, Seoul, Korea #120-752. jekim@yumc.yonsei.ac.kr LA - eng PT - Journal Article PL - United States TA - Women Health JT - Women & health JID - 7608076 SB - IM MH - Adult MH - Breast Feeding/psychology MH - Female MH - Health Services Research MH - Humans MH - Infant Care/psychology MH - Infant, Newborn MH - Korea MH - *Medicine, East Asian Traditional MH - Patient Education as Topic MH - Postnatal Care/*organization & administration MH - Pregnancy MH - Social Support MH - Surveys and Questionnaires EDAT- 2003/12/06 05:00 MHDA- 2004/02/11 05:00 CRDT- 2003/12/06 05:00 AID - 10.1300/J013v38n02_08 [doi] PST - ppublish SO - Women Health. 2003;38(2):107-17. PMID- 14602094 OWN - NLM STAT- MEDLINE DA - 20031106 DCOM- 20040302 LR - 20071115 IS - 0145-2134 (Print) IS - 0145-2134 (Linking) VI - 27 IP - 10 DP - 2003 Oct TI - Sustaining new parents in home visitation services: key participant and program factors. PG - 1101-25 AB - OBJECTIVES: As prevention efforts have adopted more intensive service models, concerns over initial enrollment and retention rates have become more salient. This study examines the participant, provider and program factors that contribute to a longer length of stay and greater number of home visits for new parents enrolling in one national home visitation program. METHODS: Retrospective data were collected on a random sample of 816 participants served by one of 17 Healthy Families America (HFA) program sites around the country. Using case record reviews, research staff documented each participant's characteristics and service experiences. To capture relevant staff and program information, research staff collected basic descriptive information from published documents and interviews with program managers. All home visitors who had contact with sample families also completed a self-assessment instrument regarding personal and professional characteristics. Hierarchical linear modeling allowed us to examine the unique role of participant, provider and program characteristics while recognizing the lack of independence among these three sets of variables. RESULTS: The combined provider and program levels in the HLM model accounted for one-third of the variance in service duration and one-quarter of the variance in the number of home visits. Older participants, those unemployed, and those who enrolled in the program early in their pregnancy were more likely to remain in services longer and to complete a greater number of home visits. Compared to White participants, African Americans and Hispanics were significantly more likely to remain in services longer and, in the case of African Americans, to receive a greater number of home visits. Participants who were enrolled in school were more likely to remain in services longer. Age was the only consistent provider characteristic associated with positive results in both models, with younger home visitors performing better. Prior experience showed a significant relationship only in the service dosage model and African American workers demonstrated greater success than White home visitors did in retaining families in service. At the program level, programs with lower caseloads and greater success in matching their participants and providers on parenting status and race/ethnicity were significantly more likely to demonstrate stronger enrollment patterns. FAU - Daro, Deborah AU - Daro D AD - The Chapin Hall Center for Children, The University of Chicago, 1313 E 60th St, Chicago, IL 60637, USA. FAU - McCurdy, Karen AU - McCurdy K FAU - Falconnier, Lydia AU - Falconnier L FAU - Stojanovic, Daniela AU - Stojanovic D LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Child Abuse Negl JT - Child abuse & neglect JID - 7801702 SB - IM MH - Adult MH - Age Factors MH - Child Abuse/*prevention & control MH - Child Health Services/*organization & administration MH - Educational Status MH - Female MH - Healthy People Programs/*organization & administration MH - Home Care Services/*organization & administration MH - Humans MH - Infant, Newborn MH - Interviews as Topic MH - Linear Models MH - Mothers/psychology MH - Outcome and Process Assessment (Health Care) MH - Parenting/ethnology/*psychology MH - Parents/psychology MH - Postnatal Care/*organization & administration/psychology MH - Pregnancy MH - Retrospective Studies MH - Social Work, Psychiatric/methods MH - United States EDAT- 2003/11/07 05:00 MHDA- 2004/03/03 05:00 CRDT- 2003/11/07 05:00 AID - S0145213403001868 [pii] PST - ppublish SO - Child Abuse Negl. 2003 Oct;27(10):1101-25. PMID- 12870624 OWN - NLM STAT- MEDLINE DA - 20030721 DCOM- 20031029 LR - 20071115 IS - 1092-7875 (Print) IS - 1092-7875 (Linking) VI - 7 IP - 2 DP - 2003 Jun TI - Childbirth education classes: sociodemographic disparities in attendance and the association of attendance with breastfeeding initiation. PG - 87-93 AB - OBJECTIVES: To examine sociodemographic disparities in attendance at childbirth classes, and to evaluate the association of attendance with breastfeeding initiation. METHODS: Parents of a nationally representative, cross-sectional sample of 2068 children ages 4-35 months were surveyed by telephone. The responses of 1540 mothers were included in the analysis. They were asked whether they had attended a childbirth class before giving birth. Disparities in attendance at childbirth classes and the association between attendance and breastfeeding initiation were examined using bivariate and multivariate logistic regression analyses. RESULTS: Two thirds (66%) of the children's mothers had ever attended a childbirth class. White mothers were twice as likely (OR 2.15, CI 1.39, 3.31) as African American mothers to have ever attended. Attendance also varied by education, household income, and marital status. Attendance at childbirth classes was associated with a 75% increase in the odds that a child will be breastfed (OR 1.75, CI 1.18, 2.60). CONCLUSIONS: Significant sociodemographic disparities exist in attendance at childbirth classes. Further research is needed to determine whether improving utilization of childbirth education classes reduces sociodemographic disparities in breastfeeding initiation. FAU - Lu, Michael C AU - Lu MC AD - Department of Obstetrics and Gynecology, UCLA School of Medicine, Los Angeles, California 90095-1772, USA. mclu@ucla.edu FAU - Prentice, Julia AU - Prentice J FAU - Yu, Stella M AU - Yu SM FAU - Inkelas, Moira AU - Inkelas M FAU - Lange, Linda O AU - Lange LO FAU - Halfon, Neal AU - Halfon N LA - eng GR - 5U93MC00099/PHS HHS/United States GR - HD01281-03/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Matern Child Health J JT - Maternal and child health journal JID - 9715672 SB - IM MH - Adult MH - Breast Feeding/ethnology/*psychology MH - Child, Preschool MH - Ethnic Groups MH - Female MH - Humans MH - Infant MH - Insurance Coverage MH - Interviews as Topic MH - Logistic Models MH - *Parturition MH - Patient Education as Topic/economics/*statistics & numerical data MH - Pregnancy MH - Prenatal Care/economics/*utilization MH - Socioeconomic Factors MH - United States EDAT- 2003/07/23 05:00 MHDA- 2003/10/30 05:00 CRDT- 2003/07/23 05:00 PST - ppublish SO - Matern Child Health J. 2003 Jun;7(2):87-93. PMID- 26141067 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20150704 DCOM- 20150708 LR - 20150704 IS - 1059-7700 (Print) IS - 1059-7700 (Linking) VI - 12 IP - 3 DP - 2003 Jun TI - Genetic Counselors' Experiences with Paternal Involvement in Prenatal Genetic Counseling Sessions: An Exploratory Investigation. PG - 219-42 LID - 10.1023/A:1023232203033 [doi] AB - Limited research exists concerning male partners' participation in prenatal genetic counseling (R. Kenen, A. C. M. Smith, C. Watkins, & C. Zuber-Pitore, J. Genet Corns 9, 33-45, 2000). To further understand paternal participation, we interviewed 17 experienced prenatal genetic counselors to assess their perspectives on this issue. We investigated 6 research questions: 1) How do genetic counselors define paternal involvement, 2) how do they determine and address problematic involvement, 3) what factors influence involvement, 4) was paternal involvement addressed in training, 5) how might training be improved, and 6) how do participant strategies for addressing involvement compare to those of marriage/family therapists? Qualitative analysis revealed that 1) participants regard paternal involvement asimportant; 2) most address problematic involvement with strategies similar to those of marital/family therapists; 3) influential factors include male partner's characteristics, the couple's relationship (including culturalpractices), and pregnancy factors; and 4) participants received little or notraining on paternal involvement and recommended didactic and experientialactivities. Implications and research recommendations are presented. FAU - Lafans, Richard S AU - Lafans RS AD - Park Nicollet Medical Center, Minneapolis, Minnesota. FAU - Veach, Patricia McCarthy AU - Veach PM FAU - LeRoy, Bonnie S AU - LeRoy BS LA - eng PT - Journal Article PL - United States TA - J Genet Couns JT - Journal of genetic counseling JID - 9206865 EDAT- 2003/06/01 00:00 MHDA- 2003/06/01 00:01 CRDT- 2015/07/05 06:00 AID - 10.1023/A:1023232203033 [doi] PST - ppublish SO - J Genet Couns. 2003 Jun;12(3):219-42. doi: 10.1023/A:1023232203033. PMID- 12753516 OWN - NLM STAT- MEDLINE DA - 20030519 DCOM- 20030911 LR - 20151119 IS - 0283-9318 (Print) IS - 0283-9318 (Linking) VI - 17 IP - 2 DP - 2003 Jun TI - Parents' needs to talk about their experiences of childbirth. PG - 153-9 AB - The purpose was to describe parents' experiences of childbirth and their views about having a postpartum talk. Questionnaires were distributed to parents (350 mothers and 343 fathers) in maternity wards in one hospital in Stockholm during a 4-week period in 1999. Questionnaires from 251 mothers and 235 fathers were analysed. Preparation for childbirth, care received during delivery, and experiences of labour and delivery are described and analysed against whether a postpartum talk, was wanted or not. Comparisons between first-time mothers/fathers and multiple-time mothers/fathers were made. The results show that 66% of first-time mothers, 74% of multiple-time mothers, 58% of first-time fathers, and 30% of multiple-time fathers wanted to talk about the delivery. The issues, which the parents considered should be included in such a postpartum talk were the birth process, normal/complicated delivery, feelings of failure, pain and pain relief. Parents mainly wanted to talk to the midwife who delivered the woman and the best time for the postpartum talk seems to be at the maternity ward before discharge. FAU - Olin, Rose-May AU - Olin RM AD - Department of Obstetrics and Gynaecology, Karolinska Hospital, S-171 76, Stockholm, Sweden. rose-may.olin@ks.se FAU - Faxelid, Elisabeth AU - Faxelid E LA - eng PT - Journal Article PL - Sweden TA - Scand J Caring Sci JT - Scandinavian journal of caring sciences JID - 8804206 SB - N MH - Adult MH - Attitude to Health MH - Female MH - Humans MH - Labor, Obstetric/psychology MH - Male MH - Middle Aged MH - Nurse Midwives MH - Parents/*psychology MH - Parturition/*psychology MH - Patient Satisfaction MH - Postpartum Period/*psychology MH - Pregnancy MH - Surveys and Questionnaires EDAT- 2003/05/20 05:00 MHDA- 2003/09/13 05:00 CRDT- 2003/05/20 05:00 AID - 105 [pii] PST - ppublish SO - Scand J Caring Sci. 2003 Jun;17(2):153-9. PMID- 12710167 OWN - NLM STAT- MEDLINE DA - 20030424 DCOM- 20030805 LR - 20061115 IS - 0026-6620 (Print) IS - 0026-6620 (Linking) VI - 100 IP - 2 DP - 2003 Mar-Apr TI - Perinatal outcomes in a school-based program for pregnant teen-agers. PG - 148-52 AB - Teen-age pregnancy constitutes a high-risk factor for prematurity, low birth weight, intrauterine growth retardation, infant mortality, and later health, behavioral, developmental, and educational disadvantages. A case-controlled study was performed to evaluate the influence of the Teen-age Parent Center on pregnancy outcomes. Improved outcomes were identified for low-birth-weight rate, high school graduation rate, smoking during pregnancy, and prenatal care. These results indicate that a comprehensive, school-based program can enhance perinatal outcomes. FAU - Hall, Robert T AU - Hall RT AD - Children's Mercy Hospitals and Clinics, UMKC School of Medicine, Frances Cofield, MA, USA. FAU - Santos, Susan R AU - Santos SR FAU - Cofield, Frances AU - Cofield F FAU - Brown, Mary Jean AU - Brown MJ FAU - Teasley, Susan L AU - Teasley SL FAU - Cai, Jinwen AU - Cai J LA - eng PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Mo Med JT - Missouri medicine JID - 0400744 SB - IM MH - Adolescent MH - Case-Control Studies MH - Female MH - Health Education/*methods MH - Health Promotion MH - Humans MH - Infant Mortality MH - Infant, Newborn MH - Infant, Premature MH - Maternal Health Services/*methods MH - Missouri MH - Pregnancy MH - Pregnancy Complications MH - School Health Services/*organization & administration EDAT- 2003/04/25 05:00 MHDA- 2003/08/06 05:00 CRDT- 2003/04/25 05:00 PST - ppublish SO - Mo Med. 2003 Mar-Apr;100(2):148-52. PMID- 12705316 OWN - NLM STAT- MEDLINE DA - 20030422 DCOM- 20030527 LR - 20151119 IS - 0094-5145 (Print) IS - 0094-5145 (Linking) VI - 28 IP - 2 DP - 2003 Apr TI - A prenatal intervention study to improve timeliness of immunization initiation in Latino infants. PG - 151-65 AB - This was a prospective randomized cohort study to assess the effectiveness of an educational immunization intervention with pregnant Latinas on timely initiation of infant immunization. Study participants were recruited from two community clinics in north San Diego County. A total of three hundred and fifty-two Latinas in the third trimester of pregnancy were recruited and randomly assigned to intervention or control groups. Participants received either a culturally and linguistically appropriate session on infant immunization (intervention) or a session on prevention of Sudden Infant Death Syndrome (control). The main outcome measures were pre-post immunization knowledge change and infant immunization status at 92 days. Immunization knowledge increased significantly in the intervention group [p < .0001, 95%CI (1.76, 2.47)]. No difference was found between groups in immunization series initiation: 95 percent of the children in the intervention group were up-to-date by 92 days from birth, and 93 percent of the control group was up-to-date at 92 days. The lack of significant association between receiving immunization education and infant immunization series initiation suggests that parent education may be necessary but not sufficient for timely immunization, particularly in clinics with effective well-child programs. Given the significant increase in immunization knowledge, the broader and perhaps more important implication is that language- and culturally specific infant health education messages in the prenatal period may have a positive long-term impact on the child's health and promote well-child care overall. Future studies should assess the role of prenatal well-child education in the context of clinics with low immunization levels. FAU - Zuniga de Nuncio, Maria Luisa AU - Zuniga de Nuncio ML AD - Division of Community Pediatrics, University of California, San Diego, La Jolla 92093-0927, USA. mzuniga@ucsd.edu FAU - Nader, Philip R AU - Nader PR FAU - Sawyer, Mark H AU - Sawyer MH FAU - De Guire, Michelle AU - De Guire M FAU - Prislin, Radmila AU - Prislin R FAU - Elder, John P AU - Elder JP LA - eng GR - U60/CCU 9192985/CC/ODCDC CDC HHS/United States PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. PL - Netherlands TA - J Community Health JT - Journal of community health JID - 7600747 SB - IM MH - Adult MH - California MH - Cohort Studies MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Hispanic Americans/*education/psychology MH - Humans MH - Immunization/*utilization MH - Infant MH - Infant Care/methods/*standards MH - Infant, Newborn MH - Marital Status MH - Patient Education as Topic/*organization & administration MH - Pregnancy MH - Pregnancy Trimester, Third MH - Prenatal Care/*organization & administration MH - Program Evaluation MH - Socioeconomic Factors MH - Sudden Infant Death/ethnology/*prevention & control MH - Time Factors EDAT- 2003/04/23 05:00 MHDA- 2003/05/28 05:00 CRDT- 2003/04/23 05:00 PST - ppublish SO - J Community Health. 2003 Apr;28(2):151-65. PMID- 12530803 OWN - NLM STAT- MEDLINE DA - 20030117 DCOM- 20030207 LR - 20151119 IS - 1326-0200 (Print) IS - 1326-0200 (Linking) VI - 26 IP - 6 DP - 2002 Dec TI - Tobacco use of pregnant women and their male partners who attend antenatal classes: what happened to routine quit smoking advice in pregnancy? PG - 571-2 FAU - Mabbutt, James AU - Mabbutt J FAU - Bauman, Adrian AU - Bauman A FAU - Moshin, Mohammed AU - Moshin M LA - eng PT - Letter PL - Australia TA - Aust N Z J Public Health JT - Australian and New Zealand journal of public health JID - 9611095 SB - IM MH - Adult MH - Australia MH - Directive Counseling/*utilization MH - Female MH - Humans MH - Male MH - Pregnancy MH - Pregnancy Complications MH - Pregnant Women/*psychology MH - Prenatal Care/*organization & administration/standards MH - *Smoking Cessation MH - Spouses/*psychology MH - Surveys and Questionnaires EDAT- 2003/01/18 04:00 MHDA- 2003/02/08 04:00 CRDT- 2003/01/18 04:00 PST - ppublish SO - Aust N Z J Public Health. 2002 Dec;26(6):571-2. PMID- 12424762 OWN - NLM STAT- MEDLINE DA - 20021108 DCOM- 20030429 LR - 20161124 IS - 0197-3851 (Print) IS - 0197-3851 (Linking) VI - 22 IP - 11 DP - 2002 Nov TI - Perinatal management and outcome of prenatally diagnosed congenital diaphragmatic hernia: a 1995-2000 series in Rennes University Hospital. PG - 988-94 AB - OBJECTIVES: To assess the prognosis of prenatally diagnosed congenital diaphragmatic hernia (CDH) during the years 1995-2000 in order to improve prenatal counselling. METHODS: Retrospective study of all 31 cases of women with prenatally diagnosed CDH. RESULTS: Nine pregnancies (29%) were terminated and two fetuses (6%) were stillborn. Ten fetuses (32%) had associated anomalies (four Fryns' syndrome) and four (13%) had underlying chromosomal anomalies. Twenty pregnancies were continued. Seven babies died before surgery either immediately in the delivery room (five between 1 and 45 min), or during the 'stabilisation period' (two babies, 7 and 21 h). Three babies presented with trisomy 18, Fryns' syndrome or transposition of the great arteries with microdeletion 22q11. Thirteen babies had the defect repaired (median 18 h, range 4-72 h) and 12 survived. Mechanical ventilation was required for a median of 12 days. One survivor has cerebral palsy. CONCLUSION: Of 31 prenatally diagnosed CDH cases 38% are alive, of 20 ongoing pregnancies 60% are alive, and of 13 babies who underwent surgery 92% are alive. No baby with associated malformations survived. These numbers need to be known by each member of the counselling team in order to give parents adequate information to make their decision. CI - Copyright 2002 John Wiley & Sons, Ltd. FAU - Betremieux, Pierre AU - Betremieux P AD - Centre Pluridisciplinaire de Diagnostic Prenatal de Rennes, Rennes, France. pierre.betremieux@chu-rennes.fr FAU - Lionnais, Stephanie AU - Lionnais S FAU - Beuchee, Alain AU - Beuchee A FAU - Pladys, Patrick AU - Pladys P FAU - Le Bouar, Gwenaelle AU - Le Bouar G FAU - Pasquier, Laurent AU - Pasquier L FAU - Loeuillet-Olivo, Laurence AU - Loeuillet-Olivo L FAU - Azzis, Olivier AU - Azzis O FAU - Milon, Joelle AU - Milon J FAU - Wodey, Eric AU - Wodey E FAU - Fremond, Benjamin AU - Fremond B FAU - Odent, Sylvie AU - Odent S FAU - Poulain, Patrice AU - Poulain P LA - eng PT - Journal Article PL - England TA - Prenat Diagn JT - Prenatal diagnosis JID - 8106540 SB - IM MH - Adult MH - Female MH - Follow-Up Studies MH - France MH - Gestational Age MH - *Hernia, Diaphragmatic/diagnostic imaging/surgery MH - Hernias, Diaphragmatic, Congenital MH - Humans MH - Infant, Newborn MH - Male MH - Pregnancy MH - *Pregnancy Outcome MH - Retrospective Studies MH - Treatment Outcome MH - *Ultrasonography, Prenatal EDAT- 2002/11/09 04:00 MHDA- 2003/04/30 05:00 CRDT- 2002/11/09 04:00 AID - 10.1002/pd.454 [doi] PST - ppublish SO - Prenat Diagn. 2002 Nov;22(11):988-94. PMID- 12420886 OWN - NLM STAT- MEDLINE DA - 20021107 DCOM- 20030228 LR - 20151119 IS - 0033-2917 (Print) IS - 0033-2917 (Linking) VI - 32 IP - 7 DP - 2002 Oct TI - Prenatal life and post-natal psychopathology: evidence for negative gene-birth weight interaction. PG - 1165-74 AB - BACKGROUND: Many studies suggest that pregnancy and birth complications (PBCs) are environmental risk factors for child psychopathology. However, it is not known whether the effects of PBCs occur independently of genetic predisposition. The current study examined the possibility of gene-environment interaction in a twin design. METHOD: The East Flanders Prospective Twin Survey prospectively records the births of all twin pairs born in East Flanders, Belgium. The current study included 760 twin pairs aged 6-17 years. Multilevel regression analysis was used to assess the effects of several PBCs collected around the time of birth. Using structural equation modelling, ACE models assuming additive genetic (A), shared environmental (C) and unique environmental (E) influences, were compared in order to examine whether the contribution of genetic factors to parent-rated child problem behaviour varied as a function of exposure to dichotomously and continuously defined PBCs. RESULTS: A main independent effect of lower birth weight, corrected for gestational age (small for gestational age--SGA), on child problem behaviour was found. In addition, there was an interaction between genetic influence and SGA, in that being smaller for gestational age resulted in less influence of additive genetic factors on individual differences in problem behaviour. CONCLUSIONS: Results are suggestive of negative gene-birth weight interaction. Children who are SGA are less sensitive to the genetic effects, and those with high genetic vulnerability are less sensitive to the effects of being SGA in bringing about post-natal mental health effects. FAU - Wichers, M C AU - Wichers MC AD - Department of Psychiatry and Neuropsychology, Maastricht University, The Netherlands. FAU - Purcell, S AU - Purcell S FAU - Danckaerts, M AU - Danckaerts M FAU - Derom, C AU - Derom C FAU - Derom, R AU - Derom R FAU - Vlietinck, R AU - Vlietinck R FAU - Van Os, J AU - Van Os J LA - eng PT - Journal Article PT - Twin Study PL - England TA - Psychol Med JT - Psychological medicine JID - 1254142 SB - IM CIN - Psychol Med. 2002 Oct;32(7):1145-8. PMID: 12420883 MH - Adolescent MH - Child MH - Child Behavior Disorders/*genetics MH - Female MH - Gestational Age MH - Humans MH - Infant, Low Birth Weight MH - Infant, Newborn MH - Male MH - *Models, Genetic MH - Obstetric Labor Complications MH - Pregnancy MH - Pregnancy Complications MH - Prospective Studies MH - Regression Analysis MH - Surveys and Questionnaires MH - Twins/*psychology EDAT- 2002/11/08 04:00 MHDA- 2003/03/01 04:00 CRDT- 2002/11/08 04:00 PST - ppublish SO - Psychol Med. 2002 Oct;32(7):1165-74. PMID- 11849373 OWN - NLM STAT- MEDLINE DA - 20020218 DCOM- 20020326 LR - 20131121 IS - 0953-8194 (Print) IS - 0953-8194 (Linking) VI - 14 IP - 2 DP - 2002 Feb TI - Perinatal malnutrition programs sympathoadrenal and hypothalamic-pituitary-adrenal axis responsiveness to restraint stress in adult male rats. PG - 135-43 AB - In humans, an altered control of cortisol secretion was reported in adult men born with a low birth weight making the hypothalamic-pituitary-adrenal (HPA) axis a possible primary target of early life programming. In rats, we have recently shown that maternal food restriction during late pregnancy induces both an intrauterine growth retardation and an overexposure of fetuses to maternal corticosterone, which disturb the development of the HPA axis in offspring. The first aim of this work was to investigate, in adult male rats, whether perinatal malnutrition has long-lasting effects on the HPA axis activity during both basal and stressful conditions. Moreover, as the HPA axis and sympathetic nervous system are both activated by stress, the second aim of this work was to investigate, in these rats, the adrenomedullary catecholaminergic system under basal and stressful conditions. This study was conducted on 4-month-old male rats malnourished during their perinatal life and on age-matched control animals. Under basal conditions, perinatal malnutrition reduced body weight and plasma corticosteroid-binding globulin (CBG) level but increased mineralocorticoid receptor (MR) gene expression in CA1 hippocampal area. After 30 min of restraint, perinatally malnourished (PM) rats showed increased plasma noradrenaline, adrenocorticotropin hormone (ACTH) and corticosterone concentrations similarly as controls, but calculated plasma-free corticosterone concentration was significantly higher and adrenaline level lower than controls. During the phase of recovery, PM rats showed a rapid return of plasma ACTH and corticosterone concentrations to baseline levels in comparison with controls. These data suggest that in PM rats, an elevation of basal concentrations of corticosterone, in face of reduced CBG and probably increased hippocampal MR lead to a much larger impact of corticosterone on target cells that mediate the negative-feedback mechanism on the activities of both the HPA axis and sympathoadrenal one. FAU - Lesage, J AU - Lesage J AD - Laboratoire de Neuroendocrinologie du Developpement, UPRES-EA 2701, Universite de Lille 1, 596555 Villeneuve d'Ascq, France. jlesage@pop.University-lille1.fr FAU - Dufourny, L AU - Dufourny L FAU - Laborie, C AU - Laborie C FAU - Bernet, F AU - Bernet F FAU - Blondeau, B AU - Blondeau B FAU - Avril, I AU - Avril I FAU - Breant, B AU - Breant B FAU - Dupouy, J P AU - Dupouy JP LA - eng PT - Journal Article PL - United States TA - J Neuroendocrinol JT - Journal of neuroendocrinology JID - 8913461 RN - 0 (RNA, Messenger) RN - 0 (Receptors, Glucocorticoid) RN - 0 (Receptors, Mineralocorticoid) RN - 9002-60-2 (Adrenocorticotropic Hormone) RN - 9015-71-8 (Corticotropin-Releasing Hormone) RN - W980KJ009P (Corticosterone) RN - X4W3ENH1CV (Norepinephrine) RN - YKH834O4BH (Epinephrine) SB - IM MH - Adrenal Glands/chemistry/embryology/physiology MH - Adrenocorticotropic Hormone/blood MH - Age Factors MH - Animals MH - Corticosterone/blood MH - Corticotropin-Releasing Hormone/analysis/genetics MH - Epinephrine/analysis/blood MH - Female MH - Hypothalamo-Hypophyseal System/embryology/*physiology MH - Male MH - Median Eminence/chemistry/physiology MH - Norepinephrine/analysis/blood MH - Nutrition Disorders/*physiopathology MH - Organ Size MH - Paraventricular Hypothalamic Nucleus/chemistry/physiology MH - Pituitary-Adrenal System/embryology/*physiology MH - Pregnancy MH - RNA, Messenger/analysis MH - Rats MH - Rats, Wistar MH - Receptors, Glucocorticoid/genetics MH - Receptors, Mineralocorticoid/genetics MH - Restraint, Physical MH - Stress, Physiological/*physiopathology MH - Sympathetic Nervous System/embryology/physiology EDAT- 2002/02/19 10:00 MHDA- 2002/03/27 10:01 CRDT- 2002/02/19 10:00 AID - 753 [pii] PST - ppublish SO - J Neuroendocrinol. 2002 Feb;14(2):135-43. PMID- 11795652 OWN - NLM STAT- MEDLINE DA - 20020117 DCOM- 20020611 LR - 20061115 IS - 0334-018X (Print) IS - 0334-018X (Linking) VI - 14 IP - 9 DP - 2001 Nov-Dec TI - Newborn screening for congenital hypothyroidism, Victoria, Australia, 1977-1997. Part 1: The screening programme, demography, baseline perinatal data and diagnostic classification. PG - 1597-610 AB - Clinical, demographic and laboratory data from infants with congenital hypothyroidism (CH) born in the Australian state of Victoria from the commencement of neonatal screening in mid-1977 until December 1988 are reported. These provide a baseline for a 12-year prospective longitudinal study on physical and neuro-psychological outcome until mid-1997, the subject of a second paper. Infants with CH were detected using a primary TT4 screening test. Demographic data were collected prospectively using a clinical assessment protocol. Nearly all affected infants underwent 99mTc pertechnetate scanning at the initial assessment to determine the underlying aetiology of their hypothyroidism. 704,723 infants were screened and 199 with permanent primary hypothyroidism (one in 3,541) were identified. The most common aetiologies were thyroid ectopia (46%), thyroid aplasia (33%), and 'dyshormonogenesis' (11%). The clinical abnormalities classically described in CH were more evident in infants with aplasia, and the striking female preponderance in infants with thyroid dysplasia (syn. dysgenesis) was confirmed. Other features included increased frequencies of 'dyshormonogenesis' in infants of parents of Middle-Eastern origin and of labour induction in infants with dysplasia. A closed posterior fontanelle was not found in any infant with thyroid aplasia. FAU - Connelly, J F AU - Connelly JF AD - Department of Clinical Biochemistry, Royal Children's Hospital, Parkville, Victoria, Australia. connelly@labyrinth.net.au FAU - Coakley, J C AU - Coakley JC FAU - Gold, H AU - Gold H FAU - Francis, I AU - Francis I FAU - Mathur, K S AU - Mathur KS FAU - Rickards, A L AU - Rickards AL FAU - Price, G J AU - Price GJ FAU - Halliday, J L AU - Halliday JL FAU - Wolfe, R AU - Wolfe R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Germany TA - J Pediatr Endocrinol Metab JT - Journal of pediatric endocrinology & metabolism : JPEM JID - 9508900 SB - IM MH - Age Determination by Skeleton MH - Australia MH - *Congenital Hypothyroidism MH - Demography MH - Diagnostic Errors MH - Diseases in Twins MH - Female MH - Humans MH - Hypothyroidism/classification/*diagnosis/epidemiology MH - Incidence MH - Infant, Newborn MH - Infant, Newborn, Diseases/classification/*diagnosis/epidemiology MH - Longitudinal Studies MH - Male MH - Mass Screening/*methods MH - Medical Records MH - Parents MH - Pregnancy MH - Pregnancy, Prolonged MH - Prospective Studies MH - Radionuclide Imaging MH - Thyroid Function Tests EDAT- 2002/01/25 10:00 MHDA- 2002/06/12 10:01 CRDT- 2002/01/25 10:00 PST - ppublish SO - J Pediatr Endocrinol Metab. 2001 Nov-Dec;14(9):1597-610. PMID- 11771078 OWN - NLM STAT- MEDLINE DA - 20011228 DCOM- 20020111 LR - 20041117 IS - 0300-5283 (Print) IS - 0300-5283 (Linking) VI - 56 IP - 2 DP - 2001 Jun TI - The prevalence of HIV positive antenatal mothers in a routine screening programme in two states. PG - 180-5 AB - This is a retrospective study of the prevalence of Human Immunodeficiency Virus (HIV) positive mothers in two states in Malaysia i.e., Perak and Negeri Sembilan since the introduction of the HIV screening programme in antenatal mothers. The study period was from 1/9/97 to 1/9/99. A total of 29 HIV positive antenatal mothers were detected (21 from Perak and 8 from Negeri Sembilan) throughout the study period. Out of the 21 HIV positive mothers from Perak, 8 (38%) were foreign nationals whereas only 1 (12%) out of the 8 from Negeri Sembilan was a foreign national. The main risk factor identified in both the groups was multiple sexual partners. The vertical transmission rates for the patients from Perak were 14.2% and 37.5% in Negeri Sembilan. There was no significant short-term adverse obstetric outcome. FAU - Japaraj, R P AU - Japaraj RP AD - Department of Obstetrics & Gynaecology, Hospital Teluk Intan, Teluk Intan. FAU - Sivalingam, N AU - Sivalingam N LA - eng PT - Journal Article PL - Malaysia TA - Med J Malaysia JT - The Medical journal of Malaysia JID - 0361547 SB - IM MH - Adult MH - Female MH - HIV Infections/blood/diagnosis/*epidemiology MH - Humans MH - Malaysia/epidemiology MH - *Mass Screening MH - Pregnancy MH - *Prenatal Diagnosis MH - Prevalence MH - Retrospective Studies EDAT- 2002/01/05 10:00 MHDA- 2002/01/12 10:01 CRDT- 2002/01/05 10:00 PST - ppublish SO - Med J Malaysia. 2001 Jun;56(2):180-5. PMID- 11765387 OWN - NLM STAT- MEDLINE DA - 20011218 DCOM- 20020123 LR - 20061115 IS - 0968-8080 (Print) IS - 0968-8080 (Linking) VI - 9 IP - 18 DP - 2001 Nov TI - Including expectant fathers in antenatal education programmes in Istanbul, Turkey. PG - 114-25 AB - In this article we present the results of three studies investigating methods for including men in antenatal education in Istanbul, Turkey. Participants were first-time expectant parents living in low and middle-income areas. After a formative study on the roles of various family members in health during the period surrounding a first birth, an antenatal-clinic-based education programme for women and for couples was carried out as a randomised, controlled study. Based on the results, separate community-based antenatal education programmes for expectant mothers and expectant fathers were tested. There was demand among many pregnant women and some of their husbands for including expectant fathers in antenatal education. In the short term, these programmes seemed to have positive effects on women and men's reproductive health knowledge, attitudes and behaviours. In the clinic-based programme the positive effects of including men were mainly in the area of post-partum family planning, while in the community-based programme positive effects among men were also seen in the areas of infant health, infant feeding and spousal communication and support. Free antenatal education should be made available to all expectant mothers and when possible, men should be included, either together with their wives or in a culture such as that of Turkey, in separate groups. FAU - Turan, J M AU - Turan JM AD - Istanbul Tip Fakultesi, Kadin ve Cocuk Sagligi Egitim ve Arastirma Birimi, Cerrahi Monoblok karsisi, Capa 34390, Istanbul, Turkey. jmturan@attglobal.net FAU - Nalbant, H AU - Nalbant H FAU - Bulut, A AU - Bulut A FAU - Sahip, Y AU - Sahip Y LA - eng PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - Reprod Health Matters JT - Reproductive health matters JID - 9420826 SB - IM MH - Family Planning Services MH - Fathers/*education/psychology MH - Female MH - Health Education/*organization & administration MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Infant Care MH - Infant, Newborn MH - Male MH - Mothers/education/psychology MH - Pregnancy MH - Prenatal Care/*organization & administration MH - Program Development MH - Program Evaluation MH - Turkey EDAT- 2002/01/05 10:00 MHDA- 2002/01/24 10:01 CRDT- 2002/01/05 10:00 PST - ppublish SO - Reprod Health Matters. 2001 Nov;9(18):114-25. PMID- 11677701 OWN - NLM STAT- MEDLINE DA - 20011025 DCOM- 20011205 LR - 20140613 IS - 0960-1643 (Print) IS - 0960-1643 (Linking) VI - 51 IP - 471 DP - 2001 Oct TI - Randomised controlled trial of training health visitors to identify and help couples with relationship problems following a birth. PG - 793-9 AB - BACKGROUND: Stresses imposed by parenthood can provoke or intensify relationship problems between parents. These problems, which are often associated with postnatal depression, can have serious consequences for family well-being but are often not revealed to primary health care personnel. AIM: To evaluate a means of extending the primary health care team's ability to identify and respond to relationship problems of mothers and their partners in the postnatal period. DESIGN OF STUDY: Cluster randomised controlled trial. SETTING: Specially trained health visitors in nine 'intervention' clinics--each matched with a 'control' clinic' in an outer London borough. METHOD: Health visitors in intervention clinics invited mothers attending for the six-to-eight-week developmental check to complete a screening scale for relationship problems, and offered help (supportive listening, advice, or referral) if needed. When visiting the clinic for the 12-week immunizations, mothers from all clinics were asked to complete a follow-up self-report questionnaire. After the completion of the trial, 25 women who had attended the intervention clinics and had been offered support with a relationship problem were interviewed to elicit their views on the acceptability and value of the intervention. All 25 of the health visitors engaged in the intervention were asked to complete a questionnaire on their experience. RESULTS: Screening led to striking differences between intervention and control clinics in the percentage of women identified at the six-to-eight-week check as potentially in need of help with a relationship problem (21% versus 5%, P = 0.007) and in the percentage actually offered help (18% versus 3%, P = 0.014). About one-half of the mothers so identified were also identified as having postnatal depression. At the 12-week visit for immunizations, the intervention group was twice as likely (P = 0.006) as the control group to report having discussed relationship problems with the health visitor and 75% more likely (P = 0.046) to report having received help with a problem. CONCLUSION: The intervention offers a useful way of extending the primary health care team's ability to respond to problems that often have serious consequences for family well-being. FAU - Simons, J AU - Simons J AD - One Plus One Marriage & Partnership Research, London. John.Simons@lshtm.ac.uk FAU - Reynolds, J AU - Reynolds J FAU - Morison, L AU - Morison L LA - eng PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - England TA - Br J Gen Pract JT - The British journal of general practice : the journal of the Royal College of General Practitioners JID - 9005323 SB - IM MH - Adolescent MH - Adult MH - Clinical Competence MH - Community Health Nursing/*education/standards MH - Competency-Based Education MH - Depression, Postpartum/*nursing/prevention & control MH - *Family Relations MH - Female MH - Humans MH - London MH - Marriage/psychology MH - Patient Care Team MH - Postnatal Care/*methods MH - Problem Solving PMC - PMC1314123 OID - NLM: PMC1314123 EDAT- 2001/10/27 10:00 MHDA- 2002/01/05 10:01 CRDT- 2001/10/27 10:00 PST - ppublish SO - Br J Gen Pract. 2001 Oct;51(471):793-9. PMID- 11525524 OWN - NLM STAT- MEDLINE DA - 20010829 DCOM- 20011218 LR - 20041117 IS - 0145-2134 (Print) IS - 0145-2134 (Linking) VI - 25 IP - 6 DP - 2001 Jun TI - Adolescents at risk for mistreating their children. Part II: A home- and clinic-based prevention program. PG - 753-69 AB - OBJECTIVE: To determine if adding an intensive home visitation component to a comprehensive adolescent-oriented maternity program prevents child abuse and neglect. METHODS: We studied 171 participants in a comprehensive, adolescent-oriented maternity program who were deemed to be at high risk for child abuse and neglect. Half were randomly assigned to receive in-home parenting instruction. Major disruptions of primary care-giving by the adolescent mother were classified hierarchically as abuse, neglect, and abandonment. RESULTS: Compliance with home visits varied in relation to the support the teenage mothers received from their families and the fathers of their babies (p < .0001). There were no significant treatment group differences in the pattern of health care utilization, the rate of postpartum school return, repeat pregnancies, or child abuse and neglect. The incidence of maltreatment rose in tandem with the predicted risk status of the mother. Ultimately, 19% of the children were removed from their mother's custody. CONCLUSIONS: Prediction efforts were effective in identifying at-risk infants, but this intensive home- and clinic-based intervention did not alter the incidence of child maltreatment or maternal life course development. A parenting program that was more inclusive of the support network might be more popular with teenagers and therefore more effective. Our findings also emphasize the importance of including counseling specifically designed to prevent teenagers from abandoning their children. FAU - Stevens-Simon, C AU - Stevens-Simon C AD - Division of Adolescent Medicine, University of Colorado Health Sciences Center, The Children's Hospital, Denver 80218, USA. FAU - Nelligan, D AU - Nelligan D FAU - Kelly, L AU - Kelly L LA - eng PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PL - England TA - Child Abuse Negl JT - Child abuse & neglect JID - 7801702 SB - IM MH - Adolescent MH - Child Abuse/*prevention & control MH - Colorado/epidemiology MH - Female MH - Home Care Services, Hospital-Based/*organization & administration MH - Hospitals, University MH - Humans MH - Infant MH - Infant Care/*psychology MH - Maternal Health Services/*organization & administration MH - Mothers/*psychology MH - Parenting/*psychology MH - Postnatal Care MH - Pregnancy MH - Pregnancy in Adolescence/*psychology/statistics & numerical data MH - Risk Assessment/*classification MH - Stress, Psychological/complications/*prevention & control EDAT- 2001/08/30 10:00 MHDA- 2002/01/05 10:01 CRDT- 2001/08/30 10:00 AID - S0145-2134(01)00237-X [pii] PST - ppublish SO - Child Abuse Negl. 2001 Jun;25(6):753-69. PMID- 11416884 OWN - NLM STAT- MEDLINE DA - 20010621 DCOM- 20011101 LR - 20110215 IS - 1424-7860 (Print) IS - 0036-7672 (Linking) VI - 131 IP - 7-8 DP - 2001 Feb 24 TI - Prenatal diagnosis of urinary malformations: results in a series of 93 consecutive cases. PG - 95-8 AB - OBJECTIVE: To evaluate the pertinence of prenatal diagnosis in cases of congenital uropathy. STUDY DESIGN: Retrospective evaluation over a period of 6.5 years. METHOD: 93 cases were involved in the comparison of prenatal ultrasonographic diagnosis with neonatal findings, autopsy results, and follow-up data. RESULTS: 33 fetuses had renal parenchymal lesions, 44 had excretory system lesions, and 6 had bladder and/or urethral lesions. Seventy-three pregnancies lead to live births. Eighteen terminations of pregnancy were performed on the parents' request for extremely severe malformations. Two intrauterine deaths were observed, and two infants died in the postnatal period. Prenatal diagnosis was obtained at an average of 27 weeks gestation. Diagnostic concordance was excellent in 82% and partial in 12% of cases with renal parenchymal lesions; the false-positive rate was 6%. For excretory system lesions, concordance was excellent in 87% and partial in 7.4% of cases, with a false-positive rate of 5.6%. Finally, concordance was excellent in 100% of cases of bladder and/or urethral lesions. The overall rate of total concordance was 86%. Partial concordance cases consisted of malformations different from those previously diagnosed, but prenatal diagnosis nevertheless lead to further investigations in the neonatal period and to proper management. The false-positive diagnoses (5.4%) never lead to termination of pregnancy. CONCLUSION: Prenatal diagnosis of congenital uropathy is effective. A third-trimester ultrasonographic examination is necessary to ensure proper neonatal management, considering that the majority of cases are diagnosed at this gestational age. FAU - Brunisholz, Y AU - Brunisholz Y AD - Departement de Gynecologie-Obstetrique, Maternite du CHUV, Lausanne, Switzerland. FAU - Vial, Y AU - Vial Y FAU - Maillard-Brignon, C AU - Maillard-Brignon C FAU - Meyrat, B J AU - Meyrat BJ FAU - Frey, P AU - Frey P FAU - Hohlfeld, P AU - Hohlfeld P LA - eng PT - Comparative Study PT - Journal Article PL - Switzerland TA - Swiss Med Wkly JT - Swiss medical weekly JID - 100970884 SB - IM MH - Adult MH - Female MH - Follow-Up Studies MH - Gestational Age MH - Humans MH - Infant, Newborn MH - Pregnancy MH - Pregnancy Outcome MH - Prenatal Diagnosis/*methods MH - Radionuclide Imaging/methods MH - Retrospective Studies MH - Sensitivity and Specificity MH - Urinary Tract/*abnormalities MH - Urogenital Abnormalities/*diagnosis MH - Urologic Diseases/*congenital/*diagnosis EDAT- 2001/06/22 10:00 MHDA- 2001/11/03 10:01 CRDT- 2001/06/22 10:00 AID - 2001/07/smw-09693 [doi] PST - ppublish SO - Swiss Med Wkly. 2001 Feb 24;131(7-8):95-8. PMID- 11316931 OWN - NLM STAT- MEDLINE DA - 20010424 DCOM- 20010712 LR - 20061115 IS - 1015-3837 (Print) IS - 1015-3837 (Linking) VI - 16 IP - 3 DP - 2001 May-Jun TI - Different policies on prenatal ultrasound screening programmes and induced abortions explain regional variations in infant mortality with congenital malformations. PG - 153-7 AB - OBJECTIVE: To compare the impact of induced abortions (IA) on the mortality of infants with congenital malformations in four European regions with different policies on IA and prenatal ultrasound screening for congenital malformations. METHODS: A registry-based collection of data on congenital malformations in four different countries: Ireland (Dublin), Denmark (Funen County), Austria (Styria), and France (Strasbourg). RESULTS: The proportion of infant deaths with malformations ranged from 23 to 44% of all infant deaths with the highest proportion in Dublin, where IA is not allowed and prenatal ultrasound screening not performed. There were highly significant differences in the prevalences of IA (p < 0.001), fetal deaths (p < 0.01), and deaths in infants with congenital malformations (p < 0.001) between the four regions. The differences in total mortality with congenital malformations (IA + fetal deaths + infant deaths) between regions decreased, and only Strasbourg differs significantly from the other three regions. CONCLUSION: Prenatal ultrasound screening programmes have only a minor impact on total mortality with congenital malformations from 2nd trimester of pregnancy to 1 year of age, but seem to change the time of death which may be important for both the parents and the community. CI - Copyright 2001 S. Karger AG, Basel FAU - Garne, E AU - Garne E AD - University of Southern Denmark, Odense, Denmark. EGarne@dadlnet.dk FAU - Berghold, A AU - Berghold A FAU - Johnson, Z AU - Johnson Z FAU - Stoll, C AU - Stoll C LA - eng PT - Comparative Study PT - Journal Article PL - Switzerland TA - Fetal Diagn Ther JT - Fetal diagnosis and therapy JID - 9107463 SB - IM MH - Abortion, Induced/*statistics & numerical data MH - Down Syndrome/*mortality MH - Europe/epidemiology MH - Fetal Death/epidemiology MH - Health Policy MH - Humans MH - Infant, Newborn MH - Registries MH - Sex Chromosome Aberrations/*mortality MH - Ultrasonography, Prenatal/*mortality EDAT- 2001/04/24 10:00 MHDA- 2001/07/13 10:01 CRDT- 2001/04/24 10:00 AID - 53901 [pii] AID - 53901 [doi] PST - ppublish SO - Fetal Diagn Ther. 2001 May-Jun;16(3):153-7. PMID- 11252285 OWN - NLM STAT- MEDLINE DA - 20010316 DCOM- 20010412 LR - 20061115 IS - 0268-1153 (Print) IS - 0268-1153 (Linking) VI - 16 IP - 1 DP - 2001 Feb TI - PrePare: a program of enhanced prenatal services within health-maintenance organization settings. PG - 71-80 AB - This paper presents the conceptual framework and implementation strategies of a relationship-focused behavioral intervention for pregnant women and their families. The program, PrePare ('Prenatal Parenting'), was designed as a prenatal precursor to the pediatric health care model, Healthy Steps. PrePare includes preventive intervention elements that address parents' universal concerns about pregnancy and parenthood, as well as specific activities to support optimum pregnancy health and reduce high-risk behaviors. As described here, the program is embedded within a large not-for-profit health-maintenance organization (HMO). Delivery of the prenatal component is carried out by Healthy Steps interventionists through three home visits and telephone follow-up during mothers' second and third trimesters of pregnancy. An evaluation of program outcomes is underway. The design compares three groups of families, those who receive PrePare followed by Healthy Steps, Healthy Steps alone and a usual HMO-practice comparison. It is hypothesized that initiating expanded services during the prenatal period will lead to increases in reported patient satisfaction, provider satisfaction and organizational efficiency within the health care delivery system. FAU - Huebner, C E AU - Huebner CE AD - Department of Pediatrics University of Washington, Seattle, WA 98195, USA. FAU - Tyll, L AU - Tyll L FAU - Luallen, J AU - Luallen J FAU - Johnston, B D AU - Johnston BD FAU - Thompson, R S AU - Thompson RS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Health Educ Res JT - Health education research JID - 8608459 SB - T MH - Female MH - Health Education/*organization & administration MH - Health Maintenance Organizations/*organization & administration MH - Health Promotion/*organization & administration MH - Home Care Services MH - Humans MH - Models, Organizational MH - Parenting MH - Patient Care Team MH - Planning Techniques MH - Pregnancy MH - Prenatal Care/*organization & administration MH - Program Development MH - Program Evaluation MH - Washington EDAT- 2001/03/17 10:00 MHDA- 2001/04/17 10:01 CRDT- 2001/03/17 10:00 PST - ppublish SO - Health Educ Res. 2001 Feb;16(1):71-80. PMID- 11251616 OWN - NLM STAT- MEDLINE DA - 20010319 DCOM- 20010503 LR - 20141120 IS - 0305-1862 (Print) IS - 0305-1862 (Linking) VI - 27 IP - 2 DP - 2001 Mar TI - Attrition among adolescents and infants involved in a parenting intervention. PG - 183-6 AB - Attrition was assessed in a randomized trial of a parenting intervention programme for adolescent mothers and their infants. Infants who were admitted to the neonatal intensive care unit, mothers who had partner difficulties, and mothers and infants who were visited for less than 60 min a week on average (typically in the control group) were more likely to miss one of the two follow-up visits. FAU - Letourneau, N AU - Letourneau N AD - Centre for Health Promotion Studies, University of Alberta, Edmonton, Alberta, Canada. nicole.letourneau@ualberta.ca LA - eng PT - Clinical Trial PT - Evaluation Studies PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - England TA - Child Care Health Dev JT - Child: care, health and development JID - 7602632 SB - IM MH - Adolescent MH - Adult MH - *Health Promotion MH - Humans MH - Infant MH - *Parenting MH - *Patient Acceptance of Health Care MH - Patient Dropouts/*psychology MH - *Postnatal Care MH - Psychology, Adolescent MH - Randomized Controlled Trials as Topic MH - Statistics, Nonparametric EDAT- 2001/03/17 10:00 MHDA- 2001/05/05 10:01 CRDT- 2001/03/17 10:00 AID - cch166 [pii] PST - ppublish SO - Child Care Health Dev. 2001 Mar;27(2):183-6. PMID- 11216261 OWN - NLM STAT- MEDLINE DA - 20010216 DCOM- 20010329 LR - 20071115 IS - 0266-6138 (Print) IS - 0266-6138 (Linking) VI - 15 IP - 4 DP - 1999 Dec TI - A comparison of two methods of antenatal breast-feeding education. PG - 274-82 AB - OBJECTIVE: To compare a woman-centered antenatal breast-feeding programme based on concepts of peer and husband/partner support with a control group, who received antenatal breast-feeding education led by a midwife childbirth educator. DESIGN: Longitudinal, quasi-experimental study. SETTING: A large private hospital in Sydney. PARTICIPANTS: A convenience sample of 179 primiparous women who attended childbirth education classes were recruited. One hundred and fifty-four participants remained following attrition and the application of selection criteria. There were 86 participants in the control group and 68 in the experimental group. The study population had a mean age of 30.4 years, were all married or living with a partner, were predominantly Australian born citizens (84%), and recorded a higher than average level of education than the population in general (Australian Bureau of Statistics 1997). INTERVENTION: Nursing Mothers Association Australia (NMAA) representatives, their male partners and a mother who was willing to demonstrate breast-feeding, facilitated the experimental group. MEASUREMENTS AND FINDINGS: Maternal perceptions of success using the Maternal Breastfeeding Evaluation Scale (MBFES) (Leff et al. 1994) and breast-feeding duration rates up to 25 weeks after birth were the outcome measures. No differences were found between groups in relation to maternal perceptions of success or duration rates. A difference was, however, detected in the qualitative data used to explore questions related to breast-feeding support and are to be reported elsewhere. Overall, breast-feeding duration rates were very high when compared to previously reported breast-feeding duration rates in Australia. There were no differences in breast-feeding duration rates or in maternal perceptions of success between those babies given supplementary feeds in hospital and those who were not, although early supplementation at home appeared to reduce breast-feeding duration. IMPLICATIONS FOR PRACTICE: While no differences were found between groups in relation to breast-feeding duration and maternal perceptions of success, the homogeneity of the sample limits its extrapolation. The extraordinary rates of breast-feeding and the lack of research into antenatal breast-feeding education, warrants further investigation of these teaching styles across other populations. Importantly, this research found that a peer-led model of breast-feeding education was as effective as a midwife-led group in producing breast-feeding initiation and duration rates higher than other previously reported breast-feeding rates with the potential to enhance social support networks. FAU - Sheehan, A AU - Sheehan A AD - Family Health Research Unit, St George Hospital, Gray St, Kogarah NSW, Australia 2217. sheehana@sesahs.nsw.gov.au LA - eng PT - Comparative Study PT - Journal Article PL - Scotland TA - Midwifery JT - Midwifery JID - 8510930 SB - N MH - Adult MH - *Breast Feeding MH - Female MH - Humans MH - Patient Education as Topic/*organization & administration MH - Patient-Centered Care/organization & administration MH - Pregnancy MH - Prenatal Care/*organization & administration MH - Program Evaluation MH - Teaching EDAT- 2001/02/24 12:00 MHDA- 2001/04/03 10:01 CRDT- 2001/02/24 12:00 AID - S0266-6138(99)90186-9 [pii] AID - 10.1054/midw.1999.0186 [doi] PST - ppublish SO - Midwifery. 1999 Dec;15(4):274-82. PMID- 11040718 OWN - NLM STAT- MEDLINE DA - 20010412 DCOM- 20010531 LR - 20041117 IS - 0738-3991 (Print) IS - 0738-3991 (Linking) VI - 39 IP - 2-3 DP - 2000 Feb TI - Prenatal sickle cell screening education effect on the follow-up rates of infants with sickle cell trait. PG - 185-9 AB - OBJECTIVE: To assess the effect of prenatal education about newborn sickle cell screening on parents' compliance with the follow-up for infants with sickle cell trait. SUBJECTS: Expectant mothers whose prenatal education included information about newborn sickle cell screening were the study group, and those whose prenatal education did not include such information were the control group. METHODS: Mothers of infants with sickle cell trait were given the opportunity for in-person notification of screening results and follow-up counseling/education. Follow-up rates, anxiety and retention of information were assessed for the case-control study. RESULTS: There were a total of 15,670 infants born in the region, and 647 infants were identified with sickle cell trait. The follow-up rate for parents of infants with sickle cell trait was significantly higher (76%) for study group than the control group (49%) (P = 0.0006). Parents whose prenatal education included sickle cell hemoglobinopathy information retained significantly more of the information given during the post-natal education than did controls. CONCLUSION: Our data suggest that prenatal education for expectant mothers which includes information about newborn sickle cell screening significantly increases the follow-up rate for infants with sickle cell trait and contributes to a greater retention of information. FAU - Yang, Y M AU - Yang YM AD - USA Comprehensive Sickle Cell Center, University of South Alabama College of Medicine, Mobile 36604, USA. FAU - Andrews, S AU - Andrews S FAU - Peterson, R AU - Peterson R FAU - Shah, A AU - Shah A FAU - Cepeda, M AU - Cepeda M LA - eng PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PL - Ireland TA - Patient Educ Couns JT - Patient education and counseling JID - 8406280 SB - N MH - Adult MH - Female MH - Follow-Up Studies MH - Humans MH - Infant, Newborn MH - *Mass Screening/utilization MH - Mothers/*education/psychology MH - Patient Compliance/psychology/statistics & numerical data MH - Prenatal Care/*organization & administration MH - Program Evaluation MH - Sickle Cell Trait/*diagnosis EDAT- 2000/10/21 11:00 MHDA- 2001/06/02 10:01 CRDT- 2000/10/21 11:00 PST - ppublish SO - Patient Educ Couns. 2000 Feb;39(2-3):185-9. PMID- 11034780 OWN - NLM STAT- MEDLINE DA - 20010126 DCOM- 20010802 LR - 20130628 IS - 1469-493X (Electronic) IS - 1361-6137 (Linking) IP - 4 DP - 2000 TI - Individual or group antenatal education for childbirth/parenthood. PG - CD002869 AB - BACKGROUND: Structured antenatal education programs for childbirth and/or parenthood are commonly recommended for pregnant women and their partners by health care professionals in many parts of the world. Such programs are usually offered to groups but may be offered to individuals. OBJECTIVES: The objective of this review was to assess the effects of this education on knowledge acquisition, anxiety, sense of control, pain, support, breastfeeding, infant care abilities, and psychological and social adjustment. SEARCH STRATEGY: The Cochrane Pregnancy and Childbirth Group trials register, the Cochrane Controlled Trials Register, and other databases were searched. The date of the last search was December, 1999. SELECTION CRITERIA: Randomized controlled trials of any structured educational program provided during pregnancy by an educator to either parent, that included information related to pregnancy, birth, or parenthood were included. The educational interventions could have been provided on an individual or group basis. Educational interventions directed exclusively to either increasing breastfeeding success or reducing smoking were excluded, since reviews of these topics can be found elsewhere in The Cochrane Library. DATA COLLECTION AND ANALYSIS: Trial quality was assessed and data were extracted by the author from published reports. MAIN RESULTS: Six trials, involving 1443 women, were included. Twenty-two were excluded. The largest of the included studies (n = 1275) examined an educational intervention to increase vaginal birth after cesarean section. This high quality study showed similar rates of vaginal birth after cesarean section in 'verbal' and 'document' groups, relative risk (RR) 1.1 (95% confidence interval (CI) 1.0-1.2). More general educational interventions were the focus of the other five studies (combined n = 168). The methodological quality of these trials is uncertain, since details of the randomization procedure, allocation concealment, and/or participant accrual/loss were not reported. No consistent results were found. Sample sizes were very small, ranging from 10-67. Interventions, populations, and outcomes measured were different in each study. No data from the five general education trials were reported concerning labour and birth outcomes, anxiety, breastfeeding success, or general social support. Knowledge acquisition and factors related to infant care competencies were measured. REVIEWER'S CONCLUSIONS: Individualized prenatal education directed toward avoidance of a cesarean birth does not increase the rate of vaginal birth after cesarean section. The effects of general antenatal education for childbirth and/or parenthood remain unknown. FAU - Gagnon, A J AU - Gagnon AJ AD - School of Nursing, McGill University, 3506 University Street, Montreal, Quebec, Canada, H3A 2A7. mdag@musica.mcgill.ca LA - eng PT - Journal Article PT - Review PL - England TA - Cochrane Database Syst Rev JT - The Cochrane database of systematic reviews JID - 100909747 SB - IM UIN - Cochrane Database Syst Rev. 2007;(3):CD002869. PMID: 17636711 MH - Female MH - Humans MH - *Labor, Obstetric MH - *Parenting MH - Patient Education as Topic/*methods MH - Pregnancy MH - Prenatal Care/methods MH - Randomized Controlled Trials as Topic MH - Vaginal Birth after Cesarean RF - 36 EDAT- 2000/10/18 11:00 MHDA- 2001/08/03 10:01 CRDT- 2000/10/18 11:00 AID - CD002869 [pii] AID - 10.1002/14651858.CD002869 [doi] PST - ppublish SO - Cochrane Database Syst Rev. 2000;(4):CD002869. PMID- 11030293 OWN - NLM STAT- MEDLINE DA - 20001024 DCOM- 20001024 LR - 20161124 IS - 0140-6736 (Print) IS - 0140-6736 (Linking) VI - 356 IP - 9236 DP - 2000 Sep 30 TI - Outcome after prenatal diagnosis of hypoplastic left-heart syndrome: a case series. PG - 1143-7 AB - BACKGROUND: Traditionally, after prenatal diagnosis of hypoplastic left-heart syndrome (HLHS) couples have been offered termination of pregnancy or comfort care. Success of postnatal surgical options such as the Norwood procedure have been associated with survival of up to 60%. Whether survival is affected by the congenital anomaly being identified prenatally or postnatally remains uncertain. METHODS: We reviewed all cases of prenatally diagnosed HLHS referred to the Fetal Medicine Unit at Birmingham Women's Hospital over 6 years between 1994 and 1999. FINDINGS: 87 cases of HLHS were referred at a median gestational age (95% CI) of 23 (19-37) weeks. Of these, 53 (61%) chose prenatal karyotyping. The overall frequency of abnormal karyotype was found in seven of 59 cases (12%) and associated structural anomalies in 18 of 87 (21%). After counselling, 38 of 87 couples (44%) chose termination of pregnancy. Of the remaining 49 fetuses, 11 (23%) were not considered for postnatal surgery because of parental choice and they died after compassionate care. Of the 36 babies who had surgery postnatally, 12 survived (33%). We recorded a survival rate of 38% for the stage-1 Norwood procedure in the prenatally diagnosed HLHS in our centre. These data suggest that at the point of prenatal detection, the overall survival rate for fetuses with HLHS is 25% (if terminated pregnancies are excluded). INTERPRETATION: Fetal echocardiography allows early diagnosis of HLHS and gives clinicians the opportunity to triage this group dependent on prenatal findings, including karyotyping and the exclusion of other structural anomalies. These prospective data provide up-to-date information on the basis of which parents can make decisions. FAU - Brackley, K J AU - Brackley KJ AD - Division of Reproductive and Child Health, Birmingham Women's and Children's Hospitals, University of Birmingham. FAU - Kilby, M D AU - Kilby MD FAU - Wright, J G AU - Wright JG FAU - Brawn, W J AU - Brawn WJ FAU - Sethia, B AU - Sethia B FAU - Stumper, O AU - Stumper O FAU - Holder, R AU - Holder R FAU - Wyldes, M P AU - Wyldes MP FAU - Whittle, M J AU - Whittle MJ LA - eng PT - Journal Article PL - England TA - Lancet JT - Lancet (London, England) JID - 2985213R SB - AIM SB - IM MH - Abortion, Induced MH - Adult MH - Cohort Studies MH - Decision Making MH - Female MH - Fetal Death MH - Gestational Age MH - Humans MH - *Hypoplastic Left Heart Syndrome/diagnostic imaging/genetics/mortality/surgery MH - Infant, Newborn MH - Karyotyping MH - Outcome Assessment (Health Care) MH - Pregnancy MH - Survival Rate MH - *Ultrasonography, Prenatal EDAT- 2000/10/13 11:00 MHDA- 2001/02/28 10:01 CRDT- 2000/10/13 11:00 AID - S0140673600027562 [pii] PST - ppublish SO - Lancet. 2000 Sep 30;356(9236):1143-7. PMID- 10998811 OWN - NLM STAT- MEDLINE DA - 20001019 DCOM- 20001019 LR - 20041117 IS - 0025-9284 (Print) IS - 0025-9284 (Linking) VI - 64 IP - 3 DP - 2000 Summer TI - Perinatal psychiatry: infant mental health interventions during pregnancy. PG - 317-43 AB - The authors focus on infant mental health interventions during pregnancy in response to stressors, behaviors, and difficulties experienced by the mother-to-be (as well as by the father-to-be and surrounding family or support system) that are likely to have a negative impact on the growth, development, behavior, and psychological environment of the baby. After summarizing normal tensions and psychological tasks, the authors focus on difficulties during pregnancy: "pathology of destiny," excessive anxiety, domestic violence, fear of becoming a mother, denial of pregnancy, somatic complaints, inadequate weight gain and eating disorders, and depression. The effects of these difficulties on the baby, as well as intervention techniques (including a psychosocial support group), are highlighted. FAU - Maldonado-Duran, J M AU - Maldonado-Duran JM AD - Menninger Clinic, Topeka, KS 66601-0829, USA. maldonjm@menninger.edu FAU - Lartigue, T AU - Lartigue T FAU - Feintuch, M AU - Feintuch M LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Bull Menninger Clin JT - Bulletin of the Menninger Clinic JID - 7507032 SB - IM MH - Female MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - Mother-Child Relations MH - Pregnancy/*psychology MH - *Prenatal Care MH - *Prenatal Exposure Delayed Effects MH - *Psychotherapy EDAT- 2000/09/22 11:00 MHDA- 2000/10/21 11:01 CRDT- 2000/09/22 11:00 PST - ppublish SO - Bull Menninger Clin. 2000 Summer;64(3):317-43. PMID- 10957856 OWN - NLM STAT- MEDLINE DA - 20000920 DCOM- 20000920 LR - 20151119 IS - 0026-4075 (Print) IS - 0026-4075 (Linking) VI - 165 IP - 8 DP - 2000 Aug TI - Evaluation of an early discharge program for infants after childbirth in a military population. PG - 616-21 AB - The objective of this study was to evaluate the outcome of an early discharge program for infants with regard to length of stay, patient safety, maternal satisfaction, and hospital expense in a military population. The study consisted of a retrospective analysis of data from two 6-month periods--March to August 1994 (before early discharge) and March to August 1996 (after early discharge)--in a military, tertiary care, teaching hospital. The criteria for early discharge included healthy term singleton newborns delivered by uncomplicated vaginal delivery with maternal support systems, transportation, and phone access. The interventions included maternal education regarding maternal and infant care and telephone follow-up at 48 hours and 5 days after discharge. The main outcome measures included length of hospital stay, inpatient cost, infant health services utilization, and maternal satisfaction (measured by survey). During the 6-month study periods in 1994 and 1996, a total of 1,911 deliveries were examined. The mean number (+/- SD) of hospital days per infant was 2.54 +/- 0.83 in 1994 compared with 1.88 +/- 1.03 in 1996. There was not a statistically significant difference in the number of readmissions between 1994 (9 of 1042, 0.86%) and 1996 (12 of 869, 1.38%) (odds ratio = 1.61, 95% confidence interval = 0.67, 3.83). A review of the infant health services utilization revealed a statistically significant increase in the total number of clinic visits (scheduled and unscheduled) before the 2-week well-child visit for the 1996 group. However, that group did not experience a change in the number of emergency room visits. Seventy-five percent of mothers were satisfied with the program as assessed by questionnaire. In addition, the program was able to save 599 inpatient hospital days, for a total cost savings of $442,903.23 in 1996. This reduction in inpatient hospital days netted an average cost savings of $509.67 per infant. By following strict discharge criteria, increasing parent education before discharge, implementing a phone follow-up system, and ensuring easy access to care, an early discharge program in our military population was not associated with increased adverse newborn outcomes and reduced costs. FAU - Gries, D M AU - Gries DM AD - Department of Pediatrics, Madigan Army Medical Center, Tacoma, WA 98431-5283, USA. FAU - Phyall, G AU - Phyall G FAU - Barfield, W D AU - Barfield WD LA - eng PT - Journal Article PL - United States TA - Mil Med JT - Military medicine JID - 2984771R SB - IM MH - Adult MH - Cost Savings MH - Female MH - Hospital Costs/statistics & numerical data MH - Humans MH - Infant, Newborn MH - *Length of Stay/economics MH - Male MH - Military Medicine/*organization & administration MH - Mothers/psychology MH - Patient Discharge/economics/*standards MH - Patient Satisfaction MH - Perinatal Care/*organization & administration MH - Program Evaluation MH - Retrospective Studies MH - Safety MH - Surveys and Questionnaires MH - Washington EDAT- 2000/08/25 11:00 MHDA- 2000/09/23 11:01 CRDT- 2000/08/25 11:00 PST - ppublish SO - Mil Med. 2000 Aug;165(8):616-21. PMID- 10956294 OWN - NLM STAT- MEDLINE DA - 20000919 DCOM- 20000919 LR - 20161124 IS - 1468-201X (Electronic) IS - 1355-6037 (Linking) VI - 84 IP - 3 DP - 2000 Sep TI - Prenatal diagnosis of congenital heart disease in the northern region of England: benefits of a training programme for obstetric ultrasonographers. PG - 294-8 AB - OBJECTIVE: To examine the results of fetal cardiac scanning and audit the changes in performance resulting from the introduction of a training programme for obstetric ultrasonographers. METHODS: Using the database of the Northern Regional Congenital Abnormality Survey (NORCAS), fetuses with complex or significant congenital heart disease (CCHD) diagnosed prenatally in 1994 were identified. A simple programme of centralised and local training was instituted in 1995 by the department of paediatric cardiology to teach obstetric ultrasonographers in district general hospital maternity departments to identify congenital heart malformations. The results of the training programme were assessed by comparing the 1994 identification rate of CCHD with the rates for 1996 and 1997. RESULTS: Birth rate fell during the study from 35,026 in 1994 to 32,874 in 1997. Registration of CCHD also fell, from 115 in 1994 to 87 in 1997. Prenatal recognition of CCHD rose from 17% in 1994 to 30% in 1995 and 36% in 1996. In 1997 it fell slightly to 26.9%. The total number of scans did not change much year on year, but the number of parents choosing termination increased significantly (from 22.7% to 57%). CONCLUSIONS: A simple training programme for obstetric ultrasonographers increased their ability to detect serious congenital heart disease at a routine 18-20 week anomaly scan. With a termination rate of more than 50%, the incidence of CCHD in the population fell from 3.3/1000 to 2.6/1000 live births. This audit, conducted within a stable population using ascertainment by a well established fetal malformation registry, suggests that prenatal diagnosis may have a significant effect on the incidence of complex or serious congenital cardiac malformations. FAU - Hunter, S AU - Hunter S AD - Department of Paediatric Cardiology, Freeman Hospital, Newcastle upon Tyne NE7 7DN, UK. FAU - Heads, A AU - Heads A FAU - Wyllie, J AU - Wyllie J FAU - Robson, S AU - Robson S LA - eng PT - Journal Article PL - England TA - Heart JT - Heart (British Cardiac Society) JID - 9602087 SB - AIM SB - IM MH - Abortion, Therapeutic MH - Chi-Square Distribution MH - Databases, Factual MH - Echocardiography/methods/*standards MH - England/epidemiology MH - Female MH - Fetal Death MH - Heart Defects, Congenital/*diagnostic imaging/epidemiology MH - Humans MH - Incidence MH - *Medical Audit MH - Pregnancy MH - Pregnancy Trimester, Second MH - Program Evaluation MH - Radiology/*education MH - Ultrasonography, Prenatal/methods/*standards PMC - PMC1760944 OID - NLM: PMC1760944 EDAT- 2000/08/24 MHDA- 2000/09/23 CRDT- 2000/08/24 00:00 PST - ppublish SO - Heart. 2000 Sep;84(3):294-8. PMID- 10812310 OWN - NLM STAT- MEDLINE DA - 20000710 DCOM- 20000710 LR - 20131121 IS - 0740-5472 (Print) IS - 0740-5472 (Linking) VI - 18 IP - 4 DP - 2000 Jun TI - A brief intervention for prenatal alcohol use: an in-depth look. PG - 365-9 AB - About 20% of pregnant women will drink alcohol, even though no universally safe level of prenatal alcohol consumption has been established. This study of 123 alcohol screen-positive pregnant women receiving a brief intervention in the 16th week of gestation examines the relationship of drinking goals, reasons for the goals, recognition of situations increasing risk of drinking, and subsequent antepartum consumption. While women who named abstinence as their antepartum drinking goal were more likely not to be consuming alcohol at the time of study enrollment (chi(2) = 16.80, df = 1, p =.001), current drinkers who named abstinence as their goal did reduce subsequent prenatal alcohol use (chi(2) = 10.04, df = 1, p =.002). All current drinkers who indicated fetal alcohol syndrome as a reason not to drink reduced their subsequent alcohol consumption (chi(2) = 11.04, df = 1, p =.001). Future efforts may include the partners and support systems of pregnant women in education or intervention programs to reduce prenatal alcohol consumption to enhance their effectiveness. FAU - Chang, G AU - Chang G AD - Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. gchang@bics.bwh.harvard.edu FAU - Goetz, M A AU - Goetz MA FAU - Wilkins-Haug, L AU - Wilkins-Haug L FAU - Berman, S AU - Berman S LA - eng GR - R01AA9670/AA/NIAAA NIH HHS/United States PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Subst Abuse Treat JT - Journal of substance abuse treatment JID - 8500909 SB - IM MH - Adult MH - Alcohol Drinking/adverse effects/prevention & control MH - Boston MH - Female MH - Fetal Alcohol Spectrum Disorders/*prevention & control MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Infant, Newborn MH - Personality Inventory MH - Pregnancy MH - *Prenatal Care MH - Risk Assessment EDAT- 2000/05/17 09:00 MHDA- 2000/07/15 11:00 CRDT- 2000/05/17 09:00 AID - S0740547299001051 [pii] PST - ppublish SO - J Subst Abuse Treat. 2000 Jun;18(4):365-9. PMID- 10810847 OWN - NLM STAT- MEDLINE DA - 20000525 DCOM- 20000525 LR - 20071115 IS - 0361-929X (Print) IS - 0361-929X (Linking) VI - 25 IP - 3 DP - 2000 May-Jun TI - Enhancing parent-child interaction with a prenatal couple intervention. PG - 139-44; quiz 145 AB - PURPOSE: To determine the effect of a prenatal couple group intervention on parent-child interaction postbirth. DESIGN: Quasiexperimental study. METHOD: A nonrandomized convenience sample of treatment group (TG) couples (n = 35) who attended an additional prenatal three-class series was compared to a control group (CG) from childbirth education classes on measures of videotaped parent-child interaction using the NCATS tool. The intervention class series was based on individual and couple changes in meaning/identity, roles, and relationship/interaction during the transition to parenthood. It addressed mother/father roles, infant communication abilities, and patterns of the first 3 months of life in a mutually enjoyable, possibility-focused way. RESULTS: T-tests and ANCOVA on NCATS scores between groups showed higher TG scores for mothers in sensitivity to cues, for fathers in social-emotional growth fostering, and for couple mean scores in social-emotional growth fostering, couple mean response to child distress, caregiver total, and caregiver-child total. Higher contingency scores were also found in the TG group. Fewer TG mothers and fathers fell below NCATS lower cutoff scores. CLINICAL IMPLICATIONS: Interventions that enhance mutual parent-child interaction through increased sensitivity to cues and responsiveness to infant needs or signals are important avenues for facilitating secure attachment, father and mother involvement, optimal development, and prevention of child abuse and neglect. The positive approach to this intervention invites couples to see themselves as developing with their infants over time, and to view their infants in new ways that will help develop satisfying, self-reinforcing patterns of interaction. FAU - Bryan, A A AU - Bryan AA AD - Department of Family Health Nursing, University of Wisconsin-Eau Claire 74702-4004, USA. bryanaa@uwec.edu LA - eng PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - MCN Am J Matern Child Nurs JT - MCN. The American journal of maternal child nursing JID - 7605941 SB - IM SB - N MH - Adolescent MH - Adult MH - Analysis of Variance MH - Cues MH - Female MH - Humans MH - Infant MH - Male MH - Maternal Behavior MH - Middle Aged MH - *Parent-Child Relations MH - Parenting/*psychology MH - Parents/*education/*psychology MH - Paternal Behavior MH - Patient Education as Topic/*methods MH - Program Evaluation MH - Role MH - Videotape Recording EDAT- 2000/05/16 09:00 MHDA- 2000/06/08 09:00 CRDT- 2000/05/16 09:00 PST - ppublish SO - MCN Am J Matern Child Nurs. 2000 May-Jun;25(3):139-44; quiz 145. PMID- 10631824 OWN - NLM STAT- MEDLINE DA - 20000211 DCOM- 20000211 LR - 20051116 IS - 1078-6791 (Print) IS - 1078-6791 (Linking) VI - 6 IP - 1 DP - 2000 Jan TI - Benefits of massage therapy and use of a doula during labor and childbirth. PG - 66-74 AB - This article reviews the most recent literature on touch support and one-to-one support during labor and childbirth. The positive and negative aspects of the traditional birth attendant are presented. Research in one-to-one care and touch support during labor is examined with respect to husband/partner, nurses, nurse-midwives, and doulas (trained labor attendants). According to recent studies, women supported by doulas or midwives benefit by experiencing shorter labors and lower rates of epidural anesthesia and cesarean section deliveries. Also, a smaller percentage of their newborns experience fetal distress and/or are admitted to neonatal intensive care units. Women whose husbands or partners massage them during labor experience shorter labors. Nursing one-to-one support results in no significant obstetric outcomes. Antenatal perineal massage was found to reduce the rates of tears, cesarean section, and instrumental deliveries. Research in perineal massage during labor has shown no benefit. FAU - Keenan, P AU - Keenan P AD - Potomac Massage Training Institute, USA. LA - eng PT - Journal Article PT - Review PL - United States TA - Altern Ther Health Med JT - Alternative therapies in health and medicine JID - 9502013 SB - IM MH - Female MH - Humans MH - *Labor, Obstetric MH - Male MH - *Massage MH - *Midwifery MH - *Nurse Midwives MH - Pregnancy MH - Spouses RF - 40 EDAT- 2000/01/13 09:00 MHDA- 2000/02/19 09:00 CRDT- 2000/01/13 09:00 PST - ppublish SO - Altern Ther Health Med. 2000 Jan;6(1):66-74. PMID- 22946005 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20120904 DCOM- 20120906 LR - 20170220 IS - 1058-1243 (Print) IS - 1058-1243 (Linking) VI - 8 IP - 4 DP - 1999 Fall TI - Quality perinatal nursing education through coteaching. PG - 27-35 LID - 10.1624/105812499X87330 [doi] AB - Collaboration in teaching can take different forms, including the model of coteaching. This educational strategy requires time, effort, commitment, and collaboration between partners in order to ensure an enhanced teaching and learning experience. Little has been written recently on the theory of coteaching. The literature does not address the subject of coteaching or team teaching from a combined theoretical and clinical perspective. Two professors in nursing sciences present their experience in coteaching over a 4-year period, covering a theoretical course and a clinical practicum at the basic baccalaureate level, as well as the supervision of clinical preceptors for this same practicum. They describe the conceptual, personal, and environmental conditions that enabled them to use this particular form of teaching at this point in their careers. They discuss how the concept works as well as the advantages and disadvantages from the perspective of professors, students, and preceptors. Recommendations are made for implementing such a strategy while minimizing the risks for the program, the teachers, the students, and the educational milieux. Their discussion may provide insight for programs that prepare childbirth educators. FAU - Dumas, L AU - Dumas L AD - L ouise D umas is a Professor-Researcher in the Department of Nursing Sciences at the University of Quebec at Hull in Canada. FAU - de Montigny, F AU - de Montigny F LA - eng PT - Journal Article PL - United States TA - J Perinat Educ JT - The Journal of perinatal education JID - 9301158 PMC - PMC3431787 OID - NLM: PMC3431787 OTO - NOTNLM OT - coteaching OT - teaching and collaboration OT - teaching and nursing OT - team teaching EDAT- 1999/10/01 00:00 MHDA- 1999/10/01 00:01 CRDT- 2012/09/05 06:00 AID - 10.1624/105812499X87330 [doi] PST - ppublish SO - J Perinat Educ. 1999 Fall;8(4):27-35. doi: 10.1624/105812499X87330. PMID- 10476163 OWN - NLM STAT- MEDLINE DA - 19990909 DCOM- 19990909 LR - 20170214 IS - 1043-6596 (Print) IS - 1043-6596 (Linking) VI - 10 IP - 2 DP - 1999 Apr TI - Perinatal death: uncovering the needs of midwives and nurses and exploring helpful interventions in the United States, England, and Japan. PG - 120-30 AB - Perinatal death is a crisis for midwives and nurses as well as for bereaved parents and extended families. Surveys and interviews conducted in the United States, England, and Japan described the needs and responses of nurses and midwives as they coped with their own feelings while caring for bereaved parents. Results emphasized common needs of caregivers for increased knowledge, mentored experience, communication skills, and personal support to confidently provide sensitive care to families. Although need for education regarding cultural-specific care was revealed, participants identified helpful strategies of care for bereaved parents that could extend and improve care universally. FAU - Gardner, J M AU - Gardner JM AD - Gustavus Adolphus College, USA. LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Transcult Nurs JT - Journal of transcultural nursing : official journal of the Transcultural Nursing Society JID - 9001407 SB - N MH - *Attitude of Health Personnel MH - *Attitude to Death MH - Clinical Competence MH - Cross-Cultural Comparison MH - England MH - Female MH - *Grief MH - Humans MH - Infant, Newborn MH - Japan MH - Maternal-Child Nursing/*education MH - Needs Assessment MH - Nurse Midwives/*education/*psychology MH - Nursing Staff/*education/*psychology MH - Parents/*psychology MH - Pregnancy MH - Surveys and Questionnaires MH - Transcultural Nursing/*education MH - United States EDAT- 1999/09/07 MHDA- 1999/09/07 00:01 CRDT- 1999/09/07 00:00 AID - 10.1177/104365969901000205 [doi] PST - ppublish SO - J Transcult Nurs. 1999 Apr;10(2):120-30. PMID- 10373868 OWN - NLM STAT- MEDLINE DA - 20000629 DCOM- 20000629 LR - 20151119 IS - 0266-6138 (Print) IS - 0266-6138 (Linking) VI - 15 IP - 1 DP - 1999 Mar TI - Swedish fathers' involvement in and experiences of childbirth preparation and childbirth. PG - 6-15 AB - OBJECTIVE: To discover the expectations and experiences of childbirth preparation and childbirth of Swedish men in order to contribute to a basis of reflections in the midwifery profession. DESIGN: Three tape-recorded interviews were performed: before and after childbirth preparation, and between one and three weeks after the baby was born. SETTING: Swedish maternity care. PARTICIPANTS: Eleven men who participated with their partners in antenatal classes. MEASUREMENTS AND FINDINGS: The interviews were analysed in several steps and included co-assessments by co-workers. Finally, an interpretation based on the concept 'vital involvement' was undertaken. Indications of vital involvement as well as various levels of involvement or distance were found. The participation in childbirth was more demanding than expected for the eleven men. They felt unprepared for an unpredictable process, the experience of time and pain, the woman's action, and their own reactions. The men who were regarded by the authors as vitally involved seemed to manage overwhelming feelings of helplessness during childbirth, to support the women, and experience the meeting with the baby positively. KEY CONCLUSION: It seems important for midwives to meet men individually, design childbirth preparation from men's perspective, follow up interpretations of the content, discuss expectations with regard to the men's role, and assess their experiences during the birth process. FAU - Hallgren, A AU - Hallgren A AD - Department of Nursing, Umea University, Sweden. FAU - Kihlgren, M AU - Kihlgren M FAU - Forslin, L AU - Forslin L FAU - Norberg, A AU - Norberg A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Scotland TA - Midwifery JT - Midwifery JID - 8510930 SB - N MH - Adult MH - *Attitude to Health MH - Conflict (Psychology) MH - Fathers/education/*psychology MH - Female MH - Humans MH - Labor, Obstetric/*psychology MH - Male MH - Nurse Midwives MH - Nursing Methodology Research MH - Patient Education as Topic MH - Postnatal Care/*methods/psychology MH - Pregnancy MH - Prenatal Care/*methods MH - Surveys and Questionnaires MH - Sweden EDAT- 1999/06/22 10:00 MHDA- 2000/07/06 11:00 CRDT- 1999/06/22 10:00 PST - ppublish SO - Midwifery. 1999 Mar;15(1):6-15. PMID- 10214303 OWN - NLM STAT- MEDLINE DA - 19990902 DCOM- 19990902 LR - 20041117 IS - 1461-3123 (Print) IS - 1461-3123 (Linking) VI - 2 IP - 1 DP - 1999 Jan TI - Men in antenatal classes. Teaching 'the whole birth thing'. PG - 23-6 FAU - Smith, N AU - Smith N LA - eng PT - Journal Article PL - England TA - Pract Midwife JT - The practising midwife JID - 9814758 SB - N MH - Adult MH - Fathers/*education/*psychology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Natural Childbirth/*methods MH - Nurse Midwives/psychology MH - Pregnancy MH - *Prenatal Care MH - Professional-Family Relations EDAT- 1999/04/24 MHDA- 1999/04/24 00:01 CRDT- 1999/04/24 00:00 PST - ppublish SO - Pract Midwife. 1999 Jan;2(1):23-6. PMID- 9919645 OWN - NLM STAT- MEDLINE DA - 19990209 DCOM- 19990209 LR - 20041117 IS - 0009-4021 (Print) IS - 0009-4021 (Linking) VI - 78 IP - 1 DP - 1999 Jan-Feb TI - Evaluation of a training program for foster parents of infants with prenatal substance effects. PG - 197-214 AB - The lack of prepared and available foster parents for children with prenatal substance effects is of increasing concern to the child welfare field. The research study reported here evaluated a multimodal inservice training program designed to enhance the competency of foster parents caring for infants with prenatal substance effects, and to promote an intent to foster such infants. Findings suggest that future foster parent training efforts in this area should focus on knowledge and skill attainment. FAU - Burry, C L AU - Burry CL AD - University of Maryland School of Social Work, Baltimore, USA. LA - eng PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PL - United States TA - Child Welfare JT - Child welfare JID - 0372735 SB - IM MH - Caregivers MH - Female MH - *Foster Home Care MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Infant MH - *Inservice Training MH - Linear Models MH - *Parenting MH - Pregnancy MH - *Prenatal Exposure Delayed Effects MH - Social Support MH - *Substance-Related Disorders EDAT- 1999/01/27 MHDA- 1999/01/27 00:01 CRDT- 1999/01/27 00:00 PST - ppublish SO - Child Welfare. 1999 Jan-Feb;78(1):197-214. PMID- 22945974 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20120904 DCOM- 20120906 LR - 20130530 IS - 1058-1243 (Print) IS - 1058-1243 (Linking) VI - 8 IP - 1 DP - 1999 Winter TI - Integrating Preparation for Parenting Into Childbirth Education: Part II-A Study. PG - 22-8 LID - 10.1624/105812499X86953 [doi] AB - This study was designed to test the effectiveness of using a broad conceptualization of childbirth education that includes parenting preparation in pregnancy. The goal is to assist in breaking cycles of dysfunction in families. At the core of this expanded model of childbirth education is the concept of prevention. The intervention described in Part I in the Journal of Perinatal Education 7(4), 26-33 provided parents with information and coping mechanisms by drawing parallels to traditionally learned coping skills for childbirth with techniques needed to cope in post-partum. This approach also encouraged prenatal parents to learn techniques for promoting attachment to their children before birth. The curriculum was tested by randomizing 48 couples to the expanded or traditional model of childbirth education. A pre- and post-Prenatal Parenting Scale was administered to both groups. Only the experimental group demonstrated improvement at the post-class administration. FAU - Corwin, A AU - Corwin A AD - A nn C orwin is the Parent Education Coordinator for the Orange County Child Abuse Prevention Council of the Family Resource Center in Mission Viejo, California, and Post-Partum Consultant for Saddlback Memoral Medical Center in Laguna Hills, California. LA - eng PT - Journal Article PL - United States TA - J Perinat Educ JT - The Journal of perinatal education JID - 9301158 PMC - PMC3431752 OID - NLM: PMC3431752 OTO - NOTNLM OT - childbirth education OT - parenting techniques OT - prenatal parenting EDAT- 1999/01/01 00:00 MHDA- 1999/01/01 00:01 CRDT- 2012/09/05 06:00 AID - 10.1624/105812499X86953 [doi] PST - ppublish SO - J Perinat Educ. 1999 Winter;8(1):22-8. doi: 10.1624/105812499X86953. PMID- 9695893 OWN - NLM STAT- MEDLINE DA - 19981007 DCOM- 19981007 LR - 20071114 IS - 0739-6686 (Print) IS - 0739-6686 (Linking) VI - 16 DP - 1998 TI - Prenatal and parenting programs for adolescent mothers. PG - 221-49 AB - Adolescence is a time of risk taking and exploration. The adolescent's exploration of the developmental and physical changes taking place often puts the adolescent at greater risk than at any other time in life. The risk-taking behaviors involve sexual activity, experimentation with substances including cigarettes and alcohol, rebellion against paternal norms, suicidal behavior, and violence. This chapter focuses on the potential outcome of one of these risky behaviors: sexual activity. The intent is to summarize the findings of the research community on the pregnancy and parenting programs for adolescents. A summary of some of the recent research and demonstration projects for pregnant and parenting adolescents is provided. Published and unpublished articles from a variety of disciplines are included. These articles vary by method, type of program, location, and outcome measurement. Methodological issues related to the preponderance of quasi-experimental designs with small samples and demonstration projects are addressed. The lack of theoretically driven, longitudinal research that is specific to the developmental level of the population is discussed, and directions are suggested for future research. FAU - Hoyer, P J AU - Hoyer PJ AD - College of Nursing, Wayne State University, USA. LA - eng GR - R01 NR04123/NR/NINR NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PT - Review PL - United States TA - Annu Rev Nurs Res JT - Annual review of nursing research JID - 8406387 SB - IM SB - J SB - N MH - Adolescent MH - Female MH - Humans MH - Maternal-Child Nursing/*methods MH - Mothers/*education MH - *Parenting MH - Pregnancy MH - *Pregnancy in Adolescence MH - *Prenatal Care MH - United States RF - 73 OID - PIP: 139198 OID - POP: 00282733 OAB - PIP: This chapter in a volume of the Annual Review of Nursing Research devoted to health issues in pediatric nursing summarizes research findings on pregnancy and parenting programs for adolescents in the US. The introduction, which describes the risk factors associated with adolescence and the particular risk of unintended pregnancy and acquisition of sexually transmitted diseases that have accompanied decreasing ages of sexual initiation and increasing numbers of sexual partners among adolescents, points out that many intervention programs that seek to address the needs of developing adolescents lack an evaluative component and a theoretical base. The next section presents the scope of this review, which focuses on programs for pregnant adolescents and adolescent parents. The chapter continues by reviewing 1) three pregnancy prevention programs not included in a 1995 compendium prepared by Moore, Sugarland, et al. and 2) prenatal and parenting programs. A look at programs deemed most effective at changing maternal or fetal outcomes is accomplished through a review of research on comprehensive programs, other types of programs, programs that consider differences in parenting among ethnic or racial groups, program location, development of practice models, intervention studies, and the adolescent father. The chapter ends with a summary that indicates the need for application of a more rigorous and systematic approach to this research in order to create a body of knowledge with a strong theoretical base and conceptual clarity. OABL- eng OTO - PIP OT - *Adolescent Pregnancy OT - Adolescents OT - *Adolescents, Female OT - Age Factors OT - Americas OT - Delivery Of Health Care OT - Demographic Factors OT - Developed Countries OT - Education OT - Family And Household OT - Family Characteristics OT - Family Relationships OT - Fertility OT - Health OT - Health Services OT - *Literature Review OT - Maternal Health Services OT - Maternal-child Health Services OT - *Mothers OT - North America OT - Northern America OT - *Parenting Education OT - Parents OT - Population OT - Population Characteristics OT - Population Dynamics OT - *Prenatal Care OT - Primary Health Care OT - Reproductive Behavior OT - United States OT - Youth GN - PIP: TJ: ANNUAL REVIEW OF NURSING RESEARCH. EDAT- 1998/08/08 MHDA- 1998/08/08 00:01 CRDT- 1998/08/08 00:00 PST - ppublish SO - Annu Rev Nurs Res. 1998;16:221-49. PMID- 9647530 OWN - NLM STAT- MEDLINE DA - 19980921 DCOM- 19980921 LR - 20091119 IS - 0268-1161 (Print) IS - 0268-1161 (Linking) VI - 13 IP - 5 DP - 1998 May TI - A rational approach to prenatal screening and intervention. PG - 1126-8 FAU - Yagel, S AU - Yagel S AD - Department of Obstetrics and Gynecology, Hadssah Mt Scopus, Jerusalem, Israel. FAU - Anteby, E AU - Anteby E LA - eng PT - Comment PT - Journal Article PL - England TA - Hum Reprod JT - Human reproduction (Oxford, England) JID - 8701199 SB - IM SB - J CON - Hum Reprod. 1998 May;13(5):1125-6. PMID: 9647529 MH - Abortion, Induced MH - Breast Neoplasms/genetics/prevention & control MH - Down Syndrome/diagnosis/genetics/prevention & control MH - Ethics, Medical MH - Female MH - Genes, BRCA1 MH - Genetic Counseling MH - *Genetic Testing MH - Humans MH - Mutation MH - Pregnancy MH - *Prenatal Diagnosis OID - PIP: 141384 OID - POP: 00285969 OAB - PIP: Improved testing procedures now allow prenatal screening for a wide range of congenital defects, including cystic fibrosis and muscular dystrophy. An emerging technique also allows diagnosis of congenital anomalies during the pre-implantation stage of in vitro fertilization. Thus, clinicians need an established criteria to use as a guide when counseling parents about what prenatal testing is possible, feasible, and desirable. For example, there are limits to prenatal testing for conditions like mutations in the breast cancer gene because affected individuals do not necessary develop the condition and a cure may be found by the time the condition develops. It is even questionable if parents should be given this information until the child reaches an appropriate age. One approach to development of guidelines is to classify congenital abnormalities according to severity, age of onset, and type (structural-functional versus mental). This system reveals anomalies that are clearly lethal, lead to moderate or severe disability with little or no prospect of improvement or cure, are characterized by early onset, and/or involve obvious mental retardation. This approach is particularly relevant in cases of trisomy 21, and progressively invasive screening techniques are available to detect this most common pattern of malformation in humans. OABL- eng OTO - PIP OT - Clinic Activities OT - *Congenital Abnormalities OT - Counseling OT - *Critique OT - Diseases OT - Examinations And Diagnoses OT - *Genetic Counseling OT - Neonatal Diseases And Abnormalities OT - Organization And Administration OT - *Physical Examinations And Diagnoses OT - Program Activities OT - Programs OT - *Recommendations OT - *Screening GN - PIP: TJ: HUMAN REPRODUCTION. EDAT- 1998/07/01 MHDA- 1998/07/01 00:01 CRDT- 1998/07/01 00:00 PST - ppublish SO - Hum Reprod. 1998 May;13(5):1126-8. PMID- 9647004 OWN - NLM STAT- MEDLINE DA - 19980917 DCOM- 19980917 LR - 20041117 IS - 0095-5108 (Print) IS - 0095-5108 (Linking) VI - 25 IP - 2 DP - 1998 Jun TI - Assessing parent-infant interaction during the perinatal period. Some cautions. PG - 461-9 AB - Pediatricians have recently been urged by professional groups to pay increased attention to parental behavior when serving and discharging newborns. These exhortations are well intended, but they may reflect a misunderstanding of developmental processes and foster a mistaken belief in the ease with which parenting problems can be identified and remedied. This article describes how early experiences affect children's development and then contrasts this view with a popular perspective based on misapplication of the medical model to the conceptualization of behavioral development. FAU - Lamb, M E AU - Lamb ME AD - Section on Social and Emotional Development, National Institute of Child Health and Human Development, Bethesda, Maryland, USA. LA - eng PT - Journal Article PT - Review PL - United States TA - Clin Perinatol JT - Clinics in perinatology JID - 7501306 SB - IM MH - Humans MH - Infant MH - Infant Behavior MH - Infant, Newborn/*psychology MH - Mother-Child Relations MH - Object Attachment MH - *Parent-Child Relations RF - 33 EDAT- 1998/07/01 MHDA- 1998/07/01 00:01 CRDT- 1998/07/01 00:00 PST - ppublish SO - Clin Perinatol. 1998 Jun;25(2):461-9. PMID- 9629815 OWN - NLM STAT- MEDLINE DA - 19980706 DCOM- 19980706 LR - 20151119 IS - 1326-0200 (Print) IS - 1326-0200 (Linking) VI - 22 IP - 3 Suppl DP - 1998 TI - Effects of a smoking cessation program for pregnant women and their partners attending a public hospital antenatal clinic. PG - 313-20 AB - This study aimed to assess the effect of a hospital-based smoking cessation intervention delivered by midwives during routine antenatal and postnatal care on the smoking habits of pregnant women and their partners. At the first antenatal visit, women in the intervention group (n = 110) were given a demonstration of the immediate effects of smoking on foetal heart rate, brief smoking cessation advice and smoking cessation booklets for themselves and their partners; at delivery, they were given brief advice and a booklet about postpartum cessation. Compared with an historical control group who received usual care (n = 110) and assuming those lost to follow-up continued to smoke, biochemically-verified maternal cessation sustained from at least 24 weeks gestation to late pregnancy was 6.4% in the intervention group and 1.8% in the comparison group. However, there was no difference between maternal quit rates at six months postpartum. Partners were more likely to try to quit in the intervention group, but quit rates did not differ. Exposure to the intervention was not associated with increased levels of psychological distress, as measured by the 12-item General Health Questionnaire. We conclude that this type of intervention, when implemented by staff during routine care, is probably associated with a small improvement in maternal cessation in pregnancy, similar to that produced by minimal advice to quit smoking. FAU - Wakefield, M AU - Wakefield M AD - Epidemiology Branch, South Australian Health Commission, South Australia. wakefield.melanie@health.sa.gov.au FAU - Jones, W AU - Jones W LA - eng PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Australia TA - Aust N Z J Public Health JT - Australian and New Zealand journal of public health JID - 9611095 SB - IM MH - Adult MH - Female MH - Follow-Up Studies MH - *Hospitals, Public MH - Humans MH - Male MH - Nurse Midwives MH - Outpatient Clinics, Hospital/*standards MH - *Patient Education as Topic/methods MH - Pregnancy MH - Pregnancy Complications/*prevention & control MH - Prenatal Care/*standards MH - Program Evaluation MH - Smoking/*prevention & control MH - *Smoking Cessation/methods MH - Spouses MH - Surveys and Questionnaires EDAT- 1998/06/18 MHDA- 1998/06/18 00:01 CRDT- 1998/06/18 00:00 PST - ppublish SO - Aust N Z J Public Health. 1998;22(3 Suppl):313-20. PMID- 9618604 OWN - NLM STAT- MEDLINE DA - 19980616 DCOM- 19980616 LR - 20151119 IS - 0729-2759 (Print) IS - 0729-2759 (Linking) VI - 6 IP - 1 DP - 1998 May TI - Breastfeeding information and support services offered by Melbourne hospitals in antenatal classes. PG - 23-8 AB - Breastfeeding in industrialised societies is affected by a number of factors including antenatal class participation, timing of breastfeeding education, support networks available, and fathers' opinions. This study aimed to investigate the availability and type of breastfeeding information and support services offered by Melbourne hospitals. This was discussed in regard to the possible effect this may have on mothers' choice of feeding method. All hospitals known by Nursing Mothers' Association of Australia (NMAA) to be involved in obstetric care were asked to complete a questionnaire. Factors such as antenatal class timing, attendance, cost and content were investigated as indicators of the extent of services available. Specifically, services and information offered for women from non English speaking backgrounds (NESB) and from Aboriginal and Torres Strait Islands were identified. The study found that breastfeeding education is a small part of antenatal education in Melbourne hospitals. The inclusion of NMAA was widespread among hospitals, allowing access to information and support services. The amount of information and support services available for women from NESB and Aboriginal and Torres Strait Islander background needs to be expanded. FAU - Lowe, N AU - Lowe N LA - eng PT - Journal Article PL - Australia TA - Breastfeed Rev JT - Breastfeeding review : professional publication of the Nursing Mothers' Association of Australia JID - 9616903 SB - K MH - *Breast Feeding MH - Fees and Charges MH - Female MH - Hospitals MH - Humans MH - Information Services MH - *Patient Education as Topic/economics MH - *Prenatal Care/economics MH - Self-Help Groups MH - Surveys and Questionnaires MH - Victoria EDAT- 1998/06/10 MHDA- 1998/06/10 00:01 CRDT- 1998/06/10 00:00 PST - ppublish SO - Breastfeed Rev. 1998 May;6(1):23-8. PMID- 9372395 OWN - NLM STAT- MEDLINE DA - 19971219 DCOM- 19971219 LR - 20041117 IS - 0309-2402 (Print) IS - 0309-2402 (Linking) VI - 26 IP - 5 DP - 1997 Nov TI - A group programme for postnatally distressed women and their partners. PG - 913-20 AB - A group programme for postnatally distressed women and their partners is described. The programme consists of eight sessions, including one session for the couple. The concerns of the women centre around their anxieties and feelings towards their partners, their own mothers and their infants. Psychotherapeutic and cognitive-behavioural strategies are employed to assist them in dealing with these concerns. The concerns of the men centre around their attempts to provide emotional and practical support to their partner. Invariably such support results in an increase in tension between the partners, and the programme helps the men to understand why this happens. Formal measures show a decrease in maternal distress over time and an increase in their level of self-esteem. About half of the men show elevated levels of distress. FAU - Morgan, M AU - Morgan M AD - Paediatric Mental Health Service, South Western Sydney, Area Health Service. FAU - Matthey, S AU - Matthey S FAU - Barnett, B AU - Barnett B FAU - Richardson, C AU - Richardson C LA - eng PT - Journal Article PL - England TA - J Adv Nurs JT - Journal of advanced nursing JID - 7609811 SB - IM SB - N MH - Adaptation, Psychological MH - Adult MH - Cognitive Therapy/*organization & administration MH - Depression, Postpartum/*prevention & control MH - Female MH - Humans MH - Male MH - Parents/*psychology MH - Postnatal Care/*organization & administration MH - Program Evaluation MH - Psychotherapy, Group/*organization & administration MH - Self Concept MH - Sex Factors MH - Social Support MH - Time Factors EDAT- 1997/12/31 MHDA- 1997/12/31 00:01 CRDT- 1997/12/31 00:00 PST - ppublish SO - J Adv Nurs. 1997 Nov;26(5):913-20. PMID- 9256875 OWN - NLM STAT- MEDLINE DA - 19970828 DCOM- 19970828 LR - 20151119 IS - 0160-6891 (Print) IS - 0160-6891 (Linking) VI - 20 IP - 4 DP - 1997 Aug TI - Expectant fathers: influence of perinatal education on stress, coping, and spousal relations. PG - 281-93 AB - The purpose of this quasi-experimental study was to compare the effects of father-focused discussion perinatal classes with traditional childbirth classes on expectant fathers' stress/psychological symptom status, coping strategies, social support, and spousal relations (both supportive behavior toward their partners and couple-conflict behavior). Relative to fathers in traditional childbirth classes, those in father-focused discussion classes significantly increased their use of reasoning during conflicts and their housework activity. Both groups of fathers reported a significant increase in social network support and an increase in baby/pregnancy-related activity. Neither group substantially increased their overall coping responses, although men in the father-focused group significantly changed their coping efforts by seeking more social support, particularly getting information and emotional support from their partner's physician. Implications for perinatal education practice are discussed, and suggestions for future research are offered. FAU - Diemer, G A AU - Diemer GA AD - University of Wisconsin-Madison, School of Nursing 53792, USA. LA - eng PT - Clinical Trial PT - Comparative Study PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Res Nurs Health JT - Research in nursing & health JID - 7806136 SB - IM SB - N MH - *Adaptation, Psychological MH - Adult MH - Curriculum MH - Fathers/*education/*psychology MH - Humans MH - Male MH - Marriage/*psychology MH - Multivariate Analysis MH - *Prenatal Care MH - Social Support MH - Stress, Psychological/*prevention & control MH - Surveys and Questionnaires MH - Teaching/*methods EDAT- 1997/08/01 MHDA- 2000/06/20 09:00 CRDT- 1997/08/01 00:00 AID - 10.1002/(SICI)1098-240X(199708)20:4<281::AID-NUR2>3.0.CO;2-C [pii] PST - ppublish SO - Res Nurs Health. 1997 Aug;20(4):281-93. PMID- 9447101 OWN - NLM STAT- MEDLINE DA - 19980206 DCOM- 19980206 LR - 20071115 IS - 1080-4293 (Print) IS - 1080-4293 (Linking) VI - 2 IP - 4 DP - 1997 Spring TI - Configuring childbirth education to survive in managed care. PG - 22-6 AB - Managed care plans, especially in capitated systems, have not recognized the value of childbirth education for facilitating the transition to parenthood, especially for first-time parents. Advanced practice nurses, who are the logical facilitators and teachers of such programs, have not always made cogent arguments for inclusion of childbirth education. Physicians have been embroiled in their own issues regarding managed care. The interaction of these three forces creates serious but not insurmountable constraints for providing comprehensive, cost-effective quality care for childbearing families. FAU - Cook, S S AU - Cook SS AD - Columbia University School of Nursing, New York, New York, USA. LA - eng PT - Journal Article PT - Review PL - United States TA - Adv Pract Nurs Q JT - Advanced practice nursing quarterly JID - 9515177 SB - N MH - Female MH - Humans MH - *Labor, Obstetric MH - *Managed Care Programs MH - *Midwifery MH - Nurse Midwives MH - *Patient Education as Topic MH - Pregnancy RF - 13 EDAT- 1997/04/01 00:00 MHDA- 1998/02/03 00:01 CRDT- 1997/04/01 00:00 PST - ppublish SO - Adv Pract Nurs Q. 1997 Spring;2(4):22-6. PMID- 9256692 OWN - NLM STAT- MEDLINE DA - 19970828 DCOM- 19970828 LR - 20151119 IS - 0161-2840 (Print) IS - 0161-2840 (Linking) VI - 18 IP - 2 DP - 1997 Mar-Apr TI - Risk factors, attendance, and abstinence patterns of low-income women in perinatal addiction treatment: lessons from a 5-year program. PG - 125-38 AB - The purpose of this article is to describe the risk factors, attendance, and abstinence patterns of 40 women who attended a model outpatient perinatal addiction treatment program throughout the 5 years it was funded. Data were regularly collected through use of semistructured interviews, randomly scheduled urine toxicology tests, document reviews, and self-reports, in a descriptive field study design. Mean age of the women was 29 years. They remained in the program an average of 7.89 months. A majority had two or more children, most (90%) were single parents, and 70% were currently in an abusive relationship. Abstinence was positively associated with length of time in the program (r = .4208; p < .01). Attendance was also positively correlated with length of stay (r = .6723; p < .001) as well as abstinence (r = .4454; p < .01). Results suggest that program attendance can be a powerful influence on abstinence, even in the face of the environmental stressors and developmental risk factors that place each woman at increased risk of relapse. FAU - Nardi, D A AU - Nardi DA AD - Project Hope, Columbus Hospital, Chicago, Illinois, USA. dnardi@haw1.iun.indiana.edu LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Issues Ment Health Nurs JT - Issues in mental health nursing JID - 7907126 SB - N MH - Adult MH - Female MH - Humans MH - *Patient Compliance MH - *Poverty MH - Pregnancy MH - Pregnancy Complications/*prevention & control MH - Pregnancy Outcome MH - Program Evaluation MH - Risk Factors MH - Substance Abuse Treatment Centers/*utilization MH - Substance-Related Disorders/*prevention & control MH - Surveys and Questionnaires MH - Time Factors EDAT- 1997/03/01 MHDA- 1997/03/01 00:01 CRDT- 1997/03/01 00:00 PST - ppublish SO - Issues Ment Health Nurs. 1997 Mar-Apr;18(2):125-38. PMID- 9010907 OWN - NLM STAT- MEDLINE DA - 19970509 DCOM- 19970509 LR - 20151119 IS - 0091-7435 (Print) IS - 0091-7435 (Linking) VI - 26 IP - 1 DP - 1997 Jan-Feb TI - Reducing maternal smoking and relapse: long-term evaluation of a pediatric intervention. PG - 120-30 AB - BACKGROUND: Pediatric well-care visits provide a clinical opportunity to counsel new mothers about their smoking and the deleterious effects of environmental tobacco smoke (ETS) on infant health. METHODS: Forty-nine Oregon pediatric offices enrolled 2,901 women who were currently smoking or had quit for pregnancy, using a brief survey at the newborn's first office visit. Randomly assigned offices provided advice and materials to mothers at each well-care visit during the first 6 months postpartum to promote quitting or relapse prevention. RESULTS: The intervention reduced smoking (5.9% vs 2.7%) and relapse (55% vs 45%) at 6-month follow-up, but logistic regression analysis at 12 months revealed no significant treatment effect. The intervention had a positive effect on secondary outcome variables, such as readiness to quit and attitude toward and knowledge of ETS. Multiple logistic regression analysis indicated that husband/partner smoking was the strongest predictor of maternal quitting or relapse. CONCLUSIONS: A pediatric office-based intervention can significantly affect smoking and relapse prevention for mothers of newborns, but the effect decreases with time. Consistent prompting of the provider to give brief advice and materials at well-care visits could provide a low-cost intervention to reduce infant ETS exposure. FAU - Severson, H H AU - Severson HH AD - Oregon Research Institute, Eugene 97403, USA. FAU - Andrews, J A AU - Andrews JA FAU - Lichtenstein, E AU - Lichtenstein E FAU - Wall, M AU - Wall M FAU - Akers, L AU - Akers L LA - eng GR - R01 HL43923/HL/NHLBI NIH HHS/United States PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Prev Med JT - Preventive medicine JID - 0322116 RN - 0 (Tobacco Smoke Pollution) SB - IM MH - Cost-Benefit Analysis MH - Female MH - Humans MH - Infant MH - Logistic Models MH - *Mothers MH - Multivariate Analysis MH - Odds Ratio MH - *Pediatrics MH - *Postnatal Care MH - Program Evaluation MH - Risk Factors MH - *Smoking Cessation/psychology MH - Social Support MH - Socioeconomic Factors MH - Spouses MH - Tobacco Smoke Pollution/*prevention & control EDAT- 1997/01/01 MHDA- 1997/01/01 00:01 CRDT- 1997/01/01 00:00 AID - S0091-7435(96)99983-1 [pii] AID - 10.1006/pmed.1996.9983 [doi] PST - ppublish SO - Prev Med. 1997 Jan-Feb;26(1):120-30. PMID- 8955703 OWN - NLM STAT- MEDLINE DA - 19970103 DCOM- 19970103 LR - 20130918 IS - 0033-3549 (Print) IS - 0033-3549 (Linking) VI - 111 IP - 6 DP - 1996 Nov-Dec TI - Prenatal power--education for life. PG - 541-5 AB - OBJECTIVE: To expand community service opportunities in health promotion and disease prevention for approximately 20% of the female students at Boston High School, who are pregnant or parenting. METHODS: Students at Tufts University School of Medicine created, organized, and taught an interactive curriculum encompassing pre- and postnatal health at Boston High School. Evaluation of program effectiveness is provided by questionnaires completed by participating high school students, medical students, and the high school Health Services Advisor. RESULTS: Short-term outcomes will examine self-esteem, prenatal care knowledge and decision making behavior. Long-term followup will assess outcomes such as birth weight complications, educational status of parents, additional pregnancies, and child health. FAU - Pan, E AU - Pan E AD - Tufts University School of Medicine, USA. espan@itsa.uscf.edu FAU - Gross, D AU - Gross D FAU - Gross, A AU - Gross A FAU - Bello, D AU - Bello D LA - eng PT - Journal Article PL - United States TA - Public Health Rep JT - Public health reports (Washington, D.C. : 1974) JID - 9716844 SB - AIM SB - IM MH - Adolescent MH - Adolescent Health Services/*organization & administration MH - Curriculum MH - Decision Making MH - Female MH - Health Education/*organization & administration MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Postnatal Care MH - Power (Psychology) MH - Pregnancy MH - Pregnancy Outcome MH - *Pregnancy in Adolescence/psychology MH - Prenatal Care MH - Program Evaluation MH - School Health Services/*organization & administration PMC - PMC1381905 OID - NLM: PMC1381905 EDAT- 1996/11/01 MHDA- 1996/11/01 00:01 CRDT- 1996/11/01 00:00 PST - ppublish SO - Public Health Rep. 1996 Nov-Dec;111(6):541-5. PMID- 9283385 OWN - NLM STAT- MEDLINE DA - 19970911 DCOM- 19970911 LR - 20041117 IS - 1071-9946 (Print) IS - 1071-9946 (Linking) VI - 3 IP - 4 DP - 1996 Sep-Oct TI - Appropriate nursing care for the pregnant male. PG - 3 FAU - Pickett, S AU - Pickett S AD - Roseland Community Hospital, Chicago, IL, USA. LA - eng PT - Journal Article PL - United States TA - Minor Nurse Newsl JT - Minority nurse newsletter JID - 9422780 SB - N MH - Fathers/education/*psychology MH - Female MH - Humans MH - Labor, Obstetric MH - Male MH - *Maternal-Child Nursing MH - Postnatal Care MH - Pregnancy MH - Prenatal Care EDAT- 1996/09/01 MHDA- 1996/09/01 00:01 CRDT- 1996/09/01 00:00 PST - ppublish SO - Minor Nurse Newsl. 1996 Sep-Oct;3(4):3. PMID- 8709334 OWN - NLM STAT- MEDLINE DA - 19960912 DCOM- 19960912 LR - 20041117 IS - 0022-5347 (Print) IS - 0022-5347 (Linking) VI - 156 IP - 3 DP - 1996 Sep TI - 10-year experience with prenatal intervention for hydronephrosis. PG - 1142-5 AB - PURPOSE: We evaluated clinical outcomes after attempted prenatal intervention in fetuses with hydronephrosis. MATERIALS AND METHODS: We retrospectively reviewed the histories of 10 fetuses considered for prenatal intervention between 1984 and 1993. One female and 8 male fetuses had bilateral hydroureteronephrosis and profound or progressive oligohydramnios, and 1 male fetus had massive progressive unilateral hydronephrosis. RESULTS: Shunt placement was not recommended and it was refused by the parents in 1 case each. Amniotic shunting was attempted in 8 fetuses between 22 and 28 weeks of gestation. Shunts were successfully placed with decreased hydronephrosis and increased amniotic fluid volume in 4 cases, while shunt placement was not technically possible in the remainder. Two shunts that retracted intra-abdominally at birth required laparotomy for retrieval. Postnatally all patients with shunts had compromised renal function. Of the 4 patients in whom attempts were unsuccessful 3 had mildly diminished renal function and 1 died of nonrenal causes (intraabdominal sepsis) on day 16 of life. No patient with a functioning shunt had postnatal pulmonary problems, whereas 3 without successful intervention had mild respiratory compromise. CONCLUSIONS: No definite advantage was noted in the small number of fetuses that underwent successful shunting. Successful shunt placement did not prevent renal insufficiency. The relief of oligohydraminos may benefit pulmonary function in some patients. The high technical failure and complication rates of in utero intervention should be considered before proceeding. FAU - Coplen, D E AU - Coplen DE AD - Division of Urology, Children's Hospital of Philadelphia, Pennsylvania, USA. FAU - Hare, J Y AU - Hare JY FAU - Zderic, S A AU - Zderic SA FAU - Canning, D A AU - Canning DA FAU - Snyder, H M 3rd AU - Snyder HM 3rd FAU - Duckett, J W AU - Duckett JW LA - eng PT - Journal Article PL - United States TA - J Urol JT - The Journal of urology JID - 0376374 SB - AIM SB - IM MH - Female MH - Fetal Diseases/*therapy MH - Humans MH - Hydronephrosis/*therapy MH - Infant, Newborn MH - Male MH - Oligohydramnios/therapy MH - Pregnancy MH - Retrospective Studies MH - Treatment Outcome EDAT- 1996/09/01 MHDA- 2001/03/28 10:01 CRDT- 1996/09/01 00:00 AID - S0022-5347(01)65738-0 [pii] PST - ppublish SO - J Urol. 1996 Sep;156(3):1142-5. PMID- 8863085 OWN - NLM STAT- MEDLINE DA - 19970107 DCOM- 19970107 LR - 20071114 IS - 1054-139X (Print) IS - 1054-139X (Linking) VI - 19 IP - 2 DP - 1996 Aug TI - Impact of a social support program on teenage prenatal care use and pregnancy outcomes. PG - 132-40 AB - PURPOSE: This study evaluated the impact of a resource mothers program (RMP) on prenatal care use, low birth weight (LBW), and preterm birth (PTB). The intervention used paraprofessional women to provide social support to pregnant teenagers through home visiting. METHODS: Data were obtained by linking RMP, health department, and birth certificate data. Outcomes for primiparous teenagers were compared across two main study groups: a RMP group (n = 1,901) and a comparison group from counties in which the program was not offered (n = 4,613). Multiple logistic regression was used to estimate the effects of program participation with simultaneous adjustment for age, race, marital status, and previous pregnancies. Odds ratios (OR) and 95% confidence intervals (CI) were calculated. RESULTS: Resource mothers program teenagers were more likely to initiate prenatal care early (OR = 1.48; CI = 1.32-1.66) and to receive adequate prenatal care (OR = 1.58; CI = 1.40-1.78) than teenagers in the other counties. The program had no significant effect on LBW, but unmarried teenagers in the RMP group were less likely to have a PTB than unmarried teenagers in the other counties with an OR of 0.81 (CI = 0.70-0.95). These findings were supported by analyses using a second comparison group. CONCLUSIONS: Given that PTB contributes heavily to infant mortality, the program's effect on PTB is promising. FAU - Rogers, M M AU - Rogers MM AD - Bureau of Maternal and Child Health, Department of Health and Environmental Control, Columbia, South Carolina 29211, USA. FAU - Peoples-Sheps, M D AU - Peoples-Sheps MD FAU - Suchindran, C AU - Suchindran C LA - eng GR - MCH-107/PHS HHS/United States GR - T32-HS00032/HS/AHRQ HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Adolesc Health JT - The Journal of adolescent health : official publication of the Society for Adolescent Medicine JID - 9102136 SB - IM SB - J MH - Adolescent MH - Female MH - Humans MH - Infant, Low Birth Weight MH - Infant, Newborn MH - Infant, Premature MH - Pilot Projects MH - Pregnancy MH - *Pregnancy Outcome MH - Pregnancy in Adolescence/*statistics & numerical data MH - Prenatal Care/*utilization MH - *Program Evaluation MH - Regression Analysis MH - *Social Support MH - South Carolina OID - PIP: 116389 OID - POP: 00258065 OAB - PIP: The Resource Mothers for Pregnant Teens Program (RMP) was launched as a pilot program in 1980 in three South Carolina counties. It has since expanded to operate in 13 rural and three moderately urban counties in the state. The program uses paraprofessional women to provide social support to pregnant teenagers through home visiting. The resource mothers actively recruit primiparous teenagers to the program through community education and outreach activities. The authors evaluated the impact of the RMP on the use of prenatal care, low birth weight (LBW), and preterm birth (PTB). Findings are based upon the multiple logistic regression of data obtained by linking RMP, health department, and birth certificate data. Outcomes for primiparous teenagers are compared between a RMP group of 1901 and a comparison group of 4613 from counties in which the program was not offered. RMP teenagers were more likely to initiate prenatal care early and to receive adequate prenatal care than teenagers in the other counties. The program had no significant effect upon LBW, but unmarried teenagers in the RMP group were less likely to have a PTB than unmarried teenagers in the other counties. These findings were supported by analyses using a second comparison group. OABL- eng OTO - PIP OT - *Adolescent Pregnancy OT - Adolescents OT - *Adolescents, Female OT - Age Factors OT - Americas OT - Clinic Activities OT - Communication OT - *Counseling OT - Delivery Of Health Care OT - Demographic Factors OT - Developed Countries OT - Evaluation OT - *Evaluation Report OT - Family And Household OT - Family Characteristics OT - Family Relationships OT - Fertility OT - Friends And Relatives OT - Health OT - Health Services OT - *Home Visits OT - Maternal Health Services OT - Maternal-child Health Services OT - *Mothers OT - North America OT - Northern America OT - Organization And Administration OT - Parents OT - Population OT - Population Characteristics OT - Population Dynamics OT - Pregnancy OT - *Pregnancy Outcomes OT - *Prenatal Care OT - Primary Health Care OT - Program Activities OT - Programs OT - Reproduction OT - Reproductive Behavior OT - *Social Networks OT - South Carolina OT - United States OT - Youth GN - PIP: TJ: JOURNAL OF ADOLESCENT HEALTH EDAT- 1996/08/01 MHDA- 1996/08/01 00:01 CRDT- 1996/08/01 00:00 AID - 1054-139X(95)00227-J [pii] AID - 10.1016/1054-139X(95)00227-J [doi] PST - ppublish SO - J Adolesc Health. 1996 Aug;19(2):132-40. PMID- 8703262 OWN - NLM STAT- MEDLINE DA - 19960912 DCOM- 19960912 LR - 20041117 IS - 0730-7659 (Print) IS - 0730-7659 (Linking) VI - 23 IP - 1 DP - 1996 Mar TI - The primary purpose of childbirth education programs is to inform parents. PG - 51-2 FAU - Noble, E AU - Noble E LA - eng PT - Comment PT - Letter PL - United States TA - Birth JT - Birth (Berkeley, Calif.) JID - 8302042 SB - N CON - Birth. 1995 Sep;22(3):153-60. PMID: 7575864 EIN - Birth 1996 Jun;23(2):116 MH - *Attitude to Health MH - Female MH - *Health Services Needs and Demand MH - Humans MH - *Labor, Obstetric MH - Parents/*education/psychology MH - *Power (Psychology) MH - Pregnancy EDAT- 1996/03/01 MHDA- 1996/03/01 00:01 CRDT- 1996/03/01 00:00 PST - ppublish SO - Birth. 1996 Mar;23(1):51-2. PMID- 8920557 OWN - NLM STAT- MEDLINE DA - 19970801 DCOM- 19970801 LR - 20041117 IS - 0008-4581 (Print) IS - 0008-4581 (Linking) VI - 92 IP - 1 DP - 1996 Jan TI - A teen-driven prenatal program. PG - 51-2 FAU - Fedak, J M AU - Fedak JM FAU - Peart, D E AU - Peart DE FAU - Connolly, L M AU - Connolly LM LA - eng PT - Journal Article PL - Canada TA - Can Nurse JT - The Canadian nurse JID - 0405504 SB - J SB - N MH - Adolescent MH - Adolescent Health Services/*organization & administration MH - Female MH - Humans MH - Infant, Newborn MH - Male MH - Ontario MH - Parents/*education MH - Pregnancy MH - *Pregnancy in Adolescence MH - Prenatal Care/*organization & administration MH - Public Health Nursing OID - PIP: 127513 OID - POP: 00268886 OAB - PIP: After years of achieving only disappointing participation rates in a prenatal program for pregnant adolescents, public health nurses in Brantford, Ontario, evaluated the program and reviewed other prenatal programs to determine how to improve attendance. The results of the evaluation indicated that the adolescents thought the prenatal program was not important or relevant. Using adolescent development theory, a new prenatal program was designed with the help of adolescents. This new program utilizes three teaching approaches: provision of relevant information, offering of information on a "need to know" basis, and provision of problem-solving activities. Topics such as how to deal with the pain of labor; how to care for an infant; and the health hazards of drugs, alcohol, and tobacco are presented using small group exercises and games. Problem-solving skills are developed through large and small group discussions, games, puzzles, and activities incorporating movement. The new 10-week program has been in effect since 1993 and has proved to be so popular that additional series have been necessary. Program participants are pregnant teenagers, the fathers of their babies, and/or their labor coaches. Because the classes are scheduled at supper time, they include a hands-on nutritional component in the form of meal preparation. Ongoing evaluations echo the good results revealed by the improved attendance figures and allow the participants to recommend new methods and ideas for the course. One such idea developed into a weekly postnatal drop-in program. OABL- eng OTO - PIP OT - *Adolescent Pregnancy OT - Adolescents OT - *Adolescents, Female OT - Age Factors OT - Americas OT - Canada OT - *Critique OT - Delivery Of Health Care OT - Demographic Factors OT - Developed Countries OT - Education OT - Family And Household OT - Family Characteristics OT - Family Relationships OT - Fertility OT - Health OT - *Health Education OT - Health Services OT - Health Services Evaluation OT - Maternal Health Services OT - Maternal-child Health Services OT - *Mothers OT - North America OT - Northern America OT - Organization And Administration OT - Parents OT - Population OT - Population Characteristics OT - Population Dynamics OT - *Prenatal Care OT - Primary Health Care OT - Program Evaluation OT - Programs OT - *Quality Of Health Care OT - Reproductive Behavior OT - Youth GN - PIP: TJ: CANADIAN NURSE. EDAT- 1996/01/01 MHDA- 1996/01/01 00:01 CRDT- 1996/01/01 00:00 PST - ppublish SO - Can Nurse. 1996 Jan;92(1):51-2. PMID- 7565156 OWN - NLM STAT- MEDLINE DA - 19951121 DCOM- 19951121 LR - 20071115 IS - 0266-6138 (Print) IS - 0266-6138 (Linking) VI - 11 IP - 3 DP - 1995 Sep TI - Women's perceptions of childbirth and childbirth education before and after education and birth. PG - 130-7 AB - OBJECTIVE: to illuminate women's perceptions of childbirth and childbirth education before and after education and birth. DESIGN: qualitative, using tape-recorded interviews to collect data. Interpretation was performed from Antonovsky's concept sense of coherence. SETTING: childbirth education, a part of parent education in Sweden. PARTICIPANTS: eleven women expecting their first child, where the pregnancy was planned and normal MEASUREMENTS AND FINDINGS: the development of perceptions of childbirth and childbirth education was described. The women adopted the content of the education in different ways. Fear as well as unreflected knowledge seemed to block acquisition of new knowledge. Factors which contributed to a childbirth experience worse than expected were lack of or inconsistent information. Increased knowledge about childbirth and experiences of confirmation during childbirth contributed to a good or better experience than expected. KEY CONCLUSION: any model of childbirth education which does not take into consideration the individual woman's perceptions of childbirth and childbirth education seems to be inadequate. IMPLICATIONS FOR PRACTICE: the findings stress the importance of individual assessment of expectations of and experiences of childbirth education. Consistency in information given before and during childbirth supports a sense of comprehensibility, manageability and meaningfulness. FAU - Hallgren, A AU - Hallgren A FAU - Kihlgren, M AU - Kihlgren M FAU - Norberg, A AU - Norberg A FAU - Forslin, L AU - Forslin L LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Scotland TA - Midwifery JT - Midwifery JID - 8510930 SB - N MH - Adult MH - *Attitude to Health MH - Female MH - Humans MH - Labor, Obstetric/*psychology MH - Models, Psychological MH - Mothers/*education/*psychology MH - Nurse Midwives MH - Nursing Methodology Research MH - *Patient Education as Topic MH - Pregnancy EDAT- 1995/09/01 MHDA- 1995/09/01 00:01 CRDT- 1995/09/01 00:00 AID - 0266-6138(95)90027-6 [pii] PST - ppublish SO - Midwifery. 1995 Sep;11(3):130-7. PMID- 7655787 OWN - NLM STAT- MEDLINE DA - 19951005 DCOM- 19951005 LR - 20100324 IS - 1073-6077 (Print) IS - 1073-6077 (Linking) VI - 8 IP - 3 DP - 1995 Jul-Sep TI - The Parent-Baby Venture Program: prevention of child abuse. PG - 15-23 AB - TOPIC: The overwhelming obstacles adolescents face to successful achievement of the maternal role. PURPOSE: To describe an innovative, community-based program to support high risk adolescents during the early postpartum period. SOURCE: A review of the literature related to programs designed to promote maternal-role attainment and prevent child abuse/neglect. CONCLUSION: Interviews with participants indicate a positive response to the intervention but regression to maladaptive behavior in some following termination. FAU - Williams-Burgess, C AU - Williams-Burgess C FAU - Vines, S W AU - Vines SW FAU - Ditulio, M B AU - Ditulio MB LA - eng PT - Journal Article PL - England TA - J Child Adolesc Psychiatr Nurs JT - Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc JID - 9431738 SB - N MH - Adolescent MH - Child Abuse/*prevention & control MH - Community Health Nursing/*organization & administration MH - Female MH - Humans MH - *Mothers/education/psychology MH - Postnatal Care/*organization & administration MH - Pregnancy MH - Pregnancy in Adolescence/*psychology MH - Program Evaluation EDAT- 1995/07/01 MHDA- 1995/07/01 00:01 CRDT- 1995/07/01 00:00 PST - ppublish SO - J Child Adolesc Psychiatr Nurs. 1995 Jul-Sep;8(3):15-23. PMID- 7741947 OWN - NLM STAT- MEDLINE DA - 19950615 DCOM- 19950615 LR - 20061115 IS - 0730-7659 (Print) IS - 0730-7659 (Linking) VI - 22 IP - 1 DP - 1995 Mar TI - Adjustment to new parenthood: attenders versus nonattenders at prenatal education classes. PG - 21-6, discussion 27-8 AB - This longitudinal descriptive study compared the adjustment to new parenthood in two groups of first-time mothers and fathers. Participants included 106 married couples, 58 (55%) who attended prenatal childbirth education classes and 48 (45%) who did not. The study variables included prenatal, intrapartal, and new parent experiences. All mothers and fathers completed questionnaires during the last trimester of pregnancy and one month after delivery of a healthy newborn. Fathers were present during labor and birth regardless of prenatal class attendance. The groups differed in maternal age and in maternal and paternal education levels, but did not differ in measures of prenatal attachment, paternal childbirth involvement, childbirth satisfaction, parenting sense of competence, and ease of transition to parenthood. The results suggest the need for further study of the influence of prenatal classes on becoming a new parent, and of the effects of the father's presence during childbirth on birth and new parent experiences. FAU - Nichols, M R AU - Nichols MR LA - eng PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Birth JT - Birth (Berkeley, Calif.) JID - 8302042 SB - N MH - *Adaptation, Psychological MH - Adult MH - Female MH - *Health Education MH - Humans MH - Longitudinal Studies MH - Male MH - Middle Aged MH - Parenting/psychology MH - Parents/*education/*psychology MH - Pregnancy MH - *Prenatal Care EDAT- 1995/03/01 MHDA- 1995/03/01 00:01 CRDT- 1995/03/01 00:00 PST - ppublish SO - Birth. 1995 Mar;22(1):21-6, discussion 27-8. PMID- 7837988 OWN - NLM STAT- MEDLINE DA - 19950302 DCOM- 19950302 LR - 20071115 IS - 0266-6138 (Print) IS - 0266-6138 (Linking) VI - 10 IP - 4 DP - 1994 Dec TI - A descriptive study of childbirth education provided by midwives in Sweden. PG - 215-24 AB - OBJECTIVE: to describe the content, modes of working and reaction/interaction of childbirth education provided by midwives in Sweden. DESIGN: qualitative, using non-participant observation to collect the data. Grounded theory approach was used. SETTING: antenatal classes provided in the community in Sweden. PARTICIPANTS: twelve midwives with varying lengths of experience in teaching antenatal classes, and the prospective parents who attended these classes. MEASUREMENTS AND FINDINGS: three perspectives on the content and three modes of working were found. Combinations of the differing perspectives and working modes provided differing interactions within the classes. KEY CONCLUSIONS: the confirming/mixed model resulted in dialogue in the classes. It was assumed that this model would contribute to an increased understanding of the coming experience of giving birth. IMPLICATIONS FOR PRACTICE: the findings provide midwives with a basis for reflection on their experiences as leaders in the childbirth preparation part of education for parenthood. FAU - Hallgren, A AU - Hallgren A FAU - Kihlgren, M AU - Kihlgren M FAU - Norberg, A AU - Norberg A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Scotland TA - Midwifery JT - Midwifery JID - 8510930 SB - N MH - Curriculum MH - Female MH - Humans MH - *Labor, Obstetric MH - Models, Nursing MH - *Nurse Midwives MH - Nursing Methodology Research MH - Patient Education as Topic/*methods MH - Pregnancy MH - Sweden EDAT- 1994/12/01 MHDA- 1994/12/01 00:01 CRDT- 1994/12/01 00:00 PST - ppublish SO - Midwifery. 1994 Dec;10(4):215-24. PMID- 7759321 OWN - NLM STAT- MEDLINE DA - 19950629 DCOM- 19950629 LR - 20061115 IS - 0146-0862 (Print) IS - 0146-0862 (Linking) VI - 17 IP - 3 DP - 1994 Jul-Sep TI - Parent-infant interaction during perinatal addiction treatment. PG - 161-75 AB - Studies of parent-child interactions during perinatal addiction treatment are needed to offer insights into the nature of child development outcomes for this population. A purposeful sample of 17 women in a drug and alcohol addiction treatment program and their infants was studied over the course of their first year in the program. The purpose of this naturalistic field study was to examine parent-child interactions during addiction treatment. The following research question guided the inquiry: What is the nature of parent-infant interaction during the first year in a perinatal addiction treatment program? This study combined grounded theory methodology with the quantitative methods of descriptive and differential statistics. Open-coding of interviews, field notes, and the treatment records followed grounded theory methodology. A time-sampling procedure was used to examine stability of interactions at the beginning of program participation, again when each infant was 6 months old, and when each infant was 12 months. Results are used to describe parent-child interactions across samples and over time. Chi-square procedures were performed on number of children in each family, length of time in the program, sobriety, and mutual enjoyment of interaction. A significant difference in interaction by length of time in the program (chi 2 = 7.0801, df = 1, p < .00) as well as in interaction by percent sobriety (chi 2 = 4.1538, df = 1, p < .04) was evident. Behaviors of the infants reflected the emotional tone and parenting responses of their mothers. Dyads whose interactions showed a pattern of mutuality were more likely to continue in the treatment program and to maintain sobriety. The ability of a mother to enjoy her infant seemed to be the one factor that made the most difference in child behaviors. Results can be used by clinicians to guide the choice of treatment approaches that support the parent-child relationship during addiction treatment. FAU - Nardi, D A AU - Nardi DA LA - eng PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PL - England TA - Issues Compr Pediatr Nurs JT - Issues in comprehensive pediatric nursing JID - 7702326 SB - N MH - Adult MH - Chi-Square Distribution MH - Female MH - Humans MH - Infant, Newborn MH - Male MH - *Mother-Child Relations MH - Neonatal Abstinence Syndrome/nursing/*psychology MH - Nursing Methodology Research MH - Single Parent/psychology EDAT- 1994/07/01 MHDA- 1994/07/01 00:01 CRDT- 1994/07/01 00:00 PST - ppublish SO - Issues Compr Pediatr Nurs. 1994 Jul-Sep;17(3):161-75. PMID- 8022921 OWN - NLM STAT- MEDLINE DA - 19940802 DCOM- 19940802 LR - 20131121 IS - 0031-9384 (Print) IS - 0031-9384 (Linking) VI - 55 IP - 5 DP - 1994 May TI - The interaction between prenatal stress and neonatal handling on nociceptive response latencies in male and female rats. PG - 971-4 AB - Neonatal handling produces physiological and behavioral changes that persist into adulthood. These effects are opposite to those resulting from prenatal stress (PS). We examined the interaction between PS and handling on nociception in adult male and female rats. Randomly selected pregnant rats were subjected to restraint stress on days 13-17 of gestation for 25 min each day, or left undisturbed. At birth, selected stressed/nonstressed litters were assigned to be handled. handling consisted of 15 min of separation from the dam, once per day, from postnatal days 1-14. At 4 months of age, rats were placed on a 50 degrees C hot plate, and their latencies to paw lick were recorded. Prenatal stress and handling interacted to affect latencies in male rats. Handled (H)/PS rats had significantly lower paw lick latencies than nonhandled (NH)/PS rats (p < 0.05). However, handling had no effect on the male offspring of control dams. Handling elevated paw lick latencies in the female offspring of control dams, an effect that was most pronounced in diestrous vs. estrous rats. The NH/PS rats showed significantly elevated latencies compared to NH/NS rats (p < 0.05). These results suggest that handling effects on nociception are most apparent in rats subjected to PS; in males at least, these effects would otherwise not be present. FAU - Smythe, J W AU - Smythe JW AD - Developmental Neuroendocrinology Laboratory, Douglas Hospital Research Centre, Department of Psychiatry, McGill University, Montreal, Quebec, Canada. FAU - McCormick, C M AU - McCormick CM FAU - Rochford, J AU - Rochford J FAU - Meaney, M J AU - Meaney MJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Physiol Behav JT - Physiology & behavior JID - 0151504 RN - 0 (Gonadal Steroid Hormones) RN - 9002-60-2 (Adrenocorticotropic Hormone) RN - W980KJ009P (Corticosterone) SB - IM MH - Adrenocorticotropic Hormone/physiology MH - Animals MH - Arousal/*physiology MH - Corticosterone/physiology MH - Estrus/physiology MH - Female MH - Gonadal Steroid Hormones/physiology MH - *Handling (Psychology) MH - Hypothalamo-Hypophyseal System/physiology MH - Male MH - Nociceptors/*physiology MH - Pain Threshold/*physiology MH - Pituitary-Adrenal System/physiology MH - Pregnancy MH - *Prenatal Exposure Delayed Effects MH - Rats MH - Reaction Time/*physiology EDAT- 1994/05/01 MHDA- 1994/05/01 00:01 CRDT- 1994/05/01 00:00 AID - 0031-9384(94)90089-2 [pii] PST - ppublish SO - Physiol Behav. 1994 May;55(5):971-4. PMID- 7788378 OWN - NLM STAT- MEDLINE DA - 19950727 DCOM- 19950727 LR - 20041117 IS - 0963-276X (Print) IS - 0963-276X (Linking) VI - 4 IP - 5 DP - 1994 May TI - How effective is antenatal education? PG - 13-5 AB - Ideal opportunities exist to offer women information during routine antenatal and postnatal care. Within the present antenatal system the midwife may not be using her teaching skills, or those skills may be out of date with modern developments. Education about childbirth could begin in schools. The midwife could also fulfil another valuable role, as mediator, providing parents with links with each other. Midwives should remember that parents have a lot to offer them as a resource. FAU - Hancock, A AU - Hancock A LA - eng PT - Journal Article PL - England TA - Mod Midwife JT - Modern midwife JID - 9443126 SB - N MH - Female MH - Humans MH - Male MH - Nurse Midwives MH - *Parenting MH - Parents/*education MH - Patient Participation MH - Pregnancy MH - *Prenatal Care MH - Program Evaluation EDAT- 1994/05/01 MHDA- 1994/05/01 00:01 CRDT- 1994/05/01 00:00 PST - ppublish SO - Mod Midwife. 1994 May;4(5):13-5. PMID- 7956860 OWN - NLM STAT- MEDLINE DA - 19941202 DCOM- 19941202 LR - 20071115 IS - 0012-835X (Print) IS - 0012-835X (Linking) VI - 71 IP - 3 DP - 1994 Mar TI - Health education on breast feeding in antenatal clinics in Eldoret District Hospital, Kenya. PG - 149-54 AB - One hundred and sixty three mothers who delivered at Eldoret District Hospital (EDH) during the months of June to October, 1992 were interviewed using a structured questionnaire with the aim of establishing knowledge attained from antenatal visits on breast feeding and lactation. The mothers were either in the postnatal ward or in the newborn unit. The interview was on various aspects of breast feeding but with the main goal of establishing whether they received health education on breast feeding during the visits to ANC. 53.06% had antenatal education on breastfeeding during these visits while 46.94% did not. 69.44% attended ANC at a hospital, 24.3% attended at health centre and 6.25% attended a dispensary. Most mothers had between 3 and 5 ANC visits with a range of one to eleven visits and with a parity of between one and three. 79% of the mothers commenced ANC attendance by 24 weeks gestation with 19% starting at 12 weeks. The hospital ANC attendants had slightly higher proportion of mothers health educated on breast feeding than the health centre and dispensary groups. Only 76 mothers had received satisfactory health education on breast feeding. One third of the mothers had breastfed their children for 2 years and similarly, one third stopped breast feeding by 12 months postnatally. 90% of the mothers started weaning their children by one month of age. FAU - Esamai, F AU - Esamai F AD - Department of Child Health, Paediatrics and Adolescent Medicine, Faculty of Health Sciences, Moi University, Eldoret, Kenya. FAU - Songa, J AU - Songa J LA - eng PT - Journal Article PL - Kenya TA - East Afr Med J JT - East African medical journal JID - 0372766 SB - IM SB - J MH - Adolescent MH - Adult MH - *Breast Feeding MH - Cross-Sectional Studies MH - Educational Measurement MH - Female MH - *Hospitals, District MH - Humans MH - Kenya MH - Mothers/*education MH - *Outpatient Clinics, Hospital MH - Patient Education as Topic/*organization & administration MH - Prenatal Care/*organization & administration MH - Program Evaluation OID - PIP: 101257 OID - POP: 00235858 OTO - PIP OT - Africa OT - Africa South Of The Sahara OT - *Breast Feeding OT - *Cross Sectional Analysis OT - Delivery Of Health Care OT - Developing Countries OT - Eastern Africa OT - Education OT - English Speaking Africa OT - Family And Household OT - Family Characteristics OT - Family Relationships OT - Health OT - *Health Education OT - *Health Personnel OT - Infant Nutrition OT - Kenya OT - *Knowledge OT - *Mothers OT - Nutrition OT - Parents GN - PIP: TJ: EAST AFRICAN MEDICAL JOURNAL. EDAT- 1994/03/01 MHDA- 1994/03/01 00:01 CRDT- 1994/03/01 00:00 PST - ppublish SO - East Afr Med J. 1994 Mar;71(3):149-54. PMID- 8169250 OWN - NLM STAT- MEDLINE DA - 19940601 DCOM- 19940601 LR - 20061115 IS - 0094-5145 (Print) IS - 0094-5145 (Linking) VI - 19 IP - 1 DP - 1994 Feb TI - Community-based perinatal care for disadvantaged adolescents: evaluation of The Resource Mothers Program. PG - 41-53 AB - This study compared the effects of a community-based lay home visiting initiative for pregnant adolescents, the Norfolk Resource Mothers Program, with the effects of a more traditional clinic-based program. The Resource Mothers Program (RMP) supports disadvantaged teens through the use of para-professional home visitors who are similar to the teens in race and socio-economic status. In addition to recruiting teens into the program and encouraging early prenatal care, the Resource Mothers Program provides teen mothers and their families with practical help and increases community awareness regarding infant mortality and adolescent pregnancy. When compared with a traditional clinic-based multi-disciplinary program (MDP) using health professionals, the Resource Mothers Program reached a higher percentage of high-risk adolescents (e.g., 75.5% RMP vs. 45.6% MDP clients aged 17 years old or under), promoted a higher level of prenatal care (e.g., 53.1% RMP vs. 32.6% MDP clients beginning prenatal care before the fourth month of pregnancy), and resulted in pregnancy outcomes that favored the MDP but were comparable (e.g., 89.8% RMP vs. 93.5% MDP client babies were over 2500 grams at birth). FAU - Julnes, G AU - Julnes G AD - Dept. of Urban Studies and Public Administration, Old Dominion University, Norfolk VA 23529-0224. FAU - Konefal, M AU - Konefal M FAU - Pindur, W AU - Pindur W FAU - Kim, P AU - Kim P LA - eng PT - Comparative Study PT - Journal Article PL - Netherlands TA - J Community Health JT - Journal of community health JID - 7600747 SB - IM SB - J MH - Adolescent MH - Adult MH - Birth Weight MH - Community Health Services MH - Female MH - Home Care Services/*organization & administration MH - Humans MH - Infant Mortality MH - Infant, Low Birth Weight MH - Infant, Newborn MH - Pregnancy MH - Pregnancy Outcome MH - *Pregnancy in Adolescence MH - Prenatal Care/*organization & administration MH - Program Evaluation MH - Socioeconomic Factors MH - Virginia OID - PIP: 096954 OID - POP: 00231104 OTO - PIP OT - *Adolescent Pregnancy OT - Adolescents OT - *Adolescents, Female OT - Age Factors OT - Americas OT - Communication OT - *Community Health Services OT - Delivery Of Health Care OT - Demographic Factors OT - Developed Countries OT - Economic Factors OT - Family And Household OT - Family Characteristics OT - Family Relationships OT - Fertility OT - Health OT - Health Services OT - *Home Visits OT - *Low Income Population OT - *Mothers OT - North America OT - Northern America OT - Organization And Administration OT - Parents OT - Population OT - Population Characteristics OT - Population Dynamics OT - *Pregnant Women OT - Primary Health Care OT - *Program Effectiveness OT - Program Evaluation OT - Programs OT - Reproductive Behavior OT - Social Class OT - Socioeconomic Factors OT - Socioeconomic Status OT - United States OT - Virginia OT - Youth GN - PIP: TJ: JOURNAL OF COMMUNITY HEALTH. EDAT- 1994/02/01 MHDA- 1994/02/01 00:01 CRDT- 1994/02/01 00:00 PST - ppublish SO - J Community Health. 1994 Feb;19(1):41-53. PMID- 8176524 OWN - NLM STAT- MEDLINE DA - 19940608 DCOM- 19940608 LR - 20161020 IS - 0884-2175 (Print) IS - 0090-0311 (Linking) VI - 23 IP - 1 DP - 1994 Jan TI - Professional bereavement photographs: one aspect of a perinatal bereavement program. PG - 22-5 AB - Although professionals can do little to cushion the emotional trauma for parents and family when an infant dies, many institutions have implemented bereavement programs to offer counseling, support, and assistance. Included in such programs are photographs of the deceased infant. The value of such photographs has been documented in the literature. Some institutions provide parents with instantly developed photos of the deceased infant. Unfortunately, instant prints may blue and often fade with time. To improve services to bereaved families at a hospital in Massachusetts, a program was implemented to use the skills of the hospital's professional biomedical photographers and the nursing team. The perinatal clinical nurse specialist or her designee takes a 35-mm black-and-white photograph of the infant. The biomedical photographers process the negatives and use hand coloring techniques and matting to produce professional-quality photographs. The response by parents and families to the improved photographs has been positive. As the number of photographs taken has increased, the staff have continued to improve the service. FAU - Primeau, M R AU - Primeau MR AD - Division of Women and Children, Medical Center of Central Massachusetts, Worcester. FAU - Recht, C K AU - Recht CK LA - eng PT - Journal Article PL - United States TA - J Obstet Gynecol Neonatal Nurs JT - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN JID - 8503123 SB - IM SB - N CIN - J Obstet Gynecol Neonatal Nurs. 1994 Jul-Aug;23(6):455. PMID: 7965247 MH - *Bereavement MH - *Fetal Death MH - *Hospital-Patient Relations MH - Humans MH - Massachusetts MH - Maternal-Child Nursing/*organization & administration MH - Nurse Clinicians MH - Parents/*psychology MH - Photography/*organization & administration MH - Program Development MH - *Social Support EDAT- 1994/01/01 MHDA- 1994/01/01 00:01 CRDT- 1994/01/01 00:00 AID - S0884-2175(15)33080-X [pii] PST - ppublish SO - J Obstet Gynecol Neonatal Nurs. 1994 Jan;23(1):22-5. PMID- 8264253 OWN - NLM STAT- MEDLINE DA - 19940125 DCOM- 19940125 LR - 20061115 IS - 0090-0702 (Print) IS - 0090-0702 (Linking) VI - 21 IP - 3 DP - 1993 Jul-Sep TI - Paternal perspectives of the childbirth experience. PG - 99-108 AB - This study examined the responses given by first-time fathers who were asked to describe their feelings about their childbirth experience. The fathers answered three open-ended questions about their feelings concerning labor and childbirth, and the paternal behaviors believed to be most useful to their wives during labor and delivery. Data from fathers who attended prenatal childbirth education classes were examined separately from fathers who did not attend. The findings indicated that for all fathers, regardless of prenatal preparation, the labor experience evoked generally positive responses in addition to a significant number of negative responses, while perceptions of the birth experience were primarily characterized by positive or very positive feelings. The results also indicated that the fathers perceived that they were most helpful to their partner during labor. FAU - Nichols, M R AU - Nichols MR AD - School of Nursing, Georgetown University, Washington, DC. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Matern Child Nurs J JT - Maternal-child nursing journal JID - 0350761 SB - IM SB - N MH - Adult MH - *Attitude to Health MH - Communication MH - Educational Status MH - Fathers/education/*psychology MH - Female MH - Helping Behavior MH - Humans MH - Labor, Obstetric/*psychology MH - Male MH - Middle Aged MH - Nursing Methodology Research MH - Paternal Behavior MH - Pregnancy MH - Role MH - Self Concept MH - Social Support EDAT- 1993/07/01 MHDA- 1993/07/01 00:01 CRDT- 1993/07/01 00:00 PST - ppublish SO - Matern Child Nurs J. 1993 Jul-Sep;21(3):99-108. PMID- 8495397 OWN - NLM STAT- MEDLINE DA - 19930618 DCOM- 19930618 LR - 20151119 IS - 0265-539X (Print) IS - 0265-539X (Linking) VI - 10 IP - 1 DP - 1993 Mar TI - An investigation into the role of post-natal health clinics in oral health education. PG - 83-8 AB - This project investigated the oral health information that was given to parents by health visitors at post-natal clinics. This issue was examined by conducting an investigation in one health district in the United Kingdom and, within that, three socially diverse locations. A questionnaire to evaluate parental oral health knowledge and awareness, as well as the personal characteristics of each respondent was developed, tested and administered to 92 respondents. This questionnaire was analysed and compared with previous studies in the same field. Few parents reported receiving oral health information from health visitors. In general, levels of knowledge reported by this sample were better than those reported for the national sample used for the 1983 child dental health survey (Todd and Dodd, 1985). However, fewer of this sample reported receiving oral health education compared to the national sample respondents. A major gap in their knowledge related to fluoride levels in water and fluoride supplements. As found in other studies this sample was also confused about the role of diet in dental caries. Recommendations are made for further improvement in the delivery and reception of oral health education in the post-natal period. FAU - Davies, S AU - Davies S AD - West Kent Community Dental Service, Maidstone, UK. FAU - Croucher, R AU - Croucher R LA - eng PT - Journal Article PL - England TA - Community Dent Health JT - Community dental health JID - 8411261 SB - D SB - IM MH - England MH - *Health Education, Dental/statistics & numerical data MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Infant MH - Infant, Newborn MH - Oral Hygiene/education MH - Parents/education MH - Pilot Projects MH - *Postnatal Care MH - Surveys and Questionnaires EDAT- 1993/03/01 MHDA- 1993/03/01 00:01 CRDT- 1993/03/01 00:00 PST - ppublish SO - Community Dent Health. 1993 Mar;10(1):83-8. PMID- 8472054 OWN - NLM STAT- MEDLINE DA - 19930520 DCOM- 19930520 LR - 20041117 IS - 1066-3614 (Print) IS - 1066-3614 (Linking) VI - 4 IP - 1 DP - 1993 TI - Outreach childbirth education classes for low-income families: a strategy for program development. PG - 95-101 AB - Childbirth and parenting education programs are coming to the forefront of public health initiatives aimed at the reduction of infant mortality and low birth-weight in high-risk groups in the United States. Childbirth education programs have proven effective in helping parents make positive life style changes and can play an important role in the reduction of risks associated with poor pregnancy outcomes. Childbirth education gives parents the knowledge, desire, and confidence they need to change their health behaviors. The Florida Outreach Childbirth Education Project offers an example of a statewide program designed to serve a high risk population: low-income, low-literacy families. FAU - Jeffers, D F AU - Jeffers DF LA - eng PT - Journal Article PL - United States TA - AWHONNS Clin Issues Perinat Womens Health Nurs JT - AWHONN's clinical issues in perinatal and women's health nursing JID - 9311009 SB - N MH - Female MH - Financing, Government MH - Florida MH - Health Education/economics/*methods/organization & administration MH - Health Promotion MH - Humans MH - Male MH - *Poverty MH - Pregnancy MH - *Prenatal Care MH - Program Evaluation EDAT- 1993/01/01 MHDA- 1993/01/01 00:01 CRDT- 1993/01/01 00:00 PST - ppublish SO - AWHONNS Clin Issues Perinat Womens Health Nurs. 1993;4(1):95-101. PMID- 8472049 OWN - NLM STAT- MEDLINE DA - 19930520 DCOM- 19930520 LR - 20041117 IS - 1066-3614 (Print) IS - 1066-3614 (Linking) VI - 4 IP - 1 DP - 1993 TI - A comprehensive perinatal education program. PG - 5-19 AB - Perinatal education has become a common standard of preparation for expectant families anticipating childbirth and support for new families during the transition into parenthood. Twenty-two series and classes are defined and a topical outline is provided for a specific audience of clients, including infants, preschoolers, expectant parents, new parents, and grandparents. FAU - Biasella, S AU - Biasella S LA - eng PT - Journal Article PL - United States TA - AWHONNS Clin Issues Perinat Womens Health Nurs JT - AWHONN's clinical issues in perinatal and women's health nursing JID - 9311009 SB - N MH - Fathers/education MH - Female MH - Health Education/*methods/organization & administration MH - Hospital Administration MH - Humans MH - Male MH - Mothers/education MH - Pregnancy MH - *Prenatal Care MH - Teaching Materials EDAT- 1993/01/01 MHDA- 1993/01/01 00:01 CRDT- 1993/01/01 00:00 PST - ppublish SO - AWHONNS Clin Issues Perinat Womens Health Nurs. 1993;4(1):5-19. PMID- 8472045 OWN - NLM STAT- MEDLINE DA - 19930520 DCOM- 19930520 LR - 20051116 IS - 1066-3614 (Print) IS - 1066-3614 (Linking) VI - 4 IP - 1 DP - 1993 TI - Perinatal education for parents of high-risk infants. PG - 147-57 AB - This article presents research-based information about the teaching needs of parents of low-birth-weight, preterm infants. An overview is presented regarding who needs to be taught, at what times, and in what manner. The type of information that parents have stated they found important is reviewed, as are general categories of information that health care providers feel are important for families to know. Family teaching is a critical component of the care nurses give because it helps to ensure that families are able to care for their infants at home. FAU - Gennaro, S AU - Gennaro S LA - eng PT - Journal Article PT - Review PL - United States TA - AWHONNS Clin Issues Perinat Womens Health Nurs JT - AWHONN's clinical issues in perinatal and women's health nursing JID - 9311009 SB - N MH - Child Development MH - Child, Preschool MH - Female MH - Humans MH - Infant Care MH - *Infant, Low Birth Weight MH - Infant, Newborn MH - *Infant, Premature MH - Male MH - Parents/*education MH - Pregnancy MH - *Prenatal Care MH - Risk Factors MH - Teaching/methods RF - 47 EDAT- 1993/01/01 MHDA- 1993/01/01 00:01 CRDT- 1993/01/01 00:00 PST - ppublish SO - AWHONNS Clin Issues Perinat Womens Health Nurs. 1993;4(1):147-57. PMID- 8472041 OWN - NLM STAT- MEDLINE DA - 19930520 DCOM- 19930520 LR - 20041117 IS - 1066-3614 (Print) IS - 1066-3614 (Linking) VI - 4 IP - 1 DP - 1993 TI - Childbirth education classes in homeless shelters. PG - 102-11 AB - Childbirth education can have an enormous positive effect on the maternal health and birth experience of women in shelters. The childbirth educator can empower economically disadvantaged pregnant women to take personal responsibility for their childbirth outcome. The characteristics of women in shelters pose unique challenges to childbirth educators. Transient populations, different stages of pregnancy, substance abuse, nutrition deficiencies, and difficulties with the skills required for being a good parent present unusual problems and rewarding educational opportunities. With understanding, sensitivity, and commitment, the childbirth educator can prepare women in shelters to participate more actively in a healthy and informed birth experience. FAU - O'Connell, M L AU - O'Connell ML LA - eng PT - Journal Article PL - United States TA - AWHONNS Clin Issues Perinat Womens Health Nurs JT - AWHONN's clinical issues in perinatal and women's health nursing JID - 9311009 SB - N MH - Adult MH - Child Rearing MH - Child, Preschool MH - Consumer Advocacy MH - Culture MH - Female MH - Health Education/*methods MH - *Homeless Persons MH - Humans MH - Infant MH - Infant Care MH - Infant, Newborn MH - Life Style MH - Pregnancy MH - *Prenatal Care MH - Transients and Migrants EDAT- 1993/01/01 MHDA- 1993/01/01 00:01 CRDT- 1993/01/01 00:00 PST - ppublish SO - AWHONNS Clin Issues Perinat Womens Health Nurs. 1993;4(1):102-11. PMID- 8472040 OWN - NLM STAT- MEDLINE DA - 19930520 DCOM- 19930520 LR - 20041117 IS - 1066-3614 (Print) IS - 1066-3614 (Linking) VI - 4 IP - 1 DP - 1993 TI - Family-centered perinatal education. PG - 1-4 AB - Family-centered perinatal education is a health education service focused on the family unit during the childbirth period and is supportive to all family members as the family moves from one stage of development to the next. It is distinct from traditional childbirth education and family-centered maternity care by being a single educational intervention that addresses the needs of the entire family during the prenatal and postpartum periods. The advantages of family-centered perinatal education are discussed from the consumer's and educator's perspectives. Such education emphasizes extending social support into the postpartum period as a buffer against the effects of stress on new parents. Teaching and learning occur in a more timely manner. Family members learn what is most needed when it is most needed and avoid the feeling of being "cut loose" from the health care system right after the birth. Family-centered perinatal education is likely to become an increasingly popular consumer option as hospitals compete to provide the best obstetric/neonatal care. FAU - Peterson, K J AU - Peterson KJ FAU - Peterson, F L AU - Peterson FL LA - eng PT - Journal Article PL - United States TA - AWHONNS Clin Issues Perinat Womens Health Nurs JT - AWHONN's clinical issues in perinatal and women's health nursing JID - 9311009 SB - N MH - *Family MH - Female MH - *Health Education MH - Human Development MH - Humans MH - Male MH - Parents/education MH - Pregnancy MH - *Prenatal Care MH - Social Support EDAT- 1993/01/01 MHDA- 1993/01/01 00:01 CRDT- 1993/01/01 00:00 PST - ppublish SO - AWHONNS Clin Issues Perinat Womens Health Nurs. 1993;4(1):1-4. PMID- 1494085 OWN - NLM STAT- MEDLINE DA - 19930308 DCOM- 19930308 LR - 20161020 IS - 0884-2175 (Print) IS - 0090-0311 (Linking) VI - 21 IP - 6 DP - 1992 Nov-Dec TI - Pregnancy after perinatal loss: parental reactions and nursing interventions. PG - 457-63 AB - This article summarizes the recent literature on pregnancy after perinatal loss and suggests nursing practice strategies that can be used to assist parents experiencing such a pregnancy. It discusses problems with current theories, models of grief and mourning, and some common myths and applies Peretz's model of types of loss to a pregnancy loss. It describes, too, factors that influence parental response to grief and attachment and nursing interventions that may be appropriate when providing care during a pregnancy that follows perinatal loss. FAU - Brost, L AU - Brost L AD - Arizona State University. FAU - Kenney, J W AU - Kenney JW LA - eng PT - Journal Article PL - United States TA - J Obstet Gynecol Neonatal Nurs JT - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN JID - 8503123 SB - IM SB - N MH - Abortion, Spontaneous/*psychology MH - Adaptation, Psychological MH - Bereavement MH - Counseling MH - Female MH - *Fetal Death MH - Humans MH - Maternal Behavior MH - Maternal-Child Nursing/methods MH - Mother-Child Relations MH - Mothers/*psychology MH - Pregnancy/*psychology MH - Social Support MH - Stress, Psychological/nursing/*prevention & control/psychology EDAT- 1992/11/01 MHDA- 1992/11/01 00:01 CRDT- 1992/11/01 00:00 AID - S0884-2175(15)33010-0 [pii] PST - ppublish SO - J Obstet Gynecol Neonatal Nurs. 1992 Nov-Dec;21(6):457-63. PMID- 1434558 OWN - NLM STAT- MEDLINE DA - 19921218 DCOM- 19921218 LR - 20051116 IS - 0022-4391 (Print) IS - 0022-4391 (Linking) VI - 62 IP - 7 DP - 1992 Sep TI - School-based prenatal and postpartum care: strategies for meeting the medical and educational needs of pregnant and parenting students. PG - 304-9 AB - Adolescent pregnancy is not a new phenomenon, but it is a source of concern to U.S. educators because of the many young women choosing to become parents and the profound effect early childbearing has on the educational and vocational careers of many young Americans. Strategies for addressing the unique medical, educational, and psychosocial needs of pregnant and parenting students will be examined. Documented physical and psychosocial risks associated with adolescent childbearing will be reviewed, and data related to the effect of young maternal age on pregnancy outcome and the effect of pregnancy on the life course development of adolescents will be emphasized. Specific elements of comprehensive, adolescent-oriented prenatal and postnatal care will be discussed, as well as the effectiveness of existing prenatal and postnatal programs at preventing the most serious sequelae of adolescent childbearing. The role of school-based services will be examined, and ways will be discussed for educators and health care providers to collaborate in providing medical, educational, and social services for adolescent parents and their children. In addition, topics for future research will be suggested. FAU - Stevens-Simon, C AU - Stevens-Simon C AD - Division of Adolescent Medicine, University of Colorado Health Science Center, Children's Hospital, Denver 80218. FAU - Beach, R K AU - Beach RK LA - eng PT - Journal Article PT - Review PL - United States TA - J Sch Health JT - The Journal of school health JID - 0376370 SB - IM SB - N MH - Adolescent MH - Education MH - Female MH - Health Services Research MH - Humans MH - Male MH - Parenting MH - *Postnatal Care MH - Pregnancy MH - *Pregnancy in Adolescence MH - *Prenatal Care MH - *School Health Services RF - 36 EDAT- 1992/09/01 MHDA- 1992/09/01 00:01 CRDT- 1992/09/01 00:00 PST - ppublish SO - J Sch Health. 1992 Sep;62(7):304-9. PMID- 1619017 OWN - NLM STAT- MEDLINE DA - 19920731 DCOM- 19920731 LR - 20140729 IS - 0021-972X (Print) IS - 0021-972X (Linking) VI - 75 IP - 1 DP - 1992 Jul TI - Maternal side effects of prenatal dexamethasone therapy for fetal congenital adrenal hyperplasia. PG - 249-53 AB - UNLABELLED: Prenatal treatment of virilizing congenital adrenal hyperplasia in female fetuses via maternal dexamethasone (Dex) therapy (1-1.5 mg/day) from first trimester to birth was associated with excessive weight gain (47-56 pounds at 35-37 weeks gestation), Cushingoid facial features, severe striae resulting in permanent scarring, and hyperglycemic response (8-11.7 nmol/L) to oral glucose administration in all our experience (three cases). Other symptoms included hypertension, gastrointestinal intolerance, or extreme irritability. Previous pregnancies were uncomplicated by these problems. In each case, first or second trimester amniotic fluid 17-hydroxyprogesterone (17OHP, 17-41 nmol/L; normal less than 0.4 nmol/L), androstenedione (22-31 nmol/L, normal less than 5 nmol/L), and testosterone levels (0.54-0.7 nmol/L, normal less than 0.4 nmol/L) during Dex treatment were elevated regardless of the newborn genital outcome. Maternal serum estriol (E3) levels in one mother (normal newborn genitalia) were consistently low (less than 0.2 nmol/L) during the second and third trimester. In two mothers (partially virilized newborn genitalia) initial second trimester E3 levels were unsuppressed (11, 17.4 nmol/L) and suppressed (less than 1.4 nmol/L) following short-term increased dose. CONCLUSION: prenatal Dex treatment of virilizing congenital adrenal hyperplasia at a dose of 1-1.5 mg daily throughout gestation is associated with significant maternal side effects. Parents should be informed of these side effects before initiation of treatment. Careful monitoring for signs of side effects, medical intervention when necessary, and lowering of Dex dose during the second half of gestation would minimize the side effects. Maternal serum E3 levels appear useful for prediction of fetal outcome while amniotic fluid steroid levels may not. FAU - Pang, S AU - Pang S AD - Department of Pediatrics, University of Illinois College of Medicine, Chicago 60612. FAU - Clark, A T AU - Clark AT FAU - Freeman, L C AU - Freeman LC FAU - Dolan, L M AU - Dolan LM FAU - Immken, L AU - Immken L FAU - Mueller, O T AU - Mueller OT FAU - Stiff, D AU - Stiff D FAU - Shulman, D I AU - Shulman DI LA - eng GR - R01-HD-24360/HD/NICHD NIH HHS/United States PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 RN - 3XMK78S47O (Testosterone) RN - 4TI98Z838E (Estradiol) RN - 7S5I7G3JQL (Dexamethasone) SB - AIM SB - IM MH - Adrenal Hyperplasia, Congenital/*drug therapy MH - Adult MH - Amniotic Fluid/chemistry MH - Cushing Syndrome/chemically induced MH - Dexamethasone/adverse effects/*therapeutic use MH - Estradiol/analysis/blood MH - Female MH - Fetal Diseases/drug therapy/*prevention & control MH - Gastrointestinal Diseases/chemically induced MH - Gestational Age MH - Humans MH - Hypertension/chemically induced MH - Infant, Newborn MH - Maternal-Fetal Exchange MH - Pregnancy MH - Pregnancy Complications MH - Testosterone/analysis/blood MH - Virilism/etiology MH - Weight Gain/drug effects EDAT- 1992/07/01 MHDA- 1992/07/01 00:01 CRDT- 1992/07/01 00:00 AID - 10.1210/jcem.75.1.1619017 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 1992 Jul;75(1):249-53. PMID- 1605745 OWN - NLM STAT- MEDLINE DA - 19920716 DCOM- 19920716 LR - 20041117 IS - 1031-170X (Print) IS - 1031-170X (Linking) VI - 5 IP - 1 DP - 1992 Mar TI - Prenatal education--how effective is it? PG - 15-20 AB - Are provision of knowledge and skills the major factors to influence behaviour changes that will in turn affect psychological and physiological outcomes in pregnancy and childbirth? This paper argues that courses for expectant parents must not be considered or promoted in isolation. Rather, they should be viewed as part of a complex, interrelated structure of variables that serve to create, influence, modify, support and reinforce factors considered to be indicators of favourable birth outcomes. The potential for health promotion activities is highlighted and problems of marketing, access, and restrictive obstetric management practises emphasised. Relevant research is discussed and areas for urgent action and further research are identified. FAU - Perry, M AU - Perry M LA - eng PT - Journal Article PL - Australia TA - Aust Coll Midwives Inc J JT - Australian College of Midwives Incorporated journal JID - 8903009 SB - N MH - Female MH - Humans MH - Infant, Newborn MH - Motivation MH - Parents/*education MH - Pregnancy MH - Pregnancy Outcome MH - *Prenatal Care MH - Treatment Outcome EDAT- 1992/03/01 MHDA- 1992/03/01 00:01 CRDT- 1992/03/01 00:00 PST - ppublish SO - Aust Coll Midwives Inc J. 1992 Mar;5(1):15-20. PMID- 1799341 OWN - NLM STAT- MEDLINE DA - 19920416 DCOM- 19920416 LR - 20091111 IS - 0004-8666 (Print) IS - 0004-8666 (Linking) VI - 31 IP - 4 DP - 1991 Nov TI - Evaluation of an antenatal education programme: characteristics of attenders, changes in knowledge and satisfaction of participants. PG - 310-6 AB - The evaluation of the efficiency and effectiveness of antenatal education programmes has been identified as a priority in improving maternity services in Australia. Two hundred and ninety four primiparas completed a brief questionnaire in the 3 days following delivery; 82% of the women surveyed attended antenatal education classes. Women were less likely to attend if they were single, younger than 26 years, had lower levels of education, received care during pregnancy from the antenatal clinic and did not have private health insurance. Attenders at antenatal education were also more likely to plan on breast feeding, to be nonsmokers and to know of a greater number of community organizations to help new mothers. However, logistic regression analyses indicated that, with the exception of number of community organizations known, these differences were attributable to demographic differences between attenders and nonattenders. One hundred and forty two women and their partners attending the major provider of antenatal education classes in Newcastle were surveyed prior to and following classes. Significant increases in knowledge were evident following the programme among both women and their partners. Satisfaction with the programme was high as indicated by a large proportion of respondents attending all 4 classes, most programme components being reported as useful or very useful and only a small proportion of respondents experiencing problems with the programme. FAU - Redman, S AU - Redman S AD - Faculty of Medicine, University of Newcastle, New South Wales. FAU - Oak, S AU - Oak S FAU - Booth, P AU - Booth P FAU - Jensen, J AU - Jensen J FAU - Saxton, A AU - Saxton A LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Australia TA - Aust N Z J Obstet Gynaecol JT - The Australian & New Zealand journal of obstetrics & gynaecology JID - 0001027 SB - IM MH - Adult MH - Australia MH - Community Health Services MH - Female MH - Health Education/*statistics & numerical data MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Patient Acceptance of Health Care/*statistics & numerical data MH - Patient Satisfaction/*statistics & numerical data MH - Pregnancy MH - *Prenatal Care MH - Program Evaluation MH - Regression Analysis EDAT- 1991/11/01 MHDA- 1991/11/01 00:01 CRDT- 1991/11/01 00:00 PST - ppublish SO - Aust N Z J Obstet Gynaecol. 1991 Nov;31(4):310-6. PMID- 1873135 OWN - NLM STAT- MEDLINE DA - 19910925 DCOM- 19910925 LR - 20071114 IS - 0899-9546 (Print) IS - 0899-9546 (Linking) VI - 3 IP - 2 DP - 1991 Summer TI - Incorporating HIV education and counseling into routine prenatal care: a program model. PG - 118-23 AB - This article reports how a prenatal clinic in a major urban teaching hospital has developed and integrated an HIV education and counseling program into routine prenatal care. The patient population served are predominantly minority women living in an inner-city community that has been disproportionately affected by the AIDS epidemic. Implementation of the patient program has required training and support for all professional staff. Staff training served as a foundation for this comprehensive patient program, which has reached all prenatal patients regardless of risk behavior. The program has succeeded in involving a large population of women in an educational program, has identified HIV-1 seropositive pregnant women through voluntary testing, and has provided them with the necessary medical and social work services. Principles of program development are identified for use in other settings. FAU - Mason, J AU - Mason J AD - Mount Sinai Medical Center, Department of Social Work Services New York, NY 10029. FAU - Preisinger, J AU - Preisinger J FAU - Sperling, R AU - Sperling R FAU - Walther, V AU - Walther V FAU - Berrier, J AU - Berrier J FAU - Evans, V AU - Evans V LA - eng GR - BRH PO2027-02/PHS HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - AIDS Educ Prev JT - AIDS education and prevention : official publication of the International Society for AIDS Education JID - 9002873 SB - IM SB - J SB - X MH - Ambulatory Care MH - Counseling MH - Female MH - HIV Infections/epidemiology/*prevention & control/transmission MH - *Health Education MH - Humans MH - Maternal-Fetal Exchange MH - New York City/epidemiology MH - Pregnancy MH - *Prenatal Care MH - *Program Evaluation MH - Social Support MH - Social Work MH - Substance Abuse, Intravenous/complications/epidemiology MH - Women's Health OID - PIP: 067709 OID - POP: 00204355 OAB - PIP: The process of incorporating HIV education and counseling into the Mount Sinai Medical Center's prenatal clinic in New York City is provided in terms of background, the patient program, evaluation, and conclusions. There have been endorsements for inclusion of HIV testing and education in the practice of prenatal care and reported effectiveness in delaying the onset of AID's associated infections. The prenatal clinic provides health care to predominantly minority women (36% African American and 55% Hispanic) of whom 10-12% report intravenous or nonintravenous drug use; clinic births are about 1600 a year. Early attempts in 1986-7 to provide anonymous testing and counseling demonstrated the need to reach a large audience. Observations were that considerable staff training and support was needed for an effective patient program. Encouragement and support was also needed by patients. 8 one hour training sessions were provided to the nurses, as well as a 21 hour state certification program for the social workers, both groups of whom worked directly with patients. Intense reactions to caring for HIV infected persons occurs and emotional support must be included in the training. Additional staff support was provided through an AIDs prevention grant for a year. Continuous staff training is required. Another grant provided a clinical social worker and program coordinator who worked closely with the clinic director. The target was to integrate the HIV/AIDs information into routine clinic services; specifically, a 45 minute orientation session during patient's first medical visit. The groups discussion session is lead by the nurse's introduction to the clinic, patient care, and screening, and followed by the social worker's comments on voluntary HIV screening. Nonambiguous language which is understood by various educational levels was used. Patients needed more time to discuss the concerns for dealing with their partners about STD's and contraception. Testing was available throughout the prenatal clinic period. Posttest counseling is also provided as a review, and for those seropositive or high risk patients as initial crisis intervention and case management. There was nonjudgemental discussion about termination of pregnancy. 1453 patients out of 1600 were involved in the orientation, with 20% (297) rather than the preceding years 40 screened. Success is attributed to strong collaborative working relationships with medical, nursing, social work, and clerical staffs, and extensive prior education. Those identified as seropositive were followed up in a separate clinic. OABL- eng OTO - PIP OT - *Acquired Immunodeficiency Syndrome--prevention and control OT - Americas OT - Clinic Activities OT - *Counseling OT - Delivery Of Health Care OT - Developed Countries OT - Diseases OT - Education OT - Health OT - *Health Education OT - Health Facilities OT - *Health Services OT - *Hiv Infections--prevention and control OT - *Hospitals OT - Maternal Health Services OT - Maternal-child Health Services OT - New York OT - North America OT - Northern America OT - Organization And Administration OT - *Prenatal Care OT - Primary Health Care OT - Program Activities OT - *Program Evaluation OT - Programs OT - United States OT - Viral Diseases GN - PIP: TJ: AIDS EDUCATION AND PREVENTION EDAT- 1991/01/01 MHDA- 1991/01/01 00:01 CRDT- 1991/01/01 00:00 PST - ppublish SO - AIDS Educ Prev. 1991 Summer;3(2):118-23. PMID- 2283454 OWN - NLM STAT- MEDLINE DA - 19910321 DCOM- 19910321 LR - 20151119 IS - 0309-2402 (Print) IS - 0309-2402 (Linking) VI - 15 IP - 12 DP - 1990 Dec TI - Preparation for caesarean childbirth: derivation of a nursing intervention from the Roy Adaptation Model. PG - 1418-25 AB - The paper describes a programme of research directed toward developing and testing a nursing intervention derived from the Roy Adaptation Model of Nursing and designed to prepare expectant parents for unplanned Caesarean birth. The first study was a retrospective survey of Caesarean-birth parents that revealed the need for detailed information about the events surrounding Caesarean birth. The second study was a clinical field test of the nursing intervention, which consisted of a pamphlet containing information about all aspects of Caesarean birth with follow-up discussion of pamphlet content. Data analysis indicated that Caesarean-birth parents found the pamphlet content informative and reassuring and found the follow-up beneficial. The third study was a clinical field test of a modified version of the intervention consisting of the pamphlet and focused discussion about Caesarean birth. Data analysis revealed that the nursing intervention provided the information expectant parents needed to prepare for the possibility of Caesarean childbirth. The fourth study is an ongoing experiment designed to test the effects of the nursing intervention on responses to unplanned Caesarean birth. Emphasis throughout the paper is placed on the links between the Roy Adaptation Model and the methodology and findings of each study. FAU - Fawcett, J AU - Fawcett J AD - University of Pennsylvania School of Nursing, Philadelphia. LA - eng GR - 1-R01-NR-01694/NR/NINR NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - England TA - J Adv Nurs JT - Journal of advanced nursing JID - 7609811 SB - IM SB - N MH - *Adaptation, Psychological MH - Cesarean Section/*nursing/psychology MH - Female MH - Humans MH - Male MH - *Models, Nursing MH - Nursing Evaluation Research MH - Pamphlets MH - Parents/education/psychology MH - Patient Education as Topic/methods/*standards MH - Pregnancy MH - *Preoperative Care MH - Surveys and Questionnaires EDAT- 1990/12/01 MHDA- 1990/12/01 00:01 CRDT- 1990/12/01 00:00 PST - ppublish SO - J Adv Nurs. 1990 Dec;15(12):1418-25. PMID- 2282891 OWN - NLM STAT- MEDLINE DA - 19910319 DCOM- 19910319 LR - 20151119 IS - 0012-835X (Print) IS - 0012-835X (Linking) VI - 67 IP - 10 DP - 1990 Oct TI - Antenatal care and educational problems of unmarried teenage mothers in Nairobi. PG - 699-705 AB - Part of a detailed analysis of 864 unmarried teenage mothers delivering in Pumwani Maternity Hospital and Kenyatta National Hospital is presented. Teenage pregnancy amounted for 42.3% of all deliveries of unmarried mothers. Most teenage patients were above 16 years of age, had a religious background of wide coverage, had low quality antenatal care and low education. 94.6% were found to be primigravidas. This dominance has also been found by other workers. FAU - Omuga, B O AU - Omuga BO AD - Department of Obstetrics and Gynaecology, College of Health Sciences, University of Nairobi, Kenya. FAU - Ojwang, S B AU - Ojwang SB LA - eng PT - Journal Article PL - Kenya TA - East Afr Med J JT - East African medical journal JID - 0372766 SB - IM SB - J MH - Adolescent MH - Cross-Sectional Studies MH - *Developing Countries MH - Educational Status MH - Female MH - Humans MH - Interviews as Topic MH - Kenya MH - Pregnancy MH - Pregnancy in Adolescence/*statistics & numerical data MH - Prenatal Care/*utilization MH - Prospective Studies MH - Religion and Sex MH - Student Dropouts/*statistics & numerical data MH - Surveys and Questionnaires OID - PIP: 066408 OID - POP: 00203902 OAB - PIP: A prospective cross-sectional descriptive study of unmarried mothers delivering in Pumwani Maternity Hospital and Kenyatta National Hospital, Nairobi, Kenya, from December 1986-April 1987, was conducted with a pretested open-ended questionnaire: the 864 teen mothers are described here. They ranged from 13.4-19 years, most were 17-19. 49.4% were Catholic and 45% Protestant. 88.5% attended prenatal clinics once; 51.5% attended 5 times, although only 13% went to hospital clinics for specialized care. For reasons for not going for prenatal care teens stated that they were too shy to undergo a clinical exam, afraid of parents' reaction, unaware of the pregnancy or of the existence of prenatal care, they had not menstruated, or were in school, in prison, or had long work hours. Most girls had primary education, and 97.9% had dropped out of school. 34% dropped out because of pregnancy, and 32% for lack of tuition fees. Reasons for dropping out of school were tabulated, encompassing a broad range of social problems such as war, death, divorce, alcoholism or illness of parents, no tuition or uniform funds, poor grades, and running away from school. In Africa, teen pregnancy is probably increasing because of decreasing age at menarche and relaxing of traditional values. OABL- eng OTO - PIP OT - *Adolescent Pregnancy OT - Adolescents OT - *Adolescents, Female OT - Africa OT - Africa South Of The Sahara OT - *Age Factors OT - Behavior OT - Data Collection OT - Delivery Of Health Care OT - Demographic Factors OT - Developing Countries OT - Eastern Africa OT - Economic Factors OT - Education OT - Educational Status OT - English Speaking Africa OT - Family And Household OT - Family Characteristics OT - *Family Planning Centers OT - *Family Planning Education OT - Family Relationships OT - Fertility OT - *Field Report OT - Health OT - Health Facilities OT - Health Services OT - *Interviews OT - Kenya OT - Maternal Health Services OT - Maternal-child Health Services OT - Mothers OT - *Out-of-school Youths--women OT - Parents OT - Population OT - *Population Characteristics OT - Population Dynamics OT - *Premarital Sex Behavior OT - *Prenatal Care OT - *Primary Health Care OT - Reproductive Behavior OT - Research Methodology OT - *Research Report OT - *Sampling Studies OT - Sex Behavior OT - *Social Problems OT - Socioeconomic Factors OT - Socioeconomic Status OT - Studies OT - *Unmarried Mothers OT - Youth GN - PIP: TJ: EAST AFRICAN MEDICAL JOURNAL. EDAT- 1990/10/01 MHDA- 1990/10/01 00:01 CRDT- 1990/10/01 00:00 PST - ppublish SO - East Afr Med J. 1990 Oct;67(10):699-705. PMID- 10104743 OWN - NLM STAT- MEDLINE DA - 19900629 DCOM- 19900629 LR - 20041117 IS - 0742-1478 (Print) IS - 0742-1478 (Linking) VI - 8 IP - 5 DP - 1990 May TI - Save children: offer prenatal and postnatal parent training. PG - 2-3 FAU - Johnson, D E AU - Johnson DE LA - eng PT - Journal Article PL - United States TA - Health Care Strateg Manage JT - Health care strategic management JID - 8405900 SB - H MH - Child MH - *Child Care MH - Child, Preschool MH - Female MH - *Hospital Administration MH - *Hospital Restructuring MH - Humans MH - Infant MH - Infant, Newborn MH - Parents/*education MH - Pregnancy MH - Prenatal Care/*organization & administration MH - United States EDAT- 1990/04/09 MHDA- 1990/04/09 00:01 CRDT- 1990/04/09 00:00 PST - ppublish SO - Health Care Strateg Manage. 1990 May;8(5):2-3. PMID- 3372288 OWN - NLM STAT- MEDLINE DA - 19880701 DCOM- 19880701 LR - 20141120 IS - 0197-0070 (Print) IS - 0197-0070 (Linking) VI - 9 IP - 3 DP - 1988 May TI - The effects of prenatal education intervention on unwed prospective adolescent fathers. PG - 214-8 AB - This study assesses the impact of a prenatal education program dealing with human sexuality, pregnancy, prenatal care, labor, delivery, and infant and child care on the unwed expectant adolescent father. It also assesses the relationship between the father's knowledge in these areas and his supportive behaviors toward the adolescent mother and the expected infant. The 28 black 15-18-year-old adolescent males who volunteered to participate in the study were randomly assigned to an experimental group (n = 15) or a control group (n = 13). Each was pretested (T-1) with Form A of a 75-item prenatal questionnaire, and posttested (T-2) with Form B of the same instrument after an intervention for the experimental group, or 4 weeks after the initial assessment for the comparison group. Findings suggest significant gains in knowledge for the experimental group at T-2 versus T-1 with regard to 1) pregnancy and prenatal care, and 2) infant development and child care. The data also suggest that fathers who were more informed tended to report more supportive behaviors toward the mother and the infant. FAU - Westney, O E AU - Westney OE AD - School of Human Ecology, Howard University, Washington, D.C. FAU - Cole, O J AU - Cole OJ FAU - Munford, T L AU - Munford TL LA - eng PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PL - United States TA - J Adolesc Health Care JT - Journal of adolescent health care : official publication of the Society for Adolescent Medicine JID - 8100395 SB - IM SB - J MH - Adolescent MH - Adolescent Behavior MH - Fathers/*education/psychology MH - Female MH - *Health Education MH - Humans MH - *Illegitimacy MH - Male MH - Pregnancy MH - *Pregnancy in Adolescence MH - Psychology, Adolescent MH - *Single Person OID - CPFH: 23236cr988 OID - POP: 00173976 OAB - PIP: This study assesses the impact of a prenatal education program dealing with human sexuality, pregnancy, prenatal care, labor, delivery, and infant and child care on the unwed expectant adolescent father. It also assesses the relationship between the father's knowledge in these areas and his supportive behaviors toward the adolescent mother and the expected infant. The 28 black 15-18 year old adolescent males who volunteered to participate in the study were randomly assigned to an experimental group (n=15) or a control group (n=13). Each was pretested (T-1) with Form A of a 75 item prenatal questionnairie, and posttested (T-2) with Form B of the same instrument after an intervention for the experimental group, or 4 weeks after the initial assessment for the comparison group. Findings suggest significant gains in knowledge for the experimental group at T-2 versus T-1 with regard to 1) pregnancy and prenatal care, and 2) infant development and child care. The data also suggest that fathers who were more informed tended to report more supportive behaviors toward the mother and the infant. This study's generalizability is restricted due to the nonrandom sampling technique and the small sample size. Furthermore, it is not known how long the knowledge gains were sustained. Furthermore, it is not known whether the information gained will, in fact, assist adolescent fathers in being more sensitive to the needs of the mothers and infants. OABL- eng OTO - PIP OT - *Adolescents OT - *Adolescents, Male OT - Age Factors OT - Americas OT - *Behavior OT - *Blacks OT - Cultural Background OT - Delivery Of Health Care OT - Demographic Factors OT - Developed Countries OT - Developing Countries OT - Education OT - *Educational Activities OT - Ethnic Groups OT - *Evaluation OT - Family And Household OT - Family Characteristics OT - Family Relationships OT - Fathers OT - Health OT - *Health Education OT - Health Services OT - *Iec OT - *Knowledge OT - Maternal Health Services OT - Maternal-child Health Services OT - North America OT - *Northern America OT - Organization And Administration OT - Parents OT - Population OT - Population Characteristics OT - *Prenatal Care OT - Primary Health Care OT - Program Activities OT - *Program Evaluation OT - Programs OT - *Research Report OT - *Sex Education OT - United States OT - *Unmarried Fathers OT - Youth GN - PIP: TJ: JOURNAL OF ADOLESCENT HEALTH CARE EDAT- 1988/05/01 MHDA- 1988/05/01 00:01 CRDT- 1988/05/01 00:00 PST - ppublish SO - J Adolesc Health Care. 1988 May;9(3):214-8. PMID- 3645175 OWN - NLM STAT- MEDLINE DA - 19870511 DCOM- 19870511 LR - 20061115 IS - 0022-4391 (Print) IS - 0022-4391 (Linking) VI - 57 IP - 3 DP - 1987 Mar TI - Prenatal education for pregnant adolescents. PG - 105-8 AB - Providing services to pregnant adolescents poses a unique challenge for health professionals. Several programs have emerged tailored specifically to this special population. Prenatal education is an integral component of these programs. This paper describes prenatal education classes offered at Teen Pregnancy Service, including special modifications required to meet the learning needs of participants. Outcome data provided for 66 pregnant teens show significant changes in prenatal knowledge following the class series. Information is included about the teens' backgrounds, their perceptions regarding potential problems infants may experience, and how they remembered being reared by their parents. FAU - Timberlake, B AU - Timberlake B FAU - Fox, R A AU - Fox RA FAU - Baisch, M J AU - Baisch MJ FAU - Goldberg, B D AU - Goldberg BD LA - eng PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Sch Health JT - The Journal of school health JID - 0376370 SB - IM SB - N MH - Adolescent MH - Child Care MH - Female MH - *Health Education MH - Humans MH - Pregnancy MH - *Pregnancy in Adolescence MH - *Prenatal Care EDAT- 1987/03/01 MHDA- 1987/03/01 00:01 CRDT- 1987/03/01 00:00 PST - ppublish SO - J Sch Health. 1987 Mar;57(3):105-8. PMID- 2437554 OWN - NLM STAT- MEDLINE DA - 19870608 DCOM- 19870608 LR - 20151119 IS - 0197-3851 (Print) IS - 0197-3851 (Linking) VI - 7 IP - 2 DP - 1987 Feb TI - Marker chromosomes in a series of 10,000 prenatal diagnoses. Cytogenetic and follow-up studies. PG - 81-9 AB - In a series of 10,000 prenatal diagnoses 15 marker chromosomes were detected in our centre. Six of these were familial whilst nine had originated de novo. They were analysed with various staining methods. DA-DAPI staining was positive in nine out of 12 pregnancies. Six pregnancies were continued. Five normal children were born, one ended in intrauterine fetal death of a normal fetus at 37 weeks. Nine pregnancies were terminated, showing six normal fetuses, one familial cat-eye syndrome, one fetus with Down syndrome caused by additional trisomy 21 and one fetus with cystic kidneys resp. It is concluded that it seems safe to continue the pregnancy in cases of familial marker, identical to that of one parent, whilst a de novo DA-DAPI positive marker seems to present a low risk for fetal anomalies. FAU - Sachs, E S AU - Sachs ES FAU - Van Hemel, J O AU - Van Hemel JO FAU - Den Hollander, J C AU - Den Hollander JC FAU - Jahoda, M G AU - Jahoda MG LA - eng PT - Journal Article PL - England TA - Prenat Diagn JT - Prenatal diagnosis JID - 8106540 RN - 0 (Distamycins) RN - 0 (Genetic Markers) RN - 0 (Indoles) RN - 47165-04-8 (DAPI) SB - IM MH - Adult MH - *Chromosome Aberrations MH - Distamycins MH - Female MH - Genetic Markers MH - Humans MH - Indoles MH - Karyotyping MH - Maternal Age MH - Mosaicism MH - Phenotype MH - Pregnancy MH - *Prenatal Diagnosis MH - Staining and Labeling/methods EDAT- 1987/02/01 MHDA- 1987/02/01 00:01 CRDT- 1987/02/01 00:00 PST - ppublish SO - Prenat Diagn. 1987 Feb;7(2):81-9. PMID- 3643995 OWN - NLM STAT- MEDLINE DA - 19870416 DCOM- 19870416 LR - 20161020 IS - 0884-2175 (Print) IS - 0090-0311 (Linking) VI - 16 IP - 1 DP - 1987 Jan-Feb TI - Antenatal education for cesarean birth: extension of a field test. PG - 61-5 AB - An exploratory study was conducted to compare responses of vaginally delivered and cesarean-delivered parents to an antenatal educational program of cesarean birth information and to determine the feasibility of incorporating the educational program into Lamaze childbirth preparation classes. Fifty-eight pregnant women and 57 male partners received the educational program. Mailed questionnaires were returned by 44 women and 42 men, representing 13 of the 15 cesarean deliveries and 31 of the 43 vaginal deliveries experienced by class participants. Findings indicated that the educational program met most of the parents' information needs, regardless of method of delivery. Study results suggest that childbirth educators must continue to seek ways to prepare expectant parents for unanticipated cesarean birth without causing undue distress. FAU - Fawcett, J AU - Fawcett J FAU - Henklein, J C AU - Henklein JC LA - eng GR - 1-R21-NU-00827-01/NU/BHP HRSA HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Obstet Gynecol Neonatal Nurs JT - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN JID - 8503123 SB - IM SB - N MH - Adult MH - Cesarean Section/*education MH - Feasibility Studies MH - Female MH - Health Education/*methods MH - Humans MH - Male MH - Natural Childbirth MH - Pamphlets MH - Pregnancy MH - Prenatal Care EDAT- 1987/01/01 MHDA- 1987/01/01 00:01 CRDT- 1987/01/01 00:00 AID - S0884-2175(15)32654-X [pii] PST - ppublish SO - J Obstet Gynecol Neonatal Nurs. 1987 Jan-Feb;16(1):61-5. PMID- 3591495 OWN - NLM STAT- MEDLINE DA - 19870626 DCOM- 19870626 LR - 20041117 IS - 0001-8449 (Print) IS - 0001-8449 (Linking) VI - 22 IP - 85 DP - 1987 Spring TI - Pregnant adolescents attending prenatal parent education classes: self-concept, anxiety and depression levels. PG - 179-93 AB - Past research has indicated that pregnant adolescents who attend parent education programs (PEP) are more likely to have better outcomes after delivery than those who leave school. This study compared pregnant adolescents who attended a PEP (PA), those who did not attend a PEP (PC), and nonpregnant adolescents (NP) for differences in personality characteristics--self-concept, anxiety, and depression--which might account for postdelivery outcomes. On pre- and posttests administered four to six weeks apart, the PA did not indicate any changes over time and the groups did not differ significantly in self-concept and state and trait anxiety levels. Although the PA group showed a significantly higher level of depression on the pretest than did the NP group, they did not differ significantly at posttesting. According to demographic variables, the number of persons in household was significantly higher for the NP group than for the PA and PC groups. These results, not always consistent with past research on teenagers' personality characteristics, suggest: that the groups did not differ in terms of these personality characteristics, and that for these subjects (88% black), the tendency toward higher depression and anxiety levels in adolescence may not be significantly different from that experienced during pregnancy. The drawbacks of research in this area and for this project are discussed. FAU - Lineberger, M R AU - Lineberger MR LA - eng PT - Journal Article PL - United States TA - Adolescence JT - Adolescence JID - 0123667 SB - IM SB - J MH - Adolescent MH - Anxiety/*psychology MH - Child Rearing MH - Depression/*psychology MH - Female MH - Humans MH - Parents/*education MH - Personality Tests MH - Pregnancy MH - *Pregnancy in Adolescence MH - Prenatal Care/*psychology MH - Prognosis MH - Self Concept OID - CPFH: 21597cr987 OID - POP: 00164258 OAB - PIP: Past research has indicated that pregnant adolescents who attend parent education programs (PEP) are more likely to have better outcomes after delivery than those who leave school. This study compared pregnant adolescents who attended a PEP (PA), those who did not attend a PEP (PC), and nonpregnant adolescents (NP) for differences in personality characteristics--self-concept, anxiety, and depression--which might account for postdelivery outcomes. On pre- and posttests administered 4-6 weeks apart, the PA did not indicate any changes over time and the groups did not differ significantly in self-concept and state and trait anxiety levels. Although the PA group showed a significantly higher level of depression on the pretest than did the NP group, they did not differ significantly at posttesting. According to demographic variables, the number of persons in household was significantly higher for the NP group than for the PA and PC groups. These results, not always consistent with past research on teenagers' personality characteristics, suggest: 1) that the groups did not differ in terms of these personality characteristics, and 2) that for these subjects (88% balck), the tendency toward higher depression and anxiety levels in adolescence may not be significantly different from that experienced during pregnancy. 1 of the drawbacks to this research project is that there could not be any control in the assignment of subjects to a particular group since the ethical inappropriateness of random assignment of subjects to such experimental and control groups prevents such an approach. Another drawback was that the researcher could not control the content of the prenatal education classes. An additional drawback was that the subjects in the 2 groups of pregnant teenagers were not asked why they became pregnant. OABL- eng OTO - PIP OT - *Adolescent Pregnancy OT - Adolescents OT - *Adolescents, Female OT - Age Factors OT - Americas OT - Behavior OT - *Comparative Studies OT - Delivery Of Health Care OT - Demographic Factors OT - *Depression OT - Developed Countries OT - Developing Countries OT - Diseases OT - Education OT - *Educational Activities OT - Fertility OT - Health OT - *Health Education OT - Health Services OT - Maternal Health Services OT - Maternal-child Health Services OT - Mental Disorders OT - New York OT - North America OT - *Northern America OT - Perception OT - Population OT - Population Characteristics OT - Population Dynamics OT - Pregnancy OT - *Pregnancy Outcomes OT - *Prenatal Care OT - Primary Health Care OT - *Psychological Factors OT - Reproduction OT - Reproductive Behavior OT - Research Methodology OT - *Research Report OT - *Self-perception OT - Studies OT - United States OT - Youth GN - PIP: TJ: ADOLESCENCE EDAT- 1987/01/01 MHDA- 1987/01/01 00:01 CRDT- 1987/01/01 00:00 PST - ppublish SO - Adolescence. 1987 Spring;22(85):179-93. PMID- 3444789 OWN - NLM STAT- MEDLINE DA - 19880427 DCOM- 19880427 LR - 20161021 IS - 0277-0938 (Print) IS - 0277-0938 (Linking) VI - 7 IP - 4 DP - 1987 TI - The Farber lecture. Prenatal and perinatal death: the future of developmental pathology. PG - 363-94 AB - It seems evident that most of "humanity" dies before, not after birth and that perhaps only one-third survive from earliest beginnings until birth or the end of the first year of life. As many as 50% of all human ova may have a chromosome abnormality with over 99% mortality, making this type of genetic defect not just the commonest cause of death prenatally and the cause of a substantial proportion of the malformations of abortuses and fetuses, but the commonest cause of death in humans altogether. This study, along with numerous studies before it, is the most convincing justification for doing autopsies on pre- and perinatally dead embryos and fetuses. With appropriate supervisory collaboration from a university pediatric pathology unit, such studies can be done efficiently at secondary-care centers, including some in rather remote locations. Thus, there exists no excuse anymore for not doing such studies which, in a high proportion of cases, will give the parents and attending physicians an explanation of the events and observed abnormalities with a chance in all cases at correct diagnostic and genetic counseling, appropriate monitoring of the next pregnancy, and an improved possibility of population monitoring for teratogens and substantial increases in the mutation rate. These immediate benefits to patients and the quality of medical care are the major, but not the only, justification for doing fetal pathology. Literally thousands of new discoveries still await the investigator with a prepared mind and will afford many research opportunities to those with an interest in normal and abnormal human development. And if it can be resolved in present-day pathology training programs how to attract greater numbers of interested residents and fellows into the field and to motivate them to take the additional training to become expert in developmental and genetic analysis, then "developmental" pathology will be facing a very bright future indeed. FAU - Opitz, J M AU - Opitz JM AD - Montana Fetal Genetic Pathology Program, Shodair Children's Specialty Hospital, Helena 59604. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Pediatr Pathol JT - Pediatric pathology JID - 8303527 SB - IM MH - Adult MH - Chromosome Aberrations/epidemiology MH - Chromosome Disorders MH - Female MH - Fetal Death/embryology/epidemiology/etiology/genetics/*pathology MH - Gestational Age MH - Humans MH - Pathology, Clinical/trends MH - Pregnancy EDAT- 1987/01/01 MHDA- 1987/01/01 00:01 CRDT- 1987/01/01 00:00 PST - ppublish SO - Pediatr Pathol. 1987;7(4):363-94. PMID- 2953113 OWN - NLM STAT- MEDLINE DA - 19870527 DCOM- 19870527 LR - 20090520 IS - 0363-0242 (Print) IS - 0363-0242 (Linking) VI - 12 IP - 1 DP - 1987 TI - The psychological impact of prenatal diagnosis of fetal abnormality: strategies for investigation and intervention. PG - 91-103 AB - Though there are distinct technical advantages to medical advances allowing prenatal diagnosis of fetal abnormalities, the psychological impact of the use of these procedures has been given little consideration. While early detection of impairment may provide parents with an opportunity for emotional preparation, it also may precipitate a long period of distress. Toward the end of clarifying this indeterminate impact of prenatal diagnosis of fetal abnormality, the literature addressing the emotional consequences of giving birth to an impaired infant is examined for its relevance to the prenatal diagnostic situation. The clinical and research implications of this extrapolation of an existing literature to an important new question are considered. It is concluded that health care professionals must begin to explore systematically the psychological impact of the use of this technology, and must use their increased understanding clinically to promote not only the physical health of the neonate, but also its emotional well-being and that of its parents. FAU - Zuskar, D M AU - Zuskar DM LA - eng PT - Journal Article PL - United States TA - Women Health JT - Women & health JID - 7608076 SB - IM MH - Child MH - Child, Preschool MH - Congenital Abnormalities/*diagnosis MH - Counseling MH - *Disabled Persons/psychology MH - Female MH - Fetal Diseases/*diagnosis MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - *Parent-Child Relations MH - Parents/*psychology MH - Pregnancy MH - Prenatal Diagnosis/*psychology MH - Research Design MH - Social Isolation EDAT- 1987/01/01 MHDA- 1987/01/01 00:01 CRDT- 1987/01/01 00:00 AID - 10.1300/J013v12n01_07 [doi] PST - ppublish SO - Women Health. 1987;12(1):91-103. PMID- 21267322 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20110126 DCOM- 20130704 LR - 20110126 IS - 0008-350X (Print) IS - 0008-350X (Linking) VI - 32 DP - 1986 Oct TI - Childbirth Education: A Consumer's Viewpoint. PG - 2191-213 AB - This article describes a series of classes for expectant parents and siblings and outlines how differences of opinion by health-care providers in the perinatal period can adversely affect a mother's undertsanding of, and satisfaction with, the birth process. It comments on concepts that family physicians should consider before suggesting prenatal classes to their patients. Family physicians must know what is being taught in prenatal classes, either directly through dialogue with the instructors or indirectly through conversation with their patients. There should be open dialogue between family physicians, expectant couples and childbirth educators in order to ensure supportive co-operation among all parties. Such co-operation will lead to maximum satisfaction with the experience of childbirth. FAU - Mackie, J W AU - Mackie JW FAU - Mackie, S J AU - Mackie SJ FAU - Livingstone, V AU - Livingstone V LA - eng PT - Journal Article PL - Canada TA - Can Fam Physician JT - Canadian family physician Medecin de famille canadien JID - 0120300 PMC - PMC2328234 OID - NLM: PMC2328234 EDAT- 1986/10/01 00:00 MHDA- 1986/10/01 00:01 CRDT- 2011/01/27 06:00 PST - ppublish SO - Can Fam Physician. 1986 Oct;32:2191-213. PMID- 3639869 OWN - NLM STAT- MEDLINE DA - 19861212 DCOM- 19861212 LR - 20061115 IS - 0739-9332 (Print) IS - 0739-9332 (Linking) VI - 7 IP - 5 DP - 1986 TI - A meta-analytic study of the effect of childbirth education on the parent-infant relationship. PG - 357-70 FAU - Jones, L C AU - Jones LC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Health Care Women Int JT - Health care for women international JID - 8411543 SB - N MH - Female MH - *Health Education MH - Humans MH - Infant, Newborn MH - *Labor, Obstetric MH - Male MH - *Parent-Child Relations MH - Pregnancy MH - Prenatal Care MH - Research/standards EDAT- 1986/01/01 MHDA- 1986/01/01 00:01 CRDT- 1986/01/01 00:00 AID - 10.1080/07399338609515749 [doi] PST - ppublish SO - Health Care Women Int. 1986;7(5):357-70. PMID- 4017409 OWN - NLM STAT- MEDLINE DA - 19850827 DCOM- 19850827 LR - 20071115 IS - 0095-5108 (Print) IS - 0095-5108 (Linking) VI - 12 IP - 2 DP - 1985 Jun TI - Perinatal coaching: program development. PG - 367-80 AB - Perinatal Coaching is a training/educational program introduced to new parents in the first days following the birth of their baby. This program provides support while teaching new parents skills to communicate and interact with their newborn following birth. The article gives an overview of the content of the Perinatal Coaching Program, a review of the newborn's capabilities and their relationship to perinatal coaching, important features of some ongoing programs, early identification and selection of parents, and speculation for future development. FAU - Bristor, M W AU - Bristor MW FAU - Wilson, A L AU - Wilson AL FAU - Helfer, R E AU - Helfer RE LA - eng PT - Journal Article PL - United States TA - Clin Perinatol JT - Clinics in perinatology JID - 7501306 SB - IM MH - Adolescent MH - Female MH - Humans MH - *Infant, Newborn MH - Male MH - *Parent-Child Relations MH - *Patient Education as Topic MH - *Postpartum Period MH - Pregnancy MH - Social Support EDAT- 1985/06/01 MHDA- 1985/06/01 00:01 CRDT- 1985/06/01 00:00 PST - ppublish SO - Clin Perinatol. 1985 Jun;12(2):367-80. PMID- 2860337 OWN - NLM STAT- MEDLINE DA - 19850705 DCOM- 19850705 LR - 20150616 IS - 0140-6736 (Print) IS - 0140-6736 (Linking) VI - 1 IP - 8438 DP - 1985 May 18 TI - Prenatal vitamin B12 therapy of a fetus with methylcobalamin deficiency (cobalamin E disease). PG - 1127-9 AB - A child presented early in life with homocystinuria and megaloblastic anaemia which responded to hydroxocobalamin (OH-B12) therapy. Mental development has been subnormal since birth. Fibroblasts from this patient contained low levels of methylcobalamin (CH3-B12) and incorporated less 14C from labelled 5-methyltetrahydrofolate (14CH3H4PteGlu) into methionine. Methionine synthase activity was more thiol-dependent in the patient's fibroblasts than it was in normal cells. Studies on fibroblasts from the parents confirmed that both are heterozygous for this disorder. When the mother became pregnant again, prenatal diagnosis was attempted by use of cultured amniocytes obtained at 16 weeks' gestation. Values for incorporation of 14CH3H4PteGlu into methionine by intact cells and the thiol requirement of methionine synthase were abnormal in these amniocytes but these features did not conclusively identify the fetus at risk as being homozygous for the abnormality. Only 8% of the 57Co vitamin B12 incorporated by the fetal amniocytes was present as CH3-B12 compared with 29% and 40% in two control amniocyte lines and 37% and 32% in fibroblasts from the parents who are obligate heterozygotes. These studies suggested that the fetus had CH3-B12 deficiency. The mother was treated with OH-B12 (1 mg twice weekly, intramuscularly) from 25 weeks' gestation. The baby was clinically normal at birth without any evidence of homocystinuria or anaemia, and has been maintained on OH-B12 (1 mg twice weekly). Studies on fibroblasts from the baby confirmed the diagnosis of CH3-B12 deficiency (cobalamin E disease). At 6 months of age, growth and development remain normal. FAU - Rosenblatt, D S AU - Rosenblatt DS FAU - Cooper, B A AU - Cooper BA FAU - Schmutz, S M AU - Schmutz SM FAU - Zaleski, W A AU - Zaleski WA FAU - Casey, R E AU - Casey RE LA - eng PT - Case Reports PT - Journal Article PL - England TA - Lancet JT - Lancet (London, England) JID - 2985213R RN - BR1SN1JS2W (mecobalamin) RN - P6YC3EG204 (Vitamin B 12) SB - AIM SB - IM MH - Adult MH - Cells, Cultured MH - Female MH - Fetal Diseases/diagnosis/*drug therapy MH - Humans MH - Infant, Newborn MH - Male MH - Pregnancy MH - *Prenatal Diagnosis MH - Vitamin B 12/*analogs & derivatives/*therapeutic use MH - Vitamin B 12 Deficiency EDAT- 1985/05/18 MHDA- 1985/05/18 00:01 CRDT- 1985/05/18 00:00 PST - ppublish SO - Lancet. 1985 May 18;1(8438):1127-9. PMID- 3847485 OWN - NLM STAT- MEDLINE DA - 19850731 DCOM- 19850731 LR - 20161020 IS - 0884-2175 (Print) IS - 0090-0311 (Linking) VI - 14 IP - 3 DP - 1985 May-Jun TI - Childbirth education classes: expectant parents' expectations. PG - 245-8 AB - One hundred clients (43 fathers, 57 mothers), of whom 50 had enrolled in childbirth education classes but had not yet attended and 50 who had attended and were parents of a healthy infant, were surveyed to find out what clients expect to gain from attending childbirth education classes. Responses of preclass and postdelivery male and female clients were compared using content analysis and chi-square statistics. Results suggest that interest followed pregnancy chronology, fathers expected to learn facts, mothers expected to learn coping strategies, and both expected to learn breathing, relaxation, and infant care techniques. Although clients felt that more time should have been spent on the majority of topics, 64% of mothers and 53% of fathers said that the classes had met their expectations. FAU - Maloney, R AU - Maloney R LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - J Obstet Gynecol Neonatal Nurs JT - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN JID - 8503123 SB - IM SB - N MH - Adult MH - Consumer Behavior MH - Curriculum MH - Delivery, Obstetric/*education MH - Female MH - Health Education/*standards MH - Humans MH - Male MH - Parents/*psychology MH - Pregnancy MH - *Prenatal Care EDAT- 1985/05/01 MHDA- 1985/05/01 00:01 CRDT- 1985/05/01 00:00 AID - S0884-2175(15)32520-X [pii] PST - ppublish SO - J Obstet Gynecol Neonatal Nurs. 1985 May-Jun;14(3):245-8. PMID- 3974957 OWN - NLM STAT- MEDLINE DA - 19850322 DCOM- 19850322 LR - 20091026 IS - 0029-7844 (Print) IS - 0029-7844 (Linking) VI - 65 IP - 3 DP - 1985 Mar TI - Prenatal child safety education. PG - 312-5 AB - In a prospective trial at two hospitals, 78 of 136 couples received a special 30-minute curriculum consisting of a lecture, a motion picture demonstrating the consequences of not using child car safety seats, and a question-and-answer session. Four to six months postpartum all parents were interviewed by telephone. When asked how their child rode during the most recent car trip, 96% of parents who received the special curriculum said they used a crash-tested child car safety seat, compared with 78% of those who had not received the curriculum. At hospital B, where parents reported demographic factors often associated with low compliance (eg, lower income, low use of seat belts, lower educational level), compliance rose from 60% before curriculum to 94% after curriculum (P less than .01). A car safety curriculum added to prenatal classes will increase parents' use of child car safety seats. Obstetricians and those managing prenatal care should assume a role in educating expectant parents about child passenger safety. FAU - Goodson, J G AU - Goodson JG FAU - Buller, C AU - Buller C FAU - Goodson, W H 3rd AU - Goodson WH 3rd LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Obstet Gynecol JT - Obstetrics and gynecology JID - 0401101 SB - AIM SB - IM MH - *Accident Prevention MH - Automobile Driving MH - Child MH - Female MH - Health Promotion/education MH - Humans MH - Infant MH - Pregnancy MH - *Prenatal Care MH - Prospective Studies MH - Protective Devices MH - Restraint, Physical MH - *Safety EDAT- 1985/03/01 MHDA- 1985/03/01 00:01 CRDT- 1985/03/01 00:00 PST - ppublish SO - Obstet Gynecol. 1985 Mar;65(3):312-5. PMID- 6565107 OWN - NLM STAT- MEDLINE DA - 19840914 DCOM- 19840914 LR - 20141120 IS - 0090-0311 (Print) IS - 0090-0311 (Linking) VI - 13 IP - 4 DP - 1984 Jul-Aug TI - Participation in prepared childbirth. Baccalaureate nursing education. PG - 233-6 AB - Nurses need to meet consumer demands for quality maternal-infant health care. To meet this need, the College of Nursing faculty at the University of Florida included prepared childbirth classes as a clinical experience in a BSN program. Each student works with a client couple in an ambulatory care setting to provide complete and individualized nursing care through the final weeks of pregnancy, the labor and delivery experience, and for a brief period postpartum. How this program facilitates students' development of a holistic approach to maternal-infant nursing and increases the quality of health care for expectant parents is described. FAU - Bodo, T AU - Bodo T FAU - Griggs, C AU - Griggs C FAU - Kerrins, K AU - Kerrins K FAU - Quarles, A AU - Quarles A LA - eng PT - Journal Article PL - United States TA - JOGN Nurs JT - JOGN nursing; journal of obstetric, gynecologic, and neonatal nursing JID - 0347421 SB - IM SB - N MH - Consumer Behavior MH - *Education, Nursing, Baccalaureate MH - Female MH - Holistic Health MH - Humans MH - Infant, Newborn MH - Male MH - *Natural Childbirth MH - Obstetric Nursing/*education MH - Personal Satisfaction MH - Pregnancy MH - Students, Nursing/psychology EDAT- 1984/07/01 MHDA- 1984/07/01 00:01 CRDT- 1984/07/01 00:00 PST - ppublish SO - JOGN Nurs. 1984 Jul-Aug;13(4):233-6. PMID- 6702770 OWN - NLM STAT- MEDLINE DA - 19840330 DCOM- 19840330 LR - 20061115 IS - 0002-922X (Print) IS - 0002-922X (Linking) VI - 138 IP - 3 DP - 1984 Mar TI - Effects of perinatal coaching on mother-infant interaction. PG - 254-7 AB - Perinatal coaching, a skill-training program designed to promote and enhance parent-infant interactions, was evaluated through a controlled design. Forty-two first-time mothers and their clinically well newborns from one private pediatric practice in central Michigan were the sample. Twenty-one of the mothers received perinatal coaching on days 1, 2, and 7 post partum, while the remaining 21 served as the control group. At 28 days post partum, two standardized self-report instruments on parental stress and maternal adaptation, videotaped recordings of mother-infant interactions, and demographic and background data were collected. The groups were comparable on all demographic/background variables assessed. Perinatal coaching was effective in promoting positive mother-infant interactions as demonstrated in five of nine videotaped behavioral assessments, indicating improved interactions for both mother and infant. Some support was found that showed decreased stress in the coached mothers. FAU - Bristor, M W AU - Bristor MW FAU - Helfer, R E AU - Helfer RE FAU - Coy, K B AU - Coy KB LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Dis Child JT - American journal of diseases of children (1960) JID - 0370471 SB - AIM SB - IM MH - Adult MH - Communication MH - Educational Status MH - Female MH - Humans MH - Infant, Newborn MH - Interpersonal Relations MH - Male MH - *Mother-Child Relations MH - Mothers/*education MH - Videotape Recording EDAT- 1984/03/01 MHDA- 1984/03/01 00:01 CRDT- 1984/03/01 00:00 PST - ppublish SO - Am J Dis Child. 1984 Mar;138(3):254-7. PMID- 6402641 OWN - NLM STAT- MEDLINE DA - 19830421 DCOM- 19830421 LR - 20071029 IS - 0361-929X (Print) IS - 0361-929X (Linking) VI - 8 IP - 2 DP - 1983 Mar-Apr TI - Childbirth education classes for expectant deaf parents. PG - 143-6 FAU - Baranowski, E AU - Baranowski E LA - eng PT - Journal Article PL - United States TA - MCN Am J Matern Child Nurs JT - MCN. The American journal of maternal child nursing JID - 7605941 SB - N MH - Adult MH - Deafness/*complications MH - Female MH - *Health Education MH - Humans MH - Infant Care MH - Labor, Obstetric MH - Male MH - Postnatal Care MH - Pregnancy MH - *Pregnancy Complications MH - Prenatal Care EDAT- 1983/03/01 MHDA- 1983/03/01 00:01 CRDT- 1983/03/01 00:00 PST - ppublish SO - MCN Am J Matern Child Nurs. 1983 Mar-Apr;8(2):143-6. PMID- 6868968 OWN - NLM STAT- MEDLINE DA - 19830811 DCOM- 19830811 LR - 20131121 IS - 0001-6349 (Print) IS - 0001-6349 (Linking) VI - 62 IP - 2 DP - 1983 TI - Prevention of fetal alcohol effects. An antenatal program for early detection of pregnancies at risk. PG - 171-8 AB - The increased consumption of alcoholic beverages by young people must be viewed with great concern, particularly as regards prospective parents. A study was therefore started at four Maternal Health Clinics to develop methods for the early detection of maternal alcohol abuse and for treatment of the women concerned. The study involved 464 consecutive pregnant women. A systematic drinking anamnesis was obtained from all patients. Attention was also paid to additional indicators of maternal alcohol abuse. Four per cent of the women were classified as alcohol abusers, and a further 7% as excessive drinkers. The majority of the mothers reduced their drinking altogether or stopped after receiving information about alcohol. The alcoholic women, on the other hand, needed intensive counseling. Most women welcomed the opportunity to obtain an accurate assessment of the risks of alcohol consumption during pregnancy. One infant was given a diagnosis of fetal alcohol syndrome at birth and another neonate had a partial fetal alcohol syndrome. The antenatal staff identified significantly more women with excessive alcohol consumption, compared with the situation the year prior to starting the program. Family guidance provided by a multidisciplinary team in pregnancy may result in lifelong benefits to both the mother and her child. FAU - Larsson, G AU - Larsson G LA - eng PT - Journal Article PL - United States TA - Acta Obstet Gynecol Scand JT - Acta obstetricia et gynecologica Scandinavica JID - 0370343 SB - IM MH - Abortion, Induced MH - Adolescent MH - Adult MH - *Alcohol Drinking MH - Alcoholism/*complications MH - Female MH - Fetal Alcohol Spectrum Disorders/*prevention & control MH - Humans MH - Infant, Newborn MH - Maternal Age MH - Pregnancy MH - Pregnancy Complications/*diagnosis MH - Psychotherapy MH - Risk MH - Socioeconomic Factors EDAT- 1983/01/01 MHDA- 1983/01/01 00:01 CRDT- 1983/01/01 00:00 PST - ppublish SO - Acta Obstet Gynecol Scand. 1983;62(2):171-8. PMID- 6552182 OWN - NLM STAT- MEDLINE DA - 19830623 DCOM- 19830623 LR - 20041117 IS - 0301-018X (Print) IS - 0301-018X (Linking) VI - 11 IP - 12 DP - 1983 Jan-Feb TI - Parent education. PG - 31 FAU - Byrne, J AU - Byrne J LA - eng PT - Journal Article PL - Australia TA - Australas Nurses J JT - The Australasian nurses journal JID - 0367666 SB - N MH - Child MH - Female MH - Humans MH - Infant, Newborn MH - Male MH - Parents/*education MH - Postnatal Care MH - Pregnancy MH - Prenatal Care EDAT- 1983/01/01 MHDA- 1983/01/01 00:01 CRDT- 1983/01/01 00:00 PST - ppublish SO - Australas Nurses J. 1983 Jan-Feb;11(12):31. PMID- 7140423 OWN - NLM STAT- MEDLINE DA - 19830119 DCOM- 19830119 LR - 20161123 IS - 0009-3920 (Print) IS - 0009-3920 (Linking) VI - 53 IP - 5 DP - 1982 Oct TI - Prediction of IQ and language skill from perinatal status, child performance, family characteristics, and mother-infant interaction. PG - 1134-56 AB - 193 basically healthy working-class and middle-class mothers and their infants participated in a 4-year longitudinal study which focused on the relative potency of several clusters of variables for predictions of intellectual and language outcome during the preschool years. The major results were: (1) Measures of perinatal or infant physical status were extremely weak predictors of 4-year IQ or language. (2) Assessments of child performance were poor predictors prior to 24 months, but excellent predictors from 24 months on. (3) Assessments of mother-infant interaction and general environmental quality were among the best predictors at each age tested, and were as good as measures of child performance at 24 and 36 months in predicting IQ and language. (4) Measures of the family ecology (level of stress, social support, maternal education) and parent perception of the child, especially when assessed at birth, were strongly related to child IQ and language within a low-education subsample, but not among mothers with more than high school education. Patterns of prediction were similar for 48-month IQ and 36-month receptive language; predictions were notably weaker for 36-month expressive language. FAU - Bee, H L AU - Bee HL FAU - Barnard, K E AU - Barnard KE FAU - Eyres, S J AU - Eyres SJ FAU - Gray, C A AU - Gray CA FAU - Hammond, M A AU - Hammond MA FAU - Spietz, A L AU - Spietz AL FAU - Snyder, C AU - Snyder C FAU - Clark, B AU - Clark B LA - eng PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Child Dev JT - Child development JID - 0372725 SB - IM MH - *Child Development MH - Child, Preschool MH - *Family MH - Female MH - Humans MH - Hypoxia/complications MH - Infant MH - Infant, Low Birth Weight MH - Infant, Newborn MH - Infant, Newborn, Diseases MH - *Intelligence MH - *Language Development MH - Longitudinal Studies MH - Mother-Child Relations MH - Pregnancy MH - Pregnancy Complications MH - Social Environment EDAT- 1982/10/01 MHDA- 1982/10/01 00:01 CRDT- 1982/10/01 00:00 PST - ppublish SO - Child Dev. 1982 Oct;53(5):1134-56. PMID- 10257928 OWN - NLM STAT- MEDLINE DA - 19830225 DCOM- 19830225 LR - 20061115 IS - 0008-3399 (Print) IS - 0008-3399 (Linking) VI - 43 IP - 4 DP - 1982 Oct TI - A maternal and child health program to prepare and support parents in the postpartum. PG - 307-12 AB - The Maternal and Child Health Program Kit has been developed to prepare and support parents in the postpartum. The kit responds to four objectives: to help families to get to know their babies; develop feelings of competence; set realistic expectations for the postpartum; and to identify and use supports and resources. In developing the kit, two target groups have been identified--the primary group, the parents; the transmitter group, the educators. The kit includes question booklets at the bedside that encourage mothers to ask questions; resource cards for health professionals that facilitate consistency in information giving; information sheets to provide concise information on topics that cover detailed information or emotional areas; four slide-tape shows on breastfeeding and a coloring book for siblings. The Maternal and Child Health Program Kit is currently being evaluated. FAU - Mitchell, D L AU - Mitchell DL FAU - Adam, V J AU - Adam VJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Canada TA - J Can Diet Assoc JT - Journal of the Canadian Dietetic Association JID - 0415554 SB - H MH - Breast Feeding MH - Female MH - *Health Education MH - Hospital Bed Capacity, 500 and over MH - Humans MH - Infant, Newborn MH - *Maternal Health Services MH - Ontario MH - Postnatal Care EDAT- 1982/09/08 MHDA- 1982/09/08 00:01 CRDT- 1982/09/08 00:00 PST - ppublish SO - J Can Diet Assoc. 1982 Oct;43(4):307-12. PMID- 25025973 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20140716 DCOM- 20140716 LR - 20140716 IS - 0004-9514 (Print) IS - 0004-9514 (Linking) VI - 28 IP - 4 DP - 1982 Aug TI - Experiences of childbirth: how effective is childbirth education? PG - 3-6 LID - 10.1016/S0004-9514(14)60771-6 [doi] LID - S0004-9514(14)60771-6 [pii] AB - Birth experiences of 94 primiparous women who had attended birth preparation classes, were compared to a control group of 22 women of similar age and parity who had not attended classes. The results revealed that in contrast to the control group, women who had attended classes were of higher socioeconomic status, were more likely to have the child's father present at birth, felt more prepared for the birth, and were somewhat more positive to the idea that women should have a choice between home birth and hospital birth However, there were no differences between the groups regarding the frequency of interventions in labour, the length of the labour, the pain experienced and their feelings of satisfaction. Thus, no substantial effect of childbirth education was evident in the management and experiences of the birth. CI - Copyright (c) 1982 Australian Physiotherapy Association. Published by . All rights reserved. FAU - Nordholm, L A AU - Nordholm LA FAU - Muhlen, L AU - Muhlen L LA - eng PT - Journal Article DEP - 20140327 PL - Australia TA - Aust J Physiother JT - The Australian journal of physiotherapy JID - 0370615 EDAT- 1982/08/01 00:00 MHDA- 1982/08/01 00:01 CRDT- 2014/07/16 06:00 AID - S0004-9514(14)60771-6 [pii] AID - 10.1016/S0004-9514(14)60771-6 [doi] PST - ppublish SO - Aust J Physiother. 1982 Aug;28(4):3-6. doi: 10.1016/S0004-9514(14)60771-6. Epub 2014 Mar 27. PMID- 7135951 OWN - NLM STAT- MEDLINE DA - 19821216 DCOM- 19821216 LR - 20151119 IS - 0093-0415 (Print) IS - 0093-0415 (Linking) VI - 137 IP - 2 DP - 1982 Aug TI - Infant passenger safety education in perinatal services in California. PG - 162-5 AB - Of 166 hospitals surveyed in California, 53 (31.9 percent) routinely provide some information on infant car-safety to parents of newborns and 115 (69.2 percent) were interested in developing a more comprehensive program of infant passenger safety. More than 80 percent of the hospitals estimated that less than a fourth of the infants were safely restrained on leaving the hospital. Larger hospitals provided more car safety education and expressed greater interest in developing comprehensive programs in the future. Although present services are limited, there is interest in expanding infant passenger safety education not only in perinatal services but in childbirth classes as well. FAU - Chang, A AU - Chang A FAU - Levy, E AU - Levy E LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - West J Med JT - The Western journal of medicine JID - 0410504 SB - IM MH - California MH - *Health Education MH - *Hospitals MH - Humans MH - Infant, Newborn MH - Safety MH - *Seat Belts MH - Surveys and Questionnaires PMC - PMC1274051 OID - NLM: PMC1274051 EDAT- 1982/08/01 MHDA- 1982/08/01 00:01 CRDT- 1982/08/01 00:00 PST - ppublish SO - West J Med. 1982 Aug;137(2):162-5. PMID- 7076861 OWN - NLM STAT- MEDLINE DA - 19820708 DCOM- 19820708 LR - 20041117 IS - 0196-206X (Print) IS - 0196-206X (Linking) VI - 3 IP - 1 DP - 1982 Mar TI - A prenatal and postpartum safety education program: influence on parental use of infant car restraints. PG - 32-4 AB - The effects of pre- and/or postnatal infant car safety education were examined. Educational approaches included demonstrations and talks on automobile crash statistics in the prenatal course; and a car safety film on the hospital television, a pamphlet given to each mother, and instructions to nurses to encourage parents' purchase and use of car restraints in the postpartum period. Although differences were not statistically significant, the reported and actual use of infant restraints on the trip home was highest in the pre- plus postnatal education group. Counseling in any period was associated with higher restraint use than on counseling. The pediatrician's role in effecting positive behavioral changes in this and other areas is emphasized. FAU - Greenberg, L W AU - Greenberg LW FAU - Coleman, A B AU - Coleman AB LA - eng PT - Journal Article PL - United States TA - J Dev Behav Pediatr JT - Journal of developmental and behavioral pediatrics : JDBP JID - 8006933 SB - IM MH - *Accident Prevention MH - *Automobile Driving MH - Female MH - *Health Education MH - Humans MH - Infant, Newborn MH - Male MH - Pregnancy MH - *Protective Devices MH - Restraint, Physical MH - *Safety EDAT- 1982/03/01 MHDA- 1982/03/01 00:01 CRDT- 1982/03/01 00:00 PST - ppublish SO - J Dev Behav Pediatr. 1982 Mar;3(1):32-4. PMID- 112346 OWN - NLM STAT- MEDLINE DA - 19791026 DCOM- 19791026 LR - 20071029 IS - 0361-929X (Print) IS - 0361-929X (Linking) VI - 4 IP - 5 DP - 1979 Sep-Oct TI - Prenatal classes for repeat parents: a distinct need. PG - 305-8 FAU - Jimenez, S M AU - Jimenez SM FAU - Jones, L C AU - Jones LC FAU - Jungman, R G AU - Jungman RG LA - eng PT - Journal Article PL - United States TA - MCN Am J Matern Child Nurs JT - MCN. The American journal of maternal child nursing JID - 7605941 SB - N MH - Birth Order MH - Child MH - Female MH - Humans MH - Infant, Newborn MH - *Parent-Child Relations MH - Parents/*education MH - Pregnancy MH - *Sibling Relations EDAT- 1979/09/01 MHDA- 1979/09/01 00:01 CRDT- 1979/09/01 00:00 PST - ppublish SO - MCN Am J Matern Child Nurs. 1979 Sep-Oct;4(5):305-8. PMID- 257178 OWN - NLM STAT- MEDLINE DA - 19791026 DCOM- 19791026 LR - 20161123 IS - 0026-3524 (Print) IS - 0026-3524 (Linking) VI - 92 IP - 1099 DP - 1979 Aug TI - Development of programmes to prepare the midwife for education of parents for childbirth and parenthood. PG - 248-50 FAU - Ashton, R M AU - Ashton RM FAU - Crowe, V J AU - Crowe VJ LA - eng PT - Journal Article PL - England TA - Midwives Chron JT - Midwives chronicle JID - 18710610R SB - N MH - *Education, Continuing MH - Female MH - Humans MH - Male MH - Midwifery/*education MH - Parents/*education MH - Pregnancy MH - Prenatal Care MH - United Kingdom EDAT- 1979/08/01 MHDA- 1979/08/01 00:01 CRDT- 1979/08/01 00:00 PST - ppublish SO - Midwives Chron. 1979 Aug;92(1099):248-50. PMID- 252551 OWN - NLM STAT- MEDLINE DA - 19790324 DCOM- 19790324 LR - 20041117 IS - 0090-0311 (Print) IS - 0090-0311 (Linking) VI - 7 IP - 6 DP - 1978 Nov-Dec TI - Toward improvements in parenting: a description of prenatal and postpartum classes with teaching guide. PG - 22-7 AB - A pilot program was developed at an urban community hospital in an attempt to enhance the educational preparation of new and expectant parents and to provide them with the opportunity to examine their values and expectations relating to parenthood. Forty-one couples attended prenatal and postpartum classes. Child development and parenting issues were the main topics of discussion. The effectiveness of the educational program and instructor performance were evaluated through questionnaires measuring parenting knowledge and emotional support. Also, a teaching guide was developed and published. FAU - Smith, D AU - Smith D FAU - Smith, H L AU - Smith HL LA - eng PT - Journal Article PL - United States TA - JOGN Nurs JT - JOGN nursing; journal of obstetric, gynecologic, and neonatal nursing JID - 0347421 SB - IM SB - N MH - *Curriculum MH - Female MH - Humans MH - Male MH - Parents/*education MH - *Postnatal Care MH - Pregnancy MH - *Prenatal Care EDAT- 1978/11/01 MHDA- 1978/11/01 00:01 CRDT- 1978/11/01 00:00 PST - ppublish SO - JOGN Nurs. 1978 Nov-Dec;7(6):22-7. PMID- 818462 OWN - NLM STAT- MEDLINE DA - 19760802 DCOM- 19760802 LR - 20131121 IS - 0361-929X (Print) IS - 0361-929X (Linking) VI - 1 IP - 4 DP - 1976 Jul-Aug TI - Giving expectant parents the help they need: the ABCs of prenatal education. PG - 220-5 FAU - Sumner, G AU - Sumner G LA - eng PT - Journal Article PL - United States TA - MCN Am J Matern Child Nurs JT - MCN. The American journal of maternal child nursing JID - 7605941 SB - N MH - Biomechanical Phenomena MH - *Family MH - Female MH - Humans MH - Male MH - Parents/*education MH - Posture MH - Pregnancy MH - *Prenatal Care MH - Washington EDAT- 1976/07/01 MHDA- 1976/07/01 00:01 CRDT- 1976/07/01 00:00 PST - ppublish SO - MCN Am J Matern Child Nurs. 1976 Jul-Aug;1(4):220-5. PMID- 1275122 OWN - NLM STAT- MEDLINE DA - 19760802 DCOM- 19760802 LR - 20081120 IS - 0090-0036 (Print) IS - 0090-0036 (Linking) VI - 66 IP - 5 DP - 1976 May TI - Education for adolescent mothers in a hospital setting. PG - 469-72 AB - This paper describes an innovative service program designed to help adolescent mothers become more effective parents. Mother-infant pairs are recruited in the postpartum unit of Cincinnati (Ohio) General Hospital, and weekly classes are held in a pediatric clinic waiting room until infants are approximately six months of age. Medical consultation and/or treatment and education for parenthood in the areas of health, nutrition, and infant stimulation are the foci of the program. The interest and participation of the mothers, the opinion of professionals, tests of maternal knowledge, and measurements of maternal-infant interaction attest to the value and success of this program. FAU - Badger, E AU - Badger E FAU - Burns, D AU - Burns D FAU - Rhoads, B AU - Rhoads B LA - eng PT - Journal Article PL - United States TA - Am J Public Health JT - American journal of public health JID - 1254074 SB - AIM SB - IM MH - *Adolescent MH - Curriculum MH - *Education MH - Education, Continuing MH - Female MH - Health Occupations/education MH - *Hospitals, General MH - Humans MH - Infant MH - *Infant Care MH - Ohio MH - *Parents MH - Postnatal Care PMC - PMC1653310 OID - NLM: PMC1653310 EDAT- 1976/05/01 MHDA- 1976/05/01 00:01 CRDT- 1976/05/01 00:00 PST - ppublish SO - Am J Public Health. 1976 May;66(5):469-72. PMID- 25025881 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20140716 DCOM- 20140716 LR - 20140811 IS - 0004-9514 (Print) IS - 0004-9514 (Linking) VI - 19 IP - 3 DP - 1973 Sep TI - A survey of antenatal education in australia. PG - 100-4 LID - 10.1016/S0004-9514(14)61152-1 [doi] LID - S0004-9514(14)61152-1 [pii] AB - There is increasing awareness of the need for ante-natal education for expectant parents. This role of education has traditionally gone to the physiotherapist, who first became involved when giving exercises to pregnant women in 1940. CI - Copyright (c) 1973 Australian Physiotherapy Association. Published by . All rights reserved. FAU - Morrisey, M AU - Morrisey M AD - A.S.P.O. LA - eng PT - Journal Article PL - Australia TA - Aust J Physiother JT - The Australian journal of physiotherapy JID - 0370615 EDAT- 1973/09/01 00:00 MHDA- 1973/09/01 00:01 CRDT- 2014/07/16 06:00 AID - S0004-9514(14)61152-1 [pii] AID - 10.1016/S0004-9514(14)61152-1 [doi] PST - ppublish SO - Aust J Physiother. 1973 Sep;19(3):100-4. doi: 10.1016/S0004-9514(14)61152-1. PMID- 4487527 OWN - NLM STAT- MEDLINE DA - 19730525 DCOM- 19730525 LR - 20151119 IS - 0090-0311 (Print) IS - 0090-0311 (Linking) VI - 2 IP - 2 DP - 1973 Mar-Apr TI - Evaluation of a family-centered maternity care hospital program. II. Ancillary findings and parents' comments. PG - 15-27 FAU - Jordan, A D AU - Jordan AD LA - eng PT - Journal Article PL - United States TA - JOGN Nurs JT - JOGN nursing; journal of obstetric, gynecologic, and neonatal nursing JID - 0347421 SB - N MH - Alberta MH - Evaluation Studies as Topic MH - Family MH - Hospitals, Special MH - Maternal Health Services MH - Postnatal Care MH - Prenatal Care MH - Surveys and Questionnaires EDAT- 1973/03/01 MHDA- 1973/03/01 00:01 CRDT- 1973/03/01 00:00 PST - ppublish SO - JOGN Nurs. 1973 Mar-Apr;2(2):15-27. PMID- 5211114 OWN - NLM STAT- MEDLINE DA - 19720323 DCOM- 19720323 LR - 20041117 IS - 0029-6465 (Print) IS - 0029-6465 (Linking) VI - 6 IP - 4 DP - 1971 Dec TI - The education of the expectant father for childbirth. PG - 591-603 FAU - Wonnell, E B AU - Wonnell EB LA - eng PT - Journal Article PL - United States TA - Nurs Clin North Am JT - The Nursing clinics of North America JID - 0042033 SB - IM SB - N MH - Delaware MH - *Delivery, Obstetric MH - Female MH - Humans MH - Interpersonal Relations MH - Labor, Obstetric MH - Male MH - Medical Staff, Hospital MH - Nursing Staff, Hospital MH - Parents/*education MH - Patient Care Team MH - Pregnancy MH - *Prenatal Care EDAT- 1971/12/01 MHDA- 1971/12/01 00:01 CRDT- 1971/12/01 00:00 PST - ppublish SO - Nurs Clin North Am. 1971 Dec;6(4):591-603. PMID- 13068987 OWN - NLM STAT- MEDLINE DA - 19531201 DCOM- 20030501 LR - 20061115 IS - 0018-5817 (Print) IS - 0018-5817 (Linking) VI - 34 IP - 6 DP - 1953 Jun TI - Prenatal classes for parents. PG - 47-8 FAU - SISTER ANNUNCIATA AU - SISTER ANNUNCIATA LA - eng PT - Journal Article PL - United States TA - Hosp Prog JT - Hospital progress JID - 0374656 SB - OM MH - Female MH - Humans MH - *Parents MH - Pregnancy MH - *Prenatal Care OID - CLML: 5324:39691:524 OTO - NLM OT - *PRENATAL CARE EDAT- 1953/06/01 MHDA- 1953/06/01 00:01 CRDT- 1953/06/01 00:00 PST - ppublish SO - Hosp Prog. 1953 Jun;34(6):47-8.